Podcasts about Doppler

Big winds will whip across the state as another weather system dials up on Chris Shaffer's Doppler radar. The WCCO TV Chief Meteorologist talked with Tom Hauser about the the forecast today on The WCCO Morning news

Big winds will whip across the state as another weather system dials up on Chris Shaffer's Doppler radar. The WCCO TV Chief Meteorologist talked with Tom Hauser about the the forecast today on The WCCO Morning news

XRP: Ready to Explode? | Ripple's $1.25B DeFi Play Could Unlock Trillions Ripple's massive move — acquiring prime broker Hidden Road in a $1.25B deal that could reshape institutional crypto forever. Brad Garlinghouse breaks it down in “Crypto in One Minute,” but here's what the XRP Army really needs to know: this isn't just another acquisition — it's a DeFi power play that could unlock trillions in trade volume, transform TradFi clearing, and position XRP and RLUSD at the heart of institutional adoption. ✅ Ripple's global prime brokerage strategy ✅ How XRP + RLUSD enable cross-margining ✅ Doppler's new RLUSD use case ✅ XRP charts: 21 EMA and bullish crossover incoming ✅ 39% of U.S. crypto holders already spending crypto ✅ FireAid scandal – $100M missing? ✅ Trump, Nvidia, Powell & the AI race

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Bifid-E Wave: A Novel Doppler Marker of Advanced Mitral Prolapse and Disproportionate Left Ventricular Enlargement.

Many expecting parents consider using a home Doppler to listen to their baby's heartbeat between prenatal appointments. While this can seem like a simple way to ease anxiety and feel more connected to your baby, there are important considerations to keep in mind. This episode offers a closer look at how Dopplers work, the factors that can affect their accuracy, and what the research reveals about their safety. Explore the potential benefits and drawbacks of using a Doppler at home, including why some healthcare providers may advise caution. If you decide to purchase a home Doppler, hear tips for shopping for a device and using a home Doppler more responsibly.     Thank you to our sponsor   Zahler goes above and beyond to use high-quality bioavailable ingredients like the active form of folate, bioavailable iron, and omega 3s. The Zahler Prenatal +DHA is my #1 recommendation for a high-quality prenatal vitamin. Save 20% off the Zahler Prenatal +DHA on Amazon with the code PREPOD20. You can always see the details and the current promo code for the Zahler prenatal vitamin here.     Read the full article and resources that accompany this episode.     Join Pregnancy Podcast Premium to access the entire back catalog, listen to all episodes ad-free, get a copy of the Your Birth Plan Book, and more.     Check out the 40 Weeks podcast to learn how your baby grows each week and what is happening in your body. Plus, get a heads up on what to expect at your prenatal appointments and a tip for dads and partners.     For more evidence-based information, visit the Pregnancy Podcast website.

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In this thought-provoking episode, Martin Willis sits down with Mitch Randall, a groundbreaking inventor, engineer, and AI consultant, whose career spans decades of cutting-edge innovation in radar, wireless technology, and artificial intelligence. From building weather radars for NCAR and chasing tornadoes with the legendary Doppler on Wheels (DOW) trucks, to developing passive radar systems and wireless charging tech featured in TIME Magazine's Best Inventions of 2007, Mitch's story is one of relentless curiosity and transformative ideas. Now a key member of Harvard's Galileo Project, Randall has turned his focus toward AI and space surveillance, helping advance the boundaries of scientific exploration.Check out: https://ascendantai.com Topics covered include: How artificial intelligence is reshaping science and society The early days of Software Defined Radio and its impact Wireless power, passive radar, and tech that changed industries His current work on SkyWatch for the Galileo Project Ethical and philosophical implications of advanced AI Whether you're fascinated by storm chasing, deep tech, or the mysteries of the universe, this interview is a must-watch.Become a supporter of this podcast: https://www.spreaker.com/podcast/podcast-ufo--5922140/support.

