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You waited and waited.Finally, the big day came, and just as quickly, day turned into evening – and there you were with cloudy vision, halos, and difficulty reading. Not to mention the occasional glare.You and about 25 percent of patients experience a common complication following cataract surgery (or, more precisely, “posterior capsule opacity,” or PCO). The good news: the standard treatment is YAG laser capsulotomy (CPT® 66821).The legendary Rose T. Dunn, past president and interim CEO for the American Health Information Management Association (AHIMA) and current COO for First Class Solutions, will return to the Talk Ten Tuesdays broadcast to report on this treatment and topic.The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
Do you know why seizures should be stopped within minutes? Credit available for this activity expires: 9/8/26 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1002885?ecd=bdc_podcast_libsyn_mscpedu
Dr. Bradley Ong discusses a newly FDA-approved nasal powder formulation for treating debilitating migraine attacks.
Hello Poison Friends! We have discussed quite a few heavy metals, but not all of them. While we did mention Antimony awhile back, we did not give it the attention it deserves, so this would be a great time to do so. Before getting too deep into Antimony, however, a review on purging with emetics and the history there concerning the "rebalancing of humors" as well as the more modern "ridding oneself of toxins," is in order. One emetic that is more recent in our history is Ipecac. Technically, or medicinally, it went by the name Syrup of Ipecac. Parents, here in America at least, were told by the American Association of Pediatricians to keep a bottle in their homes at all times in case of children accidentally poisoning themselves. What we have learned since the late 1990s however is that not only is Ipecac not really effective at treating poisoning cases, but it is also toxic and can lead to its own complications including irritation of the GI tract and airways, seizures, and heart problems. There are now more efficient and safe ways to treat cases of poisoning that do not involve forced vomiting. Throughout history, people have leaned on various toxic substances to cause themselves to vomit or that would induce diarrhea as a way of healing or keeping oneself healthy. It doesn't sound pleasant but what they used made it even less so. Antimony does cause GI distress including vomiting and diarrhea and can also lead to muscle weakness, gastric ulcers, seizures, kidney disease, cardiovascular diseases, neurological disease, respiratory distress, and blistering of the skin if topically applied. It has also been found to be carcinogenic. Acute use at high dosages, or chronic use at any dose, could lead to poisoning and death. People used Antimony medicinally (as Tartar emetic, namely) for a number of different ailments including epilepsy, syphilis, tuberculosis, and GI distress of all sorts. It was even used for alcoholism, and in some countries, it still is. In centuries past, they even had accessories to go along with their toxic medicine. So let's go through the history of these substances and you know some interesting and familiar names will pop up along the way including a Biblical character/Babylonian king, Isaac Newton, a King of France, and a founding father with a penchant for excessive bleeding and purging. Thank you to all of our listeners and supporters! Please feel free to leave a comment or send us a DM for any questions, suggestions, or just to say, "hi."Support us on Patreon:patreon.com/thepoisonersalmanacMerch-https://poisonersalmanac.com/Follow us on socials:The Poisoner's Almanac on IG-https://www.instagram.com/poisoners_almanac?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==YouTube-https://youtube.com/@thepoisonersalmanac-m5q?si=16JV_ZKhpGaLyM73Also, look for the Poisoner's Almanac TikTok- https://www.tiktok.com/@poisonersalmanacp?_t=ZT-8wdYQyXhKbm&_r=1Adam-https://www.tiktok.com/@studiesshow?is_from_webapp=1&sender_device=pcBecca-https://www.tiktok.com/@yobec0?is_from_webapp=1&sender_device=pc
Reference: Jessen et al. Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic review and meta-analysis. Resuscitation 2025 Date: August 6, 2025 Guest Skeptic: William Toon is a paramedic who, this past May achieved over 50 years of continuous EMS certification. His professional path has taken him from front-line paramedic to national presenter, expert witness, flight […] The post SGEM#484: The Warrior – Pharmacological Interventions for the Acute Treatment of Hyperkalemia first appeared on The Skeptics Guide to Emergency Medicine.
Program notes:0:53 Who needs a beta blocker after MI1:53 Those with mild reduction of ejection fraction2:53 Confined to those with 40-50% ejection fraction3:15 Revascularization in NSTEMI4:20 Composite outcome5:20 Closes gap, do FFR6:20 May not be physiologically significant6:40 Is lifelong anticoagulation needed after ablation7:41 Occurred less in those who stopped8:30 RSV, cardiac events and hospitalizations9:30 Lower hospitalization in those who got the vaccine10:30 Acute respiratory illness hospitalization11:30 Less benefit with existing CVD or immunocompromise12:15 Several RSV vaccines13:16 End
Host Pierce Salguero sits down with Richard Saville-Smith, an independent scholar of madness, religion, and psychiatry. We discuss Richard's book Acute Religious Experiences (2023), which argues that frameworks from Mad Studies can get us out from under the academy's current habit of either pathologizing or sanitizing religious experiences. Along the way, we talk about the power struggle between psychiatry & the humanities, the influence of Queer Studies on Richard's work, and his reinterpretation of Jesus as a madman. If you want to hear scholars and practitioners engaging in deep conversations about the dark side of Asian religions and medicines, then subscribe to Black Beryl wherever you get your podcasts. Also check out our members-only benefits on Substack.com to see what our guests have shared with you. Enjoy the show! Resources mentioned in this episode: Acute Religious Experiences: Madness, Psychosis and Religious Studies (2023) Become a paid subscriber on blackberyl.substack.com to unlock our members-only benefits, including PDFs of some of these resources. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University's Abington College, located near Philadelphia. www.piercesalguero.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/psychoanalysis
After recovering from her battle with Acute Lymphoblastic Leukemia in the late 1990's Shannon Hartey had a number of late effects that bothered her until 2020. By that time Shannon was in her early 30's and these late effects got so bad, that Shannon was unable to know from day to day whether the intense pain level that she was receiving in her head for a variety of reasons combined with other cognitive issues that can happen to her at any time , will allow her to have even a normal day. The alternative, which happens regularly, takes her to a health level that is so difficult, it can make her life totally miserable on many levels. What Shannon has been diagnosed with, all because of her treatment for ALL which she received after this form of Pediatric Blood Cancer was discovered when she was 6 years old in 1994, is known as SMART SYNDROME. These late effects are almost totally unheard of, and have been very difficult for some of the best oncologists and doctors to have an answer for.
