American alternative rock band
POPULARITY
6 episodes with abnormalities
6 episodes with abnormalities
3 episodes with abnormalities
4 episodes with abnormalities
3 episodes with abnormalities
4 episodes with abnormalities
6 episodes with abnormalities
4 episodes with abnormalities
4 episodes with abnormalities
3 episodes with abnormalities
2 episodes with abnormalities
3 episodes with abnormalities
3 episodes with abnormalities
2 episodes with abnormalities
7 episodes with abnormalities
3 episodes with abnormalities
2 episodes with abnormalities
5 episodes with abnormalities
Professor Gareth Baynam is a globally recognised clinical geneticist, researcher, and advocate for rare diseases. He is the Director of the Rare Care Centre at Perth Children's Hospital and the Head of the Western Australian Register of Developmental Anomalies. With a career dedicated to improving the diagnosis, management, and care of individuals with rare and genetic conditions, he has been at the forefront of integrating cutting-edge technologies such as genomics, artificial intelligence, and precision medicine into healthcare. Professor Baynam is also a leader in Indigenous health initiatives, championing equitable access to rare disease diagnostics and treatment. Through his work with organizations such as the Global Commission to End the Diagnostic Odyssey for Children with a Rare Disease and the European Rare Diseases Research Alliance (ERDERA), he continues to drive global collaborations and innovations that aim to transform rare disease care.
The Real Truth About Health Free 17 Day Live Online Conference Podcast
Robert Whitaker discusses the failures of psychiatry's disease model and explores alternative approaches to mental health care. Learn about new paradigms for understanding and treating mental health issues. #MentalHealth #PsychiatryReform #AlternativeCare
Find holistic dental care at Denver Dentistry (303-988-6118), a trusted integrative dental clinic. The team offers airway management and sleep disorder treatment solutions for patients. Learn more at https://www.denverdentistry.com/ Denver Dentistry City: Littleton Address: 5920 S Estes St #200 Website: https://www.denverdentistry.com/
In this episode, we review the high-yield topic Craniofacial Abnormalities from the Ear, Nose, & Throat section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, Dr. Valentin Fuster dives into a groundbreaking scientific statement from the American Heart Association and American College of Cardiology, providing updated clinical considerations for competitive athletes with cardiovascular abnormalities. The statement, which integrates 40 years of research, focuses on preventing sudden cardiac death and improving shared decision-making strategies for athletes facing heart conditions, offering expert guidance across 11 key task forces.
Editor's Summary by Linda Brubaker, MD, Deputy Editor of JAMA, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from March 1-7, 2025.
Dr. Mohleen Kang chats with Dr. Margaret Salisbury and Dr. Anna Podolanczuk about their articles, "Progressive Early Interstitial Lung Abnormalities in Persons at Risk for Familial Pulmonary Fibrosis: A Prospective Cohort Study" and "Big Things Have Small Beginnings: Clinical Implications of Early Interstitial Lung Disease."
(SPOILER) Your Daily Roundup covers tomorrow's podcast guest, DONDI with a statistical abnormality last night, the Joe Schmo Show, Love is Blind had more engagements that weren't shown, & Paradise on Hulu has their best episode yet. Music written by Jimmer Podrasky (B'Jingo Songs/Machia Music/Bug Music BMI) Ads: Factor Meals - 50% off your first box PLUS free shipping at https://factormeals.com/realitysteve50off Promo Code: realitysteve50off Learn more about your ad choices. Visit megaphone.fm/adchoices
Japan's infrastructure ministry said Friday that its emergency inspections on sewage pipes, which were conducted in the wake of last month's road cave-in in Yashio, Saitama Prefecture, have found abnormalities such as corrosion at three locations in the same prefecture, separate from the accident site.
With up to 1,500 estimated cases each year in Ireland, causing fertility issues, premature death in calves and other health problems, Dr Cliona Ryan, genetics and genomics postdoc researcher in Teagasc Moorepark, joins us to discuss new improved methods in identifying these issues. For more episodes and information from the Environment Edge, visit the show page at:https://www.teagasc.ie/environmentedge/
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Hepatic Biomarker Abnormalities in the Cardiac Intensive Care Unit: Proposed Criteria for Cardiohepatic Syndrome.
Understanding Amniotic Fluid: What's Normal and What's Not Amniotic fluid is the protective liquid contained within the amniotic sac that surrounds a baby during pregnancy. This vital fluid plays a critical role in fetal development, providing cushioning, regulating temperature, and enabling the baby to move and grow within the uterus. It also facilitates the development of essential systems like the lungs, digestive tract, and musculoskeletal system. What Is Amniotic Fluid Made Of? Amniotic fluid begins to form around the 12th day of pregnancy and is initially composed of water from the mother. As the pregnancy progresses, it includes fetal urine, nutrients, hormones, and antibodies, creating a nutrient-rich environment for the growing baby. What's Normal? The amount of amniotic fluid changes throughout pregnancy, peaking around 34 weeks and then gradually decreasing. Here's what's considered normal: Volume: Typically, the amount of amniotic fluid ranges from 500 to 1,000 milliliters at term. Clear or Slightly Tinted Fluid: Normal amniotic fluid is clear or slightly yellow-tinted. Healthy Fetal Movement: Adequate fluid allows the baby to move freely, which promotes muscle and bone development. Doctors assess amniotic fluid levels using ultrasound and measure the Amniotic Fluid Index (AFI) or the Deepest Vertical Pocket (DVP) to ensure levels are within a healthy range. What's Not Normal? Abnormalities in amniotic fluid levels can indicate potential complications: Low Amniotic Fluid (Oligohydramnios): This condition occurs when fluid levels are too low and can lead to: Restricted fetal growth. Increased risk of umbilical cord compression. Complications during labor, such as reduced cushioning for the baby. Excess Amniotic Fluid (Polyhydramnios): Excess fluid can result from issues such as gestational diabetes, fetal anomalies, or infections. It may cause: Preterm labor. Difficulty breathing for the mother due to uterine overdistension. Increased risk of placental abruption or cord prolapse. Discolored Fluid: Green or Brown (Meconium-Stained Fluid): This indicates that the baby has passed its first stool in utero, which could signal fetal distress. Bloody Fluid: This may suggest complications like placental abruption or injury. Monitoring Amniotic Fluid Routine prenatal care includes monitoring amniotic fluid levels. If abnormalities are detected, your healthcare provider may recommend additional tests, interventions, or close monitoring to ensure the safety of both mother and baby. Your feedback is essential to us! We would love to hear from you. Please consider leaving us a review on your podcast platform or sending us an email at info@maternalresources.org. Your input helps us tailor our content to better serve the needs of our listeners. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources Instagram: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB Thank you for being part of our community, and until next time, let's continue to support, uplift, and celebrate the incredible journey of working moms and parenthood. Together, we can create a more equitable and nurturing world for all
Commentary by Dr. Jian'an Wang.
Better Edge : A Northwestern Medicine podcast for physicians
Join Larissa Pavone, MD, Mary Keen, MD, and Anton Dietzen, MD, as they discuss the significance of muscle tone in young pediatric patients. They explore the causes and manifestations of high muscle tone, including hypertonia, and share insights on managing spasticity, dystonia, and rigidity. Learn about the latest diagnostic approaches and therapeutic strategies to support early development in children with muscle tone abnormalities. Dr. Pavone is associate chief medical officer of Northwestern Medicine Marianjoy Rehabilitation Hospital; Dr. Keen is a pediatric PM&R specialist; Dr. Dietzen is medical director of Pediatrics at Marianjoy Rehabilitation Hospital.
Listen to today's episode to hear Meagan talk all about bicornuate, unicornuate, arcuate, and septate uteruses, uterine didelphys, and more.Though there can be complications, research is limited, and vaginal birth is often possible. Chat with your provider about your birthing desires, and don't be afraid to get multiple opinions!A Case of Vaginal Birth after Cesarean Delivery in a Patient with Uterine DidelphysUterine DifferencesSuccessful Vaginal Delivery after External Cephalic Version in a Woman with a Large Partial Uterine SeptumNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. Welcome to The VBAC Link. This is Meagan, and I am solo today. We will not be sharing a VBAC or CBAC story, but we're going to focus on our topic of the week. That is uterine abnormalities. So if you haven't listened to Flannery's episode last week, or I should say earlier this week, go check it out. Flannery has a bicornuate uterus, and we talked a little bit about the different types of uteruses, and her journey, and what happened or what was most common with her bicornuate uterus. But today, I wanted to talk a little bit more about the different types of uteruses. It's kind of weird to think about, but we do. We have multiple shapes of our uteruses. I don't think it's really talked about a lot, so I thought it would be cool to jump on today and talk a little bit more about the uteruses. But, we do have a Review of the Week, so I wanted to jump on and share this review. It says, “I now recommend this podcast to every mom who will listen, even first-time moms. I tell them this is the podcast I wish I would have listened to before our first traumatic birth. It helped me process, learn, and heal so much after my son's birth. Two years later, pouring into numerous books, online courses, and more, we are preparing for our October VBAC. Their podcast has by far been the most favorite resource hands down. Thanks, Julie and Meagan, so much for what you do.”Thank you guys for your review. That review was left on Google, so if you wouldn't mind, press pause in just one moment, and go leave us a review. Your reviews help other Women of Strength come and find this podcast, find the blogs, find the course, find the doulas. You guys, I love this community so stinking much and believe that every mom, just like the reviewer said, and even first-time moms should be listening to this podcast. These stories that you guys share are absolutely incredible. The information that we share is invaluable. If you can, go to Google. Type in, “The VBAC Link” and leave us a review, or leave us a review wherever you are listening to your podcasts. Okay, everybody. Like I said, we are going to be diving into uterine abnormalities. We talked a little bit about Flannery. She had a bicornuate uterus. What is a bicornuate uterus? A bicornuate uterus is a heart-shaped uterus meaning the uterus has two horns making it look like the shape of a heart. With bicornuate uteruses, there are some things to know. There can be a higher chance of a breech baby. I'm going to share my source here with you. It's pregnancybirthbaby.org. We're going to have this in the show notes. I think that it is just so great. It's such a great visual and understanding on the different types. So yeah. They've got two horns. It doesn't reduce your chances of having a baby or getting pregnant. It can increase things like early miscarriage or an early preterm baby, or like I said, it can impact the position of the baby. But it's possible. VBAC is possible with that. The hardest thing about uterine abnormalities is there is not a ton of evidence or deep studies to dive into how it's impacting people who want to go on and have a vaginal birth or go for a, in the medical world, TOLAC or trial of labor after a Cesarean. If you have a uterine abnormality, it's something to discuss with your provider. Know you don't have to go with that first answer. You can get multiple opinions. Okay, another uterine abnormality or shape is– oh my gosh, you guys. Don't quote me on this. I will butcher how to say these. I will try my best. It's a didelphys uterus. It means that your uterus is split in two, and each side of your uterus has its own area. it also can increase your chance of having a premature birth, so if that is something that you have, I think that's something you want to discuss with your provider knowing that you could have a premature birth. We also know people who have premature VBACs all the time, but it's something to discuss. There's acruate, and that is a uterus that actually looks really similar to a normal-sized uterus but has a deeper dip in the top of the uterus in the womb. It doesn't affect your fertility. It can increase just a little bit of a later miscarriage. That is something to discuss, although sometimes providers will want to induce if everything is looking well at an earlier gestational age. Also, this one can impact the position of your baby, so being aware of that. Then there's septate. Again, I don't know. Sorry for butchering this, you guys. If you're a medical professional, sorry. It says, “A septate womb has the wall of a muscle that comes down the center of the uterus, and then it splits into those two areas and is divided by a membrane or a tight band