Podcasts about Elective

Send Zorba a message!Elective full-body MRI scans are gaining popularity...Zorba discusses why this trend is not a good idea. He helps out a listener with questions about peanut allergies, and advises a listener who has questions about back pain. Zorba talks about drinking lemon juice to combat kidney stones, and we hear a mom joke from Karl's mom.Support the showProduction, edit, and music by Karl ChristensonSend your question to Dr. Zorba (he loves to help!):Phone: 608-492-9292 (call anytime)Email: askdoctorzorba@gmail.comWeb: www.doctorzorba.orgStay well!

Send Zorba a message!Elective full-body MRI scans are gaining popularity...Zorba discusses why this trend is not a good idea. He helps out a listener with questions about peanut allergies, and advises a listener who has questions about back pain. Zorba talks about drinking lemon juice to combat kidney stones, and we hear a mom joke from Karl's mom.Support the showProduction, edit, and music by Karl ChristensonSend your question to Dr. Zorba (he loves to help!):Phone: 608-492-9292 (call anytime)Email: askdoctorzorba@gmail.comWeb: www.doctorzorba.orgStay well!

Democrat Steiner seeking different elective position, pursuing Iowa House seat.

Developing a Biblical Philosophy of Material Possessions | Summer Elective Week 1 | Mark Cover

Links: Today's episode is sponsored by Motif Medical. See how you can get Motif's Luna or Aura Glow breast pumps covered through insurance at motifmedical.com/birthhour.  Know Your Options Online Childbirth Course (use code 100OFF for $100 off) Beyond the First Latch Course (comes free with KYO course) Get more episodes and extra perks via Patreon! 

In this episode, Fiona shares the story of her first birth, a pregnancy that quickly shifted from low-risk to highly medicalised following the discovery of her son's omphalocele. What began as a planned physiological birth became a scheduled caesarean at 39 weeks, followed by a NICU stay, complications following mistakes from medical staff, delayed surgery, and a challenging introduction to motherhood.Fiona speaks candidly about navigating intensive surveillance, advocating within a tertiary hospital system, and the impact of early separation from her baby. She reflects on postpartum anxiety, the work it took to establish breastfeeding after a complex start, and the gradual rebuilding of trust in her own instincts as a mother.As she began considering another baby, Fiona found herself questioning not only specific interventions, but the structure of maternity care itself. In her second pregnancy, she chose a very different path. She declined routine scans and clinical antenatal care, enjoying a wild pregnancy, ultimately stepping well outside conventional systems of care.This is a story about autonomy and reclaiming power, the story of a woman making deeply considered decisions for herself and her family. Fiona's journey speaks to the central theme that runs through all of our conversations here: that informed choice is critical.We invite you to listen with curiosity as Fiona shares what led her to make the decisions she did, and how those experiences shaped her understanding of birth, risk, and trust in her own body.Fiona would love to express immense gratitude for her doula, Sam @samanthagunndoula during her first pregnancy and postpartum and the incredible support she received from Kellee @earthaunty during her wild pregnancy and free birth. Please join us on our journey to bringing you all kinds of VBAC stories from across the country from here on in by subscribing and following us on social media, @australianvbacstories on Instagram and Australian VBAC Stories on Facebook. If you enjoyed this episode, we'd love to rate or review, and tell your friends!If you are feeling that you might benefit from mental health support after listening to our podcast, please reach out to one of the organisations below:PANDA https://panda.org.au/Gidget Foundation https://www.gidgetfoundation.org.au/COPE Australia https://www.cope.org.au/If you've experienced mistreatment or disrespectful care in your pregnancy, birth or postpartum and are seeking advocacy support, please contact one of the following organisations:Maternity Choices Australia https://www.maternitychoices.org/Maternity Consumer Network https://www.maternityconsumernetwork.org.au/Thank you for tuning in to our podcast.

Having standards does not mean you have curriculum, and elective teachers know that gap better than most. A course name, a standards list, and a blank planning page are not a roadmap. They are a starting point, and being expected to turn them into sequence, pacing, assessments, and instruction is not “just planning.”This builds on the first two conversations in the series: reducing the pressure to plan before August, then choosing the first unit with leverage. Now the focus shifts to the structure so many CTE teachers and career technical education programs are not handed. Standards tell you what to teach, but they do not show students how to move through it.That missing structure is where teacher workload explodes. These courses often require curriculum design while teachers are actively teaching, especially for a multiple prep teacher juggling several preps at once. That is not a personal organization problem. It is two jobs layered together.The shift is to stop treating the standards list like a curriculum map. Strong teacher planning starts by finding the foundation, separating big rocks from supporting standards, and building a repeatable lesson structure before creating every individual lesson.For elective teachers, the content is rarely the hard part. You know your field. The hard part is turning that knowledge into a course students can actually move through. That is why secondary teacher strategies need to begin with sequence, pacing, lesson flow, and sustainable systems.Real teacher productivity comes from reusable structure, not constantly reinventing materials. Elective teachers are not failing at planning. They have been asked to do curriculum design work without curriculum design systems. Grab the Secondary Unit Planning Calendar to start turning your standards into a structure that helps you finish something that makes tomorrow lighter.Too many preps and not enough time? Let's make your planning period actually work for you.Join the Unit Planning Lab Waitlist here: https://khristenmassic.kit.com/2d1289fa68Planning for the next school year? If your day is organized by class period, your planning calendar should be too. Grab my Editable Class Period Calendar here: https://khristenmassic.com/secondarycalendarpodUnlock 20 time-saving strategies designed to keep your students engaged and your sanity intact with the free Simple Teaching Strategies Toolkit. Each strategy comes with detailed instructions, objectives, and a materials list, all editable in a convenient Google Doc. https://khristenmassic.com/toolboxGet the Planning Period Reset Toolkit—a free set of quick-start tools to help you protect your time, focus faster, and finally finish something… even during chaotic school days. https://khristenmassic.com/resetShop my Teachers Pay Teachers store: https://www.teacherspayteachers.com/Store/Khristen-Massic-Cte-Teacher-Coach

Having surgery an be a daunting time for anybody, let alone a child with neurodiversity being placed into an unfamiliar environment and taken out of their routine. Join Grace Curran associate Nurse Unit manager of Elective surgery & Clinical Nurse Specialist in pre admissions resource clinic and Nancy Puente PARC Nurse as they discuss how to best care for children with neurodiversity as they traverse the perioperative journey.

