Podcasts about Aneurysm

Resources:  Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext  KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/    Venous Hypertension   Definition A functioning AV circuit delivers high volume arterial flow towards a stenotic venous segment, causing buildup in pressure and venous hypertension. If there are few or no branching veins between the access and stenosis, thrombosis could occur   Etiology The most common etiology is venous stenosis caused by a history of vessel wall trauma by centrally-inserted venous devices such as tunneled and non-tunneled dialysis catheters, central lines, pacemakers, or defibrillator. In a study performed at a large academic medical center1, new hemodynamically significant central venous stenosis was associated with the duration of catheter dependence (26% in patients with CVCs for more than 6 months, versus 11% in patients with CVCs for less than 6 months). PICC lines can directly damage cephalic and basilic veins Venous stenosis can often go undetected until AV access creation occurs   Patient Presentation Symptoms of venous insufficiency will be present– most commonly regional edema, in the area of venous stenosis. If there are patent venous branches between the AV anastomosis and the stenotic area, swelling can occur throughout the arm. Pigmentation, induration, dermatosclerosis, and ulceration may also be observed. An extensive collateral network of veins may be visible throughout anterior chest, shoulder, or flank SVC obstruction can result in swelling of the head, neck and shoulders, as well as a feeling of head and neck fullness, airway compromise, and visual problems Normal palpable thrill can be replaced by a strong pulse Dialysis can be complicated by difficulty with needle access, recirculation syndrome, and arm swelling after dialysis sessions. Workup  Central vein thrombosis can be hard to detect on ultrasound because clavicle and sternum can block transmission Venography is essential to determine the presence and severity of venous stenosis or occlusion.   Prevention The ideal scenario is to avoid central dialysis catheters completely, and this involves evaluating CKD patients and placing AVF or AVG before the need for dialysis arises.  If a patient presents placement of an AVF/AVG, it is important to perform venography if a patient has a history of a central venous catheter or clinical signs of venous hypertension. A history of SVC obstruction from any cause can preclude permanent AV access creation in both upper extremities Treatment Endovascular approaches to venous outflow stenosis can be first-line treatment options, due to their minimal risk. They can also be performed at the same time as a diagnostic venogram. Angioplasty alone or with stenting are the endovascular options. In a study by Bakken et al2 that compared primary high-pressure balloon angioplasty versus stenting, primary patency was equivalent between groups, with 30-day rates of 76% for both groups and 12-month rates of 29% for angioplasty and 21% for stenting. Assisted primary patency was also equivalent with a 30-day patency rate of 81% and 12-month rate of 73% for the angioplasty group,  84% at 30 days, and 46% at 12 months for the stenting group. This study, along with others, shows that the major downside of endovascular interventions, whether angioplasty or stenting, often require repeat intervention and have poor long-term patency. For subclavian vein stenosis, angioplasty alone is appropriate due to its anatomical location that can put a stent at risk for extrinsic compression from the first rib and clavicle. Surgical bypass can be performed Possible bypasses include axillary-axillary, axillary-jugular, axillary-right atrial, and axillary-femoral. In these bypasses, the preferred conduits are autogenous saphenous or femoral veins. In cases where the proximal subclavian vein is obstructed, a jugular vein turndown can be performed. In this procedure the distal jugular vein is transected, sewed end-to-side at the distal subclavian vein, effectively acting as a bypass route for that obstructed segment. The Hemoaccess Reliable Outflow (HeRO) Vascular Access Device can be used as a hybrid approach, combining endovascular and open surgical techniques to bypass a central venous occlusion  and provide a reliable outflow for dialysis.  This device has a PTFE inflow limb that is sewn end-to-side onto the brachial artery. This limb is tunneled subcutaneously and connected to a silicone-coated nitinol outflow catheter that is inserted into a central vein and tracked directly into the right atrium. This effectively bypasses central venous stenoses. In the largest study to date on HeRO access grafts placed in 167 patients,3 HeRO primary and secondary patency was 48.8% and 90.8%, respectively, at 12 months. Interventions to maintain or re-establish patency were required in 71.3% of patients resulting in an intervention rate of 1.5/year. Access-related infections were reported in 4.3% patients. The authors concluded that HeRO device had performed comparably to standard AVGs and had proven superior to tunneled dialysis catheters in terms of patency, intervention, and infection rates. If no treatment options for venous hypertension or outflow obstruction  are available, an alternate AV access site can be created, either in the contralateral arm if the SVC is uninvolved, or through placement of femoral AV access or a peritoneal dialysis catheter.   Bleeding Access Site   Etiology and Risk Factors Bleeding can be caused by high venous pressure after dialysis, pseudoaneurysm rupture, or trauma. Patients with end stage renal disease (ESRD) have a baseline elevated risk of bleeding due to uremia-induced platelet dysfunction and use of systemic anticoagulation within the hemodialysis circuit. Additional risk factors include dialysis through an AV graft, hypertension, longer duration of access use, and compromised integrity of the vascular access due to complications (clotting, infection) or invasive procedures. Dual antiplatelet therapy is also associated with overall bleeding events in ESRD patients. Dialysis patients could be on antiplatelet therapy for management of comorbid cardiovascular risk and/or patency of AV graft Patients with bleeding fistulas often present from their dialysis unit when standard digital pressure at the cannulation site fails to stop the bleeding. This is a very serious condition since most mature fistulas have high blood flow and the patients are at risk for hemorrhagic shock and death.    Initial Management  The first step of management is to obtain hemostasis. Elevate the limb above the level of the heart and apply firm and directed pressure at the site of bleeding using gauze for at least 30-40 minutes Milosevic et al4 reviewed non-operative management of bleeding fistulas and grafts and found that compared to standard dressings, the use of specialized hemostatic dressings decreased bleeding time at arterial and venous cannulation sites. These hemostatic materials included the IRIS compression bandage and cellulose-based, chitosan-based, poly-N-acetyl glucosamine-based, and thrombin-soaked dressings. There has been a “bottlecap method” described where the hollow side of a bottlecap is pressed on top of the puncture site. Maintaining pressure on the cap will cause the cap to fill with blood and clot, which tamponades the bleeding. The provider can also place a shallow figure-of-8 or purse string stitch just below the skin surface to aid in hemostasis. It is important to avoid placing the suture too deep as this can cause inadvertent fistula ligation. During this process, an assistant applies pressure just proximal and distal to the bleeding site to stop blood flow so the sutures can be placed. If these methods fail to achieve hemostasis, apply a tourniquet proximal to the fistula and tighten it until bleeding stops and the radial pulse is lost. This signifies complete occlusion of arterial inflow to the fistula. Tourniquet use should be limited to 3 hours or less, since limb ischemia beyond this timepoint is associated with permanent neuromuscular damage. Regardless of the method used for initial hemostasis, the patient is at risk for repeat hemorrhage, hematoma formation, vessel stenosis, and thrombosis. They should be evaluated by a vascular surgeon as soon as possible.  Definitive Management Definitive management depends on etiology of each case, and there are a variety of interventions that can be pursued (i.e. aneurysmorrhaphy for aneurysmal bleeding) If skin erosion over the conduit is present, it should be assumed that the AV access is infected and emergency intervention should be pursued. A jump graft can be placed through with healthy tissue.  A covered stent could be introduced through a separate percutaneous puncture site Finally, coagulopathy can be addressed by administering cryoprecipitate, DDAVP, erythropoietin, estrogen, tranexamic acid. Aneurysms and Pseudoaneurysms   Definition and Etiology Aneurysms involve all three layers of the vessel wall and they develop due to hemodynamic changes causing remodeling of the vein wall in an AV fistula. This is necessary for vein maturation, but becomes problematic if the post-anastomotic vein continues to dilate and becomes aneurysmal.  Aneurysms can also occur at anastomosis sites due to technical aspects of the surgery. Pseudoaneurysms only involve some layers of the vessel wall caused by repeated puncture for hemodialysis.  Both aneurysms and pseudoaneurysms can enlarge due to venous outflow stenosis causing increased intraluminal pressures. Both true aneurysms and pseudoaneurysms can lead to overlying skin erosion and subsequent hemorrhage, pain, AV access dysfunction, and cannulation difficulties.  Dialysis cannulation should be avoided at the aneurysmal sites to prevent bleeding complications. Diagnosis They can be diagnosed on ultrasound, which also provide information on flow rates, presence inflow/outflow/stenoses, and vessel diameters.  Indications for Treatment Treatment is indicated for aneurysms that are rapidly expanding or ulcerating through the skin surface. These are at high risk for rupture and hemorrhage, which is life-threatening. Treatment is also indicated when the aneurysm occurs at the anastomotic site of the AV fistula, the patient has a cosmetic concern, cannulation becomes difficult, there is concern for infection, or the patient has high-output heart failure that could be exacerbated by high flow through the fistula. Treatment is not indicated in asymptomatic aneurysms, regardless of their size. True  aneurysms and pseudoaneurysms are not prone to spontaneous rupture.   Treatment Options Aneurysmorrhaphy is the most common treatment. It involves the resection of the aneurysmal vein wall to restore a normal diameter and removal of excess skin. Anastomosis is performed along the lateral wall to prevent issues with cannulation along the suture line. Aneurysm resection with interposition grafting is also possible. If multiple aneurysmal segments require treatment, staging their repairs can allow for continuation of dialysis without needing to place a temporary dialysis catheter. AV access ligation is an appropriate alternative to AV access salvage in certain situations but usually requires excision of the aneurysm/pseudoaneurysm due to the potential to develop thrombophlebitis and the cosmetic appearance of the thrombosed segment. If there is concern for an infected pseudoaneurysm or aneurysm, surgery should include removal of all infected material. References   1. Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De Novo Central Vein Stenosis in Hemodialysis Patients Following Initial Tunneled Central Vein Catheter Placement. Kidney360. 2022;3(1):99-102. doi:10.34067/KID.0005202021 2. Bakken AM, Protack CD, Saad WE, Lee DE, Waldman DL, Davies MG. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007;45(4):776-783. doi:10.1016/j.jvs.2006.12.046 3. Gage SM, Katzman HE, Ross JR, et al. Multi-center Experience of 164 Consecutive Hemodialysis Reliable Outflow [HeRO] Graft Implants for Hemodialysis Treatment. Eur J Vasc Endovasc Surg. 2012;44(1):93-99. doi:10.1016/j.ejvs.2012.04.011 4. Milosevic E, Forster A, Moist L, Rehman F, Thomson B. Non-surgical interventions to control bleeding from arteriovenous fistulas and grafts inside and outside the hemodialysis unit: a scoping review. Clin Kidney J. 2024;17(5):sfae089. doi:10.1093/ckj/sfae089

