Podcasts about breathlessness

What's the true indication of an effective workout? Is it sweat? Breathlessness? Soreness? How can you know if you're truly doing enough? Listener Tessa wondered this same thing: “If I don't feel sore after a workout, was it still effective? Should I have worked out harder?” In this quick episode, we'll talk about muscle soreness - why it happens and what it actually going on in your muscles. And we'll discuss different kinds of workouts that might not tax your muscles the same way, but are just as important to your overall health!

Welcome to this episode of The Tonic, terrestrially broadcast on October 19 and 20 2024 on AM740 and FM 96.7 in Toronto. Topics covered on the show track the lifestyle articles and themes published in The Tonic Newsletter and on the Tonic Website. We'll discuss how to 'break breathlessness' with Dr. Dawn Bowdish PhD, how to attain career success with author Pattie Dale Tye, how to heal from infidelity with author Dr. Talal Alsaleem and sex toy usage by generation with sex expert Amandine Ranson.

Doctors Lisa and Sara talk to Respiratory Physiotherapist Thomas James about COPD. We start with what COPD is, when to suspect it, a standard work up, pitfalls and points of consideration about spirometry, before moving on to an overview of management. We then cover some changes in the way COPD exacerbations are managed in South Manchester and the role of Eosinophils in both acute and chronic management. Understanding the role of Pulmonary rehabilitation, prednisolone and exercise in management are particular highlights. We cover our learning points from the episode at the end.  You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful resources:  NICE COPD in adults (last updated Sept 2023): https://www.nice.org.uk/guidance/QS10 The Global Initiative for Chronic Obstructive Lung Disease (GOLD) Spirometry Guide: https://goldcopd.org/gold-spirometry-guide/ Association for Respiratory Technology and Physiology (ARTP) advice on Spirometry Interpretation: https://www.artp.org.uk/en/spirometry Greater Manchester Medicines Management Group (GMMMG) COPD Management Plan Guideline (2021): https://gmmmg.nhs.uk/wp-content/uploads/2021/11/COPD-Treatment-Guideline-Nov-2021-V7.1.pdf Greater Manchester Medicines Management Group (GMMMG) COPD Inhaler Guide (2021): https://gmmmg.nhs.uk/wp-content/uploads/2023/05/GMMMG-COPD-Inhaler-Guide-update-Mar-2023.pdf Greater Manchester CURE Project for Smoking Cessation: https://gmcancer.org.uk/programmes-of-work/treatment/the-cure-project/ Greater Manchester Change, Grow, Live Services including Smoking Cessation: https://www.changegrowlive.org/ Primary Care Respiratory Society MRC Breathlessness scale: https://www.pcrs-uk.org/mrc-dyspnoea-scale Our podcast with Dr Lesley Henson and Dr Caitriona MacDermott on Breathlessness in Palliative Care (May 2024): https://pckb.org/e/breathlessness-in-palliative-care/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Episode Summary: In this insightful episode, we dive deep into the science of breath control and its impact on running performance with James Fletcher—a physiotherapist, exercise physiologist, university lecturer, Olympic trainer, and freedive instructor. James shares his journey from treating world-class athletes to helping his mother manage COPD, leading him to discover the untapped potential of breath training in both health and athletic performance.Key Topics Covered:The Science Behind Breathlessness:James explains the complex neurophysiology of breathlessness and how carbon dioxide buildup, over-breathing, and inefficient breathing patterns can limit a runner's performance.Fascinating insights into how breath-holding techniques and even simple actions like tapping your chest can extend your breath-hold capacity by tricking the body.Breath Training for Runners:Discover the importance of training your respiratory muscles, just as you would train your legs, to delay the onset of breathlessness and improve running efficiency.James outlines simple yet effective techniques like nasal breathing and the "fist breath" method to strengthen your breathing muscles without the need for expensive equipment.Practical Tests and Tips:Test your breathing efficiency by running for 10 minutes using only nasal breathing or see if you can hold your breath for over two minutes. These benchmarks help determine if you're over-breathing during runs.Learn the importance of syncing your breath with your foot strike to reduce the work of breathing and improve running rhythm.Debunking Common Myths:James challenges the outdated belief that the respiratory system isn't a limiting factor in performance, showing how proper breath training can significantly enhance your endurance and speed.The importance of maintaining a balance of carbon dioxide in the body for optimal oxygen delivery to muscles during running.The Respiratory Muscle Metaboreflex:Understanding how fatigue in the breathing muscles can divert blood from the exercising limbs to the respiratory system, and how strengthening these muscles can prevent this, allowing for better performance.Connect with James Fletcher:Instagram: @allaboutbreathingFor MORE Run Smarter Resources

