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2 episodes with emesis
2 episodes with emesis
2 episodes with emesis
Übelkeit, auch als Nausea bezeichnet, ist ein unangenehmes Empfinden im Oberbauch und im hinteren Rachenbereich, das oft mit dem Drang zum Erbrechen - auch Emesis genannt - einhergeht. Sie ist ein häufiges unspezifisches Symptom, das durch eine Vielzahl von pathologischen und physiologischen Prozessen verursacht werden kann. Die Pathophysiologie der Übelkeit ist komplex und involviert zentrale und periphere Mechanismen. Übelkeit kann durch eine Vielzahl von Ursachen ausgelöst werden, die in verschiedene Kategorien unterteilt werden können. Lerne in dieser Folge alles zu diesem Pflegephänomen und lass dich fit machen für die Prüfungen und die praktische Arbeit auf Station.
Send us a Text Message.Discover how to improve the success rate of inducing vomiting in dogs with our guest, Dr. Trevor Chan. Trevor shares how the combination of abdominal thrusts and apomorphine that achieved a 100% success rate, an improvement from the 76.5% success rate with apomorphine alone. Trevor also discusses the consistent time to onset of vomiting and why larger dogs may be more responsive to this life-saving intervention. This episode is packed with crucial insights that can transform emergency veterinary practices.Trevor also shares essential considerations for veterinarians when advising clients on emesis induction. We explore the potential risks and side effects, particularly for at-risk breeds, and why attempting this procedure at home is not advised. Trevor emphasizes the importance of immediate veterinary care when dogs ingest harmful substances. Tune in for an episode filled with practical advice and captivating discoveries.JAVMA article: https://doi.org/10.2460/javma.23.12.0681INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals
Recorded by Keetje Kuipers for Poem-a-Day, a series produced by the Academy of American Poets. Published on March 8, 2024. www.poets.org
In all our years of involvement with machinima (and that's over 75 years between us), feature length has been something we've rarely found watchable... but with this week's pick, we were proven wrong, mostly! Emesis Blue, made in Source Filmmaker using the Team Fortress 2 characterisations by Fortress Films, is an incredibly well-made if very complex story that was crafted over many years. 1:30 Overview of the plot, twists and the filmmaker8:33 Ambiguity vs over-complex?9:29 The merits of the long format for this film10:15 Its all in the knitting11:30 The first 20 minutes are exceptional12:38 The importance of episodes13:30 Its pulp17:40 Nolan's influence?25:30 Game lore didn't matter in appreciating the film29:29 Entertaining who? 30:39 An ending - never explain!35:24 Storytelling craft37:47 The Source engine39:59 Gladiatorial process: being critical and giving feedback41:46 Its a muddle in the middle... the title of Ricky's new autobiographyCredits -Speakers: Phil Rice, Ricky Grove, Tracy Harwood, Damien ValentineProducer/Editor: Phil RiceMusic: Animo Domini Beats
An audio blog with a twist. I briefly mention Paul Whitehouse and Bob Mortimer's Gone Fishing, Fern Brady's Strong Female Character, and 2004's film The Machinist. I also talk about doing a link as a radio DJ. I'm also doing more on TikTok and YouTube - shorts and full-length videos (that look good) to accompany these episodes.
*Insert Matt's attempt at a train whistle here* This train keeps rolling as the Spooktacular Express makes a stop at the spooky machinima station! Join us today as we take a deep dive into the psychological horror known as Emesis Blue - a full 100+ minute movie made using assets from Team Fortress 2 by Fortress Films. Before we can do that, Matt walks us through a bit of history of machinima, explains TF2 to us, does an overview of the roster of characters, and then gives us some of that good, good TF2 deep lore. Special thanks to our patron and treasured member of our Discord, Squirrelmancer, for having this SPOOOOOOKY episode commissioned for their birthday! HEY HAVE YOU HEARD ABOUT THE SPOOKTACULAR REVIEW-A-THON? Spooktacular Review-a-thon: -Step 1: Review the podcast on Apple Podcasts, Podchaser, Goodpods, or anywhere else you can write reviews! -Step 2: Take a screenshot of your review, post it to social media, and tag us @debatethiscast -Step 3: We'll read your review in a spooky voice during the October ad breaks! -If we get 20 new reviews this month, we'll make Todd play another spooky game live on Twitch! (Or maybe it's Kyle because he missed this recording) -You can watch last years stream at https://www.youtube.com/@debatethiscast Required viewing: Emesis Blue Fortress Films Team Fortress 2 - Meet Them All Red vs Blue: Season 1, Episode 1 Have you seen our Twitter? twitter.com/debatethiscast Have you seen our Instagram? instagram.com/debatethiscast Want to send us an email? debatethiscast@gmail MERCH! We have that! Right now you can go on the internet and order things that say Debate This! On them! All you need to do is head to our Redbubble page and give us your money! You can find that Redbubble page with relative ease by going to www.debatethiscast.com and visiting the “Support the Show” page. Music for Debate This! is provided by composer Ozzed under a Creative Commons license. Check out more of their 8-bit bops at www.ozzed.net!
Hey pals, this week's episode includes mentions of drug use, self-harm, and death, starting around [38:20]. We appreciate you. ——This week's challenge: consider conducting yourself in the absence of anger.You can hear the after show and support Do By Friday on Patreon!——Produced and Edited by Alex Cox——Show LinksWhat Makes a Plane Turn Around?Last week's paint job on DeltaQuotidian Public RadioCan I turn left on red in Illinois? It depends | MyStateline.comWhat if You're in the Intersection & the Light Turns Red - YouTubeDriving You Crazy: Is it legal to turn left on a red light onto a one way street? - YouTubeThe 36-Hour Day: A Family Guide to Caring for People Who Have Alzheimer Disease, Related Dementias, and Memory LossThis American Life: The Call - YouTube809: The Call - This American LifeHow overdose prevention hotlines work.Never Use Alone Inc. – 800-484-3731Recorded Wednesday, September 21, 2023Next week's challenge: play Solitaire.