In this week's episode, Taylor shares her journey from a breech caesarean to a VBAC that, on paper, had almost everything people fear: induction, fetal distress, instrumental birth, retained placenta, postpartum haemorrhage...And yet, her story is not one of fear or trauma.Taylor speaks about what it felt like to be informed, make decisions in real time, and hold her ground when it mattered. But also when to shift when it felt necessary.There's a thread running through this conversation that so many women need to hear:It wasn't the absence of intervention that made this birth feel positive. It was the presence of choice.We also talk about:– navigating pregnancy after loss and the weight that brings– the deep dive so many women go on when planning a VBAC– advocating for yourself in a system that doesn't always expect it– how “risk” isn't one-size-fits-all– and why knowing your options changes everythingThis is one of those brilliant stories that challenges the idea that a “good birth” has to look a certain way.Because sometimes, everything can go “wrong”, and still be empowering. When women's choices are respected and decisions are made by them and not for them, it can still be incredible.Taylor shares:"I have experienced two very different births that I look at positively, despite some complications. I planned for my VBAC for many years and although I was equipped with as much knowledge as possible, my baby had other ideas. A great reminder that we can only control so much when it comes to birth. I love all things pregnancy and birth and enjoy sharing birth stories with other women. I hope to empower other women with my story so that ‘intervention' doesn't always needs to be looked upon as negative or related to trauma. The power of informed consent cannot be understated. "

What if the body already knows exactly how to heal… but modern life keeps interrupting the process? In this profoundly emotional and paradigm-shifting conversation, Darin sits down with Australian wellness expert, author, and speaker Andi Lew for a sweeping exploration of trauma, birth, attachment, nervous system regulation, chiropractic philosophy, purpose, intuition, breast implant illness, and the forgotten wisdom of the human body. From the way we enter the world through birth, to the emotional wounds that shape our identities, to the systems that disconnect us from nature and ourselves, this episode is ultimately about one thing: reclaiming your innate intelligence and reconnecting to what it truly means to be human. What You'll Learn Why symptoms like fevers, coughing, and rashes may actually be signs of healing The body's innate intelligence and how modern medicine often suppresses it How trauma and emotional suppression shape physical health outcomes The connection between birth practices, attachment, and nervous system development Why "cry it out" parenting may create emotionally disconnected adults How posture, movement, and chiropractic care impact longevity and vitality The hidden reality of breast implant illness and medical gaslighting How trauma can unconsciously drive cosmetic enhancement decisions Why purpose, creativity, and service are essential for healing How reconnecting to nature, vulnerability, and authenticity changes everything   Chapters 00:00:03 – Welcome to SuperLife and the mission of reclaiming sovereignty 00:00:33 – Sponsor: plastic toothpaste tubes, toxins, and environmental impact 00:01:06 – Endocrine disruptors and hidden exposure from everyday products 00:01:35 – Bite Toothpaste Bits and sustainable wellness solutions 00:02:47 – Introduction to Andi Lew 00:03:03 – 30 years teaching holistic health and wellness 00:03:24 – Symptoms as signs of healing—not dysfunction 00:03:51 – Chiropractic philosophy and the nervous system as master controller 00:04:07 – The hidden dangers of the cosmetic industry 00:04:19 – Introducing "Treasure Chest" and breast implant illness 00:04:49 – Trusting nature and reclaiming innate power 00:05:08 – Instant connection and unscripted conversation 00:05:43 – Why storytelling itself is healing medicine 00:06:35 – Indigenous wisdom, dreamtime, and human connection 00:07:00 – Education, service, and sharing wisdom with the world 00:07:30 – The courage required to share your voice 00:08:03 – Aging naturally and embodying wellness principles 00:08:47 – "Connected" and the body's innate healing intelligence 00:09:11 – Why vomiting, fevers, and rashes may be healing responses 00:09:53 – The danger of suppressing symptoms instead of listening to them 00:10:15 – Norwegian researcher: "The body never makes a wrong choice" 00:11:08 – Inflammation as intelligent communication from the body 00:11:32 – Emotional healing through chiropractic care 00:12:14 – The shocking story of abuse ending after nervous system treatment 00:13:09 – Purpose, excitement, and why "your cells sing" 00:14:01 – Courage, the heart, and following what excites you 00:14:47 – Childhood rejection of pharmaceuticals and synthetic medicine 00:15:11 – Discovering chiropractic philosophy and innate intelligence 00:16:10 – Reactive medicine vs proactive wellness 00:16:35 – Birth, attachment, and nervous system programming 00:17:15 – Vaginal birth, microbiome transfer, and stress adaptation 00:18:03 – Elective cesareans, fear conditioning, and birth trauma 00:18:29 – The disturbing origins of modern birthing positions 00:19:03 – Lotus birth and allowing natural cord detachment 00:19:43 – Returning the placenta to the earth and the cycle of life 00:20:09 – Dependency culture and forgetting our innate power 00:20:34 – "Cry it out" parenting and neurological consequences 00:21:18 – Babies "feigning death" and nervous system overwhelm 00:21:40 – Emotionally unavailable babies becoming disconnected adults 00:22:06 – Attachment parenting and human brain development 00:22:23 – Sponsor: Manna Vitality and frequency-based wellness 00:24:18 – Questioning inherited systems and reclaiming connection 00:24:53 – Darin reflects on premature birth and separation trauma 00:25:59 – The unconscious programming created in childhood 00:26:53 – Mothers instinctively regulating babies through movement 00:27:29 – Synchronizing heartbeats, breathing, and body temperature 00:28:19 – Breastfeeding, immunity, and sacred connection 00:28:39 – "If breastfeeding offends you, put a blanket over your own head" 00:29:16 – Society disconnecting us from natural immunity and instincts 00:30:00 – Jaw alignment, breastfeeding, and healthy aging 00:30:47 – Chiropractic care, posture, and visible signs of aging 00:31:29 – Humans as reflections of nature itself 00:32:04 – Reclaiming connection to nature and innate wisdom 00:33:13 – Motherhood, surrender, and slowing down 00:33:37 – Lactation consultants and forgotten ancestral wisdom 00:34:01 – Co-sleeping, hormones, and nervous system healing 00:34:27 – "Velcro babies" and learning presence through parenting 00:35:15 – Why babies teach adults to slow down 00:36:00 – Purification, attachment, and emotional regulation 00:37:03 – Darin reflects on Andi's embodied wisdom and energy 00:38:20 – Leaving Australia with two suitcases and a calling to serve 00:39:08 – "Hurrying up to slow down" 00:39:40 – Creativity, AI, and reclaiming imagination 00:40:21 – Permission, dreams, and pursuing your true calling 00:41:07 – Trauma, identity, and self-liberation 00:41:59 – Bruce Lipton, epigenetics, and changing gene expression 00:42:38 – Perception shaping biology and reality itself 00:43:02 – Darin's emotional reaction to Andi's April Fools joke 00:45:04 – Introducing "Treasure Chest" and breast implant illness 00:46:16 – Childhood trauma and the decision to get implants 00:47:05 – Feeling disconnected from femininity and identity 00:47:46 – Depression, anxiety, and unexplained physical symptoms 00:48:43 – Six surgeons, medical gaslighting, and ignored intuition 00:49:28 – "Women know their bodies" 00:49:53 – Beauty standards and the historical control of women 00:50:35 – The disturbing origins of breast implants 00:51:15 – Trauma, healing, and turning pain into purpose 00:52:01 – Why leaning into discomfort creates liberation 00:53:08 – Accountability, surrender, and refusing victimhood 00:53:55 – Darin reflects on Andi's energetic embodiment 00:54:59 – "You are not your age—you are your energy" 00:55:23 – Botox, emotional masking, and relationship disconnection 00:56:34 – The systems designed to keep humanity disconnected 00:57:19 – Edward Bernays, propaganda, and engineered consumerism 00:58:16 – Selling unhappiness to create endless consumers 00:58:39 – Human imagination, intuition, and untapped potential 00:59:09 – Dreams, synchronicities, and alternate perceptions of reality 01:00:15 – Near-death experiences and reclaiming health after explant surgery 01:00:59 – Returning to the "divine organic state" 01:01:26 – Breast implants as inflammatory drivers and systemic shutdown 01:02:09 – The body walling off toxins through scar tissue 01:02:29 – "If I don't get this out of me now, I'm dying" 01:02:50 – Waking up after surgery and "coming back online" 01:03:24 – The extraordinary healing intelligence of the body 01:04:05 – Closing reflections on reconnection, healing, and human potential     Thank You to Our Sponsors Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order. Manna Vitality: Go to mannavitality.com/ and use code DARIN12 for 12% off your order.     Join the SuperLife Community Get Darin's deeper wellness breakdowns — beyond social media restrictions: Weekly voice notes Ingredient deep dives Wellness challenges Energy + consciousness tools Community accountability Extended episodes Join for $7.49/month → https://patreon.com/darinolien     Find More from Andi Lew Website: andilew.com Instagram: @andi.lew Podcast: Well To Do Book: Treasured Chest     Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "The body is not broken. It's constantly communicating, adapting, protecting, and trying to guide us back into alignment. But modern life has disconnected us from that wisdom. Real healing begins the moment we stop suppressing the signals, start listening deeply, and reconnect to nature, purpose, vulnerability, and the innate intelligence already living inside of us."

