{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Next Phase Human ","title":"The Antibiotic Problem: What 23 Extra Years of Life Cost Your Gut","html":"","width":"100%","height":180,"duration":2620,"description":"Dr. Rasha Kuran is an infectious disease specialist at Kern Medical Center and UCLA and serves as director of the Infectious Disease Fellowship Program. Her clinical and research interests include valley fever genetics, antibiotic stewardship, and the intersection of hormones, nutrition, and infection risk. She completed her residency at UCI and credits Dr. Royce Johnson as the mentor who brought her into the specialty.\n\nTopics Covered\n00:00 Opening hook\n00:17 Welcome to Next Phase Human and meet Dr. Rasha Kuran\n01:00 What infectious disease actually covers and why the name is a misnomer\n01:40 The mentor who changed her career path\n02:20 Why healthy people still get infections\n03:00 Valley fever, genetics, and ancestry\n04:00 Modern life: healthier or more susceptible?\n06:00 The antibiotic tradeoff: 23 years of life\n06:50 The Z-Pak problem and viral vs. bacterial infections\n08:00 Patient expectations and prescribing pressure\n09:00 Valley fever presenting as bacterial pneumonia\n10:00 Climate change and valley fever spreading beyond the Central Valley\n11:00 What parents should ask for: strep, flu, and COVID testing\n12:00 Antibiotic resistance and increasingly complex infections\n13:00 MRSA explained: gyms, doorknobs, and community spread\n16:00 Antibiotics in livestock and downstream human resistance\n17:00 C. diff and how you can get it without ever entering a hospital\n18:00 Cross contamination and why the CDC advises against washing chicken\n19:00 What antibiotics do to the gut microbiome\n20:00 One course, one year of recovery\n21:00 C-section vs. vaginal birth and microbiome transfer\n22:00 The fecal transplant experiment that transferred obesity\n24:00 Post-menopausal UTIs and the estrogen connection\n27:00 Rebuilding the gut: prebiotics, soluble fiber, and cooking from scratch\n28:00 High fructose liquid sugar as the biggest offender\n29:00 Fermented foods and daily servings\n30:00 Probiotics: which ones have randomized trial evidence\n32:00 Kids and antibiotic...","thumbnail_url":"https://img.transistorcdn.com/8L-nuimlDDYZRLTRShB5TuOVQoW-K4IcHfnKlMch4gk/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS83NWVm/YWIyNzUwNjcwNDJl/NzI1YzEwYzE0ODM2/MTlhNi5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}