Podcasts about Chiari

Hannah is still trying to live her life as any other 22 year old would, dancing with friends, enjoying the outdoors, and loving the cows on her family farm. She hopes to share this positive view of life with chronic illnesses on her public Instagram page beyond.the.label_0 to help show other young people with challenging diagnosis that joy and a life worth living are still possible.  In this episode of the Major Pain podcast, she took a few minutes to talk to us about her journey with vascular Ehlers-Danlos syndrome from a lake near her home in Tennessee. Hannah started life as a perfectly healthy kid playing basketball, softball, cheerleading, and getting into trouble on the farm.  Even then she watched her brother struggle with seizures and a difficult road to diagnosis that ended with Chiari malformation and tethered cord syndrome.  When she got a concussion at the age of 13 everything seemed to change, and Hannah was also diagnosed with both Chiari and tethered cord, in addition to vascular Ehlers-Danlos syndrome (VEDS). She would later be diagnosed with postural orthostatic tachycardia syndrome (POTS) and is exploring the possibility that she may have mast cell activation syndrome (MCAS).  Her doctors narrowed in on the vascular form of EDS when she was 16 and began having pain, fever, and illness with her periods which became unpredictable, either missing months at a time or lasting up to a year of continuous bleeding. After many surgeries to release the Chiari, fuse vertebrae, release the tethered cord, and a difficult decision to have a hysterectomy at age 19 to resolve her constant bleeding, Hannah still would not change a thing.  Though she used to wonder why god would do this to her, she now sees the good that can come from perseverance.  She talks us through her history with VEDS, tells us about her medications and coping mechanisms, as well as how her chronic illness journey has strengthened her faith.  With her long term boyfriend and service dog at her side, Hannah is a resource for other patients going through similar life challenges as she continues to find what her future will bring. PlayWatch the episode on YouTube, or listen on your favorite podcast platform.

EVEN MORE about this episode!In this heartfelt episode, we explore the intersection of spirituality, healing, and everyday life. Julie connects with callers from around the world, offering intuitive guidance and energy healing for a variety of emotional and physical challenges. From supporting Ping in Hawaii as she navigates her husband's multiple sclerosis, to comforting Michelle in Florida about her mother's leukemia, each conversation highlights the power of compassion and connection.We also explore profound spiritual topics like the soul's journey before birth, surrogacy, and the miracle of conception. Health concerns like Chiari malformation and post-surgical recovery are addressed through visualized energetic healing, while Carrie from Ohio seeks intuitive help with weight loss, and Lisa in Wisconsin receives guidance for her mini golden doodle, Bricken.Whether you're seeking clarity, comfort, or simply curious about the possibilities of energy and intuition, this episode offers a thoughtful and grounded space for insight, healing, and hope!Episode Chapters:(0:00:01) - Intuitive Healing With Visualization(0:13:42) - Spiritual Communication and Comfort Care(0:21:38) - Healing and Health Discussion(0:33:41) - Energy Healing and Intuition(0:49:15) - Spiritual Insights and Health GuidanceSubscribe to Ask Julie Ryan YouTubeSubscribe to Ask Julie Ryan Español YouTubeSubscribe to Ask Julie Ryan Português YouTubeSubscribe to Ask Julie Ryan Deutsch YouTube✏️Ask Julie a Question!

A boutique hotel with a cannabis lounge in the basement and a bar on the patio? Chris Chiari is bringing this dream to life in Denver, Colorado and tells us all about it in episode 89. The Patterson Inn, located at 420 E 11th Ave, Denver, CO has had several owners but the current one is here to stay and execute a vision of cannabis destigmatization and normalization that he's been working on his entire life. Join us for this hilarious conversation with this Denver entrepreneur and long-time cannabis advocate, Chris Chiari. Find more information about the Patterson Inn and booking at PattersonInn.com.This episode is sponsored by Good Trees, McCarter's favorite rosin brand in Colorado! Pick up their products at The Trust Cannabis Co. in Boulder, CO and use "MCCARTER" for a 20% discount! Find more information at TheGoodTreesCo.com or on Instagram @goodtrees.co.

Nella mattinata di mercoledì 4 aprile, Paolo Casati, il direttore creativo di Studiolabo, ideatore del sito che aiuta a orientarsi tra gli eventi della settimana del design di Milano fuorisalone.it è stato ospite in Degiornalist – Gli Spaccanotizie, con i nostri Fabiana Paolini e Claudio Chiari, per presentarci gli eventi del Fuorisalone 2025. Quest'anno il Fuorisalone, che dal 7 al 13 aprile 2025 richiamerà un vasto pubblico, inclusi appassionati e famiglie, ha come tema i "Mondi Connessi". «Tutti i giorni nel mondo vediamo qualcosa che ci divide, per noi invece il Fuorisalone è il manifesto di ciò che unisce. Il Fuorisalone unisce il mondo a Milano: più di 500.000 persone provenienti da tutto il mondo invadono ogni anno la città. Sul nostro sito fuorisalone.it trovate più di 1000 eventi geolocalizzati, tra questi, oltre 10 sono per famiglie».I LUOGHI MUST DEL FUORISALONE – Paolo Casati ci ha suggerito un percorso ideale tra le zone della città a più alta densità di eventi: «Idealmente l'esperienza del Fuorisalone dovrebbe iniziare dal Brera Design District, da vedere anche la bellissima installazione in piazza Gaulenti, da lì si può arrivare fino a via Manzoni. Poi ci si può spostare verso l'Isola, arrivare nel centro di Milano e poi fino in zona Tortona. Si può andare anche a Varedo, in provincia di Milano, dove Alcova ha portato il Fuorisalone fuori Milano. Milano senza il Fuorisalone sarebbe come Rio de Janeiro senza carnevale», conclude Casati.

Nella mattinata di martedì 8 aprile, con Fabiana e Claudio Chiari, conduttori del programma Degiornalist – Gli Spaccanotizie – abbiamo ospitato Mimì Caruso, la giovanissima vincitrice dell'ultima edizione di X Factor. Con la sua energia contagiosa, Mimì ha condiviso il suo percorso musicale, segnato dall'influenza della mamma pianista. La sua prima esibizione live a soli 8 anni, cantando Oh Happy Day, fu un momento cruciale: «Mia mamma è veramente molto brava al piano. Sono sempre stata super felice quando la sera mi nascondevo sotto al tavolo e la sentivo suonare. Lei mi ha sempre aiutato a capire bene le note e gli accordi. A 8 anni ho fatto la mia prima esibizione live ad un concerto di Natale col coro, ho cantato Oh Happy Day. Tremavo e mi sono detta: "Dobbiamo essere locked in, dobbiamo essere on fire". Ho avuto la prima standing ovation, ero felicissima».

In this week's episode I chat to Madi about her third birth - a planned home water birth after cesarean. Madi's story is particularly interesting as she navigated this birth both as a mother and as a newly qualified midwife. After experiencing a relatively quick vaginal birth with her first daughter Oakley and then a caesarean under general anaesthetic with Harlow due to her Chiari malformation (where her brain herniates into her spinal column), Madi was surprised to find herself pregnant with a third baby while completing her midwifery studies. Follow us on Instagram for photos and more from today's episode. See omnystudio.com/listener for privacy information.

Il nostro Claudio Chiari ha intervistato James Tirabassi, conservatore del rinnovato Museo archeologico Postumiae Antiquarium di Gazoldo degli Ippoliti. Il museo, che si trova in provincia di Mantova, è stato inaugurato giovedì 27 marzo e sarà aperto al pubblico da sabato 29 con l'esposizione di numerosi reperti. «In questo museo troverete tantissimi reperti: grazie alla Soprintendenza di di Mantova abbiamo decuplicato l'esposizione, che ora copre un arco temporale che va dal mesolitico, ovvero dalla dalla fine dell'ultima glaciazione, fino al 1700».

Il nostro Claudio Chiari ha intervistato Stefano Pelliciardi, organizzatore del "Formaggi & Sorrisi, Cheese & friends Festival" il festival gastronomico-culturale di rilievo nazionale che si terrà questo weekend (28-30 marzo) nel centro storico di Cremona, promosso dal Consorzio Tutela Grana Padano e dal Consorzio Tutela Provolone Valpadana. «Ci saranno tantissimi produttori di formaggio provenienti da tutta Italia, che saranno i veri protagonisti di questa grande festa. Ci saranno anche tanti eventi e grandi nomi, come Sonia Peronaci, famosa cuoca e conduttrice televisiva che ha creato il noto sito internet di cucina "Giallo Zafferano", o come Antonio Mario Cioffi, più conosciuto come Mister Mario, food blogger con oltre 500.000 follower». EVENTI, ARTE E FORMAGGIO - Animeranno il "Formaggi & Sorrisi, Cheese & friends Festival" anche molti eventi Pop: «Ci sarà un maxi panino lungo dieci metri interamente farcito con del provolone, ci sarà la grande muraglia lunare, un'installazione composta da un grande pannello ricoperto da mezze lune di provolone e ci saranno le opere realizzate dal maestro Matteo Padoan, che per l'occasione farà un grande omaggio a Mina ricavando dalle croste delle forme del grana padano dei veri e propri vinili di formaggio su cui saranno raffigurate alcune immagini delle canzoni più iconiche della grande cantante cremonese. Le mascotte della manifestazione Granì e Provolì, che si rifanno al Grana Padano e al Provolone Valpadana, porteranno tanta gioia a tutti i partecipanti, grandi e piccini». Le iniziative saranno davvero tantissime, tutto il programma è consultabile al sito www.formaggiesorrisi.it

