Podcasts about bakersfield

Send Robert a Text!  Nearly 32 years ago, a tragic shooting in Bakersfield revealed how fragile the safety net for mental health truly was. What followed was a sobering look at how a family's desperate pleas for help went unanswered until it was too late.  Purchase Notorious Bakersfield: The Book Volume II here: https://a.co/d/2XONnB1 ***SUBSCRIBE HERE*** For only $4 per month, you can Subscribe to Notorious Bakersfield to get access to the entire back catalog of episodes. Subscribe here: https://www.buzzsprout.com/1784628/subscribe

A Bakersfield, California woman jailed for killing her stepdaughter is brutally attacked in Jail, and the inmate who did it says she has no regrets. A Kentucky woman is jailed after police say she destroyed her ex-boyfriend’s car with glitter, salt, and other damage that totaled more than $12,000. Drew Nelson reports.See omnystudio.com/listener for privacy information.

It's Friday afternoon, which means a fresh episode of Oilersnation Radio is ready to massage your eardrums with an hour of off-season Oilers talk. On today's podcast, the fellas discussed bubble players, winning jobs at camp, PTOs, and much more.We kicked off the Friday episode of ONR with a delicious debate about the Oilers' roster and whether any players who played last year could find themselves on the bubble. While many slots on the roster are likely written in ink, we looked at the fourth line and wondered if either of Mattias Janmark or Kasperi Kapanen could get beat out for a job. With plenty of competition fighting for those jobs, it's fair to ask if any of the veterans are at risk of losing a spot.Changing gears, the guys walked through the little Oilers news that's happened over the last week, including some minor league signings in Bakersfield, Connor McDavid's extension, and Andrew Mangiapane's new baby. And while there isn't much happening right now, that didn't stop the boys from yammering on about these limited items anyway. Even so, the big news everyone is waiting for is when Connor McDavid will sign his extension, and even though it's taking longer than we may hope, there's still no need to be concerned about having No. 97 back. Finally, we wrapped up the Friday episode of ONR with another round of Ask the Idiots, betting talk for our friends at bet365, and Hot and Cold Performers to look back on the week. With just over two months left until the start of the 2025-26 season, the guys spent the bulk of the Friday episode talking about an array of topics that were Oilers-related or not at all, but that's what happens in August. Hosted on Acast. See acast.com/privacy for more information.

Episode 200: All About Ascites.     Jesica Mendoza explains the pathophysiology, diagnosis and management of ascites. Dr. Arreaza adds input about early detection and prevention of spontaneous bacterial peritonitis. Written by Jesica Mendoza, OMS IV, Western University, College of Osteopathic Medicine of the Pacific. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Welcome to our episode 200! It is an honor to welcome back a wonderful medical student, her name is Jesica, and she has prepared this topic, and she is excited to share this information with us. Jesica presented in June this year an episode about gestational diabetes (episode 193) and today she will talk about ascites. Jesica, please tell us who you are again. What is ascites?Ascites is the buildup of fluid in between the visceral peritoneum and the parietal peritoneum in the abdomen. This is often caused by cirrhosis of the liver due to the increased portal HTN which leads to increased nitrous oxide (NO) and prostaglandins which then causes splanchnic vasodilation and decreased effective arterial volume. The decrease in arterial volume then causes an increase in the renin–angiotensin–aldosterone system (RAAS) and antidiuretic hormone (ADH) from the renal system which leads to sodium and water retention. This then causes a net reabsorption of fluids and ascites.Evaluation of ascites.Once someone has been found to have ascites the next step will be a diagnostic paracentesis. This includes removing fluid from the peritoneal cavity in order to determine the SAAG (Serum Ascites Albumin Gradient) score. SAAG : (serum albumin) − (albumin level of ascitic fluid). The two values should be measured at the same time.This score helps determine the cause of the ascites with a score >1.1 g/dL indicating portal hypertension usually due to liver disease such as cirrhosis. A SAAG score of 250 PMNS/mL. Fluid should be sent to the lab for culture and then antibiotics should be started. IV 3rd generation cephalosporins are typically used. Fluoroquinolones are also used to prevent the recurrence of SBP.If you desire to learn more about SBP, listen to our episode 123. By the way, propranolol is a frequently used medication to prevent GI bleeding from esophageal varices in cirrhosis and also to decrease the development of ascites. It should be used in patients who have compensated cirrhosis and must be avoided in patients with refractory ascites, hypotension, renal dysfunction or active infection. So, to wrap things up we should remember that once we identify ascites with our physical exam of the patient, we should make sure to obtain a paracentesis as these results will be the main guide for our treatment. The treatment can then range from medical treatment such as spironolactone and/or loop diuretics to TIPS procedures, PleurX or even liver transplant. Always be on the lookout for SBP in patients with ascites and always remember to obtain a culture on the ascitic fluid prior to starting antibiotics. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Ascites, Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/14792-ascites.Huang LL, Xia HH, Zhu SL. Ascitic Fluid Analysis in the Differential Diagnosis of Ascites: Focus on Cirrhotic Ascites. J Clin Transl Hepatol. 2014 Mar;2(1):58-64. doi: 10.14218/JCTH.2013.00010. Epub 2014 Mar 15. PMID: 26357618; PMCID: PMC4521252. https://pmc.ncbi.nlm.nih.gov/articles/PMC4521252/.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

If You Missed Romeo In The Morning We Talked About: A listener had a problem with his friend of 20 years dating his ex baby mamma.

Murder-suicide investigation underway after domestic dispute in Southeast BakersfieldFour hour standoff ends peacefully in East Bakersfield, suspect arrested Father and stepmother of Genesis Mata to appear in court todayFormer KCSO deputy found guilty of multiple sex crimes to be sentenced today Bakersfield church burglarized, set fire in the same dayGov. Newsom to draw new congressional maps ahead of midterm election Alaska Trump and Putin summit to take place Friday For more local news, visit KGET.com. Stream local news for free on KGET+. Visit KGET.com/plus for more information. 

If You Missed Romeo In The Morning We Talked About: The 1st day of school , women cheat more then men now and sancho had to go back to work.

California Farming Voices: On today's AgNet News Hour, host Nick Papagni and co-host Josh McGill take listeners on a tour of California agriculture, from the dairies of Hanford to the John Deere showroom in Madera. The episode features two in-depth interviews—first with dairy farmer Case Anker, then with Stan Nelson of Midland Tractor—offering a ground-level view of farming challenges and innovations across the Golden State. Anker, a third-generation dairyman, shares how his family's operation balances cow comfort with fluctuating market conditions. From citrus peel feed to molasses treats, he explains that keeping cows cool and stress-free is just as critical as feed quality. While 2024 has brought fair milk and feed prices, Anker notes the dairy business demands resilience—farmers must be ready for both good and bad years, setting aside reserves for leaner times. He encourages consumers to support dairies by buying milk, cheese, pizza, and other dairy products, highlighting the pride and stewardship that comes with caring for animals and the land. The show then shifts north to Madera, where Nelson discusses Midland Tractor's 40-year history serving California growers. With service trucks covering territory from Bakersfield to Yuba City, Midland specializes in providing efficient, cutting-edge John Deere equipment for orchards, vineyards, and specialty crops. Nelson details the growing role of technology in agriculture, from precision spray systems to emerging autonomous tractor solutions. He emphasizes the industry's reliance on water, noting that reliable supply and storage are essential not only for farms but for the many allied businesses that support them. Throughout the episode, Papagni and McGill connect the dots between on-farm realities, supply chain impacts, and the broader ag economy. Whether it's tackling water scarcity, navigating trade tariffs, or adopting new equipment, the conversations underline agriculture's resilience and adaptability. Catch the full interviews with Case Anker and Stan Nelson at AgNetWest.com, and follow AgNet West for more California ag news and stories from the field.