In this Wicked Problems – Climate Tech Conversations, we're joined by Gaia Vince, author of Nomad Century, a landmark work on climate-driven migration. From the existential realities of climate displacement to the politics of denial and adaptation, it's about what happens when we stop pretending everyone will stay where they are.It BadLast week, a catastrophic flood hit Kerr County, Texas. 30 cm of rain—four months' worth—fell in hours. The Guadalupe River rose 8 metres in under an hour, swamping the area around Camp Mystic. Over 90 are dead, many of them young girls at the camp. Some are still missing.Cue the blame game. Officials who refused to fund early warning systems claimed the event was unpredictable. Trump-era cuts had gutted the National Weather Service, yet some still pointed fingers at the agency. Others called it karmic justice or MAGA-targeted weather warfare. Conspiracy theorists went further, blaming imaginary geoengineering attacks. Marjorie Taylor-Greene tweeted: “We must end the dangerous and deadly practice of weather modification and geoengineering.”Right-wing extremists, already attacking Doppler radar sites, turn tragedy into paranoia. In past hurricanes, conspiracy-fueled threats forced rescue crews to withdraw.Rapid attribution studies confirm what should be obvious: climate change makes these once-rare floods far more likely.OK DoomerIn a now-notorious quote, Canadian environmentalist David Suzuki said “it's too late.” Critics pounced, accusing him of defeatism. But, as we discuss with Gaia Vince, the real issue isn't optimism vs pessimism—it's whether we're brave enough to face what's actually happening.After decades in media and PR, I can tell when people are dodging the truth—even for good reasons. In climate comms, there's a lot of that. But we try something different here: saying what we think is true, even if it's hard to hear.On the MoveGaia Vince has been writing about climate and migration for over a decade. In Nomad Century, she argues:Migration is a natural response to climate change—always has been.By 2070, up to 3 billion people may need to move as habitable zones shrink.Governments that prepare for this now will fare better than those that deny it.The book isn't dystopian; it's clear-eyed and pragmatic. It insists we have a choice: chaos, or planned adaptation.In This Conversation01:54 Climate Change's Global Reach04:24 The Reality of Climate Migration09:24 Political Responses to Climate Change10:44 Economic Implications and Adaptation21:57 Innovative Solutions and Future Outlook26:10 Australia and Tuvalu27:06 UN, Sovereignty, and Vanishing Nations29:00 Climate Refugees30:05 Early Agreements30:56 Adaptation and Relocation34:21 Facing the Climate Reality46:55 Can Global Governance Step Up?Get the BookNomad Century: How to Survive the Climate Upheaval remains one of the most honest, practical guides to climate adaptation out there. Listen to the conversation—and get the book.Tips, Bribes, and AbuseGuest idea? Want to help us do more of this? Or just dying to tell us how crap we are? Reach out on Bluesky or email us at info@wickedproblems.uk—and maybe stand us a pint. Hosted on Acast. See acast.com/privacy for more information.

Salud para Todos ¿Sabías que un estudio Doppler puede detectar problemas circulatorios antes de que aparezcan síntomas graves? En este episodio, los doctores Laura Salgado y David Velásquez, ambos residentes del Posgrado de Radiología, nos amplían sobre “Doppler Venoso y Doppler Arterial”, en qué consiste este estudio, cuándo se recomienda; eso y más te contamos. #SaludParaTodos #PodcastMédico #Doppler #Ecografía #SaludVascular #Radiología #MedicinaParaTodos #PodcastSalud

"POCUS Spotlight: Transcranial Doppler" From ASRA Pain Medicine News, May 2025. See the original article at www.asra.com/may25news for figures and references. This material is copyrighted. Support the show

Welcome to VF137 mixes by Seven Wells & Chris Doppler as aired on InsomniaFM...Track Listing: Seven Wells: 1. Silhouettes (Original Mix) - Emrat 2. Flow (Original Mix) - HAFT 3. Hold Me - Manu Pavez [Sound Avenue] 4. Falah - Tanuus (AR) [Massive Harmony Records] 5. Illusion - Guido Giuliano [3rd Avenue] 6. Stardust (Original Mix) - HAFT 7. Cauac (Subconscious Tales Remix) - Dabeat 8. Parallel Worlds (Original Mix) - STEREO MUNK, Evegrem, Dublew 9. Capertee (Alex O'Rion Remix) - Michael Bennett 10. Dark & Long (D-Nox & Emi Galvan Remix) - Underworld SC - https://soundcloud.com/sevenwellsmusic Instagram - https://www.instagram.com/sevenwellsmusic/ Chris Doppler: 1. Futura City - Flow (Original Mix) (Electronic Groove Records) 2. ID.Jay, Moya (US) - Kalon (Original Mix) (The Purr) 3. Francisco Basso - Buho (Nordic Voyage Recordings) 4. Dowden - An Owl's Flight (Hoomidaas) 5. Cloaked - Always Been (Mango Alley) 6. Analog Jungs - Arcturiano Gold (Original Mix) (Constellation Music) 7. Tomas Briski - Eunoia (Rokazer Remix) (Constellation Music) 8. ARTN - Cycles (Original Mix) (Kitchen Recordings) 9. Volen Sentir & PROFF - Luna Amazonia - PM Mix (Thunderlab Collective) 10. Krasa Rosa - Caravan (Extended Mix) (Melody Of the Soul) 11. Rich Curtis, Dowden - A Different World (Mango Alley) SC - https://soundcloud.com/chris-doppler FB - https://www.facebook.com/chrisdopplermusic

