OffTheCharts Health

Amy Papermaster

Everyday our feeds fill up with new health tech, trending supplements, and noisy advice. Moving across emergency medicine, complex women’s health, health tech, and academia taught Dr. Amy Papermaster (PhD, FNP-C) how frustrating navigating consumer wellness can be. On OffTheCharts Health, Amy filters through the noise to deliver plain-truth, data-backed clarity you can actually use. Each episode features unhurried conversations with trusted clinicians, researchers, and founders: breaking down cutting-edge health innovation for everyone, while highlighting what the research specifically shows for female bodies. 🎧 Subscribe now and get your data-backed health cheat sheets at OffTheCharts.Health

  1. Oct 29

    A Camera in the Toilet? Smart Tech for Gut, Bladder & Future Cancer Screening | Scott Hickle, Throne

    I have a patient who keeps a bowel diary on the back of a grocery receipt, and when I ask her how many times she went last week she laughs, because neither of us believes the number. Most of what we decide in a GI or urology visit rests on that kind of memory, and the research says recall of our own bathroom habits lands somewhere around a coin flip. Now there is a camera in the toilet to do the remembering for us, and I wanted to learn more. The device ships to your door in beautiful packaging and clips onto the rim of the toilet. The camera faces down, you never see the images, and it quietly builds what I would otherwise ask you to track by hand: a bladder and bowel diary, stool consistency, a hydration score, and urinary flow. One device covers up to six people. Two users get a button on the device itself, a bit like the memory seat in your car, and the other four are recognized when their phone is within about three feet. It needs WiFi, and there is enough of an ick factor to moving it that for most of us it will stay at home. The longer vision is that these live in public restrooms too, and your phone in your pocket keeps the tracking going wherever you are. I love the idea of a smart toilet, and the technology coming is Star Trek worthy. The vision of a smoke detector for colon cancer, the idea that our bodies deserve the kind of sensors our cars already have so we know when something is brewing...that, I can get on board with. We talk through where the technology is today and where it is heading fast, with several patents issued and pending and new products on the way. Scott Hickle is the co-founder and CEO of Throne Science. He grew up at a dinner table with a geriatrician and attorney for a mother and an anesthesiologist and entrepreneur for a father who invents medical devices (talk about your classic slackers), and he is unusually candid about the distance between the wellness device shipping today and his mission of blood detection. We cover: - The Problem with Bladder & Bowel Diaries & Memory Recall - How the Throne Toilet Camera Works & Privacy Measures - What It Tracks: Hydration, Stool Form, & Flow - Multi-Wavelength Imaging: Detecting Blood Before Symptoms - Colorectal Cancer Screening & The Compliance Problem - EHR Integration, Research Underway, & Clinical Use Cases - Future Tech: Gas Sensing, Microbiome, Ketones, & Hormones - Scott’s Origin Story & What’s Next, plus a bonus engagement proposal story before it happened! Learn more about Throne: https://thronescience.com Subscribe to the Substack for free: https://open.substack.com/pub/amypapermaster Educational content only. Not medical advice. Views are my own.

    A Camera in the Toilet? Smart Tech for Gut, Bladder & Future Cancer Screening | Scott Hickle, Throne
  2. Aug 28

    What Elite Athletes Get Right: Brain Health, RED-S, NIL & Recovery | Ryan Roe, PA-C, Sports Medicine

    Ryan Roe, PA-C, ATC is one of two full-time medical providers caring for nearly 700 student-athletes across 20 varsity sports at the University of Texas at Austin, currently the top-performing collegiate athletics program in the country. You might spot him on the Texas sideline in an SEC football game and he's the person the athletes come to for health and wellness. We cover: A day in the life caring for nearly 700 elite college athletesThe multi-disciplinary integrated care model at UT Athletics: physicians, PAs, athletic trainers, dietitians, mental health providers, sports scientists, physical therapistsWhy this model works, and what it would take to bring it into everyday healthcareConcussions: how evaluation and return-to-play have evolved, and what the NFL research is teaching college programsRED-S (Relative Energy Deficiency in Sport) in female athletes, and why "not having a period" was normalized for far too longHormonal contraception in athletes and how it complicates the RED-S workupMental health, the NIL era, and the pressure on 17- to 25-year-olds performing under the world's camerasSports science: catapult load monitoring, force plates, DEXA, wearablesRecovery science: cold plunge, sauna, red light, hyperbaric, contrast baths, and what the evidence supportsSupplements, NCAA regulations, and what's off-limits even when it's over-the-counterRegenerative medicine: PRP, PPP, stem cells, BMAC, peptides, and where the wild west begins“Back to basics” are sometimes the most important tools Sign up for more at OffTheCharts.Health