In this episode of the Bendy Bodies Podcast, Dr. Linda Bluestein welcomes Dr. Petra Klinge, a renowned neurosurgeon specializing in tethered cord syndrome (TCS), Chiari malformation, and cerebrospinal fluid (CSF) disorders. They dive deep into occult tethered cord syndrome, a condition where MRI scans appear normal, yet patients still experience neurological symptoms, chronic pain, and bladder/bowel dysfunction. Dr. Klinge explains how tethered cord affects EDS patients, the role of connective tissue disorders, and what makes someone a good candidate for surgery. Whether you've been struggling with undiagnosed spinal issues or are considering tethered cord release surgery, this episode is packed with valuable insights and cutting-edge research. Takeaways: Tethered Cord Can Be “Occult” (Hidden on MRI) – Many patients with classic tethered cord symptoms are dismissed because their MRI appears “normal.” A clinical diagnosis is key. EDS Patients Are at Higher Risk – Changes in collagen and the extracellular matrix make individuals with Ehlers-Danlos Syndrome more prone to tethered cord syndrome, which can be congenital or acquired. Tethered Cord Syndrome Affects the Entire Spine – While traditionally thought to impact only the lower body, new research suggests TCS can cause upper body pain, weakness, and neurological dysfunction. Surgery Isn't Always the First Step – Physical therapy, craniosacral therapy, and manual techniques may help some patients, but progressive neurological decline may require surgical release. Retethering is Possible After Surgery – Around 7% of patients may need a second surgery due to scar tissue reattaching the spinal cord, but new surgical techniques are improving long-term outcomes. Articles referenced in the episode: https://pubmed.ncbi.nlm.nih.gov/38489815/ https://pubmed.ncbi.nlm.nih.gov/38202013/ https://pubmed.ncbi.nlm.nih.gov/35307588/ Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com YOUR bendy body is our highest priority! Learn about Dr. Petra Klinge Website: https://www.brownhealth.org/providers/petra-m-klinge-md-phd Keep up to date with the HypermobilityMD: YouTube: youtube.com/@bendybodiespodcast Twitter: twitter.com/BluesteinLinda LinkedIn: linkedin.com/in/hypermobilitymd Facebook: facebook.com/BendyBodiesPodcast Blog: hypermobilitymd.com/blog Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the Bendy Bodies Podcast, Dr. Linda Bluestein welcomes Dr. Petra Klinge, a renowned neurosurgeon specializing in tethered cord syndrome (TCS), Chiari malformation, and cerebrospinal fluid (CSF) disorders. They dive deep into occult tethered cord syndrome, a condition where MRI scans appear normal, yet patients still experience neurological symptoms, chronic pain, and bladder/bowel dysfunction. Dr. Klinge explains how tethered cord affects EDS patients, the role of connective tissue disorders, and what makes someone a good candidate for surgery. Whether you've been struggling with undiagnosed spinal issues or are considering tethered cord release surgery, this episode is packed with valuable insights and cutting-edge research. Takeaways: Tethered Cord Can Be “Occult” (Hidden on MRI) – Many patients with classic tethered cord symptoms are dismissed because their MRI appears “normal.” A clinical diagnosis is key. EDS Patients Are at Higher Risk – Changes in collagen and the extracellular matrix make individuals with Ehlers-Danlos Syndrome more prone to tethered cord syndrome, which can be congenital or acquired. Tethered Cord Syndrome Affects the Entire Spine – While traditionally thought to impact only the lower body, new research suggests TCS can cause upper body pain, weakness, and neurological dysfunction. Surgery Isn't Always the First Step – Physical therapy, craniosacral therapy, and manual techniques may help some patients, but progressive neurological decline may require surgical release. Retethering is Possible After Surgery – Around 7% of patients may need a second surgery due to scar tissue reattaching the spinal cord, but new surgical techniques are improving long-term outcomes. Articles referenced in the episode: https://pubmed.ncbi.nlm.nih.gov/38489815/ https://pubmed.ncbi.nlm.nih.gov/38202013/ https://pubmed.ncbi.nlm.nih.gov/35307588/ Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com YOUR bendy body is our highest priority! Learn about Dr. Petra Klinge Website: https://www.brownhealth.org/providers/petra-m-klinge-md-phd Keep up to date with the HypermobilityMD: YouTube: youtube.com/@bendybodiespodcast Twitter: twitter.com/BluesteinLinda LinkedIn: linkedin.com/in/hypermobilitymd Facebook: facebook.com/BendyBodiesPodcast Blog: hypermobilitymd.com/blog Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

Il nostro Claudio Chiari ha intervistato Roberta Gueli, dell'ufficio stampa del Parco Giardino Sigurtà, uno dei parchi più belli d'Italia che si trova a Valeggio Sul Mincio (VR), a due passi dal Lago di Garda. Roberta Gueli ci ha parlato delle splendide fioriture del Parco e degli interessantissimi eventi in programma nella primavera 2025: «Ci sono tantissime novità: avremo una Tulipanomania speciale con uno Show Garden e dei totem descrittivi. Il Festival Tulipanomania 2025 è il fiore all'occhiello della primavera del Parco Giardino Sigurtà, si tratta di una fioritura di oltre 1 milione di tulipani e di un ricco calendario di eventi che può coinvolgere tutti i tipi di visitatori, dai più adulti, ai giovani, fino ai più piccoli, per vivere questo parco di 600.000 m²».UN MARE DI MERAVIGLIOSI TULIPANI - «Tulipanomania è una fioritura fenomenale di più di un milione di tulipani, la più importante in Italia. Ci sono aiuole sia nei laghetti sia nel terreno, con fioriere, cassette fiorite e panchine. Quest'anno tutto questo sarà arricchito da uno show garden, un'esposizione di circa 2000 m² di tulipani, riuniti per varietà, che stanno sbocciando e diventando bellissimi. Ci saranno anche dei totem esagonali di 3 metri che racconteranno la storia del tulipano. Avremo anche una challenge su Instagram dedicata alla natura, dove possono partecipare i più giovani, ma anche chi ama immortalare i tulipani».LE INIZIATIVE DI PASQUA - «Sabato 19 aprile ci sarà la caccia alle uova di Pasqua in fattoria. I più piccoli saranno invitati a cercare delle uova pasquali e in cambio riceveranno degli ovetti deliziosi. Ci saranno inoltre attività di animazione e ci saranno i tulipani accompagnati da Narcisi, Giacinti e Allium».

*Live show tickets available now* Abracadabra! Monique Chiari and her stunnalina aura join Sam in the Survivor hotseat this week to talk medical emergencies, tin foil hat theories and Aussies ruining Italian cuisine. Will the Jungle Rat be spared, will Zara become the President of the PTA? Who knows. These two sure don't. The gals also chat Mayhem by Lady Gaga and The White Lotus.Follow The Cringe is Real on Instagram, TikTok & Bluesky. 

This case report comes to you from Brigham and Women's Hospital in Boston, a huge teaching hospital that serves the Harvad Medical School. The 52-year-old female presented with clumsiness and paresthesia of the right hand that had persisted for several days. She also had a headache and three weeks prior to presentation had undergone a suboccipital craniotomy for a Chiari I malformation. To complicate things, there was a past medical history of migraines and a family history of a Factor V Leiden mutation. The identified diagnosis is one in which evidence is limited for aspects of management, and the topics of uncertainty and mentorship in medicine also arise in this discussion.Guest Galina Gheihman, MD D (Brigham and Women's Hospital; Harvard Medical School) HostsAssociate Professor Stephen Bacchi (Massachusetts General Hospital; University of Adelaide)HaeLynn Gim (Harvard Medical School) ProductionProduced by Stephen Bacchi and Mic Cavazzini. Music licenced from Epidemic Sound includes ‘Rockin' for Decades' by Blue Texas and ‘Brighton Breakdown' by BDBs. Image created and copyrighted by RACP. Editorial feedback kindly provided by Dr Sebastiaan Lambooy.Key Reference (Spoiler Alert)* * * * *Isolated Cortical Vein Thrombosis [Neurohospitalist. 2023]  Please visit the Pomegranate Health web page for a transcript and supporting references. Login to MyCPD to record listening and reading as a prefilled learning activity. Subscribe to new episode email alerts or search for ‘Pomegranate Health' in Apple Podcasts, Spotify,Castbox or any podcasting app.

Il nostro Claudio Chiari ha intervistato Anna Maria Vigilante, event manager di Model Expo Italy, la fiera n.1 per il modellismo in Italia. È l'evento di riferimento in Italia per il modellismo e si prepara a festeggiare il suo ventesimo anniversario. L'8 e il 9 marzo 2025, Veronafiere ospiterà questa manifestazione che occuperà ben 64mila metri quadrati, suddivisi in cinque padiglioni. Saranno presenti 500 espositori e oltre 100 eventi, che spazieranno dal modellismo statico e dinamico ai giochi e alle attività di creatività.

