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Episode 210: Heat Stroke BasicsWritten by Jacob Dunn, MS4, American University of the Caribbean. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Definition:Heat stroke represents the most severe form of heat-related illness, characterized by a core body temperature exceeding 40°C (104°F) accompanied by central nervous system (CNS) dysfunction. Arreaza: Key element is the body temperature and altered mental status. Jacob: This life-threatening condition arises from the body's failure to dissipate heat effectively, often in the context of excessive environmental heat load or strenuous physical activity. Arreaza: You mentioned, it is a spectrum. What is the difference between heat exhaustion and heat stroke? Jacob: Unlike milder heat illnesses such as heat exhaustion, heat stroke involves multisystem organ dysfunction driven by direct thermal injury, systemic inflammation, and cytokine release. You can think of it as the body's thermostat breaking under extreme stress — leading to rapid, cascading failures if not addressed immediately. Arreaza: Tell us what you found out about the pathophysiology of heat stroke?Jacob: Pathophysiology: Under normal conditions, the body keeps its core temperature tightly controlled through sweating, vasodilation of skin blood vessels, and behavioral responses like seeking shade or drinking water. But in extreme heat or prolonged exertion, those mechanisms get overwhelmed.Once core temperature rises above about 40°C (104°F), the hypothalamus—the brain's thermostat—can't keep up. The body shifts from controlled thermoregulation to uncontrolled, passive heating. Heat stroke isn't just someone getting too hot—it's a full-blown failure of the body's heat-regulating system. Arreaza: So, it's interesting. the cell functions get affected at this point, several dangerous processes start happening at the same time.Jacob: Yes: Cellular Heat InjuryHigh temperatures disrupt proteins, enzymes, and cell membranes. Mitochondria start to fail, ATP production drops, and cells become leaky. This leads to direct tissue injury in vital organs like the brain, liver, kidneys, and heart.Arreaza: Yikes. Cytokines play a big role in the pathophysiology of heat stroke too. Jacob: Systemic Inflammatory ResponseHeat damages the gut barrier, allowing endotoxins to enter the bloodstream. This triggers a massive cytokine release—similar to sepsis. The result is widespread inflammation, endothelial injury, and microvascular collapse.Arreaza: What other systems are affected?Coagulation AbnormalitiesEndothelial damage activates the clotting cascade. Patients may develop a DIC-like picture: microthrombi forming in some areas while clotting factors get consumed in others. This contributes to organ dysfunction and bleeding.Circulatory CollapseAs the body shunts blood to the skin for cooling, perfusion to vital organs drops. Combine that with dehydration from sweating and fluid loss, and you get hypotension, decreased cardiac output, and worsening ischemia.Arreaza: And one of the key features is neurologic dysfunction.Jacob: Neurologic DysfunctionThe brain is extremely sensitive to heat. Encephalopathy, confusion, seizures, and coma occur because neurons malfunction at high temperatures. This is why altered mental status is the hallmark of true heat stroke.Arreaza: Cell injury, inflammation, coagulopathy, circulatory collapse and neurologic dysfunction. Jacob: Ultimately, heat stroke is a multisystem catastrophic event—a combination of thermal injury, inflammatory storm, coagulopathy, and circulatory collapse. Without rapid cooling and aggressive supportive care, these processes spiral into irreversible organ failure.Background and Types:Arreaza: Heat stroke is part of a spectrum of heat-related disorders—it is a true medical emergency. Mortality rate reaches 30%, even with optimal treatment. This mortality correlates directly with the duration of core hyperthermia. I'm reminded of the first time I heard about heat stroke in a baby who was left inside a car in the summer 2005. Jacob: There are two primary types: -nonexertional (classic) heat stroke, which develops insidiously over days and predominantly affects vulnerable populations like children, the elderly, and those with chronic illnesses during heat waves; -exertional heat stroke, which strikes rapidly in young, otherwise healthy individuals, often during intense exercise in hot, humid conditions. Arreaza: In our community, farm workers are especially at risk of heat stroke, but any person living in the Central Valley is basically at risk.Jacob: Risk factors amplify vulnerability across both types, including dehydration, cardiovascular disease, medications that impair sweating (e.g., anticholinergics), and acclimatization deficits. Notably, anhidrosis (lack of sweating) is common but not required for diagnosis. Hot, dry skin can signal the shift from heat exhaustion to stroke. Arreaza: What other conditions look like heat stroke?Differential Diagnosis:Jacob: Presenting with altered mental status and hyperthermia, heat stroke demands a broad differential to avoid missing mimics. -Environmental: heat exhaustion, syncope, or cramps. -Infectious etiologies like sepsis or meningitis must be ruled out. -Endocrine emergencies such as thyroid