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    Health & Fitness

    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

    The Think Neuro Podcast has two co-hosts, Anthony Effinger and Dan Fost.

    Think Neuro host Anthony Effinger is an award-winning journalist fascinated by neuroscience and the workings of the brain.

    Anthony spent 24 years at Bloomberg News, where he covered finance and made 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 look at changing strategies for treating prostate cancer.

    After a stint at the World Bank, Anthony joined Willamette Week, the Pulitzer Prize-winning newsweekly in Portland, Oregon. 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.

    His 2023 examination of Oregon’s black-market psilocybin economy, “The Mushroom Underground,” won first prize in AAN Publishers’ exploratory reporting category. The Society of Professional Journalists Northwest gave him and colleague Lucas Manfield its top business award for “Junk Ambulances,” a 2023 exposé of private equity’s mismanagement of Multnomah County’s ambulance contractor.

    In 2026, AAN awarded him first place for health care reporting for “Operation: Merger,” his examination of Oregon Health & Science University’s failed bid to merge with rival Legacy Health.

    Raised in Copper Mountain, Colorado, Anthony lives in Portland with his wife, Diana Bianco. They raised two children there: one is a journalist, the other a fluids engineer.

    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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    Latest Episodes:
    Multiple Sclerosis: 6 Lifestyle Pillars for Brain Health | Dr. Barbara Giesser Aug 26, 2026
    Show notes

    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

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    78. Revolutionizing Brain Tumor Surgery with Minimally Invasive Techniques with Daniel Kelly, MD Aug 19, 2026
    Show notes

    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 peer-reviewed papers on their work in an effort to spread the word through the field. Dr. Kelly, the CEO and co-founder of PNI, joins us today to talk about some of these papers and what he and the team have found.

    For more information, visit: pacificneuro.org

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    Enhanced Recovery After Surgery (ERAS): The All-Important Pre-Operative Phase Aug 12, 2026
    Show notes

    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.⁠

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    Dopamine Neuron Cell Replacement Therapy for Parkinson's Disease with Melita Petrossian, MD Aug 05, 2026
    Show notes

    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 they can be turned into the very dopamine neurons the brain can no longer make on its own.

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    77. The Little Gland with a Very Big Job with Garni Barkhoudarian, MD Jul 15, 2026
    Show notes

    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 Institute and he joins us today to discuss the positive parts—and the pitfalls—of the pituitary gland.

    Christine, one of Dr. Barkhoudarian’s patients, also joins us to share her story of the long and arduous road to get her pituitary tumor diagnosed—and the happy ending she experienced when Dr. Barkhoudarian finally removed the tumor.

    For more information, visit:
    PacificNeuro.org

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    Spotlight Replay - Episode 23: Scanning the Eye for Signs of Multiple Sclerosis | Dr. Barbara Giesser and Dr. Howard Krauss Jul 01, 2026
    Show notes

    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 might have MS. Dr. Howard Krauss, one of the founders of Pacific Neuroscience Institute and a neuro ophthalmologist, notes that 40 percent of the brain’s activity is related to vision—so it makes sense that a disease of the brain like MS would have such a big impact on vision. We’re revisiting this conversation between these two doctors who have partnered in ways that can detect MS very early in the process, and to monitor the optic nerve to see how well MS treatments are working. Let’s listen in!

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    76. Getting the Right Diagnosis for Facial Paralysis with Dr. Amit Kochhar Jun 17, 2026
    Show notes

    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 that out as quickly as possible, so they can remove the tumor and begin the work of restoring the patient’s appearance. In today’s episode, Dr. Kochhar describes these various symptoms and explains how he reaches the right diagnosis and treatment for his patients.

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    Spotlight Replay - Episode 56: Dr. Michael Yong on Seasonal Allergies Jun 10, 2026
    Show notes

    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 in treating these seasonal allergies. We’ll learn about what causes allergies and what the different treatment options are. Let’s listen in!

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    Chronic Subdural Hematoma with Ashkan Mowla, MD May 27, 2026
    Show notes

    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 hematoma can include headache, confusion, change in behavior, dizziness, nausea and vomiting, lethargy or excessive drowsiness, weakness, apathy, and seizures. Subdural hematomas are generally diagnosed by CT scan or MRI imaging.

    Ashkan Mowla, MD, FAHA, FAAN, is neuro-interventional surgeon at the Pacific Neuroscience Institute® (PNI). He specializes in minimally invasive endovascular procedures to treat conditions and diseases of the brain and spine, including stroke, brain aneurysm, brain and spine arteriovenous malformation and fistula and carotid and intracranial disease.

    Accepting new patients: 424-212-5361

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


    Spotlight Replay: Episode 44. Preventing Stroke and Getting the Best Treatment if One Occurs with Dr. Sandra Narayanan May 13, 2026
    Show notes

    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 lifestyle can help most people avoid a stroke. And she gives an important update to the F.A.S.T. acronym for helping recognize when someone has had a stroke—it’s now BE FAST. Let’s listen in and learn what BE FAST stands for—and keep a stroke from knocking us down!

    Think Neuro is produced by Pacific Neuroscience Institute in Santa Monica, California.


    Request an appointment: https://www.pacificneuroscienceinstitute.org/contact/request-an-appointment/
    Call: 310-582-7640
    Watch on YouTube: https://www.youtube.com/playlist?list=PLi7WP07vn6Ef77Bp1YwH27ck2VB7B6-uV
    Get our newsletter: https://www.pacificneuroscienceinstitute.org/patient-care/newsletters/
    Enjoying the show? Please rate and review Think Neuro on Apple Podcasts or Spotify. It helps other listeners find us.


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