Podcasts about complications

What every ENT needs to know about the resurgence of measles—and how to talk to patients about vaccines. In this episode of the Back Table ENT podcast, Dr. Romaine Johnson and Dr. Daniel Chelius, both pediatric otolaryngologists, talk about the resurgence of measles and vaccine hesitancy with host Dr. Gopi Shah. ---SYNPOSISThey delve into their professional backgrounds, the importance of recognizing symptoms early, and the risks associated with measles, such as otitis media and sensorineural hearing loss. The conversation highlights the role of ENT specialists in identifying and managing the disease, strategies for addressing vaccine hesitancy, and the broader public health implications. They also touch on ways the medical community can tackle misinformation and advocate for vaccinations through collective efforts and patient education.---TIMESTAMPS0:00 Introduction 07:07 Measles Contagion and Symptoms23:23 Complications and Long-term Effects28:37 Assessing Respiratory Status and Complications29:44 Addressing Common Vaccine Myths31:18 Challenges in Vaccination Conversations32:38 Personal Stories and Impact of Vaccination Choices35:00 Building Trust and Addressing Concerns38:15 Approaching Non-Vaccination in Clinical Practice53:12 Global Perspective on Vaccination54:17 Final Thoughts and Contact Information

Should we be doing more to save questionable teeth? What if you could buy more time — without compromising patient care? Dr. Omar Ikram returns for a powerful episode diving into the real-world decision-making between endodontics and implants. Together with Jaz, they explore tough scenarios — like teeth with nasty cracks or minimal remaining structure — and ask the critical question: when is it truly time to extract? They break down concepts like retained roots, root burial, amputation, and a new term Jaz introduces — palliative endodontics. Because sometimes the best outcome isn't immediate replacement, but smart, strategic delay. https://youtu.be/5msP908JvuI Watch PDP238 on Youtube Protrusive Dental Pearl: When discussing treatment longevity with older patients, tailor your language to be more relatable. Instead of saying, “I plan my dentistry to age 100,” say, “I want this to last well into your eighties or nineties.” This makes the conversation more personal and realistic, helping patients better connect with the concept of long-term outcomes. Key Takeaways Understanding the limitations of implants compared to natural teeth is vital. Medical history significantly impacts dental treatment decisions. Managing patient expectations is crucial for satisfaction. Palliative endodontics can provide temporary relief and management. Reading and interpreting CBCT scans requires skill and experience. If it's not that five millimeter defect, it's up to you. The second molar is a good one because often second molars can't be replaced with an implant. Retaining roots is definitely a good way to go. You need to risk assess the patient before extraction. Palliative endo is technically always an option. Success in endo can be often difficult to achieve. Asymptomatic and functional is a good criteria. If endo is on the table, it's feasible. Highlights of this episode: 00:00 Teaser 00:35 Introduction 01:48 Protrusive Dental Pearl 04:15 Interview with Dr. Omar Ikram: Philosophy and Growth 10:17 Endodontics vs. Implants: Treatment Planning 16:35 Antidepressants and Dental Implant Failure 19:37 Managing External Cervical Resorption (ECR) 22:30 Patient Communication 24:16 Cracks and Complications in Endodontics 29:12 Endodontic Protocol 30:50 Challenges with CBCT and Cracks 32:07 Second Molars: Retain or Extract? 35:05 Retaining Roots for Future Implants 36:21 Root Burial and Special Cases 40:08 Root Amputation: A Niche Solution 40:57 Key Signs to Rethink Root Canal Treatment 43:17 Cracked Teeth: Poor Prognosis 47:08 Stained Crack Tooth 50:19 Success vs. Survival in Endodontics 56:02 Final Thoughts and Upcoming Events Want to sharpen your endo game even further? Watch Stop Being Slow at Root Canals! Efficient RCTs with Dr Omar Ikram – PDP163 Check out Specialist Endo Crows Nest — led by Dr. Omar Ikram, offering expert care, hands-on courses, and practical tips for real-world endodontics. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and C. AGD Subject Code: 070 ENDODONTICS (Endodontic diagnosis) Aim: To help clinicians develop a deeper understanding of when to preserve a tooth through endodontic treatment versus when to consider extraction and implant placement. Dentists will be able to - Identify key red flags that may contraindicate definitive root canal treatment. Understand the concept of palliative endodontics and how it can be used to delay or defer implant placement responsibly. Recognize the value of retained roots in maintaining alveolar bone, particularly in medically compromised or high-risk patients. #PDPMainEpisodes #EndoRestorative #BreadandButterDentistry

The intricacies of inheritance tax issues are probably the last thing you want to think about after losing someone. We're making it easier to make financial arrangements for receiving an inheritance after a loved one passes away on this episode of We're the Brits in America.  Host Richard Taylor - dual UK/US citizen and Chartered Financial Planner - offers practical advice for expats on navigating these challenges to promote financial security and compliance, including how to avoid the potential pitfalls of Roth IRA conversions.  In this episode of From the Trenches on We're the Brits in America, Richard Taylor and James Boyle – Lead Financial Planner at Plan First Wealth - explore:   Navigating Inheritance for Expats Challenges when receiving an inheritance from non-US persons. The crucial importance of filing Form 3520 to avoid severe IRS penalties. Complications with Trusts and Offshore Bonds Issues with UK-centric advice for US persons. Potential tax problems with foreign trusts and passive foreign investment companies (PFICs). Roth IRA Conversions Explanation of Roth IRA conversions and their benefits. Potential pitfalls like affecting healthcare premiums and tax brackets. New considerations following recent legislative changes. Importance of a Cross-Border Tax Advisor Benefits of having a qualified tax advisor to navigate international tax intricacies and offer valuable US tax help. More about We're the Brits in America:  With the right financial advice, landmines that threaten expat wealth can be avoided. Often encountered by US-connected expats, these financial landmines are more numerous, more hazardous, and less understood than almost anywhere else in the world. As a result, non-cross border professionals, wealth advisors, and even international advisors are often unaware of them. But don't worry, We're the Brits in America has you covered.  We're the Brits in America is dedicated to helping ambitious U.S.-connected expats and immigrants navigate those challenges — and thrive. Whether you've moved to the U.S. for opportunity, or are an American seeking adventure and growth abroad, our job is to equip you with the tools and insights you need to succeed. 