of tissue.” It reminds me of a rubber band. It splits it down. It can also impact fertility and, again, increase the possible risk of miscarriage in the early stages or cause a premature baby. Once again, discuss with your provider if you have this what that means and what that means for VBAC birth in general. Then, let's see. There's also retroverted. That's a uterus that tips further back instead of that forward stage. Again, there are so many different types and shapes of uteruses. Sometimes we don't know what we have until we have a baby who is born. Sometimes it's once we have a Cesarean where they are like, “Oh, hey. You have this type of shaped uterus.” If you really feel like you need to know or you are having issues or anything like that, dive in with your provider and see if they can tell you what shape of uterus you have.Like I said, little is known about the outcome of VBAC with uterine abnormalities, but there is an article and it was back in 2019. It's called “A Case of Vaginal Birth After Cesarean Patient Who Has a Uterine Didelphys”. I want to talk a little bit more about that. As a reminder, that is the one that is split in two. If I recall, I think they even have their own cervixes. That can be interesting. But this is going to be a little bit more on this. They talk about it. There are only a few studies. The studies are low, like 165 women in the one study. It shows that those women with abnormalities found were statistically less likely to have VBAC. Again, we know that a lot of the time, these people have babies who are in less ideal positions or they are going into early preterm labor. There are things to be said about that. But the other small study is literally teeny tiny. It had 25 women with uterine abnormalities reported, and a VBAC rate was similar to women with a “normal” uterus. There are things to say there.Now, the other study showed that they were less likely to experience uterine rupture than women with normal uteruses, but then this one said that the uterine rupture rate was higher. So such little information. I mean, really, it's little information that I have been able to find so far. I'm going to dive in deeper and update you, but yeah. It says, “The actual rates in VBAC and uterine rupture in women with uterine abnormalities are more likely to be similar or less favorable than those women with normal uteruses.” So, keep that in mind. It goes on and says, “Some authors hypothesized that uterine abnormalities, especially unicornuate uteruses, are associated with decreased uterine muscle mass. So when we have decreased uterine muscle mass, that means it may not contract as effectively or strongly as it needs to, so that can lead to other things like arrest of descent or we were not getting into that active phase of labor, needing things like Pitocin and things to augment labor or they may have a harder time pushing out the baby because the uterus isn't helping as well. So we may have a higher chance of an assisted delivery like a vacuum or forceps. With all of this said, you guys, I want to leave it here with you to encourage you to speak with your provider, and get multiple opinions. If you have been told that you can't VBAC because of a certain situation, dive a little deeper with questions with your provider because again, the hardcore evidence is not really there. It's just low. I mean, it's there, but it's low. There's another article that says that uterine abnormalities are common in the general population with an estimated range of 1-15 per 1000% women. We know that there are people out there who have uterine abnormalities. I don't feel like it's talked about a ton, and that's why I wanted to come on today and talk a little about the different types, and of course, share with Flannery's episode with a bicornuate uterus showing that she still did go on to have a VBAC and it is possible. So if you have a uterine abnormality, please know that it doesn't mean you're just completely off the table. It still can be an option. Discuss it with your provider. Check out the links. I will include them in the show notes today more on those uterine abnormalities, and what it means, and what these studies are showing. There was another one that said that a septate uterus is clinically significant because it has been shown to be associated with adverse pregnancy outcomes including, like I said, that preterm labor and malpresentation. So it's a thing that can cause malpresentation and can cause preterm labor, and even miscarriage. But does that mean that you can't have a vaginal birth? Another thing to ask your providers if you have any of these things are, “Okay, if my baby is in a less than ideal position, say, breech or transverse, does my uterine abnormality or my specific case rule me out of having something like an ECV?” Varying rates of ECV success have been reported, and we're also not doing them enough. We are not seeing them being done enough, even though they have a lot of success. But the question is if you have a uterus that is a little different, do you qualify? Ask the questions. Be informed, and if you have any questions, let us know.And hey, if you have a uterine abnormality and you are listening, and you had a VBAC, I would love to hear from you because we have people who are searching for stories with uterine abnormalities. I know that our community would love to hear your story. You can message us at info@thevbaclink.com or if you are a provider who maybe knows a lot more and specializes a lot in uterine abnormalities, I would love to chat with you and discuss a podcast episode in the future. Thank you guys!ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands
Flannery joins us today from Connecticut sharing her story of an unexpected C-section at 35 weeks due to oligohydramnios, breech presentation, and concerns with her baby's kidney functions. She was also transferred to an unfamiliar hospital for its surgical capabilities. Though she was terrified, her anesthesiologist was calm and reassuring. The toughest memory of Flannery's birth was not being able to kiss her baby before he was swept away to the NICU. She was determined to do everything in her power not to have that happen again the second time. Knowing she had a bicornuate uterus, she worked hard to keep her baby's head down from the very beginning of her second pregnancy. She switched to a midwife practice, carried her baby past her due date, went into spontaneous labor, and had an intensely beautiful unmedicated hospital VBAC!NICU Free ParkingTypes of Uterine ShapesAFI ArticleNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. We have our friend from Connecticut. And you know what? I didn't ask. How do you say your name? Flannery: It's Flannery. Meagan: That's how I was going to say it. Flannery: Yes, good job. Meagan: We have our friend, Flannery, here from Connecticut and she has a bicornuate uterus. This week's focus is on different shaped uteruses or uterine abnormalities as I'm air quoting. We know that people have them. People have different-shaped uteruses. Sometimes that can impact things like breech babies or even a provider's ability to support– I don't want to say ability. It's their willingness to support, especially in VBAC. We're going to be diving into that. She's also a NICU mama so for other NICU mamas, she might have some tips for you along the way. She just told me before this that she was a labor and delivery nurse before she had her first. Flannery: Yep, and then I switched over. Meagan: Now she switched over to postpartum. She knows the field, so we might talk a little bit about labor and delivery nursing and the postpartum world. Flannery: Yeah, definitely. Meagan: Awesome. Okay, well let's get into your stories. Flannery: Okay, thank you. I'm so excited. I would listen to this podcast all the time when I was pregnant. At the end, when they say, “If you'd like to share your VBAC story–” and I would say, “I will be sharing my VBAC stories someday.” Meagan: I love that. “I will be sharing my story”, and here you are sharing with all of the other Women of Strength coming to learn and grow and feel empowered. Flannery: Yeah, I loved it. My first pregnancy was actually an unplanned pregnancy. I had just gotten married. I just started a labor and delivery nurse job. I was noticing that I wasn't feeling great, that I had some bleeding which I thought was my period, so I just was like, “You know what? Let me take a pregnancy test just to reassure myself because there is no way that it will be positive.” It was, and I was so shocked. I remember taking the tests, seeing the two lines, and my heart dropping. I thought to myself, “I am not ready to be a mom. I can't believe that I am having an unplanned pregnancy. This is so crazy.” I was only 25 which I know is not that young, but up here in Connecticut, it's pretty young. Meagan: Is it really? What's the average for first-time moms? Can I ask?Flannery: I'm guessing 30-32. Meagan: Okay. Flannery: None of my friends had babies yet or anything, so I felt very alone and obviously very shocked. Yeah. I had no idea how far along I was. I went to the dating ultrasound with my husband at the hospital where I worked, and they put the wand on my belly. There was a full baby in there. It wasn't a bean. It wasn't a little heartbeat, but it was a baby. They said, “You're 11.5 weeks along.” Meagan: Oh my gosh. Really?Flannery: Yeah. I was beyond shocked. Meagan, I had no idea that I was pregnant. I didn't have any symptoms. I was having some bleeding, so I thought that had been my period, but nope. Meagan: Oh my goodness. Was it implantation bleeding? But then that would be too late. Flannery: I don't know. I think maybe just how some people get first-trimester spotting or bleeding after sex or exercise or something. I'm thinking that's what it was. Meagan: Crazy. Flannery: I know. I had skipped the first trimester, and that terrified me because I wasn't on a prenatal. I was having some wine. I was just like, “How could I have missed this? This is embarrassing. I'm a nurse.” Meagan: “I'm a nurse.” Hey, listen. It happens. People talk about it. I'm sure that was such a shock not only to see those two pink lines and that you were not having babies with any of your friends, but then you skipped the whole first trimester. Flannery: Crazy. It was crazy. It took a while to wrap our heads around it. Then during the ultrasound, hearing the ultrasound tech saying, “Have you ever had an ultrasound of your uterus before?” I was like, “No,” not thinking anything of it, just focusing on the baby, and then I got a call from my doctor a few days later, and she was like, “So, it looks like you have a bicornuate uterus. Have you ever heard of that?” I was like, “No. I've never heard of that before.” She said, “Basically, your uterus is shaped like a heart, and it should be shaped like a balloon.” I was like, “Okay. That doesn't sound too bad.” We hung up. I went on Google and Googled “bicornuate uterus”, and let's just say the stuff that comes up is not reassuring at all. It's so scary. It says things like, “Risk of preterm delivery. Risk of stillbirth. Risk of infertility. Risk of malpresentation.” It just went on and on. Postpartum hemorrhage, and all of this stuff, so I really broke down. I remember just crying and crying to my husband, “I've had this crazy birth defect my whole life, and I've never known it.” I didn't know how it was going to impact my birth or anything. That was definitely scary.Meagan: Did they tell you anything about how it could impact your pregnancy or your birth? Flannery: Not really. This was a general GP doctor that I was seeing, so she didn't really go into it with me, but I definitely spoke about it to the midwives that I was seeing once I established care with them. They were just like, “Yeah, it can cause baby to be breech.” That was all they told me about it. Meagan: Okay. Flannery: Yeah. I was doing a lot of research looking for podcasts and everything about bicornuate uterus and all of the things that go along with it, but I couldn't really find much. This was a few years ago, so maybe three or four podcast episodes about bicornuate uterus, breech, and malformation. I think now there are more, but at the time, it was really hard to find information. Meagan: Yeah. I still feel like it's 2024. What year are we in? We are almost in 2025. We are in 2024, and it still is. There is still not a ton. It's not a beefy topic. Flannery: No, it's really not. I think that some people don't know they have it until they get pregnant which was in my case, and they have an ultrasound. It's hard to tell later on in pregnancy if you have it because your baby will stretch out the uterine space, so you can really only tell in the first trimester if you have an ultrasound. Meagan: Interesting. Good to know. Flannery: So my pregnancy progressed pretty normally after that. I was very stressed at this new job in labor and delivery that I was working in. I was seeing really scary births all of the time, traumatic births, and some good ones too, but it put this idea in my head that you cannot plan your birth. Things are so out of your control that there's no reason to have a plan because you're just going to be disappointed anyway. All you can do is go with the flow. That was my attitude at the time. It's definitely changed since then. It was definitely interesting trying to be a first-time mom and also learn how to be a labor and delivery nurse and reconcile the two experiences that I was seeing. Meagan: I bet. Flannery: Yeah. Meagan: I bet that would be really challenging. Flannery: It was. It was interesting. I established care with some midwives who I worked with. They were highly recommended, but I didn't really feel like they were giving me the midwife experience that I had heard so