Podcasts about complications

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!

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

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

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.

Guest: Parul Rai Cardiopulmonary complications are a leading cause of early mortality in adults with sickle cell disease, with evidence showing that cardiac injury may begin as early as childhood. However, despite the severity of these issues, there are currently no uniform guidelines for asymptomatic cardiac screening in this population. Join Dr. Parul Rai, a physician in the Department of Hematology at St. Jude's Hospital in Memphis, Tennessee, to learn about current research, early detection strategies, and the need for more sensitive diagnostic markers to prevent severe cardiac outcomes in patients with sickle cell disease.

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!

More Crackdowns coming to combat Money Laundering Guest: Ron Usher,  a former general counsel for the society of notaries public of BC Plastic Surgeon speaks out against medical tourism Guest: Dr. Paul Oxely, plastic surgeon who has corrected many medical tourism mishaps Does weather have an impact on migraine headaches? Guest: Danielle Wilhour, Assistant Professor of Neurology, University of Colorado Medical Campus BC Lagging on reform and better protections for kids in government care Guest: Jennifer Charlesworth, BC Children and Youth Representative What is Economic Anxiety? Guest: Omar H. Fares, Assistant Professor, Faculty of Business, University of New Brunswick Laneway housing could solve a lot of problems! Guest: Brad Ingram, Senior design manager, Synthesis designs Learn more about your ad choices. Visit megaphone.fm/adchoices

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 »

Shayne Iti said his 15-year-old daughter Katie Margaret Iti died on Saturday in Hutt Hospital from complications of influenza B. He spoke to reporter Natalie Akoorie.

A 15-year-old died from complications of influenza B on Saturday. Otago University epidemiologist, Professor Michael Baker spoke to Ingrid Hipkiss.

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

Do expat couples divorce more than couples who live in their home countries? They certainly face different challenges. On this episode from our archives, writer and former expat Debra Bruno joins us to talk about her article Divorce Global Style: For Expat Marriages, Breaking Up is Harder to Do which appeared on the Wall Street Journal's Expat Blog. Find Debra Bruno on Instagram or at her website. ***The Bittersweet Life podcast has been on the air for an impressive 10+ years! In order to help newer listeners discover some of our earlier episodes, every Friday we are now airing an episode from our vast archives! Enjoy!*** ***Katy's sister Dana has recently been diagnosed with stage 4 agressive brain cancer. To help with the staggering medical costs—her specialist is outside her insurance network—as well of the costs of temporarily relocating to San Francsico for her treatments, please consider donating to her GoFundMe. Anything you can contribute will be extremely helpful. Thank you.*** ------------------------------------- COME TO ROME WITH US: For the third year in a row, we are hosting an intimate group of listeners for a magical and unforgettable week in Rome, this October 2025! Discover the city with us as your guides, seeing a side to Rome tourists almost never see. Find out more here. ADVERTISE WITH US: Reach expats, future expats, and travelers all over the world. Send us an email to get the conversation started. BECOME A PATRON: Pledge your monthly support of The Bittersweet Life and receive awesome prizes in return for your generosity! Visit our Patreon site to find out more. TIP YOUR PODCASTER: Say thanks with a one-time donation to the podcast hosts you know and love. Click here to send financial support via PayPal. (You can also find a Donate button on the desktop version of our website.) The show needs your support to continue. START PODCASTING: If you are planning to start your own podcast, consider Libsyn for your hosting service! Use this affliliate link to get two months free, or use our promo code SWEET when you sign up. SUBSCRIBE: Subscribe to the podcast to make sure you never miss an episode. Click here to find us on a variety of podcast apps. WRITE A REVIEW: Leave us a rating and a written review on iTunes so more listeners can find us. JOIN THE CONVERSATION: If you have a question or a topic you want us to address, send us an email here. You can also connect to us through Twitter, Facebook, and Instagram. Tag #thebittersweetlife with your expat story for a chance to be featured! NEW TO THE SHOW? Don't be afraid to start with Episode 1: OUTSET BOOK: Want to read Tiffany's book, Midnight in the Piazza? Learn more here or order on Amazon. TOUR ROME: If you're traveling to Rome, don't miss the chance to tour the city with Tiffany as your guide!