storm, pheochromocytoma, or diabetic ketoacidosis (DKA) can overlap. -Neurologic insults include cerebrovascular accident (CVA), hypothalamic lesions (bleeding or infarct), or status epilepticus. -Toxicologic culprits are plentiful—sympathomimetic or anticholinergic toxidromes, salicylate poisoning, serotonin syndrome, malignant hyperthermia, neuroleptic malignant syndrome (NMS), or even alcohol/benzodiazepine withdrawal. When it comes to differentials, it is always best to cast a wide net and think about what we could be missing if this is not heat stroke. Arreaza: Let's say we have a patient with hyperthermia and we have to assess him in the ER. What should we do to diagnose it?Jacob: Workup:Diagnosis is primarily clinical, hinging on documented hyperthermia (>40°C) plus CNS changes (e.g., confusion, delirium, seizures, coma) in a hot environment. Arreaza: No single lab confirms it, but targeted testing allows us to detect complications and rule out alternative diagnosis. Jacob: -Start with ECG to assess for dysrhythmias or ischemic changes (sinus tachycardia is classic; ST depressions or T-wave inversions may hint at myocardial strain). -Labs include complete blood count (CBC), comprehensive metabolic panel (electrolytes, renal function, liver enzymes), glucose, arterial blood gas, lactate (elevated in shock), coagulation studies (for disseminated intravascular coagulation, or DIC), creatine kinase (CK) and myoglobin (for rhabdomyolysis), and urinalysis. Toxicology screen if history suggests. Arreaza: I can imagine doing all this while trying to cool down the patient. What about imaging?-Imaging: chest X-ray for pulmonary issues, non-contrast head CT if neurologic concerns suggest edema or bleed (consider lumbar puncture if infection suspected). It is important to note that continuous core temperature monitoring—via rectal, esophageal, or bladder probe—is essential, not just peripheral skin checks. Arreaza: TreatmentManagement:Time is tissue here—initiate cooling en route, if possible, as delays skyrocket morbidity. ABCs first: secure airway (intubate if needed, favoring rocuronium over succinylcholine to avoid hyperkalemia risk), support breathing, and stabilize circulation. -Remove the patient from the heat source, strip clothing, and launch aggressive cooling to target 38-39°C (102-102°F) before halting to prevent rebound hypothermia. -For exertional cases, ice-water immersion reigns supreme—it's the fastest method, with immersion in cold water resulting in near-100% survival if started within 30 minutes. -Nonexertional benefits from evaporative cooling: mist with tepid water (15-25°C) plus fans for convective airflow. -Adjuncts include ice packs to neck, axillae, and groin; -room-temperature IV fluids (avoid cold initially to prevent shivering); -refractory cases, invasive options like peritoneal lavage, endovascular cooling catheters, or even ECMO. -Fluid resuscitation with lactated Ringer's or normal saline (250-500 mL boluses) protects kidneys and counters rhabdomyolysis—aim for urine output of 2-3 mL/kg/hour. Arreaza: What about medications?Jacob: Benzodiazepines (e.g., lorazepam) control agitation, seizures, or shivering; propofol or fentanyl if intubated. Avoid antipyretics like acetaminophen. For intubation, etomidate or ketamine as induction agents. Hypotension often resolves with cooling and fluids; if not, use dopamine or dobutamine over norepinephrine to avoid vasoconstriction. Jacob: What IV fluid is recommended/best for patients with heat stroke?Both lactated Ringer's solution and normal saline are recommended as initial IV fluids for rehydration, but balanced crystalloids such as LR are increasingly favored due to their lower risk of hyperchloremic metabolic acidosis and AKI. However, direct evidence comparing the two specifically in the setting of heat stroke is limited. Arreaza: Are cold IV fluids better/preferred over room temperature fluids?Cold IV fluids are recommended as an adjunctive therapy to help lower core temperature in heat stroke, but they should not delay or replace primary cooling methods such as cold-water immersion. Cold IV fluids can decrease core temperature more rapidly than room temperature fluids. For example, 30mL/kg bolus of chilled isotonic fluids at 4 degrees Celsius over 30 minutes can decrease core temperature by about 1 degree Celsius, compared to 0.5 degree Celsius with room temperature fluids. Arreaza: Getting cold IV sounds uncomfortable but necessary for those patients. Our favorite topic.Screening and Prevention:-Heat stroke prevention focuses on public health and individual awareness rather than routine testing. -High-risk groups—elderly, children, athletes, laborers, or those on impairing meds—should acclimatize gradually (7-14 days), hydrate preemptively (electrolyte solutions over plain water), and monitor temperature in exertional settings. -Communities during heat waves need cooling centers and alerts. -For clinicians, educate patients with CVD or obesity about early signs like dizziness or nausea. -No formal "screening" exists, but vigilance in EDs during summer surges saves lives. -Arreaza: I think awareness is a key element in prevention, so education of the public through traditional media like TV, and even social media can contribute to the prevention of this catastrophic condition.Jacob: Ya so