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Think Neuro

The Think Neuro podcast from Pacific Neuroscience Institute takes you into the clinic, operating room and laboratory with doctors and surgeons who are tackling the most challenging brain diseases and disorders. You’ll go deep into the brain and beyond, exploring the neurological processes and structures that control our health, hormones, behaviors, movements, moods, and emotions. You’ll learn about new therapies that are giving hope for sufferers of the most challenging diseases, and you’ll hear about some habits you can develop to keep your brain in good working order for years to come. We’ll show you why patients from around the world are coming to Pacific Neuroscience Institute for novel treatments that are in many instances, available at few other institutions.

pacificneuro.org | (310) 582-7640

Think Neuro’s has two co-hosts, Anthony Effinger and Dan Fost.

Anthony Effinger is an award-winning journalist who is fascinated with neuroscience and the workings of the brain. Anthony spent 24 years at Bloomberg News, where he covered money and finance, with deep forays into science and health. In 2006, the Association of Health Care Journalists awarded him first prize for Playing the Odds, an in-depth piece on the changing strategies used to treat prostate cancer. These days, he is a staff writer at Willamette Week, a Pulitzer Prize-winning newspaper in Portland, Oregon, where he lives with his wife and two children. He won the 2022 award for health care journalism from the Association of Alternative Newsmedia for his piece on the disproven Covid remedy ivermectin and the anti-vaxx Portland biologist who was its biggest booster.

Dan Fost is a veteran journalist who has written for the New York Times, Los Angeles Times, and the Washington Post. A former staff writer for the San Francisco Chronicle, he covers health, science, and technology, making complex subjects accessible to a broad audience. Dan has written extensively for the University of California, San Francisco, one of the nation’s leading health science universities, where he’s reported on leading scientists (including Nobel Prize winners), global health, and biotechnology innovations that have led to the launch of new companies. Dan is the author of “Giants Past and Present,” a book about the San Francisco baseball team. A native of New Jersey and a graduate of Boston University, Dan lives in Marin County, Calif., with his wife. They have one adult son.

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24 episodes
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Avg 26 min
English