Romans 9:24-10:1 - Sunday, April 19, 2026

Every pregnant person deserves the information and support they need to make truly informed decisions about labor induction. In this encore episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, the co-creators of Partner to Decide, a nonprofit improving decision-making in perinatal care. They discuss their free, multilingual decision aid that helps families understand their options around routine induction of labor and empowers them to advocate for their own values, preferences, and autonomy. Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers insight into how the decision aid has changed conversations in clinical settings, bringing clarity, reducing bias, and fostering truly shared decision-making. Together, they illuminate how access to balanced information can reduce anxiety, improve trust, and shift the culture of perinatal care. (03:02) What Is a Decision Aid and Why It Matters (07:12) Ann's Birth Story and the Origins of Partner to Decide (11:09) Gaps in Shared Decision-Making from a Provider's Perspective (14:24) Personal Values, Intuition, and Cultural Differences (18:19) Designing the Decision Aid with Equity and Accessibility (23:49) The Power of Absolute vs. Relative Risk in Birth Conversations (25:01) Surprising Patient Feedback: From Access to Empowerment (30:31) Provider Reflections and Challenging Bias (36:11) Why "Routine" Induction Language Matters (43:59) How to Respond to Pressure or Coercion Around Induction (46:16) How to Access the Free Decision Aid and Support New Tools   Resources Access the free Induction of Labor Decision Aid in seven languages: www.inductiondecisionaid.org Learn more about the nonprofit: www.partnertodecide.org For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Want more resources? Check out our Signature Articles or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Mark Tedford Discusses Elective LeadershipOver a dozen Oklahomans filed for elective office as Tulsa's next congressman. Rep. Mark Tedford came in to discuss his priorities for Oklahoma and the nation.We discuss his work in the Oklahoma legislator and his years as a community leader.Councilor Jayme Fowler Presses for real education reform.Tuesday Tulsans will be asked to take on huge new debts on property taxes. The district wants to pass 4 big spending proposals with over $600 Million in new spending, in addition to current budgeting.Councilor Fowler breaks down these ill-conceived efforts to pour good money after bad. We conclude the day with a news roundup.AUDIOVIDEOCatch all our shows at www.FreshBlack.CoffeeConnect with us at www.facebook.com/freshblackcoffeeOur audio podcast is at https://feeds.feedburner.com/thefreshblackcoffeepodcastOur video podcast is at https://feeds.feedburner.com/freshblackcoffee/videocastWatch the video on our YouTube channel, Facebook, website, or with your podcasting app.   We record the show every Saturday and release it later the same day.Jeff Davis commentary appears courtesy of www.theThoughtZone.comClick here to watch this episode »

