Podcasts about Cholecystectomy

Send us a textMedical weight stigma creates dangerous catch-22 situations for patients seeking care. In this episode, I share Cameron's story of developing gallstones after weight loss surgery, only to be denied treatment because their BMI was "still too high." In this episode, I expose how rapid weight loss can trigger gallstone formation and how medical professionals often ignore evidence-based care when treating higher weight patients. I challenge the "lose weight to get treatment" narrative while offering practical advocacy strategies for navigating a biased healthcare system. Today's journal article was Gregori, Matteo et al. “Day case laparoscopic cholecystectomy: Safety and feasibility in obese patients.” International journal of surgery (London, England) vol. 49 (2018)For free resources on the management of galbladder disease head to noweigh.org And don't forget to check out my masterclass on gallstones Got a question for the next podcast? Let me know! Connect With Me FREE GUIDES: evidence-based, not diet nonsense NEWSLETTER: Life-changing insights straight to your inbox UNSHRINKABLE: Find out why your body is not designed to shrink MASTERCLASSES: All the evidence doctors should give you NO WEIGH PROGRAM: Join the revolution against weight-loss lies THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters CONSULTATION: For the ultimate transformation in your healthcare journe Find me on Instagram, YouTube, and LinkedIn.

The gallbladder is often described as a nonessential organ, but our digestive system is carefully and thoughtfully designed, and there are no spare parts that can be removed without consequences - because every part of the GI tract serves a purpose. Can you live without your gallbladder? Absolutely, but there is a very good chance that you could end up more symptomatic after surgery than you were before. I'm going to be explaining why in this episode.We'd love to hear from you - send us a text!Thank you for being a part of our community! For the latest in digestive wellness go to https://gutbliss.com and follow us on https://www.instagram.com/gutbliss/ for more gut health info. Dr. Robynne Chutkan

Broadcast from KSQD, Santa Cruz on 8-22-2024: Dr. Dawn discusses the overuse of cholecystectomy (gallbladder removal) for gallstones and abdominal pain, emphasizing the need for more careful patient selection. A caller seeks advice about her breastfeeding infant's digestive issues. The show explores a new ultrafast genetic sequencing technology for brain tumors that can provide crucial information during surgery. Dr. Dawn explains how early primary care follow-up after surgery can significantly reduce hospital readmissions, suggesting improvements in scheduling systems. The potential hepatotoxicity of certain herbs is discussed, with Dr. Dawn providing context and questioning the validity of some negative claims about turmeric and green tea. Information about Gymnema, an ayurvedic compound for glucose control, is shared, including dosage and potential effects. Dr. Dawn addresses a listener question about compounded semaglutide as an alternative to brand-name medications like Ozempic. The show concludes with recent research on how anger impairs blood vessel dilation, potentially explaining its link to heart attacks and strokes.

Interview with Philip R. de Reuver, MD, PhD, and Daan J. Comes, MD, authors of Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Gallstones and Abdominal Pain: 5-Year Follow-Up of the SECURE Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Abdominal Pain and Gallstones

Interview with Philip R. de Reuver, MD, PhD, and Daan J. Comes, MD, authors of Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Gallstones and Abdominal Pain: 5-Year Follow-Up of the SECURE Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Abdominal Pain and Gallstones

In this episode, the Turd Nerds discuss the complications that can arise after gallbladder removal. They explain the normal physiology of the gallbladder and how it functions to break down fat. They also discuss the common issues that can occur after gallbladder removal, such as bile acid malabsorption and bile acid diarrhea. The Turd Nerds provide treatment options, including the use of bile acid sequestrants and high-dose fiber. They also emphasize the importance of supporting the microbiome and addressing underlying factors such as diet and lifestyle.

