Critically Speaking

In this episode, Therese Markow and Dr. Tami Rowen discuss menopause, perimenopause, and hormone therapy. She explains that menopause is defined as one year without a period, while perimenopause can last up to 10 years with symptoms like mood changes and menstrual irregularities. Dr. Rowen discusses the changes in FSH levels and how to understand what the levels mean across time, and why they may not be as helpful as you think. She also explains how hormone therapy can alleviate symptoms and prevent osteoporosis, and that bioidentical hormones are preferred for their safety and efficacy. Finally, she cautions that social media can spread both accurate and misleading information about menopause and hormone therapy.    Key Takeaways: There is a debate over whether or not there is a cardiovascular benefit to starting hormone therapy early. While several studies suggest there may be a benefit, all the current guidelines recommend against using hormone therapy specifically for the prevention of heart disease.  When somebody enters menopause or post-menopause, there is no significant change in their testosterone levels. However, testosterone will be lower than when someone was in their 20s.  The majority of people giving information about menopause are not healthcare providers. Oftentimes, when they are discussing hormone therapy, some of the risks get missed, some of the benefits get overblown, and many are left believing hormone therapy will be a cure-all.   "Anytime someone makes a definitive statement, I would take it with a grain of salt and just know that there's oftentimes nuance to recommendations and guidance, and I would encourage all women to seek out a provider that is familiar with the data." —  Dr. Tami Rowen   Connect with Dr. Tami Rowen: Professional Bio: https://profiles.ucsf.edu/tami.rowen  Website: https://www.ucsfhealth.org/providers/tami-rowen  Instagram: https://www.instagram.com/drtamirowen/    Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Instagram: @criticallyspeakingpodcast Email: [email protected]   Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.  

In this episode, Therese Markow and Dr. Robert Klitzman discuss the implications of new anti-obesity drugs, initially designed for type 2 diabetes but now used for weight loss. These drugs are expensive and may not be fully covered by insurance. They discuss how the drugs work and explain why they may be more effective for some than others. Dr. Klitzman highlights the socio-economic disparity that contributes to some of the causes of obesity. He emphasizes the need for prevention and policy changes to address the root causes of obesity, including dietary habits and access to healthy food.   Key Takeaways: The US spends twice as much per person on health care as any other country in the world, yet our health indices are nowhere near the top. A lot of that is because of the price of drugs. Obesity medications are being touted as the end of the obesity pandemic, as a cure-all. However, while they do a lot of good, there are many limitations to the drugs.  Obesity is often more prevalent in lower socio-economic classes. With the increased use of these obesity drugs, the disparity between the haves and have-nots will continue to grow, potentially leading to additional stigmas being placed on those struggling with obesity.   "I do have concerns that the attention on drugs, if we're going to spend a lot of money on drugs for obesity, my concern is we're not going to spend as much attention on how to prevent obesity in the first place." —  Dr. Robert Klitzman   Connect with Dr. Robert Klitzman: Professional Bio: https://www.publichealth.columbia.edu/profile/robert-klitzman-md  Website: https://sps.columbia.edu/person/robert-klitzman-md  LinkedIn: https://www.linkedin.com/in/robert-klitzman/    Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: [email protected]    Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it. 

In this episode, Therese Markow and Dr. Kevin Spencer discuss the innovative use of magic tricks as therapy for children with autism. Kevin found that teaching magic helped children with autism improve social skills, communication, and self-esteem. He developed the Hocus Focus program for schools and the Magic Therapy program for hospitals, both using simple magic tricks with common items. Kevin's research showed significant improvements in social skills and self-esteem using the Social Skills Improvement Scale (SSIS) and the Rosenberg Self-Esteem Scale (RSES). He also successfully adapted his therapy to virtual formats during the pandemic.    Key Takeaways: One of the most significant deficits of traditional social skills programs in the schools is that they try to teach social skills explicitly, through this very didactic structure, but none of that is transferred over to a real-world setting.  Doug Henning's formula for magic works well with kids on the spectrum, and really, everyone: The difficult must become habit. Habit becomes beautiful. Beautiful becomes magic.  Magic gives kids an avenue to practice social interactions and other social skills that become broadly applicable to other areas of life. In classroom settings, it gives kids a chance to practice both performing and being an audience.  Teachers and parents often see the changes before the child does, as the kids are so engaged in the learning and sharing with their friends. There are no expectations that you know how to do magic (unlike other behaviors). It allows for failure to be part of the process, which builds frustration tolerance, persistence, critical thinking, and resilience.   "All of the tricks that we teach are done with very ordinary items. It's coins and Q-tips and string and rope and paper clips and rubber bands, because we want them to recognize that the magic is connected to them. It's not connected to a prop." —  Dr. Kevin Spencer   Episode References: TDF: https://www.tdf.org/    Connect with Dr. Kevin Spencer: Professional Bio: https://kevinspencerlive.com/  Facebook: https://www.facebook.com/spencersmagic  Website: https://www.spencersmagic.com/   Books: https://www.kevinspencerlive.com/books  YouTube: https://www.youtube.com/spencersmagic  Vimeo: https://vimeo.com/spencersmagic  LinkedIn: https://www.linkedin.com/in/kevinwspencer/  Instagram: https://www.instagram.com/magicguy2012    Connect with Therese: Website: www.criticallyspeaking.net Bluesky:@CriticallySpeaking.bsky.social Instagram: @Criticallyspeakingpodcast Email: [email protected]    Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.  