many people rave about. I felt like they really treated me like a coworker instead of a first-time mom when I was going to their appointments. I was fine with their care. I wouldn't say it was the best or the worst by any means. Then I realized around 25-26 weeks, “Gosh. I'm really feeling this rock under my ribs all the time. I think that's the baby's head. I think the baby is breech.” Then at 28 weeks, I had a growth scan because you have to have growth scans if you have a bicornuate uterus, and they were like, “Yeah, sure enough, the baby is breech.” The midwives told me, “Okay, you can do some Spinning Babies and put an ice pack near the baby's head and play music down low,” and all of those crazy things that you hear. I was like, “Yeah, sure. Okay, I'll try it.” I did a few inversions, but they gave me terrible heartburn, so I was not super consistent with that. The baby just wasn't budging week after week. Eventually, it came to about 35 weeks, and I was getting another growth scan. I had just worked a very tiring shift at work. I went to get my ultrasound. I was dozing off as she did it. She stopped the ultrasound, and she said, “I'm going to send you over to your midwife's office. Go over right now.” I walked over, and the midwife was like, “Girl, what's going on?” I was like, “I don't know. I just had this pit in my stomach, but I had no clue what was going on.” She was like, “You have no fluid. Get back to the hospital. You're going in as a patient now, and we're going to try to rehydrate you.” I was like, “What? What is going on? No fluid? What does that mean?” I guess they had found in ultrasound that my baby's left kidney was super dilated, and my fluid was low which is called oligohydramnios. I know you've talked about this on the podcast before, but I think they measure it with an AFI. It's supposed to be over 8. Mine was a 4. Meagan: Really low. Yeah, below 5. But they were just going to rehydrate you. They weren't going to induce you? Flannery: Not yet, no. They wouldn't have induced me anyway because my baby was breech. Meagan: Which is good. They wouldn't. Yeah. Flannery: They were going to try to rehydrate me first and see how that went. It did, and they decided to give me some steroid shots too. My favorite midwife came in, and she said, “We're going to do these steroid shots, and we're going to see if the rehydrating works. I know you've been working hard. Maybe this is just a dehydration situation because you haven't been able to take care of yourself properly.” I was like, “Okay”, then she made a comment about delivery at 37 weeks. I was like, “Oh, this is a delivery-type situation.” It had really not sunk in with me yet that this was that serious. She was like, “Yes. Oligohydramnios can cause stillbirth. It's very serious. Probably what we are looking at is two weeks of monitoring, and then delivery at 37 weeks which will be a C-section unless your baby flips.” I was like, “Oh my god. Okay.” Meagan: Yeah. But with the fluid, did they want to continue giving you fluid? Did they encourage your hydration with electrolytes and everything? Flannery: Yes, they did. I was chugging water like a maniac for a few days and coconut water and all of this stuff and getting IV fluid. It did come back up a little bit to a 6, maybe. Meagan: I was going to say, did it fix it at all?Flannery: I was still getting a bunch of ultrasounds, then it went right back down to a 4. They said, “We're going to have you consult with maternal-fetal medicine at a bigger hospital on March 9th. My baby was due April 11th, but this was a lot earlier than I was expecting anything to happen. We went to this appointment to get this more detailed ultrasound, and the doctor comes in. She seems very nervous. That's not what you want. You don't want a doctor to seem nervous.No. She's like, “It looks like your baby's left kidney is non-functional. It's just a cluster of cysts.” Meagan: Oh no. Flannery: I was like, “Oh my god.” I was so terrified. I just had no clue. This didn't show up on the 20-week ultrasound or anything. She was like, “And your fluid is still super low.” We did an NST. They sent us home, and I was just waiting around at home with my husband for my midwife to call to make a plan. I was like, “Am I going back to work tomorrow? Am I going to be having this baby?” She called me, and she was like, “So, this isn't what I was expecting to tell you today, but I've been consulting with the neonatologist here and some OBs. Since you've already had your steroid shots, we want you to go to the hospital now to have your baby tonight.” She was like, “Don't rush down the highway in the snow. This is an urgent, not an emergent situation. You'll be in good hands.” I was like, “What in the world?” I was so taken aback. I didn't believe it. They were also transferring me to a different hospital from the one that I had worked at and had planned to deliver at. Meagan: Is it because of the NICU situation?Flannery: Because of the NICU, yeah. This bigger hospital had the capability for surgery, and my hospital did not. It was a situation where it was a small hospital and a situation that they weren't really comfortable with. We hopped in the car and drove through this big snowstorm. I was just crying and shaking. We had no idea. We were both terrified. We had no idea what we were about to walk into.When we met our OB, she walked into the room. She just radiated calmness and kindness and peace. She was just an angel. She made us feel so safe. They were monitoring the baby and putting my IV in. I was still trying to wrap my head around the fact that I was having a baby tonight. Meagan: Yeah. Flannery: I was wondering, “Is this baby going to be okay? What is going on here?” We walked down the hall to the OR. I kissed my husband goodbye. I remember just thinking, “Okay. Here we go. There's no going back now.” The only way I could stay calm was to surrender any of the control that I thought I had and really just trust in God and trust in the people who were going to do the surgery on me. I lay down on the table and the anesthesiologist was so kind. He was petting my head and talking to me. My husband came in and they were setting up the drapes. My doctor who I had just met leaned her head over and she said, “This is where I had my first daughter.” That just made me feel so happy. Things are going to be normal again. She had a C-section too. It made me feel very safe. Everything went really well during the operation. I remember I could see the reflection of the operation in the lights that they have above you. I bet other moms will know what I am talking about, but they have these big OR lights, and I could kind of see what they were doing which was crazy.Meagan: You can. They're like mirrors. Flannery: I know. They should come up with something better. Meagan: Yes. For those who don't want to watch or see anything, just turn to the side. Flannery: Close your eyes. Meagan: Close your eyes. Turn to the side. Flannery: Yeah. They said, “After a few minutes, okay. Here he comes. Then he's out.” I didn't hear anything. I heard someone say, “Okay. I need to take him.” I could tell that was the neonatalogist saying they needed to work on him a little bit. They took him over to a corner where we couldn't see or hear anything that was going on. We could just hear people talking. Eventually, we heard a little cry. My husband started to cry. I looked at him, and I smiled. I just felt relief that he was alive, but I didn't feel anything. I just felt this nothingness. Meagan: I can so relate to that. Flannery: Yeah. It's so strange. It's just not what you're hoping to feel in this big important moment. Meagan: Mhmm. Flannery: I remember the neonatalogist after a while, he was breathing on his own. He had peed and pooped. They showed us pictures of him. She walked over with him in his arms in this little bundle of blankets. She stood pretty far away, maybe 6 or 10 feet away. She was like, “Okay. You know the plan. We need to check his kidneys in the NICU. What's his name?” I said, “I don't know. I need to see his face.” She flashed the blanket at me and flashed it down so I could see his face. I couldn't see anything. I said, “I don't know. I don't know what his name is,” and she walked out with him. That is just the worst memory from that whole experience. The surgery itself was really good. The care I had was great, but I'll never get that moment back. She could have brought him over to give me a kiss or see his face. It was hours until– Meagan: Touch or kiss his face.Flannery: It was so long until I could see him and meet him in the NICU. I just think about that all of the time. I did get to go meet him after a few hours. He was doing great. I didn't recognize him at first when my husband rolled me over to his isolet in the NICU which was hard, but as soon as I held him, I just had this overwhelming rush of love. It hasn't changed to this day. He's just such a joy.He turned out to be fine. His kidney was normal. It's resolved on its own, and it wasn't a cluster of cysts like they had thought. Meagan: Yay.Flannery: Yeah. He's doing great. He's a very rambunctious, very smart 2.5-year-old now. Meagan: Good. Flannery: Yeah. I'm so grateful that I have him now. I'm so grateful that I accidentally got pregnant with him.Meagan: Yes. He was meant to be, and he was going to make sure that he was.Flannery: He totally was. Yeah. Yeah. Meagan: I'm sorry that you had that experience. I want to say it's unique, but it's not. That sucks. Flannery: It's totally not. Meagan: I hope that as people are listening, if they are in the birth world of labor and delivery nurses or OBs or midwives or whatever it may be, please be mindful of mom. Please be mindful of mom. Don't forget that she doesn't feel these things because does. She needs to see her baby. She needs to touch her baby. She needs to kiss her baby. If it is a true emergency, true emergency, understandable. But in a sense of this, it doesn't sound like it was a true emergency.Flannery: It wasn't. It wasn't. Meagan: They went over, and they took a lot of time with your baby, and then came and left. They didn't need to just come and leave. Flannery: Right, right. Especially when baby is breathing on its own and stuff, you can take 10 seconds to let mom give baby a kiss.Meagan: It will impact mom. Flannery: It totally will. Meagan: Here you are 2 years later still feeling mad. You're like, “I still think about that.” I saw it. I saw it in your eyes as you were telling that story. You feel that still. That's there. I hope that people can remember that protocols and what you think needs to happen and all of these things do not trump mom. Flannery: Totally. Totally. Meagan: Right. Yeah. So, having a NICU baby, how long– what was the exact gestation?Flannery: He was 35 and 5. Meagan: Okay, so it was a preterm Cesarean as well. Flannery: Yes. Meagan: Did they have to do any special scar or anything like that because it was preterm? Flannery: No, thankfully not, but he was very stuck up in my ribs. He had the cord around his neck, and there was meconium. I know that he needed to come out that way because I don't think he could have flipped if they did an ECV. I don't know if he would have tolerated labor if he was head down even. Meagan: Yeah. That's definitely an early baby, but good that all is well for sure. Flannery: Yeah. He did great. It was a rocky start, but he's doing great now. Meagan: Yeah. Yeah. Do you have any advice for NICU moms listening? Flannery: Yes. There is this foundation that will pay for your parking costs while you're in the NICU. I didn't know about it in time. Parking can get very expensive when you are visiting your baby. If you just Google, “Parking Foundation for NICU parents,” I'm sure it will come up because I can't remember the exact name. Meagan: I'm going to look it up. I'm going to look it up while you start your next story. We'll make sure to have it in the show notes if I can find it. Flannery: Yes. Yes. Meagan: Okay, keep going.Flannery: My next pregnancy, I was determined to do everything right this time. I was like, “You know what? The last pregnancy was so rocky and so unexpected that this time, I'm going to do everything right, and therefore nothing can go wrong.” I think people have that feeling a lot which is so irrational, but we can't help it. I did go back to see my OB who delivered Freddy, my son. I just loved her. I thought she was wonderful. I just wanted to see what her opinion was about why I had those complications in my pregnancy and see what she thought about a VBAC because even though I wasn't sure if I could have a VBAC, I was interested in it. She listed out all of these rules that she had about VBAC, about, “You can't be preterm. You have to go into labor naturally,” and all of the things that you say are red flags on the podcast. Meagan: I'm like, all of the normal things, but they are all red flags. Flannery: Yes. I mean, I loved this doctor, and I think if I was going to have a repeat C-section, I would have gone back to her because she is awesome, but that wasn't the experience that I wanted to have this time. I did a little research, and I found this midwife practice that everyone recommended to me. I decided to go with them instead. This pregnancy was super uneventful. I was very conscious of taking care of myself and taking walks a lot and prenatal yoga and being on top of my vitamins and all of that sort of thing. I was very religious about positioning and Spinning Babies because I was like, “If I can just get my baby head down from the beginning, I think that I can do the VBAC,” because with a bicornuate uterus, you have less time to flip them, so with a normally shaped uterus, baby can flip up until the very last minute if they are breech, but with a bicornuate uterus, first of all, you