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Did you know that congenital CMV-related hearing loss can develop several years after birth? On the BackTable ENT & Allergy Podcast, hosts Dr. Gopi Shah and Dr. Jeff Hyzer interview pediatric otolaryngologist Dr. Albert Park about the latest evidence on congenital CMV and its role in pediatric sensorineural hearing loss. The discussion covers diagnosis, risk factors, screening protocols, testing strategies, antiviral treatment, genetic workup, long-term surveillance, and future directions for early detection and prevention. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:47 - Basics of CMV Infections and Hearing Loss Presentation 07:57 - CMV Screening Workflow 11:33 - Saliva vs. Urine Based Screening 14:00 - Early Workup and Communication 19:37 - Late Onset Workup and Use of Antivirals 24:39 - Treatment with Antiviral Medications 27:22 - Head Ultrasound vs. MRI 30:06 - Role of Genetic Testing 32:47 - Surveillance and Progression Risk37:29 - CI Outcomes and Predictors42:18 - BAHA and Older Candidates45:44 - Awareness, Prevention Efforts, and Education 54:25 - Vaccines and Universal Screening Pitfalls 57:40 - Advocacy and Closing Thoughts --- More about this episode Dr. Park explains the differences between congenital and acquired CMV, reviews epidemiology and, and highlights that hearing loss may be present at birth or develop later in childhood. He discusses Utah's evolution from hearing-targeted CMV testing to universal NICU screening, emphasizing the importance of diagnosis within the first 21 days of life. The conversation covers saliva versus urine testing, dried blood spot testing, and the role of a multidisciplinary team in evaluation and management. Dr. Park also reviews antiviral treatment strategies, imaging and genetic testing considerations, audiologic surveillance, and cochlear implantation outcomes. Finally, he discusses ongoing advocacy efforts, emerging prenatal screening technologies, and future directions and challenges for CMV prevention and early detection. --- Resources Nance & Morton NEJM Paper Cited - 20% of Congenital SNHL linked to Congenital CMV https://www.nejm.org/doi/full/10.1056/NEJMra050700 Dr.Kimberlin's work supporting antiviral treatment for 6 months https://www.nejm.org/doi/full/10.1056/NEJMoa1404599?utm_source=openevidence Dr.Vossen's antiviral therapy research https://pubmed.ncbi.nlm.nih.gov/38336204/ AAP Red Book https://publications.aap.org/redbook Dr. Smith's Research - Genetic Testing for Congenital Bilateral Hearing Loss in the Context of Targeted Cytomegalovirus Screeninghttps://pubmed.ncbi.nlm.nih.gov/31985074/ Dr.Park's Research Congenital Cytomegalovirus Testing Outcomes From the ValEAR Trialhttps://pubmed.ncbi.nlm.nih.gov/38415855/ Dr.Park's Research - Analysis of an Expanded Targeted Early Cytomegalovirus Testing Programhttps://pubmed.ncbi.nlm.nih.gov/36884018/ Dr.Foulon - Hearing Loss With Congenital Cytomegalovirus Infectionhttps://pubmed.ncbi.nlm.nih.gov/31266824/ Research about the use of Vaclovir to reduce vertical transmissionhttps://pubmed.ncbi.nlm.nih.gov/32919517/ Dr.Gantt's research on the Ping-Pong Effecthttps://pubmed.ncbi.nlm.nih.gov/29889809/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
Sando is a 4-month-old infant receiving physical therapy for right congenital muscular torticollis. The physical therapist notes improved cervical alignment, increased tolerance to prone positioning, and improved active midline head control. Which of the following goals would be MOST appropriate to include in the patient's plan of care?A) Restore left cervical rotation passive ROMB) Restore right cervical rotation passive ROMC) Restore right cervical side-bending passive ROMD) Restore length of the left sternocleidomastoid muscleJoin the FREE NPTE Facebook Group: www.nptegroup.comText our team the word COACH for a free diagnostic: (727) 732-4573
A feasibility study to introduce routine checks for Congenital cytomegalovirus that can cause deafness in children is underway at the University of Auckland. Health correspondent Kate Green reports.
What if you passed a disease to your children before they were even born, and didn't find out until decades later? In this episode of Integrative Lyme Solutions, Dr. K sits down with Isabel Rose, chair of Mothers Against Lyme and board member of Project Lyme, to talk about congenital Lyme disease, what it is, why most OBs are unprepared for it, and what testing and treatment during pregnancy actually looks like. Isabel was bitten at eight, undiagnosed until 48, and carried two children to term while unknowingly infected. She's not speaking from research. She's speaking from her own life. This conversation covers the downstream effects on children, from developmental delays and autism spectrum disorders to PANS/PANDAS, and why early intervention and community support can change everything. If you're navigating Lyme and motherhood, this is the episode you've been looking for. Key Takeaways: 0:00 Introduction 1:15 Mothers Against Lyme and Project Lyme 2:25 Lyme disease and pregnancy 5:07 What congenital Lyme disease is 6:32 Maternal Lyme infection and autism spectrum disorders 11:29 Testing and treating before and during pregnancy 19:19 Isabel's story, two children two outcomes 23:29 NuCalm and nervous system regulation 30:03 Other Lyme transmission routes 31:40 The guilt mothers carry 33:21 Undiagnosed for 40 years 37:00 How to join the support group 42:10 Why community matters in Lyme disease Schedule a Free 15-Min Cancer/Lyme Consultation at The Karlfeldt Center: 208-338-8902 Resources: Mothers Against Lyme - https://www.mothersagainstlyme.org Project Lyme - https://www.projectlyme.org Beyond the Rx (Isabel's Substack) - https://www.beyondtherx.substack.com Vibrant Wellness - https://www.vibrant-wellness.com NuCalm - https://www.nucalm.com Medical Disclaimer: This content is for educational purposes only and is not intended to diagnose, treat, cure, or replace professional medical advice. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. ____________________________________WORK WITH DR. KARLFELDT:The Karlfeldt Center offers the most cutting-edge and comprehensive Lyme therapies available. To schedule a Free 15-Minute Discovery Call with a Lyme Literate Naturopathic Doctor, contact us at:
In this episode, we review the high-yield topic of Congenital Rubella Syndrome from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Brody Bailey is one of possibly two children in the World who have been born with a Congenital Diaphragmatic Hernia and then diagnosed with Neuroblastoma. Lauren and TJ Bailey are Brody's parents and will talk about his journey with the good news being that he is more than 3 years old and is doing as well as possible health wise. The Bailey family has received great support from their Township of Deptford New Jersey community, especially from Rich Nardiello who is the head of the great Pop Pop Custom Cars Non-Profit and a wonderful advocate for the cause of Pediatric Cancer.