heat stroke is something that should be on every physician's radar in the central valley especially in the summer time given the hot temperatures. Rapid recognition is key. Arreaza: Thanks, Jacob for this topic, and until next time, this is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! References:Gaudio FG, Grissom CK. Cooling Methods in Heat Stroke. J Emerg Med. 2016 Apr;50(4):607-16. doi: 10.1016/j.jemermed.2015.09.014. Epub 2015 Oct 31. PMID: 26525947. https://pubmed.ncbi.nlm.nih.gov/26525947/.Platt, M. A., & LoVecchio, F. (n.d.). Nonexertional classic heat stroke in adults. In UpToDate. Retrieved September 7, 2025, from https://www.uptodate.com/contents/nonexertional-classic-heat-stroke-in-adults. (Key addition: Emphasizes insidious onset in at-risk populations and the role of urban heat islands in exacerbating classic cases.) Heat Stroke. WikEM. Retrieved December 3, 2025, from https://wikem.org/wiki/Heat_stroke. (Key additions: Details on cooling rates for immersion therapy, confirmation that anhidrosis is not diagnostic, and fluid titration to urine output for rhabdomyolysis prevention.)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
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The GIJOE Holiday Special was produced by Joe Slepski and Ted Jacobson Written by Joe Slepski Musical Segments produced by Ted Jacobson All GIJOE characters are owned by Hasbro and celebrity voices were impersonated. Except Santa Claus. He's very real. This is a loving tribute to our favorite afterschool cartoon, filtered through the legendary Star Wars Holiday Special and an absolute joy to put together due to the incredible talents of our cast. Derrick LeMont (Alpine) is a super talented actor and delight to work with, based out of Los Angeles. You've seen him on Black Lightning and the TV series Them! Check out his IMDB page and follow him! Rammel Chan (Quick Kick) is one of my great creative friends, who took time from his busy stage and screen career (Chicago Med, Somebody Somewhere, I Used to Go Here) to lend us his brilliance. Watch his IMDB page for some exciting new ventures! 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This time she brought the effervescent and iconic Mary Lou Retton to pre-recorded life. Brilliant! Rebekah Walendzak Slepski (Cover Girl) Toilet'eel herself brought our favorite Wolverine driver to life. Rebekah is as talented as she is lovely, sharp witted and the kindest sketch comedy instructor/union organizer/actress/writer/director you'll ever meet. None of this would happen without her, so blame her. And as always, I thank you listeners for your years of support, as we head into our 10th year of doing Joe on Joe! I appreciate you more than you'll ever know. And now you Joe, and Joeing is half the battle. Subscribe to the Joe on Joe Podcast! www.joeonjoe.com Apple Podcasts PodBean YouTube Help Support the Show thru Patreon! @JoeonJoepod on Twitter Facebook Instagram Email Me Here!
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Cosa Publica 2.0 - Ma. 23 Dic 2025 #hoy en #CosaPública2.0 con Rubén Martín y Jesús Estrada; 1. Entrevista Milton DLeón, editor de La Izquierda Diario Venezuela e integrante de la Liga de Trabajadores por el Socialismo Venezuela 2. Desaparecidos 3. Entrevista Mery, Coalición de Extrabajadoras (es) y Trabajadoras (es) de la Industria Electrónica Nacional (Cetien) 4. Represión + Megaproyectos Conducción y producción por: Rubén Martín: https://x.com/rmartinmar Jesús Estrada: https://x.com/jestradax Asistencia de producción y realización: Alejandro Coronado: https://x.com/SoyelCoronado Operador de audio: Emanuel Candelas
Cosa Publica 2.0 - Lu. 23 Dic 2025 #hoyoverse en #CosaPública2.0 con Rubén Martín y Jesús Estrada; 1. Desaparecidos 2. Entrevista Jonathan Ávila, Coordinador Eje Temático Desaparición en Cepad 3. Entrevista Héctor Iván del Toro, economista investigador del CUCEA 4. Represión + Trump vs AL Conducción y producción por: Rubén Martín: https://x.com/rmartinmar Jesús Estrada: https://x.com/jestradax Asistencia de producción y realización: Alejandro Coronado: https://x.com/SoyelCoronado Operador de audio: Emanuel Candelas Transcript
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Cosa Publica 2.0 - Vi. 19 Dic 2025 #Hoy en #CosaPública2.0 con Rubén Martín y Jesús Estrada, desde la FIL Guagalajara 1. Desaparecidos 2. Luis Hernández, editor de Opinión, La Jornada 3. México-EEUU + EEUU vs Venezuela 4. Peariodismo Conducción y producción por: Rubén Martín: https://x.com/rmartinmar Jesús Estrada: https://x.com/jestradax Asistencia de producción y realización: Alejandro Coronado: https://x.com/SoyelCoronado Operador de audio: Emanuel Candelas
The holiday season is here, and we're taking a look back at some of our favorite podcast moments of the year.We hear from some of the TA leaders who have joined us in 2025: James Lafferty, Manjuri Sinha, James Footman, Jocelyn S. Lai, Lars Schmidt, Kobi Ampoma, Jonathan Beaney, Jamie Edwards, Tracy St. Dic, Jerome Leclerq, Tommy Hansen, Samantha Perlman, Karen Arnold and Anastasia Pshegodskaya.Discussion topics include:Human connections in hiringAuthenticity in employer brandingDefining quality of hireWhat makes a 5-star recruiter?We've got so many great guests lined up for the podcast next year. Make sure to subscribe so you don't miss out!