Bakersfield tricked us with July heat.  Now August is just gone flat out crazy!!!

If You Missed Romeo In The Morning We Talked About: The average family is paying $858 on school supply's and shouls you tell on a cheater?

If You Missed Romeo In The Morning We Talked About: The things that you did that made you feel like you finally made it, your best memories from school and cheating.

In July 2004, 17-year-old Amanda Lee Zubia vanished without warning. Days of desperate searching ended with a discovery that would shatter her family forever—marked by unimaginable cruelty, betrayal, and the devastating truth about who was involved. This is the tragic case of Amanda Lee Zubia.You can listen to our NEW episode on Spotify, Apple Podcasts, and all other streaming platforms.—-En julio de 2004, Amanda Lee Zubia, de 17 años, desapareció sin previo aviso. Días de búsqueda desesperada terminaron con un descubrimiento que destrozaría a su familia para siempre—marcado por una crueldad inimaginable, traición y la devastadora verdad sobre quiénes estuvieron involucrados. Este es el trágico caso de Amanda Lee Zubia.Puede escuchar nuestro NUEVO episodio en Spotify, Apple Podcasts y todas las demás plataformas de transmisión.—-Link + Sources:23 ABC News: https://youtu.be/nHQsvj1X0mo?si=xVS-Ck3wMNu0Nukw17 KGET News: https://youtu.be/g5xMvlqOXDQ?si=SBFKiJabFnCk3TP417 KGET News : https://youtu.be/5w3UZmIhRw4?si=dgfjwSbTXAauXrR8 (FAMILY SPEAKS)Eyewitness News FOX 58: https://youtu.be/A-BCX73UUmQ?si=__znSkSGV4JsSU14Legacy: https://www.legacy.com/us/obituaries/bakersfield/name/amanda-zubia-obituary?id=26690182Eyewitnes News: https://bakersfieldnow.com/news/local/governor-newsom-reverses-parole-for-convicted-murderer-of-17-year-old-amanda-zubia-kern-county-californiaThe Bakersfield California: https://www.bakersfield.com/archives/zubia-murder-case-difficult-to-make/article_b2d532f4-201f-5737-9122-ca63c5982536.htmlEyewitness News: https://bakersfieldnow.com/news/local/parole-granted-to-convicted-killer-of-17-year-old-despite-das-objection-and-familys-plea#Eyewitness News: https://bakersfieldnow.com/news/local/kern-county-da-and-family-outraged-as-amanda-zubias-killer-receives-early-paroleABC 23 News - Bakersfield: https://www.turnto23.com/news/in-your-neighborhood/bakersfield/teens-killer-granted-parole-family-seeks-community-support-to-reverse-decision?fbclid=IwY2xjawMDyGNleHRuA2FlbQIxMQABHt23Cay1riDTLPkRwSbQ9xipmxcr28XdOAC-4qBoUQ_HHcdtI2soQ7fgLEn8_aem_zAXy-eirzzXjWz58HAyAJg17 KGENT News: https://www.kget.com/news/crime-watch/bakersfield-woman-who-tortured-murdered-teen-girl-in-2004-has-been-granted-parole/?fbclid=IwY2xjawMDx3xleHRuA2FlbQIxMQABHjPhXFozSKd2gIsw7GiGZmQHXuxXW8Jho1lPRPHA4JzmXvlbp8H9zm52I-Cw_aem_kMZVCjMjF_4gAAuVsGteYQ17 KGENT News: https://www.kget.com/news/local-news/keep-this-vicious-murderer-behind-bars-family-of-murdered-bakersfield-teen-speaks-out-as-killer-is-granted-parole/NBC News: https://www.nbcnews.com/id/wbna6909912LA Times: https://www.latimes.com/archives/la-xpm-2004-jul-27-me-sbriefs27.3-story.htmlYahoo: https://www.yahoo.com/news/newsom-reverses-parole-bakersfield-woman-215551999.htmlYahoo: https://www.yahoo.com/news/longer-she-stays-better-us-010503370.htmlYahoo: https://www.yahoo.com/news/keep-vicious-murderer-behind-bars-022908573.html Distributed by Genuina Media — Follow Us:Instagram: https://www.instagram.com/SVSM_PodcastThreads: https://www.threads.net/@svsm_podcastTwitter/ X: https://www.twitter.com/SVSM_PodcastBlueSky: https://bsky.app/profile/svsmpodcast.bsky.socialFacebook: https://www.facebook.com/SoViolentoSoMacabroPodcastTikTok: https://www.tiktok.com/@svsm_podcastYouTube: https://www.youtube.com/@svsm_podcast

If You Missed Romeo In The Morning We Talked About: Hawaii vs Mexico, swim trunks and showing your boobs in public.

Today's top stories:Grand Jury report pointed to staffing, budget concerns at Kern County Child Protective ServicesPolice ask for help to identify woman who assaulted apartment manager iin central BakersfieldKern Valley State Prison investigating attack against inmateLawsuit filed against gaming and social media apps in connection to alleged Kern County kidnappingPresident Trump touts latest tariffs, threatens Russia with sanctions over Ukraine2025 Kern County Fair discounted tickets available FridayFormer Senate candidate Katie Porter leads newest Nexstar-Emerson polling for California governorFor more local news, visit KGET.com.Stream local news for free on KGET+. Visit KGET.com/plus for more information.

