The Ouchcast

Neal Rakesh MD MSE, Jonathan Ramin DO, Amitabh Gulati MD
  • 4.1 (11)
  • MEDICINE

The Guide to Understanding Pain in the 21st Century.

  1. Getting Into Pain Medicine Fellowship (ft. Kiran Patel, MD & Amitabh Gulati, MD)

    11/29/2025

    Getting Into Pain Medicine Fellowship (ft. Kiran Patel, MD & Amitabh Gulati, MD)

    This episode offers an in-depth conversation with fellowship directors Dr. Kiran Patel and Dr. Amitabh Gulati about the pain medicine fellowship application process. The discussion covers the ideal timeline for applications, interview scheduling, and evaluation strategies for selecting candidates. The speakers highlight the importance of demonstrated interest in pain medicine through research, presentations, and personal statements, emphasizing that motivation and genuine enthusiasm matter more than volume of publications alone. They also address challenges in the virtual interview era, sharing insights on building rapport and evaluating fit remotely. Practical advice is provided on navigating a competitive specialty, optimizing applications, and preparing for fellowship and beyond. Featuring Dr. Kiran Patel (Director of Pain at Lennox Hill and Zucker School of Medicine) and Dr. Amitabh Gulati, MD, FIPP, CIPS, ASRA-PMUC (Fellowship Director at Cornell Tri-Institutional Pain Fellowship). Hosted by Neal Rakesh, MD, MSE (Interventional Cancer Pain - New York). #PainPhysician #Medicine #Anesthesia #PainManagementPodcast #PainTreatment #HealthTech #ChronicPain #PatientCare #PainRelief #InterventionalPain #PainMedicine #PainFellowship #MedicalEducation #InterventionalPain #PainSpecialist

    41 min
  2. Legends of Pain (ft. Ricardo Plancarte, MD, PhD)

    10/02/2025

    Legends of Pain (ft. Ricardo Plancarte, MD, PhD)

    This episode traces the origins and evolution of modern cancer pain intervention, featuring an insightful discussion with Dr. Plancarte, a pioneer who established pain medicine programs and neurolytic block techniques in Mexico. The conversation highlights historical practices, such as open cordotomies and early neurolytic procedures for cancer pain, and examines the transition to advanced treatments, including intrathecal pumps and spinal cord stimulation. We delve into anatomical challenges, particularly in performing splanchnic and celiac plexus blocks, offering practical and personal perspectives on minimizing complications and tailoring therapy based on accessibility and patient needs. Featuring Ricardo Plancarte Sanchez, MD, PhD (Head & Founder of Mexico’s National Cancer Institute Pain Program). Hosted by Neal Rakesh, MD, MSE (Interventional Cancer Pain - New York) & Amitabh Gulati, MD, FIPP, CIPS, ASRA-PMUC (Interventional Cancer Pain - New York).

    23 min
  3. Intrathecal Pump Management & Complications (ft. Jill Sindt MD & Sanjeet Narang MD)

    06/16/2025

    Intrathecal Pump Management & Complications (ft. Jill Sindt MD & Sanjeet Narang MD)

    This episode dives deep into the complexities of intrathecal pump management. The conversation covers the basics and advanced troubleshooting of pump malfunctions, including diagnostic techniques like including imaging and dye studies, and addresses challenging complications such as catheter tip granulomas and drug crystallization. We discuss practical advice on identifying mechanical versus clinical failures, managing infections, and navigating rare but critical scenarios. Featuring Jill Sindt, MD (Associate Director of Pain Medicine, Huntsman Cancer Institute - University of Utah) & Sanjeet Narang, MD (Vice Chair of Pain Medicine, Beth Israel Deaconess Medical Center - Boston, MA). Hosted by Neal Rakesh, MD, MSE (Interventional Cancer Pain - New York) & Amitabh Gulati, MD, FIPP, CIPS, ASRA-PMUC (Interventional Cancer Pain - New York). Timestamps: 00:00 - Introduction to the Podcast 00:51 - Overview of Intrathecal Pumps 02:17 - Challenges with Pump Functionality 04:37 - Troubleshooting Pump Issues 06:28 - Diagnostic Techniques for Pump Issues 13:17 - Granulomas and Complications 23:43 - Managing Complications and Infections 35:20 - Final Thoughts on Pump Management #painmedicine #PainTreatment #medicine #bodypain #painreduction #painfree #physician #painmanagement #lifequality #nervepain #painscience #patientcare #painrelief #chronicpainrelief #chronicpainmanagement #chronicdisease #painreliever #backpainrelief #backpain #nervepainrelief #IntrathecalPump #PainPump #PainManagementPodcast #Neuromodulation #MedicalInnovation #HealthTech #Anesthesia #MedicalEducation #healthcare #PainScience

