Medical tubes inserted in the body to extract or administer substances
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In this episode, Carla Hackett shares her three very different birth experiences - from a hospital birth with her first son Raph, to an unexpectedly rapid home birth with her second son Noah, and finally a beautiful water birth with her daughter Maeve. ___________ Download our free guide: Labour tips for birth partners What is a birth support partner? A birth support partner offers physical and emotional support throughout labour and birth. Your birth partner should be mentioned in your birth plan, particularly in regards to how they will advocate for you to your midwife or doctor. If you are a birth partner, don’t forget that she will be relying on you throughout all stages of labour and birth to offer words of encouragement, hold her hand, guide her through breathing techniques and remind her, most importantly, that she is safe.See omnystudio.com/listener for privacy information.
Interview with Anne P. Cameron, MD and Glenn T. Werneburg, MD, PhD, authors of Foley Catheter Management: A Review. Hosted by Amalia Cochran, MD. Related Content: Foley Catheter Management
Interview with Anne P. Cameron, MD and Glenn T. Werneburg, MD, PhD, authors of Foley Catheter Management: A Review. Hosted by Amalia Cochran, MD. Related Content: Foley Catheter Management
Dr. Francis Marchlinski, MD, Deputy Editor of JACC Clinical Electrophysiology, discusses the Olive Strategy: improved pulmonary vein isolation durability with the pentaspline pulsed field catheter.
In this second episode, experts standardize evidence-based policies to improve care, review CDC's nine Core Interventions to reduce BSI, address patient challenges in reducing BSI, and explore NHSN Dialysis Event training for better infection control.
In this second episode, experts standardize evidence-based policies to improve care, review CDC's nine Core Interventions to reduce BSI, address patient challenges in reducing BSI, and explore NHSN Dialysis Event training for better infection control.
Everything is more fun with a CRAZY STRAW!We're going to start unlock premium episodes as we pick up new members - Enjoy this episode and sign up for the premium version of Terrible Person so you don't miss a thing ↓ GET TERRIBLE PERSON PREMIUM HERE ↓ http://www.terribleperson.co OR ↓Get the Premium Eps on Patreon ↓https://www.patreon.com/TerriblePersonPremium
We learn the vanishing art of placing the PA (Swan-Ganz) catheter, with intensivist and friend of the podcast Matt Siuba (@msiuba). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway points References Insertion video Wedge distance How measurement technique affects diagnosis Thermo in TR review POCUS for … Continue reading "Lightning rounds 50: Mastering PA catheter placement with Matt Siuba"
Send us a textToday, we interviewed first-time mum Rachel about the birth of her baby. Initially planning for private OB and hospital care, Rachel explored public hospitals and homebirth midwives before choosing a homebirth after watching Birth Time. She experienced PROM and prodromal labour, and during active labour, transferred to the hospital due to her baby's elevated heart rate. Rachel reflects on the challenges that followed, particularly hospital policy placing her baby in special care. She also opens up about her breastfeeding journey, which ended around 4 months postpartum with the return of her period, and discovering her baby had CMPI.Links:Birth Time Film RANZCOG - Homebirths Transfer to hospital in planned home births: a systematic reviewTen years of a publicly funded homebirth service in Victoria: Maternal and neonatal outcomes. Support the show@homebirthstoriesaustralia Support the show by buying us a coffee! Please be advised that this podcast may contain explicit language. Listener discretion is advised.The information, statistics, and research presented in this podcast are for informational purposes only and are not intended to constitute or replace medical or midwifery advice. All information discussed can be found online and is provided in the links in the show notes. It is always recommended to conduct your own research and make informed decisions. We advise you to discuss any topics or concerns with your healthcare provider. While we strive to incorporate the most up-to-date research in our episodes, we do not warrant or guarantee the accuracy of the information discussed on the show.
Googly looking weirdo. Idiot Idiom. Six million dollar mom. Vaguely racist, but I don't know how. Broken Nose Specialist. A Whole Lotta Nekkid Goin' On. See you Soup. Crossing The International Punchline. I Don't Like Food That's Chineeeeeeeeeeese. Because When You're Here, You're White. A Perfect Read of a Terrible Write. Never turn down a wedge. Catheter talk. Oscar Baited. Whenever someone learns something, Bobby's hair grows 2 inches and more on this episode of The Morning Stream. Hosted on Acast. See acast.com/privacy for more information.
Googly looking weirdo. Idiot Idiom. Six million dollar mom. Vaguely racist, but I don't know how. Broken Nose Specialist. A Whole Lotta Nekkid Goin' On. See you Soup. Crossing The International Punchline. I Don't Like Food That's Chineeeeeeeeeeese. Because When You're Here, You're White. A Perfect Read of a Terrible Write. Never turn down a wedge. Catheter talk. Oscar Baited. Whenever someone learns something, Bobby's hair grows 2 inches and more on this episode of The Morning Stream. Hosted on Acast. See acast.com/privacy for more information.
Join CardioNerds EP Council Chair Dr. Naima Maqsood and Episode Lead Dr. Jeanne De Lavallaz as they discuss the results of the VANISH2 Trial with expert faculty Dr. Jeff Healey and Dr. Roderick Tung. Audio editing by CardioNerds academy intern, Grace Qiu. The VANISH2 trial enrolled 416 patients with ischemic cardiomyopathy, an ICD in place, and recurrent episodes of sustained monomorphic ventricular tachycardia (VT) to receive either first-line VT catheter ablation or antiarrhythmic drug therapy with the primary composite outcome of death from any cause, appropriate ICD shock, ventricular tachycardia storm (meaning at least 3 ventricular tachycardia events within 24hrs) or treated ventricular tachycardia below the detection limit of the ICD. The study population had a mean age of 68 years, with 94% being men and predominantly of white ethnicity. On average, 14 years had elapsed since their last myocardial infarction, with approximately 60% having undergone percutaneous coronary intervention at the time. The mean ejection fraction was 34%. This episode was planned in collaboration with Heart Rhythm TV with mentorship from Dr. Daniel Alyesh and Dr. Mehak Dhande. CardioNerds Journal Club PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! References - VANISH2 Trial Sapp, J. L., Tang, A. S. L., Parkash, R., Stevenson, W. G., Healey, J. S., Gula, L. J., Nair, G. M., & the VANISH2 Study Team. (2025). Catheter ablation or antiarrhythmic drugs for ventricular tachycardia. The New England Journal of Medicine, 392, 737–747.
This paper explores whether machine learning techniques can improve the prediction of arteriovenous access survival and avoid failures in patients transitioning from central venous catheters to arteriovenous fistulas or grafts. It was published as an Editor's choice paper in EJVES November 2024.Shownotes:Editor's Choice – Challenges of Predicting Arteriovenous Access Survival Prior to Conversion from CatheterHofmann, Amun G et al. European Journal of Vascular and Endovascular Surgery, Volume 68, Issue 5, 654 - 662, November 2024
DAD Catheter: An Angioplasty Apparatus for Facilitating Accurate Placement of a Lumen Stent for Dilating Ostial Stenosis
Observations from practice and data analysis have shown that the duration of mechanical thrombectomy procedures are a strong predictor of outcome even with successful procedures. A large multicenter study was conducted which gives insight into choices between catheter types, and strategic decisions to be made during prolonged procedures. Dr Felipe C. Albuquerque, Editor-in-Chief of JNIS, interviews Dr. Ali Alawieh¹ and Dr. Alejandro Spiotta², two authors of the paper: Prolonged intracranial catheter dwell time exacerbates penumbral stress and worsens stroke thrombectomy outcomes 1. Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA 2. Med Univ S Carolina, Charleston, South Carolina, USA Please subscribe to the JNIS podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/4aZmlpT) or Spotify (https://spoti.fi/3UKhGT5). We'd love to hear your feedback on social media - @JNIS_BMJ.
William H. Sauer, MD, FHRS, CCDS, Brigham and Women's Hospital is joined by Isabella Alviz, MD, Brigham, and Women's Hospital, and Usha B. Tedrow, MD, MS, FHRS, Brigham and Women's Hospital to discuss how patients with ventricular tachycardia and ischemic cardiomyopathy are at high risk for adverse outcomes. Catheter ablation is commonly used when antiarrhythmic drugs do not suppress ventricular tachycardia. Whether catheter ablation is more effective than antiarrhythmic drugs as a first-line therapy in patients with ventricular tachycardia is uncertain. https://www.hrsonline.org/education/TheLead https://www.nejm.org/doi/full/10.1056/NEJMoa2409501 Host Disclosure(s): W. Sauer: Honoraria/Speaking/Consulting: Biotronik, Biosense Webster, Inc., Abbott, Boston Scientific, Research: Medtronic Contributor Disclosure(s): I. Alviz: Nothing to disclose. U. Tedrow: Honoraria/Speaking/Consulting/Teaching: Medtronic, Biosense Webster, Inc., St. Jude Medical, Thermedical, Boston Scientific, Baylis Medical Company This episode has .25 ACE credits associated with it. If you want credit for listening to this episode, please visit the episode page on HRS365 https://www.heartrhythm365.org/URL/TheLeadEpisode90
PEERLESS: Large-Bore Mechanical Thrombectomy vs Catheter-directed Thrombolysis for Treatment of Intermediate-Risk Pulmonary Embolism
There has been a large increase in the number of non-invasive neurovascular studies performed in the last decade, particularly CT angiograms and MR angiograms. What has this meant for catheter-based angiography? This episode looks at an analysis done on a large claims database in the USA, to observe trends in imaging modalities, as well as the distinctions in use by neurosurgeons and radiologists. Dr Felipe C. Albuquerque, Editor-in-Chief of JNIS, interviews Dr. Francis Jareczek¹ and Dr. D. Andrew Wilkinson¹, two of the authors of the paper: National trends in catheter angiography and cerebrovascular imaging in a group of privately insured patients in the US. 1. Neurosurgery, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA Please subscribe to the JNIS podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/4aZmlpT) or Spotify (https://spoti.fi/3UKhGT5). We'd love to hear your feedback on social media - @JNIS_BMJ.