Doctors Lisa and Sara talk to Palliative Care Consultant Lesley Henson and Specialty Doctor Dr Caitriona MacDermott about Breathlessness as a symptom in Palliative Patients. We start with a case to look at an approach to a patient with deteriorating breathlessness, before discussing a diagnosis of refractory breathlessness. We explore the importance of understanding the subjective nature of this experience before moving on to non-pharmacological and pharmacological options to help manage this often distressing symptom. We talk about managing anxiety around breathlessness and get their advice on discussions about death and managing these symptoms well.  Useful resources:  Greater Manchester Palliative Care Symptom Control Guidelines for Adults (2019 (p46, section on breathlessness): https://www.england.nhs.uk/north-west/wp-content/uploads/sites/48/2020/01/Palliative-Care-Pain-and-Symptom-Control-Guidelines.pdf Clinical Knowledge Summaries: Palliative Care - Dyspnoea (Updated Feb 2024): https://cks.nice.org.uk/topics/palliative-care-dyspnoea/#:~:text=Managing%20dyspnoea%20in%20palliative%20care,window%2C%20relaxation%20and%20breathing%20techniques. MacMillan Resources: Managing Breathlessness, advice for Patients: https://www.macmillan.org.uk/cancer-information-and-support/impacts-of-cancer/breathlessness/managing-everyday-life-with-breathlessness?gad_source=1&gclid=cjwkcajwrckxbhbmeiwaivf8rhfcgjkvqpsq-is9gahloaxjoyq9tsfxwykwym08ewcsyoluupn-1xocq1sqavd_bwe&gclsrc=aw.ds Cancer Research UK Resource for Patients and relatives around Breathing Problems for Patients with Cancer: https://www.cancerresearchuk.org/about-cancer/coping/physically/breathing-problems _____ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com _____ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

On this week's therapy session.. err.. episode of Forks Down, Beau and Rick talk about the Mariners series against the Toronto Blue Jays and Chicago Cubs. What went right and more importantly, what went WRONG? Find out their thoughts on this edition of Forks Down - A Mariners Podcast. --- Support this podcast: https://podcasters.spotify.com/pod/show/forksdownpod/support

If you have suffered from COIVID and are still feeling the symptoms, could it be Long COVID? What are the symptoms? Are treatments available? WHO's Dr Jamie Rylance explains in science in 5.

This week, James Hull, Consultant Respiratory Physician, Royal Brompton Hospital, London, UK, takes Jonathan on a deep dive into respiratory care, from combatting breathlessness to airway collapse in athletes. The pair also discuss the common misconceptions surrounding asthma diagnosis, recent technological advancements, and the potential challenges behind emerging treatments. Use the following timestamps to navigate the content in this episode: (00:00)-Introduction (2:17)-What got Hull into medicine? (03:34)-Relationship between exercise and breathlessness (06:22)-Anxiety and breathlessness (10:24)-Optimising respiratory health in elite athletes (13:52)-RELACS; managing large airway collapse (16:10)-New methods for diagnosing upper airway problems (20:09)-New developments in treating asthma (23:10)-Challenges in respiratory medicine (25:04)-Respiratory medicine and sports committees (26:38)-Three wishes for the future of healthcare 

In this episode I talk about Breathlessness as experienced by Long Covid sufferers. This is Part 2 of my talk on Breathlessness. In the first part I talked about the symptoms, medical assessment, the diagnosis and causes of Breathlessness in Long Covid. In this part I will talk about the specific and general treatments, as well as the recovery, time lines and possible outcomes.I am Dr Tim Robinson, formerly a GP for 30 years, retired as planned at the start of the Covid pandemic. Since then I have become involved in the world of Long Covid. Currently I am GP clinical lead for Long Covid NHS in  South West England, as well as GP lead for three NHS Long Covid Services - Dorset, Bristol and South Devon. I am also Clinical Lead for Hope for the Community CIC. I have research involvement as co-investigator in a study on breathlessness in Long Covid, University of Bristol.Long Covid Doctor is an educational series for Long Covid sufferers; each talk covers the many aspects of Long Covid, the symptoms, causes, treatments, management and expected outcomes.Episodes are found on:Apple PodcastsSpotifyGoogle PodcastsYouTubeTranscripts of the individual episodes are available on:www.LongCovidDoctor.comEpisodes are accessed on:TwitterFacebookInstagramLinked inDisclaimer: Long Covid Doctor is an educational series. Any advice, diagnosis, treatments mentioned should only be considered after discussion with your own GP or qualified professional health provider.References, links, resources:NICE Covid-19 rapid guideline: https://www.nice.org.uk/guidance/ng188How to manage post viral fatigue after Covid-19: www.rcot.co.uk/how-manage-post-viral-fatigue-after-covid-19-0Your Covid Recovery: NHS England - self-help patient resource for symptoms, information and self-management of Long Covid: www.yourcovidrecovery.com

In this episode I talk about Breathlessness as experienced by Long Covid sufferers. This is Part 1 in which I talk about the symptom itself, the medical assessment, diagnoses and causes of Breathlessness.  In Part 2 I talk about the specific and general management of Breathlessness, leading onto the recovery, time course and possible outcomes.I am Dr Tim Robinson, formerly a GP for 30 years, retired as planned at the start of the Covid pandemic. Since then I have become involved in the world of Long Covid. Currently I am GP clinical lead for Long Covid NHS in  South West England, as well as GP lead for three NHS Long Covid Services - Dorset, Bristol and South Devon. I am also Clinical Lead for Hope for the Community CIC. I have research involvement as co-investigator in a study on breathlessness in Long Covid, University of Bristol.Long Covid Doctor is an educational series for Long Covid sufferers; each talk covers the many aspects of Long Covid, the symptoms, causes, treatments, management and expected outcomes.Episodes are found on:Apple PodcastsSpotifyGoogle PodcastsYouTubeTranscripts of the individual episodes are available on:www.LongCovidDoctor.comEpisodes are accessed on:TwitterFacebookInstagramLinked inDisclaimer: Long Covid Doctor is an educational series. Any advice, diagnosis, treatments mentioned should only be considered after discussion with your own GP or qualified professional health provider.References, links, resources:NICE Covid-19 rapid guideline: https://www.nice.org.uk/guidance/ng188How to manage post viral fatigue after Covid-19: www.rcot.co.uk/how-manage-post-viral-fatigue-after-covid-19-0Your Covid Recovery: NHS England - self-help patient resource for symptoms, information and self-management of Long Covid: www.yourcovidrecovery.com