Public health advocate Kathleen Muldoon discusses her article "Why congenital CMV should be on every parent and doctor's radar," revealing how congenital cytomegalovirus (cCMV) remains the most common viral cause of disability in the U.S., yet is often ignored in medical training, prenatal counseling, and public health policy. Kathleen explains how toddlers act as primary vectors, why prevention advice is rarely shared, and how early antiviral treatment can improve outcomes when the infection is detected in time. She outlines practical steps clinicians can take now, from incorporating prevention into prenatal visits to advocating for universal newborn screening, and calls for a cultural and educational shift to make cCMV awareness as routine as counseling on folic acid or listeria. Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers. VISIT SPONSOR → https://kevinmd.com/careers Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern. VISIT SPONSOR → https://kevinmd.com/pattern SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Resources:  Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext  KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/    Venous Hypertension   Definition A functioning AV circuit delivers high volume arterial flow towards a stenotic venous segment, causing buildup in pressure and venous hypertension. If there are few or no branching veins between the access and stenosis, thrombosis could occur   Etiology The most common etiology is venous stenosis caused by a history of vessel wall trauma by centrally-inserted venous devices such as tunneled and non-tunneled dialysis catheters, central lines, pacemakers, or defibrillator. In a study performed at a large academic medical center1, new hemodynamically significant central venous stenosis was associated with the duration of catheter dependence (26% in patients with CVCs for more than 6 months, versus 11% in patients with CVCs for less than 6 months). PICC lines can directly damage cephalic and basilic veins Venous stenosis can often go undetected until AV access creation occurs   Patient Presentation Symptoms of venous insufficiency will be present– most commonly regional edema, in the area of venous stenosis. If there are patent venous branches between the AV anastomosis and the stenotic area, swelling can occur throughout the arm. Pigmentation, induration, dermatosclerosis, and ulceration may also be observed. An extensive collateral network of veins may be visible throughout anterior chest, shoulder, or flank SVC obstruction can result in swelling of the head, neck and shoulders, as well as a feeling of head and neck fullness, airway compromise, and visual problems Normal palpable thrill can be replaced by a strong pulse Dialysis can be complicated by difficulty with needle access, recirculation syndrome, and arm swelling after dialysis sessions. Workup  Central vein thrombosis can be hard to detect on ultrasound because clavicle and sternum can block transmission Venography is essential to determine the presence and severity of venous stenosis or occlusion.   Prevention The ideal scenario is to avoid central dialysis catheters completely, and this involves evaluating CKD patients and placing AVF or AVG before the need for dialysis arises.  If a patient presents placement of an AVF/AVG, it is important to perform venography if a patient has a history of a central venous catheter or clinical signs of venous hypertension. A history of SVC obstruction from any cause can preclude permanent AV access creation in both upper extremities Treatment Endovascular approaches to venous outflow stenosis can be first-line treatment options, due to their minimal risk. They can also be performed at the same time as a diagnostic venogram. Angioplasty alone or with stenting are the endovascular options. In a study by Bakken et al2 that compared primary high-pressure balloon angioplasty versus stenting, primary patency was equivalent between groups, with 30-day rates of 76% for both groups and 12-month rates of 29% for angioplasty and 21% for stenting. Assisted primary patency was also equivalent with a 30-day patency rate of 81% and 12-month rate of 73% for the angioplasty group,  84% at 30 days, and 46% at 12 months for the stenting group. This study, along with others, shows that the major downside of endovascular interventions, whether angioplasty or stenting, often require repeat intervention and have poor long-term patency. For subclavian vein stenosis, angioplasty alone is appropriate due to its anatomical location that can put a stent at risk for extrinsic compression from the first rib and clavicle. Surgical bypass can be performed Possible bypasses include axillary-axillary, axillary-jugular, axillary-right atrial, and axillary-femoral. In these bypasses, the preferred conduits are autogenous saphenous or femoral veins. In cases where the proximal subclavian vein is obstructed, a jugular vein turndown can be performed. In this procedure the distal jugular vein is transected, sewed end-to-side at the distal subclavian vein, effectively acting as a bypass route for that obstructed segment. The Hemoaccess Reliable Outflow (HeRO) Vascular Access Device can be used as a hybrid approach, combining endovascular and open surgical techniques to bypass a central venous occlusion  and provide a reliable outflow for dialysis.  This device has a PTFE inflow limb that is sewn end-to-side onto the brachial artery. This limb is tunneled subcutaneously and connected to a silicone-coated nitinol outflow catheter that is inserted into a central vein and tracked directly into the right atrium. This effectively bypasses central venous stenoses. In the largest study to date on HeRO access grafts placed in 167 patients,3 HeRO primary and secondary patency was 48.8% and 90.8%, respectively, at 12 months. Interventions to maintain or re-establish patency were required in 71.3% of patients resulting in an intervention rate of 1.5/year. Access-related infections were reported in 4.3% patients. The authors concluded that HeRO device had performed comparably to standard AVGs and had proven superior to tunneled dialysis catheters in terms of patency, intervention, and infection rates. If no treatment options for venous hypertension or outflow obstruction  are available, an alternate AV access site can be created, either in the contralateral arm if the SVC is uninvolved, or through placement of femoral AV access or a peritoneal dialysis catheter.   Bleeding Access Site   Etiology and Risk Factors Bleeding can be caused by high venous pressure after dialysis, pseudoaneurysm rupture, or trauma. Patients with end stage renal disease (ESRD) have a baseline elevated risk of bleeding due to uremia-induced platelet dysfunction and use of systemic anticoagulation within the hemodialysis circuit. Additional risk factors include dialysis through an AV graft, hypertension, longer duration of access use, and compromised integrity of the vascular access due to complications (clotting, infection) or invasive procedures. Dual antiplatelet therapy is also associated with overall bleeding events in ESRD patients. Dialysis patients could be on antiplatelet therapy for management of comorbid cardiovascular risk and/or patency of AV graft Patients with bleeding fistulas often present from their dialysis unit when standard digital pressure at the cannulation site fails to stop the bleeding. This is a very serious condition since most mature fistulas have high blood flow and the patients are at risk for hemorrhagic shock and death.    Initial Management  The first step of management is to obtain hemostasis. Elevate the limb above the level of the heart and apply firm and directed pressure at the site of bleeding using gauze for at least 30-40 minutes Milosevic et al4 reviewed non-operative management of bleeding fistulas and grafts and found that compared to standard dressings, the use of specialized hemostatic dressings decreased bleeding time at arterial and venous cannulation sites. These hemostatic materials included the IRIS compression bandage and cellulose-based, chitosan-based, poly-N-acetyl glucosamine-based, and thrombin-soaked dressings. There has been a “bottlecap method” described where the hollow side of a bottlecap is pressed on top of the puncture site. Maintaining pressure on the cap will cause the cap to fill with blood and clot, which tamponades the bleeding. The provider can also place a shallow figure-of-8 or purse string stitch just below the skin surface to aid in hemostasis. It is important to avoid placing the suture too deep as this can cause inadvertent fistula ligation. During this process, an assistant applies pressure just proximal and distal to the bleeding site to stop blood flow so the sutures can be placed. If these methods fail to achieve hemostasis, apply a tourniquet proximal to the fistula and tighten it until bleeding stops and the radial pulse is lost. This signifies complete occlusion of arterial inflow to the fistula. Tourniquet use should be limited to 3 hours or less, since limb ischemia beyond this timepoint is associated with permanent neuromuscular damage. Regardless of the method used for initial hemostasis, the patient is at risk for repeat hemorrhage, hematoma formation, vessel stenosis, and thrombosis. They should be evaluated by a vascular surgeon as soon as possible.  Definitive Management Definitive management depends on etiology of each case, and there are a variety of interventions that can be pursued (i.e. aneurysmorrhaphy for aneurysmal bleeding) If skin erosion over the conduit is present, it should be assumed that the AV access is infected and emergency intervention should be pursued. A jump graft can be placed through with healthy tissue.  A covered stent could be introduced through a separate percutaneous puncture site Finally, coagulopathy can be addressed by administering cryoprecipitate, DDAVP, erythropoietin, estrogen, tranexamic acid. Aneurysms and Pseudoaneurysms   Definition and Etiology Aneurysms involve all three layers of the vessel wall and they develop due to hemodynamic changes causing remodeling of the vein wall in an AV fistula. This is necessary for vein maturation, but becomes problematic if the post-anastomotic vein continues to dilate and becomes aneurysmal.  Aneurysms can also occur at anastomosis sites due to technical aspects of the surgery. Pseudoaneurysms only involve some layers of the vessel wall caused by repeated puncture for hemodialysis.  Both aneurysms and pseudoaneurysms can enlarge due to venous outflow stenosis causing increased intraluminal pressures. Both true aneurysms and pseudoaneurysms can lead to overlying skin erosion and subsequent hemorrhage, pain, AV access dysfunction, and cannulation difficulties.  Dialysis cannulation should be avoided at the aneurysmal sites to prevent bleeding complications. Diagnosis They can be diagnosed on ultrasound, which also provide information on flow rates, presence inflow/outflow/stenoses, and vessel diameters.  Indications for Treatment Treatment is indicated for aneurysms that are rapidly expanding or ulcerating through the skin surface. These are at high risk for rupture and hemorrhage, which is life-threatening. Treatment is also indicated when the aneurysm occurs at the anastomotic site of the AV fistula, the patient has a cosmetic concern, cannulation becomes difficult, there is concern for infection, or the patient has high-output heart failure that could be exacerbated by high flow through the fistula. Treatment is not indicated in asymptomatic aneurysms, regardless of their size. True  aneurysms and pseudoaneurysms are not prone to spontaneous rupture.   Treatment Options Aneurysmorrhaphy is the most common treatment. It involves the resection of the aneurysmal vein wall to restore a normal diameter and removal of excess skin. Anastomosis is performed along the lateral wall to prevent issues with cannulation along the suture line. Aneurysm resection with interposition grafting is also possible. If multiple aneurysmal segments require treatment, staging their repairs can allow for continuation of dialysis without needing to place a temporary dialysis catheter. AV access ligation is an appropriate alternative to AV access salvage in certain situations but usually requires excision of the aneurysm/pseudoaneurysm due to the potential to develop thrombophlebitis and the cosmetic appearance of the thrombosed segment. If there is concern for an infected pseudoaneurysm or aneurysm, surgery should include removal of all infected material. References   1. Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De Novo Central Vein Stenosis in Hemodialysis Patients Following Initial Tunneled Central Vein Catheter Placement. Kidney360. 2022;3(1):99-102. doi:10.34067/KID.0005202021 2. Bakken AM, Protack CD, Saad WE, Lee DE, Waldman DL, Davies MG. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007;45(4):776-783. doi:10.1016/j.jvs.2006.12.046 3. Gage SM, Katzman HE, Ross JR, et al. Multi-center Experience of 164 Consecutive Hemodialysis Reliable Outflow [HeRO] Graft Implants for Hemodialysis Treatment. Eur J Vasc Endovasc Surg. 2012;44(1):93-99. doi:10.1016/j.ejvs.2012.04.011 4. Milosevic E, Forster A, Moist L, Rehman F, Thomson B. Non-surgical interventions to control bleeding from arteriovenous fistulas and grafts inside and outside the hemodialysis unit: a scoping review. Clin Kidney J. 2024;17(5):sfae089. doi:10.1093/ckj/sfae089

