Podcasts about complications

MOVE SUPPLY CHAINPay less for COGS, get shorter lead times, and improve payment terms in your supply chain with help from Move Supply Chain at https://⁠movesupplychain.com⁠.INTELLIGEMSIntelligems brings A/B testing to business decisions beyond copy and design. Test your pricing, shipping charges, free shipping thresholds, offers, SaaS tools, and more by clicking here: https://bit.ly/42DcmFl. Get 20% off the first 3 months with code FARIS20.//Most eCommerce founders are being sold a fantasy about AI — instant efficiency, zero friction, unlimited growth. The truth? For most operators, implementing AI creates new layers of complexity before it delivers real results.In this episode, Andrew Faris breaks down how his agency, AJF Growth, is actually integrating AI into their creative process — from scripting and ad generation to process design and client delivery. You'll hear the unfiltered reality of what's working, what's breaking, and what every operator should know before betting their systems on automation.If you lead a 7–9 figure brand or agency and are trying to scale profitably in the age of AI, this conversation will save you months of frustration. Learn how to think like an engineer about context, process, and adoption — so you can turn AI from a shiny object into a real advantage.//CHAPTER TITLES:00:01:11 - The Complications of A.I.00:04:10 - AI First Processes00:08:41 - Using The Tools To Scale Creatives00:12:48 - A.I. Tool Updates & Changing Brands00:18:56 - How To Get People To Use AI Properly00:21:14 - Adoption of AI Long Term//SUBSCRIBE TO MY CHANNEL FOR 2X/WEEKLY UPLOADS!//ADMISSIONGet the best media buying training on the Internet + a free coaching call with Common Thread Collective's media buyers when you sign up for ADmission here: ⁠⁠https://www.youradmission.co/andrew-faris-podcast⁠//FOLLOW UP WITH ANDREW X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/andrewjfaris ⁠Email: podcast@ajfgrowth.comWork with Andrew: ⁠https://ajfgrowth.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

REDIFF - Jean-Baptiste Méric est cancérologue au Centre hospitalier de Bligny (Essonne). Il reçoit un jour en consultation une patiente opérée avec succès d'un cancer du sein. Sa convalescence devrait bien se passer et pourtant, dès qu'il l'aperçoit dans la salle d'attente de l'hôpital, il comprend tout de suite "que ça ne va pas." Elle est vêtue d'un jogging informe et garde ses lunettes de soleil. Elle semble très abattue, marche très lentement. "Elle n'y croit pas", se dit alors le cancérologue. Diffusée à quelques jours de la journée mondiale de lutte contre le cancer, l'histoire de cette patiente illustre bien les défis de l'oncologie aujourd'hui. 20 à 25% des femmes atteintes d'un cancer du sein interrompent aujourd'hui leur traitement par hormonothérapie, au risque de récidiver. Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

REDIFF - Jean-Baptiste Méric est cancérologue au Centre hospitalier de Bligny (Essonne). Il reçoit un jour en consultation une patiente opérée avec succès d'un cancer du sein. Sa convalescence devrait bien se passer et pourtant, dès qu'il l'aperçoit dans la salle d'attente de l'hôpital, il comprend tout de suite "que ça ne va pas." Elle est vêtue d'un jogging informe et garde ses lunettes de soleil. Elle semble très abattue, marche très lentement. "Elle n'y croit pas", se dit alors le cancérologue. Diffusée à quelques jours de la journée mondiale de lutte contre le cancer, l'histoire de cette patiente illustre bien les défis de l'oncologie aujourd'hui. 20 à 25% des femmes atteintes d'un cancer du sein interrompent aujourd'hui leur traitement par hormonothérapie, au risque de récidiver. Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Our Harvest of Hope Gala was unforgettable—so much love, energy, and sparkle! The theme this year was Diamonds and Denim, and the outfits did not disappoint.Huge thanks to our co-chair, Heather Trammell. Heather is not only a CF mom but also a source of wisdom and support in our community. She did an amazing job organizing the Gala and has already committed to leading again in 2026. Heather and her husband Chris (who, fun fact, is now best friends with Joe Bonnell) bring so much heart to our mission.We were also grateful to have Tara Fahrner with us. Tara is a CF mom to 2½-year-old Beau, who was diagnosed at birth through newborn screening. Tara describes the diagnosis as a shock, but she's thankful for the strong CF community that has surrounded her family. She and Heather both serve on the Quality Improvement Team at the University of Michigan as well as our Advisory Board.And a big shout-out to Dave Ingraham, who traveled three hours from Lake City, Michigan, to be at the Gala. Dave's truck is wrapped with The Bonnell Foundation logo and QR code, and he drives it in parades to spread awareness. He's fully embraced his granddaughter Briar Lynn's journey with CF, supporting both her and his daughter, a single mom. His dedication is inspiring. Please like, subscribe, and comment on our podcasts!Please consider making a donation: https://thebonnellfoundation.org/donate/The Bonnell Foundation website:https://thebonnellfoundation.orgEmail us at: thebonnellfoundation@gmail.com Watch our podcasts on YouTube: https://www.youtube.com/@laurabonnell1136/featuredThanks to our sponsors:Vertex: https://www.vrtx.comViatris: https://www.viatris.com/en

