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Are you prepared for your next endoscopy, or ready to review a legal case involving procedural sedation? In this episode of the Legal Nurse Podcast, Pat Iyer is joined by experienced critical care nurse Tracey Kappers to explore the complexities of IV sedation, particularly in the endoscopy suite. Tracey Kappers draws on her deep clinical background to reveal why sedation is far from routine and highlights the risks and responsibilities facing healthcare professionals. Together, Pat Iyer and Tracey Kappers discuss the importance of careful patient assessment, the roles of different medication providers, and the standards of care that must be met to ensure safety. They address the real-world scenarios that legal nurse consultants might be asked to review, cases that hinge on documentation, patient selection, and rapid response to emergencies in the procedure room. Whether you're a legal nurse consultant, a healthcare provider, or simply someone facing a future colonoscopy, this episode offers essential insights into procedural sedation, the medications involved, possible complications, and the critical safeguards every facility must follow. Listen in for expert advice and stories that underscore the high stakes in seemingly routine medical procedures. What You'll Learn in This Episode on Sedation Safety: Avoiding Catastrophic Outcomes in Outpatient Procedures Here are 5 discussion questions answered in the podcast: What are the key differences between moderate and deep sedation in procedural settings, and why is it critical that the person performing a procedure not also be the one administering and monitoring sedation? In which healthcare environments besides endoscopy suites can patients receive procedural sedation, and what unique risks might these settings pose? How does the ASA (American Society of Anesthesiologists) physical status classification system affect patient eligibility for outpatient procedural sedation? What responsibilities do nurses hold when assessing a patient's suitability for sedation, and how should they handle ambiguous or borderline assessments? How can disagreements or communication failures between providers and nurses regarding verbal medication orders impact patient safety and legal outcomes? Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/G7bOZqwSyRI Your Presenter for Sedation Safety: Avoiding Catastrophic Outcomes in Outpatient Procedures Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Tracey Kappers IV sedation nurse expert, legal nurse consultant, scuba diver, and travel enthusiast. I began my career in high-acuity trauma ICU, cardiac critical care nursing, and recovery room, with experience in GI endoscopy and procedural sedation recovery. I now work with attorneys through TKO Consulting, reviewing medical records and translating complex clinical details into clear timelines and insights that support case strategy. My work focuses on identifying what happened clinically, what should have happened, and where breakdowns occurred in patient care. With a background spanning ICU trauma care, procedural sedation, and outpatient recovery, I bring a practical clinical perspective to legal cases involving medical injury. When she is not on this podcast, she is scuba diving in some of the world's most memorable waters or spending time with her family and planning her next travel adventure. Connect with Tracey Kappers by email at traceykappers@tkolncconsulting.com
if you have any feedback, please send us a text! Thank you!Decreasing insurance reimbursements, rising costs, longer hours, lower pay, less agency over your working conditions, and increasing administrative and educational requirements. These are just a few of the issues that many anesthesiologists and physicians face. Meanwhile, governments make ill-considered rules, cut funding, prevent fair and equitable negotiations, and non-physician providers continue to fight for greater authority to practice medicine without having attended medical school. A physician and anesthesiologist shortage emboldens them to feel entitled to greater independence. New residencies are being developed to counter this shortage, but how can they successfully navigate all the obstacles they may face? How do any of us try to make our practices, working conditions, or pay structures better?Organizations like the California Society of Anesthesiologists and others exist to support their members. They advocate, educate, collaborate, network, and elevate anesthesiologists throughout California. None of this work can be done without engaged and enthusiastic members.Join my guests today as they explain why they got involved with the CSA and why they think it is important for all members to do so.Dr. Newhide completed his Anesthesiology residency training at the University of Maryland Medical Center and a fellowship in Regional Anesthesia and Acute Pain Management at the University of Pittsburgh Medical Center. With a strong commitment to serving the underserved, he returned to his home state of California to help found a new residency program in Stockton, CA. He is currently serving as the Residency Program Director at St. Joseph's Medical Center, helping to develop a new generation of anesthesiologists to serve the Central Valley.Dr. Klein is a fourth-year resident in anesthesiology at UCLA and serves as her residency program's ASA and CSA resident delegate. She will be completing her fellowship in Regional Anesthesia and Acute Pain Management at Duke University in the upcoming academic year. As a resident on a research track, she is involved in informatics and policy-related research on insurance utilization and physician payments. She plans to practice in a large academic setting so she can continue on her path as a physician-researcher while staying involved in the health policy space.Dr. Mariam Sarwary is currently a Clinical Assistant Professor at Stanford and the Program Director for the Regional Anesthesia and Acute Pain Medicine Fellowship. She has been involved with the CSA since residency and currently sits on the organization's Board of Directors. Mariam also serves as a mentor for Stanford's Leadership Education in Advancing Diversity (LEAD) program and is a member of the GME Well-Being Committee.Dr. Christina Menor is a board-certified anesthesiologist in private practice in Los Angeles. She specializes in ambulatory, pediatric, and obstetric anesthesiology. Dr. Menor currently serves as the President of the California Society of Anesthesiologists. She co-authored an article that describes California survey data on medical titles. She is a member of Physicians Protecting Patients and is an active advocate for physician-led care and title transparency. She has been active with the CSA since residency.
Copyright © 2026 by the American Society of Anesthesiologists. This podcast was translated and recorded by Cactus Communications with the Society's permission. This translation has been generated using AI-powered tools and refined through human review to ensure the quality and accuracy of the transcript. However, it does not constitute a guarantee of the completeness or absolute accuracy of the content.
Copyright © 2026 by the American Society of Anesthesiologists. This podcast was translated and recorded by Cactus Communications with the Society's permission. This translation has been generated using AI-powered tools and refined through human review to ensure the quality and accuracy of the transcript. However, it does not constitute a guarantee of the completeness or absolute accuracy of the content.