    36 min
  4. Legends of Pain & Cryoablation (ft. Andrea Trescot MD)

    04/05/2025

    Legends of Pain & Cryoablation (ft. Andrea Trescot MD)

    In this episode, we sit down with Dr. Andrea Trescot, a pioneer in pain management and cryoablation techniques. Discover her incredible journey from her early days as a Navy anesthesia resident to becoming a leading educator and innovator in the field of pain treatment. We dive deep into the science and benefits of cryoablation, its applications in pain management, and its growing global adoption. Dr. Trescot shares fascinating stories, insights into cutting-edge advancements, and her vision for the future of cryotherapy. Whether you're a medical professional or just curious about groundbreaking medical technologies, this episode is packed with knowledge and inspiration! Featuring Andrea Trescot, MD (Florida Pain Relief Group - Florida, Curonix Chief Medical Officer). Hosted by Neal Rakesh, MD, MSE (Interventional Cancer Pain - New York) & Amitabh Gulati, MD, FIPP, CIPS, ASRA-PMUC (Interventional Cancer Pain - New York). Timestamps: 00:00 - Introduction and Dr. Prescott's background 01:00 - Navy anesthesia residency experiences 03:15 - Introduction to cryoablation techniques 03:55 - Science behind cryotherapy for pain management 04:20 - Global adoption of cryoablation 06:35 - Future of cryotherapy in medicine Hashtags: #painmedicine #pain #medicine #bodypain #painreduction #painfree #physician #painmanagement #lifequality #nervepain #painscience #patientcare #painrelief #chronicpainrelief #chronicpainmanagement #chronicdisease #painreliever #backpainrelief #backpain #nervepainrelief #Cryoablation #Cryotherapy #MedicalInnovation #HealthTech #Anesthesia #MedicalEducation #Healthcare

    9 min
  5. Regenerative Medicine for Pain (ft. David Woznica, MD & Erik Shaw, DO)

    06/28/2024

    Regenerative Medicine for Pain (ft. David Woznica, MD & Erik Shaw, DO)

    This episode of The OuchCast focuses on regenerative medicine. We discuss the different types of therapies and clinical applications related to pain treatments. We focus on platelet-rich plasma (PRP), prolotherapy, exosome and stem cell therapies. Featuring David Woznica, MD (Interventional Spine & Regenerative Medicine Physician, Woz Wellness - Florida) & Erik Shaw, DO (Interventional Pain Physician, Medical Director of Shepherd Spine and Pain Institute - Gerogia). Hosted by Neal Rakesh, MD, MSE (Interventional Cancer Pain - New York) & Amitabh Gulati, MD, FIPP, CIPS, ASRA-PMUC (Interventional Cancer Pain - New York). #painmedicine #pain #medicine #bodypain #painreduction #painfree #physician #painmanagement #lifequality #nervepain #painscience #patientcare #painrelief #chronicpainrelief #chronicpainmanagement #chronicdisease #painreliever #backpainrelief #backpain #nervepainrelief #exosometherapy #exosomestherapy #stemcelltherapy #prolotherapy #prp #prptherapy #prpinjection #plateletrichplasma #regenerativemedicine #medicineregenerative

    31 min
  6. Pain Advanced Practice Providers (ft. Ashley Wheeler, FNP & Kelly Preti, AGACNP)