Westerns and Comedy on a SaturdayFirst,  a look at the events of the day.Then, Gunsmoke starring William Conrad, originally broadcast August 30, 1954, 71 years ago, Obie Tater.  Two tough guys rough up Obie Tater to force him to tell where his gold is hidden. When that fails...Obie finds himself suddenly married. Followed by Have Gun Will Travel starring John Dehner, originally broadcast August 30, 1959, 66 years ago, Love-Bird.  Holly Bannon, a thoroughly rotten broad, hires Paladin to kill her husband...a nice guy! Then, The Screen Directors Playhouse, originally broadcast August 30, 1951, 74 years ago, Mother Is a Freshman starring Loretta Young.   Young reprises her role from the 1949 comedy.  Young enrolls in college to claim a scholarship and ends up attending alongside her daughter. Complications arise when both women fall for the same English professor, leading to lighthearted misunderstandings before love sorts itself out.Finally, The Couple Next Door starring Peg Lynch and Alan Bunce, originally broadcast August 30, 1960, 65 years ago, Fed Up Waiting on People. Thanks to Laurel for supporting our podcast by using the Buy Me a Coffee function at http://classicradio.streamIf you like what we do here, visit our friend Jay at http://radio.macinmind.com for great old-time radio shows 24 hours a day

Thoracic anesthesia is one of the most complex and high-stakes specialties in medicine, where the airway may literally be open on the table, and every breath depends on seamless teamwork. In this episode of Anesthesia Alchemy, Lynn and Garry welcome Dr. Melissa Puskac, a CRNA and thoracic anesthesia expert, to unpack the challenges and breakthroughs that define this field. From carinal resections and sleeve lobectomies to esophagectomies and mediastinal mass surgeries, Dr. Puskac explains how modern techniques like cross-field ventilation, high-frequency jet ventilation (HFJV), and ECMO are transforming survival and recovery. Here's some of what you'll hear in this episode:  

The Arsenal Transfer Show EP645 - Hincapie Complications, Kiwior Wait, Sales Truth and More!

What piques your clinical suspicion for biliary structure? And when is interventional endoscopy the preferred approach? Fine tune your diagnostic and treatment algorithm with Dr. Premal Trivedi from the University of Colorado and host Dr. Christopher Beck as they go in-depth on the management of biliary strictures.---This podcast is supported by:RADPAD® Radiation Protectionhttps://www.radpad.com/---SYNPOSISThe doctors first break down the signs and clinical picture that alert them to a possible biliary stricture. Dr. Trivedi then explains the steps of his workup and preferred imaging, and also describes his threshold to pursue percutaneous transhepatic cholangiography (PTC), especially in diffuse conditions like primary sclerosing cholangitis. Dr. Trivedi also walks through his procedural steps for PTC and drain placement, covering his best practices and typical intraoperative decision making.Dr. Trivedi then explains the role of angioplasty over the course of longitudinal treatment, balloon choice, and his upper limit of catheter upsizing. The doctors also delve into the role of interventional endoscopy and tackling complications such as bleeding and tube leakage. The conversation offers valuable insights for trainees and practitioners alike, and highlights future advancements in biliary interventions.---TIMESTAMPS00:00 - Introduction06:19 - Approach to Biliary Strictures08:10 - Workup and Imaging for Biliary Strictures20:41 - Accessing the Biliary System27:14 - Crossing the Obstruction: Next Steps33:22 - Endoscopic Evaluation and Its Role47:14 - Complications and Pain Management53:40 - Future of Biliary Management54:55 - Conclusion and Final Thoughts

Every anesthesia professional has encountered IV infiltration—but when neuromuscular blocking agents are involved, this common complication becomes a complex patient safety challenge with no established guidelines.This episode delves into the critical management of infiltrated paralytics, a complication affecting 14% of peripheral IV catheterizations that can lead to delayed induction, compromised emergence, and potentially serious tissue injury. We're joined by Dr. Govind Rangrass, Professor of Anesthesiology and Critical Care, who shares why this overlooked issue deserves urgent attention: "When a paralytic is involved, the complexity skyrockets and there's almost no literature to guide us."We break down a comprehensive management algorithm, from the counterintuitive first step of leaving the infiltrated catheter in place to attempt medication aspiration, through systemic absorption enhancement techniques using hyaluronidase and nitroglycerin paste. The episode covers detailed reversal strategies based on monitoring capabilities, explaining how to prevent recurarization and safely manage these patients postoperatively.Beyond immediate management, we look toward a future where infiltration detection technologies and standardized guidelines are integrated into residency training and crisis checklists. This episode provides the missing guidance that anesthesia professionals need to navigate this surprisingly common complication with confidence.Have you experienced neuromuscular blocker infiltration in your practice? What strategies have worked for you? Share your thoughts or questions at podcast@APSF.org and join us in building a safer future where no one is harmed by anesthesia care.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/269-infiltrated-iv-crisis-managing-complications-and-keeping-patients-safe/© 2025, The Anesthesia Patient Safety Foundation