Watch this week's Look At This Photograph on YouTube⁠⁠⁠⁠⁠⁠ In the war against the machines, some believe Zach, Amin and Mayes hold the key to salvation, while others believe they are false prophets. Only one thing is certain... you better smash that like and subscribe so we can keep podcasting truth to the resistance from Eugene to Bakersfield . ⁠⁠⁠⁠⁠⁠CINEPHOBE MERCH STORE⁠⁠⁠⁠⁠⁠ - Check it out here:⁠⁠⁠⁠⁠⁠ https://bit.ly/CTDMERCH⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Join the Count The Dings Patreon⁠⁠⁠⁠⁠⁠ for Rewatchingtons, Ad-Free Episodes, Extended Cold Opens and more at⁠⁠⁠⁠⁠⁠ www.patreon.com/CountTheDings⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Cinephobe is now on Youtube!⁠⁠⁠⁠⁠⁠ Subscribe and check out CT5s and Look At This Photograph on Video. Subscribe to Cinephobe! Then Rate 5 Stars on⁠⁠⁠⁠⁠⁠ Apple⁠⁠⁠⁠⁠⁠ or⁠⁠⁠⁠⁠⁠ Spotify⁠⁠⁠⁠⁠⁠. Follow Cinephobe on Twitter, Instagram & Threads: CTD⁠⁠⁠⁠⁠⁠ @countthedings⁠⁠⁠⁠⁠⁠ IG:⁠⁠⁠⁠⁠⁠ @cinephobepod⁠⁠⁠⁠⁠⁠ Threads:⁠⁠⁠⁠⁠⁠ @cinephobepod⁠⁠⁠⁠⁠⁠  Zach Harper⁠⁠⁠⁠⁠⁠ @talkhoops⁠⁠⁠⁠⁠⁠ IG:⁠⁠⁠⁠⁠⁠ @talkhoops⁠⁠⁠⁠⁠⁠ Threads:⁠⁠⁠⁠⁠⁠ @talkhoops⁠⁠⁠⁠⁠⁠ Amin Elhassan⁠⁠⁠⁠⁠⁠ @darthamin⁠⁠⁠⁠⁠⁠ IG:⁠⁠⁠⁠⁠⁠ @darthamin⁠⁠⁠⁠⁠⁠ Threads:⁠⁠⁠⁠⁠⁠ @darthamin⁠⁠⁠⁠⁠⁠  Anthony Mayes⁠⁠⁠⁠⁠⁠ @cornpuzzle⁠⁠⁠⁠⁠⁠ IG:⁠⁠⁠⁠⁠⁠ @cornpuzzle⁠⁠⁠⁠⁠⁠ Threads:⁠⁠⁠⁠⁠⁠ @cornpuzzle⁠⁠⁠⁠⁠⁠ Email: cinephobepodcast@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

The Podcast That Rocked for 8/6/25. KORN was the only heavy music at Lollapalooza, Attila goes after Mr. Beast, more. This week ft. Kevin Kellam! Discussion Topics:Korn at Lollapalooza wasn't getting the loveAttila VS Mr. Beast is the fight no one wants Sanguisugabogg VS Awful Venue Management Bad Omens coming out with something big?Silly Goose getting arrested for rockingUpcoming Albums/Tours/more. SONG OF THE WEEK = Hayley Williams “True Believer” https://www.youtube.com/watch?v=a5Uy5vDXhKI ALBUM VS ALBUM: Korn's Follow The Leader VS Issues = https://www.youtube.com/post/Ugkxi2WJ9e6ZwGP1vomQgGFOdX_6tIfazuF9 Kevin Kellam IG = https://www.instagram.com/kevkellam6 Tickets to KEVIN AND HELL LIVE ALBUM RECORDING = http://bit.ly/4lm8lLd “In recent years, as Lollapalaooza tries to diversify its lineup, organizers will throw in that wild card, odd sock band that has some scratching their heads and others totally jazzed at the surprise. In 2025, that distinction wholly went to Korn. Since forming in Bakersfield, California in 1993, the nu metal founding fathers have kept a steady following (12 million on Facebook alone) but have largely been a festival fringe act, mostly relegated to prominent metal gatherings and European and UK events like Download and Hellfest, or even their own infamous Family Values Tour. In those environments, Korn draws tens of thousands to see their pulsating mix of screeching guitars, loaded basslines, detonating drums and frontman Jonathan Davis' aggressive barking that have become a consistent draw. But at Lollapalooza, not so much. The last time Korn played the festival, it was 1997 when the event was still touring the country. To put that into perspective, Olivia Rodrigo wasn't even born yet, and that detail became a proverbial line in the sand that divided the audience on Friday night for their headliner choices.” (Chicago Sun Times – Selena Fragassi) Hosted by: Luke = https://bsky.app/profile/rockednet.bsky.social Alex = https://bsky.app/profile/voiceofalex.bsky.social Rowan = https://bsky.app/profile/rowbuck01.bsky.social

If You Missed Romeo In The Morning We Talked About: Telling the truth vs lting when it comes to cheating, relationship advice with the Marriage and Family Center and kids today don't know good entertainment.

Today's top stories:Court documents reveal grim details in death of 8-year-old Genesis MataReports indicate Mata's father already had active CPS case Experts urge public to report suspicion of child abuseGifford Fire continues to burn west of Kern CountyOvernight house fire in Frazier Park spreads to nearby brushArmy sergeant accused of shooting 5 soldiers at base in GeorgiaNew tariffs take effect Thursday as Trump threatens moreFormer shelter dog becomes member of Search and Rescue teamKern County firefighter back on the job after cancer diagnosis and treatmentFor more local news, visit KGET.com.Stream local news for free on KGET+. Visit KGET.com/plus for more information.

This week on the Kern County Real Estate Review, Laurie McCarty sits down with Andrae Gonzales, Bakersfield City Councilmember, for an eye-opening conversation about the Bakersfield Community Land Trust—a new initiative aimed at making homeownership more accessible for local families. If you're wondering how a community land trust works, or what's being done to support first-time homebuyers in Bakersfield, this episode is a must-listen.Laurie and Andrae break down how the Bakersfield Community Land Trust is helping create affordable housing opportunities in our city, who qualifies, how the homes are priced, and why this model could be a game changer for neighborhoods with low homeownership rates.Plus, we spotlight the hottest open houses happening in Kern County this weekend—don't miss your chance to explore them.Whether you're thinking about buying a home in Bakersfield or just want to learn more about the local housing market, this episode delivers helpful insights and practical information.

Today's top stories: What we know about the death of an 8-year-old girl whose body was found inside Bakersfield motel roomLegal expert details the difference between self-defense and murder after homeowner shoots trespasser in Bakersfield19-year-old Ridgecrest man arrested for allegedly making threats with an AR-15 style rifleKern County Fair warns of scam attempts regarding vendor opportunities Texas Democrats continue hold out in an effort to block congressional redistricting planFor more local news, visit KGET.comStream local news for free on KGET+. Visit KGET.com/plus for more information.

The Moneywise Radio Show and Podcast Friday, August 1st  BE MONEYWISE. Moneywise Wealth Management I "The Moneywise Guys" podcast call: 661-847-1000 text in anytime: 661-396-1000 website: www.MoneywiseGuys.com facebook: Moneywise_Wealth_Management LinkedIn: Moneywise_Wealth_Management Guests: Gabriel Alvarez, Lead Pastor & Jessica Villa, Office Assistant at Calvary Bakersfield website: https://ccbakersfield.com/ BACKPACK & SCHOOL SUPPLY GIVEAWAY Saturday, August 9th from 6:30 - 8:30 PM 4040 Niles St (East Bakersfield) School supplies and backpacks will be given out to students from Pre-K to 12th grade. Child must be present with a parent or guardian 18 years or older to receive item(s). While Supplies Last. Free Food and refreshments while supplies last