Host Pierce Salguero sits down with Richard Saville-Smith, an independent scholar of madness, religion, and psychiatry. We discuss Richard's book Acute Religious Experiences (2023), which argues that frameworks from Mad Studies can get us out from under the academy's current habit of either pathologizing or sanitizing religious experiences. Along the way, we talk about the power struggle between psychiatry & the humanities, the influence of Queer Studies on Richard's work, and his reinterpretation of Jesus as a madman. If you want to hear scholars and practitioners engaging in deep conversations about the dark side of Asian religions and medicines, then subscribe to Black Beryl wherever you get your podcasts. Also check out our members-only benefits on Substack.com to see what our guests have shared with you. Enjoy the show! Resources mentioned in this episode: Acute Religious Experiences: Madness, Psychosis and Religious Studies (2023) Become a paid subscriber on blackberyl.substack.com to unlock our members-only benefits, including PDFs of some of these resources. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University's Abington College, located near Philadelphia. www.piercesalguero.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
Welcome back to Ditch the Lab Coat! In this episode, host Dr. Mark Bonta sits down with Dr. William Cherniak, an emergency physician, global health leader, and CEO of Rocket Doctor—a Canadian tech company on a mission to shake up how we access healthcare. As the world continues to grapple with the lessons learned from COVID-19, Dr. Cherniak and Dr. Bonta dive deep into the evolution of virtual care and its role in both episodic and chronic healthcare.Together, they challenge the misconceptions around virtual medicine, exploring how digital innovation is not just a convenient alternative but often a superior solution for patients who need fast, efficient, and ongoing medical attention. From navigating Canada's complex healthcare policies to leveraging AI and Bluetooth-enabled devices, Dr. Cherniak shares his journey as a physician-entrepreneur working to make healthcare more accessible—whether you're managing blood pressure from your living room or urgently treating poison ivy without a trip across town.Tune in as we unravel the myths of hands-on-only healthcare, the future possibilities of remote diagnostics and procedures, and what it will take for medicine to truly enter the 21st century. If you're curious about how virtual care is changing the patient-doctor relationship, cutting through red tape, and building a compassionate, tech-savvy future, this is an episode you can't miss.(https://www.linkedin.com)(http://rocketdoctor.io/)Episode Lessons 1 – Virtual Care Is Effective – Virtual healthcare can match or even surpass in-person care for many conditions, especially when accessibility is an issue.2 – Breaking Down Healthcare Barriers – Virtual care improves access for patients struggling with long waits or limited transportation to clinics.3 – Episodic vs. Chronic Care Needs – Healthcare isn't just for chronic patients; episodic care can be efficiently managed through modern virtual models.4 – Innovation Born From Necessity – Rocket Doctor's creation was driven by gaps in primary care, especially for those without family doctors.5 – Team-Based Medical Support – Virtual platforms enable teams of physicians to support each other, ensuring continuity even when one doctor is away.6 – Navigating Bureaucracy and Policy – Different provinces and health systems determine how virtual care can be provided and reimbursed, affecting implementation.7 – Seeing Beyond Clinic Walls – Virtual visits provide unique insights into patients' home and social environments, revealing valuable context for care.8 – Tech Empowers Doctors and Patients – Electronic records, AI tools, and Bluetooth devices streamline tasks, allowing more focus on patient care and faster follow-up.9 – Busting Medical Tradition Myths – Not every visit needs physical examination; much required care can be accurately delivered without in-person touch.10 – Envisioning Healthcare's Future – Real integration of AI, seamless records sharing, and patient-driven portals will further revolutionize how care is delivered virtually.Want me to bold all the lesson titles for consistency, or keep only the last one bold as the highlight?Episode Timestamps00:00 – Medical Podcast Disclaimer 05:28 – Reimagining Virtual Care in Canada 08:04 – Canadian Tech-Driven Medical Practice 11:54 – Bureaucratic Challenges in Healthcare 13:39 – Embracing Virtual Healthcare 19:53 – Virtual Care: Beneficial vs. In-Person 20:54 – Canada's Acute vs. Preventative Care 26:14 – Virtual Care Evolution 2019 30:08 – Healthcare Innovation and Streamlining 32:59 – Home Ultrasound Study for Pneumonia 35:40 – Virtual Care: Medicine's Evolution 37:42 – Science Skepticism Podcast Promo DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Today I sit down with Richard Saville-Smith, an independent scholar of madness, religion, and psychiatry. We discuss Richard's book Acute Religious Experiences (2023), which argues that frameworks from Mad Studies can get us out from under the academy's current habit of either pathologizing or sanitizing religious experiences. Along the way, we talk about the power struggle between psychiatry & the humanities, the influence of Queer Studies on Richard's work, and his reinterpretation of Jesus as a madman. If you want to hear scholars and practitioners engaging in deep conversations about the dark side of Asian religions and medicines, then subscribe to Black Beryl wherever you get your podcasts. Also check out our members-only benefits on Substack.com to see what our guests have shared with you. Enjoy the show!Resources mentioned in this episode: Acute Religious Experiences: Madness, Psychosis and Religious Studies (2023)Become a paid subscriber on blackberyl.substack.com to unlock our members-only benefits, including downloading:Chapter 10 from Richard's book, which presents his D.R.E.A.D. framework for acute religious experiences.
