Podcasts about Doppler

Dune. Star Wars. Alien. Science fiction movies love alien worlds, and so do we. But how do scientists find planets outside our solar system in real life? One way is by looking for the stars that wiggle. Historically, astronomers have measured those wiggles via the Doppler method, carefully analyzing how the star's light shifts. Thanks to new data from the GAIA telescope, scientists have a much better picture of distant stars' wiggles — and the exoplanets that cause them.Want to hear more about exoplanet discoveries? Send us an email at shortwave@npr.org. Listen to every episode of Short Wave sponsor-free and support our work at NPR by signing up for Short Wave+ at plus.npr.org/shortwave.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Pour accéder à l'intégralité de ce podcast et écouter chaque semaine un nouvel épisode du Quart d'Heure Véto, c'est très simple, il vous suffit de vous abonner en cliquant sur ce lien : https://m.audiomeans.fr/s/S-yUNSBZSR Notes et référencesArticle : Tamura N, Yoshihara E, Seki K, Mae N, Kodaira K, Iimori M, Yamazaki Y, Mita H, Urayama S, Kuroda T, Ohta M, Kasashima Y. Prognostic value of power doppler ultrasonography for equine superficial digital flexor tendon injury in thoroughbred racehorses. Vet J. 2024 Aug;306:106179. doi: 10.1016/j.tvjl.2024.106179. Epub 2024 Jun 14. PMID: 38880229.Retrouvez toute la synthèse sur la fiche podcast juste ici : https://audmns.com/YxyufmiPour nous suivre :1. Abonnez-vous à notre chaine pour profiter de l'intégralité des épisodes : Le Quart d'Heure Véto : décrypte et résume en moins de 15 min un article de biblio véto - Sur abonnement uniquementLe Véto du Mois : Partagez le temps d'une interview l'expérience de vétérinaires emblématiques de notre milieu, des rencontres conviviales, comme si nous étions dans votre salon au coin du feu. Podcasts bonus au fil des inspirations... 2. Le ScopeNous partageons avec vous nos dernières découvertes, inspirations, pistes de réflexion, nouveautés… À découvrir et utiliser dès maintenant, TOUT DE SUITE, dans votre quotidien de vétérinaire, de manager, de vie personnelle, de chef d'entreprise… Et tout cela en moins de 5 minutes top chrono un à 2 mardis par mois ! Je souhaite recevoir mon Scope : https://vetmasterclass.com/lescope/ 3. Contactez-nous, suivez-nous et donnez nous votre avis ! Des sujets que vous souhaiteriez approfondir, des références à partager, ou nous faire part de vos feed-backs :Abonnez-vous à notre chaine, donnez nous des étoiles, un commentaire et partagez autour de vous !Sur notre site : https://vetmasterclass.com/Sur Facebook : https://www.facebook.com/VmHorseSur Instagram : https://www.instagram.com/vetmasterclass/Sur YouTube : https://www.youtube.com/channel/UC18ovcWk9e-mFiTL34OQ03gSur Linkedin : https://www.linkedin.com/company/vetmasterclass-horse/about/Belle journée à tous, Et continuez à vivre votre métier avec Passion ! Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Banjou Music courtesy of Banjo HangOut, Civil War Medley -- used with permission.Here's the problem —- not only tornado warnings, flash flood warnings, and severe thunderstorm warnings, and these don't even include those previous warnings, known as “watches”.Here's the difference — “a watch” means that condition is “possible”, supposedly a “warning” means “probable” or likely, and a lot depends on their interpretation of our friend Dopler Radar…Take it away Wikipedia --  "A Doppler radar is a specialized radar that uses the Doppler effect to produce velocity data about objects at a distance.[1] It does this by bouncing a microwave signal off a desired target and analyzing how the object's motion has altered the frequency of the returned signal."

National Weather Service meteorologists issued a tornado warning just before 2:30 Tuesday afternoon after Doppler radar indicated that a passing storm was beginning to rotate. 

Sortez des bureaux !Allez parler aux consommateurs !C'est l'un des conseils les plus forts que Sandrine m'a glissés dans cet épisode.Pour ceux qui me connaissent un minimum,Je suis une fervente défenseuse du terrain.Alors je rajouterai même : tournez avec vos commerciaux !Aujourd'hui, toutes les marques veulent innover, anticiper les tendances,avoir un coup d'avance.Mais la vérité, c'est que beaucoup ont la tête dans le guidon.Et oublient de regarder ce qui se passe dans les rayons. Dans les vies.On se regarde peut-être un peu trop le nombril...Et souvent, on se retrouve un peu à côté de la plaque.J'aime bien le parcours de Sandrine, quelque part très inspirant :Elle est retournée à l'école. Elle observe, elle analyse.Et surtout : elle parle aux gens.Résultat ?Une grille de lecture passionnante sur les tendances alimentaires de demain,les vrais défis des chefs de secteur et category managers,et ce qu'il faut changer dès aujourd'hui en magasin.Au programme de cet épisode, un aperçu des tendances à suivre.Et surtout… comment ne pas confondre tendance et effet de mode.Parce que demain se dessine aujourd'hui dans nos rayons..Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Contributor: Aaron Lessen, MD Educational Pearls: Point-of-care ultrasound (POCUS) is used to assess cardiac activity during cardiac arrest and can identify potential reversible causes such as pericardial tamponade Ultrasound could be beneficial in another way during cardiac arrest as well: pulse checks Manual palpation for detecting pulses is imperfect, with false positives and negatives Doppler ultrasound can be used as an adjunct or replacement to manual palpation for improved accuracy Options for Doppler ultrasound of carotid or femoral pulses during cardiac arrest: Visualize arterial pulsation Use color doppler Numerically quantify the flow and correlate this to a BP reading - slightly more complex Doppler ultrasound is much faster than manual palpation for pulse check Can provide information almost instantaneously without waiting the full 10 seconds for a manual pulse check The main priority during cardiac arrest resuscitation is to maintain quality compressions If pulses are unable to be obtained through Doppler within the 10-second window, resume compressions and try again during the next pulse check References Cohen AL, Li T, Becker LB, Owens C, Singh N, Gold A, Nelson MJ, Jafari D, Haddad G, Nello AV, Rolston DM; Northwell Health Biostatistics Unit. Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Resuscitation. 2022 Apr;173:156-165. doi: 10.1016/j.resuscitation.2022.01.030. Epub 2022 Feb 4. PMID: 35131404. Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/

Darth Chris makes an appearance, Niléane has an exclusive first look at…checks notes… the iPhone 16 Pro, Matt insists on talking about MacWhisper even more, and the crew actually all followed the rules in this week's challenge (a miracle!). Weekly Topics iPhone 16 Pro MacWhisper Other Things Discussed Niléane's Nomad case Doppler music app Stephen Hackett's macOS wallpaper collection Keyboard Maestro Chris's automated wallpaper Calendar and Reminder Wallpaper shortcut GeekTool Follow the Hosts Chris on YouTube Matt on Birchtree Niléane on Mastodon Comfort Zone on Mastodon Comfort Zone on Bluesky

In this age of consumerism, sometimes the coolest things come from the crowfunders and the will of the people! Artium Instruments have completed their kickstarter for 'Doppler' a desktop FM synth that looks to lean into unbridled exploration where you find a unique sound at every knob turn. We're checking out the press release to see what's up. In the Round Robin, we're looking to the release of Serum 2 and asking ourselves what is it in our studios that unequivocally requires that financial investment and why. Join us for an hour of synth nerding.Audionautic Records' latest release, Fields of Few - First Land Encounterhttps://fieldsoffew.bandcamp.com/album/first-land-encounterGrab tickets for Eonlake's London Show here:https://skiddle.com/e/40699373Help Support the Channel:Patreon: www.patreon.com/audionauticThanks to our Patrons who support what we do:Audionauts: Abby, Bendu, David Svrjcek, Josh Wittman, Paul Ledbrook, Matt Donatelli, Coraline Ada Ehmke, Jaycee Lewis and Stephen SetzepfandtLars Haur - Audionaut ProducerJonathan Goode - Audionaut ProducerJoin the conversation:

If you are luckier than a hundred million dollar power ball winner you will see your space rock as a meteor streaking across the sky, fall to the ground, and land in a place where can you walk over and pick it up. On the other hand, with more persistence than luck you can find a space rock where it has been waiting for you on the surface of planet Earth . First you need a place to look. Dry lake beds have few surface rocks and can be a great place to find meteorites. There are strewn fields from known celestial falls that you can check out. On private land will you need the owner's permission. If you live near BLM land you can collect up to 10 lbs of meteorites a year without a special permit. Train your eye by looking at photos of meteorites and/or make a visit to a museum to view the real thing. A dark fusion crust is a clue. Thumbprint like surface features is another. A powerful magnet will tell you if your candidate has a high iron content consistent with meteorites An exciting new way to find freshly fallen space rocks involves the use of Doppler weather RADAR to track pieces of an exploding fireball on their way to Earth. There are web sites which can alert you to places to travel to and search.

In this week's issue:Widefield OCTA reveals significant choroidal and optic disc alterations in thyroid eye disease, particularly in dystrophic optic neuropathy, highlighting its potential for improved disease monitoring and management.1 year of suppressive treatment with valacyclovir may help reduce pain in herpes zoster ophthalmicus patients with postherpetic neuralgia.Doppler ultrasound shows promise in predicting retinoblastoma response to intra-arterial chemotherapy, with vascular indices correlating with tumor size and treatment outcomes, but further studies are needed for validation.

Tonight's Guest WeatherBrain is a retired meteorologist with thirty-five years of experience at the NWS.  That includes twenty-six years as a SOO, and he's been a leader with forecaster training, mesoscale analysis and radar interpretation, which helps NWS offices improve proving warning decision-making and lead times for severe weather hazards.  Pete Wolf, welcome to WeatherBrains!   Also, Bruce Jones joins us to discuss the importance of NOAA Weather Radio and its integration in order to save lives.  Welcome back, Bruce! Our email officer Jen is continuing to handle the incoming messages from our listeners. Reach us here: email@weatherbrains.com. Critical Fire Danger for several areas around the country (05:15) Petersburg, VA F4 tornado/outbreak on August 6th, 1993 (9:45) Key changes seen with Doppler radar/Warning systems since the early 1990s (13:45) WoFS (Warn on Forecast System) (15:25) Appreciating the important tools of hodographs and soundings (18:00) SW Oklahoma sounding analysis (Live on 03/03/25) (21:15) Reconciling SRH in QLCS situations (28:00) Tools needed to downscale warnings (43:15) No relation between VIL (Vertically Integrated Liquid) and tornado formation (56:15) Least-understood radar signatures by meteorologists (01:09:00) Improving efficiency of operations in the NWS (01:13:30) AI-generated weather broadcasters and battling automation (01:20:00) NOAA banned from having its own app (01:29:00) The Astronomy Outlook with Tony Rice (No segment this week) This Week in Tornado History With Jen (01:35:22) E-Mail Segment (01:37:00) National Weather Round-Up and more! Web Sites from Episode 998: Midland Weather Radio My Monster Storms/Pete Wolf on X Monster Storms Main Page Picks of the Week: Bruce Jones - "But Wait ... There's More!: Tighten Your Abs, Make Millions, and Learn How the $100 Billion Infomercial Industry Sold Us Everything But the Kitchen Sink" James Aydelott - Forecast Sounding From SWOK Jen Narramore - NWS Louisville on X: Final Forecast Discussion from Meteorologist in Charge John Gordon Rick Smith - Out Troy Kimmel - Roswell, NW extreme winds Kim Klockow-McClain - SPC Severe Thunderstorm Forecasting Video Lecture Series Bill Murray - Foghorn James Spann - Director of NWS Louisville retires after nearly four decades The WeatherBrains crew includes your host, James Spann, plus other notable geeks like Troy Kimmel, Bill Murray, Rick Smith, James Aydelott, Jen Narramore and Dr. Kim Klockow-McClain. They bring together a wealth of weather knowledge and experience for another fascinating podcast about weather.

  Hosts Mark Ambrogio and Ryan Baxter welcome back Kian Esmailian, a PhD student in Biomedical Engineering at Western University, to discuss his research on ultrafast ultrasound imaging and Doppler applications. Kian shares his journey from Iran to Western, detailing his passion for merging engineering and medicine. He explains how ultrasound imaging plays a crucial role in diagnostics due to its affordability, safety, and real-time capabilities, making it a preferred choice over MRI and CT scans. The conversation dives into Doppler ultrasound applications, which allow for velocity estimation in blood vessels, helping doctors detect abnormalities like clogged arteries and aneurysms. Kian breaks down the trade-offs between frame rate and accuracy, highlighting how ultrafast ultrasound improves speed but requires balancing image quality. He discusses how his research focuses on optimizing transmission techniques to achieve both high-speed imaging and precise velocity estimation, ultimately improving diagnostic accuracy. Recorded on February 19, 2025 Produced by Mohammad Zeraati Theme song provided by FreeBeats.io (Produced by White Hot).

Thirty years ago, astronomers made history by discovering the first exoplanet orbiting a Sun-like star. Now, we've confirmed over 5,000 exoplanets—some Earth-like, others completely alien!

Welcome to Mysteries to Die For.I am TG Wolff and am here with Jack, my piano player and producer. This is a podcast where we combine storytelling with original music to put you in the heart of a mystery. All stories are structured to challenge you to beat the detective to the solution. Jack and I perform these live, front to back, no breaks, no fakes, no retakes.The rules for law and order create the boundaries for civil co-existence and, ideally, the backdrops for individuals, families, and companies to grow and thrive. Breaking these rules puts civil order at risk. And while murder is the Big Daddy of crimes, codified ordinances across municipal divisions, counties, states, and countries show the nearly endless ways there are to create mayhem. This season, we put our detective skills to the test in new and creative way. This is Season 8, Anything but Murder. This is Episode 3, jewel theft is the featured crime. This is THE LAST DIAMOND by Kathleen Marple KalbDeliberation Detective Connie Mercado has landed a gem of a case and needs our help. Miss Susan Sawyer was about to auction her prized diamond when she discovered the ring in the vault was a fake. Here is a list of the people Miss Sawyer reported had access to the ring:Allison Boatwright, assistant at the auction house, sheltered, pampered, rudderlessEverett Goodwin, auction house director, butt kissing twerpDana Jones-Stann, accountant, keeper of the safe deposit box keysABOUT Kathleen Marple KalbKathleen Marple Kalb describes herself as an Author/Anchor/Mom…not in that order. An award-winning weekend anchor at New York's 1010 WINS Radio, she's the author of short stories and novels including the Old Stuff and Ella Shane series, and, as Nikki Knight, the Grace the Hit Mom and Vermont Radio series. Her stories, under both pen names, have been in Alfred Hitchcock's Mystery Magazine, Black Cat Weekly, and many anthologies, and short-listed for Derringer and Black Orchid Novella Awards. Active in writer's groups, she's served as Vice President of the Short Mystery Fiction Society and Co-VP of the New York/Tri-State Sisters in Crime Chapter. She, her husband, and son live in a Connecticut house owned by their cat.https://kathleenmarplekalb.com/ABOUT Diamond TheftFrom the pages of History.com and The True Crime Database comes one of the most audacious thefts. Antwerp, Belgium, February 2003. The Antwerp Diamond Center was an impregnable fortress in the diamond capital…until it wasn't. Thieves disabled the vaults heat and motion sensors and got around and/or through Doppler radar, a lock with 100 million combinations, and 2-ft thick metal doors that signaled the police if pulled apart. The industrious thieves had 4-5 hours in the vault, leaving with diamonds, gems, and cash valued at $100mil at the time and more like $160mil today. On their exit, they took the security footage. They would have gotten away cleanly…if they had only cleaned up after themselves. The bags of trash they left in the woods along the highway provided the clues that led to the arrest and conviction of Leonardo Notarbartolo, a career criminal who posed as a diamond merchant to case the diamond center, and several of his compatriots. During the trial, Notarbartolo denied being the mastermind and argued the value was a fraction of what was claimed. He served 5 years of his 10 years sentence, was paroled, and then some years later violated the parole and returned to prison to finish the sentence. Little of loot was ever found. The scale and skill of the heist captured imaginations. The Antwerp heist was featured on the first episode of The History Channel's “History's...

