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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

    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:
    Skin Cancer Prevention and Treatment Options with Vivian Wu, MD Aug 06, 2025
    Show notes

    Skin cancer is the most common form of cancer in the United States and involves abnormal growths of skin cells that can form anywhere on the body, but most frequently appear on skin that is exposed to the sun, such as the face.

    Vivian F. Wu, MD, MPH, is a surgeon-scientist specializing in all cancers of the head and neck, including those of the tongue, throat, voice box, thyroid, skin, and salivary glands.

    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.


    Introduction to Enhanced Recovery After Surgery (ERAS) with Walavan Sivakumar, MD Jul 30, 2025
    Show notes

    Enhanced Recovery After Surgery (ERAS) is revolutionizing perioperative care by shifting away from conventional methods toward a patient-centered, evidence-based approach. ERAS protocols focus on optimizing recovery across all surgical stages—before, during, and after the procedure—through personalized therapies. Key elements include nutritional support, patient education, minimally invasive techniques, and multimodal pain management, all designed to improve surgical outcomes.

    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.


    Human Papillomavirus (HPV) Cancer Treatments with Dr. Vivian Wu Jul 23, 2025
    Show notes

    Human Papillomavirus (HPV) is a small DNA virus that infects skin and wet surfaces of the body. The virus is typically spread through vaginal, anal, or oral sex. There are over 100 different types of HPV. The most common types of HPV are found on the skin and appear as warts. It is one of the most common types of sexually transmitted infections worldwide. HPV is responsible for more than 90% of anal and cervical cancers. The high-risk types of HPV form in the back of the throat, also known as Oropharyngeal Cancer.

    Vivian F. Wu, MD, MPH, is a surgeon-scientist specializing in all cancers of the head and neck, including those of the tongue, throat, voice box, thyroid, skin, and salivary glands. She is the Director of the Head and Neck Cancer Center of Excellence at Saint John’s Cancer Institute and Pacific Neuroscience Institute (PNI).

    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.


    67. Decoding Pituitary Disorders Through Hormone Investigation | Noa Tal, MD Jul 16, 2025
    Show notes

    Tucked deep within the brain and no larger than a pea, the pituitary gland is often called the body’s “master gland.” It oversees the endocrine system—a network of glands and organs that produce hormones regulating everything from growth and metabolism to reproduction and mood. At Pacific Neuroscience Institute’s Pituitary Disorders Center, endocrinologist Dr. Noa Tal specializes in identifying and treating hormone and endocrine imbalances. Patients may present with a wide range of symptoms—unexplained weight gain, irregular menstrual cycles, hot flashes, or mood changes—that often seem unrelated. In cases like Cushing’s disease, a pituitary tumor triggers excess cortisol production, resulting in a puzzling array of symptoms. Sometimes the cause is even more elusive, such as side effects from medications. That’s where careful clinical investigation comes in. Dr. Tal and her interdisciplinary team work closely to uncover the root of hormonal issues and guide patients toward not just better outcomes, but better quality of life. 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.


    Synkinesis after Bell's Palsy | Nicky's Grateful Patient Story Jul 09, 2025
    Show notes

    Five days after the birth of her second son, Nicky developed Bell's palsy, a facial paralysis affecting one side of the face. In a majority of people symptoms resolve with steroids and anti-viral treatments. The symptoms lingered for a year despite treatment at which point she was diagnosed with synkinesis, or abnormal facial nerve movement, which occurs about 10% of patients. Nicky was relieved as the diagnosis represented a path forward. Dr. Amit Kochhar at Pacific Neuroscience Institute has been working with Nicky for 2 years and she feels very grateful his expertise in treating synkinesis.

    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.