Episode 201: AKI Roadmap. Future Dr. Ayyagari describes the different types of acute kidney injury and shares some elements of management for each category. Dr. Arreaza shares some input about statistics and the importance of drinking water during summer.Written by Tejasvi Ayyagari, MSIV, Ross University School of Medicine. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.INTRODUCTION:Dr. Arreaza: Hello everyone, and welcome back to Rio Bravo qWeek — your weekly dose of knowledge. I'm Dr. Arreaza, I am a faculty member and associate program director of the Rio Bravo FM residency program. In Episode 126, we briefly introduced the topic of Acute Kidney Injury (AKI), but today, we're taking a deep dive into the matter. I have here alongside my cohost, future Dr. Ayyagari, AKA TJ. Please, TJ, introduce yourself.TJ: Hey everyone, good to be back on the podcast. My name is TJ Ayyagari, and I am currently finishing my last rotation of medical school with Rio Bravo CSV outpatient. I hope everyone is doing well and staying safe.Dr. Arreaza: So, TJ prepared this discussion about acute kidney injury, also known as AKI. This is a critical topic for our Kern community, especially during the summer months when the risk of AKI increases. You will face many patients with AKI on the wards, in the clinic, and especially on your future board exam. Hopefully, by the end of this episode, you all will have more information on AKI, but also the three different types: prerenal, intrinsic, and postrenal. TJ: Without further ado, let's get started, Dr. Arreaza.SECTION 1 – What is AKI?Dr Arreaza: Let's start with the definition. Let's explain what AKI is. TJ: Absolutely. So, an AKI is not just a bump in the patient's creatinine. According to the Kidney Disease Improving Global Outcomes (KDIGO) definition, an AKI embodies any of the following criteria:Increase in serum creatinine by ≥0.3 mg/dL within 48 hours, ORIncrease in serum creatinine to ≥1.5 times baseline within the prior 7 days, ORUrine volume 20:1). There is also a lab value called the Fractional excretion of sodium, otherwise known as FeNa, which will appear as 20:1 — looks like prerenal.FeNa 500 mOsm/kg.In the later phase (after prolonged obstruction → tubular injury):BUN: Cr ratio ~10–15:1 — now looks intrinsic.FeNa >2%.Urine osmolality ~300 mOsm/kg.Dr. Arreaza: BUN:Cr ratio and FeNa are not reliable to diagnose postrenal AKI, so we must rely more in imaging and clinical presentation. Let´s talk about the management of postrenal AKI.TJ: Absolutely! The main way to treat a post-renal AKI is to relieve the obstruction causing it in the first place, whether it be through surgery, TURP, lithotripsy, etc.Dr. Arreaza: I think the favorite treatment done by urology to relieve obstruction is a ureteral stent, which, remember, needs to be removed later. Typically, 1-2 weeks is sufficient to treat kidney stones. The risk of encrustation and infection increases significantly after 4–6 weeks, and stents should ideally be exchanged within 3 months to minimize complications. SECTION 5 – ClosingDr. Arreaza: I know you've spent a decent amount of time explaining the details of the AKI types with us, TJ, but could you give us a summary?TJ: Viewers, if there's anything to take away from this, remember:Prerenal: Poor perfusion, fix the flow.Intrinsic: Structural damage inside the kidney — think ATN, AIN, GN.Postrenal: Obstruction — relieve the blockage.When you see AKI, think: Before the kidney, in the kidney, or after the kidney? That simple framework can help you move fast and help your patient recover kidney function.Dr. Arreaza, any advice you want to give to the viewers?Dr. Arreaza: Yes,weare in the middle of summer, and we treat a large amount of farm workers, construction workers and people who spend time outdoors, in general, remind your patients to drink water. Water is life, especially for the kidneys, there is no substitute. That's it for today's episode of Rio Bravo qWeek. If you enjoyed this review, share it with a colleague or medical student who could use a quick AKI refresher. And remember — the kidneys may be small, but they're mighty… and they hold grudges when you ignore them. I'm Dr. Arreaza, signing off.TJ: Thank you for tuning in, everyone. Have a nice day!Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney International Supplements. 2012;2:1–13. https://kdigo.org/guidelines/acute-kidney-injury/.Kaur A, Sharma GS, Kumbala DR. Acute kidney injury in diabetic patients: A narrative review. Medicine (Baltimore). 2023 May 26;102(21):e33888. doi: 10.1097/MD.0000000000033888. PMID: 37233407; PMCID: PMC10219694. https://pmc.ncbi.nlm.nih.gov/articles/PMC10219694/Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
Exploring the Mystical Side of Life — Episode 260: Are You Ignoring Divine Guidance? with Karoleen FoberAre you tuning in to your intuition, or are you dismissing those subtle nudges from the universe? This week, Linda Lang welcomes Karoleen Fober, intuition coach and divine energy reader, to dive into the world of energy, intuition, and authentic living.In this episode, Karoleen shares how we're all intuitive beings, living within an electromagnetic energy system that's constantly giving us guidance. Discover why authenticity is your highest frequency, how to reclaim your innate intuitive language, and what practical steps you can take to strengthen your connection to divine guidance. Karoleen also reveals her signature ACUTE system for embracing your inner wisdom and offers actionable tools to help you trust—and enjoy—your intuition.Whether you want to move energy for better health, manifest more abundance, or simply feel more aligned, this episode offers inspiration and practical tips to help you harness your natural intuitive gifts.Connect with Karoleen Fober:Website: KaroleenFober.comBook: Opening to Divine Intervention (available on Amazon)Free Intuition Assessment on her website!Subscribe, share, and join us as we explore the mystical side of life—one breakthrough at a time. Stay connected… Visit Linda Lang at https://ThoughtChange.com YouTube ThoughtChange: https://www.youtube.com/@ThoughtChange Alchemy from the Inside Out: https://thoughtchange.com/alchemy-from-the-inside-out/ Freebies: https://thoughtchange.vipmembervault.com/ Meditations: https://insighttimer.com/thoughtchange Spiritual blog: https://medium.com/@thoughtchange123 ✨ Thanks for exploring the Mystical Side of Life with us. If you enjoy our journey into the mystical realms, please like, share, and subscribe to stay updated with our latest episodes. Your support helps us explore more dimensions of spirituality and mysticism for everyone. If you'd like to buy us a cup of coffee, contributions (any amount) can be made to https://paypal.me/thoughtchange or https://www.buymeacoffee.com/s0ycsy6sj9. Thank you! We appreciate all donations. Produced by Linda Lang, ThoughtChange, Box 551, Richmond, ON, Canada K0A2Z0Disclaimer: The opinions expressed in this podcast/video are those of the guest and do not necessarily reflect the views or positions of the host or the podcast.#intuition #energy #authenticity #podcast #selfgrowth #divineguidance #exploringthemysticalsideoflife
During this episode I discuss Bell's Palsy. From its incidence, to average recovery times, to the medications used during the recovery process and much more. I also discuss how I approach Bell's Palsy in clinical practice. Enjoy!Episode Resources Khan AJ, Szczepura A, Palmer S, et al. Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy. Clin Rehabil. 2022;36(10):1339-1355. doi:10.1177/02692155221102985.Kim SJ, Lee HY. Acute peripheral facial palsy: Recent guidelines and a systematic review of the literature. J Korean Med Sci. 2020;35(30):e245. doi:10.3346/jkms.2020.35.e245.de Almeida JR, Guyatt GH, Sud S, et al. Management of Bell palsy: clinical practice guideline. CMAJ. 2014;186(12):917-922. doi:10.1503/cmaj.131801.Dalrymple SN, Row JH, Gazewood J. Bell palsy: rapid evidence review. Am Fam Physician. 2023;107(4):415-420.
Send us a textDid you know?Not all inflammation is bad. Acute inflammation is your body's natural defense - it helps you heal when you're injured or fighting off infection. But when inflammation becomes chronic, it can quietly contribute to serious health issues like heart disease, diabetes, arthritis, and even cognitive decline. Dr. Jackson joins us to break down:- What chronic inflammation really is- The hidden triggers behind it- Practical lifestyle steps to calm it downTune in to learn how you can protect your long-term health, starting today.
