Podcasts about complications

Preeclampsia is one of those pregnancy conditions that gets mentioned often, explained poorly, and frequently dismissed until it suddenly isn't. In this episode, HeHe sits down with Dr. Dallas Reed to pull back the curtain on what preeclampsia actually is, how it shows up, and what expectant parents deserve to understand long before things feel urgent. Together, they break down the basics in a way that's clear and human, including how common preeclampsia really is, what symptoms to take seriously, and how to make sense of blood pressure readings and pregnancy-related hypertension diagnoses. Dr. Reed explains the differences between severe and non-severe preeclampsia, what monitoring can look like before and after 37 weeks, and why postpartum preeclampsia deserves more attention than it often gets. The conversation also explores prevention and management, including lifestyle considerations, aspirin use, and how care plans may differ depending on risk level, gestational age, and whether someone is being monitored inpatient or outpatient. A major focus of the episode is the future of personalized maternal care, including a deep dive into the Encompass test. This new RNA-based blood test, available between 18 and 22 weeks, helps identify pregnancies at higher risk for preeclampsia and pairs that insight with an evidence-based action plan and virtual support. Dr. Reed shares how this type of testing may change the way providers and families approach monitoring, communication, and early intervention, including potential benefits for out-of-hospital birth settings. This episode is grounded, evidence-based, and empowering, offering expectant parents tools, language, and understanding so they can participate confidently in their care rather than feeling blindsided by it.   TIMESTAMPS 00:00 Introduction to Preeclampsia 00:56 Welcome to The Birth Lounge Podcast 01:39 Features of The Birth Lounge App 03:00 Pregnancy and Postpartum Articles 04:54 Introduction to Today's Episode 07:47 Discussion with Dr. Dallas Reed 08:35 Understanding Preeclampsia 10:46 Symptoms and Diagnosis 18:56 Managing Blood Pressure During Pregnancy 22:37 Risk Factors and Prevention 31:59 Strategies to Prevent Preeclampsia 32:29 Healthy Lifestyle Recommendations 33:37 Monitoring and Follow-Up 35:05 Risks and Complications of Preeclampsia 37:05 Postpartum Preeclampsia 39:20 Managing Preeclampsia Before 37 Weeks 41:20 Inpatient Care and Medications 46:22 Understanding the Encompass Test 53:06 Benefits of the Encompass Test for Home Births 58:19 Final Thoughts and Resources   Guest Bio: Dr. Dallas Reed, practicing OBGYN, medical geneticist and advisor to Mirvie, a company delivering data-driven solutions for predictive and preventive care in pregnancy. Mirvie recently launched Encompass, which is the first RNA-based blood test to predict preeclampsia risk, combined with an evidence-based preventive action plan and virtual assistant to guide individualized support and care.    SOCIAL MEDIA: Connect with HeHe on Instagram  Connect with Mirvie on IG    BIRTH EDUCATION: Join The Birth Lounge for judgment-free, evidence-based childbirth education that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way Want prep delivered straight to your phone? Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere. And if you haven't grabbed it yet… Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor.  

3pm: I Was Thinking: a Storm is coming (Capitol Flight) // This Day in History // 1985 - Music stars gather to record “We Are the World” // 1986 - The space shuttle Challenger explodes after liftoff // Trump Accounts’ for Kids Come With $1,000—and Tax Complications

In this episode, Dr. Rena Malik explores the complexities of whole body MRI screening with guest Dr. Matthew Davenport. They discuss the pros and cons of using contrast material, the risks of overdiagnosis, and the potential harms of detecting indolent cancers or incidental findings in low-risk populations. Through vivid examples and expert explanation, the conversation highlights the importance of targeted cancer screening and making informed choices about imaging. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Use of contrast in MRIs00:25 Trade-offs: accuracy vs. harm00:59 Substantial harm from findings01:51 Thyroid nodules and overdiagnosis03:15 Retrospective outcomes and unintended harm04:41 Screening for aggressive vs. indolent cancers07:06 Prostate cancer screening example08:24 Complications from incidental findings09:33 Cascade of care after incidental findings Stay connected with Dr. Matthew Davenport on social media for daily insights and updates. Don't miss out—follow him now and check out these links! LinkedIn profile: https://www.linkedin.com/in/matthew-davenport-md-mba-037184286 Work profile: https://medschool.umich.edu/profile/2315/matthew-s-davenport Most relevant article: https://www.ajronline.org/doi/10.2214/AJR.22.28926 Next event is grand rounds speaker at Stanford: https://med.stanford.edu/radiology/education/grandrounds/2025-26.html#january Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Cleo Paskal Paskal discusses the geopolitical and legal complications regarding the transfer of the Chagos Islands (which include Diego Garcia) from the UK to Mauritius. She highlights a critical oversight: a 1966 agreement between the US and the UK mandates that sovereignty over the Chagos archipelago must remain British for 50 years plus an additional 20 years, meaning the territory should legally remain British until 2036. Paskal notes that Washington has recently "woken up" to the dangers of the transfer—which President Trump has labeled as "stupid"—largely due to concerns regarding the heavy influence of the Chinese Communist Party in Mauritius.1939 guam

In this powerful Listener Series episode of The Birth Trauma Mama Podcast, Kayleigh is joined by Andrea, who shares her story of an unexpected pregnancy complicated by severe placenta accreta, a nine-hour delivery surgery, massive hemorrhage, ICU recovery, and a long, complex postpartum healing journey.Andrea walks listeners through receiving a terrifying accreta diagnosis at her anatomy scan, navigating the fear of life-threatening hemorrhage, and making the critical decision to transfer care to a specialized accreta center. Her story highlights the importance of self-advocacy, multidisciplinary care, and listening to your instincts, especially when your life is on the line.This episode also tenderly explores the emotional aftermath of survival: delayed bonding after general anesthesia, prolonged separation from her baby, months of physical complications, depression, and the long road to processing trauma once the body finally stabilizes.In this episode, we discuss:

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/TCA865. CME/NCPD/CPE/AAPA/IPCE credit will be available until January 11, 2027.Frameworks for Identifying Systemic Sclerosis and Its Complications: From Pathophysiology to Personalized Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/TCA865. CME/NCPD/CPE/AAPA/IPCE credit will be available until January 11, 2027.Frameworks for Identifying Systemic Sclerosis and Its Complications: From Pathophysiology to Personalized Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.Disclosure information is available at the beginning of the video presentation.

In this listener-commissioned bonus episode, we break down the internet's favorite hockey romance through a gymnastics lens — rivalry, pressure, secrecy, slow burns, and why elite athletes are like this. It's an adult conversation with minor spoilers, wheeze giggles, and Oscar's for butt. Commissioned by Karla. This is her fault. Thank you, Alyssa for proving our point with her Ilya speech. UP NEXT Fantasy Gymnastics podcast every Wednesday College & Cocktails : Sunday Jan 25th, 12:00 PT after UCLA at Michigan State (FOX) 2026 Cocktail and Mocktail menu here Add exclusive Club Content like College & Cocktails to your favorite podcast player (instructions here). SUPPORT OUR WORK Club Gym Nerd: Join Here Fantasy: GymCastic 2026 College Fantasy Game now open. Never too late to join! Merch: Shop Now Newsletters The Balance Beam Situation: Spencer's GIF Code of Points Gymnastics History and Code of Points Archive from Uncle Tim Resistance Resources CHAPTERS 00:00 – Kentucky Gymnastics Recreates the Heated Rivalry Pump-Up Speech 00:00:17 – Welcome to GymCastic (Bonus Episode) 00:00:45 – You Don't Need to Know This Show (We'll Explain Everything) 00:01:04 – Adult Conversation Warning (Minor Spoilers) 00:01:38 – What Is Heated Rivalry? 00:03:05 – Hockey the Way Jade Carey's Floor Is Choreography 00:04:40 – Why Are We Doing a Podcast About This? 00:06:10 – The Books: Game Changers Series by Rachel Reid 00:07:05 – Why People Are Obsessed With This Show 00:10:00 – Secret Romance, Gay Panic, and Years of Tension 00:13:25 – The Stairs Scene, Chirping, and Competitive Flirting 00:17:05 – Gay and Bi Representation That Feels Real 00:20:20 – From Coco Gauff to SNL to Massive Fan Edits 00:25:40 – Casting Heated Rivalry for Gymnastics 00:29:30 – Greatest of All Time Criteria (Hot, Dominant, Iconic) 00:33:40 – If Not Russian, then who?  00:37:10 – Why a Lesbian Version Wouldn't Work (Sue Bird Was Right) 00:40:20 – Khorkina for Maximum Chaos Casting 00:43:30 – Why Sports Movies Are Never Realistic (And That's Fine) 00:46:40 – The Gym Mom vs Kip's Dad: Loyalty and Support 00:49:50 – Secret Relationships vs The Closet 00:53:10 – Panic, Fear, and Being Recognized 00:56:10 – Complications of Secret Hookups (Spring Break Story) 00:59:50 – Sub Dom Dynamics in Elite Sports 01:06:40 – Is This a Turning Point for Sports Fan Fic Smut?  