have more of a chance of baby being breech and less of a chance for them to flip based on the shape of your uterus. There's just not as much room. I was trying to sit on my yoga ball and doing all of these stretches. I was thinking, “Gosh. This is so unrealistic. Who's not going to sit on their couch for 9 months? I have to be sitting on my couch. I can't be walking 3 miles every day,” but then I'd go back and forth in my head like, “Do you want a VBAC or not? You have to be religious about this.” You don't have to do everything I guess is what I'm trying to say. You'll try your best, but you have to do what's right for you, but you can't go to the extremes.Meagan: I love that you pointed that out. With my second baby, I was doing the red raspberry leaf. I was doing the dates. I was doing all of the things, and even with my third baby, I was the one who didn't sit on the couch for 9 months. I still had a posterior baby. I will just say that I still had a posterior baby. I had a head-down, but still a posterior baby. Actually, he was still going breech too throughout pregnancy. Yes. He was such a stinker. But, I did do all of those things. I did the dates. I did the tea. I did all of it. For me, With my third, I had to dial back a little bit and say, “Okay. I'm going to do everything I feel is right for this pregnancy.” Dates wasn't one of those. I actually didn't do the dates thing. I know there is some evidence on that, but I just didn't do it. It didn't feel right to me, but I did other things like chiropractic care. I did drink tea. I hired a midwife and decided to go out-of-hospital and hired a birth team. I did birth education. I think the biggest thing is to do all of the things that stick out and call to you. There are so many things. We give so many tips. Some tips might not apply well to you. Walking 3 miles is a lot. Flannery: It is a lot. Meagan: It's a lot, but if you can walk a mile, that's better than not walking any. Flannery: Right. Meagan: Right? So trying to go and find what is sitting right for you in this pregnancy, this baby, and in this birth, and doing those things and then knowing you did all of the things you could that felt right for you. Flannery: Yes. Totally. I totally agree. Meagan: I knew I could do all of these things and baby might still be breech. Baby was breech at my anatomy scan, and then again at 28 weeks at my other growth scan. I remember going into the midwife and just saying, “What can I do?” She was kind of saying, “Nothing will supersede the shep of your uterus. You can do everything. Why don't you just visualize because at least then you will feel like you're doing something?” I was so mad after I left that appointment. I was like, “You can't tell me that I can't do anything to make this baby flip and that it's all down to the shape of my uterus.” I kept trying. I was 28 weeks and I was going to the chiropractor and acupuncture and inversions. This time, I was really good about the inversions even though it gave me heartburn. It worked. The baby did flip. I remember actually listening to a podcast episode from The VBAC Link, and it was about someone who was trying to flip a breech baby. She flipped her breech baby. I was like, “Okay. This gives me so much hope. I can do it.” It paid off because baby did flip. I was so happy. Yeah.At one ultrasound, they did pick up an issue with the kidney. I remember being so upset because it was the same issue that my son had, but very mild. The baby had been breech at that point. I was like, “I'm trying so hard. I'm doing everything right, and it's not working.” History is just repeating itself. That's what it felt like to me, but we ended up finding out that the kidney resolved at the next ultrasound and the baby had flipped. It was like, “Oh, my prayers are being answered.” I couldn't believe it. I was so happy when we got the results from that next ultrasound.We just continued doing the prep. I had planned. I was planning to deliver in the hospital. I had a doula who was amazing. She was just with me every step of the way talking me down when I was anxious and telling me all of the different things I could try and come up with plans for repeat C-section or vaginal birth. I had really wanted to go without the epidural because I didn't mention this, but I had gotten a spinal headache from my spinal last time, and that was just awful. It was almost worse than the C-section pain. Meagan: I've actually heard that because nothing really takes it away full-on. Flannery: Yeah, except lying down. Meagan: Lying down, yeah.Flannery: I was trying to visit my baby in the NICU. I couldn't just be lying in the hospital bed all day. So I was like, if I can avoid an epidural just so that I don't even have the chance of having a spinal headache again, that's what I'm going to do.I was reading Ina May. I was watching all of the YouTube videos and doing everything that I could, but it got to be a lot. It got to be like, oh my gosh, so much work to prep for this birth. The whole time, you don't know if it's a given if you're going ot get that VBAC.Meagan: I know. Flannery: Sometimes, it can feel like, why am I doing this?Meagan: Yeah. Yeah. It is hard. It is hard because we don't know until it's done. Flannery: Exactly. Until it's 100% over. Yeah. Meagan: Yeah. Flannery: Yeah, so you know, 37 weeks came. 38 weeks, 39 weeks. I was feeling overdue basically since 35 weeks. Meagan: I'm sure. I bet you were like, “I don't know how much longer I can go.” Flannery: I mean, I was definitely hoping to make it to term this time and I was so happy that I did. It was a big, big moment when I hit that 37-week mark, but then I just kept going and going and going. I was like, “Am I ever going to go into labor? What am I doing wrong?” I was walking. It was the end of July and it was so hot out. It was hard to get out there and walk. I eventually hit my due date which was July 25th. I got a membrane sweep on that day which was not super fun. It made me lose my mucus plug and have a few cramps, but nothing else. I was very hopeful that it would kickstart labor, but it did not. Eventually, I thought, “I just have to let go. The baby will come. You might have to have an induction, but you just have to relax.” Finally, finally, 5 days after my due date, which I know is not that long, but it felt long. Meagan: It feels long. It feels long when you are almost 6 weeks after you had your first baby.Flannery: Yes, exactly. I woke up in the middle of the night and I had this period cramp feeling. I was like, “Oh my god. Is this it? Am I in labor?” I managed to calm down and go back to sleep. I put my hand on my belly and was like, “Am I going to get another cramp?” They came, and they came, and they started coming every 20 minutes. Eventually, I had to wake my husband up because it was pretty painful at that point. Maybe 2-3 hours in, I squeezed his hand. He was still sleeping, and he was like, “What's going on?” I was like, “I think I'm in labor.” He said, “I was having a dream that your water broke.”Meagan: Oh my gosh. You guys were both willing it in.Flannery: Yes, exactly. It was like we were on the same wavelength. The contractions kept coming, but they just felt like mild period cramps. I had a midwife appointment at 8:15. They said to go in to see if I was in early labor. She checked me and said I was 3 or 4 centimeters dilated and almost completely effaced. She said, “Your cervix feels labory.” I said, “I think that today is the day.” I was convinced it was prodromal labor or going to fizzle out or something. We went all the way back home. My plan was to labor at home for as long as possible and have my doula come over. I said goodbye to my little 2-year-old. My mom was taking him to hang out with her while we were in the hospital, and I remember she had him say to me, “Good luck, and be strong.”The sound of his little voice saying that to me literally just sustained me through the entire labor. It was replaying in my head in the hardest moments. I could just hear him saying that and it meant so much to me. Yeah. We just hung out at home. I was getting pretty irregular timed contractions. I was wondering why they weren't getting closer together because sometime they would be close together. Sometimes they would be spaced apart, but they were definitely getting stronger. I got in the bath or the shower. I was leaning over, and swaying and moaning, doing all of the things that you're supposed to do– the low-toned moaning and the breathing. I eventually had my doula come over after one really bad contraction. I was like, “What's going on? Why isn't it picking up? Why aren't they getting closer together? Should I go to the hospital? What's going on?” I was really afraid of the car ride because it was about 40 minutes in the car. She said, “I think what is happening is that you have this mental block about the car ride,” because this whole time, I was like, “What if I have the baby in the car? What if I have the baby in the car?” I heard a lot of stories about car babies, and I actually recently had a patient who had a car baby at work. She was like, “I think you have this mental block, and once you get to the hospital, your body is going to let you get fully into labor. So I do think you could go.” I was like, “Okay, okay. Let's go.” I called the midwives and let them know we were coming. My favorite, favorite midwife was on, the one I had hoped this whole time was going to deliver my baby.She was only on for a 12-hour shift, and it was already halfway through her shift. I was like, “Oh gosh. I'm glad she's going to be there.” We drove to the hospital. It was this very hot, very bright, and humid day. I was like, “I don't want to be here. I just want to be in a cold, dark room.”I remember as we turned onto the street that the hospital is in and pulled in the driveway, my contractions boom, boom, boom were ramping up. I was like, “Ashley (my doula), you are so right. This is exactly what happened.” I got into triage. I was making a lot of noise. It was very intense at that point. They checked me. I was 4 centimeters and 100% effaced. I wasn't too disappointed that I wasn't further along because I was like, “This feels pretty intense. I think things are really happening.” But they said, “You picked a very popular day to give birth. There are no rooms available on labor and delivery.” I was like, “No.”Meagan: What?Flannery: I was especially nervous because working in the field, I've seen how a busy unit can really affect the care that is given. It shouldn't be that way, but it totally is. Meagan: It's the reality sometimes. Flannery: Yep. My sister-in-law had recently given birth on a very busy day. She had a very difficult birth, and a very not attentive staff, so that was one of the things I was really afraid of is that I was going to give birth on a super busy day, but my care was excellent thankfully. We eventually waited in triage for a room to be ready, and it was a tub room that became available. There was one tub room in labor and delivery. I was so excited to get in that tub. I jumped right in as soon as we got there. Not jumped, waddled right in. It felt so good. The water felt amazing, but I did find it very hard to maneuver and get in the right position to work through a contraction in the tub because it was weirdly shaped. I didn't stay in there super long, but I was very surprised at how intense the contractions were which sounds silly, but they just really took over. I was hoping to use some coping techniques like music or my rebozo. I brought my massage gun. I brought this whole toolkit of stuff, but in the moment, all that was going through my head during a contraction was cursing and, “I need the epidural. I need the epidural.”I was squeezing my husband's hand so hard. My doula had this spiky, silver ball that you could use for counterpressure so I was squeezing that in my hand so hard breathing. I labored on the toilet for bit. I was in the bed. I was moving around. I could not be lying down. They were having to use continuous monitoring which I didn't really mind. The nurse was very good about not being intrusive about that. She would just follow me around with the monitor. The midwife, who I was hoping to have, was just there with me the whole time. She was holding the monitor onto my belly and speaking kind words to me. I remember going through this terrible contraction and looking over at her. She is just sitting serenely in her rocking chair just looking at me. In my head, I was like, “How can you be so calm? Help me. Do something.” Meagan: I can relate. Flannery: Being present. Meagan: Do something. Help me.Flannery: Help me. Help me. Meagan: Sometimes just being present is what you needed. Flannery: It is. It totally was. She was super hands-off, but in the moment, you're like, “Come on. Somebody do something to help me.” Eventually, I was just sitting on the toilet. The midwife had dimmed the lights. My husband was there speaking to me. I had been making these very loud moans through each contraction, and then during one of them, I started grunting, and I knew exactly what that meant. I was pushing involuntarily. I had been hoping to feel the fetal ejection reflex, and I think that's what this was because my body completely took over. There was no way that I could have not pushed during these contractions. The pain of the contraction was so intense, but it would go away when I pushed. Then I would just feel this really uncomfortable pressure, but at least the pain of the contraction was going away. I had been pushing for maybe 5 minutes, and my midwife was all excited. I was like, “Okay. Please, can you check me?” She was like, “No, just go with your intuition. Listen to your body.” I was like, “No. I need you to check me.” I did not want to be pushing on an incomplete cervix. She