Podcasts about Clinical

This episode offers a practical, case-based approach to one of the most common intraoperative challenges in GI surgery: constructing a stoma that just won't cooperate. The discussion covers preoperative marking and stoma siting in the obese and non-elective patient, technical maneuvers to gain length and reduce tension on the stoma, strategies for the foreshortened small bowel mesentery, and considerations for maturing a stoma in a massively dilated, thick-walled colon. Join Drs. Elissa Dabaghi, Jared Hendren, Joseph Trunzo, Ajaratu Keshinro, and David Rosen as they discuss this clinical challenge in colorectal surgery.Hosts: ·      Elissa Dabaghi, MD, Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio·      Jared Hendren, MD, Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio·      Joseph Trunzo, MD, Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, X/Twitter @joseph_trunzo·      Ajaratu Keshinro, MD, Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, X/Twitter- @AJKesh·      David Rosen, MD, Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, X/Twitter- @davidrrosenmdLearning Objectives: By the end of this episode, listeners will be able to:1.     Describe preoperative marking strategies and intraoperative technical adaptations for stoma siting and construction in obese and non-elective patients.2.     Apply strategies for managing a foreshortened small bowel mesentery when constructing an end or loop ileostomy.3.     Recognize technical considerations for maturing a stoma in a massively dilated, thick-walled colon and identify associated long-term risksSponsor Disclaimer: Visit https://www.goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content.Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only 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://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Send us Fan MailSteroids again? This time in the eye. Daphna brings the DROP-ROP trial from JAMA Pediatrics, a double-masked randomized study across fourteen Swedish centers asking whether topical dexamethasone can stop pre-threshold ROP from progressing to type one disease. One hundred infants, born under 30 weeks, dosed for up to twelve weeks, some still getting drops at home. Twenty percent needed laser or anti-VEGF in the dexamethasone arm versus thirty-eight percent on placebo, a relative risk reduction that did not reach significance. Ben and Daphna talk through the safety signals, the intraocular pressure question, and how fast our field adopts promising ROP data.----Dexamethasone Eye Drops to Prevent Treatment-Requiring Retinopathy of Prematurity: The DROPROP Randomized Clinical Trial. Hellström A, Petrishka-Lozenska M, Sjöbom U, Wallander J, Nilsson AK, Löfqvist C, Ley D, Gränse L, Öhnell HM, Hård AL, Jakobsson G, Sävman K, Domellöf M, Löfgren S, Larsson E, Smith LEH, Pivodic A, Lundgren P; DROPROP Collaboration Group.JAMA Pediatr. 2026 Aug 3:e263247. doi: 10.1001/jamapediatrics.2026.3247. Online ahead of print.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

In this episode of “Answers From the Lab,” host Bobbi Pritt, M.D., chair of the Division of Clinical Microbiology at Mayo Clinic, is joined by William Morice II, M.D., Ph.D., president and CEO of Mayo Clinic Laboratories, to discuss advancement in Alzheimer's testing and practical uses of artificial intelligence (AI) in healthcare. Later, Dr. Pritt welcomes Chris Garcia, M.D., Mayo Clinic Laboratories' chief digital innovation officer, to explore the evolving role of data in research and development. Innovative Alzheimer's test gets FDA clearance (00:33): Dr. Morice shares how a strategic collaboration is enabling Mayo Clinic Laboratories to offer a newly FDA-cleared blood test for Alzheimer's disease for adults with cognitive symptoms as young as 40.AI helping diagnose rare diseases (03:37): Dr. Pritt and Dr. Morice reflect on a recent article highlighting how AI is helping clinicians identify rare diseases.Data use in research and development (08:16): Dr. Garcia discusses how data, AI, and cross-disciplinary collaboration are advancing research and innovation in laboratory medicine. Note: Information in this post was accurate at the time of its posting.ResourcesC2N Diagnostics: FDA clears C2N Diagnostics' PrecivityAD2® —First Alzheimer's blood test for adults with cognitive symptoms as young as 40Wall Street Journal: AI is helping patients solve medical mysteriesAnswers From the Lab: Digital Advances: What's Next for Clinical Diagnostics?Answers From the Lab: Accelerating Research and Development With BioPharma Diagnostics

Send us Fan MailEvery unit has a bolus camp and a continuous camp, and both are usually dug in. Ben brings a single center non-inferiority trial from India, published in the Journal of Pediatrics, randomizing 132 infants born before 29 weeks and under a thousand grams to extended infusion feeding or two hourly bolus feeds. Weight gain at discharge was essentially identical at 15.3 versus 15.7 grams per kilo per day, but the infusion group lost two fewer days to interrupted feeds. Ben and Daphna talk through the five on one off infusion cycle, two hourly bolus feeding, and why fewer interruptions may be the real outcome.----Effect of Extended Infusion Versus Intermittent Bolus Feedings on Hospital Weight Gain in Extremely Low Birth Weight Infants Born at

When you're the clinician everyone else comes to for answers, who do you turn to when you need another perspective?Clinical supervisors carry a unique kind of responsibility. They support clinicians through difficult cases, ethical questions, risk, evaluation, and decisions that can have real consequences—often while feeling like they're supposed to have all the answers themselves.In this episode of Supervision Simplified, Dr. Amy Parks explores why supervisors, clinical leaders, and experienced clinicians need support, consultation, and mentorship of their own.Amy shares a personal experience involving a suicidal client and why, even though she felt confident in the decisions she had made, she still called a trusted colleague to talk through her clinical decision-making. She also shares the story of a supervisor who described working in isolation as being like “the captain of a ship in a fog without a lighthouse.”You'll hear why:Clinical supervision can become an unexpectedly lonely roleConsultation and mentorship serve different but important purposesExperienced clinicians still benefit from having trusted colleagues to callIsolation can contribute to burnout, ethical blind spots, and stalled professional growthGood supervisors don't need to have all the answersReflective practice and honest feedback make clinical leaders strongerSupporting supervisors ultimately strengthens the clinicians and clients they serveSupervision isn't about being perfect. It's about having the relationships and resources that allow you to remain reflective, ethical, supported, and sustainable in the work.Supervision Simplified brings you real conversations about the complex, messy, and meaningful world of clinical supervision—because the people supporting everyone else deserve support, too.Clinical Supervision Directory: www.clinicalsupervisiondirectory.com

Good research questions may be hiding in everyday clinical work. Marco Francone, MD, PhD, and Daniel Pinto dos Santos, MD, speak with host Amit Gupta, MD, about transforming clinical intuition, recurring gaps, and diagnostic challenges into focused, testable, and clinically impactful research. Listen to their discussion in episode 2 of The Early-Career Researcher's Playbook, an AJR Podcast Series. https://www.ajronline.org/doi/10.2214/AJR.26.35769 *Key Takeaways Questioning the Routine: Meaningful research often begins by simply asking "why" established practices exist. For example, questioning the necessity of a non-contrast series prior to contrast media administration when looking for abdominal hemorrhage may lead to a publishable study.   The Prospective Shift: Retrospective research may be limited by biased intuitions and imperfect hypotheses. The specialty should move toward prospective models, carefully considering the clinical impact and cost-effectiveness of potential interventions.   The "Tool-First" Trap: Pushed by a publish-or-perish academic culture, researchers may make the mistake of starting with an AI model or radiomics pipeline and then searching for a problem to which to apply it. True clinical impact more likely comes with starting with the patient problem and finding the appropriate method to solve it.   Combating Confirmation Bias: When researchers firmly believe their own clinical intuition, they risk designing studies solely to confirm their preconceived notions. To maintain scientific credibility, you should assign a colleague the specific role of opposing your views to actively try and prove your hypothesis wrong.  *Chapters 0:00 - Introduction 2:07 - What Clinical Intuition Means 6:47 - Daniel's Routine to Research 9:23 - Ideas Hiding in Workflow 11:32 - From Observation to Study Plan 14:28 - Marco's Prospective CT Example 18:26 - Avoiding Confirmation Bias 23:20 - AI Tool First Trap 29:53 - Quick Fire Takeaways 33:34 - Final Advice and Closing Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.