Think beyond the esophagus. Up to 75% of eosinophilic esophagitis (EoE) patients have ENT-relevant atopic disease that is often best managed with a multidisciplinary approach. Get caught up on best practices in EoE diagnosis and treatment with this episode of the BackTable ENT Podcast, featuring dual board-certified gastroenterologist and allergist-immunologist Dr. John Leung and host Dr. Basil Kahwash. --- SYNPOSIS The discussion covers the definition, symptoms, and diagnosis of EoE, highlighting the role of food and environmental allergies. Dr. Leung and Dr. Kahwash cover diagnostic techniques like endoscopy and emerging non-invasive methods, as well as various treatment options including dietary modifications, pharmacology, and biologics. The doctors also emphasize the importance of multidisciplinary collaboration between gastroenterologists, allergists, and otolaryngologists to provide optimal care for patients with EoE. --- TIMESTAMPS 00:00 - Introduction 03:13 - Understanding Eosinophilic Esophagitis (EoE)05:45 - EoE Symptoms and Diagnosis08:41 - Role of ENT in EoE Diagnosis11:32 - Diagnostic Criteria for EoE16:34 - Treatment Options for EoE20:55 - Role of Allergists and Environmental Allergies23:24 - Pharmacological Management of EoE29:38 - Complications and Risks of EoE36:21 - Follow-Up Endoscopies and Surveillance40:34 - Future Directions in EoE Management45:21 - Conclusion and Final Thoughts --- RESOURCES Dr. John Leunghttps://www.bostonspecialists.org/dr-leung-full-profile

In just three seasons, a small-town club from central Luxembourg have gone from third-tier obscurity to challenging for the top-flight title.   At the heart of their rise is president Carlos Teixeira, a construction entrepreneur who literally built the club's stadium himself before reluctantly taking over the reins.  On this episode, we tell Atert Bissen's story – before heading to the Netherlands, where an amateur club in the KNVB Beker are guaranteed to lift a trophy whether they win the competition or not.  To complete the Benelux trio we finish off in Belgium, where an angry father, a potential Iraqi investor and a revolving door of coaches have allegedly turned Olympic Charleroi into a hot mess.  Chapters00:00 – Intro00:45 – Atert Bissen's remarkable rise06:35 – Rapid risers across the globe08:40 – De Treffers & the Blue Pine Cone14:40 – Amateur rewards worldwide18:00 – Chaos at Olympic Charleroi22:20 – Special Sweeper announcement

In their fourth episode, the BTK Surgical Endoscopy team delves into the endoscopic management of the dreaded and unexpected. They review how to take care of high-risk surgical complications and introduce the use of a number of endoscopic tools including suturing, stent placement, clips, and the EndoVac. Following a review of a variety of endoscopic techniques, they present case-based scenarios that allow the listeners to understand the application of the endoscopic interventions in everyday practice. Becoming facile with endoscopic interventions may give surgeons the ability to nonoperatively take care of the most complex patients. Hosts:-  Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgeon, Dell Medical School, University of Texas at Austin (Austin, TX), @SAyusoMD (Twitter)- Dr. H. Mason Hedberg, Minimally Invasive Surgeon, Endeavor Health (Evanston, IL)-  Dr. Trevor Crafts, Minimally Invasive Surgeon, Rocky Mountain VA Medical Center (Denver, CO), @CraftsTrevor (Twitter) -  Dr. Zachary Callahan, Minimally Invasive Surgeon, Nashville Surgical Associates (Nashville, TN), @zmcallahan (Twitter)Video Link: https://app.behindtheknife.org/video/surgical-endoscopy-series-ep-4-endoscopic-management-of-complicationsPlease visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

In this week's episode, Blood Associate editor Dr. Thomas Ortel interviews authors Drs. Ware Branch and J.J. Strouse on their contributions to How I Treat hematologic complications in pregnancy. Dr. Branch's paper, “How I diagnose and treat antiphospholipid syndrome in pregnancy” discusses the evolving clinical and laboratory features of APS, and the treatment of cases meeting ACR/EULAR classification criteria. Dr. Strouse stresses the unique problems posed to both the mother and fetus during pregnancy in his paper "How I treat sickle cell disease in pregnancy”.See the full How I Treat series in volume 143 issue 9 of Blood journal. 

Board-certified orthopedics and sports medicine provider, Dr. NIKHIL PANDHI, will discuss causes of hip pain and complications if it is left untreated.

IBD Drive Time: Drs Sara Horst and Raymond Cross on Ostomy Complications by Gastroenterology Learning Network

In this episode, host Don Adeesha joins Tracey Mancuso, a certified medical laser safety officer and founder of Dermaroom, to define what a true "safety culture" looks like in a modern aesthetic practice. Tracey argues that safety is not merely about avoiding adverse events but is a comprehensive mindset that must begin from the very first patient phone call, warning against the rising danger of "buttonology" - where providers memorize device settings without understanding the underlying physics or tissue interaction. Tracey breaks down the critical flaws in "patchwork learning" derived from abbreviated weekend courses, explaining why holding a certificate does not automatically make one a specialist. She details how DermaRoom helps practitioners bridge the gap between basic manufacturer training and mastery, while also highlighting the vital importance of screening patients for psychological readiness during consultations. Finally, Tracey shares why turning away the wrong patient is a profitability strategy that protects the business from the high costs of bad reviews and complications. She outlines the necessity of robust medical directives and Standard Operating Procedures (SOPs) to ensure defensibility, urging owners to audit their training logs and commit to safety as the ultimate competitive advantage for 2026 and beyond.

Connect to John Gilroy on LinkedIn   https://www.linkedin.com/in/john-gilroy/ Want to listen to other episodes? www.Federaltechpodcast.com When cloud computing was introduced, it was quite a simple concept: leverage other people's hardware to scale easily. Not too much to manage. However, today's cloud world has metastasized. Today, federal leaders live in a world of on-prem, multiple clouds, private clouds, hybrid clouds, and even sovereign clouds. Complications arise when they are burdened with compliance requirements and staff reductions. Today, we sat down with Ryan McArthur from Zscaler to discuss how to effectively manage a cloud environment when challenged with deploying Zero Trust. He begins by sharing his experience helping federal leaders understand the inherent risks of the VPN system. Few realize that VPN technology was first introduced by Microsoft back in 1996, and then popularized with Windows 4.0, which included built-in support. Thirty-year-old technology can present severe limitations. Unfortunately, the popularity of VPN technology increased with the demands of remote computing during COVID. We are now in a situation where many enterprises have built their architecture on this dated technology. Ryan mentions that one key to juggling clouds is to focus on the applications themselves. He emphasized Zscaler's ability to securely connect users. If you want more information about Zscaler, you should attend the Zscaler Public Sector Summit in March, where you can discuss and collaborate further.

"We proposed a concept to the American Society of Clinical Oncology (ASCO), recognizing that extravasation management requires significant interdisciplinary collaboration and rapid action. There can occasionally be uncertainty or lack of clear guidance when an extravasation event occurs, and our objective was to look at this evidence with the expert panel to create a resource to support oncology teams overall. We hope that the guideline can help mitigate harm and improve patient outcomes," Caroline Clark, MSN, APRN, AGCNS-BC, OCN®, EBP-C, director of guidelines and quality at ONS, told Chelsea Backler, MSN, APRN, AGCNS-BC, AOCNS®, VA-BC, oncology clinical specialist at ONS, during a conversation about the ONS/ASCO Guideline on the Management of Antineoplastic Extravasation. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by January 2, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the management of antineoplastic extravasation. Episode Notes  Complete this evaluation for free NCPD. ONS/ASCO Guideline on the Management of Antineoplastic Extravasation ONS Podcast™ episodes: Episode 391: Pharmacology 101: Antibody–Drug Conjugates Episode 335: Ultrasound-Guided IV Placement in the Oncology Setting Episode 145: Administer Taxane Chemotherapies With Confidence Episode 127: Reduce and Manage Extravasations When Administering Cancer Treatments ONS Voice articles: Access Devices and Central Lines: New Evidence and Innovations Are Changing Practice, but Individual Patient Needs Always Come First New Extravasation Guidelines Provide Recommendations for Protecting Patients and Standardizing Care Standardizing Venous Access Assessment and Validating Safe Chemo Administration Drastically Lowers Rates of Adverse Venous Events This Organization's Program Trains Non-Oncology Nurses to Deliver Antineoplastic Agents Safely ONS books: Access Device Guidelines: Recommendations for Nursing Practice and Education (fourth edition) Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition) Clinical Guide to Antineoplastic Therapy: A Chemotherapy Handbook (fourth edition) ONS courses: Complications of Vascular Access Devices (VAD) and IV Therapy ONS Fundamentals of Chemotherapy and Immunotherapy Administration™ ONS Oncology Treatment Modalities Clinical Journal of Oncology Nursing articles: Chemotherapy Extravasation: Incidence of and Factors Associated With Events in a Community Cancer Center Standardized Venous Access Assessment and Safe Chemotherapy Administration to Reduce Adverse Venous Events Oncology Nursing Forum article: Management of Extravasation of Antineoplastic Agents in Patients Undergoing Treatment for Cancer: A Systematic Review ONS huddle cards: Antineoplastic Administration Chemotherapy Immunotherapy Implanted Venous Port ONS position statements: Administration (Infusion and Injection) of Antineoplastic Therapies in the Home Education of the Nurse Who Administers and Cares for the Individual Receiving Antineoplastic Therapies ONS Guidelines™ for Extravasation Management ONS Oncologic Emergencies Learning Library ONS/ASCO Algorithm on the Management of Antineoplastic Extravasation of Vesicant or Irritant With Vesicant Properties in Adults American Society of Clinical Oncology (ASCO) Podcast: Management of Antineoplastic Extravasation: ONS-ASCO Guideline To discuss the information in this episode with other oncology nurses, visit the ONS Communities.  To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "The focus of this guideline was specifically on intravenous antineoplastic extravasation or when a vesicant or an irritant with vesicant properties leaks out of the vascular space. This can cause an injury to the patient that's influenced by several factors including the specific drug that was involved in the extravasation, whether it was DNA binding, how much extravasated, the affected area, and individual patient characteristics." TS 1:48 "The panel identified and ranked outcomes that mattered most with extravasation. Not surprising, one of the first was tissue necrosis. Like, 'How are we going to prevent tissue necrosis and preserve tissue?' The next were pain, quality of life, delays in cancer treatment: How is an extravasation going to delay cancer treatment that's vital to the patient? Is an extravasation also going to result in hospitalization or additional surgical interventions that would be burdensome to the patient? ... We had a systematic review team that then went in and summarized the data, and the panel applied the grading of recommendations, assessment, development, and evaluation (GRADE) criteria, grading quality of evidence and weighing factors like patient preferences, cost, and feasibility of an intervention. From there, they developed their recommendations." TS 7:35 "The panel, from the onset, wanted to make sure we had something visual for our readers to reference. They combined evidence from the systematic review, other scholarly sources, and their real-world clinical experience to make this one-page supplementary algorithm. They wanted it to be comprehensive and easy to follow, and they included not only those acute management steps but also guidance on 'How do I document this and what are the objective and subjective assessment factors to look at? What am I going to tell the patient?' In practice, for use of that, I would compare it to your current processes and identify any gaps to inform policies in your individual organizations." TS 16:34 "The guidelines don't take place of clinician expertise; they're not intended to cover every situation, but a situation that keeps coming up that we should talk about as a limitation, is we're seeing these case reports of tissue injury with antibody–drug conjugate extravasation. There's still not enough evidence to inform care around the use of antidotes with those agents, so this still needs to be addressed on a case-by-case basis. We still need publication of those case studies, what was done, and outcomes to help inform direction." TS 19:24 "Beyond the acute management is to ensure thorough documentation regarding extravasation. Whether you're on electronic documentation or on paper, are the prompts there for the nurse to capture all of the factors that should be captured regarding that extravasation? The size, the measurement, the patient's complaints. Is there redness? Things like that. And then within the teams, everyone should know where to find that initial extravasation assessment so that later on, if they're in a different clinic, they have something to go by to see how the extravasation is healing or progressing. ... I think there's an importance here, too, to our novice oncology nurses and their preceptors. This could be anxiety-provoking for the whole team and the patient, so we want to increase confidence in management. So, I think using these resources for onboarding novice oncology nurses is important." TS 22:34