Brian Vallelunga is the Founder and CEO of Doppler, a cloud-based secrets management platform captivating DevOps enthusiasts around the world.Listen to Brian talk about he negotiated the price of doppler.com down to $150k, how he first attempted to build a marketplace where people can share their machine learning models before pivoting into building Doppler, the 4 questions you should ask yourself about data security and much more. Hosted by Perry Tiu.Episode Links:• Doppler: https://www.doppler.com• Brian's LinkedIn: https://www.linkedin.com/in/vallelungabrian—Interested being on the show? contact@perrytiu.comSponsorship enquiries: sponsor@perrytiu.comFollow Podcast Ruined by a Software Engineer and leave a review• Apple Podcasts: https://apple.co/3RASg8x• Spotify: https://spoti.fi/3RBAXEw• Youtube: https://youtube.com/@perrytiuMore Podcast Ruined by a Software Engineer• Website: https://perrytiu.com/podcast• Merch: https://perrytiu.com/shop• RSS Feed: https://perrytiu.com/podcast/rss.xmlFollow Perry Tiu• Twitter: https://twitter.com/perry_tiu• LinkedIn: https://linkedin.com/in/perrytiu• Instagram: https://instagram.com/doctorpoor

Read the article here: https://journals.sagepub.com/doi/full/10.1177/30494826241296671

Sin duda usted ha notado que el tono del silbato de un tren cambia desde el momento que el tren se está moviéndose hacia usted hasta el momento que pasa junto a usted. Esta reducción de tono es un ejemplo del efecto Doppler. La luz se comporta de la misma manera… To support this ministry financially, visit: https://www.oneplace.com/donate/1235/29

In this episode, we're joined by Jesse Walden and Austin Adams to discuss the DEX landscape today, vertical integration in DeFi, and DEX market share growth. We also dove into Doppler's design, and why it's being launched as a Uniswap v4 hook. Finally, we talked about Pure Markets, DEX design trends, and progressive decentralization. Thanks for tuning in! Resources Doppler Announcement: https://x.com/AustinAdams10/status/1889362777791168877 -- Ledger, the global leader in digital asset security, proudly sponsors Bell Curve! As Ledger celebrates 10 years of securing 20% of global crypto, it remains the top choice for securing your assets. Buy a LEDGER™ device now, and build confidently, knowing your BTC, ETH, SOL, and more are safe. Buy now on https://shop.ledger.com/?r=1da180a5de00. -- Uniswap Labs is running a $15.5 million bug bounty for critical bugs found in Uniswap v4, the largest bug bounty crypto has ever seen! This bug bounty follows nine independent audits of the protocol, and aims to make it one of the most rigorously reviewed codebases ever deployed to Ethereum. You'll find all the information you need about the bug bounty, from eligibility and scope to, of course, details about rewards and prize payouts in the following link: https://v4.uniswap.org/?utm_medium=podcast&utm_source=bellcurve&utm_campaign=11-24-v4 -- Morpho is a permissionless lending platform that allows anyone to earn yield and borrow assets on your terms. Its flexible, trustless infrastructure also empowers developers and businesses to build and tailor their own financial products. Whether you're an individual, fund, fintech, or institution, Morpho is for you. Try Morpho today: https://app.morpho.org/?network=mainnet&spdl=99nsk9 -- Join us at DAS NYC 2025!  Use code BELL10 for a 10% discount: https://blockworks.co/event/digital-asset-summit-2025-new-york -- Follow Pure Markets: https://x.com/pure_markets Follow Whetstone: https://x.com/whetstonedotcc Follow Austin: https://x.com/AustinAdams10 Follow Jesse: https://x.com/jessewldn Follow Mike: https://x.com/MikeIppolito_ Subscribe on YouTube: https://bit.ly/3R1D1D9 Subscribe on Apple: https://apple.co/3pQTfmD Subscribe on Spotify: https://spoti.fi/3cpKZXH Get top market insights and the latest in crypto news. Subscribe to Blockworks Daily Newsletter: https://blockworks.co/newsletter/ Join the Bell Curve Telegram group: https://t.me/+nzyxAvQ0Xxc3YTEx -- Timestamps: (0:00) Introduction (1:59) The DEX Landscape Today (6:29) Vertical Integration in DeFi (11:27) The Steady Growth of DEX Market Share (19:49) Ledger Ad (20:07) Can Ethereum Regain Market Share From Solana? (25:05) Pain Points of Token Issuance (36:24) Ledger Ad (36:59) Doppler's Design (47:04) Ads (Uniswap and Morpho) (48:25) Launching as a Uniswap v4 Hook (56:05) Pure Markets (58:43) DEX Design Trends (1:01:25) Token Issuance & Progressive Decentralization -- Disclaimer: Nothing said on Bell Curve is a recommendation to buy or sell securities or tokens. This podcast is for informational purposes only, and any views expressed by anyone on the show are solely our opinions, not financial advice. Mike, Jason, Michael, Vance and our guests may hold positions in the companies, funds, or projects discussed.

It's been on my list for a while now to create an episode about cranial osteopathy, some of the myths and stigmas and some of the cold hard truths of the matter. Hopefully you might utilize this episode as a resource and a vector to challenge some of our conceptions about things like the CRI (cranial rhythmic impulse) or the primary respiratory mechanism . I've done my best to keep everything as grounded as possible in the fundamentals of anatomy and physiology and I hope this content equips us all to start challenging some of the dogma we're taught in medical school and seek out axiomatic truth. -- Basic Concepts of Brain Pathophysiology and Intracranial Pressure Monitoring-- Neurological Influences of the Temporomandibular Joint-- Cranial Rhythmic Impulse related to the Traube-Hering-Mayer Oscillation: comparing laser-Doppler flowmetry and palpation.Dr. Jordan Little D.O. - jordanlittle.do@gmail.comONMM Podcast -⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠onmmpodcast@gmail.com

01. Doppler, Xandar -Birth of a New Soul (Original Mix) [TechSafari Records] 002. Serenity Flux - Snowball Effect (Original Mix) [Yellow Sunshine Explosion] 003. Sonic Entity - The Connection (Original Mix) [Expo Records] 004. WeirDDose - Shinobi (Original Mix) [[WeirDDose Studio] 005. The Creator - Redemption (Original Mix) [Nutek Records] 006. Alurian, Illúzió -Fabric of the Cosmos (Original Mix) [Ovnimoon Records] 007. Ajana - Void Walkers (Original Mix) [Audio Unit Records] 008. Avan7 & Becker - Meru (Extended Mix) [ARTCORE Records] 009. Aktyum -Inside Your Head (Original Mix) [Maharetta Records] 010. A-Tech, Transient Disorder - Secret Valley (Original Mix) [Dacru Records] 011. Pettra - Faran (Original Mix) [Shamanic Tales]

Fløgstad, Solstad, og Loe gikk inn i et radiostudio. Teknikeren spurte: «Vil dere ha headset?»«Nei takk,» sa Fløgstad, «jeg hører allerede arbeiderklassens stemme.»«Nei takk,» sa Solstad, «jeg er mest interessert i tause observasjoner.»«Har dere noe trådløst?» spurte Loe Tekstbehandlerne kaster fra seg skammen og børster støvet av moderne norske klassikere som de burde ha lest for lenge siden. Lytt til Tayyeb snakke om "Gran Manila, " Sofie om "Doppler," og Sarah om "Gymnaslærer Pedersens beretning om den store politiske vekkelsen som har hjemsøkt vårt land" så du heller ikke lenger trenger å føle på skam.I studio Sofie Krumsvik, Sarah Idsøe, og Tayyeb Ahmad (teknikk)(Vitsen over er skrevet av KI)

In an era characterized by rapid technological advancements, the concept of home automation has gained significant traction. One of the most fundamental yet often overlooked components of this transformation is the light switch. Traditionally, light switches have served a simple purpose: to turn lights on and off. However, with the integration of artificial intelligence (AI) and advanced sensor technology, companies like Tewke are redefining what a light switch can do, paving the way for smarter, more efficient homes.The Concept of the Smart Light SwitchThe smart light switch, as envisioned by Tewke, is not merely a device for controlling lighting; it is a comprehensive home automation hub. The company's flagship product, Tap, exemplifies this vision. Tap is a full touchscreen light switch that replaces traditional switches and integrates seamlessly with existing electrical systems. Unlike conventional switches, Tap features a beautiful OLED screen that provides users with an interactive experience. This innovation allows homeowners to control not only their lighting but also other aspects of their home environment, such as temperature and air quality.Harnessing AI for Energy ManagementOne of the most compelling features of Tewke's Tap is its ability to optimize energy consumption through AI automation. By utilizing advanced algorithms and data from multiple sensors, Tap can learn user behaviors and preferences, making real-time adjustments to improve energy efficiency. For instance, the device can automatically turn off lights in unoccupied rooms or adjust heating settings when no one is home. Such capabilities are not only convenient but also contribute to significant energy savings. Reports from the UK indicate that users can save nearly 50% on their energy consumption simply by allowing Tap to manage their home environment.Tap goes beyond basic lighting control by incorporating a suite of sensors that monitor various environmental factors. These include Doppler radar for presence detection, microphones for voice commands, temperature sensors, and volatile organic compound (VOC) sensors. By analyzing this data, Tap can provide insights into the overall health of the home environment. For example, if elevated VOC levels are detected, the device can suggest practical actions, such as opening a window or using an exhaust fan. This proactive approach to home management empowers users to maintain a healthier living space without needing to sift through complex data.User-Centric Design and AccessibilityThe design philosophy behind Tap emphasizes user experience and accessibility. The touchscreen interface allows for intuitive interaction, making it easy for anyone in the household to engage with the device. Moreover, Tewke is exploring subscription models that would enable continuous software updates, ensuring that users benefit from new features and improvements over time. This approach not only enhances the longevity of the product but also fosters a sense of community among users who can share insights and experiences.Addressing Practical ConcernsWhile the technological advancements presented by Tap are impressive, practical considerations also play a crucial role in its adoption. The initial cost of approximately $300 per unit may be a barrier for some consumers. However, the potential for long-term savings on energy bills and the convenience of enhanced home automation may justify the investment. Additionally, Tewke is developing more affordable versions of its product, such as capacitive touch modules without screens, to cater to various needs and budgets.ConclusionThe reinvention of the light switch through AI technology represents a significant leap forward in home automation. By transforming a simple device into a smart home hub, companies like Tewke are not only enhancing user experience but also promoting energy efficiency and environmental health. As the demand for smart home solutions continues to grow, the integration of AI in everyday devices like light switches will play a pivotal role in shaping the future of our living spaces. The journey toward smarter homes has just begun, and innovations like Tap are leading the way.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. The most flexible tools for podcasting. Get a 30 day free trial of storage and statistics.

In an era characterized by rapid technological advancements, the concept of home automation has gained significant traction. One of the most fundamental yet often overlooked components of this transformation is the light switch. Traditionally, light switches have served a simple purpose: to turn lights on and off. However, with the integration of artificial intelligence (AI) and advanced sensor technology, companies like Tewke are redefining what a light switch can do, paving the way for smarter, more efficient homes.The Concept of the Smart Light SwitchThe smart light switch, as envisioned by Tewke, is not merely a device for controlling lighting; it is a comprehensive home automation hub. The company's flagship product, Tap, exemplifies this vision. Tap is a full touchscreen light switch that replaces traditional switches and integrates seamlessly with existing electrical systems. Unlike conventional switches, Tap features a beautiful OLED screen that provides users with an interactive experience. This innovation allows homeowners to control not only their lighting but also other aspects of their home environment, such as temperature and air quality.Harnessing AI for Energy ManagementOne of the most compelling features of Tewke's Tap is its ability to optimize energy consumption through AI automation. By utilizing advanced algorithms and data from multiple sensors, Tap can learn user behaviors and preferences, making real-time adjustments to improve energy efficiency. For instance, the device can automatically turn off lights in unoccupied rooms or adjust heating settings when no one is home. Such capabilities are not only convenient but also contribute to significant energy savings. Reports from the UK indicate that users can save nearly 50% on their energy consumption simply by allowing Tap to manage their home environment.Tap goes beyond basic lighting control by incorporating a suite of sensors that monitor various environmental factors. These include Doppler radar for presence detection, microphones for voice commands, temperature sensors, and volatile organic compound (VOC) sensors. By analyzing this data, Tap can provide insights into the overall health of the home environment. For example, if elevated VOC levels are detected, the device can suggest practical actions, such as opening a window or using an exhaust fan. This proactive approach to home management empowers users to maintain a healthier living space without needing to sift through complex data.User-Centric Design and AccessibilityThe design philosophy behind Tap emphasizes user experience and accessibility. The touchscreen interface allows for intuitive interaction, making it easy for anyone in the household to engage with the device. Moreover, Tewke is exploring subscription models that would enable continuous software updates, ensuring that users benefit from new features and improvements over time. This approach not only enhances the longevity of the product but also fosters a sense of community among users who can share insights and experiences.Addressing Practical ConcernsWhile the technological advancements presented by Tap are impressive, practical considerations also play a crucial role in its adoption. The initial cost of approximately $300 per unit may be a barrier for some consumers. However, the potential for long-term savings on energy bills and the convenience of enhanced home automation may justify the investment. Additionally, Tewke is developing more affordable versions of its product, such as capacitive touch modules without screens, to cater to various needs and budgets.ConclusionThe reinvention of the light switch through AI technology represents a significant leap forward in home automation. By transforming a simple device into a smart home hub, companies like Tewke are not only enhancing user experience but also promoting energy efficiency and environmental health. As the demand for smart home solutions continues to grow, the integration of AI in everyday devices like light switches will play a pivotal role in shaping the future of our living spaces. The journey toward smarter homes has just begun, and innovations like Tap are leading the way.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. The most flexible tools for podcasting. Get a 30 day free trial of storage and statistics.

New year, new show! Not really, don't worry, it's the same. Well, Andrew is gone, but still mostly the same. Martin and Jason talk new year, media, stickers, and everything adjacent! Reset or Speed Bump? 00:00:00 Hi Andrew?

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

Dr. Trina Augustin, assistant professor of both anesthesiology and perioperative medicine as well as emergency medicine takes us on a deep dive into the care of persons with aortic stenosis. In this chapter, Alex and Venk learn about how to use ultrasound to diagnose AS, the keys to resuscitation, the pathophysiology of this condition, as well as the value of consultative services and the potential interventions that they may unlock for these patients. Kickoff season 4 with this in depth reminder that sometimes the heart has many hidden perils beyond ACS.  CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch; @KatrinaJoyAugustin Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Lichtenstein DA, Meziere GA. Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure. Chest 2008; 134:117-125 Walsh MH, Smyth LM, Desy JR, Fischer EA, Goffi A, Li N, Lee M, St-Pierre J, Ma IWY. Lung Ultrasound: A Comparison of image interpretation accuracy between curvillinear and phased array transducers. Australia J Ultrasound Med, 26:150-156 Alzahrani H, Woo MY, Johnson C, Pageau P, Millington S, Thiruganasambandamoorthy V. Can severe aortic stenosis be identified by emergency physicians when interpreting a simplified two-view echocardiogram obtained by trained echocardiographers? Crit Ultrasound J. 2015 Apr 18;7:5. doi: 10.1186/s13089-015-0022-8. PMID: 25932319; PMCID: PMC4409610. Furukawa A, Abe Y, Morizane A, Miyaji T, Hosogi S, Ito H. Simple echocardiographic scoring in screening aortic stenosis with focused cardiac ultrasonography in the emergency department. J Cardiol. 2021 Jun;77(6):613-619. doi: 10.1016/j.jjcc.2020.12.006. Epub 2020 Dec 29. PMID: 33386216. Lin J, Drapkin J, Likourezos A, Giakoumatos E, Schachter M, Sarkis JP, Moskovits M, Haines L, Dickman E. Emergency physician bedside echocardiographic identification of left ventricular diastolic dysfunction. American Journal of Emergency medicine  Ehrman RR, Russell FM, Ansari AH, Margeta B, Clary JM, Christian E, Cosby KS, Bailitz J. Can emergency physicians diagnose and correctly classify diastolic dysfunction using bedside echocardiography? Am J Emerg Med. 2015 Sep;33(9):1178-83. doi: 10.1016/j.ajem.2015.05.013. Epub 2015 May 21. PMID: 26058890.2021;44:20-25 Del Rios M, Colla J, Kotini-Shah P, Briller J, Gerber B, Prendergast H. Emergency physician use of tissue Doppler bedside echocardiography in detecting diastolic dysfunction: an exploratory study. Crit Ultrasound J. 2018 Jan 25;10(1):4. doi: 10.1186/s13089-018-0084-5. PMID: 29372430; PMCID: PMC5785451. Thiele H, Zeymer U, Neumann FJ, Ferenc M, Olbrich HG, Hausleiter J, de Waha A, Richardt G, Hennersdorf M, Empen K, Fuernau G, Desch S, Eitel I, Hambrecht R, Lauer B, Böhm M, Ebelt H, Schneider S, Werdan K, Schuler G; Intraaortic Balloon Pump in cardiogenic shock II (IABP-SHOCK II) trial investigators. Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II): final 12 month results of a randomised, open-label trial. Lancet. 2013 Nov 16;382(9905):1638-45. doi: 10.1016/S0140-6736(13)61783-3. Epub 2013 Sep 3. PMID: 24011548. Aksoy O, Yousefzai R, Singh D, Agarwal S, O'Brien B, Griffin BP, Kapadia SR, Tuzcu ME, Penn MS, Nissen SE, Menon V. Cardiogenic shock in the setting of severe aortic stenosis: role of intra-aortic balloon pump support. Heart. 2011 May;97(10):838-43. doi: 10.1136/hrt.2010.206367. Epub 2010 Oct 20. PMID: 20962337. Karatolios K, Chatzis G, Luesebrink U, Markus B, Ahrens H, Tousoulis D, Schieffer B. Impella support following emergency percutaneous balloon aortic valvuloplasty in patients with severe aortic valve stenosis and cardiogenic shock. Hellenic J Cardiol. 2019 May-Jun;60(3):178-181. doi: 10.1016/j.hjc.2018.02.008. Epub 2018 Mar 21. PMID: 29571667. Gottlieb M, Long B, Koyfman A. Evaluation and Management of Aortic Stenosis for the Emergency Clinician: An Evidence-Based Review of the Literature. J Emerg Med. 2018 Jul;55(1):34-41. doi: 10.1016/j.jemermed.2018.01.026. Epub 2018 Mar 7. PMID: 29525246.  