Send us Fan MailIn this episode, we explore what happens when a mental health professional realizes that the career path they've built no longer aligns with who they are or where they want to go. Our guest, Carly Hill, shares her personal journey of stepping away from clinical work, including the factors that influenced her decision, the challenges she faced along the way, and the lessons she learned during the transition. Together, we discuss how clinicians can evaluate whether they're experiencing temporary burnout or a deeper desire for change, and how to thoughtfully approach a career pivot without feeling like they're abandoning their training, experience, or purpose. Whether you're considering a new professional direction or simply curious about the many ways a mental health career can evolve, this conversation offers practical guidance, honest reflection, and encouragement for anyone navigating a season of change. Success doesn't always mean staying on the same path—it can also mean having the courage to create a new one.What You'll Learn:The emotional challenges clinicians often face when considering a transition away from direct clinical work.How to navigate feelings of guilt, uncertainty, or fear when contemplating a major career change.Why leaving clinical work does not mean abandoning your training, expertise, or impact.Examples of alternative career paths and opportunities available to mental health professionals beyond traditional clinical roles.Bio:Carly Hill is a licensed clinical social worker and 7-figure business mentor for therapists and coaches. She's worked with thousands of students, helping them achieve freedom and security by teaching them how to successfully build an online coaching business that has led them to triple their revenue. Carly is also a Reiki master, NLP practitioner, and the author of the #1 Amazon best-selling book Therapreneur™- a guide to make the transition from therapist to coach. Carly has appeared on various podcasts and in numerous publications, including Forbes, Entrepreneur, NBC, CBS, & Fox News. Connect with Carly Hill:https://carlyhillcoaching.com/https://www.instagram.com/carlyhillcoaching/https://www.linkedin.com/in/carly-hill-6815a1122/Dr. Margo Jacquot is the award-winning founder and Chief Care Officer of The Juniper Center, one of the largest woman-owned counseling and therapy practices in the Chicago area. With over 20 years of experience, she specializes in trauma recovery, addiction treatment, and LGBTQ-affirming therapy. Dr. Jacquot is also the host of the "Mental Health Business Mentor" podcast, where she shares insights on running a successful mental health practice. thejunipercenter.comConnect with Dr. Margo Jacquot:Website: thejunipercenter.comInstagram: @thejunipercenterFacebook: The Juniper Center

Motorcycling offers far more than transportation—it can be a powerful source of discovery, creativity and personal vitality. Clinical psychologist and motojournalist Mark Barnes explores how riding, learning new skills, understanding and maintaining motorcycles, planning trips, customizing bikes and connecting with other riders can keep motorcyclists curious, engaged and fully alive. Send your questions to us via email: podcast@bmwmoa.org. The Ride Inside with Mark Barnes is brought to you by the BMW MOA Foundation. 

-- On the Show: -- Daron Acemoglu, Institute Professor of Economics at MIT and a co-winner of the 2024 Nobel Memorial Prize in Economic Sciences, joins us to discuss his new book "What Happened to Liberal Democracy?: Remaking a Politics of Shared Prosperity" -- A Postal Service whistleblower warns that Donald Trump's mail voting order could cause millions of Americans to not receive their mail-in ballots -- John Roberts warns that Donald Trump is likely acting unlawfully by demolishing the White House East Wing to construct a massive ballroom -- Clinical psychologist John Paul Garrison highlights distinct involuntary arm spasms that Donald Trump displays during recent appearances -- Donald Trump repeatedly appears to fall asleep and makes rambling statements during an event about his medical cost policies -- Donald Trump insults conservative residents who oppose local artificial intelligence data center developments by claiming they want to be poor -- Court documents reveal that Russian influence operations use sleeper groups and meme factories to shape American political opinion -- On the Bonus Show: Updates from David's trip, and much more... ⚠️ Ground News: Get 40% OFF their unlimited access Vantage plan at https://ground.news/pakman

Iron deficiency anemia is one of the most common nutritional deficiencies in children and adolescents, but it can sometimes be easy to miss. From the toddler who drinks almost exclusively milk to the adolescent athlete struggling to keep up with their peers or the teen with heavy menstrual bleeding and persistent fatigue, these patients may present differently while sharing the same underlying diagnosis.  In this episode, we explore iron deficiency anemia in pediatric patients, including why it remains so common, which children and adolescents may be at increased risk, and the clinical clues that can help pediatricians recognize iron deficiency before it becomes a missed opportunity. Joining us for this important conversation is Akhila Vadivelan, MD, a pediatric hematologist/oncologist at Children's Hospital Colorado and an assistant professor at the University of Colorado School of Medicine.  Some highlights from this episode include: Evaluation, diagnosis and management of iron deficiency anemia  What this diagnosis means for different populations  Clinical clues pediatricians should look out for  When treatment makes sense  For more information on Children's Colorado, visit: childrenscolorado.org. 

Send us Fan MailWe already had HEAL, so why run this trial at all? Daphna brings PAEAN from JAMA Pediatrics, a phase three trial across 24 units in Australia, New Zealand, and Singapore that gave high dose erythropoietin to 313 late preterm and term infants already receiving therapeutic hypothermia for HIE. Same drug, same dosing, nearly the same eligibility criteria as HEAL, by design. Death or moderate to severe developmental deficit at two years was 34 percent with EPO versus 29 percent with placebo. Ben and Daphna talk through the thrombosis signal, why replication feels so foreign in neonatology, and what is left in the adjunct pipeline.----Erythropoietin for Neonatal Hypoxic-Ischemic Encephalopathy: A Randomized Clinical Trial. Liley HG, Hunt RW, O'Connell RL, Battin MR, Novak I, Wu YW, Ballard R, Askie L, Badawi N, Ghadge A, Jacobs SE, Juul SE, Sebastian L, Wagh D, Simes RJ; PAEAN Study Investigators.JAMA Pediatr. 2026 Jul 27:e263082. doi: 10.1001/jamapediatrics.2026.3082. Online ahead of print.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

What are the key considerations for choosing between surveillance, surgery, and chemotherapy in testicular cancer? On this episode of BackTable Urology, host Dr. Rich Matulewicz is joined by Dr. Sean Kern and Dr. Sam Funt for an in-depth discussion on clinical approaches to testicular cancer. They start with a real-world case, reviewing initial evaluation, imaging, tumor markers, and counseling on fertility, body image, and hypogonadism. The conversation highlights how nuanced patient selection influences decisions between surveillance, surgical intervention, and adjuvant chemotherapy. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction01:40 - Initial Case Workup and Counseling06:28 - Why Testicular Cancer Happens09:17 - Management Considerations with Post-Orchiectomy Pathology19:21 - RPLND Benefits and Drawbacks23:39 - Surveillance Schedule and Long Term Follow Up28:17 - Second Tumor Risk30:36 - Evolving Seminoma Treatment37:57 - RPLND Selection Factors40:10 - Adjuvant Chemo Debate and Pathology46:06 - Closing Takeaways --- More about this episode The episode explores postoperative management, including long-term surveillance, risk of a second tumor, and strategies for lifelong follow-up. The doctors discuss evolving practice in the management of low-volume stage II seminoma, the increasing use of RPLND to reduce chemo and radiation exposure, and the importance of extended patient counseling over multiple visits. The discussion emphasizes individualized care, the role of new diagnostics, and the need for reassurance and support throughout the treatment journey. --- Resources Society of Urologic Oncology https://suonet.org/home.aspx --- BackTable Urology is the go-to podcast for urologists, urologic oncologists, and urogynecologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

The Big Unlock · Dr. Ami Bhatt, Chief Medical Officer, WHOOP In this episode, Dr. Ami Bhatt, Chief Medical Officer at WHOOP and former Chair of the FDA Digital Health Advisory Committee, explores how healthcare can embrace AI without losing the clinical judgment, human connection, and context essential to patient care. She sees AI as a powerful source of compute that can surface knowledge, identify patterns, and help clinicians navigate growing volumes of health data, while clinical acumen remains central to decision-making. Dr. Bhatt emphasizes that digital health and Agentic AI must start with the patient, incorporate individual preferences, and establish clear guardrails for when human intervention is required. She also highlights wearables as an important bridge between community-based monitoring and clinical care. Dr. Bhatt highlights the need for post-deployment monitoring and real-world evidence as AI systems continuously evolve, and calls for closer collaboration among patients, clinicians, technology companies, and regulators. She urges healthcare leaders to prepare for constant technological change, develop stronger digital infrastructure, and focus innovation on unmet patient needs rather than technology for its own sake. Take a listen. This episode was recorded in July 2026. Dr. Bhatt is now Chief Medical Officer at WHOOP.