Conavi Medical CEO Tom Looby joined Steve Darling from Proactive to share updates about the company's innovative dual-modality catheter, developed at Sunnybrook Hospital in Toronto, which combines intravascular ultrasound (IVUS) and optical coherence tomography (OCT) to improve visualization during coronary interventions. These procedures are among the most frequently performed worldwide. Looby highlighted the Novasight 3.0 system, which features enhanced imaging, AI-driven guidance to help doctors recognize tissue and size lumens, and a user-friendly design for seamless clinical integration. With regulatory approvals from the FDA and Health Canada, Conavi plans to commercialize the product within the next one to two years. Medical professionals have responded positively to the dual-modality approach, which builds on prior innovations while providing a best-in-class solution for guiding complex cardiac procedures. This next-generation technology has the potential to significantly improve outcomes in coronary interventions globally. #proactiveinvestors #conavimedicalcorp #titanmedical #tsxv #cnvi #CardiovascularTechnology #MedicalInnovation #AIHealthcare #IntravascularUltrasound #OpticalCoherenceTomography #Novasight3 #FDAApproval #CardiacCare #HealthcareTech#invest #investing #investment #investor #stockmarket #stocks #stock #stockmarketnews
In this bonus episode, join EMJ host Dr Hannah Moir as she speaks with our two health and wellbeing experts, Dr Sula Windgassen and Kiera McGarrity, who provide their expertise and personal experiences of using intermittent catheters. The experts address the emotional impact of intermittent catheter use and provide solutions and practical tools to support and improve patient wellbeing and advance the standard of care. This is episode one of a three-part series: Confident Living with Intermittent Catheterisation. This podcast was initiated and funded by Convatec. The views and opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect those of Convatec or EMJ.
Radical Catheter Technologies has developed a new design of catheters that takes ribbon technology of different stiffness (and colors straight out of a Dr. Seuss book) to make a near-infinite amount of transitions for optimized size and structure stability, Chairman Martin Dieck explains to Bloomberg Intelligence. In this Vanguards of Health Care podcast episode, Dieck sits down with BI analyst Matt Henriksson to talk about Radical Catheter, how he sees the FDA approval of the 7F Radical Catheter for neurovascular procedures as the first step in the next generation of endovascular access and delivery products, and how he took the efforts to create credibility of the novel technology by building out the intellectual property and manufacturing capacity ahead of time.See omnystudio.com/listener for privacy information.
In this episode, we delve into catheter-associated urinary tract infections (CAUTI), a common hospital-acquired infection with serious implications. We'll explore how these infections occur, their prevalence, risk factors, complications, and most importantly, strategies for prevention. Catheter-associated urinary tract infections (CAUTI) are one of the most commonly reported hospital-acquired conditions, and have a big impact on length of stay, cost, and mortality. Length of stay - According to the Agency for Healthcare Research and Quality, a CAUTI increases length of stay by 2 to 4 days. Cost - On average, the cost of treating a CAUTI can range from $900 to $14,000 per case which accounts for an estimated $340 to $450 million per year in the United States. Since most cases of CAUTI are preventable, Medicare and Medicaid do not reimburse hospitals for these costs. Mortality - In critically ill patients, the mortality rate for CAUTI is 30%. It is estimated that more than 13,000 patients die each year due to CAUTI-related complications. Listen to this episode to learn how you can play a huge role in preventing CAUTI in your patients! ___________________ Full Transcript - Read the article and view references FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Straight A Nursing Bundle - Get all Straight A Nursing programs in one discounted bundle! Includes Crucial Concepts Bootcamp, Med Surg Solution, Fast Pharmacology, Study Sesh, and the 5-Day Get Organized Challenge ANA CAUTI Prevention Tool - Print out this PDF and keep it in your clinical binder for easy reference on preventing CAUTI Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh! Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides. Crucial Concepts Bootcamp - Start nursing school ahead of the game, or reset after a difficult first semester with my nursing school prep course, Crucial Concepts Bootcamp. Learn key foundation concepts, organization and time management, dosage calculations, and so much more. Straight A Nursing App - Study on-the-go with the Straight A Nursing app! Review more than 5,000 flashcards covering a wide range of subjects including Fundamentals, Pediatrics, Med Surg, Mental Health, Maternal Newborn, and more! Available for free in the Apple App Store and Google Play Store. Pharmacology Success Pack - Want to get a head start on pharmacology? Download the FREE Pharmacology Success Pack. Fast Pharmacology - Learn pharmacology concepts in 5 minutes or less in this audio based program. Perfect for on-the-go review! Clinical Success Pack - One of the best ways to fast-track your clinical learning is having the right tools. This pack includes report sheets, sheets to help you plan your day, a clinical debrief form, and a patient safety cheat sheet.
Episode Resources:For resources mention in this article, visit the links belowAbstract: “Going With the Flow” to Develop a Robust External Female Catheter Implementation ProcessePoster: Going With the Flow” to Develop a Robust External Female Catheter Implementation ProcessArticle: Implementation of an external female urinary catheter strategy on prevention of skin breakdown in acute care: A quality improvement studyWound Treatment Associate (WTA) ProgramOstomy Care Associate (OCA) ProgramWOC Nursing Education Programs accredited by the WOCN Society About the Speakers:Cecilia Zamarripa, PhD, RN, CWON, is a Wound, Ostomy and Continence (WOC) Nurse for 38 years and currently manages the WOC Nursing Department at the University of Pittsburgh Medical Center. Prior to that, Cece practiced WOC Nursing at Baylor University Medical Center Dallas, Texas; Rush University Medical Center; and at the UPMC since 1997.Cece has been involved as a clinical preceptor for nurses in a WOCNEP and in Nursing Education roles. In 2010, Cece had the privilege of being selected as the Joint Commission Resources Patient Safety Scholar in Residence. Her teaching experience includes RN to BSN program at Slippery Rock University, Community Health Nursing, clinical instructor at Duquesne University, Preceptor for nurses completing their WOC Nursing Education Program, and Course Co-Coordinator for the Wound Treatment Associate (WTA®) and Ostomy Care Associate (OCA®) programs.Cece is involved in the Wound, Ostomy, and Continence Nurses Society™ (WOCN®) and was a past volunteer for WOCNext Conference Planning Committee. Cece is involved in her professional specialty organization and was a contributing member of the WOCN Peristomal Consensus Panel in November 2020. She is a member of Sigma Theta Tau, Western PA Area Chapter for National Association of Hispanic Nurses, WOCN Society™, the WCET and a current Director for the WOCN Board.Alexandra Craig, BSN, RN, WTA-C is a clinical research coordinator (CRC) for the UPMC Presbyterian WOC Nursing Department. During Alex's time in the department, she has been instrumental in to help develop the projects and prepared documents for research study protocols. Her research experience includes a Support Surfaces RCT, Ostomy Barrier leakage retrospective study and numerous wound care quality projects. She is passionate about learning; research and the nursing science provides the evidence to improve patient care outcomes. She is currently enrolled in her MSN program and plans to attend a WOC Nursing Education Program (WOCNEP) soon after.