Leonard, Matthew and Cameron discuss the perils of repeated respawning in the film, Emesis Blue (2023). Contact: www.monsterdear.monster
Dr. Natalie Rosenstein author of "Ropinirole has similar efficacy to apomorphine for induction of emesis and removal of foreign and toxic gastric material in dogs in: Journal of the American Veterinary Medical Association - Ahead of print (avma.org)" discusses the use of ophthalmic solution ropinirole for the induction of emesis in dogs. Hosted by Associate Editor Dr. Sarah Wright and Editor-in-Chief Dr. Lisa Fortier.INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA OR AJVR?JAVMA: https://avma.org/JAVMAAuthorsAJVR: https://avma.org/AJVRAuthorsFOLLOW US:JAVMA:Facebook: Journal of the American Veterinary Medical Association - JAVMA | FacebookInstagram: JAVMA (@avma_javma) • Instagram photos and videosTwitter: JAVMA (@AVMAJAVMA) / Twitter AJVR: Facebook: American Journal of Veterinary Research - AJVR | FacebookInstagram: AJVR (@ajvroa) • Instagram photos and videosTwitter: AJVR (@AJVROA) / TwitterJAVMA and AJVR LinkedIn: https://linkedin.com/company/avma-journals#VeterinaryVertexPodcast #JAVMA #AJVRINTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals
Dr. Christiana Fischer author of "Emesis induction is successful for recovery of gastric foreign objects in cats in: Journal of the American Veterinary Medical Association - Ahead of print (avma.org)" discusses how to successfully induce emesis in cats. Hosted by Associate Editor Dr. Sarah Wright and Editor-in-Chief Dr. Lisa Fortier.INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA OR AJVR?JAVMA: https://avma.org/JAVMAAuthorsAJVR: https://avma.org/AJVRAuthorsFOLLOW US:JAVMA:Facebook: Journal of the American Veterinary Medical Association - JAVMA | FacebookInstagram: JAVMA (@avma_javma) • Instagram photos and videosTwitter: JAVMA (@AVMAJAVMA) / Twitter AJVR: Facebook: American Journal of Veterinary Research - AJVR | FacebookInstagram: AJVR (@ajvroa) • Instagram photos and videosTwitter: AJVR (@AJVROA) / TwitterJAVMA and AJVR LinkedIn: https://linkedin.com/company/avma-journals#VeterinaryVertexPodcast #JAVMA #AJVRINTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals
The boys sell out this week to talk to one of the creative forces behind the new horror streaming service, ScreamBox TV - Alex DiVincenzo. Just kidding about the sellout thing. It'll make sense when you listen. Or it won't. Films: The Horrors of AutoCorrect (2014), The Nurturing (2020), Pennywise: The Story of It (2021), Emesis (2021), Terrifier 2 (2022), All Hallows' Eve (2013), The Collector (2009), The Drone (2019), Welcome to Marwen (2018), 3 from Hell (2019), 31 (2016), The Lords of Salem (2012), Terrifier (2016), Unearthed & Untold: The Path to Pet Sematary (2017), Orphan: First Kill (2022), When the Screaming Starts (2021), Deep Fear (2022), All Jacked Up and Full of Worms (2022) Hey, we're on YouTube! Listening on an iPhone? Don't forget to rate us on iTunes! Fill our fe-mailbag by emailing us at OverlookHour@gmail.com Reach us on Instagram (@theoverlooktheatre) Facebook (@theoverlookhour) Twitter (@OverlookHour)
Quizmasters Lee and Marc are joined by several returning guests for a trivia quiz with topics including Movies, Medical Terms, Famous Brands, Fictional & Historical Animals, Sports, Pro Wrestling and more! Round One MOVIES & ANIME - Which critically acclaimed 1997 anime film directed by Satoshi Kon inspired Darren Aronofsky to make his 2010 thriller Black Swan? MEDICAL - Emesis is the medical term for doing what, which in certain conditions can cause a Mallory-Weiss tear? 90'S MOVIES - In Con Air, an airplane was flown into the lobby of what iconic Las Vegas hotel, on account of it being scheduled to be demolished in order to build the Venetian hotel in its place? LAW ENFORCEMENT - Named after an aquatic sea creature, what infamous device used by law enforcement agencies in sting operations and protests, which functions by monitoring cell phone radiation cell phone transmissions? SOCCER - Nicknamed "The Land of Volcanoes", which country is the current champion of the CONCACAF Beach Soccer Championship? Round Two MOVIE ADAPTATIONS - According to Slate.com, William Shakespeare had 831 writing credits on IMDB from film and TV adapted from his work as of 2011. What Russian writer was listed second with 320? PRO WRESTLING - In 1992, what former pro-football player defeated Vader with a snap scoop powerslam to become the first ever black American World Heavyweight Champion in professional wrestling history? BOTANY - Dionaea muscipula, a heavily-poached plant native to areas in the Carolinas, is commonly known by what name? PRO WRESTLING - The very nice, very evil, very famous wrestler Danhausen of his friends and foes over the span of his career, including the tooth of which former 'Ready to Rumble' World Heavyweight champion? AUTO MANUFACTURERS - Originally founded as Nakajima Aircraft Company, which automaker is named after the Japanese name for the Pleats? Round Three LITERATURE & FASHION - What is the name for the type of hunting headgear worn as a hat by detective character Sherlock Holmes? BUSINESS - What variety store began in 1939, has become one of the most profitable stores in the United States, with revenue reaching around $27 billion in 2019 and became became the exclusive retailer of Rexall vitamins and supplements? FAMOUS CHARACTERS - Stephanie Courtney is the real name of the actress who plays what iconic character first introduced to the public in 2008? MOTORCYCLES - In 1903, Harley Davidson motorcycle began production of its iconic motorcycle in Milwaukee, WI. Production remained there until EU tariffs forced them to move production overseas production in what year? BEER BRANDS - Zima was introduced in 1993 by which American brewing company? Final Questions STATE BIRDS - The Northern Cardinal is the most popular state with six states claiming it; name two of them. MOVIE DOGS - What are the names of four dog characters that Tim Burton has created for his horror films Nightmare Before Christmas, Mars Attacks, the Corpse Bride and Frankenweenie? HISTORICAL DOGS - Julianna was a dog who received two Blue Cross medals during World War II (even peeing on a bomb, disarming it) was of what breed? LANGUAGE - The term 'android' is a gender-specific term for a robot with a male appearance. What is the term for a robot with a female appearance? HARRY POTTER - In Harry Potter and the Goblet of Fire, Hagrid breeds an illegal hybrid of a Firecrab and a Manticore that the fourth years must take care of; what is the name of that type of creature? GRAPHIC NOVELS - What was the name of the one and only graphic novel written by William S. Burroughs? PRO WRESTLING - Who was the first transperson to win a major wrestling championship belt? Upcoming LIVE Know Nonsense Trivia Challenges June 29th, 2022 - Know Nonsense Challenge - Point Ybel Brewing Co. - 7:30 pm EST June 30th, 2022 - Know Nonsense Trivia Challenge - Ollie's Pub Records and Beer - 7:30 pm EST July 16th, 2022 - Quizgardium Triviosa! A Potterverse Pub Quiz - Point Ybel Brewing Co. - 6:00 pm EST You can find out more information about that and all of our live events online at KnowNonsenseTrivia.com All of the Know Nonsense events are free to play and you can win prizes after every round. Thank you Thanks to our supporters on Patreon. Thank you, Quizdaddies – Gil, Tim, Tommy, Adam, Brandon Thank you, Team Captains – Kristin & Fletcher, Aaron, Matthew, David Holbrook, Mo, Lydia, Rick G, Skyler Thank you, Proverbial Lightkeepers – Elyse, Kaitlynn, Frank, Trent, Nina, Justin, Katie, Ryan, Robb, Captain Nick, Grant, Ian, Tim Gomez, Rachael, Moo, Rikki, Nabeel, Jon Lewis, Adam, Lisa, Spencer, Luc, Hank, Manu, Justin P., Cooper, Sarah, Karly, Lucas Thank you, Rumplesnailtskins – Mike J., Mike C., Efren, Steven, Kenya, Dallas, Issa, Paige, Allison, Kevin & Sara, Alex, Mike K., Loren, MJ, HBomb, Aaron, Laurel, FoxenV, Sarah, Edsicalz, Megan, brandon, Chris, Alec, Sai, Nathan, Tim If you'd like to support the podcast and gain access to bonus content, please visit http://theknowno.com and click "Support." Special Guests: Dallas, Erik, Fletcher, Jamie, Jon Lane, Jon Lewis, Kristin, Kyle Anne, and Seth.
