Podcasts about ekg

Kto płaci najwięcej podatków w Polsce? W nowym EKG+ sprawdzamy, które firmy znalazły się na szczycie listy największych płatników CIT. Jest Orlen, są banki, handel i budownictwo. Rozmawiamy też o tym, ile państwo odzyskuje z inwestycji, które wcześniej samo finansowało. Tematów jest więcej. Minister finansów podpisał interpretację, która otwiera drogę do wspólnego rozliczania podatków przez małżonków pozostających w związkach zawartych za granicą i uznanych w polskim systemie prawnym. A skoro Adam Glapiński ma zarabiać nawet 200 tys. złotych rocznie więcej... wracamy do wynagrodzeń osób odpowiedzialnych za politykę pieniężną i pytamy, ile powinien zarabiać prezes banku centralnego. Na koniec sprawdzamy, co naprawdę dzieje się z naszymi pensjami, gdy zestawimy ich nominalny wzrost z inflacją... i co może wydarzyć się w przyszłym roku.

80 Prozent der Patientinnen und Patienten nach einem Herzinfarkt oder Schlaganfall erreichen ihren LDL-Zielwert von unter 55 Milligramm pro Deziliter nicht. Dabei sind Herzerkrankungen die Todesursache Nummer 1. Bei Krebs gibt es Vorsorge, Diagnose, begleitete Therapie, Nachsorge und Register. Warum fehlt das beim Herzen – und wo muss Prävention ansetzen? Darüber spricht EinBlick-Redakteur Christoph Nitz mit Prof. Ksenija Stach. Sie leitet seit Juli 2025 das Department für Endokrinologie und Diabetologie am Klinikum Ernst von Bergmann in Potsdam und ist Professorin für Innere Medizin, Endokrinologie und Diabetologie der HMU Health and Medical University Potsdam. Zuvor leitete sie die Lipidambulanz der Universitätsmedizin Mannheim. Beim Kongress für Gesundheitsnetzwerker sprach sie im März 2026 über Investitionen in die Herzgesundheit. Die Themen der Folge: – Warum LDL zählt: LDL-Cholesterin ist der am besten beeinflussbare Risikofaktor, denn ohne LDL-Cholesterin entsteht kein Plaque. Der erste Schritt ist, die Werte zu messen. Doch den Check-up 35 nehmen nach Stachs Angaben nur 30 Prozent der Bevölkerung wahr, weil die Information zu wenige Menschen erreicht. – Register wie bei Krebs: Hierzulande gibt es Kampagnen wie ›Auf Ziel‹ der Deutschen Gesellschaft für Lipidologie DGFL, aber nach ihren Worten keine Register. In Schweden werden alle Patientinnen und Patienten nach einem Herzinfarkt erfasst. Die Kliniken stehen mit ihren Ergebnissen beim LDL-Zielwert in der Zeitung. Die Besten werden ausgezeichnet, und der Letztplatzierte muss bei ihnen lernen. – Netzwerk in Potsdam: Ein niedergelassener Kollege, der auch bei Kindern das Cholesterin misst, hat dort ein Kompetenznetzwerk aufgebaut. Wer das bezahlt? »Na, niemand.« – Wearables und die »Cholesterinlüge«: Schritte, Herzfrequenz, EKG und Blutdruck haben viele per Wearable im Blick. Das Gesundheitsbewusstsein wächst, aber nicht in allen sozialen Schichten. Cholesterin hat an Ansehen verloren, auch durch Fernsehsendungen, die die Warnungen davor als Humbug abtun. Mehr Aufmerksamkeit bekommt Lipoprotein(a). – Sparen bei der Früherkennung? »Genau das ist das, was wir nicht tun dürfen«, sagt Stach. Das GKV-Beitragssatzstabilisierungsgesetz empfindet sie als Rückschritt – kein gutes Signal, denn frühzeitige Prävention spare später Milliarden Euro. – Kinderscreening ab 6 Jahren: In den Gesprächen zum Gesundes-Herz-Gesetz war man mit der Politik nach ihren Worten schon weit. Ein solches Screening findet genetisch bedingte Fettstoffwechselstörungen früh und schützt zugleich das Kind und einen Elternteil. – Prävention ab der Kita: Kinder sollen früh lernen, was ein gesunder Lebensstil ist und welche Werte wichtig sind. In den Niederlanden entsteht so Gesundheitsbewusstsein von klein auf. Und der 60-jährige Hochrisikopatient? »Nein, um Gottes willen, da ist noch gar nichts verloren.« LDL-Senkung, Blutdruckeinstellung, Lebensstil und Reha helfen auch nach einem Herzinfarkt oder Schlaganfall. – Was die elektronische Patientenakte ePA leisten könnte: Befunde sind dort abrufbar. Es fehlen eine Abfrage zur Familienanamnese, die bei Risiko zum Check-up 35 einlädt, und die Messwerte aus Apotheken samt Hinweis, sich ärztlich abklären zu lassen. Die Schnittstellen funktionieren noch nicht gut. Ksenija Stach: »Wir müssen an einem Strang ziehen, Fakten auf den Tisch legen und nicht irgendwelche Märchen.« Stachs Vorschlag an Gesundheitsminister Carsten Linnemann: ein Kinderscreening ab 6 Jahren und Aufklärung über Risikofaktoren in Kitas, Schulen und Studiengängen. Ihr Rat an alle Hörerinnen und Hörer: die eigenen Werte kennen – Blutdruck, Langzeitblutzucker, LDL-Cholesterin und Lipoprotein(a). Wer sie nicht kennt, lässt sie bei nächster Gelegenheit in der Hausarztpraxis messen.

Morgonen drar igång med Petter på hög volym och en rejäl nostalgitripp med “Repa skivan” – och snack om lowriders och hiphopbilar som hoppar upp och ner. Alma levererar glada nyheter: AI som kan upptäcka hjärtsvikt via vanligt EKG, och gymnasieelever som sköter en nollningsfest så bra att Bertil i bygdegården blir stolt. Det blir Googlespaningar (F16-krasch, Yasin, Sjöström), 10 000-kronorsmixen, och en ny lek där vi försöker åldersbestämma lyssnare via deras digitala vanor – med allt från 12 till 79 år. Dessutom: Bodström om valets efterspel, mobilfria middagar, “Deckardansken” i plagiaträttegång – och Fjäll-Kjells ryggsäck hittas i Skellefteå.

Contributor: Taylor Lynch, MD Educational Pearls: When a patient who missed dialysis presents to the emergency department, our clinical concern is who needs to be admitted to the hospital for emergent dialysis and who can wait for their next regularly scheduled session. Dialysis sessions typically occur on Monday, Wednesday, and Friday, or Tuesday, Thursday, and Saturday. Acronym for indications for emergent dialysis: AEIOU Acidosis Patients may have an underlying cause for acidosis such as sepsis or DKA. Treat the underlying cause, but if the acidosis is unable to be corrected, the patient needs dialysis. Electrolytes Most commonly elevated is potassium. In general, dialysis patients tend to have higher potassium levels, so don't just treat the number. Look for potassium greater than 6.5 or if EKG changes are present. Ingestion Intoxication with substances such as Lithium, Ethylene Glycol, Methanol, Salicylates. Overload Patients may present with evidence of fluid overload such as new oxygen requirement or pulmonary edema. If they are making urine, treat with diuretics, but if unresponsive to medical therapy, they will require dialysis. Uremia Build-up of nitrogenous waste products in the blood, which is indicated by an elevated BUN. Patients may develop complications such as altered mentation or pericardial effusions and subsequent cardiac tamponade. Keep in mind creatinine itself is not an indication for emergent dialysis. Serves as a surrogate marker of kidney function. Can be high or low depending on muscle mass or kidney filtration, and the patient may or may not need dialysis. References: Jentzer JC, Bihorac A, Brusca SB, et al. Contemporary Management of Severe Acute Kidney Injury and Refractory Cardiorenal Syndrome: JACC Council Perspectives. J Am Coll Cardiol. 2020;76(9):1084-1101. doi:10.1016/j.jacc.2020.06.070 Summarized by Ashley Lyons, OMS4 | Edited by Ashley Lyons & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf

In Greiz wird ein Unterhemd entwickelt, das Herzdaten erfassen kann. Für Pflegebedürftige könnte es künftig weniger Arzttermine bedeuten. Die Entwickler sehen darin auch eine Chance, die Pflege zu entlasten.

Wszyscy zginiemy w zupie diesla? Tak przynajmniej twierdzi Wojciech Kowalik. Uspokaja Rafał Hirsch, twierdząc, że najgorszy paliwowy kryzys jest już za nami. Prowadzący EKG+ są jednak zgodni w jednym: ceny paliw znów mocno mieszają, ale chyba w polityce, aniżeli w gospodarce. Co więcej, pomysły rządu na sztuczne obniżki mogą przynieść skutki odwrotne do zamierzonych. Warto zadać proste pytanie: kto na koniec za to wszystko zapłaci? A potem robi się jeszcze ciekawiej, bo w EKG+ poruszamy też tematy sztucznej inteligencji. Czy powinniśmy się bać coraz gwałtowniej rozwijających się modeli, a może to tylko nakręcanie strachu?

Learn more about the heart scan that actually sees inside https://www.midlifeconversations.com/heartprevention  Heart disease is the number one killer of women. And most heart attacks come from plaque that never shows up on our cholesterol panel, our stress test, or our EKG. Traditional cardiology has been treating us blindly. In this episode, preventive cardiologist Dr. John Osborne walks us through why standard tests miss the disease, what soft plaque actually is (he calls it the lava), why menopause is a massive cardiovascular event, and the modern imaging that finally lets us SEE our arteries and reverse the disease decades before symptoms show up. This is the conversation every midlife woman needs to hear. IN THIS EPISODE •  What plaque actually is and why it starts in our teens •  Soft plaque vs hard plaque. The killer plaque is the invisible plaque •  Why cholesterol, stress tests, and calcium scores miss the real disease •  How CCTA with AI changes everything •  The ClearCardio white-glove process. Scan. Labs. Consult. 12 months of care •  Menopause as a massive cardiovascular event •  Why women get missed. Atypical symptoms nobody teaches us •  Microvascular disease, Takotsubo, and SCAD •  The ONE thing every midlife woman should do this week TIMESTAMPS •  00:00 | What plaque actually is. Soft vs. hard. Why 99% of us have it. •  12:00 | What traditional cardiology misses. Cholesterol. Stress tests. Calcium scores. •  24:00 | The CCTA + AI. The white-glove ClearCardio process. •  36:00 | Menopause and the women's cardiovascular story. •  48:00 | ClearCardio. What to actually do. •  55:00 | The ONE thing this week. Close.   Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube    Learn More About Dr. John Osborne  Instagram ➜ https://www.instagram.com/clearcardio  Website ➜ https://www.midlifeconversations.com/heartprevention  Thank you to our show sponsors:  TIMELINE:Timeline is offering 20% off your order! Go to https://timeline.com/NATALIEJILL  BIOTIMIZERS: Most magnesium products give you 1, maybe 2 forms. This one gives you all 7. Save with code NATALIEJILL https://bioptimizers.com/nataliejill    Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

Witam Państwa, nazywam się Jarosław Drożdż, pracuję w Centralnym Szpitalu Klinicznym Uniwersytetu Medycznego w Łodzi, skąd nagrywam podcast Kardio Know-How. W tym odcinku kontynuuję omawianie badań z ESC 2026. TARGET-CTCA dotyczy bardzo częstej sytuacji klinicznej — pacjenta z bólem w klatce piersiowej, u którego po wykonaniu EKG i seryjnych oznaczeń troponiny wykluczono zawał, ale troponina pozostaje umiarkowanie podwyższona (powyżej 5 ng/l, lecz poniżej 99. percentyla). W tej grupie ryzyko zawału lub zgonu jest większe, a około 2/3 pacjentów ma w CTCA lub koronarografii cechy choroby wieńcowej. Badanie TARGET-CTCA, opublikowane równolegle w NEJM (https://www.nejm.org/doi/10.1056/NEJMoa2608903), randomizowało 3170 pacjentów do standardowej opieki lub rutynowej angio-TK tętnic wieńcowych (CTCA). Mimo że CTCA skutecznie wykrywała i klasyfikowała chorobę wieńcową, po obserwacji sięgającej 6 lat nie wykazano istotnej redukcji głównego punktu końcowego ani zgonów czy zawałów, a rewaskularyzacji było tyle samo w obu grupach. Ważnym wyjaśnieniem może być fakt, że populacja badania była mniej obciążona ryzykiem, niż sugeruje określenie „intermediate risk”, a jedynie 9% pacjentów miało istotną dynamikę troponiny (delta-cTn ≥3 ng/l), dlatego wyników nie należy automatycznie odnosić do pacjentów z typową dławicą, dynamicznymi zmianami troponiny czy wysokim prawdopodobieństwem CAD. Zaletą CTCA jest natomiast możliwość wykrywania licznych zmian pozasercowych — łącznie istotne znaleziska stwierdzono u 9,9% pacjentów, m.in. guzków płuca, rozedmy, włóknienia, rozstrzeni oskrzeli czy powiększonych węzłów chłonnych — co może częściowo tłumaczyć obserwowany, choć statystycznie nieistotny, spadek śmiertelności całkowitej. CTCA bardzo mocno wpływała również na leczenie: przy istotnej CAD stosowanie statyn wzrastało do około 90%, a ASA do 79%, jednak ta intensyfikacja terapii nie przełożyła się na redukcję zawałów ani zgonów. Badanie pokazuje więc, że sama informacja o obecności miażdżycy nie poprawia rokowania, a „diagnostic momentum” — wykonywanie badania tylko dlatego, że można dzięki niemu coś wykryć — nie jest wystarczającym argumentem za rutynowym CTCA u każdego pacjenta. Jednocześnie CTCA okazała się bezpieczna w odpowiednio wyselekcjonowanej populacji: reakcje na kontrast wystąpiły u 0,3%, ostre uszkodzenie nerek u 0,1%, a łącznie zdarzenia związane z badaniem u 0,4% pacjentów. Najważniejszy wniosek praktyczny jest taki, że rutynowe CTCA po wykluczeniu zawału nie daje dodatkowej korzyści prognostycznej całej populacji, natomiast selektywna diagnostyka oraz odpowiednio wczesne wdrożenie leczenia przeciwmiażdżycowego i modyfikacja czynników ryzyka mogą być wystarczające — decyzję o wykonaniu CTCA należy więc pozostawić ocenie klinicznej, zamiast traktować je jako obowiązkowy element ścieżki diagnostycznej.Szczegółowy TRANSKRYPT do odcinka.Podcast jest przeznaczony wyłącznie dla osób z profesjonalnym wykształceniem medycznym.