In this week's episode we'll learn about targeting NPM1 in acute myeloid leukemia. Researchers report the first clinical evidence of a menin inhibitor inducing complete remissions in AML with a NPM1 mutation. This validates NPM1 as a new therapeutic target in AML, alongside FLT3, IDH1/2, and KMT2A. Also on the podcast: targeting CD137 to prevent graft-versus-host disease. In nonhuman primates, a single dose of a CD137 antibody-drug conjugate provided long-term protection, with one important caveat: the potential for viral reactivation.Featured Articles: Menin inhibition with revumenib for NPM1-mutated relapsed or refractory acute myeloid leukemia: the AUGMENT-101 studyA single dose of a CD137 antibody–drug conjugate protects rhesus macaque allogeneic HCT recipients against acute GVHD
Ever have a day so stressful that even your proof can't talk you down?Where your nervous system just says, “Nope. We're done here.”Yeah… same.In this bonus episode, I'm pulling back the curtain on one of the most overwhelming, mentally scrambled, and emotionally raw days I've had in a long time. Not burnout—stress. Acute, relentless, compounding stress that stacked micro-stressor after micro-stressor until I spiraled. Hard.You'll hear:The full breakdown of what happened (and what I forgot
Ever have a day so stressful that even your proof can't talk you down?Where your nervous system just says, “Nope. We're done here.”Yeah… same.In this bonus episode, I'm pulling back the curtain on one of the most overwhelming, mentally scrambled, and emotionally raw days I've had in a long time. Not burnout—stress. Acute, relentless, compounding stress that stacked micro-stressor after micro-stressor until I spiraled. Hard.You'll hear:The full breakdown of what happened (and what I forgot
Artificial intelligence (AI) has quickly transitioned from something to expect in the future to the here and now today. The potential for AI in health information is both exciting and daunting. Reporting the lead story during the next live edition of Talk Ten Tuesday will be longtime RACmonitor and ICD10monitor contributing author Sharon Easterling.Sharon Easterling will continue her editorial series on artificial intelligence and medical record coding.The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the long-running and popular weekly Internet broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
On this episode, we define acute mania and describe its clinical presentations, underlying causes, and pathophysiology. We evaluate current guidelines and evidence-based treatment strategies for managing acute mania, including pharmacologic and nonpharmacologic interventions. We also compare and contrast the efficacy, safety profiles, and appropriate use of mood stabilizers, antipsychotics, and adjunctive therapies in the management of acute manic episodes. Cole and I are happy to share that our listeners can claim ACPE-accredited continuing education for listening to this podcast episode! We have continued to partner with freeCE.com to provide listeners with the opportunity to claim 1-hour of continuing education credit for select episodes. For existing Unlimited (Gold) freeCE members, this CE option is included in your membership benefits at no additional cost! A password, which will be given at some point during this episode, is required to access the post-activity test. To earn credit for this episode, visit the following link below to go to freeCE's website: https://www.freece.com/ If you're not currently a freeCE member, we definitely suggest you explore all the benefits of their Unlimited Membership on their website and earn CE for listening to this podcast. Thanks for listening! If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable PowerPoint slides for each lecture. If you purchase an annual membership, you'll also get a free digital copy of High-Powered Medicine 3rd edition by Dr. Alex Poppen, PharmD. HPM is a book/website database of summaries for over 150 landmark clinical trials.You can visit our Patreon page at the website below: www.patreon.com/corconsultrx We want to give a big thanks to Dr. Alex Poppen, PharmD and High-Powered Medicine for sponsoring the podcast.. You can get a copy of HPM at the links below: Purchase a subscription or PDF copy - https://highpoweredmedicine.com/ Purchase the paperback and hardcover - Barnes and Noble website We want to say thank you to our sponsor, Pyrls. Try out their drug information app today. Visit the website below for a free trial: www.pyrls.com/corconsultrx We also want to thank our sponsor Freed AI. Freed is an AI scribe that listens, prepares your SOAP notes, and writes patient instructions. Charting is done before your patient walks out of the room. You can try 10 notes for free and after that it only costs $99/month. Visit the website below for more information: https://www.getfreed.ai/ If you have any questions for Cole or me, reach out to us via e-mail: Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com
An estimated 70 million people worldwide will struggle with an eating disorder in their lifetime. Many individuals experiencing these disorders...[…]
An estimated 70 million people worldwide will struggle with an eating disorder in their lifetime. Many individuals experiencing these disorders...
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Neena Abraham, MD, MS Knowing how to manage anticoagulants and antithrombotics during acute GI bleeding is essential in preventing avoidable complications, including thromboembolism and delayed hemostasis. Dr. Peter Buch sits down with Dr. Neena Abraham to discuss the latest recommendations from major GI and cardiology societies and explore practical strategies for anticoagulant reversal, triage criteria, and endoscopic hemostasis. Dr. Abraham is a Professor of Medicine and the Medical Director of the Cardiogastroenterology Clinic at the Mayo Clinic in Phoenix.