Short stories with Officer Fox
A Note from James:Imagine you are dying or you're about to die. Let's say you were hit by a car, you're bleeding out, you're on the way to the hospital but you just have this sense that you're not going to live, and you see visions of someone you knew in the past, maybe a mother or a father, and they're saying, "Don't worry, we're here for you." Come down this light at the end of a tunnel. Does that change your experience of life if you then survive? Well, we're going to hear from Sebastian Junger, who wrote "In My Time of Dying: How I Came Face to Face with the Idea of an Afterlife." And if you don't know who Sebastian is, he's written many books about being a war reporter, his experiences in war zones, and other intense situations. But this is perhaps his most intense book that I've read, where he's not talking about deaths on the battlefield or in a war zone, but his own experience of dying and what happened to him during that experience. It really makes you think. And I've been thinking about it a lot for personal reasons this past week. I hope everybody enjoys it. If you do, please retweet it, share it with your friends, and subscribe to the podcast so all the good little algorithms work for me. Thanks so much, and here is Sebastian.Episode Description:In this compelling episode, James Altucher converses with Sebastian Junger, acclaimed author and war reporter, about his harrowing near-death experience and his exploration of the afterlife in his latest book, "In My Time of Dying." Junger shares the profound and mystifying moments he faced at the brink of death, challenging his atheistic beliefs and scientific understanding. This episode isn't just about a personal encounter with mortality but dives into the larger implications of consciousness, the mysteries of the human mind, and what it means to truly live after facing death.What You'll Learn:The profound impact of near-death experiences on one's worldview and beliefs.The intersection of scientific rationalism and mystical experiences.Insights into the psychological and emotional aftermath of surviving a near-death experience.Theories about consciousness and the potential for an afterlife from both scientific and experiential perspectives.Practical lessons on living a more appreciative and meaningful life after a brush with death.Chapters:00:01:30 - Introduction: Sebastian Junger's Near-Death Experience00:04:41 - The Moment of Crisis: Abdominal Hemorrhage and Medical Intervention00:09:00 - Encountering the Void and Seeing His Father00:14:22 - The Medical Miracle: Innovative Interventional Radiology00:24:26 - Rational Explanations vs. Mystical Experiences00:31:30 - Unexplained Phenomena: Quantum Mechanics and Consciousness00:41:29 - Personal and Philosophical Reflections on Life and Death00:52:30 - The Aftermath: Dealing with Anxiety and Fear00:56:35 - Finding Meaning and Appreciation in Life Post-Trauma01:02:15 - Writing About the Experience: Structuring the Narrative01:05:28 - Final Thoughts and TakeawaysAdditional Resources:Sebastian Junger's Official WebsiteIn My Time of Dying: How I Came Face to Face with the Idea of an AfterlifeTribe: On Homecoming and Belonging by Sebastian JungerWar by Sebastian JungerQuantum Enigma: Physics Encounters Consciousness by Bruce Rosenblum and Fred KuttnerBiocentrism: How Life and Consciousness are the Keys to Understanding the True Nature of the Universe by Robert Lanza ------------What do YOU think of the show? Head to JamesAltucherShow.com/listeners and fill out a short survey that will help us better tailor the podcast to our audience!Are you interested in getting direct answers from James about your question on a podcast? Go to JamesAltucherShow.com/AskAltucher and send in your questions to be answered on the air!------------Visit Notepd.com to read our idea lists & sign up to create your own!My new book, Skip the Line, is out! Make sure you get a copy wherever books are sold!Join the You Should Run for President 2.0 Facebook Group, where we discuss why you should run for President.I write about all my podcasts! Check out the full post and learn what I learned at jamesaltuchershow.com------------Thank you so much for listening! If you like this episode, please rate, review, and subscribe to “The James Altucher Show” wherever you get your podcasts: Apple PodcastsiHeart RadioSpotifyFollow me on social media:YouTubeTwitterFacebookLinkedIn
In this episode, we are thrilled to host Brooke Gove, a Sales Engineer at Rose Medical, a leading ISO 13485 certified contract manufacturing company specializing in custom medical devices and catheters. For more information on Rose Medical, go to www.rosemedical.com. Brooke provides an in-depth look into Rose Medical's journey from its founding in 1998 as a tip forming machine builder to becoming a comprehensive contract manufacturer with advanced capabilities in CNC machining, injection molding, and laser processing. She then explanes the intricate processes behind catheter tip forming, including unique shapes and geometries, and shares examples of their capabilities. Steve and Brooke also explore the secondary processing of PTFE, highlighting the challenges and innovative solutions Rose Medical has developed to enhance design possibilities. Additionally, Brooke will cover the importance of high-quality extrusions in secondary operations and introduce us to Rose Medical's state-of-the-art laser processing facility, detailing their capabilities in laser marking, welding, and fiber laser processing of hypotubes. Host/ Producer: Steve Maxson | Innovation & Business Development Manager | US ExtrudersGuest: Brooke Gove | Sales Engineer | Rose MedicalAnnouncer: Bill Kramer | President | US ExtrudersEditor/ Original Music: Eric Adair | Marketing/ Business Development | US ExtrudersFor video episodes visit www.us-extruders.com/podcasts
Today on the podcast; 2.30 - Relocating a stranger 4 - Sleeping in a wardrobe 6.40 - Scammer email chain 12.10 - Captain Morgan and Baked Beans review 16.10 - Catheter catastrophe 21 - Cockatoo chat 35.50 - Big ticket items we could buy if we won Lotto 38.30 - Stud See omnystudio.com/listener for privacy information.
Today on the podcast; 2.30 - Relocating a stranger 4 - Sleeping in a wardrobe 6.40 - Scammer email chain 12.10 - Captain Morgan and Baked Beans review 16.10 - Catheter catastrophe 21 - Cockatoo chat 35.50 - Big ticket items we could buy if we won Lotto 38.30 - Stud See omnystudio.com/listener for privacy information.
Welcome to Abiomed's Quarterly Update, where education is at the forefront. In this episode, host Shane Turner is joined by Jena Billig, primary trainer for the West region, to dive into the intricacies of the Impella pump's heparin-free purge system.Jena provides a comprehensive understanding while addressing misconceptions. She explains the importance of using a dextrose and water-based purge solution with heparin or sodium bicarb additive to prevent blood proteins from accumulating in the pump motor housing. Plus, Shane and Jena explore new features of the Impella Five, gen two catheter, designed to enhance safety for transport providers, including the intuitive catalog system and three-point fixation method.Whether you're a seasoned provider or new to the field, this episode offers valuable insights to improve patient care and transport practices. Tune in now to stay informed and elevate your knowledge of the Impella device and purge system!In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNJena Billig, BSN, RN, CCRN, CFRN, Idaho Springs, Colorado
Send us a Text Message.What are the hidden risks of IV catheter complications in hospitalized cats, and how can we better manage them? Join us as we explore these critical questions with Dr. Kyle Granger, ECC resident at Colorado State University, who shares groundbreaking insights from his recent JAVMA article. Learn how smaller gauge catheters and greater body weights substantially elevate complication risks and why adopting human phlebitis grading scales could revolutionize veterinary catheter protocols. Discover the practical challenges veterinarians face when placing IV catheters in cats with difficult venous access and gain actionable advice on educating your staff to identify and manage these issues more effectively.Feline JAVMA article: https://doi.org/10.2460/javma.23.12.0717Canine JAVMA article: https://doi.org/10.2460/javma.23.05.0293INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals
Nominate your Veterinary Hero here today!: https://event.dvm360.com/event/3f10fd96-aec7-45cb-96c5-07ed9967021f/summary?locale=en Michael Natale, LVT, has been involved in Veterinary Medicine for over 10 years. After graduating from Barry Tech, Natale attended SUNY Delhi and obtained his AAS in Veterinary Science Technology. After completion, he continued his education and obtained his BS in Science, Technology, and Sociology with a double minor in Business Management and Economics. His experience in Veterinary Medicine ranges from Primary Care, Specialty Medicine, and Business Leadership. Natale also holds certifications in BLS/ALS CPR, Laser Therapy, and NYS Certified Teacher. He currently is the Veterinary Medicine teacher at Barry Tech, practices as a per diem LVT and is a Hiring Manager at Veterinary Emergency Group. In his free time, you'll find Natale out surfing, skiing, biking, at CrossFit, or hanging with friends and family.