Hey Mama! Welcome back to Pregnancy Unpacked with Trish, your pregnancy bestie. We're diving into weeks 22-24, where your baby's hitting papaya size and your bump's stealing the show! Trish breaks down baby's big developments, your body's changes, and the emotional weight of this in-between season. You're carrying a lot, but you're not alone - let's unpack it together!What's Happening with BabySize: Baby's about the size of a papaya (~11-12 inches, ~1.5 pounds).Development: Lungs are producing surfactant, key for breathing at birth. Eyelids are opening, eyelashes are forming, and baby's hearing is sharp—reacting to your voice or loud noises. Movements are getting stronger, with a unique rhythm starting to emerge.Cool Moment: Trish shares a sweet memory of her son Grayson startling during an ultrasound—proof of that magical connection!What's Happening with YouPhysical Changes: Your uterus is ~2 cm above your belly button, stretching ligaments and causing round ligament pain, lower back aches, or sciatica. Braxton Hicks might be noticeable (see Episode 105 for details). Shortness of breath, increased discharge (normal unless foul-smelling), and insane hunger are common.Digestive Issues: Bloating, gas, or reflux? Try papaya enzymes, stay hydrated, and eat balanced meals. Check with your provider for gas pain relief.Sleep Struggles: Feeling tired but not sleeping? Grab a pregnancy pillow (linked in Trish's Amazon shop below).Emotional & Mental Load: Feeling resentful, touched out, or like you're carrying it all? It's normal. Have those hard convos with your partner or support systemAppointments & What to ExpectMonthly provider visits include fundal height checks, Doppler heartbeat monitoring, blood pressure, urine tests, and swelling checks. Discuss cramps, movements, or preterm labor signs.If you have cramping, backaches, or pelvic pressure, your provider may run a fetal fibronectin test or refer you to a maternal-fetal medicine specialist. Always call for fluid leaks, bleeding, or intense pressure - you're advocating, not annoying!Action Steps for Weeks 22-24:Prep questions for your next provider visit.Track anything weird and call your provider if needed.Observe baby's movements - get curious, no formal kick counts yet.Start your postpartum support plan (it's not too early!).Check in with your partner or support person about your emotional and physical needs.You're growing a human and showing up for life—that's superhero stuff, mama! More from this episode:Listen to Episode 105: Here's How to Understand Real Labor vs False Labor ContractionsTrish's Amazon Shop for pregnancy pillows and second-trimester must-havesMore from Pregnancy Unpacked:Pregnancy Unpacked Weeks 20-22: Halfway There, But Still In It | 178Pregnancy Unpacked Weeks 18-20: Anatomy Scan & The Truth About Bonding | 176Pregnancy Unpacked Weeks 16-18: Baby Bumps, Tests, &...