AJT September 2026 Editors' Picks Description:  Hosts Roz and Dr. Sanchez-Fueyo discuss the key articles of the September issue of the American Journal of Transplantation. [2:55] A remote intervention to improve medication nonadherence guided by a marker of risk derived from the electronic health records of adolescent transplant recipients [15:02] On the relative relevance of donor-derived cell-free DNA and urinary chemokines as noninvasive biomarkers for the diagnosis of kidney allograft rejection [28:49] Pre- and post-kidney transplant gnathostomiasis: Clinical manifestations, treatment, and outcomes [34:50] Metabolomic atlas of ischemia-reperfusion injury in human lung transplants: Mitochondrial stress and primary graft dysfunction

Recording from the office on a Sunday while assembling new equipment, Alan unpacks the unspoken and infuriating little annoyances that every clinical dentist experiences but rarely posts on social media. From syringes that may or may not have enough composite left to the mysterious physics of rubber dams rejecting wedges, Alan breaks down his top "clinical rage bait" moments and invites listeners to commiserate and share their own operatory pet peeves. The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Detailed Show Notes Episode Overview In part one of this two-part series on Dental Digest, host Dr. Melissa Seibert sits down with dual-boarded periodontist and prosthodontist Dr. Ashley Hoders to examine the latest consensus literature on peri-implant soft tissue deficiencies, biologic bone preservation, and the biomechanics of skeletal expansion . They unpack why soft tissue recession is fundamentally a bone problem, how thin tissue starved of blood supply triggers crestal loss, and why treating skeletal arch deficiencies with dental compensation compromises cortical bone . Guest Information Guest: Dr. Ashley Hoders, DDS, MS Credentials & Affiliations: Dual board-certified diplomat and fellow of the American Board of Periodontology and the American Board of Prosthodontics; MS from UT Health Science Center at San Antonio . Clinical researcher with the McGuire Institute, co-creator of Spear Hygiene, visiting faculty at the University of Washington Graduate Periodontics Department, and active member of the American Academy of Restorative Dentistry (AARD) . Key Clinical Takeaways 1. The Reality of Peri-Implant Soft Tissue Deficiencies Recent joint consensus papers (AO/AAP) reveal that non-diseased peri-implant soft tissue deficiencies have an overall prevalence of 46.2% . These deficiencies worsen over time: 33% at 1 year and 64.5% at 5 years . Clinicians should exercise caution when planning implants in the aesthetic zone and consider alternative modalities (such as resin-bonded bridges) when appropriate . 2. Mid-Facial Margins vs. Interproximal Papilla Interproximal papilla height is dictated primarily by the bone levels on adjacent natural teeth . Mid-facial mucosal margin stability is driven by facial bone thickness (which is frequently $

Send us Fan MailMost trials comparing CPAP and NIMV leave a lingering doubt about whether surfactant explained the difference. This one does not. Ben brings a multicenter noninferiority trial from JAMA Network Open in infants born between 24 and 29 weeks, randomized to nasal CPAP or NIMV with every baby receiving less invasive surfactant administration. The trial stopped early for futility after 312 infants. Noninvasive ventilation failure within 72 hours was 26 percent on CPAP versus 13 percent on NIMV. Ben and Daphna talk through what happens when surfactant is off the table, the unexpected NEC signal, and where the guidelines may need revisiting.----Nasal Continuous Positive Airway Pressure vs Nasal Intermittent Positive Pressure Ventilation in Preterm Infants With Respiratory Distress Syndrome: A Randomized Clinical Trial. Zhang H, Zhang Y, Zeng L, Tong X, Piao M, He H, Zhao C, Xie H, Zheng Z, Cui Q, Lai Y, Wang H, Wang L, Liu H, Tian X, Wu H, Kang L, Han T.JAMA Netw Open. 2026 Jun 1;9(6):e2619785. doi: 10.1001/jamanetworkopen.2026.19785.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

In this episode, Aleah Johnson, Senior Program Lead, American Heart Association, and Jilyana Miklos, Community Health Director, YMCA Buffalo Niagara, discuss how the YMCA is supporting hypertension awareness through blood pressure kiosks, self-monitoring programs, education and community partnerships. They also explore how community-based organizations can help connect patients with clinical care and promote heart health.This episode is sponsored by American Heart Association

In this TopMedTalk perioperative profile, host Andy Cumpstey interviews Professor Dan Sessler, Vice President for Clinical and Outcomes Research and Professor of Anesthesiology and Biostatistics at UTHealth Houston (McGovern Medical School), about his career as a perioperative trialist with over 1,000 publications. Sessler describes his scientific family background, early inspiration from clinical trials through Henry Kaplan's Hodgkin's work, and a shift from planned pediatric oncology to anesthesiology. He recounts building a research career starting with perioperative thermoregulation at UCLA and UCSF, then expanding into broad outcomes research, ultimately founding a large Department of Outcomes Research at the Cleveland Clinic and advocating for large multicenter trials. He emphasizes mentorship, philanthropy, and his current focus on reducing postoperative mortality through better ward monitoring and prevention beyond "failure to rescue." - The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

Sandy Wright, Head of Devices at Scarlet, the first notified body built specifically around software as a medical device. A former doctor who moved from clinical practice into digital health. Sandy now sits on the assessment side of the table, reviewing the very submissions most manufacturers dread putting together.In this episode, we start with the question that trips up so many companies. What actually turns a piece of software into a medical device and why is the wellness boundary still so blurry that entire businesses are straddling the divide without realising it. Sandy shares some of the more unusual examples out there, including AI ambient scribes and augmented reality tools that let surgeons revisit patient scans mid-operation.We then go inside Scarlet itself. Sandy explains why they see themselves as a technology company first and a notified body second, how a combination of expertise, redesigned process and their own internal tooling means customers are not sitting at the back of a queue for months and what genuinely drives faster conformity assessment.The most valuable part for anyone in this space is Sandy's breakdown of where nonconformities actually come from. Clinical evaluation, post-market clinical follow up treated as an afterthought, incomplete software requirements and risk analyses that are too narrow. We also cover the EU AI Act and how it may or may not intersect with MDR, what makes a genuinely good PCCP and Sandy's parting advice on the underrated power of narrative in a regulatory submission.Timestamps[00:01:00] What Actually Turns Software Into a Medical Device[00:03:39] AI Scribes and AR Headsets: SaMD You Might Not Expect[00:06:10] Why Scarlet Sees Itself as a Technology Company First[00:08:43] How Scarlet Cut Assessment Timelines Without Cutting Corners[00:12:12] Clinical Evaluation: The Most Common Source of Findings[00:13:18] Why Post-Market Clinical Follow Up Is Treated as an Afterthought[00:16:20] Risk Management and Why a Narrow Lens Causes Problems[00:16:55] The EU AI Act and How It May Intersect With MDR[00:19:56] From Foundation Doctor to Babylon Health and Beyond[00:22:42] What Separates a Good PCCP From a Box-Ticking OneConnect with Sandy - https://www.linkedin.com/in/wrightsandy/Learn more about Scarlet - https://www.scarlet.cc/Get in touch with Karandeep Badwal - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/karandeepbadwal/ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Karandeep on YouTube - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@KarandeepBadwal⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medical device training courses delivered by Karandeep through Bywater - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.bywater.co.uk/

Cardiovascular-Kidney-Metabolic (CKM) syndrome recognizes the interconnected relationship among cardiovascular disease, kidney disease, obesity, diabetes, and other metabolic risk factors that contribute to long-term health outcomes. The first-ever CKM clinical practice guideline introduces a framework for risk assessment, staging, prevention, and management, emphasizing early identification and coordinated care across disease states. You will be better prepared to recognize CKM syndrome, understand its implications for patient care, and support evidence-based strategies to reduce cardiovascular, kidney, and metabolic risk. HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTChristine Schumacher, PharmD, BCPS, BCACP, BCCP, BC-ADM, CDCES, FCCPProfessor, Pharmacy Practice and Clinical PharmacistMidwestern University Pharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/PRACTICE RESOURCEReceive the exclusive Practice Resource to use as a reference guide for this episode by enrolling in the course. Click here to enroll!CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe the stages and key components of cardiovascular-kidney-metabolic syndrome.2. Explain evidence-based strategies for identifying and managing patients at risk for CKM syndrome.Christine Schumacher is a Speaker and Advisory Board Member for Abbott. All relevant financial relationships have been mitigated. 0.075 CEU/0.75 HrUAN: 0107-0000-26-315-H01-PInitial release date: 8/31/2026Expiration date: 8/31/2029Additional CPE details can be found here.