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Andrew Davie had a ruptured brain aneurysm in 2018 and since then became a caregiver for his mother when she had ALS and got a clinical mental health counseling degree. Website: https://andrew-davie.com/ Facebook: https://www.facebook.com/adavieauthor Instagram: https://www.instagram.com/adavieauthor/ X: https://x.com/adavieauthor Youtube: https://www.youtube.com/channel/UCoD6KnuwCxeE87tekFMc_PQ You may also contact him through email, Jamesperduespeaks@comcast.net

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High risk factors for stroke such as smoking and blood pressure are not equally represented throughout the patient population. These are just two of the socioeconomic influences on cerebrovascular disease. One way to view this association is through the lens of the Area Deprivation Index (ADI), a measure of neighbourhood-level deprivation, and this was the approach of the study discussed in this episode. The study evaluated the association between the ADI and the treatment of ruptured intracranial aneurysms compared with unruptured intracranial aneurysms across multiple centres. Editor-in-Chief of JNIS, Dr. Felipe C. Albuquerque, interviews Dr. Alexandra Paul¹, author of the paper: Multicenter study of association between socioeconomic status and treatment of ruptured cerebral aneurysms compared to unruptured cerebral aneurysms: insights from 4,517 patients using the area deprivation index   1. Department of Neurosurgery, Albany Medical Center, Albany, New York, USA   Please subscribe to the JNIS podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/4aZmlpT) or Spotify (https://spoti.fi/3UKhGT5). We'd love to hear your feedback on social media - @JNIS_BMJ.