Today's top stories: Vigil held for 8-year-old girl that was found dead in Bakersfield motel roomMan shot dead in Bakersfield after dispute over loud musicGifford Fire reaches 49,700 estimated acres burned west of Kern CountyA massive fight involving at least 30 people broke out at a block party in east Bakersfield on Saturday Family remembers parents 60+ year marriage after dying one day apartFor more local news, visit KGET.comStream local news for free on KGET+. Visit KGET.com/plus for more information.

https://www.cultivatingself.org/ ... Today, we're incredibly honored to feature Raji K. Brar, a true trailblazer whose journey from humble beginnings to the highest levels of public service is nothing short of remarkable. Born and raised in Fresno County, Raji's story is rooted in the hard work and determination of her immigrant parents from Punjab, India, who started their lives as farmworkers. That foundation propelled her to earn degrees in biology and healthcare administration from Cal State Bakersfield, eventually leading her to play a key role in her family's thriving real estate and development firm, Countryside Corporation. But Raji's impact extends far beyond business. In 2006, she shattered barriers by becoming the first Sikh woman ever elected to a municipal government seat in California, joining the Arvin City Council. This historic achievement earned her the prestigious Woman of the Year by the California State Assembly. She's a four-time gubernatorial appointee and lends her expertise to influential boards like the California Chamber of Commerce and Kern Medical. Most recently, Raji was appointed as a Trustee on the California State University Board, a testament to her dedication to education and public service. Beyond her impressive professional and political career, Raji is also the co-founder of the Bakersfield Sikh Women's Association, a powerful organization dedicated to empowering her community through health, wellness, and educational initiatives. ... https://www.calstate.edu/csu-system/board-of-trustees/meet-the-board-of-trustees/Pages/raji-kaur-brar.aspx ... https://shiningsikh.com/meet-raji-kaur-brar-a-trailblazing-sikh-woman/ ...  

Today's top stories: Teacher admits to killing former Bakersfield couple hiking in ArkansasBPD, HVAC companies warn residents of copper wire thefts to AC unitsA suspected burglar who was shot by a Taft homeowner has died in custody67-year-old man dies while in custody of the Kern County Sheriff's Office Man identified after being fatally struck by a vehicle on Hosking Avenue: policeFor more local news, visit KGET.comStream local news for free on KGET+. Visit KGET.com/plus for more information. 

Governor Gavin Newsom has signed Assembly Bill 377, authored by Assemblyman David Tangipa. It requires the California High Speed Rail Authority to develop a detailed business plan that reviews any funding gaps or project delays. It is specifically for the initial phase, which will stretch from Merced to Bakersfield. Aug 1st 2025 --- Please Like, Comment and Follow 'The Ray Appleton Show' on all platforms: --- 'The Ray Appleton Show’ is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts. --- 'The Ray Appleton Show’ Weekdays 11 AM -2 PM Pacific on News/Talk 580 AM & 105.9 KMJ | Website | Facebook | Podcast | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

Today's top stories: Arkansas police arrest a man suspected of killing former Bakersfield couple while hikingPilot ejects before crashing U.S. Navy jet near Fresno County17 News releases details of the coroner's report of the motorist who started the Borel Fire Kamala Harris announces she is no longer running for Governor in the state of California Trump administration continues to scale back National Guard troops in Los Angeles For more local news, visit KGET.comStream local news for free on KGET+. Visit KGET.com/plus for more information. 

The new Rumps & Bumps jersey just dropped! Check out afterpartyinc.com. On this episode we're joined by an After Party legend: ROMAN ROUGE. He comes on we talk about his rebrand as a DJ/Producer, finding his way through it and when we can expect his return. Plus we talk about our favorite pandemic moments and what he's been up to nowadays. Follow us on social media @AaronScenesAfterParty

Today's top stories: 8.8 earthquake in Russia threatens California coast, tsunami advisories issuedGov. Newsom issues statement regarding the California Office of Emergency Services' response to tsunamisFamily members of slain Bakersfield tattoo artist remember their loved one President Trump returns to Washington, D.C., on Wednesday as the Aug. 1 deadline looms for new tariffs. Affordable housing project planned for Oildale found to have no significant impact on the environment Bakersfield Animal Care Center searches for fosters before the Aug. 22 transport date to CanadaFor more local news, visit KGET.comStream local news for free on KGET+. Visit KGET.com/plus for more information.

The Moneywise Radio Show and Podcast Monday, July 28th BE MONEYWISE. Moneywise Wealth Management I "The Moneywise Guys" podcast call: 661-847-1000 text in anytime: 661-396-1000 website: www.MoneywiseGuys.com facebook: Moneywise_Wealth_Management LinkedIn: Moneywise_Wealth_Management Guest: John Cox, Business Editor for the Bakersfield Californian  website: www.Bakersfield.com  

Summer in Bakersfield is no joke—and neither are the challenges it brings to homeowners! In this episode of the Kern County Real Estate Review, Laurie McCarty of The McCarty Group shares expert real estate advice tailored to surviving (and thriving) during the hottest months of the year.From roof inspections and foundation checks to smart irrigation systems and energy-saving upgrades, Laurie walks listeners through practical summer home maintenance tips that protect your investment, lower utility bills, and prevent costly repairs. Plus, she breaks down a major change from Fannie Mae and Freddie Mac that could open the door to homeownership for millions of first-time buyers—thanks to the new VantageScore 4.0 credit model.Whether you're a longtime homeowner or a first-time buyer navigating your first Central Valley summer, this episode is packed with real estate tips for hot weather living.