Interruptions are, in a way, the currency of emergency medicine. But many of them may be making patient care worse rather than safer. EKGs are a perfect example: physicians may be interrupted thousands of times each year so that every tracing receives immediate attention, even when the overwhelming majority do not represent an emergency. Protecting physician attention doesn't have to come at the expense of quickly identifying patients who need immediate intervention.In this episode, we explore how one emergency department dramatically reduced unnecessary EKG interruptions, why a 10-minute interpretation window may be safer than reflexively interrupting physicians, and how local data helped turn a counterintuitive idea into departmental practice. We also examine how asynchronous communication, protected workspaces, nursing partnerships, and a different way of thinking about attention can create a safer and more intentional emergency department.Guest Bio: Dr. Jake Zadra is a board-certified Emergency Physician and the current Chair of the Department of Emergency Medicine and Diagnostics at St. Mary's Hospital in Janesville, WI, where he also serves as Vice Chief of Staff. He completed medical school ('18) and EM residency ('21) at the University of Wisconsin, where he served as chief resident. Outside of medicine, he's a live music enthusiast, enjoys slipping Lord of the Rings references into everyday conversation, and spends as much time outdoors as possible. He remains one of the few Emergency Physicians with no interest in ultramarathons or BASE jumping.We Discuss:Why Every EKG Doesn't Need to Be an EmergencyThe Cost of 7,000 Interruptions to Find Two Unflagged STEMIsWhat Happens When the EKG Machine Misses a STEMIWhy Fewer Interruptions May Lead to Better EKG InterpretationHow the Workflow Handles Gray-Zone EKGsRethinking the 10-Minute EKG RuleUsing Local Data to Build a Safer WorkflowHow an EKG Drop Zone Keeps Deferred Reviews From Getting LostHow a Quieter Workspace Reduces Drive-By InterruptionsWhy Not Every Interruption Deserves the Same ResponseHow Secure Chat Can Become an Asynchronous InboxWhy Nurses Need Protection From Interruptions TooHow Making Interruptions Visible Creates Buy-InMentioned in this episode:Rob's Book: SupranormalSupranormal: A Field Guide for the Impossible Job, tackles the parts of being a doctor that medical training leaves out, with practical tools for navigating conflict, overwhelm, burnout, and the sustained complexity of medicine, so you can build a career that is both sustainable and fulfilling.Get SupranormalGet Out On TimeThe Out-On-Time Course gives you the tools to complete your charts on shift, manage overwhelm and interruptions, and create fast, focused, kickass notes, so you can stay out of chart debt and get home on time. Self-paced. 12 hours AMA PRA Category 1 CME.Learn More About The Out-On-Time CourseSix Sessions to Recalibrate Your CareerStill like the doctoring, but all the stuff around it is taking a toll? Career Longevity Coaching is six one-on-one sessions over five months to identify what's making your work harder than it needs to be and start making changes. If you're wondering, "How long can I keep doing it like this?" Don't wait until the answer is "I can't."Career Longevity and Burnout Coaching

Program notes:0:44 EKG monitoring and syncope1:45 No difference when monitored2:45 Why not try monitoring?3:13 Catheter directed thrombolysis in PE4:14 Composite of death from any cause5:14 Assessment for intermediate or high risk6:16 Treatment not onerous6:45 Afib ablation versus sham7:45 Did not improve quality of life8:45 Preprocedure assessment of psychological state?9:13 Digital intervention to protect cognitive health10:13 Verbal reasoning at 12 months11:13 As long as internet is available12:15 What happens at five-year follow-up13:09 End

AI finns nu på många håll i vården. En ny nordisk AI-karta ska göra att initiativ på olika håll får kontakt och kan lära av varann. Lyssna på alla avsnitt i Sveriges Radios app. Programmet publicerades första gången 28/8-2026.I Uppsala används ett AI-verktyg till hjälp med allmänläkares jornalföring. I Göteborg har AI-system utvecklats som utifrån EKG kan identifiera personer som löper hög risk att dö plötslig hjärtdöd.Det är två av nästan 900 AI-initiativ i Norden som finns på den nya kartan. Utvecklingen går fort. Men enligt sjukhusdirektören på Karolinska Sjukhuset, Christophe Pedroletti, hänger lagstiftningen inte med. Den måste justeras för att vi inte ska missa möjligheter.Samtidigt beskriver han som att vi är inne i en mognadsprocess – det blir ibland fel i systemen. Kvalitén, patientsäkerheten och tilliten måste hela tiden säkras, menar han.Reporter: Camilla Widebeckcamilla.widebeck@sr.seProducent: Lars Broströmlars.brostrom@sr.seTekniker: Nils Lundinnils.lundin@sr.se

Jeremy got off a treadmill stress test two hours before recording this — a family health scare sent him down a rabbit hole of chest pains, family history, and a doctor who laughed at him (kindly). That kicks off a wider conversation with Jason about the tools we use to chase longevity: EKGs that are, technically, 200-year-old technology; wearables that ping you at 2am about your heart rate; and AI check-ins that will tell you "good job, champ" no matter what you fed it. They get into a real news story about "longevity fixation syndrome," a new experimental weight-loss compound Jason is already trying to hunt down, and why AI health influencers might be exploiting the exact anxiety these tools are supposed to relieve. It closes with a genuinely wild story: Australian scientists remote-controlling live cockroaches to deliver emergency medication to people trapped in collapsed buildings.Key Moments00:01 — Jeremy's same-day stress test and the family heart scare that triggered it01:56 — Jason on EKGs: diagnostic technology that's essentially 200 years old02:25 — Jason's own 2021 EKG scare and the "widowmaker" scarring that turned out fine04:23 — How often EKGs actually get it wrong, and why nobody questions the tech05:48 — "Longevity fixation syndrome": the real clinical term for optimization gone too far08:58 — Fake AI wellness influencers and the manufactured fear they're selling11:28 — TOFA: the new experimental weight-loss compound Jason is already trying to source16:50 — "Anticipatory medicine": the AI healthcare opportunity investors are actually excited about20:12 — "Dongevity": men's health marketing, insecurity, and Dr. Facebook's fake diagnoses24:47 — Jeremy's weekly AI check-in with his wearable data, and what happens on a bad week27:26 — Where this is actually heading: AI glasses that could auto-medicate you28:33 — Cyborg cockroaches: Australian scientists' "Paraborgs" for disaster medicine

Budżet państwa zjadł nas dziś na śniadanie. Ale spokojnie – w EKG+ (w pełnym składzie!) tłumaczymy, jak go czytać, żeby nie zgubić się w deficytach, potrzebach pożyczkowych i innych liczbach, które tylko na pozór wyglądają groźnie. Ile naprawdę brakuje w kasie państwa? Dlaczego sam deficyt to nie wszystko? A pracownicy budżetówki mogą nie mieć powodów do świętowania? I co z tych miliardów wynika dla naszych portfeli? Temat drugi: czy (według prowadzących EKG+) Polska powinna wejść do strefy euro? Węgry potwierdzają swoje ambicje, Bułgaria już korzysta z euro, a w Niemczech pojawiają się pomysły… odwrotne. Czy Polska ma przeciw wspólnej walucie argumenty ekonomiczne, czy przede wszystkim polityczne? Na koniec, w Zdziwieniach, trochę bardziej egzotycznie: kto pierwszy sięgnie po konkrecje polimetaliczne z dna oceanów? A także porcja postwakacyjnych zaskoczeń, od taniejącej Bułgarii po coraz droższą Chorwację.

AI finns nu på många håll i vården. En ny nordisk AI-karta ska göra att initiativ på olika håll får kontakt och kan lära av varann. Lyssna på alla avsnitt i Sveriges Radios app. I Uppsala används ett AI-verktyg till hjälp med allmänläkares jornalföring. I Göteborg har AI-system utvecklats som utifrån EKG kan identifiera personer som löper hög risk att dö plötslig hjärtdöd.Det är två av nästan 900 AI-initiativ i Norden som finns på den nya kartan. Utvecklingen går fort. Men enligt sjukhusdirektören på Karolinska Sjukhuset, Christophe Pedroletti, hänger lagstiftningen inte med. Den måste justeras för att vi inte ska missa möjligheter.Samtidigt beskriver han som att vi är inne i en mognadsprocess – det blir ibland fel i systemen. Kvalitén, patientsäkerheten och tilliten måste hela tiden säkras, menar han. Reporter: Camilla Widebeckcamilla.widebeck@sr.seProducent: Lars Broströmlars.brostrom@sr.seTekniker: Nils Lundinnils.lundin@sr.se

Witam Państwa, nazywam się Jarosław Drożdż, pracuję w Centralnym Szpitalu Klinicznym Uniwersytetu Medycznego w Łodzi, skąd nagrywam podcast Kardio Know-How. W tym odcinku Pan Profesor Wiktor Kuliczkowski i dr n. med. Piotr Gajewski z Instytutu Chorób Serca Uniwersytetu Medycznego we Wrocławiu dzielą się swoimi ponad 5-letnimi doświadczeniami z pracy w SHOCK-TEAM.Wstrząs kardiogenny to dynamiczny stan zagrożenia życia o bardzo wysokiej śmiertelności, w którym kluczowe znaczenie mają pierwsze godziny i szybkie uruchomienie Shock Team. Nie należy utożsamiać go wyłącznie z hipotensją – najważniejsze są kliniczne i biochemiczne cechy hipoperfuzji tkanek, takie jak zimne kończyny, zaburzenia świadomości, oliguria czy podwyższony poziom mleczanów. W pierwszej godzinie należy równocześnie wykonać EKG, echo/POCUS, gazometrię, podstawowe badania laboratoryjne oraz rozpocząć ciągłe monitorowanie. Trzeba jak najszybciej określić fenotyp wstrząsu: czy dominuje hipoperfuzja, zastój, czy oba mechanizmy, oraz czy problem dotyczy lewej, prawej czy obu komór. Równocześnie należy określić stadium SCAI A–E, ponieważ progresja do C–E jest sygnałem do szybkiego zaangażowania zespołu leczenia wstrząsu i rozważenia transferu do ośrodka referencyjnego. W przypadku hipoperfuzji celem jest przywrócenie perfuzji narządowej, zastosowanie odpowiedniego wsparcia wazoaktywnego, usunięcie przyczyny wstrząsu i w razie potrzeby rozważenie mechanicznego wspomagania krążenia, natomiast w przypadku zastoju podstawą jest dożylna diureza, monitorowanie odpowiedzi i w oporności intensyfikacja dekongestii lub terapia nerkozastępcza. Nie wolno leczyć wyłącznie wartości MAP – należy jednocześnie oceniać perfuzję, zastój, preload i funkcję narządów. U niestabilnego chorego co 2–4 godziny trzeba analizować trendy MAP, laktatu, diurezy, kreatyniny, pH, enzymów wątrobowych, obrazu echo, przewodnienia i dawek leków wazoaktywnych. Najważniejsza zasada brzmi: rozpoznaj, określ fenotyp, oceń SCAI, lecz perfuzję i zastój, usuń przyczynę, monitoruj trendy oraz odpowiednio wcześnie eskaluj leczenie i transferuj chorego, bo wstrząs kardiogenny można skutecznie leczyć, ale wymaga zorganizowanego i doświadczonego zespołu.Szczegółowy TRANSKRYPT do odcinka.Podcast jest przeznaczony wyłącznie dla osób z profesjonalnym wykształceniem medycznym.