Por primera vez vimos el polo sur del Sol. Su magnetismo está desordenado. Es la clave para predecir tormentas solaresPor Félix Riaño @LocutorCo Por primera vez, la humanidad ha visto el polo sur del Sol. Las imágenes fueron enviadas por la sonda Solar Orbiter, un proyecto conjunto entre la Agencia Espacial Europea y la NASA, que está revolucionando el estudio de nuestra estrella. Estas imágenes muestran un campo magnético completamente desordenado y revelan nuevas pistas para anticipar tormentas solares que pueden afectar satélites, telecomunicaciones y redes eléctricas en la Tierra. ¿Estamos más cerca de predecir las explosiones solares con precisión? El Sol es más caótico de lo que creíamos El Solar Orbiter fue lanzado en 2020 desde Cabo Cañaveral. Su misión es ambiciosa: estudiar el Sol desde fuera del plano donde orbitan los planetas, algo que ningún otro satélite con cámaras había logrado. Para cambiar su inclinación orbital sin gastar combustible, ha utilizado maniobras gravitacionales: una vuelta a la Tierra y cuatro a Venus. El 18 de febrero de 2025 pasó a solo 379 kilómetros de la superficie de Venus, más bajo que un vuelo Bogotá–Cali, para inclinar su trayectoria. En marzo de 2025 alcanzó los 17 grados por debajo del ecuador solar y allí tomó las primeras imágenes del polo sur. La mayoría de las imágenes que habíamos visto antes del Sol provenían de su zona ecuatorial. Esta es la primera vez que miramos desde abajo. El Sol atraviesa ciclos de 11 años en los que su actividad magnética sube y baja. En el punto más alto, llamado “máximo solar”, sus polos magnéticos se invierten: el norte pasa a ser sur y viceversa. Esta fase es peligrosa porque se producen más manchas solares, más llamaradas y más eyecciones de masa coronal. Estas explosiones liberan radiación y partículas cargadas que viajan a más de un millón de kilómetros por hora. Si una de esas nubes de plasma impacta la Tierra, puede dañar satélites, GPS, redes eléctricas y hasta dejar sin servicio ciudades enteras. En 2012, una de estas eyecciones estuvo a días de golpear la Tierra. Si nos hubiera alcanzado, habría causado un apagón global. El problema es que, hasta ahora, no teníamos datos directos de los polos del Sol, que son clave para entender cómo y cuándo ocurren estas tormentas. Gracias al Solar Orbiter, ahora tenemos imágenes y mediciones directas del polo sur del Sol. Tres instrumentos trabajaron juntos para lograrlo. El PHI mostró que el campo magnético está revuelto, con parches de polaridad norte y sur mezclados, justo en el momento del cambio de ciclo. El EUI captó gas a temperaturas de un millón de grados Celsius en la corona solar. Y el SPICE logró un hito: medir por primera vez la velocidad de los materiales que salen disparados del Sol usando el efecto Doppler. Estas mediciones nos permiten ver cómo se origina el viento solar, una corriente de partículas que viajan por el espacio a velocidades superiores a los 400 mil kilómetros por hora. La información recogida en este primer vuelo es solo el comienzo. Se espera que el Orbitador llegue a 24 grados de inclinación en 2026 y a 33 grados en 2029, para mirar de frente ambos polos. El Sol no gira como un cuerpo sólido. Su ecuador rota cada 26 días, mientras que los polos tardan 33. Esta diferencia genera tensiones que retuercen el campo magnético y, cada once años, causan un “volcán” de actividad. Desde la Tierra, el Sol se ve como un disco brillante sin textura, pero con filtros ultravioleta se revelan bucles, remolinos y explosiones. El Solar Orbiter busca entender cómo ese caos nace y se organiza. El SPICE detectó elementos como hidrógeno, carbono, oxígeno, neón y magnesio a diferentes temperaturas. En la región de transición del Sol, por ejemplo, la temperatura pasa de 10 mil a varios cientos de miles de grados en cuestión de segundos. Con sus 10 instrumentos científicos, el Orbitador es el laboratorio más avanzado que se ha enviado a estudiar el Sol. Este avance es clave para predecir tormentas solares y evitar desastres en la era digital. Hemos visto por primera vez el polo sur del Sol. Lo que descubrimos allí cambia lo que creíamos saber. ¿Podremos anticipar mejor sus erupciones? Escucha Flash Diario para seguir esta historia solar. Síguelo ahora en Spotify:Flash Diario en SpotifyPor primera vez vimos el polo sur del Sol. Su magnetismo está desordenado. Es la clave para predecir tormentas solares.

In this extended interview from April 29, 2015, the Carolina Weather Group closes out Severe Weather Awareness Month with a true icon in meteorology: Gary England, the legendary Oklahoma broadcaster who revolutionized how America prepares for tornadoes.For decades, Gary was the face of Oklahoma City's severe weather coverage, becoming a household name through his calm presence during some of the nation's most destructive tornado outbreaks. In this episode, he sits down with us to reflect on his storied career—from his time serving in the Navy, to earning his meteorology degree, to becoming the first on-air meteorologist to use commercial Doppler radar to issue life-saving tornado warnings.

