Chief Medical Officer at Northwestern Medicine Central DuPage Hospital Dr. Kevin Most joins the Steve Cochran Show to discuss to explore the significance of children's physical check-ups, effective methods for managing vertigo, and how artificial intelligence is helping detect colon polyps.

Dr. Kevin Most's Steve Cochran Show Notes:

Kids going to college – Don’t forget about their health
Do your kids take a prescription medicine, if yes do they have enough?
If the meds are delivered by mail order, have you changed the address to the school address
Understand that once your child is 18 they have rights to their health privacy, and doctors can’t share information with you without their permission.
If you want to be able to have a doctor speak with you about their health, they must fill out a HIPPA form for the state the school is in
Check to make sure your insurance is covered in the state they will be in, or be ready to pay out of network fees
Are their immunizations up to date? In Illinois MMR, Tdap and meningitis are required. Consider influenza, Covid, hep A and B and HPV- college setting is classic for out breaks

Artificial Intelligence role in colon polyps detection:
20 million colonoscopies are done each year in the US
Studies have shown that the rate of detection for early cancerous polyps decreases as the day goes on, fatigue?
Estimates are that 8-10 % of early colon cancer are missed on initial colonoscopy, resulting in 13,500 colon cancers missed in the US
These cancers in most cases are found at the next interval colonoscopy, majority still at a treatable stage.
This past week the FDA approved an artificial intelligence assisted colonoscopy device- MAGENTIC-COLO
This device uses the video captured in real time, analyzes the images and identifies areas that are concerning based on data collected
It then highlights the areas on the video monitor that the Gastroenterologist is viewing, drawing attention to the area of concern.
The study showed an increase of detection by 26%, which translated into a 21% decrease in colon cancer occurrence
The equipment will be available in the US within the next few weeks

Many companies working on AI-based skin cancer apps that would be used with your iPhone:
6.3 billion smartphones – what health data will be collected and how will AI impact its use
Researchers from Stanford are looking at developing an app that can identify skin cancer using AI generated data
Their current data shows that their algorithm is on par with 21 board certified dermatologists
FDA is a bit slower on approving devices such as these as it does not involve a physician for the determination
Tele Derm is very popular now, with high quality, high resolution cameras, where a dermatologist is interpreting the image
There are many companies developing the direct to consumer diagnostic testing/interpretation in the dermatology world
Why is this taking so long? There is no data base of images collected in an organized way, as it is often the eye of the dermatologist who makes the decision.
In April of this year the FDA made expectations clear as to how these devices would be regulated, initially they are looking at a device that would aid a physician, similar to the colon cancer device
The FDA focus is on devices that make clinicians more accurate, not removing the clinician from the patient interaction
This important step allows for education, advice, and transition of care if needed
Currently there is a website Mole Mapper, built at Oregon Health University, that aids a patient in collecting information on specific moles on their body, tracks them with photos , looking for changes
Not for diagnosis at this time, but more to gather information on moles that are changing and have a record of that to share with their physician
Mole Mapper is hoping to continue to collect data so that at a date in the future it will be used to diagnose skin cancer at a much earlier time

Will we see an increase in Fatal Heart Attacks as Heat and Air Quality worsen:
One million individuals die from Heart attacks in the United States each year
We know that the air quality has an impact on cardiovascular health
We also know that extreme heat stresses the cardiovascular system as it works to aid in cooling
A study completed in China looked at the impact of heat waves and poor air quality on cardiovascular incidents
Researchers in China found that 3% of all deaths due to heart attacks could be attributed to the combo of extreme heat and poor air quality.
They looked at records of over 200,000 individuals who died from a heart attack over a five year period
They then looked back at the temperature and air quality on the days of the deaths.
They found that there was a 18% increase in the risk of fatal heart attacks during 2 day heat waves where air quality was poor and heat indexes were above the 90th percentile.
They did not find the same when the temperature was cold and in the 10th percentile, it only showed a 4% increase risk
The findings for adults over the age of 80 was more concerning and showed that this group is more susceptible to the effects of heat and air pollution.
Key message is keep individuals who may be susceptible to heat and poor air quality in an environment that is cooler and air quality can be maintained.

