In this episode, I am incredibly excited to welcome our very first guest, Dr. William Fox. Dr. Fox is a board-certified vascular specialist and interventional radiologist. He is the co-founder and medical director of Texas Endovascular, where he specializes in minimally invasive, image-guided treatments for a wide range of conditions—from peripheral artery disease to musculoskeletal issues like plantar fasciitis.

In this episode, we’re diving into the world of vascular health, discussing early warning signs of PAD, the importance of early detection, how advanced, minimally invasive procedures are changing patient outcomes, and the role of exercise in the prevention and treatment of peripheral artery disease.

Disclaimer

This podcast is intended for educational purposes only and is not intended to diagnose, treat, or provide medical advice. The information presented is based on current guidelines, the scientific literature, and academic publications, but it may not apply to every individual or situation. If you have a medical condition or are unsure whether exercise is safe for you, please consult with your physician or a qualified healthcare provider before beginning any exercise program. The host and guests of this podcast disclaim any liability for injury or harm resulting from the use or misuse of the information presented.

If you know someone who has undergone cancer treatments or you have gone through cancer treatment yourself, you may know how debilitating the treatments can be – especially chemotherapy. One of the most ubiquitous side effects of chemotherapy and other treatments is fatigue. The last things that someone who is really really tired wants to hear is that they should exercise. Paradoxially, can reduce fatigue by 30 40% in cancer patients. In this minisode, we’ll uncover how movement acts as medicine—exploring the science behind cardiotoxicity, neuropathy, fatigue, and bone loss, and how targeted exercise can counteract each of these effects.

Disclaimer

This podcast is intended for educational purposes only and is not intended to diagnose, treat, or provide medical advice. The information presented is based on current guidelines, the scientific literature, and academic publications, but it may not apply to every individual or situation. If you have a medical condition or are unsure whether exercise is safe for you, please consult with your physician or a qualified healthcare provider before beginning any exercise program. The host and guests of this podcast disclaim any liability for injury or harm resulting from the use or misuse of the information presented.

Today’s minisode is all about intermittent claudication. We’ll define what claudication is, how it presents in peripheral artery disease (PAD), and what we mean by the ischemic threshold in the leg. Then we’ll tackle the practice of walking to moderate claudication pain—typically a 3 out of 4 on the claudication scale—why many programs still prescribe it, and when alternatives like interval walking or cycling make sense. Finally, we’ll connect this to ACSM guidelines for PAD: how to set intensity, when to stop or rest, how to progress safely, and how to personalize the plan for real patients in supervised or home‑based rehab.

Disclaimer

This podcast is intended for educational purposes only and is not intended to diagnose, treat, or provide medical advice. The information presented is based on current guidelines, the scientific literature, and academic publications, but it may not apply to every individual or situation. If you have a medical condition or are unsure whether exercise is safe for you, please consult with your physician or a qualified healthcare provider before beginning any exercise program. The host and guests of this podcast disclaim any liability for injury or harm resulting from the use or misuse of the information presented.

This minisode is all about angina. We address address the difference between stable and unstable angina and why it’s critical to understand the distinction when you're evaluating a patient, performing an exercise test, or writing a prescription. We’ll look at what angina is, how it presents, what the ischemic threshold is, and how the American College of Sports Medicine guidelines help you determine when it’s safe, or not safe, to proceed with testing or exercise programming.

DisclaimerThis podcast is intended for educational purposes only and is not intended to diagnose, treat, or provide medical advice. The information presented is based on current guidelines, the scientific literature, and academic publications, but it may not apply to every individual or situation. If you have a medical condition or are unsure whether exercise is safe for you, please consult with your physician or a qualified healthcare provider before beginning any exercise program. The host and guests of this podcast disclaim any liability for injury or harm resulting from the use or misuse of the information presented.

Let me know in the comments if there is a topic or concept you'd like me to cover.

In this minisode, we walk through an overview of what cardiac rehab really looks like, from inpatient bedside mobility to outpatient treadmill training. We cover which conditions qualify for rehab, the full scope of services typically offered, how we prescribe exercise safely, and we’ll also dive into the science behind high-intensity interval training, or HIIT, for cardiac patients. We wrap up with the critical role exercise physiologists play in this clinical setting.

Disclaimer

This podcast is intended for educational purposes only and is not intended to diagnose, treat, or provide medical advice. The information presented is based on current guidelines, the scientific literature, and academic publications, but it may not apply to every individual or situation. If you have a medical condition or are unsure whether exercise is safe for you, please consult with your physician or a qualified healthcare provider before beginning any exercise program. The host and guests of this podcast disclaim any liability for injury or harm resulting from the use or misuse of the information presented.

Should supplemental oxygen always be used during exercise for people with COPD whose oxygen saturation falls below 89%? Or is there a case for trying to train without it? In this minisode, we will explore the science as well as clinical and ethical implications surrounding this question.

Let me know in the comments if there are topics or concepts you'd like me to cover.

Disclaimer

This podcast is intended for educational purposes only and is not intended to diagnose, treat, or provide medical advice. The information presented is based on current guidelines, the scientific literature, and academic publications, but it may not apply to every individual or situation. If you have a medical condition or are unsure whether exercise is safe for you, please consult with your physician or a qualified healthcare provider before beginning any exercise program. The host and guests of this podcast disclaim any liability for injury or harm resulting from the use or misuse of the information presented.

In this minisode, we’re taking a closer look at something that’s essential for understanding exercise testing and prescription in patients with ischemic heart disease: perfusion mismatch and why it increases the risk of arrhythmias.

Disclaimer

This podcast is intended for educational purposes only and is not intended to diagnose, treat, or provide medical advice. The information presented is based on current guidelines, the scientific literature, and academic publications, but it may not apply to every individual or situation. If you have a medical condition or are unsure whether exercise is safe for you, please consult with your physician or a qualified healthcare provider before beginning any exercise program. The host and guests of this podcast disclaim any liability for injury or harm resulting from the use or misuse of the information presented.