"Die Nervigen" gibt es kostenlos und werbefrei als Videofolgen bei Podimo. Zusätzlich gibt es jeden Freitag eine exklusive Bonusfolge nur dort im Podimo Premiumbereich: https://podimo.de/nervig Würdet ihr ätherisches Duftöl trinken, nur weil auf dem Fläschchen „Gute Nacht“ steht? Wieso haben manche Handtücher eigentlich KEINE Aufhängungsschlaufe? Und was macht man, wenn die eigene Ärztin beim EKG plötzlich mit dem elektrischen Trockenrasierer auf einen zukommt? Heute erwartet euch ein absoluter Emotion-Rollercoaster! Joey erscheint im Miffy-T-Shirt zur Aufnahme (Julia ist natürlich gelinde gesagt NOT amused, weil sie keins abbekommen hat) und berichtet von zwei mysteriösen Rasier-Löchern mitten auf seiner Brust. Doch damit nicht genug: Beim Fanpost-Auspacken haben Joey und Paul aus Versehen ätherisches Öl für den Duftdiffusor gesoffen – Giftnotruf-Anruf inklusive! Dazu gibt es ein kleines knackiges Fragen-Spezial: Wir klären, wie wir zu Personen stehen, die ihre Bettdecke nachts wie im Hotel unter die Matratze klemmen, Julia erzählt die tragische Geschichte ihrer geliebten Kindheitspuppe Molly (und deren Stunt-Double Dolly) und Melinas Faktencheck schaltet sich bei einem sehr ernsten Thema ein. Zum Schluss wird es noch einmal ganz ehrlich und intim: Joey spricht offen über seine Erfahrungen mit seiner Angststörung, Medikamenten und wie sehr Stress das Immunsystem lahmlegen kann. Hier geht's zu den Tickets für unsere Tour (lohnt sich): www.dienervigen.myticket.de Du möchtest mehr über unsere Werbepartner erfahren? Hier findest du alle Infos & Rabatte: https://linktr.ee/dienervigen Du möchtest Werbung in diesem Podcast schalten? Dann erfahre hier mehr über die Werbemöglichkeiten bei Seven.One Audio: https://www.seven.one/portfolio/sevenone-audio

Knapp 76 Millionen elektronische Patientenakten sind eingerichtet, rund 100 Millionen Dokumente liegen darin. Im Schnitt ist das gerade einmal ein Dokument pro Akte. Trotzdem zieht Hausarzt Stefan Spieren nach der Urlaubszeit eine positive Bilanz: Bei Vertretungspatienten, im Notdienst und nach Klinikentlassungen liefert die ePA heute schon Informationen, die früher schlicht fehlten. Und jede Information ist mehr wert als keine. Jan Zeggel und Stefan Spieren sprechen in dieser Folge darüber, was eine gut gefüllte ePA konkret im Praxisalltag verändert: Arztbriefe landen per Klick im System, die elektronische Medikationsliste ersetzt das Abtippen von Medikamenten, und MFAs gewinnen Zeit für Aufgaben, die wirklich beim Patienten ankommen. Sie schauen aber auch auf die offenen Baustellen: Kliniken, die ihrer Befüllungspflicht kaum nachkommen, Pflegeheime ohne Anbindung, Peripheriegeräte wie EKG und Ultraschall, die ihre Daten nicht automatisch weitergeben, und ein Zugriffskonzept, das ohne ePA-App keinen dauerhaften Zugriff für Fachärzte erlaubt. Im zweiten Teil geht es um die Zukunft der ePA als zentrale Datendrehscheibe. Wearable-Daten, Patientenfragebögen und strukturierte Laborwerte werden mehr, nicht weniger. Wer bereitet diese Datenmengen so auf, dass Ärztinnen und Ärzte damit arbeiten können? Welche Rolle spielen PVS-Hersteller, DiGAs und KI? Und wer kontrolliert die KI, die künftig in der ePA arbeitet? Dazu die Frage, wie viel Zugriff Krankenkassen auf ePA-Daten haben sollten, und ob der TI-Messenger eine Lücke schließt oder nur einen weiteren Kanal aufmacht. Eine Folge mit vielen Impulsen aus der Live-Community bei LinkedIn und einem klaren Appell: Befüllt die ePA. Alles Weitere baut darauf auf.

Bobbi Vitality has watched thousands of stem cell testimonies come through Level 10 Matrix, and he calls what he's seeing "smart medicine miracles." In this episode of the Lance Wallnau Show, Lance and Bobbi break down the stories behind regenerative stem cell therapy, from a lifelong hemophilia and cirrhosis case to a family's recovery from toxic mold exposure. In this episode: * A doctor who had been searching for 25 years for a safe, simple form of stem cell therapy, and what he says happened to his heart, his EKG, and a looming pacemaker within a month of trying it * The story of a man who says he lived with hemophilia his entire childhood, later developed cirrhosis and hepatitis C, and says he stopped limping within a week of his first treatment * Why Bobbi calls what he's seeing a "smart medicine miracle," and how he defines the difference between the natural and the supernatural working together * The testimony of a woman who says chronic pain in her hands, bad enough that she couldn't open a jar or twist a lid, was completely gone after about six months * Why Lance says his own son waited five years to try it after watching his mold related health issues persist through COVID, and what his son said the moment he felt a difference * How stem cell count changes dramatically over a lifetime, from about 1 in 10,000 at birth to roughly 1 in 2,000,000 by your 70s and 80s, and what Bobby says happens when that count gets "refilled" Podcast Episode 2221: What This 73-Year-Old Doctor Found After 25 Years | don't miss this! Listen to more episodes of the Lance Wallnau Show at lancewallnau.com/podcast

Witam Państwa, nazywam się Jarosław Drożdż, pracuję w Centralnym Szpitalu Klinicznym Uniwersytetu Medycznego w Łodzi, skąd nagrywam podcast Kardio Know-How. W tym odcinku Pan Profesor Wiktor Kuliczkowski i dr n. med. Piotr Gajewski z Instytutu Chorób Serca Uniwersytetu Medycznego we Wrocławiu dzielą się swoimi ponad 5-letnimi doświadczeniami z pracy w SHOCK-TEAM.Wstrząs kardiogenny to dynamiczny stan zagrożenia życia o bardzo wysokiej śmiertelności, w którym kluczowe znaczenie mają pierwsze godziny i szybkie uruchomienie Shock Team. Nie należy utożsamiać go wyłącznie z hipotensją – najważniejsze są kliniczne i biochemiczne cechy hipoperfuzji tkanek, takie jak zimne kończyny, zaburzenia świadomości, oliguria czy podwyższony poziom mleczanów. W pierwszej godzinie należy równocześnie wykonać EKG, echo/POCUS, gazometrię, podstawowe badania laboratoryjne oraz rozpocząć ciągłe monitorowanie. Trzeba jak najszybciej określić fenotyp wstrząsu: czy dominuje hipoperfuzja, zastój, czy oba mechanizmy, oraz czy problem dotyczy lewej, prawej czy obu komór. Równocześnie należy określić stadium SCAI A–E, ponieważ progresja do C–E jest sygnałem do szybkiego zaangażowania zespołu leczenia wstrząsu i rozważenia transferu do ośrodka referencyjnego. W przypadku hipoperfuzji celem jest przywrócenie perfuzji narządowej, zastosowanie odpowiedniego wsparcia wazoaktywnego, usunięcie przyczyny wstrząsu i w razie potrzeby rozważenie mechanicznego wspomagania krążenia, natomiast w przypadku zastoju podstawą jest dożylna diureza, monitorowanie odpowiedzi i w oporności intensyfikacja dekongestii lub terapia nerkozastępcza. Nie wolno leczyć wyłącznie wartości MAP – należy jednocześnie oceniać perfuzję, zastój, preload i funkcję narządów. U niestabilnego chorego co 2–4 godziny trzeba analizować trendy MAP, laktatu, diurezy, kreatyniny, pH, enzymów wątrobowych, obrazu echo, przewodnienia i dawek leków wazoaktywnych. Najważniejsza zasada brzmi: rozpoznaj, określ fenotyp, oceń SCAI, lecz perfuzję i zastój, usuń przyczynę, monitoruj trendy oraz odpowiednio wcześnie eskaluj leczenie i transferuj chorego, bo wstrząs kardiogenny można skutecznie leczyć, ale wymaga zorganizowanego i doświadczonego zespołu.Szczegółowy TRANSKRYPT do odcinka.Podcast jest przeznaczony wyłącznie dla osób z profesjonalnym wykształceniem medycznym.