On this episode of the PTA Elevation Podcast, host Dr. Briana Drapp, PT, DPT, PTA, CSCS goes over the important things to know about Aneurysms when studying for the NPTE. At the end of this episode, Briana provides and reviews a sample question that helps students get a feel for how this subject will be asked on the NPTE - PTA. Tune in to learn more!Come to the review session on June 22nd and 29th! https://ptaelevation.com/last-minute-reviewCheck out our FREE stuff!: https://ptaelevation.com/freebiesWebsite: https://www.ptaelevation.com/Join our FB group for FREE resources to help you study for the exam!  https://www.facebook.com/groups/382310196801103/If you're interested in our prep course, check it out here: https://ptaelevation.com/the-600-plus-systemFollow us on our other platforms! https://www.ptaelevation.com/linktree

The HOBI Gang consists of only Bryan, Jason and Jeff but that doesn't mean they lack content! The guys are talking the new comic book Exquisite Corpses, review In the Dark podcast, review several tabletop games, and draft a new Street Fighter film! Plus George R.R. Martin is starting new projects while the Winds of Winter still is unfinished, Lilo and Stitch rule the box office, Jeff ranks Mission: Impossible films and list Top Five Films That Make You Happy. This episode is sponsored by the Cincinnati Comic Expo.

There's a lot going on this morning! Jackie's still not back, but we do have someone keeping her seat warm... Kyle has an update on his brain aneurysm and a lot to tell about his movie debut! Have a listen for all the details...See omnystudio.com/listener for privacy information.

How do we teach children to have grit? That's what the Government is suggesting needs to be a new focus in schools, to bolster children's mental health. To discuss how parents can help their children develop resilience, Anita Rani is joined by Sue Atkins, parenting coach and author of Parenting Made Easy and child psychologist Laverne Antrobus.We are currently hearing different perspectives on the recent Supreme Court ruling on the definition of a woman under the Equality Act, and how it could and should be interpreted on the ground. Today Anita speaks to Sacha Deshmukh, Chief Executive of Amnesty International UK.At age 20, actor Sam Ipema was diagnosed with a brain aneurysm. Her highly successful play, Dear Annie, I Hate You details this experience and is currently on at Riverside Studios in London. She joins Anita Rani and neurologist Dr Faye Begeti to discuss.Founder of the Everyday Sexism project, Laura Bates, has been looking into artificial intelligence.  Laura argues that existing forms of discrimination are being enforced by AI through historic coding, prioritising profitability at the expense of women's safety and rights. But also worrying is how simple it is for AI to enable users to create deepfake or AI girlfriends, that can perpetuate the abuse of women. Presenter: Anita Rani Producer: Rebecca Myatt

Celebrate Nurses Week starting May 6, 2025! Sign up now at ReMarnurse.com/NursesWeek   In this engaging video, Professor Regina Callion, MSN, RN, discusses the critical NCLEX safety points regarding aneurysms. We'll explore what an aneurysm is and why it's crucial for nursing students to understand this topic. Discover the various types of aneurysms, including cerebral, abdominal, and thoracic, and learn how to identify high-risk individuals who need immediate attention.   We'll dive into the underlying causes, such as genetic factors and lifestyle choices, and look at the diagnostic tests used, like CT scans and MRIs. You'll also gain insights into management options ranging from monitoring to surgical interventions, along with essential nursing priorities for patient care.   Don't forget to like, comment, and subscribe for more informative content on nursing and healthcare topics.   Download the ReMar V2 App: ►For iOS: https://apps.apple.com/us/app/remar-v2/id6468063785 ►For Android: https://play.google.com/store/apps/details... ► Find JOBS: http://ReMarNurse.com/jobs ► NCLEX for Africa - http://ReMarNurse.com/KENYA ► Get NCLEX V2: http://www.ReMarNurse.com ►NCLEX V2 Free Trial - http://ReMarNurse.com/free ► FOLLOW ReMar on Instagram: https://www.instagram.com/ReMarNurse/ ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/ ► Subscribe Now on YouTube - http://bit.ly/ReMar-Subscription

Julien Dreyfus, MD, PhD, JACC: Case Reports Associate Editor, is joined by author Khalid Shakfeh, MD, discussing this study from Shakfeh et al presented at ACC.25 and published in JACC: Case Reports. A 56 year old man with chronic chest pain syndrome presented with sudden onset of weakness. Evaluation for a stroke revealed a large mass in the right atrium measuring approximately 2.2 x 2.0 cm immediately above the tricuspid valve annulus and adjacent to the atrio-ventricular groove on TTE. Cardiac MRI ruled out intracardiac mass, but rather demonstrated an RCA fusiform aneurysm. Coronary CTA characterized this as two fusiform RCA aneurysms. A LHC confirmed this. Giant coronary aneurysms appearing as a large space-occupying intracavitary cardiac mass are rarely diagnosed. Escalating multimodal imaging is essential for accurate diagnosis and surgical planning. Kawasaki disease can have a late presentation and should be considered in the differential diagnosis of coronary aneurysms. A multimodal imaging approach is essential for accurate diagnosis and management of giant coronary aneurysms.

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Hey Heart Buddies! A heart murmur, congenital aneurysm of sinus of Valsalva, ruptured sinus of Valsalva into right ventricle, bicuspid aortic valve, persistent left superior vena cava and pacemaker... all in one extraordinary heart...This week, I talk with my friend, Dawn Anderson, about her extraordinary heart health journey. Living in Adrian, Minnesota, Dawn shares her experience of discovering and surviving a rare aortic aneurysm and bicuspid aortic valve at age 41. Despite facing multiple challenges, including depression and the stress of losing her job, Dawn emphasizes the importance of self-advocacy and seeking support. Her story highlights the necessity of listening to your body and staying informed about heart health. Dawn and I met through WomenHeart which is a non-profit providing education and support to female heart disease patients. Don't forget to subscribe!Join the Newsletter for almost weekly content for this podcast and other heart related news.Join the Patreon Community! The Joyful Beat zoom group is where you'll find connection and hope that you aren't alone in your journey.If you just want to support the show as a one-time gift (thank you), go here.**I am not a doctor and this is not medical advice. Be sure to check in with your care team about all the next right steps for you and your heart.**How to connect with BootsEmail: Boots@theheartchamberpodcast.comInstagram: @openheartsurgerywithboots or @boots.knightonLinkedIn: linkedin.com/in/boots-knightonBoots KnightonIf you enjoyed this episode, take a minute and share it with someone you know who will find value in it as well.