did, and I was a 9 and 100% effaced. She was like, “Okay, you can definitely push. That cervix is just going to melt away.” Yes. I tried the nitrous while I was pushing, but I really hated how it restricted my breathing. It also made me throw up everywhere. Meagan: Really? Flannery: Yes. Meagan: Interesting. Flannery: Yes. So much puke. It was so embarrassing. It was splashing on everyone's shoes. I was like, “Oh my god. I'm so sorry.” I pushed on the toilet for a little bit, and then I moved over to the bed. I went over to the bed because when I was on the toilet, I felt something coming out between my legs. I reached down, and it was the bubble of amniotic fluid. It hadn't popped yet. Meagan: Your bag of waters, yeah. Flannery: My bag of waters was coming out. I think I said to my husband, “Do you want to touch it?” He was like, “No.” Meagan: It just feels like a water balloon.Flannery: It felt exactly like a water balloon. I went over to the bed. I got on my side, and I was pushing so hard just totally going with my intuition, but it wasn't the type of peaceful breathing that people tell you to do like the J breathing or anything. There was no way I could breathe through these contractions and these pushes. I was totally holding my breath and bearing down, but that's just what was right for me in the moment. They were saying, “Can you feel the baby moving down?” I was like, “No. Not at all.” I think that's because the bag of waters was still intact. I couldn't feel anything except this really uncomfortable pressure. They said, “Put your fingers inside of yourself and see if you can feel a baby's head.” I put my fingers past the bag of waters, and I could feel the baby's head right there. I pushed, and I could feel the baby move down. It was the most incredible, coolest moment of the birth. I loved that. My midwife said, “Okay, baby's definitely feeling the squeeze.” Her heart rate was going down a little bit. She said, “Turn onto your left side, and with this next contraction, let's have the baby.” I pushed as hard as I possibly could, and just felt this release of pressure. I had no idea what was going on, but I had this cold cloth over my face so I couldn't see anybody, but I heard cheering. Then I felt this warm, wet baby come up onto my belly. I was laughing and crying, and everyone was saying, “Yay! You did it!” I was just like, “Oh my god, what happened?” Meagan: Just like that.Flannery: It was surreal. It was incredible. She started crying right away. We didn't know she was a girl. My husband looked down between her legs. We both looked at the same time and said, “It's a girl.” I said, “I knew you were a girl.” She just stayed with me the whole time right onto my chest. It was just the best feeling. I was so, so overjoyed. Meagan: That is so amazing. It's so amazing with VBAC how the whole room sometimes can just erupt with joy and, “You did it!” and screams and joyful laughs. Oh, man. Flannery: Yeah. It was beautiful. It was so, so intense in a way that I hadn't been expecting it to be. It was a calm, beautiful birth, but the intensity of the contractions and the way that my body completely took over, and I was just along for the ride. I was just riding the waves. It was crazy. Meagan: Truly riding that wave. We talk about it in HypnoBirthing and riding the wave, but that wave came over, and like you said, your body was just like, “Okay, I've got this. Let's go.” Here you went, and this baby came out pretty quickly it sounds like.Flannery: Yeah, she was born at 7:23 PM. I had felt my first contraction at 2:00 AM or something. It wasn't the shortest labor, but once I got to the hospital, it was 5 or 6 hours. It was pretty quick in the end there. She came out en caul. Her head did. Meagan: She did?Flannery: As her body came out, it popped, so she was almost en caul I guess which I thought was so cool. Meagan: Oh my goodness. That is so awesome. I love that. I've seen a couple in my doula career, and it is so cool-looking. A lot of people have said, “Oh, vaginal birth can't have encaul babies.” Oh, yes they can. Yes, they can. 100%. Flannery: Yes. Meagan: I love that you had mentioned, “Once I got to the hospital–”. Sometimes I've had this with doula clients where I'm noticing this pattern of inconsistency and a lot of the times, the client is saying things like, “Should I go? Should I go? Is it okay to be here still? How much longer should we stay?” They are saying these questions because inside, there's a lot going on. I had a client where I said, “You know what? I think we should go. I think you are going to feel safer there. It seems like you are going to feel safer there.” The second we got there, things ramped up. Doctor didn't even make it. The baby slipped out on the bed. Seriously, the second she got there, her body released. It was almost like her epidural. Sometimes, with an epidural, we get an epidural and our body is able to relax. If our mind is not confident or comfortable, we can't let our bodies sometimes. So I love that you pointed that out. I wanted to talk a little bit more really quickly on the types of uterine abnormalities or different types of uteruses. As she was saying, you have a bicornuate uterus which means it's a heart-shaped uterus. I'm probably going to butcher these names especially if you are a provider and you are listening. I don't really know how to say these words. There's an arcuate uterus which is similar to a bicornuate uterus, but with less of a dip in the heart shape. It's like an oddly shaped heart. It's asymmetrical in my mind. That's how I envision it. There's an arcuate uterus, which means there's a divide down the two parts of the membrane wall. Then there's a unicornuate uterus, which is when the fallopian tube has an irregular shape to it. Then I always butcher this one. It's didelphys. I don't even know how to say it. Flannery: Sorry. I can't help you on that one. Meagan: I'm going to stop trying. That is when you are born with two uteruses which does happen. One baby can be in one uterus, and we can have another uterus over here. Those are all abnormalities of the uteruses. Of course, we have different shapes, sizes, and all of the things. I wanted to just have a link in the show notes for that as well so you can read more on each of those types of uteruses. Then tell me if this is the right link. I found Jackson's Chance Foundation.Flannery: Yes. That's what it is. Meagan: Why parking matters. Flannery: Yes. Meagan: It looks like this is inspired. It's a foundation inspired by another person's story, another NICU baby's story. It said that–Flannery: Yeah. I believe that Jackson's parents set it up. Meagan: Yeah. Wow. This story is precious and inspiring. Wow. These parents are incredible. Then it does show that you can donate or sponsor a parking pass. They talk about the why and all of that. This is so awesome. I'm going to make sure that we have that in the show notes. If you know a NICU baby, or you know someone who is going to have a NICU baby, don't be like Flannery and find out later. This is how we all learn, and this is how. We find out when it's too late, then we have to go to show on. So, thank you for sharing that tip. I've actually never heard of it, but that's probably because I'm not a NICU mom.Flannery: Yeah. Yeah. I hope it helps someone. Meagan: Yes. Thank you again so much for sharing your story.Flannery: Oh my gosh, this is amazing. Thank you so much. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands
In this episode, we review the high-yield topic of CNS Abnormalities from the Embryology section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
Commentary by Dr. Jian'an Wang.
Commentary by Dr. Ning-I Yang.
Featuring perspectives from Dr Komal Jhaveri and Dr Hope S Rugo, including the following topics: Introduction: PI3K/AKT/PTEN Pathway and Resistance to Endocrine Therapy (0:00) First-Line Therapy for HR-Positive Metastatic Breast Cancer (mBC) Harboring PI3K/AKT/PTEN Mutations (7:04) Treatment Options for Recurrent mBC with PI3K/AKT/PTEN Mutations (24:11) Beyond the Guidelines Survey (35:36) Faculty Case Presentations (51:27) CME information and select publications
Dr Komal Jhaveri from Memorial Sloan Kettering Cancer Center in New York, New York, and Dr Hope S Rugo from the UCSF Helen Diller Family Comprehensive Cancer Center discuss treatment decision-making for HR-positive metastatic breast cancer in patients who harbor PI3K/AKT/PTEN pathway mutations.
Dr Komal Jhaveri from Memorial Sloan Kettering Cancer Center in New York, New York, and Dr Hope S Rugo from the UCSF Helen Diller Family Comprehensive Cancer Center discuss treatment decision-making for HR-positive metastatic breast cancer in patients who harbor PI3K/AKT/PTEN pathway mutations, moderated by Dr Neil Love. Produced by Research To Practice. CME information and select publications here (https://www.researchtopractice.com/PI3KAKTPTENmBC24).
These People Might Not Be Able to Enjoy Some Things Due to an Abnormality; Who's This Famous Person With a Food Allergy?
Today we are gong to look at tone. Everyone has heard it… high tone, low tone, fluctuating tone, spasticity … what does all that even mean!? Spoiler alert it's can be a little complicated and depending on the diagnoses can look very different from participant to participant. Today we are going to do our best to simplify it and break down the basic differences between hyper- and hypo-tonia and how both impact our participants in the saddle. Register for the LIVE WEBINAR: Postural Corrections and Modifications for Adaptive Riding Participants, November 17th at 6:30 PM CT https://form.jotform.com/242204635686055 Get a more complex look at tone in Episode 53: Understanding Diagnoses in EAS: Cerebral Palsy https://spotifyanchor-web.app.link/e/9dNNl17b6Nb Register for the HETRA University Live Conference in Gretna, NE on March 13-15, 2025https://hetra.org/education/pre-conference-hetra-university-live.html This episode is proudly sponsored by Equiforce. https://www.equi-force.com/ Reference from today's episode: Ganguly J, Kulshreshtha D, Almotiri M, Jog M. Muscle Tone Physiology and Abnormalities. Toxins (Basel). 2021 Apr 16;13(4):282. doi: 10.3390/toxins13040282. PMID: 33923397; PMCID: PMC8071570.
Join Wayne Giles as he reads and expands on the Big Book of Alcoholics Anonymous, offering deeper understanding and practical advice for those on their recovery journey. In this Step 1 AA session, Wayne delves into the powerful realization that both the mind and body of the alcoholic are abnormal, a concept that is central to understanding the nature of alcoholism. The Big Book confirms what those of us who have suffered alcoholic torture must accept: that the body of the alcoholic is as abnormal as the mind.“He confirms what we who have suffered alcoholic torture must believe—that the body of the alcoholic is as quite as abnormal as his mind.”Wayne reflects on how many of us, upon entering recovery, struggled with the repetitive and frustrating cycle of trying to stop drinking. Despite countless attempts, the inability to stop was not satisfied by simply being told we were maladjusted to life. This session emphasizes that understanding the abnormality of both the mind and body is crucial to grasping why the 12 Steps are necessary for recovery. Without acknowledging this dual abnormality, the cycle of addiction is likely to continue, leaving us trapped in a hopeless state. The Steps offer a solution that addresses both aspects, leading to the psychic change and spiritual awakening required for lasting sobriety.For more content, please like, comment, and share. Also, join us live every Thursday night at 7 p.m. Arizona time for the full step experience on our YouTube channel for comprehensive discussions and spiritual insights. Make sure to subscribe to our YouTube channel.Join us for more inspiring recovery stories and transformative insights.Check out our website at: www.positionofneutrality.orgYouTube:http://www.youtube.com/@positionofneutrality721Facebook: https://www.facebook.com/PositionOfNeutralitySpotify: https://open.spotify.com/show/3mGbAbcacTs83RhMsv6FmY?si=6531e7adfdbb480eRSS: Position of Neutrality | RSS.comTikTok: https://www.tiktok.com/@interactivestepexp?is_from_webapp=1&sender_device=pc#PositionOfNeutrality, #Step1AA, #BigBookAA, #AddictionRecovery, #12Steps, #SobrietyJourney, #AlcoholicMindAndBody, #OvercomingAddiction, #AAprogram, #FaithInRecovery, #SpiritualAwakening, #HealingJourney, #RecoveryCommunity, #WayneGiles, #JoeMcDonald, #EricReinhart, #Transformation, #HopeInRecovery, #RecoveryIsPossible, #AlcoholicsAnonymous, #UnderstandingAlcoholism, #RecoveryThroughAA, #PsychicChange, #DualAbnormality, #EndTheCycle, #12StepRecovery, #AAfellowship, #BreakingTheCycle, #SpiritualHealing, #RelapsePrevention, #HealingThroughAA
Alternate Current Radio Presents: Boiler Room - Learn to protect yourself from predatory mass mediaOn this episode of Boiler Room the Social Rejects Club learns about hidden DICKS, not only in human anatomy but also in our media, government and all the other places globalist turds collude. As we come closer and closer to the 2024 election we're taking a critical look at what could LIE ahead for the United States and the global chess board. mRNA is back on the menu and a man eats too many magic mushrooms and chops his phallus off... all this and more on this episode of Boiler Room.Featured: Hesher, Spore, Infidel Pharaoh & RuckusSupport BOILER ROOM & ACRPatreonShop BOILER ROOM Merch Store
Drs. Lake D. Morrison and Joseph G. Mammarappallil conclude their discussion of ILAs as key precursors to ILDs, reviewing a patient case and addressing considerations when ordering imaging studies, focusing on HRCT scans, their optimal cut widths, views, and more, to help identify and differentiate ILAs from other lung abnormalities.