In this episode, we talk to Gillian Doe and Rachael Evans, both based at the University of Leicester. Title of paper: Diagnostic delays for breathlessness in primary care: a qualitative study to investigate current care and inform future pathwaysAvailable at: https://doi.org/10.3399/BJGP.2022.0475Delays to diagnosis for patients presenting with chronic breathlessness are well described. This study set out to investigate current care for patients awaiting a diagnosis to inform future diagnostic pathways. The data highlight the challenges of symptom recognition, timely investigations, making a positive diagnosis, and difficult consultations. To achieve earlier diagnosis and better outcomes for patients with breathlessness, clinicians need to Ask, Act, and Advise: Ask to understand and validate symptoms, Act to initiate timely investigations, and Advise a positive diagnosis while offering breathlessness relief strategies.

In this solo episode Colette continues her series on the srotas or channels of the body. Meda vaha srotas are the channels carrying nutrients for the fat tissue. She discusses the following: The function, root, passage and opening of meda vaha srotas. The subdoshas governing this channel. The signs and symptoms of aggravation of meda vaha srotas, which includes Obesity or emaciation Diabetes Hypertension and high cholesterol Lack of lubrication for the joints Sweating in excess and oily skin Poor digestion Breathlessness with little exertion Tiredness and a lack of interest in work Excessive sleep Causes of meda vaha srotas aggravation. Ayurvedic treatment for aggravation of the meda vaha srotas.  * Thanks to Kerala Academy for sponsoring this episode. Kerala Ayurveda is delighted to announce their new authentic Ayurvedic retreat center in Bali! Ayurvedagram Bali is a tranquil and luxurious hideaway nestled amongst 7,000 acres of breathtaking scenery. Ayurveda & Yoga packages include consultations, bodywork therapies, nutrition, yoga, meditation. Group trips are available. Visit keralaayurveda.us/bali to learn more! * Visit Colette's website www.elementshealingandwellbeing.com  Online consultations Private at-home Digestive Reset Cleanse tailored to you Educational programs - Daily Habits for Holistic Health Have questions before you book? Book a FREE 15 min online Services Enquiry Call * Join the Elements of Ayurveda Community! * Stay connected on the Elements Instagram and Facebook pages. * Thanks for listening!  

With Brahmachari Sagar during a Sunday Service rec...

Breathlessness, Ideas and Stumbling into the Blender?

Symptoms you may experience that indicates it's time to see an acupuncturistOur website: https://acupunctureismylife.com/Follow our social media for more information on acupuncture:Instagram: https://www.instagram.com/acupunctureismylife/Facebook: https://www.facebook.com/acupunctureismylifeTikTok: https://www.tiktok.com/@acupunctureismylife?lang=e

Editor's Summary by Anne Cappola, MD, ScM, Associate Editor of JAMA, the Journal of the American Medical Association, for the November 22/29, 2022, issue. Related Content: Audio Highlights

Would you believe that two-thirds of people with COPD don't realise they have it? If you've ongoing breathlessness, are over the age of 35, and have a cough that is not going away then Chronic Obstructive Pulmonary Disease should be something you should get ruled out. Helen Madigan from Limerick lives with COPD and joined us…. Hosted on Acast. See acast.com/privacy for more information.

"This condition is really overlooked. The point of the Monograph is that it should, hopefully, raise awareness." In the latest instalment of the ERS Monograph podcast series, Editorial Board member Holly Keir talks to James H. Hull, one of the Guest Editors of the Monograph on Complex Breathlessness. In a conversation that focuses on the need for robust investigation when faced with unexplained breathlessness, James and Holly discuss: the use of physiological tests and CPET for assessment; postural tachycardia syndrome and autonomic dysfunction; the importance of developing breathlessness clinics in the future; and therapy-based treatments, such as physiotherapy and speech and language therapy.