Episode 199: Essential Screenings for Young AdultsDr. Lopez presents the most important screening tests for young adults. Dr. Arreaza adds some input on screening for depression and anxiety. Written by Alejandra Lopez, MD. Edits by Hector Arreaza, MD. Rio Bravo Family Medicine Residency Program. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Lopez: Screening is testing done to help identify disease in a person or population that typically appears healthy. Our goal as clinicians is to see which children are at increased risk of disease and will merit additional testing. For clinicians, testing should be both easy to perform and interpret. Now let's talk about prevention in young adults.Dr. Arreaza: I can see it is important to talk about young adults because that population may be very hesitant to go to the doctor, in general. Tell us more about it.Dr. Lopez: We all know that early detection and prevention are key, but many young adults skip routine check-ups. Why is that? Sometimes it's lack of awareness, fear, or just not knowing where to start. That's why today, we'll focus on four key screenings that every adolescent and young adult should know about.The Annual Physical ExamDr. Arreaza: I'm excited to talk about it. Many young adults only see a doctor when they're sick, but screenings help catch issues early, sometimes before symptoms even appear. Tell us about the annual wellness exams and why they matter.Dr. Lopez: Let's start with the basics—annual wellness exams. Many young people don't feel the need to see a doctor if they're feeling fine. So, these check-ups are important because many serious health conditions start silently, meaning no symptoms at first. Dr. Arreaza: What do we look for in an annual exam?Dr. Lopez: An annual check-up:· It is important to track growth and development (especially important for adolescents)It also helps monitor blood pressure, weight, and BMI to help find out who is at risk for elevated or low BP, underweight or overweight/obesity, by analyzing both weight and body mass index.· Discuss lifestyle habits like diet, exercise, and sleep· Evaluate whether you are up to date on vaccinations or due for age-appropriate vaccines.· Address any mental health concernsIt's also a great opportunity for young people to establish a relationship with a provider they trust. This makes it easier to discuss sensitive topics like sexual health or mental health.Dr. Arreaza: So, you say that the annual physical exam helps identify all these issues early, and at the same time, you establish a relationship of trust with a doctor who you may need at any time. STI ScreeningDr. Arreaza: That brings us to our second key screening: testing for sexually transmitted infections (STIs). There are many STIs. Let's focus on gonorrhea, chlamydia, syphilis, and HIV. Dr. Lopez, can you breakit  down for us? Who needs STI screening, and why is it so important?Dr. Lopez: Absolutely. The CDC recommends that ALL sexually active women under age 25 get screened for chlamydia and gonorrhea annually. HIV testing should also be done at least once for all young adults and annually for those at higher risk. Why is this the case? Because Many STIs have no symptoms, but untreated infections can lead to serious complications like infertility or pelvic inflammatory disease (PID) in women. The good news is that these infections are easily treatable if caught early. If caught later in life, then women and men alike are at risk for worse conditions. Dr. Arreaza: Let's talk about how do we do it?Dr. Lopez: STI screening is simple:· For chlamydia and gonorrhea, it's usually a urine test or a vaginal/cervical/oral swab.· For HIV, it's a quick blood test or even an oral swab.Many young adults avoid testing because of fear, stigma, or concerns about privacy, but most clinics offer confidential or even anonymous testing. Doctors do not share any information regarding the minor or young adult or any patient for that matter. AND if we are requested to share any information with others- then it is our obligation as doctors to ALWAYS ASK THE PATIENT before sharing ANY health information with third parties/other entitiesDr. Arreaza: And that includes parents of minors. Doctors are not allowed to discuss STI test results with parents of minors unless they are authorized by the patient or if the patient is in danger, for example, if this is a result of sexual abuse.Mental Health ScreeningsDr. Arreaza: Now, let's talk about something that's just as important as physical health—mental health. Depression and anxiety are very common in young people, but many don't seek help. How do doctors screen for depression?Dr. Lopez: Screening for depression is now a standard part of primary care. The most commonly used tool is the PHQ-9 questionnaire, which asks about:· Mood changes (sadness, hopelessness)· Loss of interest in activities· Sleep disturbances· Changes in appetite· Difficulty concentratingA score on this test can help determine whether someone is at risk of depression and needs further evaluation or support.Dr. Arreaza: And why should we screen for depression?Dr. Lopez: Because early treatment makes a huge difference. Depression can affect school, work, relationships, and even physical health. But with therapy, lifestyle changes, and sometimes medication, people can and do recover.I always tell young adults: Mental health is just as important as physical health. Seeking help is a sign of strength, not weakness.Dr. Arreaza: This is a USPSTF recommendation GRADE B. We are encouraged to screen adults, including pregnant and postpartum women, as well as older adults.HPV Screening & VaccinationDr. Lopez: Dr. Arreaza, finally, let's talk about HPV—one of the most preventable causes of cancer. The human papillomavirus (HPV) is the most common STI worldwide, and it's responsible for almost all cases of cervical cancer, as well as throat, anal, and penile cancers. The good news? The HPV vaccine is over 90% effective at preventing these cancers. Dr. Arreaza: In fact, from 2015 to 2018, U.S. women ages 14 to 19 experienced an 88% decrease in HPV-related disease. That's a direct result of the vaccine's effectiveness.Dr. Lopez: It's recommended for:· All boys and girls, starting at the age of 9. ACIP gave new recommendations for use of a 2-dose schedule for girls and boys who initiate the vaccination series at ages 9-14 years. Three doses remain recommended for persons who start HPV vaccination at ages 15-26 years and for immunocompromised persons.· Catch-up vaccination is recommended for people up to age 26 (and in some cases, up to 45 with provider recommendation)Dr. Arreaza: And what about screening for HPV? How do we screen?Dr. Lopez: Great question, Dr. Arreaza. Pap smears start at age 21, for all women regardless of sexual activity, and are repeated every 3-5 years depending on HPV testing. Many people think Pap smears check for STIs, but they actually look for abnormal cervical cells that could lead to cancer. HPV vaccination plus routine screening means cervical cancer is one of the most preventable cancers today!Closing Thoughts & Call to ActionDr. Arreaza: That wraps up today's discussion on essential health screenings for young adults! Dr. Lopez, any final take-home messages?Guest: My biggest message is don't wait until something is wrong to see a doctor. Preventative care is simple, quick, and can save lives.If you're between the ages of 13-26, here's what you should do:-Get an annual wellness exam-Get tested for STIs if sexually active-Check in on your mental health and talk to someone if you need support-Get the HPV vaccine if you haven't already and follow up on screeningTaking these small steps today leads to better health for years to come!Host: That's fantastic! Dr. Lopez. I hope all our primary care providers can take these easy steps to keep our young community healthy. If you found this episode helpful, share it with a friend, and don't forget to subscribe to our podcast for more practical health discussions.Dr. Lopez: Until next time—thanks for chiming in, medical community. Take care and take charge of your health!Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Screening Recommendations and Considerations Referenced in Treatment Guidelines and Original Sources. U.S. Centers for Disease Control and Prevention, CDC.gov, https://www.cdc.gov/std/treatment-guidelines/screening-recommendations.htm, accessed on June 26, 2025.Recommendation: Anxiety Disorders in Adults: Screening, United States Preventive Services Taskforce, June 20, 2023, https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/anxiety-adults-screening, accessed on June 26, 2025.Recommendation: Depression and Suicide Risk in Adults: Screening, United States Preventive Services Taskforce, June 20, 2023, https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-adults, accessed on June 26, 2025.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Today's top stories: Bakersfield tech expert shares tips to shield children from online predatorsKern County remembers Phillip Campas four years after his tragic death in WascoHavilah residents still experiencing hardship one year after the Borel FirePresident Donald Trump visits the Federal Reserve amid ongoing renovationsTallahassee police arrest part-time Chuck E. Cheese employee in mascot costumeFor more local news, visit KGET.comStream local news for free on KGET+. Visit KGET.com/plus for more information.

Romeo talks about your relationships with The Marriage and Family Center and being in the friend zone.

The Moneywise Radio Show and Podcast Tuesday, July 22nd BE MONEYWISE. Moneywise Wealth Management I "The Moneywise Guys" podcast call: 661-847-1000 text in anytime: 661-396-1000 website: www.MoneywiseGuys.com facebook: Moneywise_Wealth_Management LinkedIn: Moneywise_Wealth_Management Guest: Shane Hubbard, Houchin Community Blood Bank website: https://hcbb.com/  

Today's top stories: Delano police and the Kern Secret Witness program seek answers during the "Voices for Justice" eventCity of Bakersfield credits state funding and local non-profits for decreased group gun violence‘I lit the pillowcase': Woman admitted setting deadly fire at trailer park: reportsA look back at Havilah: 1 year passes since historic Kern County wildfireSafe sleeping practices: Shedding light on Sudden Infant Death Syndrome and how it affects the lives of Kern County babiesFor more local news, visit KGET.comStream local news for free on KGET+. Visit KGET.com/plus for more information.