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Wednesday · 1 min
PNI & 25 Years with the Los Angeles Kings - 2026 with Chester Griffiths, MD, FACS
Celebrating 25 years with the team, Chester Griffiths, MD, FACS, has been a member of the Los Angeles Kings ice hockey team medical staff since 2002 as their maxillofacial plastic surgeon. Maxillofacial surgeons are trained to handle facial trauma as well as a wide variety of conditions and injuries that affect the head, neck, mouth, and jaw. Dr. Griffiths has done hundreds of procedures for team players as well as visiting team members and the referees who have been injured during games includi
October 7 · 2 min
Hearing Loss, Cognition, Dementia, and the CELEBRATE Protocol with Rebecca Lewis, AuD
Hearing loss is common as we age, but its effects reach far beyond the ears. Research increasingly links untreated hearing loss to a higher risk of cognitive decline and dementia, while treating hearing loss with hearing aids or cochlear implants may help protect memory and quality of life. At PNI’s Ear, Hearing & Balance program, our audiologists and ENT specialists work together to evaluate your hearing and recommend the right next step, whether that’s hearing aids, cochlear implants, or anoth
September 30 · 11 min
Common Questions About Cochlear Implants with Rebecca Lewis, AuD
Hearing loss is one of the leading causes of overall disability worldwide, affecting approximately 466 million adults and children. In this video, Rebecca Lewis, AuD, the Audiology Director of the Adult & Pediatric Cochlear Implant Program at Pacific Neuroscience Institute, answers common questions about cochlear implants. For more information: https://www.pacificneuroscienceinstitute.org/patient-care/treatments/cochlear-implants/
September 23 · 2 min
Investigating Hormone Imbalances That Cause Irregular Cycles with Noa Tal, MD
The pituitary gland may be tiny, but it plays a significant role in a woman’s health. When functioning properly, this master gland regulates essential hormones that influence many of bodily functions, from menstrual cycles to metabolism. Therefore, when pituitary gland disorders arise, they can disrupt reproductive health, energy levels, and overall quality of life. In this article, we’ll explore the role of the pituitary gland in women’s health, common disorders, symptoms to watch for, and how
#79
September 16 · 54 min
79. Restoring Hearing Health with One Cochlear Implant at a Time with Courtney Voelker, MD, PhD
It sounds almost too good to be true: A simple solution to a major health issue, that’s safe, effective and covered by insurance—yet most of the people who would benefit from this procedure don’t even know about it. We’re talking about cochlear implants—a well-established procedure that can restore hearing loss. Dr. Courtney Voelker has made it her life’s work to spread the word about this remarkable surgery. One of her patients, Sharon, also wants people to know how her cochlear implant complet
September 9 · 3 min
Rapid Stroke Treatment at Comprehensive Stroke Centers with Jason Tarpley, MD, PhD
With four Comprehensive Stroke Centers at Providence hospitals in the greater Los Angeles region, Pacific Neuroscience Institutes specialists have expert teams to treat stroke patients. Working with EMS, neurointerventional teams are standing by to provide immediate, advanced treatment. Using the latest in leading-edge imaging and minimally invasive clot-retrieval and clot busting techniques, we are able to treat strokes right away, maximizing the chance of recovery.
September 2 · 3 min
What is Normal Pressure Hydrocephalus? | With Garni Barkhoudarian, MD
Normal Pressure Hydrocephalus (NPH) can cause symptoms of dementia, but these are reversible. NPH is a neurological condition that occurs when cerebrospinal fluid (CSF) builds up in the brain’s ventricles, causing them to enlarge. It most commonly affects older adults and can lead to a unique set of symptoms, including difficulty walking, problems with bladder control, and cognitive decline. Because its symptoms often overlap with those of other neurological conditions, NPH can be challenging t
August 26 · 9 min
Multiple Sclerosis: 6 Lifestyle Pillars for Brain Health | Dr. Barbara Giesser
Multiple sclerosis (MS) is a chronic autoimmune neurological disorder that affects the central nervous system, specifically the brain and spinal cord. MS is managed by disease modifying therapies (DMTs), symptom management medications, and lifestyle interventions. Lifestyle interventions focus on six pillars of brain health: nutrition, exercise, sleep, stress management, social connection and avoidance of harmful substances. Learn more. pacificms.org
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August 19 · 52 min
78. Revolutionizing Brain Tumor Surgery with Minimally Invasive Techniques with Daniel Kelly, MD
The world of brain surgery has changed dramatically over the past generation. Surgeons are able to remove many tumors and other problems from the brain, often using new approaches that have much shorter recovery times and much better long-term outcomes. Many of these surgeries are much less invasive than old methods that saw the need to cut into a patient’s skull. Dr. Daniel Kelly and the team at Pacific Neuroscience Institute have pioneered many of these new approaches, and they’ve published pe
August 12 · 5 min
Enhanced Recovery After Surgery (ERAS): The All-Important Pre-Operative Phase
Walavan Sivakumar, MD, explains how Enhanced Recovery After Surgery (ERAS) is used at PNI to help patients with brain tumors through the neurosurgical process. ERAS unfolds in three phases, and Dr. Sivakumar details why the preoperative stage plays a key role in setting patients up for success.⁠
August 5 · 5 min
Dopamine Neuron Cell Replacement Therapy for Parkinson's Disease with Melita Petrossian, MD