Drs. Lake D. Morrison and Joseph G. Mammarappallil discuss ILAs as key precursors to ILDs, including defining what ILAs are, their identification by imaging specialists, as well as the clinical implications of ILAs for HCPs caring for these patients.
On this episode of the Healthy, Wealthy, and Smart podcast, Dr. Karen Litzy discusses chronic pain with Dr. David Clark, president of the Psychophysiologic Disorders Association. Dr. Clark sheds light on stress-related brain-generated medical conditions and the mission of his organization to end the chronic pain epidemic. They emphasize the importance of looking beyond structural damage in addressing chronic pain. Tune in to learn more about this important topic! Time Stamps: [00:02:41] Psychophysiologic disorders definition. [00:06:26] Abnormalities in spine and pelvis. [00:09:26] Vacation and stress relief. [00:14:30] Adverse childhood experiences. [00:17:03] Stress-related triggers for symptoms. [00:22:18] Deep stress. [00:25:36] Brain-generated symptoms. [00:31:27] The brain generating physical symptoms. [00:34:00] Transforming healthcare education. More About Dr Clark: Dr. David Clarke is the President of the Psychophysiologic Disorders Association (PPDA), a 501(c)(3) nonprofit dedicated to ending the chronic pain epidemic. Dr. Clarke holds an MD from the University of Connecticut School of Medicine, and is Board-certified in Internal Medicine and Gastroenterology. His organization's mission is to advance the awareness, diagnosis, and treatment of stress-related, brain-generated medical conditions. Learn more at EndChronicPain.org. Resources from this Episode: Psychophysiologic Disorders Association Past Media Coverage of Dr. Clark PPDA Facebook Dr. Clark on LinkedIn PPDA on YouTube Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
In this episode of the It's A Mimic! podcast, the panel of Dungeon Masters visits potentially the last Campaign Setting published in 5th Edition before OneD&D is released. Cold Open 0:00 Opening Theme 2:59 Intro 3:20 Info Break 6:57 Planescape 8:08 Sigil 32:46 The Outlands 1:08:44 Info Break 1:33:36 Outro 1:34:05 Closing Theme 1:38:01 Post-Credits 1:38:28 DON'T FORGET TO LIKE & SUBSCRIBE! Find Us On: Patreon at https://www.patreon.com/user?u=84724626 Website at https://www.itsamimic.com iTunes at https://itunes.apple.com/ca/podcast/its-a-mimic/id1450770037 Spotify at https://open.spotify.com/show/3Y19VxSxLKyfg0gY0yUeU1 Podbean at https://itsamimic.podbean.com/ YouTube at https://www.youtube.com/channel/UCzQmvEufzxPHWrFSZbB8uuw Social: Facebook at https://www.facebook.com/itsamimic/ Instagram at https://www.instagram.com/itsamimic/?hl=en Reddit at https://www.reddit.com/r/ItsaMimic/ Email at info@itsamimic.com Dungeon Master: Adam Nason Host 2: Kasi Just Kasi Host 3: Miaca Nason Narrator: Pepperina Sparklegem Written by: Adam Nason Director: Adam Nason Editor: Adam Nason Executive Producers: Adam Nason Intro/Outro Music by: Cory Wiebe Logo by: Katie Skidmore at https://www.instagram.com/clementineartportraits/ This episode is meant to be used as an inspirational supplement for Dungeons & Dragons 5th Edition and tabletop roleplaying games in general. It's A Mimic! does not own the rights to any Wizards of the Coasts products. Artwork included in this episode's visualizations is published and/or owned by Wizards of the Coast.
In this episode of The Worst Girl Gang Ever, Bex and Laura sit down with community member Anita. She shares her story of trying to start a family, navigating the challenges of IVF, experiencing the joy of pregnancy, and then facing the difficult news of a severe brain condition in her unborn baby, ultimately leading to a heart-wrenching decision. Listen in to hear about: Anita's experience with bereavement midwives, highlighting the support and care she received Her reflection on our ability to compartmentalise and the resilience and strength we are capable of How she navigated pregnancy after loss with caution, fearing another miscarriage The Warriorship is a membership to help you navigate life after baby loss. It covers every stage of the recovery pathway, and provides support, advice, and a range of emotional tools to help you through this difficult time. This is more than a support group. For more information and to join The Warriorship go to: https://theworstgirlgangever.co.uk/warriorship/ The Worst Girl Gang Ever is a real, honest emotive podcast that covers the heartbreaking subject of miscarriage, infertility and baby loss, expect honest conversations about unspoken experiences. Hosted by TWGGE founders Bex Gunn and Laura Buckingham, this show is a chance to break the silence and really open up the dialogue around the topic of miscarriage and pregnancy loss. No more shame, no more taboo - let's ditch that for our children; the ones that will come, the ones that are and the ones that never came to be. Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Zaghi graduated from Harvard Medical School, completed residency in ENT (Otolaryngology- Head and Neck Surgery) at UCLA, and Sleep Surgery Fellowship at Stanford University. The focus of his sub-specialty training is on the comprehensive treatment of tongue-tie, nasal obstruction, mouth breathing, snoring, and obstructive sleep apnea. He is very active in clinical research relating to sleep disordered breathing with over 80+ peer-reviewed research publications in the fields of neuroscience, head and neck surgery, and sleep-disordered breathing.Dr. Zaghi is particularly interested in studying the impact of tethered-oral tissues (such as tongue-tie) and oral myofascial dysfunction on maxillofacial development, upper airway resistance syndrome, and obstructive sleep apnea. He is an invited lecturer, author, and journal reviewer for topics relating to the diagnosis and management of sleep-disordered breathing and tongue-tie disorders.Research interests include: Study design, literature review, and statistical analysis. Special interest in collaborative and multidisciplinary research projects relating to airway and breathing disorders, obstructive sleep apnea, nasal obstruction, upper airway resistance syndrome, pediatric sleep disorders, myofunctional therapy, frenuloplasty, facial and airway development, and maxillofacial reconstructive surgery.Clinical interests: Sleep and Breathing Disorders, Tongue-tie, Snoring, Obstructive Sleep Apnea, Nasal Obstruction, Upper Airway Resistance Syndrome, Inspiratory Flow Limitation, Sleep Endoscopy, Deviated Septum, Tonsil Hypertrophy, TMJ Pain, Teeth-grinding, Mouth Breathing, Frenuloplasty, Tonsillectomy, Septoplasty, Turbinate Reduction, Vivaer Nasal Valve Remodeling, Maxillary Skeletal Expansion, MMA Jaw Surgery. SHOWNOTES:
Dr. Pavan Brahmbhatt summarizes an article in RadioGraphics titled Amyloid-related Imaging Abnormalities in Alzheimer Disease Treated with Anti–Amyloid-β Therapy Amyloid-related Imaging Abnormalities in Alzheimer Disease Treated with Anti–Amyloid-β Therapy. Agarwal et al. RadioGraphics 2023; 43(9):e230009.
Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: D&D.Sci: The Mad Tyrant's Pet Turtles [Evaluation and Ruleset], published by abstractapplic on April 10, 2024 on LessWrong. This is a followup to the D&D.Sci post I made ten days ago; if you haven't already read it, you should do so now before spoiling yourself. Here is the web interactive I built to let you evaluate your solution; below is an explanation of the rules used to generate the dataset (my full generation code is available here, in case you're curious about details I omitted). You'll probably want to test your answer before reading any further. Ruleset Turtle Types There are three types of turtle present in the swamp: normal turtles, clone turtles, and vampire turtles. Clone turtles are magically-constructed beasts who are mostly identical. They always have six shell segments, bizarrely consistent physiology, and a weight of exactly 20.4lb. Harold is a clone turtle. Vampire turtles can be identified by their gray skin and fangs. They're mostly like regular turtles, but their flesh no longer obeys gravity, which has some important implications for your modelling exercise. Flint is a vampire turtle. Turtle characteristics Age Most of the other factors are based on the hidden variable Age. The Age distribution is based on turtles having an Age/200 chance of dying every year. Additionally, turtles under the age of 20 are prevented from leaving their homes until maturity, meaning they will be absent from both your records and the Tyrant's menagerie. Wrinkles Every non-clone turtle has an [Age]% chance of getting a new wrinkle each year. Scars Every non-clone turtle has a 10% chance of getting a new scar each year. Shell Segments A non-clone turtle is born with 7 shell segments; each year, they have a 1 in [current number of shell segments] chance of getting a new one. Color Turtles are born green; they turn grayish-green at some point between the ages of 23 and 34, then turn greenish-gray at some point between the ages of 35 and 46. Miscellaneous Abnormalities About half of turtles sneak into the high-magic parts of the swamp at least once during their adolescence. This mutates them, producing min(1d8, 1d10, 1d10, 1d12) Miscellanous Abnormalities. This factor is uncorrelated with Age in the dataset, since turtles in your sample have done all the sneaking out they're going to. (Whoever heard of a sneaky mutated turtle not being a teenager?) Nostril Size Nostril Size has nothing to do with anything (. . . aside from providing a weak and redundant piece of evidence about clone turtles). Turtle Weight The weight of a regular turtle is given by the sum of their flesh weight, shell weight, and mutation weight. (A vampire turtle only has shell weight; a clone turtle is always exactly 20.4lb) Flesh Weight The unmutated flesh weight of a turtle is given by (20+[Age]+[Age]d6)/10 lb. Shell Weight The shell weight of a turtle is given by (5+2*[Shell Segments]+[Shell Segments]d4)/10 lb. (This means that shell weight is the only variable you should use when calculating the weight of a vampire turtle.) Mutation Weight A mutated turtle has 1d(20*[# of Abnormalities])/10 lb of extra weight. (This means each abnormality increases expected weight by about 1lb, and greatly increases expected variance). Strategy The optimal[1] predictions and decisions are as follows: Turtle Average Weight (lb) Optimal Prediction (lb) Abigail 20.1 22.5 Bertrand 17.3 18.9 Chartreuse 22.7 25.9 Dontanien 19.3 21.0 Espera 16.6 18.0 Flint 6.8 7.3 Gunther 25.7 30.6 Harold 20.4 20.4 Irene 21.5 23.9 Jacqueline 18.5 20.2 Leaderboard Player EV(gp) Perfect Play (to within 0.1lb) 1723.17 gjm 1718.54 Malentropic Gizmo 1718.39 aphyer 1716.57 simon 1683.60 qwertyasdef 1674.54 Yonge[2] 1420.00 Just predicting 20lb for everything 809.65 Reflections The intended theme of this game was modelling in the presence of as...
