Podcasts about Aneurysm

Andy’s Brave New World: Part 1 Ranger Andy survives, the apocalypse in Yosemite. Based on a post by the hospital. Listen to the Podcast at Explicit Novels. Day 1, Yosemite National Park The park was busy with spring visitors when the first reports came in. Tourists coughing in the visitor center, a family requesting medical assistance at Upper Pines campground. Andy helped coordinate with the park's small medical team, radioing updates to other rangers. Standard protocol for illness in the park, nothing too concerning yet. That evening, things took a turn, with the news reporting an alarming spread of similar outbreaks across California, and the world. Possibly a new avian flu, they said. Day 2 Everything accelerated. Half the ranger staff called in sick. The small park clinic was overwhelmed. Andy helped organize an evacuation point at the visitor center, trying to get sick tourists to hospitals in Fresno or Modesto. His training kicked in, calm, professional, reassuring visitors even as his colleague Declan started coughing blood next to him. The ill began dying in droves. The park superintendent ordered all non-essential personnel to evacuate. Andy stayed, helping the remaining medical staff set up an impromptu care center in the lodge. By the evening, Andy felt a fever rise and was soon sweating through his clothes and coughing up a lung. He weakly barricaded himself in his cabin and prepared to die like the others. Day 3 The next morning, Andy woke to fine himself still alive, surprised to feel slightly better than the night before. He pulled himself out of his cabin and began his duties. The radio channels went quiet one by one. No response from Fresno hospitals. The lodge had become a morgue. He spent the morning doing rounds, checking campsites, finding mostly bodies or critically ill visitors who died within hours. By evening, he was the only ranger still moving around. He did his best to care for the sick and dying. Andy wasn't entirely sure if this was all just an awful dream. Day 4, Morning The cough remained in his chest that morning, but Andy forced himself to continue his rounds. The ranger truck's tires crunched over broken glass in the parking lot as he checked North Pines Campground. Most sites were abandoned, their occupants having fled days ago. Others contained what he couldn't let himself think about yet. His fevered brain kept switching between ranger protocol and survival instinct. Check each site. Document. Radio in-- no, the radio was silent now. Just static and occasional distant screams that were becoming less frequent. That's when he saw it, an expensive ultralight tent in millennial pink and gray, surrounded by matching gear that looked straight out of an R E I catalog. Too pristine, barely used. A small solar charger lay futilely pointed at the clouded sky. "Hello?" His voice was rough from coughing. "Ranger service. Anyone alive in there?" "Define 'alive,'" came a strained but steady voice, followed by a cough. Andy approached cautiously, unsnapping his holster out of habit though he knew he wouldn't need it. Inside, a young woman sat cross-legged in the tent entrance, her expensive Lululemon sports bra and high-waisted hiking shorts soaked through with fever sweat. Despite everything, the death, the horror, his own fever, Andy couldn't help noticing how the wet fabric clung to her curves. Her figure was exactly the type that dominated outdoor Instagram, slim waist, toned stomach, curved hips, the sports bra struggling to contain what was clearly meant to be shown off just enough to stay within platform guidelines. He tried to push the thoughts away and focus, but his eyes kept betraying him. She looked up at him with clear eyes, fever-bright but alert. Mixed Asian-white features that hit that perfect social media sweet spot, even through the fever, high cheekbones, full lips, almond-shaped hazel eyes. Her carefully highlighted hair was plastered to her neck, mascara smudged but intact, like she'd been maintaining her appearance out of sheer habit until the fever hit. A few light freckles stood out against her flushed skin. "I'm guessing the 'shelter in place' order isn't working out great for everyone else either?" "I'm Ranger Rhee. Andy," he said, noting how her hands trembled slightly as she reached for her water bottle. "You're sick, but; not like the others." "Sarah Chen-Mitchell," she managed between sips. "And yeah, I noticed. Been listening to people cough and die all night while I just sat here with what feels like a really bad flu. Not exactly the wilderness experience I was going for." Her attempt at humor was undercut by the raw edge in her voice. Andy saw her Instagram-ready camp setup, the coordinated cookware still in its packaging, the expensive camera carefully wrapped in a rain cover, the rose gold water bottle. "We need to get you somewhere safer. Can you walk?" "Yeah, just;" She stood unsteadily, unconsciously adjusting her sports bra, a reflexive gesture that seemed absurd given the circumstances. "My car's blocked in. I tried to leave but;" She gestured at the chaos of abandoned vehicles hemming in her pristine Subaru, many with now-deceased occupants. "Look, I've got medicine and supplies back at my ranger unit," Andy said. "Pack whatever clothes and valuables you need. Leave the camping gear, we can always come back for it if;" he trailed off, not sure how to end that sentence. "Right," Sarah said, still shivering slightly in her wet athletic wear. "I should probably change too." "Do you need help?" Andy asked, then immediately regretted how that might sound. "I mean, with packing. You seem pretty weak." "No, I've got it," Sarah said quickly, pulling herself more upright. "Just; give me a few minutes?" Despite everything, there was still a hint of self-consciousness in her voice. Andy nodded and stepped away from the tent. "Take your time. We're not exactly on a schedule anymore." He heard the tent zip closed, followed by the sounds of her moving around inside. The rustle of fabric as she changed. Multiple bags being opened and closed, more than strictly necessary for just grabbing essentials, he thought. A few quiet muttered comments to herself about what to take. The distinct sound of what had to be a hairbrush being used. Even now, even here, some habits die hard. Or maybe it was just her way of holding onto normalcy for a few more minutes. Andy stood guard, trying not to listen too closely to her movements, scanning the eerily quiet campground. A crow called somewhere nearby. The mountain air was cool and clean, carrying no hint of the devastation it had helped deliver. "Ready," Sarah called softly. The tent zipper opened and she emerged with a large designer backpack, now dressed in a black Alo Yoga tube top that showcased her toned shoulders and pushed up her cleavage, paired with high-waisted leggings that clung to every curve. Her face was scrubbed clean of makeup, but her dark hair was neatly brushed, falling in waves around her shoulders. The fever flush in her cheeks only enhanced her natural beauty, that calculated mix of exotic and approachable that had probably earned her thousands of followers. She caught Andy's gaze traveling over her body and gave a small, knowing shrug, arching her back slightly. "I know, I know. Not exactly survival wear. But it's what I brought for my Instagram hiking content, so;" She did a little pose, definitely more displaying than mocking now, the movement emphasizing her curves. Andy found himself