Click here for the DRB Daily Sign Up form! TODAY'S SCRIPTURE: Job 11-12; Acts 15-16 Click HERE to give! Get Free App Here! One Year Bible Podcast: Join Hunter and Heather Barnes on 'The Daily Radio Bible' for a daily 20-minute spiritual journey. Engage with scripture readings, heartfelt devotionals, and collective prayers that draw you into the heart of God's love. Embark on this year-long voyage through the Bible, and let each day's passage uplift and inspire you. TODAY'S EPISODE: Welcome to the Daily Radio Bible! On this October 22nd episode, your Bible reading coach Hunter guides us on day 296 of our journey through scripture. Today, we're diving into Job chapters 11 and 12, where we hear Zophar's pointed response to Job and Job's own powerful reflections on God's wisdom and sovereignty. Then, we turn to Acts 15 and 16, walking with Paul, Barnabas, and the early church as they wrestle with what it truly means to follow Christ—wrestling with old traditions, experiencing miraculous events, and witnessing the beautiful simplicity of faith and grace in action. Hunter reminds us that it's all too easy to let religion complicate our relationship with God, but the saving love of Christ is offered to each of us—freely, simply, and without distinction. Through prayer, reflection, and encouragement, this episode invites you to lay down your burdens, live in the sufficiency of God's grace, and keep moving forward in faith. Let's open the Scriptures together and rekindle our hearts by the fires of God's love. TODAY'S DEVOTION: Let's not make it difficult. That's the heartbeat from today's reading, echoing from the council at Jerusalem and resounding in the gospel itself. James spoke those words in Acts: let's not make it difficult for people to come to God. And yet, so often, our human nature, our systems, our religions, much like those early believers who wanted to add circumcision to the requirements of faith, try to put hurdles in the way. The question was, Who is in and who is out? Is it by human effort, tradition, or ritual? Is there some check box, some work or procedure, some pedigree that makes us right with God? But if we're not careful, the simple invitation of Christ becomes a complicated checklist. The apostles—Paul, Peter, James—they recognized how quickly we can move from freedom into burdens. But the truth, straight from the heart of God, is that nothing stands in the way of experiencing His love through Christ. God's life, His gracious gift, offered to all—Jew and Gentile, man and woman, young and old—is received by faith alone, not by effort, not by merit, not by works, not by anything we can add. The letter that went out from Jerusalem is a letter for us, too. It's a call back to simplicity, to childlike trust. “He made no distinction between us and them, for He cleansed their hearts through faith. We believe that we are all saved the same way, by the undeserved grace of the Lord Jesus.” That's the message. Don't let your heart or religion complicate what Christ has made simple. Even the things we cling to as saviors—our rules, our observance—cannot save us. Lay them down. Receive the gift: the righteousness that comes by faith in the finished work of Christ. Put away the extra burdens, the additions, the anxiety of performance. Trust Him. Rest in His love. Walk in the gift that's been given to you—full acceptance, full forgiveness, full belonging—in Christ alone. Live in the sufficiency of God's life in you, today and every day. That's a prayer I have for my own soul. It's the prayer I have for my family, for my wife and my daughters and my son. And that's the prayer I have for you. May it be so. TODAY'S PRAYERS: Lord God Almighty and everlasting father you have brought us in safety to this new day preserve us with your Mighty power that we might not fall into sin or be overcome by adversity. And in all we do, direct us to the fulfilling of your purpose  through Jesus Christ Our Lord amen.   Oh God you have made of one blood all the peoples of the earth and sent your blessed son to preach peace to those who are far and those who are near. Grant that people everywhere may seek after you, and find you. Bring the nations into your fold, pour out your Spirit on all flesh, and hasten the coming of your kingdom through Jesus Christ our Lord, Amen.   And now Lord,  make me an instrument of your peace.  Where there is hatred let me sow love. Where there is injury, pardon.  Where there is doubt, faith. Where there is despair, hope.  Where there is darkness, light.  And where there is sadness,  Joy.  Oh Lord grant that I might not seek to be consoled as to console. To be understood as to understand, to be loved as to love.  For it is in the giving that we receive, in the pardoning that we are pardoned, it is in the dying that we are born unto eternal life.  Amen And now as our Lord has taught us we are bold to pray... Our Father who art in heaven, hallowed be thy name, thy kingdom come thy will be done on earth as it is in heaven, give us this day our daily bread, and forgive us our tresspasses as we forgive those who trespass against us, and lead us not unto temptation, but deliver us from evil, for thine is the Kingdom and the power and the glory forever. Amen. Loving God, we give you thanks for restoring us in your image. And nourishing us with spiritual food, now send us forth as forgiven people, healed and renewed, that we may proclaim your love to the world, and continue in the risen life of Christ.  Amen.  OUR WEBSITE: www.dailyradiobible.com We are reading through the New Living Translation.   Leave us a voicemail HERE: https://www.speakpipe.com/dailyradiobible Subscribe to us at YouTube: https://www.youtube.com/@Dailyradiobible/featured OTHER PODCASTS: Listen with Apple Podcast DAILY BIBLE FOR KIDS DAILY PSALMS DAILY PROVERBS DAILY LECTIONARY DAILY CHRONOLOGICAL  