SadBoyDiamond and BigDaddyFatsax sit down for the 34th episode of MGOTW. Follow the podcast for more episodes weekly every Monday!Follow the Discord to stay tuned in with the MGOTWhttps://discord.gg/FeZmrV29a2
Drs Michelle Kittleson and Ronald Oudiz dive into everything cardiologists need to know about the diagnosis and treatment of pulmonary hypertension. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/997320). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Heart Failure https://emedicine.medscape.com/article/163062-overview Pulmonary Arterial Hypertension https://emedicine.medscape.com/article/303098-overview Cardiac Catheterization in Pulmonary Hypertension: Doing It Right, With a Catheter on the Left https://pubmed.ncbi.nlm.nih.gov/33224785/ How to Initiate and Uptitrate GDMT in Heart Failure: Practical Stepwise Approach to Optimization of GDMT https://pubmed.ncbi.nlm.nih.gov/36456074/ Phosphodiesterase Inhibitors https://www.ncbi.nlm.nih.gov/books/NBK559276/ Cardiovascular Biology of Prostanoids and Drug Discovery https://pubmed.ncbi.nlm.nih.gov/32295420/ Soluble Guanylate Cyclase as an Emerging Therapeutic Target in Cardiopulmonary Disease https://pubmed.ncbi.nlm.nih.gov/21606405/ Pulmonary Hypertension Association https://phassociation.org/
Janice Y. Chyou, MD, FHRS, Icahn School of Medicine at Mount Sinai, is joined by Fred M. Kusumoto, MD, FHRS, Mayo Clinic Jacksonville, and Julia H. Indik, MD, PhD, FHRS, University of Arizona Medical Center (CVD) to discuss how Atrial fibrillation (AF) is a chronic progressive disorder. Persistent forms of AF are associated with increased rates of thromboembolism, heart failure, and death. Catheter ablation modifies the pathogenic mechanism of AF progression. No randomized studies have evaluated the impact of the ablation energy on progression to persistent atrial tachyarrhythmia. https://www.hrsonline.org/education/TheLead https://doi.org/10.1093/eurheartj/ehad572 Host Disclosure(s): J. Chyou: Honoraria/Speaking/Consulting: McGraw-Hill, American Heart Association, Membership, Advisory Committee: American Heart Association Contributor Disclosure(s): J. Indik: Honoraria, Other Financial Relationships: American College of Cardiology, Honoraria/Speaking/Consulting: Heart Rhythm Society F. Kusumoto: Nothing to disclose This episode has .25 ACE credits associated with it. If you want credit for listening to this episode, please visit the episode page on HRS365: https://www.heartrhythm365.org/URL/TheLeadEpisode58
Join us on the Med-Ex Podcast as we talk with Brett Lenz, Director of Engineering at Plastic Design Company (PDC). PDC is a specialty manufacturing company focused on precision injection molding and value-added assembly in support of medical device and life science customers. Their expertise includes the production of complex materials such as PEEK, PEBA and PEI within an ISO 13485:2016 quality system. For more information, visit plasticdesigncompany.comIn this episode, we explore PDC's capabilities in over-molding and insert molding of catheter tips, shedding light on advanced techniques reshaping the medical industry.From insights into PDC's establishment and medical molding prowess to discussions on the advantages of over-molding catheter tips directly onto shafts versus traditional methods, Brett provides valuable expertise. We uncover the nuances of molding materials, radiopacity, transition techniques, bonding methods, and challenges with curved or angled tips. Additionally, we delve into PDC's insert molding techniques, multi-component molding applications, and precision handling and automation strategies for scaling production. Host/ Producer: Steve Maxson | Innovation & Business Development Manager | US ExtrudersGuest: Brett Lenz | Director of Engineering | PDCAnnouncer: Bill Kramer | President | US ExtrudersEditor/ Original Music: Eric Adair | Marketing/ Business Development | US ExtrudersFor video episodes visitwww.us-extruders.com/podcasts
Ring the Kathy Griffin alarm because the legend herself is on the podcast this week! We cover everything from catheters (both the medical device and Kathy's fan community), venture capital-funded gay vacation spots, and who is coming to Kathy's notorious dinner parties. Plus, we explore what happens when one person in a couple makes more money than the other. Let's just say that gender roles WILL jump out whether you want them to or not! Catch Kathy on her new tour "My Life On The PTSD List" (kathygriffin.net/tour) and don't forget to vote! Subscribe to our Patreon at patreon.com/straightiolab for bonus episodes twice a month and don't forget to rate and review us on Apple Podcasts!See omnystudio.com/listener for privacy information.
It's time to arm yourselves with all the resources on antimicrobial locks! Join our experts, Drs. Louise-Marie Oleksiuk (@CanRowPharm), Nasia Safdar (@NasiaSafdar), Joel Topf (@kidney_boy), and our wonderful host, Dr. Julie Justo (@julie_justo), to discuss the ins and outs of antimicrobial locks and how to implement them! Funding for this podcast was provided by CorMedix Inc Learn more about the Society of Infectious Diseases Pharmacists: https://sidp.org/About X: @SIDPharm (https://twitter.com/SIDPharm) Instagram: @SIDPharm (https://www.instagram.com/sidpharm/) Facebook: https://www.facebook.com/sidprx LinkedIn: https://www.linkedin.com/company/sidp References https://drive.google.com/file/d/1K0A4Bomhbcn7AZJ1JFOWW8EdEZq-aZcd/view?usp=sharing https://drive.google.com/file/d/1PRoQzEKJ1c0pa1XFc4yasxsMhx2A1DFU/view?usp=sharing Helpful antimicrobial lock review: Justo JA, Bookstaver PB. Infect Drug Resist. 2014 Dec 12;7:343-63. doi: 10.2147/IDR.S51388. PMID: 25548523. LOCK IT-100 Trial: Agarwal AK, et al. Clin J Am Soc Nephrol. 2023 Nov 1;18(11):1446-1455. doi: 10.2215/CJN.0000000000000278. PMID: 37678222. Cochrane review: Arechabala MC, et al. Cochrane Database Syst Rev. 2018 Apr 3;4(4):CD010597. doi: 10.1002/14651858.CD010597.pub2. PMID: 29611180. Cost-effectiveness of ethanol lock ppx with newer dehydrated alcohol product: Raghu VK, et al. JPEN J Parenter Enteral Nutr. 2022 Feb;46(2):324-329. doi: 10.1002/jpen.2130. PMID: 33908050. Antimicrobial lock development/implementation in a pediatric hospital: Zembles TN, et al. Am J Health Syst Pharm. 2018 Mar 1;75(5):299-303. doi: 10.2146/ajhp161056. PMID: 29472511. Dr. Topf's tweet surveying the prevalence of antimicrobial lock use in dialysis units CRBSIs in hemodialysis patients before and during the COVID-19 pandemic: Johansen KL, et al. Clin J Am Soc Nephrol. 2022 Mar;17(3):429-433. doi: 10.2215/CJN.11360821. PMID: 35110377. Antiseptic barrier caps review and meta-analysis: Gillis VELM, et al. Am J Infect Control. 2023 Jul;51(7):827-835. doi: 10.1016/j.ajic.2022.09.005. PMID: 36116679. Check out our podcast host, Pinecast. Start your own podcast for free with no credit card required. If you decide to upgrade, use coupon code r-7e7a98 for 40% off for 4 months, and support Breakpoints.
This podcast is a discussion on central venous catheter (CVC) safety in pediatric patients on parenteral nutrition who have intestinal failure. The CVC is their lifeline and Dr. Danielle Wendel discusses complications, prevention, and treatment of those events in these children. Business Corporate by Alex Menco | alexmenco.net Music promoted by www.free-stock-music.com Creative Commons Attribution 3.0 Unported License creativecommons.org/licenses/by/3.0/deed.en_US February 2024
Welcome to the MassDevice Fast Five medtech news podcast, the show that keeps you up-to-date on the latest breakthroughs in medical technology. Here's what you need to know for today, February 9, 2024. Check out the show notes for links to the stories we discussed today at MassDevice.com/podcast. Baxter beat The Street in its fourth-quarter results as its kidney care spinoff progresses. Fast Five hosts Sean Whooley and Danielle Kirsh talk about the company's financial performance and how the spinoff is going. The FDA has cleared Fresenius Medical Care's 5008X hemodialysis system. Hear more about the hemodialysis system and what makes it different. CMR Surgical has enhanced its surgical robot with new imaging technology. Whooley explains the new imaging technology and how it helps doctors. Biosense Webster supports a duo of new studies using Varipulse pulsed field ablation technology. Learn what the studies will evaluate in today's episode. J&J's Cerenovus has launched a next-generation stroke revascularization catheter. The Fast Five hosts explain what the catheter is designed for, some of its features and what executives are saying.