Advances in sleep technology are transforming how neurologists identify and manage obstructive sleep apnea, a condition that affects up to 70% of patients with certain neurologic disorders and can negatively impact cognitive and neurologic outcomes if left untreated. In this episode, Dr. Joyce Lee-Iannotti discusses the growing role of wearable and nearable sleep-monitoring devices, when home sleep studies are appropriate, and how emerging technologies are expanding access to diagnosis and treatment. Learn practical strategies for screening patients, interpreting sleep data, and partnering with sleep specialists to improve long-term neurologic health through better sleep. In this episode, Casey S. Albin, MD, FAAN, speaks with Joyce K. Lee-Iannotti, MD, FAAN, FAASM, author of the article "Sleep Diagnostics and Monitoring Technology in Obstructive Sleep Apnea" in the Continuum® August 2026 Sleep Neurology issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Lee-Iannotti is a Professor of Neurology at the Barrow Neurological Institute, University of Arizona College of Medicine, and Creighton School of Medicine in Phoenix, Arizona. Additional Resources Read the article: Sleep Diagnostics and Monitoring Technology in Obstructive Sleep Apnea Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Guest: @jleeiannotti Full episode transcript available here Dr Albin: Through the neurology of sleep issue, I think we have all been convinced that we all need better sleep, both for ourselves and for our patients. And fortunately, there is an abundance of new technology that can enable us to diagnose sleep problems, and then also make sure that our patients are getting the rest that's going to give them the best chance at a good cognitive recovery, and improve their cognitive function even if they are not currently suffering from a neurologic condition. Today, I am so excited to dive deeper into this topic.  Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Albin: Hello, this is Dr. Casey Albin. Today I'm interviewing Dr. Joyce Lee-Iannotti about her article on sleep diagnostics and monitoring technology in obstructive sleep apnea. This article appears in the August 2026 Continuum issue on neurology of sleep. Welcome to the podcast, I'd love to just start by having you introduce yourself to our audience.  Dr Lee-Iannotti: Sure. Thank you so much for having me, Dr. Albin. I'm Joyce Lee-Iannotti. I'm a professor of neurology at Barrow Neurological Institute. I am boarded in general neurology, stroke, and sleep, but I spend most of my time in the sleep world, so I jokingly say that I get more sleep doing sleep than I certainly did in stroke.  Dr Albin: Absolutely. I mean, wow, what a fascinating career, and I suspect that we're actually gonna get to some of how all of those pathophysiologies might overlap in the world of sleep. But you had the really exciting task of trying to distill this exciting, rapidly evolving field of sleep diagnostics, and I suspect it's relevant to many of the patients who end up in the neurology clinic, and I suspect that it's actually pretty relevant to many of our listeners who themselves might actually be wearing sleep tracking devices. And all of us probably wonder, well, how can we use that data to improve our own cognitive function and certainly make our patient's life even better? Before we even get into some of the meat and potatoes of this, I thought it would be really helpful for us to define some terms that come up in your article, one of which is wearables. We might figure that out, but the other is nearable. Walk us through what's a wearable, what's a nearable, how are they different?  Dr Lee-Iannotti: I'm happy to do that. First of all, the article is entitled Sleep Diagnostics and Monitoring Technology, and this was a super fun article for me to write because it's very practical, and it's generalizable to everybody. So, I'm going to start with a wearable, and a wearable is really a device that is simply worn on the body. And we're all familiar with wearables like smart watches, they're rings, they're patches, they're headbands, and the most validated form of a wearable that you've probably heard about is actigraphy, which we use in the sleep clinic.  Dr Albin: Tell us a little bit more. So, what is actigraphy? I've heard the word before, but don't actually know what it means.  Dr Lee-Iannotti: Actigraphy has been a tool that we've used in the sleep clinic for a really long time. Traditionally, we used it to monitor circadian rhythm patterns in people who are night owls or morning larks. And then more currently, we actually use it to track sleep patterns in people with suspected narcolepsy. So, before they come in for a sleep study, we actually have them wear an actigraphy for about a week just to get a sense of their sleep duration and their circadian pattern.  Dr Albin: Got it. And what is it monitoring? Our movement or the patterns that we may or may not make?  Dr Lee-Iannotti: It's really based on movement. You're exactly right.  Dr Albin: Cool. Okay, so most of this is based on gold standard monitoring with actigraphy. What other things can be incorporated into these wearable devices?  Dr Lee-Iannotti: Yeah, the technology is really advanced, and every day it changes, which is super exciting. So, on top of movement, these wearables can look at temperature. They can look at even EEG, like limited EEG, heart rate variability, and a really big word that we like to use in sleep technology, which is PPG, or photoplethysmography data, and that's really looking at heart rate variability and oxygenation, saturations, and following those levels as well.  Dr Albin: Wow, so you basically can get most of the data that you might have historically needed to go to a sleep lab to get.  Dr Lee-Iannotti: Most of them. They're still a surrogate. You'll hear me emphasize in the article as well that the gold standard remains the in-lab polysomnogram, but these are good surrogate markers that patients can wear long term to look at trends and patterns.  Dr Albin: Absolutely. And we're gonna unpack a little bit about who specifically those are best for and, really what it gives you in the clinic. But before we jump into that, what's a nearable, and how is that different?  Dr Lee-Iannotti: Yeah. Nearables are really exciting too. So, these are devices that monitor sleep but don't require direct contact on the body. So, these are devices that our patients will use, but it'll be at the bedside table. They're devices that actually go underneath the mattress, or they can be in, like, the ambient environment to detect sleep patterns.  Dr Albin: Oh my gosh. How is it doing that if it's not actually something you're wearing? Dr Lee-Iannotti: I know. It seems a little Big Brother-ish, doesn't it?  Dr Albin: Yes.  Dr Lee-Iannotti: So, they use a technology called radio frequency signals, sometimes radar, sometimes sonar, pressure sensors, even microphones, and they're picking up things like respiration, movement, snoring, and that's how they can decipher sleep patterns.  Dr Albin: Crazy. I mean, I guess the benefit of that is that it's less disruptive to the user 'cause it's not actually on them and having contact with them, and I suspect there's probably some downsides in terms of just it's a more limited data set you're getting.  Dr Lee-Iannotti: Absolutely. Yeah, you're exactly right. It's more convenient because it's not touching them, so, in theory, they're gonna sleep more comfortably. But I would like to think that the most validated forms of devices that we use to track sleep have to have some form of contact with the body, and this technology is new and probably needs a few layers of more sophistication to be as accurate as the wearables.  Dr Albin: Absolutely. I feel like we're going to have this conversation in five, maybe even less than that, years, and this data will have become like, oh, we all have something in our room that's monitoring everything. The world is crazy. All right. One of the places where your article really stood out to me is that sleep diagnostics have really taken off, particularly when we're thinking about obstructive sleep apnea. And I think we all might sort of scratch our heads and be like, "This is a neurology podcast. Why should I, as a neurologist, care about obstructive sleep apnea?" But I think you laid out a very convincing argument in the article. Walk us through why we should care about this.  Dr Lee-Iannotti: Absolutely. So, for neurologists, sleep matters, and I hope that my article translates that. Obstructive sleep apnea, which I'm gonna call OSA, is incredibly common in all of our neurologic patients, whether you see epilepsy, Parkinson's, stroke, Alzheimer's, neuromuscular, or even chronic headache patients. The prevalence of sleep apnea is as high as 70% in these patients.  Dr Albin: Wow. That's incredible. That is an incredibly high number.  Dr Lee-Iannotti: And if I can add, Dr. Albin, there's growing literature in multiple studies across the literature that show that untreated sleep apnea negatively impacts neurologic outcomes in our patients. So, it is really important to ask the question about sleep, and if the red flags pop up, to then screen for sleep apnea in particular.  Dr Albin: I think that that's a great point for us to drill down on, and obviously you're a sleep neurologist. You're very used to screening people in the clinic. But say someone comes in, and I'm gonna have you put your former stroke hat on, and say someone comes into the stroke clinic, and you're just making sure that they're optimized on their aspirin or dual antiplatelet therapy, and you're doing secondary risk modification. How would screening for OSA fit into that?  Dr Lee-Iannotti: It would be a part of that screening process to look at preventative ways to prevent strokes, whether it be primary or secondary prevention. So, we did a survey a while back, and it actually showed that 17% of stroke neurologists are screening for sleep apnea. It has quadrupled, fortunately, in the last few years due to public awareness and a lot of education that the AAN has done, in fact. So, at this point, I would say not asking about sleep apnea to a stroke patient is similar to not asking about diabetes.  Dr Albin: So, we really have to be cognizant and conscious about saying, you know, "Do you snore at night? Do you have episodes of apnea, or does someone witness you stop?" Are there things that you ask that maybe I wouldn't be aware and thinking of?  Dr Lee-Iannotti: Those are the right questions, and then very practically, very easy questionnaires to implement that literally take a minute that your nurses or medical assistants can administer to the patient, and the most commonly one that is used in stroke patients is called the STOP BANG, S-T-O-P B-A-N-G, which is a validated questionnaire to screen for symptoms.  Dr Albin: Absolutely. So okay, so this is easy to do. We should all be doing this. If you're not, now's the time. And I suspect if they screen positive, next steps, it can be hard to get into a sleep lab, and we're gonna talk about some workarounds, but I think some of our listeners may never have spent time in the actual sleep lab. So, let's say you refer a patient and you actually can get them in for a gold standard in-lab sleep study. What's gonna happen in that sleep study?  Dr Lee-Iannotti: Yeah. And I just want to preface this by saying that my article hopefully highlights that we've come a long way where we understand that there are many neurologic populations then that can undergo home ambulatory sleep studies with just as much accuracy as an in-lab polysomnogram. But with that, I wanna say an in-lab polysomnogram is actually a highly sophisticated physiologic recording overnight, typically, unless somebody is a day sleeper. So, if I could take a minute to kinda describe the data that we're monitoring throughout the night. There is a limited EEG. We concentrate on frontal, central, occipital leads to look at sleep staging. We have eye leads. We have EMG leads on the chin and the leg. We look at EKG, flow monitors, belt, and then we also do pulse oximetry, snoring mics, and even body position sensors. So, a lot is going on.  Dr Albin: This is incredible. Yeah, it truly is. I mean, this is like... I'm a neurointensivist, and so I think that you have just really outdone what I consider multimodal monitoring in your sleep study patients. I'm not even sure our neuro ICU patients accumulate that much data. All right, so tell me, they go through, and they can get this. But like you said, there's actually a lot of data that you've presented that, you know, not everyone needs to go to the in-lab sleep study. So how do you decide who actually needs to be in a sleep lab versus who can do this at home? And then how do you set them up with getting this done at home?  Dr Lee-Iannotti: Yeah. The home sleep studies are really more accessible ways for us to assess for sleep apnea in our neurologic patients, especially patients who live in very rural areas and don't have access or have very long wait times for an in-lab polysomnogram. With that being said, though, Dr. Albin, I will say that there are a subset of patients who have to go into the lab, and those are patients where you suspect a sleep disorder other than obstructive sleep apnea, so like parasomnias or central sleep apnea, patients with severe cognitive or physical debilitation, like our stroke patients who are hemiplegic and won't be able to apply the home sleep study. But for the most part, I do feel like a home sleep study is a good beginner study to screen the patient. And if there are red flags, then you can always get the in-lab afterwards.  Dr Albin: That's super helpful. And just from a pragmatic standpoint, will insurance cover the home sleep study?  Dr Lee-Iannotti: They will, yes, and it's all about documenting. So, if I could get really practical, for neurologists, it really just requires documenting snoring, for one, whether it's noted by the patient or by their bed partner, and then any form of hypersomnia, which is daytime sleepiness or even a sense of fatigue, having low energy or napping during the day.  Dr Albin: I suspect so many of our patients meet those criterias. That seems, like, wildly simple to do.  Dr Lee-Iannotti: Yes. And if you wanna be the favorite referral person to your sleep neurologist or your sleep specialist, then take another step and do that STOP-Bang. And if you record a score greater than three, that automatically gets them at least a home sleep study.  Dr Albin: It's amazing. And then when you get this data, again, this is really practical, pragmatic stuff, how do you get the report? Does it integrate in your electronic medical record? Does the patient bring it in? How do you get that data back?  Dr Lee-Iannotti: Yeah, so this is where technology is amazing, Dr. Albin. Now we have disposable devices. Sometimes they sync to the WatchPat, or the greater Wi-Fi. So we can get them all through password-protected internet forums that transmits the data, so sometimes the patients don't even have to come back to give us the data. And then we have different forms where we can actually relay the results as well, either through the electronic medical record or through systems themselves to relay those results directly to the patient.  Dr Albin: Yeah, and your article really laid out in beautiful tables, like, all the different devices that are available to patients, and it's honestly mind-blowing how many of these companies and devices exist. So, seems like the world is your oyster in terms of picking from them.  Dr Lee-Iannotti: Absolutely. I think there's... The last time I counted, there was over 20 different home sleep study devices for obstructive sleep apnea. And it's a great thing to have, but sometimes too many choices can be a little bit confusing. So that's where I do say partner with your sleep specialist close by, and they will find the right type of home sleep study device for your particular patient.  Dr Albin: Drilling down a little further, let's say your patient does get diagnosed with OSA. One of the things that really stuck out to me is that there's a whole range of now devices that are new that make this treatment easy so that we can actually prevent and treat neurological conditions by just improving patient sleep. So, walk us through a little bit about how that landscape has changed.  Dr Lee-Iannotti: Sure. And I'll start with the gold standard of treatment, which is still CPAP, which is continuous positive airway pressure. Not only can we monitor the pressure, look at adherence, change the humidification for the patient all remotely through, again, password-protected internet forums, but we can even change the pressure with patients 300-plus miles away.  Dr Albin: Wow.  Dr Lee-Iannotti: It's really cool, right? It prevents patients, especially with significant neurologic debilitation, from having to come into the office for adjustments. The other thing I wanted to mention, Dr. Albin, is for patients, a lot of patients like positive feedback on a daily basis. And a lot of these companies, if you are on CPAP, have come up with a smartphone app that you can look at how many hours you used your CPAP device. They give you a score, and they even tell you how many times you had stoppage of breathing that night.  Dr Albin: I think that this is what's really exciting about where we are in neurology and, like, neurologic care, is we have gotten so much better at getting patients their own data and allowing people to really see that data, integrate lifestyle changes, and see how it impacts them. And that positive feedback loop, I think, is a really powerful tool for our patients to say, "Look, this makes me better," or, "Oh, this makes me worse." I'm just really excited by how much data we can give directly to our patients.  Dr Lee-Iannotti: I agree. It's so empowering. You know, as a CPAP user myself, you want that positive affirmation that all of your efforts at night and cleaning your mask and your machine paid off, and everybody likes to see an A+ on their report card.  Dr Albin: I love that. Now I'm going to ask you on the flip side, I imagine, and I myself am a sleep tracker, like I have my little device and I look at, you know, the score in the morning and I kind of perseverate on like what makes it better, what makes it worse, and I can imagine that sometimes in sleep clinic, people are coming in to you and they have just pages and pages and, you know, they're flipping through all their data from the last year. And I imagine that's pretty overwhelming when you have just the insane amount of data that these devices can generate. So, from another pragmatic, practical standpoint, how are you integrating all that data when someone comes in for a sleep visit?  Dr Lee-Iannotti: I love that question. So first of all, I will say myself, and I think a lot of my sleep colleagues, we love objective data, right? Because it's something that we can see. We can see whether it matches their subject's symptoms. Sometimes it can be a lot of reassurance that, "Look, you actually got more sleep than you thought you did." But sometimes patients will bring in like a month's worth, and that's really hard to analyze, you know, in a 30 or 60-minute visit. So oftentimes what I do is I look at like the last week or last two weeks, and I look at trends. And I think a lot of the apps for whatever device you decide to use have done a really good job in terms of visual graphics to show how much sleep on average you're getting, how much deep sleep or REM sleep or wake-up times that you have. So, I, again, I feel like the technology has really helped us consolidate a lot of data, but also be efficient with the messaging that we relay to our patients.  Dr Albin: Absolutely. And I know personally, at least for the sleep tracker I wear, it also allows you to diary. So, you can say like, "Oh, last night I had a glass of wine," or, "Yesterday I had a really hard workout," or, "I stayed out late with friends," or, "I was on call." Turns out call is really, really bad for my sleep. But it does allow you to sort of track what behaviors, and I wonder how much of that informs what you're counseling patients to do in terms of trying to notice the things that either improve their sleep performance or their subjective feeling of restlessness or restfulness, and how all of that plays into what you're doing in the clinic.  Dr Lee-Iannotti: I love all of those comments. It is validation for the patient. Again, it's empowering for them to look at, what did I do last night to get more REM sleep than the night prior? I want to mention that the best people who do this so well are professional athletes, and they look at, how am I going to cater my day to make sure that I'm sleeping well, that I reduce my risk of injury and concussion and increase my reaction time? And I feel like all of us should do that. That's such a great philosophy, to analyze how we can do things better.  Dr Albin: I love that. This whole issue, but this article in particular, really emphasized to me that sleep, again, it's not a passive time that we're taking a nap. It's a really active form of sort of neurologic healing. There's important removal of toxins through the lymphatics. And like there's a lot happening in sleep, and there are so many more tools that allow us to unpack that sort of peak performance of sleep, which again, sort of is that athletic mentality of like, how can I make this better? Not just to treat a neurologic condition, but also really importantly, to prevent one.  Dr Lee-Iannotti: I often refer to sleep as icing on the cake. With our patients, when you're doing everything right, for example, a multiple sclerosis patient, they're on the right medications, they are exercising, they're participating in rehab, their mood is good, but they're just not getting to the quality-of-life metric that they want to be, it usually is sleep. And if you can add that as a neurologist to your piece of the algorithm to help your patient, it really does improve their quality of life and ultimately their neurologic outcome. I'm a true believer of that.  Dr Albin: I was a true believer. I've been made even more of a true believer through your article and getting to talk to you. I always like to close by asking the person I'm interviewing, what's one really exciting thing in this field? What are you kind of most looking forward to as you think about sleep medicine and its impact in neurology in the next five or 10 years?  Dr Lee-Iannotti: Oh, I love that question, too. So, the thing I'm most excited about in the field of sleep, and specifically sleep neurology, is the power of preventative care. When I did a lot of stroke, I would see young people, older people, healthy people, people with a lot of genetic risk factors come in, and one minute they were totally normal. The second minute, they're paralyzed and can't speak. And for a lot of these patients, I would ask, "Why am I seeing you now? Why couldn't I have seen you 10 years earlier, worked on risk factors, and prevented this outcome?" And I truly believe that is exactly where sleep lies. If you work on sleep, whether you're an adolescent, 20 year old, 30, et cetera, you are ultimately going to prevent horrible cardiovascular, cerebrovascular, neurologic diseases in the long run.  Dr Albin: So important. I really want to direct our listeners back to your article because all of the articles are really practical, but this one in particular looks at how do you do this? What are your options? How do you get this to patients? It really is sort of a step-by-step guidebook on like, A, why this is important, how you should screen, what you should do if someone screens positive for needing to have a sleep study.There's so much more technology that allows really anyone anywhere to have access to the testing that they need to get the right diagnosis, to improve their sleep, to improve their cognitive outcomes, to improve their neurologic health. It's pretty amazing.  Dr Lee-Iannotti: It is amazing. And in the article, I do allude to certain devices and then websites that are very helpful. If I can announce, Dr. Albin, I'm super excited about this. Through work with the American Academy of Sleep Medicine, endorsement with the AAN, we are coming out with a new clinical guideline specifically on home sleep study devices and looking at the validation studies. So, I think that's going to be very helpful. But I hope that everybody after listening to this picks up the phone, call your friendly sleep specialist, and align with them and partner with them. And this will ultimately help your patients, I guarantee it.  Dr Albin: Again, today I've been interviewing Dr. Joyce Lee-Iannotti about her article on sleep diagnostics and monitoring technology in obstructive sleep apnea. This article appears in the August 2026 Continuum issue on Neurology of Sleep. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners, and thank you, Dr. Lee-Iannotti, for joining us today. Dr Lee-Iannotti: Thank you.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audiocme. Thank you for listening to Continuum Audio. 

VEM: Shima NiavaraniYRKE: Skådespelare/programledareAVSNITT: 749OM: Åtta premiärer på två år. Nya föreställningen Här vilar Shima Niavarani i fred. Requiem, rave och total självisolering. Att offra hälsa, vardag och ett liv i fas med andra. EKG under repetitionerna. Att planera in kraschen efter premiär. Guldbaggen tre gånger om. Ekonomisk ångest. Musikprojektet som aldrig riktigt blev det stora albumet. Pappans Parkinson. Persisk poesi. Att leva 80 procent i en fiktiv värld. Relationerna, hemmet och den riktiga världen. Och en hel del om varför Gud kanske numera är DJ.SAMTALSLEDARE: Kristoffer TriumfPRODUCENT: Mattias ÅsénKONTAKT: varvet@triumf.se och Instagram.P.s Nu finns min nya bok Västerbottens sämsta schaman att förbeställa HÄR Hosted on Acast. See acast.com/privacy for more information.