In this article, Dr. Dan Breuer, DVM discusses how to spot common congenital defects in puppies and how they may affect health, hunting performance, and breeding decisions.Check out duckcamp.com.Read more at projectupland.com.
This week we review a recent Australian prospective assessment of aspirin resistance in children undergoing heart surgery. How common is this seen in this patient group and what are the reasons? What is the best test to perform to assess this and what tests may not be worthwile? Who deserves 'routine' testing for this possible problem? Cardiovascular surgeon Dr. Supreet Marathe of Queensland Children's Hospital in Brisbane, Australia shares the results of this recent publication. DOI: 10.1016/j.jtcvs.2025.09.013
What happens when a decade of deep somatic healing leads you to a diagnosis you never saw coming? Today's episode is raw and vulnerable, as Aimee Takaya shares a life-changing discovery she made: she was born with severe bilateral congenital hip dysplasia. She takes us through the shock, the grief, the unexpected wisdom of her body's compensations, and more! This is a story about the limits of somatic work, the grace of acceptance, and the courage to finally get the structural help you've always needed.Aimee takes us through:Why her severe hip dysplasia went undiagnosed for 37 yearsHow the body creates protective patterns that mask underlying structural issuesWhy she chose to stop exercising entirely to protect her bodyHow somatics helped her function despite bone-on-bone arthritisExplore the emotional journey from shame and anger to gratitude and advocacyAnd so much more!Connect with Aimee:Instagram: @aimeetakaya Facebook: Aimee Takaya Learn more about Aimee Takaya, Hanna Somatic Education, and The Radiance Program at www.freeyoursoma.com.
Dr. Somer Delsignore, DNP, is a Doctor of Nursing Practice and board-certified pediatric nurse practitioner specializing in complex chronic illness in children. Her clinical work focuses on the diagnosis and management of immune dysfunction using a root-cause approach. She developed the R.E.S.E.T. Protocol using a Root Cause lens to treat Immune Dysfunction systematically. A fellow of MAPS and AAOT and a member of ILADS, her expertise includes autoimmune, neuroimmune, and psychiatric manifestations of infectious diseases, especially tick-borne illnesses, as well as links to Autism Spectrum Disorder, PANS/PANDAS, and autoimmune encephalopathy. Delsignore completed her graduate and doctoral training at the University of Pennsylvania and SUNY Upstate Medical University, graduating magna and summa cum laude, and trained at leading pediatric centers, including Children's Hospital of Philadelphia (CHOP), Penn State Children's, and Children's Health in Dallas. She is the CEO and Founder of Hudson Valley Integrative Health in Beacon, New York.
In this compelling lecture by Dr. David Winlaw of Northwestern University, we hear his thoughts on the state of the CICU/Surgeon relationship and he offers his thoughts on how to improve care for children with congenital heart disease undergoing surgery. Why does he believe that the more old fashioned approach of having cardiac programs run by academic departments is no longer optimal? What do critical care doctors not understand about surgery and vice versa? Are we asking too much of our CICU practitioners? How can the 'shift work' mentality be abolished and how can we avoid burnout for our critical care front line staff while also improving outcomes for patients? How can we bring joy back into the care of children with critical heart disease? Dr. Winlaw shares his insights from a long career in multiple centers worldwide in the Thomas J. Spray Lecture at the Cardiology 2026 CHOP conference from late February, 2026 in Arizona.
This week we sit down and speak with noted non-invasive imaging expert Dr. Kelly Han of U. Utah about a recent work she co-authored on recommendations for the development of a congenital heart CCT program. What are the absolute essentials when considering offering these services in a center? How do different scanners differ from one another and how important is it to have single vs. dual source CT? Can good work be performed on 'older' machines? Who are the most important team members for a congenital CT team? Dr. Han shares her thoughts as well as the ideas of many of the thought leaders who co-authored this important statement paper. DOI: 10.1016/j.jcct.2025.01.003
In this episode, we review the high-yield topic of Congenital Torticollis from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we review the high-yield topic of Congenital Toxoplasmosis from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Sisters in Loss Podcast: Miscarriage, Pregnancy Loss, & Infertility Stories
Congenital heart disease is a general term for a range of birth defects that affect the normal way the heart works. The term "congenital" means the condition is present from birth. Today's guest was diagnosed with Endometriosis and after many years of fertility treatments including IVF her first child Jasper died in her arms 30 hours after he was born from congenital heart disease. Coping with the grief of child loss at the onset of a global pandemic has made, Jamala Arland passionate about supporting the community for bereaved mothers and normalizing grief through writing and speaking engagements. In todays episode, Jamala shares her journey through endometriosis, infertility, and finding out how her son had congenital heart disease. This episode is for you to listen to if you have battled infertility and infant loss. Become a Sisters in Loss Birth Bereavement, and Postpartum Doula Here Book Recommendations and Links Below You can shop my Amazon Store for the Book Recommendations You can follow Sisters in Loss on Social Join our Black Moms in Loss Online Weekly Grief Support Group Join the Sisters in Loss Online Community Sisters in Loss TV Youtube Channel Sisters in Loss Instagram Sisters in Loss Facebook You can follow Erica on Social Erica's Website Erica's Instagram Erica's Facebook Erica's Twitter