Monica Robins is not a medical doctor.  All content presented in this program is for informational purposes only. It is not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice.  Always seek the guidance of your personal doctor or qualified healthcare professional with any questions regarding your health or medical condition.

Kent Bresler shares his personal journey through kidney disease, including his experiences with a kidney transplant, dialysis, and the challenges he faced with a recent health scare. With a focus on resilience and the importance of regular medical check-ups, Kent offers insights into navigating life after a transplant and the significance of community support. Join us for an inspiring discussion that emphasizes the power of faith, advocacy, and the human spirit in overcoming life's hurdles. For more information on Kidney Solutions and to join their supportive community, visit https://kidneysolutions.org/ Host: Kent Bresler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!

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Read the article here: https://journals.sagepub.com/doi/full/10.1177/30494826241300881

Ibland uppstår en vidgning av kroppens blodkärl, det kallas aneurysm. Då finns risk att kärlet brister och det krävs ofta akut operation. Professor Anders Franco-Cereceda har forskat om aneurysm i nästan tjugo och berättar vad vi vet idag om sjukdomen.

https://www.paypal.com/paypalme/robertdarby902https://www.buymeacoffee.com/robdarbyhttps://www.youtube.com/watch?v=hPKGQJbaz5Ehttps://www.facebook.com/robert.darby.902https://www.youtube.com/channel/UCEzLGIpPGLVUdDkZXEbiaTwhttps://www.youtube.com/channel/UCtqCX7Mx7mb4ep4enSUp3qwhttps://www.youtube.com/watch?v=HvV8BNjk9dkArmoured Skeptic https://youtu.be/qOYh_4wYC_Qhttps://x.com/VoteLewko/status/1890185638638678176?fbclid=IwY2xjawIc8PJleHRuA2FlbQIxMQABHeHrWg7MXqme9kaCsGDemuOeEek4ZiOLQVG7EkEK0Fshv4K-fY0-MuTV4Q_aem_kv6uJ1lVENfZP05WJlqMHQ

Explosive new evidence in Sam Kerr’s trial, Kyle Sandilands shares a grim health update, and the Wallabies are in turmoil as their coach calls it quits. For more, head to news.com.au See omnystudio.com/listener for privacy information.

A suspected antisemitic terrorist attack is being investigated by Police in Sydney after a caravan packed with explosives was discovered. Officials have said the incident would have killed "a lot of people" had the van blown up. Why was the Prime Minister not immediately informed of what could have been Australia's largest terrorist attack? Australian Correspondent discusses the details with Mike Hosking. LISTEN ABOVE.See omnystudio.com/listener for privacy information.

They're Back.........Again..........and this time, they have Political Powers......Woe to the Union... SPONSORED BY: Dave's Archives RETROCirq Kier's Nostalgia Corner Kev the Ripper And (of course) our Patrons

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning recaps The Society of Thoracic Surgeons (STS) Annual Meeting in Los Angeles. He discusses Dr. Jennifer Romano's presidential address, remarks from incoming STS president, Dr. Joseph F. Sabik III, and the keynote addresses by Dr. Jennifer A. Dounda and photographer, filmmaker, and educator Ami Vitale. Joel also shares his top presentation picks from the meeting, including “Bioprosthetic vs Mechanical Aortic Valve Replacement in Patients 40-75 Years” by Dr. Vinay Badhwar, “DOAC for Mechanical AVR” by Dr. Joon Bum Kim, and “Surgeon Frequency for Multiarterial Grafting and 19-Year Outcomes After Coronary Artery Bypass Grafting in Over One Million Medicare Beneficiaries” by Dr. Justin Schaffer. Additionally, he covers the STS Evidence-Based Guidelines, an AI tool for medical information called OpenEvidence, and STS TV.  Joel also reviews recent JANS articles on transcatheter versus surgical aortic valve replacement in patients younger than 65 years in the United States, post-implant transcatheter aortic prosthesis deformation, redo surgical aortic valve replacement for bioprosthetic structural valve deterioration, and five-year outcomes in low-risk patients undergoing surgery in the PARTNER 3 trial.  In addition, Joel explores a hybrid debranching of aortic arch branches and endovascular repair of the aneurysm of the aortic arch and the thoracic aorta, handmade valved woven Dacron conduits as an alternative for repair of congenital heart defects, and how to remove a bioprosthetic mitral valve replacement. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Transcatheter Versus Surgical Aortic Valve Replacement in Patients Younger Than 65 Years in the US  2.) Post-Implant Transcatheter Aortic Prosthesis Deformation: Tricuspid Versus Bicuspid Valve  3.) Redo Surgical Aortic Valve Replacement for Bioprosthetic Structural Valve Deterioration  4.) Five Year Outcomes in Low-Risk Patients Undergoing Surgery in the PARTNER 3 Trial  CTSNET Content Mentioned  1.) Hybrid Debranching of Aortic Arch Branches and Endovascular Repair of the Aneurysm of the Aortic Arch and the Thoracic Aorta  2.) Handmade Valved Woven Dacron Conduits as an Alternative for Repair of Congenital Heart Defects  3.) Redo Mitral Valve Surgery: How to Remove a Bioprosthetic Mitral Valve Replacement   Other Items Mentioned  1.) STS TV  2.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