We compiled our favorite clips on developer tools and developer experience (DevX). We discuss why DevX has become essential for developer-focused companies and how it drives adoption to grow your product. Learn what makes developers a unique and discerning customer base, and hear practical strategies for designing exceptional tools and platforms. Our guests also share lessons learned from their own experiences—whether in creating frictionless integrations, maintaining a strong feedback culture, or enabling internal platform adoption. Through compelling stories and actionable advice, this episode is packed with lessons on how to build products that developers love. Playlist of Full Episodes from This Compilation: https://www.youtube.com/playlist?list=PL31JETR9AR0FV-46VR4G_n6xi4WdXEx-2 Inside the episode... The importance of developer experience and why it's a priority for developer-facing companies. Key differences between building developer tools and end-user applications. How DevX differs from DevRel and the synergy between the two. Metrics for measuring the success of developer tools: adoption, satisfaction, and revenue. Insights into abstraction ladders and balancing complexity and power. Customer research strategies for validating assumptions and prioritizing features. Stripe's culture of craftsmanship and creating “surprisingly great” experiences. The importance of dogfooding and feedback loops in building trusted platforms. Balancing enablement and avoiding gatekeeping in internal platform adoption. Maintaining consistency and quality across APIs, CLIs, and other resources. Mentioned in this episode Stripe Doppler Heroku Abstraction ladders Developer feedback loops Unlock the full potential of your product team with Integral's player coaches, experts in lean, human-centered design. Visit integral.io/convergence for a free Product Success Lab workshop to gain clarity and confidence in tackling any product design or engineering challenge. Subscribe to the Convergence podcast wherever you get podcasts including video episodes to get updated on the other crucial conversations that we'll post on YouTube at youtube.com/@convergencefmpodcast Learn something? Give us a 5 star review and like the podcast on YouTube. It's how we grow.   Follow the Pod Linkedin: https://www.linkedin.com/company/convergence-podcast/ X: https://twitter.com/podconvergence Instagram: @podconvergence

Ein Podcast über die Geschichte des Weins. Gastrosoph Peter Peter erklärt unter anderem, warum und wie Wein zur Klasenfrage wurde. Das Thema:Können Sie sich an Asti Spumante erinnern? Der Wein bzw. Sekt ist nicht mehr besonders chic. Warum nicht? Fragen wie diese sind das Thema dieser Ausgabe von machtHunger mit dem Gastrosophen Peter Peter. Es kommen aber nicht nur Klassenfragen, sondern alles zur Sprache, was Wein betrifft: Woher die Farbe stammt, warum es Etiketten gibt, was Champagner von Prosecco unterscheidet, warum letzterer überhaupt so heißt wie er heißt; was es heißt, einen Wein auszubauen, ob Geschmacksnuancen sich wirklich erschmecken lassen, wann und warum Wein zu einem sozialen Unterscheidungsmerkmal wurde, wie der Chianti in den 1970er Jahren Kult wurde und warum es in Österreich Doppler gibt, aber eine Weinflasche nur einen dreiviertel Liter fasst. Diese Podcast-Folge lässt keine Frage unbeantwortet.Über machtHungerIn unserer Podcastreihe machtHunger geht es um die Kulturgeschichte des Essens und alle wirtschaftlichen Verstrickungen und politischen Machtspiele, die mit dem Essen und mit kulinarischen Traditionen verbunden sind. macht Hunger ist ein Podcast von Der Pragmaticus. Sie finden uns auch auf Instagram, Facebook, LinkedIn und X (Twitter).Staffel I macht Hunger I: Nationalgerichte macht Hunger II: Frankreichmacht Hunger III: Italienmacht Hunger IV: Das Schnitzelmacht Hunger V: Globale Küchemacht Hunger VI: Zucker!macht Hunger VII: Slawische Küchemacht Hunger VIII: Jenseits des FleischesStaffel IImacht Hunger I: Die Geschichte der Muskatnussmacht Hunger II: Der lange Weg zum Besteckmacht Hunger III: Weltenlenkerin Kartoffelmacht Hunger IV: Alkohol – Geschichte einer rosaroten BrillemachtHunger V: Salz, Ursprung von fast AllemmachtHunger VI: Ekel: Das Grauen bei Tischmachthunger VII: Wie der Tee drei Mal nach Europa kammachthunger VIII: Es trieft! Eine Geschichte vom FettStaffel III machthunger I: Bittersüß: Die Geschichte der Zitrusfrüchtemachthunger II: Warum dieses Weihnachtsessen?Über Peter PeterDer Kulturwissenschaftler Peter Peter ist in der bayerischen Hauptstadt München aufgewachsen, hat in Klassischer Philologie promoviert und ist Autor zahlreicher Bücher über das Reisen und die Kochkulturen dieser Welt (unter anderem verfasste er auch eine Kulturgeschichte des Schnitzels bzw. der österreichischem Küche). Er lehrte an der von Slow Food gegründeten Università delle scienze gastronomiche in Pollenzo und Colorno. Seit 2009 lehrt er für den Masterstudiengang des Zentrums für Gastrosophie der Universität Salzburg das Modul „Weltküchen und Kochsysteme“ und ist Mitglied der Deutschen Akademie für Kulinaristik. Sein jüngstes Buch ist den Zitrusfrüchten und Italien gewidmet. Es heißt Blutorangen und ist im Verlag Klaus Wagenbach erschienen. macht Hunger ist ein Podcast von Der Pragmaticus. Sie finden uns auch auf Instagram, Facebook, LinkedIn und X (Twitter).

Bevor wir gleich mit der Folge starten, habe ich noch eine Empfehlung für Dich. Diesmal in eigener Sache. Wie lange hörst Du eigentlich schon den Podcast? Ich will ganz ehrlich zu Dir sein. Die meisten Unternehmer setzen einfach nicht um. Das liegt nicht daran, dass sie es nicht wollen, sondern eher daran, das es bei anderen immer so einfach aussieht. Oft fehlt die Struktur, das klare Vorgehen. Auch bei uns hat es viele Jahre gedauert ein so belastbares System aufzubauen. Genau deswegen können wir Dir zeigen, wie Du es schaffst mehr Zeit für Familie, Freizeit und Fitness zu haben. Da Du schon lange den Podcast hörst möchte ich Dir ein Angebot machen. Lass uns einmal für 15 Minuten locker über Deine aktuelle Situation sprechen und dann schauen wir wo Du aktuell die größten Hebel hast. Wie klingt das für Dich? Das ganze ist natürlich kostenfrei. Wenn Du endlich einen Schritt weiter in die Umsetzung kommen willst, dann lass uns sprechen. Geh dazu auf raykhahne.de/austausch und buche Dir einen Termin. Da die Termine oft schnell vergriffen sind, empfehle ich Dir, jetzt direkt Deine Chance zu nutzen. raykhahne.de/austausch Buche Dein Termin und dann unterhalten wir uns. Willkommen zu Unternehmerwissen in 15 Minuten. Mein Name ist Rayk Hahne, Ex-Profisportler und Unternehmensberater. Wir starten sofort mit dem Training. Rayk Hahne ist Ex-Profisportler, Unternehmensberater, Autor und Podcaster. Er ist als Vordenker in der Unternehmensberatung und unternehmerischen Weiterentwicklung bekannt und ermutigt Unternehmer aller Entwicklungsstufen, sich aus dem operativen Tagesgeschäft ihres Unternehmens zurückzuziehen, um mehr Zeit andere Lebensbereiche zu gewinnen. Seine sportliche Disziplin und seine Erfahrung aus 10+ Jahren Unternehmertum nutzt er, um so vielen Unternehmern wie möglich dabei zu helfen, ihren „perfekten Unternehmertag” auf Basis individueller Ressourcen und Ziele für sich umzusetzen. Die kompletten Shownotes findest du unter raykhahne.de/1088

Now in its 43rd installment, the AUA Update Series is renowned for delivering high-quality lessons to practicing urologists, fellows and residents. All content is developed by internationally recognized experts in urology, making the AUA Update Series the most professional and sought-after self-study program available. Improve your practice and patient care by staying abreast of the latest treatments and surgical techniques in urology. For more information or to subscribe to the AUA Update Series, please visit AUAnet.org/Update24

Space Nuts #472 Q&A Edition: Titan's Mysteries and Cosmic CuriositiesJoin Andrew Dunkley and Professor Fred Watson in this intriguing Q&A episode of Space Nuts, where they delve into the mysteries of our solar system and beyond, addressing questions from their curious audience. From the unique atmosphere of Titan to the hypothetical existence of Planet Nine, this episode is filled with captivating discussions and astronomical insights.Episode Highlights:- Titan's Atmospheric Enigma: Explore the origins of Titan's thick nitrogen atmosphere and its ability to retain it, unlike Mars. Discover the role of comets and organic chemistry in shaping this unique moon's environment.- Tidal Locking Explained: Understand the gravitational phenomenon of tidal locking and why proximity and size matter. Learn about the differences in how natural and man-made satellites maintain their orientation.- Planet Nine Hypothesis: Dive into a speculative theory about Planet Nine and its potential impact on Uranus and Mercury. Discuss the ongoing search for this elusive celestial body.- Triton's Dwarf Planet Status: Uncover the history of Neptune's moon Triton and its possible past as a dwarf planet. Examine the characteristics that make Triton a fascinating world in its own right.- Distinguishing Doppler Effects: Differentiate between Doppler shifts caused by relative motion and the redshift due to the universe's expansion. Explore how these phenomena are used to study cosmic objects.For more Space Nuts, including our continually updating newsfeed and to listen to all our episodes, visit our website. Follow us on social media at SpaceNutsPod on facebook, X, YouTube, Tumblr, Instagram, and TikTok. We love engaging with our community, so be sure to drop us a message or comment on your favourite platform.For more Space and Astronomy News Podcasts, visit our HQ at www.bitesz.com.Become a supporter of this podcast: https://www.spreaker.com/podcast/space-nuts/supportor visit our Support page for more options: https://spacenutspodcast.com/aboutStay curious, keep looking up, and join us next time for more stellar insights and cosmic wonders. Until then, clear skies and happy stargazing.00:00 - This is a Q and A episode and we will be doing some homework01:17 - How come Titan can retain an atmosphere when Mars cannot07:23 - Why is tidal locking a function of proximity of bound objects11:00 - Ash Brisbane proposes that Planet Nine once existed on elliptical orbit14:43 - Nigel from Brisbane Australia asks hypothetical question about Neptune's Triton18:59 - Triton may have been formed much further out in the solar system21:17 - Nigel asks where the word asteroid came from23:24 - Fred answers question from Robert McCowan about Doppler effect✍️ Episode ReferencesKelly Millerhttps://www.swri.orgSpace.com articlehttps://www.space.com/saturn-moon-titan-makes-own-atmosphere.html3--- Southwest Research Institutehttps://www.swri.orgiHeartRadiohttps://www.iheart.comApple Podcastshttps://www.apple.com/apple-podcasts/Spotifyhttps://www.spotify.combitesz.comhttps://www.bitesz.com

This is episode 198 — and good news! Apple has listed this podcast as one of South Africas five shows they liked in 2024 — and we are also the third most shared podcast in South Africa on all Apple Podcasts. Unvelievable, ongelooflijk, Ngiyamangala, Ke Makatsoa! I am delighted — and indebted to you the listener who has shared this show with friends and family. Thank you everyone! With that unadulterated self adulation out of the way, back to 1853. As you know, this series constantly shuffles between world events of the time, and incidents and events in southern Africa. In China the Taiping Rebellion rolled on— a civil war between the Manchu-led Qing dynasty and the Hakka-led Taiping Heavenly Kingdom. The war had started in 1850 and would only end in 1864. It's believed between 20 and 30 million Chinese died in this war, about the same number who died in World War One. By comparison, the 8th Frontier War which had just ended in the eastern Cape was trifling - unless of course you were one of the 16 000 amaXhosa or 1400 of the British soldiers and settlers who died. The Taiping Heavenly Kingdom was dreamed up by a prophet just like the 8th Frontier War. In the southern African case, Mlanjeni had fused Christian and amaXhosa cosmology into a generated a cult-like following. In China it was Hong Xiuquan, an ethnic Hakka man who had proclaimed himself to be the brother of Jesus Christ and who led the Taiping Heavenly Kingdom. Also in 1853, the first passenger railway in India began running between Bombay or Mumbai as it's now known, and Thana was inaugurated in 1853. In the same year, Manchester was granted city status in the UK, and the first public aquarium opened in London. Yellow Fever killed 8 000 Americans in New Orleans, that's one reason why we get Yellow Fever shots — because yes folks — it kills you as quickly as a vaccine hesitant with spasmodic dysphonia. The Swiss watch company Tissot was founded in 1853 and soon the biggest market for Tisso watches, in those days was … Russia. Ironic, considering Russia and a host of countries had gone to war in the Crimea. A Time to die. The first potato chips, or chips as we call it, were prepared and sold by George Crum in New York. Christian Doppler the Austrian mathematician a physicist died in 1853, famous for his discovery that the observed frequency of a wave depends on the relative speed of the source and the observer. It's called the doppler Effect. Some could argue that there is a doppler effect in historical views, just as the perceived pitch of a wave changes with movement, historical events are viewed differently depending on the distance in time from the event. To stretch this metaphor further, perception is influenced by position, shaped by cultural, geographical and ideological positions. The closer you are to the event, the more intense it is. Thus, the Historical Doppler Effect. The Crimean War kicked off in October 1853. Word of these events, of course, were rippling across the planet, sometimes taking months to reach the furtherest corners. The Boers in South Africa for example were acutely aware of the Crimean war, and that their enemy the English were involved.

Pharmacy Radio 100 November 2024 Pharmacy Radio 100 November 2024 Welcome to episode 100 of Pharmacy Radio. That's right this is episode 100 of Pharmacy Radio. It all began with episode one on August 9th 2016 when the show was rebranded from Rush Hour Radio to Pharmacy Radio after one hundred episodes of Rush Hour. I am grateful to have had your support and ears over the last one hundred episodes an look forward to another one hundred. I have a fantastic show for you this month featuring a brilliant producer's mix from Doppler in the second hour. Doppler has a brilliant sound especially his bouncy groovy baselines. Plus, he has included two new unreleased tracks in his mix. I am a huge fan of his releases and play them regularly in my live sets so I am excited to share his mix with you today. In the first hour I have put together a mix of some amazing new releases from progressive to techno, trance and psy! First Hour: Christopher Lawrence Beckers, D-Nox, Gai Barone - Acid - Sprout Avis Vox - Find You - Kalt Skin Records Vakabular, RIKO & GUGGA - Dancefloor - Hollystone Records Avis Vox - Say It - Kalt Skin Records Avis Vox - Distance (Extended Mix) - Kalt Skin Records Kaufmann (DE) - Tuffi - Truesoul DJ Jean & B.O.B. Ltd. - I Want You (Weska Extended Remix) - Armada Layton Giordani, Eli Brown, OFFAIAH - When I Push - Armada Subjekt Alan Fitzpatrick, Lilly Palmer - Endless Nights - Armada Music Albums IKØN - Back to Basics - TechSafari Art Of Trance - Octopus (3 Of Life & Domestic Remix) - Stereo Society Faders, Relativ - Ground Zero - Digital Om Sabretooth - Ancient Curse - United Beats Records Guest Mix: Doppler One function & Doppler - Visualize (TechSafari Records) Doppler & dual vision - Shut your eyes (TechSafari Records) Kalki - Maya (Doppler Remix) (TechSafari Records) Doppler & Lydia - Piscis (TechSafari Records) Doppler - Human Desing (SourceCode Transmissions) Doppler - Codes of life (SourceCode Transmissions) Zen Mechanics & Audiotec - MechanicalDreams (Doppler Rmx (Unrl) Zen mechanics & Doppler - NN (unrl) Doppler - Essences (TechSafari Records)

https://youtu.be/5BYS4BIBBk0 Christian Espinosa, Founder and CEO of Blue Goat Cyber, is driven by a mission to ensure medical device security while helping his team drive project efficiency through innovative compensation structures. We learn about Christian's journey from overcoming a life-threatening health scare to founding Blue Goat Cyber, focusing on medical device cybersecurity. He explains his approach to designing security into medical devices from the start, rather than trying to fix issues later. He shares his Efficiency Driver framework, which incentivizes his team to become more efficient by tying compensation to project outcomes. He also emphasizes the importance of emotional intelligence in cybersecurity, detailing his seven-step methodology for fostering self-awareness, communication, and continuous improvement within teams. His insights offer strategies for medical device manufacturers and cybersecurity professionals to ensure both innovation and safety in their products. --- Drive Project Efficiency with Christian Espinosa Good day, dear listeners, Steve Preda here with the Management Blueprint podcast. And my guest today is Christian Espinosa, founder and CEO of Blue Goat Cyber, whose mission is to assist medical device manufacturers in creating products that are not only innovative, but are also secure and compliant with regulatory standards. Christian, welcome to the show. Thanks, Steve. I appreciate you having me on. I'm excited to have you and to learn about Blue Goat and I love the blue shirt that goes with it. Actually, the goat is white, but I guess the cyber security is blue rather than red. So my first question is, what is your personal “Why” and what are you doing to manifest it in Blue Goat Cyber? So a couple of years ago, I developed six blood clots in my left leg and almost ended up dying. And that was something that was a pretty pivotal moment for me because before that, I had done 24 Ironman triathlons and was in really good shape, but I didn't think things like blood clots happened to people like me. But when I was in the hospital, a Doppler ultrasound device that was portable was used to quickly diagnose the blood clots. And after going through a pretty long bout of depression, because my life as I knew it changed completely, I couldn't exercise, I couldn't fly, I couldn't really do anything but sit around. After I got through that, I decided to start another business and focus on medical devices. Because in my first business that I sold in 2020, we did medical device cybersecurity, but it was part of what we did. And now the focus is on medical device cybersecurity with this company. And largely, I think things happen for a reason. And I often think if that device had not existed or had been hacked and taken off the market, I may not be here today. So my mission is to help these innovative products get to the market and help them stay on the market because they're hack proof or secure from hackers. Wow. I didn't realize that this is such a big issue in medical devices that they get hacked and then they lose their FDA license or why do they disappear? Can they not just be fixed like any software product? They can be fixed, but a lot of times are recalled. Pacemakers have been recalled. Imagine you've got an implantable like a pacemaker inside of you and it's got a vulnerability where someone can wirelessly hack it and shock you to death. So now as a patient, you've got to make a decision. Do I get this thing taken out of me, which is a pretty major surgery, or do I live with the risk that someone could possibly wirelessly connect to my pacemaker and shock me to death? I don't have a pacemaker, but if I was in that scenario, that's a tough decision to make. But yes, these things are hackable. And the regulatory authorities like the FDA and in Europe, the medical device regulations are making efforts to enforce security with medical devices now. Wow, okay. So this is a huge thing.