VEM: Shima NiavaraniYRKE: Skådespelare/programledareAVSNITT: 749OM: Åtta premiärer på två år. Nya föreställningen Här vilar Shima Niavarani i fred. Requiem, rave och total självisolering. Att offra hälsa, vardag och ett liv i fas med andra. EKG under repetitionerna. Att planera in kraschen efter premiär. Guldbaggen tre gånger om. Ekonomisk ångest. Musikprojektet som aldrig riktigt blev det stora albumet. Pappans Parkinson. Persisk poesi. Att leva 80 procent i en fiktiv värld. Relationerna, hemmet och den riktiga världen. Och en hel del om varför Gud kanske numera är DJ.SAMTALSLEDARE: Kristoffer TriumfPRODUCENT: Mattias ÅsénKONTAKT: varvet@triumf.se och Instagram.P.s Nu finns min nya bok Västerbottens sämsta schaman att förbeställa HÄR Hosted on Acast. See acast.com/privacy for more information.

Interview: Dr. Ozoemena: Welcome back to our community health podcast, where we discuss important health topics in ways everybody can understand. Today we will be talking about Heart Failure. Many people have heard this term before, but it often causes fear and confusion. Here to talk about this important topic is Dr. Ken Nweke, a resident at our program, and he will be discussing this topic in Pidgin English so that some people in our community can understand it. Dr. Nweke, welcome to the program.  Dr. Nweke: Thank you very much. I happy make we discuss dis very important mata today.  Dr. Ozoemena: Let's start with the basics. What exactly is heart failure?  Dr. Nweke: First make we understand one thing. The heart na our generator. Just like generator dey provide light for house, the heart dey pump blood carry oxygen and nutrients go every part of the body. Every organ for body depend on the heart to survive. When person get heart failure, e no mean say the heart don stop work. E mean say the heart no dey pump enough blood and oxygen reach the body the as e suppose. The generator still dey run, but e no get enough power again. That struggle fit make different parts of the body begin show signs say wahala dey.  Dr. Ozoemena: What are some of the common causes of heart failure?  Dr. Nweke: Many things fit cause heart failure. One common cause na high blood pressure wey person don get for long time. If blood pressure high for many years, the heart go dey work harder pass normal every day. After some time, the heart fit begin weak. Heart attack fit also damage the heart muscle. When blood no reach part of the heart muscle, dat part fit damage and the heart no go pump blood well again. Sugar disease wey oyibo dey call diabetes also fit cause am Kidney disease fit contribute too. Some people get heart valve problems. Some oda people fit get heart problems from when dem born dem. People wey dey drink alcohol like water or people wey dey smoke fit develop am. Certain yama yama disease or infections fit affect the heart muscle. And for some families, heart problems fit run from generation to generation.  Dr. Ozoemena: What symptoms should people watch out for?  Dr. Nweke: One big sign na shortness of breath. At first, person fit notice am when e dey walk fast, climb stairs, or do heavy work. As the condition worsen, breathing fit become difficult even when person just dey rest. Some people go wake up for night because dem no fit breathe well. Some people go need plenty pillows before dem fit sleep well. Leg, ankle and foot fit swell. Water fit gather for body. Some people go notice say dem gain weight because water don full for body. Person fit tire easily. Things wey dem fit do before without problem fit become difficult. Some people fit get cough wey no gree go. Others fit notice swelling for belle because fluid don gather. Heart fit dey beat fast or anyhow.  Dr. Ozoemena: When should someone seek medical attention?  Dr. Nweke: If person dey notice shortness of breath wey no dey improve, swelling for leg, tiredness wey no dey normal, cough wey no gree stop, or weight gain wey sudden, e dey very important make e go see doctor. If person suddenly no fit breathe, get serious chest pain, faint, or collapse, dat one fit be emergency. Make dem go hospital immediately.  Dr. Ozoemena: How do doctors find out if someone has heart failure?  Dr. Nweke: Doctor go first ask plenty questions make dem sabi wetin b d kasala - doctors dey call history taking. Doctor go examine the patient. Dem go check blood pressure. Dem fit listen to the heart and lungs with stethoscope. Dem fit check for swelling for leg and foot. Blood tests fit help. Some blood tests fit show whether the heart dey under stress. Chest X-ray fit show whether fluid don gather for the lungs. EKG fit help weda electricals for d heart dey ok. One very important test na echocardiogram. Na ultrasound of the heart. E fit show say d heart don weak as e dey pump blood. e dey also check weda d heart valves dey ok. Heart valves na small small doors wey dey for heart wey dey open or close as the heart dey pump. Sometimes doctor fit request other tests depending on the situation.  Dr. Ozoemena: Can heart failure be treated?  Dr. Nweke: Yes or Better treatment dey. Although some cases no fit cure completely, treatment fit help people make dem live longer and feel better. We get medicines wey fit help the heart work better. Some medicines help remove extra water from the body. Some medicines help reduce the work wey the heart dey do. Others fit help protect the heart make e no weak For some people, doctor fit recommend special devices or surgery depending on the cause. But medicine no be the only thing. Lifestyle changes important too.  Dr. Ozoemena: What lifestyle changes can help?  Dr. Nweke: Person wey get heart failure suppose reduce salt for food. Too much salt fit make water gather for body. Dem suppose take medicines exactly the way doctor prescribe. Regular exercise fit help if doctor say e safe. Make dem avoid smoking. Too much alcohol no good. Try maintain healthy body weight. And make person keep all clinic appointments so doctor fit monitor the condition.  Dr. Ozoemena: Can heart failure be prevented?  Dr. Nweke: For many people, yes. make we control high blood pressure - taking medication, go see your doctor regularly Control sugar disease/diabetes. Make we try dey exercise regularly. Make we dey eat healthy food. Reduce salt for food. Avoid smoking. Avoid too much alcohol. Keep healthy weight. And go for regular medical checkup. Many times, if we control these risk factors early, we fit reduce the chance of developing heart failure. Dr. Ozoemena: Before we close, what would you like everyone listening to remember?  Dr. Nweke: Remember say heart failure no mean say the heart don stop work. The heart still dey work, but e dey struggle. Think of am like generator wey still dey run but im light weak, e no dey carry wetin e dey carry before. If you notice shortness of breath, swelling for leg, unusual tiredness, cough wey no gree go, or sudden weight gain, make you go see doctor. No wait until the condition become serious.  Dr. Ozoemena: Thank you, Dr. Nweke. And thank you to everyone listening today. Remember, heart na our generator. Take care of am. Until next time, stay healthy and stay informed Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!  _____________________ References: Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!

Psychiatry often operates without looking at the actual organ being treated. Dr. Steve Rondeau notes that this is unlike any other field in medicine. A cardiologist would never diagnose a heart problem without using an EKG. Most specialties use objective tests to guide their treatment decisions. Brain scans provide the missing data needed for accurate care. Without objective measures, doctors must rely on how a patient describes their feelings. This interpretation can lead to different diagnoses depending on which specialist you visit. Testing ensures that the treatment matches the actual biological need. Objective Data for Better Health Subjective interpretation often creates a cycle of trial and error for patients. Brain scans offer a direct look at the organ to cut through these personal biases. This allows clinicians to move past labels and focus on specific brain patterns. Measuring brain activity helps identify exactly how an individual processes their world. Every person has a unique neurological signature that dictates how they respond to stress. By using data, we can move away from statistical averages and toward individualized care. This transition is essential for making mental healthcare as precise as any other medical field. Solving the Treatment Resistance Problem The term treatment resistant is frequently used when standard protocols fail a patient. This label often indicates a failure of the protocol rather than the person. Stress alone can manifest in over eight thousand different neurological combinations based on thirteen biomarkers. Guessing at a solution with such complex odds is rarely successful for everyone. Providers can often feel burned out when their standard tools do not work. Patients may lose hope and begin to believe that something is fundamentally broken within them. Objective data removes the burden of guessing and provides a clear map for intervention. It shifts the focus from what is wrong with the patient to what the data shows. Finding the Right Creative Outlet A brain is deeply influenced by the environment in which it is placed. A husky born for cold climates will struggle if it is kept in a hot desert. Some people have brains that are naturally built for very high levels of stimulation. Without a healthy way to use that energy, they may turn to destructive habits. Understanding these patterns helps reframe behaviors like addiction as a search for balance. The goal is not to fix the brain but to build an ecosystem that supports it. This approach transforms perceived deficits into personal strengths and superpowers. Improving Connections and Future Care Brain patterns can also explain why relationships experience conflict. Scans of couples often show that each person filters the same experience differently. Seeing these differences on a screen helps replace blame with validation and curiosity. It allows families to understand that neurological differences are not personal attacks. Establishing a baseline for brain health should start in early childhood. Testing allows us to track brain health through major life transitions and aging. This proactive approach ensures that we are supporting the brain at every stage of life. In this podcast, you will discover: Why objective data is vital for modern mental health. The reason for the label "treatment resistant" is often a misunderstanding. How high-stimulation brains find healthy outlets instead of addiction. The importance of matching your environment to your specific brain. How brain scans can reduce conflict in close relationships. Why early brain monitoring can support children and prevent crises. EPISODE RESOURCES: Website Instagram Facebook LinkedIn  

When should I be referred for heart care during cancer treatment? Roland Njei, MD, board-certified cardiologist who specializes in Cardio-Oncology and practices at Franciscan Health, explains when a referral helps. Learn which baseline risk factors (blood pressure, diabetes, prior heart disease) and treatments prompt evaluation, what tests a cardio-oncologist will order (echo, high-sensitivity troponin, EKG), and how oncologists, cardiologists, and primary care work together to decide if specialist follow-up is needed.

Sound Healing with David Gibson Healing Modes: Finding Frequencies and Resonating What Is Right David Gibson explains sound-healing methods for identifying physical, emotional, mental, and spiritual frequencies, then explores how frequency sweeps, intuition, muscle testing, pendulums, voice analysis, binaural beats, phase cancellation, homeopathy-style resonance, and Source connection may be used in healing work. Sound Healing Center, Training, and the Episode's Focus In this Sound Healing — Healing Modes episode, David Gibson introduces the Sound Healing Center's broader work, including the Institute, Sound Healing Store, Sound Therapy Center, Sound Healing Research Foundation, Medical Sound Association, and Sound Education Association. He also shares updates about programs, an open house, certificate training, recording classes, and voice-analysis software. The central focus of the episode is how to find the frequency of a body part, organ, emotional issue, disease pattern, or healthy state, and then what to do with that frequency once it is identified. The transcript notes that medical and healing claims are preserved as the host's statements and should be reviewed before being presented as health guidance. Two Healing Paths: What Is Wrong and What Is Right David frames the teaching around two major approaches: finding the frequency of what is “wrong” and working to disrupt it, or finding the frequency of what is “right” and resonating that healthy state. He gives examples such as cancer, stuck emotion, chronic pain, and organ resonance to show how a practitioner might either break up a problematic vibration or strengthen the frequency of a healthy body part. Throughout the episode, he returns to the idea that stable, consistent sound, positive intention, and resonance may help bring a system back toward balance. Frequency Sweeps, Intuition, Muscle Testing, and Pendulums David describes several ways to locate frequencies. One method is a frequency sweep, where a person moves the voice up and down on a vowel until a body area vibrates most strongly. For parts of the body that cannot easily be felt, he suggests intuitive listening, where the right tone may arrive as a knowing, inner sound, or subtle signal. He also discusses muscle testing, balance testing, listening for chills, using a pendulum to narrow frequency ranges, and playing the twelve notes while observing which note strengthens the body. Timbre, Vowels, Musical Flow, and Frequency References The episode expands from single tones into timbre, which David describes as the combination of frequencies that make up an organ, cell, or body system. He explains that organs may have multiple layers of frequency, including material, cellular, atomic, photon, electromagnetic, and quantum levels, and he compares these combinations to vowel sounds. He also introduces the idea of listening for the “song” or musical flow of the nervous, circulatory, or digestive system. David mentions frequency charts, Rife-related sets, Qigong organ notes, and other references, while acknowledging that different sources often disagree. Devices, Voice Analysis, and Scientific Measurement David also discusses device-based methods for assessing or exploring frequency. He mentions galvanic skin response, HeartMath, voice-analysis tools, NES, QXCI, Zyto, Asyra, GDV/Kirlian photography, EKG, EEG, Chinese pulse reading, microscopy, spectroscopy, and MRI-related measurement. His own voice-analysis program is described as mapping notes connected to organs and physical or emotional issues, while also requiring interpretation to determine whether a frequency is excessive or deficient. This section presents technology as another pathway for exploring resonance, coherence, and body-system response. Breaking Up Imbalance and Transforming Chaos Once a problematic frequency is found, David outlines several possible methods for working with it. He describes a homeopathy-style approach in which a low dose of the problem frequency may bring the issue to the body's attention, as well as techniques that match, meet, disrupt, or transform chaotic vibrations. He discusses binaural-beat-like differences, going slightly above and below a target frequency, crystal bowls, tone generators, destructive resonance, phase cancellation, reciprocal frequencies, and the use of chaotic sounds such as rattles or white noise to break up stuck energy. He also connects these ideas to emotional release, such as transforming painful relationship energy into peace. Resonating Health, Balance, and Source David ultimately emphasizes resonating what is right as the preferred direction. This includes singing, breathing, or playing the healthy frequency of a body part, balancing missing or excessive frequencies, working with a home note or brainwave rhythm, and using sound to support states such as sleep, creativity, presence, focus, and bliss. He closes by moving beyond specific frequencies into higher vibration, gratitude, joy, universal love, and Source, saying that connection to Source allows spirit to know what the body needs. The episode ends with an affirmation-like closing, sustained tones, repeated healing phrases, and music fading out.