Laparoscopic cholecystectomy was introduced approximately 30 years ago and quickly became the gold standard due to multiple benefits over open cholecystectomy. It ushered in the laparoscopic revolution but also increased the number of bile duct injuries. Through the dedicated efforts of many the rate of bile duct injury has been reduced, now mirroring open cholecystectomy. The robotic surgery revolution is well underway and unsurprisingly this technology has been applied to cholecystectomy. Given the devastating nature of bile duct injury and the history of increased injury with the last major shift in operative approach, we examine the current literature on the comparative safety of robotic-assisted cholecystectomy vs. laparoscopic cholecystectomy. 1.     Andrew Wright, UW Medical Center – Montlake and Northwest, @andrewswright  2.     Nick Cetrulo, UW Medical Center - Northwest, @Trules25  3.     Nicole White, UW Medical Center - Northwest  4.     Paul Herman, UW General Surgery Resident PGY-3, @paul_herm  5.     Ben Vierra, UW General Surgery Resident PGY-2 @benvierra95  Learning objectives:   1.     Examine the history of the laparoscopic cholecystectomy and review the efforts to reduce bile duct injury (SAGES Safe Cholecystectomy Task Force and Multi-Society Practice Guideline)  2.     Review literature on causes and prevention of bile duct injury  3.     Review a recent article on robotic cholecystectomy vs laparoscopic cholecystectomy outcomes  4.     Describe precautions that might mitigate expected increase in bile duct injury as a new approach is applied  References  1.     https://www.sages.org/publications/guidelines/safe-cholecystectomy-multi-society-practice-guideline/ 2.     https://www.sages.org/safe-cholecystectomy-program/  3.     MacFadyen BV Jr, Vecchio R, Ricardo AE, Mathis CR. Bile duct injury after laparoscopic cholecystectomy. The United States experience. Surg Endosc. 1998 Apr;12(4):315-21. doi: 10.1007/s004649900661. PMID: 9543520. https://pubmed.ncbi.nlm.nih.gov/9543520/ 4.     Keus F, de Jong JA, Gooszen HG, van Laarhoven CJ. Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev. 2006 Oct 18;(4):CD006231. doi: 10.1002/14651858.CD006231. PMID: 17054285. https://pubmed.ncbi.nlm.nih.gov/17054285/ 5.     Way LW, Stewart L, Gantert W, Liu K, Lee CM, Whang K, Hunter JG. Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg. 2003 Apr;237(4):460-9. doi: 10.1097/01.SLA.0000060680.92690.E9. PMID: 12677139; PMCID: PMC1514483. https://pubmed.ncbi.nlm.nih.gov/12677139/ 6.     Kalata S, Thumma JR, Norton EC, Dimick JB, Sheetz KH. Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. JAMA Surg. 2023;158(12):1303–1310. doi:10.1001/jamasurg.2023.4389 https://pubmed.ncbi.nlm.nih.gov/37728932/  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

This episode brings host Jamie Belz and fellow FNTP, Thomas Gilliford together for a very real conversation about food and wellness. They dive into all things from the perspective of thriving within the navigational beacons of the aggressive pursuit of optimal wellness and setting realistic expectations for functionality and quality of life. Thomas covers his newly developed FCA (Functional Clinical Assessment) Program available to NTPs who desire to add the “F” on the front of their credential to make them FNTPs (Functional Nutritional Therapy Practitioners). This skill set, formerly called the Functional Evaluation, utilizes hands-on and lingual neural testing to help identify which nutrients and nutrient formulations are best for each person's bio-individual receptivity. This enables the practitioner to cut through the sea of options available when it comes to nutraceuticals and supplementation protocols to quickly identify which product is right for each individual's needs. Their conversation continues to run through many aspects of navigating diet, supplementation, expiration dates and ultra-processed foods, alcohol, surgeries and prescriptions, sleep and stress, and other wellness inputs. They discuss the challenge of trying to balance rigid rules and expectations with being realistic and enjoying life. Additional topics they touch on: eating out, alcohol, progression, EMFs, hydration, avoidance of surgery by incorporation of water, Lyme, Green Washing, Big Macs, glyphosate, dairy/milk, vegan/vegetarian, gallbladder removal (cholecystectomy), blind spots, trauma, grief,      Please hit “subscribe” and share this episode with someone!

VISIT US AT ⁠⁠⁠⁠⁠NCLEXHIGHYIELD.COM⁠⁠⁠⁠⁠ No matter where you are in the world, or what your schedule is like, access the entire course at ⁠⁠⁠⁠⁠⁠⁠www.NCLEXHighYieldCourse.com⁠⁠⁠⁠⁠⁠⁠  The NCLEX High Yield Podcast was featured on ⁠⁠⁠⁠⁠⁠⁠Top 15 NCLEX Podcasts⁠⁠⁠⁠⁠⁠⁠! Make sure you ⁠⁠⁠⁠⁠⁠⁠JOIN OUR NEW VIP FACEBOOK GROUP!⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠https://nclexhighyield.com/blogs/news/nclex-high-yield-quick-links⁠⁠⁠⁠⁠⁠⁠ A topic that confuses many, but listen to how Dr. Zeeshan breaks this bad boy down! Many people get overwhelmed with all the information that's out there, we keep it simple! Join us weekly for FREE Zoom Sessions and be one of the many REPEAT test takers that passed the exam by spending NO MONEY with NCLEX High Yield! NCLEX High Yield is a Prep Course and Tutoring Company started by Dr. Zeeshan in order to help people pass the NCLEX, whether it's the first time , or like the majority of our students, it's NOT their first time. We keep things simple, show you trends and tips that no one has discovered, and help you on all levels of the exam! Follow us on Instagram: ⁠⁠⁠⁠@NCLEXHighYield ⁠⁠⁠⁠or check out our website www.NCLEXHighYield.com Make sure you join us for our FREE Weekly Zoom Sessions! Every Wednesday 3PM PST / 6PM EST. Subscribe to our newsletter at ⁠⁠⁠⁠⁠⁠nclexhighyield.com⁠⁠⁠⁠⁠⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/nclexhighyield/support