In this episode we are looking at the topic of modern day slavery in the tech supply chain, examining where it can be found, and what can be done about it.To tackle this important topic, we're joined by humanitarian photographer and anti-slavery activist Lisa Kristine, founder of the Human Thread Foundation.This is Technology Now, a weekly show from Hewlett Packard Enterprise. Every week we look at a story that's been making headlines, take a look at the technology behind it, and explain why it matters to organizations and what we can learn from it. This episode has been produced with support from HPE's ‘The Doppler' Magazine: https://www.hpe.com/us/en/about/doppler.html Do you have a question for the expert? Ask it here using this Google form: https://forms.gle/8vzFNnPa94awARHMA About this week's guest: https://lisakristine.com/ Sources and statistics cited in this episode: The Human Thread Foundation: https://humanthreadfoundation.org/ Alliance 8.7: https://www.alliance87.org/ILO report into modern slavery: https://www.ilo.org/resource/news/50-million-people-worldwide-modern-slavery-0 Swarm robotics in surgery: https://www.dkfz.de/en/presse/pressemitteilungen/2024/dkfz-pm-24-58-miniature-robots-in-convoy-for-endoscopic-surgery.php

In this episode we are looking at the topic of modern day slavery in the tech supply chain, examining where it can be found, and what can be done about it.To tackle this important topic, we're joined by humanitarian photographer and anti-slavery activist Lisa Kristine, founder of the Human Thread Foundation.This is Technology Now, a weekly show from Hewlett Packard Enterprise. Every week we look at a story that's been making headlines, take a look at the technology behind it, and explain why it matters to organizations and what we can learn from it. This episode has been produced with support from HPE's ‘The Doppler' Magazine: https://www.hpe.com/us/en/about/doppler.html Do you have a question for the expert? Ask it here using this Google form: https://forms.gle/8vzFNnPa94awARHMA About this week's guest: https://lisakristine.com/ Sources and statistics cited in this episode: The Human Thread Foundation: https://humanthreadfoundation.org/ Alliance 8.7: https://www.alliance87.org/ILO report into modern slavery: https://www.ilo.org/resource/news/50-million-people-worldwide-modern-slavery-0 Swarm robotics in surgery: https://www.dkfz.de/en/presse/pressemitteilungen/2024/dkfz-pm-24-58-miniature-robots-in-convoy-for-endoscopic-surgery.php

From Navy SEAL to AI Innovator: Protecting Kids Online with Josh Thurman In this week's Team Never Quit Podcast, Marcus and Melanie sit down with Navy SEAL veteran and tech entrepreneur Josh Thurman. As the co-founder and Chief Operating Officer of Angel Kids AI, Josh is at the forefront of using artificial intelligence to create a safer, age-appropriate internet experience for children. Josh shares insights into his 12+ years of service as a SEAL officer, where he completed 11 overseas deployments in support of the Global War on Terror and was awarded three Bronze Stars, a Defense Meritorious Service Medal, Two Joint Commendation Medals, Three Navy Commendation Medals, a Navy Achievement Medal, a Presidential Unit Citation, and a Joint Meritorious Unit Award as well as multiple combat and valorous distinctions. Following his transition to civilian life in 2018, Josh applied the leadership and problem-solving skills he honed in the military to the tech world. His groundbreaking platform, Angel Kids AI, empowers parents to protect their children online by enforcing parental guidelines across the digital landscape. In this episode, Josh talks about the challenges of building a tech startup, the future of AI in safeguarding children, and his personal journey from the battlefield to the boardroom. Tune in to hear about his incredible story, the vision behind Angel Kids AI, and how he's making the internet a safer place for kids. In This Episode You Will Hear: • Riding my bike home; car doesn't see me. Pulls out and we crash at 20 mph. I fly over the hood, my right leg hits, immense pain. I had broken my hip. But now I'm starting to think about the military. I crutch my way to the recruiter's office. • Every generation, since the beginning of America has fought to preserve our freedom. • [Marcus] When you're checking into BUDS, check in on Friday after 4:30pm.  • Always choose the hard things because even if you fail, you're gonna learn a ton. • Things are gonna hit you in life that you have almost no control over, and you're gonna want to have those experiences that you build up doing the things you chose to be hard, so you can survive those moments. • My wife's a nurse practitioner, she's tracking the baby on the Doppler. As she's laboring, our son passes away. Been through all this stuff: Training, deployments… I'm grateful for those things, because they all sort of prepared me for this thing that happened in life that I had no control over. •There's suffering to be dealt with and that loss – you've gotta get through it, assigning meaning to that suffering. I'm not suffering for nothing, I'm suffering for something. • [Marcus] A lot of times, you just go though it with them, and not talk ‘em through it. • Recognize that God gives us that pain to keep us close to that person so that we don't forget ‘em. • I always knew I wanted to be an entrepreneur. In many ways, I wanted to serve as long as I could, as hard as I could, but I knew on the other side this is what I wanted to do. • You may have thousands of followers on whatever platform it, but do you have someone you can call to move a couch? • Social media is a democracy killing force. It wields way too much power in our lives. • Technology should be a tool to help us fulfill the dreams of our lives. It's totally inverted right now. • AI has been working for big tech, it serves their purposes. It serves up products to advertisers. This is the big machine. Frankly, we're getting played by it. • If you want this incredible thing called America to persist, you've gotta be part of the solution. • We're all getting played, and the house always wins. • There's value in getting information, organizing, shopping, people finding love on line. But it shouldn't be massively destructive. • Kids have access to this online virtual world all the time that's terrible for their mental health. It's teaching them that the most important things in life is how many likes and followers you get. • The surgeon general put out a warning: If kids are spending 3 or more hours on social media, they're 50% more likely to be depressed. • At Angel Kids, our mission is to use AI to make the internet safe for kids.  Socials: - IG: jpthurman        - https://www.angelkids.ai/ - IG: team_neverquit , marcusluttrell , melanieluttrell , huntero13 -  https://www.patreon.com/teamneverquit Sponsors:    - Navyfederal.org           - Tonal.com [TNQ]    - PXG.com/TNQ    - GoodRX.com/TNQ   - greenlight.com/TNQ   - PDSDebt.com/TNQ   - drinkAG1.com/TNQ    - ghostbed.com/TNQ [TNQ]   - Shadyrays.com [TNQ]   - qualialife.com/TNQ [TNQ]   - Hims.com/TNQ   - Shopify.com/TNQ   - Aura.com/TNQ   - Moink.com/TNQ   - Policygenius.com   - TAKELEAN.com [TNQ]   - usejoymode.com [TNQ]   - Shhtape.com [TNQ]   - mackweldon.com/utm_source=streaming&utm_medium=podcast&utm_campaign=podcastlaunch&utm_content=TNQutm_term=TNQ

SPaMCAST 833 features our interview with Brian Vallelunga, founder & CEO at Doppler. Brian and I discuss the importance of managing secrets. Brian states, “Secrets are the keys to the kingdom.” Today any organization that does not secure the data they manage is asking for trouble (with a capital T)..  Brian Vallelunga is the Founder and CEO of Doppler, the first secrets management platform for developers. Doppler empowers tens of thousands of engineering and DevOps teams to seamlessly orchestrate, govern, and manage their secrets across environments at scale. Brian has been featured in Forbes 30 Under 30 and worked at improving overall safety at Uber. Social: Website:    Master Work Intake! Mastering Work Intake by and myself is your path to addressing IT's nasty, dirty little secret…poor work intake. Simply put if you don't control work intake IT CONTROLS YOU!  Buy a copy and begin to control the flow of work for your team and organization.  Order a copy of the book from JRoss Publishing -  or via Amazon -     Re-read Saturday News Recently, I have watched (read in the paper) the indictment of Eric Adams, mayor of NY (he resigned after I wrote this essay). While I understand that incitement and guilt are not synonymous, the words he has used in the past to define his character and his actions do not seem to be congruent. His character as defined by his actions (alleged) to a Stoic is found wanting.  This week's chapter is all the more powerful with these current events as a backdrop.   Chapter 7 begins the third section of  (buy a copy and read along). The section title is The Discipline Of Action: How To Behave In The World. Action is the second core discipline of Stoicism. Chapter 7 is titled It's All About Character (and Virtue). A better title might be “Hello Mr. Adam's. Catch on all of the entries in the re-read of  (buy a copy and read along) Week 1: Week 2:    Week 3: Week 4: Week 5: Week 6: Week 7: Week 8: Next SPaMCAST  SPaMCAST 834 will feature twenty questions you can use to create work intake cognitive dissonance. Creating cognitive dissonance is important because if you can't get people to question the status quo, you will never generate change.   We will also have a visit from Jon M. Quigley. Jon brings his Alpha and Omega of Product Development to the podcast.

If you've worked closely with a product team, chances are that secret management has been a topic that you've had to wrangle with at some point. Either because your development or deployment teams don't have access to the right secrets, and that slows down how quickly you can get your code to production or worse because your secrets were exposed to the public and put your data and your customer's data at risk through a data breach. In this episode of the Convergence Podcast, Ashok welcomes Brian Vallelunga, CEO of Doppler, to discuss the too-often overlooked topic of secret management in software development.  Before founding Doppler in 2018, Brian was a lead engineer at Uber, where he worked on special projects for the C-suite. Doppler is a secret office platform backed by industry heavy hitting venture capitalists like CRV, Google Ventures, Sequoia, Greylock, Kleiner Perkins and they're also a Y Combinator company. Brian shares insights on why development teams frequently struggle with managing secrets like API keys and database credentials, and he explains the far-reaching consequences of poor product security—ranging from data breaches to production slowdowns. Brian also discusses the importance of proactively training teams and developing secure workflows, providing real-life examples of high-profile data breaches at companies like Twitter and Toyota. Brian outlines 4 essential questions executives and senior engineers should ask to safeguard their systems. From developing playbooks for responding to breaches to ensuring secret rotation, this episode is packed with actionable advice for both technical and non-technical leaders. Unlock the full potential of your product team with Integral's player coaches, experts in lean, human-centered design. Visit integral.io/convergence for a free Product Success Lab workshop to gain clarity and confidence in tackling any product design or engineering challenge. Inside the episode... What secrets are and why they are critical in software development The challenges of secret management for both small startups and large companies High-profile data breaches at Twitter and Toyota and how they happened Key questions every executive and engineer should ask about secret management Proactive steps to train your team and secure your codebase How to clean up exposed secrets and prevent future mistakes Best practices for rotating secrets and monitoring security Mentioned in this episode Doppler (Secret management platform) AWS Secrets Manager Google Cloud Platform (GCP) Secrets Manager HashiCorp Vault Toyota and Twitter data breaches Subscribe to the Convergence podcast wherever you get podcasts including video episodes on YouTube at youtube.com/@convergencefmpodcast. Learn something? Give us a 5-star review and like the podcast on YouTube. It's how we grow!

I think this marks the 4th episode with Jeremy Jessen. This time we're chatting all amazing things about the song "Doppler" from Rad Owl's banger of a new record, "Rage Gracefully".Telling on myself, the episode was recorded in late May 2024 and I wasn't able to finally finish the episode until last week.Pinky swear, I'll do better."Rage..." came out in late Spring 2024, on Sell The Heart Records based out of San Francisco, and the fellas have been busy performing and supporting their new release across the US & Canada.Amazing for me that they are coming to Orlando, FL to play Will's Pub on Wednesday, Oct 23 (Along with B-Side Breakdown Alum, The Raging Nathans!!!) and at FEST! on Saturday Oct 26 at The Backyard @ Boca Fiesta & Palomino in Gainesville, FL.This Will's Pub show is going to be amazing as I saw The Raging Nathans, Rad Owl, Reconciler, and Jon Snodgrass perform together at The Earl in East ATL a few years ago. I'm stoked to get a second helping of that show.Go see them. Please show your support and buy their amazing records.@radowlbandhttps://radowl.bandcamp.com/@selltheheartrecordshttps://selltheheartrecords.bandcamp.com/@threecrowsclub@brettjamesjohnson@bsidebreakdown#RadOwl #Doppler #RageGracefully #SellTheHeartRecords #JeremyJessen #brettjamesjohnson #threecrowsclub #musicpodcast #bsidebreakdown

Get in touch! Be Sure To Leave Contact Info for a Reply!Hello, friends! We're back just the two of us like old times.Kat kicks off this episode reflecting on how wildly different her first birth with her son was compared to her redemptive, sovereign homebirth outside the medical industrial complex with her daughter just 26 months later.Kat's initiation into motherhood in 2022 involved bait-and-switches, homebirth medwifery sabotage, and an unhealthy fixation on blood pressure resulting in fear mongering, a distrust and pathology of birth, an unnecessary hospital transfer, false pre-eclampsia diagnosis, and ultimately a c-section.Fast forward 17 months when Kat discovered she was pregnant with her second baby after just the first try (thanks Anisa Woodall!)Kat recounts her journey from deprogramming and unlearning everything she thought she ever knew about birth, to becoming fully embodied, taking radical responsibility for her birth choices, and completely surrendering to and trusting every step of the process.All of this laid the groundwork for having a mother-led, intuitive, homebirth in the absence of any licensed provider in favor of the unconditional support of her husband and radical birthkeeper Ali. NO cervical checks, membrane sweeps, inductions, doing anything to “get labor going,” ultrasounds, Doppler, suggestions or threats of a hospital transfer, coached pushing, or management of the third stage of labor.Kat also discusses the process of obtaining a birth certificate when you choose to give birth outside of the system (if that's the route you wish to take) and answers questions you posed about the birth on Instagram.Resources we referenced:Complete Guide to FreebirthHow to avoid birth certificate and SS#Anisa Woodall Resilient Motherhood (code MOTR for $100 off) SubLuna tinctures for pregnancy, birth, and postpartumKristin Hauser's tinctures and Postpartum herbs for sitz bath/peri bottleKat's Wild Pregnancy EpisodeOur Episode with Anisa WoodallSupport the showDONATE (Thank you!!

Today, we're speaking with Brian Vallelunga, the founder and CEO of Doppler, the pioneering secrets management platform designed specifically for developers. Brian's journey is nothing short of inspiring. From his early days as an intern at Uber, where he made significant safety improvements, to being named one of Forbes 30 under 30, Brian's assertive and innovative approach has consistently led him to new heights. In this episode, Brian shares how his struggles with managing environment variables inspired him to create Doppler. He narrates his journey, from overcoming challenges at Uber to pivoting side projects, which ultimately led to the creation of this robust secrets management solution. He imparts practical advice on listening to customers, addressing security vulnerabilities, and the importance of a centralized secrets management tool, empowering you with the knowledge to navigate similar situations. For all aspiring entrepreneurs, Brian's story of learning from multiple failures and his mantra of taking chances is particularly inspiring. His journey will motivate you to keep pushing forward, and his insights on effective customer research and the importance of solving urgent, significant problems will encourage you to tackle your own entrepreneurial challenges. So, get ready to gain invaluable insights into how you can streamline your DevOps practices, enhance your security measures, and lead your projects to success.