Life Behind the Numbers of Amputees and Limb Difference     April is Limb Loss and Limb Difference Awareness Month, and this year on the podcast, I'm doing something that means so much to me. Instead of focusing only on my own story, I'm opening the door for other amputees to share theirs. That has become a tradition for me over the last five seasons, and this year I'm building the entire month around one powerful theme: Survivors to Warriors. I truly cannot wait for you to hear these interviews, because the young adults I have coming on embody courage, resilience, grit, and hope in a way that will leave you inspired. Their stories are raw, real, and deeply moving, and I'm honored to call each of them my friend. As I prepared for this month, I wanted to begin with something eye-opening: the statistics. Because the truth is, before I became an amputee seven years ago, I hardly ever noticed amputees around me. Maybe once in a while I'd see someone, but it felt rare. Now, just like when you buy a certain car and suddenly see it everywhere, I notice amputees much more often. Even so, the numbers tell me I should be seeing even more. And that is what really stopped me in my tracks. Worldwide, someone loses a limb every thirty seconds. There are tens of millions of people around the world living with limb loss, and what absolutely breaks my heart is that up to ninety percent of them do not have access to prosthetic care. Ninety percent. That number is staggering. And it hits close to home for me because I know what it feels like to have the hope of mobility threatened. Amputee Coalition Statistics used on American Endovascular & Amputation Prevention site, April 25, 2022   Before my elective amputation, I was told everything would be covered. I did my homework because I knew prosthetics were expensive, and I needed the reassurance that if I moved forward with surgery, I would have access to the leg I needed. Then, about a month after surgery, we filed the insurance paperwork and I was denied. I can tell you without hesitation that those four weeks were some of the hardest weeks of my life. In the grand scheme of seven years, it may look like a blink. But in the moment, it felt like everything. I had dreams, goals, and visions of what life could be after amputation, and suddenly an insurance company was telling me no. So I fought. Every single weekday, I called. I kept climbing the ladder, talking to the next person and then the next. I refused to sit back and wait for someone else to decide my future. That season demanded every ounce of emotional and mental strength I had. I had to advocate for myself when I was exhausted, scared, and uncertain. And when I think about the reality that so many people around the world never get that access at all, it is heartbreaking.   Amputee Coalition Statistics used on American Endovascular & Amputation Prevention site, April 25, 2022   The leading causes of limb loss are also telling. Vascular disease, including diabetes, makes up the largest percentage. Trauma is close behind, including accidents and injuries. Then comes cancer, though at a much smaller percentage. My own amputation came after years of surgeries following a karate injury, and eventually I made the deeply personal decision to amputate. Elective amputation is not an easy road, and whether amputation happens in an instant or after years of medical struggle, both journeys carry their own kind of trauma. That's the part people do not always see. Yes, limb loss is physical. It is visible. But the emotional and mental toll can be just as life-altering. Depression, anxiety, PTSD, fear, isolation, and loss of confidence are very real parts of this journey for so many amputees. People may see someone walking on a prosthesis and assume they are doing fine, but they do not always see the inner battle. They do not see the fear of falling, the anxiety of being watched, the struggle to trust your body again, or the grief of trying to figure out who you are now.   Amputee Coalition Statistics used on American Endovascular & Amputation Prevention site, April 25, 2022   Physiopedia: The 5 Stages of Grief and Loss; Axelrod, J. September 26, 2018, https://psychcentral.com/lib/the-5-stages-of-loss-and-grief/   Prime Care, Blog by Eddie Zepeda. Published, January 20, 2025   And then there is phantom pain, something many amputees know all too well. Phantom pain and sensations can range from mild to absolutely overwhelming. It can feel like burning, stabbing, cramping, stinging, or relentless discomfort that comes out of nowhere and hits like a truck. It is one more reminder that the amputee journey is layered, complicated, and often invisible to the outside world. That is exactly why this month matters so much to me. I want these interviews to shine a light on the real lives behind the statistics. I want you to hear from young adults who have endured the unimaginable and are now learning how to rise, rebuild, and become warriors. Their stories deserve to be heard, and I know they will inspire anyone who listens. So as we step into Limb Loss and Limb Difference Awareness Month, I hope you'll join me. Like, share, subscribe, and most of all, listen. These stories matter. These lives matter. And together, we can bring more awareness, more compassion, and more hope to a community that deserves to be seen. And as always, Be healthy, Be happy, Be YOU!!!   Much love,

Mandy Wiener speaks to EWN Reporter, Babalo Ndenze about the ANC Eastern Cape elective conference that has been put on hold. The Midday Report with Mandy Wiener is 702 and CapeTalk’s flagship news show, your hour of essential news radio. The show is podcasted every weekday, allowing you to catch up with a 60-minute weekday wrap of the day's main news. It's packed with fast-paced interviews with the day’s newsmakers, as well as those who can make sense of the news and explain what's happening in your world. All the interviews are podcasted for you to catch up and listen to. Thank you for listening to this podcast of The Midday Report Listen live on weekdays between 12:00 and 13:00 (SA Time) to The Midday Report broadcast on 702 https://buff.ly/gk3y0Kj and on CapeTalk https://buff.ly/NnFM3Nk For more from The Midday Report go to https://buff.ly/BTGmL9H and find all the catch-up podcasts here https://buff.ly/LcbDdFI Subscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 See omnystudio.com/listener for privacy information.

The African National Congress in Limpopo is set to proceed with its provincial conference after the High Court in Polokwane dismisses an urgent application to halt the gathering. The ruling clears the way now for leadership elections, which are scheduled for today the 27th and 28th of March throughout this weekend, despite disputes over delegate nomination processes. This judgement comes a day after the East London High Court ruled yesterday that the Eastern Cape African National Congress (ANC) elective conference, scheduled for this weekend in KuGompo, cannot go ahead.

Join us as Declan and Roger discuss the evidence for routine table tilt during elective caesarean section.   Has this changed your practice? What is your opinion on this topic? We'd love to read your emails.  As mentioned in the episode we would love to do a future episode on Q&A so if you have any questions on any topic you would like us to tackle please send them in! Send your comments / questions to: obsgynaecritcare@gmail.com References Hughes EJ, Price AN, McCabe L, Hiscocks S, Waite L, Green E, Hutter J, Pegoretti K, Cordero‐Grande L, Edwards AD, Hajnal JV. The effect of maternal position on venous return for pregnant women during MRI. NMR in Biomedicine. 2021 Apr;34(4):e4475.  Couper S, Clark A, Thompson JM, Flouri D, Aughwane R, David AL, Melbourne A, Mirjalili A, Stone PR. The effects of maternal position, in late gestation pregnancy, on placental blood flow and oxygenation: an MRI study. The Journal of physiology. 2021 Mar;599(6):1901-15.  Higuchi H, Takagi S, Zhang K, Furui I, Ozaki M. Effect of lateral tilt angle on the volume of the abdominal aorta and inferior vena cava in pregnant and nonpregnant women determined by magnetic resonance imaging. Anesthesiology. 2015;122(2):286-293.  Fujita N, Higuchi H, Sakuma S, Takagi S, Latif MA, Ozaki M. Effect of right-lateral versus left-lateral tilt position on compression of the inferior vena cava in pregnant women determined by magnetic resonance imaging. Anesthesia & Analgesia. 2019 Jun 1;128(6):1217-22.  Aust H, Koehler S, Kuehnert M, Werdehausen R, Schleppers A, Reese PC, Reyher C. Guideline-recommended 15° left lateral table tilt during cesarean section in regional anesthesia—practical aspects: an observational study. Int J Obstet Anesth. 2016 Aug;27:47-53.  Crawford JS, Burton M, Davies P. Time and lateral tilt at Caesarean section. Br J Anaesth. 1972 May;44(5):477-84.  Lee AJ, Landau R, Mattingly JL, Meenan MM, Corradini B, Wang S, Goodman SR, Smiley RM. Left lateral table tilt for elective cesarean delivery under spinal anesthesia has no effect on neonatal acid–base status: a randomized controlled trial. Anesthesiology. 2017;127(2):241‑249.  Jackson KL, Smiley RM, Lee AJ. Neonatal acid-base status before and after discontinuing routine left uterine displacement for elective cesarean delivery: a retrospective cohort study (2014–2017). Int J Obstet Anesth. 2025;62:104350.  You need to add a widget, row, or prebuilt layout before you’ll see anything here.