In this episode, Megan and Frank investigate aphantasia, the inability to generate mental imagery. What can aphantasia tell us about the nature of the mind, in particular, "the hard problem" of consciousness? Should aphantasia be considered a disorder, or merely another variation in human experience? And is it possible to meaningfully talk about our inner experiences, or would that necessarily constitute a kind of private language? Thinkers discussed include: Adam Zeman, Merlin Monzel, Elizabeth Barnes, Ludwig Wittgenstein, and Soren Kierkegaard.Hosts' Websites:Megan J Fritts (google.com)Frank J. Cabrera (google.com)Email: philosophyonthefringes@gmail.com-----------------------Bibliography:Some People Can't See Mental Images. The Consequences Are Profound | The New YorkerZeman et al. 2015 - Lives without imagery - Congenital aphantasia - PubMedZeman et al. 2020 - Aphantasia-The psychological significance of lifelong visual imagery vividness extremes - PubMedMonzel et al. 2021 - Aphantasia, dysikonesia, anauralia: call for a single term for the lack of mental imagery-Krempel & Monzel 2024 - Aphantasia and involuntary imageryMonzel et al. 2023 -Aphantasia within the framework of neurodivergenceThe Private Language Argument | Issue 58 | Philosophy NowDisability: Definitions and Models (Stanford Encyclopedia of Philosophy)The Minority Body: A Theory of Disability | Oxford Academic-----------------------Cover Artwork by Logan Fritts-------------------------Music from #Uppbeat (free for Creators!):https://uppbeat.io/t/simon-folwar/neon-signsLicense code: QHFDPNIRFW3UXOH3
Does Lifestyle Affect Pregnancy and Congenital Birth Defects? Guest: Katie Young, M.D. Guest: Carl Rose, M.D. Host: Marysia Tweet, M.D., M.S. Lifestyle choices before and during pregnancy can shape both maternal cardiovascular risk and fetal development. In this podcast, we explore how lifestyle factors before and during pregnancy influence maternal cardiovascular health and pregnancy outcomes. Topics Discussed: If a woman wishes to become pregnant, what can she do to minimize risk of adverse events during pregnancy or the postpartum period? Are there certain lifestyle choices that are known to cause pregnancy complications? Are there certain lifestyle choices that are known to cause congenital birth defects? Are there any women for whom you would advise daily baby aspirin during pregnancy? Are there lifestyle factors that should prompt enhanced fetal cardiac surveillance? What cardiovascular or metabolic risk factors should ideally be optimized before conception? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.
Can Lyme disease begin before birth — and could it be driving neurodevelopmental conditions like autism, ADHD, and anxiety?In this episode of Integrative Lyme Solutions, Dr. K is joined by Dr. Somer DelSignore, a leading pediatric integrative clinician, to explore the overlooked science of congenital Lyme and in utero transmission of vector-borne infections. Dr. DelSignore explains how infections such as Borrelia, Bartonella, and Babesia can cross the placenta, disrupt fetal brain development, and silently fuel inflammation that shows up later as behavioral, cognitive, and immune dysfunction.You'll learn why standard TORCH testing fails to catch these infections, what symptoms parents should watch for in infants and children, and how addressing inflammation, infections, and immune imbalance can dramatically improve outcomes. This episode offers critical insight for parents, practitioners, and anyone focused on true prevention and root-cause healing in pediatric Lyme disease.Key Takeaways:0:00 Introduction and Dr. Somer DelSignore's clinical journey3:10 From pediatric ICU to integrative Lyme care6:20 Congenital Lyme: 40 years of overlooked science9:00 Why TORCH testing misses vector-borne infections12:45 Preconception testing and prevention strategies15:30 Why treating Lyme before pregnancy matters18:05 Infant symptoms parents should never ignore21:10 Autism, neuroinflammation, and misdiagnosis24:15 The RESET framework for pediatric healing28:10 What real recovery can look like for childrenResources Mentioned:IGeneX Laboratories – https://igenex.comTLABDX (Babesia & Bartonella testing) – https://www.tlabdx.com/Horowitz/MSIDS 38 point symptom checklist – https://projectlyme.org/msids-questionnaire/IV Ozone Therapy – https://health.clevelandclinic.org/ozone-therapySOT (Supportive Oligonucleotide Therapy) – https://projectlyme.org/supportive-oligonucleotide-therapy-sot-for-lyme/Medical Disclaimer: This content is for educational purposes only and is not intended to diagnose, treat, cure, or replace professional medical advice. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. _______________________________The Karlfeldt Center offers the most cutting-edge and comprehensive Lyme therapies. To schedule a Free 15-Minute Discovery Call with a Lyme Literate Naturopathic Doctor at The Karlfeldt Center, call 208-338-8902 or email info@TheKarlfeldtCenter.comCheck out Dr. K's Ebook: Breaking Free From Lyme: A Comprehensive Guide to Healing and Recovery here: https://store.thekarlfeldtcenter.com/products/breaking-free-from-lymeUse the code LYMEPODCAST for a 100% off discount!
Congenital heart disease can often be detected at the mid-pregnancy ultrasound, which dramatically improves outcomes. But too many people don't get adequate prenatal care.