Hits And Misses Of The Hot Mess Summer Of 2025 (Ep. 311) Episode Summary This week on That Solo Life, hosts Karen Swim, APR, and Michelle Kane unpack this“Hot Mess Summer”—the surprising, cringey, and cautionary moments that shaped the season for PR and communications pros. From return-to-office whiplash and AI overpromises to social media pile-ons, brand missteps, and the pursuit of excellence in a rush-first culture, they offer candid insights and practical takeaways for solo practitioners navigating constant change. Episode Highlights 00:12–01:08 | Welcome back: Setting up the “Hot Mess Summer” theme for PR and marketing pros  01:29–02:32 | The world of work: RTO mandates, hiring freezes, and overestimating AI's impact  02:33–03:41 | Planning in uncertainty: How economic jitters ripple through day-to-day comms work  03:53–05:04 | Social media fatigue: Declining nuance, instant outrage, and what it means for brands  05:04–06:22 | The vigilante effect: Why some users treat negativity as a hobby—and how to respond  06:32–07:17 | Slowing down to get it right: Replying with care in a rush-first culture  07:48–09:10 | Over-curation vs. authenticity: Balancing audience feedback with sound business decisions  09:16–10:12 | People-pleasing pitfalls: You can't please everyone—stay true to mission and values  09:31–10:11 | Event aesthetics vs. meaning: Designing for impact, not just Instagram  10:12–11:05 | Community pile-ons: Why “take it to the business first” matters  11:05–12:08 | Complication creep: Tech, AI, and unnecessary hurdles for communicators  11:46–12:46 | Excellence still matters: How quality elevates audience experience  12:47–14:05 | Brand name changes gone sideways: Lessons from high-profile rebrands  14:39–15:53 | Risk hygiene: The case against bringing blankets to the movies (and other practical worries)  16:00–16:22 | Looking ahead: Manifesting a calmer, more prosperous fall for solos  16:19–16:35 | Join the convo: How to share your Hot Mess Summer stories Related Episodes & Additional Information Episode 300: How To Manage Sticky Situations In PR Entrepreneur: How to Set Boundaries With Your Clients Without Losing Business Host & Show Info That Solo Life is a podcast created for public relations, communication, and marketing professionals who work as independent and small practitioners. Hosted by Karen Swim, APR, founder of Words For Hire and President of Solo PR, and Michelle Kane, Principal of Voice Matters, the show delivers expert insights, encouragement, and advice for solo PR pros navigating today's dynamic professional landscape. Share and Subscribe! If this episode made you nod, laugh, or rethink your approach, don't keep it to yourself—follow That Solo Life in your favorite podcast app, leave a 5-star review to help other solo pros find us, and share Episode 311 with a colleague. Got your own “Hot Mess Summer” story or a topic you want us to tackle? Send it to us at soloprpro.com. Your story might be featured in an upcoming episode!

What do retinal scans reveal about diabetes complications? In Part 2, Vinod Patel shares insights from his clinical research on diabetic retinopathy, including key risk factors, the impact of hypertension, and the future of screening using advanced imaging tools. A must-listen for clinicians and anyone curious about the eyes-diabetes connection.  Timestamps: 00:30 – Risk factors  02:17 – Drug treatments  03:01 – Retinal ischaemia   06:12 – Retinal imaging 

In the final episode of this series on preventative medicine, Vinod Patel discusses how integrated care models, professional training, and patient education improve diabetes outcomes. From chronic fatigue clinics to national screening programs, this episode highlights how innovation in education and collaboration can transform diabetes care across systems.  Timestamps: 00:40 – Clinical care  02:12 – Chronic Fatigue Clinic  03:52 – Lipid management   05:42 – DIGAMI protocol  07:14 – Retinopathy screening  08:45 – The future of care  12:25 – Teaching skills 

Aujourd'hui, Abel Boyi, Antoine Diers et Barbara Lefebvre débattent de l'actualité autour d'Alain Marschall.

In this rapid-fire episode, Vinod Patel answers key questions about Type 2 diabetes, from early signs and screening frequency to emerging tech, common misconceptions, and lifestyle advice. Perfect for listeners short on time but eager to boost their diabetes knowledge in just 5 minutes. 

Vinod Patel joins host Catherine Glass to explore how technology, early intervention, and integrated care are changing diabetes prevention. Learn about the ‘Alphabet Strategy', machine learning in postpartum prediabetes prediction, and the growing role of glucagon-like peptide-1 (GLP-1) injectables. This episode unpacks how we can identify and reduce diabetes risk before complications begin.  00:36 – Alphabet Strategy  03:04 – Vascular complications  05:10 – Machine learning  09:09 – GLP-1 agonists 

Send Me a Message! What happens when the mental health system fails those that need it most? In this raw, unfiltered episode, I take you into the depths of my ongoing battle with a mental healthcare approach that seems more interested in medication guess-work than actual measures for recovery.I'm currently taking seven different medications – heavy-duty pharmaceuticals that should, theoretically, be providing relief from my complex mental health conditions. Yet despite this chemical cocktail, my symptoms continue to worsen. My frustration is palpable as I recount my recent psychiatric appointment where my request to safely taper off medications under supervision was dismissed, replaced instead with simply swapping one medication for another.The consequences of inadequate treatment have now spilled into my work life. I've been stripped of my forklift operator role – the one area where I felt most competent and found respite from my social anxiety. This loss represents the real-world impact of a mental health system that keeps failing those who need it most. And this could only be the start.What makes this situation particularly disappointing is my willingness to try anything – even considering ECT or extended hospital admissions – just to get proper help. When someone describes themselves as "the most willing patient" who is willing to try anything, yet cannot access appropriate care despite years of advocacy, we must question how our mental health services are prioritised and delivered.For anyone navigating complex mental health challenges or supporting someone who is, this episode offers validation that you're not alone in your struggle. The path to proper treatment shouldn't be this difficult, but together we can continue advocating for better approaches. --Follow my journey through the chaos of mental illness and the hard-fought lessons learned along the way.Lived experience is at the heart of this podcast — every episode told through my own lens, with raw honesty and zero filter.This is a genuine and vulnerable account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showYou can follow me on Instagram: @elliot.t.waters, and the show on Facebook!

The Backteeth Boys:   Amir Tahmasebpour DDS https://www.instagram.com/therealtoothdr2.0/?hl=en   Joe Doctora MD DDS https://www.drdoctora.com/   Serv wahan MD DMD https://www.drwahan.com/     keywords oral surgery, complications, extractions, sinus perforations, dry socket, instruments, immediate implants, oral health, dental surgery, wisdom teeth, pain management, dental surgery, post-operative care, bleeding control, tooth extraction, anticoagulants, nerve injury, bisphosphonates, dental complications, patient communication, Serv Wahan, Joe Doctora, Amir Tahmasebpour, dental influencer, dental podcast, podcasting, toronto podcast, nashville podcast, seattle podcast, backteeth boys     takeaways Oral surgeons often face unexpected complications during extractions. Managing sinus perforations requires careful patient education and techniques. Different instruments can yield varying results in tooth extractions. Erupted teeth can sometimes be more challenging than impacted ones. Communication with patients about their symptoms is crucial for diagnosis. Using the right instruments can significantly ease the extraction process. Immediate implants require careful consideration of the extraction technique. Dry socket management involves both physical treatment and patient reassurance. Understanding the anatomy and potential complications is key for successful surgeries. Continuous learning and adaptation are essential in oral surgery. Innovative pain management techniques can enhance patient comfort. Patient responsibility is crucial in preventing complications post-surgery. Effective communication can mitigate patient concerns about post-operative issues. Bleeding control strategies are essential during dental extractions. Bone wax can be a useful tool for managing bleeding. Understanding the risks associated with smoking is important for patient education. Managing patients on anticoagulants requires careful planning and coding for procedures. Dealing with root fragments can be challenging but is often manageable. Tuberosity fractures require careful assessment and management during extractions. Nerve paresthesia should be communicated clearly to patients, with follow-up care planned.   summary In this engaging conversation, Serv Wahan, Amir Tahmasebpour, and Joe Doctora discuss the complexities and challenges faced in oral surgery, particularly during tooth extractions. They share personal experiences with unexpected complications, the importance of using the right instruments, and effective management strategies for issues like sinus perforations and dry sockets. The discussion emphasizes the need for continuous learning and adaptation in surgical practices, as well as the significance of patient communication and education. In this conversation, dental professionals discuss various techniques and strategies for managing pain, complications, and patient care in dental surgery. They explore innovative pain management methods, the importance of patient responsibility, and effective communication strategies for handling post-operative complications. The discussion also covers bleeding control, managing patients on anticoagulants, and the challenges of dealing with root fragments and tuberosity fractures. Additionally, they address the complexities of treating patients on bisphosphonates and the implications for dental procedures.     titles Navigating Complications in Oral Surgery Essential Instruments for Dental Extractions   Sound Bites "Teeth can humble you." "It's a little molar." "I wouldn't know."   Chapters 00:00 Introduction to Oral Surgery Challenges 02:45 Managing Complications in Oral Surgery 05:47 Instruments of the Trade 08:43 Sinus Management Techniques 11:42 Bleeding and Complications 14:52 Elevators and Extraction Techniques 25:28 Effective Tooth Extraction Techniques 27:22 Immediate Implants: Strategies and Considerations 28:53 Innovative Visualization Techniques in Dentistry 30:17 Managing Complications: Dry Socket Protocols 42:08 Addressing Bleeding During Extractions 49:54 Managing Complications in Tooth Extractions 52:08 The Dilemma of Leaving Root Fragments 55:08 Handling Tuberosity Fractures 58:54 Navigating Nerve Paresthesia Post-Extraction 01:02:57 Managing Patients on Anti-Resorptive Medications