If You Missed Romeo In The Morning We Talked About: What its like being single today and why men use to be to blame in the dating scene and now its women.

Today's top stories: Bakersfield police release body-camera footage of officer-involved shooting at Gosford WalmartBail granted to 3 EBT fraud defendants who must prove they're paying with legally obtained fundsRidgecrest man arrested after alleged assault with baseball bat at motelDelano police and the Kern Secret Witness program prep for the "Voices for Justice" eventEagle Scout brings new amenities to child visitation center in BakersfieldFor more local news, visit KGET.comStream local news for free on KGET+. Visit KGET.com/plus for more information.

Coach Nikki Blue's journey through the game of basketball is nothing short of legendary. From the streets of Bakersfield, California, to the bright lights of the WNBA, and now calling plays from the sidelines at USC, her story is filled with grit, leadership, and a relentless commitment to growth — both on and off the court.In this inspiring episode of Sportslifetalk's You Got Next, we sit down with Coach Blue to unpack a career that has impacted the women's basketball world at every level. She takes us back to where it all started — watching Showtime Lakers tapes with her mom and falling in love with the art of the pass, a love that would eventually make her one of the most electric point guards in the country.Coach Blue reflects on her decision to choose UCLA over national powerhouse UConn, staying close to home and honoring her roots while becoming a four-time All-Pac-10 standout. She opens up about her time in the WNBA with the Washington Mystics and shares wild overseas stories — like dodging flying objects from rowdy fans in Greece — and how those moments shaped her perspective on life and leadership.One of the most powerful chapters in her story came when she was unexpectedly named interim head coach of the Phoenix Mercury. With little time to prepare, Coach Blue stepped up, earning the respect of superstars like Diana Taurasi and Brittney Griner while guiding the team to one of the most explosive offensive quarters in WNBA history.Now an assistant coach at USC, Coach Blue is helping guide one of the hottest programs in the country — all while coaching for UCLA's crosstown rival. She talks candidly about what it means to put rivalry aside and focus on elevating the women's game in Southern California.You'll also hear her powerful advice for today's players and parents navigating the new age of NIL deals, transfer portals, and AAU overload. Coach Blue keeps it real, emphasizing balance, values, and taking control of your time and journey:“This is one of the biggest decisions of your life. Enjoy it. Take your time. And don't let anyone rush your greatness.”Coach Nikki Blue's story is a masterclass in resilience, leadership, and staying grounded while chasing big dreams. Whether you're an athlete, parent, coach, or fan of the game — this is an episode that will leave you motivated and ready to level up.

Send Robert a Text! In the mid-1980s, a woman was responsible for a string of bank robberies. Media outlets dubbed her "Ma Bakersfield".  Purchase Notorious Bakersfield: The Book Volume II here: https://a.co/d/2XONnB1 ***SUBSCRIBE HERE*** For only $4 per month, you can Subscribe to Notorious Bakersfield to get access to the entire back catalog of episodes. Subscribe here: https://www.buzzsprout.com/1784628/subscribe

If You Missed Romeo In The Morning We Talked About: Wanting a married man, dating in your 30's and why do women let a man cheat once and stay?

If You Missed Romeo In The Morning We Talked About: The movie theater is a great place to sleep, a woman is attracted to a married man and are you accountable to you marriage if you cheated on?

Today's top stories:Funeral held for 1-year-old who died after being left in a hot car in BakersfieldMan detained for questioning after fires set near Hwy 99 in south BakersfieldChildren speak out after their mother was stabbed to death outside her homeBristol Hospice camp for kids allows for grief, counsel one another after lossHouse GOP will not vote to release Epstein files before recessWhite House releases FBI files on Dr. Martin Luther King Jr.City of Maricopa looks to raise pay for city employeesSouthwest Airlines to introduce assigned seatingTarget to end price matching policyFor more local news, visit KGET.com.Stream local news for free on KGET+. Visit KGET.com/plus for more information.

The Moneywise Radio Show and Podcast Monday, July 21st BE MONEYWISE. Moneywise Wealth Management I "The Moneywise Guys" podcast call: 661-847-1000 text in anytime: 661-396-1000 website: www.MoneywiseGuys.com facebook: Moneywise_Wealth_Management LinkedIn: Moneywise_Wealth_Management Guest: Alex Fisher, News Anchor with KGET-TV 17 website: www.KGET.com  

Today's top stories:Authorities arrest pursuit suspect out of NW BakersfieldKern County Sheriff's Office search and rescue recovers man's body from Kern RiverFay Fire burns over 640 acres near Lake IsabellaFamily hosts fundraiser car wash for victim in south Bakersfield stabbingCandlelight vigil held in Bakersfield for Texas flood victims3 LA County deputies mourned after training facility explosionPresident Trump says he wants Washington Commanders to change back to its former nameTrump sues Wall Street Journal, Rupert Murdoch over Epstein letter storyMegaladon shark teeth on display at Buena Vista MuseumFor more local news, visit KGET.com.Stream local news for free on KGET+. Visit KGET.com/plus for more information.

Thinking about selling your home? On this episode of the Kern County Real Estate Review, Laurie McCarty breaks down the Three P's of Selling — Price, Presentation, and Promotion — and why getting each one right is critical to a successful sale in today's real estate market. Whether you're listing a home in Bakersfield or anywhere in Kern County, Laurie shares expert advice and real-life examples to help you avoid common pitfalls and attract buyers. Don't miss this insightful conversation that could make all the difference when it comes to selling your home for top dollar.Tune in to the Kern County Real Estate Review to hear Laurie McCarty's trusted real estate strategies that have helped over 11,000 families—and learn how to make your property stand out in the competitive Kern County real estate market.