Parkinson's disease begins with the quiet loss of the brain cells that make dopamine, and dopamine is what carries your movement, your mood and the drive that gets you through the day. As those cells disappear, so does everything they were holding up, which is why the disease eventually shows itself in so many different ways at once. For years the central question in Parkinson's research has been whether any of that can be given back, and stem cells offer one of the more hopeful answers, since t
#77
July 15 · 58 min
77. The Little Gland with a Very Big Job with Garni Barkhoudarian, MD
For a tiny organ, the pituitary gland carries outsized responsibilities in the human body. The size of a pea, the so-called “master gland” produces vital hormones that regulate many important bodily functions, including growth, stress, thirst, and even reproductive development. So it only follows that when things go awry with the pituitary gland, the body can suffer many other problems. Dr. Garni Barkhoudarian is a director of the Pacific Pituitary Disorders Center at Pacific Neuroscience Instit
July 1 · 39 min
Spotlight Replay - Episode 23: Scanning the Eye for Signs of Multiple Sclerosis | Dr. Barbara Giesser and Dr. Howard Krauss
July is Healthy Vision Month, and the National Eye Institute—part of the National Institutes of Health—reminds us to take care of our eyes, by eating a healthy diet and exercising, and also by understanding the connection between our vision and other diseases. Multiple sclerosis, or MS, is one of those diseases. Dr. Barbara Giesser, who specializes in treating patients with MS at Pacific Neuroscience Institute, says that often times, a sudden loss of vision is the first indication that a person
#76
June 17 · 33 min
76. Getting the Right Diagnosis for Facial Paralysis with Dr. Amit Kochhar
Every medical treatment needs to start with a diagnosis, but sometimes that diagnosis proves elusive. Sometimes it may appear that a person has one thing needing treatment, and after that treatment doesn’t work, doctors have to consider other possibilities. Dr. Amit Kochhar at Pacific Neuroscience Institute sees patients with facial paralysis, which is often diagnosed as Bell’s Palsy or Ramsey Hunt Syndrome—but sometimes turns out to be a cancerous tumor on a facial nerve. Doctors try to figure
June 10 · 39 min
Spotlight Replay - Episode 56: Dr. Michael Yong on Seasonal Allergies
If you suffer from seasonal allergies, you probably kept a close eye on the pollen count this spring—and you may have felt those all-too-familiar symptoms that affect one in five people: Congestion, sneezing, runny nose, stuffy nose. That’s known as allergic rhinitis or, more commonly, hay fever. And that’s why now is a good time to revisit this Think Neuro podcast with Pacific Neuroscience Institute’s Dr. Michael Yong, an otolaryngologist with focused training in neuro-rhinology who specializes
May 27 · 1 min
Chronic Subdural Hematoma with Ashkan Mowla, MD
When blood collects in the skull outside the brain and below the outermost layer of tissue surrounding the brain (dura), a subdural hematoma results. This may occur due to head trauma when it is called an acute subdural hematoma. Chronic subdural hematomas may occur due to aging and the increased fragility of blood vessels. The pooled blood may resolve on its own or may require surgical intervention as development of a subdural hematoma can be a life-threatening condition. Symptoms of subdural h
#75
May 20 · 59 min
75. Finding Relief and Healing with Back Pain and Spinal Issues with Dr. Marcus Mazur
If you have back pain, you are not alone. According to Georgetown University’s Health Policy Institute, nearly 65 million Americans report a recent episode of back pain, and 16 million adults — 8 percent of all adults — experience persistent or chronic back pain and are limited in everyday activities. Dr. Marcus Mazur at Pacific Neuroscience Institute sees people living with back pain and works to find a solution, whether that’s through surgery or through some of the many other available options
May 13 · 39 min
Spotlight Replay: Episode 44. Preventing Stroke and Getting the Best Treatment if One Occurs with Dr. Sandra Narayanan
National Stroke Awareness Month is observed in May to promote public awareness about stroke symptoms and prevention. While 800,000 Americans have a stroke every year, many of these can be prevented. It’s particularly critical to recognize when a stroke is happening, because fast treatment can prevent the worst effects. In this Spotlight Replay, Dr. Sandra Narayanan, a neurointerventional surgeon at Pacific Neuroscience Institute who treats people who’ve had strokes, tells us how a healthy lifest
May 6 · 52 min
Spotlight Replay: Episode 06. Meet Minimally Invasive Brain Surgery’s Pathfinder: Dr. Chester Griffiths
May is Brain Tumor Awareness Month, which the National Brain Tumor Society calls “a time dedicated to supporting, empowering, and amplifying the voice of the brain tumor community.” The NBTS estimates that more than 1.3 million Americans are living with a brain tumor and, while 73 percent of these are benign, an estimate 18,350 Americans will die of a brain tumor this year. In this Spotlight Replay, we revisit a conversation with Dr. Chester Griffiths, one of the founders of Pacific Neuroscience
April 22 · 1 min
Brain Aneurysm Management with Ashkan Mowla, MD
In general, aneurysms are only detected after they have burst although they may sometimes be detected during the course of other tests. Operating on the arteries of the brain may feel scary but there have been tremendous advances in the way that aneurysms are surgically treated. The interventional neuroradiologist has several options for treating the aneurysm from the inside of the blood vessel based on the patient’s status. These kinds of surgery, called endovascular neurosurgery or embolizatio

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