In today's deep dive, we’ll learn more about why medical experts are debating if heart screenings that can detect abnormalities and prevent complications should be mandated.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/MCV865. CME/AAPA credit will be available until March 14, 2025.Improving the Recognition and Management of Amyloid-Related Imaging Abnormalities (ARIA) in Alzheimer's Disease Treatment: Practical Tools & Strategies for Radiology & Neuroradiology Specialists In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure PolicyAll relevant conflicts of interest have been mitigated prior to the commencement of the activity.Faculty/Planner DisclosuresCo-Chair/PlannerJerome A. Barakos, MD, has no financial interests/relationships or affiliations in relation to this activity.Co-Chair/PlannerTammie L.S. Benzinger, MD, PhD, has a financial interest/relationship or affiliation in the form of:Consultant and/or Advisor for Avid Radiopharmaceuticals/Lilly; Biogen; and Eisai Co., Ltd.Grant/Research Support from Hyperfine, Inc. and Siemens.Planning Committee and Reviewer DisclosuresPlanners, independent reviewers, and staff of PVI, PeerView Institute for Medical Education, do not have any relevant financial relationships related to this CE activity unless listed below.
PeerView Neuroscience & Psychiatry CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/MCV865. CME/AAPA credit will be available until March 14, 2025.Improving the Recognition and Management of Amyloid-Related Imaging Abnormalities (ARIA) in Alzheimer's Disease Treatment: Practical Tools & Strategies for Radiology & Neuroradiology Specialists In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure PolicyAll relevant conflicts of interest have been mitigated prior to the commencement of the activity.Faculty/Planner DisclosuresCo-Chair/PlannerJerome A. Barakos, MD, has no financial interests/relationships or affiliations in relation to this activity.Co-Chair/PlannerTammie L.S. Benzinger, MD, PhD, has a financial interest/relationship or affiliation in the form of:Consultant and/or Advisor for Avid Radiopharmaceuticals/Lilly; Biogen; and Eisai Co., Ltd.Grant/Research Support from Hyperfine, Inc. and Siemens.Planning Committee and Reviewer DisclosuresPlanners, independent reviewers, and staff of PVI, PeerView Institute for Medical Education, do not have any relevant financial relationships related to this CE activity unless listed below.
PeerView Neuroscience & Psychiatry CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/MCV865. CME/AAPA credit will be available until March 14, 2025.Improving the Recognition and Management of Amyloid-Related Imaging Abnormalities (ARIA) in Alzheimer's Disease Treatment: Practical Tools & Strategies for Radiology & Neuroradiology Specialists In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure PolicyAll relevant conflicts of interest have been mitigated prior to the commencement of the activity.Faculty/Planner DisclosuresCo-Chair/PlannerJerome A. Barakos, MD, has no financial interests/relationships or affiliations in relation to this activity.Co-Chair/PlannerTammie L.S. Benzinger, MD, PhD, has a financial interest/relationship or affiliation in the form of:Consultant and/or Advisor for Avid Radiopharmaceuticals/Lilly; Biogen; and Eisai Co., Ltd.Grant/Research Support from Hyperfine, Inc. and Siemens.Planning Committee and Reviewer DisclosuresPlanners, independent reviewers, and staff of PVI, PeerView Institute for Medical Education, do not have any relevant financial relationships related to this CE activity unless listed below.
Attention Deficit Hyperactivity Disorder (ADHD) is: A neurobiological disorder that presents in childhood with the core symptoms of inattention, hyperactivity, and/or impulse control problems. The symptoms are present across multiple domains: social, domestic, academic, as well as cognitive and behavioral functioning. Pathogenesis: not very well understood. Deficits are in area of: - Frontal-subcortical areas dealing with executive function - May also involve working memory impairments and information processing speed deficits Neuroimaging shows structural brain abnormalities in ADHD: - smaller volumes of frontal cortex, cerebellum, and subcortical structures. - Abnormalities in the prefrontal and parietal circuits. Early studies suggest that the subcortical abnormalities noted in childhood normalize in adulthood but that cortical abnormalities may last. Studies suggest hypoactivity of dopamine and norepinephrine in the frontal-subcortical circuits contributes to presentation. Genetically, risk of ADHD in parents or siblings is increased 2-8x and twin studies show heritability of 76%. ADHD is a syndrome with two core symptom categories: hyperactivity/impulsivity and inattention. One potential intervention for attention problems is to get rid of digital distractions. I use Zenze - a robust app-blocking app which allows you to block any apps or content you'd like according to whatever schedule you'd like. You can block social media apps during work hours or video streaming at night - whatever you need. Personally, I use it to block all social media/video/entertainment apps at nighttime to prevent bedtime binging. Link: https://apps.apple.com/us/app/zenze-phone-time-limit/id6447419790https://play.google.com/store/apps/details?id=org.atmana.zenze&pcampaignid=web_share Brain Health with Dr. Nissen brings you advancements in medicine, #neuroscience, psychiatry, and #nutrition to help you live a better life. Dr. Nissen's expert interviews reveal new, evidence-based approaches to enhancing mental health, sharpening cognition, and optimizing performance. With topics such as #Alzheimer's disease, #neuromodulation, #depression, the Mediterranean #Diet, and #psychedelics, this show is sure to expose listeners to new topics on the frontiers of medicine and neuroscience. Join our community at DrNissen.com Subscribe to the podcast at https://podcasts.apple.com/us/podcast... Dr. Nissen is a medical doctor (M.D.) and therapist. This show is intended for entertainment and educational purposes only and does not substitute personalized medical advice. By listening to this podcast, no doctor-patient relationship is established. Please speak with your doctor before attempting any medical or major diet and lifestyle changes. Check out Dr. Nissen's children's book on empathy and emotional intelligence, Emily Empathy! http://bit.ly/emilyempathy #depression #mentalhealth #wellness #health #healthylifestyle #medicine #treatment #medical #healthcare #psychotherapy #adhd #adhdmom #executivefunction
Kaue, Ingrid e Luísa conversam sobre os riscos da hipocalemia e como fazer reposição de potássio: classificação da hipocalemia, quais os riscos, reposição enteral, reposição venosa e quando usar diuréticos poupadores de potássio, tudo neste episódio. Referências: Ferreira JP, Butler J, Rossignol P, et al. Abnormalities of Potassium in Heart Failure: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;75(22):2836-2850. doi:10.1016/j.jacc.2020.04.021 Kim GH, Han JS. Therapeutic approach to hypokalemia. Nephron. 2002;92 Suppl 1:28-32. doi:10.1159/000065374 Cohn JN, Kowey PR, Whelton PK, Prisant LM. New guidelines for potassium replacement in clinical practice: a contemporary review by the National Council on Potassium in Clinical Practice. Arch Intern Med. 2000;160(16):2429-2436. doi:10.1001/archinte.160.16.2429 Kim MJ, Valerio C, Knobloch GK. Potassium Disorders: Hypokalemia and Hyperkalemia. Am Fam Physician. 2023;107(1):59-70. Asmar A, Mohandas R, Wingo CS. A physiologic-based approach to the treatment of a patient with hypokalemia. Am J Kidney Dis. 2012;60(3):492-497. doi:10.1053/j.ajkd.2012.01.031 Grobbee DE, Hoes AW. Non-potassium-sparing diuretics and risk of sudden cardiac death. J Hypertens. 1995;13(12 Pt 2):1539-1545. Ferreira JP, Butler J, Rossignol P, et al. Abnormalities of Potassium in Heart Failure: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;75(22):2836-2850. doi:10.1016/j.jacc.2020.04.021 Goyal A, Spertus JA, Gosch K, et al. Serum Potassium Levels and Mortality in Acute Myocardial Infarction. JAMA. 2012;307(2):157–164. doi:10.1001/jama.2011.1967 Macdonald JE, Struthers AD. What is the optimal serum potassium level in cardiovascular patients?. J Am Coll Cardiol. 2004;43(2):155-161. doi:10.1016/j.jacc.2003.06.021
Huzzah! Another week, another solosode and more research to delve into and learn from. Just what the doctor ordered...But before we cover research, I thought it would be worth our while to learn from the Finnish biohacking experts — one of which is previous TRLR guest, Dr. Olli Sovijärvi — in their massive tome, Biohacker's Handbook. Specifically, I thought it would be great provide you with some strategies and tactics for your sauna sessions via a sauna protocol they provide in the book. It's a protocol I've used myself over the years and works wonders for detoxing.On the research side of things, we first dive into an interesting study that looks at pretreatment with methylene blue in neonatals to reduce toxin-induced brain and cognitive deficits. While it may not seem like the most relatable topic, there are a lot of great take away points from the article that I discuss. The second article thoroughly addresses how the combination of our gut microbiome and dybiosis along with dysfunctional mitochondria and suppressed NAD+ levels set the stage for the dreaded milieu of chronic symptoms associated with Long COVID. While they don't provide solutions for the issues they highlight, it's safe to say that both red light therapy and methylene blue have a major role to play with the road to recovery from Long COVID, based on the root causes outlined in the article. I hope you enjoy the information in today's solosode. Please share this episode with family, friends and colleagues if you find the content especially interesting and/or impactful.As always, light up your health! - Key points: Introduction (00:00:01 - 00:00:28): Dr. Mike Belkowski introduces Red Light Report, focusing on red light therapy for health. Listener Engagement and Infrared Saunas (00:00:28 - 00:00:54): Acknowledgment of December episodes, interest in photobiomodulation, and previous episode on infrared saunas. Techniques for Infrared Sauna Users (00:00:54 - 00:01:22): Response to listener requests, teasing techniques, and reference to "The Biohackers Handbook." Insights from "The Biohackers Handbook" (00:01:22 - 00:01:49): Introduction of Dr. Olli Sovijärvi, overview of the book, and comprehensive information. Sauna Types and Health Benefits (00:02:16 - 00:02:37): Discussion on traditional and infrared saunas, benefits, and Finnish tradition. Infrared Sauna Overview (00:03:36 - 00:04:11): Introduction to infrared saunas, far infrared's impact, and comparison to red and near-infrared light. Methylene Blue Introduction (00:06:24 - 00:07:02): Introduction to methylene blue, historical background, and primary target in brain protection. Methylene Blue Protocol (00:08:05 - 00:08:34): Introduction to the protocol, brisk movement, infrared sauna, and consumption of mineral-rich fluids. Methylene Blue Study Introduction (00:10:00 - 00:10:27): Discussion on the vulnerability of the developing brain to anesthesia and investigating methylene blue's effects. Study Findings on Methylene Blue Pretreatment (00:25:28 - 00:26:17): Comprehensive study methods and impact on mitochondrial health and cognitive deficits. Methylene Blue Dosage Recommendations (00:24:18 - 00:24:52): General health dose considerations, Mark Sloan's recommendation, and advocacy for ten milligrams twice a day. Methylene Blue and Red Light Therapy Synergy (00:28:06 - 00:28:30): Discussion on the synergy between methylene blue and red light therapy. Study Reflection and Implications (00:28:30 - 00:28:56): Reflection on study outcomes, reduction of negative effects, and potential applications. Conclusion and Article Recommendation (00:32:53 - 00:33:28): Wrap-up with focus on methylene blue's benefits and encouragement to read the detailed article on long COVID. Closing Thoughts on Methylene Blue (00:37:33 - 00:38:02): Recap of key points, importance for mitochondrial health, and assurance of Bio Blue's quality. Research Validation and Mitochondrial Dysfunction (38:02:21 - 38:31:01): Emphasizes validating methylene blue's use. Connects illnesses, including long COVID, to mitochondrial dysfunction. Advocates for NAD+ precursor in methylene blue for optimal mitochondrial function. Deleterious Effects of Long COVID on Energy Production (38:31:04 - 