December 31st – Show 1100In This EpisodeWelcome to our annual celebration of some of the musicians we lost in 2025 This year we compile using a combination of Halfhearted Dudes In Memorium pages and Wikipedia Jan [07 Jan] Peter Yarrow (American singer and songwriter for Peter, Paul and Mary), 86, bladder cancer[09 Jan] Laurie Holloway (English pianist, musical director and composer), 86[10 Jan] Sam Moore (American Hall of Fame singer-songwriter for Sam & Dave), 89[15 Jan] Linda Nolan (Irish singer for the Nolans), 65, pneumonia[30 Jan] Marianne Faithfull (English singer), 78 Feb [24 Feb] Roberta Flack (American singer), 88, amyotrophic lateral sclerosis[28 Feb] David Johansen (American musician for New York Dolls and singer as Buster Poindexter), 75, cancer Mar [04 Mar] Roy Ayers (American musician and composer), 84[10 Mar] Stedman Pearson (British singer for Five Star), 60[11 Mar] Bob Rivers (American radio personality for KISW, KJR), 68, esophageal cancer Apr [01 April] Johnny Tillotson (American singer-songwriter), 86, Parkinson’s disease[28 Apr] Mike Peters (Welsh rock singer for The Alarm), 66, chronic lymphocytic leukemia May [11 May]  John Edwards, 80, soul singer (The Spinners)[26 May] Rick Derringer (American musician for The McCoys), 77 June [05 Jun] Wayne Lewis (American singer for Atlantic Starr), 68[09 Jun] Sly Stone (American musician for Sly and the Family Stone), 82, chronic obstructive pulmonary disease[11 Jun] Brian Wilson (American musician for The Beach Boys), 82[19 Jun] James Prime (Scottish musician for Deacon Blue), 64, , cancer[26 Jun] Lalo Schifrin (Argentine-born American film and television composer), 93, pneumonia Jul [04 Jul] Mark Snow (American film and television composer for The X-Files), 78[16 Jul] Connie Francis – 87 – Pneumonia[22 July] Ozzy Osbourne – 76 – Heart Attack[24 July] Cleo Laine – 97[26 July]  Tom Lehrer – 97 Aug [August 10] Bobby Whitlock (Derek and the Dominos) – 77 – Cancer[August 27] Ray Mayhew (Sigue Sigue Sputnik) – 60 Sept [05 Sept] Mark Volman (The Turtles) – 78[06 Sept] Rick Davies (Supertramp) Oct [Oct 3]  Patricia Routledge – 96[Oct 16]  Ace Frehley – 74 – Brain bleed after a fall[Oct. 22] David Ball, 66,  Soft Cell, Nov [Nov 24] Jimmy Cliff – 81 – Pneumonia[Nov 29] Chubby Tavares – 80 Dec [Dec 03] Steve Cropper (Booker T. & the M.G.'s) – 84[Dec 14] Carl Carlton – 72[Dec 22] Chris Rea – 74 – Complications from a stroke[Dec 26]. Perry Bamonte (The Cure) – 65 Linktree Discord: https://discord.gg/7ndTXDhNC5 a Facebook message A blog comment below @ us on Twitter Why not surprise us with an MP3 in an email to twoguys@snugradio.co.uk Please take some time to show us your love by reviewing us on ITunes. We welcome ALL comments The Snug is an affiliate of Amazon Music   Snug StatsMusic This ShowSam And Dave – Soul Man (02:36) The Nolans – I’m In The Mood For Dancing (03:17) Roberta Flack – Feel Like Makin’ Love (02:53) Roy Ayers – Running Away (03:10) Bob Rivers – Downtown in the 90’s (02:28) Johnny Tillotson – Poetry In Motion (02:26) The Alarm – 68 Guns (03:33) The Spinners – Working My Way Back to You (03:57) The McCoys – Sorrow (02:05) Sly And The Family Stone – Dance To The Music (03:13) Brian Wilson – Good Vibrations (04:36) Connie Francis – My Heart Has A Mind Of Its Own (02:26) Black Sabbath – Paranoid (02:48) Tom Lehrer – Masochism Tango (02:49) Derek & The Dominos – Layla (07:11) Sigue Sigue Sputnik – Love Missile F1-11 (03:44) Turtles, The – She’d Rather Be With Me (02:19) Supertramp – Dreamer (03:33) Kiss – I Was Made For Lovin’ You (04:31) Soft Cell – Where Did Our Love Go? (03:11) Jimmy Cliff – You Can Get It If You Really Want (02:52) Carl Carlton – She’s A Bad Mama Jama (05:48) Chris Rea – Ace Of Hearts (04:53) The Cure – Close To Me (04:21) Join us every Wednesday from 18:30 (UK time) See you then…and have a Snuggly week.

Dr. Sunil Gupta highlighted that insulin remains the most effective and life-saving treatment for diabetes, especially when oral medications fail. He explained that many people with Type 2 diabetes eventually require insulin, and delaying its initiation can lead to serious complications such as neuropathy, retinopathy, kidney disease, heart disease and diabetic foot problems. Addressing common fears, he clarified that modern insulin pens are almost painless and newer insulin analogues closely mimic natural insulin action, significantly reducing the risk of hypoglycaemia, particularly at night. He stressed the importance of regular blood sugar monitoring, HbA1c testing and annual health check-ups after 30 years of age, noting that many individuals with diabetes may remain asymptomatic. He also drew attention to insulin-requiring diabetes in undernourished adults in India and the need for timely specialist referral. Kavita Gupta emphasized healthy dietary practices, explaining why whole fruits are better than fruit juices due to fiber and lower glycaemic index. She advised consuming low-GI foods and shared practical tips to prevent hypoglycaemia through timely meals and planned nutrition, especially for children, the elderly, and physically active individuals. Expert- Dr Sunil Gupta & Dr Kavita Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 10/05/2019 Recorded at: Akashwani Nagpur     Episode: 99

Dr. Sunil Gupta explained the complications of diabetes in simple and easily understandable language, highlighting the serious consequences of long-term uncontrolled blood sugar. He stated that persistent hyperglycaemia leads to microvascular complications such as diabetic neuropathy, retinopathy, and nephropathy, while major events like heart attack, stroke, and gangrene are associated with diseases of the large blood vessels. He described early symptoms of diabetic neuropathy, including burning sensation, numbness, tingling, and pain in the feet, and urged patients not to ignore these warning signs. Dr. Gupta clearly emphasized that diabetes control cannot be achieved by medicines alone. He stressed the importance of regular monitoring of blood glucose, HbA1c, blood pressure, cholesterol, and vitamin levels, along with avoiding wide fluctuations in blood sugar levels. He described insulin as the safest and most effective treatment for diabetes and cautioned that unnecessary delay in initiating insulin therapy can significantly increase the risk of complications. He also emphasized that before managing gangrene or planning surgery, strict control of blood sugar, blood pressure, and cholesterol, along with regular walking, quitting smoking and tobacco use, avoiding alcohol, and maintaining a disciplined lifestyle, are extremely important to improve outcomes and prevent limb loss. Expert- Dr Sunil Gupta Anchor- Mrs. Purva Kulkarni Podcast: 12/12/2025 Recorded at: Akashwani Nagpur     Episode:100

Shingles is a reactivation of the varicella‑zoster virus and poses a substantial burden, particularly for older adults and immunocompromised individuals. During this podcast, experts discuss the evolving epidemiology of shingles, distinguish between typical and atypical presentations across dermatologic, neurologic, and ophthalmic domains. Learners will gain insights into prevention strategies including vaccination and timely antiviral therapy to reduce complications. Claim CE and MOC credit at: https://bit.ly/4qkvOPU

On this episode of Moony Birth Stories, we are joined by Kim from Saskatoon as she shares her story with her son Rone. Kim had an uneventful pregnancy until near the end when she went 10 days overdue and developed a puppp rash. She went in for an induction that involved the balloon, pitocin, and a failed epidural. Kim opted for a c-section and shares in more detail about her experience. After birth, her son Rone experienced medical complications as well as some challenges with breastfeeding & pumping.  Find us on Instagram: @moonybirthstoriespodcast @alivitrihShop 15% off with code ALI15 at Ovry - Pregnancy & ovulation tests: https://www.myovry.ca/discount/ALI15?redirect=%2Fcollections%2Fall-productsSupport the show