“My birth stories are my testimony…I have never trusted God more with any situation in my entire life other than with the lives of my children and bringing them into this world.”Shelby's story is one of faith, trust, and surrendering. Shelby joins us today from Indiana sharing her wildly traumatic Cesarean story due to a placental abruption and her peaceful, healing home birth. Shelby was on vacation at a cabin in New York at 34 weeks when she woke up to regular contractions and heavy bleeding. She rushed to the nearest hospital, was put under general anesthesia for her Cesarean, was transferred via a separate ambulance from her baby to a hospital 3 hours away, and had a 23-day NICU stay in the height of COVID 800 miles away from her family and community.She and her husband were certain they would not have any more children. But as they fought for healing through faith-based counseling, their hearts yearned for another baby and a chance at a healing birth experience. She completely surrendered, found holistic prenatal care, and created a birth space for herself where she knew she felt safe. She was brave and vulnerable, and her second birth was everything she hoped it would be. As Meagan says at the end of this episode, “Get educated. Love yourself. Have faith in you and your body and your baby. You are amazing. You are a true Woman of Strength.”How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Women of Strength, we have our friend, Shelby, here with us today sharing her HBAC story. In addition to her HBAC story, she's got some other unique things that I think are going to be important for us to talk about today. One is placental abruption. That is something that is definitely a reason for a Cesarean and one of those absolute needed reasons for a Cesarean. We are going to talk a little bit more about that and then we are going to talk about faith and how faith in whatever faith looks like to you, it's so important to cling onto that. Shelby has some messages about that. Then we really want to talk about physiological birth. We hear it. We see it online. I mean, if you go on Instagram and you go into the birth world, you're going to see it almost 100% guaranteed but what does that really mean? We're going to be diving in with that today. Shelby, you are in– where did it say, Indiana? Shelby: Indiana, yeah. Meagan: I have to look at my notes. Indianapolis, Indiana. She's in Indiana so Women of Strength, if you are coming from her area, definitely listen up as well. Okay, so we have a Review of the week and this is by birthing confident. It says, “Invaluable information. I love this podcast. As a mom planning a VBAC and a VBAC-trained birth doula, the information shared on this podcast is invaluable. I have become so passionate about helping all women know their birth options and avoid unnecessary C-sections. I think this podcast is great for all expectant mothers” and I 100% agree with that. This podcast is for anyone and everyone because like she said we are wanting to help people avoid unnecessary and/or undesired Cesareans. We have a ridiculous Cesarean rate. It is through the roof. I would love to see it start dropping and I don't know if this podcast truly is going to impact the Cesarean rate the way I would love it to, but I do believe that it's a starting point. It's a starting place for you guys to learn your options for birth after Cesarean and to learn how to have a better Cesarean experience if you have one because that's also a really important factor that I think a lot of people forget about. Not only do we share just VBAC stories, but we do share healing, beautiful CBAC stories and repeat Cesareans. Thank you so much, birthingconfident, for your review. As always, please if you haven't yet, leave us a review. You can do so on Apple Podcasts. You can message us. You can rate us on Spotify and all of the places that you listen to your podcast. Meagan: Okay, cute Shelby. Welcome to the show. Shelby: Thank you. I'm so excited. Meagan: I am so excited. So let's dive in. I am actually really excited to talk a little bit more about placental abruption as well and hear about your experience. Shelby: Yeah. I don't think I even knew it was a thing honestly before it happened to me. I think it's something that people don't really talk about and it's probably a good thing because it's really scary but also, it would have been good to maybe know what was going on. I know it wouldn't have changed the outcome, but yeah. I just had no idea that was even something that could happen. With my first pregnancy, it was very run-of-the-mill. Everything was good and I was planning on birthing at a birthing center in Indianapolis so I was still going for that natural, unmedicated birth. I didn't really know anything that went into that as you do with your first and I feel like you do the typical making the baby registry and doing all of these things that don't really actually help you with your birth. Not that I would have gotten the chance to even try anyway. I feel like I just definitely didn't really have much knowledge and I think the problem is that you don't know what you don't know which is why I literally recommend this podcast to all of my friends who are even pregnant with their first baby because I'm like, “Just learn the things. Learn all of the things.” We took a very basic birthing course through the birthing center and it was just virtual, like four sessions and it was not super helpful honestly but we also didn't get to implement it. The pregnancy itself was just very normal. I mean, I have pretty much all of the symptoms which is the worst like really horrible rib pain and nausea and heartburn and all of the things. What was crazy though, this was in 2021 and I actually got COVID while I was pregnant also. Everyone I've talked to thinks that's probably why I had a placental abruption.Meagan: That's interesting to know. Shelby: Yeah. I had it in about my 5th month of pregnancy in September and I was due in January. It was horrible for a week but then I recovered and I was back to working out. I was totally fine. I didn't have any blood pressure issues after that. Everything reallly seemed okay. We decided at 33 weeks that we were going to go to New York which is really far away from Indiana on vacation for Thanksgiving to gather with all of my husband's family. My midwives cleared it. Like I said, I was working out. I was healthy. I was fine. The trip was going super well. I was working out while we were there. I was doing barre obviously so I was doing safe things. Fitness is a really big part of my life but also, it's not something I added in during pregnancy. It was just normal for me. Meagan: I used to take barre too. I took barre and was teaching barre with my second TOLAC. It's a very low impact but very, very good for strength and cardio. Shelby: Yeah, and my husband and my father-in-law were doing them with me so we have some really awesome videos of me at 34 weeks pregnant working out with my husband and my father-in-law doing barre. But yeah. Everything was going well and anything that was slightly risky which really even wasn't, I wasn't doing. They did this office chair floor hockey where they were pushing each other around in office chairs and playing hockey in a building and I didn't do it. I sat on the sidelines and observed. I was being really what I feel like was cautious. Meagan: Responsible. Shelby: Right, yeah. We even took family pictures on Saturday and everything, I have pictures of us smiling and laughing and then literally the next day we had a baby which was crazy. I start having Braxton Hicks contractions at 20 weeks. For both of my pregnancies, I just feel like I start having them really early so they are not shocking for me. But that Saturday, I remember several times looking at my husband and being like, “These feel a little stronger than I remember them being,” but with your first, you don't know anything. I kept mentioning that to him but they weren't super regular and there were no other signs of anything, just Braxton Hicks contractions. Then that night when we went to bed, I couldn't really sleep. I was laying there by myself the only one awake. We were all staying in this big cabin together which was great. My husband and I were in our room. At 4:00 AM– this is so funny to me now that I know what labor is actually like. At 4:00 AM, I started timing contractions and they were less than 5 minutes apart when I started timing them. I'm like, What was wrong with me?So after an hour of them being like that, I woke my husband up and I was like, “I think you should go get your mom,” because she is actually a midwife which was good. Meagan: Oh, convenient. Shelby: She was in the room next to us. Yeah. I was like, “I think you should go get your mom because this is not right.” They were not just less than 5 minutes apart. They were pretty uncomfortable. She came over and checked things out. I know now that she definitely knew that something was going on but she was really good at keeping her cool. She was like, “Why don't you go shower and try to relax?” When I went to go to the bathroom and shower, I started bleeding. Like I said, I knew nothing about labor, so I was like, “Oh, well maybe I am in labor” which was really scary because I was only 34 weeks but it was a lot of bleeding. I was like, “Well, I don't know what's normal,” but I know that obviously, my mother-in-law knew what was going on. She was like, “It's okay. We'll have Chad (my father-in-law) just go start the car and we'll go in and get everything checked out.” So we were in the middle of the Adirondacks which is literally nowhere. We had a 25-minute drive to the nearest hospital and this hospital, I mean we were probably the only people there. It was 5:30 in the morning maybe. They didn't have an OB there. They didn't have a surgical team there. They were all at home so we come in and the front desk lady is like, “What's your occupation?” She's typing like a sloth. I was like, “Girlfriend, I am bleeding and I am in full-on labor. Can we just go inside?” So that was crazy. She's asking me to sign stuff and I'm telling my husband, “You have to sign.” At this point, contractions were pretty back-to-back and they were super strong. I could tell I was bleeding with every one. I could feel it. They got me back into the ER and the poor nurse. I know that this was probably so scary for her, especially with an OB not even there but she was asking me, “Have you felt her move recently? I can't find a heartbeat.” I was like, “I don't know. I'm in labor. I don't know if she's moving or not.” Every time I'd have a contraction, she'd just be like, “Oh wow, that's a lot of blood.” I'm like, “Thank you. I know.” Meagan: You're like, “I can feel it.” Shelby: Yeah, it was wild. By the time the OB got there, she checked. She said I was fully dilated and effaced. Meagan: Holy cow. Shelby: This was maybe 2 hours. It was not long. Now that I've been through a full labor, I'm like, that is crazy. My body had to have just been in panic mode like, We have to get this baby out right now.She checked and something that was kind of cool was I knew that my baby was head down. She had been from 20 weeks. She was perfectly always in the same spot because I could always feel her kicks really high and one of the times the OB checked, she goes, “Oh, and she's breech so we're just going to have to go.” I was like, “She's not breech. Check again. She's not breech.” She checked again and she was like, “Oh, you're right.” I was like, “Yeah.” So the nurse brings in all of the scrubs and stuff for my husband to put on and as he's getting dressed and everything, he's fully ready to go. He's all excited because he wasn't really super scared. Meagan: He didn't understand what was going on. Shelby: Yeah, but also, he's like, “I'm going to meet my baby today. This is so cool.” And the literal most gut-wrenching thing of my life was when the OB was like, “No, we don't have time. It's going to be under general. You can't come.” She wheeled me out of the room and I looked back and saw him standing there fully dressed just like yeah. It was awful. In that moment, I wasn't even worried about myself and I wasn't worried about the baby. I was just like, He's going to be traumatized from this. This is horrible. They took me back there and I'm in labor holding onto the top of the bed. I was only in there probably for a minute, but it is scary. The whole room is white and there is somebody over here counting instruments. They stick a mask on your face and you can barely breathe and then the next thing you know you wake up in recovery. I woke up as the only person in this room. There were maybe two guys sitting at the desk but that was it. Nobody else was there. They didn't say anything to me. Nobody told me if she was okay. I knew nothing. Yeah. I was just laying here. Eventually, my husband came in and he showed me pictures of her. He was like, “She's okay. She's on oxygen but she's doing all right.” But yeah. It was totally crazy. Then they moved me to– I don't even know. It probably wasn't actually a postpartum room. I don't even know if they have those at this hospital. I feel like they probably try to send everybody everywhere else. Then basically, they told me, “Hey, you have 10 minutes if you want to go see her and try to hold her before the ambulances get here to transfer you guys,” because there wasn't a NICU there and they probably weren't even– they couldn't have cared for her. I think as soon as we got there, they must have called Albany Medical Center because it's 3 hours away. She was born at 7:30 in the morning. I started timing contractions at 4:00 AM. We didn't leave until after 5:00. The whole thing was so fast. I'm getting ready to get out of bed and get in a wheelchair to go see her and they didn't warn me how much pain I would be in and they didn't really help me get out of bed either. As I went to stand up, I leaned back a little and after you've had a C-section, I almost passed out. Meagan: Oh my gosh. Oh my gosh. Shelby: Yeah, so I get in this wheelchair and I get in the room where she is. She's got the oxygen mask on and she's got all of these tubes and all of the things and you could tell in the pictures I was barely with it. What I remember bothering me the most is I had obviously been intubated so I felt like there was stuff in my throat because it was so swollen. My mouth was all dry and I got to hold her for a couple of minutes but it didn't even feel real. Then the NICU team got there. She was on one ambulance and I was on a different one and my husband was in a car so we were all separated for 3 hours to Albany. Halfway there, my ambulance– so hers left first, and halfway there, we passed hers pulled over on the side of the road. I started panicking. There was no communication between the two ambulances. Meagan: Oh my heavens. I'm dying right now. Shelby: Yeah. The EMT, bless her heart, was amazing. She was like, “It could be anything. It could be one of the monitors isn't hooked up right and they're just stopping to do that or they need to change out an oxygen tank and they can't do that while driving.” She helped me calm down a little bit. She probably shouldn't have said this, but we got closer to Albany and she said, “We don't need to panic.” I don't remember if she actually said this but she said, “Unless they pass us again going fast.” I kid you not but we were 5 minutes out from the hospital and her ambulance went by us with lights and sirens on. I had maybe seen her for 10 minutes before this and she couldn't contact the other ambulance. So just traumatizing, all of it. Thankfully, when we pulled into the hospital, the first thing that the guy on the baby's ambulance did was come over and say, “Everything is okay.” It was just something. They had a lead or something come off so they needed to stop and take care of it so it wasn't a big deal but it made it feel like a big deal. We are in New York still for all of this. We get in there and I have to get settled in the postpartum section and she has to get settled in the NICU and then finally, hours later, I was still bleeding a lot so they were trying to take care of that. They were doing the fundal rubs and I remember texting my mom and I was like, “If they do it again, I'm going to punch someone in the face,” because it was so awful. They were saying, “It's because the EMT didn't do them on the ride over that you are bleeding so much,” so they kept coming over and doing them. It was so awful. So then we had a 23-day NICU stay in New York, just my husband and I because no one else could even visit us because it was 2021 in New York which was pretty bad for COVID. Once I was discharged after 4 days, technically, the only visitors allowed were my husband and I with our NICU bracelets to see her. Even if they had someone come, they couldn't even come into the hospital. We didn't really want to leave the hospital because we wanted to be there with her. We were Ubering to Target. We didn't have a car because we flew there. We are Ubering to Target and thank goodness they had a Ronald McDonald house there so we were staying there and they supplied a lot of dinners and housing which was the biggest blessing in the world. I literally don't know what we would have done otherwise. Getting discharged without your baby is super horrible and she was only 4 pounds, 10 ounces so she was really little and nursing just never took off for us. I didn't get to try for a while even because she was being tube-fed and she could barely stay awake because she was so tiny. Every nurse that you'd have would tell you their tips and tricks which is great but not helpful when every 3 hours you are being told something different. We tried so hard and eventually got to the point where it was like, “Let's just get home. We are 800 miles from home and if it takes a bottle, that's fine. We just need to get home.” Yeah. After 23 days, my amazing mom drove to New York because we didn't even have a car seat. It was all at home. She picked us up and drove us back home. Meagan: Oh my gosh. Shelby: Yeah, so then you are coming home with this little 5-pound baby and you are like, “How are we even allowed to do this? She doesn't even barely fit in the car seat.” It was so crazy. After that, we were really unsure if we'd have more kids. Especially right after, we were like, “I don't know if we can do that again.” My husband and I always wanted lots of kids and a big family. That has always been something that we wanted so after that first experience– and you do a quick Google search of placental abruption and they say, “Once you've had one, it's 15% more likely that you'll have another one.”You're like, I can't go through that again. That was horrible. I knew that if we got pregnant again, I was like, I'm going to feel like a ticking time bomb. All of these also quick Google searches tell you that it can happen as early as 20 weeks. Thank goodness we made it to 34 but I'm like, If that happens at 20, baby is probably not going to make it. Meagan: That's a scary thought. That's a really scary thought. They really have advanced the medical world so much to a point where even when babies are born really, really preemie, there are higher chances than there used to be, but the thought of that in general is just too much to think about. Shelby: Oh yeah, and my mom who drove to New York to get us– which is probably part of the reason they discharged us. She's a NICU nurse so she actually knew how to feed this litle 5-pound baby who was still causing us feeding issues and all of the things, but I've obviously heard from her too the stories of the really early babies. I mean, even 29 weeks and I was like, It's just too much. But we also knew that we couldn't stay in that place because we both were not in a good place with it. My husband was obviously so traumatized for different reasons and I was too. It was just a lot. We started seeking out some faith-based counseling basically like spiritual reconciliationing kind of to work through it all because I knew even if we weren't going to have more kids, I could not just live with that raw the way it was. Meagan: Both of you needed to process that. Shelby: Yeah. We were just praying for the release of that and we even prayed over our poor baby because I was like, She's probably holding trauma from that too. The losses that I was experiencing were also losses for her. She missed out on the golden hour and a peaceful entry into this world. It would drive me crazy thinking that her first moments in this world were with people she didn't know and it was bright in the room and being hooked up to machines. I was like, That was probably so scary for her too. We could tell for a long time, probably her first 7 months that she was so sensory. I mean, just screamed and hated the car seat, hated transitions, hated bedtime. I mean, it was basically non-stop screaming for 7 months. I was like, You were supposed to be in the womb for 6 more weeks and instead, you were in the NICU with lights and sounds and all of the things. We just started praying really hard over all of it and speaking to some really trusted friends who worked through trauma with people. I started listening to The VBAC Link. This is probably when it started obsessively. I was doing Amazon deliveries just for fun on the side. I could take the baby with me so I'd put her in her car seat. This was eventually when she stopped screaming in the car seat so it took a while. I would put my AirPods in and while I did all of these deliveries, I would just listen to back to back to back episodes forever and for months. I think honestly that was probably what started getting me thinking even about more kids. I started learning about VBACs and how really the odds of having a VBAC are not that horrible and that it's really not any riskier than a second C-section and I was like, I really don't want another C-section because that was– I mean, I couldn't even roll over in bed by myself. My husband told me, “You don't usually need me, but that was the one time you actually needed me.” He was like, “Honestly, that was really hard to see you in that much pain and struggling that much.” I was like, “Yeah. I couldn't even pee by myself.” Meagan: Oh, I remember my husband literally helping with my second. He had to hold me up in the shower. I was like, “I just can't stand the whole time in the shower. Can you just hold me up and shower me?” I remember feeling so vulnerable and I was frustrated because I'm like, This isn't my personality. I'm very independent. Why is this happening? Yes. Shelby: Independent and strong. Yes. But also in my fashion, I was walking to the NICU by myself very slowly by day two. I'm like, What was wrong with me? But also, we didn't have a choice. I was about to be discharged. We had to figure something out. Thankfully, I didn't need to stay for 4 days, but because I had nowhere else to go, they were like, “You can stay all 4 days if you want.” I was like, “Okay, great.” But yeah, so I just started learning everything and consuming as much information as I could about physiological birth and about VBACs and there really isn't a ton of information about placental abruption. There are risk factors which I had none other than COVID which no one talks about yet because it had just started, but I didn't have high blood pressure. I obviously didn't do drugs. Meagan: You didn't have multiples. It was a singleton. Yeah. Shelby: It never happened before. My placenta was in a good location. Meagan: Your membranes hadn't ruptured. Shelby: Yeah, my water never ruptured with her so it was crazy. But around when she was probably 9 or 10 months, I couldn't even believe it, but I told my husband, “I'm not totally opposed to having another baby.”He was like, “For real?” We talked about it and we prayed about it a lot and I told God over and over again, “If I get pregnant again, this is going to be the biggest test of my trust in You ever because I know that if I try to worry about it, I'm going to go crazy. If I try to control the outcome which I can't, I'm going to go crazy.” So it basically was like, “If it happens, I'm just going to have to trust you with it fully. No holding back.” Actually, before we were even pregnant, started shopping around for providers. Meagan: That is key. That is so important. Shelby: Yeah. We do have one hospital locally that has midwives and birthing pools. I was like, “Okay, that sounds like a pretty good option for a VBAC.” We went to talk to them– well, I went by myself. I had my list of questions ready. I walked in ready to not take any crap because I also knew a lot about what they were probably going to say and they said, “Yeah.” First of all, they wouldn't call it a VBAC of course because nobody wants to do that. Meagan: TOLAC.Shelby: That was the first thing. I was like, “No. I'm going to do this.” Yeah, so they were like, “We'll allow you to try.” I was like, “Okay.” They were boasting about their VBAC rates and it was 60%. It was not very high and I was like, “Umm, okay. That's not that awesome, but all right.” They started listing off the things you have to do because I had all of these questions ready because I knew. So you have to have an IV hooked up. I was like, That's annoying. I was like, “Can you at least have the hep lock?” They said, “Yeah, that would be fine.” Then they said, “But you have to have continuous monitoring.” I was like, “Okay. I really, really don't want continuous monitoring,” and they try to make it sound better like, “Well, it's waterproof and it's mobile so you can still move around with it,” but I also knew about the statistics of continuous monitoring and how a lot of times they indicate things that aren't actually an issue and then especially if you are a VBAC patient, they're like, “Well, time for another C-section because baby's heart rate is dropping.” Baby's heart rate is supposed to fluctuate as they are descending. Meagan: Just like ours. Shelby: There was that and then they also said, “You can labor in the water, but VBACs aren't allowed to push in the water.” I was like, “Doesn't that defeat the purpose?” Especially if it's a VBAC patient, we should be doing everything we can to ease the labor. Why would you make them get out right when they are feeling like they need to push? They were like, “Oh, well it makes the OBs uncomfortable.” I was like, “Well, the OBs aren't delivering this baby so I don't really care what makes the OBs uncomfortable.”So they made me schedule out all of my prenatal appointments and I went to one of them but I told my husband, “I just don't want to have to fight for it. I know I can. I know that I can go in there and say ‘No thank you' and be confident in myself, but I don't really want to.” So I had never ever even considered a home birth. I don't even remember how, but we somehow heard about the only home birth midwife in our area and I scheduled an appointment with her. I didn't even get established with her until I was 19 weeks. I pushed out the OB care for a really long time when we found out we were pregnant because I knew we didn't really love them. So I just didn't go for a long time. I felt like everything was good. I felt like I was pretty in tune with everything. But yeah, I skipped a little bit but when we got pregnant with our second, it was a lot more immediate where I started praying about it all like, Okay God. This is for You because You are the only one who knows how long this baby is going to gestate and you're the only One who knows if it's going to end how we hope it does. I started praying. This is something. I started praying really specific prayers. I believe that God cares even about the little things which really aren't little things in this, but I prayed that my placenta would be in a good spot and I prayed that my placenta would be strong and that it would make it all the way to term and I prayed that this baby would make it all the way to term. Literally every little concern I had, I pretty much sat in the shower every day and just spoke it aloud. I was like, God, I know that You are a God of healing and restoration and I know that You can do that for me. I believed that through this birth, He was going to heal the trauma from our first because I was like, that feels like this is how it has to go at this point. We went and we met this midwife. She didn't doubt for a second. She didn't say anything that was like, “I'll let you try.” She was like, “You sound like a perfect candidate for a VBAC.” I told her that I had COVID and she was like, “Well, that's probably why your placenta ruptured.” She told me that the placentas she had seen throughout COVID and recently, she was like, “They are not healthy and they are not sustaining a lot of them until the end of pregnancy or if they are, they don't look good by the time they get there.” She wasn't surprised. But yeah, she said, “You sound like a perfect candidate. I think you can do this.” At every appointment with her, we'd sit there for an hour and we'd talk and she totally respected all of my wishes. She'd ask me if I wanted to do something. I'd ask her for information and then she'd let me decide either way which was cool too. With our second pregnancy, we didn't use a Doppler until I was in labor. I could feel her moving first of all so I knew that she was well but we actually started using a fetoscope which was really cool. You can't start using it until after 20 weeks so we had to wait for a really long time to hear her heartbeat but our toddler would watch us do it too. It was really cute because she would walk around with this fetoscope around her neck and she would go put it on daddy's belly and say, “I'm listening to Daddy's baby,” or she'd put it on her belly and it was really sweet. Yeah, we took a full 180 with this pregnancy. I had learned so much at this point that I was so confident in my body and in my instincts and all of it. We didn't find out the gender which with our first one, we found out at 8 weeks with the blood test. We didn't find out gender. I didn't do much prenatal care. We didn't do genetic screening anyway with the first one either because that didn't really matter to us. But yeah, I didn't even do an ultrasound until we were 32 weeks or something. We waited a long time because I had learned a lot about ultrasounds and how we actually don't know as much about them as we might think we know. Meagan: Might think we know. Yeah. Shelby: I read about how sometimes the techs are like, “Oh, they're moving away from it,” because they can feel it and I'm like, “We're not going to do that.” We waited and just had the technician who worked in our midwife's office which was perfect because we could tell her we wanted a very minimal one just to check basically the heart and vital organs and the brain to make sure everything was okay. She would pause the screen and take the measurement she needed and take the Doppler off and everything so it was very minimal. I was like, “I don't really care if they have 10 fingers and toes. We'll figure that out later. Just check the important stuff. Don't tell us the gender.” We did that and she basically was like, “Everything from as far as I can tell looks good.” That was pretty much all we did. My lifestyle was still very active and I was eating as best as I could. I didn't really feel like I had anything that was anything of concern which was perfect. I remember at my 30-week appointment, my midwife looked at me. We hadn't really talked about specific expectations I think for the birth because I didn't really know what I needed or what I wanted but she looked at me at my 30-week appointment without prompting and said, “I think what you really need from me in this birth is for me to just be there and for you to just do your thing.”Meagan: I love that. Shelby: I was like, “That's actually perfect. That's exactly what I want,” because at that point, I had listened to hundreds of birth stories and watched hundreds of birth videos and shown them all to my husband. Everything I was learning, obviously I was soaking it in but if there was anything I felt was pertinent to me, I was showing to him too. He really benefited from that because we went into birth also with him not being afraid. He would watch birth videos with me and he'd be like, “Wow, that's amazing.” That's one of my things. Knowledge is power and educate your husbands too or whoever is going to be with you at your birth. Physiological birth especially, they should be comfortable with it. They should know what it looks like and how it progresses and how to best support you in that. That was huge for us. I made him watch a lot of birth videos and he wasn't even weirded with it by the time it came around. But yeah. She said that and I was like, “Yeah, you know, that sounds great.” We made it all the way to 40 weeks and I just felt completely at peace the whole time. I wasn't worried and I was like, “She's going to come when she's going to come.” Another thing they had told me at the hospital was, “We only let VBACs go to 41 weeks and once you go past 41 weeks, you have to have a C-section.” I was like, “I'm not going to do that. I don't even know what my typical gestation is because I haven't made it term.”Meagan: I was going to say, you didn't even make it to 40 weeks. Shelby: Yeah, so my midwife was like, “Well, if you get to 42 weeks, we'll do an ultrasound and make sure everything is okay,” but she wasn't putting a timeline on it which was so great. I did a lot of courses. I stay at home with my daughters so I just listened to a lot of courses. I did the Christian HypnoBirthing one, our midwives did a course. It was really cool. They got us all together at one of their houses and went through a course with us and our spouses with all the moms who were about to have babies. I also did the Free Birth Society course which I was kind of so/so on but I was like, “If I want to know how to home birth, I just want to know about everything. I want to know about the complications that could happen and what you should do in those situations,” so even though I wasn't planning to free birth, I still wanted to learn all of the things. That was one of the things that I did and I was just listening to constant everything. When we made it to– I guess it was two days before my due date, so July 29, I was having fairly consistent contractions in the evening and so we were all excited. We're timing them and we were texting our moms but then they stopped the next morning which was a Sunday before church so we were getting ready to go to church but then I lost my mucus plug in the shower. I was like, “Okay, just in case something is going to happen, we should probably watch online.” We stayed home, watched online, and nothing was happening all day. We knew that we shouldn't get our hopes up but also you make it that far and you're like, “I'm just ready.” Our church had a picnic that night at a local water park so I was like, “Well, nothing has happened all day. We might as well go because we didn't go to church.” We went to this picnic and we were doing the mini playground with our 1-year-old at the time who is water crazy. I think I jumped to get into one of the tubes and felt something kind of funny then around 8:30 PM, I had a really strong contraction. I was like, “Okay. That was unusual.” I went to the bathroom and had bloody show so I went back out and got my husband. I was like, “We've got to go home.” On the drive home, contractions were 8-10 minutes apart. I showered and we called the midwife and our photographer and my mom and grandma who were coming to get my daughter and the dogs because we didn't know how it would go so we didn't want anybody else there who needed care obviously. Meagan: Well and your last labor was actually pretty dang fast. Shelby: Right, yeah so I was like, “I don't know how this is going to go.” My mom came and helped us clean up the kitchen which is where we were going to put the pool and everything. The midwife and her student arrived at around 10:30 PM. At this point, I was between the coffee table and the couch on my knees holding a comb and my husband was pushing on my back. I labored just in that one position for a long time and that felt as okay as it can feel. Then at around midnight, the midwife heard one of my contractions and was like, “That one sounded a little different. Let's get in the pool.” So I got into the pool and that was instant relief. I was able to sit between contractions and try to relax then after a little while, I was too afraid to feel. We did zero cervical checks. I didn't want to know. I was like, I just want to go. After a while, it was so cool how in tune she was with it all. She goes, “Why don't you see if you can feel your baby's head?” I was like, “Are you serious?” So I reached up and I could feel her head. I was like, “Okay. That gave me a little bit of encouragement to keep going.” I would say probably about an hour after I got into the water, my body started pushing. I didn't push voluntarily once. It was wild. I felt something at one point. We were about to change positions again. I had been in the tub for a little while and they were getting the bedroom ready. I was like, “Hold on, something just happened.” I reached down and a big hand-sized bulge of my amniotic sac was sticking out still full of fluid.Meagan: Yeah, I've seen that. It's so cool. Shelby: I told my husband, “Do you want to feel it?” Meagan: It's like a water balloon sticking out of your vagina. Shelby: Yeah, then the midwife was like, “Okay, we're not going to move. We're going to stay here. Obviously this position is good.” I held a comb in my hand the whole time and I had my husband push on my back because with both labors, I have had total back labor. I don't know why. I just have. I mean, she said I pushed for less than 40 minutes which was crazy. I felt her head come out but we didn't know it was a girl yet so that was fun and then I tried to slow down because I knew that sometimes you need a push or a contraction between and you don't want to get pushed too hard and tear but I couldn't. My body literally just pushed her all the way out in one push. That fetal ejection reflex is definitely a thing. So at 2:14 AM was when she was born and my first contraction was at 8:30 PM. I caught her by myself in the water and pulled her up. She had her cord on like a backpack. It was around both arms and her neck so I had her head out of the water but I could barely get her up. The midwife came over and untangled her and I mean, my husband and I just sat there for probably over 5 minutes before we even checked what the gender was because we were just in awe. We didn't even care. We were like, “Whatever. It's fine either way.” So when we finally looked, we saw it was our girl and we already had a name picked out, Elowen Ruth so we got to hold her for a long time but obviously, my midwife could tell that I was bleeding a lot so she had me get out and I had planned not obviously to do Pitocin unless I really needed it especially before baby was born but it was a lot of bleeding. I tried one of our tinctures first and it didn't really slow it down. So we did some Pitocin. She just did it. I didn't even notice. I was sitting there holding my baby and I was like, “You can't make this moment not perfect.” So we did some Pitocin and delivered the placenta. Then we went out and just sat on the couch and my husband made a snack plate and we all– the photographer and the midwife and her student and my husband and I just sat there talking about the birth and eating snacks.Then after a while, my husband got to hold her while I got cleaned up. I did end up having a lot of bleeding.Meagan: I was just going to ask if the bleeding resolved or did it continue?Shelby: I mean, it stopped pretty well. I didn't end up having to go get checked, but about a week later, my mom and when I took the baby into her first appointment at our nurse practitioner, I wasn't even there for me and she was like, “We are running iron labs on you because you look super pale.” I was really anemic and we didn't know so I think that probably was something. Now I know for the future, if I have a lot of bleeding again, I need to get it checked out really fast because I think it really slowed down my healing. Other than the initial pain of a C-section, my vaginal birth recovery was much more difficult. I could barely walk or stand for 4 weeks. I could not believe it. I remember going to my appointment and I was like, “Is this normal?” The birth went so well. I know it was fast but I think it was because my iron was so low. My body just couldn't heal. I did end up having a little bit of tearing but we didn't stitch it or anything. It healed pretty well on its own. It was super painful when I would have to pee and all of the things but eventually, it healed up on its own. But yeah. I mean, we got to sleep in our own bed. Well, I mean, the husband and the baby got to sleep. I could not. That high we were on, my midwife told me, she was like, “Okay. She's probably going to sleep for the next 5 or 6 hours and you should try to also.” I laid there and I was like, “There is no sleeping. There is none.” After that, she's like, “It's time to nurse 24/7.” Meagan: Of course. Shelby: She's 9 months today and we are still breastfeeding which is huge because with my first, I exclusively pumped for 8.5 months and that was so hard. I was so determined. I also took breastfeeding courses leading up to this baby because I was like, “We are going to make this work because I do not want to pump again.” I love nursing. I have to leave for an Army training here in a couple of weeks and I'm planning to take her with me and still nurse her at night time. I'm like, “We're going to make this go as long as we can.” Yeah, I mean, it was wild but so good. Meagan: Wild but amazing. Shelby: Yeah. Meagan: Did you find it healing? Because sometimes I feel like when you have a harder postpartum where you're like, “I'm not walking as well and I'm feeling gross with the iron,” that can be defeating and frustrating. But did you find that healing or were you like, “I would still take this over the other?” Shelby: Oh absolutely. I mean, I definitely had times where I would just break down not only because of the hormones but everything else. With my husband, I'd be like, “I did it. Why is this so hard?” I had prepared for postpartum. I made sure we had help lined up for our daughter and for meals and for everything so I was really able to take the time I needed. I think if I hadn't done that, I don't know what would have happened honestly because I needed it. I couldn't even sit on the couch. I had to be laying down in the bed or I was in pain. Meagan: Dang. Shelby: I think preparing for it definitely helped and the birth itself made it all worth it. Now, I'm like, Yeah, that was really hard for a couple of weeks but that experience made up for it for sure. Meagan: Worth it. Shelby: Overall, with the recovery, I'm like, Man, that was really hard with the C-section. it was two really hard days with the C-section but everyday is a little better. With my vaginal birth, I was like, Man, everyday is gettig worse. It's hurting more. But it was still really good. Meagan: What was it that was in pain? Was it your pelvic floor? Was it your abdomen? Shelby: It was probably my pelvic floor honestly and also because I think I had torn and she came so fast and there was no slow stretching, I mean– Meagan: Fetal ejection. Shelby: From the first one, it was crazy. I think it really was pelvic floor. I remember one of my friends describing it as she just felt heavy. I was like, “Yes. That is what it is.” It just felt heavy and it ached. Yeah. That was hard. I mean, even being in the shower didn't fix it and that was how my husband and I had planned to bond postpartum was showers together and stuff and I would be in there and I'm like, “I cannot stand up. I have to go back to bed.” Meagan: Too much pressure. Shelby: Yeah, for sure. Meagan: That makes sense. Okay, so let's talk about faith and getting yourself through a really, really rough first birth and you finding that faith. Do you have any advice for the listeners to gain faith in their ability?Shelby: Yeah. I mean, for me it was just knowing that God created my body to do this. No matter what had already happened, my body knew how to birth. I think what helped was I was like, Okay, it's already gotten fully dilated and effaced in my first labor. Maybe not gradually or the way it should have, but I was like, I've kind of already done it. I didn't get to the pushing but just knowing that I was designed to do it and through a lot of prayer and speaking and speaking, “God, you created me to do this. You gave me this baby to grow and to birth,” and just the knowledge is the same thing. Learning about how your body was made to do this is just huge and like I said, just praying those specific prayers for me was so important and proclaiming the promises that God has that He is a healer and a redeemer and He cares about our birth stories. He totally does. That was part of His plan from the beginning. I think for me personally, my birth stories are my testimony. I feel like until these two babies, I really was like, Oh, I grew up in the church and I don't really have a cool story which is fine but also with these babies, I'm like, I have never trusted God more with any situation in my entire life other than with the life of my children and bringing them into this world. For me, that was something I didn't really realize until recently too. That same friend was like, “I think this is your testimony.” I was like, “You're so right.” Meagan: That's cool. Shelby: It totally brought beauty from the whole experience. From the first one, you are like, Why in the world did this happen to me? What good could possibly come of this? We're traumatized. My baby is having sensory overload and I'm not at home. It was all of these things and then realizing that I shared about my story and I was able to connect with so many other moms who were like, “I had an emergency C-section” or “I had a really scary birth story” and now when I hear that a mom had a baby, my first thought is, How did her birth go and how is she doing? Did it go the way she planned and is she hurting? Those are my first thoughts instead of, Oh, is the baby okay? Okay, the baby is okay. It's made me really passionate about postpartum moms and at some point, I'd love to do something with that not while I have a 9-month-old and a 2-year-old but just knowing that there can be beauty that comes out of every story because in the moment, it totally did not feel like it with our first baby. Meagan: Right, yeah. That is the case a lot of the time. It feels like there is no beauty at all anywhere in that story and then you go and you listen to these stories and there is beauty in every single story and growth in every single story. There is learning. I think there is just so much to take from these stories. Then I wanted to go over physiological birth. There's a women and infant's blog or website and it says, “A normal physiological birth and birth are defined globally by midwife organizations as a birth that is powered by the innate human capacity of the birthing person and fetus.” The innate human capacity. “This means that there are no interventions performed that disrupt the normal physiological process in the absence of complications that warrant interventions supporting the physiological process of labor and birth has the potential to enhance birth outcomes and experiences.”I do believe so wholeheartedly that there are sometimes here. You had a real thing happening, a real medical–Shelby: Right. Thank goodness for the medical system in that situation, you know?Meagan: Yes. Thank goodness for intervention in that situation but that doesn't mean that we always have to just get all handsy with birth. It does show the benefits of supporting and fostering physiological birth of individuals include reduced Cesareans, increased breastfeeding success, improved birth experience, and reduced cost of care. Now, this world is very cost-minded especially with insurance and all of those things, but in the end, if you look at the reduced amount of money that we are spending when we are not paying for all of the interventions that happen during birth– and they don't always happen. We know that this is not a blank statement where it's like, “Every birth ends this way,” but usually when there's one, there are more. That adds up. Right? In the end, it's like, is that experience worth another experience? Even if you're in the hospital, you do not– you can totally have a physiological birth in a hospital. I love that so much. Some people don't feel safe out of the hospital. Shelby: Right. That's physiological birth. The key is being where you are safe because your body cannot progress as it needs to if it doesn't feel safe. I majored in animal science and I think about how animals won't have their babies if they don't feel safe. I think that we are mammals and our bodies are the same way. If you feel safest at home, awesome. If you feel safest in the hospital where you know you can get care right away, awesome. Yeah. You definitely just have to make that decision for yourself. Meagan: Yeah. I had a client who really wanted a home birth really, really badly. She decided not to, but decided to labor at home as long as possible and she was laboring and she was laboring and she was laboring and I was like, This labor. Something is off. Something is off. It was going but it wasn't really going and through chatting with her and doing a fear-clearing and fear-release to see if we could get over to that next stage, she never said, “I want to go to the hospital.” She didn't say those words but everything else that she was saying to me, that's what I heard. I said, “Why don't we go to the hospital? If we end up coming back home, that's okay but let's go and let's just see how things are going.” She was like, “I don't know,” because she was steering off of her plan in her mind of laboring at home. I said, “Okay, cool. It's going to be your decision.” About 25 minutes later, she was like, “Yeah, let's do it.” I'm not kidding you. The second she got into that car, it was a game changer. Shelby: Oh my gosh. Meagan: Because her mind was like, I'm going. She immediately felt better and safe. She didn't realize that's where she felt safer. We went. We had a total physiological birth. In fact, we didn't know if we were going to make it. She had the baby on the bed and the doctor was not there. Shelby: There's so much mental work that goes into it and everything. For me, knowing that I was going to my house. I hate packing and knowing I didn't have to leave and go somewhere, that was how I felt safe but I know a lot of people who are like, “No, I want to be in the hospital.” I'm like, “Great. Do it. Just make sure you are informed.” Meagan: Make sure you are informed. That is the ending tidbit here to this story. Be informed. Take a VBAC class. We have our VBAC class online. If you have any questions online, you can always email us on Instagram or in our email at info@thevbaclink.com. Hire a doula if you can. Hire a provider that you really, really trust to support you. Find that birthing location. Get the information. Learn what is important to you because what's important to you is going to stand out that day that you are in labor. Get educated. Love yourself. Have faith in you and your body and your baby. You are amazing. You are a true Woman of Strength. Shelby: Yes. So good. Thank you so much. Meagan: Thank you. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Meteorologist Byron Douglas of 14 News fame joins us where the hot seat is at an all-time high. No chilly starts when the boys raise the humidity. Scattered topics of UFO's, Twister, climate change & more in this isolated conversation. Great Law. Less Legal. Law Done Lite-ning!