1 hour and 32 minutes The Sponsors Thank you to Underground Printing for making this all possible. Rishi and Ryan have been our biggest supporters from the beginning. Check out their wide selection of officially licensed Michigan fan gear at their 3 store locations in Ann Arbor or learn about their custom apparel business at undergroundshirts.com. Our associate sponsors are: Peak Wealth Management, Matt Demorest - Realtor and Lender, Ann Arbor Elder Law, Michigan Law Grad, Human Element, Sharon's Heating & Air Conditioning, The Sklars Brothers, the Autograph: Fandom Rewarded app, Champions Circle, Winewood Organics, Community Pest Solutions, and Venue by 4M where usually record this. 1. Football Transfer Portal Starts at 1:00 Wwwwwwelcome! To one of the internet's college football podcasts. We can't wait to talk about Mick Cronin. The defensive front seven looks pretty set for next year, now just need a cornerback (which happened after recording). OL Lawrence Hattar transfers in from Ferris State, he will likely move to guard. Still need a tackle but most plug and play guys are off the board. Everyone is nervous about wide receiver, this is problematic because Chip Lindsey wants a balanced attack. They might have to overpay for a receiver at some point. Michigan is good at tight end (unless it's one that looks like a wide receiver). WE HAVE A LONG SNAPPER.  [The rest of the writeup and the player after THE JUMP]  2. Men's Basketball vs UCLA Starts at 26:22 The win over UCLA is probably not going to look as good by the end of the year. Michigan had an 18 point lead, then was down by 5, then wins by 19 (something similar may have happened under Juwan Howard?). Tre Donaldson has not had to put the team on his back until now. Which Michigan team was the best shooting team? This team is up there. Nimari Burnett has finally found his place. Vlad Goldin with 36 points, and now he's a shooter! Michigan is currently favored in all but two of their remaining games. 3. Hot Takes and Men's Basketball vs Washington Starts at 54:28 Takes hotter than Mick Cronin when somebody did something wrong that's not him. Michigan's bigs get into foul trouble early but collectively pick up one foul in the 2nd half. It was a parade to the basket. Great Osobor is tough to cover for anyone who isn't Goldin. How worried should we be about free throw shooting? Michigan matched their missed two pointers with their offensive rebounds! Michigan's turnover rating on Kenpom is out of the deep blood red (it's still red, just not the worst red). They're the best offense in the country if they can just stop turning the ball over.  4. Hockey vs Notre Dame Starts at 1:19:09 The hope for this team at this point is just to make the tournament. This has been a very good defensive team, giving up three goals in 32 seconds is nearly impossible. Michigan doesn't have top-end talent and especially doesn't have back-end talent. The Big Ten is a tough conference, need to scrap for points where you can. Michigan State got really good really fast.  MUSIC: "Can't You Hear Me Knocking"—The Rolling Stones "Unforgettable"—French Montana "Giving Up"—Michigander “Across 110th Street”—JJ Johnson and his Orchestra    

Women experience brain aneurysms at a higher rate than men. Are we alone in wondering what is behind this disparity? NO! This week, we welcome Rosalind Lai MD, a neurosurgeon performing research sponsored by a grant through The Bee Foundation. Dr. Lai and her team are trying to understand the role of the X chromosome in the development of cerebral aneurysms. Understanding this linkage could lead to the discovery of genetic markers for cerebral aneurysms and give insight into the gender differences we see in this condition. The hope would be that eventually we can test for genetic markers and provide treatments that turn down the expression of these genes which would lead to the prevention of brain aneurysms. Join Eryn, Alison, Rosalind and Erin Kreszl of The Bee Foundation (TBF) as we discuss TBF's fourth pillar—research. Listen to learn more about brain aneurysms and this exciting research project!KeywordsThe Bee Foundation, brain aneurysm, research, gender differences, genetics, prevention, awareness, support, advocacyTakeaways· The Bee Foundation supports research, advocacy, awareness, and support for brain aneurysm prevention.· Brain aneurysms can be asymptomatic until they rupture, making awareness crucial.· Women are at a higher risk for developing brain aneurysms compared to men.· This research is focused on understanding the genetic and hormonal factors that contribute to aneurysm risk in women.· The Bee Foundation has funded over $600,000 in research grants over the past 11 years.· Genetic research aims to identify specific genes that may increase aneurysm risk.· Understanding the role of the X chromosome could provide insights into gender differences in aneurysm development.· Lifestyle factors like smoking and hypertension also play a significant role in aneurysm risk.· The complexity of aneurysm development makes it a challenging area for research and prevention.· Community support and engagement are vital for advancing research and awareness efforts.Sound Bites"We have four main program areas that we support.""What is an aneurysm?""We want to find these targets.""Aneurysm is a multi risk factor disease."Chapters00:00 Introduction to the Bee Foundation and Its Mission03:11 Understanding Brain Aneurysms06:10 Research Focus: Gender Differences in Aneurysms09:50 The Role of Genetics in Aneurysm Development19:30 Future Directions in Aneurysm Research26:38 Engagement and Support from the CommunityReach out toThe Bee Foundation https://www.thebeefoundation.org/ Email: info@thebeefoundation.orgRosalind, call 716-218-1000Eryn on IG @eryn_makingheadwaypodcastAlison on IG @alison_maknigheadwayodcastMHP on IG @makingheadwaypodcast Go to our website www.makingheadwaypodcast.com for full show notes and...