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

From longitudinal monitoring to complex interventions, type II endoleaks often require an individualized approach. In this episode of BackTable, host Dr. Sabeen Dhand welcomes Dr. Matt Givens, Chief of Interventional Radiology at the New Orleans VA and faculty at Louisiana State University Health, to discuss the intricacies of type II endoleak management and repair techniques.---SYNPOSISThe conversation begins with a walkthrough of Dr. Givens's firstline operative approach, which involves entering the inferior mesenteric artery and choosing a microcatheter that allows for entry into the sac and nidus. The doctors cover nuances in choosing and planning transarterial, translumbar, and transcaval approaches. Dr. Givens also details his embolics of choice, his preferred tools for direct sac puncture, and the rationale behind his embolization endpoints.---TIMESTAMPS00:00 - Introduction 08:12 - Imaging and Follow-Up Protocols16:27 - Transarterial Techniques for Endoleak Management33:45 - Techniques for Targeting and Embolization35:34 - Challenges and Solutions in Embolization36:57 - Transcaval and Translumbar Approaches39:09 - Complications and Case Studies53:58 - Building a Collaborative Practice56:09 - Conclusion

Dr. Bahar Mansoori explores how musculoskeletal complications from radiation therapy and immunotherapy can mimic metastatic disease and pose diagnostic challenges. She discusses key imaging patterns, pitfalls, and strategies radiologists can use to improve accuracy and patient care.   Musculoskeletal Complications of RadiationTherapy and Immunotherapy. Azhideh and Haseli et al. RadioGraphics 2025; 45(10):e250014. 

On today's Good Day Health Show - ON DEMAND…Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) cover a number of topics affecting our health. First up, Doug and Dr. Ken discuss the biggest news stories in the medical world, starting with the good news of a gene-editing technique that could correct a mutation responsible for a certain type of inherited heart disease. This is a significant step forward that could offer a potential targeted correction of genetic faults. In other heart news, and not good news, there are more heart complications in pregnant women — which could be related to higher rates of obesity, women getting pregnant at an older age, and a steady increase in heart-related health problems during pregnancy. Moving on, a discussion on the growing preference of marijuana use over alcohol, and whether or not either is OK in what kind of moderation. In the good news department, there's a new blood test for cancer detection in your head and neck, a successful pig liver transplant, and AI-powered wearable devices could be the future of medicine for Parkinson's patients to offer better treatment decisions. Moving on, research shows young students who spend excessive time on social media perform worse on tests in subjects like reading, memory and language.Then, a focus on the antimicrobial resistance with some bacterial infections becoming drug-resistant, turning routine infections into deadly instances. Website: GoodDayHealthrShow.com Social Media: @GoodDayNetworks

Unpack relationship dilemmas—from financial nerves before marriage to cheating shocks, body confidence issues, and exes popping the question too late. Raw advice on intimacy and emotional stability. #RelationshipAdvice #DatingTips #LateNightLove

In this episode of Risk! Engineers Talk Governance, due diligence engineers Richard Robinson and Gaye Francis discuss the complications of Safety Legislation & Planning Law.  Drawing on their extensive experience across multiple Australian jurisdictions—including Victoria, New South Wales, Queensland, and federal government projects—Richard and Gaye discuss the challenges engineers and designers face when navigating competing legislative requirements. They examine why Work Health and Safety (WHS) legislation doesn't always take precedence in planning decisions, despite common assumptions, and how this creates significant complications for professionals trying to ensure safe outcomes. For further information on Richard and Gaye's consulting work with R2A, head to https://www.r2a.com.au, where you'll also find their booklets (store) and a sign-up for their quarterly newsletter to keep informed of their latest news and events.Gaye is also founder of Australian women's safety workwear company Apto PPE https://www.aptoppe.com.au.