NIH launches long COVID clinical trials to identify treatment options :
Patients with Long Covid have been frustrated with treatment options, mainly the lack of options
NIH last week announced new clinical trials focused on the treatment of Long Covid, this is the worlds largest comprehensive study of Long Covid, with 11 different trials being rolled out
The goal is to enroll 40,000 patients before the end of the year
The treatments include Paxlovid, other drugs, devices, other therapies including trials with light therapy. Each trial focused on the symptoms associated with Long Covid
The trials are part of the NIH RECOVER initiative which received more than $1 Billion dollars from Congress in December of 2020, to address these conditions
It has taken time as the NIH had to clearly define the condition, which has more than 200 symptoms. Understand the number of possible patients is key to building the studies
The NIH has admitted they still do not have a good idea as to the number of individuals with this condition as data collection and definitions are not good, but estimates are close to 65 million around the world
The list of trials and sites should be available soon and a few trials are now currently open for enrollment, go to recovercovid.org
Each trial will have specific criteria and restrictions
The trials will continue to roll out over the next 3 months, under the following groups

RECOVER-VITAL will focus on treating SARS-CoV-2, the virus that causes COVID-19, when it stays in the body and causes the immune system to damage bodily organs. Trial participants will be given the antiviral Paxlovid for longer dosing regimens to see if it improves long COVID symptoms.  Currently open to enrollment

RECOVER-NEURO will examine treatments for cognitive dysfunctions related to long COVID, like brain fog, memory problems and difficulty with attention. , This will open in the next few weeks

RECOVER-SLEEP will test interventions to help sleep patterns or the ability to sleep after having COVID-19. One trial will focus on hypersomnia, or excessive sleep, while another will focus on problems falling or staying asleep. This will open in a few months and will look at the use of some medications

RECOVER-AUTONOMIC will target symptoms associated with the autonomic nervous system, which controls a range of bodily functions including heart rate, breathing and the digestive system.

Exercise and fatigue: NIH is also developing a fifth platform looking at the inability to exercise and fatigue.

Bronny James suffered cardiac arrest Monday and is in stable condition:
On Monday Bronny James, the 18 yo son of Lebron James, suffered a cardiac arrest while practicing at USC
He was transported to the hospital spent a night in the ICU and was deemed to be in stable condition the next day and moved out of the ICU, he was discharged from the hospital on Thursday
He will continue to have further testing to assure he can safely return to practice 
Sudden cardiac Arrest is the cause of death in about 2,000 individuals under the age of 25 each year,
Overall he found himself at the highest risk by being black and a basketball player, when we look at all student athletes 
This often occurs when the electrical activity of the heart causes the main pumping chamber the ventricle, to  fibrillate causing a poor or irregular heart beat that disrupts the heart’s pumping activity
This is not like a heart attack where blockage of blood to the heart muscle occurs
This is much more common in men and more common in basketball, with football players being the next highest risk
Coaches and staff need to be trained to give CPR, use an AED and act quickly
Controversy over what should a preparticipation physical include
Parents often see this as a hassle to get their healthy child a physical before sports start
EKG’s are not routinely done, Echocardiograms are not routinely done for High School students, College athletes are under more scrutiny and receive much more extensive evaluations.
Bronny actually had both an EKG as well as a specialized echocardiogram just a few months earlier
What can cause sudden cardiac death in young adults-Hypertrophic  Cardiomyopathy (HCM) is the most common- this is a thickening of the muscle in the lower chambers of the heart (ventricles) that can cause an abnormal rhythm esp during exercise.
HCM is often inherited disease, known as an enlarged heart.
HCM is diagnosed with an echocardiogram
Having this condition will often preclude you from playing any sport competitively
These individuals will often have a implantable defibrillator placed to protect them
Other causes can be preexisting abnormal electrical activity of the heart either genetic or anatomic- both causing unusual electrical activity and thus fibrillation