https://www.facebook.com/No-Loss-for-Words-102602299053016Getting acquainted, sharing some dysfunctional anecdotes, and looking toward the future degradation of society
We are back with the University of Florida School of Medicine as Aditya Rao presents a case of an 11 year with 2 week history of dry cough, nasal congestion and post-tussive emesis. Discussants include his classmates Pranshu Bhardwaj, Elizabeth Di Valerio, Daniel Valladares, Natalia Perenia, Abdi Ahmed, Jaimie Bryan with help from Hopkins Pediatrics resident Dr. Murphy
In this episode, host Alyssa Watson, DVM, chats with Kendon Kuo, DVM, MS, DACVECC, and Katherine Gerken, DVM, MS, DACVECC, about their recent Clinician's Brief article, “Emesis Induction.” Dr. Kuo and Dr. Gerken work through the entire process, starting with indications for—and against—inducing emesis, the timing of induction, patient risk factors, and which emetics to use. They also answer some of the most common emesis questions about batteries, hydrogen peroxide, and of course, cats.Resource:https://www.cliniciansbrief.com/article/emesis-inductionContact us:Podcast@briefmedia.comWhere to find us:Cliniciansbrief.com/podcastsFacebook.com/clinciansbriefTwitter: @cliniciansbriefInstagram: @clinicians.briefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Digital Content CoordinatorRandall Stupka - Podcast Production & Sound Editing
A book that doesn't seem to get the attention it deserves, A Song of Wraiths and Ruin is a story that you have and haven't heard before in the absolute best way. The Solstasia Festival happens only once every 50 years and Princess Karina is in the center of it all. A beautiful exploration of grief and duty, love and ambition, the gods are real and active in Ziran and Malik can see them all. The book begins with the author listing the content and trigger warnings, in the print AND audio versions, and conversations are had and questions are raised. Join Laura Marie and Jessica Marie as they forever chant the praises of strong female characters AND delight in Malik being a different kind of male MC. *Websites Referenced: * https://triggerwarningdatabase.com/2020/07/03/a-song-of-wraiths-and-ruin/ https://bookandfilmglobe.com/author-stuff/authors-warn-about-content-warnings-in-books/ https://blackgirlnerds.com/a-song-of-wraiths-and-ruins-interesting-lore-but-slow-world-building/ TW / CW: Ableism & ableist language, Racism and racial slurs, Colonialism themes, Refugee experiences, Riots and stampede, Police brutality, Emotional & physical child abuse, Cheating mentioned, Anxiety, Panic attack, described in detail on-page, Hallucinations, Depersonalisation & derealization, Self-harm & self-harm ideation, Alcohol consumption, Emesis, Blood depiction, Grief & loss depiction (theme), Death of a father recounted, Death of a mother, on-page, Death of a sister recounted, Death in a fire recounted, Hostage situation, Kidnapping & attempted kidnapping, Knife violence & stabbing, Murder & attempted murder, Regicide, Whipping of feet mentioned, Animal cruelty, Animal death, including animal sacrifice For additional TW/CW information for your future reads, head to this site for more: https://triggerwarningdatabase.com/ Spoilers: Kingdom of Ash Mentions: Throne of Glass, Legendborn, The Folk of the Air series, Tower of Dawn *Thank you for listening to us! Please subscribe and leave a 5 star review and follow us on Instagram (https://www.instagram.com/acofaepodcast/) and on our TikToks! TikTok: ACOFAELaura : Laura Marie (https://www.tiktok.com/@acofaelaura?) ACOFAEJessica : Jessica Marie (https://www.tiktok.com/@acofaejessica?)
In today's VETgirl online veterinary continuing education podcast, we interview Dr. Julie Menard, DACVECC, on what's new with emesis induction in dogs. When it comes to poison ingestion by our canine patients, when should we be inducing emesis, and what are the contraindications? Should we be inducing emesis with every toxin? What's new with emetics? Learn it here! Today's VETgirl podcast is sponsored by Vetoquinol, makers of Clevor, the only FDA-approved emetic agent for dogs. For more information and prescribing directions, go to https://www.vetoquinolusa.com/clevor-info.
Elizabeth Molina: [00:00:00] Hello, my beautiful people, I'm Elizabeth Molina, and I am your beauty guru in this podcast, I will share with you all you need to know about beauty from the inside out, you will gain access to the latest beauty trends from head to toe, mind and soul. You will hear from the experts themselves, the trendy influencers, celebrities, athletes and of course, myself on all things beauty. This is definitely the place to be. Biohacking, hacking life, hacking into the life. For your beauty routine, are you ready for your global obsession? Today's podcast guest is the co-founder and CEO of Young Goose. His name is Amitay. Amitay is an entrepreneur in the Biohacking and Spaces. He's also, like I said, the co-founder and CEO of Young Goose, a biohacking skincare company. And he is also the host of The Young, a biohacking beauty podcast, which is super duper cool. And we get to really go in today and kind of talk about what is biohacking, how does it fit the beauty space and how is this beauty line merging the two together? Of course, these are some of my favorite topics, so we are going to be diving in. Elizabeth Molina: [00:01:18] Welcome, Amitay, to the podcast. How are you doing today? Amitay Eshel: [00:01:23] I'm doing great. Thank you so much for having me on. I'm actually very excited to be on the podcast. Elizabeth Molina: [00:01:29] Awesome. Thank you so much. I'm excited because you're doing some amazing things and I want to talk about the journey. We're obviously this is a big podcast. I'm all about Pudi holistic insight and our mind and soul, all of all of it. This all interconnected. And you have a very interesting story. You come from a different background, like you have a military background. So do you mind how do you go from being in a tactical division in the Israeli army to basically biohacking skin care to give us a new technology that we haven't seen yet? Can you tell us about that? I would love our audience and I are like, intrigued. Amitay Eshel: [00:02:09] Yeah, I think this is a twofold answer because the short answer is where I was in the military and I was in a very small unit in an even smaller task force in that unit, and it was a special operations unit in the Israeli military. In the short answer is you learn to think outside the box and you learn that the enemy is always innovating. So you have an intrinsic urge to innovate and to find that the next step to whatever the large goal that you've set. If so, that's the short answer. If you want to hear a little bit of the story. Yes. As we as we said, I ended up at the end of my military career, was heading the reconnaissance task force and section of my small special forces unit in Israel. Life is very demanding. There are a lot of ups and downs and a lot of negativity you see around you, especially if you serve and on the front line. And when I kind of find myself in the private sector and being asked to manage individuals because this is the kind of profession I chose, I got addicted, you might say to the the amazing feeling you're getting when you're letting when you're giving another person the opportunity to feel better about themselves. And that was such such a sharp contrast in comparison to what I did before. And and it was so speaking into my soul, if you would. Amitay Eshel: [00:03:52] I love that feeling. When when when you know, you made an impact on someone like someone's life. The positive impact that I have been chasing that feeling so I started in Israel is amazing in innovation in the beauty space as well, but mainly in cosmetic procedure, innovation. So anything that's got to do with cold lasers or types of healing lasers, types of radio frequency devices, you'd be surprised probably, you know, eight out of ten treatments that you've undergone, like ablative treatments, harsh treatments that you've undergone, if you would have there, they were done with an Israeli product. So I started as an executive in that space, took the lessons I learned in my military career. How do you accomplish a mission? How do you build a tactic for for that mission and apply them to the private sector? And then before the pandemic, a few months before the pandemic, we've launched a startup that's called Jungle's. In this startup basically aims to really ring in all of the latest biohacking innovations and bottle them up into something as simple as possible skincare product, and that's another area that I feel skincare is kind of going awry where you have, you know, one product to every half a problem and know need a few products, each problem. So part of our idea was to have all of these amazing new technologies there, but make it as simple as possible. Elizabeth Molina: [00:05:35] Yeah, what a great story. And I love how you brought in the military of solving a problem. You have to be in head. You have to prepare. You have to strategize. And here's the same thing. We're strategizing against time, gravity, the pollution in the air, the food that we eat, what we drink. This is what you are kind of trying to plan ahead is what you're saying. You're strategizing. How do I optimize my skin, my health for mitigating really what's happening on in the environment