Host: Cindy Allen Published: October 17, 2025 Length: ~11 minutes Presented by: Global Training Center This week, Cindy Allen — the Taylor Swift of Trade — opens with the song "Wish List" from Taylor's latest album to frame a candid look at the current landscape for international trade professionals. Cindy launches with a snapshot of the ongoing U.S. government shutdown and its impacts on trade facilitation, CBP operations, and agency holds, noting which agencies are coping and where the pain points are starting to show. She also discusses the latest on vessel and container fees targeting China-linked shipping, and the rollout of new environmental "green fee" proposals gaining traction with international regulators. Cindy moves on to cover major industry developments, from continued Section 232 duty adjustments on pharmaceuticals and heightened scrutiny on origin-specific duties, to the broader market response as recent tensions with China appear to cool—at least for now. Wrapping up, Cindy connects this week's trade turbulence to the themes in “Wish List”—emphasizing the profession's desire for a return to routine and the growing “Make Trade Boring Again” movement among customs brokers. What You'll Learn in This Episode: U.S. government shutdown: Trade impact and operational status by agency Week three status update on CBP, FDA, CPSC, USDA, and smaller agencies How agency holds and exams are affecting shipments New vessel/container fees and carrier rerouting after China-related restrictions October 14 implementation and compliance guidance for carriers Cost impact—and what's (not yet) being passed on to importers Section 232 pharma update and reciprocal duty challenges Delayed new tariffs for pharmaceuticals and incentives to manufacture in the U.S. Complications for brokers: layering, exemptions, and compliance tools China trade relations and tariff risk Why the threatened 100% duty on Chinese goods for November 1 is unlikely Market reaction to de-escalation signals New “green fee” proposals and the U.S. response IMO, WTO, and WCO push for environmental surcharges President Trump's stance and potential U.S. actions Customs brokerage in the spotlight How recent media coverage has changed the industry The call to “Make Trade Boring Again”—and why that's on Cindy's wish list Key Takeaways: The shutdown has yet to cause a major breakdown in trade flows, but agency-specific disruptions are mounting. Vessel/container fees are being absorbed through creative routing—importers haven't seen extra charges, but the future is uncertain. Section 232 duties remain a compliance headache, especially with new exemption and layering rules. Signs of a U.S.–China trade thaw this week bring relief and market stability, halting expectations of major new tariffs. Trade professionals everywhere are wishing for normalcy: less drama, fewer surprises, and a return to boring, reliable compliance work. Resources & Mentions: — CBP, FDA, CPSC, USDA shutdown operational notices — Section 232 duty update bulletins — Taylor Swift: Wish List, The Life of a Show Girl (referenced) — Make Trade Boring Again campaign (NCBFAA) Credits Hosts: Cindy Allen – LinkedIn Trade Force Multiplier Producers: Lalo Solorzano – LinkedIn Annik Sobing - LinkedIn Subscribe & Follow New episodes every Friday. Presented by: Global Training Center — providing education, consulting, workshops, and compliance resources for trade professionals.

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

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

RUTHLESSLY CONSISTENT CHALLENGE - SIGN UP HERE!  For the woman who is tired of starting a dopamine diet every single Monday. Fix My Fat Loss Assessment - Take this assessment and receive a video response outlining your next steps on your fat loss journey!  5 Tips To Get Ruthlessly Consistent - Have a locked-in strategy and get ruthlessly consistent, building a foundation of health.

You need a cross-border advisory team to navigate complex international tax laws before it's too late. Investing in pre-planning before moving to a new country is crucial to avoid financial pitfalls. This week, you'll hear from Holly Caulder - dual-qualified U.S. and U.K. tax advisor at Buzzacott, and Aidan Grant – U.K. tax and estate planning attorney at Collyer Bristow as they unpack the financial logistics of moving between the U.K. and the U.S.   Host Richard Taylor - dual U.K./U.S. citizen and Chartered Financial Planner leads a conversation alongside Holly Caulder and Aidan Grant, delving into the complexities faced by British expats navigating the U.S.-U.K. cross border financial landscape. They explore common planning opportunities and the essential role of a coordinated cross-border advisory team.   In this episode, Richard, Holly & Aidan explore: When residency for tax purposes starts. The critical timing of tax and legal planning before moving to the U.S. Reporting requirements for non-U.S. financial accounts and the consequences of ignoring them. The issue of Passive Foreign Investment Companies (PFICs) and how they are taxed. Challenges with holding ISAs in the U.S. and unexpected U.S. tax implications. Complications and opportunities in estate planning across borders, especially involving trusts.   More about We're The Brits In America: With the right financial advice, landmines that threaten expat wealth can be avoided. Often encountered by U.S. -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. -- We're The Brits In America is affiliated with Plan First Wealth LLC, an SEC registered investment advisor. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of Plan First Wealth. Information presented is for educational purposes only and does not intend to make an offer or solicitation for the sale or purchase of any specific securities, investments, or investment strategies. Investments involve risk and unless otherwise stated, are not guaranteed. Be sure to first consult with a qualified financial adviser and/or tax professional before implementing any strategy discussed herein. Plan First Wealth does not provide any tax and/or legal advice and strongly recommends that listeners seek their own advice in these areas.

A medical tourist who is suffering debilitating complications after her stomach surgery in Turkey went wrong is issuing a warning. Sherie had gastric sleeve or weight loss surgery to reduce the size of her stomach about three months ago, but 13 weeks on she is still being fed through a nasal tube and hasn't been able to work. Sherie spoke to Lisa Owen.

Cheating before the wedding, partners snooping through phones, and family betrayals — this segment dives into the hardest truths about love and loyalty.