Psy-Nation Radio Episode #081 The 81st edition of the Psy-Nation Radio podcast hosted by Ace Ventura & Liquid Soul (Liquid Ace) is here! For this episode we have for you a guest mix by Shanti V Deedrah celebrating the release of their new album Form & Void ! We always love to hear your thoughts - feel free to send suggestions, feedback and requests to: psynationradio@gmail.com #WeArePsyNation Track list: 1. Doppler & Dual Vision - Shut Your Eyes (Techsafari) 2. Sonic Species - Titan (Shamanic Tales) 3. Groundbass & Tijah - Sounds of Madness / Perception remix (Iboga) 4. Samra - Wrfkd (Sacred Technology) 5. SpacenoiZe - State of Mind (Shamanic Tales) 6. Volcano - Time Is Illusion (Sacred Technology) 7. Complicated - Key of Life (Techsafari) 8. Faders - Guarani (Shamanic Tales) 9. Altruism & Modus - Jumping Between Dimensions (Nano) 10. Tristan - Cosmic Wrecking Ball (Future Music) Shanti V Deedrah Guest Mix Tracklist: 1. Shanti V Deedrah - New Age Love 2. Shanti V Deedrah - Choo Choo 3. Shanti V Deedrah - Darkfire 4. Total Eclipse - Waiting For A New Life (Shanti V Deedrah remix) 5. Shanti V Deedrah - Here To Eternity 6. Shanti V Deedrah - Metabollox 7. Shanti V Deedrah - Spookey Dunkey 8. Shanti V Deedrah - Dyson Sphere 9. Shanti V Deedrah - Beyond The Scope 10. Shanti V Deedrah & Sub6- Replicant 11. Modus - The Future Is Behind Us (Shanti V Deedrah Remix) 12. Deedrah - Hellsonik (Shanti V Deedrah remix) 13. Shakta - Lepton Head (Shanti V Deedrah remix) 14. Shanti V Deedrah - Darkwave This show is syndicated & distributed exclusively by Syndicast. If you are a radio station interested in airing the show or would like to distribute your podcast / radio show please register here: https://syndicast.co.uk/distribution/registration