Copyright © 2026 by the American Society of Anesthesiologists. This podcast was translated and recorded by Cactus Communications with the Society's permission. This translation has been generated using AI-powered tools and refined through human review to ensure the quality and accuracy of the transcript. However, it does not constitute a guarantee of the completeness or absolute accuracy of the content. Transcript
Copyright © 2026 by the American Society of Anesthesiologists. This podcast was translated and recorded by Cactus Communications with the Society's permission. This translation has been generated using AI-powered tools and refined through human review to ensure the quality and accuracy of the transcript. However, it does not constitute a guarantee of the completeness or absolute accuracy of the content. Transcript
Copyright © 2026 by the American Society of Anesthesiologists. This podcast was translated and recorded by Cactus Communications with the Society's permission. This translation has been generated using AI-powered tools and refined through human review to ensure the quality and accuracy of the transcript. However, it does not constitute a guarantee of the completeness or absolute accuracy of the content. Transcript
Copyright © 2026 by the American Society of Anesthesiologists. This podcast was translated and recorded by Cactus Communications with the Society's permission. This translation has been generated using AI-powered tools and refined through human review to ensure the quality and accuracy of the transcript. However, it does not constitute a guarantee of the completeness or absolute accuracy of the content. Transcript
Being able to know the difference between a good and a bad job offer as a physician in private practice involves knowing where the landmines and pitfalls are so that you can avoid them. In this episode, host Dr. Jimmy Turner interviews Michael Johnson, a physician contract attorney at Michael Johnson Legal. Resources: Get 10% off working with Gelt, the tax strategy team that Jimmy Turner personally uses: https://moneymeetsmedicine.com/CPA Every doctor needs own-occupation disability insurance. Get it from a source you can trust: https://moneymeetsmedicine.com/disability Want a free copy of The Physician Philosopher's Guide to Personal Finance? Snag your copy here: https://moneymeetsmedicine.com/freebook What you'll learn: What "partnership" truly means in a business context The financial realities of partnership tracks, buy-in costs, and ownership structures Common pitfalls, including misleading partnership titles, private equity buyout risks, and real estate considerations Eight essential questions physicians should ask before committing to a partnership Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Send us an inquiry through a text message here!Buy VRT LIVE 2026 tickets here: https://www.axs.com/events/1451690/the-veterinary-roundtable-ticketsWelcome to another episode of The Veterinary Roundtable! In this episode, Dr. King is flying solo as she discusses a chaotic tales from the trench (that involves a caved in ceiling and snakes...), new FIP treatments, the benefits of remote anesthesiologists, and so much more!Do you have a question, story, or inquiry for The Veterinary Roundtable? Send us a text or voicemail from the link above, ask us on any social media platform, or email theveterinaryroundtable@gmail.com!Episodes of The Veterinary Roundtable are on all podcast services along with video form on YouTube!YouTube: https://www.youtube.com/@TheVeterinaryRoundtableInstagram: https://www.instagram.com/theveterinaryroundtable/TikTok: https://www.tiktok.com/@theveterinaryroundtableTimestamps: 00:00 Intro02:15 Pits and Peaks04:01 Tails From The Trenches07:11 FIP Treatment Advancements10:34 Pet Aging Myths13:10 Case Collections17:35 Indianapolis Area Recommendations20:35 Thoughts on Remote Anesthesiologists26:40 Thoughts on Holistic Veterinarians30:25 Outro
Live from the World Congress of Anesthesiologists in Marrakesh, Kate Leslie speaks with Bruce Biccard, Nuffield Professor of Anaesthetic Science at the University of Oxford, Director of the African Perioperative Research Group, and board member of IARS and Safe Surgery South Africa. Bruce reflects on growing up in apartheid-era Cape Town, training in anaesthesia amid high-acuity care including trauma and HIV, and developing an interest in research through perioperative beta-blocker studies and mentorship in Oxford. He describes building South African and pan-African research collaborations that led to the African Surgical Outcomes Study (ASOS), which found mortality and failure-to-rescue rates about twice global averages despite relatively fit patients. He discusses a subsequent 30,000-patient cluster trial that showed no outcome improvement, highlighting implementation challenges, and outlines how Oxford's expertise can strengthen global health research in Africa and advance work on perioperative cognitive dysfunction. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
In this 337th episode I welcome Dr. Andreas Plackis to the show. Dr. Plackis is the creator and host of the TEE Time Podcast and a cardiac anesthesiologist. We talk about TEE for the non-cardiac anesthesiologist, how it can be used and how to go about learning it. Our Sponsors:* Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/accrac50off for a great deal: https://www.factor75.com* Check out Kiwi Biosciences and use my code icaneatagain.com/accrac for a great deal: https://www.kiwibiosciences.com* Check out Quince and use my code quince.com/accrac for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
This podcast is made possible by our listeners and viewers. If this show has brought you value, you can support it by becoming a member of The Way Forward, our platform designed to help you find the health and freedom community (people, practitioners, schools, farms, and more) near you. Your membership directly supports the podcast and the work we do.Your body is continuously recalling the trauma from your past.After ten years as a board-certified anesthesiologist, Dr. Richard Massey watched his sister-in-law reverse pre-eclampsia in three days by eating more eggs. That moment ended his career in conventional medicine.He now works with live blood microscopy, heart coherence biofeedback, recall healing, German New Medicine, and family constellations. What he keeps seeing under the microscope is not pathology, it's the body healing. It took him thirteen years to say that out loud.His patients include a nurse whose blood pressure doubled while trying to save her father, a boy whose growth stalled on an inherited memory, and a great-grandson born unable to breathe (a biological echo of a grandfather who fled a breathalyzer test).If you have ever wondered why the same struggle keeps showing up in your body, this episode reframes the question.You'll Learn:[0:00] Introduction[12:24] Why the diet that reverses preeclampsia 100% of the time was buried for 30 years[18:40] The hospice nurse who made Dr. Massey promise the peroxide IVs wouldn't extend her patient's life[26:58] Discovering human magnificence after 13 years of looking at blood the wrong way[31:56] Changing “I” to “we”: celiac disease as a love story for the family system[41:03] The rabbi who revealed the original fifth commandment and how it underwrites constellations[48:51] The boy whose body formed around his grandfather's fear of a breathalyzer test[1:01:27] The 55-year fantasy that ended when one excluded perpetrator was finally seen[1:46:11] Why Western culture won't raise its hand the way the Zulu villagers did[1:56:47] The ICU nurse whose blood pressure doubled, trying to save her father's life[2:03:13] Parenting kids under seven: how to remove inherited programs[2:10:07] Why every ultraviolet IV is secretly a family constellation in disguise[2:42:29] The 19-year autonomy timeline and why your injuries keep repeating on schedule[2:49:32] Reading leaky gut through Klinghardt's five levels, and the old woman in the shoeRelated The Way Forward Episodes:The Hidden Meaning of The Law of One: Densities, Love & Humanity's Evolution with Edmund Knighton | PodcastFamily Constellations & The Golden Spiral with Danica Apolline-Matić | PodcastHow Trauma & Emotions Cause Diseases: 4.5 Hour Masterclass on German New Medicine with Dr. Melissa Sell | PodcastThe Mechanics of Trauma, Suffering & God's Unconditional Love with Brandon Bozarth | PodcastBeyond Death's Door: Mediumship, Life, Death & the Nature of Existence with Suzanne Giesemann | PodcastThe New Frontier of Biology: Water, Fields & Consciousness with Carlos Millán | PodcastResources Mentioned:Pyramid of Health by Gilbert Renaud | BookFamily Constellations by Joy Manne, Ph.D. | BookI Am (Documentary) | IMDbFind more from Dr. Richard:Dr. Richard Massey | Instagram Find more from Alec:Alec Zeck | Instagram | XThe Way Forward | InstagramDonate to The Way Forward hereThe Way Forward is Sponsored By:Want more crypto insights and a community to back you up?Join the Crypto Freedom Academy today. It's 100% free and designed to help you master the markets.