Austin Adams, founder of Whetstone and creator of Doppler, joins to discuss the next evolution in token launches. We explore why the world needs more tokens—not fewer—and how Doppler enables creators, apps, and DAOs to build highly customized launchpads using modular tooling. We cover token market design, dynamic bonding curves to prevent sniping, and how this infrastructure could unlock more meaningful, value-connected tokens—from meme coins with DAOs to public market IPOs on-chain. ------

Aarti Sarwal, MD, FAAN, FNCS, FCCM, professor of neurology at Virginia Commonwealth University Health System, explores the nuanced intersection of neurology and critical care, offering practical insights for clinicians across disciplines. Dr. Sarwal shares her perspective on the unique challenges of managing neurocritically ill patients, particularly when impairment presents challenges in administering a neurologic examination. She emphasizes that “the brain is the barometer of critical illness,” urging clinicians to prioritize daily neurologic evaluations and integrate neuromonitoring even in non-neurologic ICU populations. Listeners will gain an overview of tools such as continuous EEG, transcranial Doppler, emboli monitoring, and multimodal neuromonitoring platforms, including the role of neuro-ultrasound in expanding point-of-care capabilities. This episode also highlights the need for multidisciplinary collaboration and a shared decision-making model that extends across the continuum of care—from early ICU admission to post-discharge recovery. Listeners will appreciate Dr. Sarwal's reflections on neuroprognostication and the ethical dimensions of care withdrawal, particularly the danger of therapeutic nihilism in patients whose outcomes are uncertain. Referencing a 2023 review she coauthored (Crit Care Med. 2023;51:525-542), Dr. Sarwal outlines a practical framework for neuromonitoring that integrates structural, electrical, vascular, and metabolic insights. This conversation provides a timely and inclusive look at the future of neurocritical care—where technology, teamwork, and training converge to support better patient outcomes.

“What happens when a tornado warning collides with the American Idol finale—and the city of Climax is caught in the middle?”In this hilariously chaotic episode of The Ben and Skin Show, Ben Rogers, Jeff “Skin” Wade, Kevin “KT” Turner, and Krystina Ray dive headfirst into the storm—literally and figuratively. The crew unpacks the social media firestorm surrounding WFAA's chief meteorologist Pete Delkus, who interrupted the American Idol finale to deliver urgent tornado warnings. The result? Viewers were furious, Idol fans were left hanging, and Pete was—quite literally—out of breath and out of patience.From the absurdity of a Texas town named Climax to the debate over which weather channel had the better Doppler radar, this episode is packed with laugh-out-loud moments, sharp commentary, and a surprising amount of storm science.

In a bleak, stormy landscape where the remnants of civilization eke out their existence in deep, canyon-worn refuges, the story plunges readers into the lives of a resilient colony struggling against the decay of both infrastructure and hope. The narrative paints a vividly harsh world where power is scarce and survival depends on ingenuity—from salvaging precious batteries amid ruins to the daily ritual of powering essential systems with human effort. The reader is invited to witness not just the physical battles against nature, but also the emotional and communal struggles that tie the survivors together.At the heart of the tale are characters whose lives are interwoven with the very fabric of their battered environment. Whether it's a determined tinkerer engineering life-saving devices, or a reluctant caretaker balancing memories of lost innocence with the present need to sustain life, each individual's story illuminates both the burdens and unexpected moments of beauty in a transformed world. Their interactions blend sorrow with the spark of tenacity, hinting at deeper mysteries and a shared hope that even in the direst conditions, human spirit can prevail.With its immersive blend of gritty survival, inventive adaptation, and poignant reflections on what it means to be human, this story offers a rich, atmospheric journey into a future where the past's losses and the promise of tomorrow collide. The narrative masterfully avoids clean resolutions, instead leaving readers to grapple with the moral ambiguities of existence in a world stripped to its bare essentials—a world where every innovation is a lifeline, and every moment is a testament to the courage required to simply keep going.batteries  solar panels  cooling units  aeroponics system  hand crank flywheel generator  power sippers  AR glasses  BritLights  cool suits  microbe engineering equipment  DNA writer  sequencer  incubators  protein printer  pedal-powered generator bike  respirators  quantum computer  Bose-Einstein condensate gravity sensor  Stirling engine  heat pump  air filtershand crank wand  canal links  GM microbe mix  bug trap system  battery recharge station  mining robotplasma drill  graphene tube wiring  hydraulic cylinders from a blimp  enzyme welder  temp shielding aerogel  carb-core disks  camshafts  composite beams  quantum simulationradio transmitter  hume linking devices  mycelium fabric garments  mycelium filter sheets  Doppler cooling laserMany of the characters in this project appear in future episodes.Using storytelling to place you in a time period, this series takes you, year by year, into the future. From 2040 to 2195. If you like emerging tech, eco-tech, futurism, perma-culture, apocalyptic survival scenarios, and disruptive science, sit back and enjoy short stories that showcase my research into how the future may play out. The companion site is https://in20xx.com These are works of fiction. Characters and groups are made-up and influenced by current events but not reporting facts about people or groups in the real world. This project is speculative fiction. These episodes are not about revealing what will be, but they are to excited the listener's wonder about what may come to pass.Copyright © Cy Porter 2025. All rights reserved.