On May 21, 2024, an EF-4 tornado tore through the town of Greenfield, Iowa. A team of researchers deployed mobile radars and instrument packs near the path to record winds speeds over 300 mph! Jen Walton recounts the terrifying moments of deploying a pod then narrowly escaping the tornado that leveled the town while Karen Kosiba and Josh Wurman share the groundbreaking data the team recorded that day and how it could revolutionize our understanding of these deadly storms. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of Privacy Files we explore a cybersecurity topic that is so obscure that according to our guest, 9 out of every 10 security professionals don't even know they're supposed to be managing it. If you've never heard about "secrets", you're not alone. We hope this interview sheds light on an extremely critical aspect of cybersecurity that can mean the difference between keeping your personal data safe and losing it to another breach. Brian Vallelunga is the CEO and Founder of Doppler, a company on a mission to protect consumers' sensitive personal information by securing the world's secrets. In short, Doppler helps companies securely manage, orchestrate and govern secrets at scale using a developer-first, cloud-hosted platform. Every digital product you come into contact with employs secrets to unlock permissions-based access to a company's databases and services. Secrets are the keys to a business' digital kingdom. They literally can unlock all the doors. And while they help organizations manage access to sensitive parts of a company's digital assets, poor secrets management can lead to a catastrophic data breach. While this interview is designed to provide you with a greater appreciation for the work that goes into protecting your data, this conversation might also make you reevaluate how much personal information you share in the future. To learn more about Brian: https://www.linkedin.com/in/vallelungabrian/ To learn more about Doppler: https://www.doppler.com/ OUR SPONSORS: Anonyome Labs - Makers of MySudo and Sudo Platform. Take back control of your personal data. www.anonyome.com MySudo - The world's only all-in-one privacy app. Communicate and transact securely and privately. Talk, text, email, browse, shop and pay, all from one app. Stay private. www.mysudo.com MySudo VPN - No personal information required to sign up. You don't even need a username and password. Finally, a VPN that is actually private. https://mysudo.com/mysudo-vpn/ Sudo Platform - The cloud-based platform companies turn to for seamlessly integrating privacy solutions into their software. Easy-to-use SDKs and APIs for building out your own branded customer apps like password managers, virtual cards, private browsing, identity wallets (decentralized identity), and secure, encrypted communications (e.g., encrypted voice, video, email and messaging). www.sudoplatform.com

This episode is brought to you with the support of Incogni...protect your data online. Check out the special Space Nuts listener deal at incogni.com/spacenutsSpace Nuts Q&A: Gravity Without Mass, Energy and Gravity, and Early GalaxiesJoin Andrew Dunkley and Professor Fred Watson in this engaging Q&A episode of Space Nuts, where they tackle intriguing questions from our listeners about gravity, energy, and the movement of galaxies.Episode Highlights:Gravity Without Mass? Steve from New Zealand asks if gravity can exist without mass. Fred dives into the complexities of this question, exploring the relationship between energy and mass, and whether this could offer an alternative explanation for dark matter.- Energy and Gravity: Gus from Issaquah, Washington, ponders whether energy creates gravity and if a gravitational field itself generates energy and mass. Fred discusses the potential implications and the concept of gravitational energy.- Early Galaxies Moving Towards Us: Nick from Auckland, New Zealand, wonders if early galaxies could be moving towards us, currently out of reach. Fred explains the mechanics of galaxy movements and the Doppler effect, shedding light on whether such galaxies could be hidden from view.Don't forget to send us your questions via our website... [spacenuts.io].Support Space Nuts and join us on this interstellar journey by visiting our website support page. Your contributions help us continue our mission to explore the wonders of the universe.Clear skies and boundless exploration await on Space Nuts, where we make the cosmos your backyard.Check out our sponsor: www.incogni.com/spacenutsBecome a supporter of this podcast: https://www.spreaker.com/podcast/space-nuts--2631155/support.