This fascinating episode delivers pragmatic advice and recommendations for how to identify and manage patients with inducible laryngeal obstruction (ILO)-the new phrase for vocal cord dysfunction, GORD and breathing pattern disorders-the new phrase for dysfunctional breathing. This will make so much difference to how you do your consults with your breathless patients who have one of these disorders, how to reassure them, treat them and not feel a deep heart sink when you read your last letter about them before calling them into your consultation room. The quality of this podcast recording is not at the highest standard I strive to achieve, so bear with me, and turn up the volume a little when prof is speaking, you won't want to miss a word!Support the show

When you lose all that defines you, what is left? Hoshi Fushin James Bristol invites us to an intimate exploration of loss, or what he calls breathlessness. In this space of loss, confusion, and unknowing, we are invited to ask the fundamental question of a life: Who am I? Prior to everything I've gained–my career, my family, my […]

This episode features Dr Diana Ferreira (Research Fellow at University of Wollongong, Australia). Breathlessness is frequently experienced in people with advanced cancer especially in the last days or weeks of life. Although cross-sectional studies have been done, longitudinal data on changes in maximum inspiratory pressure reflecting muscle strength are lacking. This pilot study aims to evaluate the feasibility of measuring changes in sniff nasal inspiratory pressure (SNIP; a measure of inspiratory muscle strength which is non-invasive and relatively reproducible) longitudinally in people with advanced cancer that was likely to progress in the time period of the study and who had no documented cardio-respiratory disease in order to better understand changes in breathlessness at the end of life. The study was acceptable to participants (and, by implications the clinical teams who referred them) and feasible, given the recruitment rate. All of the measures used would be of value in a subsequent larger cohort study.

Shortness of breath can occur after a burst of unaccustomed physical activity. In today's podcast, Dr. Power highlights the impact acute breathlessness can have on your heart and overall health. Learn more now!

ATS 2022 starts May 13. Register today: conference.thoracic.orgGuestsProfessor Marie Williams,  University of South Australia Assoc Professor Kylie Johnston,  University of South AustraliaHostDr Hayley Lewthwaite, The University of NewcastleResources Breathlessness Intervention Service Managing Breathlessness Chronic Breathlessness Explanations and Research Priorities: Findings From an International Delphi Survey

00:00 - Intro, reflecting on 2021, mission statement, note organization, preparedness 06:25 - Question: certain foods for different times of the day? 07:17 - Question: do you do any type of stimulating art at the moment? 08:18 - Question: best natural hair growth story? 08:56 - Question: food combining? Is fat useful for a person with poor liver function? 11:20 - Question: problems with sour or tart orange juice? Does it influence a person's mood? 12:07 - Question: is nail-biting a sign of stress? 13:15 - Question: what is the safest soap? 14:06 - Question: challenges with my new living location 15:28 - Question: what is worth focusing on in life if your metabolism is good? "Our job, in our own culture, is to open whatever is closed, to generate possibilities by working on what has been neglected.” — Mind and Tissue by Raymond Peat (1985) 16:27 - Question: have you thought more about the brain's relationship to baldness? 17:35 - Question: cynomel (T3) troubleshooting 20:02 - Question: does eating sugar cause advanced glycation end products (AGEs)? The liberation of fatty acids as a "fundamental response to stress" 22:07 - Question: what cofactors are needed when starting cynomel (T3)? Liver, oysters, eggs 24:05 - Question: can you describe your relationship with Ray Peat? 26:40 - Question: what causes vertical ridges on nails? 27:01 - Question: why don't you want a waifu? 28:15 - Question: what are the signs of taking too much thyroid? Breathlessness, loose stools, nervousness, insomnia 29:04 - Question: topical T3 vs. oral T3 30:08 - Question: what's order should health problems be approached? 31:39 - Question: what are your thoughts on androsterone? 31:44 - Question: what's the best source of calcium if you can't use milk or cheese? 33:29 - Question: thoughts on dry skin? 33:56 - Question: thoughts on progesterone for men? Metabolic stress when the "youth-associated" steroids become deficient due to hypothyroidism 36:23 - Question: protecting a person's wealth in case of a cyber attack? Precious metals, bitcoin 37:30 - Question: how do you know if cynomel (T3) is working? 39:06 - Question: implications of hearing your heartbeat at night? 39:33 - Question: what blood tests do you think are the most useful? 41:30 - Question: what makes you confident about Mexico as a refuge for future calamities? 43:48 - Question: no response to antibiotics for a chronically stuffed-up nose? 45:06 - Question: feeling better on thyroid, but high blood levels of T3 and T4? 45:47 - Question: best way to improve temperature? 46:03 - Question: how to transition away from keto? Is it good now to have an appetite? 47:48 - Question: where do you get food in Mexico? 48:10 - Question: what were the obstacles you faced when you moved to Mexico? 50:49 - Question: what does your average day look like? 53:02 - Question: what was your experience doing muay Thai in Thailand? 55:04 - Question: how do you cope with the stress of loneliness? 56:12 - Question: what's air pollution like in Mexico? 56:58 - Question: supplies for the impending collapse of society? 58:37 - Question: thoughts on tyromix? Have you tried a 1:2 ratio of T3:T4? 58:50 - Question: how to balance thyroid with vitamin A? 01:01:13 - Question: SIBO symptoms? 01:01:55 - Question: what streaming software/hardware and camera do you use? 01:03:14 - Question: what is your theology? 01:03:45 - Question: when will memberships open up on your Patreon? 01:04:31 - Question: carrot salad causing constipation? Is using T4 only safe?

Breathlessness - called dyspnea - can be a very distressing symptom for everyone present at the end of life.  This series tells you what is considered best practice for managing breathlessness at the end of life so that you can know what to expect if this symptom occurs and how you can help.