BRUXELLES (BELGIO) (ITALPRESS) - "Mi sono permessa di segnalare che il concetto di difesa in Europa è un concetto un tantino più ampio della parola riarmo, credo che la parola riarmo non sia adatta per parlare di quello che stiamo facendo. Il concetto di sicurezza e di difesa oggi riguarda tantissimi domini, la vita quotidiana dei cittadini e non semplicemente di essere dotato di armi che sicuramente è un tema, ma c'è il tema delle materie prime, della cybersicurezza, delle infrastrutture. Forse stiamo dando dei messaggi che per i cittadini non sono chiarissimi e bisogna chiarire quello che stiamo facendo". Così il premier Giorgia Meloni, al termine del Consiglio europeo straordinario sulla difesa, a Bruxelles.xf4/sat/mca2

BRUXELLES (BELGIO) (ITALPRESS) - "Mi sono permessa di segnalare che il concetto di difesa in Europa è un concetto un tantino più ampio della parola riarmo, credo che la parola riarmo non sia adatta per parlare di quello che stiamo facendo. Il concetto di sicurezza e di difesa oggi riguarda tantissimi domini, la vita quotidiana dei cittadini e non semplicemente di essere dotato di armi che sicuramente è un tema, ma c'è il tema delle materie prime, della cybersicurezza, delle infrastrutture. Forse stiamo dando dei messaggi che per i cittadini non sono chiarissimi e bisogna chiarire quello che stiamo facendo". Così il premier Giorgia Meloni, al termine del Consiglio europeo straordinario sulla difesa, a Bruxelles.xf4/sat/mca2

BRUXELLES (BELGIO) (ITALPRESS) - "Mi sono permessa di segnalare che il concetto di difesa in Europa è un concetto un tantino più ampio della parola riarmo, credo che la parola riarmo non sia adatta per parlare di quello che stiamo facendo. Il concetto di sicurezza e di difesa oggi riguarda tantissimi domini, la vita quotidiana dei cittadini e non semplicemente di essere dotato di armi che sicuramente è un tema, ma c'è il tema delle materie prime, della cybersicurezza, delle infrastrutture. Forse stiamo dando dei messaggi che per i cittadini non sono chiarissimi e bisogna chiarire quello che stiamo facendo". Così il premier Giorgia Meloni, al termine del Consiglio europeo straordinario sulla difesa, a Bruxelles.xf4/sat/mca2

ROMA (ITALPRESS) - "Nell'ottica di una trasformazione del patrimonio ediliziomolto datato di questo Paese e dell'esigenza di efficientare il patrimonio edilizio esistente, l'unica strada possibile è avere un programma di attuazione di direttive, magari in qualche modo con un allungamento dei tempi rispetto alla direttiva Case Green, ma con un sostegno pubblico a chi vuole intervenire efficientando il proprio patrimonio edilizio. È necessario avere dei bonus certi, chiari, con pratiche edilizie snelle e rapide". Lo ha detto il capogruppo del Movimento 5 Stelle in Senato, Stefano Patuanelli, a margine del Consiglio Nazionale della Fiaip a Roma.xi2/sat/gtr

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Mel Sykes is an ultra-marathon runner from Holmfirth, West Yorkshire. She has an inspiring story of resilience and determination. Mel was diagnosed with a rare brain condition called Chiari malformation, which caused her to lose her balance, suffer double vision, and experience other severe symptoms. After undergoing brain surgery in October 2023, doctors told her she might never run again. However, Mel proved them wrong! Just four months after her surgery, she ran an 18-mile race, and now she's preparing to take on the 268-mile Spine Race!Mel's journey is a testament to her incredible strength and perseverance.https://teaandtrails.com/https://www.patreon.com/teaandtrailshttps://www.youtube.com/@teaandtrailshttps://www.teaandtrailsultra.com/XMILES UK - https://xmiles.co.uk/SHOKZ - Use the Code TEA10 to receive £10 off your order.https://uk.shokz.com?sca_ref=7394994.MfsDQZBAeLQihiPrecision Fuel & Hydration - https://visit.pfandh.com/3GKxHjUPrecision Fuel & Hydration Planner - https://visit.pfandh.com/3RuP25zHarrier Trail Running - https://harrierrunfree.co.uk/Fenixlight Limited - https://www.fenixlight.co.uk/Protein Rebel - https://proteinrebel.com/Beta Run - https://www.betaoutdoorsports.com/The information in our content is provided as an information resource and is not to be used or relied on for diagnostic or treatment purposes. This information does not create a patient-physician/doctor relationship and should not be used as a substitute.Content may contain affiliate links which can help support and grow this channel at no extra cost to you. Thanks for your continued support.Content may contain affiliate links which can help support and grow this channel at no extra cost to you. Thanks for your continued support.Brew with the Coaches - CLICK HEREKeeping Dry & Staying Warm - https://amzn.to/42JCexqFix Your Feet - https://amzn.to/3FE4nf0Running Challenges by Keri Wallace - https://amzn.to/3KGdU7eROAR - https://amzn.to/3WU7xB2NEXT LEVEL - https://amzn.to/3Hu15LrUltra Trails - https://www.ultratrails.co.uk/Greener Miles - https://greenermilesrunning.co.uk/Hannah Walsh - https://www.hannahwalsh.co.uk/Punk Panther - https://www.punkpanther.co.uk/Pen Llyn Ultra - https://penllyn.niftyentries.com/Survivor Trailchallenge.com - https://survivortrailchallenge.com/Centurion Running - https://centurionrunning.com/

Maracanà con Marco Piccari e Stefano Impallomeni. Ospiti: Garbo:" Difficile che l'Atalanta possa rientrare in lotta scudetto." Savoldi:" La Juve ha più idee chiari ed efficaci. Bonanni:" L'Atalanta non è pronta per vincere." Impallomeni:" Motta sta raccogliendo i frutti del lavoro."

In this week's episode of the Wade Keller Pro Wrestling Post-show from five years ago (1-10-2020), PWTorch editor Wade Keller was joined by Mike Chiari of the Ring Rust Radio podcast to discuss with live callers WWE Smackdown including a special visit by Kane interrupted by the Firefly Funhouse, plus a Daniel Bryan-Fiend brawl, Roman Reigns vs. Robert Roode with special stipulations, Mandy Rose ends up in Otis's arms, Lacey Evans vs. Bayley, Revival vs. The Usos, and more with live callers and mailbag. Then Wade and Mike are joined by PWTorch senior columnist Bruce Mitchell who attended Smackdown in Greensboro and he gives his take on being there in person, catching a pancake, sitting next to Lacey's daughter, and comparing the Smackdown experience to a recent AEW Dynamite experience.Become a supporter of this podcast: https://www.spreaker.com/podcast/wade-keller-pro-wrestling-post-shows--3275545/support.

BRESCIA (ITALPRES) - I Carabinieri della Sezione Radiomobile della Compagnia di Chiari sono intervenuti presso un'abitazione di Travagliato, dove era stato segnalato al 112NUE che un bambino di 2 anni aveva accidentalmente chiuso in giardino la madre che era uscita per gettare la spazzatura. All'interno della casa era presente anche l'altra figlia neonata. Inoltre, in quel momento alcune pietanze erano state lasciate in cottura sul piano ad induzione, provocando un principio di incendio. I militari dell'Arma, accertato che porte e finestre erano chiuse e non potendo abbattere la porta di ingresso a vetri per evitare il ferimento del bambino, sono riusciti ad accedere all'interno dalla porta basculante del garage, portando in salvo i minori mentre la casa era ormai saturata dal fumo. A causa dell'inalazione fumo, i minori sono stati trasportati presso l'Ospedale S. Anna di Brescia per accertamenti.(ITALPRESS)trl/gtr

BRESCIA (ITALPRES) - I Carabinieri della Sezione Radiomobile della Compagnia di Chiari sono intervenuti presso un'abitazione di Travagliato, dove era stato segnalato al 112NUE che un bambino di 2 anni aveva accidentalmente chiuso in giardino la madre che era uscita per gettare la spazzatura. All'interno della casa era presente anche l'altra figlia neonata. Inoltre, in quel momento alcune pietanze erano state lasciate in cottura sul piano ad induzione, provocando un principio di incendio. I militari dell'Arma, accertato che porte e finestre erano chiuse e non potendo abbattere la porta di ingresso a vetri per evitare il ferimento del bambino, sono riusciti ad accedere all'interno dalla porta basculante del garage, portando in salvo i minori mentre la casa era ormai saturata dal fumo. A causa dell'inalazione fumo, i minori sono stati trasportati presso l'Ospedale S. Anna di Brescia per accertamenti.(ITALPRESS)trl/gtr

NAPOLI (ITALPRESS) - "Su quello che mi auguro già mi sono espresso, credo che i fatti sono molto chiari, sono molto evidenti e secondo me oltre questo non c'è altro da aggiungere: uno deve essere totalmente ottimista e sereno proprio per quello che Sinner ha già dimostrato". Lo ha detto il presidente del Coni, Giovanni Malagò, commenta le dichiarazioni di Jannik Sinner che, nella conferenza stampa che ha seguito il suo debutto vincente agli Australian Open, è tornato a parlare del caso Clostebol in vista dell'udienza al Tas fissata per il 16 e il 17 aprile prossimi. "Sinner mi sembra sia straordinario per come sta approcciando a questo elemento di discussione mediatica" aggiunge il numero uno dello sport italiano.xc9/gm

In this episode of the Making Headway Podcast, hosts Alison and Eryn welcome back Nia Renee, who shares her journey through multiple brain surgeries and the impact of chronic illness on her relationships. Nia discusses her transition from being a brain injury survivor to a relationship coach, focusing on helping others navigate the complexities of relationships affected by trauma and chronic illness. The conversation highlights the importance of medical advocacy, personal growth, and the challenges faced by those living with chronic conditions. In this conversation, the speakers delve into the complexities of navigating medical trauma, the importance of self-advocacy, and the emotional toll of job loss. They discuss the significance of journaling as a tool for self-reflection and the necessity of setting boundaries to protect oneself from toxic relationships. The dialogue emphasizes the power of vulnerability and the importance of finding supportive relationships that uplift rather than drain energy.Keywordsbrain injury, recovery, relationship coaching, chronic illness, narcissistic abuse, medical advocacy, emotional healing, personal growth, medical trauma, self-advocacy, job loss, identity, journaling, boundaries, toxic relationships, support systems, chronic illness, empowermentTakeaways· Nia has undergone six brain surgeries due to Chiari 1 malformation and idiopathic intercranial hypertension· Chronic illness can significantly impact personal relationships.· Medical gaslighting is a common issue for patients with rare conditions.· Nia's husband plays a crucial role in advocating for her health.· Nia transitioned to relationship coaching to help others with similar experiences.· The importance of having proper medical credentials as a coach.· Nia's journey includes confronting her past relationships and trauma.· Building a supportive community is vital for recovery.· Nia emphasizes the need for self-advocacy in healthcare settings.· Personal growth often comes from confronting difficult experiences. Advocating for oneself is crucial in the face of medical trauma.· Job loss can significantly impact one's identity and sense of purpose.· Journaling serves as a powerful tool for self-reflection and understanding triggers.· Setting boundaries is essential for mental health and well-being.· Recognizing toxic relationships is key to personal growth and healing.· Support systems play a vital role in recovery and self-empowerment.· It's important to prioritize self-care and personal needs.· Documenting experiences can provide clarity and validation.· Vulnerability can lead to stronger, more authentic relationships.· Everyone deserves to feel supported and valued in their relationships.Sound Bites"Relationships are a big part of our recovery.""I started having the strangest symptoms.""I decided to bet on myself""You have to document everything""I gaslit myself for so long""I would rather spend my life alone""It's worth cutting out the shit""I married someone that has protected me""You deserve to feel that""You have to prioritize...