Nos sumergimos en la historia de aquella anomalía musical que fue la banda The Monks. Grupo nacido en una base militar de la Alemania occidental controlada por EEUU. Cinco soldados allí destinados que cambiaron los fusiles por hábitos monacales, tonsuraron sus cabezas y se entregaron a un proyecto totalmente revolucionario. Todavía cuesta creer que hace 60 años grabaron un disco tan rompedor y adelantado a su tiempo como “Black Monk Time”, el cual acaba de ser reeditado por Munster Records. Absolutamente imprescindibles.Playlist (todas las canciones del álbum “Black Monk Time” salvo donde indicado);(sintonía) THE MONKS “Blast off”THE MONKS “Monk time”THE MONKS “Shut up”THE MONKS “We do wie du”THE 5 TORQUAYS “Boys are boys” (single, 1964)THE MONKS “Boys are boys and girls are choice”THE MONKS “Higgle-dy Piggle-dy”THE MONKS “I hate you”THE MONKS “Oh, how to do now”THE MONKS “Drunken Maria”THE MONKS “Complication”THE MONKS “Monk chant” (live 1966)THE MONKS “Cuckoo” (single, 1966)THE MONKS “Monk time” (Cavestomp Presents: Monk Jam Live 1999)ALAN VEGA and SILVER APPLES “Silver Monk time” (Silver Monk Time; a tribute to the Monks, 2006)THE MONKS “That’s my girl”THE MONKS “Pretty Suzanne” (grabado en 1967, editado en 2009)Escuchar audio

Jessica doesn't like her boyfriends Halloween costume and you won't believe what it is...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Artificial intelligence has revolutionized everything from healthcare to art. It's now filling voids in some personal lives as AI chatbots are becoming friends, therapists and even romantic partners. As this technology enters our lives in new ways, our relationship with it has become more complicated and more risky. Stephanie Sy reports. A warning, this story includes discussion of suicide. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

In our continuing GBMC local health awareness and education series here at Baltimore Positive, we welcome Certified Diabetes Care and Education Specialist Allison Ashcraft, who helps Nestor with ways to better assist his wife Jenn, who is a Type 1 diabetic, and to improve lifestyle for those at risk of the complications of the disease. The post Allison Ashcraft of GBMC helps educate Nestor on ways to assist diabetics and ways to improve lifestyle for those at risk of complications first appeared on Baltimore Positive WNST.

Episode 596 - Amanda DuBois - Lawyer and Author Shed light on the profound realities people faceAbout the author: In addition to writing the Camille Delaney series, I'm the founder and busy managing partner of DuBois Levias Law Group, a woman-owned boutique family law firm on Lake Union in Seattle, where I maintain an active family law practice. Over the past thirty years, I've represented thousands of individuals – both in divorces and medical malpractice cases. I've argued hundreds of motions and taken many cases to trial. I've also provided pro bono legal representation for parents who served time in prison and have become very familiar with the issues they face. Prior to becoming a lawyer, I was a high-risk labor and delivery nurse at University of Washington Medical Center.Having a background in both medicine and the law has given me unique insight into the inequities of both systems. That perspective drove me to create the Camille Delaney mystery series. Camille's adventures weave questions about justice into a fast-paced reading experience with the twists and turns one would expect from a good thriller. My purpose in writing the series is to raise awareness of injustice and create an opportunity for readers to reflect on how our system could work better for those most marginalized.Book: The Complication - The first in the Camille Delaney Mystery series, The Complication is a fast-paced legal and medical mystery filled with greed, murder, and intrigue. After her friend Dallas Jackson suffers a fatal complication during routine surgery, Seattle attorney Camille Delaney is determined to find out why. Dallas was like a father to Camille, and she feels she owes it to him and his family to get answers. Book: Deliver Them From Evil - In book two of the Camille Delaney Mystery series, a mother turns to Camille for help investigating a top Seattle doctor after tragedy strikes the delivery room.Seattle attorney Camille Delaney is cash-strapped and struggling to balance the demands of her new solo legal practice with raising her three daughters. But when an emergency C-section goes wrong and a baby dies in the delivery room, the mother, Helene Anderson, shows up at Camille's office asking for help. Facing the challenge of a legal system where child-loss verdicts are limited by the dollar value placed on a child's life, Camille considers a quick settlement for the family. But Helene insists: her child's life had value, and Camille needs to prove it in court.Book: UNSHACKLED - A Camille Delaney MysteryShackled to her bed against the pleas of medical staff, Charli Zhao gives birth to a beautiful daughter named Willow. Charli had been transported to the hospital from prison, where she is serving time for a crime she didn't commit. Within hours of the birth the unthinkable happens: the newborn is abducted, leaving Charli devastated and wondering if she'll ever find her child, even after she gets free.https://amandadubois.com/Support the show___https://livingthenextchapter.com/podcast produced by: https://truemediasolutions.ca/Coffee Refills are always appreciated, refill Dave's cup here, and thanks!https://buymeacoffee.com/truemediaca

#ThisMorning | #Misdiagnosed #Diabetes Can Lead to #Serious #Life-Threatening #Complications | Lisal J. Folsom, MD, Norton Healthcare and Wendy Novak Diabetes Institute | #Tunein: broadcastretirementnetwork.com #Aging, #Finance, #Lifestyle, #Privacy, #Retirement, #Wellness

Dr. Randy O'Bannon of National Right to Life National Right to Life Missed, Misclassified, and Minimized The post Why Are Abortion Drug Complications Underreported? – Dr. Randy O'Bannon, 9/24/25 (2673) first appeared on Issues, Etc..

