Think Neuro
Medical
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 host is Anthony Effinger, 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.
Location:
United States
Description:
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 host is Anthony Effinger, 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.
Language:
English
Episodes
Skin Cancer Prevention and Treatment Options with Vivian Wu, MD
8/6/2025
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.
Duration:00:01:43
Introduction to Enhanced Recovery After Surgery (ERAS) with Walavan Sivakumar, MD
7/30/2025
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.
Duration:00:02:25
Human Papillomavirus (HPV) Cancer Treatments with Dr. Vivian Wu
7/23/2025
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).
Duration:00:01:24
67. Decoding Pituitary Disorders Through Hormone Investigation | Noa Tal, MD
7/16/2025
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!
Duration:00:32:25
Synkinesis after Bell's Palsy | Nicky's Grateful Patient Story
7/9/2025
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.
Duration:00:02:48
The Things That (Should) Happen at Your Appointment with Your Neurologist with Barbara Giesser, MD | Guest Podcast
7/2/2025
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!
Duration:00:15:16
Back Pain: Lumbar Discectomy Treatment with Jian Guan, MD
6/25/2025
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.
Duration:00:02:01
66. Making Hearing More Accessible Through Cochlear Implants | Rebecca Lewis, AuD & Mathilde Tranberg
6/18/2025
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.
Duration:00:46:10
Parkinson's Disease Treatment with DBS at PNI | Charles' Grateful Patient Story
6/11/2025
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.
Duration:00:04:46
Think Neuro Mini: Meet Vivian F. Wu, MD, MPH
6/4/2025
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.
Duration:00:01:54
International & Out-Of- State Patients at Pacific Neuroscience Institute
5/28/2025
Located in Los Angeles, we are here for patients from around the globe.
If you are living outside the greater Los Angeles area, out-of-state, or abroad, and want a consultation for a newly diagnosed or recurrent pituitary tumor, brain tumor, skull base tumor, or orbital tumor, our physicians can promptly review your imaging studies and other tests, and provide a recommendation on treatment options, including possible clinical trial participation. We also help patients with spine and neck problems.
These preliminary reviews and recommendations can be done through email or online consultation technology. Based on our review of your records and imaging, we can typically provide a financial quote for all services recommended within 1-2 days.
Duration:00:03:43
65. Optimizing the Brain with the 6 Core Pillars of Cognitive Wellness
5/21/2025
More than 20% of adults over the age of 55 experience depression, anxiety, and cognitive decline as they age. Shannel Elhelou, PsyD and Ryan Glatt, MS, CPT, NBC-HWC, however, are firm believers in six core pillars for combating cognitive decline. They're called the Vital 6 and consist of stress management, sleep, nutrition, exercise, socialization, and cognitive training. By focusing on interventions that most people can do at home, Dr. Elhelou and Ryan are making cognitive wellness accessible. Ryan Glatt is even the Director of the FitBrain Program at PNI, which combines brain and body training with "exergaming." Tune in and discover how these Brain Wellness & Lifestyle Program experts are helping patients optimize their own Vital 6.
Duration:00:48:50
Brain Tumor Treatment at PNI | Ashley's Grateful Patient Story
5/14/2025
On New Year's Eve of 2017 Ashley had a seizure and passed out. She woke up in an ambulance, passed out again and woke up in an emergency room. An MRI revealed a glioma, a type of brain tumor. After surgery, recovery has been long, but in the hands of expert neuro-oncologist Dr. Naveed Wagle at Pacific Neuroscience Institute - South Bay, Ashley is hopeful, determined, and full of her original spirit. Watch this heartwarming and courageous story.
Duration:00:03:12
Think Neuro Mini: Treating Tonsils and Tonsil Stones with Dr. Abbas Anwar
5/7/2025
Tonsil stones are small, calcified formations that occur within the crevices of the tonsils. Composed of hardened minerals or food particles, these growths are generally harmless but can cause unpleasant symptoms such as bad breath or sore throat. Tonsil stones typically appear as small, white or yellowish pebbles on the tonsils. In most cases, they can be removed at home, although surgical intervention may be necessary if they persist or cause discomfort.
Duration:00:02:23
Think Neuro Mini: Sudden Sensorineural Hearing Loss with Dr. Abbas Anwar
4/30/2025
Sudden Sensorineural Hearing Loss (SSHL), or sudden deafness, is a rapid loss of hearing. SSHL can happen to a person all at once or over a period of up to 3 days. It should be considered a medical emergency. Hearing loss affects only one ear in 9 out of 10 people who experience SSHL. Many people notice it when they wake up in the morning. Others first notice it when they try to use the deafened ear, such as when they make a phone call. Still others notice a loud, alarming “pop” just before their hearing disappears. People with SSHL often experience dizziness or a ringing in their ears (tinnitus), or both.