watching much longer than he should, and her slight smile suggested that was exactly the response she'd wanted. "We can probably find you something more practical at the gear store," he managed, forcing his eyes back to her face. "Heavy duty pants, boots, proper rain gear." "Perfect," she smiled, her voice dropping slightly despite her obvious exhaustion. "Though I did bring some actually useful stuff." She knelt by her bag, the movement making Andy struggle to keep his eyes up. "Latest gen military water filter, my dad's company makes them for the marines. Handles way more volume than those little Life Straws. Satellite uplink that'll work even if the normal networks are down. And this;" She pulled out a sleek black device. "GoPro 12 with infrared. Not even on the market yet, I was supposed to demo it next month." Clean water for a larger group. Communications. Night operations. He tried not to sound too eager. "That; could all come in really handy." As they walked to his truck, both carefully kept their eyes forward, ignoring the abandoned cars and what lay inside them. Andy carried her bag despite her token protest, noticing how she stayed close to his side. "So," Sarah said once they were in the truck, adjusting the AC vent toward her flushed face. "How long have you been a ranger here?" The question seemed deliberately normal, almost absurdly so given the circumstances. "Three years here. Before that, two years at Joshua Tree." "Oh, I was just at Joshua Tree! That Hidden Valley trail at sunset, it was so beautiful." She spoke wistfully, her enthusiasm fading as the weight of everything they had experienced in the past three days settled back. Andy gestured at her bag. "Tell me about that gear, you said there was a satellite uplink?" "Right." Sarah dug through her bag, pulling out sleek boxes with military-style lettering. She started reading, her voice growing more confident as she went. "Okay, so this is a 'Starlink Tactical Ground Array', it's got four encrypted receiver units that can talk to each other from anywhere on Earth. Says here it can maintain 4G speeds even without ground infrastructure." She looked up. "Guess Dad's company wasn't just being paranoid with all this survivalist tech." "Wait, you mean that little thing has internet access? I don't see a satellite dish anywhere." "Yeah I think so. I think the array can mimic the behavior of a dish without actually needing one." "That's huge. We really need more information about what's going on." Andy said, feeling hopeful about something for the first time in days. She nodded and moved on to the water system. "This one's cool, processes up to 25 gallons per hour, removes everything down to 0.0001 microns. Works on chemical and biological agents too. If we can get some acid and lye we can keep reusing it forever." "And the camera?" Andy asked. "Let's see; Military-grade infrared imaging, 4K resolution in complete darkness, range up to;" she squinted at the manual. "Thermal detection at 200 meters." "Could probably rig that into a decent night sight," Andy mused, then caught himself. Sarah glanced at his holstered pistol, then out at the empty park road. After a long pause, she cleared her throat and went back to the manual, her voice quieter. "It's got some kind of A I field-of-view system too;" Day 4, Evening After getting Sarah settled at his unit, Andy continued searching for survivors and checking on the dying. Near the clinic, he found Miguel Martinez slumped against a supply cabinet, still in his blood-stained uniform but maintaining his ramrod-straight Marine posture even now. The room around him showed signs of his final efforts, organized medical supplies, careful notes on symptoms, a log of those he'd tried to help. He looked up weakly from his notebook when Andy arrived. "Rhee." Miguel's voice was barely a whisper. "You made it. Figured you might. Always had the look." "Miguel," Andy started, but the older ranger cut him off with a weak wave. "Save it. Listen. Daniela's following protocol at home. She got sick two days ago. But she's stronger. Already sounding better on the radio this morning. She must be immune, like you, alaba al Señor". Immune. Were they immune? The idea hit Andy like a truck. Andy knew Daniela, had helped train her on basic ranger procedures, watched her grow up these past three years. Though only fourteen, her prepper father had subject her to a rigorous marine-style training regimen that made her an extremely competent survivalist. She'd always seemed almost comically over-prepared, showing up to basic first aid training with a full combat medical kit. If there was anyone left to laugh, they wouldn't be now. "Her isolation ends tomorrow morning," Miguel continued. "She knows what to do, but;" Another coughing fit wracked him, blood spattering his arm. "She'll need;" He grabbed Andy's wrist with surprising strength. "You take care of her. After. Promise me." "If it comes to that. I swear." Andy attempted a smile. "Although, she might be the one taking care of me in the end." Miguel chuckled softly. Andy tried to help Miguel up, but the older ranger shook his head. "Too late for me. Already tried everything here. Nothing helps. Just;" He pulled himself straighter. "Just let me finish my notes. Document everything. Might help someone." Andy nodded, throat tight. He gripped Miguel's hand one more time, and they looked each other in the eyes. He gave Miguel a solemn nod, and headed to the Martinez cabin. Through a small clear section in the sealed window, he could see Daniela's silhouette moving around inside, her survival supplies arranged with precision. Just like her father had taught her. "Daniela?" he called softly. She approached the window, and even through the plastic he could see the fever flush in her cheeks. But her voice was strong, clear. "Ranger Rhee. Status report: began showing symptoms approximately 36 hours ago. Fever peaked at 101.2 last night. Currently maintaining isolation." A pause. "Dad mentioned you were coming." "Seems you're also OK, like me. I found another survivor too." Daniela nodded, processing. "Isolation ends at 0600 tomorrow. That's when Dad's supposed to come get me, " Her voice caught. "Is; is dad;? I haven't asked, but; he sounds really weak right now." "We'll see. He's not looking great to be honest, Daniela. I'm sorry." The poor girl tried to maintain composure but Andy could see her eyes well up. She turned away briefly, then turned back. When she spoke again, her voice was wavered slightly. "I'll maintain quarantine until morning." "Are you sure you don't want to go see him? You seem OK, I don't think it would hurt." She shook her head "No. I'll talk to him on the radio. Protocol is protocol." "OK. I'll come get you at six." Andy headed back to his cabin, to Sarah, the weight of Miguel's last watch at the clinic and his daughter's words falling on his shoulders. Tomorrow morning would come too soon, and not soon enough. Day 4, Late Night The commissary had been eerily quiet, its automatic doors frozen half-open. Andy had gathered what he could, protein bars, dried fruit, bottles of water. The walk back to his cabin felt longer than usual, each shadow holding the potential for another body, another victim. He saw the Starlink array before he reached his door, a sleek black apparatus that looked more like a piece of modern art than military hardware. Sarah had positioned the nodes in a complex nested arrangement. Andy was mildly impressed, it looked precisely done. The cabin door creaked