Foundations of Amateur Radio Since becoming a licensed amateur in 2010, I have spent a good amount of time putting together my thoughts on a weekly basis about the hobby and the community surrounding amateur radio. As you might know, my interest is eclectic, some might say random, but by enlarge, I go where the unicorns appear. Over a year ago I mentioned in passing a community called HamSCI. The label on the box is "Ham Radio Science Citizen Investigation", which gives you a sense of what this is all about. It was started by amateur radio scientists who study upper atmospheric and space physics. More formally, the HamSCI mission is the "Continuation and extension of the amateur's proven ability to contribute to the advancement of the radio art." If you visit the hamsci.org website, and you should, you'll discover dozens of universities and around 1,300 people, many of whom are licensed radio amateurs, who are asking questions and discovering answers that matter to more than just our amateur community. For the eighth time the HamSCI community held an annual "workshop", really, an opportunity to get together and share ideas, in person and across the internet, a conference by any other name. Under the banner theme of "HamSCI's Big Year", over two days, 56 people representing 27 different organisations across 61 sessions, tutorials, discussions, tours, posters and demonstrations, explored topics all over our hobby, from the Personal Space Weather Network, capable of making ground based measurements of the space environment, to the Whistler Catcher Pi, a project to record the VLF spectrum to 48 kHz using a Raspberry Pi. You'll find research into HF antennas for the DASI or Distributed Array of Small Instruments project and associated NSF grants, exploring measurements of HF and VLF, combined with GPS and magnetometer across 20 to 30 stations. There's discussions on how to explore Geospace Data, such as information coming from the Personal Space Weather Station network, or PSWS, using the OpenSpace project and dealing with the challenges of visualising across a wide scale, all the way up to the entire known universe. Did I mention that there's work underway to add PSWS compatible receivers to Antarctica? There reports on observations and modelling of the ionospheric effects of the April 2024 solar eclipse QSO party, including Doppler radio, HF time differences, and Medium Wave signal enhancements, not to mention planning and promoting future meteor scatter QSO parties. There's, post-sunset sporadic-F propagation, large scale travelling ionospheric disturbances, GPS disciplined beacons, the physical nature of sporadic-E propagation and plenty more. As you might have heard me say at one time or another, the difference between fiddling and science is writing it down. It means that you'll find every session has accompanying documentation, charts, graphics and scientific papers. Remember, there's eight years of reading to catch up with, or learn from, or play with. The publications and presentations section on the hamsci.org website currently has 526 different entries. You might not be interested in the impact of radio wave and GPS scintillation, or rapid fluctuation in strength, caused during the G5 geomagnetic storm that occurred on the 10th of May 2024, or a statistical study of ion temperature anistropy using AMISR, or Advanced Modular Incoherent Scatter Radar data .. or you might. In case you're curious, "anistropy" is the property of being directionally dependent, in other words, it matters in which direction you measure, which might have some relevance to you if you consider that we think of the ionosphere and radio paths being reciprocal. If it reminds you of isotropy, that's because they're opposites. The point being, that amateur radio is a great many things to different people. If you're a scientist, budding, graduate or tenured, there's a home for you within this amazing hobby. I'm Onno VK6FLAB