About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices

BUFFALO, NY — August 14, 2025 — A new #research paper was #published in Volume 17, Issue 7, of Aging (Aging-US) on July 3, 2025, titled “Frailty associates with respiratory exacerbations and mortality in the COPDGene cohort.” In this study, led by first author Eleanor Kate Phillips from Brigham and Women's Hospital and corresponding author Dawn L. DeMeo from Brigham and Women's Hospital and Harvard Medical School, researchers investigated how frailty impacts lung health and survival in individuals with a history of cigarette smoking. They found that frailty raises the risk of lung attacks and death, even in smokers with preserved lung function. This result shows why all current and former smokers should be checked for frailty. Frailty is a condition that makes the body more vulnerable to illness, especially in older adults. This study focused on more than 2,600 adults with a history of heavy smoking, many of whom showed no signs of lung damage on standard tests. At the second follow-up visit, participants were categorized as robust, prefrail, or frail and followed for about three years. Researchers tracked how often they experienced respiratory attacks, such as episodes of severe coughing or breathlessness, and whether they survived during that period. “COPDGene is a cohort study of individuals aged 45–80 with a minimum 10 pack-year smoking history.” The results showed that people who were frail had a three- to five-fold higher chance of developing serious or frequent respiratory attacks compared to those who were robust. These risks were not limited to people with chronic lung disease. In fact, many frail participants with normal lung function still faced a significantly higher chance of lung attacks and death. Even those in the “prefrail” stage, a milder form of frailty, were more likely to experience health complications. The research team also found that frailty was associated with an accelerated pace of biological aging, measured using a DNA-based test called DunedinPACE. This supports the idea that frailty may reflect deeper biological changes in the body that go beyond what traditional lung function tests can detect. These findings challenge the idea that standard lung tests can rule out future respiratory complications in people with a history of smoking. Altogether, the study shows that simple frailty checks could help identify early health problems, allowing for timely interventions that may prevent hospitalizations and potentially save lives. The study suggests that frailty screening may be a valuable tool in public health efforts to reduce respiratory disease and improve outcomes for aging adults. DOI - https://doi.org/10.18632/aging.206275 Corresponding author - Dawn L. DeMeo - redld@channing.harvard.edu Video short - https://www.youtube.com/watch?v=G1XQhQN6PQ8 Sign up for free Altmetric alerts about this article - https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.206275 Subscribe for free publication alerts from Aging - https://www.aging-us.com/subscribe-to-toc-alerts Keywords - aging, frailty, cigarette smoking, respiratory exacerbations, COPD, epigenetic aging To learn more about the journal, please visit our website at https://www.Aging-US.com​​ and connect with us on social media at: Facebook - https://www.facebook.com/AgingUS/ X - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/@AgingJournal LinkedIn - https://www.linkedin.com/company/aging/ Bluesky - https://bsky.app/profile/aging-us.bsky.social Pinterest - https://www.pinterest.com/AgingUS/ Spotify - https://open.spotify.com/show/1X4HQQgegjReaf6Mozn6Mc MEDIA@IMPACTJOURNALS.COM

Markus & Kerry Crowley - Hour 1: Padres beat Giants (again), the complications of extending Jauan Jennings' contract, & ranking QBs in the NFLSee omnystudio.com/listener for privacy information.

Markus & Kerry Crowley - Hour 1: Padres beat Giants (again), the complications of extending Jauan Jennings' contract, & ranking QBs in the NFLSee omnystudio.com/listener for privacy information.

Hey Pathfinders! Ever feel torn between your many passions and interests? In this episode, I dive deep into multi-passionate people's challenges, from the guilt of not focusing on just one thing to the exhaustion of managing multiple creative identities. I'll share my journey of integrating various parts of myself—including my love for digital art, Twitch streaming, and podcast managing—into a coherent, fulfilling life. Learn how to honor all parts of who you are without burning out. Remember, integrating your passions is the key to a balanced life. Tune in and let's figure this out together!

Mark Twain part 2: spoken word and music complication

The pilgrims seek religious freedom, but at the moment it seems the Mayflower will never sail. CBS reporters take you to Plymouth Harbor, and explore the situation. Complications surrounding receiving…

Headlines:  – Welcome to Mo News (02:00) – White House Announces New Tariffs on 67 Countries (05:00) – Witkoff and Huckabee To Visit Gaza To See Hunger Crisis Firsthand (09:10) – D.C. Plane Crash Investigators Home In on Incorrect Altitude Readings and Other Issues (17:00) – Millions Of Student Loan Borrowers Could Pay $3,500 More Per Year In Interest Starting This Week (22:40) – Kamala Harris To Release New Memoir (24:30) – White House Unveils $200 Million Plan for Ballroom Long Sought by Trump (28:40) – Rare Flu Complication Is Rising In Kids, Doctors Warn (31:30) – The New ‘Perfect Combination': The Reese's Oreo Cup? The Oreo Reese's Cookie? (34:40) – What We're Watching, Reading, Eating (37:00) Thanks To Our Sponsors:  – ⁠LMNT⁠ - Free Sample Pack with any LMNT drink mix purchase–⁠ Industrious⁠ - Coworking office. 30% off day pass–⁠ Athletic Greens⁠ – AG1 Powder + 1 year of free Vitamin D & 5 free travel packs– Surfshark - 4 additional months of Surfshark VPN | Code: MONEWS– BetterHelp – 10% off your first month

Today, after a brief discussion on the recent deaths of Ozzy Osbourne and Malcolm Jamal-Warner, Asif and Ali discuss the career and complicated life of Hulk Hogan (7:15). They guys start off by discussing when they first heard of Hogan. They then go over his meteoric rise to become the most famous professional wrestler of all time. They then discuss his controversies including videos of Hogan using racist language and the Gawker trial, and the ongoing repercussions of these events. Hogan had a history of anabolic steroid use and died of cardiac arrest and so in the second half of the episode, Ali asks Asif about the heart complications of anabolic steroid use (34:30). He talks about how these steroids “build up” tissues and muscles and result in masculine-like effects (androgenization). He discusses how common anabolic steroid use is and how it has been linked to heart disease and heart failure in particular. Asif goes over the common symptoms that this type of heart failure would present with. He then goes over the testing that should be done as well as the treatment (mainly stopping steroid use). Music courtesy of Wataboi and 8er41 from PixabayContact us at doctorvcomedian@gmail.comFollow us on Social media:Twitter: @doctorvcomedianInstagram: doctorvcomedianShow Notes: Can You Mourn Hulk Hogan the Wrestler, But Not the Man? https://www.rollingstone.com/culture/culture-features/hulk-hogan-legacy-remembrance-1235393582/The Mortal Hulk Hogan: https://www.theringer.com/2025/07/24/wwe/hulk-hogan-obituary-wrestling-legacyWhat Hulk Hogan Left Behind: https://www.nytimes.com/2025/07/26/opinion/hulk-hogan-gawker.htmlHulk Hogan's son arrested on DUI charge in Florida city where he was involved in a car crash 16 years ago: https://www.nbcnews.com/news/us-news/hulk-hogans-son-arrested-dui-florida-city-was-involved-car-crash-16-ye-rcna125905Nobody Speak: Trials of the Free Press review – Hulk v Gawker in portrait of wealthy arrogance: https://www.theguardian.com/film/2017/jun/22/nobody-speak-trials-of-a-free-press-review-hulk-hogan-gawker-netflixAnabolic androgenic steroids and cardiomyopathy: an update https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1214374/full#B11Steroid-Induced Cardiomyopathy: Insights From a Systematic Literature Review and a Case Report https://onlinelibrary.wiley.com/doi/full/10.1002/ccr3.70171Cardiovascular Toxicity of Illicit Anabolic-Androgenic Steroid Use https://www.ahajournals.org/doi/10.1161/circulationaha.116.026945 Hosted on Acast. See acast.com/privacy for more information.