Cosa Publica 2.0 - Ju. 18 Dic 2025 #Hoy en #CosaPública2.0 con Rubén Martín y Jesús Estrada, desde la FIL Guagalajara 1. EEUU vs Venezuela 2. Luis Hernández, editor de Opinión de La Jornada 3. Desaparecidos + Guerra informal 4. Ciudad neoliberal Conducción y producción por: Rubén Martín: https://x.com/rmartinmar Jesús Estrada: https://x.com/jestradax Asistencia de producción y realización: Alejandro Coronado: https://x.com/SoyelCoronado Operador de audio: Emanuel Candelas
Cosa Publica 2.0 - Mi. 17 Dic 2025 #Hoy en #CosaPública2.0 con Rubén Martín y Jesús Estrada, desde la FIL Guagalajara 1. EEUU vs Venezuela 2. Tonantzin Cárdenas, diputada local de Futuro 3. Desaparecidos + Guerra informal 4. Represión + Palestina Conducción y producción por: Rubén Martín: https://x.com/rmartinmar Jesús Estrada: https://x.com/jestradax Asistencia de producción y realización: Alejandro Coronado: https://x.com/SoyelCoronado Operador de audio: Emanuel Candelas
EUCARISTIA DE PROSPERIDAD FIN DE AÑO |OUTLET FACTORY| 14 DIC 2025 | PATRIARCA ANDRÉS TIRADOhttps://youtu.be/kiVPYDagCT8DONACIONES: PAYPAL: https://paypal.me/OBISPOANDRESTIRADOFACEBOOK PAGINAShttps://www.facebook.com/profile.php?id=100063452115636LINKEDINhttps://www.linkedin.com/in/arzobispo-andres-tirado-perez-b1b4a89a/CANAL DE WHATSAAP EXORCISTA PATRIARCA ANDRES TIRADO https://whatsapp.com/channel/0029VaY3VsHCxoAthlCKuA3tINSTAGRAMhttps://www.instagram.com/obispoandrestirado/?hl=es-laTWITTERhttps://twitter.com/PADREANDRESYOUTUBEhttps://www.youtube.com/user/CONGREGACIONCSI/videosTIK TOK OBISPO ANDRÉS TIRADOhttps://www.tiktok.com/@obispoandrestirado?is_from_webapp=1&sender_device=pcPodcast Amazon: https://www.amazon.in/s?k=ARZOBISPO+ANDRES+TIRADO&ref=dp_byline_sr_all_1Podcast Spotify:https://open.spotify.com/show/69Lpc3zoOkp0FoFSp6USM2Congregación Sacerdotal Internacional – Católicos IndependientesNO representamos a la Iglesia Católica Apostólica RomanaWEB: www.congregacionsacerdotal.orgE-mail padreandrestirado@gmail.com
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Cosa Publica 2.0 - Ma. 09 Dic 2025 #Hoy en #CosaPública2.0 con Rubén Martín y Jesús Estrada; 1. Desaparecidos 2. Elena Burns, coalición Agua para Todos y Contraloría Ciudadana del Agua 3. Guerra informal 4. Globales Conducción y producción por: Rubén Martín: / rmartinmar Jesús Estrada: / jestradax Asistencia de producción y realización: Alejandro Coronado: / soyelcoronado
Cosa Publica 2.0 - Lu. 08 Dic 2025 #CosaPública2.0 con Rubén Martín y Jesús Estrada, 8 Diciembre 2025, 1. Resumen + Represión 2. María González, directora de Imdec 3. Juan Carlos Monedero, politólogo y analista español: audio sobre Venezuela 4. Poderes Conducción y producción por: Rubén Martín: / rmartinmar Jesús Estrada: / jestradax Asistencia de producción y realización: Alejandro Coronado: / soyelcoronado
Cosa Pública 2.0 - Vi. 05 Dic 2025 - Desde la @FILGuadalajara Estamos en @CosaPublica2 con @rmartinmar y @jestradax . Nos encontramos conversando desde la @FILGuadalajara con @Viri_Rios.