RSV- Vaccine for adults and Monoclonal Antibodies for infants:
This past winter we saw the impact of RSV- Respiratory Syncytial Virus  on both children and adults
This is a seasonal illness that in most cases causes an aggravating cold, but in young children and older adults we should it has a bigger impact, causing hospitalization and pneumonia
We know young children do not have immunity until after they have an infection, often before the age of 2, they are vulnerable to severe RSV as both their lungs and their immune system are not fully developed
In adults we lose our immunity to RSV as we age
This summer we had the roll out of vaccine for those over 60 and a monoclonal antibody shot for those under 2, to give us our first year of protections in both of these age groups
In June, the FDA approved 2  RSV Vaccines for those over the age of 60- it would be a single dose shot, after discussion with your physician
In July, the FDA approved a monoclonal antibody treatment for newborns and infants entering their first RSV season, this would be given as a preventative option.
The pediatric shot is interesting as it is not a vaccine, it is the antibodies needed to fight an infection if you were to get one
Both the antibody shot for kids as well as the vaccine for adults does not stop the illness but reduces hospitalizations significantly
It is interesting that the adult  vaccine was developed using the technology we use for the flu shot, not the mRNA process we used for Covid
There is a clinical trial going on right now for a vaccine for women who are pregnant, allowing them to share their antibodies with the newborn, thus protecting them thru the vulnerable first 2 years of life.
What about the “tweeners” those between 2 and 60 years old, this group doesn’t need a vaccine as the chance for severe illness in this age is rare, so the focus is on high risk individuals
These options will certainly raise some questions and conversations with your doctor

A tornado that ripped through a major Pfizer pharmaceutical plant in North Carolina on Wednesday "almost completely destroyed" the plant's warehouse:
We talk about the impact of heat, with dehydration and heat stroke. We talk about cold and frostbite
The bigger impact of weather is being felt now with the devastation of the Pfizer factory in North Carolina on July 19th
We talked about the drug shortages in the US the day before the tornado hit, as we discussed the closing of the Chemotherapy plant in India, the next day a tornado hits here.
This factory makes sterile injectables that are used in every hospital, these are drugs that are given thru an IV or injected.
It is estimated that this plant provided 8 % of the injectable medications used in US Hospitals
These include drugs used for infections, for surgery, for pain and other conditions
Most hospitals got away from being a warehouse and are relying on medications and supplies being delivered daily, with warehousing kept locally and in smaller amounts in the hospital
The impact of this will be felt in a short period of time, as short as a few months and how long it will last depends on how nimble Pfizer is, to shift manufacturing