Episode 198: Fatigue.  Future doctors Redden and Ibrahim discuss with Dr. Arreaza the different causes of fatigue, including physical and mental illnesses. Dr. Arreaza describes the steps to evaluate fatigue. Some common misconceptions are explained, such as vitamin D deficiency and “chronic Lyme disease”. Written by Michael Ibrahim, MSIV, and Jordan Redden, MSIV, Ross University School of Medicine. Edits and comments by Hector Arreaza, MDYou are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Arreaza: Today is a great day to talk about fatigue. It is one of the most common and most complex complaints we see in primary care. It involves physical, mental, and emotional health. So today, we're walking through a case, breaking down causes, red flags, and how to work it up without ordering the entire lab catalog.Michael:Case: This is a 34-year-old female who comes in saying, "I've been feeling drained for the past 3 months." She says she's been sleeping 8 hours a night but still wakes up tired. No recent illnesses, no weight loss, fever, or night sweats. She denies depression or anxiety but does report a lot of work stress and taking care of her two little ones at home. She drinks 2 cups of coffee a day, doesn't drink alcohol, and doesn't use drugs. No medications, just a multivitamin. Regular menstrual cycles—but she's noticed they've been heavier recently.Jordan:Fatigue is a persistent sense of exhaustion that isn't relieved by rest. It's different from sleepiness or muscle weakness.Classification based on timeline:    •   Acute fatigue: less than 1 month    •   Subacute: 1 to 6 months    •   Chronic: more than 6 monthsThis patient's case is subacute—going on 3 months now.Dr. Arreaza:And we can think about fatigue in types:    •   Physical fatigue: like muscle tiredness after activity    •   Mental fatigue: trouble concentrating or thinking clearly (physical + mental when you are a medical student or resident)    •    Pathological fatigue: which isn't proportional to effort and doesn't get better with restAnd of course, there's chronic fatigue syndrome, also called myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), which is a diagnosis of exclusion after 6 months of disabling fatigue with other symptoms.Michael:The differential is massive. So, we can also group it by systems.Jordan:Let's run through the big ones.Endocrine / Metabolic Causes    • Hypothyroidism: A classic cause of fatigue. Often associated with cold intolerance, weight gain, dry skin, and constipation. May be subtle and underdiagnosed, especially in women.    • Diabetes Mellitus: Both hyperglycemia and hypoglycemia can cause fatigue. Look for polyuria, polydipsia, weight loss, or blurry vision in undiagnosed diabetes.    • Adrenal Insufficiency: Think of this when fatigue is paired with hypotension, weight loss, salt craving, or hyperpigmentation. Can be primary (Addison's) or secondary (e.g., due to long-term steroid use).Michael: Hematologic Causes    • Anemia (especially iron deficiency): Very common, especially in menstruating women. Look for fatigue with pallor, shortness of breath on exertion, and sometimes pica (craving non-food items).     • Vitamin B12 or Folate Deficiency: B12 deficiency may present with fatigue plus neurologic symptoms like numbness, tingling, or gait issues. Folate deficiency tends to present with megaloblastic anemia and fatigue.    • Anemia of Chronic Disease: Seen in patients with chronic inflammatory conditions like RA, infections, or CKD. Typically mild, normocytic, and improves when the underlying disease is treated.Michael: Psychiatric Causes    • Depression: A major driver of fatigue, often underreported. May include anhedonia, sleep disturbance, appetite changes, or guilt. Sometimes presents with only somatic complaints.    • Anxiety Disorders: Mental fatigue, poor sleep quality, and hypervigilance can leave patients feeling constantly drained.    • Burnout Syndrome: Especially common in caregivers, healthcare workers, and educators. Emotional exhaustion, depersonalization, and reduced personal accomplishment are key features.Jordan: Infectious Causes    • Epstein-Barr Virus (EBV):Mononucleosis is a well-known cause of fatigue, sometimes lasting weeks. May also have sore throat, lymphadenopathy, and splenomegaly.    • HIV:Consider it in high-risk individuals. Fatigue can be an early sign, along with weight loss, recurrent infections, or night sweats.    • Hepatitis (B or C):Can present with chronic fatigue, especially if liver enzymes are elevated. Screen at-risk individuals.    • Post-viral Syndromes / Long COVID:Fatigue that lingers for weeks or months after viral infection. Often, it includes brain fog, muscle aches, and post-exertional malaise.Important: Chronic Lyme disease is a controversial term without a consistent clinical definition and is often used to describe patients with persistent, nonspecific symptoms not supported by objective evidence of Lyme infection. Leading medical organizations reject the term and instead recognize "post-treatment Lyme disease syndrome" (PTLDS) for persistent symptoms following confirmed, treated Lyme disease, emphasizing that prolonged antibiotic therapy is not effective. Research shows no benefit—and potential harm—from extended antibiotic use, and patients with unexplained chronic symptoms should be thoroughly evaluated for other possible diagnoses.Michael: Cardiopulmonary Causes    •   Congestive Heart Failure (CHF): Fatigue from poor perfusion and low cardiac output. Often comes with dyspnea on exertion, edema, and orthopnea.    •   Chronic Obstructive Pulmonary Disease (COPD): Look for a smoking history, chronic cough, and fatigue from hypoxia or the work of breathing.    •   Obstructive Sleep Apnea (OSA): Daytime fatigue despite adequate hours of sleep. Patients may snore, gasp, or report morning headaches. High suspicion in obese or hypertensive patients.Jordan:Autoimmune / Inflammatory Causes    •   Systemic Lupus Erythematosus (SLE): Fatigue is often an early symptom. May also see rash, arthritis, photosensitivity, or renal involvement.    •   Rheumatoid Arthritis (RA): Fatigue from systemic inflammation. Morning stiffness, joint pain, and elevated inflammatory markers point to RA.    •   Fibromyalgia: A chronic pain syndrome with widespread tenderness, fatigue, nonrestorative sleep, and sometimes cognitive complaints ("fibro fog").Cancer / Malignancy    •   Leukemia, lymphoma, or solid tumors: Fatigue can be the first symptom, often accompanied by weight loss, night sweats, or unexplained fevers. Consider when no other cause is evident.Michael:Medications:Common culprits include:    ◦   Beta-blockers: Can slow heart rate too much.    ◦   Antihistamines: Sedating H1 blockers like diphenhydramine.    ◦   Sedatives or sleep aids: Can cause grogginess and daytime sedation.    •   Substance Withdrawal: Fatigue can be seen in withdrawal from alcohol, opioids, or stimulants. Caffeine withdrawal, though mild, can also contribute.Dr. Arreaza:Whenever we evaluate fatigue, we need to keep an eye out for red flags. These should raise suspicion for something more serious:    •   Unintentional weight loss    •   Night sweats    •   Persistent fever    •   Neurologic symptoms    •   Lymphadenopathy    •   Jaundice    •   Palpitations or chest painThis patient doesn't have these—but that doesn't mean we stop here.Dr. Arreaza:Those are a lot of causes, we can evaluate fatigue following 7 steps:Characterize the fatigue.Look for organic illness.Evaluate medications and substances.Perform psychiatric screening.Ask questions about quantity and quality of sleep.Physical examination.Undertake investigations.So, students, do we send the whole lab panel?Michael:Not necessarily. Labs should be guided by history and physical. But here's a good initial panel:    •   CBC: To check for anemia or infection    • TSH: Screen for hypothyroidism    • CMP: Look at electrolytes, kidney, and liver function    • Ferritin and iron studies    • B12, folate    • ESR/CRP for inflammation (not specific)    • HbA1c if diabetes is on the radarJordan:And if needed, consider:    • HIV, EBV, hepatitis panel    • ANA, RF    • Cortisol or ACTH stimulation testImaging? Now that's rare—unless there are specific signs. Like chest X-ray for possible cancer or TB, or sleep study if you suspect OSA.Dr. Arreaza:Unaddressed fatigue isn't just inconvenient. It can impact on quality of life, affect job performance, lead to mood disorders, delay diagnosis of serious illness, increase risk of accidents—especially driving. So, don't ignore your patients with fatigue!Jordan:And some people—like women, caregivers, or shift workers—are especially at risk.Michael:The cornerstone of treatment is addressing the underlying cause.Jordan:If it's iron-deficiency anemia—treat it. If it's depression—get mental health involved. But there's also: Lifestyle Support: Better sleep hygiene, light physical activity, mindfulness or CBT for stress, balanced nutrition—especially iron and protein, limit caffeine and alcoholDr. Arreaza:Sometimes medications help—but rarely. And for chronic fatigue syndrome, the current best strategies are graded exercise therapy and CBT, along with managing specific symptoms. Beta-alanine has potential to modestly improve muscular endurance and reduce fatigue in older adults, but more high-quality research is needed.SSRI: fluoxetine and sertraline. Iron supplements: Even without anemia, but low ferritin [Anecdote about low ferritin patient]Jordan:This case reminds us to take fatigue seriously. In her case, it may be multifactorial—work stress, caregiving burden, and possibly iron-deficiency anemia. So, how would we wrap up this conversation, Michael?Michael:We don't need to order everything under the sun. A focused history and exam, targeted labs, and being alert to red flags can guide us.Jordan:And don't forget the basics—sleep, stress, and nutrition. These are just as powerful as any prescription.Dr. Arreaza:We hope today's episode on fatigue has given you a clear framework and some practical tips. If you enjoyed this episode, share it and subscribe for more evidence-based medicine!Jordan:Take care—and get some rest~___________________________Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:DynaMed. (2023). Fatigue in adults. EBSCO Information Services. https://www.dynamed.com (Access requires subscription)Jason, L. A., Sunnquist, M., Brown, A., Newton, J. L., Strand, E. B., & Vernon, S. D. (2015). Chronic fatigue syndrome versus systemic exertion intolerance disease. Fatigue: Biomedicine, Health & Behavior, 3(3), 127–141. https://doi.org/10.1080/21641846.2015.1051291Kroenke, K., & Mangelsdorff, A. D. (1989). Common symptoms in ambulatory care: Incidence, evaluation, therapy, and outcome. The American Journal of Medicine, 86(3), 262–266. https://doi.org/10.1016/0002-9343(89)90293-3National Institute for Health and Care Excellence. (2021). Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: Diagnosis and management (NICE Guideline No. NG206). https://www.nice.org.uk/guidance/ng206UpToDate. (n.d.). Approach to the adult patient with fatigue. Wolters Kluwer. https://www.uptodate.com (Access requires subscription)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