Cosa Publica 2.0 - Ju. 04 Dic 2025 - Desde la @FILGuadalajara #Hoy en #CosaPública2.0 con Rubén Martín y Jesús Estrada, desde la FIL Guagalajara 1. Diego Petersen: Foro Periodismo Cultural 2. Carlos Iván Moreno, Dirección General de Educación Superior Universitaria e Intercultural de la SEP 3. Gabriel Torres, director del SURT: 4. Ley de Aguas + Poderes Conducción y producción por: Rubén Martín: https://x.com/rmartinmar Jesús Estrada: https://x.com/jestradax Asistencia de producción y realización: Alejandro Coronado: https://x.com/SoyelCoronado Operador de audio: Emanuel Candelas Estamos en @CosaPublica2 con @rmartinmar y @jestradax conversando con Carlos Iván Moreno. Sintoniza el 104.3FM pic.twitter.com/NCFws57Vh2— Radio Universidad de Guadalajara (@RadioUdeG) December 4, 2025
Lugar Común - Ma. 02 Dic 2025 - Desde la @FILGuadalajara Hoy en #LugarComunRU con Diana y Meche Hoy en #lugarcomún tenemos al autor del libro Derrama el Vino Luis Medina Gutiérrez 104.3FM Hoy en #lugarcomún tenemos al autor del libro "Derrama el Vino" Luis Medina Gutiérrez 104.3FM pic.twitter.com/AinEhMkmhp— Radio Universidad de Guadalajara (@RadioUdeG) December 2, 2025
Cosa Pública 2.0 - Ma. 02 Dic 2025 - Desde la @FILGuadalajara #Hoy en #CosaPública2.0 con Rubén Martín y Jesús Estrada, desde la FIL Guagalajara 1. Juan Carlos Monedero 2. Juan Carlos Monedero 3. Daliri Oropeza Álvarez 4. Daliri Oropeza Álvarez Conducción y producción por: Rubén Martín: https://x.com/rmartinmar Jesús Estrada: https://x.com/jestradax Asistencia de producción y realización: Alejandro Coronado: https://x.com/SoyelCoronado Operador de audio: Emanuel Candelas Inicia #CosaPública 2.0 Desde la @FILGuadalajara , @jestradax y @rmartinmar en los micrófonos listos para acompañarte 104.3FM pic.twitter.com/bd5sbaIQh5— Radio Universidad de Guadalajara (@RadioUdeG) December 2, 2025 Gracias por su visita a #CosaPública 2.0 a Daliri Oropeza, un placer conocer sobre sus proyectos@jestradax y @rmartinmar presentes desde la @FILGuadalajara 104.3 FM pic.twitter.com/PvOUyt0dIz— Radio Universidad de Guadalajara (@RadioUdeG) December 2, 2025
Cosa Publica 2.0 - Lu. 01 Dic 2025 Radio Universidad de Guadalajara@RadioUdeG·6hEstamos en @CosaPublica2 con @rmartinmar y @jestradax desde la @FILGuadalajara. Escucha el 104.3FM Estamos en @CosaPublica2 con @rmartinmar y @jestradax desde la @FILGuadalajara. Escucha el 104.3FM pic.twitter.com/Vzhdj0XMJH— Radio Universidad de Guadalajara (@RadioUdeG) December 1, 2025
Toronto's pop-punk powerhouse The Mendozaz are set to unleash their most ambitious and hilarious work to date, the eight-song concept EP The Completely Fictional History of This Great Nation of Canada, out November 3 on Cartridge Heart. Fronted by guitarist-vocalist Jonny alongside Michael on vocals and bass and Dic on drums, The Mendozaz have carved their name into Toronto's punk scene with relentless touring, wild live shows, and anthems built for gang shouts, beer spills, and grinning through the chaos. They've long been known for wrapping sharp hooks in self-aware humor, but on this record they go bigger, faster, and louder, with a clear mission to turn every basement, bar, and festival stage into a frenzy. The EP is bookended by a pair of songs so preposterously profane that reinforcements were needed. Members of Joan Smith and the Jane Does and The Meringues were brought in to provide extra fuel for the f-bombs. All songs were written by The Mendozaz and recorded between This Place Needs A Name and Arc Recording Studio by Matt Gauthier (Handheld, Wasting Time), who also handled mixing and mastering. The result captures the reckless charm of their live show while pushing their storytelling and arrangements into sharper, stranger, and funnier territory. The accompanying video-single “A Piercing Shriek of Death” sets the tone perfectly. “This was the first song written for this record,” says Jonny. “It's based on a very-true Canadian legend that we made up about an expedition of ice fishers being eaten alive by a school of great white sharks near Hudson Bay. I had an old recording of an instrumental jam we did six or seven years ago that I really liked. I channeled my inner Serj and came up with something unlike anything we've ever done. When recording the demo our engineer almost fell out of his chair laughing during the blood curdling scream. He's okay (I think). I needed to be authentic while channeling the plight of the victims of this totally-legit horrible tragedy. Thoughts and prayers.” It's a mix of heavy riffs, absurd humor, and unflinching commitment that defines the EP as a whole.THE MENDOZAZ ONLINE INSTAGRAM | SPOTIFY | BANDCAMP | FACEBOOK | WEBSITE Checkout my YouTube Channel with long form interviews from the Subversives | the History of Lowest of the Low. https://www.youtube.com/playlist?list=PL9d1VSeOHYuxFWKuRdmn9j8UTW6AHwS_fAlso my Weekly Tour Vlog is up an live on the YouTubeshttps://www.youtube.com/playlist?list=PL9d1VSeOHYuwphwhc4zd0VgY66f1OUQZp Pledge monthly with Patreon https://www.patreon.com/apologueShop Apologue products at http://apologue.ca/shopCheck out new Four Square Here: https://distrokid.com/hyperfollow/foursquare/brighton-beach-ephttps://distrokid.com/hyperfollow/foursquare/seven-oh-sevenhttps://distrokid.com/hyperfollow/foursquare/industry-at-home–21st-anniversary-remix-remasteredhttps://distrokid.com/hyperfollow/foursquare/when-weeks-were-weekends