When fuel prices climb and headlines turn gloomy, every pallet of chemicals, o-rings, and test kits you buy gets more expensive—and that cost lands squarely on your route. We peel back the layers of how inflation really moves through suppliers, distributors, and delivery trucks to your invoice, then lay out a calm, practical plan to protect your margins without torching hard-won client trust.We start by mapping the signals: oil spikes push freight costs up, distributors pass those increases on, and chemical prices rarely fall once they rise. Pulling from the hard lessons of 2008 and the unique distortions of COVID-era stimulus, we explain why waiting for prices to drop is a risky bet. Instead, we outline a measured approach: calculate your true per-stop costs, choose a single, modest rate increase that covers summer volatility, and communicate it in plain English with clear dates and a steady hand.From there, we talk through what changes on the ground. Elective installs and remodels slow first, tightening the future service pipeline and making new customer acquisition tougher. Some clients try DIY, meet sticker shock at the pool store, and realize the time and skill it takes to keep water clear through heat and bather load. Your edge is reliability. We share efficiency plays—tighter routing, fewer emergency runs, digital billing, smart stocking of fast-moving essentials—so you cut waste, not service quality. You'll also hear when to cull unprofitable accounts, how to negotiate with suppliers, and the simple metrics to watch weekly so you act early rather than react late.If you've been wondering whether to raise rates, how much, and how to say it without losing good customers, this guide gives you a script and a strategy. Subscribe, share with a fellow pool pro, and leave a review telling us: are you implementing one increase now or waiting to see where fuel lands next month?Send a textSupport the Pool Guy Podcast Show Sponsors! HASA https://bit.ly/HASAThe Bottom Feeder. Save $100 with Code: DVB100https://store.thebottomfeeder.com/Try Skimmer FREE for 30 days:https://getskimmer.com/poolguy Get UPA Liability Insurance $64 a month! https://forms.gle/F9YoTWNQ8WnvT4QBAPool Guy Coaching: https://bit.ly/40wFE6y

Hospital Shutdown, Ransomware Surge, Fortinet Failures A hospital doesn't cancel chemotherapy appointments because of a “technical issue.” They cancel them because they've lost operational control. This week, the University of Mississippi Medical Center shut down its entire network after a ransomware attack disrupted systems — including Epic. Clinics closed. Elective procedures paused. Outpatient services halted. Emergency operations activated. Leadership described the shutdown as precautionary. But here's the real question executives should be asking: Why was a full network shutdown necessary? If segmentation is validated… If identity governance is enforced… If lateral movement detection is operationalized… Why does the only safe option become “turn it all off”? In this episode of Security Squawk, we break down what this incident signals about containment confidence, governance maturity, and operational resilience — not just in healthcare, but across every industry that depends on uptime. And we zoom out. Because UMMC isn't happening in isolation. According to TechRadar, ransomware groups have reached an all-time high in 2025. The victim growth rate has doubled. Qilin and other affiliate-driven operators are scaling aggressively. This isn't random chaos. It's industrialization. More fragmentation. More specialization. More execution discipline on the criminal side. Healthcare, public sector, and critical infrastructure are being economically targeted because downtime equals leverage. When systems go dark, negotiation pressure spikes. Then we connect it to something many leaders are still underestimating: Fortinet exploitation patterns. Edge vulnerabilities. VPN credential harvesting. Reinfection cycles months after patches were released. The vulnerability itself isn't the story. The response maturity is. Attackers are repeatedly probing whether organizations: – Patch fast enough – Rotate exposed credentials – Reset trust boundaries after compromise – Validate segmentation integrity – Rebuild identity confidence When those governance steps are skipped, attackers come back. That's not a tooling failure. That's a leadership failure. This episode translates three headlines into one hard truth: Ransomware is no longer just a malware problem. It's a containment confidence problem. For CEOs: If you cannot isolate an intrusion without shutting down revenue operations, your resilience model is fragile. For IT Directors: Active Directory recovery is not a restore-from-backup event. It's a trust re-establishment event. For MSPs: Client environments are operating in a denser criminal ecosystem. Tool stacking without maturity validation will not scale. For Risk Leaders: Financial exposure is no longer limited to ransom. Revenue interruption, regulatory scrutiny, and reputational damage compound quickly — especially in healthcare. We also discuss: • Why attacker communication often signals a second phase • Why affiliate ransomware models are accelerating • Why segmentation validation will become a board-level metric • Why detection speed does not equal governance strength Security Squawk exists to translate cybersecurity chaos into business reality — without vendor spin and without hype. If you value that kind of analysis and want to support independent, executive-focused cybersecurity conversations, you can back the show at: buymeacoffee.com/securitysquawk Your support helps us keep this live, timely, and unfiltered. Because criminals are already running maturity audits. And they invoice in operational shutdown. The question is simple: If it happened to you tomorrow, could you contain it — or would you turn the lights off?