Ready for a deep dive into a real-life pediatric ICU situation? Today, Dr. Pradip Kamat, Dr. Monica Gray, and Dr. Rahul Damania will walk you through the case of a seven-year-old girl with Hemoglobin SC (HbSC) disease, who presents with abdominal swelling, pneumonia, low oxygen, and pain.In this episode, our team unpacks the spleen's anatomy and its crucial role in immunity, then zooms in on how sickle cell disease can throw a wrench in splenic function. You'll hear how they approach the diagnosis and management of acute splenic sequestration crisis, sharing clinical pearls along the way. Plus, they'll break down why quick recognition is so important and discuss strategies for both immediate and long-term care in pediatric sickle cell patients. Don't miss these practical insights from the frontlines of pediatric critical care!Show Highlights:Case study of a seven-year-old girl with hemoglobin SC diseasePresentation of symptoms: abdominal distension, pneumonia, hypoxia, and body painDiscussion of acute splenic sequestration crisis as a complication of sickle cell diseaseAnatomy and physiology of the spleenThe role of the spleen in sickle cell disease and how sickled cells affect splenic functionAcute splenic sequestration crisis, including clinical features and laboratory evaluationsManagement strategies for acute splenic sequestration crisis in the ICUImportance of blood transfusions and supportive care in treatmentProphylactic measures to prevent recurrence of splenic sequestrationEducational emphasis on recognizing clinical signs and the need for timely interventionReferences:Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 88. Hemoglobinopathies. Baender, MA, Marsh Anne. Pages: 1457-1470Rogers' textbook of pediatric intensive care: Hematologic Emergencies. McCory MC, Bhar S, and Blaine E. Pages 2003-2005Brousse V, Buffet P, Rees D. The spleen and sickle cell disease: the sick(led) spleen. Br J Haematol. 2014 Jul;166(2):165-76. doi: 10.1111/bjh 12950. Epub 2014 May 26. PMID: 24862308.Waleed S, Aldabsa M, Gouher S. Splenic Sequestration Induced by Parvovirus B19: A Case Report. Cureus. 2024 May 23;16(5):e60937. doi: 10.7759/cureus. 60937. PMID: 38915956; PMCID: PMC11195323.Solanki DL, Kletter GG, Castro O. Acute splenic sequestration crises in adults with sickle cell disease. Am J Med. 1986 May;80(5):985-90. doi: 10.1016/0002-9343(86)90649-2. PMID: 3706382.Karna B, Jha SK, Al Zaabi E. Hemoglobin C Disease. [Updated 2023 May 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559043/
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3093: Carbohydrates and insulin have been unfairly painted as the main villains in weight gain, but as Sam Lynch explains, their roles are far more nuanced. Insulin's fat-storage effects are short-lived, storing carbs as fat is surprisingly inefficient, and calorie surplus, not carbs alone, is the real driver of long-term fat gain. Understanding these mechanisms helps shift the focus from demonizing food groups to managing overall energy balance. Read along with the original article(s) here: https://fitnitiative.co.uk/2023/02/08/carbs-and-insulin-are-they-to-blame/ Quotes to ponder: "Storing carbs as fat is difficult. It's an expensive process called De Novo Lipogenesis." "Acute fat storage doesn't equate to total fat gain if you're not in a calorie surplus." "If carbs are so bad because they raise insulin, then what about protein? That raises insulin too." Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3093: Carbohydrates and insulin have been unfairly painted as the main villains in weight gain, but as Sam Lynch explains, their roles are far more nuanced. Insulin's fat-storage effects are short-lived, storing carbs as fat is surprisingly inefficient, and calorie surplus, not carbs alone, is the real driver of long-term fat gain. Understanding these mechanisms helps shift the focus from demonizing food groups to managing overall energy balance. Read along with the original article(s) here: https://fitnitiative.co.uk/2023/02/08/carbs-and-insulin-are-they-to-blame/ Quotes to ponder: "Storing carbs as fat is difficult. It's an expensive process called De Novo Lipogenesis." "Acute fat storage doesn't equate to total fat gain if you're not in a calorie surplus." "If carbs are so bad because they raise insulin, then what about protein? That raises insulin too." Learn more about your ad choices. Visit megaphone.fm/adchoices
There is no escaping stress but cortisol in menopause changes. With that, your stress response to nearly everything may change. You don't feel it at first but then there's unexplained weight gain or belly fat. There's less focus or concentration than you used to have. It shows up in different ways for each of us. My Guest: Sara Banta is a Certified Dietary Supplement Professional and member of the National Association of Nutrition Professionals, helping people take their health into their own hands using cutting-edge natural supplements, DNA-driven nutrition, and real lifestyle solutions. She's the founder of Accelerated Health Products, the award-winning Most Innovative Supplement Company FOUR years running, a pioneer in functional wellness and with a passion for uncovering root causes and optimizing the body's innate healing systems. As host of the podcast Accelerated Health with Sara Banta—Top 10 Health Podcasts & Top 10 Supplement Podcasts—she brings science-backed insights and down-to-earth advice for natural answers. Sara's work is grounded in one simple truth: the body is designed to heal—when you give it the right tools. Sara is on a mission to make vibrant health accessible to everyone. Questions We Answer in This Episode: [00:00:00] What is the difference between acute and chronic stress? [00:00:00] What is causing chronic stress? [00:00:00] Why is this so critical to understand what impacts cortisol in menopause? [00:00:00] How does it affect muscle gain and fat loss? [00:00:00] How is the thyroid related to the adrenals? [00:00:00] How can you maintain and build lean muscle while under stress over 50? [00:00:00] What supplements help get your adrenals back on track? [00:00:00] What lifestyle habits either kill or improve cortisol? Why Cortisol in Menopause Makes Stress Feel Different Acute vs Chronic Cortisol Acute stress Short-term, natural response to immediate danger. Cortisol helps survival (fight-or-flight). Immune system goes up. Chronic stress Prolonged, ongoing; body never recovers. Chronic stress keeps cortisol elevated → negative health effects. Causes of Chronic Stress in Midlife & Menopause Perimenopause & menopause: the stressors don't change, but the response to them does. Common triggers: lack of sleep, poor diet, environmental toxins, over-exercise, emotional stress. Cortisol's Effect on Muscle Gain & Fat Loss Elevated cortisol breaks down muscle tissue. Interferes with protein synthesis, leading to muscle loss. Promotes fat storage, especially visceral (belly) fat. Lowers metabolism → makes weight management harder. Lifestyle Solutions for Cortisol in Menopause Diet: whole foods, protein-rich, healthy fats, avoid processed sugar. Supplements: adaptogens (ashwagandha, rhodiola), magnesium, vitamin C or Sara Banta's Cortisol Reset Detox Recovery: sleep, restorative exercise (yoga, walking, pilates), breathwork, meditation. Connect with Sara: Website - Accelerated Health Products and Sara Banta Health Facebook - Accelerated Health Products Instagram - @acceleratedhealthproducts X - Sara Banta YouTube - @AcceleratedHealthSaraBanta TikTok - @ahpsupplements_ Other Episodes You Might Like: Previous Episode - The New Menopause Therapy: Confessions of a Femme Fatale Next Episode - Aging with Power, (Without an Outage) with Vonda Wright More Like This: To Detox and If So How to Detox: Midlife Woman to Midlife Woman Is Your Liver Preventing Muscle Growth in Menopause? How to Exercise with High or Low Cortisol in Menopause Cortisol and Exercise in Menopause Resources: On September 1, enjoy Sara Banta's Accelerated Health Products: Cortisol Reset Detox to restore your body's natural stress response. Join the Hot, Not Bothered! Challenge to learn why timing matters and why what works for others is not working for you.
At one time, a physician advisor in a hospital was a rarity. That was then, but this is now, with many healthcare systems having not just one physician advisor, but often many on staff. Does this emerging need signal the deployment of a new position within the physician advisory service team?To learn more, ICD10monitor producers have invited Dr. Juliet B. Ugarte Hopkins to explain when and how this might be accomplished.Dr. Ugarte Hopkins, the chief medical officer for Phoenix Medical Management, Inc., will be the special guest during the next live edition of Talk Ten Tuesday.The popular weekly Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the long-running and popular weekly Internet broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.
Commentary by Dr. Caitlin Bell.