Join Our Online Education Community "The School of Doza" Here: https://community.schoolofdoza.com/   In this episode, the host discusses the topic of the gallbladder, specifically for people who have had their gallbladder removed. The host talks about how there is a lack of information given to patients after their gallbladder has been removed and provides insights on how to support a healthy life without a gallbladder. The host also mentions a group consult where listeners can ask questions directly to the host and provides a link to sign up.   TIMESTAMPS: 00"00 START 01:10 Gallbladder health after removal. 06:53 Gallbladder removal and digestion. 10:16 Fatty liver and gallbladder. 13:40 Healthy Fats After Gallbladder Removal. 17:20 Digestive health after gallbladder removal. 23:23 Fasting for bile regulation. 24:01 Gallbladder health and diet. 27:51 Supporting liver health. 32:17 Liver Love as Detox Support.   SHOP MSW & LIVER BOOST HERE https://www.mswnutrition.com/discount/NURSEDOZA?ref=NURSEDOZA   REFERENCES:  https://www.healthgrades.com/right-care/gallbladder-removal-surgery/cholecystectomy. https://pubmed.ncbi.nlm.nih.gov/23735917/(2)  Postcholecystectomy Syndrome https://www.merckmanuals.com/professional/hepatic-and-biliary-disorders/gallbladder-and-bile-duct-disorders/postcholecystectomy-syndrome(3) https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/fatty-liver (1) . Cholecystectomy and NAFLD: does gallbladder removal have metabolic consequences? https://pubmed.ncbi.nlm.nih.gov/23735917/(2)  Cholecystectomy versus central obesity or insulin resistance in relation to the risk of nonalcoholic fatty liver disease: the third US National Health and Nutrition Examination Surveyhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720375/ (3)  https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/fatty-liver (1). https://www.mayoclinic.org/tests-procedures/cholecystectomy/expert-answers/gallbladder-removal-diet/faq-20057813 (2) https://www.chnnyc.org/wp-content/uploads/2022/01/Gallbladder-Diet.pdf(3)  Leptin regulates gallbladder genes related to absorption and secretion https://journals.physiology.org/doi/full/10.1152/ajpgi.00389.2006(1) .   Leptin Influence Cholelithiasis Formation by Regulating Bile Acid Metabolism https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975486/(2)   

Dr. Amin Madani is the director of the Surgical AI Research Academy (SARA) at the University Health Network (UHN). He is an endocrine and acute care surgeon at UHN and assistant professor of surgery at the University of Toronto. Dr. Madani talked to us and showed us some of the work he is doing on AI in surgery and in particular on computer vision. He really breaks down for us the terms AI, machine learning, and data science, and highlighted some of the promise and challenges for AI in surgery. Email Dr. Madani: amin.madani@uhn.ca Watch full unedited interview on YouTube: https://youtu.be/aawdQy90v2Q Links: 1. https://temertysimcentre.com/surgical-artificial-intelligence-research-academy-sara/ 2. Video of Go No Go: https://www.youtube.com/watch?v=MmcW8JK1Qv4 3. Surgical Data Science: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9135051/ 4. Artificial Intelligence for Intraoperative Guidance: Using Semantic Segmentation to Identify Surgical Anatomy During Laparoscopic Cholecystectomy. https://pubmed.ncbi.nlm.nih.gov/33196488/

Interview with Stanley Kalata, MD, MS, and Kyle H. Sheetz, MD, MS, authors of Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. Hosted by Amalia Cochran, MD. Related Content: Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy

Interview with Stanley Kalata, MD, MS, and Kyle H. Sheetz, MD, MS, authors of Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. Hosted by Amalia Cochran, MD. Related Content: Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy

Question-based Review of Cholecystitis workup and management followed by addressing the complications of cholecystectomy.