Hosts: Ed Jones (Owner – Nutrition World) & Clint Powell A variety of topics all related to living a healthy life Presented by: Nutrition World www.nutritionw.com  Broadcasting from the Nooga Dentistry Studio www.noogadentistry.com Production of: Whitfield Media Group www.vitalhealthradio.com Title: Oral Peptides for Appetite & Weight Loss, What Your Phase Angle Means for Your Cellular Health [0:00:00] Intro, Events Tease of the episode's themes: Segment 2: peptides and weight loss. Segment 3: phase angle and cellular health. Lung Coach event at Nutrition World – August 22 Mobile screening for early lung cancer detection. Emphasis that stage 1–2 lung cancer is often curable, stage 4 is not. Calcium score used to estimate plaque burden in arteries. Ed notes ~12 reasons for plaque formation, while most physicians focus on ~3. Mentions Dr. Kurt Dearing's book “Beyond Cholesterol”, covering broader causes of plaque. Financial health talk – August 22 (~11 AM) Michael E, financial planner, giving a free lecture on financial stability. Ed's point: two major life disruptors are declining health and declining finances, and they influence each other. Health Fair – October 24 Described as possibly the biggest health fair in the region. Features reps, free samples, circus‑like but “happy” atmosphere. [0:04:10] Restaurant Talk Light banter about Ed being a restaurant connoisseur and creature of habit. Restaurant recommendations via Ed's employee Fallon: Second Amendment / Second American (downtown). Hello Monty (special but reasonably priced menu). Ed's oxalate/joint pain story: Eating Purely Elizabeth cereal (high in oxalates: chia and other ingredients) triggered severe return of joint pain Discussion that some “healthy” foods can be nutritious but not healthy for everyone, especially for those sensitive to oxalates. Ed references his free oxalate ebook at theholisticnavigator.com and believes oxalates contributed to: His double hip replacement. Feeling old from age 50–65. Mentions OxyGuard supplement (recently restocked) and using 4 capsules/day to help clear excess oxalates (not as a license to keep eating high‑oxalate foods). Quick shout‑out to local farmers from Virginia End Farm selling at Nutrition World on Wednesdays (12–4), and that they've listened to every show. [0:8:55] Tease: Phase Angle & Seca Machine Ed previews Dr. Kurt Dearing's later segment on phase angle: A single number reflecting resilience and proximity to optimal health.. Mention of Be Well Labs / BeginwithLabs.com – Body Blueprint: Advanced lab panel: 50+ predictive health indicators. Pitch: more than a standard physical, actionable results. Price example: $275 vs typical $500, highlighting savings. [0:13:35] Segment Intro: Peptides & Weight Loss Framing: Peptides as one of the hottest trends in 47 years of Ed's experience. Shift from grey‑market injectables to safe, effective oral peptide powders. Ed has seen impressive feedback on an oral peptide powder for weight loss in early customers. [0:13:47] What Are Peptides? Protein basics: Proteins are long chains of amino acids essential for structure, function, and regulation. Peptide defined: A shorter chain of amino acids broken off from a larger protein. Lego analogy: Individual Legos = amino acids. Tall tower of Legos = full protein. Kid knocks tower over; a small intact stack (~8 Legos) that falls off = peptide. Each peptide has a “fingerprint” determined by: Length (how many amino acids/Legos). Sequence (order: e.g., red–red–blue–blue vs red–blue–red–blue). Processing (how it was broken off or created). Clarified: peptides are not primarily for fixing protein deficiency, but more for targeted signaling effects in the body. [0:20:52] Yeast‑Derived Oral Peptide for Metabolism & Drug Comparisons Endogenous peptides: made naturally inside the body. Exogenous peptides: introduced from outside (drug injections, supplements). Ozempic / GLP‑1 drugs: Yes, Ozempic is a peptide. These drugs are lab‑made peptides made to mimic natural body peptides. Peptides are not synthetic drugs in concept; they are peptide structures the body uses, though drugs are engineered. Focus on Ancient Nutrition “Active Peptide for Metabolism”: Contains a yeast peptide derived from Saccharomyces cerevisiae (brewer's yeast), broken from a larger yeast protein. Mechanism & effects: Influences hunger and satiety signaling: Increases leptin (satiety hormone). Decreases ghrelin (hunger hormone). Reported benefits: Reduced hunger and cravings (including boredom eating). Weight loss primarily from fat mass, not muscle mass. Comparison with GLP‑1 injections (semaglutide, etc.): Injections often cause muscle loss (e.g., “Ozempic face,” loss of facial muscle/fat). Yeast peptide research shows fat‑centric weight loss. Clinical results quoted: After 2 months, average daily caloric intake decreased by ~600 calories. Leads to meaningful weight loss, depending on baseline intake and muscle mass. [0:24:25] Dosing, Timing, Stacking & Safety Considerations How to take it: Once daily, typically in the morning to curb cravings throughout the day. Users report: easier recognition of fullness during meals. Stacking with cortisol peptide product: Ancient Nutrition also has a cortisol‑active peptide capsule for stress support. Same amount of yeast peptide per serving; research supports doubling the yeast peptide dose, so: You can use the metabolism powder + cortisol peptide together. Stress, cortisol, and weight: Chronic stress and high cortisol promote fat gain. Stacking stress support + appetite control may help body composition. Onset of effect: Reagan reports she personally noticed benefits around 2 weeks (quicker than many supplements that take 60–90 days). Cost & practicality: Approx cost around $50 for 30 days. Positioned as a cost‑effective alternative or complement to expensive injections. Side effects vs injectables: Reagan's hospital experience with GLP‑1 side effects (e.g., gastroparesis, impaired gastric motility, some requiring tube feeds or IV nutrition). Oral yeast peptide described as gentler, working with natural processes, not “forcing” the system. [0:30:09] Yeast Source, Candida Concerns & Usage Notes Yeast strain: Saccharomyces cerevisiae (not S. boulardii, and not pathogenic/candida). Clarifications: Will not cause yeast infections. Will not feed candida overgrowth. Taste & preparation: Chocolate flavor described as surprisingly good, even for those picky about chocolate. Temperature-sensitive: Must be mixed with cool liquid (NOT hot coffee/tea or hot beverages). Leaving it in high heat (e.g., hot car) can degrade activity. [0:36:03] Segment Intro: Phase Angle & Seca Scan with Dr. Kurt Dearing Discussion of: Seca medical‑grade bioelectrical impedance analysis (BIA) machine (~$12,000). It's commonly in hospitals/clinics, but rarely publicly accessible; Nutrition World and Be Well Labs both have one. Dr. Dearing's consult package: Includes consult + Seca scan + follow‑up visit + follow‑up Seca scan (~$195, promo if listeners mention the show). [0:37:35] What Is Phase Angle? (Deep Dive into Measurement & Meaning) What the Seca scan measures: Total body fat and visceral fat. Muscle mass (overall and by body segment). Phase angle (key focus). Phase angle basics: BIA sends low‑level alternating electrical currents through the body. The phase shift (time/angle difference) between current and voltage is measured. That phase shift = phase angle. Higher phase angle → healthier cell membranes, better cellular integrity, more muscle mass, better hydration. Lower phase angle → often malnutrition, chronic disease, frailty; can be used in dialysis, cancer patients, etc., to predict outcomes. Used as a longevity biomarker: Akin to an “EKG of your cells”. Can function as an early indicator for overall health trajectory, barring accidents Dr. Dearing's personal story: First scan categorized him as “bronze” on Seca's scale: Levels: None → Bronze → Silver → Gold → Platinum. Motivated him to increase strength training and eating healthy. Subsequent scan: improved from bronze → gold. Ed's anecdote: Friend and gym member Fred now tests as platinum, after sustained gym and nutrition efforts. Phase angle as a guide: If results are poor, that's a signal to upgrade the plan (diet, exercise, supplements). If phase angle improves (e.g., 4 → 5), it proves the plan is working, beyond just “feeling” better. [0:43:47] How to Improve Phase Angle (Practical Protocols) Key drivers and interventions: 1. Strength Training & Exercise Primary recommendation: resistance/strength training to build muscle mass. 2. Adequate Protein Ed's guideline: ~1 gram of protein per pound of body weight (men; women can often target ~¾ g per pound). Protein shakes often needed to hit targets. 3. Hydration & Electrolytes Proper cellular hydration improves phase angle. Maintain consistent fluid intake and electrolyte balance (sodium, potassium, magnesium). Avoid excessive diuretics/water pills. Dehydration causes phase angle to drop sharply. 4. Inflammation Control Systemic inflammation lowers phase angle and contributes to chronic disease. Tools: Anti‑inflammatory diet (Mediterranean‑style, high in omega‑3s). Omega‑3 fatty acids. Curcumin. Vitamin D optimization. Also includes sleep quality and stress management. 5. Foundational “Core Four” Supplements (Nutrition World concept) Covering: magnesium, zinc, vitamin D, B vitamins, etc., as baseline. 6. Targeted Add‑ons Creatine (supports muscle and cell energy). HMB (beta‑hydroxy beta‑methylbutyrate) – often paired with creatine. CoQ10 (mitochondrial and cellular energy). Phosphatidylcholine / BodyBio PC – to improve cell membrane integrity. [0:52:45] Closing Reflections Ed reads and comments on an article by Dr. Sircus about: Many doctors being “misaligned”: intellectually capable but no longer listening. Critique of: Over‑reliance on credentials. Under‑reliance on open‑mindedness and corrections. Emphasis that many clinicians are excellent listeners and deeply caring, but that institutional habits can discourage listening.  The post Radio Show / Podcast – July 26, 2026 first appeared on Vital Health Radio.

Czy era taniego jedzenia z dostawą właśnie dojechała do końca? Czy referendum mogłoby zmienić unijną politykę klimatyczną, czy co najwyżej podnieść temperaturę kampanii? Czy polscy rolnicy wygrywają starcie z umową UE–Mercosur? Dyskutują Maciej Głogowski, Rafał Hirsch i Patrycja Maciejewicz. W najnowszym EKG+ omawiają warunki pracy kurierów Pyszne.pl, zastanawiają się, ile „dziadostwa” kryje się w modelach biznesowych, z których korzystamy na co dzień, oraz sprawdzają, kto przed wyborami wyciąga z zamrażarki kosztowne obietnice. 60 miliardów złotych na kwotę wolną kontra 14-miliardowa dziura w NFZ budzą niepokój, dlatego Rafał Hirsch ma już gotowy plan dla ministra finansów. A na koniec, tradycyjnie, rubryka "Zdziwienia". Tym razem: wielki powrót kiosków, stan finansów publicznych, chroniony prezes Glapiński i "wolny zawód lekarz".

Pediatric cardiologist Dr. Mike Fahey returns to teach us about the EKG. In our most ambitious episode yet, we discuss the what, where, why, and how of an EKG on an AUDIO podcast. Learn about how to approach an EKG read, what the electrical signal represents, and common pathologies that present with abnormal findings.Click here for show notes!

Czy sąsiad wynajmujący mieszkanie na doby powinien bać się wspólnoty mieszkaniowej? Rząd postanowił zrobić porządek z najmem krótkoterminowym, ale czy nowa ustawa rozwiąże problem, czy tylko przerzuci odpowiedzialność na mieszkańców? Dyskutują Maciej Głogowski, Rafał Hirsch i Patrycja Maciejewicz w najnowszym odcinku podcastu EKG+. Jak pada w odcinku: "Nie mamy sprawnego sądownictwa, więc musimy mieć ustawę". Co Rafałowi Hirschowi podoba się (a co nie) w propozycji Katarzyny Pełczyńskiej-Nałęcz? Czy banki powinny zapłacić więcej, by sfinansować wyższy próg podatkowy w PIT? Skoro CPN 2 raczej nie powstanie, a skoro programu osłonowego nie będzie, to czy "rynkowe rozwiązania" wystarczą, aby obniżyć ceny paliw? A na koniec, zgodnie z tradycją, rubryka "Zdziwienia".

Kolejki do lekarza mają zniknąć, lekarze mają zarabiać mniej (albo przynajmniej nie więcej), a e-rejestracja ma uzdrowić system. Czy to dobra reforma, czy może raczej zestaw plasterków po warszawskiej aferze? I czy wysokie wynagrodzenia lekarzy naprawdę nas oburzają? Na te i inne pytania odpowiedzą Maciej Głogowski, Rafał Hirsch, Patrycja Maciejewicz i Wojciech Kowalik w pierwszym wydaniu podcastu EKG+. Sprawdzają też, czy w OKI faktycznie "czuć pieniądz", zastanawiają się, czy Polsce znów potrzebny jest CPN, skoro ceny paliw ponownie jadą w górę, zaglądają na posiedzenie Rady Polityki Pieniężnej, gdzie – jak się okazuje – zapanował gołębnik. Co tym razem wygruchał Adam Glapiński i co najbardziej zdziwiło prowadzących? W odcinku wracamy do klasyki, czyli segmentu „zdziwienia”.

In this episode of Inside Athletic Training, we're joined by Joe Rogowski and Dr. Matthew Martinez to talk about the growing role of sports cardiology in professional athletics and the work Athletic Heart is doing to change how teams approach cardiac screening. Athletic Heart was built to deliver advanced cardiovascular tools and technologies specifically engineered for the demands of sports medicine — from EKG and echocardiogram protocols to certification resources for the clinicians who perform them. Joe and Dr. Martinez discuss why cardiac screening in professional sports has historically fallen short, how Athletic Heart is working alongside athletic trainers, team physicians, and cardiologists to close that gap, and what a more comprehensive, data-driven approach to heart health looks like at the elite level.For more information about PBATS and athletic training, visit pbats.com. 