slightly as he pushed it open. "Sarah, I got some-" He stopped short. She was curled up in his bed, wrapped in her sleeping bag despite the warmth of the evening. Her face was peaceful in sleep, the fever flush finally fading from her cheeks. Her dark hair spilled across his pillow, and he noticed she'd changed into a pale pink Alo Yoga tank top that looked brand-new. The transformation from her carefully curated daytime appearance was striking. She looked younger, more vulnerable. Andy set the supplies down as quietly as he could and backed out of the cabin. She needed the rest more than she needed food right now. Outside, his phone buzzed, the first notification he'd received in days. The Starlink array hummed softly, its status light steady green. He pulled out his phone with slightly trembling hands and watched as notifications began flooding in. Email. Twitter. News alerts. The world outside the park still existed apparently, somehow. He sat heavily in one of the wooden chairs on his small porch, opened his laptop, and began downloading the prepper manuals Miguel had mentioned so many times, "Emergency Protocols for Systemic Collapse", "Catastrophic Event Recovery, Reference Encyclopedia" and "Technology Bootstrapping, How to Restart Industrial Society". The download started immediately, the normalcy of a digital download almost shocking after days of internet silence. Then he opened Twitter, and his breath caught in his throat. The feed was sparse but active. Scattered voices calling out from around the world, trying to find others. A woman in Seattle reporting that her entire family had survived. A doctor in Mumbai documenting recovery rates. A thread from the CDC, last updated two days ago, describing it as an avian flu with aerosol human-human and human-bird transmission, confirming what Miguel had alluded to, some people got deathly ill, a tiny fraction just got sick and recovered, and there seemed to be no pattern to it. Someone, a software engineer in Morocco, according to the about page, had anticipated the grid's imminent collapse and created a simplified Twitter clone called Beacon. It apparently ran on a solar-powered home server farm with redundant battery backups, designed specifically to operate via Starlink. The site was bare-bones but functional: just a global chronological feed, basic search, hashtags, geotags, and posts limited to 280 characters. One tweet from a virologist caught his eye: "Preliminary data suggests  roughly a point 8% survival rate globally. Fascinating gender disparity, female survivors outnumbering male 7 to 1. Genetic factor? Hormonal? Need more data." Andy scrolled through location tags, trying to piece together the scale of it. The posts from major cities painted a chaotic picture, hundreds of survivors in New York, Los Angeles, Shanghai, but all isolated, scattered across vast urban landscapes. No real organization yet, just desperate attempts to connect. "Anyone alive near Brooklyn Heights?" "S O S from Miracle Mile L A, have supplies, need medical." "Twenty survivors at Pudong Hospital Shanghai, seeking others." The shock was still fresh, the posts raw with grief and disbelief. Nobody was talking about rebuilding yet. They were still counting their losses. The manuals finished downloading, and Andy forced himself to close Twitter. He needed to focus on what he could control, keeping Sarah and Daniela alive, gathering supplies, and getting out of Yosemite to a more major population center. The wider world would still be there tomorrow, whatever was left of it. He looked up at Half Dome, now silvered by moonlight. The ancient granite face was unchanged, indifferent to the apocalypse that had just played out beneath it. Somewhere in the darkness, coyotes began to howl, a sound that had always made the park feel wild and untamed. Now it felt like a reminder: nature was already moving on, reclaiming what had briefly been borrowed. Andy opened the survival manual's PDF, finding the section on "Social Collapse and Communication Strategies." The manual laid out different strategies based on mortality rates, 30%, 50%, 70%, 90%, 99%. With a grimace, he scrolled to the 99% section. "In the immediate aftermath of a >99% mortality event, social structures will be broadly erased and surviving population density will be too low for the immediate formation of antagonistic groups. Unlike smaller-scale disasters where existing social structures remain partially intact, catastrophic collapse temporarily eliminates the organizational capacity for coordinated action, hostile or otherwise. Survivors in the first weeks will be focused on immediate personal survival. During this brief window, other survivors can generally be trusted to be cooperative and helpful, as the shared experience of massive loss promotes prosocial behavior." The manual continued, further down: "Warning: This cooperative phase is temporary. As basic survival needs are met, humans will inevitably begin forming new social groups, 'tribes,' and power structures to replace those lost. Competition for resources will resume once excess pre-collapse supplies have been exhausted. Early contact and alliance formation during the cooperative phase is essential for long-term survival." Upon reading this, Andy elected to make the following post on twitter: "Ranger Andy Rhee, Yosemite National Park. Three possibly immune, North Pines/Ranger housing. Food plentiful, limited medical. Starlink operational. Main roads clear, helicopter landing sites available. Will monitor channel here & @Beacon." He followed it up with a post linking the survival manuals. He then switched to Beacon, created an account, and made the same posts. A slight rustling from inside the cabin drew his attention back to their immediate situation. He quietly stepped inside, retrieving the digital thermometer from his first aid kit. Sarah stirred slightly as he approached but didn't wake when he gently pressed the thermometer to her temple. 99 point 1, much better than this morning. He checked his own temperature next: 98 point 9. Their mild cases seemed to be resolving as quickly as they'd come on. He set his phone alarm for 5:30AM, enough time to get to Daniela's cabin by six as promised. The couch wasn't particularly comfortable, but he'd slept in far worse places. As he settled in with a spare blanket, his ranger training kicked in, categorizing the night sounds filtering through the cabin walls. Crickets. An owl. The distant yip of coyotes. Normal sounds. Safe sounds. The last thing he saw before drifting off was the green status light of the Starlink array through the window, blinking steadily like a new kind of star. The group assesses their situation, plans to leave Yosemite. Day 5, Pre-Dawn The alarm's buzz jolted Andy awake, but another sensation immediately registered, the rich aroma of fresh coffee. Sarah was curled up in his reading chair, scrolling through her phone, but as soon as she heard him stir, she immediately switched it off and turned her full attention to him. She'd changed into a new Alo Yoga set, a lavender sports bra under a white cropped tank, paired with high-waisted leggings in a matching shade. Her hair was pulled back in a messy-but-somehow-perfect bun, showing off her neck and shoulders. The fever flush was completely gone, replaced by her natural warm complexion. "Morning," she said warmly, uncurling from the chair with a practiced, fluid grace. "Made coffee. The fancy pour-over kind I found in your kitchen. Hope that's okay." Her hazel