This week we replay an episode from nearly 2 years ago about an editorial commentary from multiple congenital heart surgical leaders in the US. The topic of their expert opinion piece is the concept of public reporting of results and their 'amplification' through organizations such as US News and World Report, to name one. How has the use of the database from STS been sometimes misinterpreted through public reporting or ranking systems? What was the initial intent of the STS database and how does the present usage of these data differ from the initial intent? Do STS risk adjustment models capture all aspects of risk for patients undergoing surgery and how do deficiencies in this result in unfair 'rankings' of programs? Can we 'take control' of our data and interpret it more clearly and accurately for the public and reduce misusage or misinterpretation of the data? How can public reporting result in improved outcomes? How can 'gaming' of the system be reduced? Dr. Emile Bacha, Professor of Surgery at Columbia University shares his deep insights into a complex and challenging topic.DOI: 10.1016/j.jtcvs.2023.03.022
New CDC surveillance data show encouraging declines in several sexually transmitted infections—but a troubling increase in syphilis among newborns. In this episode, the Director of the Division of STD Prevention at the National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Dr. Bradley Stoner breaks down the key takeaways from the 2024 provisional STI surveillance report, including declines in chlamydia, gonorrhea, and primary and secondary syphilis, alongside the continued rise in congenital syphilis. The conversation explores what's driving progress, the prevention strategies showing impact, and where urgent action is still needed. Dr. Stoner also discusses how states and local health departments can use provisional data to guide interventions, expand screening and treatment, and prepare for improved data access through CDC's new One CDC Data Platform.Supporting Pharmacies as Contraception Access Hubs | ASTHOOrganizational Strategic Planning Guide | ASTHO
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers. This episode will cover the topic of Clubfoot (congenital talipes equinovarus) from our Pediatrics section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
An overview of what is a hiatus hernia (including sliding & paraesophageal classification), the causes of a hiatus hernia as well as the most common signs and symptoms. Also includes diagnosis and treatment of hiatus hernia. PDFs available here: https://rhesusmedicine.com/pages/gastroenterologyConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Buy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Hiatal Hernia0:27 Hiatal Hernia Causes / Pathophysiology1:09 Hiatal Hernia Symptoms2:05 Epidemiology (Who gets a Hiatal Hernia)2:20 Hiatal Hernia Classification3:09 Hiatal Hernia Diagnosis3:53 Hiatal Hernia TreatmentLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/ReferenceNational Center for Biotechnology Information (NCBI), 2024. Hiatal hernia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. [online] Available at: https://www.ncbi.nlm.nih.gov/books/NBK562200/. NCBIHyun, J.J., 2011. Clinical significance of hiatal hernia. PMC Articles, PMCID PMC3166665. [online] Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166665/. PMCEmbleton, D.B. et al., 2018. Congenital hiatus hernia: a case series. PMC Articles, PMCID PMC6593919. [online] Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593919/. PMCHopkins Medicine, 2022. Hiatal hernia. [online] Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/hernias/hiatal-hernia. Hopkins MedicinePatient.info, 2025. Hiatus hernia: symptoms, causes and treatment. [online] Available at: https://patient.info/digestive-health/acid-reflux-and-oesophagitis/hiatus-hernia#nav-5. PatientMSD Manuals, 2025. Hiatus hernia – esophageal and swallowing disorders. [online] Available at: https://www.msdmanuals.com/en-gb/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/hiatus-hernia.Disclaimer: Please remember this podcast and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.
This week we go back in time 2 years to review a recent paper from 2023 about outcomes of cardiac transplantation in the adult congenital heart patient (ACHD). Little has been written on this topic until this very robust and large scale report. How do single ventricle ACHD patients fair at transplant and how do they compare to non-ACHD heart transplant recipients? Why might 1 and 3 year outcomes not be a 'fair' method of assessing outcomes in this very high risk patient group? How do HLHS patient outcomes compare with other single ventricles? Are there better ways to measure risk in this patient group and how might the data in this work inform risk stratification and management of failing Fontan patients in whom transplantation is being considered? These are amongst the questions posed this week to the week's expert, Dr Daphne Hsu who is Professor of Pediatrics at the Albert Einstein College of Medicine at The Children's Hospital at Montefiore.https://doi.org/10.1016/j.jacc.2023.06.037For those interested in learning more about Dr. Hsu, take a listen to episode #166 from June, 2021:https://www.spreaker.com/episode/pediheart-podcast-166-a-conversation-with-professor-daphne-hsu--45144274
Episode summaryWhat happens when you close your eyes and try to “see” something in your mind? For some people it's a full-colour mental movie. For others it's hazy, fleeting or completely blank. In this episode, Dr Sabina Brennan explores the neuroscience of mental imagery, including eigengrau (that grainy ‘intrinsic grey' most people notice in darkness), the spectrum from aphantasia to hyperphantasia and why visualisation is less about forcing pictures and more about learning how your brain constructs experience.In this episode, Sabina coversWhy “seeing nothing” when you visualise doesn't mean you're bad at imaginationEigengrau – what that smoky grey tells us about baseline visual activityAphantasia and hyperphantasia – two ends of the imagery vividness spectrumMental imagery in brain terms: top-down simulation meeting bottom-up perceptionWhy worry is often a “mental movie” and how imagery can amplify emotionHow imagery is used in sport, performance, rehab and therapyTools in Three: how to work with imagery whatever your baselineKey takeawaysImagery varies hugely between people and it's normal.Visualisation isn't just visual – sound, touch, movement, emotion and language can carry imagination too.The goal isn't perfect pictures, it's intentional rehearsal that shapes attention, expectation and behaviour.The most effective visualisation tends to be process-focused, not just outcome-focused.Tools in Three1. Know your baseline – stop forcing a cinema screen. Work with your strongest channel (words, sensation, sound, movement).2. Build a multisensory practice – start with a real object, then recreate it with eyes closed. Add texture, temperature, weight, sound. Pair calming imagery with slow breathing.3. Apply imagery intentionally and aim for process – rehearse the steps, the likely wobble moments and how you'll recover, not just the “trophy scene”.Memorable lines (pull quotes)“Imagination isn't about pictures. It's about possibility.”“Worry is often imagery too – the brain running mental movies of what might go wrong.”“Aphantasia is not an imagination failure. It is a different format for thinking.”References (as cited in the episode)Zeman A, Dewar M, Della Sala S. Lives without imagery – Congenital aphantasia. Cortex. 2015.S6E6 - Visualisation beefed up …Pearson J. The human imagination: the cognitive neuroscience of visual mental imagery. Nat Rev Neurosci. 2019.Milton F, et al. Aphantasia and hyperphantasia: extreme differences in visual imagery vividness. Cortex. 2021.Tagsvisualisation, mental imagery, aphantasia, hyperphantasia, eigengrau, neuroscience of imagination, memory, anxiety, sport psychology, mental rehearsal, guided imagery, manifesting, brain predictionSupport this show http://supporter.acast.com/superbrain. Hosted on Acast. See acast.com/privacy for more information.