Chief Medical Officer at Northwestern Medicine Central DuPage Hospital Dr. Kevin Most joins the Steve Cochran Show to discuss to explore the significance of children's physical check-ups, effective methods for managing vertigo, and how artificial intelligence is helping detect colon polyps.
Dr. Kevin Most's Steve Cochran Show Notes:
Kids going to college – Don’t forget about their health
<ol>
<li aria-level="1">Do your kids take a prescription medicine, if yes do they have enough?</li>
<li aria-level="1">If the meds are delivered by mail order, have you changed the address to the school address</li>
<li aria-level="1">Understand that once your child is 18 they have rights to their health privacy, and doctors can’t share information with you without their permission.</li>
<li aria-level="1">If you want to be able to have a doctor speak with you about their health, they must fill out a HIPPA form for the state the school is in</li>
<li aria-level="1">Check to make sure your insurance is covered in the state they will be in, or be ready to pay out of network fees</li>
<li aria-level="1">Are their immunizations up to date? In Illinois MMR, Tdap and meningitis are required. Consider influenza, Covid, hep A and B and HPV- college setting is classic for out breaks</li>
</ol>
Artificial Intelligence role in colon polyps detection:
<ol>
<li aria-level="1">20 million colonoscopies are done each year in the US</li>
<li aria-level="1">Studies have shown that the rate of detection for early cancerous polyps decreases as the day goes on, fatigue?</li>
<li aria-level="1">Estimates are that 8-10 % of early colon cancer are missed on initial colonoscopy, resulting in 13,500 colon cancers missed in the US</li>
<li aria-level="1">These cancers in most cases are found at the next interval colonoscopy, majority still at a treatable stage.</li>
<li aria-level="1">This past week the FDA approved an artificial intelligence assisted colonoscopy device- MAGENTIC-COLO</li>
<li aria-level="1">This device uses the video captured in real time, analyzes the images and identifies areas that are concerning based on data collected</li>
<li aria-level="1">It then highlights the areas on the video monitor that the Gastroenterologist is viewing, drawing attention to the area of concern.</li>
<li aria-level="1">The study showed an increase of detection by 26%, which translated into a 21% decrease in colon cancer occurrence</li>
<li aria-level="1">The equipment will be available in the US within the next few weeks</li>
</ol>
Many companies working on AI-based skin cancer apps that would be used with your iPhone:
<ol>
<li aria-level="1">6.3 billion smartphones – what health data will be collected and how will AI impact its use</li>
<li aria-level="1">Researchers from Stanford are looking at developing an app that can identify skin cancer using AI generated data</li>
<li aria-level="1">Their current data shows that their algorithm is on par with 21 board certified dermatologists</li>
<li aria-level="1">FDA is a bit slower on approving devices such as these as it does not involve a physician for the determination</li>
<li aria-level="1">Tele Derm is very popular now, with high quality, high resolution cameras, where a dermatologist is interpreting the image</li>
<li aria-level="1">There are many companies developing the direct to consumer diagnostic testing/interpretation in the dermatology world</li>
<li aria-level="1">Why is this taking so long? There is no data base of images collected in an organized way, as it is often the eye of the dermatologist who makes the decision.</li>
<li aria-level="1">In April of this year the FDA made expectations clear as to how these devices would be regulated, initially they are looking at a device that would aid a physician, similar to the colon cancer device</li>
<li aria-level="1">The FDA focus is on devices that make clinicians more accurate, not removing the clinician from the patient interaction</li>
<li aria-level="1">This important step allows for education, advice, and transition of care if needed</li>
<li aria-level="1">Currently there is a website Mole Mapper, built at Oregon Health University, that aids a patient in collecting information on specific moles on their body, tracks them with photos , looking for changes</li>
<li aria-level="1">Not for diagnosis at this time, but more to gather information on moles that are changing and have a record of that to share with their physician</li>
<li aria-level="1">Mole Mapper is hoping to continue to collect data so that at a date in the future it will be used to diagnose skin cancer at a much earlier time</li>
</ol>
Will we see an increase in Fatal Heart Attacks as Heat and Air Quality worsen:
<ol>
<li aria-level="1">One million individuals die from Heart attacks in the United States each year</li>
<li aria-level="1">We know that the air quality has an impact on cardiovascular health</li>
<li aria-level="1">We also know that extreme heat stresses the cardiovascular system as it works to aid in cooling</li>
<li aria-level="1">A study completed in China looked at the impact of heat waves and poor air quality on cardiovascular incidents</li>
<li aria-level="1">Researchers in China found that 3% of all deaths due to heart attacks could be attributed to the combo of extreme heat and poor air quality.</li>
<li aria-level="1">They looked at records of over 200,000 individuals who died from a heart attack over a five year period</li>
<li aria-level="1">They then looked back at the temperature and air quality on the days of the deaths.</li>
<li aria-level="1">They found that there was a 18% increase in the risk of fatal heart attacks during 2 day heat waves where air quality was poor and heat indexes were above the 90th percentile.</li>