This episode features Florence Reedy (Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK). Chronic breathlessness is a prevalent symptom amongst patients with advanced medical conditions. In combination with disease-modifying therapies and non-pharmacological interventions, regular low dose opioids may safely reduce moderate to severe chronic breathlessness due to advanced medical conditions. Implementation of opioids for chronic breathlessness in clinical practice varies widely. Clinicians' and patients' fears of opioids causing respiratory depression, addiction and regulatory scrutiny are significant barriers in the use of opioids for breathlessness. Education and information are necessary, but insufficient as a sole strategy, to improve implementation of opioid use for this indication. Clinicians' interactions with patients and their families strongly influence acceptance of, and adherence to opioid treatment regimens for chronic breathlessness. An agreed protocol for opioid initiation, titration and monitoring for use by clinicians in conjunction with agreed clinical guidelines may improve both their knowledge and confidence around opioid use for the symptomatic reduction of chronic breathlessness. Additional research on patients' and carers' experiences of opioids for chronic breathlessness is necessary to inform better implementation of opioids into clinical practice.

We see multiple patients every day who present with shortness of breath, but what's the best way to work them up? How can we tell those with a dangerous problem that needs something done about it now from those with less acute issues? Daniel Lynagh and Laura Gillespie discuss how best to approach the clinical assessment of a breathless patient.

On July 19, late-day headlines spoke of “carnage” during that day's equity market “rout”. “Plunging” indexes prompted scary thoughts of impending market doom. And an evening walk around the neighborhood confirmed the locals heard those scary messages loudly and clearly. In truth, U.S. stock market had dropped only 1.5%. Next day, that same market proceeded […]

On July 19, late-day headlines spoke of “carnage” during that day's equity market “rout”. “Plunging” indexes prompted scary thoughts of impending market doom. And an evening walk around the neighborhood confirmed the locals heard those scary messages loudly and clearly. In truth, U.S. stock market had dropped only 1.5%. Next day, that same market proceeded […]

How to Set Up a Cutting Cycle - Bodybuilding Podcast Episode 48 Listen on apple podcasts and spotify! ULTIMATE GUIDE TO ROIDS #1 BOOK ON TRUTH IN THE HISTORY OF BODYBUILDING https://bodybuilderinthailand.com/ultimate-guide-to-roids/ 0:00 liver damage for steroids use 5:00 Cardiovascular damage from steroid use 8:00 accepting risk in sports 9:00 kidney damage from steroids use 10:55 Blood pressure management risk mitigation 14:00 Thyroxine for hypothyroidism on cycle 17:42 Anadrol dosage and cycle length 23:00 TRT and Infertility 30:15 How much risk are you comfortable taking 34:30 Looking to cut after bulking. basic cut information 37:00 how to look your best on a certain day 45:10 Testosterone propionate peak blood levels 48:55 Breathlessness on cycle 54:10 Options for females to keep them females when using PEDs This Podcast is for entertainment and conversational purposes only. Serious Injury and Death can occur from utilizing chemical performance enhancement. This author does not support the use of illegal performance enhancing drugs. If any substances mentioned in this video are illegal in your country do not use them. The purpose of this podcast is not to glorify the use of PED's but to bring to light the reality of what athletes are doing privately. Consult a doctor before beginning any exercise or supplement routine. Do not take anything mentioned in this video as advice. It is simply conversation, not advice.

HOMEOPATHIC MEDICINE ON BREATHLESSNESS DUE TO CORONA VIRUS YU CAN FIND OUT VERY GOOD AND EFFECTIVE HOMEO MEDICINE ON ASTHMATIC TROUBLE , BREATHLESSNESS AND OTHER AILMENTS DUE TO CORONA VIRUS AND OVERALL ASTHMA, YOU MUST REMEMBER THOSE MEDICINES , IT WILL HELP YOU TO RECOVER THE ASTHMATIC PATIENT VERY QUICKLY. PLEASE NOTE DOWN THE DIRECTION OF USE THOSE MEDICINE, BECAUSE THIS IS THE MOST IMPORTANT. FOLLOW DETAILS OF MYSELF:- Dr. Ranjan Kumar Das as a Homeopathic doctor(B.H.M.S) and homeo medicine researcher from last 14 years ,loves to share his knowledge and real-time experiences in this podcast,you will get to listen about health, disease, and homeo medicine, prevention of disease, and practical orientation of application of medicine rather than books knowledge. You will also get some unbelievable result of homeo medicine on different kinds of critical illness. THANKING YOU --- Send in a voice message: https://anchor.fm/ranjan-kumar-das/message

HOMEOPATHIC MEDICINE ON BREATHLESSNESS DUE TO CORONA VIRUS YU CAN FIND OUT VERY GOOD AND EFFECTIVE HOMEO MEDICINE ON ASTHMATIC TROUBLE , BREATHLESSNESS AND OTHER AILMENTS DUE TO CORONA VIRUS AND OVERALL ASTHMA, YOU MUST REMEMBER THOSE MEDICINES , IT WILL HELP YOU TO RECOVER THE ASTHMATIC PATIENT VERY QUICKLY. PLEASE NOTE DOWN THE DIRECTION OF USE THOSE MEDICINE, BECAUSE THIS IS THE MOST IMPORTANT. FOLLOW DETAILS OF MYSELF:- Dr. Ranjan Kumar Das as a Homeopathic doctor(B.H.M.S) and homeo medicine researcher from last 14 years ,loves to share his knowledge and real-time experiences in this podcast,you will get to listen about health, disease, and homeo medicine, prevention of disease, and practical orientation of application of medicine rather than books knowledge. You will also get some unbelievable result of homeo medicine on different kinds of critical illness. THANKING YOU --- Send in a voice message: https://anchor.fm/ranjan-kumar-das/message