eyes met his, lingering just a moment too long as she took in his rumpled ranger uniform. "Sorry about commandeering your bed. I just meant to take a quick nap." She gave him an apologetic smile. Andy accepted the steaming mug she offered, trying not to notice how the morning light played across her toned body. "No problem. I'm used to sleeping rough. Comes with the job." Sarah tucked her legs under her on the couch next to him. The expensive fabric of her leggings caught the light as she moved, and she settled slightly closer than necessary, her knee just barely brushing his thigh. "I need to head out in about thirty minutes," Andy said, checking his phone. "There's another survivor at the park. A ranger's daughter. Her quarantine period ends at six." Sarah's eyes lit up. "Wait, really? Someone else made it?" She sat straight. "Yes. Daniela. She's fourteen, Miguel's daughter, one of our senior rangers. He;" Andy paused, remembering Miguel's final words. "He's not gonna make it." He took a deep breath. "Miguel was a big prepper. He made sure Daniela would be ready for anything. Kid's probably better prepared for this than me, honestly. He was ex-Marine, trained her in everything, survival skills, firearms, emergency medicine. I've seen her take apart and reassemble a rifle blindfolded." Sarah's eyebrows rose. "Fourteen? God." Her expression softened. "Must have been intense, growing up like that. Learning survival stuff instead of just; being a kid." "Miguel was," Andy searched for the right words. "He was paranoid I guess. We used to joke about his 'disaster preparedness' lectures." He snorted gently, irony in his voice. "And her mom?" "Passed away years ago, while Daniela was a child. Aneurysm." Andy took another sip of coffee. "Miguel basically raised her alone." Sarah held her coffee mug, pulling her legs toward her and wrapping her arms around them. "Damn, she's been through a lot already, huh? I hope she's alright." She glanced down at her designer workout wear and gave a small, self-aware smile. "Well, we should probably get ready to meet our teenage survival expert. Think she'll judge my completely impractical apocalypse wardrobe?" Andy couldn't help but smile. "Probably." He paused, then added, "Have you found Beacon yet? The Twitter alternative?" "Yeah, I was just reading through it earlier," Sarah leaned forward, coffee forgotten. "There's a virologist who's been collecting data. Says survival seems almost completely random, except for this weird seven-to-one female-to-male ratio and a slight correlation with genetic relatedness,, like if your sister survived, you had maybe a tiny bit higher chance. But besides that;" She shook her head. "No pattern. Not health status, not location or exposure level, or ethnicity, not even age. Just random genetic lottery. Either your b-cells already make the right antibodies, or they don't. I'd guess there's actually some correlation with age like there is with any disease, old immune people might still die from the mild flu symptoms we had. But; well," she sighed. "I doubt enough people are surviving in the first place right now to get that kind of data." Andy raised an eyebrow. She caught his look and shrugged, waving her hand casually. "I'm a biology major. Molecular cell biology. We learned some of this stuff last year." She continued, "Anyway, other than that it was mostly random people and groups asking for help, or offering help. It seems like all our old governments, systems, whatever, they're all gone." "Yeah. It's a whole new world out there." Andy said. "Have you thought about posting anything?" "I wasn't sure if it would be safe," Sarah admitted. "Announcing our location." "Actually," Andy said, "I already made a post last night. I was able to download survival manuals last night and they had an interesting take on it, right after something this catastrophic, people are still in shock, focused on basic survival. They don't have the resources or organization yet to be really dangerous. It's actually the best time to make contact, before people start forming new power structures and competing for resources and territory." "I see," Sarah said, working through the implications. "So what did you post?" "Just the basics. That there were survivors at Yosemite, that we have Starlink, medical supplies. That the roads are clear if anyone needs to reach us. Links to the same survival manuals." He took another sip of coffee. "Figured we should make connections while people are still helping each other." Sarah's lips curved slightly into a soft grin. "So, if you'd found me a few weeks from now, you wouldn't have been so friendly?" "Hey, don't ask me," Andy raised his hands in mock defense. "The manual knows best. Apparently I'm destined to become dangerous and territorial any day now." "Guess I met you at just the right time then," she said softly, her eyes meeting his for a moment before looking away. A quiet moment passed between them, the morning sun slowly brightening the cabin. "Where are you studying?" Andy asked, then caught himself. "Or; were you studying?" Sarah's face flickered with something complicated. "Was. Am? I;" She took a breath. "Biology at UCLA. Second year." Her voice grew quiet. "I kept searching Beacon for anyone from campus, but; nothing yet." Day 5, Morning Daniela was already sitting outside on a bench by the cabin when they arrived, military-surplus backpack at her feet, a shotgun slung over her shoulder, dressed in practical outdoor wear that made Sarah look especially out of place. She stood as they approached. Her dark hair was pulled back in a tight, no-nonsense braid, and she sat with straight-backed posture, almost too straight, like she was holding herself together through sheer will. "Ranger Rhee," she said crisply, standing as they approached. She let her eyes drift to Sarah, taking in the expensive athleisure wear and aggressively feminine curves with a quick, assessing glance that held equal parts teenage girl's envy and survival expert's dismissal. "Daniela, this is Sarah," Andy said. "She's another survivor, immune like us." Daniela gave a short nod, then launched into what felt like a rehearsed speech. "Status report: fever peaked at 101.2 three days ago, now normal temperature for 48 hours. No remaining symptoms." She gestured to her pack, her words coming slightly too fast. "I've assembled primary survival gear, in case we need to leave in a hurry. Secondary cache inside includes a hand-crank radio set, four topographical maps of Yosemite and surrounding regions, California road atlas with marked backup routes, water filtration system, three weeks of MRE, six hundred feet of para-cord in various thickness, four heavy-duty tarps." She took a quick breath, her rehearsed rhythm barely faltering. "We also have a weapons cache. One Remington 700 bolt-action with scope and 1000 rounds, one Mossberg 500 shotgun with 1000 shells, four Glock 19s with 1000 rounds of 9mm, two semi-automatic AR-15s with 5000 total rounds. RPG-7 with eight rockets. Two cases each of fragmentation grenades and flashbangs. Ten pounds of C4 with detonators. A dozen anti-personnel and anti-vehicle mines." Andy's eyes widened at the arsenal, and Sarah let out a quiet "wow." Daniela continued at top speed without acknowledging their reactions. "Two sets of Level IV body armor with trauma plates. Four tactical vests. Medical supplies organized by emergency type. Dad's old paper survival guides and field manuals. Solar oven. Basic vegetable seed packets. Shortwave