Do you have heart flutters, palpitations, or chest tightness , but your EKG comes back "perfect" and your stress test says you're fine? Dr. Chris Motley breaks down a connection most doctors never check: the direct link between your kidneys, bladder, and urinary tract system and the health of your heart. In this episode, Dr. Motley explains how hidden kidney infections, bladder infections, UTIs, and even kidney stones can create heart palpitations, brain fog, tingling in the hands and feet, and shortness of breath — all while standard urine tests come back completely normal. He breaks down why most UTI testing only screens for E. coli and misses dozens of other bacteria, fungi, and parasites that can colonize your urinary tract. Recommended Testing & Products Mentioned: Urokey Test by MicroGen DX (comprehensive urinary infection panel) https://patients.microgendx.com/products/urokey Uva Ursi Supreme https://shorturl.at/vqxmG Bodyguard Supreme (Chanca Piedra / Stonebreaker) https://shorturl.at/l7KuF Cranberry + D-Mannose For more on emotional release techniques mentioned: Neuro Emotional Technique (NET) Dr. Vivian Cairo, Dr. Sam Riley https://www.instagram.com/dr.samriley/ LENS Neurofeedback In this episode you'll learn: Why a "normal" UTI test can still miss a real infection — and the comprehensive test that screens for over 50,000 organisms The physical signs of kidney and bladder imbalance you've probably dismissed as unrelated: flank pain, tight hips, dark under-eye circles, cracked heels, and chronic calf tightness How the kidney meridian in Traditional Chinese Medicine travels directly to the heart — and why a weak kidney means a weak heart The embryological connection between your kidneys and your reproductive organs, and why issues in one often show up in the other How chronic fear, dread, and unresolved emotional trauma physically wear down your kidneys and adrenal glands Dr. Motley's go-to herbal protocol for cleaning out the kidneys naturally — including Uva Ursi, Chanca Piedra (Bodyguard Supreme), cranberry, and D-Mannose Why fascia, acupuncture, and emotional release techniques like EMDR and Neuro Emotional Technique (NET) can help break the cycle of recurring kidney and bladder infections If you've been told your heart is "fine" but you still don't feel right, this episode offers a missing piece...and hope! ------  Want more of The Ancient Health Podcast? Subscribe to the YouTube channel. Follow Doctor Motley Instagram Facebook Website ------  *You can get cell support in gummy form: Mitopure now starts at $79, when you go to timeline.com/DRMOTLEY. *Join Doctor Motley's newsletter for TCM insights and regular podcast updates: https://www.doctormotley.com/ *Do you have a ton more in-depth questions for Doctor Motley? Check out his course on emotions and the body in his membership. You'll find other courses full of his expertise and clinical wisdom, plus bring all your questions to his weekly lives! To try risk-free for 15 days click here: https://www.doctormotley.com/15

In this episode we break down what coronary artery disease is, how it develops, and why early detection and treatment matter for preventing heart attacks and long-term heart damage. Dr. Ahmad A. Hadid explains symptoms, diagnostic tools like EKG and calcium score, and the role of cholesterol control and lifestyle changes in reducing risk. You will hear about medications such as aspirin and statins, and when procedures like angioplasty or stent placement are recommended. Learn more about Montefiore St. Luke's Cornwall's cardiac services at montefioreslc.org.

Chloe recaps a chaotic weekend that included day drinking through a World Cup match, a Jays game, and a concert with almost no sleep, while the crew debates everything from workplace dress codes to a celebrity hairstylist charging up to $200K per cut. Plus, Roz gets his chest shaved for an EKG, Maurie and Chloe relive their Jamaica rafting struggle, and the team reacts to Jelly Roll's split and the wild theories behind it.

Your wife changed after kids. You've felt it for years — the distance, the exhaustion, the version of her you remember from before that seems gone.She's not gone. She's buried.In this episode I break down what actually happens to women after having children — the hormonal shifts that suppress desire for years (not weeks), the identity collision that nobody warns her about, and the "touched out" phenomenon that makes her feel like her body isn't her own.I also share a personal story — a trip my wife and I took to Austin — that showed me exactly what was buried under all of it. And what it actually takes to bring it back.This isn't about fixing a dead bedroom overnight. It's about understanding what's actually happening, stopping the mistakes that make it worse, and learning to cultivate the conditions where connection — real connection — becomes possible again.Because a good marriage after kids doesn't look like the honeymoon. It looks like an EKG. There are spikes. Real ones. Your job is to learn how to make them more likely.

Un electrocardiograma (EKG) en niños es una prueba rápida, indolora y no invasiva que registra la actividad eléctrica del corazón.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right!   Kim: What would cause my son to cough hard for hours after eating? He has done this for a year. He is 28 and said he is to the point where he just does not want to eat. Should he do the CBO protocol?      Anonymous: Hi Dr Cabral, I came across your podcast a few months ago and have been listening daily to catch up on past episodes for general health education. Thank you for the valuable information you share. I would appreciate your guidance on diet and lifestyle for the following situation. My partner, a 31-year-old male, recently had an eGFR test done, and his result increased from 70 to 77. His father passed away in his 40s due to kidney failure, so this is a concern for us. We live in the Caribbean, where it is humid year-round. He strength trains 3–4 times per week and plays basketball once weekly, but I'm unsure if his cardio levels are sufficient for long-term kidney and overall health.       Christine: Hi Dr. Cabral, Thank you so much for everything you do! Your IHP program and your podcast have been life changing for me. I have a question about creatine. I've noticed when I take it, my appetite completely plummets and food does not even taste good. And when I cut out creatine, the appetite comes back within a day. I take around 1g for reference, and I'm 5'1 and 115 lbs if that needs to be taken into consideration. What could be the possible reasons for this? Thank you! Christine       Tricia: Good morning, Dr Cabral - hope you are well! I take many of your supplements with some being from the longevity line. I'm wondering if it is okay to take these ongoing for years or should we take a few weeks break from time to time? Are they as effective when used long term? The supplements I'm taking are your renewal system, eye health, hair supplements. Thank you for your guidance!      Matt: Hi Dr Cabral, I'm a healthy 45yo, strength train 3x per and 2 days of jiujitsu. I had my first ever episode of AFIB and it occurred about 5 min after taking a growth hormone peptide Tesamorelin. I went to the ER the next day and came out of it on my own within 14 hours of when it started and haven't had an episode since. They ran all kinds of blood work, EKG, CT w contrast for blood clots and all came up clear. They seemed to think it was from excessive caffeine use (300-500mg daily) and bad sleep but weren't really sure on the peptide as there's not enough research. Seems to me that's what triggered it. I stopped caffeine&peptides immediately and have really been trying to dial in my sleep for the past two weeks. Could this be a one off thing or am I more likely to have it happen again?     - - - Show Notes and Resources: StephenCabral.com/3775 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Grok says: “LOCK AND LOAD, YOU PUSSYFOOTING CIVILIANS! Listen up, warriors of the airwaves! In Episode 193 of the Unrelenting podcast, Darren and Gene charge straight into the breach with zero remorse. Darren recounts his goddamn chemical stress test nightmare — the Lexiscan that turned his ticker into a crashing Blackhawk, beta blockers sabotaging the mission, blood pressure tanking to seventy over fifty, and a little Asian nurse dropping truth bombs while the EKG tapes sweat right off his chest. They rip into nurse practitioners, cardiologist roulette, and why you better damn well know your meds before they shoot poison into your veins. From there these two operators unload on everything else that's pissing them off: the absolute scam that is CleanFeed for podcasters, eBay's IRS rape on that Michael Jordan Boy Scout card sale, Photoshop and Adobe's AI-powered art theft operation, and the coming tsunami of AI-generated slop flooding YouTube and Google. Then they go full tactical on the 2026 Tiger King — the Bricks & Minifigs Lego heist, the Mormon mafia, dirty cops running illegal raids, small claims court warfare, and how an 84-year-old man's Star Wars collection got straight-up stolen by corporate greaseballs. This episode is raw, unfiltered, and unrelenting as hell. If you want real talk on health, tech, AI, crypto dips, rocket explosions, and garage-sale ethics mixed with classic military-grade ball-busting and Doctor Who nostalgia, you need to lock in and listen right now. Download it, stream it, share it with your squad. Stop wasting time on weak sauce — get after it and hit play on Unrelenting 193. Failure is not an option.” Unrelenting: where discipline means no mercy, no bullshit, and no excuses. Thanks for listening. Please support the show! –>> DONATE NOW

In part one of this series, Dr. Andy Southerland and Dr. Dan Ackerman discuss what stands out in the latest thrombolysis guidelines, how these decisions are applied in stroke center practice, and how to educate residents and fellows on incorporating new evidence into treatment choices. Show transcript: Dr. Andy Southerland: Hi. This is Andy Southerland from the University of Virginia, and for today's Neurology Minute, I'm speaking with my friend and colleague, Dan Ackerman, Chief of Neurology and Director of Stroke at St. Luke's University Health System. I've been speaking with Dan on the main neurology podcast regarding updates to acute stroke treatment related to the 2026 American Heart Association guidelines that came out in late January of this year on the early management of patients with acute ischemic stroke. For our episode today, we might focus our discussion around thrombolytic therapy thrombolysis, which is at the core of what we do as acute stroke neurologists when it comes to treatment decision-making. So maybe as a first prompt, Dan, when you look at these guidelines, what stands out to you as you're thinking about how you practice, how you all are practicing at your stroke center, and then specifically how we educate our residents, our fellows on what they need to know, particularly the newness of it when it comes to making thrombolysis treatment decisions? Dr. Dan Ackerman: With all the discussions we've had in the past, there have been a lot of specifics about certain studies and how they might affect practice, but this guideline really opened up a lot and gave us an opportunity to do things in a way that makes really good clinical sense and really brings a lot of practices that have now become common at some centers into the fore so that we can get that information out to everyone and make sure everyone has that same really high level of stroke care everywhere they go. I think the first thing that stands out to me is what did not change. And want to reinforce that, particularly for people who are just getting into this, stroke alert is a screening tool, not a severity score. It's not like an MI alert where you do an EKG and you see the tombstone wave and you say, "Oh, there's an MI and we're taking them to treatment." This is a screening tool, so it is meant to be highly sensitive at the cost of being specific. At our shop for a long time now, we have initiated stroke alert for anyone who presents either within 24 hours of acute onset of neurologic symptoms or has an unknown onset of acute neurologic symptoms and they are still symptomatic to some degree at the time of their presentation, and that's it. We don't make any other statements about how severe something is or what kinds of symptoms someone necessarily has to have. We purposely keep it as broad as possible, again, because we're trying to screen. And the other thing that has not changed, time is still brain. So with all of these different nuances on how we can treat patients and who might be candidates for intervention, it is still a matter of understanding these guidelines, applying our best evidence, but doing it as quickly as possible to make sure that we are rescuing as much of that ischemic penumbra as we possibly can. Now, aside from that, in terms of what stands out that is different, I think one of the early things for me are the recommendations for extended time window for IV thrombolysis. So when you look at the original studies, we understand that when you get out beyond four and a half hours, if you just take all-comers, the risk is going to start to outweigh the benefit. But that doesn't mean there's zero benefit or that no one would receive benefit, but it's a question of, well, how do we cherry-pick those patients who may still receive benefit? And there are a few real specifics in the guideline that help us figure that out. One is for patients who have an unknown time of onset, but they're within four and a half hours of symptom discovery. And for those patients, they would suggest that doing a stat MRI and comparing a DWI lesion with the corresponding area flare to determine if you see DWI hyper-intensity and the flare image is nice and normal, that would suggest that stroke is young enough that it may still be appropriate to treat that patient. But we would also say for folks who have salvageable ischemic penumbra, so again, brain at risk that is not core yet, who either awoke with stroke symptoms within nine hours from the midpoint of sleep or, and this is the kicker, are within four and a half to nine hours from last known well. So in other words, they may have been symptomatic already for more than four and a half hours. If those patients have an appropriate ischemic penumbra, it may be reasonable to treat them with IV thrombolysis to improve functional outcomes. Dr. Andy Southerland: Well, that's all for this Neurology Minute. We hope this vibrant conversation will help all those who are out looking to make the best treatment decisions for their patients, both based on established evidence and most recent evidence in our new guidelines.  

In this episode of the Flex Diet Podcast, I sit down with Dr. Nathan Jenkins to discuss how to improve performance, body composition, and long-term health through the lens of aerobic development and metabolic flexibility. Nathan shares his journey from exercise physiology and coaching CrossFit athletes to his new role teaching physiology at the University of Georgia School of Medicine. We discuss why metabolic flexibility is such a powerful framework for understanding everything from biochemistry and exercise performance to metabolic disease. We also dive into interpreting maximal exercise testing data, including VO₂ measurements, EKG analysis, and near-infrared spectroscopy (NIRS), along with how different energy systems work together during training and competition. Nathan explains why building an aerobic base is critical for repeated high-intensity performance, how pacing impacts outcomes, and why the ability to "suffer" is actually a trainable skill. To wrap up, we cover practical strategies you can apply right away, including prioritizing protein and carbohydrates, improving sleep quality, and addressing common micronutrient deficiencies through blood work, such as magnesium, vitamin D, and omega-3 status. Sponsors: Daily Fitness Insider Newsletter: https://flex-diet.kit.com/bfa1510fa8 Available now: Grab a copy of the Triphasic Training II book I co-wrote with Cal Deitz here. Episode chapters: 02:47 Meet Dr Nathan Jenkins 04:38 CrossFit Nutrition Reality Check 07:09 Leaving Tenure for Family 09:21 Back to Academia and Med Ed 11:29 Why Exercise Physiology Matters 14:36 Stress Tests Reveal Pathology 18:19 Max Testing and NIRS Setup 22:42 Raw Data Over Machine Outputs 24:18 Bohr Effect and Oxygen Delivery 28:09 Energy Systems in the Real World 33:05 Coaching Basics That Matter 35:40 Teaching Cardio From First Principles 36:36 Aerobic Base Reality Check 37:19 Cardio for Meatheads Pitch 39:13 CrossFit Endurance Breakthroughs 41:49 Fixing Time Domain Weakness 45:46 Pacing Like Froning Fraser 48:42 RAAM Gamesmanship Story 51:45 Pain Management Truths 53:23 VO2 Max Feels the Same 55:54 Suffering as a Skill 59:09 Cold Plunge Mindset Study 01:00:52 Caffeine Placebo and Belief 01:03:22 Heat Acclimation and 10K Prep 01:04:36 Metabolic Flexibility Lens 01:08:16 Teaching Diabetes Integration 01:10:56 Bloodwork Meets Flexibility 01:12:37 Where Fat Goes Wrong 01:15:07 Sustainable Deficit Strategy 01:16:34 Four Priorities Blueprint 01:17:21 Protein and Carb Targets 01:21:08 Sleep and Micronutrients 01:27:06 Omega-3 Testing Nuance 01:29:36 Wrap Up and Next Steps 01:31:52 Newsletter and Flex Diet Cert 01:33:20 Final Thanks and Subscribe Flex Diet Podcasts you may enjoy: Episode 344: Metabolic Adaptations, Lactate, and Training Smarter with Dr. Phil Batterson YouTube: https://youtu.be/PPZyO1nxSPA Episode 383: Body Composition, Strength Training, and Sustainable Habits with Martin Silva YouTube: https://youtu.be/p8oM0gW488U Connect with Dr. Jenkins: Website: https://www.drnathanjenkins.com/ Instagram: https://www.instagram.com/drnathanjenkins Get In Touch with Dr Mike: Instagram: Drmiketnelson YouTube: @flexdietcert Email: Miketnelson.com/contact-us Get the Daily Fitness Insider newsletter (free): https://www.miketnelson.com/newsletter