Anne Zink is a lecturer and senior fellow at the Yale School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A.B. Zink, N.C. McCann, and R.P. Walensky. From Crisis to Action — Policy Pathways to Reverse the Rise in Congenital Syphilis. N Engl J Med 2025;393:2388-2391.
Send us a textJulie Raskin, representing Congenital Hyperinsulinism International (CHI), advocates for universal newborn glucose screening following her son's brain injury from undiagnosed hyperinsulinism in 1996. Registry data reveals 28% of affected infants lack traditional risk factors (abnormal birth weight), and even high-risk babies are often discharged inappropriately. CHI's "Glucose is a Vital Sign" campaign promotes screening protocols currently under research, examining glucose plus ketone monitoring during initial days to identify affected infants without over-medicalizing healthy newborns. The organization maintains eight centers of excellence globally and provides international treatment guidelines at congenitalhi.org. Over 30 genes cause this diagnosable, treatable condition requiring immediate intervention to prevent preventable brain damage from prolonged hypoglycemia. Support 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!
Body Love Binge Solo Episode - But What About People in Very Large Bodies?In this powerful solo episode, I tackle the question that stops so many people from embracing unrestricted eating: "But what about people in very large bodies?" I address the fear, the stigma, the medical bias, and the truth about health at every size. This episode is essential for anyone who's terrified of weight gain, anyone living in a larger body, and anyone who's been told they're "too fat" to eat freely.Key Quotes from the Episode:
Dr. Alex Menze and Professor Hakan Cetin discuss the need to reevaluate the approach to diagnosing and treating seronegative myasthenia gravis. Show citations: Krenn M, Wagner M, Schuller H, et al. Screening for Congenital Myasthenic Syndromes in Adults With Seronegative Myasthenia Gravis Using Next-Generation Sequencing. Neurology. 2025;105(8):e214177. doi:10.1212/WNL.0000000000214177
Dr. Alex Menze talks with Professor Hakan Cetin about the need to reevaluate the approach to diagnosing and treating seronegative myasthenia gravis. Read the related article in Neurology®. Disclosures can be found at Neurology.org.
Eyelid health - with optometrist Dr. Pam Theriot! -Remibrutinib for chronic spontaneous urticaria -Making wicks for cryo -Congenital morphea -Biofilms and biological glues in CARP -Check out Luke's Urticaria CME experience!aaaaicsu.gathered.com/invite/KQe1wPZbJYLearn more about the U of U Dermatology ECHO model!physicians.utah.edu/echo/dermatology-primarycareWant to donate to the cause? Do so here! Donate to the podcast: uofuhealth.org/dermasphere Check out our video content on YouTube: www.youtube.com/@dermaspherepodcast and VuMedi!: www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: physicians.utah.edu/echo/dermatology-primarycare - Connect with us! - Web: dermaspherepodcast.com/ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - Kikoxp.com (a social platform for doctors to share knowledge) - www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!
Send us a textIn this episode of NeoNews, the team returns from a brief hiatus with a refreshed format and a packed review of neonatal stories dominating recent headlines. Eli, Ben, and Daphna open with updates on RSV prevention, highlighting new MMWR data showing significant gaps in nirsevimab and maternal vaccine uptake—despite strong evidence and renewed availability. They discuss how supply chain issues, insurance delays, and vaccine confusion continue to limit access, and they emphasize the unique role neonatologists can play in counseling families early and often. The hosts also review concerning national trends in congenital syphilis, noting that many affected infants had parents who received prenatal care but were never tested—an avoidable systems failure with major downstream costs. Additional segments cover the severity of last year's influenza season, the emergence of new RSV monoclonal antibodies, and the rising use of polygenic risk scoring in IVF. The team reflects on the ethical tension between innovation and eugenics concerns, and how neonatal providers can prepare for these conversations. Finally, the deep dive explores Sherri Fink's powerful reporting on trisomy 18, variability in care across institutions, and the growing emphasis on transparent, value-driven shared decision-making with families. Support 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!
Send us a textOne of the biggest hot button topics in dairy goat land especially on social media the past few weeks after convention has been congenital myotonia or CM. CM is the gene that can effect a nigerian dwarf by making them show signs of stiff legged or even fainting when spooked. Don't be spooked by this gene though, be educated in this week's episode of Ringside featuring Stephanie Trout of Three Hearts Farm and Starbound Nigerian Dwarfs!we have merch!
In this episode, Katlyn Moss talks to Shannon Dowler, a Family Medicine physician about the recent increase in syphilis cases and what can be done to treat and prevent it. They will discuss why syphilis often goes undiagnosed and untreated, along with the barriers that health systems, clinicians, and public health professionals are currently facing in their work to control syphilis and other infectious diseases. They also talk about the special implications for pregnant patients and their babies. Dr. Dowler provides plenty of information and action items on treating syphilis as well as how it can be prevented. Resources Dr. Shannon Dowler, MDDr. Dowler's You Tube Channel- Health Education RapsCDC STI Treatment Guidelines -including downloadable appNC DHHS Syphilis Resources for ProvidersWe would love your feedback on our podcast! Please take our listener survey to provide your comments.Follow us on FacebookFollow us on InstagramMusic credit: "Carefree" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 Licensehttp://creativecommons.org/licenses/by/4.0/Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK
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. Lindsay Andras is titled "Congenital Kyphosis Case Presentation."Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Congenital rubella story, overcoming impairments (blindness/hearing loss/heart surgery), intuition/pattern recognition, 2020 podcast journey, Phoenix Conspiracy/Game B/Epstein, & resisting technocracy During our podcast break, enjoy this replay of Courtenay's discussion on The Shannon Joy Show with host Shannon Joy from August 2025. Key topics: Courtenay's birth story: Congenital rubella leading to blindness in one eye, hearing impairment, heart surgery, hypotonic limbs, stunted growth, and overcoming “dismal” prognosis. Resilience and perspective: How challenges shaped her reliance on intuition, pattern recognition, and nonverbal cues. 2020 awakening: From isolation in Santa Monica (masks hindering communication) to creating the Courtney Turner Podcast. Technocracy research: Phoenix Conspiracy article, Game B, Epstein ties, and resisting control.