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Hey Heart Buddies! For the last episode of 2024, I bring you one more bonus episode that was the most downloaded episode of 2024. Thank you to my childhood friend, Todd Sykes, for your willingness to tell your story. I love you.Todd Sykes is a survivor and thriver of endocarditis, a stroke, and a brain aneurysm. At just 37, Todd faced life-threatening conditions during the COVID-19 pandemic, leading to two heart surgeries and a remarkable recovery. He shares powerful lessons on the importance of loving well, prioritizing family time, and being prepared with insurance and wills. Todd's story highlights resilience, faith, and the need for physical and emotional strength. Listeners are encouraged to cherish each moment and plan for unforeseen events to protect their loved ones. Todd's journey serves as an inspiring reminder of life's unpredictability and the power of hope.Join the Newsletter for almost weekly content for this podcast and other heart related news.Join the Patreon Community! The Joyful Beat zoom group is where you'll find connection and hope that you aren't alone in your journey.If you just want to support the show as a one-time gift (thank you), go here.**I am not a doctor and this is not medical advice. Be sure to check in with your care team about all the next right steps for you and your heart.**How to connect with BootsEmail: Boots@theheartchamberpodcast.comInstagram: @openheartsurgerywithboots or @boots.knightonLinkedIn: linkedin.com/in/boots-knightonBoots KnightonIf you enjoyed this episode, take a minute and share it with someone you know who will find value in it as well. You can share directly from this platform or send them to:Open Heart Surgery with Boots

"At about 50 minutes into the infusion, I could feel the guy moving his hand under the drapes. At an hour, he had a normal-strength grip. I ... I can't tell you ... what a euphoric experience that was." —David Kumpe, MD, FSIR, on his early successes in neurointerventional radiologyIn this episode, part of the ongoing celebration of the Society of Interventional Radiology (SIR) 50th anniversary, host Martin G. Radvany, MD, FSIR, speaks with neurointerventional radiology pioneer David Kumpe, MD, FSIR, about the earliest days of neuro IR, how it's grown since then and more.Related resources:SIR 50th Anniversary homepageKinked Wire/IR Quarterly 50th Anniversary pageSound of IR podcast episode with Dr. Kumpe (from Dec. 13, 2022)SIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

In this episode of the Making Headway Podcast, host Eryn speaks with Bryce Daly, a stroke and aneurysm survivor who shares his incredible journey from being a promising student athlete to navigating the challenges of recovery and living with aphasia. Bryce recounts the traumatic experience of his stroke, the subsequent coma, and the long road to rehabilitation. He discusses the emotional and physical hurdles he faced, the importance of support from family and friends, and offers valuable advice for others dealing with similar challenges. The conversation highlights the resilience of the human spirit and the power of community in recovery.Keywordsbrain injury, stroke survivor, aphasia, recovery, support, resilience, mental health, community, rehabilitation, survivor storyTakeaways· Bryce had a 5% chance for survival after his stroke.· Recovery from a stroke can be a long and challenging journey.· Aphasia can lead to feelings of frustration and isolation.· Support from family and friends is crucial during recovery.· It's important to advocate for oneself in social situations.· Memory can be affected by brain injuries, but it can also improve over time.· Engaging in physical therapy is essential for regaining strength and mobility.· Community support can make a significant difference in recovery.· Don't give up on communication; progress takes time and patience.· Sharing experiences can help others feel less alone in their struggles.Sound Bites"I was in a coma for weeks.""Don't give up.""I can't remember everything.""I love my memory.""I can remember everything."Chapters00:00 Introduction to the Making Headway Podcast00:47 Bryce's Survivor Story: From Athlete to Stroke Survivor06:03 The Journey Through Coma and Recovery11:49 Living with Aphasia: Challenges and Triumphs18:00 Advice for Others with Aphasia and Brain Injuries24:10 Community and Support: Reaching Out for HelpReach out to Bryce on IG @bryceweeklyEryn on IG @eryn_makingheadwaypodcastAlison on IG @alison_maknigheadwayodcastMHP on IG @makingheadwaypodcast Go to our website www.makingheadwaypodcast.com for full show notes and resourcesSupport us atPatreonDonate section on our website.

Dr. Ted Watkins

Greg improved anxiety, depression, energy, bathroom issues, stomach pain, and joint pain on a carnivore diet. Timestamps: 00:00 Trailer. 00:57 Introduction. 04:04 Healthier options. 06:40 Overwhelmed with emotions. 09:23 Family history of heart attacks. 12:49 Steak. 17:01 Eating beef daily. 18:33 Dietary adjustments. 22:23 Overcoming struggles. 24:44 Occasional knee and shoulder pain. 26:28 Confidence improved; speech clarity and memory enhanced. 29:01 Difference between grass-fed and grain-finished beef. 34:28 Chiropractors, doctors adopting carnivorous diet. 37:22 Rowing and weightlifting. 40:06 Where to find Greg. See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation   #humanfood #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree  ‪

What is the Elastic of Life?  We're thrilled to welcome Douglas Mulhall, journalist, author, award-winning documentary filmmaker, and co-founder of Elastrin Therapeutics. Douglas shares the latest developments in elastin research and its potential role in reversing cardiovascular damage and treating aneurysms. Tune in to discover how this innovation may transform heart health and help people live longer, healthier lives. Don't miss this in-depth conversation on a revolutionary approach to cardiovascular care!  ElastinTherapy #AneurysmTreatment #HeartHealth #HealthyAging #CardiovascularHealth #Longevity  www.natureoflongevity.com Timeline 02:40                     Elastin – the elastic of life 04:40                     Elastin & Collagen are woven together 07:40                     Elastin production stops at age 30 10:50                     Aneurysm 13:20                     Cross linking 15:00                     Oxidative stress 16:20                     Toxic metals & hardening of arteries 19:10                     Chelation therapy 26:30                     PGG 32:40                     Neo Lastin 37:00                     Elastin for wound healing 42:00                     Reversing senescence The Yakking Show is brought to you by Peter Wright & Kathleen Beauvais contact us to be a guest on our show. https://TheYakkingShow.com   peter@theyakkingshow.com    kathleen@theyakkingshow.com  Join our community today so you don't miss out on advance news of our next episodes. https://bit.ly/3JW9w46 Here are some of the tools we use to produce this podcast. Hostgator for website hosting. Podbean for podcast hosting Airtable for organizing our guest bookings and automations. Spikers Studio for video editing   Clicking on some links on this site will let you buy products and services which may result in us receiving a commission, however, it will not affect the price you pay.      

Dr. Ted Watkins

When journalist Alicia Trujillo felt a sudden, searing headache while swimming, she knew something was wrong. Doctors finally uncovered the cause a few days later - a ruptured aneurysm in her brain. In this episode, Alicia recounts the harrowing days leading up to her diagnosis, the emergency brain surgery that followed, and how it changed her outlook on life.  