Dr. Abbas Anwar, a native of Southern California, is a board certified otolaryngologist – head and neck surgeon, at the Pacific Eye, Ear & Skull Base Center, Pacific Neuroscience Institute. He specializes in all aspects of general and pediatric ENT and has special interests in sinonasal diseases and infections, head and neck surgery, otologic disorders, and throat complaints. He is well trained in the latest leading-edge innovations in otolaryngology including balloon sinuplasty, CT guided sinus surgery, and microlaryngeal laser surgery.
Duration:00:03:00
64. A Multitude of Treatment Options for Head and Neck Cancer | Dr. Vivian Wu
4/23/2025
Human Papillomavirus, or HPV, is a virus that infects the skin and wet surfaces of the body. It's a disease that's commonly spread through sexual activity, and over 80% of people will get it at some point in their lifetime. HPV is an endemic disease, which, in epidemiology, means that it is constantly present in a particular population. While most people recover from HPV, there can be complications. It is responsible for more than 90% of anal and cervical cancers and can also cause oropharyngeal cancer. Dr. Wu, a board-certified otolaryngologist, specializes in head and neck surgical oncology. Diseases like HPV and cancers that affect the head and neck are what she sees most in her patients. Working closely with other multispecialty experts at PNI, Dr. Wu is committed to guiding her patients through their cancer journeys. Listen in.
Duration:00:38:06
Think Neuro Mini: Eustachian Tube Dysfunction Relating to Nasal and Sinus Issues with Dr. Michael Yong
4/16/2025
The eustachian tube connects the middle ear to the nasopharynx (back of the nose). It helps aerate the middle ear as well as equalizing pressure such as when flying in an airplane. Sometimes the eustachian tube does not function as it is supposed to and sometimes this may be related to concurrent nasal and sinus issues. Learn more about what can go wrong and how to remedy it.
Michael Yong, MD, MPH, MBA, is board certified in Otolaryngology – Head & Neck Surgery, and fellowship-trained in Neurorhinology – Advanced Sinus & Skull Base Surgery. At Pacific Neuroscience Institute®, Dr. Yong provides full-service general Otolaryngology care, with an expertise in sinonasal and skull base disorders. He specializes in using minimally invasive endoscopic techniques for the treatment of nasal obstruction, smell disorders, allergic and non-allergic rhinitis, facial pain, acute and chronic sinusitis, nasal polyps, and benign and malignant tumors of the sinonasal cavities, among others. In addition, he works closely with a multidisciplinary team including his Neurosurgery colleagues to perform endoscopic endonasal surgeries that address benign and malignant skull base disorders in a way that maximizes preservation of function and quality of life.
Duration:00:02:03
Meningioma (Brain Tumor) Case Study | Dr. Daniel Kelly
4/9/2025
Dr. Daniel Kelly, Neurosurgeon, Director and Founder, Pacific Neuroscience Institute, presents a case study of a 52 year old woman from New York who was experiencing progressive vision loss. After an MRI, she traveled to Los Angeles to receive minimally invasive keyhole surgery for a meningioma (brain tumor). Using a endoscopic, endonasal approach, the patient's tumor was removed via the nostril.
Duration:00:03:20
Think Neuro Mini: How Hearing Loss Affects Cognition as You Age with Dr. Abbas Anwar
4/2/2025
Hearing loss affects millions of people worldwide, particularly older adults who can suffer age-related hearing loss (ARHL). Beyond the obvious impact on communication and quality of life, recent research studies show that hearing loss leads to a higher risk of developing the diseases of cognitive decline such as dementia and Alzheimer’s.
Hearing loss demands comprehensive understanding and professional care. It is more than a mere audiological condition; hearing loss is profoundly connected with cognition, communication, and emotional well-being. If you find yourself confronting hearing loss, do not hesitate to seek assistance at Pacific Eye, Ear, and Skull Base Center.
Duration:00:03:27
Think Neuro Mini: Essential Tremor with Dr. Natalie Diaz - Flashback Episode
3/26/2025
Essential tremor is the most common movement disorder in humans, and its causes are among the most mysterious. It’s a neurological condition that causes involuntary shaking. It can begin in one’s 20s or 30s, or much later in life. Dr. Natalie Diaz treats essential tremors. Its origins may be unknown, but there are treatments. The first step is to talk to your doctor to rule out other forms of tremor because there are many.
Duration:00:05:07