Sugar bugs and milky tongues – with Dr. Joseph Lam! -Social determinants of health -Neuropathic pruritus -Congenital syphilis -Check out Luke's Urticaria CME experience!aaaaicsu.gathered.com/invite/KQe1wPZbJYLearn more about the U of U Dermatology ECHO model!physicians.utah.edu/echo/dermatology-primarycareWant to donate to the cause? Do so here! Donate to the podcast: uofuhealth.org/dermasphere Check out our video content on YouTube: www.youtube.com/@dermaspherepodcast and VuMedi!: www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: physicians.utah.edu/echo/dermatology-primarycare - Connect with us! - Web: dermaspherepodcast.com/ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - Kikoxp.com (a social platform for doctors to share knowledge) - www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!
Did you know that congenital heart defects (CHDs) affect nearly 40,000 babies born in the United States every year? On this episode, Pediatric Cardiologist Dr. Melissa Lefebvre and medical student Marina Hashim discuss the evaluation and management of common acyanotic congenital heart conditions. Specifically, they will: Review the classification of CHDs as cyanotic versus acyanotic. Discuss the pathophysiology of the three most common acyanotic CHDs – ASD, PDA, and VSD. Describe early clinical findings and use of diagnostic tools. Cover management options, ranging from spontaneous closure to surgical intervention. Explore prognosis and long-term outcomes on physical activity, neurodevelopment, and overall health. Special thanks to Dr. Rebecca Yang and Dr. Abeer Hamdy for peer reviewing this episode. CME available free with sign up: Link Coming Soon! References: Dimopoulos, K., Constantine, A., Clift, P., & Condliffe, R. (2023). Cardiovascular complications of down syndrome: Scoping review and expert consensus. Circulation, 147(5). https://doi.org/10.1161/CIRCULATIONAHA.122.059706 Dugdale, D. C. (Ed.). (n.d.). Pediatric heart surgery - discharge. Mount Sinai. Retrieved April 26, 2024, from https://www.mountsinai.org/health-library/discharge-instructions/pediatric-heart-surgery-discharge Eckerström, F., Nyboe, C., Maagaard, M., Redington, A., & Hjortdal, V. (2023). Survival of patients with congenital ventricular septal defect. European Heart Journal, 44 (1,1), 54-61. https://doi.org/10.1093/eurheartj/ehac618 Heart MRI. (2022, July 24). Cleveland Clinic. Retrieved April 19, 2024, from https://my.clevelandclinic.org/health/diagnostics/21961-heart-mri Leihao, S., Yajiao, L., Yunwu, Z., Yusha, T., Yucheng, C., & Lei, C. (2023). Heart-brain axis: Association of congenital heart abnormality and brain diseases. Frontiers in Cardiovascular Medicine, 10. https://doi.org/10.3389/fcvm.2023.1071820 Meyer, K. (Ed.). (2022, May 1). What is a ventricular septal defect (VSD)? Cincinnati Children's. Retrieved March 12, 2024, from https://www.cincinnatichildrens.org/health/v/vsd Minette, M. S., & Sahn, D. S. (2006). Ventricular septal defects. Circulation, 114(20). https://doi.org/10.1161/CIRCULATIONAHA.106.618124 Mussatto, K. A., Hoffmann, R. G., Hoffman, G. M., Tweddell, J. S., Bear, L., Cao, Y., & Brosig, C. (2014). Risk and prevalence of developmental delay in young children with congenital heart disease. Pediatrics, 133(3), e570–e577. https://doi.org/10.1542/peds.2013-2309 Pruthi, S. (Ed.). (2022, October 21). Ventricular septal defect (VSD). Mayo Clinic. Retrieved April 9, 2024, from https://www.mayoclinic.org/diseases-conditions/ventricular-septal-defect/symptoms-causes/syc-20353495 Right heart catheterization. (2022, July 24). Cleveland Clinic. Retrieved April 19, 2024, from https://my.clevelandclinic.org/health/diagnostics/21045-right-heart-catheterization Shah, S., Mohanty, S., Karande, T., Maheshwari, S., Kulkarni, S., & Saxena, A. (2022). Guidelines for physical activity in children with heart disease. Annals of pediatric cardiology, 15(5-6), 467–488. https://doi.org/10.4103/apc.apc_73_22 Sigmon, E., Kellman, M., Susi, A., Nylund, C., & Oster, M. (2019). Congenital heart disease and Autism: A case-control study. Pediatrics, 144(5). https://doi.org/10.1542/peds.2018-4114 Thacker, D. (Ed.). (2022, January 1). Ventricular septal defect (VSD). Nemours Kids Health. Retrieved April 10, 2024, from https://kidshealth.org/en/parents/vsd.html Tierney, S., & Seda, E. (2020). The benefit of exercise in children with congenital heart disease. Current Opinion in Pediatrics, 32(5), 626-632. https://doi.org/10.1097/MOP.0000000000000942 Ventricular septal defects (VSD). (2021, November 9). Cleveland Clinic. Retrieved April 2, 2024,from https://my.clevelandclinic.org/health/diseases/17615-ventricular-septal-defects-vsd Ventricular septal defect surgery for children. (n.d.). Johns Hopkins Medicine. Retrieved April 11,2024, from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/ventricular-septal-defect-surgery-for-children#:~:text=During%20this%20surgery%2C%20a%20surgeon,the%20hole%20between%20the%20ventricles Wernovsky, G., & Licht, D. J. (2016). Neurodevelopmental Outcomes in children with congenital heart disease - what can we impact?. Pediatric Critical Care Medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 17(8 Suppl 1), S232–S242. https://doi.org/10.1097/PCC.0000000000000800
Congenital rubella story, overcoming impairments (blindness, hearing loss, heart surgery), intuition/pattern recognition, and 2020 journey to podcasting/aerial performance. During our podcast break, enjoy this replay of Courtenay's appearance on “The Exploration of Consciousness” with host Matt Presti from July 2025. Key topics: Courtenay's birth story: Congenital rubella leading to blindness in one eye, hearing impairment, heart surgery, hypotonic limbs, stunted growth, and overcoming “dismal” prognosis. Resilience and perspective: How challenges shaped her reliance on intuition, pattern recognition, and nonverbal cues. Journey to podcasting: From isolation in 2020 Santa Monica (masks hindering communication) to creating the Courtney Turner Podcast for “naked face” conversations. Personal growth: Using aerial acrobatics and speaking on movement as a metaphor for life's adversities. Follow and Connect with Matt Presti:
Howie and Harlan discuss the roots of the crisis in emergency departments, the lack of oversight for hydration spas, new approaches in blood pressure treatment, an ingenious method to prevent malaria, and the CDC's backward steps on vaccines. Links: Emergency Departments “I'm an ER doctor. JD Vance's claims about immigrants and wait times are just wrong.” “It's Just a Virus, the E.R. Told Him. Days Later, He Was Dead.” Video of Ron Paul: “Should society let uninsured die?” American College of Emergency Physicians: Understanding EMTALA “Explaining the G.O.P.'s Misleading Talking Point on the Looming Shutdown” Centers for Medicare and Medicaid: Emergency Medical Treatment & Labor Act (EMTALA) Health & Veritas Ep. 188: Kate Heilpern: Jumping into the Deep End Health & Veritas Ep. 47: Dr. Jeremy Faust: Is COVID Over? It's Complicated. Jeremy Faust: “Inside Medicine Read-Through: Commentary on the New York Times article about a tragic ER case” Harlan Krumholz: “Early Warning Scores With and Without Artificial Intelligence” Howard Forman: “Why Hospitals Need to Stop Boarding Patients in Emergency Rooms” Howard Forman: “How to Keep Emergency Rooms Focused on True Emergencies” The Revolving Door “Peter Marks, FDA vaccine regulator ousted by RFK Jr., joins Eli Lilly” Peter Marks Resignation Letter “Peter Marks, FDA's top vaccine regulator, forced out” “Fired C.D.C. Director Describes Clashes With Kennedy and Turmoil at Agency” “Ex-CDER chief Patrizia Cavazzoni becomes Pfizer's chief medical officer” Hydration Spas Howard Forman: “State Policies and Facility Practices of IV Hydration Spas in the US” Health & Veritas Ep. 123: Margo Harrison: Women's Health as a Path to Empowerment “Hydration spas are largely unregulated, study finds” New Developments in Blood Pressure Treatment “Baxdrostat met the primary endpoint in Bax24 Phase III trial in patients with resistant hypertension” “AstraZeneca's $1.3B bet yields 2nd phase 3 blood pressure win, bolstering differentiation case” Harlan Krumholz: “The Disquieting Plateau” “Under new guidelines, more Americans meet the criteria for high blood pressure” “2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines” “Permethrin-Treated Baby Wraps for the Prevention of Malaria” AI in Medicine: Doximity, OpenEvidence, and UpToDate “OpenEvidence raises $210M, unveils AI agents built for advanced medical research” Health & Veritas, Ep. 183: Seth Berkowitz: The Power Problem “Doximity buys Pathway Medical for $63 million to help doctors get AI-powered answers” “A long-trusted physician's reference finally catches the AI wave” Congenital syphilis Health & Veritas Ep. 178: Sarah DeSilvey: Creating Space for Healing “Are STIs truly declining, or is our data just not very good? What the 2024 CDC STI report really shows” “Why Syphilis Cases in Newborns Are Rising Even as STIs Decline” MMR Vaccine “Acting CDC director calls to 'break up' the measles, mumps and rubella vaccine into three shots” “Worried about splitting up the MMR vaccine into three separate shots? You should be, this doctor says” “More measles cases confirmed in South Carolina, Michigan as US total climbs to 1,563” Nobel Prizes and Science at Yale “Nobel Prize in Physiology or Medicine Is Awarded for Work on Immune Systems” “Nobel Prize in Physiology or Medicine 2025” “Yale's Michel H. Devoret wins 2025 Nobel Prize in Physics” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.
October highlights many disabilities as awareness days/month in the US, and this month's podcast seeks to create awareness on one family's experience with Spina Bifida. Kevin Deutsch, an On Behalf of All (OBOA) Initiative pilot parish liaison, shares how he and his wife Nicole met a test of faith early in their pregnancy when their daughter Kora was confirmed to have Spina Bifida. Turning to God in their challenging moments, seeking pastoral guidance from their priest, and enjoying their daughter as a blessing in their community, has helped them grow in their trust of God, and in understanding of what it means to be fully human.
October highlights many disabilities as awareness days/month in the US, and this month's podcast seeks to create awareness on one family's experience with Spina Bifida. Kevin Deutsch, an On Behalf of All (OBOA) Initiative pilot parish liaison, shares how he and his wife Nicole met a test of faith early in their pregnancy when their daughter Kora was confirmed to have Spina Bifida. Turning to God in their challenging moments, seeking pastoral guidance from their priest, and enjoying their daughter as a blessing in their community, has helped them grow in their trust of God, and in understanding of what it means to be fully human.
Leah explains how congenital birth defects intersect with VA disability benefits for both veterans and their children. She covers what congenital birth defects are, the conditions linked to toxic exposures like Agent Orange in Vietnam and Korea or contaminated water at Camp Lejeune, and when children may qualify for compensation or health benefits. Leah also highlights that veterans with congenital conditions can sometimes receive service connection if their condition was permanently aggravated by military service. She stresses the importance of strong medical evidence, proper documentation, and accredited representation, while warning against common mistakes such as assuming automatic approval or overlooking proof of service and biological parentage.
This podcast discusses an approach to congenital infections in newborns. The episode was developed by Mackenzie Heidel, a fourth-year medical student at the University of Saskatchewan, in collaboration with Dr. Rupeena Purewal, a Pediatric Infectious Disease Physician in Saskatoon and host of The Canadian Breakpoint podcast. Together, they explore the evaluation, diagnosis, and management of congenital infections including Cytomegalovirus, Neonatal Herpes Simplex Virus, Toxoplasmosis, Rubella, Hepatitis B, and Varicella. The content is based on current Canadian Pediatric Society position statements. An author of this podcast has financial support from Harris' Hope Foundation, the University of Saskatchewan Dean's Summer Research Project grant, and the University of Saskatchewan College of Arts and Sciences Department of Music. They also received honoraria from Foundations Learning and Skills Saskatchewan & Saskatchewan Blue Cross, a bursary from Réseau Santé francais de la Saskatchewan, and funding from the Canadian Medical Association to attend a conference. An author of this podcast has served as a speaker for the University of Saskatchewan CME and as a consultant for Verity Pharmaceuticals.
In this episode, we review the high-yield topic Congenital Diaphragmatic Hernia from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we review the high-yield topic Congenital Hyperbilirubinemia from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
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. Jaclyn Hill and is titled "Lower Limb Differences in Children - Congenital and Non Congenital Causes."Follow Orthobullets on Social Media:FacebookInstagram LinkedIn
Join us for a great discussion on congenital syphilis with Dr. Ryan Rochat! We'll shine a light on the darkfield of congenital syphilis and unmask The Great Imitator. We dive into the rationale for screening for syphilis in pregnancy, the testing available, and how the heck to interpret the screening algorithm. We also explore the comprehensive evaluation and follow-up of affected infants.
When the map doesn't match the terrain, sometimes you just make your own path. Natalia Bartlomowicz was born with a rare congenital condition so unique it doesn't even have a name—just a stack of medical files and a body doctors still can't quite predict. In this episode, she opens up about navigating childhood surgeries, a 16-hour operation in Boston, and the emotional toll of being called a “medical mystery.” From discovering she has two uteri to building a safe space for youth with chronic illness, Natalia's story is one of resilience, radical self-advocacy, and finding strength in the unexpected. She talks dating, dignity, and how the healthcare system can better treat patients as people. It's a heartfelt ride through one woman's no-name diagnosis—and the superpower she's made of it.Links:together-we-thrive.caFollow Sickboy: Instagram: https://www.instagram.com/sickboypodcastTiktok: https://www.tiktok.com/@sickboypodcastDiscord: https://discord.gg/expeUDN
We'd like to extend our sincere thanks to our episode sponsor, reStickity®. Their innovative, mess-free reusable sticker sets allow families to personalize hospital spaces with familiar photos and comforting images, helping bring a sense of home to the hospital. To learn more, visit their website and use code CLOC10 for an exclusive discount available to our listeners. In this inspiring episode, we meet Sarah Michelle Boes—nurse practitioner, entrepreneur, and mom to Meadow, who was diagnosed in utero with Tetralogy of Fallot and multiple congenital heart defects. Sarah brings a powerful trifecta of perspectives: as a medical provider, mental health advocate, and dedicated heart mom. We cover: ✅ Meadow's life-saving heart surgeries and long ICU stays ✅ How Sarah navigated new motherhood with OCD and anxiety ✅ The emotional toll of being both a medical provider and a parent ✅ Creating a connection through medical play to ease doctor visits ✅ How Sarah turned survival into purpose through national advocacy Whether you're a fellow medical parent, healthcare provider, or mental health professional, this episode will leave you with real insight into the raw challenges and unexpected joys of raising a child with complex medical needs. Key Topics & Highlights [00:00] – Meet Sarah Michelle Boes Nurse practitioner, entrepreneur, and heart mom Her daughter Meadow's surprise diagnosis of Tetralogy of Fallot at 36 weeks ⏱️ [03:00] – From Business Success to Medical Crisis Selling her business weeks before Meadow's diagnosis The shock of learning Meadow had four heart defects ⏱️ [05:00] – Learning to Navigate as a Medical Parent How Sarah's medical background helped (and complicated) her parenting Teaching her husband how to advocate medically alongside her ⏱️ [07:00] – Mother's Intuition & Switching OBs Sarah felt something was wrong during pregnancy but was dismissed A new ultrasound revealed her daughter's heart looked “weird” ⏱️ [10:00] – NICU Rollercoaster Begins Meadow intubated within hours of birth due to medication side effect Sarah and her husband find strength in teamwork ⏱️ [14:00] – Advice for New Heart Parents The overwhelm of tracking vitals and data post-discharge Feeling more like Meadow's nurse than her mom ⏱️ [17:00] – The Unexpected Second Surgery & Major Setbacks Meadow's patch failed, requiring emergency open-heart surgery Her chest remained open for a week due to complications ⏱️ [21:00] – A Brain Bleed Diagnosis & Mental Health Spiral Sarah shares how uncertainty triggered her OCD Emotional trauma of seeing Meadow cold, still, and open-chested ⏱️ [25:00] – Living in the ICU Full-Time How Sarah and her husband made the hospital their home The benefits of being physically present 24/7 ⏱️ [28:00] – Discharge Shock & OCD Diagnosis Meadow is stable—but Sarah's anxiety peaks post-discharge Diagnosed with OCD just 10 days after coming home ⏱️ [32:00] – Healing Through Gratitude & Giving Back Family vacation sparks the idea for a donation The heart institute is named in Meadow's honor with a mural ⏱️ [36:00] – Sarah's Ongoing CHD Advocacy Work Advocating for the Congenital Heart Futures Act Raising awareness for adult congenital cardiology and research needs ⏱️ [40:00] – The Power of Medical Play Meadow's echos improved after doing medical play at home Sarah incorporates play to help her daughter cope with appointments ⏱️ [43:00] – Reflections & Advice for Other Parents Learning how strong her partnership with her husband is Why having the right support person changes everything ⏱️ [45:00] – Where to Follow Sarah & Continue the Journey Website, LinkedIn, Instagram, and more Connect with Sarah Michelle Boes