In dieser Woche tauchen wir tief in die faszinierende Welt der Blutgerinnung ein: Vom ersten Alarm an der verletzten Gefäßwand, über die Arbeit der Thrombozyten und der Gerinnungsfaktoren, bis hin zum stabilen Thrombus und der späteren Fibrinolyse. Wir erklären dir, was passiert, wenn die Balance gestört ist – von erhöhter Blutungsneigung über Thrombosen bis hin zur DIC. Lerne typische Warnzeichen zu erkennen und welche pflegerischen Maßnahmen entscheidend sind, um Patienten sicher zu begleiten – und damit machen wir dich wieder fit für deine Prüfungen und die praktische Arbeit auf Station.
On this episode of Sailor T, Devon and Beau cover episode 36 of Sailor Moon: "Usagi's Confusion: Is Tuxedo Mask Evil?” - or "Bad Hair Day" for our DiC dub loyalists.We LOVED talking about this one. Let us know what you think about this one and our S.A.I.L.O.R. Score (!!!) on socials, Bunheads!Follow us on social media, Bunheads!Sailor T insta
Seconde co-production de la société DIC entre la France et Japon après Ulysse 31, Les Mystérieuses cités d'or arrive à la télévision française sur Antenne 2 à la fin du mois de septembre 1983. La série rencontre vite un beau succès grâce à son histoire haletante sous forme de feuilleton qui vient rythmer les mercredis de Récré A2. Le générique, mais plus largement toute de la bande originale, contribuent aussi à sa réussite. On les doit à deux personnes : le producteur Haim Saban et le compositeur Shuki Levy…
Happy Belated Birthday to Minako Aino!
Send us a textOkay, so here's the story: a rock and roll DJ is tasked with running a TV studio named after him. His young assistants are along for the ride, and they get into adventures of unspecified magnitude. Mainly because this show was [echo] LOST MEDIA! Here now is the story of how this wolf rockin' show came to Saturday Morning. Who was the Wolfman? What do we know about this show? Did I ever think I'd be able to cover this series? Hmmm… All these questions, and more, will be answered in this look at WOLF ROCK TV! Roll it!Thanks for ‘tooning in. Visit our friends at CHERRY BOMBS: THE UNDERAPPRECIATED MOVIES PODCAST. Find Dustin and Nik here: https://podcasts.apple.com/us/podcast/cherry-bombs-the-underappreciated-movies-podcast/id1490726384 Share With Us: SatMornPod@hotmail.comBluesky: @SatMornPodYouTube Us: tinyurl.com/yyhpwjeo (Don't waste your time) Featured Music:“Nostalgic Happy Music” by AudioJungle - https://www.youtube.com/watch?v=QtxSUR6MQhw&t=2s “Happy Life” by Fredji - https://www.youtube.com/watch?v=KzQiRABVARk Various Music by Oneul - https://www.youtube.com/watch?v=by302C2YhxY “I Feel You” by Kevin MacLeod” - https://www.youtube.com/watch?v=Uw8E3jjbUCE “Nostalgic” by OrangeHead - https://www.youtube.com/watch?v=wExcRoNNzAc “Breakfast Club” by Vodovoz - https://www.youtube.com/watch?v=2Spi22l3m5I “Horizons” by Atch - https://www.youtube.com/watch?v=y-u53MADIag “80's Hijack” by Gee - https://www.youtube.com/watch?v=ndVqzJ9Lk6M&t=26s “Synthmania” by Vodovoz - https://www.youtube.com/watch?v=M6r20TKnA6M “United” by Vodovoz - https://www.youtube.com/watch?v=ArjGQFCcHxA “Cool Blue” by Vodovoz - https://www.youtube.com/watch?v=Lp5cxZWP-wc #ABC #NBC #CBS #The80s #80s #cartoons #cartoon #animation #SaturdayMorning #1980 #1981 #1982 #1983 #1984 #1985 #1986 #1987 #1988 #1989 #Filmation #HannaBarbera #DePatieFreleng #RubySpears #Disney #WolfRockTV #WolfmanJack #music
Back for more, Bunheads. Devon & Beau are covering episode 3 of Sailor Moon: "The Shining Silver Crystal: The Moon Princess Appears" or "A Crystal Clear Destiny" for our DiC girls. So grab a fistful of Skittles, and enjoy! Follow us on social media, Bunheads!Sailor T insta
We may not be the world's greatest thieves, but we're pretty damn good at stealing your time while discussing Hayao Miyazaki's feature-length debut, "Lupin III: The Castle of Cagliostro" (1979).In addition to discussing this immensely influential animation cult classic, we also talk about: remaining 2025 movies; Hoopla; DIC; The Simpsons Movie; international copyright infringement; Saturday morning cartoons; and King of the Hill. Hosted on Acast. See acast.com/privacy for more information.