In this episode, the host discusses the topic of the gallbladder, specifically for people who have had their gallbladder removed. The host talks about how there is a lack of information given to patients after their gallbladder has been removed and provides insights on how to support a healthy life without a gallbladder. The host also mentions a group consult where listeners can ask questions directly to the host and provides a link to sign up.   TIMESTAMPS: 00"00 START 01:10 Gallbladder health after removal. 06:53 Gallbladder removal and digestion. 10:16 Fatty liver and gallbladder. 13:40 Healthy Fats After Gallbladder Removal. 17:20 Digestive health after gallbladder removal. 23:23 Fasting for bile regulation. 24:01 Gallbladder health and diet. 27:51 Supporting liver health. 32:17 Liver Love as Detox Support.   SHOP MSW & LIVER BOOST HERE https://www.mswnutrition.com/discount/NURSEDOZA?ref=NURSEDOZA   REFERENCES:  https://www.healthgrades.com/right-care/gallbladder-removal-surgery/cholecystectomy. https://pubmed.ncbi.nlm.nih.gov/23735917/(2)  Postcholecystectomy Syndrome https://www.merckmanuals.com/professional/hepatic-and-biliary-disorders/gallbladder-and-bile-duct-disorders/postcholecystectomy-syndrome(3) https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/fatty-liver (1) . Cholecystectomy and NAFLD: does gallbladder removal have metabolic consequences? https://pubmed.ncbi.nlm.nih.gov/23735917/(2)  Cholecystectomy versus central obesity or insulin resistance in relation to the risk of nonalcoholic fatty liver disease: the third US National Health and Nutrition Examination Surveyhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720375/ (3)  https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/fatty-liver (1). https://www.mayoclinic.org/tests-procedures/cholecystectomy/expert-answers/gallbladder-removal-diet/faq-20057813 (2) https://www.chnnyc.org/wp-content/uploads/2022/01/Gallbladder-Diet.pdf(3)  Leptin regulates gallbladder genes related to absorption and secretion https://journals.physiology.org/doi/full/10.1152/ajpgi.00389.2006(1) .   Leptin Influence Cholelithiasis Formation by Regulating Bile Acid Metabolism https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975486/(2)   

To learn more about working with me and to get a free call and digestion training, go to: www.bit.ly/gutcall Or, call us now at 586-685-2222

Unexplained sharp pains, pale, floating stool or diarrhea? You could have a gallbladder/bile issue. Learn about the role of bile in digesting fats, digestive support after gallbladder removal, the possible benefits of TUDCA, supplements that can help with bile issues and how the interaction between the microbiome and bile contributes to inflammation in IBD with Dr. Laura Brown. Lindsey Parsons, your host, helps clients solve gut issues and reverse autoimmune disease naturally. Take her quiz to see which stool or functional medicine test will help you find out what's wrong. She's a Certified Health Coach at High Desert Health in Tucson, Arizona. She coaches clients locally and nationwide. You can also follow Lindsey on Facebook, Tiktok, Twitter, Instagram or Pinterest or reach her via email at lindsey@highdeserthealthcoaching.com to set up a free 30-minute Gut Healing Breakthrough Session. Show Notes

Gallbladders – bread and butter cases or underestimated challenges? Join Dr. Patrick Georgoff and Dr. Shanaz Hossain as they sit down with Dr. Eric Knauer to discuss difficult gallbladders. In this episode, we discuss the SAGES Safe Cholecystectomy program that were created in an effort to decrease the incidence of bile duct injuries. The six strategies outlined in the program include:  1.    Use the Critical View of Safety (CVS) method of identification of the cystic duct and cystic artery during laparoscopic cholecystectomy. 2.    Understand the potential for aberrant anatomy in all cases. 3.    Make liberal use of cholangiography or other methods to image the biliary tree intraoperatively. 4.    Consider an Intra-operative Momentary Pause during laparoscopic cholecystectomy prior to clipping, cutting or transecting any ductal structures. 5.    Recognize when the dissection is approaching a zone of significant risk and halt the dissection before entering the zone. Finish the operation by a safe method other than cholecystectomy if conditions around the gallbladder are too dangerous. a.    Subtotal Cholecystectomies – Learn more with this landmark paper: http://dx.doi.org/10.1016/j.jamcollsurg.2015.09.019 6.    Get help from another surgeon when the dissection or conditions are difficult. Take a look at all their great explanations and catch all the important points by completing the online program: https://www.sages.org/safe-cholecystectomy-program/ Dr. Eric Knauer is an assistant professor surgery at Emory University. He has recently published regarding the management of laparoscopic common bile duct stones in General Surgery News and, more importantly, was awarded the junior residents' teaching award. Check out his great educational videos to learn more: ·      Cholecystectomy: https://youtu.be/_oMNRINPY5I Laparoscopic Common Bile Duct Exploration: https://youtu.be/mXl11I7mya0 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other hepatobiliary episodes here: https://behindtheknife.org/podcast-category/hepatobiliary/