ROMA (ITALPRESS) - "Stellantis pone gli stabilimenti al centro dello sviluppo della multinazionale, con investimenti, piattaforme produttive e modelli che garantiscono i livelli occupazionali e la tenuta della componentistica e dell'indotto. Questo segna un nuovo grande inizio". Lo dice il ministro delle Imprese e del Made in Italy, Adolfo Urso, al termine del tavolo Stellantis al Mimit.xi2/sat/gsl

ROMA (ITALPRESS) - "Stellantis pone gli stabilimenti al centro dello sviluppo della multinazionale, con investimenti, piattaforme produttive e modelli che garantiscono i livelli occupazionali e la tenuta della componentistica e dell'indotto. Questo segna un nuovo grande inizio". Lo dice il ministro delle Imprese e del Made in Italy, Adolfo Urso, al termine del tavolo Stellantis al Mimit.xi2/sat/gsl

We were joined by the lovely Patrizia and Romano Chiari of Tenuta l'Impostino in Tuscany. Crafting organic Sangiovese blends using biodynamic principles for over 20 years, their wines are a testimony to the tradition and innovation of a lesser-known corner of Tuscan viticulture, Montecucco. tenutaimpostino.it @tenutaimpostinowinery

Have you ever wanted to leave it all behind and follow your dream? That's exactly what Romano Marniga and Patrizia Chiari did when they traded their careers in finance and coffee distribution for the rolling hills of Tuscany. In this episode, Paul K sits down with the owners of Tenuta Impostino, a boutique winery redefining Tuscany's winemaking traditions. Romano and Patrizia share their journey from corporate grind to organic farming, highlighting the challenges and joys of building a family-run winery from the ground up. They also talk about how innovation and tradition coexist in their winemaking craft, the impact of climate change on viticulture, and how wine unites people. Get ready for an inspiring story of passion, resilience, and the pursuit of authenticity. Let's jump in!   Key Takeaways: Introduction (00:00) From finance and coffee to winemaking (00:34) Finding the perfect land in Tuscany's Montecucco region (05:58) Embracing organic farming for sustainability (11:46) Challenges faced in entering the boutique wine business (20:20) How an early recognition by Wine Spectator boosted Tenuta Impostino (23:07) Using storytelling for the younger generations to appreciate wine (27:29) The future of wine amidst climate change (38:42) Defining innovation in winemaking (42:50)   Additional Resources:

Lounge Cinematica Radio 5th Season Episode 5x06 Released on 18/11/2024 Directed by... Javier Di Granti 01. Marujita Diaz & Gregorio Garcia Segura - Carmen Boom [Marfer M. 20-194 7", 1971] 02. Carlo Savina - La Profanazione (Suite) [CAM Sugar UME Digital, 2024]* 03. Aura - Ciocănitoarea / Capriciul Nr. 24 [Electrecord STM-EDE 0834 LP, 197?] 04. Encarnita Polo - Al Estar Enamorado Como Yo [Marfer M-743 7", 1967] 05. Intermission: Lina Morgan Y Juanito Navarro - El Tonto Y La Tonta [Marfer M-785 7", 1968] 06. Rafael Ferro - I Can't Believe It / Ibiza [GMA LPGS-2004 LP, 1974] 07. Augusto Martelli & The Real McCoy - Butta La Pasta, Señora [Aguamanda Records AG 9018 7", 1976] 08. The Tropic Fruits Orchestra - Delicado [Marfer M-? LP, 197?] 09. Philippe Sarde - La Veuve Couderc (Suite) [Music Box Records MBR-146 CD, 2019] 10. Franco Chiari - Jazz Romance [Four Flies Records Digital, 2024]* 11. Quincy Jones - The Deadly Affair (The End) [Verve V-8679 LP, 1966] *New Release Selected, edited and mixed by Javier Di Granti

In this episode of the Kankakee Podcast, host Jake LaMore chats with military veteran Brad Stosiek and local community advocate Eric Peterson, diving deep into Brad's unique military journey and his life post-service. Brad humorously recounts his time as a cook in the Marines, often describing himself as a "glorified lunch lady," while sharing the invaluable skills and experiences he gained in the military.The conversation shifts to Brad's medical condition, Chiari malformation, which led to his severe health complications and eventual blindness. Brad candidly shares his challenging journey, comparing it to navigating a dark version of Jurassic Park, while expressing gratitude for the support of his family and community in Kankakee County.Eric Peterson emphasizes the importance of community support for veterans, discussing various local veteran organizations, such as the Blinded Veterans Association and Buddy Check 22, as well as the significance of finding purpose post-service. The trio touches on the impact of the "I'm Fine" podcast, a mental health-focused show that Jake helps produce, and the humor and camaraderie that it brings to both veterans and civilians.From discussing Brad's resilience and activities like archery and hiking despite his visual impairment, to reflecting on the need for community engagement and understanding, this episode is a heartfelt tribute to veterans and their dedication. Whether it's providing care packages, peer support groups, or fitness programs, the episode showcases the myriad ways Kankakee County steps up for its veterans.Jake, Brad, and Eric conclude by encouraging listeners to get involved in their local communities, volunteer, and find meaningful ways to honor veterans beyond the simple "thank you for your service." With humor, gratitude, and insightful discussions, this episode is a testament to the power of community support and the indomitable spirit of veterans.Tune in to hear Brad's inspiring story and learn how you can make a difference in the lives of veterans in Kankakee County!Send us a text Support the show

In this week's episode of the Wade Keller Pro Wrestling Post-show from five years ago (11-8-2019), PWTorch editor Wade Keller was joined by Mike Chiari from the Ring Rust Radio podcast to talk Friday Night Smackdown with live callers and mailbag questions. Topics include Sami Zayn makes another pitch to Daniel Bryan, The Fiend attacking Daniel Bryan, New Day regain gold, Roman Reigns vs. Baron Corbin (finally!), additional NXT run-ins, Sasha Banks vs. Nikki Cross, and more.Become a supporter of this podcast: https://www.spreaker.com/podcast/wade-keller-pro-wrestling-post-shows--3275545/support.

Dr. John Stenberg and Dr. Cameron Bearder sit down to recap their experience at the ASAP Conference 2024. The hosts recap their experience at the ASAP conference, which focuses on Chiari malformations and related conditions. They discuss the unique format of the conference, where patients can learn from top experts and ask questions. They emphasize the importance of understanding the different types of Chiari malformations and the need for clear communication when discussing these conditions. They also highlight the need for a thorough diagnosis, as Chiari malformations are a radiographic diagnosis that must be correlated with signs and symptoms. The hosts discuss the complexity of these cases, including the potential involvement of connective tissue disorders, inflammatory conditions, and genetics. They stress the importance of being aware of the interconnections between these conditions and considering co-management with other healthcare professionals. They also mention the need for further research and learning in this area. The conversation explores the philosophy of health from a functional perspective, emphasizing the importance of understanding why the body is not functioning properly. It delves into the chronic neuroinflammatory processes and how they remodel tissues, particularly in the cervical spine and lumbosacral spine. The discussion highlights the need for a methodical approach in treating patients with acquired hypermobility and managing their symptoms. The conversation also emphasizes the importance of imaging, particularly CBCT and MRI, in identifying structural abnormalities and CSF flow issues. It concludes with a discussion on CSF leaks and the various factors that can contribute to them. In this final part of the conversation, the speakers discuss various topics related to cranio-cervical instability, Chiari malformation, and scoliosis. They talk about the potential causes and symptoms of CSF leaks, the radiographic signs of CSF leaks on MRIs, and the importance of considering the entire spine and all the tissues when assessing CSF flow obstructions. They also touch on the challenges of conducting research in this field and the need for multidisciplinary approaches to patient care. The speakers emphasize the importance of being knowledgeable, humble, and collaborative in order to provide the best possible care for patients. Resources from this episode: ASAP YouTube Channel Comprehensive Chiari Care with Haley Fitzgerald of Global Neurosciences Institute What Happens When Two Upper Cervical Chiropractors Attend a Neurosurgery Conference

In this week's 5 Yrs Ago Flashback episode of the Wade Keller Pro Wrestling Post-show (9-26-2019), PWTorch editor Wade Keller was joined by Mike Chiari from Ring Rust Radio to discuss NXT's second live episode on USA Network with live callers and mailbag questions. They discuss the format of the show without promos, Keith Lee vs. Dominic Dijakovic, Matt Riddle beating Killian Dane to earn an NXT Title match next week, the overall hype for next week, how expectations have or haven't changed for how NXT will do against AEW next week, does size matter when it comes to Full Sail, and more. They also talk with an on-site correspondent who attended the event at Full Sail.Become a supporter of this podcast: https://www.spreaker.com/podcast/wade-keller-pro-wrestling-post-shows--3275545/support.

Il presidente del #Monaco mette in chiaro le cose con il #Milan per l'eventuale acquisto di #Fofana. Come procederà la trattativa? Ne parliamo con Antonio Vitiello di MilanNewsDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/radio-rossonera--2355694/support.

Featuring articles on combination therapy for diffuse large B-cell lymphoma, autosomal dominant Alzheimer's disease, noninvasive ventilation for preoxygenation during emergency intubation, a novel anti-CD38 antibody in immune thrombocytopenia, and a glucose-responsive insulin for type 2 diabetes; a review article on congenital and acquired Chiari syndrome; a case report of a man with arthritis and rash; and Perspectives on ethics and innovative research on brain diseases, on sustaining and scaling up street medicine, and on the maternal crossroad.