In this episode, host Dr. Dan Beswick speaks with Drs. Peter Hwang, Lirit Levi, and Amir Levi. They discuss the recently published Original Article: “Association between US Wildfires and Health Care Utilization for Acute Rhinosinusitis.” The full manuscript is available as open access in the International Forum of Allergy and Rhinology. Listen and subscribe for […]
In this episode, I review the book Masters of Uncertainty - The Navy Seal Way to Turn Stress into Success for You and Your Team by Rich Diviney.If you think about it, stress is one of the most powerful assets and liabilities in each one of our lives. It can cause us to focus and be the best version of ourselves. Left unfocused or uncontrolled, it can devastate us or even lead to premature death. In the military, panic is not an option. Panic rarely serves us well, but that is precisely what happens if we cannot control our stress. Acute stress leads to panic. By definition, the military knows that they are putting their men and women in acutely stressful situations. So they have developed a series of techniques to allow there troops to be as calm and as possible to achieve the mission.Diviney shares what he learned in his SEAL training, outlining a series of concrete steps to turn negative stress into an asset to achieve your mission.In this episode, we focus on one part of the book relating to controlling your response in the midst of uncertain and unexpected events.We cover: duration, pathway, and outcome DPO); what is known and controllable in unexpected events; and breathwork to immediately calm the mind when an unexpected event occurs.This is book short; however, its impact is powerful. It has the potential to change your life.Control your stress. Turn it an asset. Optimize the result. Just like the Navy SEALS do. This was a good book!!
Join me regularly as I dive deep into Nurse Practitioner workflow, entrepreneurship, wealth-building strategies, day trading insights, and invaluable resources specifically tailored for Nurse Practitioners and healthcare professionals ready to take charge of their financial future.✨ FREE PDFs Included: https://drive.google.com/drive/folders/1kSL6jTzabuFSleSIZNcJo6F4BG_qtd3n?usp=sharingPractical strategies for maximizing NP income
This week on the Inside EMS podcast, Chris Cebollero and Kelly Grayson shine a spotlight on the kidneys and their impact on patient outcomes. What starts as a chat about chronic kidney stones quickly dives into a sharp, clinical breakdown of renal anatomy, physiology and the far-reaching consequences of kidney dysfunction in EMS care. Chris and Kelly unpack the kidneys' role in fluid balance, blood pressure regulation and acid-base stability, including how the renin angiotensin aldosterone system (RAAS) system can either save a patient … or make things worse. They outline the key types of acute kidney injury (pre-renal, intrinsic, post-renal), tie them back to underlying anatomy, and explain why perfusion matters long before labs confirm failure. With field-focused tips on what to ask (yes, diaper counts matter), what to look for and how to manage critical complications, this episode gives medics the tools to recognize renal red flags early — and act fast. Additional resources: Acute kidney injury assessment and treatment The science behind shock: Why providers must understand the RAAS Caring for the dialysis patient One for the Road: Is this a kidney stone? Memorable quotes “In EMS, we don't really pay attention to the functioning of the kidneys until everything goes south.” “They're not lying when they say the kidneys are the windows to the viscera.” “Kidney problems don't happen in isolation.” Enjoying the show? Email theshow@ems1.com to share feedback or suggest guests for a future episode.
Although the proposed rule for the 2026 Inpatient Prospective Payment System (IPPS) has been released by the Centers for Medicare & Medicaid Services (CMS), mastering the complexities will continue to challenge most coders and coding team members. That is why ICD10monitor producers have asked Dr. James S. Kennedy to join the upcoming edition of Talk Ten Tuesdays: to highlight potentially significant roadblocks that are likely to confront coders as they prepare to implement the new rule that becomes effective Oct. 1, 2025.As a sidebar, Dr. Kennedy, along with nationally recognized coding authority Christine Geiger, will team up for the 2026 IPPS Masterclass series, taking place live Aug. 13, 14, and 15.The popular weekly Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• CDI Report: Cheryl Ericson, Director of clinical documentation integrity (CDI) for the vaunted Brundage Group, will have the latest CDI updates.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the long-running and popular weekly Internet broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.
Oral methadone versus sublingual buprenorphine for the treatment of acute opioid withdrawal: A triple-blind, double-dummy, randomized control trial Drug and Alcohol Dependence Researchers compared oral methadone to sublingual buprenorphine for the management of acute opioid withdrawal. Patients at an inpatient drug treatment center in India were randomly assigned to receive either methadone or buprenorphine titrated over days 1-3 to control opioid withdrawal symptoms. Over days 4-10 medications were tapered and stopped by day 11. Completion of treatment was similar in both groups (83% methadone, 82% buprenorphine). Both subjective (SOWS) and objective (COWS) withdrawal symptoms decreased during the treatment, however the buprenorphine group had significantly greater withdrawal symptoms than the methadone group (p=0.009) at the end of treatment (day 10). Opioid craving also decreased in both groups with no significant difference between groups. Authors conclude that methadone is a safe and effective alternative to buprenorphine for management of opioid withdrawal. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
CME credits: 1.00 Valid until: 11-08-2026 Claim your CME credit at https://reachmd.com/programs/cme/program-name/35988/ Hereditary angioedema (HAE) is a rare, potentially life-threatening genetic disorder characterized by recurrent episodic swelling of the skin, gastrointestinal tract, and airways. The core approach to treating HAE prioritizes the availability of effective on-demand acute therapy, early treatment to prevent attack progression, treatment of attacks, and long-term prophylaxis. Early treatment of all breakthrough attacks, regardless of severity and site, is critical to maximize efficacy and reduce morbidity and mortality. Ongoing management of HAE should include evaluation of breakthrough attacks and any concerns with the disease course and current therapy to decide if a therapy adjustment is warranted. In this educational series, expert faculty discuss the importance of early treatment and personalizing therapy, best practice for managing breakthrough attacks, and current and emerging therapies for HAE.
CME credits: 1.00 Valid until: 11-08-2026 Claim your CME credit at https://reachmd.com/programs/cme/program-name/35991/ Hereditary angioedema (HAE) is a rare, potentially life-threatening genetic disorder characterized by recurrent episodic swelling of the skin, gastrointestinal tract, and airways. The core approach to treating HAE prioritizes the availability of effective on-demand acute therapy, early treatment to prevent attack progression, treatment of attacks, and long-term prophylaxis. Early treatment of all breakthrough attacks, regardless of severity and site, is critical to maximize efficacy and reduce morbidity and mortality. Ongoing management of HAE should include evaluation of breakthrough attacks and any concerns with the disease course and current therapy to decide if a therapy adjustment is warranted. In this educational series, expert faculty discuss the importance of early treatment and personalizing therapy, best practice for managing breakthrough attacks, and current and emerging therapies for HAE.