Send us Fan MailLee has been a perfusionist for over 43 years. He was at the Cleveland Clinic for 17 years, during which the team there was involved in creating many techniques still used today. He now has a TikTok page where he tells stories from the early years of heart surgery and also discusses modern techniques.Learn about career options from the people doing it
Michael Huot, M.D., Anesthesiologist and Medical Director at the Pain Management Clinic in Rapid City is back for his third Doc Talk appearance, this time from a more personal angle. In February, he was Doc Talk host Mark Houston's anesthesiologist for colorectal surgery, and that experience opens a wide-ranging conversation about what's actually happening while you're under anesthesia. Dr. Huot walks through the science of consciousness, the realities of trauma cases, malignant hyperthermia, the role of AI in the operating room and why anesthesiologists tend to be the chillest doctors in the building. Then, for the first time, the host gets put in the hot seat. Hosted on Acast. See acast.com/privacy for more information.
Twenty-two steps to reach an airway is not a quirky workflow problem, it's a patient safety problem. We're turning our attention to a neuro-interventional radiology (Neuro IR) suite where cables, monitors, and a poorly positioned anesthesia machine created a cramped, high-friction non-operating room anesthesia (NORA) environment. Joined by John Edwards, CRNA, we unpack how a real-world quality improvement project at the University of Kentucky Medical Center turned staff frustration into an evidence-based anesthesia workspace redesign.We start with what triggered the change: frontline clinicians describing barriers to optimal patient care, unsafe ergonomics, and a layout that made simple tasks unnecessarily hard. From there, we connect the dots to broader NORA safety expectations, including the American Society of Anesthesiologists guidance on having sufficient space, equipment access, and the ability to reach the patient quickly. Them, the team brings anesthesia staff, interventional radiology personnel, and facilities managers together to redesign the room with minimal disruption.You'll hear the practical interventions that made the difference, like cable management using existing ceiling infrastructure, switching to a more compact anesthesia machine, and repositioning equipment to restore clear access to the patient. The results are striking: smoother movement, less clutter, improved morale, and a dramatic reduction in the distance to the airway. If you work in any NORA location, this is a blueprint for safer anesthesia workflows.Subscribe for more NORA safety and patient safety insights, share this with a colleague who works off-site, and leave a review to help more clinicians find the show.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/311-from-cable-chaos-to-one-step-airway-access/© 2026, The Anesthesia Patient Safety Foundation
What does pain look like in cats? A new Purr Podcast with Dr. Tamara Grubb. Tammy is back for our second episode, and this time we do a deep dive into pain management in cats. Some of the signs are clear enough that even the most casual observer would notice, but cats are masters of concealment, and most of the time they hide their discomfort so well that even devoted owners and experienced clinicians can miss what is right in front of them. We talk about what to look for, how to think about pain assessment across different situations and life stages, and what we can do about it once we actually find it.Thanks for tuning in to the Purr Podcast with Dr. Susan and Dr. Jolle!If you enjoyed today's episode, don't forget to subscribe, rate, and leave us a review—it really helps other cat lovers and vet nerds find the show. Follow us on social media for behind-the-scenes stories, cat trivia, and the occasional bad pun. And remember: every day is better with cats, curiosity, and maybe just a little purring in the background. Until next time—stay curious, stay kind, and give your cats an extra chin scratch from us. The Purr Podcast – where feline medicine meets feline fun.