Dr. Ted Watkins

Dr. Ted Watkins

Dr. Ted Watkins

Alison Botha, the woman who became a national symbol as one of the first rape survivors to go public has suffered a brain aneurysm. Hannelie Bakker,  Prosecutor in Alison's trial and friend, explains how the public can assist Alison during this time via a trust fund which has been set up by well-wishers.See omnystudio.com/listener for privacy information.

Dr. Ted Watkins

Dr. Ted Watkins

Dr. Ted Watkins

Nurse Dies During Aneurysm; Shown The Secrets To Existence During NDE --- Support this podcast: https://podcasters.spotify.com/pod/show/ndeworld/support

"Dr. Wilson asked my permission to put a line into my jugular ... I didn't understand why. I said, 'You mean, in case there's an emergency?' and he said "No, this ... THIS is the emergency." —Best-selling author Sebastian Junger, on the spontaneous rupture of his pancreatico-duodenal artery aneurysmIn this episode, host Warren Krackov, MD, FSIR, speaks with Sebastian Junger, author of In My Time of Dying, The Perfect Storm and more, about his near-death experience; with Philip J. Dombrowski, MD, the attending interventional radiologist who saved his life; and with Michael J. Hallisey, MD, FSIR, the IR who first shared the story on SIR Connect.Related resources:In My Time of Dying: How I Came Face to Face with the Idea of an Afterlife, Mr. Junger's new book about his near-death experience Amazon"A book that features NDE and IR," Dr. Hallisey's SIR Connect post about how the new book spotlights IR ReadContact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the Show.

Brain aneurysms lurk undetected, threatening to burst without showing symptoms. Once they do show symptoms, it's often a life-or-death emergency. The technique that lets doctors skip brain surgery, and "plug" the aneurysm before it bursts. Plus, one woman's close call, and quick recovery.

Near-death experience guest 1075 is Mindy Tautfest who worked as an ICU Nurse prior to a 2016 brian aneurysm which resulted in a Near Death Experience that transformed her life. Besides her NDE she is also the director of training of MUFON and been a guest Ancient Aliens on Season 19. Dying to Meet Them: One Woman's Incredible Journey from N.D.E. to U.A.P. https://amzn.to/48zXZky CONTACT: Email: jeff@jeffmarapodcast.com WEBSITE www.jeffmarapodcast.com SOCIALS: Instagram: https://www.instagram.com/jeffmarapodcast/ Facebook: https://www.facebook.com/jeffmarapodcast/ Twitter: https://www.twitter.com/jeffmaraP/ JeffMara does not endorse any of his guests' products or services. The opinions of the guests may or may not reflect the opinions of the host. --- Support this podcast: https://podcasters.spotify.com/pod/show/jeffrey-s-reynolds/support

Feeling isolated after your diagnosis? Finding your tribe is life altering and tremendously helpful in facilitating your treatment and recovery from brain surgery and bleeds. TAAF is The Aneurysm and AVM Foundation, a foundation focused on supporting brain bleed survivors, grieving families, caregivers, and research. In this episode, Eryn interviews Dina Chon, the executive director of TAAF. The two discuss the mission and work of TAAF which supports individuals who have experienced brain bleeds and provide resources and information to the community. SummaryDina shares the history of the TAAF Foundation and how it has grown over the years. They also talk about the importance of acknowledging and embracing all emotions, not just happiness, in the healing process. In this conversation, Dina Chon discusses her personal experience with her mother's brain aneurysm and how it led her to leading The Aneurysm and AVM Foundation. She shares the importance of support groups and the impact they can have on survivors and their families. Dina also highlights the various programs and resources offered by TAAF, including brain buddies, fundraising events, and research grants. She emphasizes the power of community and the role of TAAF in providing support, education, and advocacy for those affected by brain aneurysms and AVMs. Keywordsbrain bleeds, Aneurysm and AVM Foundation, TAAF, support, resources, emotions, healing, brain aneurysm, AVM, support groups, TAAF, The Aneurysm and AVM Foundation, brain buddies, fundraising events, research grants, community, support, education, advocacyTakeawaysThe Aneurysm and AVM Foundation (TAAF) is an organization that supports individuals who have experienced brain bleeds and provides resources and information to the community.TAAF was founded by a neurosurgeon and his nurse who wanted to do more for patients beyond medical treatment.TAAF offers support groups and resources for individuals and families affected by brain bleeds.It is important to acknowledge and embrace all emotions, not just happiness, in the healing process. Support groups can provide a sense of community and understanding for survivors and their families.The Aneurysm and AVM Foundation (TAAF) offers various programs and resources, including brain buddies, fundraising events, and research grants.TAAF focuses on research, programming, and providing support to survivors and their families.Fundraising is essential for TAAF to continue its work in supporting and advocating for those affected by brain aneurysms and AVMs.Getting involved with TAAF, whether through fundraising or participating in support groups, allows individuals to give back and help others in the community.Sound Bites"If it bleeds, TAAF leads.""I would literally program myself to work all day and help people 24 hours.""I am non-robot for sure.""My mom was lying in the bathroom. She'd gotten up to use the restroom, I'm assuming, and she'd ruptured.""She opens her eyes and she looks at me and she tells me she loves me. And she passes out and she dies.""We're going to be like you."Chapters00:00Introduction and Starting the Conversation03:19The History and Growth of TAF08:03Dina's Journey to TAF12:16The Role of TAF in Serving the Community14:24Embracing All Emotions in the Healing Process18:04Supporting Individuals at Every Stage22:54Personal Experience with Brain Aneurysm28:44The Importance of Support Groups32:40Programs and Resources Offered by TAF36:53Fundraising for Research and Support45:17Getting Connected with TAFReach out toEryn on