In this episode, Kyle H. Mueller, MD, assistant professor of Gastrointestinal Surgery at Northwestern Medicine, discusses updates in robotic cholecystectomy. Dr. Mueller covers the advantages of a robotic-assisted laparoscopic cholecystectomy compared to a standard laparoscopic cholecystectomy, how this approach may evolve in the future and more.

Diarrhea after bariatric surgery Dawn: (00:00) Hello, and welcome to the gastric health show. My name is Dawn Boxell and we are here this week and we are going to discuss the seven causes of diarrhea after bariatric surgery. Now, I know no one likes to discuss this embarrassing topic. But if you have this[Read More] The post 7 Causes of Diarrhea after bariatric surgery appeared first on Gastric Health.

Jeffrey Ponsky, Professor Emeritus of Surgery and Nathaniel Soper, Chairman of Surgery, go back to the basics on Laparoscopic Cholecystectomy on this episode of the StayCurrent Forum.

Please fill out the survey! https://forms.gle/xRWFksZkgodAa3hE8 Ned and Ally talk about Cholecystectomies with an emphasis on the anatomy and imaging. Intro (0:15), Anatomy (6:56), Surgical Snippets (10:46)

Dr. Sue Sgambati, COPIC's Medical Director and a colorectal surgeon, returns to the podcast to discuss risks and guidelines associated with laparoscopic cholecystectomy. Dr. Sgambati talks about the background behind utilizing this approach and how a reduced recovery time led to improved patient and provider satisfaction. However, one of the concerns that has emerged is the risk of bile duct injuries (BDIs). Dr. Sgambati focuses on guidelines developed from a multi-society consensus that identify optimal strategies for the prevention of BDIs. In particular, she highlights five key guidelines to consider, provides some real-life context from her experience as a surgeon, and reinforces the importance of documenting your thought process with any type of medical procedure.    Email comments and suggestions to WNLpodcast@copic.com

This week's operative episode covers laparoscopic cholecystectomy, and some of the intraoperative pitfalls they might throw your way in the exam.Topics covered, how to avoid them, and how to deal with them if they happen include every way your day can go from bad to worse when doing a laparoscopic cholecystectomy:- bleeding (hepatic artery, portal vein, middle hepatic vein)- anatomical variations- ureteric catheter not flushing- the 'difficult' gallbladder'- the dreaded bile duct injury- common bile duct stones and how to do a transcystic laparoscopic bile duct exploration, open choledochotomy and laparoscopic choledochotomy and exploration Here's to hoping you avoid these intraoperative issues, but at least you will be prepared if they do happen!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021

Your patient is pregnant in her third trimester and she has acute cholecystitis...a relatively common but unnerving scenario.  What do you do?!  Do you operate?  Do you observe?  What about the baby?  Tune in and get the information you need to best care for this patient.  Hosts: Drs. Graham Skelhorne-Gross, Ashlie Nadler and Jordan Nantais.  Papers reviewed:  1) Fong, Z. et. al. Cholecystectomy during the third trimester of pregnancy: proceed or delay? J Am Coll Surg. 2019. 228 (4): 494-502. 2) Hong. J. et. al. Considering delay of cholecystectomy in the third trimester of pregnancy. Surg Endosc. 2020. Online ahead of print. FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLSfxhjxgCE9Ek263XuGkpqqbaNiK9sVnu3M7_LFYUZxhr38SZw/viewform

A study in Surgical Endoscopy finds some benefits to delaying gallbladder surgery, at the expense of increased readmissions. Delayed cholecystectomy following endoscopic retrograde cholangio-pancreatography is not associated with worse surgical outcomes | Hospital Medicine Virtual Journal Club

This case will most likely be your bread and butter as you begin doing generals. Pay attention to your respiratory mechanics while they insuflate the abdomen and keep an eye on your EtCO2 levels! To become a premium member go to Patreon.com, search "student nurse anesthesia" and become a member. You will then have access to all of our episodes right here on Apple Podcasts!