From the World Congress of Anesthesiologists in Marrakech, TopMedTalk hosts Mike Grocott and Kate Leslie discuss perioperative cardiac risk assessment with Hilary Grocott, Professor and Head of, The Department of Anesthesiology, Pharmacology & Therapeutics (University of British Columbia) and Michelle Chew Professor of Anesthesiology and Intensive Care Medicine at Karolinska Institutet, Stockholm, Sweden, and editor for the British Journal of Anaesthesia. The conversation reviews perioperative cardiac biomarkers, noting abundant prognostic data but limited evidence for biomarker-led management. The discussion emphasizes that elevated troponins can reflect non-cardiac complications (AKI, PE, sepsis) as well as myocardial injury or heart failure, requiring context-specific follow-up pathways. The group highlights NT-proBNP as a specific marker for heart failure and useful for screening and optimization. The podcast then focuses on pulmonary hypertension and failing right ventricle: detect via history, exam, echo, and biomarkers; prioritize preemptive preparation, arterial beat-to-beat monitoring, modest fluids, early vasopressors/inotropes (norepinephrine, low-dose epinephrine), ventilatory optimization, and vigilant, rapid intervention. If you enjoyed this piece there's a fantastic Perioperative Profile with Michelle Chew you can hear here: https://topmedtalk.libsyn.com/perioperative-profiles-professor-michelle-chew-on-seizing-opportunities-in-anaesthesia-research-editing-and-guideline-work -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
The world has the knowledge to make anesthesia safer, but too often it's the basics that are missing where the need is greatest. We're talking about perioperative patient safety in low- and middle-income countries (LMICs), where a smaller share of surgical volume can still carry a massive share of perioperative death and disability. That imbalance isn't inevitable, and it isn't solved by one tool or one training course. It changes when systems change. We walk through the biggest systemic barriers starting with anesthesia workforce shortages and the downstream effects on access, delays, and confidence in care. We also dig into national surgical, obstetric, and anesthesia plans (NSOAPs) and how partnerships with organizations like the World Health Organization and the World Federation of Societies of Anesthesiologists can help countries set targets, build capacity, and track progress. From there, we get painfully practical: monitors, oxygen, essential medicines, and rescue drugs. We discuss the WHO Surgical Safety Checklist, what makes implementation succeed, and why the WFSA International Standards for a Safe Practice of Anesthesia matter as both a minimum safety floor and a roadmap for improvement. We close on a critical question for quality improvement everywhere: how do you build accountability when risk-adjusted outcomes data is hard to collect, and what solutions are most realistic? Subscribe for more anesthesia patient safety conversations, share this episode with a colleague, and leave a review so more clinicians can find the show.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/307-perioperative-safety-in-low-and-middle-income-countries/© 2026, The Anesthesia Patient Safety Foundation
Just Do It: Faith, Fear, and the Bionic BicepIn this episode of Word Time, Coach Shelby returns with a powerful testimony following his recent bicep surgery. Whether it's two new hips or a reattached limb, Coach explores what it means to be "bionic" in the Spirit while dealing with the very real presence of fear.Faith isn't the absence of fear; it's standing on the Word of God when fear shows up to test you. Coach shares a remarkable story from the operating room where his own vulnerability led to a bold witness from a medical professional, proving that there are no excuses for staying silent about Jesus—whether you're in a surgical center or a Walmart.We also tackle the danger of fabricating a God who conforms to our flesh. God isn't your "homeboy" who winks at sin, nor is He a cold judge whose mercy is outmatched by His judgment. We must let the Word of God define who He is, not our emotions or our past mistakes. Join us as we dive into Philippians 4 and learn the "fight" required to enter into God's rest.Key Highlights:The Bionic Man Testimony: Praise for a successful surgery and a "new shell" in progress.Psalms in the Surgery Room: How a bold anesthesiologist silenced fear with the Word.Fabricated Gods: Rejecting the "syrupy sweet" hyper-grace and the "overly harsh" versions of God.The Final Authority: Why we must let the Bible define God's character over our feelings.The Fight for Rest: Breaking down Philippians 4:6-9 and the process of crucifying the flesh.No Excuses: A challenge to be a witness for Christ in every workplace and situation.Key Scriptures:Philippians 4:6-9 – Be anxious for nothing; meditate on things that are true and noble.1 John 4:4 – Greater is He that is in you than he that is in the world.Psalm 23 & 91 – The power of quoting the Word in the face of fear.#JustDoIt #ChristianTestimony #Philippians4 #FaithOverFear #Overcomer #WordTime #CoachForChrist #BionicFaithChapters0:00 - Intro: The Bionic Bicep & Surgery Update1:04 - The "New Shell": Taking Care of the Temple1:44 - Faith vs. Fear: The Operating Room Struggle2:32 - The Anesthesiologist's Witness: Quoting Psalms3:50 - No Excuses: Being a Light at Work4:21 - God is Able: Standing on Final Authority4:53 - The Danger of Fabricated Gods5:58 - Does Mercy Outweigh Judgment? Stop Calling God a Liar7:05 - Philippians 4:6: The Cure for Anxiety7:48 - The Daily Fight: Crucifying the Old Man8:17 - Meditate on These Things: The Philippians 4:8 List8:57 - Being Purposeful with Your Words9:35 - Closing Prayer & Overcomer Encouragement
if you have any feedback, please send us a text! Thank you!When Congress celebrated July 4 by enacting House Resolution 1 (known as H.R. 1 or the “One Big Beautiful Bill Act”), experts warned of massive impacts on Medicaid programs nationwide and the more than 70 million people who rely on them.H.R. 1 cut nearly $1 trillion from Medicaid, the largest funding reduction in the program's 60-year history. The nonpartisan Congressional Budget Office estimates that by 2034, as many as 10 million individuals nationwide will become uninsured as numerous new eligibility rules are imposed in Medicaid and ACA programs.The Medicaid program, known as Medi-Cal in California, covers more than half of the state's children, 2.2 million seniors and people with disabilities, 1 in 5 working Californians, and millions of other people with low incomes. H.R. 1 is expected to cut $30 billion a year in federal funding from Medi-Cal, reducing overall access to care and possibly pushing some safety net providers into dire straits, according to the California Budget and Policy Center. Up to 3.4 million state residents could lose coverage, the center said. As the uninsured population rises, more medical bills will go unpaid, cutting revenue for California's health care safety net.Join my guests today who will explain the impact this will have on rural healthcare in California and the effect on anesthesiology services. Charley Yan is a fourth-year medical student at UC Davis with a background in Medicaid policy. Before medical school, he helped drive California's Medicaid expansion efforts and has since analyzed coverage and safety-net policies across multiple states.Mary Morales is an anesthesiologist at Stanford. She is the current vice chair of the CSA Justice, Equity, Diversity, and Inclusion committee (JEDI). Naileshni Singh (pronounced Na-Lesh-Knee Sing) is a pain interventionalist with a background in Anesthesiology from the University of California, Davis. She is the current chair of the California Society of Anesthesiologist's Justice, Equity, Diversity, and Inclusion committee (JEDI). Resources:https://csahq.org/2025/09/02/federal-funding-cuts-threaten-rural-californias-health-anesthesia-care/https://www.chcf.org/resource/how-massive-federal-cuts-will-create-unprecedented-challenges-medi-cal-patients-providers/