Jack Mason, the iconic creator of the Perfume Nationalist podcast, joins the show to definitively define what we call "The Gen-X Problem", with numerous digressions into topics like Huysmans, Nan Goldin being a junkie hag, Gavin McInnes, Satanic Panic, Howard Stern, Steve Albini, Brat, Kamala and more... SOUNDTRACKDouglas Coupland on Gen-X Madonna "Pray for Spanish Eyes" Burzum "Dunkelheit" Kool Keith "Blue Flowers" Trump on Stern Aphex Twin "Digeridoo" LIVE Nirvana "Aneurysm" LIVE LINKSThe Perfume Nationalist on Patreon Follow Jack at X: @lotus__pointAdam Lehrer, The Safety Propaganda Conceptual Manifesto, point #190Adam Lehrer, A Generation in Transition Part #1Adam Lehrer on Steve Albini

A Note from James:Imagine you are dying or you're about to die. Let's say you were hit by a car, you're bleeding out, you're on the way to the hospital but you just have this sense that you're not going to live, and you see visions of someone you knew in the past, maybe a mother or a father, and they're saying, "Don't worry, we're here for you." Come down this light at the end of a tunnel. Does that change your experience of life if you then survive? Well, we're going to hear from Sebastian Junger, who wrote "In My Time of Dying: How I Came Face to Face with the Idea of an Afterlife." And if you don't know who Sebastian is, he's written many books about being a war reporter, his experiences in war zones, and other intense situations. But this is perhaps his most intense book that I've read, where he's not talking about deaths on the battlefield or in a war zone, but his own experience of dying and what happened to him during that experience. It really makes you think. And I've been thinking about it a lot for personal reasons this past week. I hope everybody enjoys it. If you do, please retweet it, share it with your friends, and subscribe to the podcast so all the good little algorithms work for me. Thanks so much, and here is Sebastian.Episode Description:In this compelling episode, James Altucher converses with Sebastian Junger, acclaimed author and war reporter, about his harrowing near-death experience and his exploration of the afterlife in his latest book, "In My Time of Dying." Junger shares the profound and mystifying moments he faced at the brink of death, challenging his atheistic beliefs and scientific understanding. This episode isn't just about a personal encounter with mortality but dives into the larger implications of consciousness, the mysteries of the human mind, and what it means to truly live after facing death.What You'll Learn:The profound impact of near-death experiences on one's worldview and beliefs.The intersection of scientific rationalism and mystical experiences.Insights into the psychological and emotional aftermath of surviving a near-death experience.Theories about consciousness and the potential for an afterlife from both scientific and experiential perspectives.Practical lessons on living a more appreciative and meaningful life after a brush with death.Chapters:00:01:30 - Introduction: Sebastian Junger's Near-Death Experience00:04:41 - The Moment of Crisis: Abdominal Hemorrhage and Medical Intervention00:09:00 - Encountering the Void and Seeing His Father00:14:22 - The Medical Miracle: Innovative Interventional Radiology00:24:26 - Rational Explanations vs. Mystical Experiences00:31:30 - Unexplained Phenomena: Quantum Mechanics and Consciousness00:41:29 - Personal and Philosophical Reflections on Life and Death00:52:30 - The Aftermath: Dealing with Anxiety and Fear00:56:35 - Finding Meaning and Appreciation in Life Post-Trauma01:02:15 - Writing About the Experience: Structuring the Narrative01:05:28 - Final Thoughts and TakeawaysAdditional Resources:Sebastian Junger's Official WebsiteIn My Time of Dying: How I Came Face to Face with the Idea of an AfterlifeTribe: On Homecoming and Belonging by Sebastian JungerWar by Sebastian JungerQuantum Enigma: Physics Encounters Consciousness by Bruce Rosenblum and Fred KuttnerBiocentrism: How Life and Consciousness are the Keys to Understanding the True Nature of the Universe by Robert Lanza ------------What do YOU think of the show? Head to JamesAltucherShow.com/listeners and fill out a short survey that will help us better tailor the podcast to our audience!Are you interested in getting direct answers from James about your question on a podcast? Go to JamesAltucherShow.com/AskAltucher and send in your questions to be answered on the air!------------Visit Notepd.com to read our idea lists & sign up to create your own!My new book, Skip the Line, is out! Make sure you get a copy wherever books are sold!Join the You Should Run for President 2.0 Facebook Group, where we discuss why you should run for President.I write about all my podcasts! Check out the full post and learn what I learned at jamesaltuchershow.com------------Thank you so much for listening! If you like this episode, please rate, review, and subscribe to “The James Altucher Show” wherever you get your podcasts: Apple PodcastsiHeart RadioSpotifyFollow me on social media:YouTubeTwitterFacebookLinkedIn

Use code HAMMER50 to get 50% OFF your first Factor box plus 20% off your next box at https://bit.ly/3GF7Hqf! If you're ever injured in an accident, you can check out Morgan & Morgan. You can start your claim in just a click without having to leave your couch. To start your claim, visit: https://www.forthepeople.com/Caleb?s=86%3A4545 ▶The best budgeting program online, at the most affordable price: https://go.calebhammer.com any questions? Email support@calebhammer.com ▶1-on-1 personal financial help with our licensed/certified coach: https://calebhammer.com/coaching ▶Watch the Financial Audit Post Show: https://www.youtube.com/channel/UCLe_q9axMaeTbjN0hy1Z9xA/join _______________________ ▶Resources I use/would use (with discounts/sign-up bonuses): 1) Checking & Savings: Get up to 4.60% APY, pay no account fees, and earn up to $250 when you sign up and set up direct deposits. Terms apply: https://sofi.com/hammer *affiliate link 2) Get $20 from Acorns for free: sign up to get your bonus https://acorns.com/caleb 3) Click this link https://j.moomoo.com/00Bn5Z to get a "Mag 7" fractional share bundle for deposits or 1.5% Cash Reward match ($300 max) on transfers. 5) Coursecareers: Get qualified for a better job and increase your income: https://coursecareers.com/a/calebhammer 6) The credit building debit card: First 100,000 people to sign up for Fizz with code: HAMMER10 get $10: https://www.joinfizz.com/caleb 7) Helium Mobile: save a ton on your phone bill, sign up and get 30 days of FREE trial when using promo code CALEB https://hellohelium.com/ 8) Online security: Protect your online privacy and security NOW and for free by following my link Aura: https://aura.com/hammer Learn more about your ad choices. Visit megaphone.fm/adchoices