Podcasts about CMV

432 - Discover Disney Springs Like Never Before - Essential Disney World Vacation Tips from Orlando Experts! Join Rob and Kerri Stuart for episode #432 of Disney Travel Secrets as they reveal insider secrets for maximizing your Disney Springs experience! Broadcasting from their CMV studio in Orlando, Florida, these Disney vacation experts share game-changing tips you won't find anywhere else. What You'll Learn in This Episode:

Émilie est entrée dans le monde de la maternité directement avec une paire de jumelles, et ça tombait bien car elle en a toujours rêvé. Elle rêvait aussi d'avoir une famille nombreuse de quatre ou cinq enfants car elle a elle-même grandi au sein d'une grande fratrie.C'est donc naturellement que son mari et elle ont eu leur cinq enfants, des filles. Et puis pourquoi pas tenté d'avoir un garçon, et puis il lui faudra bien un autre frère à lui aussi… En bref, les années passent et les grossesses s'enchaînent jusqu'à être au complet avec leurs neuf enfants.La plus grande a quatorze ans, la plus petite a deux ans et comme les grossesses se suivent mais ne se ressemblent pas chacune d'entre elle a été différente. Émilie a connu la gémellité avec tout ce que cela implique, mais elle a aussi connu l'épisio, la couveuse, le tire-lait, l'allaitement écourté, l'allaitement long, l'allergie à la bétadine, le déclenchement, la césarienne, le cordon autour du cou, le CMV, un bébé sans prénom… bref vous l'aurez compris, Emilie a vécu pas mal d'aventures. Et pourtant toutes ont été de belles grossesses, et sa vie de famille remplie d'enfants et de bruit, elle l'adore et ne la changerait pour rien au monde. Bonne écoute !---------------------------------------------Pour soutenir HelloMammas, il vous suffit de mettre cinq étoiles et un avis sur votre application podcast. Parlez-en aussi autour de vous !Rejoins la communauté sur Instagram : @hello.mammasJusqu'au 31 mai, profitez d'un mois d'abonnement offert sur l'application May avec le code HELLOMAY25 inscrivez-vous sur https://app.adjust.com/1oe2ibg8 Become a member at https://plus.acast.com/s/le-tourbillon. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Did you know that congenital cytomegalovirus (cCMV) is the most common congenital viral infection in newborns and a leading cause of non-genetic hearing loss? Despite its prevalence, awareness and screening for cCMV remain inconsistent across healthcare systems. In this episode, we dive into the critical importance of cCMV screening, early diagnosis, and intervention. Join our expert guests Dr. Ingrid Camelo and Dr. John Noel as they discuss: The impact of cCMV on neonatal and long-term health outcomes Best practices for screening and diagnostic methods The role of early intervention, including antiviral therapy How advocacy efforts are shaping the future of universal screening policies Tune in to stay informed on how pediatricians and healthcare providers can play a vital role in improving outcomes for infants affected by cCMV. Special thanks to Dr. James Grubbs for peer reviewing this episode. CME Credit (requires free sign up): Link Coming Soon! References:  American Academy of Pediatrics. A targeted approach for congenital cytomegalovirus. Available at: https://publications.aap.org/pediatrics/article/139/2/e20162128/60211/A-Targeted-Approach-for-Congenital-Cytomegalovirus. Accessed August 13, 2024. Chiopris G, Veronese P, Cusenza F, Procaccianti M, Perrone S, Daccò V, Colombo C, Esposito S. Congenital cytomegalovirus infection: update on diagnosis and treatment. Microorganisms. 2020 Oct 1;8(10):1516. doi: 10.3390/microorganisms8101516. PMID: 33019752; PMCID: PMC7599523. Gantt S. Newborn cytomegalovirus screening: is this the new standard? Curr Opin Otolaryngol Head Neck Surg. 2023 Dec 1;31(6):382-387. doi: 10.1097/MOO.0000000000000925. Epub 2023 Oct 11. PMID: 37820202. Minnesota Department of Health. Minnesota implements universal newborn screening for cytomegalovirus. Available at: https://www.health.state.mn.us/news/pressrel/2023/ccmv020823.html. Accessed August 13, 2024. National CMV Foundation. Advocacy: universal newborn CMV screening. Available at: https://www.nationalcmv.org/about-us/advocacy#:~:text=Minnesota%20was%20the%20first%20state%20to%20enact%20universal%20newborn%20CMV%20screening. Accessed August 13, 2024. New York State Department of Health. Newborn screening for cytomegalovirus. Available at: https://www.health.ny.gov/press/releases/2023/2023-09-29_newborn_screening.htm#:~:text=ALBANY%2C%20N.Y.,all%20babies%20for%20the%20virus. Accessed August 13, 2024. UpToDate. Congenital cytomegalovirus (CMV) infection: clinical features and diagnosis. Available at: https://www.uptodate.com/contents/congenital-cytomegalovirus-ccmv-infection-clinical-features-and-diagnosis?search=cmv%20screening&source=search_result&selectedTitle=1%7E28&usage_type=default&display_rank=1#H92269684. Accessed August 13, 2024. UpToDate. Congenital cytomegalovirus (CMV) infection: management and outcome. Available at: https://www.uptodate.com/contents/congenital-cytomegalovirus-ccmv-infection-management-and-outcome?search=congenital%20cmv&source=search_result&selectedTitle=2%7E66&usage_type=default&display_rank=2. Accessed August 13, 2024. UpToDate. Ganciclovir and valganciclovir: an overview. Available at: https://www.uptodate.com/contents/ganciclovir-and-valganciclovir-an-overview?search=ganciclovir&source=search_result&selectedTitle=2%7E80&usage_type=default&display_rank=1#H6. Accessed August 13, 2024. University of Texas Medical Branch. Neonatology manual: infectious diseases. Available at: https://www.utmb.edu/pedi_ed/NeonatologyManual/InfectiousDiseases/InfectiousDiseases3.html#:~:text=may%20be%20required.-,Cytomegalovirus,Clinical%20findings. Accessed August 13, 2024. National Center for Biotechnology Information. Cytomegalovirus (CMV) infection. Available at: https://www.ncbi.nlm.nih.gov/books/NBK541003/. Accessed August 13, 2024.                                                                                                             

Não existe fórmula mágica, para ter melhores resultados operacionais tem que cortar custos. O que, quando e como fazer? Olhar pro seu negócio e conhecer seus números e com os dados em mãos tomar as decisões. Mas pra isso é preciso ter estratégia e principalmente poder de implantação.No episódio de hoje conversamos com o Dino Ramos, sócio-proprietário do Dom Brejas em Campinas. Ele conta como conseguiu reduzir CMV e CMO e trazer ainda um ganho de eficiência pra operação.Você tem colocado em prática suas estratégias? Conta pra gente!

Are new solutions for pediatric hearing loss finally within earshot? In this episode of the Back Table ENT Podcast, we talk with Dr. Daniela Carvalho, pediatric otolaryngologist and director of the Cochlear Implant Program at Rady Children's Hospital in San Diego. --- SYNPOSIS Dr. Carvalho discusses the latest advancements and practices in the field of pediatric hearing loss, including newer indications for cochlear implants and innovative gene therapies. They delve into the genetic causes of congenital hearing loss, current screening practices, and various gene therapies being tested for hearing deficiencies, such as those involving the OTOF gene and its application through viral vectors. The conversation also touches on the potential for future treatments, including completely implantable cochlear devices and the role of vaccines in preventing CMV-related hearing loss. --- TIMESTAMPS 00:00 - Introduction 01:54 - Understanding Congenital Hearing Loss and Screening 05:41 - Challenges with Older Children and Hearing Loss 08:48 - Cochlear Implants: Indications and Advances 15:59 - Exploring Gene Therapy for Hearing Loss 23:54 - Challenges and Considerations in Gene Therapy 25:23 - Counseling Families on Hearing Loss 27:04 - Future of Genetic Therapy and Cochlear Implants 32:46 - Addressing Congenital CMV 40:59 - Final Thoughts and Future Research --- RESOURCES Dr. Daniela Carvalho https://www.rchsd.org/doctors/daniela-carvalho-md-mmm/

Dive into the fascinating world of cellular aging with Sebastian Conti, Sales Director at TA Sciences, as we explore the science behind telomeres—those tiny protective caps at the ends of your chromosomes that may hold the key to biological aging.Sebastian breaks down complex concepts into accessible insights, explaining how telomeres naturally shorten as we age and how this process connects directly to age-related diseases like cardiovascular issues, Alzheimer's, and cancer. What separates TA-65 from other supplements is its impressive scientific backing—twelve published clinical studies, including five double-blind trials—demonstrating its ability to activate telomerase and potentially lengthen telomeres.The conversation takes us through the practical benefits users experience: improved cognitive function, enhanced recovery after exercise, stronger immune response, and sometimes even improved eyesight in cases of early macular degeneration. Sebastian shares his personal journey with the supplement, noting improved mental clarity and faster physical recovery after about seven months of consistent use.We also explore who might benefit most from telomerase activation, from high-performance athletes looking for better recovery to adults over 50 experiencing the more noticeable effects of aging. The supplement's ability to reduce senescent cell load—particularly in CMV-positive individuals—and replenish naive T-cell reserves makes it a compelling option for immune health as well.Whether you're already deep into your wellness journey or just beginning to explore anti-aging interventions, this episode offers valuable insights into addressing aging at its most fundamental level—your DNA. Ready to explore what telomere science could mean for your longevity? Listen now and discover how cellular rejuvenation might change your approach to aging.Let's Connect! * Instagram https://www.instagram.com/premierderm/* Facebook https://www.facebook.com/premierdermatology* Website: https://premierderm.netPremier Dermatology is located in Bentonville, Fayetteville, & Bella Vista, Arkansas!

Contributor: Travis Barlock, MD Educational Pearls: Key clinical considerations when managing heart transplant patients due to their unique pathophysiology 1. Arrhythmias A transplanted heart is denervated, meaning it lacks autonomic nervous system innervation The lack of vagal tone results in an increased resting heart rate Adenosine can be used since it primarily slows conduction through the AV node  Atropine is ineffective in treating transplant bradyarrhythmia because its mechanism is to inhibit the vagus nerve - but the heart lacks vagal tone Allograft rejection can also cause tachycardia Consult transplant surgery - treatment is usually 500 mg methylprednisolone 2. Rejection Transplant patients are administered immunosuppressants Clinical presentation of acute rejection looks similar to heart failure with increased BNP, increased troponin, and pulmonary edema  Cardiac allograft vasculopathy is a form of chronic rejection Patients will not report chest pain due to denervated heart Symptoms are usually weakness and fatigue 3. High risk of infection due to immunosuppression Increased risk of infections which includes CMV, legionella, tuberculosis, etc Immunosuppressants have side effects such as acute kidney injury or pancytopenia 4. Radiographic Cardiomegaly A study found that radiographic cardiomegaly does not connote heart failure They hypothesized it is instead the result of a mismatch between the size of the transplanted heart and the space in the thoracic cavity  References Murphy JD, Mergo PJ, Taylor HM, Fields R, Mills RM Jr. Significance of radiographic cardiomegaly in orthotopic heart transplant recipients. AJR Am J Roentgenol. 1998 Aug;171(2):371-4. doi: 10.2214/ajr.171.2.9694454. PMID: 9694454. Park MH, Starling RC, Ratliff NB, McCarthy PM, Smedira NS, Pelegrin D, Young JB. Oral steroid pulse without taper for the treatment of asymptomatic moderate cardiac allograft rejection. J Heart Lung Transplant. 1999 Dec;18(12):1224-7. doi: 10.1016/s1053-2498(99)00098-4. PMID: 10612382. Pethig K, Heublein B, Wahlers T, Dannenberg O, Oppelt P, Haverich A. Mycophenolate mofetil for secondary prevention of cardiac allograft vasculopathy: influence on inflammation and progression of intimal hyperplasia. J Heart Lung Transplant. 2004 Jan;23(1):61-6. doi: 10.1016/s1053-2498(03)00097-4. PMID: 14734128. Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

What happens when society builds systems that leave people with disabilities isolated, unemployed, and without essential services? Nick Comstock has lived that reality—and he's speaking up about it.Nick joins us to share his journey living with cytomegalovirus (CMV), a condition that's left him wheelchair-dependent with spasticity and dystonia. With remarkable candor and humor, he opens up about spending "a lot of time in my bedroom alone with a TV, phone and computer" after high school when services disappeared. This "services cliff" affects countless young adults with disabilities who suddenly lose their support systems and social connections.Only 22% of people with disabilities were employed in 2023, despite this being the highest rate since data collection began in 2008. Nick himself has been declared "unemployable" by authorities in multiple counties solely because of his disability. Yet he's defied these limitations by creating "Nick Speaks," a successful podcast dedicated to disability issues that's approaching 30 episodes.Transportation emerges as a critical barrier throughout our conversation. As Nick explains, needing to schedule rides 30 days in advance versus 30 minutes makes spontaneous outings, job opportunities, and dating nearly impossible. He challenges listeners to reconsider how we structure inclusion, noting that special programs sometimes unintentionally create bubbles rather than bridges.Nick leaves us with a powerful message for organizations and employers: people with disabilities "love passionately" and "want to work harder and contribute to their community." His story reminds us that beyond policies and programs are human beings seeking the same connections and purpose we all desire.