Have you ever been dismissed by a doctor and ended up having a serious medical condition? Erika Liess' story is all too common. She shares her experience with Chiari malformation, the frustrating journey to get diagnosed, and the amazing support she found online and with Angel Flight East. This episode is a must-listen for anyone who has ever felt unheard by the medical establishment. Erika's story is a powerful reminder that you are your own best advocate for your health, and there is hope and support out there for those facing chronic illness.

Do We Trust Jesus?Luke 5:4-5 “And when he had ceased speaking, he said to Simon, “Put out into the deep and let down your nets for a catch.” And Simon answered, “Master, we toiled all night and took nothing! But at your word, I will let down the nets.”I like this verse because it reminds me that I am not the only one who argues with the Lord. I am not the only one with a reply other than “Yes” when Jesus asks me to do something.  Simon had been out fishing all night and had not caught any fish. He was tired and, I am sure, very discouraged. Then Jesus asked him to push his boat back into the sea a bit so that Jesus could stand on it and talk to all those on the shore. Simon did so.Then, after Jesus had finished teaching those on the shore, He told Simon to go out into the deep and let down his nets for a catch. Can you imagine how frustrated Simon felt and how tired he probably was? He was washing his nets out to call it a day when Jesus climbed on His boat, and who knows how long Jesus preached before telling Simon to go out into the deep. Then He tells Simon to put his net out into the water again. Jesus is a carpenter, and Simon is a fisherman. I am sure He didn't understand why He should do what this man said, and yet He did it anyway and yielded more fish than their nets could hold, and the nets began to break. There were so many fish that they filled both boats so full that the boats began to sink.Have you ever been in a situation like this before? Have you ever felt like God or Jesus was asking you to do something you really didn't want to? There could be many reasons why we don't want to do what He asks us to do. Simon was tired and frustrated. He might have also felt that his efforts were in vain. But despite all these, he obeyed. This story reminds us that even when we are tired, frustrated, or feel like our efforts are in vain, we should still obey God's word, for He has a plan that we might not understand.In this verse, the Lord knew that if Peter obeyed him, he would catch more fish than He could have imagined. God knows the same thing about you and me. He knows that if we obey Him, he will provide more than we need, whether in our jobs, families, or friends. Where is God calling you?  What has He been asking you to do, and yet you have been ignoring Him because you have tried it before many times, and so you figure it won't work this time either? What areas of your life are you desperate to see change?In this verse, Peter is desperate to catch some fish and has tried all night with no luck. When he listened to the Lord and then saw how many fish they caught, he finally recognized Jesus for who he really was. Peter recognized Jesus as Lord. It says in verse 8, “But when Simon Peter saw it, he fell down at Jesus' knees, saying, “Depart from me, for I am a sinful man, O Lord.” Has Jesus ever helped you come face to face with your sinfulness? Has He ever answered one of your prayers in a way that there was no question it was God who answered that prayer?I have had this happen many times. I am grateful to my parents because they told us about times in their lives when this happened to them, and so I began to be aware of when it was happening in my life, too. We miss so much when we are not looking for it. When you intentionally try to see God working in your life, you will see God working in your life. Notice I didn't say you might see God. I am 100% confident that you will see it if you intentionally look for where God is working in your life. This is the main reason why I do Witness Wednesdays on this podcast. If you hear how God works in other people's lives, you will become more aware of how He works in your life, too!I can see how God worked his miracles in my son Noah's surgery and recovery. Actually, how we even discovered he needed surgery. Noah was having headaches, and they were treating them with medicine, and that wasn't really working. The neurologist ordered an MRI to ensure it wasn't too serious. If she hadn't ordered the MRI, she would have never found out that he had a Chiari malformation. You can only see them on an MRI. Then we were supposed to have surgery at a hospital that was an hour and 40 minutes away from our house. The surgeon could not get Noah on his surgical calendar until July. Noah wants to go to college in Europe at the end of the summer.We asked if they could put in a referral for Mass General Hospital, as it is less than an hour's drive. They put in the referral, and after we got the records transferred, they set up a pairing with a surgeon who does both pediatric and adult surgeries. They were able to get him scheduled within a few weeks. Also, they scheduled him for after spring break, so I was able to take Noah to England to look at some colleges. It was amazing timing that only God could have arranged.Then, on the day of the surgery, Noah had an awesome nurse who happened to be his birthday twin. She was so kind and distracted him from thinking about the surgery. The surgeon said it was an excellent surgery, and he thinks Noah will be very pleased with it. Noah was in the hospital for four days and was not really in much pain at all. He could walk the halls, get up and use the restroom, talk to the nurses. He thought he would be in bed for the first week or two when he came home. But he has felt great. He has had to sleep more than he wanted also, yet he was happy he was able to sit up in his computer chair for long periods of time without pain. He said he felt much better than he thought he would and that he is glad they did the surgery as he can feel that there is more room in the back of his head now.Praise God—He is so good. He not only helped arrange the surgery, the timing, and the doctor, but He also ensured a successful surgery and a painless and speedy recovery—just what we prayed for! I don't know what you are praying for or what you are waiting for. Whatever it is, I want you to know that God knows what it is, and He is working on it for you. He is figuring out how to get that for you in His perfect timing and also in accordance with your plans as well.God knew that Peter needed fish that day. He knew he was discouraged, tired, and probably angry. God cared about Peter's needs and Peter's wants. This miracle happened for two reasons. First, God cared about Peter and his needs and wants. Second, Peter let down the nets. Peter said yes. He didn't understand why he was doing it. He didn't know what Jesus knew. He did it because Jesus asked Him to, and because of that obedience, Jesus made it fruitful.What is Jesus calling you to do? Has He given you the answer to your problem, and yet you are afraid to let down your net? What if the answer to your prayers is on the other side of your obedience to do what Jesus is telling you to do? What if the thing getting in the way of you catching all the fish is your reluctance to obey Jesus? What if you took that step today and did what He has asked you to do? What could you catch in your net?Dear Heavenly Father, I ask you to bless everyone listening to this episode today. Lord, please show us what things you are calling us to do and then give us the grace to accomplish them. Help give us the courage to take that step of faith, trusting that you will fill our nets. We love you, Lord, and we are sorry for not doing as you ask. You are Lord of Lords and King of Kings, and we ask all of this in accordance with your will and in Jesus's holy name, Amen!Thank you so much for joining me on this journey to walk boldly with Jesus. Week 2 of our “Come as You Are” mentoring series is tomorrow. Last week, we looked at several scriptures showing that Jesus does not want perfection before He wants us to come to Him. He wants us to come to him just as we are. If you join mentoring today or tomorrow, you can join us for Week 2 of this series, and you will also get a link to watch previous mentoring sessions as well. I hope you will join us today! We had a great discussion after the mentoring session last week. I look forward to meeting you here again tomorrow. Remember Jesus loves you, just as you are, and so do I! Have a blessed day!Today's Word from the Lord was received in June 2023 by a member of my Catholic Charismatic Prayer Group. If you have any questions about the prayer group, these words, or how to join us for a meeting please email CatholicCharismaticPrayerGroup@gmail.com. Today's Word from the Lord is, “My children, when you are full of worry and fear, come to me. Give me your hand in trust, and I will help you. All your cares that you give to me I take care of in my time, not your time.” www.findingtruenorthcoaching.comCLICK HERE TO DONATECLICK HERE to sign up for Mentoring CLICK HERE to sign up for Daily "Word from the Lord" emailsCLICK HERE to sign up for free audio training about inviting Jesus into your daily lifeCLICK HERE to buy my book Total Trust in God's Safe Embrace