Catastrophic neurologic injury after a routine anesthetic is the kind of signal that stops you in your tracks, and that's exactly why we're talking about new perioperative recommendations for patients with maternal Venezuelan ancestry. We've seen reports of otherwise healthy adults and children who deteriorated after general anesthesia, with sevoflurane appearing repeatedly in the documented events. That pattern has led the American Society of Anesthesiologists and the Society for Pediatric Anesthesia to issue updated guidance aimed at preventing harm while the science catches up. We walk through what clinicians need to know about the suspected mitochondrial link and why maternal lineage matters for risk assessment. We also discuss why a negative family history does not reliably protect a patient and why laboratories must be explicitly alerted to the mutation of interest because it has been historically labeled a normal variant. Then, we get practical: how to screen for maternal Venezuelan heritage with care and sensitivity, how to explain the question without implying anything about immigration status, and how to approach anesthetic planning when definitive genetic testing is unavailable. We cover current thinking on avoiding volatile anesthetics, when regional anesthesia may help, considerations around propofol infusions, processed EEG monitoring, and postoperative observation for return to neurocognitive baseline. If this is helpful, please subscribe, share the episode with your team, and leave a review so more clinicians can find these patient safety updates.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/306-venezuelan-ancestry-anesthesia-alert/© 2026, The Anesthesia Patient Safety Foundation
What happens when a physician realizes she's running all her burners at 110% and something has to change? In this inspiring episode of Rx for Success, host Dr. Randy Cook sits down with Dr. Cindy Van Praag—a board-certified anesthesiologist, integrative medicine physician, health coach, and podcast host of Inspired Mom MDs. Cindy shares her remarkable journey from a childhood fascination with a book called Diseases to a successful career in anesthesia, through periods of burnout, and ultimately to a place of healing and intentional living. She opens up about her transformative experience in the Andrew Weil Center for Integrative Medicine fellowship, how meditation and self-care became non-negotiable, and why she co-founded a ketamine infusion center to help those with treatment-resistant depression and chronic pain. Along the way, she offers practical wisdom on setting boundaries, listening to your inner voice, and crafting a life that fits—not the other way around. Key Topics Discussed: Growing up moving across the country and how it shaped comfort with change. The book Diseases as a childhood treasure and early sign of a medical calling. The career counselor who said, "You absolutely should apply to medical school." Why anesthesia? Peeking over the surgical drape and finding the "cool, calm" people. The natural segue from anesthesia to integrative medicine and coaching. Cindy's personal journey through burnout: losing her mother, raising young kids, and pushing 110%. How the Andrew Weil fellowship taught self-care as part of the curriculum. The power of meditation and breath work—starting with just a few minutes. Learning to set boundaries with patients and saying no without guilt. Co-founding Spring Center of Hope: a ketamine infusion therapy center for depression, suicidal ideation, and chronic pain. Why low-dose ketamine is radically different from the doses used in operating rooms. Launching Inspired Mom MDs podcast and why the lessons apply to everyone, not just physician moms. Cindy's three prescriptions for success: focus on what matters, release what you can't control, and listen to your inner voice. Guest Information: Dr. Cindy Van Praag, MD – Anesthesiologist, Integrative Medicine Physician, Health & Wellness Coach Podcast: Inspired Mom MDs Website: inspiredmommds.com LinkedIn: Cindy Van Praag Relevant Links: MD Coaches: mymdcoaches.com Companion videocast: Life-Changing Moments with Dr. Dale Waxman Andrew Weil Center for Integrative Medicine Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon | Spotify --- There's more at https://mymdcoaches.com/podcast Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com
The transition from a high-earning career to retirement might hide a major—and expensive—cliff. When it comes to managing your health insurance after you stop practicing, it can seem like there are a million moving pieces, and the rules of the game just changed for 2026. While the open market offers flexibility, it also introduces a sharp cutoff for financial help: if your income is just one dollar over the limit, you could lose your entire tax credit, costing your family $18,000 a year. In this episode, Nate Reineke and Chelsea Jones break down how these health insurance subsidies work, what actually counts as income toward that "cliff," and how doctors like you can strategically structure your portfolio to secure massive savings on your monthly bills without sacrificing your lifestyle. We also play another round of “ Asking for a Friend,” and we answer your colleagues' questions. A Vascular Surgeon in Connecticut asks, “We currently have another $60k of extra money. We will need most of it for maintenance and upgrades on our home in the next 2-3 years, but don't need it immediately. With the market the way it is, should we put 60,000 as a lump sum into our taxable account?” An Anesthesiologist in New York says, “I just surrendered my WL insurance policy, and while I am glad you were able to finally help me break free from the high monthly premiums, now I need to know what to do with the cash I recently got out of the policy. What should I do with the money?” Are you ready to turn worries about taxes and investing into a plan for college and retirement? If you're evaluating your options and want to learn more, visit physicianfamily.com and click 'Get Started,' or you can ask a question of your own by emailing podcast@physicianfamily.com. See marketing disclosures at physicianfamily.com/disclosures
"POCUS Spotlight: Point-of-Care Ultrasound for the Obstetric Anesthesiologist." From ASRA Pain Medicine News, February 2026. See the original article at www.asra.com/february26news for figures and references. This material is copyrighted.Support the show
In this episode, Dr. Arash Motamed, Anesthesiologist and Medical Director of Sustainability with Keck Medicine of USC, shares how his team successfully eliminated nitrous oxide use, highlighting its environmental impact, the path to clinician alignment, and broader opportunities to reduce healthcare waste and emissions.
In this episode, Dr. Arash Motamed, Anesthesiologist and Medical Director of Sustainability with Keck Medicine of USC, shares how his team successfully eliminated nitrous oxide use, highlighting its environmental impact, the path to clinician alignment, and broader opportunities to reduce healthcare waste and emissions.
In this episode, Dr. Arash Motamed, Anesthesiologist and Medical Director of Sustainability with Keck Medicine of USC, shares how his team successfully eliminated nitrous oxide use, highlighting its environmental impact, the path to clinician alignment, and broader opportunities to reduce healthcare waste and emissions.