    04/14/2024

    Pain Advanced Practice Providers (ft. Ashley Wheeler, FNP & Kelly Preti, AGACNP)

    This episode of The OuchCast focuses on pain advanced practice providers (APPs). Advanced practice providers include nurse practitioners (NPs), physician assistants (PAs), nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs). We discuss what they can offer and how they help to improve the field while treating pain patients. Featuring Ashley Wheeler, APRN, FNP-BC (Nurse Practioner, Florida Spine and Pain Specialists - Florida) & Kelly Preti, MSN, RN, AGACNP-BC (Nurse Practioner, Memorial Sloan Kettering Cancer Center - New York, NY). Hosted by Neal Rakesh, MD, MSE (Interventional Cancer Pain - New York) & Amitabh Gulati, MD, FIPP, CIPS, ASRA-PMUC (Interventional Cancer Pain - New York). #painmedicine #pain #medicine #bodypain #painreduction #painfree #physician #painmanagement #lifequality #nervepain #painscience #patientcare #painrelief #chronicpainrelief #chronicpainmanagement #minimallyinvasive #minimallyinvasivesurgery #chronicdisease #painreliever #backpainrelief #backpain #nervepainrelief #painmanagementnurse #physicianassistant #physiciansassistant #nursepractitioner #nursepractioner #nursepractitioners #nursepractitionerinjector #advancednursepractitioner

    27 min
  7. Neuromodulation for Cancer Pain (ft. Hemant Kalia, MD, MPH & Amitabh Gulati, MD)

    02/13/2024

    Neuromodulation for Cancer Pain (ft. Hemant Kalia, MD, MPH & Amitabh Gulati, MD)

    This episode of The OuchCast focuses on neuromodulation. We discuss the intricacies of spinal cord stimulation (SCS) and peripheral nerve stimulation (PNS) in cancer pain. We touch on the indications, diagnosis, approaches, outcomes, and complications. Featuring Hemant Kalia, MD, MPH (Interventional Pain & Cancer Rehabilitation Specialist, Managing & Medical Director, InvisionHealth - Rochester, NY) & Amitabh Gulati, MD, FIPP, CIPS, ASRA-PMUC (Interventional Cancer Pain - New York). Hosted by Neal Rakesh, MD, MSE (Interventional Cancer Pain - New York).

    30 min

  8. 12/02/2023

    Minimally Invasive Sacroiliac Joint Fusion (ft. Nomen Azeem, MD & Anjum Bux, MD)

    This episode of The OuchCast focuses on minimally invasive sacroiliac joint (SIJ) fusion. We discuss the intricacies of SIJ fusion including indications, diagnosis, approaches, outcomes, and complications. Featuring Nomen Azeem, MD (Founder & CEO of Florida Spine & Pain Specialists - Florida) & Anjum Bux, MD (Bux Pain Management - Kentucky). Hosted by Neal Rakesh, MD, MSE (Interventional Cancer Pain - New York) & Amitabh Gulati, MD, FIPP, CIPS, ASRA-PMUC (Interventional Cancer Pain - New York). #painmedicine #pain #minimallyinvasivespinesurgery #sacroiliacjointdysfunction #sacroiliacjointpain #sacroiliacjointfusion #medicine #bodypain #painreduction #painfree #physician #painmanagement #lifequality #nervepain #painscience #patientcare #painrelief #chronicpainrelief #chronicpainmanagement #minimallyinvasive #minimallyinvasivesurgery #chronicdisease #painreliever #backpainrelief #backpain #nervepainrelief #surgery #spinedecompression #sacroiliacjoint #sacroiliacjointproblems

    25 min
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4.1
out of 5
11 Ratings

About

The Guide to Understanding Pain in the 21st Century.

Information

  • Creator
    Neal Rakesh MD MSE, Jonathan Ramin DO, Amitabh Gulati MD
  • Years Active
    2022 - 2025
  • Episodes
    17
  • Rating
    Explicit
  • Show Website
    The Ouchcast