    What Elite Athletes Get Right: Brain Health, RED-S, NIL & Recovery | Ryan Roe, PA-C, Sports Medicine
  3. Aug 13

    Doctor vs. Google vs. Wellness Industry: Who Can You Trust? | Dr. Lucy McBride

    Dr. Lucy McBride has practiced primary care internal medicine in Washington DC for 25 years, writes the weekly newsletter 'Are You Okay?' to 41,000 readers, hosts a hit podcast, and has been featured in The Atlantic, The Washington Post, USA Today, CNN, MSNBC, and PBS. Her new book, Beyond the Prescription, is a framework for thinking, asking better questions, and becoming a more informed and empowered participant in your own health. We cover: Who she pictured reading the book, and what was missing from the shelfBecoming the "CEO of your own health", and what that looks like in practiceThe two forces pulling patients apart: a healthcare system that misses the human, and a $6.3 trillion wellness industry "weaponizing partial truths"The middle path she offers between medical maximalism and wellness cultureThe Four I's framework: informatics, inputs, infrastructure, and insightHealth data, biographic data, and the story that rarely makes it into the chartHow childhood, everyday habits, and lived experience show up in your labsNutrition, protein, and our relationship with foodSupplements, the illusion of certainty, and how to be an informed consumerHow to partner with health tech and wearables as a clinical tool without letting them run your lifeMovement as medicine, injury, and caring for your physical container in midlifeThe serenity prayer, unwinnable battles, and where agency actually livesMental health is health: the mind-body connection, the unconscious, and the stories we tell ourselvesThe patient personality and how the version of yourself who shows up at the clinicHer vision for the future of primary care, and where AI can help Beyond the Prescription is out August 11th wherever books are sold! Find Dr. McBride's newsletter and podcast at lucymcbride.com. Sign up for more at OffTheCharts.Health

    Doctor vs. Google vs. Wellness Industry: Who Can You Trust? | Dr. Lucy McBride
  4. Jul 16

    PCOS (Now PMOS): Insulin Resistance, Irregular Periods, Weight, Hair & Fertility | Dr. Madeline Kaye

    A quick note: This episode was recorded just days before PCOS was officially renamed PMOS, polyendocrine metabolic ovarian syndrome, in a global consensus published in The Lancet in June. You'll hear us use PCOS throughout the conversation. Same condition, new name, and funny enough, we spend part of the episode talking about how much the old one never quite fit. PCOS, now PMOS, affects 10 to 13 percent of women, roughly 1 in 8. It is the most common endocrine condition in women, and it is still underdiagnosed and often misunderstood. Dr. Madeline Kaye is a board-certified OBGYN whose grandfather trained under Dr. Irving Stein, one of the two physicians PCOS was originally named after (Stein-Leventhal syndrome). Generations later, Dr. Kaye is doing the careful, comprehensive work this condition requires. We cover: The renaming of PCOS to PMOS and what it reflects about the scienceWhat PMOS is and how it is diagnosedWhy insulin resistance sits at the center of so many symptomsThe hormonal dance of a normal menstrual cycle and what goes wrong in PMOSIrregular periods, acne, unwanted hair growth, hair loss, weight, sleep apnea, and mood disordersWhy women with PMOS carry a higher premenopausal risk for endometrial cancer, and how to protect against itBirth control: band-aid or true treatmentLifestyle as the foundation: nutrition, exercise, sleep, and stressSupplements: what do we think about inositol (dose, ratio, what to expect), vitamin D, berberine, and spearmint tea?Metformin, GLP-1s, and the new oral options changing the gameFertility considerations and how to optimize before conceptionSpironolactone and the androgen symptom toolkit Sign up for more at OffTheCharts.Health

    PCOS (Now PMOS): Insulin Resistance, Irregular Periods, Weight, Hair & Fertility | Dr. Madeline Kaye
  5. Jun 18