Guest: Alfonso Pineyro DDS  https://pdtdental.com/pages/pineyro   Host: Serv Wahan MD DMD https://www.drwahan.com/   keywords   prosthodontics, full arch restorations, dental implants, patient care, dental technology, maintenance, complications, patient education, trends in dentistry, dental failures, all-on-x, dental influencer, dental podcast, Serv Wahan. Dr Wahan, Alfonso Pineyro, Pineyro arch kit     summary   In this conversation, Dr. Serv Wahan and Dr. Alfonso Pineyro discuss their experiences in prosthodontics, focusing on full arch restorations, patient management, and the evolution of dental practices. They explore the importance of maintenance, patient education, and the challenges faced in complex cases. The discussion also touches on the role of technology in modern dentistry and the trends shaping the future of the field.     takeaways Experience helps in understanding patient needs. Patient education is crucial for successful outcomes. Maintenance is key to long-term success in prosthodontics. Understanding patient expectations can prevent dissatisfaction. Technology is changing the landscape of dental practices. Complications can arise from both implants and prosthetics. Zygomatic and pterygoid implants should be used judiciously. Patient selection is critical for successful treatments. The importance of adapting to patient physiology and habits. Long-term follow-up is essential for monitoring patient health.   titles Navigating the World of Prosthodontics Full Arch Restorations: Insights and Innovations   Sound Bites "You have to take classes." "You have to come back every year." "You have to lower the expectations."   Chapters 00:00Introduction to Prosthodontics and Personal Journeys 02:48The Evolution of Full Arch Restorations 05:52Training and Experience in Dentistry 08:21Challenges in Full Arch Cases 11:03The Importance of Maintenance in Prosthodontics 13:55Patient Education and Expectations 16:49Trends in Implant Dentistry 19:31Managing Complications and Failures 22:33The Role of Technology in Modern Dentistry 25:17Final Thoughts and Future Directions

Today on The McCarthy Report, Andy and Rich discuss the upheaval around Jimmy Kimmel's recent comments and suspension, and what's going on in the courts with Tyler Robinson and Luigi Mangione. This podcast was edited and produced by Sarah Colleen Schutte. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Aujourd'hui, Abel Boyi, éducateur et président de l'association "Tous Uniques Tous Unis", Barbara Lefebvre, professeure d'histoire-géographie, et Emmanuel de Villiers, chef d'entreprise, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Hey, coffee lovers! How’s your sleep?