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the December 2025 Emergency Medicine Practice article, Diagnosis and Management of Cannabis-Related EmergenciesEpisode Outline: [0:00] IntroductionWelcome and show overview by Sam AshooMention of resources at ebmedicine.net[0:46] Episode StartHosts introduce themselves: Sam Ashoo and Dr. T.R. EcklerDr. Eckler's background and experience with cannabis cases in Colorado[1:16] Topic IntroductionFocus on diagnosis and management of cannabis-related emergenciesPrevalence and importance in emergency medicine[1:34] Legal LandscapeOverview of cannabis legality across statesMedicinal vs. non-medicinal use[3:03] Increase in ED VisitsStatistics: ~1 million cannabis-related ED visits annuallyDemographics: younger population most affected[3:52] Synthetics and ChallengesDiscussion of synthetic cannabinoids and their risksIssues with detection and legality[4:50] Clinical SpectrumRange of presentations: from nausea/vomiting to psychosis and seizuresImpact on different age groups[6:34] FDA-Approved UsesCannabis-derived products approved for specific medical conditions[7:20] Physiology and PathophysiologyCannabinoid receptors (CB1 and CB2) and their effectsDifferences between plant-derived and synthetic cannabinoids[9:10] Chronic Use and WithdrawalDownregulation of receptors, withdrawal symptoms, and persistent nausea[10:20] Product Forms and Delivery MethodsSmoking, edibles, oils, tinctures, suppositories, topicals, etc.Risks associated with concentrated forms (e.g., wax, oils)[12:00] Clinical Effects by SystemPsychiatric: anxiety, psychosis, paranoiaCardiovascular: tachycardia, MI risk, QT prolongationPulmonary, renal, metabolic, dental, and ocular effects[13:50] Cannabinoid Hyperemesis Syndrome (CHS)Phases: prodrome, hyperemesis, recoveryHot showers as a diagnostic clue[16:00] Withdrawal SyndromeSymptoms and timelineExacerbation with synthetic cannabinoids[18:15] Counseling and ManagementImportance of cessation and patient educationTimeline for symptom improvement[18:42] Differential DiagnosisBroad differential for persistent nausea/vomiting and abdominal painImportance of considering other causes[20:55] Diagnostics and TestingLimitations of drug screens (false positives/negatives)Importance of EKG, labs, and imaging as indicated[23:10] Treatment ApproachesFirst-line: benzodiazepines, antiemetics (ondansetron, metoclopramide)Second-line: butyrophenones (haloperidol, droperidol), olanzapineCapsaicin as adjunct therapy[29:50] Complications and Special ConsiderationsRisks of undertreatment (e.g., Boerhaave syndrome, aspiration)Pediatric and pregnant populations: unique risks and reporting requirements[36:00] Five Practice-Changing TakeawaysElicit cannabis use historyKnow testing limitationsConsider ECG and appropriate labsUse butyrophenones when indicatedAdmit if symptoms are refractory[39:00] ConclusionEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

*Note to the listeners*- For the most pleasurable listening experience, lube up with our January 2024 episode covering Sarah Drew's A Cowboy Christmas Romance before you tune in. — We're returning to the 50 Shades of garbage dump soon, but in light of this festive season, SITC all-star guest star, Cecilia Conti, joins Torie to incinerate the most recent(ish) installment of sugar & spice from Limetime™'s own formula-disrupting vixen, Sarah Drew.  Her Cowboy-themed roll in the hay, A Cowboy Christmas Romance, made history as the first Lifetime™ holiday film to feature a “sex scene.” Sarah Drew is back with her sophomore feature that puts the WOOD in woodworking: A CARPENTER CHRISTMAS ROMANCE (2024).   This explicitly My So Called Life-coded narrative follows nerdy(ish) romantasy writer Andrea back to her sort-of hometown, Wildwood, for an unplugged Christmas stay due to a scandalous leak of the final book in her stupid series. To her surprise, she reconnects with Seth, her old, Jordan Catelano-esque but née jock crush, Seth. Complications arise with the presence of Seth's tenant, Aiko, and her cloying children. Is Seth still a f**kboi or is he a nice guy now?   

In this episode of the Flex Diet Podcast, I sit down with Dr. Lauren Colenso-Semple to cut through the noise and tackle some of the most persistent myths in women's fitness. We break down where misinformation shows up in popular programs, why overly complicated plans often backfire, and what the science actually says about fasted training and low energy availability. We also get into hot topics like cold water immersion and cortisol, real sex-based differences in training responses, and why women's fitness research is still so challenging to conduct well. If you're looking for practical, evidence-based guidance instead of hype, this episode will help you train smarter and with more confidence.Sponsors:LMNT: http://drinklmnt.com/mikenelson (automatically applied at checkout)Beyond Power Voltra 1: https://www.beyond-power.com/michael13Fitness Insider Newsletter: https://miketnelson.com/Episode Chapters:04:30 Interview with Dr. Lauren Colenso-Semple05:01 Complications in Women's Fitness07:39 Effective Training Strategies18:42 Fasted Training for Women23:33 Low Energy Availability28:50 Cold Water Immersion for Women34:27 The Overemphasis on Recovery36:45 Sex-Based Differences in Training37:04 The Fiber Type Debate43:41 Genetics and Athletic Performance46:23 Women's Specific Supplements53:50 Challenges in Women's Fitness Research01:00:51 Rapid Fire Questions and ConclusionEpisodes You Might Enjoy:Episode 267: Demystifying Women's Fitness and Nutrition with Alli FahrenbachYouTube: https://youtu.be/w13NXowjSVU?si=QDdKNRGZZq_SgT5hEpisode 296: Enhancing Athletic Performance with Dr. Dani LaMartinaYouTube: https://youtu.be/ts_eqvs6OI4?si=TiqFPjcsxI9a3owFConnect with Dr Lauren Colenso-Semple:Website: https://www.drlaurencs.com/Instagram: https://www.instagram.com/drlaurencs1Get In Touch:Instagram: https://www.instagram.com/drmiketnelson/YouTube: https://www.youtube.com/channel/UCn1aTbQqHglfNrENPm0GTpgEmail: https://miketnelson.com/contact-us/

On episode 1 of Doing Well with Diabetes Season 2 Rob opens with a global nutritionist panel featuring three voices from three continents—Ravi Subramanian (India/Australia), Sally Anne Shirto (Zimbabwe/South Africa), and Marina Cavalin (Brazil). Each shares how diabetes shaped their lives, their careers, and the way they support others in their communities. The episode tracks the realities of type 1 and type 2 diabetes across vastly different health systems, highlighting gaps in education, access to insulin and supplies, food insecurity, misinformation, cultural nutrition challenges, and the emotional and physical toll of the condition worldwide. Through personal stories—from childhood polo matches with royalty to managing a teen's diabetes in an under-resourced setting—the conversation reinforces a central theme: education, movement, and community support remain the strongest levers for improving global health and wellbeing for people with diabetes. Chapters 01:23 – Meet Ravi: Pilot Dreams to Type 2 Diagnosis 02:05 – Two Decades of Uncontrolled Diabetes & Complications 06:11 – Going Back to School: Becoming a Nutritionist 08:49 – Carbs, Fats, and the Omega-6:3 Problem in Indian Diets 11:39 – Portion Control, Festivals, and Insulin as a Double-Edged Sword 16:15 – Walking, Sweat, and Safe Exercise for Blood Pressure 19:14 – Resistance Training as Medicine 20:35 – Polo with Prince Charles: Childhood, Horses, and Loss of Function 23:03 – Meet Sally Anne: Mom, Coach, and Advocate in Zimbabwe & South Africa 24:08 – Learning Diabetes From Zero as a Parent 27:02 – The Affordability Crisis: Insulin, Strips, and Food 31:11 – Education Gaps: Fixed Doses, Hypers vs Hypos, and No Corrections 33:09 – Doing the Most With Very Little: Education as the First Line of Care 39:19 – Tackling Stigma at School and on the Netball Court 39:55 – Glucobuddies: Building Community in Under-Resourced Settings 42:08 – The Missing Link: Diabetes Educators, Not Just Dietitians 47:11 – Fighting Misinformation About “Healthy” Foods 50:42 – Meet Marina: Insulin Girl from Brazil 54:38 – Living With Type 1 in Brazil: Access and Inequality 58:46 – Brazilian Food Culture and the Carb-Counting Gap 1:02:54 – Learning to Count Carbs and Choosing Nutrition as a Career 1:05:24 – Mental Health, Burnout, and the Role of Exercise 1:11:42 – Young Leaders in Diabetes and Impact at Human Scale 1:15:40 – Self-Acceptance, Complications, and Redefining “Doing Well” Resources: https://www.instagram.com/guriadainsulina/  ravismani@gmail.com - Ravi Subramanian's email Blue Circle Voices IDF Glucose Buddy Sally Anne Shirto LinkedIn

In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Bradley Calobrace, MD, discuss the following articles from the December 2025 issue: "Complications following Primary Implant-Based Gluteal Augmentation: A Systematic Review and Meta-Analysis" by Elsaftawy, Bonczar, Jagosz, et al. Read the article for FREE: https://bit.ly/ImplantGlutealAug Special guest, Dr. Calobrace is a nationally recognized plastic surgeon, an accomplished researcher, and a trusted educator whose work has shaped best practices in breast surgery and aesthetic medicine. Dr. Calobrace is a graduate of Indiana University Medical School and completed residencies in both general surgery and plastic surgery at the University of Southern California in Los Angeles. Subsequently, he completed a cosmetic and breast surgery fellowship with Dr. Pat Maxwell and began practice in Louisville, Kentucky. Although most known for aesthetic breast surgery nationally and internationally, Dr. Calobrace has a thriving aesthetic practice and fellowship in aesthetic surgery comprising an equal mix of breast, body, and facial aesthetic surgery. READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCDec25Collection The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.