and in the world? Everything is changing. So I love that. But how did you guys come up with the name Young Goose? I really think it's very interesting. I try to think of it like, what is a young goose and what does it look like and why do we want to be like Youngie? So. So tell me about the name. Amitay Eshel: [00:06:20] First of all, the fact that you're already asking about the name to me is is a is a small win, you know, because I we wanted an interesting name. And when we established our our startup, the name was different, the name was called Emesis. And for me is is a positive effect that the body undergoes because of stress. Unfortunately, our goal is larger than just skin care and in other spaces that we were hoping took to kind of expand to the name was taken. So, you know, we had to kind of scramble and find a new name. And my partner thought of the name. Obviously we want the end goal is to maintain youth and the the connotation of Gousse, which is to us is a very positive animal. That was nickname in the military as well. And so it wasn't necessarily about me, but the connotation was very was very positive to us and it rang nicely. A nice Israeli saying it doesn't apply in every situation is nothing better than good enough. You know, if it's good enough, it's good enough. So we all like the name. No, there is no reason in a lot of areas in life to over complicate things and, you know, to overthink things. And we try to apply this principle where Elizabeth Molina: [00:07:50] It's a cool name. The packaging is really beautiful. I like that. It's er like seal like you just pump it, it comes out. I mean there's so many great things about the packaging. The way that you guys deliver it is just beautiful packaging. But I was like trying to figure out like does it stand for something, is he going to tell me it's like some sort of peptides like like I was like breaking my head, like what is usually I'm pretty good at figuring out the names and like what they mean, where they came from, where the origins. And I couldn't figure this one out. And I'm like, I just have to ask him, like, it's an interesting name. It's a beautiful packaging. If you guys are watching this live, you could see I'm holding up the bottle of what water there, what they're really known for, which is a product called the Caird. It's a cream. But we'll get into that in a little bit. Before we do, I kind of want to ask more questions about skin care. So why antiaging? Like, how Amitay Eshel: [00:08:45] Come, like every addiction you don't plan to get addicted beforehand? Right. And that that includes good, good addictions as well. I'm going to tell you about a recent interaction I had with a lady named Lillian, who was a professional institution. And obviously she already knew the product by working with her and making sure the products succeed with her business and to see how from the person that has a lot of personal issues, you know, sons with that are not, you know, rocking it in life at the moment, that they have challenging lives. And you can see a person with a lot of burden when I've when I've encountered her the first time. And the addicting feeling is the fact that I didn't solve anything else in her life. I didn't go and fly the Australian Council or son or whatever that would be. But what I did do is create a difference in a specific area of her life that has proliferated to other areas because she feels amazing about herself and what she can achieve. And she feels hopeful about the future. And I believe that when we have. This approach, not that not for me, like a Fugazi kind of standpoint of other things in mind, but you are going to be tackling things, your attitude is going to be much better and other things are going to respond better to you. So that's just an anecdotal example in general, because I started in that in that beauty space, these were the responses I got addicted to. When people go through a transformation or are hopeful about the future, they can see a light at the end of the tunnel, if you will, or they can see how they're going to be more confident. Confidence, I think, is underrated in general. That's something I feel I can really touch people individually. What we try to do in this in this company is obviously reach out to more people and end up as being the golden standard for for skincare and biohacking skincare and the agents in here. But that's a large goal. I'm addicted to the personal feeling of meeting a person and changing their lives personal. Elizabeth Molina: [00:11:03] Oh, yeah. I can obviously relate to that. And that is a feeling that I don't even know what there's like. No word to describe it. There's no money that can buy it. It's just you just feel like fulfilled, like your mission in life. You're doing it. And I know the feeling and that's why I do the work that I do. You do the work that you do. And that kind of is a good Segway to go into your podcast. You have a podcast, and in the podcast you kind of provide listeners with different aspects, different strategies, tips and tricks. I want to say for like General Skincare Antiaging, you talk about biohacking. What's the most interesting, unusual question that you have heard or. Yeah. That you've heard on the podcast or in general that you've answered on their coffee enemas? Amitay Eshel: [00:11:53] Not kidding. That's just because we talk to them. Elizabeth Molina: [00:11:56] That's my that's why Amitay Eshel: [00:11:59] When you ask me this question, what came to my mind is the using snail secretion as an antiaging. Elizabeth Molina: [00:12:07] Oh, my God. Amitay Eshel: [00:12:08] Ingredient. If we zoom out really the expectation or, you know, the belief that there is a quick fix, that there is something that we can apply on our skin and never mind, you know, our other daily habits or whatever that would be, that's going to change our skin. So secretion is is very interesting because the way that the myth behind it is, is that people who were picking cotton would get laceration in their hands and they've noticed that the skin healed faster if by mistake they've they've brushed against the snail. So that's that's where that comes from. And a lot of green products have it. Then when we have designed our eye cream, really looked at why didn't the skin reacts to what's in the snail secretion, we could isolate those peptides and create a product, all of them. But what you first hear about it and you think of smearing snails on your face, to me, it seems it's just such a funny image to me that. Yeah, yeah, definitely. That's one of those. I have another one for you that I just thought of. Elizabeth Molina: [00:13:14] Tell me, tell me. Tell me. Amitay Eshel: [00:13:15] That's something that's gaining more and more popularity as we know or if people don't know, red near infrared rays have positive effects on ourselves. And these are the rays that are very prominent during Sandown or Sunset's. So now and the question was, is the rumor true that you get health benefits from exposing your anus to. Elizabeth Molina: [00:13:39] But I've heard this Amitay Eshel: [00:13:43] That to me seems like there are other, you know, alternatives. But that's definitely another another thing out there. Elizabeth Molina: [00:13:50] You beat me. I was going to say I know about the bird poop one. Well, yeah, but I forget that one. I forget the bird's name because that's like an old. And then have you heard of the fire fascial. No, they take fire and they light your face on fire and it's official. Amitay Eshel: [00:14:10] Is that like is that like a laser resurfacing for, for on a budget. Elizabeth Molina: [00:14:16] No, probably. Maybe I don't know. So that's one and one that we've been talking a lot about is an anaconda fascial where you get an anaconda snake who is trained, trained. I'm doing air quotes. If you guys can't see the Anaconda strain, then well-fed and it like relieves tension from your face. And apparently it's like a really big trend. But I know, like in Asian countries, they do it. Some zoos do it to subsidize, I guess, to get money with that from their anaconda's. I don't know. But that's a that's some some of the new trends that are coming up, the fire official and the unofficial. So if you hear about those, let me know. OK, the son one. Really, really, that's there's an actress who did a blog about it, and she swears by it every morning she wakes up and she does it and she says that's her secret to looking great. Amitay Eshel: [00:15:11] Ok, fantastic. No, I'll just say that normal you know, you don't even need to choose super high end light therapy devices. So chromite starts at fifteen hundred and zero. Gravity is perfect. Your ex is like 8000. These are devices that not everyone should have in their home, but like a three dollar or I think they even have a smaller one. I'll do like panel. Elizabeth Molina: [00:15:35] Juba's pretty nice. Amitay Eshel: [00:15:36] Yeah. Yeah. And that has, if I'm not mistaken, about 12 times the power that you're going to get from from from the sun as far as near infrared and red. So I really, really suggest her trying this. Elizabeth Molina: [00:15:55] Well, you have your options. Amitay just gave you some options. He gave you the free one, go outside in the sun and beware or buy some devices and try it out for yourself. But, yeah, that was very interesting. OK, so I want to know