Summary The meeting was day three of a launch week focused on complications in surgery, presented by a surgeon who is also an author, podcast host, and certified coach. The presenter emphasized that complications are inevitable in surgical practice and provided guidance on how to manage them effectively. The presenter began by outlining the main topics to be covered: understanding what a complication is, perfectionist thinking, asking for help, the prolonged stress cycle, self-compassion, managing negative emotions, shame resilience, confidence and self-confidence, and peer review assessment. The presenter defined a complication as a failure to achieve a stated outcome, specifically a perfect procedure where nothing goes wrong. They addressed perfectionist thinking as a double-edged sword - while striving for perfection is admirable, it can lead to fear, overwork, and burnout. The presenter recommended shifting perspective from focusing on the gap between achievement and perfection to celebrating the best effort given with available knowledge and resources. The prolonged stress cycle was discussed as a significant issue for surgeons, where continuous stress without recovery leads to cognitive impairment, decreased empathy, irritability, anxiety, depression, and potentially self-harm. The presenter offered strategies to interrupt this cycle, including deep breathing, music, exercise, mindset work, and community support. For managing complications during surgery, the presenter advised checking one's pulse, taking deep breaths, stepping back to think, asking for help, and considering the next best step. They emphasized the importance of clear communication with partners about expectations when asking for help. After a complication, the presenter stressed the importance of naming emotions, practicing self-compassion, and using shame resilience strategies: reaching out to trusted sources, talking kindly to oneself, and owning the story to control the narrative. They highlighted that patients primarily want to know what happened, that the surgeon did their best, that they won't be abandoned, and that learning occurred from the experience. The presenter also discussed peer review processes, advising surgeons to control the narrative in medical charts, respond non-defensively to inquiries, and seek legal counsel if necessary. They emphasized the importance of measuring outcomes and knowing one's numbers to build confidence. The session concluded with advice on debriefing with teams and communicating with patients' families after complications, emphasizing the need to address emotional concerns before providing technical details. Chapters Introduction to Complications in Surgery ‎ 00:00:00 The presenter welcomed attendees to day three of launch week, focusing on complications in surgery. They acknowledged that while complications may seem like a heavy topic, it's important because all surgeons will experience them. The presenter introduced themselves as a surgeon, author, podcast host, and certified coach, emphasizing that complications are "near and dear to their heart." They outlined the main topics to be covered: what a complication is, perfectionist thinking, asking for help, the prolonged stress cycle, self-compassion, managing negative emotions, shame resilience, confidence and self-confidence, and peer review assessment. Understanding Complications and Perfectionist Thinking ‎ 00:01:46 The presenter began by addressing two common statements about surgical complications: "The only surgeon who doesn't have complications is the one who doesn't operate" and "Every surgeon carries within himself a small cemetery where from time to time he goes to pray." They defined a complication as a failure to achieve a stated outcome - specifically, a perfect procedure. The presenter discussed perfectionist thinking as a double-edged sword, explaining that while striving for perfection seems admirable, it can lead to fear, overwork, and burnout. They recommended shifting perspective from focusing on the gap between achievement and perfection (e.g., achieving 95% vs. 100%) to celebrating the best effort given with available knowledge and resources. The Prolonged Stress Cycle ‎ 00:07:17 The presenter explained how surgeons often experience prolonged stress cycles without recovery, especially when dealing with complications, hostile work environments, or difficult patients. They emphasized that surgical jobs are inherently difficult, stating "Our jobs are hard. Not everyone can do it." When stress continues without relief, it can lead to rumination, hypervigilance, isolation, impaired cognitive function, decreased empathy, irritability, anxiety, depression, and potentially self-harm. The presenter recommended strategies to interrupt this cycle, including deep breathing (especially exhaling), music, exercise, mindset work through neuroplasticity, and community support. Managing Complications During Surgery ‎ 00:11:25 For handling complications during surgery, the presenter advised: checking one's pulse first, taking deep breaths to interrupt the stress cycle, stepping back to think about what you know, asking for help, and considering the next best step. They used the analogy of viewing a maze from above versus being inside it to illustrate the importance of perspective. The presenter emphasized that how a surgeon responds during a complication influences everyone in the operating room, as they are all experiencing stress and looking to the surgeon for leadership. Asking for Help and Managing Expectations ‎ 00:13:51 The presenter discussed the importance of clear communication when asking for help, emphasizing understanding both your expectations and your partner's expectations. They shared examples of misunderstandings, such as a junior surgeon expecting a senior partner to scrub in during a complication while the senior partner was hesitant to appear to be taking over. The presenter advised explicitly stating what you need: "If you're the person in the operation and you want them to scrub in, just say, 'Hey, I really need you, can you scrub in?'" They also addressed "want mismatches" where partners have different expectations and recommended finding alternative sources of help if necessary. After the Complication: Managing Emotions ‎ 00:18:51 The presenter emphasized the importance of naming emotions after a complication occurs, describing it as learning a new language of emotional intelligence. They discussed "emotional alchemy" - the ability to transform one emotion into another, particularly distinguishing between guilt ("I feel bad that this event happened") and shame ("I feel bad because there's something wrong with me"). The presenter introduced Brené Brown's shame resilience framework: reaching out to trusted sources, talking kindly to oneself (self-compassion), and owning the story to control the ending. They explained self-compassion as "feeling a negative emotion and wrapping it up in love and respect for yourself." Communicating with Patients After Complications ‎ 00:24:51 The presenter shared insights about what patients want after complications: to know what happened while they were asleep, to know the surgeon did their best, to feel they won't be abandoned, and to know the surgeon learned from the experience. They emphasized the importance of giving complications purpose and using them as learning opportunities. The presenter advised being present with patients, acknowledging the reality of what happened, and providing certainty and stability during a confusing time. Peer Review and Professional Consequences ‎ 00:27:12 The presenter discussed peer review processes, acknowledging that surgeons have reason to be concerned but emphasizing that the goal should be quality improvement and patient safety. They advised controlling the narrative in medical charts by clearly documenting decision-making processes. The presenter outlined possible peer review outcomes: no action (sometimes even congratulations for handling difficult situations well), education/questioning, remediation requirements, or more serious consequences like privilege restrictions or National Data Bank reporting. They advised not signing anything without careful consideration and possibly consulting a lawyer if serious concerns arise. Building Confidence Despite Complications ‎ 00:33:48 The presenter distinguished between confidence ("I know I can do it because I've already done it") and self-confidence (the ability to take chances, stretch oneself, and manage failure). They recommended breaking down complex procedures into components, recognizing that surgeons typically know 95% of what they need to do, with only 5% requiring special focus. The presenter emphasized the importance of measuring outcomes and knowing one's numbers (complication rates, case volumes, etc.) to build confidence and counter drama with facts: "Information is the best solution when you have drama. Math always settles down drama." Debriefing with Teams and Families ‎ 00:41:54 In response to audience questions, the presenter discussed the importance of debriefing with both teams and patients' families after complications. For families, they advised leading with emotional reassurance before providing technical details: "First, I know things took a little longer, but everything is okay." For team debriefs, they recommended acknowledging everyone's efforts, discussing what went well and what could have gone better, and identifying next steps. The presenter also endorsed proactively reporting complications to administrators rather than waiting to be discovered: "Don't give into that kind of suffering... You're going to decrease the amount of suffering that you're going to have by doing that." Action Items The presenter recommended shifting perspective from focusing on the gap between achievement and perfection to celebrating the best effort given with available knowledge and resources. ‎ 00:05:54 The presenter advised interrupting the stress cycle through deep breathing (especially exhaling), music, exercise, mindset work, and community support. ‎ 00:09:51 The presenter suggested discussing expectations with partners before complications occur to establish when and how to call for help. ‎ 00:14:47 The presenter recommended explicitly stating needs when asking for help: "If you're the person in the operation and you want them to scrub in, just say, 'Hey, I really need you, can you scrub in?'" ‎ 00:15:59 The presenter advised practicing shame resilience by reaching out to trusted sources, talking kindly to oneself, and owning the story to control the ending. ‎ 00:21:54 The presenter suggested controlling the narrative in medical charts by clearly documenting decision-making processes. ‎ 00:28:01 The presenter recommended not signing anything without careful consideration and possibly consulting a lawyer if serious concerns arise during peer review. ‎ 00:32:14 The presenter advised measuring personal outcomes and knowing one's numbers (complication rates, case volumes, etc.) to build confidence. ‎ 00:36:37 The presenter suggested debriefing with teams after complications using a simple assessment: three things that went well, three things that could have gone better, and next steps. ‎ 00:45:24 The presenter recommended proactively reporting complications to administrators rather than waiting to be discovered. ‎ 00:48:38