Hey Everybody!This week we hold off doing the GIJoe live action movie for the last time!But til then we got Dic. Ohhhhh Dic, purveyor of many painful shows that we have enjoyed(?) over the years.But now in this episode we put a name to the pain!Also, Maxie's world is about a popular high school girl who lives a normal Malibuesque life while also has a very popular tv show and solves mysteries in her spare time?I dunno, it gets a little confusing...Enjoy!MERCH STORE - www.teepublic.com/stores/knowing-is-half-the-podcastPatreon - Patreon.com/KnowingIsHalfThePodcastFacebook - Facebook.com/KnowingIsHalfThePodcastTwitter - @GijoePodcastPresident Serpentor - @PrezSerpentorSupport this podcast at — https://redcircle.com/knowing-is-half-the-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Join your triple threat of the APDC as they review “The Greatest Evil, Part 2” from the 1991 classic DIC animated series, G.I. Joe! Don't impugn our courage, jarhead!!! The DiC continues!! I haven't seen it so that means it's dumb!! A soreghum subject!! Dead Mall!! This is Yuengling territory!!! This distribution house is indestructible!! Jelly bazooka!!! Falcon and Cindy are captive!! Automated weapons!!! Shockwave and CG1 go all Diehard!! Metalhead go BANG!!! No way you piece of slime!!! You're a real peanut-buster parfait!!! In the Real World! Script Deviations!! Iconic Moments!!! Everything we do, we do it for YOU!!!5:10 - SHOUT OUTS6:30 - COCKTAIL15:40 - DUELING LAST EPISODE RECAPS17:45 - REVIEW1:20:40 - REAL WORLD1:47:00 - SCRIPT DEVIATIONS1:47:15 - RATE THE SCHEME1:49:10 - ICONIC JOEMENT1:50:45 - NEXT TIME!
Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions: Trish: Hi Dr. Cabral - I'm a 55-year-old female working on lowering overall inflammation in my body. My CRP levels are (4.1), ApoB (118 nmol/L and Lipoprotein (A) (281 nmol/L) as you can see are high. Total Cholesterol 221 and Triglycerides are 70. I have a lot of stiffness with joint discomfort. I started taking 2 Proteolytic Enzymes upon waking. Then your DNS, D3/k2, Cell Boost, Inflamma Soothe, Collagen with GLP Tone System and some of your other products (eye and hair). I follow your Med diet. My pain and stiffness have improved ALOT in a matter of days. I'm going to retest my CRP and chol levels in 4 months. My question is how long can I take Proteolytic Enzymes and in your opinion am I taking the proper protocol for these issues? I'm retesting in 4 mos. Thank you in advance Sheena: Hi Dr Cabral! Hope you and all of your health family are well. I'm a surgical Processor and on my feet all day. I've tried all kinds of compression socks but by the end of the day, after taking it off, my leg are soo itchy! I scratch it sometimes so bad it starts to bleed. I'm only wearing the average 15-20 mmHG so its not too tight. I'm curious if you have a recommendation for compression socks that wont causes itching but is effective? Thanks in advance for answering! Christina: Stephen, I have listened on one of your podcasts about Rheumatoid Arthritis and detoxing. My mother is in her early 70s and her fingers are twisting. I am 48 and recently the base of my thumbs have started bothering me. My question is, what detox protocol should my mother start with to prevent further twisting of her fingers and what detox protocol should I do to prevent this from happening to me? I would love to do the heavy metals and organic acid tests, but unfortunately I live in NY. Would my functional medicine doctor be able to order them for me? I have had HELLP, HUS, DIC, Guillian Barre, and Pulminary Edema in my pregnancy at 21. My son was delivered with no issues! At this time, we learned that I have ITTP. I have had IBS issues. Thank you, Christina Ryan: Hi dr cabral, Im a 29 year old male who has addisons disease, chronic post nasal drip, food intolerance's