We're back!!! We said we'd be back in January, and it's still technically January! Unlike Criminal Minds' season premieres, we keep our promises. Join James and Bee as they talk about Season 4 Episode 1 - Mayhem! --- Send in a voice message: https://podcasters.spotify.com/pod/show/wheelsuppod/message
Our guest this episode is Basker Lalgudi, Business Manager – High Performance Polymers for Medical Devices at Evonik Corporation. We explore the cutting-edge co-extrusion and reflow processes that have led to the development of bondable VESTAMID PEBA directly adhering to Daikin's EFEP material, creating two-layer structures with low friction inner layers and bondable PEBA outer layers. The result is a game-changer, eliminating the need for adhesives or surface activation processes, ensuring strong adhesion, and minimizing the risk of delamination during surgical procedures. We also delve into the world of EFEP, a low friction alternative to PTFE, and its impressive mechanical properties. Join us for this informative episode as we unravel the science behind medical device manufacturing, discussing everything from material compatibility to sterilization processes. To learn more about Bondable VESTAMID® Care PEBA for multi-layer catheters go to https://www.youtube.com/watch?v=Q7eb1vRCSc8&t=2s Evonik is one of the world's leading specialty chemicals companies. While they don't produce electric cars, aircraft, medications or 3D printers, Evonik is part and parcel of these and many other end products. That's because they contribute the small things that make a big difference. They make electric car batteries perform better, aircraft greener, medications more effective and 3D printers more efficient. In short: They think beyond the bounds of chemistry to make the world a better place.To learn more visit, www.evonik.com Host/ Producer: Steve Maxson | Innovation & Business Development Manager | US ExtrudersGuest: Basker Lalgudi | Business Manager | EvonikAnnouncer: Bill Kramer | President | US ExtrudersEditor/ Original Music: Eric Adair | Marketing Manager | US ExtrudersFor video episodes visit www.us-extruders.com/podcasts
CardioNerds nerd out with Drs. Karishma Rahman (Mount Siani Vascular Medicine fellow), Shu Min Lao (Mount Sinai Rheumatology fellow), and Constantine Troupes (Mount Sinai Vascular Surgery fellow). They discuss the following case: A 20-year-old woman with a history of hypertension (HTN), initially thought to be secondary to a mid-aortic syndrome that resolved after aortic stenting, presents with a re-occurrence of HTN. The case will go through the differential diagnosis of early onset HTN focusing on structural etiologies of HTN, including mid-aortic syndrome and aortitis. We will also discuss the multi-modality imaging used for diagnosis and surveillance, indications and types of procedural intervention, and how to diagnose and treat an underlying inflammatory disorder leading to aortitis. The expert commentary was provided by Dr. Daniella Kadian-Dodov, Associate Professor of Medicine and Vascular Medicine specialist at the Icahn School of Medicine at Mount Sinai. Audo editing was performed by Dr. Chelsea Amo-Tweneboah, CardioNerds Academy Intern and medicine resident at Stony Brook University Hospital. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - Hypertension With a Twist Pearls - Hypertension With a Twist Early onset hypertension (HTN) and lower extremity claudication should raise suspicion for aortic stenosis (including mid-aortic syndrome). Initial evaluation should include arterial duplex ultrasound and cross-sectional imaging such as CT or MR angiogram of the chest, abdomen, and pelvis to assess for arterial stenosis involving the aorta and/or branching vessels. Mid-aortic syndrome can have multiple underlying etiologies. Concentric aortic wall thickening should raise suspicion for an underlying inflammatory disorder. Initial evaluation should include inflammatory markers such as ESR, CRP, and IL-6, but normal values do not exclude underlying aortitis. While Takayasu arteritis is the most common inflammatory disorder associated with mid-aortic syndrome, IgG4-RD should also be a part of the differential diagnosis. IgG subclass panel can detect IgG4-RD with elevated serum IgG4 levels, but some cases can require pathology for diagnosis. Catheter based intervention is a safe and effective treatment of aortic stenosis for both primary aortic stenosis and post-procedural re-stenosis. Multi-modality imaging, including cross-sectional imaging and duplex ultrasound, plays a central role for the diagnosis, management, and post-procedural surveillance of aortic disease. A multi-disciplinary team (as exemplified by the participants of this podcast!) is essential for the management of complex aortopathy cases to optimize clinical outcomes. Show Notes - Hypertension With a Twist 1. Early onset HTN can have multiple etiologies – aortic stenosis (including but not limited to secondary to congenital aortic coarctation and mid–aortic syndrome, as well as in stent re-stenosis if there is a history of aortic stenting), thrombosis, infection, inflammatory/autoimmune disorders, renovascular disease, polycystic kidney disease, and endocrine disorders. 2. Mid-aortic syndrome is characterized by segmental or diffuse narrowing of the abdominal and/or distal descending aorta with involvement of the branches of the proximal abdominal aorta (renal artery, celiac artery, superior mesenteric artery) and represents approximately 0.5 to 2% of all cases of aortic narrowing. Underlying etiologies include genetic syndromes, inflammatory, non-inflammatory, and idiopathic. It is important to have a high suspicion of underlying inflammatory disorders if cross-sectional i...
William H. Sauer, MD, FHRS, CCDS, of Brigham and Women's Hospital, is joined by guests Michael G. Katz, MD, FHRS, of Morristown Medical Center and Victor Nauffal, MD, of Brigham and Women`s Hospital, to discuss the treatment options for high-risk Brugada syndrome (BrS) with recurrent ventricular fibrillation (VF) and how it is limited. Catheter ablation is increasingly performed, but a large study with long-term outcome data is lacking. We report the results of the multicenter, international BRAVO (Brugada Ablation of VF Substrate Ongoing Registry) for treatment of high-risk symptomatic BrS. Ablation treatment is safe and highly effective in preventing VF recurrence in high-risk BrS. Prospective studies are needed to determine whether it can be an alternative treatment to implantable cardioverter-defibrillator implantation for selected patients with BrS. https://www.hrsonline.org/education/TheLead https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.122.063367 Host Disclosure(s): W. Sauer: Honoraria/Speaking/Consulting Fee: Biotronik, Biosense Webster, Inc., Abbott, Boston Scientific; Research (Contracted Grants for PIs Named Investigators Only): Medtronic Contributor Disclosure(s): V. Nauffal: No relevant financial relationships with ineligible companies to disclose. M. Katz: Stocks, Publicly Traded: Medtronic PLC, Abbott Medical, Novo Nordisk, Pfizer, Inc.; Owner/Partnership/Principle: Vision Valve Technologies, LLC.
The Vasopressor & Inotrope Handbook: Amazon Affiliate Link (I will earn an extra small commission) and Signed Copies. Show Notes: eddyjoemd.com/asymptomatic-catheter-related-thrombosis/ Explore the often-overlooked issue of asymptomatic catheter-related thrombosis (CRT) in ICU patients on The Saving Lives Podcast. This episode delves into a revealing study published in the Annals of Intensive Care, uncovering the incidence, risk factors, and implications of asymptomatic CRT. Join us for a thought-provoking discussion that challenges traditional beliefs and sheds light on crucial aspects of catheter management in critical care. TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/ Discount code: EDDYJOEMD25 This Podcast was edited using Descript: https://www.descript.com?lmref=BGOxjQ Citation: Abbruzzese C, Guzzardella A, Consonni D, Turconi G, Bonetti C, Brioni M, Panigada M, Grasselli G. Incidence of asymptomatic catheter-related thrombosis in intensive care unit patients: a prospective cohort study. Ann Intensive Care. 2023 Oct 19;13(1):106. doi: 10.1186/s13613-023-01206-w. PMID: 37858003; PMCID: PMC10587047. Link to Article --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support
Live from STUDIO G in the Heart of America—I'm Steve Gruber— Your Soldier of Truth—the Tip of the Spear against socialists—here ready to fight for you from the Foxhole of Freedom—AND—giving you better analysis than anyone else while defending this great nation—this is the Steve Gruber Show— Here are the 3 Big Things you need to know to start today— Number One— Former President Donald Trump was ordered to pay a $10,000 fine for violating the judges order in the New York fraud case—that is itself a fraud upon America— Number Two— After 3 weeks of turmoil—the Republicans elected a dark horse candidate to become Speaker of the House—and I have got to be honest—I am pretty optimistic about Mike Johnson— Number Three— The world is burning and Joe Biden needs a catheter to do anything about any of it— America is at its weakest point of my lifetime because of Joe Biden and his cast of absolute not ready for prime time clowns—
In this episode, host Dr. Aaron Fritts interviews interventional radiologists Dr. Kumar Madassery and Dr. Shelly Bhanot about catheter shapes and when to use each type in basic and challenging cases. --- CHECK OUT OUR SPONSOR Cook Medical https://www.cookmedical.com/divisions/vascular-division/ --- SHOW NOTES Kumar serves as an Associate Professor and Director of Peripheral Vascular Interventions/Critical Limb Ischemia and Shelly is a PGY-6 IR resident at Rush University Medical Center in Chicago, IL. Kumar and Shelly walk us through a number of different catheters and techniques, along with tips that they have learned from their experiences in the cath lab. They pair complex and challenging anatomy with catheter types, and they describe their reasoning behind different approaches. After going through case-based examples, both Kumar and Shelly share advice on how trainees can become more familiar with tools on the back table. These include observing supply shelves, asking questions, and learning from IR techs and device representatives. We conclude the episode by emphasizing the power of teaching and how experience is a big factor in becoming more and more familiar with all the catheters that are available to our specialty. Disclaimer: The content, information, opinions and viewpoints contained in this presentation are for educational purposes only. Some opinions expressed may represent those of the speaker and are based on their own clinical experience in their practice. This information is not meant or intended to serve as a substitute for a healthcare professional's clinical training, experience or judgment. Guest speakers are paid consultants of Cook Medical. Always refer to the Instructions for Use for complete prescribing information including indications for use, warnings, precautions, adverse events and deployment/use instructions.