In this episode, Therese Markow and Dr. Tami Rowen discuss the controversy surrounding the use of Tylenol during pregnancy and its potential link to autism. She emphasizes that the evidence is largely anecdotal and not supported by robust scientific studies. Dr. Rowen highlights a study published in Environmental Health in 2025 that found a weak association between Tylenol use and autism, but adds that a subsequent study revealed flaws in the earlier study and showed no association.  Fever in pregnant women can have dangerous effects and should be relieved. She stresses that Tylenol is the safest pain reliever and fever reducer for pregnant women, who experience fevers in 20% of pregnancies. Dr. Rowen criticizes the media and some health officials for misrepresenting the risks, potentially leading to harmful decisions by pregnant women.    Key Takeaways: Tylenol is the safest option that we have in terms of a fever reducer and pain reliever. Fevers actually have more association with autism than Tylenol does in the research. On the other hand, Ibuprofen and NSAIDs are unsafe in pregnancy, especially in the third trimester.    "Pregnancy is quite an uncomfortable state of being. We tell pregnant women, and we tell women in general, to tough out a lot of things, but pain is not something that I think is reasonable. I think that it goes against the principle of doing no harm, to tell people they should just suffer with pain when there is actually effective and safe medication for them." —  Dr. Tami Rowen   Episode References:  The Conversation Article: https://theconversation.com/as-an-ob-gyn-i-see-firsthand-how-misleading-statements-on-acetaminophen-leave-expectant-parents-confused-fearful-and-lacking-in-options-265947    Connect with Dr. Tami Rowen: Professional Bio: https://profiles.ucsf.edu/tami.rowen    Connect with Therese: Website: www.criticallyspeaking.net Bluesky:@CriticallySpeaking.bsky.social Email: [email protected]   Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.  

In this episode, Therese Markow and Dr. Lucas F.W. Wilson discuss his book, Shame-Sex Attraction, which explores the experiences of conversion therapy survivors. Lucas explains that conversion therapy aims to change sexual orientation or gender identity, despite its ineffectiveness and harmful nature. He traces the history of conversion practices from the 1800s to the present, highlighting various methods like electroshock therapy and aversion therapy, and their rapid growth after 1976 up through the heyday in the early 2000s. Dr. Wilson shares his personal journey through conversion therapy at Liberty University and emphasizes the broader impact of conversion practices on societal beliefs and individual identities. He advocates for empathy and understanding to challenge these practices.    Key Takeaways: There are no known cases where conversion therapy has actually changed someone's sexual attraction. While there is anecdotal evidence from the organizations perpetuating the claims, research shows that it is not effective. "Pastoral Counseling" and other similar phrases are used to mask or obfuscate the practice of conversion therapy to hide the work that is being done. There is no typical or standard conversion therapy. The experiences range widely from person to person. Conversion practices can be seen throughout many, if not all, people's lives, even if they've never been to official conversion therapy, nor is it solely for those who are part of the queer or religious community. It is important to engage with ideas and communities that are different from your own.    "I would argue that probably every single person in this world at some point has been told 'don't act like this,' whether they were a kid or older, and that message has stayed with them and affected how they present their gender and how they identify." —  Dr. Lucas F.W. Wilson   Episode References:  Boy Erased: A Memoir of Identity, Faith, and Family by Garrard Conley 1946: The Mistranslation That Shifted Culture Genocidal Intentions: Social Death and the Ex-Gay Movement by Sue E. Spivey and Christine M. Robinson   Connect with Dr. Lucas F.W. Wilson: Professional Bio:  https://www.utm.utoronto.ca/historical-studies/people/lucas-wilson  LinkedIn: https://www.linkedin.com/in/lucas-wilson-2a0753b1  Facebook: https://www.facebook.com/luke.wilson.96  Instagram: https://www.instagram.com/lukeslamdunkwilson/  Threads: https://www.threads.com/@lukeslamdunkwilson  TikTok: https://www.tiktok.com/@lukeslamdunkwilson  Bluesky: https://bsky.app/profile/lukeslamdunkwilson.bsky.social  X: https://x.com/wilson_fw  Other Publications: https://utschools.academia.edu/LucasWilson    Book: Shame-Sex Attraction: Survivors' Stories of Conversion TherapyBook: At Home with the Holocaust   Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: [email protected]   Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.