Guest: Jaclyn Tomsic MD DMD FACS https://www.instagram.com/doctorjacci/   Host: Serv Wahan MD DMD https://www.drwahan.com/   Keywords extractions, dental surgery, complications, tooth mobility, dental techniques, patient comfort, dry sockets, anticoagulation, dental tools, oral surgery, Serv Wahan, Jaclyn Tomsic, Dental Influencer, Dental Podcast Summary In this conversation, Dr. Serv Wahan and Dr. Tomsic discuss the intricacies of dental extractions, focusing on techniques, tools, and complications. They explore various approaches to tooth removal, the importance of patient comfort, and the management of complications such as dry sockets and infections. The discussion also touches on the protocols for patients on anticoagulation therapy and the significance of proper communication in dental referrals. Takeaways There's no one way to take teeth out; different techniques work for different practitioners. Mobility of the tooth is crucial before extraction; it helps in the process. Using bite blocks is essential for patient comfort during extractions. Anticoagulation therapy should not be stopped for single tooth extractions. Dry sockets can be managed with specific pastes and follow-up care. Communication with patients about their dental history is vital for successful extractions. Understanding the anatomy of the tooth and surrounding structures is key to successful extractions. Using the right tools and techniques can minimize complications during extractions. Patient education on post-operative care can prevent complications like dry sockets. Experience and adaptability in techniques improve extraction outcomes.  Titles Mastering Dental Extractions: Techniques and Tips Navigating Complications in Tooth Removal Sound bites "You have to have all the sizes." "It's not a race." "I don't like fracturing teeth." Chapters 00:00 Introduction to Extractions and Complications 03:01 Approaching Extractions: Techniques and Tools 06:03 Understanding Tooth Mobility and Elevation 09:02 Sectioning Techniques for Difficult Extractions 11:54 Managing Adjacent Teeth and Crowns 15:04 The Importance of Assistant Support 17:47 Advanced Techniques for Challenging Canines 20:54 Final Resort Techniques for Root Extraction 23:59 Extraction of Anterior Teeth 30:00 Exploring Extraction Techniques and Tools 41:58 Understanding Complications in Dental Extractions 54:01 Managing Post-Extraction Care and Patient Concerns

Sometimes recovery doesn't fall apart because we need something new — it falls apart because we drifted away from what already works. Complication, overthinking, burnout, and ego creep in, and before we know it, we're no longer doing the simple things that kept us grounded in the first place. “How It Works” isn't outdated. It isn't basic in a dismissive way. It's foundational. When life gets loud, emotions run high, or sobriety feels shaky, the answer is rarely more information — it's returning to the fundamentals that saved our lives. In today's Daily Trudge, we talk about: Why recovery drifts over time How complexity sneaks in quietly What “back to basics” really means Why simple doesn't mean easy How ego complicates recovery The danger of thinking we've outgrown the basics Why the Steps still work when we actually work them How God meets us in simplicity We don't need a new solution. We need renewed commitment to the one that already works. Back to basics isn't going backward — it's getting re-centered.

Mens Room Question: What's The Sickest You've Ever Been?

Top 5 Topics:- “I Woke Up at 4 A.M., Flew Home, Operated All Day” - Inside The Life of Dr. Jason Auerbach- How This Oral Surgeon Built a Multi-State Surgical Empire- The Beer Test: A Surprising Rule Entrepreneurs Use to Pick Business Partners- At 52, @bloodytoothguy Completely Transformed His Body — Here's How He Did It- The FACTS About High-Risk Surgery, Complications, and Skill DevelopmentQuotes & Wisdom:[18:49–20:35] “Worry more about the process, not the result. If you focus on that, the result will always come.”[53:47–54:43] “You're nowhere near your peak. You're nowhere near as good as you're going to be.”[08:33–09:23] “What matters is the ability to talk to humans, treat the team well, treat referring doctors well.”[07:35–08:01] “The right partners are exponentially better to have than just having numbers.”[22:39–22:46] “I'm just now starting to accept that maybe something good is happening. MAX is pretty special.”[16:34–17:49] “Accountability changed everything. Now it's just part of what I do every day… I feel much better, much stronger, much more energy.”[10:15–10:40] “There are many practices available that don't fit the bill. It's almost never the financials—it's always the people.”[52:57–53:27] “If you're not better 20 years from now, you've had a really shitty career.”[54:32–54:43] “A fully trained oral and maxillofacial surgeon will always be more competent. It's in the reps, the training, the ability to handle complications.”Questions:[04:23] “How many days a week are you in the office now?”[08:21] “What are the top three things you look for in a partner with MAX?”[13:29] “You're still in expansion mode—what goes into this? Anything between here and Maine?”[18:49] “As we get older, how do you actually make time to work out? After residency, you think you'll get time back, but you don't.”[26:56] “Do you have any war stories that come up right now?”[37:49] “In those three and a half days a week, what are some of your favorite day-to-day things?”[40:11] “What's your sedation cocktail—Versed, fentanyl, propofol, ketamine?”Now available on:- Dr. Gallagher's Podcast & YouTube Channel- Dose of Dental Podcast #199My watch in this episode = Tag Heuer Aquaracer Calibre 16 Chrono- 11.2025

Dr. Centor discusses complications of cardiac implantable electronic devices with Dr. Peter Zimetbaum.

In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Samer Nashef, a consultant cardiac surgeon at Papworth Hospital in Cambridge, about complications in cardiothoracic surgery. Chapters 00:00 Intro 00:34 Dr. Nashef Background 04:06 Results Monitoring 08:55 Common Complications 14:40 Mentality 19:18 Identifying Room for Improvement 21:25 Pattern of Response 22:47 Long-Term Complications 26:08 Mortality/Morbidity Meetings 28:28 Perfection, Balance 30:33 Coping w Major Complications 35:06 Learning Your Psyche 35:51 Trainee-Consultant Responsibility 37:51 Resilience 39:19 Key Takeaways 41:07 Training Advice They delve into early complications that trainees experience, approaches to managing acute complications, and nonacute and postoperative complications. They also highlight learning from complications, coping strategies, and the emotional impact involved in cardiothoracic surgery. Additionally, they discuss the concepts of growth, resilience, and strength in cardiothoracic surgery. Furthermore, Dr. Nashef provides advice to trainees currently navigating difficult cases, and general guidance for those in training.   The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Be sure to watch for next month's episode!   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

James I's Male Favorites and the Madrid Adventure: Colleague Clare Jackson explores James I's intense relationships with male favorites like Robert Carr and George Villiers, noting the political complications these caused, describing the bizarre, risky journey Prince Charles and Villiers took to Madrid in disguise to woo the Spanish Infanta. MARCH 1960

Cet épisode est présenté par Solveig qui propose des vêtements qui se portent avant, pendant et après la grossesse. Tous les morceaux sont adaptés pour l'allaitement. La mission de Solveig est de créer des vêtements aussi beaux que confortables pour aider les femmes à se sentir confiantes dans les périodes de grands changements corporels, parce qu'avant d'être des mères, nous restons avant tout des femmes.  Pantalons, jupe, hauts, robes, tous les produits Solveig se retrouvent sur le site www.solveigmama.com       Merci également à Jadou & Flo : les livres souvenirs qui sont là pour vous aider à préserver sans effort chaque étape de la vie de votre enfant, de l'annonce de la grossesse jusqu'à l'âge 5 ans. Avec leur design élégant et intemporel, leurs pages simples et intuitives, leurs pochettes intégrées et leur boîte souvenir, ils transforment vos moments importants en un souvenir rempli d'amour et de tendresse. Un magnifique cadeau pour vous, et vos humains! Découvrez les livres sur le https://jadouflo.com   La créatrice de contenu Audrey Daigneault vient me raconter son accouchement où tout s'est bien déroulé…ou presque. Elle n'a pas particulièrement aimé être enceinte, elle a fait des cours prénataux sur Zoom via le CLSC : vraiment rien d'extraordinaire. Mais lorsqu'elle perd un peu de liquide, le corps médical réalise qu'il y a du méconium dans ce dernier. Lorsque sa fille vient au monde, elle est immédiatement prise en charge par l'équipe médicale, sous les yeux des nouveaux parents. De son côté, Audrey fera une hémorragie post-accouchement. Sa fille, hospitalisée quelques jours et elle-même sont finalement hors de danger. 

A client has a very traumatic experience with their kidney transplant surgery in 2017. Ever since, they have lived with chronic, intractable neck and head pain that doesn't respond to any treatment they've tried so far. A recent CT scan reveals some calcium deposits inside the cranium but - is that the cause? Can massage therapy help? Are there any options for this person? Resources: Anwar, Z. et al. (2011) "Superficial temporal artery calcification in patients with end-stage renal disease: Association with vascular risk factors and ischemic cerebrovascular disease," The Indian Journal of Radiology & Imaging, 21(3), pp. 215–220. Available at: https://doi.org/10.4103/0971-3026.85371. CNN, C.S., Special to (2014) 'I couldn't move': Patients who wake up during surgery, CNN. Available at: https://www.cnn.com/2014/11/28/health/wake-up-during-surgery (Accessed: November 14, 2025). Healthcare, G.E. (2020) Waking Up During Surgery: A Nightmare | Clinical View. Available at: https://clinicalview.gehealthcare.com/article/waking-during-surgery-patients-worst-nightmare (Accessed: November 14, 2025). Kiroglu, Y. et al. (2009) "Intracranial calcifications on computed tomography: pictorial essay," Diagnostic and Interventional Radiology [Preprint]. Available at: https://doi.org/10.4261/1305-3825.DIR.2626-09.1. Li, Xuelong et al. (2022) "The association of renal impairment with different patterns of intracranial arterial calcification: Intimal and medial calcification," Atherosclerosis, 363, pp. 42–47. Available at: https://doi.org/10.1016/j.atherosclerosis.2022.11.012. Host Bio:              Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.      About our Sponsors:   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA     