“I did it. They said I couldn't, but I did it.”When planning for her VBA3C, Shannon got just about as much kickback as someone can get. She was ambushed. She was coerced. She was given the scariest information. Shannon joins us from England today and talks about how each of her four births brought her to where she is today. By the time she was pregnant with her fourth, she was ready to advocate. She was ready to fight for something she had never gotten to experience. Though none of her providers were supportive, Shannon stayed grounded. She made her desires known and stood by them. Shannon labored unmedicated for just over 14 hours. Then to everyone's surprise, she pushed her fourth baby girl out vaginally in 14 minutes!The VBAC Link Blog: Is VBA3C Right for You?The VBAC Link Blog: VBAMCHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details 04:04 First pregnancy and birth08:31 Second pregnancy and scheduled repeat Cesarean10:56 Third pregnancy14:04 A heartbreaking third Cesarean17:42 Postpartum during COVID19:55 Fourth pregnancy24:37 Getting ambushed28:40 Shannon's VBA3C birth36:32 “We are all so proud.”38:30 VBAC after three CesareansMeagan: Hello, hello. You are listening to The VBAC Link. We have our friend, Shannon. Are you from England? Where are you?Shannon: England, yeah. New Cambridge. Meagan: Okay, see? I'm so glad my mind is remembering. You are in England and you guys, she is recording. It is quite late there. She is such a gem to stay up and record and share her VBAC after three C-sections. Shannon: Three. Meagan: Yes. Her fourth was a vaginal birth. Uno, dos, tres. I can't even say. I can't even pretend that I know Spanish. Let's be honest. So three, you guys. After three Cesareans and we know in our community that this is definitely something that people want to hear. People want to hear these stories because it is harder to find the support. They want to hear what people are doing, how they are navigating through, where they are finding support, and what they are doing to have their vaginal birth after multiple Cesareans. We are excited, Shannon, for you to share your stories today. 01:07 Review of the WeekMeagan: We do have a Review of the Week so we're going to get into that and then we'll dive right in. Okay, so this is from morgane and it says, “I'm Not Alone.” I love that title because Women of Strength, you are not alone. This community is so incredible and we're all here for you. It says, “This podcast has provided so much comfort for me in coping with my unplanned Cesarean and now planning for VBAC in March. The transition to motherhood has been somewhat lonely for me since most of my friends are not mothers and hello? Pandemic.” So this is a little bit ago, right? It says, “I am also an aspiring doula and spurred on by these ladies and their work. So thankful I stumbled across this group.” Oh my gosh. It says, “Us women really are strong.” I love that. Us women really are strong. I could not agree more. You guys, you are strong. You are capable and you have options. If that is not anything and everything that we talk about on this podcast, then I'm doing it wrong and you need to let me know on your next review. As just a constant reminder, if you wouldn't mind leaving us a review, that would be so great. You can leave it on Apple Podcasts, Google, or you can even email us. 04:04 First pregnancy and birthMeagan: Okay, Shannon. Uno, dos, tres– three. I'm saying it correctly now. After three Cesareans, you have had quite the different journey with each birth. Shannon: Yeah. I think each one taught me a little bit more and I probably wasn't ready for a vaginal birth with my first three. I think that while looking back on my journey it's difficult, I think it led me to where I am today. Meagan: Me too. I'm right there. Amen. Same. I love birth and I've always loved birth, but I do not think that I would be here right now with you today if it weren't for my experiences. Shannon: Yeah. I think the same. I'll get into where I am now when we're after my fourth, but had it not happened the way it did, I wouldn't be where I am now. Meagan: Who you are today. We grow and we learn and we inspire and here you are sharing your story. So let's talk about baby numer one.Shannon: Okay, so I was 19 when I had him. I just assumed that he was going to come out that way, that he was going to come out vaginally. It was going to go well. There were going to be no complications and it didn't turn out like that. I was due in the end of May and I think I was about a week over due. I went into the day unit here. It would be just where you would go if you had concerns that were slightly more than you would go to your midwife for but not enough that you would need to go to the labor ward for. Meagan: Kind of in between? Shannon: Yeah. Here, you have a midwife who is assigned to your GP surgery, your doctors, and they are usually who you see throughout. It's supposed to be a continous midwife, but it can chop and change. You don't see that midwife usually in the hospital so you deliver with someone completely different. Meagan: Oh, okay. Shannon: Yeah, so you don't get that continuity of care in labor. So I went to the day unit because I was having some hip pain. It was really difficult to walk and because I was overdue and I was already booked in for an induction purely because I was overdue, they brought my induction forward. I think I was 8 days overdue when I went in. I was induced. I had the pessary induction and it worked pretty quickly. It worked within about an hour, an hour and a half. Meagan: Oh wow. Shannon: They didn't believe me. They told me that it couldn't happen that quickly. Meagan: That's not super normal but it can happen. Shannon: They sent my husband home and left me on my own for three hours before they summoned me. I was 5 centimeters which is when they take you over to labor ward. I was wheeled over. I called my mum and my husband. Then it's kind of a bit fuzzy. I don't remember a lot from his birth. I remember that they broke my waters and there was meconium. They put the monitoring clip on his head. Meagan: The FSC, the fetal scalp electrode? Shannon: Yes. They put that on him and I was managing fine on the gas and air. Meagan: Was it nitrious? Shannon: Yes, yeah. Meagan: Okay. Shannon: Yes, the gas and air. It was about 3:00 in the morning and they told me that the anesthetist was going home and if I wanted an epidural then that was my last chance. I felt pressured so I got the epidural. All stalled from there. I didn't move off the bed. I think I got to 10 centimeters at 10:00 the next morning so I'm now 9 days overdue. I pushed. Nothing happened. They wheeled me to theatre. I think I started pushing at 11:00 and he was born at half 12:00 so lunchtime. He was a big baby. He was 9 pounds, 13. Meagan: Okay. 08:31 Second pregnancy and scheduled repeat CesareanShannon: That was that. I recovered and didn't think anything of it. 18 months later, we decided to have our second. I fell pregnant I think within the first month. It happened quite quickly. I did my research. I wanted a VBAC. I actually got signed off for an HBAC.Meagan: Home birth? Shannon: Yep. It was all going fine. Then I got to 32 weeks and I panicked because my mom is our only childcare and she lives about an hour. I didn't know how quickly I would labor because I had never labored spontaneously. I didn't know what was going to happen. So I booked a routine section. That was booked for 39 weeks. At 38 weeks and 3 days, I went into again, the day unit because I had reduced movements. They put me on the monitors and his heart rate was quite erratic. It wasn't settling. It was either quite high or quite low. There was no middle ground. I think they put me on there for about 4 hours and they just weren't happy so they brought my section forward to the next day. Meagan: When I read your note, I'm like, I don't know why, but that got me. If baby's heart rate is that erratic and they are that concerned, it would be that day and then. Shannon: Yep, but they were happy for me to go home and come back the next day. Meagan: Yeah. Yeah. It's just convenience. It seems, I am not going to say, but it seems like it was more of like, Well, it's already going to happen so we will make it for tomorrow. We'll give you this as a good reason why to validate it. Shannon: Yeah, no I agree now. At the time, I don't think I thought about it like that. Meagan: Of course not, no. Shannon: Yeah, because with my fourth, with my VBAC, I went through a lot of what happened before. I definitely think it was a case of they didn't want me to come back with more reduced movements and just sit there so because the section was going to happen anyway, they just thought– Meagan: Mhmm, let's do it. Let's move it up. Shannon: Yes. He was born at 38 and 4. He was 10 days early and he weighed 8 pounds, 11 ounces. Again, he was quite a good size. Meagan: At 38 weeks, yeah. 10:56 Third pregnancyShannon: So then we decided to have a third. It took us a long time to get pregnant with her. It took us 14 months which was our longest conception. Our first one was four months and then a month so it took a while. She was due the 11th of April, 2020. I got to, I think it was about 30 weeks when talk of the pandemic was rolling in. We were like, Oh, it's fine. We don't need to worry about it. And then it all blew up. I had to go to midwife appointments alone, the hospital scans alone because I had to have growth scans because my babies are big. Everything was fine. I did want a home birth again with her, but they kept me waiting. I wasn't signed off until 37 weeks. They kept me waiting a long time to sign me off for that, but it was all signed off and we were good to go. I was feeling good despite the pandemic because we were in lockdown by the time she was due. I think the lockdown was called a month before she was born. Lockdown here for the first time was called on the 23rd of March and she was born on the 23rd of April. I remember I went into hospital and I had a growth scan at 40 weeks. She was absolutely fine, no issues. She was measuring fine. The water levels were fine. The placenta looked good. They gave me a sweep and sent me on my way and said, “I don't think I'll see you next week. You'll have this baby by the weekend.” It didn't happen. I got to 41 weeks and I went back for another routine growth scan. I remember going in the car on my own obviously and I felt good. I thought that they were going to say that everything was fine again and that they were quite happy for me to just carry on. It didn't go like that. I should probably mention that my hospital's policy is that if you haven't had your baby by 41 and 4, so 41 weeks and 4 days, they either induce you or they give you a section. That's their policy. I had this growth scan at 41+3. I went in, had this growth scan, and I was on my own. I didn't have any support. It was about 3:00 in the afternoon. She scanned me. In a week, my placenta had aged. It calcified and it was failing. Those were the reasons she gave me that she needed to get my baby out the next day. She gave me the pre-op swabs. She took my blood and she basically told me to come back the next day at 11:00. I had no time to prepare. I had no time to research. I had no time to ask questions. It was, “This is what's happening. You're going to do it.” Meagan: See you tomorrow. Shannon: Yep, basically. Meagan: Was baby's heart rate struggling? Shannon: No, she was fine. Meagan: She was fine. Shannon: She was fine. There was no reason at all. Meagan: That's interesting. Okay. 14:04 A heartbreaking third CesareanShannon: Then it was a mad dash too because I am the only driver in my house. My husband doesn't drive. Obviously, having a section means we can't go anywhere. Meagan: Yeah, and during the pandemic on top of all of it. Shannon: Yeah. It was a mad dash that night to get enough food in. House deliveries were like unicorn dust so to get enough food in, I had to arrange childcare with my mom. Otherwise, I was delivering alone. Again, she still lives an hour away in a different county. We were sure what the rules were because here, you weren't allowed to cross county lines. Meagan: Oh no way. Shannon: Yep. It was difficult. She did come up and she did look after the boys. I did see her before I went into delivery, but I didn't see her again until baby was 6 weeks old. She had gone home by the time I came home so that was difficult. I went in. I think I got to the hospital at 11:00. I was pulled down to theatre at 2:00 and baby was born at 3 minutes past 3:00 in the afternoon. She weighed 9 pounds, 4 ounces, so again, she was a good size. I got back to the recovery ward. My husband stayed with us for an hour and then he left. He wasn't allowed to come back. I still had my catheter in. I was still numb. My phone was dead and I was just left because I couldn't get anything. Every time you had to call a midwife in, they had to put in new PPE on and it just took so much longer. I didn't get wheeled around to the actual recovery ward until about 1:00 in the morning. They admitted to me that they had forgotten about me. I was just in this room on my own. Meagan: I'm so sorry. Shannon: Yeah. They wheeled me into recovery. I still had the catheter in. That didn't come out until 7:00 the next morning so I was bed-bound with this new baby. They came around and took my observations. My temperature was raised which is normal after a section, but I was told that I might have COVID, that my baby might have COVID. I would need to be separated from my baby and we wouldn't be able to leave the hospital for 3 days. Meagan: Stop it. Shannon: No, honestly. Meagan: I am feeling very frustrated for you right now and very saddened. Yeah. I feel a little enraged because this shouldn't have happened. These things didn't need to happen to people. Shannon: I know and the more that I talk to other people who have had babies during the pandemic, it's not unusual either. Meagan: No, it's not. It's maddening. Shannon: It is. It's strange now to talk about it without either filling up or actually crying because it has taken me a long time to get to this point. Meagan: To process. Shannon: Yeah. She said she would come back in an hour. I remember, obviously, I had my catheter in so I didn't have to get up and go to the toilet. I was just downing water trying to get my temperature down. She came back at 4:00 and I did get my temperature down because I didn't have COVID. It was a strange experience. There were six beds in this ward, but I was on the end bed and there was a woman diagonally to me and there was a woman two beds over and that was it. There was no one else there. It was eerie. It got to the point where I couldn't do it anymore so 26 hours after my baby was born, I discharged myself and I went home. I was not staying in there any longer. 17:42 Postpartum during COVIDShannon: Even after that, I got home and I spent the first week in tears. Motherhood wasn't new to me. She was my third baby, but giving birth during a pandemic was a completely different experience. I don't know what it's like over there, but here you have a midwife check in at day 3 and day 5 and then you get signed off at day 10 by the midwife then you get sent to a health visitor who then looks after you until your baby is about 5 then they go to school. Meagan: Wow, I like that. We do not have that. We are just told, “We'll see you in 6-8 weeks. See ya.” Shannon: Oh. Meagan: Then you just go home. Yeah. It's very different for a lot of home-birth people, but that's how the hospital is. It's like, “We'll see you in 6-8 weeks and we'll see you then.” That's really it. Shannon: That's interesting. I didn't know that. Meagan: Yeah. It's not great. Shannon: No. So on day 3 and day 5, I had to go to a clinic. They usually go to your house especially if you've had a section, but because of the pandemic, I had to go there, and being the only driver– my husband can drive. Meagan: You can't even drive after a section, really. Shannon: My husband can drive but we had to stick the old plates on. We made it there but it wasn't great. Yeah, we did that. We do have a 6-week check. It's with a doctor. That was over the phone and then you get introduced to your health visitor. Normally, they come over to your house. That was on the phone. And then that was it. We were just left. No one met her until she was 6 weeks old. She was the first granddaughter because I'm the oldest and my husband is an only child. She was the first granddaughter after two boys. No one met her until she was 6 weeks old. I spent the first week in tears trying to process everything that happened. It was a difficult time. After that, we said we didn't want another one so we locked it away somewhere and didn't deal with it. 19:55 Fourth pregnancyShannon: And then we decided to have a fourth. I had to come to terms with it. This is the reason why I'm here now. I found out I was pregnant in October 2022. It was a difficult journey to get my VBAC. It was the biggest fight that I've ever had to do. When you find out you're pregnant, you contact your GP surgery and then you are assigned a midwife. The midwife I had this time was the same one I had with my third pregnancy, but the first appointment, she was actually off so I saw someone completely different and she was horrible. I only live 9 minutes from the hospital. Meagan: That's really close. Shannon: Well, I know from listening to your podcast that women travel for hours. Meagan: Way far, yeah. Like to other countries sometimes even. Shannon: Yep, but 9 minutes was too far for them. She said that 9 minutes was too far. The paramedics might not get to me in time. If I bleed out, I'm going to die. If baby gets stuck, I'm going to die. I'm putting my birth experience over a live baby.Obviously, they know I care about the safety of my baby but that's obviously their job. I left that appointment in tears. It was a great start. It didn't improve from there, really. I think spent the next, I think your booking-in appointment is about 8-10 weeks so I then spent the next 30 weeks listening to your podcast, and researching stats, risks, benefits, and percentages. I lived, breathed, and slept statistics for VBACs because she probably 99% is our last baby. We've now got two of each so we don't need any more. I knew that this was my last chance to get the birth that I wanted. Off the back of my booking-in appointment, they referred me to the consulting midwife at the hospital. She is higher up than a community midwife or just a midwife on the ward but not quite the head of midwifery. She's kind of somewhere in the middle. I had a few appointments with her and while it was beneficial, it still felt like I was banging my head against a brick wall because she wasn't listening to what I wanted. Every time I would come back with a statistic or a risk that she had– like if I corrected her, then I'd just get a “Mhmm, yeah. Okay,” or a patronizing nod. Meagan: Like, Yeah, sure. You think you know what you're talking about but you don't. Shannon: Yeah, kind of. At this point, I was 28, a mother of three and I was about to have my fourth. They were treating me like a child or that's what it felt like anyway. So I went to every appointment knowing that's what I wanted. I read off my stats, my risks, my percentages and told them I wanted a home birth. They again weren't for it. They tried everything they could to get me into the hospital. We have a midwife-led unit and we have the labor ward. The labor ward is more for ordinary births like if you are going for the epidural and you want the more hospitalized birth whereas the midwife-led unit is more of a hands-off. That's usually where the birth pool is. Meagan: If you want more of a medicated versus unmedicated, those are the differences here. Shannon: As a VBAC after three sections, normally there would be no way on earth that they would have signed me off for the midwife-led unit. I was too high risk. However, to get me into the hospital, they signed me off for the midwife-led unit. Meagan: Nuh-uh. Shannon: Yeah. That's the option they gave me because I was close enough if there was an emergency, but I wasn't too far away. That was their trump card. Meagan: Okay, okay. 24:37 Getting ambushedShannon: I still said no. I still wanted a home birth because that hospital was the one I had my daughter at during the pandemic and I did not trust any of them after being lied to by the consultant and coerced into having that third section. I just didn't trust them to do what I wanted. Meagan: Yeah. It makes sense. Shannon: Pardon? Meagan: I said it makes sense that you didn't feel that they were completely trustworthy. Shannon: So then I got to 36 weeks and I had a routine midwife appointment at 36 weeks. I walked into the room and my midwife was there but so was the head of community midwifery. I wasn't told she was going to be there. I was ambushed. She basically said to me that– I have it written down because I made a post at the time. She said that basically, my baby would die if I carried on with my plans to home birth, that there was a risk of shoulder dystocia, and hemorrhage that would both result in death. A delay in the paramedics getting to me so that would be death. I didn't want a cannula inserted as a routine at the hospital so that would be a risk factor. I have a high BMI so again, that goes against me and they said I had low iron because I was refusing blood tests so that again was something that went against me. I was told that if I hemorrhaged and lost around two pints of blood that I would die, that my veins would have shrunk so they wouldn't be able to get a cannula in me. I was told that they wanted to send three midwives to my birth. They normally send two but for some reason, they wanted three. I was told that my previous experience should be put to one side because it happened during COVID and it's not representative of how it is now. I was told that I was making the entire midwifery twitchy. Meagan: Oh my. Shannon: Oh, the midwife I saw at the first appointment, the one who made me cry, she was one of the ones who was on call and they told me if she was on call, would I go to hospital and I said, “Maybe.” In my mind, I'm thinking that they were trying to put her on rotation to get me into hospital. Meagan: Sneaky. Shannon: Yep. I was told that the head of community midwifery's responsibility is to make sure I'm comfortable with the risks but it's also her responsibility to make sure her midwifery team isn't traumatized by my birth. I was also told– oh, they wanted my husband to be at the home birth assessment as it's their responsibility to make sure he is aware of the risks of death so he is not traumatized like I hadn't spoken to him about any of this. Meagan: Oh my gosh. Oh my gosh. Shannon: On my way out of that appointment, my midwife, the one who had supported me as best as she could said to me that she can't wait until I give birth so that it's all over. Thank you. Meagan: Oh my gosh. Shannon: Yeah. So that was that. Meagan: Wow. What a way to feel loved. Shannon: I know. Again, I had to go to these appointments alone because my husband was home with the three kids, and my mom, again, lives an hour away. I don't have the support here so I had to go to these appointments on my own and to be faced with two midwives who are just coming at you with these scary statistics, it felt like I was ambushed.I think I sent an email then and complained. I got this really lengthy email back but it was basically filler but it had happened already. 28:40 Shannon's VBA3C birthShannon: Yes. So, my birth. She was due on the 1st of July but I always thought she would be due somewhere between the 25th of June and the 28th of June. I remember the 27th of June, I needed to go and get new brake pads and discs put on my car. It was the last thing I needed to do. I sat in the mechanic's feeling a little bit uncomfortable and a lot of pressure. I think I was about 39+3 at that point. I was just really uncomfortable. I sat there for about two hours and I was just like, Ugh, why is this taking so long? Meagan: You were ready to move on. Shannon: Yeah. The next day, my husband went into the office and I remember messaging him, I think you should have stayed at home today. Something just doesn't feel right. I feel a bit off.I woke up on the morning of the 29th of June and I had hip and leg pain which isn't unusual for me. I've got hyper-mobility syndrome so my joints are extra bendy anyway so to wake up with pain is quite normal, especially in pregnancy. It was half-7:00 in the morning and my husband thought it would be a really good idea to cut his hair for him. It's half-7:00 in the morning. I'm nearly 40 weeks pregnant and I was doing his hair. Then I felt a twinge. I was like, I don't recognize that pain. I'll keep an eye on it. They turned into contractions. I had my first contraction at half-7:00 in the morning and they got stronger. I said to my husband, “I think you need to sign off now. This is it. It's happening. I'm going for a bath to see if they go away or if they stay.” We had a food delivery come in that day. We had an Amazon delivery come in and we had I think the carseat base was coming in as well that day. So in between my contractions, I was having to go to the door a deal with all of this stuff that was going on around me. The contractions stayed and they didn't peter off. They just stayed. At this point, I was on all fours in the living room mooing like a cow which is bizarre because, with my first one who was my only experience of labor, my mum said that I was eerily quiet. It was different to make noise this time. My husband rang my mom and let her know what was happening and then he rang the hospital. They told me that the home birth service wasn't available that day so I'd have to come into hospital. It was only after he told them my name that that happened. We'll leave that just hanging there. Meagan: Yeah. Shannon: Then I burst into tears because I thought that as soon as I go into hospital, that's it. I'm not going to get my vaginal birth. They're going to find some reason to section me and that's it. My mom came and drove us to the hospital. She was staying with the kids anyway. I think I got to the hospital at about 3:00 in the afternoon. They examined me and I was 4 centimeters so I was allowed to stay. They took me into the room and I stayed there until I had my baby. I just labored. I don't remember a lot of it to be honest. When they say you go to another place, you go to another place. Meagan: You do. Shannon: The gas and air were amazing. I did try the birth pool but we had an issue here where they had to have air vents fitted in the rooms with the gas and air and they weren't done in the birth pool. I was in the birth pool for about an hour, but I wasn't allowed the gas and air. The pool was all right, but the gas and air were helping me more. I went back into the room with the bed and even though I said to my husband, “I don't want to be on my back,” I was on my back for most of the time. That's where I was comfortable. When I was in the pool, I said no to the continuous monitoring. I just wanted intermittent with the monitor. We didn't know what she was. At this point, we had no idea what she was but they couldn't find her with the Doppler. They asked me to get out of the pool and put me on the bed and they were going to scan to see where she was. I couldn't roll onto my back at this point. I was on my side and I couldn't roll on my back to get them to scan me to see where she was. Then I opened my eyes and the consultant that had lied and coerced me into my third section was in the room and I specifically said I don't want to see her. She was standing at the end of the bed and she said to me, “How long are you going to push for?” I said, “As long as I need to. As long as me and my baby are safe,” and she left. That was the end of it. I didn't see her again. Meagan: Oh my gosh. Shannon: Yeah. That was that. They managed to scan me and they found her. She was just really low. That's the only reason they couldn't find her. She was fine. She was happy. It went on again for about another couple of hours of moving from all fours on the bed to my back and I remember sitting up on my knees upright and I felt something go. I was like, “Okay, I think my waters have gone.” They had a look and they had gone on their own. I didn't have to have them pop like last time. There was no meconium. It was all good.I remember spacing out for a while going to that other place. I came to and it was burning. That ring of fire is real. It was real. I said, “Okay, it really stings. Something has changed.” The midwife lifted up the sheet and she said, “Oh, there is the head. Quick!” They had to scramble to get everything they needed. My husband was texting my mum so I got all the time stamps. They saw her head at 3 minutes past 10:00 at night and she was born at 14 minutes past 10:00. She slid out and we found out she was a girl which my husband told me which was what I wanted. I remember saying, “I did it. They said I couldn't, but I did it.” They wanted to get her a yellow hat because we didn't know what she was but because she came out so quickly, they only had a blue one so she's got a little blue hat and yeah, she was here. It was amazing. I did have two second-degree tears. They did only repair one and I wish they had repaired both because going for a wee afterward with the open one was hell. Meagan: Yes, not fun. Shannon: But I would take that over a section recovery any day. I was going to the park with the kids 3 days post-birth. I was walking around the house. I was able to go up the stairs. It was amazing. Yeah, I did it. They told me I couldn't and that I would die or she would die. Meagan: They really put up a fight and tried so hard. Let me tell you too, I don't know the right word but to stand up to that type of pressure, oh my goodness. That is hard. That is very, very hard. The fact that you did and it's not like it didn't affect you. Of course, it affected you but you were able to go and you were like, “Listen, I know the research. It's in my favor. I'm okay. I believe that it's the best choice because I really have researched it and truly believe that it's the best choice for me and my baby.” They just tried so hard to not let that happen. 36:32 “We are all so proud.”Shannon: They did. I think it was the next morning and I was just sitting in my room with my baby quite happy. The head of midwifery came into the room and I had met her once before. She said to me, “Well done, you did it. All of our phones were going off last night because it was flagged that you had gone into labor and we were all waiting to see what had happened. But you did it vaginally and we are all so proud. Well done.” I was like, “Well, you didn't tell me that at the time, did you?” Meagan: You're like, “I wish you had cheered for me in my pregnancy and not made me feel like I was crazy or scheming my husband,” or all of that. Oh my goodness. Shannon: Yeah. Meagan: You have gone through a lot on top of your birth and trauma there and recovering from all of that. You have grown so much and achieved so much. You should be really proud of yourself. Shannon: Thank you. I am. I think that like I said at the beginning, if it hadn't happened the way that it happened, I'm going to train to be a doula in May and June. Meagan: Yay!Shannon: Because I don't want other women to go through what I went through. Like I said, if it hadn't happened the way it happened then I wouldn't be here today. I'm grateful for the experience, but I wish that I had more support at the time. Meagan: Right, totally. I mean, that's definitely something that led me to the doula and obviously here where I'm at too. I think through these birth experiences, it's hard to deny that fire inside of you when you feel it. Right? You're like, I want to help people not have the experience that I had and have a better experience to the best of my ability. I'm sure that you will do it and you're going to take this passion and you're just going to flourish and touch so many lives. I'm so excited for you. Shannon: Thank you. 38:30 VBAC after three CesareansMeagan: Okay, so let's talk about VBAC after three C-sections. I think this is sometimes a hard one because we do have providers throwing out things and blank statements like, “If you hemorrhage, if this, if this, and if this, you and your baby will die.” When we hear those things, it is very scary and very overwhelming. When it comes to VBAC more than two after multiple Cesareans and more than two, the stats are harder to find. Did you find that it was really harder to find? There are not a lot of huge Cochrane studies at least that I know about where they have studied VBAC after three Cesareans specifically. Shannon: Yep. Meagan: We are often told by providers that the chances of uterine rupture are astronomically higher than our typical VBAC or VBAC after two Cesareans. For people in your area in England, what did you find local study-wise for your stats? I'm curious to see the difference. Shannon: I didn't. There wasn't anything, no. I remember I had to relay as much information as I could on VBAC after multiple Cesareans because I remember them saying to me that after two Cesareans, the risk of uterine rupture doubles and when they say that to you, you're like, Oh my god, that sounds really scary. What they don't tell you is that it only doubles from 1% to 2%. There's not much here that is different because there really isn't a lot. There was not support especially not from my hospital or anywhere like that for me. I just had to do it on my own. The internet is your best friend. Meagan: Yeah, I know. This darn internet can be your best friend and your enemy at the same time. That's why we are here and why we have our blog and all of the things because we want people to be able to find that best friend side of the internet and really dive in. We do have a blog on vaginal birth after three Cesareans. It is titled, Is VBAC After Three C-sections the Right Choice For Me? We will have it here in the show notes so definitely check it out. In it, we talk about how uterine rupture makes the idea of VBAC very scary. The word itself, “rupture” makes it very, very scary. When I think of something rupturing, it doesn't look pretty. It's something that we want to talk about in its real form. Uterine rupture happens. When it does, it is typically an emergent situation. However, it doesn't happen very often and when we're talking about VBAC, the world feels like, and I'm talking about world as in other countries too, it is bigger than it is like you were saying. It happens in really less than 1% of people so they are showing that with VBAC after multiple Cesareans, it might be slightly higher around 1.2%. It's just so hard. What I think is unfortunate is that it's not being offered enough to show the real stats, but what this podcast and what Facebook and all of the groups out there, the VBAC groups are showing, is that VBAC after three Cesareans is possible. It is possible. Do your research. Find the support and you did it. I mean, I'm going to say that you did it without support. I mean, you had support from your husband and stuff, but to the fact that they were showing up at the end of your bed like, “How long are you going to push for?” That type of stuff is not combined with the definition of support for me by the way and ambushing you and those things. You got through it without that much support backing you up in this decision. That is where we are shy here. I think that we don't offer the support. One, if you're listening and you're a provider and you offer VBAC after three Cesareans, please let us know so that we can chat with you and get you added to our list. If you've had a VBAC after three Cesareans and you are listening and had support, please message us so we can add your provider to the list because VBAC after three, four, and all of the Cesareans may not be the best choice for everyone, but for those who want it, let's try to get the information out there. Read up. Get the information. Like I said, it's going to be in the show notes and the blog. We have our course. There's not a ton out there on vaginal birth after multiple Cesareans so find what you can. Read what you can. Find the stats and do what's best for you. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Our Sponsors:* Check out Dr. Mom Butt Balm: drmombuttbalm.comSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

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