radio. Antibiotics." She paused. "And a sewing machine. Manual one. For repairs." That last item seemed to crack her professional veneer slightly. She looked at Andy, her carefully maintained composure slipping. "Have you; have you seen my dad since;? He; he hasn't been responding." Andy's expression told her everything before he could speak. "Not since the clinic," he said softly. Daniela's chin trembled once, but she snapped back into her military bearing so quickly it was painful to watch, like a child playing soldier to keep the monsters away. Her voice was smaller but desperately steady when she spoke again. "What's our next move, sir?" Andy stroked his chin, considering his words carefully. "I've only got the broad strokes of a plan right now. We've got internet at my cabin, Sarah brought a military-grade Starlink array." He gave Daniela a quick overview of what they'd learned: the devastating global death toll, the seemingly random pattern of who lived and died. He mentioned the scattered posts they'd seen on Beacon, survivors in major cities trying to connect, the complete collapse of traditional infrastructure. "Here's what I'm thinking," he continued, in an attempted measured tone. "We can't stay in Yosemite. Winter's going to be tough up here, isolated, we could probably survive if we stay indoors and eat canned food or whatever we can hunt the whole time but what would that get us? We wouldn't be any closer to setting up a long term settlement, even with your father's preparations;" He paused, careful with his words. "We need to find more people. We need to probably get to a major population center. More people means more survivors means more knowledge, more resources, better chances of rebuilding something sustainable." Daniela nodded, her expression suggesting she'd already run similar calculations. "I'd say we take a day or two here first," Andy added. "Sweep the park a few more times for survivors. Gather whatever useful supplies we can find from the stores, visitor centers, other ranger stations." "Ok, that makes sense. Where's my dad?" Daniela said quietly. Andy didn't hesitate. "He's at the clinic. East wing, near the supply cabinets. Do you want us to come with you?" She shook her head. "I'll go by myself." She was already turning to leave. Andy watched her go, knowing that splitting up wasn't ideal but reasoning that the park was likely empty now except for them, and with her confident shotgun slung over her shoulder, she could probably take care of herself. "Meet us back at my cabin later," he called after her. "And keep an eye out for any large trucks or gas canisters while you're out. We'll be checking the valley store," he added. "See what we can salvage." Sarah spoke up. "I'm really glad to meet you, Daniela. It's; it's good to have another girl alive." She gave a small self-deprecating smile. "I'm obviously not as prepared as you, but; I'll do my best to not be a burden." Daniela merely nodded, wearing a worried, distant expression, and headed off toward the clinic, her stride purposeful but tense. Day 5, Morning The morning air was crisp as they headed toward the valley store, Half Dome looming above them in the clear sky. Sarah walked close to Andy's side, her earlier morning quietness replaced by an almost nervous energy. "She's so; composed," Sarah said, shaking her head in wonder. "I mean, she's cataloging military-grade weapons like she's reading a shopping list." She adjusted her designer backpack, suddenly self-conscious. "Did you see how she looked at me? I swear I could hear her mentally calculating how quickly I'd die in the wilderness." The path narrowed between some fallen trees and Sarah stepped ahead, her juicy curves swaying hypnotically as she walked. Andy gave in and let himself watch, taking in how her expensive leggings showcased her plump rear and hips rolling side to side with each step. Her ass was built for likes more than functionality but no less captivating for it. "You know, she's not actually hating on you," he said, forcing his attention back to their conversation. "She just processes everything as tactical information, it's how Miguel trained her. Analyzing strengths, weaknesses, capabilities." Sarah tucked a strand of highlighted hair behind her ear. "An RPG though? Like, an actual bazooka? Does he expect to fight a freaking tank?" "Maybe. I wouldn't put it past him." Andy replied with a shrug. "But explosives actually have a lot of use besides tanks you know. If you need to blow up a wall or car someone is hiding behind for example. In war, you're often running out of RPGs before you run out of bullets." Sarah paused, considering. "Where does a park ranger even get that kind of stuff anyway?" "Miguel had connections from his Marine days. Never talked about them much." "God, poor kid." Sarah's voice softened. "All that training, and she still lost him anyway." She was quiet for a moment, then added, "At least she knows what to do now. I'm totally useless here." Andy glanced at her. "Hey, you brought the Starlink. And the filtration system. That's not nothing." "Yeah, but I wasn't even planning to use them." She gave a small, self-deprecating laugh. "I didn't even know how they worked until yesterday. I was just supposed to make them look good in pictures." They rounded a bend in the path, the store's entrance coming into view. Sarah slowed slightly, her voice more thoughtful. "You know when Daniela was listing all that gear, there was something about the sewing machine. Do you think it was her mom's?" Andy nodded. "It was just;" She trailed off, searching for words. "Like for a second the whole soldier act dropped, and she was just a kid who lost her parents." Andy nodded, remembering the slight tremor in Daniela's voice at that moment. They reached the store's entrance, its glass doors standing partially open. Sarah instinctively moved closer to Andy's side as they faced the quiet and empty building. The morning light streamed through the store's high windows and skylights, illuminating neat aisles of outdoor gear and camping supplies. Everything was still in its place, the pandemic had moved too quickly for panic buying or looting. The store felt frozen in time, like its staff had simply stepped out for lunch and never returned. "Boots and outdoor gear are in the back left," Andy said, gesturing. "Look for something waterproof, with good ankle support. And grab some proper hiking pants, the kind with zip-off legs and plenty of pockets. I'm going to check our food supplies in the storage room." Sarah nodded, already moving toward the clothing section. "I'll try to channel my inner Daniela. No more Instagram fashion choices." Andy headed to the back of the store, past rows of camping equipment and climbing gear. The storage room door was locked, but a few solid swings with the fire axe he'd retrieved from its wall mount made short work of the deadbolt. Inside, he swept his gaze across rows of shelves stacked with boxes and crates. His shoulders relaxed as he took inventory, hundreds of cans of chili, soup, and vegetables. Sealed packages of dried fruits and trail mix. Energy bars by the case. Enough preserved food to feed a small group for months, maybe longer if they rationed carefully. Way more than they could possibly take with them. Returning to the main area, Andy methodically selected gear from the high-end section, a rugged Carhartt jacket, some water-resistant hiking pants, and a pair of well-reviewed Merrell boots to supplement his ranger gear. He grabbed a Leatherman