what beauty means to you and how you apply this in your daily life. Amitay Eshel: [00:16:14] I am obsessed with sports. That's kind of a remnant of my my early life. And I love contact sports and contact sports involve a lot of injuries to me when I'm injured. I don't feel good about myself and about myself physically. It's like your body's betraying you. And because I consider myself not a very vain person from a beauty standpoint, I would equate the feeling of a healthy body and the confidence that the healthy body gives you or when you're unconfident because your body's, quote unquote, failing you to a feeling of being beautiful and being outside at least. At least that's that's the way I understand it. So to me, beauty is confidence. And I said before that confidence is underrated because confidence allows us to shed some of our fears that some of the masks that we kind of don, to walk around in the world and not reveal our our full self and our full personality. And when a person is confident, they're less afraid of judgment and making mistakes. They show more of their personality. And like a snowball, they are better looking to themselves and to other people. So it's a snowball, right? You look better, you feel better, you get better feedback from the environment because you're nicer, because you're more friendly, more loving, etc., more generous, and you get generosity back. You feel better, you release it. So to me, that process, that being on a roll, if you will, and that's that's what beauty means to me. That's what the feeling of being beautiful Elizabeth Molina: [00:18:06] Means to me. That's not just beautiful, but I can imagine that that feels good, like feels amazing and it's contagious. Like what you're describing, the way that you see beauty s contagious, like you said, because when you're confident, there's like a little bit of vulnerability there because you're just showing up and being your best self and your confident self, and then that allows other people around you to also embrace themselves and be confident and say, wow, me too. I can do it, too. So that was like, that's so beautiful. Thank you for sharing that. That's like the recipe for life. Amitay Eshel: [00:18:43] And I love that you said vulnerability because vulnerability has two sides. There is an innate if we can think of someone in our brain that that just, you know, a negative part of our brain that just waits for something negative, some negative image of yourself to pop pop up and that that little person in your brain tells you how much you were like that all this time. It kind of takes you down. And that's one one part of vulnerability, which I'm not. I what I did not what occurred to me when you said vulnerability, there's another part of vulnerability, which is when you are so confident and so self accepting and you might hear some criticism or something might reminds you in an imperfect part of yourself, there is a vulnerable, confident side where you're saying you're recognizing, you're saying, yeah, I'm not perfect. These are sides maybe I need to work on. Maybe, you know, that's my luck. And I'm not no one is perfect. And that type of inclusive, accepting vulnerability is empowering itself, accepting vulnerability. And when we're confident, when we come from a self accepted place, because we feel beautiful, because we feel healthy, because we feel important and and essential to the world, that is part of the whole package. You. And accept yourself in your misfortune. Elizabeth Molina: [00:20:02] Guys, if you're not taking notes, pauses, screenshot of the podcast right now, listen to it again, because this is this is beauty. This is different aspects of beauty from different perspectives. And this is so beautiful to see here. Like, as I'm hearing it, I'm like, oh, that just feels so nice. Like just imagining that. So thank you for sharing that with us, with our audience, because sometimes we need a reminder, a reminder of what beauty is. It's not just the superficial, the wigs or the lashes or, you know, the treatments. It's it's a feeling, the confidence that you spoke about, the vulnerability, the showing up, the acceptance. So I love that you said Amitay Eshel: [00:20:43] That unless you really surround yourself with mirrors, beauty is in personal. Beauty is something that you can't see yourself for all the time. Right. It's only when you really take time to look at yourself is when you see yourself. So beauty is way is much more a feeling than a physical existence, if you would. That is why I did not answer as far as like physical attributes, because really that's a very small part of beauty. The biggest part is, is your feeling. Yeah. Elizabeth Molina: [00:21:11] And there are programs where people don't look at a mirror for 30 days or 21 days and they say that it's been life changing. People around them respond to them so much better. They even like forget about the outside beauty and it just internal. So I want to stress this, because this is such a great topic, especially since we've been home since the pandemic. The world has changed. And I think this is a great reminder. And taking it back to your company, Young Ghost, right now that we know the name, I want to ask you about your very special care cream, which is like what you said you guys are known for. Yeah. Tell me about the care. Does the care stand for anything? Or that's just Amitay Eshel: [00:21:54] Another carrier that is named for cellular anti aging air and energy. Wow. OK, good. It is a groundbreaking agreement and I'll explain shortly why. And the main patent that we are using in that cream is called In Our Noble, and that is an accumulation of the precursors. So Nadie, if to quote David Sinclair, who is a Harvard professor, but also one of the more prominent antiaging researchers in the world, and Nadie is the closest we have gotten to the fountain of youth. It is also something that if we took it from the body, let's say to all the energy from your body, you you will be dead in thirty seconds. So it's it's an essential molecule that is involved in more than 600 processes. And wow. And the reason it's the energy is there is because one of its main claims to fame is it's its it's how it facilitates energy creation. So any time we convert, you know, calories that leads into energy that our cells use, they need energy is kind of the waiter that carries that around. And the more energy you have, the more the cells can take care of themselves. And I'm sure it's of no surprise to hear that declines with age. Well, yes. And and that by the time we're sixty, we have about fifty percent of the energy that that ourselves. Oh my God. I used to. And I know Elizabeth Molina: [00:23:35] What you're here to save the day. Amitay Eshel: [00:23:37] Yes, exactly. That causes a lot of a lot of a lot of mistakes, a lot of, you know, repair damage in the cells and the cells wants to repair themselves, but they never get that supply of energy. The day the needs supplement industry is a quarter billion dollar industry. Just to give you an idea how many people believe in this product, it's one of the most researched, antiaging aging molecules today. If you know, mostly their health division, which is one of the biggest as far as money invested, is heavily researching and and precursors. And so that's a little bit about the background, the problem with that magic molecule. And we've only really touched the tip of the iceberg as far as its engaging properties, is that our body can't it's not in our body, can't receive it as a form of full molecule. You can't tell it if you go. That's an ad. And nobody's going to know what to do with it because it never has seen it before like that. There is no natural energy in nature which we kind of consume. So the body needs the Lego pieces to make any and like any Lego piece, you have one that's that's bigger and you can you can create more from it and less so. And it is being created from. You things that we that we would know be three is one of them tryptophan and a few other molecules which are less famous, which we have discovered recently, and the most effective in raising a Navy level. Amitay Eshel: [00:25:16] So the Lego pieces that are really the most useful are and and ah, and in our noble that that path we're using has both of them within it in a special formulation which makes it highly bioavailable in the skin. And then we looked at the most up to date and reliable research asked, OK, now what do we here with this molecule to create an synergetic effect? So we have other 10 other ingredients. We have the vitamins there. We have 10 P Cucu resveratrol, actually Pathet version of resveratrol, which is fermented, which makes it about 50 times more effective and less toxic for the skin. So there are a lot of there is a support group to NIV as well. And the end result is activation of the genes that control, repair and anti aging. And we're activating and fueling them, throwing fuel on the fire, if you will, for those genes and really making them ramp up their activity. And through that, we get anti aging benefits that are skin specific, because if you took a pill, whatever we just gave your cream, your skin in a very specific area would have to divide within your body. And and I'm not sure you want your toenails to A.H. as much as you want to. Crow's feet to. So it's nice to be able to Elizabeth