Join us for our 15th joint Journal Club with Annals of Surgery! We discuss a brand-new set of multisociety guidelines, putting together the latest evidence on preventing bile duct injury during laparoscopic cholecystectomy.   This episode's guest author is Dr. Michael Brunt, Professor and Chief of MIS at Wash U in St. Louis, and lead author of the new paper "Safe Cholecystectomy Multi-Society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile duct Injury during Cholecystectomy" He will walk us through the guidelines in oral boards style, providing safe and evidence-based answers to many of your common questions about laparoscopic cholecystectomy.   Download the full paper here: https://journals.lww.com/annalsofsurgery/Abstract/9000/Safe_Cholecystectomy_Multi_society_Practice.94547.aspx  

Welcome to the Podcast Series “Proctology and Laparoscopic Surgery”. This is Dr. Manas Tripathy, a minimally invasive surgery expert with you. After gallbladder removal surgery, many patients have two main common fears. The major concern the patients have after getting their gallbladder removed is whether they can carry out the normal day-to-day activities. The second fear they have is whether they have to change their diet after gallbladder surgery or Cholecystectomy surgery. In order to overcome all this, in today’s podcast episode I have shared some of the post-surgery lifestyle tips for faster and better recovery after the removal of gallstones. So, today’s podcast is very important. Listen to it carefully to know more about “Dietary Restriction After Cholecystectomy”. For more information visit: www.drmanastripathy.com

Join us for our 13th joint Journal Club with Annals of Surgery! We discuss how to get patients better, faster with a surgery-first approach to gallstone pancreatitis. This episode's guest authors are Dr. Krislynn Mueck, a general surgery resident at the University of Texas Health Science Center, and Dr Lillian Kao, the Jack Mayfield, MD Chair in Surgery and Division Chief of Acute Care Surgery at the University of Texas Health Science Center in Houston. We discuss their paper, "Gallstone Pancreatitis: Admission versus Normal Cholecystectomy – a Randomized Trial." Access the paper free of charge here: https://journals.lww.com/annalsofsurgery/Abstract/2019/09000/Gallstone_Pancreatitis__Admission_Versus_Normal.14.aspx

SCORE Modules Covered: Cholecystectomy with or without Cholangiography (Core)

Barrington is a wonderful friend and an excellent practitioner. He is very unique in that he decided to go back to school to become a Physician of Osteopathic Medicine after he was a successful practicing Physician Assistant in surgery. It is amazing how hard he works in every aspect of his life. I knew from working with him how hard and dedicated he was, but after hearing his stories, I have even more respect for him. Thanks for your time, Barrington!   Physician Assistant Stats:*Physician Assistants practice medicine on teams with physicians and other healthcare workers. They examine, diagnose, and treat patients autonomously and as part of a team in all various specialties of medicine.  2017 Median Pay: $104,860 per year ($50.41 per hour) Educational Degree: Masters DegreeNumber of US jobs in 2016:106,20010 Year Job Outlook: 37% growth, much faster then avg.*Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physician Assistants, (visited August 5, 2018).   Physician and Surgeon Stats:**Physicians and surgeons diagnose and treat injuries and illnesses. Physicians examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They counsel patients on diet, hygiene, and preventive healthcare. Surgeons operate on patients to treat injuries, such as broken bones; diseases, such as cancers; and deformities, such as cleft palates. They work in all fields of medicine. 2017 Median Pay: Greater then $208,000 per year ($100 per hour) ***Educational Degree: Doctoral DegreeNumber of US jobs in 2016: 713,80010 Year Job Outlook: 13% growth, faster then avg.**Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physicians and Surgeons, on the Internet at https://www.bls.gov/ooh/healthcare/physicians-and-surgeons.htm (visited August 26, 2018). ***Other publications list Orthopedic and Cardiac Surgeons as making around $500k/yr   Terms Covered in Episode Cradle to Grave – Caring for patients from Neonatal to Geriatric population. OB/GYN (Obstetrics/Gynecology) – Medical field that deals with pregnancy, labor, post partum care, and women's health specialties. MA (Medical Assistant) – A health professional that works along side a medical team in an inpatient or outpatient setting. EKG (Electrocardiogram) – Graph representing the electrical conduction of the heart to determine cardiac disease or injury. Phlebotomy – Drawing blood from patients in an outpatient or inpatient setting. CASPA LECOM (Lake Erie College of Osteopathic Medicine) MCAT (Medical College Admission Test) - Standardized examination for prospective medical students Academic Index – Tool used by some colleges to summarize the academic performance of students AACOM (American Association of Colleges of Osteopathic Medicine) Manipulation – Applying pressure to a person's spine or other parts of their body to adjust and correct alignment to reduce pain and improve function Cervical Strain – Strain of the neck Muscle Relaxer – Prescription medications used to relax muscles during acute phase of healing NSAIDS (Nonsteroidal Anti-Inflammatory Drugs) – Motrin/Advil (Ibuprofen), Aspirin, Aleve (Naproxen) used to treat acute and chronic pain and inflammation injury and disease related Muscle Spindles – Stretch receptors within the body of a muscle that primarily detects length of the muscle. It has both sensory and motor components. Appendicitis – Infection and inflammation of the appendix requiring surgical intervention Visceral vs Somatic Pain – Visceral neurons transmit information from the organs and somatic pain comes from the skin or skeletal muscles Dermatome – Area of skin that is mainly supplied by a single spinal nerve Cholecystectomy – Surgical removal of the gallbladder COPD (Chronic Obstructive Pulmonary Disease) – Chronic inflammatory lung disease that causes shortness of breath among other pulmonary symptoms further divided into Chronic Bronchitis or Emphysema Pre/Post Op – The phase just prior to or after surgery for a patient Atelectasis – Complete or partial collapse of lung space, occurs when tiny air sacs called Alveoli become deflated Lymphatic System – Network of vessels in which lymph drains from tissues into the blood Lymphedema – Swelling in an extremity caused by lymphatic system blockage Tension Headache – Headache triggered by physical and/or emotional stress Fascia – Thin sheath of fibrous tissue over a muscle or organ Myofascial Release – Therapy used to treat pain and immobility by relaxing contracted muscles Muscle Energy – Therapy using gentle muscle contractions to relax and lengthen muscles to reduce pain and improve function Primary Care – Day to day healthcare given by a provider including health promotion, disease prevention, health maintenance, counseling, diagnosis and treatment of acute and chronic illnesses, and patient education HVLA (High-Velocity Low-Amplitude) – Chiropractic thrust used to adjust patients Sacrum – Triangular bone in the lower back inferior to the lumbar spine between the hip bones of the pelvis.   Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.