About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Rob interviews Cassadie Farnsworth, a creator and advocate for those living with diabetes. Cassadie shares her personal journey of being misdiagnosed with type 2 diabetes before receiving the correct type 1 diagnosis. The conversation delves into the importance of mental health in diabetes management, the role of humor in coping with challenges, and the significance of building a supportive community. Cassadie discusses her transition from a career in cancer research to pursuing a path in healthcare, emphasizing the need for self-love and grace in managing diabetes. The episode also highlights the importance of partners in diabetes care and creating safe spaces for open conversations about the condition. Chapters 00:00 Introduction to Cassadie Farnsworth 00:44 Cassadie's Diagnosis Journey 03:43 Transitioning from Research to Clinical Practice 05:43 The Importance of Mental Health in Diabetes Management 10:30 Complications and Self-Love 16:26 Celebrating Small Wins in Diabetes Management 19:22 Influence of Psychology on Diabetes Care 21:10 Navigating Mental Health and Diabetes 21:47 The Importance of Daily Work for Mental Health 22:41 Finding Humor in Diabetes 23:40 Building Community Through Shared Experiences 26:28 The Role of Partners in Diabetes Management 27:17 Asking for Help: A Personal Journey 30:57 Creating a Supportive Environment 32:16 Navigating Relationships with Diabetes 37:30 Mental Health Strategies for Living with Diabetes Resources: Cassidy's Instagram (@the_pa.tient)

This episode of Kiwi Birth Tales is proudly brought to you by Your Birth Project. In this episode of Kiwi Birth Tales, I speak to Emma. Some of the topics we cover:Unexplained Infertility Pregnancy loss Starting IVF when conceived naturally Major accident Covid pregnancy Elective Csection Breastfeeding challenge Twin pregnancy 36+3 birth Post birth support for the boys Jaundice Significant illness for the boys as newborns Poor experience in the hospital PTSD Your Birth Project Online Hypnobirthing Coursehttps://www.fertilityassociates.co.nz/book-a-free-nurse-consultPlease seek support for any mental health concerns, some helpful links are below:Mental Health in PregnancyPerinatal Depression and Anxiety Aotearoa Plunket - Dads Mental HealthLittle Shadow - Private Counselling NZFind me @kiwibirthtales and @yourbirthproject Hosted on Acast. See acast.com/privacy for more information.

Drs. Safa Rahmani and Sarwar Zahid join to discuss the July 2025 Retinal Physician focusing on surgical cases and pearls. Relevant Financial Disclosures: None

In the third hour, Mac & Bone talk about the complicated situation developing at WR for the Panthers, with new additions shining early on in training camp, Alex Kirshner joins the show to preview the upcoming college football season from a national perspective, before an update on Fitty's dating life in Weekend Conclusions See omnystudio.com/listener for privacy information.

In this episode of the PFC Podcast, host Dennis interviews Jeff Ory, a recent medical graduate and former infantryman, discussing the critical topic of tension pneumothorax and the techniques for needle decompression. They explore the historical data on tension pneumothorax mortality, the effectiveness of different decompression sites, and the risks associated with the procedure. The conversation also delves into the importance of ongoing training for medics, the debate over who should be trained in needle decompression, and the best practices for chest tube placement. The episode concludes with thoughts on the future of trauma care and the need for continuous improvement in medical training.TakeawaysTension pneumothorax is primarily a blood flow issue, not a respiratory one.The fifth intercostal space is often preferred for needle decompression due to safety and accuracy.Hubbing a needle during decompression poses significant risks.Many patients do not show objective improvement after needle decompression.Training in emergency procedures must be continuous to maintain skills.The placement of chest tubes is debated, with various opinions on the best approach.Most patients with pneumothorax also have other injuries that complicate treatment.Emergency procedures should be simplified for better retention and execution.The risk of injury from needle decompression is a significant concern.Emergent decompression is crucial for patient survival in trauma situations.Chapters00:00 Introduction to the Podcast and Guest01:08 Understanding Tension Pneumothorax07:04 Needle Decompression Techniques and Efficacy12:20 Risks and Complications of Needle Decompression20:03 Training and Skill Retention in Emergency Medicine30:44 Debate on Needle Decompression in Military Training39:04 Chest Tube Placement and Techniques49:22 Conclusion and Future Directions in Trauma CareThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

On the 3pm hour of today's show, the guys matchup the SEC vs. other conferences, take a look at what's going on in ACC Media Days, and receive a call from Hadley Engelhard.See omnystudio.com/listener for privacy information.

A severely ill Flu A patient, fully intubated, and fighting for every breath requires the AMPED team for transport for possible ECMO. Under even the best of circumstances, this type of patient requires extensive care and presents many challenges. But what happens when extreme weather causes problems with the team's equipment, making care even more challenging? Find out how our team dealt with and overcame these challenges to help ensure our patient's recovery and survival.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Matt Johnson, NRP Flight Paramedic     Anna Schmick, BSN, RN, CFRN Flight Nurse    Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

Send us a textRiley's doctor recommended bariatric surgery as the solution to their health concerns, but when Riley came to me for advice, I realized they hadn't been told about the real risks. From anastomosis leaks with 15% mortality rates to spontaneous bowel perforations years later, the complications of weight loss surgery extend far beyond what most patients are counseled about. In this episode, I walk through the evidence-based risks that every patient deserves to know before making this life-altering decision, because informed consent requires the whole truth. If you or someone you know is considering weight loss surgery, then be sure to send them a link to this episode!References:Lim, Robert et al. “Early and late complications of bariatric operation.” Trauma surgery & acute care open vol. 3,1 e000219. 9 Oct. 2018Silva, Ana Flávia da et al. “Risk factors for the development of surgical site infection in bariatric surgery: an integrative review of literature.” Revista latino-americana de enfermagem vol. 31 (2023)Complications of bariatric surgery: presentation and emergency management--a review.” Annals of the Royal College of Surgeons of England vol. 91,4 (2009): 280-6.Benotti, Peter et al. “Risk factors associated with mortality after Roux-en-Y gastric bypass surgery.” Annals of surgery vol. 259,1 (2014): 123-30. Coupaye, Muriel et al. “Evaluation of incidence of cholelithiasis after bariatric surgery in subjects treated or not treated with ursodeoxycholic acid.” Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery vol. 13,4 (2017): 681-685 Husain, Syed et al. “Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass: etiology, diagnosis, and management.” Archives of surgery (Chicago, Ill. : 1960) vol. 142,10 (2007): 988-93 Seeras K, Acho RJ, Lopez PP. Roux-en-Y Gastric Bypass Chronic Complications. [Updated 2023 Jun 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519489/Got a question for the next podcast? Let me know! Connect With Me FREE GUIDES: evidence-based, not diet nonsense NEWSLETTER: Life-changing insights straight to your inbox UNSHRINKABLE: Find out why your body is not designed to shrink MASTERCLASSES: All the evidence doctors should give you NO WEIGH PROGRAM: Join the revolution against weight-loss lies THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters CONSULTATION: For the ultimate transformation in your healthcare journe Find me on Instagram, YouTube, and LinkedIn.

Coke is making the move to cane sugar and it's going to have a big impact on the U.S. food industry and American farmers. Corn syrup is cheaper than sugar and the tariff situation could complicate cane sugar imports from Brazil. Greg and Holly break down how the tariffs are affecting US farmers.   

Sponsor: Use code BIRTHHOUR for up to 40% off your first order (including their already discounted plans and subscriptions) at thisisneeded.com. The Birth Hour Links: Know Your Options Online Childbirth Course (code 100OFF for $100 OFF!) Beyond the First Latch Course (comes free with KYO course) Access archived episodes and a private Facebook group via Patreon! 

Former Redskins executive and current CNU professor George Perry joins G&D to discuss the RFK Stadium situation.