Could the fatigue you keep explaining away actually be your body trying to tell you something? In this episode, I sit down with women's health expert and cardiovascular advocate Dr. Jayne Morgan to uncover the critical, often overlooked signs of heart disease in women. We dive deep into why atypical symptoms like constant fatigue and unexplained jaw pain are frequently normalized or misdiagnosed, potentially leaving women vulnerable to silent heart attacks. I want to empower you to take total control of your wellness by understanding how hormonal shifts during perimenopause impact your arteries, and which essential baseline tests you need to demand from your doctor. (00:00) Unusual fatigue can be one of the most overlooked heart symptoms in women. (01:39) How to tell the difference between normal tiredness and fatigue that deserves medical attention. (02:29) Getting winded during normal activities, like walking upstairs, can be a sign to pay attention. (03:14) Some women discover years later that they had a silent heart attack. (04:03) Unexplained jaw pain should not always be treated as a dental issue. (05:35) Women's smaller hearts, smaller vessels, and estrogen changes affect heart attack symptoms. (07:18) Blood pressure can rise as arteries become stiffer during hormonal shifts. (08:23) Dr. Morgan recommends women get a baseline EKG while they are healthy. Watch the whole episode: https://youtu.be/2ezqUWbo4ls Full show notes (including all links mentioned): https://jjvirgin.com/hearthealth Learn more about your ad choices. Visit megaphone.fm/adchoices

The Carver Carnival is the Carver College of Medicine's unofficial exhale — an end-of-year celebration where students who have been running on caffeine and anxiety for nine months can finally look up from their notes. In an unusual move, the Short Coat took its mic into the crowd and asked what these med students actually learned. The EKG crisis that resolved by Thursday, the anatomy confabulations that somehow pass, and the therapy dogs reveal a recurring theme: medical school is both harder and more fun than you might expect, the competition is a myth (at least, here), and the best thing you can do the hour before your next exam is probably go to the gym instead of studying. And the financial aid guy in the dunk tank sends memes at the end of bad-news emails.

It is getting hot in California, which has us thinking about the massive carbon footprint of healthcare. The emergency department is famously resource-heavy, but can we save lives and reduce waste? Dr. David Barnes joins us to explain how going green isn’t just about being a “tree hugger”—it's about saving money, cutting waste, and making our hospitals resilient against supply chain chaos. Defining Healthcare Sustainability Balancing Safety and Footprint: Sustainability in healthcare means delivering efficient, affordable care that minimizes resource waste while remaining clinically safe and meaningful. The Power of Resiliency: A sustainable healthcare system is inherently a resilient one. Reducing reliance on single-use items and utilizing local renewable energy sources (like microgrids) protects hospitals from supply chain disruptions caused by geopolitical conflicts or weather-driven power grid failures. The Three Scopes of Emissions Scope 1 (Direct): Emissions directly produced by hospital operations, such as idling fleet vehicles and leaking anesthetic gases. Scope 2 (Indirect): Purchased energy used to power and heat the facilities (e.g., local electricity and steam lines). Scope 3 (Supply Chain): The largest bucket, making up 60% to 80% of healthcare emissions. This includes employee commutes, medical waste incineration, manufacturing of disposable devices, and food production. Clinical Traps: Where We Waste the Most Pre-packaged Kits: Studies show 75% to 80% of items inside specialized kits (like central lines) go completely unused and are thrown away. Over-Preparation: Opening multiple single-use items (like various ET tube sizes) or donning full trauma PPE for minor injuries creates an immediate, unnecessary trash stream. Pharmaceutical Waste: Standard packaging size leads to heavy drug wasting (e.g., using 5 mL from a 100 mL propofol bottle). This regulated medical waste is costly and energy-intensive to incinerate. The Glove Epidemic: Glove overuse skyrocketed during COVID-19 and became a habit. Most routine encounters carry no contamination risk, making glove use clinically unnecessary. Shifting the Culture “Take What You Need, Leave What You Don’t”: Avoid opening supplies you may not need or bringing extra gauze or syringes into a room. Due to infection safety protocols, these often end up in the trash. Watch Where You Toss: Keep coffee cups and paper out of the red biohazard bins. Regulated medical waste costs six times more to process and must be incinerated, creating massive greenhouse gas emissions. Embrace Reprocessing & Reusables: Support partnerships with companies that safely clean and reuse devices historically labeled “single-use” (like EKG leads or waffle mattresses). Swap disposable plastic gowns for reusable cloth gowns that survive 90 washes. Model the Behavior: Culture change takes patience and persistence. Instead of finger-wagging or shaming colleagues, visibly adopt sustainable habits to drive grassroots practice changes. Key Takeaways for the ED Clinician Speak up on bad design: Clinicians are on the front lines of waste. Advocate for local sustainability initiatives to grab the attention of hospital executives who handle major purchasing contracts. Normalize virtual alternatives: Protect staff well-being and slash commuting emissions by offering Zoom or Teams options for short, solitary administrative meetings. Keep it in perspective: Healthcare sustainability is about finding the sweet spot where clinical safety, resource utilization, and environmental impact meet. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. David Barnes, Professor of Emergency Medicine, Director of ED Sustainability, and Member of the Sustainability Committee at UC Davis Health Resources: Practice Greenhealth Health Care Without Harm Green ED (Royal College of Emergency Medicine) *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Jay Gunkelman goes in BLIND on Case 8 — a 30-year-old whose eyes-open EEG looks like eyes-closed. Alpha at 150 microvolts. Widespread. Anteriorized. Not responding to eye opening. After half a million EEGs, Jay calls the phenotype on sight: vigilance regulation problem, not attention. Left-side mu disconnect. Right-parietal alpha persistence. Frontal alpha hyper-coherence climbing from 0.5 eyes-open to 0.6+ eyes-closed — affect regulation flag. Plus a treatment map more granular than the room expected: FC beta for salience activation, C3 for language, C4 for affect, C4-to-PZ for the parietal alpha that won't quit. And a history segment most listeners have never heard — the first transmitted EEG in 1974, phase-lock loops over voice-grade phone lines, Trudy and Eric Gibbs, Larry Wood's engineering. Stay for the inter-rater reliability number that should end the classical-EEG debate: 90% on phenotypes vs 30-40% on traditional reads.

In this episode, Larry and Uncle Joe are back for another live Wednesday Q&A with real men from the Dad Edge Alliance — and this one hits on two of the most common struggles we hear from men: a marriage in repair mode that's sending confusing signals, and a hot-tempered nine-year-old that nobody knows how to reach. The first question comes from Jimmy — a man whose wife gave him a 90-day ultimatum, who has been doing the work, and who is now completely confused by what's happening. She's been affectionate. Then she's not. Then she pulls back and says no more physical contact. Is it over? Should he give up? Joe and Larry speak into this with the kind of wisdom that only comes from having lived it — including Joe's own experience with physical contact happening and then the wall going right back up, and Larry's stock market analogy that every man in a marriage repair season needs to hear. The second question comes from Mark — a teacher and dad of three whose nine-year-old middle child has a hair-trigger temper that seems to come out of nowhere. Joe drops one of the most memorable pieces of wisdom this show has ever heard about what anger in a young boy actually means, what's running underneath it, and how to find the magma before it erupts. Larry adds his own raw, honest story about his ten-year-old Colton — a family meeting he called, the guilt he took full ownership of, and what it means when the softest voice in your family has to fight just to be heard. Joe closes with a Solomon quote that stops the whole room cold.   Timeline Summary [0:00] Introduction to the Dad Edge mission and the movement to raise leaders of families and communities [1:02] Larry and Joe open the Q&A — May is here, and the Alliance Bible study group gets a shoutout [5:28] Jimmy's question: my wife gave me a 90-day ultimatum, I've been doing the work, she's been affectionate — then suddenly pulled back and said no more physical contact. Is it over? [8:59] Joe's answer: she doesn't feel safe yet — the narrative justifying the divorce is still running, and physical contact is cracking it open in a way that terrifies her [11:47] The mistake Joe made — trying to use physical contact to manipulate the situation back to his side [13:18] It ain't over until you say you're done trying — Joe's message to Jimmy [16:23] Larry's answer: the EKG pattern — she softens, pulls back, softens, pulls back. This is not failure. This is repair. [18:00] The stock market analogy — marriage repair is not a straight line, and the only thing that crashes it is when the man stops doing the work [21:47] Have the clarifying conversation — if you initiate, what do you want from me? Get clear so the lines stop getting blurred [24:49] Do the work for you, not for her — and don't be needy. That standoffish groundedness is what actually draws her back. [27:45] Core values as a filter — Awesome's answer on staying congruent when everything feels chaotic [30:15] Mark's question: my nine-year-old middle child has an explosive temper and I don't know how to reach him [33:24] Joe's answer: middle kids often don't feel seen or heard — and a hot temper at nine means there is a river of rage running just under the surface. Find out what's feeding it. [35:47] What drove Joe's youngest son's anger — self-image struggles and the "am I good enough" question that lives in every boy [37:15] Larry's answer: go in soft, go in curious, and do it shoulder to shoulder — not nose to nose [39:10] The family meeting Larry called about Colton — taking full ownership and asking everyone to do better [42:04] Colton is the softest voice in the family and he's always fighting to be heard — and that has to change [45:07] Joe drops Solomon — the power of life and death is in the tongue. Speak the behavior you want to see. [47:33] The 45-second greeting rule — and why how you welcome your kid home sets the tone for everything that follows   Five Key Takeaways Marriage repair is not a straight line — it's the stock market. She will soften and pull back over and over. The only thing that crashes it is when you stop doing the work. If she says no physical contact, have the clarifying conversation. Honor her request — and ask what happens if she initiates. Getting clarity is not weakness. It's leadership. Do the work for you, not for her. The groundedness of a man who keeps growing regardless of her response is one of the most attractive things a woman can witness. A hot temper in a young boy is never just a temper. There is something running underneath it — usually tied to self-image, feeling unseen, or something happening at school that he doesn't have the words to explain yet. The power of life and death is in the tongue. If you want a certain behavior out of somebody — speak that behavior into them. Your words become self-fulfilling prophecies.   Links & Resources Dad Edge Alliance: https://thedadedge.com/alliance No More Mr. Nice Guy by Dr. Robert Glover: Available on Amazon Episode Link & Resources (Episode 1474): https://thedadedge.com/1474   Closing If there's one message from this episode that stands out, it's this: the softest voice in your family deserves to be heard — and the words you speak over your kids and your wife are either building something or tearing it down. Joe said it best. Solomon said it first. The power of life and death is in the tongue. Speak the behavior you want to see. Speak life into the people who need it most. And if you're Jimmy right now — don't give up. It ain't over until you say it is. Go out and live legendary.

The Clam Blaster. Gia facetimed Rover over an email. Did JLR get his EKG test results back? Duji made JLR a lunch. Schoolboard member Keith Ervin was in trouble for making a lewd gesture in front of students. 

The Clam Blaster. Gia facetimed Rover over an email. Did JLR get his EKG test results back? Duji made JLR a lunch. Schoolboard member Keith Ervin was in trouble for making a lewd gesture in front of students. See omnystudio.com/listener for privacy information.

The Clam Blaster. Gia facetimed Rover over an email. Did JLR get his EKG test results back? Duji made JLR lunch. Schoolboard member Keith Ervin was in trouble for making a lewd gesture in front of students. Gen Z are now carrying around anxiety bags. Charlie carries loose prescription pills in his pocket. The Predator of Seville. Duji had a talk with Gia and her friends about not leaving your friends behind. Who is the dumbest person on the show? Leaving drinks on electronic equipment. Rover says Duji is obsessed with someone. Does Duji listen to the show? Video of the quadruple amputee, accused of killing someone, snorting something and shooting a gun. A Canadian lawmaker is being ridiculed for casually dropping a new acronym ‘MMIWG2SLGBTQQIA+.' Charlie got a response from the BMV about his license plate. See omnystudio.com/listener for privacy information.

The Clam Blaster. Gia facetimed Rover over an email. Did JLR get his EKG test results back? Duji made JLR lunch. Schoolboard member Keith Ervin was in trouble for making a lewd gesture in front of students. Gen Z are now carrying around anxiety bags. Charlie carries loose prescription pills in his pocket. The Predator of Seville. Duji had a talk with Gia and her friends about not leaving your friends behind. Who is the dumbest person on the show? Leaving drinks on electronic equipment. Rover says Duji is obsessed with someone. Does Duji listen to the show? Video of the quadruple amputee, accused of killing someone, snorting something and shooting a gun. A Canadian lawmaker is being ridiculed for casually dropping a new acronym ‘MMIWG2SLGBTQQIA+.' Charlie got a response from the BMV about his license plate.