In this episode we had the pleasure of speaking with Bob.  Bob lives in Wisconsin, with his lovely lady Sue, and their Huskies: Sasha and Tanner.  Bob has recently had a cholecystectomy (or in layman terms, he had his gallbladder removed).  

Ah, the mucocele. The disease that internists want to surgical treat, and the ones that surgeons want to medically manage.

Ah, the mucocele. The disease that internists want to surgical treat, and the ones that surgeons want to medically manage.

In this episode, Laura Gluck of www.fitasgluck.com shares her personal story with us for the first time. Ironically, it starts just like anyone else & we have a feeling you’ll be able to relate. It begins … when she was born. Healthy. Strong. Without Complications. Until a multitude of childhood infections led to multiple antibiotic prescriptions, resulting digestive issues, ovarian cysts, birth control, gallbladder surgery, hospital admission for sepsis - and so much more. Laura takes us through her personal medical history and reveals how, what seemed to be a moment in time, was the middle piece of a very complex puzzle. She starts by explaining parts of her history she didn’t realize were so important or so connected to other areas of her health until recently.  From labs showing glucose intolerance, elevated stress hormones and altered thyroid function, to casually being put on oral birth control to manage symptoms at age 15, no questions asked. We realize now how connected it truly all was.  More than a decade later - after taking “the pill” without knowing any better - Laura discusses the various research she has since uncovered linking her seemingly harmless prescription pill to potentially be the cause of her gallbladder issues and multitude of other digestive symptoms when she was younger.  As always, we encourage you to do your own research and continue to seek out answers to your questions for yourself. For your reference, here’s the article about gallbladder disease and certain oral contraceptives that Laura refers to in this episode: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3091897/ It’s because of this complex history - that Laura decided to explore her own health under a new lens, while employing the listeners to truly understand the risks associated with medications.  Ultimately, while discussing their own health histories in episodes 6 & 7, Laura Gluck & Briana Reesing - the co-hosts of this podcast - hope to remind each of you listening to approach your health story holistically - while being mindful of bio-indivduality, realizing that the risk/benefit of each medication, diagnosis  or treatment decision will be different for each person.  Nothing in life is a one size fits all, especially when it comes to health and the treatment prescribed. In this episode, Laura helps to bridge the gap to make her primary message extremely clear - everyone has their own story & although it’s possible to learn from eachother’s experiences, we also need to approach our own health in our own way - while figuring what solution works best for you, individually. Never stop pursuing what ‘health’ looks like to you - as we hope to inspire each and everyone of you to persistently learn, educate yourselves and expand your knowledge around your health. That is, after all - at the core of why we show up for this podcast every week.   Learn more about Laura Gluck, the face behind @FitAsGluck over at: www.fitasgluck.com  ---  Discover more information behind this podcast and the hosts at www.criticalconversationspodcast.com & Join our community on instagram for daily motivation @criticalconversations   Thank you so much for your support! Please be sure to ‘subscribe’ leave us a rating and review if you haven’t already and share this episode with your friends or family!   We truly appreciate YOU. – Laura Gluck & Briana Reesing –   *LEGAL DISCLAIMER: The information in this podcast is to be viewed as general knowledge and is not a substitute for professional medical help. Our opinions are our own and do not reflect that of our employers. We are registered nurses, not doctors, pharmacists or nutritionists. We are providing general information and are here to open up conversation on heath care related topics. The content found here is our educated opinions and, should you require medical assistance, we urge you to seek medical professionals who are equipped to give you the personalized care you need.   Thank you for listening to our podcast, we hope you enjoy it. 