This week on The MiFit Podcast I chat with world's leading breathing experts, Patrick McKeown. Patrick is an International best-selling author of The Oxygen Advantage and creator and master instructor of the Oxygen Advantage®technique. Over the past two decades, Patrick has trained thousands of people around the world to safely challenge their bodies and produce positive changes through breathing re-education. He teaches a new way to breathe, combined with specific exercises designed to improve blood chemistry. The result is an increase of oxygen flow to all the body's systems, meaning greater endurance, strength and power. McKeown has written 8 books centered around breath work and also has a Ted Talk titled Shut Your Mouth and Change Your Life. Today's episode gathers a wide array of breath topics for beginners and the most advanced athletes. Enjoy!Topics-Challenges of popularizing breath work-Science behind nose breathing-Bolt score vs. Breathlessness score-Affects of improper breathing as a child-How to breath less to feel less stressed-Breathing tips for pre, intra, and post workout-How we can do a better job teaching our kids to breath optimally Follow Patrick on Instagram at @buteykoclinic and purchase his books and/or courses at https://oxygenadvantage.com/store/If you enjoyed this episode be sure to leave a rating, review, and refer to a friend. Those ratings and reviews make my day and help the show grow and bring in more amazing guests. Thank you for your continued support for The MiFit Podcast.USE CODE MIFIT215 TO SAVE 15% OFF AT LEGENDS

It has been a hugely gratifying  and humbling experience to get the chance to set up the Longcovid Service for Berkshire and work with a great team from primary and community care. We have learnt a lot and are continuing to learn as we help our patients suffering from Longcovid and offer them support, a listening ear, appropriate testing and treatments where available in a  trauma informed manner.In this episode, I speak to my fellow colleague Frankie Knight, a specialist respiratory physiotherapist. Frankie has been working with COVID patients admitted in hospital from the first wave onwards and has also done longstanding respiratory rehab for patients with long term lung conditions.  When I set up the Longcovid service, her experience alongside her colleague Laura Cornish, has been invaluable in providing assessment and support for those patients struggling with breathlessness and chest pain symptoms despite having normal tests and scans. Breathing pattern disroders are very common and she talks about simple measures which you can do for yourself in this episode. Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review  on Apple podcasts and tell a friend about this show. Let me know what you think about the show and recommend guests. The Pain Speak podcast is presented by Dr Deepak Ravindran, a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' and is the Lead for the Longcovid service and the Pain medicine Service at the Royal Berkshire NHS Foundation Trust.Get in touch:Twitter: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranOrder a copy of the Pain Free Mindset hereMixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at  www.thepodcastcoach.co.uk

It has been a hugely gratifying  and humbling experience to get the chance to set up the Longcovid Service for Berkshire and work with a great team from primary and community care. We have learnt a lot and are continuing to learn as we help our patients suffering from Longcovid and offer them support, a listening ear, appropriate testing and treatments where available in a  trauma informed manner.In the first episode of this series, I speak to 2 patients who are part of the Longcovid SOS group .Each tell their story from their perspective and it is more  than important in a condition like Longcovid to know what the lived experience of these patients are and their symptoms  to be taken into account when designing a service that can meet their needs. Each persons symptoms are unique and thei experiences are different and I have learnt a lot from talking to my patients on how varied their presentations have been and how they have told their story.In future episodes, I will be talking about our present upto date understanding around  Longcovid and newer studies and research and my team at Reading Berkshire.Please provide a feedback and comments on the podcast and any questions that you may have and recommend guests. If you enjoyed it please rate and leave a review  on Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Dr Deepak Ravindran, a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' and is the Lead for the Longcovid service and the Pain medicine Service at the Royal Berkshire NHS Foundation Trust.Get in touch:Twitter: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranOrder a copy of the Pain Free Mindset hereMixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at  www.thepodcastcoach.co.uk

This episode is all about breathing – something we know is important, but normally don’t think about. Dr James is a Respiratory Physician & lung doctor at the Royal Brompton Hospital in London and also a specialist sports respiratory clinician at the Institute of Sport, Exercise and Health , at University College London. James is a Doctor Doctor! A medical doctor who went back to University for a PhD in vascular aspects of exercise physiology. His main job now is evaluating ‘unexplained’ exertional breathlessness but also trying to work out why athletes get coughs and wheeze during sport. He promotes awareness of a condition called exercise induced laryngeal obstruction (EILO) which is very common (5% of all adolescence / young athletes) and yet completely misdiagnosed as asthma. In elite sport James is a specialist advisor to the English Institute of Sport – working to optimise the respiratory health of Team GB athletes; trying and reduce risk of infections and asthma problems as well as on a panel of experts advising the International Olympic Committee on respiratory health in athletes and COVID.Dr James Hull BSc MBBS PhD FRCP FHEA FACSM Twitter: @Breathe_to_win Web: www.breathetowin.co.uk