New daily persistent headache is a syndrome characterized by the acute onset of a continuous headache in the absence of any alternative cause. Triggers are commonly reported by patients at headache onset and include an infection or stressful life event. In this episode, Aaron Berkowitz, MD, PhD, FAAN, speaks with Matthew Robbins, MD, FAAN, FAHS, author of the article “New Daily Persistent Headache,” in the Continuum® April 2024 Headache issue. Dr. Berkowitz is a Continuum® Audio interviewer and professor of neurology at the University of California San Francisco, Department of Neurology and a neurohospitalist, general neurologist, and a clinician educator at the San Francisco VA Medical Center and San Francisco General Hospital in San Francisco, California. Dr. Robbins is an associate professor of neurology and director of the Neurology Residency Program at New York-Presbyterian/Weill Cornell Medical Center in New York, New York. Additional Resources Read the article: New Daily Persistent Headache Subscribe to Continuum: continpub.com/Spring2024 Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @https://twitter.com/AaronLBerkowitz Guest: @ @mrobbinsmd Full Transcript Available: Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the Show Notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the Show Notes. AAN members: stay tuned after the episode to hear how you can get CME for listening.   Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Matthew Robbins about his article on new daily persistent headache, from the April 2024 Continuum issue on headache. Dr Robbins is an Associate Professor of Neurology and Director of the Neurology Residency Program at New York-Presbyterian/Weill Cornell Medical Center, in New York. Welcome to the podcast. Dr Robbins: It's great to be with you, Dr Berkowitz. Dr Berkowitz: Well, thanks so much for joining us this morning. To start, what is new daily persistent headache? I think it's an entity maybe that might be new to some of our listeners. Dr Robbins: Yeah - it's an entity that also struck me when I was in training. I didn't hear much of it as a neurology trainee until I did a fellowship in headache, where, all of a sudden, we were seeing patients with this syndrome (and labeled as such) all the time. And that actually inspired me to begin a research project to better characterize it - a clinical project that ended up helping to broaden the diagnostic criteria. New daily persistent headache really is just defined by what it says - it's new; it's every day; it persists; it's a headache. It can't be from some other identifiable cause, which includes both secondary disorders (you know, something that, where headache is a symptom of) or a primary headache disorder; distinguishes itself from, say, migraine or tension-type headache because there's no real headache history and there's an abrupt onset of a daily and continuous headache that has to last for at least three months since onset. And the onset is typically remembered - it's usually acute or abrupt; there may or may not be some circumstances that surrounded the onset that might have some diagnostic or causal or associated implications that we can explore. Dr Berkowitz: Okay. So, I always find it challenging in headache medicine and some other areas where we don't have a biomarker, per se - an imaging finding, a lab finding; we have an eloquent and detailed clinical description - to know how comfortable to be making a diagnosis like this. In this case, particularly, right - you said it has to be going on for three months. What if I see a patient one month into something I think could be this, but I can't technically say, per the criteria, right (it's three months)? When do you start thinking about this diagnosis in patients, and what are some of the main considerations in confirming the diagnosis, and what needs to be ruled out or excluded for making the diagnosis?   Dr Robbins: I think traditionally, in headache, the term “chronic” has that three-month time period. The reasons are twofold: one is that, typically, if there's some secondary disorder that might have some distinguishing feature (something that really evokes the headache or some other neurological accompaniment that develops in addition to headache), it would pretty much be likely to declare itself by the three-month mark. Or if it was something that was very self-limited, it would probably go away before three months have elapsed. Or if it resolved after some days or weeks but then declared itself as a more episodic disorder, then we might say someone who begins with continuous headache that might, for example, resemble migraine (maybe it presented a status migrainosis but then it devolved into a more episodic disorder that might just be migraine overall). So, I think that's pretty much why the three-month mark has been so prevalent in the International Classification of Headache Disorders, including how new daily persistent headache is diagnosed. But at the same time, there's lots of disorders that might mimic (or might be misdiagnosed as) new daily persistent headache, and they really are a secondary disorder. Probably the most common one that we think about is a disorder of intracranial pressure or volume, mainly because routine MRI features could be normal or could be easily missed if they had subtle abnormalities. The defining symptom of those disorders are also continuous headache, often from onset, with an abrupt and remembered nature. So, that's often the main category of secondary headache that might be misdiagnosed as primary headache. I think, probably, idiopathic intracranial hypertension as the prototypical disorder of high pressure often declares itself with visual symptoms, pulsatile tinnitus, and other abnormalities. And nowadays, there's much more increasing recognition for MRI abnormalities or even MRV abnormalities with such patients. But spontaneous intracranial hypotension (despite increasing recognition of CSF leaks in the spine that lead to intracranial hypotension or hypovolemia) really remains an underdiagnosed entity. I think that's one disorder where - for example, if I'm seeing a patient with new daily persistent headache and there's no orthostatic or positional nature to their headache - I will still do an MRI, with and without contrast, to be sure. But that the chances of them having a spontaneous CSF leak are low if that scan is unremarkable. Dr Berkowitz: That's very helpful. Yeah. It's interesting; when you talked about the criteria for this condition - that it has an acute onset, which is a red flag, right, and it is persistent for months, which for a new headache would also be a red flag. So, this is a condition - correct me if I'm wrong – that, if you're considering it, there's no way that you're going to make this diagnosis without neuroimaging because there are two red flags, in a way, embedded in the criteria before we get to the other diagnoses being excluded. Is that right? So, this would only be a diagnosis made clinically but after neuroimaging is obtained, given that two red flags are part of the criteria – isn't that right? Dr Robbins That's absolutely right. So, I can't imagine there's anyone who has new daily persistent headache who hasn't had appropriate neuroimaging, and that typically should include an MRI, with and without contrast, unless there's some compelling reason to avoid that. There's some other workup that could be done that's not universal but - for example, in clinic-based studies of patients who have new daily persistent headache versus those who may have, say, chronic migraine or chronic tension-type headache, you may find more abnormalities. The biggest and more compelling example of that is hypothyroidism, which presumably would be somewhat subclinical if it hadn't been brought to someone's medical attention earlier. It doesn't mean that hypothyroidism is the cause of new daily persistent headache, but it could be some type of triggering or priming factor that leads to headache perpetuation in some patients. Sometimes, if that hasn't been done already, that would be a blood test I might think about sending. And, of course, the context of onset; if someone lived in a place where tick-borne illnesses are endemic, if there are other neurological symptoms, that might prompt looking for serological evidence of Lyme disease, as one example. Dr Berkowitz: We see a lot of headache. I'm a general neurologist; I know you're a headache specialist; we all see a lot of patients with headache. You and I both work closely with residents. Often, residents will come to present a headache patient to me and they'll say, “The patient seems to have a new daily persistent headache. They haven't been imaged yet. They have a completely normal exam. The history fits.” And I always ask them, “Okay, we have to get neuroimaging, right? There's at least one red flag of the chronicity, maybe the red flag of something beginning relatively abruptly. Even though you're looking at the patients - I'm pretty sure that imaging is going to be normal, but we've got to do it.” But I always encourage residents, “Try to predict - do you think the imaging is going to be normal (this is a rule out) or do you think you're going to see something (this is a rule in)? - just to sort of work on calibrating your clinical judgment.” I'd love to ask you - as a headache specialist, when you're looking at the patient and say, “I know I need to get neuroimaging here to fully make this diagnosis of exclusion,” or you've heard something that sounds like a red flag; you know you're obligated to image, but your clinical suspicion of finding anything more than something incidental is pretty low. How often are you surprised in practice in a sort of enriched tertiary headache population? Dr Robbins: That's a great way to frame such a presentation on how a resident would present to you the case and whether it's a rule in or rule out. I totally agree with your approach. I think much of it depends on the clinical story. I think if it was just a spontaneous onset of headache that kind of resembles migraine that just continued, then likely the MRI is being done to just be sure we're not missing anything else. However, if the headache started – really, say someone coughed vigorously or bent over and the headache started, and there was some clear change that you could perceive in - that was, say, the Valsalva or a transiently raised intracranial pressure, or some other maneuver; then you might really say, “Well, this really could be a spontaneous CSF leak,” for example. Even if the MRI of the brain, with and without contrast, is totally normal, I'm not really sure I'm convinced - that you might even take it further. For example, you might do an MRI of the total spine, with a CSF-leak-type protocol, to see if there's some sign of a spontaneous CSF leak or an extradural collection. So, I think in the cases where the preclinical suspicion is higher for a secondary headache, it might not stop at an MRI of the brain (with and without contrast) that's normal. Patients with spontaneous CSF leaks - about eighty percent of them have abnormal brain MRIs, but twenty percent don't. We found, from some observational studies, that a newer cause of intracranial hypotension, such as a CSF venous fistula in the spine, is more likely to present than other causes of CSF leak - with say, Valsalva-associated headache or cough-associated headache. That might prompt us to really take a workup more deeply into that territory, rather than someone where it really just sounds like chronic migraine that switched on. And maybe in those patients, when you dig around, they were carsick as a kid, or they were colicky babies, or they used to get stomachaches and missed school as a teenager here and there, and you think migraine biology is at play. Dr Berkowitz: So, if you're thinking of this diagnosis before you can make it, these patients are going to get an MRI, with and without contrast. And it sounds like the main things you're looking to make sure you're not missing are idiopathic intracranial hypertension or intracranial hypotension from some type of leak. Any other secondary headaches you worry about potentially missing in these patients or want to rule out with any particular testing? Dr Robbins: Yeah - I think sometimes we think of other vascular disorders, especially - when these patients come to medical attention, it's often a total change from what they're used to experiencing. They may present to the emergency room. So, it depends on the circumstance. You might need to rule out cerebral venous thrombosis. Or if there was a very abrupt onset or a relapsing nature of abrupt-onset headaches with sort of interictal persistent headache, we might think of other arteriopathies, such as reversible cerebral vasoconstriction syndrome. There's the more common things to rule out - or commonly identified conditions to rule out - like neoplasm and maybe a Chiari malformation in certain circumstances; those usually would declare themselves pretty easily and obviously on scan or even on clinical exam. Dr Berkowitz: Another question I'd love to ask you as a headache specialist, in your population - sometimes we see this type of new daily persistent headache presentation in older patients, and the teaching is always to rule out giant cell arteritis with an ESR and CRP, in the sense that older patients can present with just headache. Again, my clinical experience as a general neurologist - I wanted to ask you as a headache specialist – is, for the countless times I've done this (older patient has gotten their neuroimaging; we've gotten ESR and CRP), I've never made a diagnosis of giant cell arteritis based on a headache alone, without jaw claudication, scalp tenderness, visual symptoms or signs. Have you picked this up just based on a new headache, older person, ESR, CRP? I'm going to keep doing it either way, but just curious - your experience. Dr. Robbins: Yeah. We're taught in the textbooks (I'm sure we're taught by past Continuum issues and maybe even in this very issue) about that dictum that's classically in neurology teaching. But I agree - I've never really seen pure daily headache from