"If you ask the surgeon how much time they have to spend thinking about the business side of their practice, it's too high... Let's let doctors be doctors." - Ryan WellsMy guest this week is Ryan Wells, Founder and CEO of Health Here. Ryan joins me to explain why the key to fixing the broken doctor-patient relationship is getting providers out of the debt collection business.We explore how Episodic Care (bundled payments) can finally align the financial incentives of self-funded employers and high-value specialists. Ryan breaks down how his platform automates payments, getting surgeons paid in under 15 days while eliminating patient liability entirely.We dive deep into Ryan's background in the OR, the lessons learned from the "Metal on Metal" hip recall, and why we need to move from "open enrollment confusion" to real-time, event-driven patient navigation.If you are tired of administrative waste and want to see a model where doctors focus on care instead of claims, this episode is for you.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Let Doctors Be Doctors(00:03:04) Ryan's Journey: From Anthropology to the OR (00:07:00) Lessons from Medicare's Acute Care Episode Demo (00:10:46) Defining the "Bundle" vs. Fee-for-Service (00:13:00) Value-Based Care = Outcome / Cost (00:16:14) Why Orthopedics is the Perfect Starting Point (00:18:32) Moving from "Elective" to "Discretionary" Care (00:21:38) The Navigation Problem: Open Enrollment Fails (00:31:48) Owning the Payment Rails: 15-Day Payments (00:37:38) Automating the "Outlier Workflow" (00:41:35) The "Metal on Metal" Hip Recall & Registries (00:48:30) Expanding to Cardiology and Bariatrics (00:53:03) The Moonshot: Removing the Business Burden from MDsKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"If you ask the surgeon how much time they have to spend thinking about the business side of their practice, it's too high... Let's let doctors be doctors." - Ryan WellsMy guest this week is Ryan Wells, Founder and CEO of Health Here. Ryan joins me to explain why the key to fixing the broken doctor-patient relationship is getting providers out of the debt collection business.We explore how Episodic Care (bundled payments) can finally align the financial incentives of self-funded employers and high-value specialists. Ryan breaks down how his platform automates payments, getting surgeons paid in under 15 days while eliminating patient liability entirely.We dive deep into Ryan's background in the OR, the lessons learned from the "Metal on Metal" hip recall, and why we need to move from "open enrollment confusion" to real-time, event-driven patient navigation.If you are tired of administrative waste and want to see a model where doctors focus on care instead of claims, this episode is for you.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Let Doctors Be Doctors(00:03:04) Ryan's Journey: From Anthropology to the OR (00:07:00) Lessons from Medicare's Acute Care Episode Demo (00:10:46) Defining the "Bundle" vs. Fee-for-Service (00:13:00) Value-Based Care = Outcome / Cost (00:16:14) Why Orthopedics is the Perfect Starting Point (00:18:32) Moving from "Elective" to "Discretionary" Care (00:21:38) The Navigation Problem: Open Enrollment Fails (00:31:48) Owning the Payment Rails: 15-Day Payments (00:37:38) Automating the "Outlier Workflow" (00:41:35) The "Metal on Metal" Hip Recall & Registries (00:48:30) Expanding to Cardiology and Bariatrics (00:53:03) The Moonshot: Removing the Business Burden from MDsKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Champions For Nature is a fun Elective Adventure that helps Cub Scouts learn how to care for the outdoors and serve their community. In this #CubChatLive, we'll share ideas that can make these activities engaging for your entire pack.

Welcome to Walking the Way. My name is Ray, and I really want to say thank you to everyone for listening in as we continue to explore what it means to have a regular rhythm of worship. CreditsOpening PrayerRay BorrettBible verseIsaiah 40:27 Thought for the dayRay BorrettBible PassageIsaiah 40Contemporary English Version Copyright © 1995 by American Bible Society For more information about CEV, visit www.bibles.com and www.cev.bible.Prayer Handbookprayer handbook WTW 2026.pdfSupporting Walking the WayIf you want to support Walking the Way, please go to: https://ko-fi.com/S6S4WXLBBor you can subscribe to the channel: https://podcasters.spotify.com/pod/show/walkingtheway/subscribeTo contact Ray: Please leave a comment or a review. I want to find out what people think and how we make it better.www.rayborrett.co.ukwalkingthewaypodcast@outlook.comwww.instagram.com/walkingtheway1@raybrrtt

With so many fun Cub Scout Elective Adventures to choose from, where do you start? In this week's #CubChatLive, we'll share ideas and tips to help you pick (and make the most of!) these activities for your den.

Have you ever felt like you were "waiting for the inevitable" because of your family history? In today's episode, Dr. Jen dives deep into the complex world of preventative mastectomies and elective hysterectomies. While conventional medicine often views these procedures as the only solution for high-risk genetic markers like BRCA1 and BRCA2, Dr. Jen explores the vital "middle ground." We discusses the limitations of standard screenings, the energetic significance of our feminine centers, and how epigenetics—the way we live, eat, and supplement—can influence how our genes actually express themselves. This isn't just about surgery; it's about understanding the "Root Cause" of why our bodies create dense tissue or fibroids in the first place. Themes: Understanding that while we may carry certain genes, our environment and hormonal balance (especially the role of progesterone) act as the "software" that runs the system. Why traditional mammography isn't a one-size-fits-all solution for dense tissue and the benefits of radiation-free options like thermography. Honoring the energetic "portals" of the breasts and womb, and how to maintain that feminine vitality even if physical organs are removed. Why hormonal replacement is a non-negotiable for long-term bone, brain, and heart health following a hysterectomy. Utilizing peptides and targeted lifestyle shifts to address inflammation and tissue health before a crisis occurs. Connect with Jen: 

Dr. Bill Davis, professor of philosophy at Covenant College, offers a brief preview of his upcoming class, "Honoring Your Dependent Parents: What the Command Means when Our Parents Become Cognitively Altered, Frail, Angry, or Bankrupt." This six-week course will be offered during the Winter 2026 adult elective class period, beginning on January 4, 2026.Host: Chad MiddlebrooksSpecial Guest: Dr. Bill DavisProducer: Ben WingardMusic arranged by David Henry and performed by David Henry and Hannah Lutz.To contact Pillar & Ground or to submit a question that you would like to hear addressed on a future episode, please email podcast@lmpc.org. 

Dr. Jeff Humphries, professor of computer science at Covenant College, offers a brief preview of his upcoming class, "Engaging AI: Artificial Intelligence and Technology from a Biblical Perspective." This six-week course will be offered during the Winter 2026 adult elective class period, beginning on January 4, 2026.Host: Chad MiddlebrooksSpecial Guest: Dr. Jeff HumphriesProducer: Ben WingardMusic arranged by David Henry and performed by David Henry and Hannah Lutz.To contact Pillar & Ground or to submit a question that you would like to hear addressed on a future episode, please email podcast@lmpc.org. 

Dr. Dan MacDougall offers a brief preview of his upcoming class,"New Testament Eschatology." This six-week course will be offered during the Winter 2026 adult elective class period, beginning on January 4, 2026.Host: Chad MiddlebrooksSpecial Guest: Dr. Dan MacDougallProducer: Ben WingardMusic arranged by David Henry and performed by David Henry and Hannah Lutz.To contact Pillar & Ground or to submit a question that you would like to hear addressed on a future episode, please email podcast@lmpc.org. 

Robert Row, student ministries director at seeJesus Ministry, offers a brief preview of his upcoming class, "Preparing for the Passion: An In-Depth Look at the Person of Jesus in the Most Important Week in History." This six-week course will be offered during the Winter 2026 adult elective class period, beginning on January 4, 2026.Host: Chad MiddlebrooksSpecial Guest: Robert RowProducer: Ben WingardMusic arranged by David Henry and performed by David Henry and Hannah Lutz.To contact Pillar & Ground or to submit a question that you would like to hear addressed on a future episode, please email podcast@lmpc.org. 