<li aria-level="1">They did not find the same when the temperature was cold and in the 10th percentile, it only showed a 4% increase risk</li>
<li aria-level="1">The findings for adults over the age of 80 was more concerning and showed that this group is more susceptible to the effects of heat and air pollution.</li>
<li aria-level="1">Key message is keep individuals who may be susceptible to heat and poor air quality in an environment that is cooler and air quality can be maintained.</li>
</ol>
<a href="https://trials.recovercovid.org/">NIH launches long COVID clinical trials to identify treatment options :</a>
<ol>
<li aria-level="4">Patients with Long Covid have been frustrated with treatment options, mainly the lack of options</li>
<li aria-level="4">NIH last week announced new clinical trials focused on the treatment of Long Covid, this is the worlds largest comprehensive study of Long Covid, with 11 different trials being rolled out</li>
<li aria-level="4">The goal is to enroll 40,000 patients before the end of the year</li>
<li aria-level="4">The treatments include Paxlovid, other drugs, devices, other therapies including trials with light therapy. Each trial focused on the symptoms associated with Long Covid</li>
<li aria-level="4">The trials are part of the NIH RECOVER initiative which received more than $1 Billion dollars from Congress in December of 2020, to address these conditions</li>
<li aria-level="4">It has taken time as the NIH had to clearly define the condition, which has more than 200 symptoms. Understand the number of possible patients is key to building the studies</li>
<li aria-level="4">The NIH has admitted they still do not have a good idea as to the number of individuals with this condition as data collection and definitions are not good, but estimates are close to 65 million around the world</li>
<li aria-level="4">The list of trials and sites should be available soon and a few trials are now currently open for enrollment, go to recovercovid.org</li>
<li aria-level="4">Each trial will have specific criteria and restrictions</li>
<li aria-level="4">The trials will continue to roll out over the next 3 months, under the following groups</li>
</ol>
RECOVER-VITAL will focus on treating SARS-CoV-2, the virus that causes COVID-19, when it stays in the body and causes the immune system to damage bodily organs. Trial participants will be given <a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.usatoday.com%2Fstory%2Fnews%2Fhealth%2F2023%2F02%2F04%2Fcovid-treatment-paxlovid-pill-explained%2F11084232002%2F&amp;data=05%7C01%7CThomas.Hush%40cumulus.com%7C26918efaee0d4595fa0708db94f66e84%7Ce5d6709fbecf4b058cee37f5a62617c4%7C0%7C0%7C638267558375514459%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=MKgiWi972kINUEyKAnJ61QyM4nWmrUrz3oqugjV%2B1vc%3D&amp;reserved=0">the antiviral Paxlovid</a> for longer dosing regimens to see if it improves long COVID symptoms.  Currently open to enrollment
RECOVER-NEURO will examine treatments for cognitive dysfunctions related to long COVID, like brain fog, memory problems and difficulty with attention. , This will open in the next few weeks
RECOVER-SLEEP will test interventions to help sleep patterns or the ability to sleep after having COVID-19. One trial will focus on hypersomnia, or excessive sleep, while another will focus on problems falling or staying asleep. This will open in a few months and will look at the use of some medications
RECOVER-AUTONOMIC will target symptoms associated with the autonomic nervous system, which controls a range of bodily functions including heart rate, breathing and the digestive system.
Exercise and fatigue: NIH is also developing a fifth platform looking at the inability to exercise and fatigue.
Bronny James suffered cardiac arrest Monday and is in stable condition:
<ol>
<li aria-level="1">On Monday Bronny James, the 18 yo son of Lebron James, suffered a cardiac arrest while practicing at USC</li>
<li aria-level="1">He was transported to the hospital spent a night in the ICU and was deemed to be in stable condition the next day and moved out of the ICU, he was discharged from the hospital on Thursday</li>
<li aria-level="1">He will continue to have further testing to assure he can safely return to practice </li>
<li aria-level="1">Sudden cardiac Arrest is the cause of death in about 2,000 individuals under the age of 25 each year,</li>
<li aria-level="1">Overall he found himself at the highest risk by being black and a basketball player, when we look at all student athletes </li>
<li aria-level="1">This often occurs when the electrical activity of the heart causes the main pumping chamber the ventricle, to  fibrillate causing a poor or irregular heart beat that disrupts the heart’s pumping activity</li>
<li aria-level="1">This is not like a heart attack where blockage of blood to the heart muscle occurs</li>
<li aria-level="1">This is much more common in men and more common in basketball, with football players being the next highest risk</li>
<li aria-level="1">Coaches and staff need to be trained to give CPR, use an AED and act quickly</li>
<li aria-level="1">Controversy over what should a preparticipation physical include</li>
<li aria-level="1">Parents often see this as a hassle to get their healthy child a physical before sports start</li>
<li aria-level="1">EKG’s are not routinely done, Echocardiograms are not routinely done for High School students, College athletes are under more scrutiny and receive much more extensive evaluations.</li>
<li aria-level="1">Bronny actually had both an EKG as well as a specialized echocardiogram just a few months earlier</li>