onset, without any other accompaniments, to end up being giant cell arteritis. Then again, someone like that might walk in tomorrow, and the epidemiology of giant cell arteritis supports doing that in people over the age of fifty. But almost always, it's not the answer; I totally agree with you. Dr Berkowitz: Good to compare notes on that one. Okay - so let's say you're considering this diagnosis. You've gotten your neuroimaging, you've gotten (if the patient is over fifty) your ESR and CRP, and you ruled out any dangerous secondary causes here. You have a nice discussion in your article about the primary headache differential diagnosis here. So, now we're sort of really getting into pure clinical reasoning, right, where we're looking at descriptions (colleagues like yourself and your colleagues have come up with these descriptions in the International Classification of Headache Disorders). Here again, we're in a “biomarker-free zone,” right? We're really going on the history alone. What are some of the other primary headache disorders that would be management changing here, were you to make a diagnosis of a separate primary headache disorder, as compared to new daily persistent headache? Dr Robbins: I think the two main disorders really are chronic migraine and chronic tension-type headache. Now, what we're taught about chronic migraine and chronic tension-type headache is that they are disorders that begin in their episodic counterparts (episodic migraine, episodic tension-type headache) and then they evolve, over time, to reach or culminate in this daily and continuous headache pattern, typically in the presence of risk factors for that epidemiologic shift we know to exist but that may happen on the individual level, which does include things that we can't modify, like increasing age, women more than men, some social determinants of health (like low socioeconomic status), a head injury (even if it didn't cause a concussion or clear TBI), a stressful life event, medication overuse, having comorbid psychiatric or pain disorders in addition to the headache problem, having sleep apnea that's untreated, and so on. New daily persistent headache - by definition, it should really be kind of “switched on.” Many years ago, Dr Bill Young and Dr. Jerry Swanson wrote an editorial where they labeled new daily persistent headache as the “switched-on headache.” Then, we're taught in headache pathophysiology that this chronification process happens over time because of, perhaps, markers of central sensitization that might clinically express itself as allodynia in trigeminal or extratrigeminal distributions. So, we're not comfortable with this new daily persistent headache, where we think the biology is like chronic migraine that gets switched on abruptly, but in so many patients, it seems to be so - it behaves like chronic migraine otherwise; the comorbidities might be the same; the treatments might still work similarly for both disorders in parallel. So, I think those are the two that we think about. Obviously, if there's unilateral headache, we might think of a trigeminal autonomic cephalalgia that's continuous, even if it doesn't have associated autonomic signs like ptosis or rhinorrhea (which is hemicrania continua) - and in those patients, we would think about a trial of indomethacin. But otherwise, I think chronic migraine and chronic tension-type headache are the two that phenotypically can look like new daily persistent headache. In patients with new daily persistent headache, about half have migraine-type features and about half have tension-type features. When I was a fellow, the International Headache Society and the classification only allowed for those who have more tension-type features to be diagnosed as new daily persistent headache. But we (and many other groups) have found that migraine-type features are very common in people who fulfill rigorously the criteria for new daily persistent headache otherwise. And then the latest iteration of the classification has allowed for us to apply that diagnosis to those with migraine features. Dr Berkowitz: That's very helpful. So, we've ruled out secondary causes and now you're really trying to get into the nuances of the history to determine, did this truly have its abrupt onset or did it evolve from an episodic migraine or tension-type headache? But it could be described by the patient as migrainous, be described by the patient as having tension features The key characteristics (as you mentioned a few times) should be abrupt onset and a continuous nature. Let's say, now you (by history) zeroed in on this diagnosis of new daily persistent headache. You've ruled out potential secondary causes. You're pretty convinced, based on the history, that this is the appropriate primary headache designation. How do you treat these patients? Dr Robbins: Well, that's a great question, Dr Berkowitz, because there's this notoriety to the syndrome that suggests that patients just don't respond to treatments at all. In clinical practice, I can't dispute that to a degree. I think, in general, people who have this syndrome seem to not respond as well, to those who have clear established primary headache disorders. Part of that might be the biology of the disorder; maybe the disorder is turned on by mechanisms that are different to migraine (even though it resembles chronic migraine) and therefore, the medications we know to work for migraine may not be as effective. In some, it could be other factors. There's just a resistance to appreciating that you have this headache disorder that - one day you were normal, the next day you're afflicted by headache that's continuous. And there's almost this nihilism that, “Nothing will work for me, because it's not fair - there's this injustice that I have this continuous headache problem.” And often people with new daily persistent headache may be resistant to, say, behavioral therapies that often are really helpful for migraine or tension-type headache because of this sort of difficult with adjustment to it. But at least there's observational studies that suggest that most of the treatments that work for migraine work for new daily persistent headache. There's been studies that show that people can respond to triptans. In my clinical experience, CGRP antagonists that work for the acute treatment of migraine may work. There is evidence that many of the traditional, older medicines (like tricyclic antidepressants, topiramate, valproate, beta-blockers, probably candesartan) and others that we use for migraine may work. There's observational studies specifically for new daily persistent headache that show that anti-CGRP therapies in the form of monoclonal antibodies and botulinum toxin can work for the disorder. Are there anything specific for some of the new daily persistent headache that might work? Not that we really know. There's been some attempts to say, “Well, if you get these people in the hospital early and try to reduce the risk of headache persistence by giving them DHE, or dexamethasone, or lidocaine, or ketamine, will you reduce the chances of headache persistence at that three-month mark or longer?” We don't really know (there's some people who believe that, though). Maybe there's good reason to do some type of elective hospitalization for aggressive treatment because we know that, notoriously, the treatment response is very mixed. There's been specific treatments that people have looked at. There's been some anecdotes about doxycycline as a broad anti-inflammatory type of treatment that might be used in a variety of neurological disorders, but there's really nothing in the peer-reviewed literature that suggests that is effective or safe, necessarily. And I think a lot of people in new daily persistent headache do develop a profile that resembles chronic migraine (they can develop medication overuse very easily). Often, goal setting is really important in the counseling of such patients. You really have to suggest that the goal for them might be difficult to have them pain-free at zero and cured, but we want this to be treated so the peaks of severity flatten out a bit, and then the baseline level of pain diminishes so that it devolves into a much more episodic disorder over time that looks like regular migraine or regular tension-type headache. Dr Berkowitz: I see. So, in addition to starting a migraine-type prophylactic agent based on the patient's comorbidities and potential benefits of the medication (the same way we would choose a migraine prophylactic), do you do anything, typically, to try to, quote, “break the cycle” - a quick pulse of steroids as an outpatient or a triptan in the office - and see how they do, or do you typically start a prophylactic agent and go from there? Dr Robbins: I think, like all things, it kind of depends on the distress of the patient and how they are functioning. If it's someone who's just out of work, cannot function - and someone like that might be very amenable to an elective hospitalization or some parenteral therapy, or maybe an earlier threshold to use a preventative treatment than we would be doing otherwise in someone with migraine overall - I think that it really depends on that type of a disability that's apparent early. I think it's compelling that, with new daily persistent headache, about a third of people report some antecedent infection that was around at the time. When new daily persistent headache was first described by this Canadian neurologist, Dr Vanast, in the 1980s, it was described in the context of Epstein-Barr virus infection, or at least a higher rate of serologies that are positive for, perhaps, recent Epstein-Barr exposure. And we know that Epstein-Barr is obviously implicated in lots of neurological diseases, like multiple sclerosis. And I mean, I think about these things all the time, and especially with COVID now. So, it's compelling - as a postinfectious disorder, do we, as neurologists (who are so comfortable with using pulse-dose steroids, IVIG) - do we use these things for a new daily persistent headache? But there's no great evidence that enduring inflammation in the dura that would spill into CSF analyses is really present in such patients. There was one study that looked at markers, such as TNF-alpha, in the CSF, but the rates of seeing that were the same in new daily persistent headache and chronic migraine, so there isn't really a specificity to that. Many people we see with new persistent headaches since 2020 may have it as part of a long COVID syndrome (or postacute COVID syndrome), and in those cases, often it's more like “new daily persistent headache-plus.” They might have something that resembles POTS (postural orthostatic tachycardia syndrome); they might have something that resembles fibromyalgia, chronic fatigue. Often in those patients, it takes management of the whole collection of neurological syndromes to get them better, not just the headache alone. Dr Berkowitz: Well, this sounds like such a challenging condition to treat. How do you counsel patients when you've made this diagnosis - what to expect, what the goals are, what this condition is, and how you developed your certainty? It's often challenging (isn't it?) sometimes with patients with headache disorders, when we're not relying on an MRI or lab test to say, “This is the diagnosis”; telling them, it's just our opinion, based on their collection of symptoms and signs. So, how do you give the diagnosis and how do you counsel patients on what it means to them? Dr Robbins: Yeah, it's a great question because it's high stakes, because people will read online, or on social media, or on support groups that this is a dreadful condition - that no one gets better, that they're going to be afflicted with this forever, and the doctors don't know what they're doing, and, “Just don't bother seeing them.” And the truth is not that; there's so many people who can get substantially better. I tell people that it's common; in some epidemiologic studies, one in one thousand people in any given year develop new daily persistent headache, and most of those people get better (they don't seek medical care eventually, or they do, just in the beginning, and then they don't have follow-up because they got all better) - and I think that really happens. I think the people who we see in, say, a headache clinic (or even in general neurology practice) are typically the ones who are the worst of the worst. But even amongst those, we see so many stories of people who get better. So, I really try to reset expectations - like we mentioned before about assessing for treatment response and understanding that improvement will not just mean one day it switches off like it switched on (which seems unfair), but that the spikes will flatten out of pain (first), that the baseline level of intensity will then improve (second); that we turn it into a more manageable day-to-day disorder that really will have less of an impact on someone's quality of life. Sometimes people embrace that and sometimes people have a hard time. But it does require, like many conditions in neurology, incremental care to get people better. Dr Berkowitz: Fantastic. Well, Dr Robbins, thanks so much for taking the time to speak with us today. I've learned so much from your expertise in talking to you and getting to pick your brain about this and some broader concepts and challenges in headache medicine. And I encourage all our listeners to seek out your article on this condition that has even more clinical pearls on how to diagnose and treat patients with this disorder. Dr Robbins: Thanks Dr. Berkowitz - great to be with you. Dr Berkowitz: Again, for our listeners today, I've been interviewing Dr Matthew Robbins, whose article on new daily persistent headache appears in the most recent issue of Continuum, on headache. Be sure to check out other Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr. Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice. Right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/Spring2024 or use the link in the episode notes to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members: go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.