Chad Middlebrooks, pastor of discipleship at LMPC, offers a brief preview of the upcoming class, "The Gospel & Christianity, Part 1b."  This six-week course will be offered during the Winter 2026 adult elective class period, beginning on January 4, 2026.Host: Brian SalterSpecial Guest: Chad MiddlebrooksProducer: Ben WingardMusic arranged by David Henry and performed by David Henry and Hannah Lutz.To contact Pillar & Ground or to submit a question that you would like to hear addressed on a future episode, please email podcast@lmpc.org. 

This episode is about how to thrive in your anesthesia elective rotation. The anesthesia rotation isn't like any other rotation you've done before. Anesthesia is different. In this podcast episode I'm going to go over some general tips, how to set up the OR, preop, post op and some resources I used during my rotations. Featuring M4 Sheena Pubien.

This week on Two Parents & A Podcast, we're joined by Emily Oster — bestselling author, economist, and the data-driven voice behind ParentData.org— to separate pregnancy facts from fear-based fiction. From sushi and soft cheese to caffeine, deli meat, and yes — even a little wine — Emily breaks down what's actually backed by research vs. what's just outdated “pregnancy police” rules we've all heard. We also get into nausea myths, Ozempic, Botox, NIPT false positives, elective inductions, epidurals, and the real risks people should pay attention to. If you've ever felt overwhelmed by conflicting pregnancy advice, Googled something you immediately regretted, or wondered what really matters for a healthy pregnancy — this one's going to bring so much relief (and maybe give you permission to enjoy that Diet Coke again!!!). Timestamps:  00:00:00 Welcome back to Two Parents & A Podcast! 00:00:44 Introduction to Emily Oster 00:03:25 How did an economist become one of the most trusted voices in pregnancy? 00:07:07 What's the #1 pregnancy rule that doesn't make sense once you look at the research? 00:10:16 How much of the advice we hear is truly backed by research vs. just old-school caution? 00:11:02 Is there any truth to “more nausea = healthier pregnancy”? 00:15:50 What's the real risk with deli meat and listeria today? 00:19:02 Can pregnant women safely eat sushi? 00:24:40 Soft cheeses & runny eggs 00:25:12 How much caffeine is safe during pregnancy? 00:26:54 Can you drink alcohol during pregnancy? 00:28:30 Can you smoke, vape, or eat gummies during pregnancy? 00:30:18 Can you take Ozempic, get Botox, or use retinol during pregnancy? 00:33:48 What is the #1 thing to avoid during pregnancy? 00:35:07  How accurate is NIPT really? (False positives explained) 00:38:45  Elective inductions at 39 weeks — what does data say? 00:45:09 Do epidurals affect labor progression? 00:45:40 Vitamin K shot & newborn eye ointment — what parents need to know 00:46:30 Should women eat their placenta? 00:49:16 Rapid-fire: Diet Coke, spicy food, stress, flying & prenatals 00:51:45 What pregnancy myth do you wish would disappear forever? 00:52:34 Thank you for listening!  #twoparentsandapod --------------------------------------------------------------- Thank you to our sponsors this week: *Manukora: Get up to 31% off plus $25 in free gifts with the Starter Kit at https://www.manukora.com/TWOPARENTS. *Magnetic Me: New customers get 15% off at https://www.magneticme.com with code TWOPARENTS. *SKIMS: Shop Alex's favorite pajamas at https://www.skims.com/TWOPARENTS. #skimspartner *Aura Frames: $35 off with code TWOPARENTS — shop perfect holiday gifts at https://on.auraframes.com/TWOPARENTS. *Kachava: Get 15% off your next order at https://www.kachava.com with code TWOPARENTS. --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@twoparentsandapod https://open.spotify.com/show/7BxuZnHmNzOX9MdnzyU4bD?si=5e715ebaf9014fac https://podcasts.apple.com/us/podcast/two-parents-a-podcast/id1737442386 --------------------------------------------------------------- Follow Two Parents & A Podcast: Instagram | https://www.instagram.com/twoparentsandapod TikTok | https://www.tiktok.com/@twoparentsandapod Follow Alex Bennett: Instagram | https://www.instagram.com/justalexbennett TikTok | https://www.tiktok.com/@justalexbennett Follow Harrison Fugman: Instagram | https://www.instagram.com/harrisonfugman TikTok | https://www.tiktok.com/@harrisonfugman Find our guest: Website | https://parentdata.org/ Instagram | https://www.instagram.com/profemilyoster TikTok | https://www.tiktok.com/@profemilyoster --------------------------------------------------------------- Powered by: Just Media House – https://www.justmediahouse.com/ --------------------------------------------------------------- Learn more about your ad choices. Visit megaphone.fm/adchoices

Elective Hysterectomies by Maine's Coast 93.1

Your home could be triggering your allergies and nobody's checking. Dr. Tania Elliott sees patients struggling with reactions that disappear before they can get to the doctor's office. That's why she started doing virtual home tours to find what's really causing the problem.In this episode, Dr. Elliott explains why that new couch smell is actually toxic, how synthetic candles mess with your hormones, and why our obsession with being too clean backfired into an allergy epidemic. She digs into Mast Cell Activation Syndrome, shares why peanut allergies in kids went through the roof after we delayed introducing peanuts, and gives you simple steps to clean up your indoor air. If you're dealing with mystery symptoms or just want to make your home healthier, this conversation is full of practical changes that actually work.Join the most comprehensive female-specific community for health and longevity optimization. After over a decade dedicated to human performance and women's health, I created this space to share everything you need to know to optimize health and lifespan. Inside, you'll get access to exclusive protocols, live Q&As, the latest female longevity science, and a private, supportive community of like-minded women.https://kayla-barnes-lentz.circle.so/checkout/become-a-memberGuest's website + socials Website: https://www.taniaelliottmd.com/Instagram: https://www.instagram.com/drtaniaelliott/Kayla's social + website:Instagram: https://www.instagram.com/kaylabarnes/TikTok: https://www.tiktok.com/@femalelongevityTwitter: https://x.com/femalelongevity YouTube: www.youtube.com/@KaylaBarnesLentzWebsite: https://www.kaylabarnes.com/Follow Her Female Protocol: https://www.protocol.kaylabarnes.com/Become a Member of Kayla's Female Longevity Membership: https://kayla-barnes-lentz.circle.so/checkout/become-a-member