====================================================SUSCRIBETEhttps://www.youtube.com/channel/UCNpffyr-7_zP1x1lS89ByaQ?sub_confirmation=1==================================================== DEVOCIÓN MATUTINA PARA JÓVENES 2025“HOY ES TENDENCIA”Narrado por: Daniel RamosDesde: Connecticut, USAUna cortesía de DR'Ministries y Canaan Seventh-Day Adventist Church===================|| www.drministries.org ||===================06 de MayoEl efeto doppler«Jesucristo es el mismo ayer, hoy y siempre». Hebreos 13:8Si alguna vez te has encontrado en una intersección bulliciosa, habrás notado como el sonido de una bocina varía dependiendo de si el vehículo que la emite se acerca o se aleja de ti. Este fenómeno se conoce como el efecto Doppler, que es simplemente el cambio en la frecuencia aparente de una onda causado por el movimiento relativo entre la fuente y el observador. Este efecto tiene aplicaciones prácticas, como en el funcionamiento de algunos radares, y también se utiliza en astronomía para medir la velocidad a la que las estrellas y galaxias se alejan o se acercan a la Tierra.Ahora bien, ¿te sorprendería saber que en el ámbito espiritual también existe un fenómeno parecido al efecto Doppler? Aunque la Biblia declara que «Jesucristo es el mismo ayer, hoy y siempre» (Hebreos 13: 8), nuestra percepción de Cristo, de su poder y de su amor dependerá de si nos acercamos o alejamos de él.En tiempos de Isaías, los israelitas sentían que Dios no los escuchaba y que su poder no tenía ningún efecto en sus vidas. ¿Los había abandonado el Señor? No, era el pueblo el que se había alejado de Dios (ver Isaías 1: 4). Su percepción daba evidencias no tanto lo que había pasado con Dios, sino de lo que pasaba con ellos. Isaías declara: «La mano del Señor no es corta para salvar, ni es sordo su oído para oír. Son las iniquidades de ustedes las que los separan de su Dios. Son estos pecados los que lo llevan a ocultar su rostro para no escuchar» (Isaías 59: 1-2, NVI).Al igual que el efecto Doppler se emplea en astronomía para determinar si una galaxia se acerca o se aleja, así como para calcular la velocidad de dicho movimiento, mi percepción de Dios, su poder y su amor puede indicarme si me estoy acercando al Creador o alejándome de él, así como la velocidad a la que esto ocurre. No obstante, cabe destacar que, sin importar la dirección que tomemos, Dios nunca se aparta de nosotros. Él permanece en el mismo lugar, llamándonos y esperándonos. Pablo escribió que «si no somos fieles, él sigue siendo fiel, porque no puede negarse a sí mismo» (2 Timoteo 2:13). ¿¿Te estás acercando o alejando de Dios? Hoy detente, escucha con atención y sabrás la respuesta. 

Hey mama! In this short and sweet episode Trish breaks down everything you need to know about second trimester pregnancy testing. Get ready to feel educated, empowered, and like the queen you are as you navigate your pregnancy with confidence.Join the Calm Mama Membership: labornursemama.com/cmsLeave a review and include your Instagram username for a chance to win our monthly raffle!What You'll Learn:Second Trimester Visits: Expect weight checks, blood pressure monitoring, urine tests, and hearing your baby's magical heartbeat with the Doppler. Plus, fundal height measurements to track baby's growth.Fetal Movement: Those fluttery kicks start between 18-22 weeks, signaling your baby's thriving.Multiple Marker Screening (Triple/Quad Screen): Done at 16-18 weeks, this blood test checks for Down Syndrome, Trisomy 18, and neural tube defects. 20-Week Anatomy Scan: The big ultrasound! It measures baby's organs, bones, and more, plus reveals the gender (if you want to know). Be prepared for a long appointment!Glucose Tolerance Test (GTT): Between 24-28 weeks, you'll drink the dreaded glucola to screen for gestational diabetes. STI Screening & Emotional Check-Ins: High-risk mamas may get STI tests, and your provider will check on your mental health. Be honest—there's zero shame in needing support.Walk into every appointment informed and ready to advocate for you and your baby. It's your body, mama!More from this episode:Comment "#second" on any @labor.nurse.mama Instagram post for Second Trimester Prep PackGrab the First Trimester Prep PackGrab the Third Trimester Prep PackListen to Navigating Your 20-Week Anatomy Scan with Confidence | 150Listen to 11 Things to Do During the Second Trimester of Pregnancy | 82Connect with the Gestational Diabetes Nurse 00:53 Second Trimester Overview01:51 Routine Checkups and Measurements03:05 Important Tests and Screenings04:10 Emotional Well-being and Support04:37 The 20-Week Anatomy Scan05:54 Glucose Tolerance Test (GTT)06:40 Gestational Diabetes Management07:53 Empowerment and ResourcesResources: First Trimester Secret Podcast

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

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. 

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.

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

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

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

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.

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

“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