    Lichen Sclerosus, Lichen Planus, Vulvar Itching & Burning | Dr. Melissa Mauskar

    The average woman with vulvar lichen sclerosus waits 5 to 15 years for a correct diagnosis. Most see three or more providers along the way. One in three women lives with a vulvar condition at some point in her life, and uncommonly is told what is really happening to the skin of the most sensitive area of her body. Dr. Melissa Mauskar is a board-certified dermatologist at UT Southwestern, a leading vulvar disease researcher, and the founder of one of the few specialty clinics in the country dedicated to vulvar dermatology. She has built her career around finding the answers women have been told do not exist, and her work is changing what these women can expect from medicine. We cover: Why the vulva is its own organ and behaves differently than skin anywhere else on the bodyLichen sclerosus: who gets it, what it actually is, and the 1 to 3 percent prevalence that doesn't get spoken about enoughThe autoimmune debate and what the research is showing nowLichen planus, eczema, psoriasis, and Crohn's on the vulvaWhy the diagnostic delay is so long, and what is being done to close itTopical steroids: how to use them correctly, and the myth that they thin the skin when there is disease presentCompounded and emerging treatments, including JAK inhibitors and the international clinical trial Dr. Mauskar is leadingThe vulvar microbiome and hormone research that may rewrite how we treat these conditionsSurgical considerations and when to optimize before any procedureVulvar irritants, allergens, and the over-the-counter products doing more harm than goodDiet, irritants and allergens connectionVulvar cancer surveillance and what women need to knowThe new clinical trials and research consortium reshaping the field Sign up for more at OffTheCharts.Health Find Dr. Mauskar's work at melissamauskar.com

    Lichen Sclerosus, Lichen Planus, Vulvar Itching & Burning | Dr. Melissa Mauskar
  6. Jun 4

    Autoimmunity & The "Good Girls": How Self-Compromise Compromises Immunity with Sara Hirsh Bordo

    Autoimmune diseases affect roughly 5 to 10 percent of the U.S. population, and women carry about 80 percent of the burden. The science is clear that chronic stress and adverse childhood experiences raise the risk in a dose-dependent way, with each additional ACE increasing autoimmune disease prevalence by about 10 percent. A large Swedish cohort found a 36 percent higher risk of autoimmune disease in adults with stress-related disorders, rising to 46 percent for those with PTSD. That's what the science says. Sara Hirsh Bordo went further. Filmmaker, founder of Women Rising, and author of Autoimmunity & The Good Girls, she funded the first survey at the intersection of female empowerment and autoimmunity in 1,000 American women and found a striking pattern: more than 6 in 10 with autoimmune disease were the eldest or only daughter, and more than half were raised as the family caretaker. Her thesis: a self compromised creates immunity compromised. We cover: The eldest daughter, only daughter, lifelong caretaker patternHow chronic self-betrayal correlated with Sara's own diagnoses and relapsesReframing self-prioritization as foreign, not wrongThe little-T trauma of being raised to fear disappointing othersPracticing safe disappointment as a muscle to rebuildThe body speaks story, not just scienceRaising daughters who can fall, get dirty, and get back upImperfection as the path forwardReadiness, healing, and what it takes to live differently Autoimmunity & The Good Girls is available now wherever books are sold. A portion of Sara's proceeds benefit the Society for Women's Health Research. Sign up for more at OffTheCharts.Health

    Autoimmunity & The "Good Girls": How Self-Compromise Compromises Immunity with Sara Hirsh Bordo

Ratings & Reviews

5
out of 5
9 Ratings

About

Everyday our feeds fill up with new health tech, trending supplements, and noisy advice. Moving across emergency medicine, complex women’s health, health tech, and academia taught Dr. Amy Papermaster (PhD, FNP-C) how frustrating navigating consumer wellness can be. On OffTheCharts Health, Amy filters through the noise to deliver plain-truth, data-backed clarity you can actually use. Each episode features unhurried conversations with trusted clinicians, researchers, and founders: breaking down cutting-edge health innovation for everyone, while highlighting what the research specifically shows for female bodies. 🎧 Subscribe now and get your data-backed health cheat sheets at OffTheCharts.Health

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