California Mom Charged After Toddler Dies in Hot Car During Cosmetic Procedure A 20-year-old California woman is facing serious charges after allegedly leaving her two young sons in a hot car while she underwent a cosmetic procedure — an act that resulted in the death of her 1-year-old son. Maya Hernandez pleaded not guilty on July 1 to one count of manslaughter and two counts of willful cruelty to a child. She remains in custody at the Kern County Jail, with her bail set at over $1 million. According to court documents and police reports, Hernandez brought her sons — a 2-year-old and a 1-year-old Amillio — to a medical spa in Bakersfield on June 29 for a scheduled lip-filler procedure. That morning, she had called the spa to ask if her children could wait inside with her. A staff member reportedly responded, “Sure, if you don't mind them waiting in the waiting room, hun,” according to local outlet KERO. Despite being allowed to bring them in, Hernandez left the boys locked in her 2022 Toyota Corolla hybrid, strapped in their car seats, while outside temperatures reached 101 degrees. Police say the vehicle was left running with the air conditioning on, but the car — designed to automatically shut off after about an hour — turned off during her absence. The procedure itself should have taken 15 to 20 minutes, but staff told police Hernandez was away from the vehicle for about two and a half hours. During that time, she did not check on her children once, according to police. When she returned to her car at approximately 4:30 p.m., she found Amillio unresponsive, foaming at the mouth, and having a seizure. Employees of the spa rushed out to assist and brought the 2-year-old inside to cool him down. Emergency responders arrived at 4:45 p.m. Amillio's body temperature was recorded at 107 degrees, and he was pronounced dead at 5:48 p.m. His older brother was hospitalized and later placed into child protective custody. Police estimate the boys were without air conditioning in the hot car for at least an hour and a half. During her police interview, Hernandez admitted she knew leaving the children in the car was irresponsible. The criminal complaint states she said she thought about it when she exited the car but had no justification for her actions. A GoFundMe page revealed that the boys' father is currently incarcerated, and he learned of his son's death through a jail chaplain, according to KFSN. Hernandez is scheduled to return to court for a preliminary hearing on July 14. Want to comment and watch this podcast as a video?  Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

California Mom Charged After Toddler Dies in Hot Car During Cosmetic Procedure A 20-year-old California woman is facing serious charges after allegedly leaving her two young sons in a hot car while she underwent a cosmetic procedure — an act that resulted in the death of her 1-year-old son. Maya Hernandez pleaded not guilty on July 1 to one count of manslaughter and two counts of willful cruelty to a child. She remains in custody at the Kern County Jail, with her bail set at over $1 million. According to court documents and police reports, Hernandez brought her sons — a 2-year-old and a 1-year-old Amillio — to a medical spa in Bakersfield on June 29 for a scheduled lip-filler procedure. That morning, she had called the spa to ask if her children could wait inside with her. A staff member reportedly responded, “Sure, if you don't mind them waiting in the waiting room, hun,” according to local outlet KERO. Despite being allowed to bring them in, Hernandez left the boys locked in her 2022 Toyota Corolla hybrid, strapped in their car seats, while outside temperatures reached 101 degrees. Police say the vehicle was left running with the air conditioning on, but the car — designed to automatically shut off after about an hour — turned off during her absence. The procedure itself should have taken 15 to 20 minutes, but staff told police Hernandez was away from the vehicle for about two and a half hours. During that time, she did not check on her children once, according to police. When she returned to her car at approximately 4:30 p.m., she found Amillio unresponsive, foaming at the mouth, and having a seizure. Employees of the spa rushed out to assist and brought the 2-year-old inside to cool him down. Emergency responders arrived at 4:45 p.m. Amillio's body temperature was recorded at 107 degrees, and he was pronounced dead at 5:48 p.m. His older brother was hospitalized and later placed into child protective custody. Police estimate the boys were without air conditioning in the hot car for at least an hour and a half. During her police interview, Hernandez admitted she knew leaving the children in the car was irresponsible. The criminal complaint states she said she thought about it when she exited the car but had no justification for her actions. A GoFundMe page revealed that the boys' father is currently incarcerated, and he learned of his son's death through a jail chaplain, according to KFSN. Hernandez is scheduled to return to court for a preliminary hearing on July 14. Want to comment and watch this podcast as a video?  Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

With Casefile on a short break, we thought this would be a great time to shine a light on some of the shows that may have flown under the radar for many of you. These are shows we've put our hearts into and are really proud of.Today, we're showcasing The Bakersfield Three. The Bakersfield Three is our most successful limited-run series to date. The series reached number one on the overall podcast charts in the U.S.—a first for any Casefile Presents show. If you'd like to hear the rest of The Bakersfield Three, just search for it wherever you get your podcasts. It's a Casefile Presents production—created by the same team behind Casefile, with the same high standards you expect from us.I hope you enjoy the series. Hosted on Acast. See acast.com/privacy for more information.