Molina: [00:26:53] Or you might Amitay Eshel: [00:26:55] You might not say, you know, if someone has that concern, they can they can put our cream on their toenails now. But, yeah, the ability to choose is important. Not everyone has the same goals. I would love to to to perform at my highest athletic ability until I'm 100 years old. So I want to take the supplements. Someone else would like to look the best when they're 100 years old. And I might opt for the cream if it's a budgetary issue, or you could definitely do both. Elizabeth Molina: [00:27:29] So do you guys have a supplement? Is that what you're saying? Amitay Eshel: [00:27:32] No, I'm saying supplements working on one. We are working on one. We are working on one. That is that is more all encompassing, the best one at the moment from a different company that I'm not involved in. If I could recommend is. Yeah, please do is a company called NOVOs, which is end of the OS. They have an amazing, amazing, amazing antiaging product. And they also have Inamine, which is an energy precursor. So check them out. They're great. No affiliation, just great company. Elizabeth Molina: [00:28:07] Amazing. Yeah, because as you're talking, I'm like, you know, as far as coming from a bio hacker, as a woman, bio hacker and beauty hacker, I'm thinking I want to get to one hundred and look like I'm fifty five. But I also want to be functional like there's no point to to be that old and then also be like in diapers, in a wheelchair, hoping that my home attendant comes on time to change my diaper. Like that's not a good quality of life. So I'm like, can you do both. Amitay Eshel: [00:28:34] Definitely. And you and you know, that's your question is is very profound because if there is a way to have one and not the other, I haven't heard it all. The more we delve into medicine and health and wellness, the more we understand that systems are not working, individual systems are intertwined, that we're talking about biological systems. Your machinery in your body isn't isn't there are not they talk to each other, if you will, in order to achieve better skin. And this is backed by published substantial research. The better you are, the healthier you are, the healthier your skin would be. I wanted to say and vice versa, but that's not necessarily the case. But if you want to achieve healthy young looking skin, your approach should be a holistic approach and you should really ask yourself, how am I improving my overall health and wellness? And that in a healthy, young looking, vibrant, glowing skin would be a byproduct of that. Elizabeth Molina: [00:29:38] I love that. That's why we align. I cannot wait to try the product because I'm convinced I almost want to drink it. Is it edible? Amitay Eshel: [00:29:48] So we're we're working on it very, very, very natural. Version four for those who are OK, extremely picky. And that one of the one of the things we've got to roll down is funny because it's like you looked at our board, one of the things that you could eat it just to give you an idea of the process that were that any that were manufacturing retailers, those any precursors, those anything raising molecules, it really dials them to be skin specific. And there are other strategies to make them or bioavailable when you ingest them. There are also, just to let you know, Ive's of energy, which, yes, a lot of people like and do, which seem very effective, and they have their own challenges as well. It's a very long process. You need to be in a room eight to 12 hours or. Yes, do it really, really, really fast, which is one and a half hours. And you basically look like you've got to act like really Elizabeth Molina: [00:31:01] I did that and I look like I was attacked by bees and and I will I don't mean to cut you off, but, you know, when you spoke about your product and it was bioavailability available and you spoke about the Lego pieces, that's a very important piece that we didn't really highlight. You can have these products and that's why these things are patented. Right. You have a patent on these things because those Lego pieces that make it bioavailable are so important because you're doing nothing for yourself. You're literally paying out the water. Your body is going to metabolize something that it doesn't understand what that is. It's going to say, I don't know what you're here for. I don't know your purpose. You must be garbage. So you're just going to get rid of it. And when you're even the drip, the the drip that you're talking about, the steady drip, I'm very sensitive. So, like, when I try something, I will tell you right away, my kidneys don't like it. My liver is not approving of this. This is not like in a good form. So what I did, the nad drip, I felt horrible. I didn't have the Lego pieces that Amitay is talking about and that's very important. So you can go and do these things, but just make sure that you check the quality, check where where this, you know, this is coming from. Is it bioavailable because you could just buy it, use it, and then you're doing nothing for yourself. So I wanted to add that there because we didn't really go over the importance of those Lego pieces that you're talking about that your company has patented, which is why I'm like, can I unjustice? Because if you if this is bioavailable, this is going to work out for me. And if you guys are watching this or listening to this, I'm like literally like waving the product on the screen right now because I cannot wait to try it. But yeah. You were saying about the nad drip Amitay. Sorry I interrupted you, but I wanted people to know the importance of these Lego pieces, how you call them, and you said it so beautifully. But that's what how your body can understand what it is. Amitay Eshel: [00:32:54] Yes. And it's funny, when I was just talking about it yesterday with a an amazing functional medicine doctor called here in Miami, anyone needs a recommendation. His name is. Eliot Ness and we were talking about the the the option of introducing an idea these to practice and the problem with an idea I.D. is that your brain actually knows what to do. Then I guess it is a packaged product and it knows how to use it. Your liver has some idea how to use it, but the rest of your body, your muscles, your skin, etc doesn't. And that's why you see this flush. It needs to really break it down to niacin. And that's that's what you're flushing and in kind of build it back up. And this process isn't isn't isn't perfect at all. And and it's Elizabeth Molina: [00:33:45] Not pleasant, by the way. Amitay Eshel: [00:33:48] And that's it creates waste. And those genes that we talk about, those anti aging genes, they are not it's not going to activate them fully or at all. So that's that's important to understand. And, you know, just to kind of connect to what you are saying, you are very intuitive. And, you know, if your liver doesn't like something or your kidneys, and that is that's a gift because most of us need to eat a couple of McDonald's before we understand McDonald's is bad for us. Sorry, McDonald's for mentioning you all the time. But, you know, even if you're not even if you're not that intuitive, you should be feeling. Oh, that I'm feeling way better the day after or not. And so the problem with NATO troops are that they're not perfect. They're very good for brain function. So they're used extensively for addiction and they're used for pain management. Both are neurological in their in their base. And the best facility in the United States in my in my opinion, is in Springfield, Louisiana, by a doctor named Dr. Matya. So that's definitely my first choice, their ideas of B.R. plus an idea. But if you are not interested in your brain specifically, you're looking for a more holistic approach. We're still waiting for any of the precursors to be introduced into Ivey's and our R&D is looking into it. It's a long process. These these molecules don't like water. So so in general, when you're looking at using them as in an IV, they're not very stable and that's where the problem comes, comes from. So really, I feel our solution, our no pun intended, but the our product is definitely a solution as far as biohacking, our skin and our epigenetics, our anti aging genetics of our skin, how do we maintain DNA integrity and how do we maintain proper skin function, which results in many fine lines, wrinkles, tighter skin, less pigmentation, also less irritation from other products you get you get less sun damage when you are exposed to the sun, etc. So it just makes your skin behave like a younger skin. And you think of how that looks and feels like, Elizabeth Molina: [00:36:11] Oh my God, I love that. I like. So I will be a little biased because I love, like Israeli products because I'm not super dark, but I'm not super white. I have like a tan color, but I get freckles and like Israeli products. I feel like because the sun is so hot there, this is a concern for everyone there. How to protect from sun damage, how to protect from the hyper pigmentation. So most of the products are developed for that, which is exactly what I needed, probably so many people. But here's here's a caveat that I'm like excited for. Like, your skin is the largest organ in on your body and it absorbs right there some minerals, some things that are transdermal. They're the best way to absorb like magnesium. The best