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If things feel wrong, chances are they are wrong in some way. And if something is wildly complicated, chances are there's some clutter in the way. Today's quick podcast episode can help you simplify the complications and make your life much easier. Sign up HERE to start the FREE New Year Decluttering Workshop: https://www.fengshuimagical.com/the_professional_decluttering_workshop  

In this Thoracic Surgery episode of Behind the Knife we enjoy a conversation with world-renowned thoracic surgeon and educator, Dr. Stephen Yang, as he takes us through 30 years of experience divulging his personal tips, tricks, and pitfalls to avoid when tackling the technical nuances of mastering robotic segmentectomies. Hosts:  Dr. Stephen C. Yang, MD -  professor of surgery and medical oncology The Johns Hopkins Hospital Dr. Kyla D. Rakoczy, MD - PGY3 General Surgery Resident at The Johns Hopkins Hospital Learning Objectives: Understand the utility of segmentectomies for peripheral T1N0 non-small-cell-lung cancer  How to prepare for robotic segmentectomy using CT scans and 3D reconstructions  Learn where to place your ports and how to optimize intra-operative techniques to minimize complications after robotic segmentectomy  References: Kang MW. Evolution of Lung Cancer Surgery: Historical Milestones, Current Strategy, and Future Innovations. J Chest Surg. 2025 May 5;58(3):79-84. doi: 10.5090/jcs.25.025. Epub 2025 Apr 15. PMID: 40230346; PMCID: PMC12066400. https://pubmed.ncbi.nlm.nih.gov/40230346/ Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg. 1995 Sep;60(3):615-22; discussion 622-3. doi: 10.1016/0003-4975(95)00537-u. PMID: 7677489. https://pubmed.ncbi.nlm.nih.gov/7677489/ Pastorino U, Valente M, Bedini V, Infante M, Tavecchio L, Ravasi G. Limited resection for Stage I lung cancer. Eur J Surg Oncol. 1991 Feb;17(1):42-6. PMID: 1995356. https://pubmed.ncbi.nlm.nih.gov/1995356/ Liu L, Aokage K, Chen C, Chen C, Chen L, Kim YH, Lee CY, Liu C, Liu CC, Nishio W, Suzuki K, Tan L, Tseng YL, Yotsukura M, Watanabe SI. Asia expert consensus on segmentectomy in non-small cell lung cancer: A modified Delphi study. JTCVS Open. 2023 Apr 7;14:483-501. doi: 10.1016/j.xjon.2023.03.013. PMID: 37425437; PMCID: PMC10328970. https://pubmed.ncbi.nlm.nih.gov/37425437/ Galvez C, Bolufer S, Lirio F, Recuero JL, Córcoles JM, Socci L, Cabañero A, López I, Sánchez D, Figueroa S, Salcedo JG, Campo-Cañaveral JL, Genovés M, Hernando F, Moldes M, Blanco A, Azcarate L, Rivo E, Viti A, Mongil R. "Complex segmentectomies: Comparison with simple and effect of experience on postoperative outcomes". Eur J Surg Oncol. 2025 Jul;51(7):109748. doi: 10.1016/j.ejso.2025.109748. Epub 2025 Mar 5. PMID: 40064065. https://pubmed.ncbi.nlm.nih.gov/40064065/ Perroni G, Veronesi G. Robotic segmentectomy: indication and technique. J Thorac Dis. 2020 Jun;12(6):3404-3410. doi: 10.21037/jtd.2020.02.53. PMID: 32642266; PMCID: PMC7330783. https://pubmed.ncbi.nlm.nih.gov/32642266/ Montagne, F., Dhainaut, C., & Benhamed, L. M. (n.d.). Pre-operative 3D reconstruction—let's first anticipate the surgical procedure. Video-Assisted Thoracic Surgery. Retrieved November 13, 2025, from https://vats.amegroups.org/article/view/7889/html Shimizu K, Nakazawa S, Nagashima T, Kuwano H, Mogi A. 3D-CT anatomy for VATS segmentectomy. J Vis Surg. 2017 Jul 1;3:88. doi: 10.21037/jovs.2017.05.10. PMID: 29078650; PMCID: PMC5637987. https://pubmed.ncbi.nlm.nih.gov/29078650/ Zhang O, Alzul R, Carelli M, Melfi F, Tian D, Cao C. Complications of Robotic Video-Assisted Thoracoscopic Surgery Compared to Open Thoracotomy for Resectable Non-Small Cell Lung Cancer. J Pers Med. 2022 Aug 12;12(8):1311. doi: 10.3390/jpm12081311. PMID: 36013260; PMCID: PMC9410342. https://pubmed.ncbi.nlm.nih.gov/36013260/ Lee BE, Altorki N. Sub-Lobar Resection: The New Standard of Care for Early-Stage Lung Cancer. Cancers (Basel). 2023 May 25;15(11):2914. doi: 10.3390/cancers15112914. PMID: 37296877; PMCID: PMC10251869. https://pubmed.ncbi.nlm.nih.gov/37296877/ Zhang Y, Liu S, Han Y, Xiang J, Cerfolio RJ, Li H. Robotic Anatomical Segmentectomy: An Analysis of the Learning Curve. Ann Thorac Surg. 2019 May;107(5):1515-1522. doi: 10.1016/j.athoracsur.2018.11.041. Epub 2018 Dec 19. PMID: 30578780. https://pubmed.ncbi.nlm.nih.gov/30578780/ Peeters M, Jansen Y, Daemen JHT, van Roozendaal LM, De Leyn P, Hulsewé KWE, Vissers YLJ, de Loos ER. The use of intravenous indocyanine green in minimally invasive segmental lung resections: a systematic review. Transl Lung Cancer Res. 2024 Mar 29;13(3):612-622. doi: 10.21037/tlcr-23-807. Epub 2024 Mar 27. PMID: 38601441; PMCID: PMC11002498. https://pubmed.ncbi.nlm.nih.gov/38601441/ Altorki N, Wang X, Damman B, Mentlick J, Landreneau R, Wigle D, Jones DR, Conti M, Ashrafi AS, Liberman M, de Perrot M, Mitchell JD, Keenan R, Bauer T, Miller D, Stinchcombe TE. Lobectomy, segmentectomy, or wedge resection for peripheral clinical T1aN0 non-small cell lung cancer: A post hoc analysis of CALGB 140503 (Alliance). J Thorac Cardiovasc Surg. 2024 Jan;167(1):338-347.e1. doi: 10.1016/j.jtcvs.2023.07.008. Epub 2023 Jul 18. Erratum in: J Thorac Cardiovasc Surg. 2025 Apr;169(4):1181. doi: 10.1016/j.jtcvs.2024.12.011. PMID: 37473998; PMCID: PMC10794519. https://pubmed.ncbi.nlm.nih.gov/37473998/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Interview with Christian de Virgilio, MD author of Diagnosis and Management of Hemodialysis Access Complications: A Review. Hosted by Jamie Coleman, MD. Related Content: Diagnosis and Management of Hemodialysis Access Complications

This week of Deck the Hallmark is presented by Racine Danish Kringles. Exclusive 10% off entire order -  www.kringles.com  // Promo Code:  HALLMARK25---The amazing Dave White joins us to break down this year's animal-themed Hallmark Christmas movie: Christmas at the Catnip Café.ABOUT CHRISTMAS AT THE CATNIP CAFÉOlivia Pierce, a marketing executive, discovers her late great aunt's cat café in New York, which she believes will be a Christmas miracle. As she helps plan fundraising events, Olivia gains a deeper appreciation for the feline inhabitants and the special place her great aunt created.AIR DATE & NETWORK FOR CHRISTMAS AT THE CATNIP CAFÉNovember 30, 2025 | Hallmark Movies & MysteriesCAST & CREW OF CHRISTMAS AT THE CATNIP CAFÉPaul Campbell as BenErin Cahill as OliviaBRAN'S CHRISTMAS AT THE CATNIP CAFÉ SYNOPSISThe movie kicks off with a TON of kittens. Suddenly, we flash back 30 years: a young Olivia is walking into her house when she hears something… could it be a cat? And that's it for the flashback—obviously, a necessary flashback.Cut to the present day. Olivia is checking out a place way out of her price range when she gets a text from a lawyer: they need to talk about her aunt's estate. She's been given half of a cat cafe. Olivia's wheels start turning—if she can convince the other owner, Ben, to sell the cafe, maybe she can afford that dream place!But Ben is no ordinary owner. He's an overly generous vet, giving pet care away for free and taking on way too many patients. The good news for Olivia: Ben never says no.She walks into the cafe, plays peekaboo with a cat, and dives straight into business with Ben. She wants him to sell. He's not having it—the cafe is very important to him and also acts as a place to get cats adopted.It turns out Ben lives right down the block from Olivia's aunt's house. He's searching for a binder about Catnip Christmas that's gone missing and is surprised to find Olivia there. She finds the binder, and he explains that Catnip Christmas was his aunt's pride and joy. He's not sure how he can manage it all on his own. Olivia offers to help—but only if he agrees not to delay the sale of the cafe.Ben says he doesn't want to sell. Olivia reminds him he can't stop the sale, only slow it down. She says she'll be all in on the project as long as he agrees to sell. He reluctantly agrees, thinking she won't actually want to move forward with the sale.Olivia quickly realizes she's in for a lot more than she expected: cat puppet shows, story time, and all sorts of festive events. Along the way, Olivia and Ben start getting closer. He even helps decorate her Christmas tree.Through a flashback, we learn that little Olivia once found a kitten outside her aunt's house. Could this cat cafe all stem from that moment?As they spend more time together, Ben opens up about feeling like life's big moments happen for everyone else—babies, milestones—and that he wants something for himself before it's too late. The sparks begin to fly, and while decorating the cafe for an event, Olivia and Ben share a big, sweet kiss.Complications arise when Olivia admits she still plans to sell—the life she has in California can't be ignored. She tells Ben it's hard because she really likes him. He reminds her that they made a deal, so he'll move forward with the sale.On her way out of town, Olivia stops at a mechanic and sees a kitten. The mechanic tells her he adopted it from this cat cafe. Olivia takes it as a sign and rushes back to the cafe—only to find the contract has already been signed with a developer. But the developer is holding a cat, so Olivia asks nicely… and he rips up the contract.Olivia is staying, and the movie ends with her and Ben celebrating—and kissing again. Watch the show on Youtube - www.deckthehallmark.com/youtubeInterested in advertising on the show? Email bran@deckthehallmark.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

4/4. The Perilous Return and Legacy of OSIRIS-REx — Dante Lauretta — The sample return capsule executed its descent over the Utah desert with dramatic complications. Critical anxiety ensued when the drogue parachute failed to deploy at the nominal 100,000 feet altitude, invoking memories of the Genesis mission mishap. The primary main parachute deployed successfully at 60,000 feet, confirming mission success and sample integrity. The spacecraft, subsequently rebranded OSIRIS-APEX, is now en route to asteroid Apophis, now under the leadership of Danny Dea Justina, carrying forward Lauretta's legacy of developing emerging scientific leaders and advancing planetary science exploration capabilities.