What actually happens when a US-trained physician packs up and moves their practice to another country? In this episode, we sit down with Dr. Brock Andreatta, an anesthesiologist who has spent the last 11 years splitting his practice between the United States and the United Kingdom. Dr. Andreatta walks us through the year-long credentialing process required to practice in the NHS, the day-to-day differences in the OR, from anesthetic rooms to team briefs to the complete absence of billing codes, and what a nationalized healthcare system really looks like from the inside. Whether you're a med student curious about international medicine or just want an inside perspective of the NHS vs. the US healthcare system, this one is for you.Episode produced by: Griffin K JohnsonEpisode recording date: 01/27/2026www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate
If you have a tax-inefficient portfolio, it can be like swimming with a giant t-shirt on. You can do it, but there is a lot of unnecessary drag. Nate Reineke and Kyle Hoelzle break down what tax drag in a portfolio means and how physicians like you can reduce it. We also discuss what kind of funds cause the most drag and a better alternative to replace them with. We also answer your colleagues' questions. An Anesthesiologist in New York says, “I have a whole life policy, and my agent told me it now 'pays for itself. ' Does that mean I should keep it?” Another doc asks, “I am not really looking to change up my portfolio, but can you tell me why I shouldn't be buying things like gold or Bitcoin?” Are you ready to turn worries about taxes and investing into a plan for college and retirement? If you're evaluating your options and want to learn more, visit physicianfamily.com and click 'Get Started' or you can ask a question of your own by emailing podcast@physicianfamily.com. See marketing disclosures at physicianfamily.com/disclosures
The case of Arielle Konig continues. Gerhardt Konig, who was an anesthesiologist in Maui is on trial in Honolulu, accused of trying to kill his wife during a birthday hike on Oahu, while jurors hear two sharply different versions of what happened on the Pali Puka trail. A veteran Florida deputy resigned after investigators found she was selling fetish content online, including at least one video where she appeared in her law enforcement uniform. A Florida driver sparks a minor kerfuffle along a busy interstate hauling what appeared to be missiles through traffic, prompting multiple 911 calls and a swift response from troopers near Plant City. Drew Nelson reports.See omnystudio.com/listener for privacy information.
Private Generative AI for Anesthesiologists: Part 2"From Plug-and-Play to Agentic AI: Three Ways to Build Your Private Generative AI." From ASRA Pain Medicine News, February 2026. See the original article at www.asra.com/february26news for figures and references. This material is copyrighted. Support the show
Episode 340 hosts Dr John Leonardo (Cosmetic Physician from Toronto, Canada) John joins us in the 32nd chapter of our series called 'The Injector Diaries'. These episodes feature in depth conversations, stories and experiences from injectors around the globe. Each injector brings their own unique take on things and we showcase every level of type of injector, from newbies to masters. We'll explore how and why they chose to inject, why they favour using certain products, look under the hoods of their clinics and aim to inspire our injector listeners. 00:00 Introduction 01:27 IA Community App Preview 02:15 Special Guest: Dr John Leonardo 02:33 From DJ to Anesthesiologist 08:16 PRP Results and Patient Selection 11:49 Canadian Aesthetics Trends 15:43 Practice Mix - Sexual Aesthetics 24:55 Exosomes and Hair Growth 29:24 Filler Anxiety and Technique 35:56 Ethics of Exosomes 37:48 Stocking New Products 43:35 Sculptra vs Radiesse Strategy 45:57 Skin Boosters vs Topicals 47:59 Male Sexual Aesthetics 101 49:20 Stigma and Market Reality 57:06 Provider Fit and Corrections 01:02:14 Longevity Advice and Wrap ALL IA LINKS & CONTACT INFORMATION JOIN THE WAITING LIST FOR IA COMMUNITY (OUR NEW APP)
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
Kate Leslie and Andy Cumpstey join special guests at the British Journal of Anaesthesia's annual meeting in Dublin, Ireland. The discussion focuses on the experiences and motivations of three BJA editorial fellows; Allison Janda, Anesthesiologist and Assistant Professor at the University of Michigan; Brett Doleman, clinical academic and anaesthetist from the University of Nottingham; and Christina Boncyk, critical care anesthesiologist and Associate Professor at Vanderbilt University Medical Center in Nashville, Tennessee. The conversation delves into their roles, the peer review process, and the mentorship that shapes their contributions to medical science. They emphasize the importance of constructive feedback, scientific rigor, and encouraging participation from new reviewers. The episode underscores the professional growth afforded by editorial roles and highlights ways to enhance the author and reviewer experience in academic publishing.
In hour three, Mark and Melynda discussed J.D Vance's statements regarding information of a motive from Thomas Crooks. Also, an Anesthesiologist who was caught stealing prescription drugs from his patients for his own use.See omnystudio.com/listener for privacy information.
You've worked and saved your whole career to have the best retirement possible. Now that you are close to retirement, what actually needs to change? Nate Reineke and Chelsea Jones answer questions from physicians like you, breaking down exactly that. A Gastroenterologist in Washington asks, “As I get closer to retirement, I'm realizing that spending down my investments is very different from building them up. What are the most important things to focus on with retirement right around the corner?” A Neurosurgeon in New York says, “If I am at the top marginal tax bracket now and intend on spending enough in retirement that we keep me at the highest tax bracket then, should I still contribute to a pre-tax 401k?” An Anesthesiologist in California wonders, “When should I take Social Security? I have always assumed age 70, but are there benefits of taking it earlier?” A Dermatologist in Texas asks, “What if we put most of our money in stocks but just keep a few years of cash on the side so we don't have to sell when the market is down? Does that actually make things safer?” Are you ready to turn worries about taxes and investing into all the money you need for college and retirement? It's time to make a plan and get on track. To find out if we're a match visit physicianfamily.com and click get started or, you can ask a question of your own by emailing podcast@physicianfamily.com. See marketing disclosures at physicianfamily.com/disclosures
Send us a textVivek Paul is a highly skilled Cardiac Perfusionist with a strong academic and clinical background in cardiovascular perfusion science. He completed his Bachelor's degree in Cardiac Perfusion Technology from the prestigious Narayana Hrudayalaya Institute of Cardiac Sciences. His professional journey has equipped him with extensive hands-on experience in conducting cardiopulmonary bypass for both adult and pediatric cardiac procedures, including minimally invasive cardiac surgeries. He is confident in operating a wide range of heart–lung machines and extracorporeal life support systems such as IABP and ECMO.Vivek is the Founder of the Global Perfusion Community, a fast-growing professional network of perfusionists with over 15,000 followers across Instagram and LinkedIn, dedicated to education, collaboration, and career growth in perfusion technology. In addition to his clinical expertise, he is also an accomplished author of several perfusion-focused books, including Perfusion Emergency & Problems and the Quick Review ECMO Handbook, reflecting his deep commitment to continuous learning and knowledge sharing.He is passionate about mentoring students and junior perfusionists and actively contributes to the profession through leadership roles. Vivek serves as an Executive Committee Member of the Indian Society of Extracorporeal Technology (ISECT) and the Association of Clinical Perfusionists in Maharashtra, India, where he works toward improving education standards, professional development, and patient safety in cardiac perfusion practice.Learn about career options from the people doing it
Send us a textDr. Christopher Netzel is a returning guest on our show! Be sure to check out his appearance on episode 644 of BBR!Dr. Christopher Netzel is board certified in pain medicine and anesthesiology, practicing at Costal Health Specialty Care in Jacksonville, FL.His medical residency in anesthesiology was completed at University of Wisconsin Hospitals and Clinics in Madison. Dr. Netzel is a member of a number of medical associations, including the North American Neuromodulation Society, the American Society of Regional Anesthesiologists, the American Society of Anesthesiologists, and the Wisconsin Medical Society, among others.Dr. Netzel utilizes whole-food, low-carbohydrate, healthy fat, and ketogenic diets as a component of a multidisciplinary approach to address metabolic syndrome within the context of chronic pain. Through this approach, improvements in many types of pain have been observed, likely due to weight control, decreased inflammation, enhanced glycemic control, and potentially improved neuronal function.Furthermore, Dr. Netzel has successfully assisted patients in reducing or ceasing their usage of diabetic and hypertensive medications, achieving better sleep quality, experiencing reduced heartburn, and overall enhanced well-being.Find Dr. Netzel at-https://coastalhealth.com/physician/christopher-netzel/IG- @ketopaindochttps://www.dietdoctor.com/low-carb/doctor/chris-netzelFind Boundless Body at- myboundlessbody.com Book a session with us here!