39:16:04): Highlights long COVID's impact on energy production. Stresses the importance of addressing oxidative stress, inflammation, and mitochondrial dysfunction. Role of NAD+ in Metabolic Stress (39:16:07 - 39:48:04): Discusses NAD+'s role in metabolic stress. Explores intricate molecular mechanisms in long COVID. NAD+ Depletion and Abnormalities in Long COVID (39:48:06 - 40:24:07): Focuses on NAD+ depletion and abnormalities in long COVID. Points out potential triggers for long COVID pathogenesis. Interplay of Dysregulation and Mitochondria (40:24:12 - 40:49:03): Emphasizes interconnected dysregulation phases. Discusses connections between dysbiosis, leaky electron transport chain, and long COVID. Conclusion: Key Role of Mitochondrial Dysfunction (40:49:05 - 41:27:14): Stresses mitochondrial dysfunction's key role in long COVID. Calls for follow-up and individualized health programs for post-COVID patients. Cheeky Phases of Mitochondria and Dysbiosis (41:27:14 - 41:58:26): Discusses cheeky references to mitochondria phases. Highlights systemic inflammation, dysfunctional mitochondria, and red light therapy's potential. Leaky Gut, Electron Transport Chain, and Oxidative Stress (41:58:28 - 42:21:11): Explores connections between dysbiosis, leaky electron transport chain, and oxidative stress. Advocates for red light therapy in addressing these issues. Conclusion on Modern Mitochondrial Dysfunction (42:21:11 - 42:54:16): Summarizes modern mitochondrial dysfunction's role in long COVID. Emphasizes reciprocal actions between infection, dysbiosis, and inflammation. Conclusion on Dysbiosis and Mitochondrial Dysfunction (42:54:18 - 43:48:03): Highlights dysbiosis's role in long COVID. Advocates for further study and individualized health programs. Role of Dysbiosis in Long COVID (43:48:05 - 44:17:00): Discusses dysbiosis and its impact. Highlights effects of pandemic stress on intestinal dysbiosis and mental health. Persistence of SARS-CoV-2 and Dysfunctional Mitochondria (44:17:03 - 44:51:21): Explores SARS-CoV-2 remnants and dysfunctional mitochondria in long COVID. Advocates for follow-up and assistance through individualized health programs. Oral Microbiome and Red/Blue Light Therapy (44:51:26 - 45:18:29): Discusses oral microbiome, harmful bacteria, and red/blue light therapy. Emphasizes potential impact on the gut-brain axis. Targeting Specific Organs with Red Light Therapy (45:19:02 - 45:55:03): Discusses red light therapy's targeted benefits. Advocates for a holistic approach to health. Red Light Therapy for Long COVID Recovery (45:55:05 - 46:18:11): Explores red light therapy's potential in long COVID recovery. Advocates for ongoing research. Holistic Therapies and Societal Impact (46:18:14 - 46:43:17): Reflects on the societal impact of holistic therapies. Emphasizes a shift toward holistic, individualized healthcare. Addressing Dysbiosis and Mitochondrial Dysfunction (46:43:20 - 47:08:16): Stresses the need to address dysbiosis and mitochondrial dysfunction. Highlights the role of personalized health programs and holistic therapies. Impact of Modern Lifestyles on Health (47:08:18 - 47:42:23): Reflects on modern lifestyles' impact on health. Emphasizes lifestyle modifications and individualized approaches. Empowering Individuals with Holistic Approaches (47:42:26 - 48:11:05): Advocates for empowering individuals with holistic approaches. Stresses the role of education and awareness. NAD+ as a Key Player in Health Optimization (48:11:07 - 48:51:03): Highlights NAD+'s significance in health optimization. Advocates for a holistic approach and targeted therapies. Promoting Well-Being Through Holistic Approaches (48:51:10 - 49:18:03): Discusses the broader implications of holistic approaches. Advocates for a paradigm shift toward preventive healthcare. Closing Thoughts and Invitation to Share (49:18:05 - 49:40:19): Shares closing thoughts on holistic approaches. Invites listeners to share feedback and explore holistic modalities. Reflecting on an Exciting Episode (49:40:21 - 50:23:01): Reflects on the excitement and impact of the episode. Summarizes topics, including infrared sauna, methylene blue, quantum health, and long COVID. Closing Remarks and Gratitude (50:23:01 - 51:30:09): Encourages exploration of topics covered in the episode. - Book & Articles Referenced in Episode: Biohackers Handbook - Olli Sovijärvi, Teemu Arina, Jaakko Halmetoja Methylene Blue Pretreatment Protects Against Repeated Neonatal Isoflurane Exposure-Induced Brain Injury and Memory Loss Gut Microbiota and Mitochondria: Health and Pathophysiological Aspects of Long COVID - Methylene blue is considered to be one of the — if not THE — best antiviral around. Especially during the winter season, proactively using methylene blue could be one of the best options to ward off viruses and illness. It should be in everyone's toolkit!BioBlue not only utilizes the purest-sourced pharmaceutical grade methylene blue available, but it also includes NMN (the precursor to NAD+) to boost mitochondrial support and silver and gold colloidal for photodynamic properties with red light therapy, amongst other benefits. Save 15% on your BioBlue order! Use coupon code "BioBlue15" - Kindle version of Red Light Therapy Treatment Protocols eBook, 4th Edition - To learn more about red light therapy and shop for the highest-quality red light therapy products, visit https://www.biolight.shop - Dr. Mike's #1 recommendations: Grounding products: Earthing.com EMF-mitigating products: Somavedic Blue light-blocking glasses: Ra Optics - Stay up-to-date on social media: Dr. Mike Belkowski: Instagram LinkedIn BioLight: Instagram YouTube Facebook
This week on Toilet Radio: We explore some common conspiracy theories in metal. No, we're not talking about the Silencer guy replacing his hands with hooves again. Instead, we're looking at common conspiracy theory fodder that bands use for song inspiration. We've got all your favorite wild and wacky conspiracy types here: 9/11 truthers, Illuminati, reptilians, the new world order, fake moon landings, and chemtrails. Join us as we discuss Megadeth, Wino, Matt Pike, The Faceless, Job for a Cowboy, Abnormality, Skull and Bones, and much more. Folks, it's a good one. Like this show? Want more? Get hundreds of hours of exclusive content over at the Toilet ov Hell Patreon. Music featured on this ‘sode: Heavy Sentence – You'll Never Take Us Alive This program is available on Spotify. It is also available on iTunes or whatever they call it now, where you can rate, review, and subscribe. Give us money on Patreon to get exclusive bonus episodes and other cool shit.
In todays episode we discuss the reasons behind egg abnormalities. From nutritional insights to potential health indicators, we'll talk about the different type of unusual eggs you may find, figure out why they come out that way and if its a sign of a potential problem for your hen.
NIPT is a prenatal SCREENING method that involves analysis of cell-free fetal DNA (cfDNA) in maternal blood. Prenatal screening for sex chromosome aneuploidies (SCAs) has become readily available through expanded non-invasive prenatal testing (NIPT). NIPTs became commercially available in 2011 and has since been introduced in more than 60 countries around the world and is now part of mainstream obstetrical practice. Initially offered as a secondary screen for pregnancies with a high probability of a fetal chromosomal anomaly, NIPT is now often offered and recommended as a first-line screening test for the main chromosomal aneuploidies. Initially, NIPT was available to screen for fetal trisomies 21 (Down syndrome), 18 (Edwards syndrome) and 13 (Patau syndrome). This has expanded of course to include (separately) fetal sex chromosome aneuploidy (SCA) screening. However, there are some VERY important points we must remember when seeing an “atypical sex chromosome” NIPT result. What is the PPV of a SCA found on NIPT? In this episode we will highlight a recent NIPT atypical sex chromosome result from our practice and review what this may and may not actually mean, and review why NIPT screening for SCA is actually VERY controversial with some potential ETHICAL concerns, with some countries recommending AGAINST ordering it. Lots to cover here….so listen in.
Ep. 159 - Josh Staples (Abaroth, Abnormality, Neuraxis) by Cali Death Podcast
This week we are joined by Dr. Bronson Strickland of the Mississippi State Deer Lab and he explains deer anomalies. Occasionally at the skinning rack we notice things about our deer that make us wonder everything from what is that, to, is the meat good to eat? Luckily, Bronson knows all and explains it all without getting too gross. You'll hear about arterial worms, nasal bots, cutaneous fibroma, brain abscess, Bullwinkle syndrome, liver flukes, louse flies and more. It's an interesting discussion and information that will make you appreciate the white-tailed deer a little bit more. Bronson also brings his own trivia question and attempts to stump us. Listen, Learn and Enjoy. Show Notes:(1) MSU Deer Lab: https://www.msudeer.msstate.edu/index.php (2) MSU Deer Lab Instagram: https://www.instagram.com/msudeerlab/ (3) MSU Deer Lab Facebook: https://www.facebook.com/msu.deerlab/ (4) MSU Deer Lab X: https://twitter.com/MSUDeerLab Support the showStay connected with GameKeepers: Instagram: @mossyoakgamekeepers Facebook: @GameKeepers Twitter: @MOGameKeepers YouTube: @MossyOakGameKeepers Website: https://mossyoakgamekeeper.com/ Subscribe to Gamekeepers Magazine: https://bit.ly/GK_Magazine Buy a Single Issue of Gamekeepers Magazine: https://bit.ly/GK_Single_Issue Join our Newsletters: Field Notes - https://bit.ly/GKField_Notes | The Branch - https://bit.ly/the_branch Have a question for us or a podcast idea? Email us at gamekeepers@mossyoak.com
The preteen and teenage years are taxing and have become increasingly difficult for a multitude of reasons. This is a part of the patient population that pediatricians really worry about. Part of the angst of this time of life has always been the changes that occur to kids' bodies as they grow – particularly for young girls. This experience is different as they experience menarche, the onset of menstruation, which can be both psychologically and physically challenging. Menstrual irregularities are very common, occurring in an estimated 14% to 25% of all women of childbearing age. Many gynecologic conditions diagnosed during childhood require treatment that extends into adulthood and it's hard to stay abreast of all the new therapies and hormonal management strategies of menstruation. “When you can really connect with a teen who is so vulnerable so has just been struggling that recognizes that this is normal, that they are not alone, and that we can help, that's pretty great,” Tricia Huguelet, MD, says. Today we are joined Dr. Huguelet, a pediatric and adolescent gynecologist at Children's Hospital Colorado. While she didn't always plan for this career route, she developed a love for pediatrics from an early age. She fondly reflects on her memories going on rounds with her father who was a pediatrician focusing on pediatric infectious disease. Combining her love for children with her passion for surgery, she has become the section chief of pediatric and adolescent gynecology at Children's Colorado, as well as a faculty member in the OBGYN department at the University of Colorado School of Medicine. “When I discovered that not only could I do reproductive care for women but then specifically focus in kids and teens it was a no brainer that that was where I was going to focus my time,” Dr. Huguelet says. Dr. Huguelet explains how menstrual abnormalities are not just physically demanding, but can create a strain on mental health. “I mean I've had patients with bleeding disorders who we send letters to school and they still aren't excused. So just the embarrassment over that and day to day life when you don't want to talk about it, you certainly don't want to show it, has a tremendously negative impact,” Dr. Huguelet says. Some highlights from this episode include: Most common menstrual abnormalities in children How to normalize these conversations between kids and parents Management and treatment of these abnormalities Mental health impacts from menstruation abnormalities For more information on Children's Colorado, visit: childrenscolorado.org
11/13/2023 | CT of Calyceal Abnormalities in the Kidney: Pearls and Pitfalls - Part 2
11/06/2023 | CT of Calyceal Abnormalities in the Kidney: Pearls and Pitfalls - Part 1
© 2020-2025 Ivy Podcast Discovery LLC