Cardiovascular-Kidney-Metabolic (CKM) syndrome recognizes the interconnected relationship among cardiovascular disease, kidney disease, obesity, diabetes, and other metabolic risk factors that contribute to long-term health outcomes. The first-ever CKM clinical practice guideline introduces a framework for risk assessment, staging, prevention, and management, emphasizing early identification and coordinated care across disease states. You will be better prepared to recognize CKM syndrome, understand its implications for patient care, and support evidence-based strategies to reduce cardiovascular, kidney, and metabolic risk.HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTChristine Schumacher, PharmD, BCPS, BCACP, BCCP, BC-ADM, CDCES, FCCPProfessor, Pharmacy Practice and Clinical PharmacistMidwestern UniversityGET CE FOR LISTENING!Stay Compliant. Grow Clinically. Practice with Confidence. Pharmacist CE Subscription: All your CE in one convenient subscription.All episodes, CE, and Practice Resources for the GameChangers Clinical Update is included with your Pharmacist CE Subscription. But wait…there's even more!The Pharmacist CE Subscription includes: -  Compliance and licensure CE -  GameChangers Clinical Updates-  Practical continuing education across patient care topics *The subscription does not include microcredentials or certificates, which are available separately for pharmacists seeking specialized service training. Purchase Now!PRACTICE RESOURCEReceive the exclusive Practice Resource to use as a reference guide for this episode by purchasing the Pharmacist CE Subscription. CPE REDEMPTIONThis course is accredited for continuing pharmacy education! Click the link below that applies to you to take the exam and evaluation to claim credit:If you are already enrolled in this course, click here to redeem your credit. To purchase the Pharmacist CE Subscription and claim your CPE credit, click here or to purchase this course individually, click here.  CPE INFORMATIONLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe the stages and key components of cardiovascular-kidney-metabolic syndrome.2. Explain evidence-based strategies for identifying and managing patients at risk for CKM syndrome.Christine Schumacher is a Speaker and Advisory Board Member for Abbott. All relevant financial relationships have been mitigated.  0.075 CEU/0.75 HrUAN: 0107-0000-26-315-H01-PInitial release date: 8/31/2026Expiration date: 8/31/2029Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram

Think of six people you know. Chances are, one of them is a narcissist. Narcissism seems to be a topic on everyone's lips right now. Clinical psychologist Dr. Ramani Durvasula is one of the world's leading experts on narcissism. Her work has struck a chord with people trying to make sense of relationships with someone who craves attention and admiration and puts themselves at the centre of everything. It's a subject so widely experienced that Dr. Ramani is going on tour, with a live show coming to Auckland in April at the Bruce Mason Center.

Daniel Norcross presents reaction to England's second Test win over Pakistan at Lord's and is joined by former England captain Michael Vaughan, former Pakistan captain Ramiz Raja and the BBC's chief cricket commentator Jonathan Agnew.Hear from captains Babar Azam and Joe Root as well as Ollie Robinson who was named player of the match with figures of 8-35. Andy Zaltzman breaks down the Test with a stat-attack.

Coming together with a group of CHE graduates brought out just how different and personal each journey into homeopathy can be. We talk honestly about the challenges of the fast-track course, balancing study with family life, finding confidence in practice, and what it really takes to start working with clients after graduation. We also explore building a practice through community and word of mouth, finding your area of interest, and why ongoing learning and self-reflection remain such an important part of the journey. Episode Highlights: 01:58 - Five Years and a Million Downloads 03:19 - Meet the Guests 08:21 - Astacia's Community-Driven Practice Growth 05:33 - The Fast Track Journey 12:58 - Joanna's Specialization in Sleep Coaching 20:14 - Mia's Transition from Four-Year to Fast Track Program 27:38 - Finding Support Beyond Graduation 34:12 - Yvette's Inspiring Journey Through Adversity 45:01 CHE Pro Development 50:59 - Elaine on Learning Beyond Graduation About my Guests: Yvette Duignan is a qualified homeopath based in Devon, UK, offering consultations both in person and online via Zoom. A mother of three boys, Yvette is passionate about helping people detoxify and rebalance their bodies through homeopathy, drawing on a compassionate approach shaped by lived experience. Outside her practice, she enjoys the beach, reading, and spending time in nature, and she founded and runs a local charity beach school in memory of her youngest son, Charlie. Yvette also volunteers with a global initiative providing free homeopathic consultations to people in Gambia who have limited access to conventional medicine. Find out more about Yvette Website: https://yvetteduignanhomeopathy.co.uk/ Instagram: https://www.instagram.com/yvetteduignanhomeopathy/ Astacia Stevens LCHE RSHom BAC is a qualified homeopath and graduate of the Centre for Homeopathic Education. Based in Australia, she runs a busy homeopathic practice supporting clients locally and internationally, including clients across the US and Europe. Astacia is also actively involved in her local community, where she holds educational events for mums and families and introduces people to the acute side of homeopathy. Her approach to building her practice has been strongly community-based, with word-of-mouth referrals playing a major role in her growth. Find out more about Astacia https://www.facebook.com/profile.php?id=61552014145838 https://www.instagram.com/root.causewellness?igsh=OHEyZTBqb2Rpbmhi   Joanna Mikhail is a homeopath and sleep coach based in Kingston Upon Thames, offering face-to-face consultations from her home practice and online sessions worldwide. Her own experience with insomnia, anxiety, and panic attacks led her to discover homeopathy and inspired her to train as a practitioner. She holds degrees in Sociology and teaching, has trained in Art Psychotherapy at Roehampton University, and completed her homeopathic training at the Centre of Homeopathic Education in London. Joanna is a registered member of the Society of Homeopaths and also volunteers at the Riojen Homeopathic Clinic in The Gambia, supporting communities with limited access to healthcare. Find out more about Joanna Website: https://www.likecureslike.co.uk/ Instagram: https://www.instagram.com/joannahomeopath/ Mia Mistry LCHE RSHom is a registered homeopath and graduate of the Centre of Homeopathic Education in London. As both a practitioner and mother, she is passionate about supporting the health and wellbeing of individuals and families through compassionate, individualised care. Mia has a particular interest in mental health and hormonal imbalances, including anxiety, low mood, menstrual issues, and menopause, while also supporting clients with a wide range of acute and chronic conditions. She offers consultations online, in person, and through home visits, with an approach that focuses on treating the whole person and understanding each client's individual needs. Find out more about Mia Website: https://mistryhomeopathy.com/ Instagram: https://www.instagram.com/mistryhomeopathy Elaine Macdonald is a qualified homeopath who studied at the Centre of Homeopathic Education in the UK and is based in Currambine, Perth. Her journey into homeopathy began through her son's health challenges and her exploration of holistic approaches, which inspired her to pursue professional training. Elaine has particular interests in hormones, peri-menopause, thyroid health, men's health, and heavy metal toxicity, and she also incorporates homeopathy into her work as a Gyrotonic® trainer. She offers consultations both online and in person and is passionate about helping people explore natural and holistic approaches to their wellbeing. Find out more about Elaine Website: https://www.eugeniekruger.com/elaine-macdonald/?v=6502139931c4 If you would like to support the Homeopathy Hangout Podcast, please consider making a donation by visiting www.EugenieKruger.com and click the DONATE button at the top of the site. Every donation about $10 will receive a shout-out on a future episode. Learn more about CHE Australia and its homeopathy training programs: https://chehomeopathy.com.au/ Join my Homeopathy Hangout Podcast Facebook community here: https://www.facebook.com/groups/HelloHomies Follow me on Instagram https://www.instagram.com/eugeniekrugerhomeopathy/ Here is the link to my free 30-minute Homeopathy@Home online course: https://www.youtube.com/watch?v=vqBUpxO4pZQ&t=438s Upon completion of the course - and if you live in Australia - you can join my Facebook group for free acute advice (you'll need to answer a couple of questions about the course upon request to join): www.facebook.com/groups/eughom

Why Do I Say Sorry for Everything? — People-Pleasing Anxiety Relief | Guided Meditation with 4-2-6 Breathing If you've ever wondered "why do I say sorry for everything?", from bumping into someone to simply having a feeling, today's guided meditation is for you. Calming Anxiety sits with the quiet, exhausting reflex of chronic apologizing, the fear that if you're agreeable enough, easy enough, small enough, nobody will ever be angry with you. We slow the body first with 4-2-6 breathing, in for four, hold for two, out for six, creating the same small pause Martin often had to teach frightened patients as a paramedic: the space between the trigger and the reaction.For daily support beyond this episode, download Anchored on iOS, with Android arriving in a couple of weeks.

In his weekly clinical update, Daniel Griffin and Vincent Racaniello are disheartened by the suggested change in federal vaccine recommendations, how Florida rolled back 4 childhood vaccine school requirements, results from a clinical trial suggesting that IPV can be used for outbreak control in IPV only countries, the continued national cyclosporiasis and screwworm outbreaks, size of the Ebola outbreak in the Congo, the death of 2 children in Pennsylvania from measles and the economic cost of the measles outbreak before Dr. Griffin deep dives into the use of monoclonal antibodies and remdesivir to treat Bundibugyo virus infection, measles outbreak, recent statistics RSV, influenza, SARS-CoV-2 infections, access and how pay for Paxlovid, , where to go for answers about long COVID-19, clinical guidelines for treating long COVID, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Request for Information: Categories Used in Federal Vaccine Recommendations and the Role of Shared Clinical Decision-Making (Federal Register) HHS Seeks Public Input on Federal Vaccine Recommendation Categories and Shared Clinical Decision-Making (US Department of Health and Human Services) HPV Vaccination and Risk of Head and Neck Cancers: A Large Real-World Cohort Study (International Society for Infectious Diseases) Monkeypox Virus Surveillance — United States, 2024–2025 (CDC: MMWR) Clinical Trials (ClinicalTrials.gov) Effect of inactivated poliovirus vaccine on nasal mucosal immunity and pharyngeal shedding following novel oral poliovirus vaccine type 2 challenge: A randomized, open-label trial (JID) IPOL package insert (FDA) Florida Prepares to Roll Back School Vaccine Requirements (NOTUS) Florida's Department of Health removes 4 vaccines from required list for public schools (CIDRAP) Surveillance of Cyclosporiasis (CDC: Cyclosporiasis) Infectious Disease Outbreaks (Michigan: Health & Human Services) Cyclosporiasis Cases in North Carolina (North Carolina: Division of Public Health) Cyclospora Infection (Cyclosporiasis) (NYC Health) Missouri Communicable Disease Report (2026) (Missouri Health) TWiP 285: Why is cyclospora hard to contain: Parasitologists explain the 2026 US outbreak (microbeTV:TWiP) Dashboard SCREWWORM.Gov (USDA: Animal and Plant Health Inspection Service) CDC Activates Emergency Operations Center for New World Screwworm Response (CDC Newroom) Ebola virus (AP News) What to know about the outbreak of a rare kind of Ebola (AP News) Congo's Ebola outbreak is on track to surpass the deadliest one in history, WHO chief says (AP News) A look at major Ebola outbreaks and when the disease was first identified (AP News) Mobile gold miners in eastern Congo complicate health workers' efforts to contain Ebola (AP News) How Congo is battling an Ebola outbreak complicated by aid cuts, armed rebels and anger (AP News) Here's data showing Congo's Ebola outbreak is on track to surpass history's largest (AP News) Ebola dashboard (ebola.fyi) EBOLA: The Democratic Republic of the Congo, 2026 (WHO) Bundibugyo virus disease outbreak Democratic Republic of the Congo (WHO: Democratic Republic of Congo) Ebola Outbreak: Current Situation (CDC:Ebola) A case of Bundibugyo virus disease treated with monoclonal antibodies and remdesivir (Nature Medicine) Post-Exposure Prophylaxis with a monoclonal antibody cocktail Following Bundibugyo Ebolavirus Exposure in Adults and Children (Nature Medicine) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Big outbreak, bright lights…Measles Dashboard (South Carolina Department of Public Health) Utah measles outbreak response (Utah Department of Health and Human Services) Utah Measles Dashboard (Utah Department of Health and Human Services) Measles (VDH: Virginia Department of Health) Tracking Measles Cases in the U.S. (Johns Hopkins) Measles vaccine recommendations from NYP (jpg) HAP's Latest News Pa. Launches New Measles Dashboard (Hospital + HealthSystem Association of Pennsylvania) Measles (Commonwealth of Pennsylvania) Pennsylvania Department of Health Confirms Two Measles-Associated Deaths (Commonwealth of Pennsylvania) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts (ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Do vaccinated cases transmit measles? A systematic review and meta-analysis (Expert Review of Vaccines) County, district and community-level measles transmission in the United States in 2013−2025 (Nat Medicine) Quantifying the cost of measles outbreak in the U.S. and how costs scale with outbreak size (Vaccine) Each measles case in 2025 US outbreak cost almost $60,000, study estimates, or $134 million total (CIDRAP) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Flu vaccine recommendations: Vaccines and Related Biological Products Advisory Committee March 12, 2026 Meeting Announcement (FDA) WHO updates all 3 viral strains to be included in fall flu shots (CIDRAP) FDA vaccine advisers recommend adding subclade K to fall shots (CIDRAP) Weekly surveillance report: cliff notes (CDC FluView) OPTION 2: XOFLUZA $50 Cash Pay Option(xofluza) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Cardiac outcomes following SARS-CoV-2 infection versus BNT162b2 vaccination in adolescents and young adults: a cohort study of 4 million individuals (Vaccine) mRNA COVID vaccine linked to lower risk of myocarditis in teens, youngadults (CIDRAP) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) Understanding Coverage Options (PAXCESS) Trump Officials Falsely Connect Covid Vaccines to Miscarriage (NY Times) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1352 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

See omnystudio.com/listener for privacy information.

Where Has All My Energy Gone? — High-Functioning Anxiety & Exhaustion Relief | Guided Meditation If you've ever collapsed onto the edge of the bed at the end of a perfectly "fine" day and thought, "where has all my energy gone? I didn't even do anything today," this episode is for you. Calming Anxiety sits with the exhaustion of high-functioning anxiety, the quiet cost of holding everything together while everyone else sees someone coping just fine. We slow the body first with the extended exhale, four counts in and eight counts out, gently unwinding the shallow, high-chest breathing that builds up during a long day of performing calm, the same kind of over-breathing Martin worked with often on ambulance call-outs as a paramedic.For daily support beyond this episode, download Anchored on iOS, with Android arriving in a couple of weeks.

In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Sahil Chopra to discuss research challenging a fundamental assumption: that residual AHI measurements from PAP device downloads accurately reflect whether patients' sleep apnea is adequately treated. Sleep medicine clinicians routinely rely on residual AHI from PAP downloads to determine treatment success, typically targeting an AHI under 5. But what if this metric significantly underestimates untreated sleep apnea? Dr. Chopra's study comparing PAP-determined residual AHIs to cardiopulmonary coupling (CPC)-derived AHIs reveals striking discrepancies: mean residual AHI was 2.4 via PAP download versus 12.1 via objective testing. Even more concerning, 85% of nights showing residual AHI under 5 on PAP downloads had elevated AHI based on objective CPC measurement. Dr. Chopra explains why he chose cardiopulmonary coupling as the comparator metric, using a PPG-based wearable ring worn for 7-10 nights. He clarifies why PAP devices may systematically underestimate residual disease through mask leak, unstable breathing, and periodic breathing patterns. A particularly concerning finding involves residual hypoxia. Dr. Chopra discovered significant hypoxic burden in many patients considered "well-treated" by PAP standards—important since hypoxic burden, not just AHI, drives cardiovascular risk. Dr. Chopra's conclusion isn't that PAP-derived AHI is "bad"—rather, that it shouldn't be the sole metric for assessing treatment efficacy. Even patients with good symptoms may have significant residual respiratory events and hypoxia that PAP downloads fail to detect. Clinical applications are discussed, including when to pursue objective testing and what interventions to consider when objective testing reveals inadequate control despite acceptable AHI. Whether you rely on PAP downloads to assess treatment efficacy, manage patients with residual symptoms, or seek emerging objective metrics, this episode provides essential perspectives on optimizing PAP therapy. Join us for this important discussion that challenges current assumptions about measuring treatment success in sleep apnea.

In this bonus episode from Feisty's sister podcast, Another Mother Runner, hosts Sara Bowen Shea and Amanda Loudin sit down with sport psychologists Dr. Tess Kilwein and Dr. Erin Ayala to unpack why self‑sabotage is a silent performance killer for women athletes—and how self‑compassion can become a powerful antidote.Listeners will discoverHow to spot the sabotage: Recognize common self‑sabotage cues—hedging (“I don't want to finish last”), self‑handicapping, and perfection‑driven criticism.Two faces of perfectionism: One drives growth; the other fuels burnout. Learn to identify which version is steering you.Self‑compassion isn't “soft”: It's an active skill (mindfulness, common humanity, self‑kindness) that boosts resilience and performance.Goldfish mindset: Adopt a short‑memory approach to mistakes—acknowledge, reset, and move forward.Actionable mental tools: Use pre‑race routines (breathing, music, posture cues), daily habit trackers, and thought‑diffusion naming techniques to keep self‑talk constructive.Generational nuances: Understand how Title IX, social media, and life stage shape self‑sabotage patterns for older vs. younger women athletes.Tess Kilwein, PhD, LP, ABPP, CMPC is a Clinical and sport psychologist, founder of Unapologetic Psychology, certified mental performance consultant, and established thought leader in the sport psychology field.Erin Ayala, PhD, LP, CMPC is a Sport psychologist and certified mental performance consultant, founder of Skadi Sport Psychology, researcher, and endurance gremlin.Unapologetic Psychology (Dr. Kilwein): https://www.instagram.com/unapologeticpsych/Skadi Sport Psychology (Dr. Erin Ayala): https://www.instagram.com/skadisportpsychology/If this conversation sparked a new insight, hit subscribe so you never miss a bonus episode, leave a review to help other women athletes find the show, and share the episode with a teammate who could benefit from breaking self‑sabotage habits.FeistyFest Info: https://livefeisty.com/events/feisty-fest/Register for FeistyFit: https://livefeisty.com/training/running/feistyfitfall/Courses and Coaching: https://livefeisty.com/courses/Sign up to Receive The Feisty Women's Performance Newsletter:Feisty Women's Performance Newsletter: https://livefeisty.com/newsletters/feisty-womens-performance/Follow us on Instagram:@feisty_womens_performanceSupport our Partners:Momentous: Head to https://www.livemomentous.com/ and use promo code PERFORMANCE for up to 35% off your first orderWahoo: Learn more about Wahoo Fitness Products at: https://wahoofitness.pxf.io/0GAByRTifosi Optics: Use code FEISTY2026 for 20% off at https://tifosioptics.com/Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/ Orca: Use the code FEISTY15 for 15% off at https://orca.avln.me/c/HzUkzIfxsmYo

The Rod and Greg Show Daily Rundown – Friday, August 28, 20264:20 pm: Reagan Reese, White House Correspondent for the Daily Caller, joins Rod to discuss her piece on what President Trump's swing voters from 2024 want from him now.4:38 pm: Clinical psychologist Todd Corelli joins Rod to discuss why more children have decided to disengage/separate from their parents.6:05 pm: Nathan Harden, who covers Education, Energy, Policy and Free Speech for Real Clear Politics, joins Rod to discuss his recent piece in Real Clear Education about how it's wrong to let our kids develop a world view by using Tik Tok.6:20 pm: We'll listen back to this week's conversations with Charles Lipson, contributor to The Spectator, on how he expects the Iran sanctions to play out, and (at 6:38 pm) with Madison Martinez, Chief of Staff at the U.S. Department of Education, on what changes President Trump has made to the education system as kids head back to school.6:50 pm: This week's edition of CEO's You Should Know features a conversation with Dan Sjoblom of Bullfrog Spas.

Waking Up to OSA: Address critical barriers to care, streamline diagnosis, and take clinical action to improve outcomes. Credit available for this activity expires: 8/27/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/waking-osa-addressing-barriers-care-and-encouraging-clinical-2026a1000t7u?ecd=bdc_podcast_libsyn_mscpedu

In this episode of the Pediatric and Developmental Pathology Podcast, our hosts Dr. Mike Arnold (@MArnold_PedPath) and Dr. Jason Wang speak with Dr. Sanjita Ravishankar, a Pediatric, Perinatal, and Gynecologic Pathologist at University Hospitals Cleveland Medical Center and Case Western Reserve University School of Medicine, who led the Society for Pediatric Pathology's Placental Pathology Reporting Task Force; Dr. Philip Katzman, a Pediatric and Perinatal Pathologist at the University of Rochester Medicine; Dr. Karen Mestan, Professor of Pediatrics and Division Chief of Neonatology at the University of California San Diego and Rady Children's Hospital; and Alicia Loehlein, co-founder of the nonprofit organization Measure the Placenta (@measuretheplacenta). Hear how a multidisciplinary task force of the Society for Pediatric Pathology (@SocPediPath), including pathologists, obstetric and neonatology clinicians, and patient advocates worked together to build a standardized placental pathology reporting template designed to complement the Amsterdam consensus definitions as we discuss their article in Pediatric and Developmental Pathology: Standardized Placental Pathology Reporting: Improving Quality and Clinical Utility Recommendations From the Society for Pediatric Pathology Placental Pathology Reporting Task Force Learn more about the patient advocacy work discussed in this episode: Measure the Placenta: measuretheplacenta.org | Instagram: @measuretheplacenta   Featured public domain music: Summer Pride by Loyalty Freak

The world's largest HIV-focused meeting took place in late July — and as ever, the science came fast and furious, to the tune of more than 2,500 presentations. When a conference is this large, distilling what's likely to have the greatest import for HIV clinicians in the U.S. is one heck of a tall order. Thankfully, our guest this month is very much up to the task: Paul Sax, M.D., a professor of medicine at Harvard Medical School, the clinical director of the Division of Infectious Diseases at Brigham and Women's Hospital in Boston, and the editor-in-chief of Clinical Infectious Diseases.   Support the pod by reading the transcript on TheBodyPro: https://www.thebodypro.com/podcast/hiv/future-hiv-care-paul-sax-international-aids-conference-aug-2026   Read more from Dr. Sax at NEJM Voices: https://voices.nejm.org/browse/voices-series/paul-sax   Or at his personal Substack, PaulSaxMD: https://paulsaxmd.substack.com/   The host and executive producer of this podcast is Myles Helfand; our senior production manager is Alina Mogollon-Volk; our senior producer is Lizzie Warren; and our audio editor is Kim Buikema. Special thanks to Alina Mogollon-Volk this month for her audio editing assistance.

It's 0300 and you encounter a rapidly expanding zone 1 retroperitoneal haematoma. Time to enter “tiger country”. What can you do to make this a more familiar expedition?• Hosts: Bulleted list of host names, including title, institution, & social media handles if indicated1.     Mr Prashanth Ramaraj. ST5 General Surgery, George Hospital, Western Cape / Southeast Scotland Deanery. @LonTraumaSchool2.     Dr Roisin Kelly. Medical Officer, Emergency Medicine, Sydney, Australia. 3.     Mr Max Marsden. Consultant Trauma and UGI Surgeon, Royal London Hospital. @maxmarsden834.     Mr Christopher Johnston. Consultant Liver Transplant Surgeon and Transplant Surgery Fellowship Lead, Edinburgh Transplant Unit. @cjcjohnston• Learning objectives: Bulleted list of learning objectives.A)    To understand the rationale for thoracic aortic clamping in resuscitative trauma surgery and how this is performed.B)     To understand how to access the retroperitoneal structures by means of medial visceral rotation and how this is performed.C)     To understand the haemostatic ladder for liver trauma and considerations in hepatic exclusion.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://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

What does it look like to assess and treat severe problem behavior when safety concerns have become so significant that a student can no longer participate successfully in their typical school environment? In this episode, Dr. Cory Whelan joins me to discuss his work at Seasons Behavioral Services, where he and Dr. Kara LaCroix have developed an intensive model for assessing and treating dangerous behavior while helping students build the skills they'll need to return to less restrictive settings. Cory brings an unusual perspective to this work. He is dually certified as a speech-language pathologist and behavior analyst, and his career has taken him from challenging school environments in Washington, D.C., to doctoral training at Western New England University, where he worked with Dr. Greg Hanley and became involved in the development and application of practical functional assessment and skill-based treatment approaches. We talk about how Seasons works with students who may be waiting for an out-of-district placement—or whose behavior has become too dangerous for their current educational setting—and what happens during their approximately three-month intensive treatment model. Cory describes how his team uses a universal protocol when students first arrive, with an emphasis on minimizing evocative situations and creating conditions in which students can safely engage with staff before assessment begins. From there, we walk through their approach to caregiver interviews, practical functional assessment, and skill-based treatment. We also spend quite a bit of time discussing something that can sometimes get lost when talking about highly technical treatment procedures: clinical judgment. Cory explains why he trains staff not simply to follow a protocol mechanically, but to continually evaluate what is happening in front of them and make decisions that prioritize the safety and dignity of the person they're serving. We discuss what that looks like when problem behavior occurs unexpectedly, why backing off from a demand isn't necessarily a clinical failure, and how thoughtful decision-making fits within function-based treatment. We also get into some of the nuances of conducting effective functional assessment interviews, including: Building rapport before jumping into questions about problem behavior. Identifying precursors and subtle indicators that a situation is becoming difficult. Asking about activities caregivers or staff may have stopped attempting altogether. Using clinical judgment alongside structured interview tools. What it means when an analysis doesn't produce the behavior you expected to see. Finally, we discuss one of the hardest parts of intensive behavioral treatment: generalization and transition. A student may make tremendous progress in a highly trained treatment environment, but what happens when they move to a school or program with different staff, resources, and contingencies? Cory shares both the successes and limitations they've encountered when trying to support receiving programs and maintain treatment gains across settings. If you're interested in practical functional assessment and skill-based treatment—particularly how these approaches work with severe behavior in real-world clinical and educational environments—I think you'll get a lot out of this conversation. Resources Mentioned Seasons Behavioral Services (which, by the way, is an awesome place to work!) Practical Functional Assessment resources - we cited numerous papers in the PFA/SBT literature. Rather than link them all, you can find downloadable PDFs of all of them here. OG podcasts on PFA/SBT to get you up to speed. Sessions 1, 7, 20, 94, 160, 219, and 283. I could cite many more, but these will give you a great start. Shoutout to The Hawaii Association for Behavior Analysis. Sponsor Shoutouts CEUs from Behavioral Observations. Learn from your favorite podcast guests while you're commuting, walking the dog, or whatever else you do while listening to podcasts. New events are being added all the time, so check them out here.  The BOP Patreon. Do you want to get the show ad-free and before everyone else? Click here to learn how! Safety-Care is a crisis prevention and de-escalation training program designed for professionals who support individuals with challenging behavior. More than 300,000 professionals have been trained in Safety-Care's evidence-based approach to recognizing early warning signs and responding with confidence. To learn more, visit QBS.com/podcast. The Behavioral Toolbox International. Check out our courses for school-based and other behavioral professionals, including our newest one, Motivational Interviewing: Getting Educator Buy-In. If you enjoyed this episode, please consider sharing it with a colleague and leaving a rating and review wherever you listen to podcasts.

Why Do I Feel Dizzy? — Anxiety-Induced Lightheadedness Relief | Guided Meditation with 4-4-8 Breathing If the floor has ever seemed to tilt beneath you, or the room's gone soft and swimming for no reason at all, today's guided meditation is for you. Calming Anxiety sits with anxiety-induced dizziness, the frightening, light-headed feeling that convinces you something is medically wrong, when the real cause may simply be anxious breathing. We slow the body first with 4-4-8 breathing (in for four, hold for four, and a long, slow exhale for eight), a technique Martin has used often as a paramedic kneeling beside people who were certain they were about to collapse. For daily support beyond this episode, download Anchored on iOS, with Android arriving next month.

Fresh off a Series A ( https://media.startuphealth.com/p/avo-raises-10m-series-a-for-clinical-ai-platform-startup-health-insights-week-of-mar-31-2026 ), Yair Saperstein, MD, MPH, CEO & Co-founder of Avo ( http://startuphealth.com/avomd ), sits down wit...

CVS Health operates one of healthcare's largest consumer platforms, with businesses spanning health insurance, pharmacy benefits, retail pharmacy, care delivery and digital channels. This creates a rare opportunity to understand the full journey people navigate as they seek care, fill prescriptions, manage coverage and work to stay healthy. The company's overarching goal is not simply to improve each touchpoint. It is to remove the fragmentation that forces patients to piece care together on their own across multiple channels and organizations.In this episode of Healthcare is Hard, Keith Figlioli talked to CVS Health's head of enterprise customer experience, insights and innovation, Sri Narasimhan, to learn how the company uses customer signals, AI, and agentic twins to make healthcare more proactive and consumer-centered.Sri brings an unusually broad background to this challenge. He worked in Bangladesh and India on tuberculosis control, HIV initiatives and public health during college, but then decided to branch out so he could ultimately bring a more diverse skillset back to the healthcare industry. He started an economic consulting firm before going to business school. Then he joined GE, where he learned about commercial functions and consumer value. After GE, he worked at the tech company Medallia, where he sharpened skills around speed of innovation, and then moved to Wells Fargo where he worked as head of customer experience for branch banking, learning how to operate in a highly regulated environment.In 2021, Sri joined CVS Health where his work now sits at the intersection of consumer strategy and AI. During this interview, Sri shared his vast knowledge and experience to discuss topics including:Navigating bureaucracy. Sri points out that patients do not benchmark healthcare against other health plans, pharmacies or health systems. They compare it with the simple experiences they have everywhere else. He says most people want answers to four questions: Is it covered? What will it cost? When can I get it? And can I trust the answer? Healthcare's tendency to bury those questions in process and bureaucracy is a major source of frustration that Sri is focused on addressing.AI versus primary care. Trust grows when people get something valuable, and Sri expects consumers to increasingly turn to AI for quick answers about symptoms, diagnoses and side effects as those tools become more useful and accurate. But for serious health issues, he believes the provider relationship will remain essential. AI may change the questions patients bring to clinicians – and which interactions require a clinician at all – but people will still want a trusted human when the stakes are high.Agentic twins revolutionizing consumer research. Sri calls this technology one of the most transformational capabilities he has seen because it allows CVS Health to simulate the reactions of roughly 150,000 individual consumers in minutes. Through consented interviews, behavioral data and other context, CVS Health built digital twins of actual consumers that simulate how they think and act. Instead of recruiting a new panel, running a focus group or launching a small pilot every time the company wants to test an idea, CVS can assemble the relevant population from its bank of agentic twins and pressure-test messages, choices and scenarios before going live. As Sri puts it, “I have 150,000 patients in the room with us."To hear Sri and Keith discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Send us Fan MailHave you ever asked three people at your fertility clinic the same question—and somehow gotten three different answers?It can feel like nobody is communicating. But sometimes the explanation is more complicated.In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols takes you behind the scenes of a fertility clinic to explain how the care team actually works. Front desk staff, medical assistants, nurses, nurse practitioners, physicians, embryologists, billing teams, and office managers all have different training, experience, responsibilities, and access to information—and that can affect the answers you receive.You'll learn the important difference between knowledge gained through repetition and experience versus knowledge built on a deeper medical foundation, why the most confident answer isn't always the most individualized answer, and why a physician saying “it depends” may actually reflect more—not less—understanding of your situation.You'll also learn a simple way to figure out who should answer your question:• Administrative questions• Billing and insurance questions• Medication and treatment instructions• Clinical interpretation• Individualized medical decisions• Embryology and laboratory questionsDr. Amols also explains why yesterday's answer may legitimately be different today, how new ultrasound findings, hormone levels, embryo development, or other information can change your treatment plan, and why not every member of your fertility team may have the newest information at the same moment.Plus, we tackle the difference between communication and customization. A clinic where every patient follows the same pathway may appear incredibly consistent, while individualized fertility treatment creates more moving parts—and a greater responsibility to explain why the plan changes.Most importantly, you'll learn two questions that can prevent a tremendous amount of frustration during IVF or fertility treatment:“Did something change?”and“Who is the best person to answer this question?”Sometimes different answers really do mean there is a communication problem. Other times, the answer changed because your care changed.If you've ever felt confused about who to call, who to trust, or why you're hearing different information during IVF, IUI, fertility testing, or embryo transfer treatment, this episode will help you navigate your fertility clinic with much more confidence.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com.Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com.Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

Clinical efficacy doesn't matter if the patient won't use the device. In this episode of Med Tech Gurus, we sit down with Anat Shani, biomedical engineer and CEO of Synchrony Medical, to explore a critical but often overlooked truth in MedTech: adherence is everything. Anat led the development of Liberty, a patient-centered airway clearance device designed to help individuals with chronic respiratory conditions manage mucus buildup and reduce infection risk—all from home. What makes this story unique is not just the speed to market—FDA authorization and commercialization in under five years—but the relentless focus on real-world usability. We dive into why many clinically effective respiratory devices fail in practice, how patient feedback reshaped Liberty's design from day one, and why comfort, simplicity, and workflow integration must be engineered—not added later. From iterative prototyping with patients to refining even the language used in instructions, Anat shares how small design decisions can drive massive differences in outcomes. We also explore the realities of launching in the U.S. market, aligning messaging across stakeholders, and building a lean, disciplined team that can move quickly without losing focus. For MedTech founders and innovators, this episode delivers a powerful message: the best product isn't the most advanced—it's the one patients actually use. If you're interested in respiratory care, home healthcare devices, patient adherence, MedTech design, digital health, or medical device commercialization, this episode offers a practical playbook for building products that succeed beyond the clinical trial.

Clinical psychologist Bee Lim knew her illustrated book on trauma, Welcome Home: Healing Trauma and Reclaiming Wholeness, couldn't be a standard paperback—and that she wasn't willing to give up her IP, therapeutic arc, or choice of illustrator, her husband, concept artist Joel Timpson. In this episode, Bee shares why she chose the custom publishing route, hired her own publicist, and planned a multicountry launch. She also discusses the constraints of marketing a book as a regulated health professional. Sponsor This podcast is proudly sponsored by Gatekeeper Press — your partner in premium independent publishing. Empowering authors with expert guidance, 100% rights, 100% royalties, and global distribution. From editing to marketing, their all-inclusive services help you publish professionally and confidently. Gatekeeper Press — Where Authors Are Family. About the Host Anna Featherstone is ALLi's nonfiction adviser and an author advocate and mentor. A judge of The Australian Business Book Awards and Australian Society of Travel Writers awards, she's also the founder of Bold Authors and presents author marketing and self-publishing workshops for organizations, including Byron Writers Festival. Anna has authored books including how-to books and memoirs, and her book Look-It's Your Book! about writing, publishing, marketing, and leveraging nonfiction is on the Australian Society of Authors recommended reading list. When she's not being bookish, Anna's into bees, beings, and the big issues of our time. About the Guest Dr. Bee Teng Lim is a clinical psychologist whose work explores the subtle wounds of trauma: the fracture of identity, the inheritance of silence, and the ways we adapt to survive. Born in Malaysia, trained in New Zealand, and now based in Australia, she is fluent in Mandarin and several Asian dialects and is known for her commitment to inclusive, trauma-informed care. She is the author of Welcome Home: Healing Trauma and Reclaiming Wholeness. She is the cofounder of Mind Health Collective, a Sydney-based psychology practice that serves clients internationally, and BeTuned, a game-based therapeutic and performance platform.