Our Vision is: To see the fame and deeds of God in our time by developing followers of Jesus who are committed to practicing the way of Jesus. This vision is drawn from Habakkuk 3:2 and Matthew 28:18–19—a call to believe God can still act in powerful ways today and to commit to discipleship that actually practices His teachings. ⸻ Reason 1 – We must still believe God can and will act in power today • Habakkuk had only heard of God's miracles but prayed to see them in his time. • Scripture is filled with examples (Noah, Caleb, Joshua, David, the woman with the issue of blood, Bartimaeus) where belief in God's power preceded experiencing His power. • Many Christians stop expecting what they haven't experienced. Their experience becomes the authority rather than Scripture. • The more we believe God can work, the more we tend to experience from Him. • A.W. Tozer taught that we move toward our mental image of God—if we think He is small, we will live as if He is. ⸻ Reason 2 – God responds to hunger, not apathy • Tozer again: Complacency is the deadly foe of spiritual growth—“He waits to be wanted.” • Biblical examples (Israel in Egypt, Judges cycle, David's cries, 2 Chronicles 7:14, James 4:8, Matthew 5:6) show that God acts when His people cry out and earnestly seek Him. • Hunger means craving, longing for God's presence and work. • The lie that “God will do whatever He will do, no matter what” is unbiblical—Scripture calls us to seek Him if we want to experience Him. ⸻ How we pursue this vision – By developing followers of Jesus • In Scripture, it was always the committed followers—those who put Jesus' words into practice—who experienced His power. • Examples: • Peter obeying Jesus to cast nets and catching more fish than he could handle. • Lepers healed “as they went.” • The early church praying and seeing Peter freed from prison. • Stephen, Ananias, Peter—each obeying Jesus and seeing miraculous results. • Luke 6:47–49: Those who hear and obey are like houses on rock—secure, strong, and unshaken. • Many call themselves Christians without following Jesus, and thus miss experiencing God's power. • Jesus calls for disciples, not just “Christians.” Discipleship is not about morality for morality's sake, but about obedience that unlocks God's powerful work. • Commands are not rules for being “nice”—they are invitations to experience God's presence and power. ⸻ Call to Response Coleton invited the church to respond in specific ways: 1. Pray for God's fame and deeds to be repeated today—in healings, conversions, reconciliations, miracles. 2. Obey any specific word from God—don't delay obedience. 3. Move from nominal Christianity to true discipleship—repent and follow Jesus fully. 4. Cultivate hunger for God—because God responds to hunger. ⸻ Men's Discipleship Group Questions 1. In what areas of your life have you stopped expecting God to move because you haven't experienced Him working there yet? 2. How does your current “mental image” of God affect the way you pray, act, and take risks for Him? 3. Men often value results—how can we grow in valuing hunger for God even when results aren't immediate? 4. What is one concrete step of obedience you believe Jesus is calling you to take this week? 5. How can we encourage each other to actually practice Jesus' words instead of just talking about them? ⸻ Women's Discipleship Group Questions 1. Habakkuk prayed, “Repeat Your fame and deeds in our time.” If you prayed that today, what specific things would you ask God to do? 2. Where in your life has your experience been louder than Scripture in defining what you believe is possible with God? 3. What does “hungering for God” look like in your season of life right now? 4. Think of a time you obeyed God despite uncertainty—how did you see Him move through that? 5. What's one way our group can pray with you for God to “repeat His deeds” in your family, relationships, or community? ⸻ Author Quotes from the Sermon 1. Abraham Heschel: “Never once in my life did I ask God for success or wisdom or power or fame. I asked for wonder, and he gave it to me.” 2. A.W. Tozer: “What comes into our minds when we think about God is the most important thing about us. The gravest question before the Church is always God Himself, and what we, deep in our hearts, conceive God to be like. We tend by a secret law of the soul to move toward our mental image of God.” 3. A.W. Tozer: “I want to deliberately encourage a mighty longing after God. The lack of it has brought the church to our present low estate. The stiff and wooden quality about our spiritual lives is a result of our lack of holy desire. Complacency is a deadly foe of all spiritual growth. Acute desire must be present or there will be no manifestation of Christ to His people. He waits to be wanted.”
Join me regularly as I dive deep into Nurse Practitioner workflow, entrepreneurship, wealth-building strategies, day trading insights, and invaluable resources specifically tailored for Nurse Practitioners and healthcare professionals ready to take charge of their financial future.✨ FREE PDFs Included: https://drive.google.com/drive/folders/1kSL6jTzabuFSleSIZNcJo6F4BG_qtd3n?usp=sharingPractical strategies for maximizing NP income
Join me regularly as I dive deep into Nurse Practitioner workflow, entrepreneurship, wealth-building strategies, day trading insights, and invaluable resources specifically tailored for Nurse Practitioners and healthcare professionals ready to take charge of their financial future.✨ FREE PDFs Included: https://drive.google.com/drive/folders/1kSL6jTzabuFSleSIZNcJo6F4BG_qtd3n?usp=sharingPractical strategies for maximizing NP income
Kate, Mark, Gary and Henry discuss 4 important new studies relevant to primary care clinicians: negative pressure wound therapy for wounds healing by secondary intention, comparative effectiveness of acute migraine treatments, contrast enhanced mammography, US, or MRI for women with dense breasts, and metformin for knee pain in patients without diabetes.Negative pressure wound therapy: https://pubmed.ncbi.nlm.nih.gov/40250455/ Acute migraine treatments: https://pubmed.ncbi.nlm.nih.gov/40096693/ Best enhanced screening for women with dense breasts: https://pubmed.ncbi.nlm.nih.gov/40412427/ Metformin for knee pain in patients without DM: https://pubmed.ncbi.nlm.nih.gov/40274279/
Story at-a-glance Stress is one of the most powerful disruptors of sleep. However, recent research shows it also paradoxically triggers sleep instead of insomnia Acute stress sometimes activates brain circuits that promote non-rapid eye movement (NREM) and rapid eye movement (REM) sleep as recovery This stress-induced sleep is short-lived. With repeated stress, sleep becomes fragmented or suppressed, reflecting patterns seen in stress-related disorders Specific brain regions like the ventral tegmental area orchestrate stress-induced sleep by activating GABAergic neurons that promote sleep while suppressing stress hormones While stress may sometimes trigger sleep, true restorative rest is better achieved through consistent routines like daily exposure to morning sunlight, blocking blue light after sunset, and improving your sleep environment