and teeth grinding a stool test confirmed klebsiella pneumonie overgrowth and blastocystis hominis as well as some yeast and fungus with no Bifidobacteria and Lactobacillus detected, I recently started the cbo protocol with citricidal drops im 7 days in untill i came across one of your videos where you mentioned you should go for the parasite first should i stop the cbo protocol and start the para support protocol and then continue the cbo after or just continue the cbo protocol Thank you for your time wishing you all the best ryan. Kay: Hi Dr. Cabral, I I love your podcasts and look forward to them every week. Anyway, I was wondering if you could please explain how a traumatic event could spur the onset of a "dis-ease" such as asthma. My daughter's asthma began shortly after her father and I were separated and he moved out of state. According to her pediatrician at the time, she was "more prone to having asthma because she also had eczema." This was 2 decades ago, and now she's 31 and we know more about autoimmune issues. Although she continues to carry an inhaler with her, she hardly needs to use it anymore. What would you recommend for a more root cause approach to someone with her condition? Thank you. Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions! - - - Show Notes and Resources: StephenCabral.com/3466 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Giga Bytes Podcast #372: Hoy hablamos de la demanda de PS, el empleo multiplataformas de PS y Mucho más!!! Sony buscando para posición Multiplataforma Sony demanda a Tencent por clon de Horizon (Light of Motiram) Horizon vende 38m de unidades COD HQ elimina MW2 y 3 del launcher, serán Downloads separados Sony FlexStrike detallado (Arcade Stick) 2026 Xbox Update Julio, selección de juegos de tu catalogo en Cloud PSN Plus Agosto 2025: Lies of P DayZ My Hero One's Justice 2 Serie God of War de Amazon recibe update, Detalles: Adaptara Era Nordica con Atreus y Kratos como protagonistas, emulando el tono del juego S1 10 episodios, 2 temporadas confirmadas hasta el momento Cory Barlog envuelto en el proyecto Comenzaran a filmar como temprano en el 2026, libretos aun no completados Ronald D Moore showrunner (Battlestar Galactica, For All Mankind, Star Trek Generations/First Contact) Battlefield 6 MP ser mostrado julio 31 Metroid Prime 4 recibe clasificación Fantastic Four y Superman dominan la taquilla Season 2 de Hawkeye? Avatar Fire and Ash trailer Dic 19 2025 Coyote vs ACME a cines 8-28-26 Sigueme y Suscribete: Facebook.com/elgiga Youtube.com/elgiga947 Instagram.com/elgiga947 Twitch.tv/elgiga947 Twitter.com/elgiga947 Giga Bytes Podcast #monsterenergypr @monsterenergy @Stephreyesmarketing @caribbeanxsports @eriberto213 #gigabytespodcast #NintendoSwitch2 #PS5 #DeathStranding2 #Multiplatform #Forza #Capcom #Superman #FantasticFour #Avatar #DeathStranding2 #GhostofYotei #Switch #Xbox #PSSR #PS5Pro #Xbox #Switch2 #Review #Playstation #COD #Switch2 #LanzamientoSwitch2 @tiendasmesalve #gigabytespodcast
Join your REUNITED pushers of the APDC as they review, “The Greatest Evil, pt 1,” from S2 of the 1991 classic animated DIC series, “G.I. Joe!” Doc it up and DiC it out!!! JOEBRA two-parter!! Just say NO-groni!!! DRUGS ARE BAD!!! He's a deacon…AND a general?!?! SPARK!! Cindi! Trash can missiles!! Falcon wants and uses hot action!! Crimson Guard #1 has a family emergency!! That's a LOT of suitcases!! Everyone needs the Head Man.. .hey can't help it!!! Bulletproof sympathy!! Cobra dandruff?!? In the Real World! IcoDiC Moment!! GI Joe has drug problems…we'll JOIN THE CLUB!!!16:30 - CHICKEN CHECK-IN19:20 - GRAVEL GAB21:22 - SHOUT OUTS! NEW PATRON, WHO DIS?29:08 - COCKTAIL41:15 - LAST EPISODE RECAP44:00 - LET'S TALK DIC55:09 - REVIEW1:37:00 - REAL WORLD2:00:00 - SCRIPT DEVIATIONS2:04:00 - RATE THE SCHEME2:05:00 - ICONIC JOEMENT