Wave+ multi-tool, a pair of Vortex binoculars, and several high-end headlamps and lanterns with spare batteries. Making his way to the women's section, he found Sarah studying her reflection in a full-length mirror. She'd changed into a pair of olive-green tactical pants that, despite their utilitarian design, hugged her curves perfectly where they cinched at her waist. A cropped camo compression top showed off her toned midriff while providing actual support and protection. Black Salomon hiking boots replaced her pristine Nikes, and an Arc'teryx jacket in sleek black completed the ensemble. She'd managed to find gear that was both practical and flattering, the pants especially seemed designed to enhance rather than hide her natural assets. She turned slightly, checking the fit from different angles. "What do you think?" she asked, adjusting the jacket. "The pants are actually really comfortable. And this top breathes really well." She moved through a few stretches, testing the range of motion, the gear moving naturally with her body, causing her ample bust to jiggle pleasantly. Andy tried not to stare. "Those boots are perfect," Andy said, nodding approvingly. "Salomon makes some of the best. They'll last for years if you take care of them." Sarah bent down to grab another small pile of clothes from the floor. "I grabbed some things for Daniela too." "Good idea. How do you know what size she is?" Andy asked, eyeing the stack of clothing. Sarah laughed, a glint in her eyes. "Trust me, I can tell. It's a girl thing." She folded the clothes with efficiency, tucking them into a rugged canvas duffel bag and her new backpack. "Plus, everything I picked has adjustable waists and drawstrings. She'll be able to make it work." Day 5, Evening The crackling of the campfire filled the silence between them as they sat in front of Andy's cabin, the flames casting flickering shadows across their faces. Steam rose from their bowls of rehydrated beef stew. Daniela sat cross-legged on a log, her new pants and boots looking almost too perfect, still creased from their packaging. Her dark hair was pulled back in a fresh braid, but a few strands had escaped during the day's labor, clinging to her neck. Her spoon moved mechanically from bowl to mouth, her expression distant and detached. The blisters on her hands from digging the grave were hidden beneath fingerless gloves. Sarah sat on a camp chair, somehow making even that look graceful. She'd changed into black leggings and an oversized ranger station sweatshirt she'd found, her hair pulled up in a messy bun. Her eyes kept flicking to Daniela. Each time she caught herself watching too long, she'd look away quickly, taking small, careful bites of her stew. Andy was hunched over his phone, the light illuminating his face as he scrolled through Beacon posts. The Starlink array hummed softly behind them, its status lights reflecting off the cabin windows. "More reports coming in from the Bay Area," he said finally, breaking the silence. "Sounds like they're organizing some kind of central meeting point in San Francisco. Using the Presidio as a base camp." Sarah nodded, seizing the conversation attempt. "Makes sense. I've been there before. It's really pretty." Daniela continued eating mechanically, showing no response. The fire popped loudly, sending up a shower of sparks. Daniela's hand dropped down to her holster before she realized what she was doing, then went back to her food. Her face remained carefully blank, but her knuckles whitened around her spoon. Sarah's eyes met Andy's over the fire. She opened her mouth as if to say something, then closed it again, turning her attention back to her own bowl. Andy set his phone down, choosing his words carefully. "We should probably talk about where we're heading. We've got some options to consider." Sarah chimed in again. "Yeah, like you said, the Bay Area seems to be organizing faster than anywhere else," she offered. "And my parents live in Palo Alto." She let the thought hang unfinished. "L A is an option, too;" Andy said, for now trying to brush past thoughts of Sarah's lost loved ones, and by extension his own as well. "More spread out, might be easier to find supplies. And Sarah you know the area pretty well I assume?" She nodded. He continued, thoughtful. "The Central Valley has farming potential, but no real organization showing up yet. Portland and Seattle are possibilities, but that's a long trek north. If we want to go south, Vegas and Phoenix also exist." The logo of Fallout New Vegas appeared in his mind's eye. "South is out," Daniela spoke suddenly, her voice flat. "Can't farm without major irrigation infrastructure. Nobody's maintaining those systems anymore." It was the most she'd said since returning from the clinic. Andy nodded. "True. We could probably gather enough fuel to make it across the country if we wanted to risk it, but;" "That's a lot of unknown territory to cover," Sarah finished. She pulled out her phone, scrolling through Beacon posts. "Though from what I'm seeing, the East Coast isn't doing any better than we are. Maybe worse, winter is coming." "The cold and snow would be a major disadvantage," Daniela said, her voice taking on the precise tone she used when reciting her father's lessons. "Increased resource consumption, limited farming windows, higher risk of mechanical failures in vehicles and equipment." She set her empty bowl aside. "California's the logical choice. Better climate, more stable growing seasons." "Agreed," Andy said. Daniela seemed to find stability in talking about this. "So that brings us back to L A versus the Bay." "The Bay Area is the only logical choice between the two." Daniela began ticking points off on her fingers, echoing discussions that had happened many times before. "The peninsula provides natural defensive positions. Multiple deep-water harbors for future maritime operations. Significantly more unpaved space for urban agriculture compared to the L A concrete sprawl." She continued briskly. "Plus, direct river access to the Central Valley farming regions around Stockton, where there's plenty of water for farming. From L A, you'd have to cross the Transverse Ranges to get to Bakersfield- that's a major liability for supply lines." Her voice took on an edge of disdain. "And farming that far south in the Valley isn't going to be viable anymore anyway, they're almost as reliant on irrigation as Phoenix or Las Vegas." She shook her head decisively. "The L A positioning is completely unsustainable. Anyone there should be evacuating to the Bay immediately." Andy nodded slowly, impressed but not surprised by the depth of analysis. He'd seen this level of preparation in everything Miguel and Daniela did. He glanced at Sarah, eyebrows raised in silent question. Sarah gave one of her small, self-deprecating smiles. "Don't look at me for expertise. The most strategic thinking I've ever done is planning photoshoots." She tucked a loose strand of hair behind her ear. "But Daniela's logic makes perfect sense. I mean, it's clearly been; thoroughly thought through." "The Bay it is then," Andy said, straightening up. "We should take two days to prepare; we can stock up on food, supplies, and then pick cars. There are plenty of abandoned vehicles in the valley, we'll need time to find the right ones and load them properly. It's not a long drive, but we should be thorough." He looked between them both. "We leave in three days." To be continued. Based on a post by the hospital, for Literotica.