Today we welcome in two more guests as part of our doctoral series, and we're looking forward to talking with Annie Brademeyer, CRNA and Amanda Janssen, CRNA about their recent study: “Does inserting peripheral nerve catheters over the needle decrease leaking from its insertion site?” Join us as we review their work and find out what they learned about a surprisingly controversial topic. Here are some of the things you'll learn on this show: What are some of the problems that are encountered by clinicians who place these peripheral nerve catheters? The different insertion method of over the needle and through it, and what impact that has on leaking. The challenges they faced in doing this study. What they found out about pain scores. Why they need more randomized controls to get more clarity on the topic. The need for these continuous peripheral nerve catheters moving forward. Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf
Kelsey would title her VBAC story, “When Everything Goes Wrong”. This episode is a must-listen as she shares her VBAC birth after testing positive for Group B Strep.Kelsey's first provider: Pushed a scheduled C-section due to a possible big babyChose elective C-sections for all of her own birthsKelsey's second provider:Wasn't concerned about Kelsey's blood clotting disorderDidn't push for induction upon borderline amniotic fluid levels Limited cervical checksSuggested a Cook's Catheter at 0 centimeters dilated with ruptured membranesDidn't push for C-section after 24 hours of ruptured membranes with GBSWe are incredibly grateful for all of those VBAC-supportive providers out there! They make ALL the difference. Additional LinksThe VBAC Link Blog: Group B Strep Prevention and Your Options for GBS+ BirthHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello you guys. Welcome to The VBAC Link. This is Meagan, your host of The VBAC Link. We have a story for you today that has been something that we've been seeing trickling in our inbox a lot. So I went onto our VBAC Link Community on Facebook and said, “Hey, I'm looking for some stories with this specific topic.” That specific topic is GBS, so Group B Strep if you don't know what GBS means. That is something that we've been seeing in our inbox of people being told they cannot have a vaginal birth if they test positive for GBS which we all know, I hope through listening to these episodes that you'd know by now, is false. If you are told that you absolutely cannot have a TOLAC, a trial of labor after Cesarean because you have Group B Strep, that is not true. That is just simply not true. We have our friend Kelsey today from outside of Dallas, Texas is that right? Kelsey: Yes. Yes, yeah that's right. Meagan: Yes and she is going to share her story just proving that. Another fun twist to her story is that she had a rupture of membranes. One of the things providers fear more or worry most about is GBS and rupture of membranes and the longevity of the membranes being ruptured increasing risk of infection. So a lot of providers will say, “If you have GBS, the second your water breaks, TOLAC or not, you need to come in and start antibiotic treatment immediately.” There is definitely some evidence with treating with antibiotics and we're going to talk about some of that in the end and also some ways that you can try and avoid testing positive for GBS, but one of the crazy things or cool things I should say about Kelsey's story is that her rupture of membranes was 24+ hours. So a lot of the times, we have providers also saying after a certain amount of hours and they have a cutoff or a certain number of doses of antibiotics, we're at a high risk for the newborn getting GBS and then we need to have a Cesarean. So I'm excited to hear Kelsey talk about her journey with 24+ hours with a rupture of membranes with GBS. Then another twist to her story is when she did arrive, she was a certain centimeter that a lot of people also think can't be helped. I'm just going to leave that right there and we'll let Kelsey talk about that. Review of the WeekBut of course, we have a Review of the Week so I want to dive into that. This was back in 2021, so a couple of years ago actually from mckenna_123 and her subject is “You're Not Alone, Mama.” It says, “When I had my first baby 7 months ago via C-section due to placenta previa, I was left discouraged and sad with little to no tools to help me process all that had happened. It was hard for me to tell my story to others confidently and joyfully because I felt so isolated by the experience. Enter The VBAC Link.” Ooh, that just gave me chills actually.“I spent my early postpartum months listening to an episode every day while I nursed my newborn. When I came across the placenta previa story on the podcast, I felt so seen and understood. This podcast gave me the opportunity to feel bound to other strong mamas who have healed from similar experiences. All of a sudden, I didn't feel so alone. I'm not pregnant with baby #2 yet, but when that happens, I will be armed with invaluable tools and knowledge for my journey to have a beautiful and redemptive VBAC. Thank you ladies for being the voice for moms who feel alone and unseen.” Whoa. I got chills all while reading that whole thing. She is so right. You are not alone. We are here with you. I know I've said this before and I'm going to say it a million times again but here at The VBAC Link, we truly love. I know we don't know you, but we love you and we don't want you to feel alone. That is why we created The VBAC Link because we felt alone. We were in that spot. Julie and I years and years ago felt alone wanting to have this vaginal birth which seemed so normal. Vaginal birth just seems like it should be normal. That's what happens, right? But then we had these C-sections, unexpected and undesired and we didn't know where we belonged. We didn't know what we could do. We didn't know who was saying whether that was true or not. That is why we are here. That is why The VBAC LInk exists. So thank you, McKenna, so much. Congratulations on your baby that is now probably almost two. Kelsey: And we need an update, McKenna. Meagan: We need an update. Are we having another baby? Where are we at? Are you still with us? Let's hear that update. Definitely email us. If you haven't had the time or a chance to put a review in, we would love that. We love getting them in the email box, on Apple Podcasts, and on Instagram. We love seeing your reviews. I'm not kidding you. When I was reading this review, I would get chills and then they would go down and then I'd get chills again and then they'd go down. They mean so much. So definitely if you haven't, drop us a review. Kelsey's StoryMeagan: Okay, Kelsey. Welcome to the show. Kelsey: Hey, thanks for having me, for having me on the VBAC podcast. I'm so excited to be here. Meagan: Oh my gosh. Well, I am so excited that you are here and sharing, like I said, such a great topic because I don't know. Tell me what you have heard about GBS. Have you heard that you can't have a vaginal birth with GBS? Or have you heard anything like that?Kelsey: Oh absolutely. Not from my doctor per se and I'll give you some more info about that as I share my story, but I believed that everything had to go according to plan despite listening to y'all's episodes, despite hearing other VBAC stories, I just felt like there is no way that I can have this vaginal birth after a Cesarean unless everything goes just as it should. My story is one that should be titled, “When Everything Goes Wrong”. Meagan: Okay, “When Everything Goes Wrong”. Kelsey: Yes, yes. I definitely heard that. One of the things that I kept in mind and I'll mention this too is that when you have ruptured membranes longer than 24 hours– I mean, I Googled this last night just to be sure. You'll see all over the place, “You've got to get baby out. You've got to get baby out. You've got to get baby out,” and that just wasn't the case for me. So yeah, I've got a lot of fun to unpack with you. Meagan: Yeah, and actually, my water was broken for over 24 hours too and so I connect so much to that because I hear it so much with our clients, “Within 24 hours, if you haven't had a baby, we've got to get baby out.” Some people are like, “Oh, within 8-10 hours, if contractions haven't started, we have to induce.” But that's not necessarily the case and we are two people that are living proof of that. Kelsey: Absolutely. Absolutely. Can I start by giving you just a little rundown of baby #1?Meagan: Absolutely. I was going to say, let's unpack where it all began. That's exactly where it began, right? Kelsey: That's exactly where it began. My son was born via scheduled Cesarean in July of 2018 at 40+2. I had never felt a contraction prior to having my son. I was diagnosed with polyhydramnios in the latter weeks of that pregnancy which of course as you know, leads to increased ultrasounds, and the more ultrasounds you have, the more– I don't want to say that things can go wrong, but he did get the big baby label because he was seen so much. Of course, you guys have shared that those can be up to 2 pounds in either direction. I remember somewhere along the 36-38 week mark, my provider because discussing delivery with me and she mentioned that she would hate to see me run out of the clock on a 24-hour labor which should have been red flag #1. Meagan: Uh-huh. Kelsey: She said that I would be so tired from laboring all day only to have a newborn that would not let me get any rest. She mentioned shoulder dystocia and that he would get stuck. She pulled out all of the stops. Then she even said– and you're going to die when I tell you this– she said, “I've seen too many things go wrong with vaginal deliveries during my residency and it's why I chose elective Cesareans for the births of my own children.” Meagan: Oh, dear. Oh, dear. She is in the wrong field. Kelsey: I don't want to demonize her. I trust that she was–Meagan: Probably speaking from her heart. Kelsey: Yes. She was. She was not out to get me. Meagan: No, and this is the thing. A lot of the time, these providers have this bad rap. I'm like, “Oh dear, red flag.” They do take, a lot of the time, from what they have maybe seen. She was mentioning shoulder dystocia. Maybe she's seen really hard shoulder dystocia so she fears that. She fears that but she's labeling every other birth that way to the point where she even scheduled her own Cesarean because she was that scared of vaginal birth. Right?Kelsey: Right. Meagan: If you have a provider that is that scared of vaginal birth for herself, then that is a red flag for sure. Kelsey: Yeah, absolutely. Meagan: But we don't even think about that. Kelsey: Yeah, and I didn't have the knowledge or experience to present a case for vaginal delivery for myself nor did I feel like I had the ability to so I walked in and had a scheduled Cesarean. It was very routine, very rote. My son did weigh 9.5 pounds, but there I was a first-time mom. I felt like this experience that I so desired to have, this vaginal birth, was snatched right out from under me. I had never felt a single contraction. I don't know why that was so important to me, but I just felt like I was missing something. Meagan: It's a signal to our minds and our brains that our baby is coming. Kelsey: Yeah. Meagan: It's a sure sign when we start having contractions and experiencing labor that, “Okay. We are now entering this stage.” I swear because the same thing, I remember the last time I felt a contraction with my second and I was sad. I'm like, “Wait. Where did they go?”Kelsey: Yeah. So that feeling really set the stage for the birth of my daughter. She didn't come until about 4 years later, but I knew that the first weapon in my arsenal would be to find a new provider. I