Welcome to Fertility & Sterility Roundtable! Each month, we will host a discussion with the authors of "Views and Reviews" and "Fertile Battle" articles published in a recent issue of Fertility & Sterility. This month, we welcome Dr. Brian Levine and Dr. Kate Schoyer to discuss if physicians should be facilitating gestational carrier arrangements in the absence of a medical indication, also known as elective surrogacy. Dr. Brian Levine is the founding partner and practice director of CCRM New York, where he has helped countless families on their path to parenthood. Dr. Levine is also the founder of Nodal, the premier online gestational surrogacy platform, which connects intended parents and surrogates in a trusted and transparent way. Dr. Kate Schoyer is an Associate Professor of Obstetrics and Gynecology and Reproductive Endocrinology and Infertility at the Medical College of Wisconsin. She is the Director of the Division of Reproductive Endocrinology and Infertility and is the Medical Director of the Reproductive Medicine Center at Froedtert Hospital. Her research interests include factors contributing to success with ART, the impact of BMI, and therapies for patients with diminished ovarian reserve. View Fertility and Sterility at https://www.fertstert.org/

In this episode of the NCS Podcast Hot Topics series, host Dr. Nicholas Morris speaks with Dr. Wendy Ziai, professor of neurology at Johns Hopkins and senior editor for Neurocritical Care, and Dr. Richard Choi, neurointensivist at MedStar Franklin Square and social media editor for the journal. This episode also introduces Dr. Richard Choi as the new host of the NCS Podcast Hot Topics series, which will continue to feature high-impact articles from Neurocritical Care. They discuss a new study, Postoperative Monitoring After Elective Intracranial Surgery in a Postanesthesia Care Unit is Safe, Efficient and Cost-Effective, by Arthur Wagner and colleagues in Munich, Germany. The conversation examines the 10-year experience with more than 5,500 patients, complication rates and how PACU-based pathways may ease ICU demand while supporting safe outcomes. Dr. Ziai and Dr. Choi also share perspectives on ICU capacity and the importance of collaboration across departments, showing how this research connects to real-world practice. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

  We love getting requests from listeners for podcast topics.  This request came from geriatricians we met at the annual American Geriatrics Society meeting in Chicago.  They wanted to know more about what a geriatrician should do in a pre-operative risk assessment.  So we invited Vicky Tang and Houman Javedan, two geriatricians and leaders in the pre-operative assessment and prehab space, to talk with us. As is our style, we backed up to some bigger questions, including: -Why do patients need a geriatric assessment pre-operatively?-Why are our surgical colleagues asking us? Is it due to liability concerns? -Why do we do them?  Recognizing we may have different motivations than our consultants (hint: stealth geriatrics) -How does the comprehensive geriatric assessment fit int? Do the 4Ms fit into pre-operative assessment if at all? (an entertaining disagreement ensued) -Must a geriatrician do this? -What is the Geriatric Surgery Verification Program? -What's the most important part of  Many links from our guests below. And please forgive my Spanish on the song, I tried! Thanks to sons Kai and Renn on Ukulele and Bass for making it sound better. -Alex From Vicky: Systematic review of Prehab https://pubmed.ncbi.nlm.nih.gov/39655991/ Geriatric Surgery Verification Program https://www.facs.org/quality-programs/accreditation-and-verification/geriatric-surgery-verification/  shared decision making in surgical patients https://pubmed.ncbi.nlm.nih.gov/40551447/  From Houman: Geriatric Surgical Co-management Evidence 1.    Trauma survival with geriatric assessment 2022- https://pubmed.ncbi.nlm.nih.gov/36102764/ 2.    Hip fracture survival benefit meta-analysis 2014- https://pubmed.ncbi.nlm.nih.gov/23912859/ 3.    Elective abdominal surgery benefits POSH program 2018- https://pubmed.ncbi.nlm.nih.gov/29299599/ 4.    POSH Program for Spine 2021- https://pubmed.ncbi.nlm.nih.gov/33382460/ 5.    Elective orthopedic joints ED readmission decreases 2024 - https://pubmed.ncbi.nlm.nih.gov/39715294/ 6.    The need for geriatricians, tools and education models (aka Ms) are not enough - https://pubmed.ncbi.nlm.nih.gov/30916758/ Sub Topics 7.    Utility of minicog and where our improved local mortality of 18% and delirium of 11% reported - https://pubmed.ncbi.nlm.nih.gov/27147687/ 8.    Geriatrician performed CGA-FI best at predicting mortality in rib fractures 2025 - https://pubmed.ncbi.nlm.nih.gov/39800638/ 9.    Geriatrician performed CGA-FI predicting mortality better than age in hip fractures 2024- https://pubmed.ncbi.nlm.nih.gov/39007664/  10.  Multidomain frailty assessment and surgery showing severely frail patients at risk of mortality even with low risk procedures (eg. Cystoscopy) - https://pubmed.ncbi.nlm.nih.gov/31721994/ 11.  Different outcomes for hip fracture surgery in the severely frail - https://pubmed.ncbi.nlm.nih.gov/38892908/ 12.  Complexity of aging physiology- example of prostaglandin based free water excretion in collecting duct of aging kidney first paragraph on page 360- https://pubmed.ncbi.nlm.nih.gov/36948780/   

Send us a textAtropine Versus Placebo for Neonatal Nonemergent Intubation: A Randomized Clinical Trial. Afifi J, El-Naggar W, Hatfield T, Sandila N, Baier J, Narvey M.J Pediatr. 2025 Jul 9;286:114719. doi: 10.1016/j.jpeds.2025.114719. Online ahead of print.PMID: 40645282Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this episode of Healthful Woman, Dr. Nathan Fox is joined by Dr. Stephanie Melka for an in-depth discussion on elective induction of labor. Building on past episodes about labor induction and the ARRIVE Trial, they explore what it truly means to choose induction without a strict medical indication. The conversation delves into the nuances of the term “elective,” its possible stigma, and how evolving evidence, particularly from the ARRIVE Trial, has shifted the medical community's perspective. Dr. Fox and Dr. Melka also touch on the motivations behind induction requests and the balance between medical necessity and patient preference in modern obstetrics.

Amanda Ann Gregory, LCPC, offers a critical look at forgiveness in trauma therapy, clarifying its elective role and its distinction from reconciliation, as well as providing practical tools to help therapists integrate these concepts responsibly into treatment. Interview with Elizabeth Irias, LMFT. Earn CE credit for listening to this episode by joining our low-cost membership for unlimited podcast CE credits for an entire year, with some of the strongest CE approvals in the country (APA, NBCC, ASWB, and more). Learn, grow, and shine with Clearly Clinical Continuing Ed by visiting https://ClearlyClinical.com.