In this episode, I talk about Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PREMs), using the symptom of dyspnea as my example.   I mention several dyspnea measurement tools in this episode. More information on them can be found here:   the modified MRC Dyspnea Scale, which can be found in this paper (Table 3): https://www.thoracic.org/statements/resources/copd/copd-research-st.pdf the Borg Scale of Breathlessness, which can be found here: https://pulmonaryrehab.com.au/~resources/02_Patient_assessment/04_modified_borg_dyspnoea_scale.pdf the Baseline and Transition Dyspnea Index, of which more information can be found here: https://www.thoracic.org/members/assemblies/assemblies/srn/questionaires/bdi-tdi.php the University of California San Diego Breathlessness Questionnaire, of which more information can be found here: https://www.thoracic.org/members/assemblies/assemblies/srn/questionaires/sobq.php The American Thoracic Society has links and details for a number of different patient-reported outcomes. Go to their website listed below and you'll will see many different patient-reported outcomes and links on how to access them. https://www.thoracic.org/members/assemblies/assemblies/bshsr/patient-outcome/  

New research suggests that climbing four flights of stairs in less than a minute indicates good heart health. Dr. Gerry Devlin is a cardiologist and the Heart Foundation's Medical Director. He offers his thoughts on the stair climb findings.

New research suggests that climbing four flights of stairs in less than a minute indicates good heart health. Dr. Gerry Devlin is a cardiologist and the Heart Foundation's Medical Director. He offers his thoughts on the stair climb findings.

In this episode Dr Sara Booth talks to Dr Dennis Jensen and Dr Hayley Lewthaite Show Notes The physiology of breathlessness How past experience affects the psychology of breathlessness Fear and the mismatch between ventilation expectation and physical capability. Exercise: The cause and the treatment Improving the effective dimensions of breathlessness The benefit and problems of individualised research Peer & supported exercise experiences After care models Bios Dennis Jensen is an Associate Professor at the Dept of Kinesiology & Physical Education, McGill University; Canada Research Chair in Clinical Exercise & Respiratory Physiology. Dennis's research focuses on identifying the causes of activity-related breathing discomfort (dyspnea) and exercise intolerance in health, variants of health (e.g., elderly, obesity) and in patients with chronic cardiorespiratory disease, specifically chronic obstructive pulmonary disease. https://twitter.com/drj9378 https://www.mcgill.ca/cerpl/dennis-jensen-phd Hayley Lewthwaite is a postdoctoral research fellow at the Clinical Exercise and Respiratory Physiology Laboratory of McGill University, Montreal, Canada. Hayley's research focuses on optimising the assessment and management of activity-related breathlessness in people with chronic lung conditions. Hayley has a particular interest in exploring novel adjunctive therapies to exercise training for the management of breathlessness. https://www.linkedin.com/in/hayleylewthwaite https://twitter.com/hlewthwaite Please email thebreathlessnesspodcast@gmail.com with any comments or queries The Breathlessness Podcast is sponsored by the Dyspnea Society. To become a member please go their website for details - The Dyspnea Society and contact Professor Andrew Binks This podcast is produced by RogueSpirit podcasting - please email david@roguespirit.co.uk with any enquiries.

Dr Anna Spathis is a Consultant in Palliative Care and Consultant Lead for Breathlessness Intervention Service - and you can learn more about her here - https://www.phpc.cam.ac.uk/people/pcu-group/pcu-senior-academic-staff/anna-spathis/ Show Notes In this episode Dr Spathis talks with podcast host Dr Sara Booth about :- The Effects of Covid Exploring the different types of patient being treated The difficulties of Long Covid Managing symptoms Vicious Cycles of emotional responses Remote working Evaluating outcomes - The variety of referral services consequences of the lack of understanding on the patient group The importance of Transdiagnosis Papers mentioned in this podcast Spathis A, Booth S, Moffat C, Hurst R, Ryan R, Chin C, Burkin J. The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease. NPJ Primary Care Respiratory Medicine 2017; 27(1):27. DOI: 10.1038/s41533-017-0024-z Please email thebreathlessnesspodcast@gmail.com with any comments or queries The Breathlessness Podcast is sponsored by the Dyspnea Society. To become a member please go their website for details - The Dyspnea Society and contact Professor Andrew Binks This podcast is produced by RogueSpirit podcasting - please email david@roguespirit.co.uk with any enquiries.

This episode is scheduled to publish on 09/14/20 at 11:00 AM Assoc Professor Natasha Smallwood is a consultant respiratory physician at the Royal Melbourne Hospital in Australia, where she established and leads an integrated respiratory and palliative care service for people with advanced non-malignant respiratory illnesses. She is a principal research fellow at the University of Melbourne and holds various research grants to understand the perception of breathlessness and investigate new treatments for severe chronic breathlessness. IN this episode she reviews and discusses the clinical use of opioids in people living with chronic breathlessness with host Dr Sara Booth Please rate and review the show on iTunes and don't forget to let us know your opinion on social media or at thebreathlessnesspodcast@gmail.com This podcast is sponsored by The Dyspnea Society. To become a member please visit http://dyspneasociety.com/Dyspnea_Society/The_Dyspnea_Society.html and contact Professor Andrew Binks This podcast is produced by RogueSpirit Podcast - email david@roguespirit.co.uk for any enquiries