    The Things That (Should) Happen at Your Appointment with Your Neurologist with Barbara Giesser, MD | Guest Podcast Jul 02, 2025
    Show notes

    Most people living with MS don't see their neurologist often. For many, it might be only once or twice a year. A lot of important things take place during that appointment. Symptoms are assessed. Decisions about disease-modifying therapies are made or, sometimes, changed. Questions get asked and, hopefully, answered. Dr. Barbara Giesser returns to the podcast, this time, to review the things that should be discussed and followed up on at your appointment with your neurologist or MS specialist. We're also sharing some good news about MS research funding from the National MS Society and the International Progressive MS Alliance. We'll tell you how you can catch the replay of the International Progressive MS Alliance's webcast focused on putting people with MS at the center of MS research. We're sharing the encouraging outcome of the Phase 2 clinical trial for vidofludimus calcium and progressive MS. We'll tell you how you or a family member can participate in the GEMS study. And we'll tell you about a new AI tool that can accurately diagnose a patient's transition from relapsing-remitting MS to secondary progressive MS, often before a clinician can!

    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.


    Back Pain: Lumbar Discectomy Treatment with Jian Guan, MD Jun 25, 2025
    Show notes

    Lumbar discectomy is a surgical procedure designed to relieve pressure on spinal nerves caused by a herniated disk. Unlike traditional open surgery, this technique uses small incisions and specialized tools to remove damaged disk material with minimal impact on surrounding tissue. Patients typically experience less pain and quicker recovery, making it a preferred option when conservative treatments fail.

    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.


    66. Making Hearing More Accessible Through Cochlear Implants | Rebecca Lewis, AuD & Mathilde Tranberg Jun 18, 2025
    Show notes

    Cochlear implants are neat little devices that drastically improve one's quality of life. However, only about 10% of those that qualify for cochlear implants have actually received one. When one thinks of cochlear implants, the first thing that might come to mind is surgery--invasive, lengthy, with a long time of recovery. However, at PNI, patients can expect a much faster, minimally invasive treatment option. Dr. Rebecca Lewis, the Audiology Director of the Adult & Pediatric Cochlear Implant Program, highlights the importance of getting an evaluation done, and early. Studies have shown that the earlier one gets treatment for their hearing issues, the better the outcome. Mathilde Tranberg, an outreach and patient support specialist at PNI, is a cochlear implant recipient herself. As she was implanted as a child, she knows firsthand how helpful it can be. Her goal is to spread the word about cochlear implants through community outreach and education. Listen in and learn about how these innovative devices are changing lives.

    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.


    Parkinson's Disease Treatment with DBS at PNI | Charles' Grateful Patient Story Jun 11, 2025
    Show notes

    Charles was living a full life when Parkinson's disease hit. Although a progressive neurodegenerative disease affecting movement, there are many medical treatments available to help with symptom management. While Levadopa, the standard of care treatment helped Charles with his symptoms of tremor, he was unable to tolerate it due to the extreme Restless Legs Syndrome he developed. Deep Brain Stimulation (DBS) surgery and treatment at the Movement Disorders Center at Pacific Neuroscience Institute, has saved his life and put him on a new trajectory full of movement and joy. Learn more.

    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.


    Think Neuro Mini: Meet Vivian F. Wu, MD, MPH Jun 04, 2025
    Show notes

    Vivian F. Wu, MD, MPH, is a surgeon-scientist specializing in all cancers of the head and neck, including those of the tongue, throat, voice box, thyroid, skin, and salivary glands. She is the Director of the Head and Neck Cancer Center of Excellence at Saint John’s Cancer Institute and Pacific Neuroscience Institute (PNI).

    Dr. Wu earned her medical degree from Howard University and completed her residency at Oregon Health & Science University. She pursued fellowship training at the University of Michigan. She also holds a Masters in Public Health from Yale University. With over a decade of experience, she provides advanced treatments such as minimally invasive thyroid surgery, transoral robotic surgery, and sentinel node biopsy skin and oral cavity cancers.

    A believer in multidisciplinary care, Dr. Wu collaborates with experts in oncology, radiation, endocrinology, and dermatology. She is an advocate for HPV vaccination and a former Vice Chair of Research. Dr. Wu is dedicated to improving patient outcomes through innovative care and research, compassionately treating patients at Pacific Head & Neck, Pacific Neuroscience Institute in Southern California.

    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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