<li aria-level="1">What can cause sudden cardiac death in young adults-Hypertrophic  Cardiomyopathy (HCM) is the most common- this is a thickening of the muscle in the lower chambers of the heart (ventricles) that can cause an abnormal rhythm esp during exercise.</li>
<li aria-level="1">HCM is often inherited disease, known as an enlarged heart.</li>
<li aria-level="1">HCM is diagnosed with an echocardiogram</li>
<li aria-level="1">Having this condition will often preclude you from playing any sport competitively</li>
<li aria-level="1">These individuals will often have a implantable defibrillator placed to protect them</li>
<li aria-level="1">Other causes can be preexisting abnormal electrical activity of the heart either genetic or anatomic- both causing unusual electrical activity and thus fibrillation</li>
</ol>
RSV- Vaccine for adults and Monoclonal Antibodies for infants:
<ol>
<li aria-level="1">This past winter we saw the impact of RSV- Respiratory Syncytial Virus  on both children and adults</li>
<li aria-level="1">This is a seasonal illness that in most cases causes an aggravating cold, but in young children and older adults we should it has a bigger impact, causing hospitalization and pneumonia</li>
<li aria-level="1">We know young children do not have immunity until after they have an infection, often before the age of 2, they are vulnerable to severe RSV as both their lungs and their immune system are not fully developed</li>
<li aria-level="1">In adults we lose our immunity to RSV as we age</li>
<li aria-level="1">This summer we had the roll out of vaccine for those over 60 and a monoclonal antibody shot for those under 2, to give us our first year of protections in both of these age groups</li>
<li aria-level="1">In June, the FDA approved 2  RSV Vaccines for those over the age of 60- it would be a single dose shot, after discussion with your physician</li>
<li aria-level="1">In July, the FDA approved a monoclonal antibody treatment for newborns and infants entering their first RSV season, this would be given as a preventative option.</li>
<li aria-level="1">The pediatric shot is interesting as it is not a vaccine, it is the antibodies needed to fight an infection if you were to get one</li>
<li aria-level="1">Both the antibody shot for kids as well as the vaccine for adults does not stop the illness but reduces hospitalizations significantly</li>
<li aria-level="1">It is interesting that the adult  vaccine was developed using the technology we use for the flu shot, not the mRNA process we used for Covid</li>
<li aria-level="1">There is a clinical trial going on right now for a vaccine for women who are pregnant, allowing them to share their antibodies with the newborn, thus protecting them thru the vulnerable first 2 years of life.</li>
<li aria-level="1">What about the “tweeners” those between 2 and 60 years old, this group doesn’t need a vaccine as the chance for severe illness in this age is rare, so the focus is on high risk individuals</li>
<li aria-level="1">These options will certainly raise some questions and conversations with your doctor</li>
</ol>
A tornado that ripped through a major Pfizer pharmaceutical plant in North Carolina on Wednesday "almost completely destroyed" the plant's warehouse:
<ol>
<li aria-level="1">We talk about the impact of heat, with dehydration and heat stroke. We talk about cold and frostbite</li>
<li aria-level="1">The bigger impact of weather is being felt now with the devastation of the Pfizer factory in North Carolina on July 19th</li>
<li aria-level="1">We talked about the drug shortages in the US the day before the tornado hit, as we discussed the closing of the Chemotherapy plant in India, the next day a tornado hits here.</li>
<li aria-level="1">This factory makes sterile injectables that are used in every hospital, these are drugs that are given thru an IV or injected.</li>
<li aria-level="1">It is estimated that this plant provided 8 % of the injectable medications used in US Hospitals</li>
<li aria-level="1">These include drugs used for infections, for surgery, for pain and other conditions</li>
<li aria-level="1">Most hospitals got away from being a warehouse and are relying on medications and supplies being delivered daily, with warehousing kept locally and in smaller amounts in the hospital</li>
<li aria-level="1">The impact of this will be felt in a short period of time, as short as a few months and how long it will last depends on how nimble Pfizer is, to shift manufacturing</li>
</ol>

Steve Cochran rings the morning bell and gets your day started right. Featuring the best guests, the best interviews, and the best conversation, Steve Cochran is talking about what’s happening in your world. Smart, informative and (occasionally) funny, The Steve Cochran Show cuts through all the noise and brings you real talk radio every weekday from 5:30-9am on 890 WLS.

Steve Cochran rings the morning bell and gets your day started right. Featuring the best guests, the best interviews, and the best conversation, Steve Cochran is talking about what’s happening in your world. Smart, informative and (occasionally) funny, The Steve Cochran Show cuts through all the noise and brings you real talk radio every weekday from 5:30-9am on 890 WLS.

Steve Cochran on The Big 89

Steve Cochran rings the morning bell and gets your day started right. Featuring the best guests, the best interviews, and the best conversation, Steve Cochran is talking about what&rsquo;s happening in your world. Smart, informative and (occasionally) funny, The Steve Cochran Show cuts through all the noise and brings you real talk radio every weekday from 5:30-9am on 890 WLS.