way to absorb it is transdermal. Like you can take a magnesium supplement. It's not going to be as effective as take. Sometimes they have like transdermal patches or you can get in a bath and get like really great magnesium flakes or whatever the case may be. But so we forget about that. We forget that the skin is an organ and it absorbs and like you said, it communicates with your body and it'll take it. So whatever. I feel like your skin on your face is not using. I feel like your your body is going to absorb it and maybe place it in other places. I don't know if you guys have studies on that, but I will be interested in the future when you guys do that. So this is exciting. You guys are kind of, you know, skin care has come a long way with technology and it's only getting better. So I'm excited about this. But can you tell us a little bit about the care boost? I have the Caribous. I do. This one does work. Not that meaning like they all work, but the pump works. And I did try it and it's really nice. So can you tell us about the care boost and what what's what is it? Use for like tell us about it Amitay Eshel: [00:38:07] When we started. We have one product and this product was received so well, people were asking us, well, I want to have a product that would complete it or a product that is similar that I could use during the day. So Boost is a product to be applied during the day like a day cream that allows you to do that on your own, on its own. It has wonderful accident, but it's the secret is its real purpose is capitalizing on the raised energy levels from the night before, from when we applied the night group. So, you know, if I ever comes up on trivia and aid levels peak eight hours after supplementation and skin supplementation is is the same in that aspect. So we capitalize really on close to the peak of energy. And now we're using a formulation that really asks the body, OK, create more collagen, do it here and here, etc.. So we have amazing peptides there. We have amazing way to communicate with the body on how we want it to repair itself on the skin, how we want it to repair itself and kind of accelerate that process. And we have more of that patented resveratrol, which activates those anti aging genes that are fueled by. And so medicine. Our cells have a lot of energy. We're asking it, OK, it's antiaging time, let's go. And that would also provide some protection from from our environment, from from fuck, from smog, from free radicals. It's not an SPF. So you're welcome to use an SPF over it. But as far as DNA damage, as far as damage really being done at the core level of our skin, that's going to mitigate solvents. Elizabeth Molina: [00:40:08] Wow. OK, sold. And I also have here I'm going to just like bombard you with questions because I know that our listeners are going to want to know about your product line. You have a lip one, which I, I definitely want to get because I'm a big lip girl like well pun intended. I have big lips but I like moisturizing my lips and it's very hard to find a good product that doesn't clog the pores, that keeps the lips moist. Then like if you have big lips they're always dry because they're big. So I'm interested in your product, but I have this icare. So tell us a little bit about the eyecare and then I'm going to like, bug you with some more questions because we are loving this line. Amitay Eshel: [00:40:51] Just something small about the lip lumper. So one of the challenges that people have with Lumper is the fact that they just some of it and it really causes most of the time heartburn or tingling irritation, because that's that's the purpose of Lumper, right. To kind of kind of stimulate a little bit the blood flow and our you know, our they just offtrack doesn't really agree with it. That was our challenge. And that is as far as widely Plumpers is interesting or unique is because it is very healthy for you. It's it doesn't have any any any harmful substances or irritating substances. So that's just about that will make sure we send you one. Elizabeth Molina: [00:41:38] Wow, that's amazing. I want to throw in a little fun fact there, ladies and gentlemen, who wear lipstick, you swallow about four pounds of lipstick a year. You ingest it as a byproduct of applying lipstick. Amitay Eshel: [00:41:53] The problem in skincare formulation is that normally when I increase a percentage of a product, I'm doing it to get more results. But but I'm also increasing toxicity levels. I'm increasing the side effects of that of that product, of that molecule, that we're increasing its amount and we get some negative side effects. So that's one of the challenges. And by isolating what works and kind of stripping it down from other molecules that are normally with it, if we think of snails, it's kind of a formulated product. We can increase the good aspects and decrease the negative aspects. And that would try to do with all of the regulation, by the way. And what we've isolated are the peptides that are active there and that causes skin rejuvenation. The most important that we have there, and that is a a rising star in the biohacking community is copper peptide one. More. Yes, you know, more well known as H k siu you, which is used very effectively in early stages of hair loss, and there is abundant research showing its efficacy in skin rejuvenation, collagen production. And really, that's kind of a game changer in aging. We have pushed the limits so far. We really have the highest levels, highest percentages of active ingredients that a standard skin can tolerate. And our next step would be to integrate our and our noble into that cream. But because that formula is so rich, is is is designed to combat another aspect of genetic aging or fundamental aging, the core aspect of aging, which is skin thinning. So it thickens the skin. This is called, by the way, skin thinning is caused by glycation. Our product really thickens. The skin makes it smoother and people might feel a slight tingling when they apply. That is not a reaction. That is just because it is so active. We love talking about our care product. That's our claim to fame in what we want. We notice that normally the first product people get addicted to is our eye care, which is the product we just spoke about. Elizabeth Molina: [00:44:41] Yeah, I know. I love that because I've, I got addicted to it right away because feel it. It feels like it's working because there's like a tingling effect and I, I Yeah. So I could see why people would get addicted to that. It's sounds amazing. And my last question before we kind of keep on wrapping the podcast up, because I don't want to take up too much of your time and you want to keep the listeners here. You know what? Maybe we'll have another one and we'll talk more. Are you guys going to have a sunscreen? Amitay Eshel: [00:45:16] Ok, so a few things about sunscreen. Yes, the answer is yes. But sunscreen in general as a claim, you know, as a psychotic and is a medical claim. And it is it's actually very complicated. So the easy thing to do is to go to a manufacturer and just buy their sunscreen formulation. If you don't want to do that, if you really want to innovate, you're looking at a few hundreds of thousands of dollars in red tape, really in your research showing the FDA that it's a safe product because, again, if you look at any sunscreen that you're using, you're going to see the, you know, your ingredient list. You're going to see a drug that's because it's considered an over-the-counter drug. And that that is that is not as simple as formulating any other product. We will have a sunscreen because another guiding principle that we have is making sure we don't overcharge the the our customers in order to make it financially smart. We would have to wait a while. But we do have that decreases. Resilience to the Sun is a product called biopsy peptide spray. And the thought behind it is we we we looked at people using thermal water, just water sprays on their face. Amitay Eshel: [00:46:41] And they were spending, you know, over and over ten dollars spraying water on their face, which. We weren't judging anyone, but we were saying, how about people do the same thing but get some benefits from it? So we have a very special type of vitamin C there. We have about three percent of it. And that's very special type of vitamin C, that our concentration actually increases your resilience to some damage. So that's something very good. Just in general, you can use it as a toner or you can use it just as a is it kind of refresher if you're asking about sunscreens in general? Thankfully, in the last few years, zinc oxide, which people might remember from their youth because they're lifeguard's, used to put it on the nose. It was white powder, which is a natural sunblock and not a chemical one is now, you know, widely available as a nano sized version. So you can't see those white particles. So look for a zinc oxide as your natural sunscreen. You can see a lot of companies saying mineral sunscreen. It can be a good codeword for you to look at because chemical sunscreens have been linked with some bad side effects. Elizabeth Molina: [00:47:56] Right. OK, we're excited to try your MS.. So that's a good can you apply that over makeup as a refresher like you? Will the effects be the same? Yes. Awesome. Guys, check out that product. It sounds amazing. Great. And