The effect of immediate weightbearing after planovalgus foot reconstruction in ambulatory children with cerebral palsyBackground and Objective(s)Planovalgus (PV) is a common foot deformity in children with cerebral palsy (CP). Orthopedic surgery is widely established as an effective treatment for deformity correction though there is clinical variation in post-op therapy protocols. Immediate weightbearing (WB) after PV foot correction could accelerate recovery but concern for post-op complications causes reluctance. The aim of this study was to determine the prevalence of complications after PV foot surgery in children with early WB vs. non-WB (NWB).Study Participants & Setting135 ambulatory children with CP (GMFCS I (12%), II (58%), III (30%)) met inclusion criteria and were included from a children's hospital setting and assessed in the gait laboratory.Materials/MethodsThis IRB-approved retrospective cohort study included ambulatory children (GMFCS I-III) with CP and PV foot deformity who underwent reconstructive surgery and pre (within 18 months) and post-op (1-3 years) gait analyses. Complications were defined in three timeframes: (1) short-term, within 6 months of surgery, by radiograph review for nonunion, hardware failure, or infection requiring return to surgery, (2) mid-term, at 1-3 years, by pedobarographic assessment, and (3) long-term, > 3 years, by recurrence requiring surgical revision. Fisher exact tests compared the prevalence of complications between immediate WB and NWB groups. Regression analysis evaluated the relationship between complications and child, surgical, and post-operative factors.Results140 surgical events were completed on 224 feet at age 12.7 ± 2.8 years. Following surgery, 84% of children followed an immediate WB protocol, and 16% were NWB for the first six weeks. The prevalence of short-term complications between the WB and NWB groups was no different (nonunion/hardware failure/infection, WB 3%/1%/0%; NWB, 0%/3%/0%; p>0.9). There were no between group differences in mid-term correction status (under- corrected/corrected/over-corrected, WB 31%/45%/24%; NWB, 32%/54%/14%; p>0.9). The prevalence of long-term recurrence necessitating surgery was not significantly different (WB/NWB, 3%/11%; 8.5±2.8 years post-op; p>0.9). Regression analysis demonstrated WB status was not a significant predictor of correction status or long-term recurrence requiring revision (p>0.05).Conclusions/SignificanceComplication rates were very low after planovalgus foot correction surgery in ambulatory children with CP. There were no significant differences in complications, clinical outcomes, or need for surgical revision between groups who followed immediate WB vs. NWB post-op protocols. Immediate WB after PV foot correction surgery presented no increased risks compared to NWB and should be encouraged in children with CP. Early WB, standing, and walking may prevent disuse muscle weakness and promote faster recovery of gross motor mobility, enhancing patient care. Future studies should examine the impact of early WB on recovery time and long-term functional outcomes.

Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. Courtney Bell and is titled⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ "⁠⁠⁠⁠⁠Dealing with Intraoperative Complications in Outpatient TKA MCL Injury, Extensor Injury, Fracture."Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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

Ready to delve into the critical intersection of cardiology and oncology? In this episode, Dr. Fernando Mendoza and Dr. Peyman Kabolizadeh unravel the intricacies of heart health during cancer treatment. Discover the potential heart complications that may arise from radiation therapy and the innovative technologies at MemorialCare Todd Cancer Institute designed to mitigate these risks. Whether you're a patient, caregiver, or health care enthusiast, this insightful discussion promises to equip you with the knowledge to navigate the complex landscape of cancer treatment while safeguarding heart health.

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

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!

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.

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

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! 

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