Send us a textAssociation of a Count of Inpatient Morbidities with 2-Year Outcomes among Infants Born Extremely Preterm.Dorner RA, Li L, DeMauro SB, Schmidt B, Zangeneh SZ, Vaucher Y, Wyckoff MH, Hintz S, Carlo WA, Gustafson KE, Das A, Katheria A; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.J Pediatr. 2025 Mar;278:114428. doi: 10.1016/j.jpeds.2024.114428. Epub 2024 Dec 4.PMID: 39643110Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this podcast, I share the summary of a project I worked on almost 20 years, but is still relevant today. A grant was awarded to the Cedar Rapids (IA) community to study anticoagulation management using Lean and Six Sigma. One of the key analysis performed in the project was a Gage Repeatability and Reproducibility (R&R) study. We wanted to determine if blood samples taken from a patient on warfarin have the same International Normalized Ratio (INR) results when analyzed in different labs (reproducibility) and when analyzed multiple times in the same lab (repeatability). Results showed a statistically significant difference among labs. The therapeutic range for INR is typically 2.0 to 3.0, yet the data showed a difference in INR of 0.5 among labs on a small sample of 10 warfarin patients, almost 50 percent of the range. By the way, this entire podcast was spoken by my AI voice created by Eleven Labs. Links for this episode:AHRQ Grant Summary: https://www.ahrq.gov/downloads/pub/advances2/vol3/Advances-Hurley_55.pdfEleven Labs (affiliate link): ⁠⁠https://try.elevenlabs.io/lp5v7zzfm8mz⁠⁠Learn more about BPI7 Continuous Improvement Best Practices: ⁠⁠⁠⁠⁠⁠⁠https://mail.biz-pi.com/lss-best-practices-funnel⁠⁠⁠⁠⁠⁠Need help in your organization, or want to discuss your current work situation?⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Let's talk! Schedule a free support call⁠⁠⁠⁠⁠Podcast Sponsor: Creative Safety Supply is a great resource for free guides, infographics, and continuous improvement tools. I recommend starting with their 5S guide. It includes breakdowns of the five pillars, ways to begin implementing 5S, and even organization tips and color charts. From red tags to floor marking; it's all there. Download it for free at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠creativesafetysupply.com/5S⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠BIZ-PI.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LeanSixSigmaDefinition.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Have a question? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Submit a voice message at Podcasters.Spotify.com⁠⁠

Get 15% off OneSkin with the code LAWNERD at https://www.oneskin.co/ #oneskinpod #adThere are "rumblings" of Karen Read signing both a movie deal, with Alan Jackson involved, and a book deal. Special prosecutor Hank Brennan has billed the taxpayers of Massachusetts over $500,000 for his time. Karen Read's defense attorney, Alan Jackson, has sent a letter demanding that Boston Police Officer Kelly Dever be added to the Brady list due to credibility issues. Justin Baldoni's team did not refile their counter-claims against Blake Lively's lawsuit, though his alleged facts will still be used in his defense. A hearing is set for July 15th regarding disputes over Lively's deposition, including its location, attendees, and protective orders.The media coalition has requested its lifting, arguing Kohberger's waiver of appellate rights and guilty plea negate the original concerns about a fair jury. A Zoom hearing is set for July 17th at 10:30 AM MT.Tom Girardi is set to surrender to federal prison on July 17th for an 87-month sentence. His lawyers filed a motion for bond pending appeal, but the hearing for this motion is set after his surrender date, and they did not clear the date with the court. The court has directed both parties to confer by July 14th to identify an available hearing date. The divorce case, pending since 2020, is at risk of being dismissed due to inactivity. A hearing is set for August 1st, 2025, where Erika's attorney needs to file a dismissal or judgment, or show cause for the delay. Complications arise due to Tom's conservatorship and assets being tied up in bankruptcy cases.We'll discuss Donna Adelson this week.RESOURCESKaren Read Retrial Day 25 - https://www.youtube.com/watch?v=agSsaDTCZJc Special prosecutor in Karen Read retrial billed DA's office over $500K - https://www.nbcboston.com/investigations/special-prosecutor-in-karen-read-retrial-billed-das-office-566k/3764071/ Justin Baldoni opts out of amending claims against Blake Lively - https://www.goodmorningamerica.com/amp/culture/story/blake-lively-justin-baldoni-legal-battle-timeline-117430951 Baldoni Lawsuit Dismissed? - https://www.youtube.com/watch?v=BhYuhlpQ6YAKohberger Stream July 10 - https://www.youtube.com/watch?v=Yy9rHg9m4xkTom Girardi Playlist - https://www.youtube.com/playlist?list=PLsbUyvZas7gIvaPnEfilr35PrLPfq01qz Depp v. Heard Playlist - https://www.youtube.com/playlist?list=PLsbUyvZas7gLVeg1x2AInDBfPU6-ffnD0Amber Heard Legal Fees - https://www.youtube.com/watch?v=UTHuaB8Fde0 This podcast uses the following third-party services for analysis: Spotify Ad Analytics - https://www.spotify.com/us/legal/ad-analytics-privacy-policy/Podscribe - https://podscribe.com/privacy

LISTENER DISCRETION IS ADVISED. More thoughts on OB Learning 12-leads Paralytic choices ALS for AMS Cash RE, Kaimal AJ, Samuels-Kalow ME, Boggs KM, Swanton MF, Camargo CA Jr. Epidemiology of Emergency Medical Services-Attended out-of-Hospital Deliveries and Complications in the United States. Prehosp Emerg Care. 2024;28(7):890-897. Dexter F, Epstein RH, Wachtel RE, Rosenberg H. Estimate of the relative risk of succinylcholine for triggering malignant hyperthermia. Anesth Analg. 2013 Jan;116(1):118-22. Nunnally ME, O'Connor MF, Kordylewski H, Westlake B, Dutton RP. The incidence and risk factors for perioperative cardiac arrest observed in the national anesthesia clinical outcomes registry. Anesth Analg. 2015 Feb;120(2):364-70.

Summer is in full swing, so Armand and Tim are diving into their favorite watches for the season. They explore water resistance for beach getaways, bold pops of color to complement your outfit, and complications that track the tides. Expect standout pieces from Omega, Cartier, Ulysse Nardin, and many more. Please Subscribe: https://www.youtube.com/@1916company/?sub_confirmation=1 Download the app: https://onelink.to/8u2bgh Buy Watches Here: https://www.the1916company.com View hands-on luxury watch reviews on The 1916 Company Watch Reviews: https://www.youtube.com/@the1916companywatchreviews/?sub_confirmation=1 Instagram: https://www.instagram.com/the1916company