conducted some interviews with two providers here in the Dallas/Fort Worth area. You are a part of the Facebook pages like DFW VBAC and you see names pop up over and over again. I chose Dr. Downey who you guys actually, one of your very first episodes was with a gal named Rachel and she used Dr. Downey for her VBAC. I remember there were 13 months between her Cesarean and her first VBAC. Meagan: Wow. Kelsey: So we've got a repeat doctor on here. Meagan: Yeah, that is really good to know. Dr. Downey. Kelsey: Dr. Downey, yeah. He was amazing. He never batted an eye. He briefly mentioned induction by 41 weeks due to health concerns on my end. It was nothing major, but I had a few markers for antiphospholipid antibody syndrome. Meagan: I don't think I've ever heard of that. Kelsey: It's a blood clotting disorder. Meagan: Oh, okay. Kelsey: So I was on Heparin shots. Lovenox shots and then moved to Heparin shots closer to delivery. But he was largely very patient. Very, very patient. He said, “You're going to be getting a call from the hospital to schedule an induction by around 41 weeks.” I kept waiting, waiting, and waiting for the call. I hated the waiting. I wanted to decline the induction, but I also, to be honest with you, wanted to follow my doctor's advice so I felt like I was in a really weird place. Anyway, I never got that phone call. I never got that call to schedule an induction. I never had to make that decision because the hospital was packed and they didn't have room for me and it was not truly medically necessary so I left my 40-week appointment with my next appointment scheduled for 41 weeks and he was like, “Okay. I guess we're just going to wait for you to go into labor.” I said, “Great. I love that.” So fast forward to my due date, I texted my doula that afternoon an update, and at about 9:30 PM that evening, to my surprise, I started cramping sporadically but because I had never felt a contraction as I said, “I just kept thinking, is this it? This can't be it. This is it. It has to be. It can't be. What is going on?”I even got out my contraction timer just to see. My sense of time was so distorted because I was excited but confused. So I got out my contraction timer just to see how long were these cramps. How much time was between them? I didn't expect any regularity, but I did continue to cramp until early morning. I woke my husband up. Talk about excitement. That guy got showered, packed a bag, and was fully dressed in 7 minutes. Meagan: Oh my gosh. That's awesome. Kelsey: I very kindly reminded him that this could take a while. He should probably rest. I was resting as best as I could, eating, and drinking, and at 3:21 AM the next morning, I felt that little pop that everyone talks about that you just don't really know until you experience it. I was glad. Is there such a thing as TMI on this show? Meagan: No. No. Kelsey: I had a pad on by that point because I had some bloody show. I was so glad because I didn't have this massive gush of water. It was just some leaking. When I went to the restroom, I noticed that it was not clear. I think one of the things that I hope people glean from my story is that you have to do what you're comfortable with despite risk and statistics and all of the numbers. I knew that yes, I could stay at home and I could continue to labor but I just felt more comfortable going to the hospital with the fact that my waters were not clear. Meagan: Yeah. Kelsey: I called my doula. I send her pictures, God bless her, and with my own gut feeling, my husband's urging and her advice, we headed to the hospital about 2 hours later and we were admitted by 7:30 AM that next morning. Meagan: Yeah. I just want to talk about despite what evidence may say, “Oh yeah, I'm safe to be here but my heart says that I shouldn't.” That is so important to listen to. We talk about it on the podcast all of the time. What does your heart say? What does your gut say? But it really, really, really is so important. I love that you had a doula to validate you and say, “Yeah. That's totally fine. That's a great idea. You can go on in.” Kelsey: Yeah. Yeah. Absolutely. I think you have to take into account all of your experiences in the past too. What is going on in your life as you're experiencing this labor, as your baby is coming into this world? I kind of felt like I was taking a risk by having a VBAC. I know that I wasn't necessarily, but that was big enough for me so I needed to mitigate the other smaller risks by just going to the hospital and being in a place where I felt comfortable. That might not be the case for others listening and that's okay. Something else I decided fairly early on in my pregnancy was that I did not want to know how far dilated I was. I didn't want to know baby's station. I knew that this was a mental game, so whether I was a centimeter dilated upon admission or 6 centimeters, I just did not want to know. I wanted to do what my body was doing, lean into that. My husband was told how far dilated I was. He relayed that info to my doula until she was present and then obviously, my doctor knew as well. You mentioned at the beginning of the show, I was a certain centimeter dilated when I was admitted and that was 0. Meagan: Not dilated at all. Kelsey: Not dilated at all. Meagan: A lot of the time, with people who are wanting to VBAC, if you walk in with ruptured membranes, nothing is really happening, and you're not dilated at all, Pitocin doesn't help when not much is happening. It helps us dilate but usually, they want it to be something. Do you remember how effaced you were? Kelsey: I don't remember how effaced I was. I don't know if I even was at all. Meagan: Okay, yeah. See? And then right there, a provider sometimes might say, “There are no options here.” Kelsey: Yeah, and let me tell you. Because I was not having any contractions, I didn't know how dilated I was, but I do remember my labor and delivery nurse saying, “Because you're not having contractions, Pitocin is really your only option.” My doctor came in right after that and said, “I don't see why I can't insert a balloon catheter. He was the one who was like, “Wait a minute. I'm the doctor. I'll make that decision.” Meagan: Let's not let the nurse call the shots. That's good that they were willing to give you Pitocin because sometimes, we'll have providers say, “We'll try to give you Pitocin and try and help you efface and open just a little bit to help us get a Foley or a Cook in,” but some providers are like, “No. No contractions, no dilation, no effacement, rarely is Pitocin going to help.” But it can. Kelsey: We didn't do Pitocin yet. We started with a balloon catheter. Meagan: Can you tell people how uncomfortable or comfortable it was and how you could get through it? Because not dilated at all, you're literally putting a catheter through a closed, hard cervix. Kelsey: Absolutely. It was painful. It was painful getting it in, but the real painful part– and I'm sure that your listeners know and you'll have to correct me if I'm wrong– the balloons are inserted. They are pumped with saline to manually being to dilate the cervix. They fall out by themselves somewhere around 4 centimeters. Is that right? Meagan: 3-4 centimeters, yep. Kelsey: Putting it was painful, but the real pain came when my nurses would try to put some tension on the balloon to tug on it to see if it would come out. My husband will say, “That looked like it was the most pain that you were in the whole time.” That was so painful. And of course, I don't have an epidural at this point. It's not coming out, lady. It's not coming out. Give it a minute. So that was pretty painful. Meagan: Yeah. And they pull and push and put pressure on it to try and encourage it and see because sometimes it will just slip out but it also needs to come down and put pressure on the cervix but it's obviously not the funnest. But could you say manageable or worth it or would you say, “I'd never do it again in my life”?Kelsey: No, absolutely. No. I would absolutely do it again because it worked for me and really, only one of the balloons that came out was painful. I got up to use the restroom at about maybe 5:00 PM that night. It was inserted at 9:30 in the morning. I got up to use the restroom one time at 5 and the second one just popped out like that. It was easy peasy. So I would absolutely do it again. It was not that miserable but it was certainly not comfortable. Meagan: Yeah, not pleasant. Kelsey: Yeah. And I love what my doctor said. He came in whenever that second balloon fell out and he said, “You're dilated. We know you're dilated to a certain point at least.” I was very conservative with cervical checks. I was like, “You can check me when I'm admitted but other than that, I really don't want anyone up there,” because I know that increases the risk of infection. So he said, “There's no reason for me to check you. We know that you're at a certain point, but now we've got to work to get your contractions to match your dilation,” which was such an easy way for me to understand what was going on. And you'll have to forgive me because I don't remember when they started the antibiotic drip. I was diagnosed with GBS as we mentioned and I did choose to go the antibiotic route just because– and this takes into another point that we talked about earlier– I had a friend whose daughter did contract GBS during delivery and she was very, very sick, hospitalized the first week after she was born. So I knew statistically the odds were very small for my little one to experience any adverse consequences but that was a risk I just didn't want to take. I wanted to mitigate it. Meagan: And that's great. Kelsey: So I did take antibiotics. I don't know how much, but I did go that route. Meagan: Yeah, most people do. Most people do. Kelsey: Yeah. So we did begin to work to get contractions to match my dilation. I pumped a little bit. I moved around. We began Pitocin and this was honestly my favorite part of labor. I would do the hours from 5:00 PM to 10:00 PM when I did get an epidural over and over and over again. I put my headphones in. I got in the zone. I spent a lot of time on the birthing ball and on the toilet. When people say the toilet is a magical place to be when you're in labor, they're not wrong. They're not wrong. Meagan: I loved it too. I loved it. Kelsey: I loved it so much. Meagan: It was this weird way to put counterpressure, open the pelvis, take off the pressure, but also at the same time, get the good pressure. I don't know. I loved it too. Kelsey: Yes, and my doula had set up candles in the bathroom and the lights were turned off. It was a moment when I was unhooked from the machines. She had some essential oils in the toilet. I don't know. I never knew the hospital restroom could be so relaxing, but it was great. Meagan: I love that. Kelsey: It was so great. I did work through contractions for about 5 hours. I was getting so tired by this point. I had been up for 24 hours without a drop of sleep. I didn't have the same fortitude that I maybe would have had 12 hours prior, so I began to no longer work with my contractions. I was just fighting against them. I was yelling, “No” a lot. I was saying things that– I don't know. Laboring brings out a whole other individual within a woman I believe. At about 10:00 PM that night, Pitocin was up to a 5. I was dilated to about 7 centimeters and I decided to get the epidural which is something that I necessarily didn't plan on, but I'm glad that I did. It was a good decision. Meagan: I love that you say that because I think that there's so much shame sometimes about having this goal and desire, but then “giving up” which is not giving up, just to let you know, listeners. The epidural can really come in as such an amazing