CONNECT WITH JULIE MATTSON:• Website: https://pushinguplilies.com• Facebook: https://www.facebook.com/pushinguplilies
if you have any feedback, please send us a text! Thank you!Today's episode features a truly special conversation with Dr. Diana Ramos, California Surgeon General, and Dr. Calvin Johnson, Professor of Anesthesiology—both dedicated advocates for improving maternal health.Dr. Ramos is a distinguished public health leader who earned her medical degree from the Keck School of Medicine at USC and completed her OB-GYN training at the LA County–USC Medical Center. She also holds a Master of Public Health from UCLA and an MBA from the UC Irvine Paul Merage School of Business. Dr. Ramos has received numerous honors, including the Latino Spirit Award for Achievement in Public Service (2024) and the Public Health Leadership Award (2025) from All Children Thrive. She is deeply passionate about reducing maternal morbidity and mortality in California and across the nation, as well as improving health outcomes for children.Dr. Johnson is a Professor of Anesthesiology at Cedars-Sinai Medical School in Los Angeles. He is triple board-certified in Anesthesiology, Pediatric Anesthesiology, and Pain Medicine. He is an active member of the California Society of Anesthesiologists and serves on the California Pregnancy-Associated Review Committee.Maternal mortality remains a critical issue, with an incidence of 33 per 100,000 births in the United States and 15 per 100,000 in California. What are the most common causes of maternal mortality? How many of these deaths are preventable? What factors increase the risk of morbidity and mortality, and how have anesthesiologists played a role in reducing these risks?In this episode, Drs. Ramos and Johnson discuss why maternal mortality persists, current incidence rates, and what can be done to address this urgent issue. They also explore Adverse Childhood Experiences (ACEs) and their impact on children's immediate and long-term health. Together, they emphasize the critical importance of collaboration across multiple specialties—including public health, nursing, community medicine, and preconception and prenatal care—to improve outcomes for mothers and children.Selected Resources:https://osg.ca.gov/https://osg.ca.gov/aces-in-youth/https://osg.ca.gov/prema/
About our Guests: Dr. Alexis Bragg is a Clinical Associate Professor of Anesthesiology and Pediatrics at Keck School of Medicine of USC in Los Angeles.Dr. Chinyere Egbuta is a Senior Associate in Anesthesiology and Critical Care Medicine at Boston Children's Hospital and Assistant Professor of Anesthesia at Harvard Medical School.Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine in Baltimore.Learning Objective:By the end of this podcast series, listeners should be able to discuss:An expert approach to the peri-intubation management of the critically-ill child, including pre-oxygenation, apneic oxygenation +/- PPV, & the use of neuromuscular blockadeStrategies using direct vs. video laryngoscopy in academic PICUsRecognize the need and discuss potential strategies for ongoing maintenance of airway management skillsQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
Investor Fuel Real Estate Investing Mastermind - Audio Version
In this conversation, Dr. Tudor Francu shares his unique journey from being a medical professional to becoming a successful real estate investor. He discusses the challenges and learning curves he faced, the importance of networking, and the balance between work and personal life. Dr. Francu also emphasizes the significance of learning from failures and maintaining consistency in efforts towards success. He highlights his podcast, Stellar Success, aimed at guiding medical professionals interested in real estate investing, and shares insights on achieving financial freedom while enjoying life. Professional Real Estate Investors - How we can help you: Investor Fuel Mastermind: Learn more about the Investor Fuel Mastermind, including 100% deal financing, massive discounts from vendors and sponsors you're already using, our world class community of over 150 members, and SO much more here: http://www.investorfuel.com/apply Investor Machine Marketing Partnership: Are you looking for consistent, high quality lead generation? Investor Machine is America's #1 lead generation service professional investors. Investor Machine provides true 'white glove' support to help you build the perfect marketing plan, then we'll execute it for you…talking and working together on an ongoing basis to help you hit YOUR goals! Learn more here: http://www.investormachine.com Coaching with Mike Hambright: Interested in 1 on 1 coaching with Mike Hambright? Mike coaches entrepreneurs looking to level up, build coaching or service based businesses (Mike runs multiple 7 and 8 figure a year businesses), building a coaching program and more. Learn more here: https://investorfuel.com/coachingwithmike Attend a Vacation/Mastermind Retreat with Mike Hambright: Interested in joining a "mini-mastermind" with Mike and his private clients on an upcoming "Retreat", either at locations like Cabo San Lucas, Napa, Park City ski trip, Yellowstone, or even at Mike's East Texas "Big H Ranch"? Learn more here: http://www.investorfuel.com/retreat Property Insurance: Join the largest and most investor friendly property insurance provider in 2 minutes. Free to join, and insure all your flips and rentals within minutes! There is NO easier insurance provider on the planet (turn insurance on or off in 1 minute without talking to anyone!), and there's no 15-30% agent mark up through this platform! Register here: https://myinvestorinsurance.com/ New Real Estate Investors - How we can work together: Investor Fuel Club (Coaching and Deal Partner Community): Looking to kickstart your real estate investing career? Join our one of a kind Coaching Community, Investor Fuel Club, where you'll get trained by some of the best real estate investors in America, and partner with them on deals! You don't need $ for deals…we'll partner with you and hold your hand along the way! Learn More here: http://www.investorfuel.com/club —--------------------