We're back with another episode of Push Dose Pearls with ED Clinical Pharacist, Haley Burhans! In this episode, we break down the essentials of managing agitation in the ED—starting with why you should avoid diphenhydramine in the elderly and benzodiazepines in the 3 D's: drunk, delirium, and dementia. We discuss how to quickly assess the cause, choose the right medication, and decide between IM and IV routes. And Haley offers some key safety tips and considerations for special populations, including kids and the elderly. Was this episode helpful? What other medications would you like to learn more about? Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis Resources: ACEP's New Clinical Policy on Severe Agitation. By Molly E.W. Thiessen, MD, FACEP | on February 12, 2024 Pediatric Education and Advocacy Kit (PEAK): Agitation Hoffmann JA, Pergjika A, Konicek CE, Reynolds SL. Pharmacologic Management of Acute Agitation in Youth in the Emergency Department. Pediatr Emerg Care. 2021 Aug 1;37(8):417-422. doi: 10.1097/PEC.0000000000002510. PMID: 34397677; PMCID: PMC8383287. Gerson R, Malas N, Feuer V, Silver GH, Prasad R, Mroczkowski MM. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. West J Emerg Med. 2019 Mar;20(2):409-418. doi: 10.5811/westjem.2019.1.41344. Epub 2019 Feb 19. Erratum in: West J Emerg Med. 2019 May;20(3):537. doi: 10.5811/westjem.2019.4.43550. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689. doi: 10.5811/westjem.2019.4.44160. PMID: 30881565; PMCID: PMC6404720.. **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
What if the stories we tell about stress and adversity are holding us back? What if the most resilient people are not the strongest, but the most adaptable? This episode is an invitation to rethink resilience. Dr. Steven Stein shares how the hardiness mindset shifts our relationship with challenge. A concept born in military research but relevant to artists, entrepreneurs, and everyday heroes. It's not about stoicism or sheer willpower; it's about seeing meaning in difficulty, embracing uncertainty, and committing to a journey bigger than the immediate obstacle. T You'll discover how small shifts in thinking can ripple into profound changes in how you live, work, and connect. Actionable takeaways: Cultivate challenge as a lens for growth, not a reason to retreat. Practice focusing your efforts where you have influence, not where you feel powerless. Let your commitments guide you beyond temporary discomfort. ---- Advertisers BetterHelp The world's largest online therapy provider BetterHelp.com/GrowthMindset - 10% off 1st month Liquid I.V. Sugar-free hydration for any occasion Liquid-IV.com - 20% off with code GROWTH ---- NEW SHOW - How to Change the World Sam's new show can be found on major podcast players: Spotify - https://open.spotify.com/show/1Fj3eFjEoAEKF5lWQxPJyT Apple - https://podcasts.apple.com/us/podcast/how-to-change-the-world-the-history-of-innovation/id1815282649 YouTube - https://www.youtube.com/@HowToChangeTheWorldPodcast Can't find it on your player? RSS feed - https://feeds.acast.com/public/shows/682b3b86696b5d1232d698a8 ---- UPGRADE to Premium:
Substance abuse is a pervasive issue with profound implications for hospitals.It has been estimated that up to 25 percent of hospitalized patients have a substance abuse disorder. And up to 44 percent of these patients abuse some substance during hospitalization. The annual estimated hospital cost for treating substance abuse disorders is as high as $13 billion.But it's not limited to patients, according to physician and attorney Dr. John K. Hall, who will be the special guest during the next live edition of Talk Ten Tuesdays.According to Dr. Hall, estimates show that up to 15 percent of physicians and 20 percent of nurses also have a substance abuse disorder. It affects patient outcomes, hospital operations, financial health, and the broader healthcare system. The complexity of substance use disorders requires a nuanced understanding of diagnostic categories, accurate coding, and awareness of the legal and employment ramifications.The popular weekly Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH;• CDI Report: Cheryl Ericson, Director of clinical documentation integrity (CDI) for the vaunted Brundage Group, will have the latest CDI updates;• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news;• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk; and• Point of View: Dr. James S. Kennedy, who will be sitting in for Angela Comfort, will report on a topic that has captured his attention.
In this episode Stephanie and Suzanne discuss acute onset of anxiety in an OB patient. They will also talk about possible pathology of anxiety and the possibility as a warning sign of compromise. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Instagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: https://www.facebook.com/clinicalconceptsinobstetricsDr Ma...
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover sympathetic crashing acute pulmonary edema (SCAPE). To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
In this episode, we review the high-yield topic Acute Hemolytic Reaction from the Hematology 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
RE-RELEASE This was first published in 2023 but it's so good we are running it back! Buckle up, PGY-1's! Intern year is starting whether you're ready or not. Don't fret, BTK has your back to make sure you dominate the first year of residency. You've been a doctor for about 3.5 seconds, and suddenly that bright eyed, bushy-tailed medical student on service is looking to you for advice? Don't fret, in this episode we'll give you some tips for how to handle it. Hosts: Shanaz Hossain, Nina Clark Tips for new interns: REMEMBER HOW INTERNS DO AND DO NOT TEACH - Nobody, not even the med students, expect you to be an expert in everything or give a fully-planned formal lecture - You WILL however spend a ton of time working with students on your team – and via modeling and teachable moments, you can help them learn how it's done! MODELING - Remember how hard everything has been in the few days since you started residency? Think about all the information you've picked up, tips and tricks you're developing for efficiency, and best practices you're learning in the care of your patients. ALL of these are things you can pass on to students. - Presentations, case prep, answering questions from senior members of the team are ALL excellent opportunities to teach (and show students how you learn yourself, so they can do it independently). TEACHABLE MOMENTS - Find small topics that you know or are getting to know well – things like looking at a CXR, CT scan, etc. - Once you're getting more comfortable caring for specific disease processes, think about high yield lessons for students: - Acute trauma evaluation and management (ABCDE's), appendicitis, diverticulitis, benign biliary disease all make great 5 minute chalk talks that you can have in your back pocket IN THE OR - Watch students practice skills, and try to give some feedback and tips that you use (you learned knot tying and suturing more recently than ANYONE else in the OR and probably have some tips that you're still using to improve) - If you're not sure where or why the student is struggling with a particular skill (like tying a knot), model doing it yourself in slow motion while watching them do it – often the side by side comparison can help you identify where they're going astray BE THE RESIDENT YOU WISH YOU HAD - Refer to EVERYONE with respect - Model being a kind, conscientious, and curious physician - Try to find universal lessons and crossover topics that non-surgeons need to know - A great student makes their interns look even better – be explicit about how they can be successful, then advocate for them to have opportunities to show everything they're learning! Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our new how-to video series on suture and knot-tying skills – https://behindtheknife.org/video-playlists/btk-suture-practice-kit-knot-tying-simulator-how-to-videos/