"Something in the way he moves says he might be..." Adele pays tribute to one of our own, Dan confuses a White and a Black, and Chris tries to remember a name. And after the reveal of today's show-long bit of "Jeremy" as George Harrison, which clearly fooled Greg, he gives us... absolutely nothing. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Send us a textCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExam---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.

I recently had an ApoB test and am surprised that it isn't lower than it is.  Can you explain?I have an ascending thoracic aortic aneurysm.  How can I keep it from enlarging?Why are you against whole-body scans? Aren't they helpful?Can I take magnesium L-threonate while also taking magnesium glycinate?

Will Truheight vitamins really make your kids grow?Where can I learn more about complementary medicine and nutrition?The balls of my feet are sore along with my toes. Is this a vitamin deficiency?

Kardashian or suffer the dangerous consequences of dehydration like Brandy did on the Chicago leg of the Brandy and Monica Tour? Or maybe you've wondered what it really means to be diagnosed with both schizophrenia and bipolar disorder - something famous rapper, Gucci Mane, recently revealed.Let's break down these trending medical headlines and the latest celebrity health news together in real-time, so we can learn what every headline truly means for us and our own wellness. We'll get into how intense stage lights, grueling schedules, and missed water breaks can take anyone from parched to nearly fainting - plus what signs to watch out for (and what to do if things take a turn).Plus, is the 10,000-step rule a myth? We're diving into new research suggesting just how many steps might be the new magic number for better health.This podcast is intended to be informational only.  It is not a medical consultation, nor is it personalized medical advice.  For medical advice, please consult your physician.#HealthHappyLifePodcast #DrFrita #MedicalMondays #CelebrityHealthNews #MedicineInTheNewsHere are a few helpful resources to help on your journey to wellness:▶️ Subscribe so you will never miss a YouTube video.

PM2.5 particles increase dementia risk by 8% for every 5 micrograms per cubic meter increase. These ultrafine particles travel directly to the brain through nasal pathways Long-term exposure to fine particulate matter doubles brain aneurysm rupture risk, with damage accumulating over three to six months rather than causing immediate effects Air pollutants trigger chronic brain inflammation by activating microglia cells, disrupting the blood-brain barrier and promoting harmful amyloid plaque buildup over time Vehicle exhaust fumes such as nitrogen dioxide and black carbon from soot show stronger associations with vascular dementia compared to Alzheimer's disease in population studies Using indoor air purifiers with high efficiency particulate air (HEPA) filters, limiting outdoor exposure during high pollution periods, and eliminating household chemical sources help improve indoor air quality to protect brain health

In this enlightening episode, host Dr. Laura Scherck Wittcoff talks with Christine Buckley, the Executive Director and Board President of the Brain Aneurysm Foundation. The episode delves into the complexities and risks associated with brain aneurysms, highlighting the critical nature of early diagnosis and proper treatment. **Key Discussion Points:** 1. **Understanding Brain Aneurysms:** - The brain's intricate role as an organ and the devastating impacts when an aneurysm occurs. - Statistical insights into the prevalence and rupture rates of brain aneurysms. 2. **Personal Stories and Advocacy:** - Christine shares touching personal stories of individuals affected by brain aneurysms, emphasizing the unpredictability and severity of the condition. - The importance of self-advocacy in healthcare. 3. **Advancements in Treatment:** - How modern advancements have made treatments less invasive and more efficient. - The ongoing challenge of misdiagnosis and delayed treatment. 4. **Foundation Initiatives:** - The Brain Aneurysm Foundation's role in research, advocacy, and education. - The "Scan to Save" initiative is designed to improve early detection and healthcare provider education. 5. **Impact of Education and Awareness:** - Strategies to increase awareness and understanding of brain aneurysms among the public and healthcare professionals. - The importance of sharing information through social media and community outreach. 6. **Challenges and Future Goals:** - The need for more widespread awareness and support to prevent rupture-related fatalities and disabilities. - Christine's vision for a world free from the dangers of brain aneurysms and the continuous effort to secure research funding. **Call to Action:** Listeners are encouraged to share the podcast episode, follow the Brain Aneurysm Foundation on social media, and help spread awareness about the signs, symptoms, and importance of early detection of brain aneurysms. **Links and Resources:** - [Brain Aneurysm Foundation Website](www.bafound.org) - Social Media: [Facebook](www.facebook.com/bafound), [X](x.com/BAFOUND), [Instagram](www.instagram.com/bafound), [LinkedIn] (www.linkedin.com/company/the-brain-aneurysm-foundation) [YouTube](www.youtube.com/user/brainaneurysmfound For more Small & Gutsy episodes: https://smallandgutsy.org/episodes/

Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.”See omnystudio.com/listener for privacy information.

Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.”See omnystudio.com/listener for privacy information.

Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.”See omnystudio.com/listener for privacy information.

Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.”See omnystudio.com/listener for privacy information.

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Kim Kardashian reveals brain aneurysm diagnosis, former mobster Michael Franzese joins 'TMZ Live' after the shocking NBA gambling arrests, Romeo Beckham sparks reconciliation rumors with ex Kim Turnbull, and Keke Palmer responds to backlash over new HBCU series. Learn more about your ad choices. Visit podcastchoices.com/adchoices

The U.S. carries out another military strike on an alleged drug-smuggling boat in the Pacific Ocean. Also, the Trump administration announces plans to demolish the White House's East Wing to make way for a new ballroom. Plus, the NFL and commissioner Roger Goodell defend the decision to name Bad Bunny as this year's Super Bowl halftime performer. And, the season premiere of ‘The Kardashians' reveals a surprising diagnosis for Kim following a routine MRI. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

On this powerful episode of Groove with Portia, I sit down with Tess Padmore—an incredible survivor, author, and innovator who has turned pain into purpose. Tess shares her journey of surviving a brain aneurysm that ruptured twice within just one month. From being misdiagnosed to navigating the harsh realities of long-term disability, Tess walks us through the mental and emotional toll of her recovery.We talk about the grief that comes with identity loss—the version of you that no longer exists after trauma—and how Tess found her voice again through music, writing, and reinvention. She opens up about the breakdown of her marriage, the end of her career in education, and the moment she chose to fight for something more.Tess did not just recover—she reimagined herself. She created her own line of soft, empowering headwear, published two children's books, and is now working on a memoir and newsletter aimed at health literacy and patient advocacy. Her story is a masterclass in resilience, creativity, and the healing power of storytelling.We also talk about her desire to speak with medical communities, highlighting the urgent need to include patient voices in how care is delivered. Whether you've faced medical trauma, grief, or unexpected life transitions, Tess's story will remind you that there is still something within you worth sharing—and someone out there waiting to hear it.Connect with Tess: https://eggheadsoques.com/

Kings lose their 2nd preseason game in Portland. They played better but still showed a lot of the issues that plagued them in the game against the Raptors.That is if you were able to watch the game with the Blazers broadcast which frustrated Owen and Fong to no end with their endless replays, many of which happened while the game was happening so they missed a lot of Kings possessions as a result.Owen and Fong try their best to give their best analysis of the game despite that.They then end the episode talking about the Bad Bunny outrage over him headlining the Superbowl Halftime show.Use code SKT15 on checkout to get 15% off from HYVDesigns on Etsy during checkout or use this link: https://www.etsy.com/shop/hyvdesigns/?etsrc=sdt&coupon=SKT15Intro Music by Blue Dot Sessions. https://www.sessions.blueIf you want to email us: kingtherapypod@gmail.com

September is Brain Aneurysm Awareness MonthWe sat down with Veronica Brown on the I Love Shreveport to hear her powerful story. Her journey is more than inspiring—it's proof that you can come back from anything. Veronica currently shines as THE Digital Media Specialist for the City of Shreveport, and she's also a gifted photographer and artist whose creations truly come from the heart.

A routine cholesterol test turned into a life-saving discovery when doctors found an aortic aneurysm that required quick surgical intervention. Nathan sits down with his wife and co-host Alicea just nine days after her open heart surgery for a candid conversation about facing mortality with grace, humor, and remarkable optimism.Alicea takes us through her journey from initial diagnosis to recovery, sharing the surprising way her aneurysm was discovered through a precautionary CT scan. Though her arteries were perfectly healthy, the ballooning in her ascending aorta required swift action – a powerful reminder of how routine medical screenings can uncover silent but potentially fatal conditions.What makes this conversation particularly valuable is Alicea's honest reflection on the experience from the patient perspective. From choosing Hamilton as her operating room soundtrack to the unexpected challenges of being conscious while intubated, she offers rare insights into the emotional and physical realities of major cardiac surgery. Her remarkably quick recovery (so far) – leaving the hospital in just four days instead of the expected week – demonstrates the profound impact that mindset can have on healing.The episode highlights the critical importance of community support during health crises. Despite both hosts admitting their reluctance to accept help, they acknowledge how essential their network of friends, family, and church community has been throughout this journey. Alicea's advice to others facing similar situations cuts straight to the heart: "Find people that love you and will take care of you. Don't be afraid to ask for help."Listen in as we explore how facing mortality can clarify what truly matters, and how unexpected medical journeys can reveal strengths we never knew we had. Whether you're navigating your own health challenges or supporting someone who is, this conversation offers both practical insights and emotional wisdom for the journey.----Adventures & Mousecapades is a passion project from Alicea & Nathan Novak - two Seattleites addicted to The Mouse. We are not affiliated with Disney, nor are we travel agents. Opinions are our own.Instagram, Threads, Facebook, Twitter: @ourmousecapadesOurMousecapades.compodcast@ourmousecapades.com

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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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

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.

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  ‪

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.  

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