In this week's Flagship Flashback episode of the Wade Keller Pro Wrestling Podcast from five years ago (5-2-2019), PWTorch editor Wade Keller was joined by Mike Chiari from Ring Rust Radio to review Raw with live callers, an on-site correspondent, and emails. They discuss the Kofi Kingston-Kevin Owens fallout from last week, Roman Reigns continuing feud with Elias and Shane McMahon, Becky Lynch vs. Bayley with Charlotte's attack, and more. Also, some talk about the alarming drop in Raw ratings this week and whether Reigns moving to Smackdown is part of the reason. The on-site correspondent from Columbus, Ohio discusses in detail crowd reactions during Smackdown, plus what happened in the arena before and after Smackdown.

EVEN MORE About This Episode!Welcome to our intuitive exploration, where spirituality meets practical guidance for a purposeful and joyful life. This week, I connected with individuals worldwide, offering comfort and healing. Through focused intention, I guided callers through energetic healings, assisting Ping from Hawaii with her husband's multiple sclerosis, comforting Michelle from Florida about her mother's leukemia, and helping Neil in Pelham understand post-surgery energetic netting. Join us as we delve into the spiritual realm, exploring souls' journeys before birth, surrogacy, and heartfelt stories of conception. We also address health concerns like Chiari malformation, offering energetic healing visualizations for recovery. Witness the transformative power of energy and intuition as I support Carrie from Ohio with weight loss and offer healing to Lisa from Wisconsin's mini golden doodle, Bricken. This episode showcases the versatility of psychic abilities and invites you to join our shared journey of growth and healing. Whether you're curious about spiritual communication, seeking health guidance, or intrigued by profound insights, there's a place for you in this enlightening discussion.Episode Chapters:(0:00:01) - Intuitive Healing With Visualization(0:13:42) - Spiritual Communication and Comfort Care(0:21:38) - Healing and Health Discussion (0:33:41) - Energy Healing and Intuition(0:49:15) - Spiritual Insights and Health GuidancePlease join Julie next week with your question.Thursdays at 8pm ET, 7pm CT, 5pm PT.https://askjulieryanshow.comAnd, please leave a five-star review and subscribe so you can hear all the new episodes.Sponsors & RecommendationsDr. Maria AmasantiDisclaimer: This show is for informational purposes only. It is not intended to be medical, psychological, financial or legal advice. Please contact a licensed professional. The Ask Julie Ryan show, Julie Ryan, and all parties involved in producing, recording and distributing it assume no responsibility for listener's actions based on any information heard on this or any Ask Julie Ryan shows or podcasts.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

MaKenzie has received a slew of chronic pain and chronic illness diagnoses over the years, including Chiari malformation, lupus, Sjogren's disease and Hashimoto's syndrome, but she isn't focused on her diagnoses. She's focused on managing the daily impact of her symptoms and the emotional toll this journey has taken. She […]

L'Istituto Australiano di Statistica certifica la non ancora avvenuta guarigione dell'economia australiana. Nel frattempo, Albanese stanzia due miliardi di dollari per il Sud-Est asiatico.

On this episode of Dangle Bet Celly, Chris Meaney (@chrismeaney) and Eric Young (@theericyoung) break down the NHL slate for Tuesday, March 5th. They share their favorite NHL Picks, NHL Props, NHL Predictions, NHL Goal Scorers, NHL Shot Props, and NHL DFS Picks!Get your NHL Picks today!! Have a Fantasy Hockey question? Leave it in the chat!! 5:00 FLA @ NJ 18:00 MTL @ NSH 23:00 CHI @ ARI 28:00 CLS @ PIT 30:00 EDM @ BOS 36:00 STL @ NYI 39:00 SEA @ WPG 41:00 VAN @ LA 46:00 DAL @ SJ 51:30 NHL Picks; NHL Props; NHL Best Bets; Anytime Goal Scorers 1:00:00 NHL MVPApple: https://apple.co/3yquIYO Spotify: https://spoti.fi/3ITx7jU Spreaker: https://bit.ly/3s707i4 Google: https://bit.ly/3pYuSmp

Episode Summary: In this extraordinary episode of the Laser Light Show, we delve into the transformative power of low-level laser therapy as experienced by Sydney Powell through the skilled application by Dr. Ryan Manning. Listeners will find hope and insight into the realm of advanced therapeutic uses of lasers. After Sydney's harrowing journey with Chiari malformation, which led to symptoms like severe brain spasms and balance issues post-surgery, she meets Dr. Manning. His treatment with Erconia lasers provided astounding relief, restoring Sydney's ability to enjoy activities that she believed were lost, such as dancing. The podcast offers a compelling narrative on the physical and mental resurgence achieved with laser therapy. Key Takeaways: Low-level laser therapy by Erconia has groundbreaking potential for treating various health problems, including complex neurological conditions. Treating scar tissue with lasers might provide surprising systemic health benefits, showcasing the interconnectedness of bodily systems. Sydney Powell's story is a testament to the life-changing impact of laser therapy, offering an alternative to traditional medication and surgery. Dr. Manning's innovative approach gives insight into how flexible and experimental methods can lead to significant patient outcomes. The episode emphasizes the benefits of looking beyond conventional treatment and considering advanced technology like laser therapy for health issues. Notable Quotes: "There's always just... Imagine having ringing in your ear every single day of your life. It just becomes part of life." - Sydney Powell "I feel great... I feel like I've never had any symptom of Chiari... My life had changed." - Sydney Powell "You always have to treat scars... That fascia system wraps all the way through the brain." - Dr. Ryan Manning "There's something comforting about the light... it really makes the body disarm." - Dr. Ryan Manning "You have nothing to lose by trying the laser... and no harm that can come your way." - Sydney Powell Resources: Erconia website: www.erconia.com Mention of Dr. Joy Kong for potential follow-up by the audience interested in stem cell treatments. We invite you to listen to the full episode to witness the miraculous transformation Sydney Powell experienced thanks to Dr. Ryan Manning's expert use of Erconia lasers. Keep tuning in to the Laser Light Show for more enlightening stories and insights into the future of healthcare through innovative technologies.

Hailey Fitzgerald, a Physician Assistant at Global Neurosciences Institute, discusses her role in the diagnosis and treatment of Chiari malformation. She emphasizes the importance of patient-centered care. The diagnostic process for Chiari malformation involves assessing symptoms, physical exams, and imaging studies. Treatment options range from conservative management to surgical interventions, depending on the severity of symptoms and the impact on the patient's quality of life. Fitzgerald also highlights the need for reliable information and comprehensive care that addresses the psychological and cognitive effects of Chiari. This conversation explores topics related to Chiari malformation and its treatment such as: Patient-centered care and addressing the emotional toll are crucial in the diagnosis and treatment of Chiari. The diagnostic process for Chiari involves assessing symptoms, physical exams, and imaging studies. Treatment options for Chiari range from conservative management to surgical interventions, depending on the severity of symptoms and impact on quality of life. Comprehensive care should address the psychological and cognitive effects of Chiari. Surgery for Chiari malformation carries risks, and minimizing the need for surgery is preferred to avoid complications. Advancements in CSF flow measurement and patch materials have improved outcomes in Chiari malformation treatment. Conducting research in neurosurgery is challenging due to the difficulty of double-blind studies and the complexity of the procedures. Medical marijuana has shown promise in managing symptoms of Chiari malformation, particularly headaches. Healthcare providers should stay educated and seek expertise to provide the best care for patients with Chiari malformation. Collaboration between healthcare providers is crucial in identifying and managing Chiari patients. Chiropractors should be aware of diagnostic clues and consider imaging before manipulation in patients with Chiari malformation. Open communication and collaboration between healthcare providers leads to better patient outcomes. Identifying non-MSK conditions, such as Chiari malformation, is important for chiropractors to provide appropriate care. Advancements in research and education are improving the understanding and treatment of Chiari. Taking a holistic approach to patient care, considering both physical and mental health, is essential in managing Chiari. Building bridges across professional boundaries can enhance knowledge and improve patient care. Chapters 03:04 Hailey Fitzgerald's Path to Global Neurosciences Institute 04:08 Conditions Treated at Global Neurosciences Institute 05:53 Role of Physician Assistants at GNI 07:20 Challenges and Rewards of Patient Care 09:33 Addressing the Emotional Toll of Patient Care 11:41 Importance of Communication and Patient-Centered Care 13:09 Diagnostic Process for Chiari Malformation 16:19 Understanding Chiari Malformation and QR Malformation 20:46 Treatment Options for Chiari Malformation 25:17 Importance of Function and Quality of Life in Treatment 28:42 Addressing Psychological and Cognitive Effects of Chiari 31:42 Impact of Chiari on Patients and Families 35:15 Importance of Providing Reliable Information 36:25 Treatment Options for Asymptomatic Chiari 39:25 Controversy in Surgical Interventions for Chiari 41:00 Risks and Complications of Surgery 42:23 Advancements in CSF Flow Measurement and Patch Materials 43:20 Challenges in Conducting Research in Neurosurgery 44:19 Exploring Medical Marijuana as a Treatment Option 45:36 The Importance of Staying Educated and Seeking Expertise 46:49 Collaboration between Healthcare Providers 48:35 Diagnostic Clues for Chiropractors 50:31 Importance of Open Communication and Collaboration 52:29 The Value of Identifying Non-Musculoskeletal Conditions 55:01 Advancements in Research and Education 56:27 Taking a Holistic Approach to Patient Care 57:40 Building Bridges Across Professional Boundaries

Fiona Ramsay, is a Calgary-based designer with a master's in architecture and a passion for sports and the outdoors. Fiona shares her journey through Chiari Malformation Type 1. Although Chiari is something ninjas scream while driving their fists through the chest cavity of their enemies, this is a completely different kind of Chiari. Chiari malformation is a condition in which brain tissue extends into the spinal canal. It occurs when part of the skull is misshapen or smaller than is typical, pressing on the brain and forcing it downward. Fiona emphasizes the challenges of diagnosis and the rollercoaster from symptoms to surgery to recovery. She also sheds light on living with an invisible illness and its profound impact on mental health. Join the post-episode conversation over on Discord! https://discord.gg/expeUDN