It's 2 a.m. The on-call resident's voice is shaky. The CT shows an 18cm abdominal aortic aneurysm with a Type 1B endoleak. There's gas in the sac, fluid in the belly, and the patient has a defibrillator on both sides of his chest. Is it a rupture? A graft infection? An aortoenteric fistula? All of the above? You're the vascular surgeon, what do you do?  This episode dives deep into decision-making when EVAR fails, when infection strikes, and when the patient might not survive a definitive repair. Let's talk about what happens when clinical textbooks meet real-world chaos. Hosts: ·      Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center ·      Paul Haser -Division chief, Vascular Surgery, Brookdale Hospital Medical Center ·      Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center ·      Lucio Flores, Vascular surgery, Brookdale Hospital Medical Center Learning objectives: · Understand the clinical implications and management of late EVAR complications, including Type 1B endoleak and aortoenteric fistula. · Explore the decision-making process in critically ill patients with multiple comorbidities and infected aortic grafts. · Compare endovascular vs open surgical approaches in the setting of infected AAA, and when each is appropriate. · Recognize the role of multidisciplinary collaboration in complex vascular cases. · Discuss the ethical considerations and goals-of-care planning in high-risk, potentially terminal vascular patients. · Highlight the importance of long-term surveillance after EVAR and the consequences of noncompliance. References ·       Karl Sörelius et al.Nationwide Study of the Treatment of Mycotic Abdominal Aortic Aneurysms Comparing Open and Endovascular Repair.Circulation. 2016;134(22):1822–1832. PubMed: https://pubmed.ncbi.nlm.nih.gov/27799273/ pubmed.ncbi.nlm.nih.gov+15pubmed.ncbi.nlm.nih.gov+15researchgate.net+15 ·       PARTNERS Trial (OVER Trial).Outcomes Following Endovascular vs Open Repair of Abdominal Aortic Aneurysm: A Randomized Trial.JAMA. 2009;302(14):1535–1542. PubMed: https://pubmed.ncbi.nlm.nih.gov/19826022/ pubmed.ncbi.nlm.nih.gov+6pubmed.ncbi.nlm.nih.gov+6jamanetwork.com+6 ·       B.T. Müller et al.Mycotic Aneurysms of the Thoracic and Abdominal Aorta and Iliac Arteries: Experience with Anatomic and Extra-anatomic Repair in 33 Cases.J Vasc Surg. 2001;33(1):106–113. PubMed: https://pubmed.ncbi.nlm.nih.gov/11137930/ sciencedirect.com+5pubmed.ncbi.nlm.nih.gov+5periodicos.capes.gov.br+5 ·       Chung‑Dann Kan et al.Outcome after Endovascular Stent Graft Treatment for Mycotic Aortic Aneurysm: A Systematic Review.J Vasc Surg. 2007 Nov;46(5):906–912. PubMed: https://pubmed.ncbi.nlm.nih.gov/17905558/ researchgate.net+15pubmed.ncbi.nlm.nih.gov+15pubmed.ncbi.nlm.nih.gov+15 ·       Hamid Gavali et al.Outcome of Radical Surgical Treatment of Abdominal Aortic Graft and Endograft Infections Comparing Extra‑anatomic Bypass with In Situ Reconstruction: A Nationwide Multicentre Study.Eur J Vasc Endovasc Surg. 2021;62(6):918–926. PubMed: https://pubmed.ncbi.nlm.nih.gov/34782231/ pubmed.ncbi.nlm.nih.gov+6pubmed.ncbi.nlm.nih.gov+6diva-portal.org+6  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

In this episode of Clinical Unfiltered, Dr. Sausha and Dr. Varisha Parikh tackle the real-life challenges behind implant dentistry when things don't go as planned. From tricky removals to unexpected complications, they share candid stories, hands-on tips, and practical advice for managing setbacks in the operatory. The discussion highlights the importance of staying adaptable, knowing when to ask for help, and using the right tools for the job. With a focus on honest conversations and continuous growth, this episode is a must-listen for any clinician navigating the ups and downs of implant work.

Welcome to our miniseries on common claims within veterinary medicine. This week we are joined again by Dr. Kara Escutia but this time we are discussing common feline claims. Dr. Escutia is an AVMA Trust veterinarian and helps review veterinary claims every day. She shares the top three feline claims they see and different ways to navigate these situations. These include anesthetic complications, human injuries and communication errors. It is a great conversation with a lot of helpful tips and insights.Thank you to our podcast partner, NVA General Practice, a community of 1,000 neighborhood veterinary clinics across the U.S. and Canada. Learn how NVA invests in your career journey at https://GP.NVA.com Remember we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.orgFollow us on social media @AVMAVets #MyVetLife #MVLPodcast

Are your readers bored? Disappointed? Confused? Here's what that tells you about your story's middle.You're stuck in the messy middle. Languishing in the doldrums of your story. The inciting incident is long past, the climax is so far ahead you can't see it over the horizon, and you're drifting, lost at sea.What is actually supposed to happen here?Where did your plot momentum go?Why do your pages feel full of stuff, and yet nothing ever happens?The answers to all those questions lie in your progressive complications. Specifically, something's going wrong in your progressive complications.In this episode, I'm digging even deeper into the progressive complications.I'm sharing the seven most common traps I see, the impact they have on your story and your readers, and of course, how to fix them so you can make your story unputdownable from beginning to end.You'll learn:How to diagnose the problem in your story's middle based on how your reader feelsHow to spot “fluff” that isn't moving your story forwardHow coincidences work in stories—and what happens when they don't workWhat happens when a story has no progressive complications at allAnd more!And don't miss the free cheat sheet that goes with this episode! Print it and keep it handy as you're editing.Here's the thing: the middle of a story isn't an inscrutable secret. This episode is your guide to spot the most common traps and free your story from them.Links mentioned in the episode:Get the Progressive Complication Revision Cheat Sheet: alicesudlow.com/88 Work with me: alicesudlow.com/contactEp. 87: Make Sense of Your Messy Middle With the Most Underrated Story ElementSend me a Text Message!Want my support in your revision?In Story Clarity, we'll work one-on-one to sharpen your story's structure and craft a revision plan that works. If you're ready for thoughtful, personalized feedback from an editor who gets what you're trying to do, I'd love to hear what you're working on.Get started by telling me about your story here. Support the showRate, Review, & Follow on Apple Podcasts "I love Alice and Your Next Draft." If that sounds like you, please consider rating and reviewing my show! This helps me support more writers through the mess—and joy—of the editing process. Click here, scroll to the bottom, tap the stars to rate, and select “Write a Review.” Then be sure to let me know what you loved most about the episode! Loving the show? Show your support with a monthly contribution »

In this episode of Clinical Unfiltered, Dr. Sausha and Dr. V explore the complexities and potential complications of wisdom teeth extractions. They discuss worst-case scenarios, common issues like dry sockets and hematomas, and stress the importance of effective patient communication and follow-up care. Dr. V shares her protocols for managing complications and emphasizes the need for dental professionals to have a solid emergency plan and maintain hospital privileges. The conversation also highlights the importance of understanding patient behavior and implementing preventive measures in oral surgery.

In this episode of The Doctor Youn Show, Dr. Anthony Youn sits down with board-certified dermatologist Dr. Emily Levin to break down what's hot—and what's hype—in the world of cosmetic treatments. From the buzz around “La Tebo,” a new Botox alternative, to the procedures your favorite celebrities might be getting, they dive into the latest trends shaping aesthetic medicine. You'll hear honest insights on how different neuromodulators stack up, the importance of safety and ethics in cosmetic care, and how to make informed choices in a world increasingly influenced by celebrity beauty standards. Whether you're considering your first treatment or just curious about what's new, this episode gives you real talk from trusted experts. Links and Resources: Learn More About Dermatologist Dr. Emily Levin: Dr. Emily Levin's Office Website: https://nw-derm.com/ Dr. Emily Levin on Instagram: https://www.instagram.com/northwestderm_covetmedspa Where can you find more information about how to autojuvenate your skin to a younger you? Check out my new book, Younger For Life! It's available at ⁠⁠⁠⁠⁠⁠⁠https://autojuvenation.com⁠⁠⁠⁠⁠⁠⁠, and if you buy it now, you will receive over $100 in FREE gifts, including a $30 gift certificate for my online store ⁠⁠⁠⁠⁠⁠⁠younbeauty.com⁠⁠⁠⁠⁠⁠⁠! Check out Dr. Youn's skincare products and nutritional supplements - ⁠⁠⁠⁠⁠⁠⁠younbeauty.com⁠⁠⁠⁠⁠⁠⁠ Download his FREE eGuide: "What to Eat to Look Younger" - ⁠⁠⁠⁠⁠⁠⁠dryoun.com/eat-look-younger⁠⁠⁠⁠⁠⁠⁠ Follow Dr. Youn on Instagram - ⁠⁠⁠⁠⁠⁠⁠@tonyyounmd⁠⁠⁠⁠⁠⁠⁠ Follow Dr. Youn on YouTube - ⁠⁠⁠⁠⁠⁠⁠youtube.com/tonyyounmd⁠⁠⁠⁠⁠⁠⁠ Follow Dr. Youn on TikTok - ⁠⁠⁠⁠⁠⁠⁠@doctoryoun⁠⁠⁠⁠⁠⁠⁠ Follow Dr. Youn on Facebook - ⁠⁠⁠⁠⁠⁠⁠@dryoun⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices