Podcasts about Dialysis

Cody Kubiak's story is one of extraordinary resilience, faith, and hope. In this episode, we dive into his powerful journey—from childhood surgeries to receiving a kidney transplant and battling cancer. Through every trial, Cody has shown what it means to persevere and live with purpose. Hear firsthand how he turned hardship into hope, and discover why raising awareness for kidney donation is more important than ever. Dive deeper into Cody's story at kidneysquitwedont.com For more information on Kidney Solutions and to join our supportive community, visit kidneysolutions.org Host: Kent Bressler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!

This episode shares a personal experience with dialysis and emphasizes infection prevention. Speakers discuss challenges in avoiding infection, its impact on routines, steps to protect during dialysis, and the role of staff in reducing infection risk.

This episode shares a personal experience with dialysis and emphasizes infection prevention. Speakers discuss challenges in avoiding infection, its impact on routines, steps to protect during dialysis, and the role of staff in reducing infection risk.

Kidney Health New Zealand says a simple, $12 test could prevent hundreds of people languishing on waitlists for a kidney donor.

This episode covers maintaining water quality for infection control in hemodialysis. Topics include AAMI standards, monitoring water quality for safety, training staff on infection control for water systems, and addressing water treatment system issues.

This episode covers maintaining water quality for infection control in hemodialysis. Topics include AAMI standards, monitoring water quality for safety, training staff on infection control for water systems, and addressing water treatment system issues.

In this second episode, experts standardize evidence-based policies to improve care, review CDC's nine Core Interventions to reduce BSI, address patient challenges in reducing BSI, and explore NHSN Dialysis Event training for better infection control.

In this second episode, experts standardize evidence-based policies to improve care, review CDC's nine Core Interventions to reduce BSI, address patient challenges in reducing BSI, and explore NHSN Dialysis Event training for better infection control.

Have you ever really thought about your kidneys? About what they do? About what happens when they fail?They are two small organs, quietly filtering waste, balancing fluids, and keeping you alive—until they don't.There is no cure for kidney disease. Dialysis helps you wait, but it isn't a solution. A transplant gives you a second chance, but not forever.So what happens when that second chance runs out?Today's conversation is personal. In December 2000, my sister gave me the greatest gift. She gave me a kidney. But a transplant isn't a cure. It's a borrowed moment. And sometimes, that moment runs out.Cristina Howorun knows this better than most. She's an award-winning journalist and documentary producer and someone who has spent her career shining a light on the stories that need to be told. She is also a fellow kidney transplant recipient. And now, she is facing the unthinkable: her kidney has failed, and she is waiting once again for another chance at life.Our stories are different, but many of our experiences are the same. In this deeply personal episode, we discuss:The realities of kidney disease and why transplant isn't a cureThe challenges and gifts of life as a transplant recipientWhat it's like to live on dialysis while still trying to live a full lifeThe myths, misunderstandings, and hidden struggles of organ failureWhy organ donation matters and how you can save livesMarch is Kidney Month. If you enjoyed our conversation. If you learned something from our conversation, please consider taking action.Donate to The Kidney FoundationRegister to be an organ donorConnect with CristinaLinkedInInstagramCristina's DocumentariesPrison MomsThe Gun ChaseFighting TraffickDebt to SocietyBreaking Brethren Long Road HomeConnect With Us:Voices of Leadership PodcastInstagramLinkedInBespoke Productions WebsiteBespoke Productions InstagramThis episode is a part of Podcasthon 2025 – a global initiative raising awareness for charities worldwide.

The Infection Prevention & Transitions of Care is a four-part series developed by the ASN Nephrologists Transforming Dialysis Safety (NTDS) initiative, led by Dr. Tushar Chopra. In episode one, experts discuss infection prevention and dialysis challenges.

The Infection Prevention & Transitions of Care is a four-part series developed by the ASN Nephrologists Transforming Dialysis Safety (NTDS) initiative, led by Dr. Tushar Chopra. In episode one, experts discuss infection prevention and dialysis challenges.

Most people who go to in center hemodialysis require lifestyle adjustments to help them get the most out of their treatment while enjoying life. In this episode of Hot Topics in Kidney Health, we visit a hemodialysis center to hear from patients and professionals about what it's like to live on dialysis. In today's episode we heard from:  Michelle Massey, PCT Cassandra Watkins, Hemodialysis patient Reginald Gramling, Hemodialysis patient Gurley Benson, Charge Nurse at dialysis center Ebony McKinley, Dialysis social worker Belinda Benbow, Dialysis Facility Administrator William Henderson, Regional Vice President of Operations for the Capital Division for U.S. Renal Care Additional Resources: Hemodialysis Information Find Support with NKF Peers   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.  

The FiltrateJoel TopfJordy CohenNayan AroraSpecial Guest Katie Kwon @katiekwonmd.bsky.socialMariana Murea @MarianaMureaEditing bySimon Topf and Joel TopfShow NotesNephMadness at AJKDblog.orgThe Hemodialysis RegionVote for your favorites

The Clare branch of the Irish Kidney Assocation says it's "lobbying very hard" for a dialysis unit in Clare this World Kidney Day. In conjunction with the annual awareness day which has rolled around again, the Irish Kidney Association, or IKA, has launched its '1 in 10 People' campaign to shine a light on kidney health awareness. The campaign, according to the IKA, is intended to make people more aware of kidney-related health conditions. It's estimated that one in 10 people in Ireland and one in seven over the age of 50 are living with Chronic Kidney Disease or CKD. Of these, a startling 98% don't know they have the condition which is on track to be the fifth leading cause of death here by 2040. Clare people in need of renal care currently have to go either to University Hospital Limerick or its satellite centre on the Dock Road in Limerick. While the HSE had at one point said Ennis Hospital would have a dialysis unit by the end of this year, this has now been pushed back to November 2026. Chairperson of the Clare branch of the IKA Dermot Hayes people here are travelling an exceptional distance to access the care they need. At this week's meeting of Clare County Council, Clarecastle Sinn Féín Councillor Tommy Guilfoyle tabled a motion seeking clarity on the delivery of the Ennis dialysis unit. Specifically, he's requested a precise timeline on the commencement of services, confirmation of its location, details of the contractor and confirmation of the project's current status. He says many in this county are confused and need answers as a matter of urgency.

The ASN Kidney Health Guidance on the Outpatient Management of Patients with Dialysis-Requiring Acute Kidney Injury provides strategies to optimize recovery, implement individualized care, and coordinate best practices in AKI-D management.

Kent Bresler shares his personal journey through kidney disease, including his experiences with a kidney transplant, dialysis, and the challenges he faced with a recent health scare. With a focus on resilience and the importance of regular medical check-ups, Kent offers insights into navigating life after a transplant and the significance of community support. Join us for an inspiring discussion that emphasizes the power of faith, advocacy, and the human spirit in overcoming life's hurdles. For more information on Kidney Solutions and to join their supportive community, visit https://kidneysolutions.org/ Host: Kent Bresler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!

How can you tell if your sniffles are just allergies or something worse? Should men be living in colder climates? The medical field is helping to increase access to clean water. Your smart watch may not be as great for your health as you thought. Learn More: https://radiohealthjournal.org/medical-notes-why-hopeful-fathers-should-live-in-cold-weather-how-dialysis-is-improving-access-to-clean-water-and-the-dangers-of-using-a-smartwatch Learn more about your ad choices. Visit megaphone.fm/adchoices

Ireland's first pet blood dialysis machine is currently being set up, but now the vets behind the project are looking for dogs and cats to donate blood.Joining guest host Tom Dunne to discuss is Laura Cuddy, Director of Veterinary Specialists Ireland, based in Meath…

Contributor: Aaron Lessen, MD Educational Pearls: Colchicine is most commonly used for the prevention and treatment of gout There is research investigating the anti-inflammatory and cardioprotective effects of colchicine  This drug has a narrow therapeutic index: a small margin between effective dose and toxic dose Colchicine overdoses can be unintentional or intentional and are associated with poor outcomes Phase 1: 10 - 24 hours after ingestion Patient looks well but may have mild symptoms mimicking gastroenteritis Phase 2: 24 hours - 7 days after ingestion Multiple organ dysfunction syndrome (MODS) Phase 3: recovery is usually within a few weeks of ingestion Treatment for colchicine overdose Treat early and aggressively Gastrointestinal decontamination with activated charcoal and orogastric lavage  Dialysis and ECMO for MODS treatment References Finkelstein Y, Aks SE, Hutson JR, Juurlink DN, Nguyen P, Dubnov-Raz G, Pollak U, Koren G, Bentur Y. Colchicine poisoning: the dark side of an ancient drug. Clin Toxicol (Phila). 2010 Jun;48(5):407-14. doi: 10.3109/15563650.2010.495348. PMID: 20586571. Gasparyan AY, Ayvazyan L, Yessirkepov M, Kitas GD. Colchicine as an anti-inflammatory and cardioprotective agent. Expert Opin Drug Metab Toxicol. 2015;11(11):1781-94. doi: 10.1517/17425255.2015.1076391. Epub 2015 Aug 4. PMID: 26239119. Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

Given the challenges that our dialysis patients face, how can we as providers stay sharp with the latest access techniques to help ensure the best possible outcomes? Dr. Omar Davis (interventional nephrologist) and Dr. Ari Kramer (general surgeon) join host Dr. Chris Beck to discuss advanced approaches to AV access and share their experiences with the FLEX Vessel Prep device. --- This podcast is supported by: VentureMed FLEX Vessel Prep https://www.venturemedgroup.com/ --- SYNPOSIS The doctors begin by describing how they create dialysis access and what they account for during the procedure. They then focus on the role of the FLEX VP system, its benefits, and how they use it in practice, touching on the latest clinical data. Dr. Kramer and Dr. Davis also stress the importance of mental health in dialysis care and share ways that we can better support our patients through difficult diagnoses and treatments. In fact, one of their patients, Fred Hill, authored the book “Dialysis Is Not Your Life,” which offers a unique perspective for patients feeling overburdened by dialysis, and the healthcare providers who treat them. The episode concludes with case presentations and practical guidance on when to use the FLEX Vessel Prep system. --- TIMESTAMPS 00:00 - Introduction 07:00 - AV Access and Procedures 10:58 - Case Walkthrough 14:19 - Balloon Angioplasty and IVUS 24:43 - Flex VP Device and Vessel Prep 35:03 - Algorithm and Reimbursement Challenges 39:51 - Device Usage and Techniques 46:58 - Clinical Data and Outcomes 01:01:59 - Case Studies --- RESOURCES Fred Hill, “Dialysis Is Not Your Life” Founder and Author: https://www.dialysisisnotyourlife.com/meet-founder.php “Dialysis Is Not Your Life” Book: https://www.amazon.com/DIALYSIS-NOT-YOUR-LIFE-Redefine/dp/B09L4XGGNX Novel Device Prior to Balloon Angioplasty for Dysfunctional Arteriovenous Access: Analysis of a Real-World Registry by Race and Sex Cohorts: https://www.openaccessjournals.com/articles/novel-device-prior-to-balloon-angioplasty-for-dysfunctional-arteriovenousaccess-analysis-of-a-realworld-registry-by-race-and-sex-16852.html FLEX Vessel Prep 12 Month AV Registry Data and 12 Month Belong PAD Data Shows Benefit to Micro-incisions Before Balloon or DCB Treatment: https://www.venturemedgroup.com/wp-content/uploads/2022/12/VEITH-Data-FINAL.pdf Angioplasty with novel, easy-to-use, bladed Flex Vessel Prep system “could replace standard of care”: https://www.youtube.com/watch?v=iRpkrURx1mc Surgical AVF Articles Atlas Condensed - sAVF Overview - Creation Maturation and Difficulties: https://docs.google.com/document/d/1f26FT65s03oZjjeZhBVy8auz0h8PTNvX3CWU5Xi_H5c/edit?usp=share_link Surgical AVF Articles Asif A, Early Arteriovenous fistula failure: https://drive.google.com/file/d/1zZEWgxsdBM4MKCQFjw0U04ra_hB9Ey_N/view?usp=share_link Surgical AVF Articles Asif A - Best Vascular Access in the Elderly - Time for Innovation: https://drive.google.com/file/d/1IpH-KnZyfN5Rqm_kxLnERnEJD6vcjAO8/view?usp=sharing Surgical AVF Articles EV Today - Managing Cephalic Arch Stenosis: https://drive.google.com/file/d/17yVd2M706YCtX-xTK6teesgZqzVIgUoN/view?usp=share_link VentureMed 2024 FLEX Vessel Prep System Reimbursement Guide: https://www.venturemedgroup.com/wp-content/uploads/2024/04/MMA-CTO-15690_FlexVesselPrepSystem-BillingGuide_Lv6-003.pdf BackTable VI Podcast Episode #139 - AV Fistula & Graft Maintenance with Dr. Ari Kramer: https://www.backtable.com/shows/vi/podcasts/139/av-fistula-graft-maintenance BackTable VI Podcast Episode #292 - Dialysis Interventions with Drug-Coated Balloons, Covered Stents and More with Dr. Ari Kramer: https://www.backtable.com/shows/vi/podcasts/292/dialysis-interventions-with-drug-coated-balloons-covered-stents-more

Austin Lees journey with kidney disease began before he was even born. Lori first met Austin when he traveled from DC as a teenager to attend the Renal Teen Prom. Overcoming anxiety and depression, Austin has transformed into a powerful advocate for others facing similar challenges. Tune in to discover how he turned adversity into empowerment and continues to inspire his peers.

Lana Devine, 20-year-old who suffers from kidney failure; Timmy Dooley, Minister of State for Fisheries & the Marine; Matt Carthy, Sinn Féin TD for Cavan-Monaghan; Jennifer Whitmore, Social Democrats TD for Wicklow

This week on the Hunt Lift Eat Podcast, Carter and Kerri are back in the recording dungeon with a guest who defines perseverance—Scott Jernigan. From battling kidney disease since birth to carrying his dialysis machine into the woods just to chase whitetails, Scott's journey is nothing short of incredible.We talk about the power of hunting as a healing force, the importance of mindset, and the drive to help others—whether it's youth hunters, special needs hunts, or fellow outdoorsmen finding purpose through the pursuit. Scott shares how his passion for the outdoors helped him push through some of life's toughest moments and why he's now focused on giving back.We also get into bow setups, arrow builds, and a shared dream of chasing elk in the western backcountry. If you need a dose of motivation and a reminder to get after it—no excuses—this episode is for you.

Much like our host Lori, Michael Jiuliano faced the challenges of kidney disease from a young age. In a spirited and heartfelt conversation, they delve into their childhood experiences"navigating numerous treatments and hospital stays, and the impact these had on their relationships with peers. Listen in to learn how these early encounters not only shaped their lives but forged a resilience that continues to define them today.

Show notes at pharmacyjoe.com/episode995. In this episode, I’ll discuss when dialysis is recommended to be used to treat ethylene glycol poisoning. The post 995: Expert Recommendations For Using Dialysis to Treat Ethylene Glycol Poisoning appeared first on Pharmacy Joe.

CME credits: 0.50 Valid until: 24-01-2026 Claim your CME credit at https://reachmd.com/programs/cme/preparing-the-patient-with-decompensated-cirrhosis-for-liver-transplant-icu-discussions-considerations-and-dialysis/26987/ In patients with cirrhosis and kidney dysfunction who are candidates for liver transplantation, transplant decisions are impacted by kidney function impacting MELD scores. This podcast explores ICU management of these patients, including the use of dialysis, and emphasizes the importance of considering multiple factors such as the etiology of liver disease, presence of chronic kidney disease, and individual patient characteristics. The experts highlight recent changes in transplant criteria, particularly for alcoholic hepatitis patients, and discuss the challenges of managing an increasingly diverse patient population ranging from young alcohol-related liver disease patients to older patients with metabolic-associated liver disease and multiple comorbidities. =

Nephrologist Manjula Tamura discusses the downsides of kidney dialysis, especially for old or frail patients. Her field has set its sights on offering alternatives, including supportive medical management without dialysis, dialysis in increments, wearable artificial kidneys, and transplanted kidneys from genetically modified pigs – in addition to advances in preventive care that can help humans avoid kidney failure in the first place. Dialysis can extend life, she says, but it is a lifestyle change. The goal is to ensure that every patient's choice aligns with their values and life goals, Tamura tells host Russ Altman in this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your quest. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Manjula Kurella TamuraConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces guest, Manjula Tamura, a professor of medicine and nephrology at Stanford University Medical School.(00:02:58) The Kidney's Vital RoleThe kidney's role and why its failure is life-threatening.(00:04:51) Causes of Kidney FailureThe leading causes of kidney failure in developed countries.(00:07:58) Kidney TransplantationThe feasibility, barriers, and supply challenges of kidney transplantation.(00:09:50) The Dialysis ProcessHow hemodialysis and peritoneal dialysis work and patient experiences.(00:14:07) The Evolution of Dialysis TreatmentThe history of dialysis and how Medicare's expansion influenced its use.(00:18:48) Study Design: Emulating Clinical TrialsUsing VA electronic health records to simulate trials on dialysis.(00:25:31) Findings: Survival vs. Time at HomeThe trade-offs between extended survival and reduced time at home.(00:27:02) Quality of Life and DialysisMeasuring quality of life impacts through electronic health records.(00:30:32) The Future of Kidney TreatmentsInnovations like xenotransplantation and wearable artificial kidneys.(00:33:04) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook

CME credits: 1.00 Valid until: 10-01-2026 Claim your CME credit at https://reachmd.com/programs/cme/clarifying-the-myth-phosphate-removal-during-dialysis/29524/ Providers managing hyperphosphatemia in patients with CKD who are on dialysis may be challenged when it comes to diagnosis, treatment, and management. Learn about the pathophysiology, key diagnostic markers, and the latest in clinical trial data in this multispecialty faculty program.

We’re bringing back one of our most popular episodes from 2024—because it’s that good! Join Wendy Jones on Next Steps 4 Seniors: Conversations on Aging as she welcomes Charles Dunn and Ryan Height to explore the fascinating world of kidney health and dialysis. In this enlightening episode, discover how your kidneys work, common causes of decline, and practical steps you can take today to prevent kidney failure. From simple dietary tweaks to understanding optimal water intake, we cover it all! Plus, learn the essential role of nutrition and the key numbers to monitor for kidney function. And don’t miss our deep dive into dialysis options, including innovative onsite solutions for assisted living communities. With so much valuable information, this is an episode you’ll want to revisit again and again. Download now and rediscover the tips that made this one of our best episodes of the year! Support our mission: https://nextsteps4seniors.com/See omnystudio.com/listener for privacy information.

Commentary by Dr. Jian'an Wang.

Commentary by Dr. Yasushi Ueki.

Guest: Dr. Christian de Virgilio is the Chair of the Department of Surgery at Harbor-UCLA Medical Center. He is also Co-Chair of the College of Applied Anatomy and a Professor of Surgery at UCLA's David Geffen School of Medicine. He completed his undergraduate degree in Biology at Loyola Marymount University and earned his medical degree from UCLA. He then completed his residency in General Surgery at UCLA-Harbor Medical Center followed by a fellowship in Vascular Surgery at the Mayo Clinic.   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/    Outline: Steal Syndrome Definition & Etiology Steal syndrome is an important complication of AV access creation, since access creation diverts arterial blood flow from the hand. Steal can be caused by multiple factors—arterial occlusive disease proximal or distal to the AV anastomosis, high flow through the fistula at the expense of distal arterial perfusion, and failure of the distal arterial networks to adapt to this decreased blood flow.  Incidence and Risk Factors The frequency of steal syndrome is 1.6-9%1,2, depending on the vessels and conduit choice Steal syndrome is more common with brachial and axillary artery-based accesses and nonautogenous conduits. Other risk factors for steal syndrome are peripheral vascular disease, coronary artery disease, diabetes, advanced age, female sex, larger outflow conduit, multiple prior permanent access procedures, and prior episodes of steal.3,4  Long-standing insulin-dependent diabetes causes both medial calcinosis and peripheral neuropathy, which limits arteries' ability to vasodilate and adjust to decreased blood flow. Patient Presentation, Symptoms, Grading Steal syndrome is diagnosed clinically.  Symptoms after AVG creation occurs within the first few days, since flow in prosthetic grafts tend to reach a maximum value very early after creation. Native AVFs take time to mature and flow will slowly increase overtime, leading to more insidious onset of symptoms that can take months or years. The patient should have a unilateral complaint in the extremity with the AV access. Symptoms of steal syndrome, in order of increasing severity, include nail changes, occasional tingling, extremity coolness, numbness in fingertips and hands, muscle weakness, rest pain, sensory and motor deficits, fingertip ulcerations, and tissue loss.  There could be a weakened radial pulse or weak Doppler signal on the affected side, and these will become stronger after compression of the AV outflow. Symptoms are graded on a scale specified by Society of Vascular Surgery (SVS) reporting standards:5  Workup Duplex ultrasound can be used to analyze flow volumes. A high flow volume (in autogenous accesses greater than 800 mL/min, in nonautogenous accesses greater than 1200 mL/min) signifies an outflow issue. The vein or graft is acting as a pressure sink and stealing blood from the distal artery. A low flow volume signifies an inflow issue, meaning that there is a proximal arterial lesion preventing blood from reaching the distal artery. Upper extremity angiogram can identify proximal arterial lesions. Prevention Create the AV access as distal as possible, in order to preserve arterial inflow to the hand and reduce the anastomosis size and outflow diameter.  SVS guidelines recommend a 4-6mm arteriotomy diameter to balance the need for sufficient access flow with the risk of steal. If a graft is necessary, tapered prosthetic grafts are sometimes used in patients with steal risk factors, using the smaller end of the graft placed at the arterial anastomosis, although this has not yet been proven to reduce the incidence of steal.  Indications for Treatment Intervention is recommended in lifestyle-limiting cases of Grade II and all Grade III steal cases. If left untreated, the natural history of steal syndrome can result in chronic limb ischemia, causing gangrene with loss of digits or limbs. Treatment Options Conservative management relies on observation and monitoring, as mild cases of steal syndrome may resolve spontaneously. Inflow stenosis can be treated with endovascular intervention (angioplasty with or without stent) Ligation is the simplest surgical treatment, and it results in loss of the AV access. This is preferred in patients with repetitive failed salvage attempts, venous hypertension, and poor prognoses. Flow limiting procedures can address high volumes through the AV access. Banding can be performed with surgical cutdown and placement of polypropylene sutures or a Dacron patch around the vein or graft. The Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER) technique employs a percutaneous endoluminal balloon inflated at the AVF to ensure consistency in diameter while banding Plication is when a side-biting running stitch is used to narrow lumen of the vein near the anastomosis. A downside of flow-limiting procedures is that it is often difficult to determine how much to narrow the AV access, as these procedures carry a risk of outflow thrombosis. There are also surgical treatments focused on reroute arterial inflow. The distal revascularization and interval ligation (DRIL) procedure involves creation of a new bypass connecting arterial segments proximal and distal to the AV anastomosis, with ligation of the native artery between the AV anastomosis and the distal anastomosis of the bypass. Reversed saphenous vein with a diameter greater than 3mm is the preferred conduit. Arm vein or prosthetic grafts can be used if needed, but prosthetic material carries higher risk of thrombosis. The new arterial bypass creates a low resistance pathway that increases flow to distal arterial beds, and interval arterial ligation eliminates retrograde flow through the distal artery.  The major risk of this procedure is bypass thrombosis, which results in loss of native arterial flow and hand ischemia. Other drawbacks of DRIL include procedural difficulty with smaller arterial anastomoses, sacrifice of saphenous or arm veins, and decreased fistula flow. Another possible revision surgery is revision using distal inflow (RUDI). This procedure involves ligation of the fistula at the anastomosis and use of a conduit to connect the outflow vein to a distal artery. The selected distal artery can be the proximal radial or ulnar artery, depending on the preoperative duplex. The more dominant vessel should be spared, allowing for distal arterial beds to have uninterrupted antegrade perfusion. The nondominant vessel is used as distal inflow for the AV access. RUDI increases access length and decreases access diameter, resulting in increased resistance and lower flow volume through the fistula. Unlike DRIL, RUDI preserves native arterial flow.  Thrombosis of the conduit would put the fistula at risk, rather than the native artery.  The last surgical revision procedure for steal is proximalization of arterial inflow (PAI). In this procedure, the vein is ligated distal to the original anastomosis site and flow is re-established through the fistula with a PTFE interposition graft anastomosed end-to-side with the more proximal axillary artery and end-to-end with the distal vein. Similar to RUDI, PAI increases the length and decreases the diameter of the outflow conduit. Since the axillary artery has a larger diameter than the brachial artery, there is a less significant pressure drop across the arterial anastomosis site and less steal. PAI allows for preservation of native artery's continuity and does not require vein harvest.  Difficulties with PAI arise when deciding the length of the interposition graft to balance AV flow with distal arterial flow. 2. Ischemic Monomelic Neuropathy Definition Ischemic monomelic neuropathy (IMN) is a rare but serious form of steal that involves nerve ischemia. Severe sensorimotor dysfunction is experienced immediately after AV access creation. Etiology IMN affects blood flow to the nerves, but not the skin or muscles because peripheral nerve fibers are more vulnerable to ischemia. Incidence and Risk Factors IMN is very rare; it has an estimated incidence of 0.1-0.5% of AV access creations.6 IMN has only been reported in brachial artery-based accesses, since the brachial artery is the sole arterial inflow for distal arteries feeding all forearm nerves. IMN is associated with diabetes, peripheral vascular disease, and preexisting peripheral neuropathy that is associated with either of the conditions. Patient Presentation Symptoms usually present rapidly, within minutes to hours after AV access creation. The most common presenting symptom is severe, constant, and deep burning pain of the distal forearm and hand. Patients also report impairment of all sensation, weakness, and hand paralysis. Diagnosis of IMN can be delayed due to misattribution of symptoms to anesthetic blockade, postoperative pain, preexisting neuropathy, a heavily bandaged arm precluding neurologic examination. Treatment Treatment is immediate ligation of the AV access. Delay in treatment will quickly result in permanent sensorimotor loss.   3. Perigraft Seroma Definition A perigraft seroma is a sterile fluid collection surrounding a vascular prosthesis and is enclosed within a pseudomembrane. Etiology and Incidence Possible etiologies include: transudative movement of fluid through the graft material, serous fluid collection from traumatized connective tissues (especially the from higher adipose tissue content in the upper arm), inhibition of fibroblast growth with associated failure of the tissue to incorporate the graft, graft “wetting” or kinking during initial operation, increased flow rates, decreased hematocrit causing oncotic pressure difference, or allergy to graft material. Seromas most commonly form at anastomosis sites in the early postoperative period. Overall seroma incidence rates after AV graft placement range from 1.7–4% and are more common in grafts placed in the upper arm (compared to the forearm) and Dacron grafts (compared to PTFE grafts).7-9 Patient Presentation and Workup Physical exam can show a subcutaneous raised palpable fluid mass Seromas can be seen with ultrasound, but it is difficult to differentiate between the types of fluid around the graft (seroma vs. hematoma vs. abscess) Indications for Treatment Seromas can lead to wound dehiscence, pressure necrosis and erosion through skin, and loss of available puncture area for hemodialysis Persistent seromas can also serve as a nidus for infection. The Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines10 recommend a tailored approach to seroma management, with more aggressive surgical interventions being necessary for persistent, infected-appearing, or late-developing seromas.   Treatment The majority of early postoperative seromas are self-limited and tend to resolve on their own Persistent seromas have been treated using a variety of  methods-- incision and evacuation of seroma, complete excision and replacement of the entire graft, and primary bypass of the involved graft segment only. Graft replacement with new material and rerouting through a different tissue plane has a higher reported cure rate and lower rate of infection than aspiration alone.9     4. Infection Incidence and Etiology The reported incidence of infection ranges 4-20% in AVG, which is significantly higher than the rate of infection of 0.56-5% in AVF.11  Infection can occur at the time of access creation (earliest presentation), after cannulation for dialysis (later infection), or secondary to another infectious source. Infection can also further complicate a pre-existing access site issue such as infection of a hematoma, thrombosed pseudoaneurysm, or seroma. Skin flora from frequent dialysis cannulations result in common pathogens being Staphylococcus, Pseudomonas, or polymicrobial species. Staphylococcus and Pseudomonas are highly virulent and likely to cause anastomotic disruption. Patient Presentation and Workup Physical exam will reveal warmth, pain, swelling, erythema, induration, drainage, or pus. Occasionally, patients have nonspecific manifestations of fever or leukocytosis. Ultrasound can be used to screen for and determine the extent of graft involvement by the infection.   Treatments In AV fistulas: Localized infection can usually be managed with broad spectrum antibiotics.  If there are bleeding concerns or infection is seen near the anastomosis site, the fistula should be ligated and re-created in a clean field. In AV grafts: If infection is localized, partial graft excision is acceptable. Total graft excision is recommended if the infection is present throughout the entire graft, involves the anastomoses, occludes the access, or contains particularly virulent organisms Total graft excision may also be indicated if a patient develops recurrent bacteremia with no other infectious source identified. For graft excision, the venous end of the graft is removed and the vein is oversewn or ligated. If the arterial anastomosis is intact, a small cuff of the graft can be left behind and oversewn. If the arterial anastomosis is involved, the arterial wall must be debrided and ligation, reconstruction with autogenous patch angioplasty, or arterial bypass can be pursued. References   1. Morsy AH, Kulbaski M, Chen C, Isiklar H, Lumsden AB. Incidence and Characteristics of Patients with Hand Ischemia after a Hemodialysis Access Procedure. J Surg Res. 1998;74(1):8-10. doi:10.1006/jsre.1997.5206 2. Ballard JL, Bunt TJ, Malone JM. Major complications of angioaccess surgery. Am J Surg. 1992;164(3):229-232. doi:10.1016/S0002-9610(05)81076-1 3. Valentine RJ, Bouch CW, Scott DJ, et al. Do preoperative finger pressures predict early arterial steal in hemodialysis access patients? A prospective analysis. J Vasc Surg. 2002;36(2):351-356. doi:10.1067/mva.2002.125848 4. Malik J, Tuka V, Kasalova Z, et al. Understanding the Dialysis access Steal Syndrome. A Review of the Etiologies, Diagnosis, Prevention and Treatment Strategies. J Vasc Access. 2008;9(3):155-166. doi:10.1177/112972980800900301 5. Sidawy AN, Gray R, Besarab A, et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025 6. Thermann F, Kornhuber M. Ischemic Monomelic Neuropathy: A Rare but Important Complication after Hemodialysis Access Placement - a Review. J Vasc Access. 2011;12(2):113-119. doi:10.5301/JVA.2011.6365 7. Dauria DM, Dyk P, Garvin P. Incidence and Management of Seroma after Arteriovenous Graft Placement. J Am Coll Surg. 2006;203(4):506-511. doi:10.1016/j.jamcollsurg.2006.06.002 8. Gargiulo NJ, Veith FJ, Scher LA, Lipsitz EC, Suggs WD, Benros RM. Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas. J Vasc Surg. 2008;48(1):216-217. doi:10.1016/j.jvs.2008.01.046 9. Blumenberg RM, Gelfand ML, Dale WA. Perigraft seromas complicating arterial grafts. Surgery. 1985;97(2):194-204. 10. Lok CE, Huber TS, Lee T, et al. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. Am J Kidney Dis. 2020;75(4):S1-S164. doi:10.1053/j.ajkd.2019.12.001 11. Padberg FT, Calligaro KD, Sidawy AN. Complications of arteriovenous hemodialysis access: Recognition and management. J Vasc Surg. 2008;48(5):S55-S80. doi:10.1016/j.jvs.2008.08.067

JAMA Deputy Editor Mary McDermott, MD, and JAMA Deputy Editor Kristin Walter, MD, MS, highlight their selections of top JAMA 2024 Clinical Reviews podcasts. Related Content: Dialysis for Chronic Kidney Failure (podcast) Diagnosis and Treatment of Community-Acquired Pneumonia (CAP) (podcast) Obesity Medications (podcast) Dialysis for Chronic Kidney Failure Community-Acquired Pneumonia Medications for Obesity

In this podcast, Lori Hartwell chats with Dr. Paul Kimmel, a prominent nephrologist, to explore the valuable insights found in his book, The Bodys Keepers: A Social History of Kidney Failure and Its Treatments. Together, they examine the history of kidney disease, addressing the emotional challenges faced by patients, the significant advancements in treatment, and the continuing inequities in kidney care. This discussion underscores both the progress achieved in the field and the persistent gaps that remain, offering a thorough overview of how far we have come and the journey that still lies ahead.

Join Dr. Gerry Clancy and his guest, Dr. Jason Misurac, for a discussion of the potential for artificial intelligence to improve patient care and reduce clinician burnout, as well as acknowledgment of its limitations and potential harms. CME Credit Available:  https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=72393  References/Resources:  https://link.springer.com/article/10.1186/s12911-021-01488-9 The role of artificial intelligence in healthcare: a structured literature review Silvana Secinaro, Davide Calandra, Aurelio Secinaro, Vivek Muthurangu & Paolo Biancone Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guest: Jason Misurac, MD Clinical Associate Professor of Pediatrics -Nephrology, Dialysis and Transplantation University of Iowa Carver College of Medicine Financial Disclosures:  Dr. Gerard Clancy, Dr. Jason Misurac, and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit.  UAN: JA0000310-0000-24-089-H99-P Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)  

Today, Rabbi Joshua spends a few minutes talking with some members of the Street Outreach and Housing team to find out the latest goings on. We hear about increasing numbers of families without homes, people starting to suffer from the cold, and, in some positive news, how there are new permanent supporting housing units becoming available. Support the work of FID:https://friendsindeedpas.org/donate-to-friends-in-deed/

Because of medical advances, kidney failure is no longer a death sentence. Today, those with kidney failure have treatment options like dialysis and kidney transplantation. Unfortunately, many aren't aware that home hemodialysis or peritoneal dialysis treatments are available. What is peritoneal dialysis and who can benefit from it? Today, Britney Dickerson, dialysis patient, and Jenny Wilson, Davita's regional director of home dialysis in New York City, are here to break it down. Jennie Wilson, MSN, RN has been working in Home Dialysis for over a decade and currently oversees several centers in the New York Metro Area that provide training and care to home dialysis patients. Her interest in population health and healthy equity has led to her passion for educating patients on their dialysis modality options. She has partnered with the National Kidney Foundation on various projects to share the clinical and lifestyle benefits of home dialysis. Brittany Dickerson- I am a dedicated mother, motivational speaker, and compassionate life coach living with Polycystic Kidney Disease (PKD). I use my kidney failure battle to educate and help others regarding kidney disease and transplantation. My personal journey has fueled my passion for helping others navigate life's challenges with courage and grace. Through partnership with the National Kidney Foundation, I have had the opportunity to mentor others and to be a guest for the National Kidney Foundation Podcast channel. My dedication to kidney awareness has led me to pursue becoming a National Kidney Foundation Advocate. I use my voice to spread my powerful message of perseverance and hope. My goal is to continue making an impact on individuals facing adversity, offering guidance, support, and being a shining example of strength in the face of hardship.    Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.

We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we're going to focus upstream on the decision to initiate dialysis vs conservative kidney management. As background, we discuss Manju Kurella Tamura's landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursing home residents who initiate dialysis.  If the purpose of initiating dialysis is improving function - our complex, frail, older patients are likely to be disappointed. We also briefly mention Susan Wong's terrific studies that found a disconnect between older adults with renal failure's expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course. One final briefly mentioned piece of background: John Oliver's hilarious and disturbing takedown of the for profit dialysis industry, focused on DaVita. And the main topic of today is a paper in Annals of Internal Medicine, Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management.   Turns out, in summary people who initiate dialysis have mildly longer lives, but spend more time in facilities, away from home.  We also discuss (without trying to get too wonky!) immortal time bias and target emulation trials. Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!? Eric is skeptical. Bottom line: if faced with the decision to initiate dialysis, waiting is generally better.  Let it be (hint hint). -Additional link to study with heatmaps of specific locations (hospital, nursing home, home) after initiating dialysis. -@AlexSmithMD

A new service at Taranaki Base Hospital is transforming the life an Opunake farmer. Mark Walsh has had kidney function issues most of his life and travelled out of region for specialist dialysis treatment sometimes twice a week - but not any more. Taranaki Whanganui reporter Robin Martin explains.

Send us a textBen and Daphna sit down with Sofia Perazzo and Jenny Rumpel to explore the advancements in kidney care at the CHNC. Sofia and Jenny highlight their work on renal replacement therapy (RRT) and NIRS, discussing new FDA-approved technologies and the push to standardize kidney monitoring in neonates. This conversation emphasizes the essential collaboration between neonatologists and nephrologists to address kidney injury and congenital renal disease more effectively. Tune in to hear how these advancements are shaping the future of neonatal kidney care and creating opportunities for improved patient outcomes.As 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!

Dr. Frita Fisher, who is triple board-certified in Nephrology, Internal Medicine, and Pediatrics, engages in a discussion with Lori Hartwell about the role of phosphorus and its impact on overall health. Join them as they explore what phosphorus is, why it is present in many foods, and why people with kidney disease are more likely to experience elevated phosphorus levels. They also cover the symptoms and health risks associated with high phosphorus levels, as well as both traditional and emerging treatment options to help maintain normal phosphorus levels for improved well-being.

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Chris Muth, MD, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from October 19-25, 2024.

In this heartfelt episode of Fritanga, we dive into the profound challenges of caregiving within Latino families. Host Antonio Tijerino shares personal reflections on the weight of caregiving, recalling his experience with his late mother and aging father. Joined by Yvette Peña, VP of Audience Strategy at AARP, Adrian Gaston Garcia, a queer Latine storyteller, and Alejandra Castillo, Fellow in Residence at the Institute of Politics at the Harvard Kennedy School, we explore the emotional, mental, and financial strains that come with caring for our aging loved ones. Through their stories, we highlight the cultural significance of family, respect, and unconditional love, while also discussing the complexities of guilt, expectations, and balancing our own well-being. This conversation offers practical advice on navigating caregiving, asking for help, and ensuring dignity for our loved ones, especially within the Latino community.AARP Resources for Caregivers: AARP provides free caregiving guides in English and Spanish. Access them at www.aarp.org/caregiverresourceguides.WATCH: Click here to watch this and other episodes on YouTube. FOLLOW: Follow us on Insta @FritangaPodcastCONNECT: For questions or guest recommendations, email us at Fritanga@HispanicHeritage.orgTEAM:Host: Antonio TijerinoExecutive Producer: Antonio Caro Senior Producer:  Connor Coleman Producer: Ambrose Davis 

Patrick tackles the tough topic of Same Sex Marriage as even though it's condoned by the state, it doesn't mean it's really a marriage.  Also, how does who are living in sinful lifestyle (married outside the Church, etc.) shouldn't be in a front facing position at the parish such as a lector, catechist, etc. Amy (1:01)-Email-Shares a situation at her church about a gay couple at her parish and thinking about moving parishes and Patrick shares his thoughts on that. Joseph (14:49)-Do you know if the Church has declared Saint Joseph sinless in his life? Sophia (15:48)-My mom is going through kidney failure and wants to be taken of Dialysis. Is that okay to do according to the Catholic Faith? Patrick (22:33)-A priest told me I didn't need not go to confession. I thought I needed it. How can I talk with him about this? Jude (28:14)-I work in hospice and our hospice has Medical Aid in Dying. Is that immoral for me to do? Brian (35:33)-Is it okay for priests to give a 'pre-Homily' at the beginning of Mass? Patrick shares this story (40:09) U.K.convicts pro-life veteran of thought crime for praying outside abortion clinic: https://www.washingtontimes.com/news/2024/oct/18/adam-smith-connor-convicted-in-uk-of-thought-crime/ Laura (46:07)-My kids play a game at school which talks about spells. What do you think? Resources General Instruction of the Roman Missal | USCCB

Today, the lads declare themselves the Nigel Benn and Chris Eubank of podcasting as they dive into the world of WWE and chat about Netflix's new Vince McMahon documentary.Later, a listener's eBay find sends Donny down a rabbit hole, as he wonders whether you could actually buy second-hand medical gear for a bit of at-home dialysis - don't worry, it's all hypothetical… we hope!Email: hello@lukeandpeteshow.com or you can get in touch on X, Threads or Instagram.***Please take the time to rate and review us on Apple, Spotify or wherever you get your pods. It means a great deal to the show and will make it easier for other potential listeners to find us. Thanks!*** Hosted on Acast. See acast.com/privacy for more information.

Selection of hemodialysis or peritoneal dialysis and timing of dialysis initiation are influenced by patient symptoms, laboratory trajectories, patient preferences, and therapy cost and availability; shared decision-making is key. Jennifer E. Flythe, MD, MPH, from the University of North Carolina, discusses dialysis for chronic kidney failure with JAMA Deputy Editor Kristin L. Walter, MD, MS. Related Content: Dialysis for Chronic Kidney Failure