Did you hear about the guy who tried to pay his taxes with a smile? Unfortunately for him, the IRS still prefers cash.All jokes aside, failing to file your taxes for several years is no small matter—but it's not the end of the road, either. Kevin Cross joins us today with practical steps to help you get back on track.Kevin Cross is a Certified Public Accountant (CPA) who has headed CPA firms in Florida and now Georgia. He has studied the tax code extensively and specializes in representing taxpayers before the Internal Revenue Service (IRS).Start With the Present, Not the PastThe further you fall behind, the more difficult it is to catch up. But rather than beginning with the year you first missed, he recommends filing your most recent return first—say, 2024—and working backward as needed. This shows the IRS that you're attempting to come into compliance, not ignoring your obligations.Falling behind on taxes is more common than most people think. Life events like divorce, disability, job loss, or even the rise of gig work can trigger tax complications. For example, many gig workers receive a 1099 for the first time, try to file using online software, and are shocked to discover they owe thousands. Rather than seek help, they freeze—and the following year's return also goes unfiled.Of course, COVID didn't help as many people have been struggling since then to get back on track.Do You Always Have to File?A common misunderstanding is that you must always file. If you're not going to owe anything, you don't have to file. That includes many senior citizens who live solely on Social Security.However, if you're due a refund, you have up to three years to file and claim it. Miss that window, and the refund is forfeited.Importantly, there's a difference between not filing and not paying. Sometimes you don't know what you owe—or if you owe—until you file.Even if you don't owe taxes on the sale of a primary residence, for example, the IRS won't know that unless you file. If you don't, you might receive a letter saying you owe thousands in capital gains tax—money you could've avoided paying.How to Begin the ProcessIf you're unsure how many years you've missed, a good first step is to request a Wage and Income Transcript from the IRS. This document shows all your reported income—W-2s, 1099s, Social Security, retirement distributions, and more. You can request it through the IRS website by searching for “IRS wage and income transcript.”Even with transcripts in hand, deciphering them can be complicated. That's why we strongly recommend seeking help from a CPA or tax professional familiar with IRS representation. You may not know what to do with what you find. You can find a Certified Kingdom Advisor (CKA) in your area who specializes in tax planning and preparation by going to FaithFi.com and clicking “Find a Professional”. Also, it's helpful to know that the IRS's own handbook, the Internal Revenue Manual, usually requires only the last six years of returns to be filed. That's a helpful limit for those unsure where to begin.The IRS Will Work With YouDon't let fear keep you stuck. The IRS can work with you. Options include payment plans or even an offer in compromise, which may reduce your total tax liability.Filing late taxes doesn't have to be terrifying. With the right help and a step-by-step plan, you can get back on track—and even experience peace of mind. The IRS just wants to see you trying. Start with today, and take it one step at a time.On Today's Program, Rob Answers Listener Questions:I have a TIAA retirement account from my husband's time as an adjunct professor at a local community college. It's a small amount. As I'm 76, I'm required to set aside a certain amount each year. I would like to give this to my son now so that those amounts can stay in the account and start accruing interest. Can I do that?We have a credit card balance of $15,000 with an interest rate of 11%. We try to pay $2,000 a month, but the balance keeps increasing. Part of the reason is that our 29-year-old daughter, who lives and works in London, has a card on our account. We initially gave her the card for emergencies and plane tickets home, but she's using it for other expenses, such as occasional Ubers and travel. We want to pay off this card, but we're making no progress. What can we do?Resources Mentioned:Faithful Steward: FaithFi's New Quarterly Magazine (Become a FaithFi Partner)Kevin Cross (CPA)Internal Revenue Service (IRS.gov)Wisdom Over Wealth: 12 Lessons from Ecclesiastes on Money (Pre-Order)Look At The Sparrows: A 21-Day Devotional on Financial Fear and AnxietyRich Toward God: A Study on the Parable of the Rich FoolFind a Certified Kingdom Advisor (CKA) or Certified Christian Financial Counselor (CertCFC)FaithFi App Remember, you can call in to ask your questions most days at (800) 525-7000. Faith & Finance is also available on the Moody Radio Network and American Family Radio. Visit our website at FaithFi.com where you can join the FaithFi Community and give as we expand our outreach.

The worst parts of the right are crying delicious tears of defeat as Trump steps over them to achieve peace in the middle east plus what does Iran look like if the current regime falls? Learn more about your ad choices. Visit megaphone.fm/adchoices

The worst parts of the right are crying delicious tears of defeat as Trump steps over them to achieve peace in the Middle East. Plus, what does Iran look like if the current regime falls?

This episode reveals how orthopedic surgery is being transformed, not by expensive robots or CT scans, but by smart, affordable navigation technology. Jerry Ennett, Senior Managing Partner at Intellijoint, joins us to share how their system is helping surgeons achieve precise hip and knee replacements while reducing costs and complexity. We explore how robotic systems like Mako are changing surgical strategy, not just in the OR, but in how surgeons attract patients and grow their practices. Jerry highlights real-world examples, including Dr. Marshall in Rhode Island, showing how technology becomes a competitive edge in both clinical outcomes and patient engagement. The conversation digs into the debate over accuracy, consistency, and personalized care. Jerry breaks down how Intellijoint ensures even the outlier patients who fall outside textbook ranges, receive the precision and reliability they need. It's a powerful case for why navigation systems are becoming essential, not optional. Looking ahead, we discuss the growing demand for smaller, faster, outpatient-friendly systems like the T-mini. Jerry shares how market shifts, patient expectations, and surgeon branding are all driving change and why sales professionals need to adapt if they want to succeed in this evolving space. If you're in medical sales, orthopedics, or just curious about how innovation reshapes industries, this episode is packed with insights that will sharpen your strategy and broaden your perspective. Connect with Jerry: LinkedIn Connect with Me: LinkedIn Love the show? Subscribe, rate, review, and share! Here's How » Want to connect with past guests and access exclusive Q&As? Join our EYS Skool Community today!

Story at-a-glance Smoking before surgery significantly increases complications; current smokers have a 14% higher risk of post-surgical problems like infections and delayed healing Quitting smoking less than six weeks before surgery provides little benefit — patients need at least six weeks for their body to begin recovering from tobacco's damaging effects Young, otherwise healthy smokers are particularly at risk, with the highest smoking rates (26.8%) seen in patients aged 18 to 40 who often underestimate their vulnerability Smoking weakens immune defenses and promotes chronic inflammation by disrupting how immune cells function, creating an environment where infections thrive and healing slows Elective surgeries provide an ideal opportunity for smoking cessation, as the scheduled waiting period allows time for immune function and tissue oxygenation to improve