In der aktuellen Folge sprechen wir mit PD Dr. Horst Buxmann, Chefarzt der Kinderklinik der Mainz-Kinzig-Kliniken, über die aktuelle AWMF-Leitlinie zu CMV-Infektionen.

Dr. Rod Quilitz, infectious diseases pharmacotherapist at the Moffitt Cancer Center and Research Institute, presents his talk regarding the infectious diseases syndromes likely to be encountered when managing ID complications in an immunocompromised population. Dr. Quilitz begins by discussing risk factors for infection. He then goes on to discuss neutropenic fever management. The contrast between low grade and high grade neutropenia is also differentiated. Next, Dr. Quilitz discusses strategies for prophylaxis of patients who have prolonged neutropenia, including the use of gram positive antimicrobial agents and antifungals. Other subjects covered include the spectrum of CART toxicities, immune reconstitution, prophylaxis for Pneumocystis, CMV disease/prophylaxis, and other viral infections in the immunocompromised population.

Die eine Infektion, von der fast niemand spricht – aber jede werdende Mama wissen sollte, was Sache ist. CMV – drei Buchstaben, die in keiner Schwangerschaft fehlen sollten, wenn es um Aufklärung geht. Rieke und Hebamme Michelle räumen in dieser Folge mit Mythen auf, erklären ganz praktisch, wie du dich schützt und was du tun kannst, wenn du betroffen bist. Plus: Der ehrliche Kliniktaschen-Talk – was brauchst du wirklich im Kreißsaal? Und was ist kompletter Quatsch? Kompakt. Klar. Unverzichtbar. Viel Spaß beim Zuhören, deine MamAcademy Hier geht´s zur kostenfreien Kliniktaschen-Checkliste!

This week on Health Matters, Courtney Allison is joined by infectious disease expert from NewYork-Presbyterian and Columbia, Dr. Marcus Pereira, to learn what we need to know about bird flu.Dr. Pereira explains that while the cases of bird flu in humans have been mostly mild, there is still a risk that the virus could mutate and spread more easily from human-to-human. He talks about ways to protect ourselves from bird flu, and explains whether it's safe to eat eggs, meat and other dairy products.___Dr. Marcus Pereira is an Associate Professor of Medicine at CUMC and the Director of Clinical Services in the Division of Infectious Diseases. In addition, he is the Medical Director of the Transplant Infectious Diseases Program, where he oversees the development of infection prophylaxis and treatment protocols for immunocompromised patients. His areas of interest include the management of multi-drug resistant bacterial and fungal infections, as well as drug resistant CMV infections and more recently the impact of COVID-19 in transplant recipients. He has also collaborated in important multi-center studies as well as the 2025 International CMV Guidelines, sponsored by the Transplantation Society. Dr. Pereira is an active member in national societies such as the American Society of Transplantation and Infectious Disease Society of America, and is an Associate Editor for the American Journal of Transplantation.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

Cette semaine dans Tout sur elles, Anna Roy, autrice du livre C'est ma grossesse, nous alerte sur les maladies auxquelles les femmes enceintes doivent faire attention. Dotées de noms barbares comme l'infection à «cytomégalovirus» (CMV), «toxoplasmose» ou «listériose», elles requièrent pourtant d'être vulgarisées et surtout repoussées. Parfois mal connues du grand public, ces maladies peuvent avoir de lourdes conséquences dans le cas d'une grossesse. Heureusement, Anna Roy est là pour vous conseiller sur les méthodes à adopter afin de les éviter.Que faut-il savoir à propos de ce cytomégalovirus? Pourquoi est-il très important d'y faire attention? Quels risques et symptômes ces maladies représentent-elles pour le bébé? Et surtout, que faut-il faire pour ne pas être contaminée? Votre sage-femme préférée vous révèle tous ses conseils.Ressource:Site de l'association du Groupe de recherche sur les infections pendant la grossesse (GRIG)Anna Roy est sage-femme depuis plus de dix ans, chroniqueuse aux «Maternelles» et autrice d'une quinzaine d'ouvrages de vulgarisation scientifique autour de la santé des femmes, celles des jeunes, des vieilles, des ados, des mères. Le podcast Tout sur elles est un moyen de partager le savoir académique qu'elle a acquis et le savoir qu'elle a reçu des femmes dont elle a croisé la route. Et quand un sujet lui est moins familier, Tout sur elles n'hésite pas à tendre le micro à d'autres spécialistes.Tout sur elles est un podcast d'Anna Roy, présenté par Nina Pareja, produit par Slate Podcasts.Direction éditoriale: Christophe CarronProduction éditoriale: Nina ParejaMontage et réalisation: Marius SortMusique: Victor Benhamou et Johanna LalondeSuivez-nous sur Instagram, Tik Tok, Facebook et Twitter. Hébergé par Audion. Visitez https://www.audion.fm/fr/privacy-policy pour plus d'informations.

Cette semaine dans Tout sur elles, Anna Roy, autrice du livre C'est ma grossesse, nous alerte sur les maladies auxquelles les femmes enceintes doivent faire attention. Dotées de noms barbares comme l'infection à «cytomégalovirus» (CMV), «toxoplasmose» ou «listériose», elles requièrent pourtant d'être vulgarisées et surtout repoussées. Parfois mal connues du grand public, ces maladies peuvent avoir de lourdes conséquences dans le cas d'une grossesse. Heureusement, Anna Roy est là pour vous conseiller sur les méthodes à adopter afin de les éviter.Que faut-il savoir à propos de ce cytomégalovirus? Pourquoi est-il très important d'y faire attention? Quels risques et symptômes ces maladies représentent-elles pour le bébé? Et surtout, que faut-il faire pour ne pas être contaminée? Votre sage-femme préférée vous révèle tous ses conseils.Ressource:Site de l'association du Groupe de recherche sur les infections pendant la grossesse (GRIG)Anna Roy est sage-femme depuis plus de dix ans, chroniqueuse aux «Maternelles» et autrice d'une quinzaine d'ouvrages de vulgarisation scientifique autour de la santé des femmes, celles des jeunes, des vieilles, des ados, des mères. Le podcast Tout sur elles est un moyen de partager le savoir académique qu'elle a acquis et le savoir qu'elle a reçu des femmes dont elle a croisé la route. Et quand un sujet lui est moins familier, Tout sur elles n'hésite pas à tendre le micro à d'autres spécialistes.Tout sur elles est un podcast d'Anna Roy, présenté par Nina Pareja, produit par Slate Podcasts.Direction éditoriale: Christophe CarronProduction éditoriale: Nina ParejaMontage et réalisation: Marius SortMusique: Victor Benhamou et Johanna LalondeSuivez-nous sur Instagram, Tik Tok, Facebook et Twitter. Hébergé par Audion. Visitez https://www.audion.fm/fr/privacy-policy pour plus d'informations.

In today's episode, Dr. Jill Carnahan sits down with the esteemed Dr. John Oertle to delve deep into the intriguing connection between Lyme disease and breast cancer.  Dr. John Oertle brings his extensive expertise to the table, discussing innovative approaches to cancer recovery and the importance of treating infections to support overall health. In this insightful conversation, they explore how optimizing immune function is crucial in managing both chronic infections and cancer, shedding light on the roles of EBV, HPV, and CMV in these diseases. ✅ The Role of Infections in Cancer Development – Dr. Oerter discussed how chronic infections, including viruses (e.g., EBV, HPV, CMV), bacteria (e.g., Lyme disease), and parasites, can contribute to oncogenesis by triggering chronic inflammation, immune suppression, and DNA damage, ultimately promoting tumor growth. ✅ Precision Integrative Oncology Approaches – The conversation highlighted Envita's approach to cancer treatment, which integrates advanced diagnostics, immunotherapy, targeted precision medicine, and personalized infectious disease protocols to address underlying triggers of cancer. ✅ Restoring Immune System Function for Cancer Recovery – Dr. Oerter emphasized the importance of identifying and treating infections, optimizing immune function, and leveraging natural and pharmaceutical therapies to support long-term remission and overall health.

En este nuevo episodio de Rewine, conversamos con Paz Austin, ex directora del Consejo Mexicano Vitivinícola (CMV) y pionera en la industria del vino en México. Paz, la primera mujer en liderar el CMV en sus siete décadas de historia, ha sido reconocida internacionalmente por su labor, incluyendo el prestigioso galardón al mérito de la Organización Internacional de la Viña y del Vino en España. Con una trayectoria que abarca desde la promoción del tequila hasta la dirección del CMV, Paz comparte su visión sobre la evolución y el futuro del vino mexicano, destacando su compromiso con la innovación y la tradición en el sector vitivinícola.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Andrea: Hi Dr. Cabral - I'd love your input on what steps when trying to conceive to have the healthiest pregnancy possible. I love your book, and I'm doing many of the practices in it (epsom baths, IR sauna, taking the greens and daily nutritional support, exercise, etc.). I have done some nutrient testing through a nutritionist, so I'm taking extra vitamin D, B12, and iron. Also, I'm doing the 7-day detox now so that I can do it before trying next month. What is your advice on what I should (and shouldn't) be doing pre-pregnancy, and if there are any other tests you'd recommend (like testing for the Congenital cytomegalovirus infection/CMV)?Thank you for consistently presenting content in a rational, unbiased, and non-fear-mongering way!                                                                                                                                                           Cara: My family does not eat a healthy diet, I know this, but its so hard to change. It's incredibly overwhelming. I have 2 young children and I would like to provide better meals for them but I just get overwhelmed with all the messaging and what to feed them and what not to feed them that I just sink back to what I know and what I know they will eat. Help! where do I start to make changes                                                                                                                                                  Sally: Hi Dr Cabral. Thank you so much for your  willingness to help others! I am writing to you in regard of my dad. He is a 60 year old mechanic who has never really taken care of his body. About 4 years ago he was diagnosed with cancer and since has had treatment to essentially kill it. He has been cancer free since. Over the past few months he has been feeling chest tightness and arm pain, which landed him in the ER to get 3 stents put in his main left artery. He is healing and starting to slowly get back to work. I think this was a scare for him and he is going to start taking his eating habits seriously. Anyways, he has been saying for years now that drinking water gives him heartburn. I assume this is all connected back to his diet but wanted to get your thoughts if there is something specific we can look into further. We just ordered him the inflammation test from your site as a starting place. Thanks as always. Sally.                                Anonymous: Hi Dr Cabral, I am a 63 year old female, eat a Mediterranean diet, do the big 5 annually, sauna daily and cold plunge 2-3 times per week. My exercise regimen includes, resistance, HITT and SIT 4-5 times per week. My question is, am I trying too hard? I often feel a wired when I should be tired and alternately run down for no apparent reason. My HRV can be as high as 65 when I'm detoxing and 20-30 when I'm living my normal life. I take a multitude of supplements, based on my IHP's recommendations (ie; all of the basics plus adrenal soothe, adrenal support, estrogen support, DHEA) , as well as several of the supplements you recommend, (ie; Berberine, functional mushrooms, metavolve.). Plus, I take 5 CBD gummies 3 x per day to control anxiety and NAC for mthfr gene. Please advise                                    Carrie: Hi Dr. Cabral! I have heard there's some controversy around nano hydroxyapatite, specifically that it can lead to liver and kidney issues, is carcinogenic, etc. This is a great ingredient to build teeth and reduce cavities, but I don't want to give it to my child if it's toxic and builds up in the system. What has your research on this ingredient shown, and are there any safe brands such as Primal Life Organics. If not, what is an alternative. Thank you!         Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right!   - - - Show Notes and Resources: StephenCabral.com/3306 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Event Objectives:Understand basic diagnostic tests for congenital CMV hearing loss genes and utility of CT vs. MRI temporal bone imaging.Use the HL algorithm to develop an effective diagnostic strategy for unilateral/bilateral sensorineural and mixed hearing loss.Find causes that are potentially treatable dangerous if missed or affect prognosis.Understand role of emerging gene therapy.Claim CME Credit Here!

In this episode, Dr. Jake breaks down the must-take supplements for chronic cytomegalovirus (CMV). As a naturopathic medical doctor, he shares natural and non-toxic treatment protocols to help manage CMV effectively. Whether you're dealing with a chronic recurrence or facing acute symptoms, Dr. Jake's got you on that with his expert insights. Discover how supplements like monolaurin, cat's claw, and vitamin D, among others, can support your body's fight against this persistent virus, reducing inflammation and boosting your immune system. Experience the empowering world of integrative health and learn how these natural remedies can be a vital part of managing health conditions like autoimmune diseases. Don't miss out on understanding the root cause of your symptoms and how to address them naturally. Subscribe to Dr. Jake's channel for more insights and take control of your health journey today. #Cytomegalovirus #NaturalHealing #IntegrativeHealth Use the Promo Code DrJake to get 15% off any supplements at Dr Jake's supplement store https://shop.integrativemedica.com Ready for the best mitochondrial support system? Try Dr Jake's special mushroom "coffee" called Terrabru at https://terrabru.com and get real energy that supports your body at the cellular level. Want to get help from Dr Jake or one of his doctors? Visit https://integrativemedica.com and book an appointment. You don't need to live in the SLC area and can schedule a virtual appointment from anywhere in the United States and even outside of the country.

Join us as we discuss cytomegalovirus infection in pregnancy. CMV is a common cause of hearing loss in newborns and can cause other congenital anomalies. It is a common infection that's easily transmitted. Learn about it and what you can do.

In dieser Folge des Infektiopods sprechen wir über das Cytomegalievirus. Zu diesem Thema haben wir einen ausgewiesenen Experten aus dem Helmholtz Zentrum für Infektionsforschung – Prof. Dr. Dr. Luka Cicin-Sain – zu Gast. Wir sprechen über CMV-Infektionen in der Schwangerschaft und das Risiko für das ungeborenen Kind. Ausführlich wird es bei den Immunsupprimierten nach Transplantation: … „Infektiopod #90: CMV“ weiterlesen

Send us a textOn this episode, Ashley and Danielle speak with Dr. Kerri Glassner. This was an enlightening and encouraging conversation about how far we have come in understanding pregnancy in IBD and the advancements in IBD over the years. Dr. Glassner is a gastroenterologist with a focus in inflammatory bowel disease. Dr. Glassner currently practices at Kaiser Permanente in Colorado. She completed her residency and gastroenterology fellowship at Houston Methodist Hospital. She was also selected by the Crohn's and Colitis Foundation for a visiting IBD fellowship at Mayo Clinic in 2019. Dr. Glassner is certified in the use of intestinal ultrasound through IBUS. She is passionate about women's health in IBD and is a co-editor of the book Women's health in IBD: The spectrum of care from birth to adulthood. Outside of medicine she enjoys spending time with her husband and son, trying out new coffee shops, traveling and exercising. In this episode we discuss with Dr. Glassner:Dr. Glassner's personal journey with IBD and her professional insights into the intersection of women's health and IBD, particularly during pregnancy. The importance of being in remission before conception and the safety of biologics during pregnancy.The use of intestinal ultrasound as a non-invasive tool for monitoring IBDThe aspects of managing pregnancy in patients with IBD. The considerations for C-sections, the timing of colonoscopies, the implications of CMV, nutritional assessments, and the importance of a multidisciplinary care team. The PIANO study is highlighted for its insights into pregnancy outcomes for IBD patients, and the discussion also covers vaccination considerations for newborns and the genetic risks of IBD.An optimistic outlook on new treatments and the importance of maintaining hope for future advancements in IBD care.Want to work with The Crohn's and Colitis Dietitians but have questions?Book a call - HEREMusic from #Uppbeat (free for Creators!):https://uppbeat.io/t/the-lakes/bluebirdLicense code: FTTITUEPIFAD2VEOFollow us on instagram @crohns_and_colitis_dietitiansFollow us on youtube @thecrohnscolitisdietitiansWe love helping provide quality IBD & IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to you tube and telling others about us (your doctors, friends, family, forums/reddit etc). Can you do this for us? In return, I promise to continually level up what we do here.

The most common congenital viral infection in children is cytomegalovirus infection (CMV). Oftentimes the mother will experience little to no symptoms, but the virus can significantly affect the newborn, with outcomes ranging from no symptoms to severe systemic and intercranial complications. What if we could prevent this infection all together with a vaccine? A candidate MRNA vaccine against CMV has elicited promising immune responses to date and is on a pathway towards FDA approval. To learn more about this treatment, we are joined by one of the nation's leading experts in vaccine development for the prevention of congenital viral disease. Sallie Permar, MD, is the Nancy C. Paduano Professor and Chair of Pediatrics at Weill Cornell Medicine. She serves as pediatrician-in-chief at New York-Presbyterian/Weill Cornell Medical Center. She is also a professor of immunology and microbial pathogenesis at the Weill Graduate School of Medical Sciences. Some highlights from this episode include:  The scale of impact of congenital CMV in children  Understanding how the virus originates with the mother and affects the baby  Where the CMV vaccine stands in the vaccine development process   Strategies for educating the public and primary care providers on this new treatment    For more information on Children's Colorado, visit: childrenscolorado.org. 

Esse episódio é dedicado e tirar dúvidas sobre CMV dos nossos membros e clientes. CMV é tema fundamental e importantíssimo quando a gente fala de gestão de um negócio de alimentos e bebidas. É o indicador mais importante e que sobre mais variação no dia a dia dentro de uma empresa, podendo ser responsável pelo resultado positivo ou prejuízo do negócio. Então, o jeito é entender, dominar e saber construir estratégias eficientes pra sua operação. CMV é tema que sempre vale ouvir mais, então esse episódio é pra você! Participe do MAP CMV: Processos e controles https://www.somosfoodness.com.br/cmvmap?utm_source=PODCAST&utm_medium=spotify&utm_id=MAP

On this week's episode of Biotech Hangout, hosts Daphne Zohar, Josh Schimmer, Brad Loncar, John Maraganore, Paul Matteis, Mike Yee and Tess Cameron open up with market commentary and how derivatives, debates and dynamics are impacting stocks including Scholar Rock, Biohaven, Roche and Regeneron. The group also highlights CeriBell, which is the first medtech IPO in years. The hosts turn to neuro sentiment with a look at Lundbeck's acquisition of Longboard at an approximate value of $2.5 billion net of cash. The conversation turns to the idea of competitors benefiting from M&A and data, with this week's example of Bright Minds Bioscience's market cap going from $4 million to $172 million. The group also discusses the FDA's approval of Novocure's Optune device for the treatment of metastatic non-small cell lung cancer before turning to a conversation on vaccines, including Moderna's upcoming Phase 3 CMV data. Wave Life Sciences first-ever therapeutic RNA was also covered, which led to a discussion on how important milestones open new doors. Other topics discussed include the launch of City Therapeutics, Benitec's gene therapy update, and more. *This episode aired on October 18, 2024.

Vincent travels to the Karolinska Institute in Stockholm to meet up with Niklas Björkström and Joakim Dillner to review their research on the endometrial immune system, and the plan to eliminate cervical cancer in Sweden. Host: Vincent Racaniello Guests: Niklas Björkström and Joakim Dillner Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Become a patron of TWiV! Links for this episode MicrobeTV Discord Server Endometrial immune system variation (Sci Immunol) Immune defense in the womb (News from Karolinska) HPV vaccination and screening for elimination (Nat Comm) Cervical cancer elimination strategies (Int J Cancer) Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees Send your virology questions and comments to twiv@microbe.tv Content in this podcast should not be construed as medical advice.

A gente não cansa de falar de CMV até porque todo esforço e trabalho em cima desse indicador traz resultados para a operação e melhoria de resultados. Nesse episódio Re e Antonio, que estão à frente dos nossos projetos de consultoria do Foodness falam sobre os processos mais eficientes e cases reais pra você se inspirar e aplicar no seu negócio. Dias 12 e 13 de novembro teremos mais uma edição do Foodness MAP sobre CMV: controles e processos! Pra garantir a sua vaga com condição especial, clique no link abaixo: https://pay.hotmart.com/K73774854K?off=sjvwpsxo&checkoutMode=10&offDiscount=podcast&bid=1728499674547

Shortrackster Suzanne Schulting behoort al tien jaar tot de mondiale top met Olympische- en Wereldtitels. Maar ze kende fysiek en emotioneel zware jaren vol tegenslag. Ze was oververmoeid en kampte met een CMV-besmetting, waarna haar terugkeer tot twee keer toe werd onderbroken door een schaats in haar rug en een gebroken enkel. Tegen haar natuur in moest ze lange tijd gedwongen rust houden. Een tijd waarin ze zich gekooid voelde. Nu heeft ze de eerste meters op het ijs weer gemaakt, is er een nieuwe ploeg en zoekt ze een extra uitdaging in het schaatsen op de lange baan.  De Olympische Winterspelen in Milaan in 2026 vormen haar stip op de horizon.

rWotD Episode 2669: ViroPharma Welcome to Random Wiki of the Day, your journey through Wikipedia’s vast and varied content, one random article at a time.The random article for Saturday, 24 August 2024 is ViroPharma.ViroPharma Incorporated was a pharmaceutical company that developed and sold drugs that addressed serious diseases treated by physician specialists and in hospital settings. The company focused on product development activities on viruses and human disease, including those caused by cytomegalovirus (CMV) and hepatitis C virus (HCV) infections. It was purchased by Shire in 2013, with Shire paying around $4.2 billion for the company in a deal that was finalized in January 2014. ViroPharma was a member of the NASDAQ Biotechnology Index and the S&P 600.The company had strategic relationships with GlaxoSmithKline, Schering-Plough, and Sanofi-Aventis. ViroPharma acquired Lev Pharmaceuticals in a merger in 2008.This recording reflects the Wikipedia text as of 00:01 UTC on Saturday, 24 August 2024.For the full current version of the article, see ViroPharma on Wikipedia.This podcast uses content from Wikipedia under the Creative Commons Attribution-ShareAlike License.Visit our archives at wikioftheday.com and subscribe to stay updated on new episodes.Follow us on Mastodon at @wikioftheday@masto.ai.Also check out Curmudgeon's Corner, a current events podcast.Until next time, I'm neural Matthew.

In today's heartfelt episode, Erika shares her challenging and inspiring journey into motherhood with her two little boys. Erika opens up about conceiving after a short period of trying, only to face the heartbreaking loss of her first pregnancy due to a missed miscarriage at 10 weeks. She candidly shares her emotional and physical experiences of conceiving again after this loss. Today's episode of the show is brought to you by my online childbirth education course, The Birth Class. What makes The Birth Class so unique? Well, instead of learning from one person with one perspective, we've gathered nine perinatal health specialists to take you through everything you need to know about labour and birth. See omnystudio.com/listener for privacy information.

Lamotrigine is an antiseizure medication and also may be used for bipolar disorder. A rash is a major side effect to remember with this medication. Valganciclovir is an antiviral medication that can be used to prevent cytomegalovirus (CMV) in patients with a suppressed immune system. Fluconazole is an azole antifungal that can be used to treat candidiasis, blastomycosis, and tinea infections. Drug interactions, QTc prolongation, and hepatotoxicity are potential risks. Atenolol is a beta-blocker used to treat atrial fibrillation and hypertension. It is relatively selective for beta-1 receptors meaning that it doesn't affect the lungs as much as non-selective agents. Montelukast is a medication that blocks the actions of leukotrienes. This can be beneficial for the management of allergies and asthma.

Truck and trailer payments: up. Repair and maintenance costs: up. Insurance premiums: also up. You see the trend. Breaking down the American Transportation Research Institute's latest report on operational costs and putting them into perspective. Then, Bexar County, Texas is the latest to ramp up enforcement of commercial truck drivers – and alarm bells are already going off. And finally, rates are slowly inching toward a more profitable place for van freight. 0:00 – Newscast 10:33 – Operational costs reach new high on ATRI survey 25:01 – Bexar County, Tex. ramps up CMV enforcement 40:09 – Spot market update: van rates inching upward

On episode #57 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 6/6 – 6/19/24. Host: Daniel Griffin Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral Is letermovir or valganciclovir better to prevent CMV in kidney transplant recipients (JID) CMV antiviral therapy (GoodRx) Prevalence of and risk for CMV reactivation during COVID-19 pneumonia (PLoS One) Sofosbuvir off-label yellow fever treatment (OFID) Bacterial Preventing resistant gram negative bacteria through beta-lactam de-escalation in sepsis patients (CID) Competing risk analysis, survival analysis that aims to correctly estimate marginal probability of an event (Columbia University) Continuous or intermittent b-lactam infusion for critical sepsis (JAMA Network) Prolonged vs Intermittent Infusions of β-Lactam Antibiotics in Adults With Sepsis or Septic Shock (JAMA Network) Phoenix sepsis score and risk in children with cancer (JAMA Network) New recognized spotted fever group Rickettsia in Northern California (Emerging Infectious Diseases) Screening for mycobacterium tuberculosis (Transplant Infectious Disease) Fungal Potential sexual transmission of Tinea pubogenitalis from TMWII (JAMA Dermatology) Household transmission of tinea infection (OFID) Drug-resistant oral candidiasis in HIV infected patients (BMC Infectious Disease) Parasitic Handheld digital microscope for rapid and comprehensive screening for urogenital and gastrointestinal schistosomiasis (American Journal of Tropical Medicine and Hygiene) Scorecard approach to eliminate onchocerciasis (Am J Trop Med Hyg) Miscellaneous Association between antibiotic receipt and provider rating (OFID) Infectious diseases and infection control prevention strategies when on ECMO (Perfusion) Music is by Ronald Jenkees

In his weekly clinical update, Dr. Griffin reviews the recent statistics on SARS-CoV-2 infection, before discussing methods for sterilizing filtering facepieces, an update to the fall COVID boosters, the emergency use application of a pre-exposure prophylactic and where to find it and drug interaction database, convalescent plasma, the effectiveness of the monoclonal antibody sotrovimab against Omicron variants, what to do when healthcare workers succumb to SARS-CoV-2 infection, the need for better nursing resources, how survivors of COVID-19-associated ARDS exhibited sustained elevation in endothelial dysfunction biomarkers, correlating with the severity of impaired gas exchange, reactivation of latent CMV as a consequence of a SARS-CoV-2 infection, identification of variables that might impact or predict a person's time to recovery from an acute SARS-CoV-2 infection and if COVID-19 patients really have olfactory dysfunction more often than normally smelling individuals. Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Become a patron of TWiV! Links for this episode COVID-19 national trend (CDC) COVID-19 deaths (CDC) Comparison of methods for sterilizing filtering facepiece respirators (American Journal of Infection Control) Booster update already! KP.2 of JN.1-lineage (FDA) EUA for pemgarda (FDA) Where to get pemgarda (Pemgarda) CDC Quarantine guidelines (CDC) Early phase of SARs-CoV-2 infection (COVID.gov) NIH COVID-19 treatment guidelines (NIH) Infectious Disease Society guidelines for treatment and management (ID Society) Drug interaction checker (University of Liverpool) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) Revisiting monoclonal antibody therapy, sotrovimab for treatment during Omicron BA.2 and BA.5 (Infection) What do when your healthcare provider is infected with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids,dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Hospital nurse staffing variation & COVID-19 (International Journal of Nursing Studies) Endothelial dysfunction and persistent inflammation severe post-COVID-19 (BMC Medicine) Prevalence and risk for CMV reaction due to COVID-19 pneumonia (PLoS One) Variables that impact recovery from acute SARS-CoV-2 infetion (JAMA Network Open) Reduced olfactory bulb volume with dysfunction after mild SARS-CoV-2 inction (Scientific Reports) Contribute to our Floating Doctors fundraiser Letters read on TWiV 1124 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv

Lindsay struggled with infertility due to PCOS. She went through fertility treatment and got pregnant, but this ended in a miscarriage. She then got pregnant with her son Theo, but had to TFMR due to him having CMV (cytomegalovirus). Lindsay was able to get pregnant again and bring her rainbow baby home. --- Support this podcast: https://podcasters.spotify.com/pod/show/findinghopeafterloss/support

June is CMV awareness month. And that's the keyword there… Awareness! The way we prevent CMV transmission is by awareness. It would be great to have a vaccine against this virus, but we just don't…yet. Until a safe and effective CMV vaccine is clinically available, primary prevention of cCMV relies on patient education and hygiene measures. In this episode, will take a look at this strategy and see what the data has to say about it. Will also discuss the very controversial (and non-ACOG recommended) use of antiviral medication's for primary, perinatal CMV.

In 2011, Congress passed a resolution naming June "National CMV Awareness Month," to raise awareness about the most common congenital infection in the US, affecting 1 of 200 live births. It is the leading VIRAL cause of IUFD & miscarriage & the leading cause of neonatal hearing loss, second only to genetic causes. Furthermore, cCMV is more common than many other neonatal conditions, such as spina bifida and fetal alcohol syndrome. Neonates affected by the virus can experience a wide array of symptoms, from none to severe neurodevelopmental disability, & even death. However, public and healthcare provider awareness remains low. In this episode, which is part 1, we will cover the presentation, transmission, and work up of CMV in pregnancy.

Send us a Text Message.In this jam-packed episode of Journal Club, Ben & Daphna discuss several impactful new studies in neonatology.First up is an important clinical report from the AAP on infant feeding for people living with HIV. The hosts dive into the nuanced recommendations, which state that while avoiding breastfeeding is still the only way to completely eliminate HIV transmission risk, breastfeeding can be supported in certain cases where the parent has a strong desire after comprehensive counseling and meeting strict criteria like sustained viral suppression.Next, they examine a study linking congenital CMV infection with an increased risk of autism spectrum disorder diagnoses, highlighting the importance of screening for this common congenital infection.A randomized trial comparing video laryngoscopy to direct laryngoscopy for urgent neonatal intubation is also discussed. While video laryngoscopy resulted in higher first-attempt success rates, the hosts note some adverse events to consider as this technology becomes more widespread for these critical procedures.The effectiveness of NICU music therapy on neurodevelopmental outcomes is also covered, with a study finding no significant language benefits at 24 months. The hosts question the impact and necessity of these programs.Practical coding tips for NICU consultations from a recent paper are shared, with an emphasis on the financial impact of proper billing.Lastly, the increasing frequency of heat waves and their association with preterm and early-term births is explored, underscoring the environmental factors that influence neonatal health.With insightful analysis and engaging discussion, Ben & Daphna provide a fantastic overview of some of the most noteworthy recent publications in neonatology. Be sure to tune in for this informative and thought-provoking installment of Journal Club! As 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!

This week on “Jesuitical,” Zac and Ashley are joined by Megan Nix, the author of Remedies for Sorrow: An Extraordinary Child, a Secret Kept from Pregnant Women, and a Mother's Pursuit of the Truth. The memoir details Megan's journey after her daughter, Anna, contracted a little-known but relatively common congenital disease, cytomegalovirus, or CMV, during Megan's pregnancy. They discuss:  Megan's experience of her daughter's diagnosis and the lack of awareness and support surrounding CMV The tension of loving Anna as she is and wanting to improve her quality of life How St. Thomas Aquinas's five remedies for sorrow helped Megan understand the joys and sorrows of raising a child with disabilities In Signs of the Times, Zac and Ashley talk about a recent proposal out of Baltimore that would cut the number of parishes from 61 to 21. They also cover an imposter priest wreaking havoc throughout the New York area and Pope Francis' plans to reinstate Pope Benedict XVI's former secretary, Archbishop Georg Gänswein, as an apostolic nuncio. What's on tap? A mojito (with fresh mint!) Links from the show: Baltimore archdiocese proposes cutting 61 parishes to 21 in the city Imposter Priest Who Robbed Catholic Churches Nationwide Arrested in California After public rift, Francis restores Benedict XVI's former secretary to Vatican service Remedies for Sorrow: An Extraordinary Child, a Secret Kept from Pregnant Women, and a Mother's Pursuit of the Truth Learn more about your ad choices. Visit megaphone.fm/adchoices

Fr. John & Fr. Sean are joined by special guest and author Megan Nix. Megan is the author of "Remedies for Sorrow: An Extraordinary Child, a Secret Kept from Pregnant Women, and a Mother's Pursuit of the Truth", a memoir about her deeply personal experience with congenital CMV. Join Megan as she shares a little bit about her journey and her hopes to spread awareness to other expecting mothers. Book: https://www.amazon.com/Remedies-Sorrow-Extraordinary-Pregnant-Mothers/dp/0385548591

One virus causes more birth defects in American babies than any other nongenetic disease – but most don't know it exists. We hear a mother's journey to understand her daughter's diagnosis of congenital CMV. About: On Point is WBUR's award-winning, daily public radio show and podcast. Every weekday, host Meghna Chakrabarti leads provocative conversations that help make sense of the world.

From Kentucky to Missouri and other states in between, more and more state legislatures are taking aim at predatory towing practices. What's behind the current trend? Plus, an update on the Florida Trucking Association's Share the Road program. And finally, state and federal regulators come together with industry stakeholders for the Missouri Commercial Motor Vehicle Strategic workshop. 0:00 – Newscast 10:22 – Missouri Commercial Motor Vehicle Strategic workshop 25:08 – Ky. predatory towing bill and Fla. Share the Road program 40:23 – Rush of states take aim at predatory tows

In episode 467 Gemma shares her unexpected pregnancy with twins. She shares the emotional rollercoaster of disbelief and excitement and the impact of the twins on her planned model of care for the pregnancy. Gemma went through the Midwifery Group Program at Sunshine Coast University Hospital, expressing gratitude for the exceptional care provided by her main midwife and the program's support throughout her twin pregnancy. ------- iL Tutto Glider nursery chairs offer a smooth motion that's gentle on your body, without needing you to engage your core to create the movement. iL Tutto glider chairs feature either electric – like their new luxe Frankie Electric Glider Recliners – or spring-loaded recline – such as the Chelsea Glider Recliner Chairs available in a range of premium fabrics. The Chelsea Glider Recliner Nursery Chairs feature a high backrest and lumbar support for ergonomic comfort while feeding. The armrests are also at the right height for feeding, avoiding the strain that can come with armrests that are too high or non-existent. Your baby will love the glide movement and your Glider will take up less space than a rocking chair. iL Tutto Gliders offer the best of award-winning Australian design that accounts for the unique needs of parents. Designed with style, luxury and comfort in mind, their glider nursery chairs will change your parenting life for the better and will last, growing with your family. Explore the complete range and discover the perfect glider for your nursery using code GLIDER20 at checkout for 20% off any full price Nursery Chair, available at iltutto.com.au, code ends 30th April 2024.See omnystudio.com/listener for privacy information.

In this episode, Ben and Daphna review the latest research on neonatal hyperbilirubinemia, optimistic vs. pessimistic prognostic communication, endotracheal tube sizing, intimate partner violence screening, and congenital CMV outcomes. They also welcome back James Roberts, the founder of the MOM Incubator, to discuss the progress and impact of his innovative mobile incubator system. As 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!

The dawn of each day is a precious time for Megan Nix--her youngest daughter was born at the start of a new day and her beloved mother later went home to God in the early morning hours.   Megan came to learn that not only was dawn the start of these soul-touching days, but also new seasons in her life. Seasons in which Megan would come to know the depth of grief and boundlessness of love.  Megan's daughter was was born into silence due to deafness caused by cytomegalovirus (CMV). Megan's heart was met with great sorrow as she processed the impact, learned the avoidable cause she was never told about and advocated for her daughter.  Megan discovered Aquinas' Remedies for Sorrow as she attended to her grief. Listen as Megan weaves personal stories of sorrow and healing with Aquinas' Remedies for Sorrow. Learn more about Megan and her book “Remedies for Sorrow: An Extraordinary Child, a Secret Kept from Pregnant Women, and a Mother's Pursuit of the Truth” at megannix.com.

A new paper entitled “Isorhamnetin protects porcine oocytes from zearalenone-induced reproductive toxicity through the PI3K/Akt signaling pathway” investigated the effects of a natural flavonoid called isorhamnetin on the damage caused by a toxin called Zearalenone (ZEA) to pig oocytes (immature egg cells). Zearalenone (ZEA) is a harmful mycotoxin found in moldy grain like corn, oats, and millet that can cause irreversible damage to the reproductive system of animals and humans. It can cause reproductive disorders by binding to estrogen receptors and has been shown to impair the development of sperm and oocytes in humans and animals. ZEA can cause oxidative stress that leads to the production of reactive oxygen species (ROS), which can be harmful and contribute to cell death. ZEA can also disrupt pregnancy, inhibit the meiosis of oocytes, and induce mitochondrial damage and stress in the maturation of oocytes. Since ZEA is heat-stable and cannot be completely eliminated from the food chain, it is important to explore potential compounds that can protect against ZEA-induced damage to oocytes. In recent years, natural substances called flavonoids, which have antioxidant properties, have gained attention for their ability to support the development of oocytes. For example, quercetin has been found to increase the proportion of porcine oocytes developing into blastocysts, while kaempferol has shown potential in reducing the negative effects of aging on the development of porcine oocytes by improving mitochondrial function and reducing oxidative stress. Isorhamnetin is a compound found in the herb ginkgo biloba and in foods like pears, onions, and peanuts. It has various pharmacological activities, such as being an antioxidant, anti-inflammatory, and antiviral.     Isorhamnetin acts as an antioxidant by decreasing the production of reactive oxygen species (ROS) and increasing the expression of SOD2 protein, which helps protect against oxidative stress. This study found that isorhamnetin can protect the oocytes from ZEA-induced damage by improving their development, reducing oxidative stress, preventing mitochondrial dysfunction, and inhibiting apoptosis. This research provides a potential solution for reproductive toxicity caused by ZEA and treating female infertility. Mold Toxicity and Ginkgo Biloba Clinical Applications Ginkgo biloba is rich in isorhamnetin as well as other powerful flavonoids like quercetin, kaempferol, and luteolin which makes it the perfect herb for patients with mold toxicity. Ginkgo biloba has many benefits including anti-inflammatory, antioxidant, antiviral, anticoagulant, anti-obesity, hypolipidemic, hypotensive, anti-diabetic, anti-cancer, adaptogenic, and it protects the brain, eye, inner ear, heart, liver, cardiovascular system, reproductive system, lungs, and kidneys. Patients with mold toxicity tend to have reactivated herpes viruses like EBV, CMV, and HHV-6 and ginkgo biloba is effective against these types of viruses as explained in this article. I use VascuSelect from Moss Nutrition which contains 120 mg of standardized ginkgo biloba extract along with grape seed extract and mango extract to further support microcirculation. 120 mg of ginkgo biloba twice a day is the usual dose for this versatile herbal medicine. If you're a practitioner who sees patients with mold toxicity and/or infertility, then VascuSelect should be considered an important part of your protocol. Click here to learn more about the Hedberg Institute Membership to take your functional medicine practice to the next level.

Emily and Jamie introduce this week's episode sharing their family dynamics of dividing and conquering the weekends with their six kids. They then introduce their guest, Kelsey Kerkhove, Au.D., CCC-A, pediatric audiologist from California. Emily and Kelsey discuss the role of a pediatric audiologist, emphasizing the importance of early identification and intervention for hearing loss in infants. Kelsey explains the routine nature of the newborn hearing screening, a requirement before babies leave the hospital, and stresses its significance in identifying congenital hearing loss. Kelsey dispels misconceptions about deafness and underscores the positive outcomes facilitated by the newborn hearing screening process. The duo discuss the two types of tests involved in newborn hearing screening: Otoacoustic Emissions (OAE) and Automatic Auditory Brainstem Response (AABR) and explain what these non-invasive tests aim to identify and address. Kelsey emphasizes the importance of follow-up appointments and the need for parents to inquire about the type of follow-up and action plan if their baby doesn't pass the initial screening. The conversation delves into the potential causes of hearing loss, specifically mentioning cytomegalovirus (CMV) and advocating for its testing in newborns within the first 21 days of life to rule out any related complications. She addresses common experiences during the hearing tests and the need for parents to be aware of potential risk factors. Kelsey encourages parents to advocate for their babies' hearing health by asking for tests if they have concerns. She also mentions that early detection of hearing issues is crucial, and she provides information on developmental milestones related to hearing. The conversation touches on the emotional aspects of receiving a diagnosis of hearing loss for a child and the importance of support and information. Kelsey offers resources on her Instagram page @KelseyKerkhove_AUD, where she provides blogs, guides, and one-on-one consulting for parents navigating their child's hearing journey.  In the  "Live Ask a Nurse" segment, Emily and Jamie respond to a listener's question about losing their mucus plug, explaining its role in pregnancy, debunking misconceptions, and reassuring that it doesn't necessarily indicate an imminent labor, while providing some light-hearted encouragement and information about the process. This podcast is proudly brought to you by our fabulous sponsors: Feast & Fettle: Use code NAPSPOD for $30 off your first order Kibou: Use code NAPS for 15% off your purchase of $89+ Little Spoon SilverPost: Use code NAPSFAMILY for $5 off any plan

Writer Megan Nix joins Zibby to discuss REMEDIES FOR SORROW, a compulsively readable memoir and urgent call to action about a hidden risk to pregnant women: the congenital cytomegalovirus. Megan shares the story of discovering her daughter's microcephaly at thirty-six weeks pregnant, and the subsequent challenges of raising a baby with CMV (against the dramatic landscape of Sitka, Alaska, where her husband is a salmon fisherman). The conversation delves into her advocacy work, the lack of awareness about CMV, and the importance of universal screening for newborns and support for affected families. She also discusses the writing process and the challenge of finding a publisher.Purchase on Bookshop: https://bit.ly/3u7ZZ5bShare, rate, & review the podcast, and follow Zibby on Instagram @zibbyowens! Now there's more! Subscribe to Moms Don't Have Time to Read Books on Acast+ and get ad-free episodes. https://plus.acast.com/s/moms-dont-have-time-to-read-books. Hosted on Acast. See acast.com/privacy for more information.

Join Megan Nix, a writer and author of Remedies for Sorrow: An Extraordinary Child, a Secret Kept from Pregnant Women, and a Mother's Pursuit of the Truth. Megan shares her deeply personal journey and research into congenital CMV, shedding light on the importance of awareness during pregnancy and the need for transparency in health care. Megan Nix is a writer. She discusses her book, Remedies for Sorrow: An Extraordinary Child, a Secret Kept from Pregnant Women, and a Mother's Pursuit of the Truth. Our presenting sponsor is Nuance, a Microsoft company. Together, Microsoft and Nuance are leveraging their rich digital technology and advanced AI capabilities to tackle some of health care's biggest challenges. AI-driven technology promises to revolutionize patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled solution that automatically captures patient encounters securely and accurately at the point of care. DAX Copilot combines proven conversational and ambient AI with the most advanced generative AI in a mobile application that integrates directly with your existing workflows. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 85 percent of patients say their physician is more personable and conversational. Discover AI-powered clinical documentation that writes itself. Visit https://nuance.com/daxinaction to see a 12-minute DAX Copilot demo. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/UflCPE Powered by CMEfy. 

In today's episode of Backpacker Radio presented by The Trek, we are joined by Brady Geilenfeldt. Brady, known on trail as Undies, thru-hiked the Colorado Trail this year. What makes Undies story especially interesting is that he is deaf. We learn all about Brady's inspiring story, the incredible technology that is cochlear implants, what challenges a deaf hiker has to overcome, Brady's highlights from the CT, some of the non-obvious benefits of being a deaf hiker, Brady's future trail ambitions, and much more. Brady is an inspiring young man and we think you'll really enjoy this chat. We wrap the show with things we're convinced people pretend to enjoy, a triple crown of things that are the new black, some new poop news, and we finally have the details for our Denver holiday hiker meetup, and you are invited. Vargo Outdoors: Use code “BACKPACKERRADIO” for 20% off at vargooutdoors.com. RTIC Outdoors: Shop at rticoutdoors.com. Darn Tough: Use code “DTLOVE-BACKPACKERRADIO” for 10% off plus free shipping at darntough.com. Katabatic Gear: Use code “BPR15” for 15% off at katabaticgear.com. [divider] Interview with Brady Geilenfeldt Brady's Instagram Time stamps & Questions 00:04:52 - Reminders: Join us at Improper City for the Hiker Meetup on December 1st! Apply to be a blogger or the Trek's editorial intern. Check out our merch and support us on Patreon! 00:08:32 - Introducing Brady 00:12:40 - Tell us about your experience with deafness 00:15:10 - How did your mom get CMV? 00:16:50 - Were your parents on high alert knowing your mom had CMV? 00:17:55 - Would you trade being deaf for anything? 00:18:57 - How well does a cochlear implant approximate human hearing? 00:21:04 - How do the implants work? 00:24:10 - Did you ever learn American Sign Language? 00:26:00 - Are your other senses enhanced to make up for the loss of hearing? 00:27:10 - Does it help you sleep at night while backpacking? 00:28:14 - Are the implants comfortable to wear? 00:29:40 - Can you customize the volume based on different environments? 00:31:20 - Is it a satisfying feeling to take them off? 00:32:28 - Do the implants make hiking more interesting? 00:35:32 - What's your hiking background and what made you decide to hike the CT? 00:37:18 - What was your longest backpacking trip prior to the Colorado Trail? 00:37:40 - What do you have to consider when planning for the CT? 00:40:28 - Is it disorienting to have only one implant in? 00:44:14 - Did you have any role models that inspired you beforehand? 00:46:20 - Do you have tips for making hiking more stimulating or being comfortable with yourself? 00:49:10 - Do you have to be concerned about the implants getting wet? 00:52:00 - Discussion about technological features or upgrades 00:53:40 - Do people ever use cochlear implants that aren't deaf? 00:55:05 - Does the implant need to be replaced? 00:57:17 - Did deafness or CMV cause you to be immunocompromised? 00:58:30 - Discussion about losing balance and other impacts of deafness 01:01:18 - How did you handle the weather on the Colorado Trail? 01:04:38 - Did you have to be more careful when navigating while hiking? 01:07:00 - Do you want to do future hikes with a trail family? 01:08:03 - Do you have any standout stories from the CT? 01:10:09 - What's the origin of your trail name? 01:14:54 - Would you do other things differently to prepare for a future hike? 01:17:50 - What ratio of rechargeable to disposable batteries did you use? 01:18:57 - How bad is it if you were to lose or break them? 01:21:22 - How did you handle health insurance? 01:23:55 - Have you had other people reach out since your hike? 01:25:00 - How does playing music interface with your deafness? 01:27:50 - Is there something to be done to make the outdoors more accessible for someone with implants? 01:30:41 - Are some insurance plans better than others? 01:32:33 - Is there an actionable step the listeners can take to improve the situation? 01:38:00 - Harvest General Store 01:40:15 - Brady's parting words Segments Trek Propaganda: Broken on the AT: Gear That Breaks At 2,000 miles (And The Gear That Doesn't) by Abby Evans QOTD: What are you convinced people are pretending to enjoy? Stupid Thing of the Week Triple Crown of things that are the new black Poop News Mail Bag 5 Star Review [divider] Check out our sound guy @paulyboyshallcross. Leave us a voicemail! Subscribe to this podcast on iTunes (and please leave us a review)!  Find us on Spotify, Stitcher, and Google Play. Support us on Patreon to get bonus content. Advertise on Backpacker Radio Follow The Trek, Chaunce, Badger, and Trail Correspondents on Instagram. Follow Backpacker Radio, The Trek and Chaunce on YouTube. Follow Backpacker Radio on Tik Tok.  Our theme song is Walking Slow by Animal Years. A super big thank you to our Chuck Norris Award winner(s) from Patreon: Alex & Misty with Navigators Crafting, Andrew, Austen McDaniel, Austin Ford, Brad & Blair (Thirteen Adventures), Brent Stenberg, Bryan Alsop, Christopher Marshburn, Coach from Marion Outdoors, Dayne, Derek Koch, Eric Casper, Greg McDaniel may he bring honor to his name, Ironhike endurance productions, Liz Seger, Matt Soukup, Mike Poisel, Patrick Cianciolo, Sawyer Products, SPAM, Timothy Hahn, and Tracy “Trigger” Fawns. A big thank you to our Cinnamon Connection Champions from Patreon: 12 Trees Farms, Dcnerdlet, Emily Galusha, Jeanne Latshaw, Jeff LaFranier, Joann Menzer, Keith Dobie Jr, Peter, and Ruth S. [divider] Transcript: In today's episode of Backpacker Radio, presented by The Trek, we are joined by Brady Geilenfeld. Brady, known on trail as Undies, through-hiked the Colorado Trail this year. What makes Undies' story especially interesting is that he's deaf. We learn all about Brady's inspiring story, the incredible technology that his cochlear implants, what challenges a deaf hiker has to overcome, Brady's highlights from the CT, some of the non-obvious benefits of being a deaf hiker, including a great night of sleep, future trail ambitions, and much more. Brady is an inspiring young man, and we think you'll really enjoy this chat. We wrap the show with things we're convinced people pretend to enjoy, a triple crown of things that are the new black, some new hoop news, and we finally have the details for our Denver Holiday Hiker Meetup, and you are invited. But first, I am thrilled to introduce our next sponsor, which is a brand that has been a part of my pack and through hikes, dating back to 2017. Vargo creates lightweight titanium backpacking gear that is simple, innovative, and functional. The Vargo Bot 700 was with me every step of the way during my through hike of the PCT and every backpacking trip since. The Vargo Bot is extremely lightweight, weighing less than 5 ounces, and transfers heat quickly and evenly, making it the perfect pot for your cookware setup. But this just scratches the surface for why the Bot kicks so much eff… butt. Because the Bot features a screw top lid, it's the ideal option for the cold soakers of this world. Dump your dehydrated meal and the appropriate amount of water into the Bot, screw the lid closed, insert time, and voila, dinner is ready. Also, I can't count all the times I've benefited from having an additional 700ml of emergency water storage when encountering an unexpected dry spell. In other words, this piece is incredibly versatile and may very well be the last pot you ever buy. The Bot comes in a variety of sizes, including the brand new Bot XL, which is designed to perfectly fit a full-size canister inside with extra room for a stove. I'm also a user and fan of Vargo's utensils, titanium long-handle spoon for the win, and their titanium stakes. You simply can't beat titanium's combination of strength and being lightweight, and no one does it better than Vargo. Discount time, backpacker radio listeners, head to vargooutdoors.com and use coupon code backpackerradio at checkout to score a 20% discount. Again, the code is backpackerradio, all one word, at vargooutdoors.com. This is a limited time deal, so do not wait. Whether it's a car camping trip, a bout of trail magic, or the summer road trip, a quality cooler and drinkware is essential. That's why we're thrilled to introduce our next sponsor, Artic Outdoors. Artic Outdoors makes products engineered for two things, performance and durability. And unlike other coolers on the market, Artic's high-quality coolers and tumblers won't cost you an arm and a leg. Artic's 52-quart ultralight hard cooler made the trip from backpacker radio's headquarters in Golden, Colorado, to Trail A's in Damascus, Virginia, keeping our spin drifts, root beers, and blue ribbons perfectly chilled. As the name would imply, the ultralight cooler is 30% lighter compared to other premium hard-sided coolers, which means you can be the group's beverage hero without developing a hernia in the process. And compromising on weight doesn't mean you're compromising on insulation. With up to three inches of post-self-roam insulation, your ice will remain as ice for days. For more portable adventures, Artic Outdoors soft pack coolers are the ticket. These are lightweight, durable, and ready to travel with you, keeping your drinks cold for up to 24 hours while avoiding the mess thanks to two inches of closed-cell foam and puncture and tear-resistant lining. Lastly, Artic's drinkware keeps your blue ribbons cold or your morning coffee hot for the long haul, utilizing double-wall vacuum insulation. The BPR team rocked Artic tumblers throughout the muggy afternoons of southern Appalachia, enjoying refreshingly cold beverages along the way. Head to ArticOutdoors.com to get your premium coolers and insulated drinkware at a fraction of the price of the competition today. Welcome to Backpacker Radio, presented by The Trek. Today is November 13th, World Kindness Day. Aww, that's nice. I am your co-host Zach Badger-Davis, sitting to my right is... Hi, I'm Juliana Chauncey, aka Chauncey... Reminders, yes. We have the deets, finally, for our Hiker Holiday Meetup Extravaganza Palooza Supreme. A-thon. Yes. This will take place, whatever I said previously, disregard that because I think a lot of the details have changed. You guys don't care about the reasons why. But this is going down on December 1st at Improper City in Denver, in Denver, not Golden, from 530 to 8 p.m. This will be co-hosted by Backpacker Radio slash The Trek and the CDTC, which means it'll be a fundraiser for them. We're going to have some sweet raffles, or as they say, door prizes. I had to look that up. Apparently, that's the vernacular for raffle prizes nowadays. Good hangs, solid vibes, memes. What else? Carnival barking. Carnival barking, yes. Sounds like there will be some of that happening. Give at least four drinks a chance and she will stand on a chair and yell at you. I haven't stood on a chair and yelled at Improper City yet, which is something that I'm excited to do. Yeah, let's see if they welcome us back after December 1st at 530 p.m. A couple other things quickly. One is if you're through hiking in 2024 and you want your journey featured on The Trek, we are currently accepting blogger applications. I did a link in the show notes. Lastly, this is the time of the year where we will likely be adding a new editorial intern to the team. This is a highly coveted position. We get lots of people reaching out for this, so if you're listening to this and you've got some serious editorial chops and you like long distance backpacking, head to the link in the show notes. Oh, also we are still selling our awesome vintage backpacker radio tees. We've gotten some nice compliments on them. Yes, we have. They look like Saved by the Bell goes outdoors. Yeah, or if you're slightly older, Miami Vice, if you're my age, both are sufficient. Yeah, I also think if you saw the Barbie movie, this would be like that in the form of a shirt and blue. There is pink hints. There's flavors of pink in there, but it's it's I could see it being worn as like a Ken costume. Yeah, I saw a couple people recommend or ask for us to turn these into sun hoodies, which I got to figure out. Where do we find a manufacturer? That's a good question, but maybe someday. OK, well, if you manufacture sun hoodies and you're listening to this slide in our DMS. Yes. Last thing is if you want to support the show and you want some additional backpacker radio content, head on over to our Patreon page, patreon.com slash backpacker radio, where we release a new episode the first Wednesday of every month. This current month's episode was a gift guide. We went through big ticket and small ticket items that you can either gift or be gifted in the holiday season, things that we've loved having as hikers and regular humans and as well as things that we wouldn't want or like, you know, some things to avoid if you want to give that thoughtful gift to a hiker, but also don't want to give them something that they're going to smile and say thank you for and then actually never use. Yes. To the non-backpacking gift recommendations, I tried my hardest to not make it too dad-centric and I think I failed. This will be a great one for anyone who wants to gift something to a hiker or who really likes being in the kitchen. Yes. Leave it at that. Or is training to be the all-time dad. Yeah. OK, we'll leave it at that. No more beating around the bush. Let's get right to today's interview with Brady Gielenfeldt. We'll figure out how badly I butchered that pretty soon. We are joined by today's guest, Brady Gielenfeldt, which I nailed the first time, I'm pretty sure. I'm sure the tape will say otherwise, who hiked the Colorado Trail this year in part to inspire people who are deaf or hard of hearing, that they are not limited by their abilities. Brady, thank you so much for joining us here on Backpacker Radio. Hey, it's great to be here. Yeah. Can we swing the mic a little bit closer your way? There we go. About that far from your mouth. How does that sound? Good. That sounds awesome. The closer the better. You can't be too close. Yeah. I would move yourself closer rather than close. Yeah. Typically, we do all this stuff before we hit record, but we're winging it here today. He brought us food. We got distracted and we brought him food. Yeah. It was a food exchange. Let's start there. Let's give a plug to this is your folks place, the Harvest General Store in Iowa, right? Yes, in Iowa. Yeah, they just do trade shows and stuff right now and they have a Facebook page. But I mean, really, yeah, they just go around doing those trade shows. They love it. Yeah. So we're about to bust open. There was a wide variety of goodies in this box. Chonce went with her top option, currently stabbing it open with the edge of her glasses. What do we have here, Chonce? This seemed the most on-brand for us, and this is freeze-dried gummy worms. I personally have been getting a lot of algorithm on socials showing me people freeze-drying skittles, gummies, things like that. And so this is right up my current algorithm. Yeah. They look like Cheetos. It looks unique. And I was unaware of freeze-drying candy up until about 10 minutes ago. So very excited to learn about this wild world. I will say the best part about this is seeing people's reaction, eating this for the first time. ASMR. Flavors. It tastes like, texture aside, it tastes just like a gummy worm. Tastes like jello. This is very interesting. Push it against the top of your mouth. Like, I don't like chewing these things. I like pushing them against the top of my mouth and letting them melt. If you just push it with your tongue against the top of your mouth, it does taste a little bit like jello. This is requiring a lot of unlearning because I'm expecting candy, but. All right. Take the red and push it against the roof of your mouth. I still got this. It's red jello. This is fantastic. Let me try the blue side now. I think I'm liking it more with each bite. The first one was a little bit of an exploration for me. I will say out of all the options, the gummy worms are not my favorite. What's your go-to? My go-to is definitely the skittles. They do the wild berry skittles and those ones are really good. The smoothie ones are awesome. Maybe we'll bust those out halfway through. Yeah, we could do that. I don't hate this. I feel like this. Setting myself up here. I'll just follow through. It kind of reminds me of corn dogs. Corn dogs? This is important. When I take a bite of a corn dog, I don't know if I want to continue that journey, but then after it sits there for a moment, I'm like, I need another bite. After you've sat there and you're like, where's that taste? I want that taste back. I feel like I can get a lot of miles out of these. It's the perfect intersection between candy and chips. It has a hearty chip texture to it. Very crunchy, as you could hear through the mics, but still tastes exactly like the flavor is exactly what you'd expect from a gummy worm. It's very interesting. I've never even had anything approximate to what I just put in my mouth. That's what she said. I feel like these would be good in shots. Oh, sure. You want to get the party started? Me saying shots are out for the last segment. Cool. These are fun. Okay. Let's talk about some backpacking stuff. The intro is short because that is essentially what we know about your journey. I'm assuming the bulk of the conversation for today. Give us the background because we've been chatting here for the last 10, 15 minutes or so. The conversation has been very easy. I wouldn't expect that you were hard of hearing. Give us your level or introduce your level of deafness and maybe any tech that's involved. I guess just give us the full background. Yeah, I can give you the full rundown. I was born with CMV. That's a congenital men-something virus. It's a very long word. I always butcher it. I was born with that. That basically meant that I could have been deaf, could have been blind, could have been anything. It could have been missing a leg. It turns out that I was just deaf. My mom, they knew what to look for since they had tested for CMV when my mom was pregnant with me. She was a nurse and she got pregnant. Well, she didn't get pregnant by one of her patients. She got CMV from one of her patients. She just kept on doing what she was doing. They knew what to look for. I was born and I passed a newborn hearing screen. At the time, the newborn hearing screen was just you look at the baby and you scream at it and see if it reacts. Any baby's going to pass a newborn hearing screen. Is that because the volume is loud enough that even if they are hard of hearing, it's still reaching a decibel that they can perceive? Yeah, that they register it basically. That's what they were basing it off of at the time. I was born in 2000. It was not that long ago. I slept through my first fireworks and my parents were like, well, no newborn baby is going to sleep through fireworks. They brought me home and sat me down in the living room and banged a bunch of pots and pans in front of my face. I didn't do anything. Didn't react. They were like, yeah, we have a deaf baby. They brought me back. Were they that calm about it? No. Guaranteed not. I know my mom. They probably sprinted to the hospital. Sure. They did that and then I did a couple of hearing screens and I would pass them again, but then they finally did a sedated one where I was hooked up to a machine and then that showed that I was fully deaf. I got my first cochlear implant when I was 13 months old and my second one when I was five years old. Before you go too far, because I'm going to have questions, cover my questions. I just know it. How did your mom get CMV? How does it get transmitted? Just through contact. She was working on a patient. She's an ER nurse and yeah, I think it was just through contact of, I think it was bodily fluids. So basically, if you're pregnant and you get CMV, then it just goes directly to the child. So she was pregnant when she got it? Yeah. It's not like she could get it and then she goes deaf? Yeah. That can happen? No, no, no. Oh, it can? Okay. Thank God. Yeah, no, that would not be the case. So it just, it went directly to me basically and she didn't see any of the repercussions of CMV. And so I still have it and I still live with it, but I can't transmit it to anybody. And so it's dormant, I guess. How did she know at the time that she contracted CMV? She didn't know right away because the doctor came in and was like, hey, this patient has CMV. And my mom was like, well, I guarantee I already have it now since I've already been working with the patient. So. How could the patient give it to your mom, but you can't give it to someone else? That's a good question. I think it's because it really develops predominantly when you're in the womb versus like, you know, you get it in the womb and it's in that development stages. I'm not a doctor, so, but that's my interpretation of it, I guess. And so, yeah, it just, that means I'm, you know, immunocompromised. I, everything else that comes along with being deaf, I can get into that in a second. But yeah, that's about it with CMV. Were your parents on the lookout for, were they on high alert knowing that she had contracted CMV when she was pregnant, thinking that there was a high likelihood that something could have gone awry? Yeah. I mean, they, the doctors literally had like percentages of the different types of disabilities that I could have. And so they had no idea. And so when I was born and I was just, you know, looked normal, you know, they were like, wow, that's amazing. That's a miracle. And so that was a really cool experience for them to go through. And then also, you know, in a way, it was kind of one of the best of the worst situations. Let me know if this sounds insensitive, because for me, it's purely curious, but I could see how this might not come out how I want it to knowing the array of different things that could have happened. Are you, would you trade being deaf for a different option? Or do you think that like, it's a really manageable, like, I don't know, like, would you trade it? I don't think so. I actually don't think I would trade it for anything. Because for one, I take them out when I sleep, you know, like nothing wakes me up noise wise, you know, I mean, I guess I'm sensitive to vibrations. That's actually how I wake up every day is my bed shakes and it connects to my alarm. And yeah, when I have a headache, I can just take them out, don't have to deal with anything, don't have to listen to anything. So I mean, there are some perks of it. I wouldn't change it now. Have you ever taken them out in a relationship when someone's mad at you? That didn't go over very well. That's amazing. That's the ultimate talk to the hand. Notting along. Yeah. So you mentioned that you wake up to an alarm that vibrates. Is this like an alarm specifically for people, for deaf people? Yeah. Yeah. Actually there's, I've had friends buy it just because they're heavy sleepers. I am ahead. You caught my interest when you said the bed vibrates. Yeah. It's just like a little toggle thing. I don't know. It's probably like three and a half, four inches in diameter. And like, you just put it underneath your mattress and it's just like, it's a sonic vibrator. Yeah. It's like a good April Fool's joke for Garrett. I don't know how to phrase this question. So you got the, your first cochlear implant when you said when you were 13 months old. Yes. And then the second one when you were five. Yes. Do you know how well the implant approximates normal human hearing? Like are you functioning at a hundred percent of what the average person functions at? Is it 75%? Can you, like, what is that, what is it supposed to approximate? Yeah. I mean, they basically say that I hear 15,000 tones and you guys hear 30,000 tones. So I guess that's more on a tonal level, but I don't even know. What does that mean? Like just in terms of different arrays of frequencies. Yeah. If you're listening to music, are you hearing half as much of the range as somebody else? Kind of, it's more like along the lines of, you know, I can't hear like white noise or like the, I guess it's the range of frequencies that I can hear. Okay. So like if it's super deep or like a whale call, that's probably not in my range to be able to hear. Got it. Or if it's like a dog whistle, I know most people can't hear that, but something along those high frequencies, I can't hear. Got it. So there's like that specific range. We used to make that our cell phone ring tone in I would say ninth grade because there was a dog whistle. It was a high pitched frequency because the age that your teachers are, like you start to not be able to hear those high sounds, but when you're super young, you can. I thought you were going to say you knew that the phone was ringing because the dogs were barking. No, no, no. People would set their phones to it because the teachers couldn't hear it. That's funny. Yeah. Okay. So, okay. So you hear at half the frequencies of the average human hearing, but for like this conversation, are you hearing everything perfectly normal? I mean, as normal as I can tell. I was going to say, because like I said, I haven't missed a beat. The conversation hasn't missed a beat since you walked in here. And I didn't know what to expect. And to see that your hearing functions at such a high level is just such a pat on the back to what we're able to achieve with Western medicine and all the technology and everything. If you take out the implants, can you like not hear at all? Zip, nothing. How do they make that work? I know you're not a doctor. We've established this, but how do they make that work? Like how do they just create something where there's nothing? I know that people listening can't actually see this, but so, I mean, what I have here is it's a cochlear implant. So I took my left side off. And so right now I can't hear anything on my left side. And so this part that kind of twists off, that's the battery. And so there's a processor that basically takes sound and it's basically like a camera microphone. And so you know how, when you take a video and you like hear the wind, like it's like, and it's annoying, right? I hear that. And so it's basically kind of like just a camera mic, but then this processor basically transfers those sound waves into electrodes, which are just little electrical pulses. And that goes through a magnet that's actually inside my head. And that magnet has a coil that runs through the cochlea. And so since my deafness comes from like not being able to hear, right? So basically what I'm getting at is I don't have the actual like hairs in the cochlea that stimulate the auditory nerve like you guys do. And so that coil that runs through the cochlea like stimulates it with those electrodes, like it would for you guys with those hairs. Two part question. One, based on what you just said, if I were to put that on, it wouldn't, like I wouldn't hear anything crazy because I don't have the part inside, right? Yeah, nothing would happen. Do you watch Harry Potter? Oh, I love it. The second time I've done this, Zach's out of this conversation. Is this like Fred's like extendable ears? Like could you take the implant and put it under like a door somewhere and go away and it would still go to the part in your head and you could hear really good? Like, can you eavesdrop on people with it? Yeah, actually, if I click on my phone, it connects to my phone and I can turn on live listen and then it just like connects right to my CIs and whatever's going through the microphone on the phone goes directly to my CI. So I could set my phone on this table, go to the other room and I'd hear everything you guys are saying. I feel like this is a superpower. Like this is like CIA shit. Yeah, I do think that's a feature you could do with your phone as well. And that's not as cool. I'm not hearing it in my head. True. You have to use the air pod. So yeah, I guess being able to disguise it, but I am blown away by the tech of that. Just hearing your explanation of it and the fact that you're able to function totally normally with it is amazing. Like, do you feel very blessed that this technology? Because how long has this been around? I mean, there were people who were getting implanted, you know, in the 80s and 90s, but you know, the technology just wasn't there. You know, I was one of the youngest in Iowa to be implanted. And so this was it was basically right when the FDA approved it. Like my mom was on the gun. She went for it. Yeah. Well, she sounds like she's on top of her stuff based on the testing and everything alone. Yeah. And the dehydrated candy. And the dehydrated candy. Wow. So did you ever have to learn ASL or was it just, I'm good with these? Yeah, I did ASL for a little bit. I did it until, I don't know, probably I was roughly kindergarten age and I stopped because I did auditory verbal therapy. And they actually went to the level to where like my audiologist, my auditory verbal therapist, I guess, would make me sit on my hands so that like I wouldn't use my hands to talk. And I just wanted to talk anyway. Like I just stopped using sign language. And my parents were like, well, why are we going to invest the time in learning sign language when he just wants to talk? Yeah. You know, so. So the videos that everyone has seen via social media, always a tearjerker when deaf people get an operation where they can hear like their spouse or their parent or whatever it might be for the first time, is that the operation that they're getting the cochlear implant? Yeah, most of the time. Yeah. So cochlear implant is that like cochlear is a brand. There can be other brands that they do. So there's like Advanced Bionic and that's another popular one. A few other ones that aren't as popular, but cochlear is definitely like the main brand. If someone can't hear and they mainly communicate using ASL, are they someone who hasn't tried a cochlear implant yet or do they not work on certain types of deafness? Yeah, it depends on how you become deaf. That's kind of why I stuttered there for a second when I said, you know, my deafness comes from CMB because if you have damage of the auditory nerve, then the cochlear implant is not going to work at all because that auditory nerve has to be able to sense that there's stuff in the cochlea. And so there's, there are people who have damaged auditory nerves and they're just kind of out of luck. So I don't know, I assume this is true, but this is something that I'm citing as an internet fact that when somebody loses a sense or doesn't have a sense to start with, that the other senses are enhanced. Is that one, an accurate description and two, do you feel like that's true for you? Like, do you have a superior sense of smell or because that you've had the cochlear implant at such a young age, do you feel like you haven't missed out in that capacity? Yeah, that's a great question. I get that one a lot, actually. You know, I do have glasses. I never wear them, but, and I don't think my sense of smell is supersonic or anything. You know, yeah, I don't think my senses are really all that great, to be honest. But yeah, I think it has something to do with the fact that I had my cochlear implants at such a young age. And so I did mention earlier that I was like really sensitive to vibrations when I'm sleeping. So that might be part of the sense that I'm gaining from losing my deafness. Yeah. So, but other than that, yeah, I mean, I don't think I really do. Okay. Does it pivot into backpacking quick? We're going to probably go on a lot of side tracks here, but does it help you sleep at night when you're on trail to be able to take them out? Because then you can't hear like the eerie sounds of nature, or does it make it worse because then you can't hear the eerie sounds of nature? A little bit of both. What I mean by that is because, you know, sometimes, okay, I'll be camping by myself. I do a lot of that and I just take them out and, you know, it just makes me not even think about it because, you know, if there's a bear outside my tent, he just jumps on by. I'm not going to care unless he comes into my tent. That's the other thing that kind of scares me is, you know, I'm in my tent and then a bear comes on in. I'm not going to know until it's on top of me. So, yeah. I think at that point, you're just like, well, God wanted me to go. Yeah, I'd rather not know at that point, I think. Yeah. So I think I lean more on the side of like it helps because then I'm just not thinking about it. Yeah. I don't even like using earplugs because I'm so sensitive to having the feeling of something in my ears, especially when I'm laying down on something. Do you actually feel like, are the implants uncomfortable for you or have you been using them for so long that it just feels second nature? Yeah, it kind of feels second nature. You know, like when I don't wear them, I almost feel naked, to be honest. It's like it's kind of the same concept of glasses. Because I'd imagine it would be so nice to have the option to just turn off all, especially on a windy night. It's not even necessarily the animal sounds, just like the constant inconsistent, almost white noise. That's kept me up so many nights to have the option to opt out of that. It sounds actually pretty sweet. Well, when I camp, like a lot of the times at night, if I can't fall asleep, I'll put in my earplugs and I'll just put them on noise canceling. Like I'm not even listening to music. I just use the noise canceling to try to help with like the twig crack sounds. Yeah. You know, I had people tell me multiple times that they loved camping next to me because then they could just roll around all they wanted in their tent and didn't have to worry about waking anyone else up. That's a good point. Yeah. I will say I can't, on the AT, I hiked for about 600 miles with someone who was deaf and it was hilarious. Like we had a great time. A lot of times it was kind of that where it was like, I know I'm not bothering you, but some of it was just like funny. Like he had a really great sense of humor and I think it just added like an extra element for us. Do you ever like go to a concert and turn the volume up? Because I'm getting to the age now where concerts are too loud for me to be able to control that. You're taking the baby headphones off the twins. To be able to control the volume at a concert, to be like, yeah, turn this racket down a little bit. Is that something that you ever do? I imagine you're controlling the volume on a regular basis. Actually, there's a different settings I can use for different like actual environments. So like when I'm on at a concert, there's a music setting that I can set it to. Wow. And then like if I'm, is that just turning the volume down or what other changes? Yeah. It's just kind of like changing the EQ a little bit to like optimize for music, I guess. Yeah. My audiologist loves it, but I will say the most tragic thing to happen for me at a concert is they die. Oh no. Has that happened? Yeah. Multiple times. Yeah. What concerts? There was a Def Leppard concert I went to in high school. That's a bad one to have. And so you haven't gotten to like the best songs yet because they're not closing and you can see it happen. Oh no. Yeah. At that point you're just people watching, huh? Yeah. Just people watching and then like you're just standing there like, well, this is fun. Do you keep like a set of spare batteries? Like can you, is that a thing? Yeah. I typically bring a spare set, but those of course are the times that I forgot. Yeah. Oh my God. How does one charge get you? Typically it'll get me like 15 hours. Okay. So it's just like, you know, if it's just been a long day, it'll be towards the end of the day that they'll die. Yeah. Is it like, like, let's say you go home. Is it like taking your bra? I know you don't probably take your bra off when you get home, but is it like taking your bra off to take them off? And like, I would imagine probably speak ASL to the people like in your home life to be able to not have to use them for a while. Or is it not like that kind of like, feeling that I'm attributing to taking a bra off? I will say that is something that I would do a lot towards like the first two weeks of school. So like, because if you think about it throughout the summer, you're not really intently listening. You're kind of just doing your own thing. You're having fun, right? And so when you write, when you go back to school, you have to like spend eight hours a day, like really trying to listen. And like for me to actually listen to things and hear things, it takes a lot more effort because I have to like differentiate between different sounds because a lot of the stuff comes in at the same volume. So my brain is kind of adjusted to just kind of focusing in on what I wanted to focus in on. By that, you mean like every background noise. Like if somebody shuffles their chair or you can hear the wind or whatever, a fan blowing, like all that's coming in at the same volume. So it's, you have to be able to discern what you're actually paying attention to. Yeah, kind of. Yeah. I mean, more what I'm getting at is like, you know, fluorescent lights. If it's like above me and it's like buzzing, this one's fine. But, and like someone's trying to talk to me right here and they're both coming in at the same volume. It doesn't, my brain doesn't differentiate it. Yeah, that makes perfect sense. So does this make hiking like the Colorado trail or any trail, does this make just like what might be a mundane making miles part of the hike, like just super wild for you? Cause I imagine being able to hear the leaf cracks, the like tree breeze, like every little thing at the same volume. I just watched all the twilights this past weekend and when Bella got turned to a vampire, she was going through the woods and she was seeing everything super hyper-focused and that was wild. Would it be like that where you're just like hiking and you're just like, whoa, to everything? Cause it's all coming in louder. Or is that just in my head? You know, I think that is, when I was younger, that was a thing. Because then I was like experiencing things for the first time, you know, and being able to like hear different sounds of nature when I was a lot younger was, you know, it was an experience, you know, I wish I could do that again, you know, but yeah, I don't really think so anymore. Just because, you know, I've had these for so long and I've been accustomed to it. It's just, it's just my normal life now. Is there an auditory setting for something like being in the wilderness? Like you mentioned how there's like a music setting. Is there something for being outdoors? I could make a setting. Yeah, probably good. Just basically turn the, you know, higher frequencies down a little bit on my phone and yeah, basically I could. I never have, I usually typically just stay with my everyday setting just because I'm used to it and that's basically the only reason. If you know the first thing about hiking socks, then you are already aware of our next sponsor. Darn Tough is the most trusted sock in hiking and the number one hike sock in the USA. Family owned and made in Vermont, Darn Tough offers the most durable socks guaranteed. In fact, their warranty is famous with hikers because they're unconditionally guaranteed for life. 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Again that code is dtlove-backpackerradioatdarntough.com to get 10% off plus free shipping. This deal is only good for a very limited time so do not wait. Okay let's talk hiking. Oh yeah. So when did the Colorado trail get put on your map? How long have you been hiking? Give us the full like outdoors background. Yeah I've just grown up being outdoors and my mom has taken me out on little day hikes when I was younger and growing up camping. My dad always took me camping a lot when I was growing up and yeah I've always enjoyed it and then I went to college and my buddies and I would go to the boundary waters every summer for a canoe fishing trip and that was always really fun. Did you go to school in Iowa, Minnesota? Yeah I went to school at Iowa State University. Go clones. They've had some good running backs and you weren't there during the Brice Hall years were you? Yes I was. Yeah he's killing it in the Jets. Yeah he's great. I'm watching the 49ers with Brock Purdy right now. Iowa State as well? Yeah. Oh I didn't know that. Yeah that's why. Yeah 49ers have a bad night yesterday or the day before. They've lost a couple games but they're still really good. Just making myself feel better. It was not a good game yesterday. Anyway sorry. Okay so boundary waters in college and then when did the CT get put on your map? Oh yeah so I had a buddy I was just work so I'll back up a second here so I was working in Iowa and I was just I was right after I had graduated college and I had a couple buddies who just went off and you know took like a gap year or I even what really inspired me was I had a buddy who did the PCT and I was like man yeah I really want to do something like that and that really is what inspired me and so I was just like I just googled places in Colorado to go hiking and that's literally all it was and then the Colorado trail came up. Colorado trails. Yeah so what was your longest backpacking trip prior to this? Actual backpacking trip prior to that one would have been like a week in the boundary waters but that was canoeing so I wouldn't even consider that backpacking. Sure. I'd say it was probably just a weekend trip. Okay. Like one or two weekend trips. So what considerations did you have to make for the Colorado trail that maybe someone who didn't have deafness wouldn't have to consider? Like what was it like for you to plan for this trip that set it apart from canoeing or anything different? Yeah I think it was really the battery situation. Trying to figure out how I'm going to keep these things charged because yeah because when I was in the boundary waters I had them dug out because it was so cold and like I forgot to sleep with them. That was a rookie mistake. Always sleep with your batteries. That's very important. Yeah. So is it like your phone where if you are in like my phone it'll do it when I'm at too high of an elevation and it's like exposed and there's cold the phone will just die even if it's fully charged. Yeah. Is it like that with your batteries because they're not really protected much from the elements in your ears. Yeah no that's totally that same thing. Yeah that same concept like I was talking more on like my disposable batteries. The ones I have on right now are my rechargeable batteries. Oh. And so I had a little fob that I could like connect to the portable battery charger and that's what I predominantly used but it broke on me and so I had to use the actual batteries and they dutted out in the boundary waters because it was so cold and that was one big thing that I was really worried about for planning and then yeah it actually happened to me again on the Colorado Trail and I just ended up having another resupply box that had extra batteries in it and so it worked out but I almost went a week without being able to hear on trail. So it gets so cold that the battery just breaks like it's not you can't warm it back up and recharge it. Yeah the so they're like zinc air batteries is what they're called and like when they're exposed to a certain temperature then it just like duds out. Hmm. Yeah it's super weird. When you're talking about disposable batteries are you talking about just like our standard AAAs or are there like how you just unclicked that battery from it? Is it that but you just toss it after each use? Yeah it's kind of like that so there's like a little sheath that comes out and then it holds you know those little like little little batteries. Yeah like the watch ones? Yeah kind of like those that's basically what they're used. So the disposable parts that little circle battery. Yeah. Got it. Yep. So what was it like you said it was a were you a week without proper battery for the? I almost was a week without it but then. It happened to happen at the your resupply. Yeah then I happened to find them at the bottom of my resupply box. Got it. Like thank you. Yeah so did you go imagine something like a half day from the time that it broke to get to town to actually get your resupply? Yeah actually one of them died and all the other so I had my right one which is my favorite one because I had it first and so I favor that side more and so I had that one working and then no more batteries left and then my left one was dead so I'm like well crap I know I have half a day before I can't hear at all. Is it really disorienting for it to only work in one ear because uh you know Apple AirPods sometimes the like the old ones like one of them just won't charge even if it's sitting in the dock so I've been at the gym before where I'm listening to music through one AirPod and for me it's really distracting like I feel like my workout sucks just because I'm so thrown off by having the inconsistent audio is that I imagine for you it's significantly worse. Is it pretty distracting for it only to be registering audio on one side? You know for like the first second it is and then it kind of just goes back to just all right well I know that that's the only side that sounds coming from so I got to tilt my head a little more that way and just kind of unconsciously adjust but yeah I mean other than that yeah I mean it's it just really does suck when that happens in inconvenient times like a concert. How do you handle that when it's on trail because there's a quote I was trying to look it up quick enough but there's a quote from a book I've mentioned on here countless times Spark the Revolutionary New Science Between Exercise and the Brain I highly recommend it still great book but they talk about people that are I think it was in this book they talked about it people that are left alone like to their own thoughts and how a percentage that's higher than I would have expected of these people would rather be like subjected to mild electric shocks than left alone with their own thoughts and like no other noise for you know a day longer you know it was 15 minutes I think is what the study was it was super small and it basically was just going to like back this evidence that like people aren't comfortable spending time with themselves like in their own thoughts that sort of thing to to lose hearing on a trail and to have to go like a day two days even when you were talking about the canoeing trip however long that was before getting it back how is your mental like overall wellness adjusting to I mean I assume in these settings where they're doing these studies they have the choice like I can quit the study I can leave the room I can go hear things and I've seen people on trail where they haven't talked to anyone in like five days and they look different how how do you see that happen and take something like that that happens to you on trail and a what does it do to you mentally and b how do you combat not being able to flip that back on yeah it's a really interesting thing because you know there's weekends that I'll go camping and I'll just not have messy eyes on and for me it's a place that I can really just think things through and be by myself and so I actually do enjoy that time and I you know I'm an introvert I'm an extrovert you know I guess I'm a little more of an introvert now just since COVID and everything else you know I do like being on my own now and just kind of taking them off and being in my own little world because that's really what it is I'm in my own little world and so I guess like on a trail sense you know it does get a little scary at first because then you're like when the first time that it happened where like they died on trail and I was just like almost a day without being able to hear outside I was just constantly like panning my surroundings just constantly because you know I don't know if there's another hiker coming along I don't know if there's you know I'm gonna run come up on something that might not be very friendly so yeah there's definitely times that it is a little scary but I've become accustomed to it. To that question did you have anyone that you could reach out to as a resource prior to the CT who was deaf that you could ask these questions to? I had nobody I just kind of figured it out figured out as I went nobody I knew who was deaf had ever done anything like this I guess and so I just I'm a big fan of just going for it. It's a good attitude. Is there any sort of community Facebook group whatever platform it might be where you have access to other people where you could ask this question and you're like hey has anyone done long-distance backpacking and everyone's just crickets? Yeah I mean there's actually a couple different Facebook groups where there's you know families who have cochlear implants they can like the parents can talk on there and I actually grew up attending a cochlear implant family camp and so I met a lot of people from all over the United States who also had cochlear implants because you know growing up in Iowa small town Iowa you're not going to have anybody in a 100 mile radius who's also deaf. You mentioned before we hit record that your graduating class was 23 people? 28. 28. No short you those five people yeah so you get a small town. What was the population of your town? Oh probably like a thousand people okay yeah it's small yeah it's pretty small I mean it was literally yeah like 30 minutes away from Des Moines. Are there any trail specific groups like Facebook groups that are long-distance focused for people that have like hearing disabilities? No not that I know of that's a good idea though I might do that tonight. Well I mean I hiked with Mr Perfect and he was deaf and then he had a friend that we spoke to several times that wasn't hiking but she came to trail day so I had met her too and I know there's a few others that have like come across the radar but I think that would be a great resource for like you guys to have with each other. Just before we move too far off the your your implants die while hiking how do you handle that topic? A lot of things that you'll hear when people aren't thriving at a long-distance hike like a lot of it comes down to all the alone time right like there's so much time with your own mind there's so much time where you're not stimulated by other things and I think when we're just constantly fed just like social feeds to scroll through content here and there a tv on in the background that's where like you start to see people like I mentioned the one who hadn't talked to someone for five days where they just seem unwell right like they're not doing good and I know that can bring a lot of people off trail as someone who will go weekends where you just take them out and actually enjoy it do you have tips for people for hiking without sounds to keep them stimulated while hiking or to make it seem less jarring for them like are there things they can do that make it better if they're not one that usually thrives in that setting? Yeah I mean I would say first off you gotta like your inner monologue you know you gotta be best friends with your inner monologue because otherwise it's gonna be a battle you know because if you aren't best friends with your inner monologue then you're gonna be just you know fighting each other and really what it comes down to is are you comfortable by yourself and if you're kind of uncomfortable in those settings and you know you just kind of gotta go back to you know why does it make you uncomfortable because there's probably a reason and there's probably something deeper that stems from that. How did you get comfortable with yourself? I assume based on my this is based on me but I assume not everyone's born comfortable with themselves I assume it takes effort assuming you're not just naturally comfortable with yourself how do you get there? Oh man that's a tough one. That's a deep question. That's very deep. Now you have to give us therapy. Making it easy for Zach's follow-up. I don't know it just seems like you're doing really well with it. Yeah well I appreciate it I appreciate it yeah I mean I um what I kind of did was I just you know took it step by step you know because I first day that happened to me and I just kind of you know I couldn't do anything about it you know I didn't have my garment yet and so you know that would happen a lot growing up you know I'd be at school and they would die and I wouldn't have batteries I have to go the rest of the day without being able to hear and so I guess just that those little moments of exposure of you know have being forced to be by yourself in your own little world that kind of culminated to an extended period of time that can happen. So like doing a shakedown hike but like a quiet yeah shakedown like a yeah like do do little shakedown hikes basically where you like maybe first day you go by yourself and then the second day you have a friend that comes out and meets you um that's that'd be a good way to do it or vice versa where you go out with two people and then you just you stay an extra day by yourself. I was thinking even smaller like just sitting on the couch without using my you know like before you even go outside just sit there and don't touch the phone for an hour you know yeah yeah yeah definitely don't touch the phone. Do you have to worry about them getting wet like is it a concern if it's raining outside? Oh yeah yeah yeah it's like they're more water resistant now but yeah back in the day like you had to take them off like it was super sensitive to water and one thing I'll say about that camp that I grew up going to is they had a pool party every year and if you imagine this scenario where you put a bunch of deaf people into a pool and they don't have waterproof stuff yet the lifeguards are gonna love you because they're blowing their whistles they're doing all that they can and you no one in the pool is even listening to you they can't hear you and so I mean like it's just crazy to see how technology has advanced because you know when you go to that camp now everyone has their waterproof stuff on and so like yeah now it's a little more waterproof or resistant than it was. What areas would you like to see improvement with the tech like you mentioned that it's advanced from like a waterproofness standpoint what areas do you see it could potentially still have room for improvement? Oh yeah I mean it's improving every year there's another upgrade that I could get and so basically what they're doing with their new upgrade now is you can go to an airport and it'll automatically connect to the bluetooth there and they'll tell you like when you're boarding and all that and you can connect to any bluetooth device basically. Can someone hack your mind then? I hope not. Can I just like how the airport would bluetooth to your sounds can I bluetooth to it and be like I'm in your head you know like is that a possibility? I'm not saying it's crazy I'm saying it's scary. I feel like that's very possible. Yeah yeah that's definitely possible I don't know I hope not but uh that'd be scary. Are you excited about those advancements or is that kind of like freaky because that kind of freaks me out a bit? Yeah I mean I'm excited because I mean they're doing it in the right mind I hope so. Yeah it seems out of kindness. Yeah I mean out of kindness I hope but yeah I mean other than that I mean I don't know because like it seems like each model that they make it gets smaller and smaller and they actually have one now where it's without the actual processor that goes on your head but the magnet and it's just the little magnet it's like that big. That's interesting because I'm thinking of this from the standpoint of like just getting you to the point where you can hear like the normal person the person with normal hearing but what you're describing are enhancements that are even beyond what somebody with that level of hearing has. I guess it opens up a whole train of ideas for ways that it could you could be enhanced beyond you mentioned being able to know when you're boarding but there's probably infinite possibilities in that standpoint. Yeah tons I mean like it would be really cool to just have like a little like basically you don't even have to wear your processor every day but it's like all internal then you like wear your processor to charge it kind of like air charge or like you know you have your little pod that you set your phone on and it automatically charges without having to plug in like that'd be kind of cool. Yeah because I remember for a while sorry to cut you off Jones but you're probably more relevant than mine. For a while the buzzword was augmented reality and we're seeing this now with like Google Glass and now Apple's got this too about like the way that you visually interface with the world and it giving you more context than you would otherwise have. From an auditory standpoint thinking of hiking like if you heard like a bird call and that's what I was saying about nature being wild. Yeah being able to have the implant be like oh that is the blue-footed booby. Oh that'd be so cool. That's that goes back to your Tony Stark stuff where you wanted the Iron Man suit. Totally. That's a feature the Iron Man suit. Well I was gonna ask on the same realm of wild like if there's any upgrades that have been made yet where it can hear different languages and it still transmits English to you. No there hasn't been one of those but there has been one I actually really don't like this setting. I currently have it but I don't have it turned on and what it does is it's called like zoom and so if there's like a crowd of people around me and I face this one person that I want to listen to it'll like zoom in on that person that I want to listen to and it'll kind of cut everyone else out but yeah it doesn't really work when you're like in a basement and like your mom or whoever screams from the first floor then because then it's like well it's listening to the air conditioner but then it doesn't quite know if that other sound coming from somewhere else. It doesn't know what to focus in on. Yeah then it just kind of screws it up. Right. This is going to be probably my dumbest question of the night. Yeah. I don't know it's hard to ever tell. The night is young. We got time. Do people ever use these that don't need them like if you're not hard of hearing is because I feel like some of the stuff you're saying sounds really like I'm kind of not like not jealous obviously I'm very grateful for the hearing I have but it sounds really cool to be able to zoom in on certain things and make things louder like I struggle when there's a lot of noises going on at once. Yeah. Are there people that use these things that don't need them because it's just like like really cool or strategic? I don't know. I just feel like that's it sounds like a superpower to me. It is you know I mean to an extent yeah it is a superpower. I mean with technology the way it is now if you told someone in the 1800s what I could do they'd be like what planet are you from? Yeah. So it's insane to think about but um no I haven't really known anyone just because the fact that insurance is such a battle um especially back in the day like when I first got them my mom was she's the rock star like she wrote letters on letters on letters just to get insurance approval. How much do they cost? I mean we were paying oh shoot I mean they're probably I probably have like I don't know half a million dollars in my head. Shut up. No. Just the part that's inside? Oh all of it like external internal surgery everything yeah. Wow. Does the implant itself I'm thinking like fake joints they have a lifespan of 20 years is this something that has to be refreshed on a on a bait on a consistent basis? Yeah the they gave the internal stuff like 18 years okay and I'm well past that I'm 23 um and so it's kind of like any day now I asked my audiologist like what she thought would be kind of when I'd need to be re-implanted um and she's just like you know it could be 10 years from now could be you know five years from now it could be next year. Is the only consideration that the sound part stops is it not like the the stuff that makes it like deteriorates the grades gets absorbed by brain goo? Yeah. I don't know how I don't know how a lot of things work. Oh it's all good it's all good yeah I mean it's just really like the lifespan of the technology if it is able to last that long um internally um because those internal devices don't get touched you know because you have surgery to get them put it in and then that's it. When you switch to a new one is it going to be like getting the same thing like you leave the same person as you entered or is it like upgrading like your you know 97 Toyota Camry to the newest Range Rover? It'll be like upgrading kind of like to a Range Rover because it'll be different technology there'll be because nowadays it's just an outpatient there like procedure when I got them like I had to stay in the hospital for a couple days and I had this big old bandage around me and like it was it did not look pretty I had like these big scars and now you know it's just a little slit behind the ear and then they slide the little magnet in and they're able to do everything with the cochlea all within an outpatient procedure. Can you feel it? Yeah I mean can I touch it? Yeah. So is that where the cochlea is like that far above the actual ear or is it I thought the cochlea was inside the ear? I don't feel it because it's right there yeah so it's it's it's like a slight little bump there but um yeah so that's how it's held on to my head is a magnet. Wow. Yeah you mentioned at the top of the interview that there were other um ramifications I'm not sure of being deaf or you say CMV was the yeah can you look that up yeah yeah it's bothering me so much. Cytomegalovirus? Yes that's it yes. Okay okay you mentioned that like um that your immune system is compromised because of is that because of the deafness or because of the virus itself? I'd say that one was because of the virus itself okay um and so like growing up like I would brush my teeth twice a day like every other kid right but I would get cavities on cavities yes I had to convince people growing up that I brushed my teeth twice a day and floss every day because I would just keep getting cavities and you know it just yeah so they think that has something to do with CMV like a weak um enamel basically um and then like the part that comes with the deafness is I don't have balance so I don't have the liquid in the semicircular canals that give people balance and so like how does that play out I'm very clumsy well there's some like steep I mean there's not like I don't like steep things there's not scary stuff on the Colorado trail but there's some there are some ridges yeah does that like screw you up well definitely um there was actually when we got to the high point of the Colorado trail we did an alpine start um and that was actually my first 30 mile day that was that was awesome my trail family is awesome for pushing me to do that but anyway so we woke up at like 2 30 in the morning and started hiking and it was complete darkness you know but the stars were out and that was kind of helpful but I had to have my headlamp on like the brightest it could go and even with that I was using my trekking poles side to side basically holding myself up walking on basically four legs just to stay up with the rest of the trail family yeah are there other so you mentioned the battery's dying you mentioned uh balance being a challenge are there other things that are not obvious that would be make something like this more challenging um yeah I think it would just be really the clumsiness um that's a really big thing and another one that a lot of people don't think about is swimming s