Episode Summary: In this episode, we explore how the innovative Ice Buddy Cooler transforms from a disaster-relief tool into a must-have lifestyle product for tailgaters, campers, and adventurers. Learn how repurposing this versatile product for everyday and recreational use opens up new markets, creates predictable revenue, and builds a brand that goes beyond emergencies.To contact Antonio T. Smith Jr.https://www.facebook.com/theatsjrhttps://www.amazon.com/stores/Antonio-T.-Smith-Jr/author/B00M3MPVJ8https://www.linkedin.com/in/antoniotsmithjrhttps://antoniotsmithjr.comhttps://www.instagram.com/theatsjr Product Overview and FeaturesIce Buddy Cooler:A portable cooling system consisting of a cooler and a multi-functional backpack.Cooler: Designed to store food, medications (like insulin), and other perishables. Kosher and halal certified, with a food-grade dish for eating.Backpack (QPAC): Holds 120 ounces of water, a 10-pound bag of ice, or a dozen 16-ounce bottles. It has a spout for easy access to liquids and space for clothes and essential items.Potential Markets and UsesDisaster Relief and Medical Uses:Ideal for storing medications like insulin and other critical medical supplies during emergencies.Dialysis and medical transport for keeping necessary supplies cool.Everyday and Recreational Uses:Tailgating: Customizable with team logos, perfect for storing drinks at sports events.Hiking and Camping: Use as a water source or cooler while hiking or camping. Could be a Camelback alternative.Fishing and Hunting: For storing fish or game in the cooler.Military: Could be used to store water and medical supplies during deployment.Breastfeeding Mothers: Convenient for transporting breast milk.Survival and Tactical Gear:Emergency preparedness: Used during natural disasters like hurricanes and earthquakes.Portable bathroom: Potential to create biodegradable liners, making it useful during camping or hiking.Creative Marketing IdeasTargeting College Students:Promote Ice Buddy as a customizable cooler for college game days, especially with custom team logos.Target college tailgating and party culture to make it trendy and socially acceptable.Professional Partnerships:Use connections with NFL players, sports figures, and military personnel to market Ice Buddy as a multifunctional, rugged product.Brand Expansion:Baby Buddy: A smaller version for kids, appealing to parents for field trips or school activities.Customization for different niches: Outdoor brands like Bass Pro Shops, REI, or Camping World for campers and hunters.High School Football Teams: Offering Ice Buddy to sports teams for keeping water and beverages cool during games.Key Selling PointsMultifunctional Design: Can be used as a cooler, a backpack, and for storing water or food.Durability: Designed to withstand rugged conditions, suitable for military and outdoor use.Customization: Can be tailored for sports teams, military units, or other specific groups.Support this podcast at — https://redcircle.com/the-secret-to-success/exclusive-contentAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Episode Summary:In this episode, we dive deep into how to effectively market to your audience with bold and unapologetic messaging, featuring a live breakdown of John Nowinsky's latest project. Learn how daring creative choices and targeted messaging can transform your business into a brand that resonates deeply with the right customers.To contact Antonio T. Smith Jr.https://www.facebook.com/theatsjrhttps://www.amazon.com/stores/Antonio-T.-Smith-Jr/author/B00M3MPVJ8https://www.linkedin.com/in/antoniotsmithjrhttps://antoniotsmithjr.comhttps://www.instagram.com/theatsjr Product Overview and FeaturesIce Buddy Cooler:A portable cooling system consisting of a cooler and a multi-functional backpack.Cooler: Designed to store food, medications (like insulin), and other perishables. Kosher and halal certified, with a food-grade dish for eating.Backpack (QPAC): Holds 120 ounces of water, a 10-pound bag of ice, or a dozen 16-ounce bottles. It has a spout for easy access to liquids and space for clothes and essential items.Potential Markets and UsesDisaster Relief and Medical Uses:Ideal for storing medications like insulin and other critical medical supplies during emergencies.Dialysis and medical transport for keeping necessary supplies cool.Everyday and Recreational Uses:Tailgating: Customizable with team logos, perfect for storing drinks at sports events.Hiking and Camping: Use as a water source or cooler while hiking or camping. Could be a Camelback alternative.Fishing and Hunting: For storing fish or game in the cooler.Military: Could be used to store water and medical supplies during deployment.Breastfeeding Mothers: Convenient for transporting breast milk.Survival and Tactical Gear:Emergency preparedness: Used during natural disasters like hurricanes and earthquakes.Portable bathroom: Potential to create biodegradable liners, making it useful during camping or hiking.Creative Marketing IdeasTargeting College Students:Promote Ice Buddy as a customizable cooler for college game days, especially with custom team logos.Target college tailgating and party culture to make it trendy and socially acceptable.Professional Partnerships:Use connections with NFL players, sports figures, and military personnel to market Ice Buddy as a multifunctional, rugged product.Brand Expansion:Baby Buddy: A smaller version for kids, appealing to parents for field trips or school activities.Customization for different niches: Outdoor brands like Bass Pro Shops, REI, or Camping World for campers and hunters.High School Football Teams: Offering Ice Buddy to sports teams for keeping water and beverages cool during games.Key Selling PointsMultifunctional Design: Can be used as a cooler, a backpack, and for storing water or food.Durability: Designed to withstand rugged conditions, suitable for military and outdoor use.Customization: Can be tailored for sports teams, military units, or other specific groups.Support this podcast at — https://redcircle.com/the-secret-to-success/exclusive-contentAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Can an organism as simple as bacteria really anticipate seasonal changes? Weird Wednesday has an expensive dime, odd room service requests, interesting items found in hotels, and a message-in-a-bottle birthday wish come true. And on This Day in History – the history of dialysis. 'Ice bucket challenge' reveals that bacteria can anticipate the seasons | ScienceDaily Ohio family expects huge payout for rare coin hidden for decades | AP News Hotels reveal most unusual lost and found items, room service requests - UPI.com Hotel Room Innsights Report: Hotels.com Pulls Back the Covers on the Surprising World of Hotels - Expedia Newsrooms Visitor to Georgia island finds third-grader's message in a bottle - UPI.com Message in a bottle makes its way from Charleston to Georgia | News | postandcourier.com The History of Dialysis - DaVita Contact the show - coolstuffcommute@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Happy Monday! Sam and Emma speak with Anne Kim, contributing editor at Washington Monthly magazine, to discuss her recent book Poverty For Profit: How Corporations Get Rich off America's Poor. First, Sam and Emma run through updates on Trump-Harris polling, the fight over Harris' platform, continuing Israeli escalation in the Middle East, Russia's offensive, Iowa's abortion ban, Venezuela's election, environmental crisis, and the passing of Lewis Lapham, before parsing a little deeper through the GOP's panic over Trump's VP Flub with JD Vance. Anne Kim then joins, diving right into the role of one Emanuel Savas in publishing and popularizing the drive to privatize government services in their totality, pushing the budding neoliberal belief in the efficiency of the market, and successfully pushing his ideology all the way to the White House with the election of Ronald Reagan, before stepping back to look at what these social services entail – everything from prison to air traffic to healthcare – and how much of the US economy they make up. Expanding on this, Kim explores how the privatization of these social services aimed at impoverished communities results in astounding failures on the supply side, using examples from earned income tax credits, job training and the Job Corps, Medicaid/Medicare and Dialysis, and Section 8 Housing to demonstrate how the privatization of these services allows for easy capture of the market by for-profit providers, and results in exploitative institutions that push bad products onto people with little to no other choice. After tackling some of the more devastating material impacts of these failures of neoliberalism, Kim, Sam, and Emma wrap up by tackling the major ideological shift that is needed in US politics to rethink how and why we provide social services. And in the Fun Half: Sam and Emma unpack Israel's continuing war crimes in Gaza, shifting rhetoric on Israel in the West, and Jimmy Dore's insane take on why Trump is the true pro-Palestine candidate. They also dive deep into Biden's new plan to reform the Supreme Court, and the GOP's continuing struggle not to be obvious bigots about Kamala Harris. Barstool and Babylon Bee beef over JD Vance, enthusiasm for Harris is rising, plus, your calls and IMs! Check out Anne's book here: https://thenewpress.com/books/poverty-for-profit Follow Anne on Twitter here: https://x.com/Anne_S_Kim Become a member at JoinTheMajorityReport.com: https://fans.fm/majority/join Follow us on TikTok here!: https://www.tiktok.com/@majorityreportfm Check us out on Twitch here!: https://www.twitch.tv/themajorityreport Find our Rumble stream here!: https://rumble.com/user/majorityreport Check out our alt YouTube channel here!: https://www.youtube.com/majorityreportlive Join Sam on the Nation Magazine Cruise! 7 days in December 2024!!: https://nationcruise.com/mr/ Check out the "Repair Gaza" campaign courtesy of the Glia Project here: https://www.launchgood.com/campaign/rebuild_gaza_help_repair_and_rebuild_the_lives_and_work_of_our_glia_team#!/ Check out StrikeAid here!; https://strikeaid.com/ Gift a Majority Report subscription here: https://fans.fm/majority/gift Subscribe to the ESVN YouTube channel here: https://www.youtube.com/esvnshow Subscribe to the AMQuickie newsletter here: https://am-quickie.ghost.io/ Join the Majority Report Discord! http://majoritydiscord.com/ Get all your MR merch at our store: https://shop.majorityreportradio.com/ Get the free Majority Report App!: http://majority.fm/app Check out today's sponsors: Prolon: Right now, Prolon is offering The Majority Report with Sam Seder listeners 15% off their 5-day nutrition program. Go to https://ProlonLife.com/MAJORITY.  That's https://ProlonLife.com/MAJORITY for this special offer. Follow the Majority Report crew on Twitter: @SamSeder @EmmaVigeland @MattLech @BradKAlsop Check out Matt's show, Left Reckoning, on Youtube, and subscribe on Patreon! https://www.patreon.com/leftreckoning Check out Matt Binder's YouTube channel: https://www.youtube.com/mattbinder Subscribe to Brandon's show The Discourse on Patreon! https://www.patreon.com/ExpandTheDiscourse Check out Ava Raiza's music here! https://avaraiza.bandcamp.com/ The Majority Report with Sam Seder - https://majorityreportradio.com/