tool when you're exhausted. Sometimes we're holding so much tension, so getting an epidural actually offers relaxation. There are other pros and cons to epidurals, but the epidural can be such a great tool and you should never feel bad or question your decision to change your mind. Kelsey: Yeah, absolutely. And this is another thing that I learned as I was laboring or really reflecting on the labor and delivery process is that first of all, for the most part, none of your decisions have to be instantaneous and I remember my doula telling me this. She was like, “You can take a minute. You can ask everyone to step out of the room and it just be you and your husband. You can think through the pros, cons, risks, and advantages. For whatever decision you make, for the most part, you have time.” I was always afraid that I would be pressured into, “Okay, you're in here. We've got to make a decision. What do you want to do?” and I wouldn't know what to do. So I was so glad that there was time and that there were options. I feel like my epidural was one of those things. I remember asking everyone to leave the room and it was just me and my husband. We were talking through it, but it allowed me to rest. I got to sleep a little bit. Because of my doula and nurses, they positioned me just so that baby moved several stations. I dilated to 9 centimeters and I was 80% effaced in a matter of hours. Meagan: Wow. That is awesome. Kelsey: Yes, it was great. I still didn't know how far dilated I was until this point. My doula, nurse, and husband decided it would be– I mean, they let me make the ultimate decision, but they thought it would be a good idea to know that I was 9 centimeters because I was 24 hours into this thing and kind of discouraged to be quite honest. Anyway, we were quickly approaching the 24-hour mark since my water broke. That was another thing that I was starting to freak out about. I felt like, “Okay, because my water is broken and it's been 24 hours, this is going to be an automatic C-section,” but that was not the case. I remember– my doctor didn't really come to see me that much, but he just seemed so unbothered by it. Meagan: So what you're saying is that he didn't even treat you any differently? Kelsey: No, no. Meagan: That's amazing. That's amazing.Kelsey: He is so– if you're ever in the DFW area– Meagan: That's what we want. That is what we want. If you in your mind are like, “Oh, I've got this C-section. I've got this and I've got that,” and your provider is just acting like you are any other person coming in and having a baby, yeah. That's awesome. That's what you want. Kelsey: That's how my nurse was too. I remember telling her, “I'm so scared every time you come and take my temperature because I'm afraid that I'm going to have spiked a fever.” Meagan: That you'll say I have an infection, yeah. Kelsey: Yes. I remember she put her hands on my knees and she looked me in the eye and she said, “Even if I come in and you've spiked a fever, a C-section is not the only way to get this baby out. She's right there. She's right there. There are other options. It's going to be okay.” Meagan: Yes. That's awesome. Kelsey: So we just kept on keeping on. I slept. I kept sleeping a little bit. I rested from about 2:00 AM until 6:15 AM when I was complete. We started doing some practice pushes, but on the first practice one, the baby's head started coming out. Meagan: Ah! That first practice push. Kelsey: Yes, so my nurse was like, “Can you hold on a minute? Let me go get the doctor.” I'm pretty sure he came from home. This is probably one of those do as I say not as I do situations. I was so tired of waiting and I was so tired in general. I just started pushing even when contractions weren't necessarily helping me, but that girl came out in 30 minutes. She was born and put in my arms. It was the very best. I never heard a single, “Well, you've got Group B Strep or your waters have been broken this long.” I mean, none of that from my doctor, from nurses, no one. Meagan: Awesome. Kelsey: I feel like they treated me as an individual case because I was. I was not a textbook that they were reading in nursing school or medical school or anything like that. It was, “At this moment, how is your baby doing? How are you doing? What are the signs that we have from data and all of those kinds of things and experiences? I think we're okay to keep going.” So that's what we did. Meagan: I love that. This team sounds really awesome. Kelsey: They were great. Meagan: It would be really cool if we could just replicate them and send them all over the world. Kelsey: I know. They were awesome. Meagan: There are providers just like them for sure, but that just sounds so awesome and so non-pressuring especially when you have all of these little factors that could really impact a provider's view. Kelsey: Yeah. Meagan: Ah, it's so awesome. Well, I am so happy for you. Huge congrats. Huge congrats. Kelsey: Thank you. Thank you. Meagan: I'm so glad that along the way you were one, supported, and two, you were able to follow your heart and feel validated for following your heart, and being able to shift gears based on what you were giving. This is so important to know. Plans can change. Things can change and you didn't go with the same exact provider. A lot of the time, we do so that's another little tidbit I would like to talk about it providers and how important providers are and can really impact. This is even before having a C-section. From the get-go, right? If we have a provider that is really against vaginal birth in the beginning or really prone to induction and pressing and pushing Pitocin really hard and then we stress baby out and then we're not doing well and then we have a C-section, we needed to be supported and not pressed from the beginning. Know that if you are feeling these red flags as a first-time mom if you're listening because I know we have first-time moms listening. Know that if you're feeling weird about a provider, it's okay to change at any point. It's really okay. Find a provider like this that supports you and says, “Okay, this is what we've got. Everything is looking okay. Here we are. Let's keep going,” and really helps you as your guide. Kelsey: I remember there were two things. I guess I just want to rave about him more. Towards the end of my pregnancy, we were doing– oh gosh. What is it? A non-stress test. We were doing that at every appointment because of my blood clotting disorder and just making sure that baby was doing okay. My amniotic fluid level was kind of decreasing. It was getting pretty close to that line where most doctors would say, “Oh, it's getting too close. You've got to come in tomorrow. We're going to induce at 39 weeks.” He just said, “Oh, we'll check it again next week. Just make sure you're drinking a lot of water.”When I came in to be admitted, there was meconium because I had that rupture of membranes and there was meconium. It wasn't clear so I was freaking out and he said, “That's actually pretty normal for full-term. We're not going to be worried about it.” And I didn't know that!Meagan: Yeah. Yeah, it is. The longer-term the baby goes, it's common. I mean, it can happen really anytime, but yeah. Meconium is more common than the world knows. Kelsey: Absolutely. Absolutely. Meagan: There are so many babies that are born with meconium that the nurses and the staff pay attention to a little more after birth but have no complications. Kelsey: Yeah, yep. That's exactly what happened with us. Meagan: Yeah, yeah. That's important to know. Well, I want to talk a little bit about GBS. Let's talk about the actual evidence. The risk of a newborn getting a GBS infection– you kind of mentioned that it's pretty low, but based on your own experience you're like, “Yeah, it wasn't worth the risk to me.” It's the same thing when we're talking about TOLAC. Okay, uterine rupture risk is pretty low, but then we have to evaluate what risk is acceptable to that individual. Kelsey: Absolutely. Meagan: Not treating meaning no use of antibiotics which is usually Penicillin via IV and it's usually done about every 4 hours, especially after a rupture of membranes. The risk of serious infection including so serious death is 1-2%. Kelsey: Yeah. It's small. Meagan: It's very small, but again, it's what risk you are willing to take. Some people are 100% willing and say, “I would really rather not receive antibiotics,” and that is okay too. There's not a ton of evidence with Hibicleans and stuff like that. It's a vaginal wash. Honestly, it's like a douche. Sorry for saying that word everybody, but that's what it is. You put it on up there and it cleanses the canal. So the risk of infection with the treatment of antibiotics is about 0.2%. So, still very low.Kelsey: Also small. Meagan: Also very small. But still, there you go. And then one thing that– and it's from a small trial and it was quite a few years ago. I think it was 7 years ago maybe in 2016. They did a small trial and they found that women that were GBS positive that took probiotics decreased their chance by 43%. 43% of them became GBS-negative by birth. Kelsey: Okay, interesting. Meagan: So really interesting. Probiotics. I believe in probiotics not even pregnant, just all the time. I think it's really a good thing because there is so much in our food and everything these days but that was kind of an interesting thing. Again, like I said, it was a smaller trial. It was done quite a few years ago, but 43% of them became negative by birth. That's pretty high. Kelsey: Absolutely. Meagan: 43%. So knowing also that if you test positive, you can retest closer to birth because it can go away. It doesn't always though, so don't think that if you get positive and you start probiotics that you are for sure not going to be positive, but know that there are things that you can do or the garlic and things like that. We'll have a blog in the show notes today linked about GBS. We'll have these trials and things linked as well so you can go check them out for yourself and make the best decision for you. Kelsey: Yeah, I think it goes without being said too that there is going to be a risk with antibiotics as well. Where there is risk, there has to be choice. I made my decision but probably hundreds of thousands of women listening to this are going to choose differently. Meagan: Yeah. Yeah, and that's okay. That's one of my favorite things about this show. We all have opinions and we all have things that we would do versus someone else, but there's no shaming in any decisions that anyone makes. I was actually never GBS positive so I never even had to make that choice which I'm grateful for. A lot of people will say, “No. No way. I don't want antibiotics because there's risk with antibiotics.” But then a lot of people will say, “Well, I'd rather have the risk of taking the antibiotics than this risk too.” So you just have to weigh out the pros and cons and decide what's best for you. But yeah. I love your story. I love that you had a long birth, premature rupture of membranes, walking in at no dilation, and a less-ideal cervical state. Kelsey: Yes. Adding that to my resume. Meagan: A less-than-ideal cervical state with my VBAC. And a Cook catheter and that took time and all of the things. Here you are and you had a vaginal birth. Kelsey: I did. I did. I would do it all over again. Meagan: A lot of people ask me that. “Would you do it again?” because I had a really long labor as well and I'm like, “Yeah. Yep. I totally would do it again. 100%. Absolutely.” Well, thank you so much for being with us today and sharing your story. Kelsey: Thank you for having me. It was great. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. 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