In this podcast General Surgeon, Dr. Michael McCall, is going to discuss the Cholecystectomies. After listening to this podcast you should be able to: Explain the procedure to a patient Discuss the risks and possible complications

Behind the Knife coverage of the 2017 American College of Surgeons Clinical Congress: Dr. Sharmila Dissanaike (Chair of Surgery at Texas Tech University Health Sciences Center) takes Woo Do and Dominic Forte through her technique for a subtotal cholecystectomy. Additionally, Kevin Kniery invites listeners to support BTK's mobile app development through this t-shirt fundraiser (https://www.customink.com/fundraising/behind-the-knife-app-fundraiser).

Have you ever had gallstones? Given how common they are these days, odds are you or someone you know has experienced them at one point or another. Unfortunately, the way most medical doctors treat gallstones is not only misguided, but also harmful to patients. Most of the time, gallbladder removal surgeries (known as cholecystectomies) are completely unnecessary. What's more, they rarely alleviate the symptoms associated with gallstones. So today, I’m going to share the truth about gallstones, where they come from, and how to get rid of them—without getting rid of your gallbladder. You can find show notes and more information by clicking here: http://thedigestiondoctor.com/39

Over half a million gallbladders are removed every year in the US; and even after having had their gall bladder removed, 87% of men and 68% of women experience uncontrollable weight gain. Today we discover the six critical things you can do about it.

Interview with Terrence M. Fullum, MD, author of Optimal Time for Early Laparoscopic Cholecystectomy for Acute Cholecystitis

Welcome back to the LEGO Operating Room. In this episode, Dr Maryland discusses surgery for gallstones and explains laparoscopic cholecystectomy. Please let us know what you think of LEGO Surgery! YouTube Link Please note: This video contains footage of real surgery which you may find disturbing. Music: Pamgaea by Kevin Macleod (incompetech.com)Sounds:This video uses these sounds from freesound:operation_lisboa by nikitralala (https://www.freesound.org/people/nikitralala/)Font:Legothick from Urbanfonts

Editor's Audio Summary by Edward H. Livingston, MD, Deputy Editor, the Journal of the American Medical Association, for the August 28, 2013 issue

School of Surgery are back from their summer holidays! Keaton Jones completes his multimedia explanation of lap chole with indications for on table cholangiography, a picture of a cholangiogram, with explanation of the pathology and anatomy and a video of a laparoscopic common bile duct exploration. This video podcast will be helpful to medical students and trainees in core surgery (junior residents). It will help you to understand whats going on, get the answers right when you're on the spot and ask better questions of the surgeon when you're in theatre.

Keaton Jones takes you on a multimedia journey though laparoscopic cholecystectomy. Indications, technique and complications are covered, with pictures, slides and operative videos and anatomical diagrams. If you are a medical student who wants to know about the procedure, or you are about to go to see one in the OR and want to know what you're seeing, then this is an ideal resource. If you are a core trainee (Junior resident) in surgery and want to be properly prepped for doing a laparoscopic cholecystecomy with the boss, then this resource will help you to get more out of that training opportunity and also prep you for those awkward questions fired by the surgeon. Next week: laparoscopic bile duct exploration

Melissa Bagloo, MD, a surgeon at the Center for Metabolic and Weight Loss Surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center, explains the laproscopic and open Cholecystectomy procedure.

Upper abdominal pain in patients with gallstones is often treated by cholecystectomy but frequently persists. A study in the October issue of CGH found factors that determine patients' odds for relief. Dr. Kummerle speaks to author Dr. Johnson L. Thistle