Over 300,000 Chicago public school students started classes again this week. In Illinois, there are over 1.8 million students.   Each one of those kids is going back to school in what most experts say is an era that is tougher than any time period in recent history.   On today's podcast, sponsored by Meridian Psychiatric Partners, some help for parents.  Host - Jon Hansen Guests - Dr. Nick Hatzis and Dr. Johnny Dominguez, Meridian Psychiatric Partners Medical and Clinical directors of their Child and Adolescent Program Call Meridian at 312-640-7740 Or visit their website HERE www.meridianpsychiatricpartners.com Want to donate to our non-profit newsroom? CLICK HEREWho we areBlock Club Chicago is a 501(c)(3) nonprofit news organization dedicated to delivering reliable, relevant and nonpartisan coverage of Chicago's diverse neighborhoods. We believe all neighborhoods deserve to be covered in a meaningful way.We amplify positive stories, cover development and local school council meetings and serve as watchdogs in neighborhoods often ostracized by traditional news media.Ground-level coverageOur neighborhood-based reporters don't parachute in once to cover a story. They are in the neighborhoods they cover every day building relationships over time with neighbors. We believe this ground-level approach not only builds community but leads to a more accurate portrayal of a neighborhood.Stories that matter to you — every daySince our launch seven years ago, we've published more than 30,000 stories from the neighborhoods, covered hundreds of community meetings and send daily and neighborhood newsletters to more than 150,000 Chicagoans. We've built this loyalty by proving to folks we are not only covering their neighborhoods, we are a part of them. Some of us have internalized the national media's narrative of a broken Chicago. We aim to change that by celebrating our neighborhoods and chronicling the resilience of the people who fight every day to make Chicago a better place for all.

Once your PERT is assembled, how do you navigate the evolving pulmonary embolism (PE) literature to improve patient outcomes at all risk levels? In this episode of the BackTable Podcast, interventional radiologist Dr. Robert Lookstein (Mount Sinai) and pulmonary critical care specialist Dr. Timothy Fernandes (UC San Diego) join host Dr. Harris Chengazi to examine the latest evidence and multidisciplinary strategies for managing acute pulmonary embolism. The discussion highlights the complexities of catheter-directed therapies in intermediate- to high-risk PE, evolving guidelines in the face of new trial data, and prioritization of improving patients' clinical trajectories. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:57 - PERT Structure and Activation08:24 - PE Risk Stratification Tools12:02 - Patient Selection for IR Intervention15:21 - Assessing Clot Chronicity21:03 - Standardizing Workup26:38 - Managing Unstable PE28:31 - STORM-PE and HI-PEITHO Trial Data35:49 - Guidelines vs. New Evidence40:12 - Determining Therapeutic Endpoints45:05 - Upcoming Trials and Future Directions51:46 - Final Thoughts and Closing Remarks --- More about this episode The physicians explore the nuances of validated PE risk stratification tools, assessing the relationship between various PE scoring systems and the 2026 ACC/AHA classification for acute PE. They emphasize that the integration of clinical assessment, serial lab work, and patient history must take precedence over static imaging alone in guiding care. The doctors go on to review new trial data, including the improved RV-to-LV ratio and 90-day functional gains seen with mechanical thrombectomy in STORM-PE and reduced clinical deterioration observed with ultrasound-assisted catheter-directed thrombolysis in HI-PEITHO. The conversation concludes with a call for collaborative, safety-first management that focuses on the patient's clinical status and long-term post-PE functional recovery. --- Resources 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adultshttps://doi.org/10.1161/CIR.0000000000001415 Composite Pulmonary Embolism Shock (CPES) Scorehttps://doi.org/10.1161/CIRCINTERVENTIONS.124.014088 FOCUS studyhttps://doi.org/10.1093/eurheartj/ehac206 STORM-PE trialhttps://doi.org/10.1161/CIRCULATIONAHA.125.077232 HI-PEITHO trialhttps://doi.org/10.1056/nejmoa2516567 PE-TRACT studyhttps://petractstudy.org/homepage PEERLESS II studyhttps://clinicaltrials.gov/study/NCT06055920 PERSEVERE trialhttps://clinicaltrials.gov/study/NCT06588634 --- BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

My biggest clinical failure turned into one of my biggest wins.For years, I focused on easing pain — but missed the bigger picture: strength, function, and fall risk.This patient taught me that empathy isn't enough if we don't also have the courage to change the plan. Motivational interviewing and the skills learned in our course curriculum changed everything. #PhysicalTherapy #MotivationalInterviewing #FallPrevention #ClinicalEducation #HealthcareProfessionals #OlderAdults #PTLife #PatientCare #StrengthTraining    

There are many acceptable approaches to adrenalectomy. Hypercortisolism with adrenal origin is a challenging topic especially in a population where obesity is incredibly common.  A thorough biochemical workup involving endocrinologists and endocrine surgeons is key to offering the best surgery.   Large adrenal tumors with indeterminate imaging characteristics have historically been removed with an open surgical approach.  However, with modern robotic technology, it is possible to remove these successfully using a minimally invasive approach with a high-volume surgeon.  Today we will discuss some clinically challenging adrenal cases addressing the above issues, and include tips and tricks from an expert, high-volume robotic adrenal endocrine surgeon.    Hosts:- Amanda Doubleday, DO, MBA, Assistant Professor, Waukesha Surgical Specialists, ProHealth Care. Affiliated with University of Wisconsin School of Medicine and Public Health, Department of Surgery.- Simon Holoubek, DO, MPH, Assistant Professor, University of Wisconsin School of Medicine and Public Health, Department of Surgery.- John R. Porterfield, Jr., MD, MSPH, FACS, President of Clarus Surgery, President of Apex PA Surgical Services and Founder & Chief Medical Officer of Informed SurgicalPlease 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://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Contributor: Aaron Lessen, MD Educational Pearls: Big question in cardiac arrest: is the rhythm shockable? Shockable: ventricular fibrillation (VF) and pulseless ventricular tachycardia Non-shockable: asystole and pulseless electrical activity (PEA) Rhythm classification is typically based on ECG, but echocardiography can directly visualize myocardial fibrillation Occult VF: a rhythm that appears non-shockable on ECG but demonstrates VF on echocardiography A 2025 multicenter prospective study looked at 811 patients with out-of-hospital cardiac arrest 5.3% had occult VF detected by echocardiography Of the patients with occult VF:  81.4% had PEA on ECG 18.6% had asystole on ECG Patients with occult VF were less likely to receive defibrillation because their ECG suggested a nonshockable rhythm Clinical takeaway: echocardiography during cardiac arrest may reveal a potentially shockable rhythm hiding behind an apparently nonshockable ECG This identifies a subset of cardiac arrest patients who would otherwise be managed as PEA or asystole based on ECG   References Gaspari R, Adhikari S, Gleeson T, Kapoor M, Lindsay R, Noble V, Nomura JT, Weekes A, Theodoro D. Occult Ventricular Fibrillation Visualized by Echocardiogram During Cardiac Arrest: A Retrospective Observational Study From the Real-Time Evaluation and Assessment for Sonography-Outcomes Network (REASON). J Am Coll Emerg Physicians Open. 2025 Jan 13;6(1):100028. doi: 10.1016/j.acepjo.2024.100028. PMID: 40012664; PMCID: PMC11853361.   Summarized by Meg Joyce, MS3 | Edited by Meg Joyce & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/  

It's hard to not feel stress at the state of the world today, so how can you cope with stressors without letting them completely overwhelm you? Clinical psychologist Jenny Taitz spends most of her days helping clients navigate through their stress. She shares why she uses Dialectical Behavior Therapy, or DBT, in her therapy work, whether a cold plunge can help you snap out of your messy ruminations, and why doing a few tasks each day to practice for pleasure and mastery can help improve your mood. Hosted on Acast. See acast.com/privacy for more information.