Fitness feels way more complicated than it needs to be — but most of that complexity is completely unnecessary.In today's episode, we break down the four biggest sources of needless complication in modern fitness culture and reveal the simple principles that will save you time, energy, money, and frustration while helping you make far better progress.We'll cover:

Our conversation picks back up with an article titled “Patient Outcomes and Return to Play After Arthroscopic Rotator Cuff Repair in Overhead Athletes.”  This systematic review, published in the January 2023 issue of JOT, analyzed 20 studies comprising 692 patients with an average follow-up of 40 months.  The authors found that arthroscopic cuff repair led to significant improvements in patient reported outcomes as well as improved shoulder elevation. Overall, 75% of athletes returned to play at a mean of 6.4 months post-op, and 63% returned to their preinjury level of sport. Complication and reoperation rates were relatively low at 7% and 10%, respectively. Then, from the December 2019 issue of AJSM, we review an article titled “Partial-Thickness Rotator Cuff Tear by Itself Does Not Cause Shoulder Pain or Muscle Weakness in Baseball Players.”  This cross-sectional study investigated whether articular-sided partial-thickness rotator cuff tears alone produce symptoms in overhead athletes. Of the 87 collegiate baseball players that were analyzed, 47% had ultrasound-confirmed partial-thickness tears, yet rates of shoulder pain and muscle weakness were not significantly different from those without tears. Most of these tears were small (approximately 5 mm in depth) and were asymptomatic in 83%. Pain correlated instead with scapular malposition, dyskinesis, and poor total shoulder condition – not the presence of a tear. We finish up our discussion today with an article titled “Internal impingement of the shoulder in overhead athletes: Retrospective multicenter study in 135 arthroscopically-treated patients.” Patients underwent a variety of procedures, including cuff debridement or repair, posterior glenoidplasty, labral debridement, posterior capsular release, and anterior capsulorrhaphy. Overall, 90% returned to sports, with 52% returning to their prior level at an average of 9 months. Better return-to-sport outcomes were associated with male sex, presence of a cuff lesion, and simple cuff debridement. Greater tuberosity cysts and anterior capsulorrhaphy correlated with poorer outcomes and higher post-op pain. We hope you enjoy this episode!

No Pause! In this episode, we unpack the uncomfortable truth: for a lot of men, showing genuine love to other men still feels… complicated. Society has boxed us into surface-level dap, jokes, and “you good?” check-ins—but real affection? Real vulnerability? That's where things get tricky. We talk honestly about why brotherly love often feels awkward, how we can break out of those old expectations, and what healthy male connection really looks like. From embracing the “unk” title as we get older to navigating broke dates with our wives or significant others, this episode blends humor, self-awareness, and the kind of conversation men rarely get to have out loud. Tune in as the fellas push past the surface and tap into something real.

Episode 207: Understanding Hypertension and Diabetes (Pidjin English)Written by Michael Ozoemena, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.HypertensionSegment 1: What Is Hypertension?HOST:Let's start with the basics. Blood pressure is the force of blood pushing against the walls of your arteries. Think of it like water running through a garden hose—if the pressure stays too high for too long, that hose starts to wear out.Hypertension, or high blood pressure, means this pressure is consistently elevated. It is measured using two numbers:Systolic: the pressure when the heart beatsDiastolic: the pressure when the heart relaxesNormally reading is around 120/80 mmHg. Hypertension is defined by the American College of Cardiology/American Heart Association (ACC/AHA) as 130/80 mmHg or higher.The American Academy of Family Physicians (AAFP) defines hypertension as persistent elevation of systolic and/or diastolic blood pressure, with the diagnostic threshold for office-based measurement set at 140/90 mm Hg or higher.Segment 2: Why Should We Care?HOST:Hypertension is known as “the silent killer” because most people have no symptoms. Even without symptoms, it steadily increases the risk of:Heart attackStrokeKidney diseaseThink of high blood pressure as a constant stress test on your blood vessels. The longer it goes uncontrolled, the higher the chance of complications.Segment 3: What Causes High Blood Pressure?HOST:Hypertension usually doesn't have a single cause. It often results from a combination of genetic factors, lifestyle, and underlying medical conditions.Modifiable FactorsHigh-salt diet and low potassium intakePhysical inactivityTobacco useExcessive alcohol intakeOverweight or obesityChronic stressPoor sleep or sleep apneaNon-Modifiable FactorsFamily history of hypertensionBlack race (higher prevalence and severity)Age over 65Hypertension may also be secondary to other conditions, such as kidney disease, thyroid disorders, adrenal conditions, or medications like NSAIDs or steroids.Segment 4: How Is It Diagnosed?HOST:Diagnosis requires multiple elevated blood pressure readings taken on different occasions. This includes office readings, home blood pressure monitoring, or ambulatory blood pressure monitoring.If you haven't had your blood pressure checked recently, this is your reminder. It's simple—and it could save your life.Segment 5: Treatment and ManagementHOST:Lifestyle changes are often the first line of treatment:Reduce salt intakeEat more fruits, vegetables, and whole grainsAim for 150 minutes of moderate exercise per weekManage stressMaintain a healthy weightGet enough sleepLimit alcoholQuit smokingIf these steps aren't enough, medications may be necessary. These include:Diuretics, ACE inhibitors, ARBs, Calcium channel blockers, Beta-blockersYour healthcare provider will choose the best medication based on your health profile.Segment 6: What You Can Do TodayHOST:Here are three simple, actionable steps you can take right now:Check your blood pressure—at a clinic, pharmacy, or at home.Pay attention to your salt intake—much of it is hidden in processed foods.Move more—even a 20-minute daily walk can help reduce blood pressure over time.Small steps can lead to big, lasting improvements.SummaryHypertension may be silent but understanding it gives you power. Early action can add healthy years to your life. Take charge of your blood pressure today.Diabetes1. Wetin Diabetes Be and Wetin E Go Do to Person Body?Q: Wetin diabetes mean?A: Diabetes na sickness wey make sugar (glucose) for person blood too high. E happen because the body no fit produce insulin well, or the insulin wey e get no dey work as e suppose.Q: Wetin go happen if diabetes no dey treated well?A: If diabetes no dey treated well, e fit damage the blood vessels, nerves, kidneys, eyes, and even the heart.2. Wetin Cause Diabetes and Why Black People Suffer Pass?Q: Wetin cause diabetes?A: E no be one thing wey cause diabetes. E dey happen because of mix of gene, lifestyle, environment, and society factors.Q: Why Black/African Americans get diabetes more?A: Black people for America get diabetes more because of long-standing inequality, stress, low access to healthcare, and the kind environment wey many of them dey live in. These things dey make Black people more at risk.3. Diabetes Rates for America and Black People?Q: How many people get diabetes for America?A: For America today, over 38 million people get diabetes, and the number dey rise every year.Q: Why Black people dey suffer diabetes more than White people?A: About 12% of Black adults get diabetes, compared to just 7% for White adults. Black people also dey get the sickness earlier and e dey more severe.4. Signs and Symptoms of Diabetes?Q: Wetin be the early signs of diabetes?A: The early signs no too strong, but when e show, e fit include:Too much urine (polyuria)Thirst (polydipsia)Hunger, tiredness, and blurred visionWounds no dey heal fastTingling for hand or legSometimes weight loss5. How Doctor Go Diagnose Diabetes?Q: How doctor fit confirm say person get diabetes?A: Doctor go do some lab tests to confirm:Fasting Plasma Glucose (FPG): 126 mg/dL (7.0 mmol/L) or higherHbA1c: 6.5% or higher2-hour Oral Glucose Tolerance Test (OGTT): 200 mg/dL (11.1 mmol/L) or higher after person drink glucose.Random Blood Glucose: 200 mg/dL (11.1 mmol/L) or higher plus classic symptoms like too much urination, thirst, or weight loss.Q: Wetin happen if HbA1c test no match the person?A: If HbA1c result no match person symptoms, doctor fit repeat test or try other tests like FPG or OGTT.6. Wetin Screening and Early Diagnosis Fit Do?Q: Why screening for diabetes dey important?A: Screening dey important because early detection fit prevent serious complications from diabetes.Q: How often person go do diabetes test?A: Adults wey get overweight or obesity, between 35–70 years, suppose do diabetes screening every three years. But because Black adults get higher risk, doctors dey start screening earlier and more often.7. How Person Fit Manage Diabetes?Q: Wetin be the best way to manage diabetes?A: The two main ways to manage diabetes be:Lifestyle changes: Eat better food (vegetables, fruits, whole grain, beans, fish, chicken) and exercise regularly.Medicine: If person sugar still high, doctor fit give drugs like metformin, SGLT-2 inhibitors, or GLP-1 receptor agonists.Q: Wetin be SGLT-2 inhibitors and GLP-1 drugs?A: SGLT-2 inhibitors dey help with kidney and heart problems, while GLP-1 drugs dey help with weight loss and prevent stroke.Q: Wetin be first-line treatment for diabetes?A: First-line treatment for diabetes be metformin, unless person no fit tolerate am.Q: How much exercise a person suppose do?A: Person suppose do at least 150 minutes of moderate exercise per week. This fit include things like brisk walking, swimming, or cycling. E also good to add muscle-strength training two or three times weekly to help control sugar.Q: When insulin therapy go be needed?A: Insulin therapy go be needed if person A1c is higher than 10%, or if person dey hospitalized and their glucose dey above the 140-180 range. This go help bring the blood sugar down quickly.8. Wetin Be the Complications of Diabetes?Q: Wetin fit happen if diabetes no dey well-managed?A: Complications fit include kidney disease, blindness, nerve damage, leg ulcers, heart attack, stroke, and emotional issues like depression.Q: Why Black adults get more complications?A: Black people get higher risk of these complications because of inequality, stress, and poor access to healthcare.9. Wetin Dey Affect Access to Diabetes Treatment?Q: Wetin make Black people struggle to get treatment for diabetes?A: Many Black people no dey get new effective treatments like GLP-1 and SGLT-2 inhibitors because of price, insurance issues, and lack of access. COVID-19 also worsen things.Q: Wetin government and doctors fit do?A: Policymakers dey work on improving access to drugs, better community programs, and screening for social issues wey fit affect diabetes care.10. ConclusionQ: Wetin be the solution to reduce diabetes impact?A: The solution go need medical treatment, early screening, lifestyle support, and policy changes. With proper treatment and community support, e possible to reduce the impact of diabetes, especially for Black communities.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References: Whelton PK, Carey RM. Overview of hypertension in adults. UpToDate. 2024.Carey RM, Moran AE. Evaluation of hypertension. UpToDate. 2024.Mann SJ, Forman JP. Lifestyle modification in the management of hypertension. UpToDate. 2024.Giles TD, Weber MA. Initial pharmacologic therapy of hypertension. UpToDate. 2024.American Heart Association. Understanding Blood Pressure Readings. Accessed 2025.American Heart Association. AHA Dietary and Lifestyle Recommendations. Accessed 2025.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