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.07.15.204289v1?rss=1 Authors: Harrison, O. K., Marlow, L., Finnegan, S. L., Ainsworth, B., Pattinson, K. T. S. Abstract: Asthma is one of many chronic diseases in which discordance between objectively measured pathophysiology and symptom burden is well recognised. Understanding the influences on symptom burden beyond pathophysiology could improve our ability to treat symptoms. While co-morbidities such as anxiety and depression may play a role, the impact of this relationship with symptoms on our ability to perceive bodily sensations (termed interoception), or even our general and symptom-specific attention is not yet understood. Here we studied 63 individuals with asthma and 30 healthy controls. Alongside physiological tests including spirometry, bronchodilator responsiveness, expired nitric oxide and blood eosinophils, we collected self-reported questionnaires covering affective factors such as anxiety and depression, as well as asthma symptoms and asthma-related quality of life (individuals with asthma only). Participants additionally completed a breathing-related interoception task and two attention tasks designed to measure responsiveness to general temporal/spatial cues and specific asthma-related threatening words. We conducted an exploratory factor analysis across the questionnaires which gave rise to key components of Mood and Symptoms, and compared these to physiological, interoceptive and attention measures. While no relationships were found between symptoms and physiological measures in asthma alone, negative mood was related to both decreased interoceptive metacognitive sensitivity (insight into interoceptive performance) and metacognitive bias (confidence in interoceptive decisions), as well as increased effects of spatial orienting cues in both asthma and controls. Furthermore, the relationship between the extent of symptoms and negative mood revealed potential sub-groups within asthma, with those who displayed the most severe symptoms without concurrent negative mood also demonstrating altered physiological, interoceptive and attention measures. Our findings are a step towards understanding how both symptoms and mood are related to our ability to interpret bodily symptoms, and to explore how the balance between mood and symptoms may help us understand the heterogeneity in conditions such as asthma. Copy rights belong to original authors. Visit the link for more info

Meet Dr Sara Booth and Dr Shakeeb Moosavi. In this short episode the Dr's introduce you to their work, share their passion for progressing the treatment of Breathlessness and let you know what to expect from this upcoming series

Introduction (0:11) Clear team roles (0:59) Avoiding 'tunnel vision' (5:23) Assessing GCS (9:40) Summary (15:16)

Take a deep breath and listen. On this episode of Debriefing the Debrief we discuss: 'Introduction' (0:25) Asthma pathology and grading (2:31) Management of acute asthma (8:04) Use of guidelines and declaring emergencies (24:06) Summary and sign off (27:03) BTS Asthma guidelines: https://www.brit-thoracic.org.uk/document-library/clinical-information/asthma/btssign-asthma-guideline-quick-reference-guide-2016/

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.05.04.076174v1?rss=1 Authors: Harrison, O. K., Hayen, A., Wager, T. D., Pattinson, K. T. S. Abstract: Quantifying pain currently relies upon subjective self-report. Alongside the inherent variability embedded within these metrics, added complications include the influence of ambiguous or prolonged noxious inputs, or in situations when communication may be compromised. As such, there is continued interest in the development of brain biomarkers of pain, such as in the form of neural 'signatures' of brain activity. However, issues pertaining to pain-related specificity remain, and by understanding the current limits of these signatures we can both progress their development and investigate the potentially generalizable properties of pain to other salient and/or somatomotor tasks. Here, we utilized two independent datasets to test one of the established Neural Pain Signatures (the NPS (Wager et al. 2013)). In Study 1, brain activity was measured using functional magnetic resonance imaging (fMRI) in 40 healthy subjects during experimentally induced breathlessness, conditioned anticipation of breathlessness and a simple finger opposition task. In Study 2, brain activity was again measured during anticipation and breathlessness in 19 healthy subjects, as well as a modulation with the opioid remifentanil. We were able to identify significant NPS-related brain activity during anticipation and perception of breathlessness, as well as during finger opposition using the global NPS. Furthermore, localised NPS responses were found in early somatomotor regions, bilateral insula and dorsal anterior cingulate for breathlessness and finger opposition. In contrast, no conditions were able to activate the local signature in the dorsal posterior insula - thought to be critical for pain perception. These results provide properties of the present boundaries of the NPS, and offer insight into the overlap between breathlessness and somatomotor conditions with pain. Copy rights belong to original authors. Visit the link for more info

Dr. Michael Slawnych discusses how to manage dyspnea, or breathlessness, at the end of life. He says all physicians should be prepared to manage dyspnea, especially during the COVID-19 pandemic. He goes over details such as medications, swallowing difficulties and agitation. Dr. Michael Slawnych is a cardiologist and a palliative care physician at Libin Cardiovascular Institute in Calgary, Alberta. The practice article he wrote is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200488 CMAJ COVID-19 resource page: www.cmaj.ca/covid-19 ----------------------------------- Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

In episode 445, Mike and James wade into the evidence-free zone (pretty much) around assessing dyspnea over a telephone/video conference. We talk about the Roth score, respiratory rate, fever, and patient self-rating of dyspnea. Have a listen and see what we found. Show notes The BMJ