Moderator: James P. Rathmell, M.D. Participants: Mark Bicket, M.D., Ph.D. and Lynn Kohan, M.D. Articles Discussed: Trends in Use of Medications for Opioid Use Disorder among Commercially Insured U.S. Surgical Patients, 2016-2022 Rising Treatment for Substance Use Disorder Presents New Challenges for Anesthesiologists as Perioperative Medicine Specialists Transcript
About our Guests: Dr. Alexis Bragg is a Clinical Associate Professor of Anesthesiology and Pediatrics at Keck School of Medicine of USC in Los Angeles.Dr. Chinyere Egbuta is a Senior Associate in Anesthesiology and Critical Care Medicine at Boston Children's Hospital and Assistant Professor of Anesthesia at Harvard Medical School.Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine in Baltimore.Learning Objective:By the end of this podcast series, listeners should be able to discuss:An expert approach to the peri-intubation management of the critically-ill child including pre-oxygenation, apneic oxygenation +/- PPV, & the use of neuromuscular blockadeStrategies using direct vs. video laryngoscopy in academic PICUsRecognize the need and discuss potential strategies for ongoing maintenance of airway management skillsQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
In this 324th episode I welcome Dr. Bridget Marroquin to be our 10th Master Clinician. We discuss her switch from OB/Gyn to Anesthesiologist and her accumulated wisdom about OB Anesthesiology. Our Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/accrac50off* Check out Quince: https://quince.com/ACCRAC* Check out Truelearn: https://tinyurl.com/ACCRACTLAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Blue is out this week, and Old Ninja is still mute. This week we talk about Jiu Jitsu, Prodigy has a Colonoscopy experience, Anesthesia, prostates, Video Game Awards, battle passes, DLC, Metroid Prime 4 Beyond, Baldur's Gate 3, Saints Row, God of War, Uncharted, The Golden Eggplant Awards, Wicked, Surviving Diddy, and more! Come follow us: http://www.beenhadproductions.squarespace.com/bthanbti SoundCloud: https://soundcloud.com/bthanbtiI Facebook: https://www.facebook.com/BthanBTI/ Twitch: https://www.twitch.tv/bthanbti Twitter: @BthanBTI iTunes: https://itun.es/i6SJ6Pw YouTube: https://www.youtube.com/c/BlackerThanBlackTimesInfinity Rescue + Residence https://www.rescueresidence.org/ Donate: https://www.givebutter.com/R_R_Champions
This Week on Dopey! We are joined by Oro Recovery Medical Director - Dr. Jason Giles! We also read old comments and hear from a few dopes in the dopey nation. Then Dave interviews Dr. Giles—twice board-certified in addiction medicine (via ABAM then ABPM), previously board-certified in anesthesiology and pain medicine, and a recovering opioid addict. He grew up in Santa Monica with a severely alcoholic father, fell into the second-wave ska/mod scene (Vespa, sharkskin suits, amphetamines), dropped out of high school, then clawed his way through community college to Berkeley, volunteering at the Berkeley Free Clinic and falling in love with medicine.He explains anesthesia's demands (no pain, no memory; muscle relaxants; airway control), the human connection of pediatric anesthesia, and the hope-work of pain management. In 1999, curiosity and stress led him to divert fentanyl: he edited paper records, carried a 2 mL syringe for a month, then IV-used with sterile technique. After a six-week gap he used again, convincing himself he could “handle it.” Use escalated to daily “after work,” leaving him in daytime withdrawal. The department chair paged him about missing fentanyl; instead of punishment, he offered help and a path into California's 5-year diversion program (treatment, meetings, testing). Giles detoxed cold turkey, went to AA (first meeting mostly doctors), found he wasn't unique, and built long-term sobriety (nearly 26 years by his telling), learning service and vulnerability through treatment feedback groups.With sobriety he finished residency, married, had a son, worked in cardiac anesthesia and pain, and then moved into addiction treatment (Malibu), where his science and lived experience met the work. He and Dave range widely: purpose/mission as a recovery engine; Bill W., boomerangs and ants; truth-serum myths; Halsted (cocaine→heroin), Freud letters, Hitler's amphetamines/opioids (book Blitzed), kratom (mixed withdrawal profiles), benzos vs. opiates (benzo withdrawal = fear), intraoperative awareness & memory, Suboxone vs. abstinence (cast/training-wheels framing), fentanyl's dominance (counterfeit pills; heroin now rare), and whether fentanyl appears in non-opioid street drugs (he says he's seen it). ALL THAT AND MUCH MORE ON A BRAND NEW EPISODE OF THAT GOD OLD DOPEY SHOW! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Otto E. Stallworth, Jr, MD, MBA, an anesthesiologist and then a cosmetic surgeon, was born and raised in Birmingham, Alabama during the 1940s, fifties and sixties. He crossed the Alabama state line for the first time at sixteen to attend college and was the first college graduate in his family. This was followed by a medical degree at 24 and later an MBA outside of medicine. He has had several businesses, including Oh Yes! Management and Hollywood Fries Restaurant. In 2022, he began the Stallworth Oh Yes! Foundation, which has awarded four-year full scholarships to students at Howard University and Meharry Medical College in Nashville, Tennessee, his alma maters. He published his memoir in 2023. Look soon for his first murder mystery. "When I got into med school, it was even better than anything I could imagine. Every day was a new adventure because you learn about all these different diseases and study the human body. Studying all of this was very intriguing. As a child I just wanted to have this skill to be able to help people. You see someone that is sick and think about if you could cure them or help them get cured or give them the right advice–that seemed like an amazing and very powerful thing."