In this solo episode, Darin Olien explores one of the most overlooked yet revealing health topics: the truth about wisdom teeth. What if removing your wisdom teeth isn't just unnecessary — but harmful? What if this long-standing dental ritual has more to do with profits than prevention, and its removal may even disconnect us from our body's natural energy flow? From evolutionary biology to energetic meridians, Darin unpacks why wisdom teeth might hold more "wisdom" than modern dentistry admits — and how to make truly informed choices for yourself or your kids.     What You'll Learn in This Episode [00:00:00] Welcome to SuperLife – Darin introduces the show's mission: real solutions for a healthier, more sovereign life [00:00:32] Sponsor – ENERGYbits Spirulina & Chlorella: why Darin takes them daily for clean cellular fuel [00:01:52] Today's focus – "The wisdom in wisdom teeth": are we pulling them too soon and for the wrong reasons? [00:02:24] Why this topic matters – Darin's personal story of keeping all four wisdom teeth and what that revealed [00:03:31] The cultural norm – How mass extraction became a teenage "rite of passage" [00:04:01] Our ancestors and evolution – Bigger jaws, tougher food, and natural spacing [00:05:00] The breathing connection – How mouth breathing and modern diets may cause jaw constriction [00:06:01] The science gap – Cochrane review shows no strong evidence for routine removal [00:06:46] The silent epidemic – 10 million wisdom teeth removed yearly in the U.S., costing $3 billion [00:07:17] Permanent damage – 11,000 people a year experience nerve injury from unnecessary surgery [00:08:04] When removal is necessary – infection, cysts, tumors, or impaction (and how to know the difference) [00:08:33] The second opinion rule – Why you should always consult a holistic or biological dentist [00:09:11] Questioning authority – Extraction as an automatic response vs. an evidence-based decision [00:11:19] Follow the money – How profit motives keep unnecessary procedures alive [00:12:15] Cultural conditioning – "Just pull them" and how fear has shaped dentistry [00:12:47] Watchful waiting – Why monitoring can be a wise, legitimate option [00:12:58] The energetic layer – How teeth connect to meridians, organs, and your body's electrical system [00:13:46] Ancient knowledge – TCM and Ayurveda understood these energy flows long before modern medicine [00:14:03] The spiritual symbolism – Wisdom teeth as a rite of passage into maturity and integration [00:14:17] Energy interconnection – Removing one element affects the entire energetic system [00:15:05] The Western blind spot – Our medical model ignores the body's bioelectric reality [00:15:39] The real risks – Nerve damage, chronic pain, and post-surgical trauma are far more common than discussed [00:15:57] Economics over evidence – How financial incentives outweigh long-term wellness [00:16:08] The forgotten holistic view – Why true healing means considering biology, energy, and emotion together [00:16:22] What you can do – Get informed, ask questions, and don't rush to extraction [00:16:44] Empowerment checklist – Imaging, second opinions, and trusting your intuition [00:17:02] Keep your power – Don't give your health decisions away to "white coats" or outdated systems [00:17:24] If surgery is unavoidable – Do it consciously: prepare, recover, and restore energetically [00:17:50] Pre/post-surgery support – Rest, meditation, and mineral-rich nutrition [00:18:02] The deeper truth – Wisdom teeth represent the intersection of biology, energy, and consciousness [00:18:23] Final message – Stay informed, stay connected, and embrace the wisdom in your own body     Thank You to Our Sponsors EnergyBits: Get 20% off your entire order by going to https://energybits.com/ and using code DARIN at checkout. Our Place: Toxic-free, durable cookware that supports healthy cooking. Go to their website at fromourplace.com/darin and get 35% off sitewide in their largest sale of the year.     Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Podcast Website: superlife.com Book: Fatal Conveniences Join the SuperLife Patreon for extended episodes, private Q&As, and Darin's personal health protocols: https://patreon.com/darinolien     Key Takeaway "The body is not broken — it's intelligent. When we rush to extract, cut, or suppress without understanding, we lose connection to the deeper wisdom it's offering. Sometimes the smartest thing you can do is wait, listen, and trust the design that created you."     Bibliography of Referenced Studies Cochrane Review (Systematic Review) Study Title: Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth Author/Source: Ghaeminia H, et al. Publication: Cochrane Database of Systematic Reviews 2020; CD003879 Key Finding: There is insufficient evidence to support or refute the routine removal of asymptomatic impacted wisdom teeth, and no eligible studies reported on the effects of removal on health-related quality of life. Public Health Critique on Prophylactic Extraction Study Title: The Prophylactic Extraction of Third Molars: A Public Health Hazard Author: Jay W. Friedman, DDS, MPH Publication: American Journal of Public Health (AJPH), 2007; 97(9):1554–1559 Key Finding: Approximately two-thirds of extractions may be unnecessary, calling mass extraction a "silent epidemic of iatrogenic injury." M3BE Study Study Title: Prophylactic vs. symptomatic third molar removal: effects on patient postoperative morbidity Key Finding: Older patients are more at risk for complications (such as nerve injury and persistent pain), confirming that removal has real consequences. Clinical Guidelines (AAOMS) Source: American Association of Oral and Maxillofacial Surgeons (AAOMS) Title: Third Molar Surgical Guidelines Key Finding: Identifies Pericoronitis as one of the most common indications for surgical removal. Pathology Studies (Cysts/Tumors) Subject: Odontogenic cysts associated with impacted third molars Key Finding: While rare, cysts can erode jawbone and damage neighboring teeth, making this a valid medical reason for removal. Retrospective Complications Study Study Title: Retrospective Oman study: Complications of Third Molar Extraction Key Finding: Referenced in the context of risks and complications associated with extraction.

Ceasefire troubles in Gaza, a global internet outage, and the beige trend for babies. Plus, a unique place for recipes, Daniel Suhr on lower courts ignoring Supreme Court precedent, and the Tuesday morning news Support The World and Everything in It today at wng.org/donateAdditional support comes from Missions Upside Down - a FREE, award-winning video series about Christian missions in the past, present, and into the future. You can find this free resource on RightNowMedia or at missionsupsidedown.comFrom the Peace of God Bible, inviting you to experience God's peace. With notes and devotions from Dr. Jeremiah Johnston. PeaceofGodBible.comAnd from Covenant College, where Christian faculty equip students for their callings through hard ideas, deep questions, and meaningful work. covenant.edu/world

HEADLINE: Hamas, Hostages, and Middle East Turmoil: Challenges to the Trump Ceasefire Plan GUEST NAME:Jonathan Schanzer SUMMARY: Jonathan Schanzer discusses complications in the Trump ceasefire plan, including Hamas delaying the return of deceased hostages to maintain leverage. The released prisoners, including potential Hamas leaders, raise concerns about where the organization's center of gravity will shift if they are deported to places like Turkey or Qatar. Schanzer views Turkey, an autocratic supporter of Hamas, as a problematic guarantor of the ceasefire. Internationally, Iran continues its nuclear program despite snapback sanctions, and al-Sharaa is meeting with Putin regarding Russian assets in Syria.

HEADLINE: Hamas, Hostages, and Middle East Turmoil: Challenges to the Trump Ceasefire Plan GUEST NAME:Jonathan Schanzer SUMMARY: Jonathan Schanzer discusses complications in the Trump ceasefire plan, including Hamas delaying the return of deceased hostages to maintain leverage. The released prisoners, including potential Hamas leaders, raise concerns about where the organization's center of gravity will shift if they are deported to places like Turkey or Qatar. Schanzer views Turkey, an autocratic supporter of Hamas, as a problematic guarantor of the ceasefire. Internationally, Iran continues its nuclear program despite snapback sanctions, and al-Sharaa is meeting with Putin regarding Russian assets in Syria.