like if you're going to be missing your face already, I probably use it as a setter. Yeah. Why not do something that adds a little bit of extra TLC? I love that. I love that your company is so conscious and so thoughtful of like all the reasons of why what you're doing. It's like multitasking on steroids and that that's Amitay Eshel: [00:48:31] Not so remote. That's our email. Our M.O. is we're not standard. If you look at what's happening in skin care in general, most companies, what they would try to do is that they were going to try to take a current trend and attach themselves to the current trend. Elizabeth Molina: [00:48:46] Yeah, I love it. I love it the whole time. You guys, I'm like smiling. He's speaking my language. Biohacking meets beauty, science and consciousness. I mean, what else could I ask for? Right. OK, so the beauty circle is this tool that I develop and I use with my clients. It's a category. It has ten different categories. So I always ask my guests, what from that category are you excelling in right now? And what from that category, from the beauty circle, are you meeting some more TLC? So that could look like I need to get more sleep because we started like having more sales than ever. I need to work on my water intake because I've been so busy. So I would love to hear from your from you like biohacking in the space. What is it that you're excelling in and what is it that you need help in? Because we're human and we're not always perfect. And I want the guests to know that Amitay Eshel: [00:49:38] For me, the answers I kind of gave them. But for me they're very easy. What I excel in is more math because I'm one of my addictions is his contact sports. I do jujitsu, I, I train every day at least once, if not twice. And so definitely that is something I excel in because it is very easy for me to excel in that I'm addicted to what I am not excelling in. And that you've mentioned is sleep because we are a growing company. And what happens when you're growing company? Is that you your reference for yesterday? As far as I'm going talking to certain stuff, what you what unexpected events you should expect is skewed is in a smaller scale. Every time I wake up, my evil self tells me, oh, you should hit the button and go back to sleep and eat. Anything you do is forming a habit. Anything you do, every decision you make takes a certain into a certain direction. And it's it's that can maybe cause you to be more conscious about certain decision you're making, what you put in your mouth, what you put on your skin, what you definitely put in your mind and the you know, your attitude. Elizabeth Molina: [00:51:03] Yes. Oh, my God, you are crushing it today. Here the listeners are getting so much information. We went from your military days, from your units to biohacking to PD, hacking to life, hacking to now hacking your mind, which is the most important thing. It's always mind over matter. Right. So I love that we're hearing this today because if you can think it, you can do it. So, I mean, we're getting towards the end of the podcast. And I want to ask you another thing that I ask all of my guests. It's not even related to beauty, because I think that beauty is a holistic thing. And it's not just one thing. It's not just a product that you put on or what you eat like. You said it's what you have in your mind, there's so many parts to it. So what is one advice that you would have given your younger self like today that I would say that's here right now? What would you have told the younger version of yourself? Like what advice? Amitay Eshel: [00:52:02] You're going to be OK? Oh, I think that the reason I'm saying it is because I believe fear or doubt is the antithesis to creativity and innovation. If you think about it, you know that that is really, you know, a nice thing is, you know, what's the opposite of love? It's not hate. It's no feeling at all or something like that. You know, it's it's not caring. And you can play the same game as far as innovation and creativity. The opposite is doubt and fear and. I wish I was more adventurous in my youth because that would have read more innovation, more generosity, because I love innovating for the greater good and more happiness, more joint joy is ultimate generosity. So, yes, so to me, knowing that you're going to be OK, unshackle you from from your doubt and from your fear, and now you can really rock on and do what you feel like you're meant you're meant to do or what you want to do, which is the most important I feel. Elizabeth Molina: [00:53:23] Wow, that piece of advice is so good. I'm sure that somebody today who's listening to us is taking that and hearing it. And it's resonating with themselves, with their soul, because you are going to be OK. And what a great piece of advice. And that's not just applicable like years ago, but today, every day going to be OK. Yeah, I love that. OK, Amitay, I have a section here before we end called Breaktime. You get to brag about yourself, what you're working on. It doesn't have to be just work or the beauty products. It could be, I don't know, you won the karaoke contest that you went to, like it could be anything that you're proud of, anything you have coming up, like brag about yourself. This is your time to shine, OK? Amitay Eshel: [00:54:10] Because, I mean, to me, it's very cringe to to brag myself. I'm going to tell you what I'm excited about, OK, in my near future. Elizabeth Molina: [00:54:21] So wait. Before you start. Before you start. I know it's crazy, but I'm going to I'm going to put your advice that you said just now everything is going to be OK. Amitay Eshel: [00:54:33] Yes, definitely. Let's yeah. And also, I know I you know, I always tell myself, even if it's not true, it doesn't matter. I tell myself when I'm uncomfortable, I perform at my best. That's just a belief. You know, two things can happen if you're comfortable, you're anyway going to perform well. And at least you should have the belief that if you're uncomfortable, you're going to even perform better. So as far as that, but but I really would like you know, I feel like bragging, you know, as an Israeli, it's really frowned upon. So so I would take a different approach to it. I'm going to tell you that because young girls are still a startup and we are committed to invest every dollar of our profits to research and development. I am not I'm not supporting myself to young girls. Thankfully, I, I make enough money before. And in order to to, you know, is an ongoing job, I do get a few speaking speaking engagements in different continual education programs for doctors, if it would be that or some some business development for companies. So I'm very, very excited for my upcoming week. I'm going to be in New Orleans and then in Dallas. If anyone is there, you're welcome to reach out. I have a lot of free time and I love traveling and half of the half of my waking time. I'm probably in a different city. So you know what I'm excited about after this? Pandemic restrictions have lifted a little bit and I can travel again. I'm very excited, you know, meeting the new and and tweaked United States. I'm very curious about cities that I that I used to adore, such as Austin and Portland, which I'm going to be later this month, the next month in Washington, DC. And New York may rest in peace. I don't know what's going on now in New York Elizabeth Molina: [00:56:48] And New York. Amitay Eshel: [00:56:49] Yeah, I know. Maybe you can tell me, but yeah, I'm very excited. Again, my addiction is making a personal impact on people's lives, even though the greater goal of our companies is doing that collectively. But because I'm going to satiate my craving for a one on one difference in the media, which I do often, but this week is going to be a great week for that. That would be my Bragge, you know, my my ability to travel and work and meet new people and make an impact in their lives. Elizabeth Molina: [00:57:29] Oh, I love that. Well, traveling is always fun. Making an impact is amazing. One person at a time. Yeah. And you're doing that. So I'm excited that you are doing. Those things, I just want to take a second to say thank you for coming on the podcast, sharing all of your insights and wisdom with us and being so brave to brag about yourself, even though we know that it is not going to have a positive connotation in some countries. But that's OK. That's why we are here to change that up. And it's OK to talk about yourself, to enjoy your accomplishments and share them with others. And that's how I view breaktime. So thank you for doing that and excited to be on your podcast pretty soon and do our lives. So you guys don't miss that out and try your products. I've been trying the I and the the boost, but now I'm going to try just to care for night and I'm so excited to give you guys my review, but it's so far so, so, so good. Thank you so much Amitay. Until next time Amitay Eshel: [00:58:32] By having me. Elizabeth Molina: [00:58:34] Well, guys, that is a wrap if you are still listening. Thank you so much for being a loyal listener. I am sure that the content that you are getting today and next week, obviously for the next episode is going to be super exciting. We are going to be interviewing some heavy hitters coming up. The podcast is taking a turn and I am so excited to share it with you guys. So stay tuned for that. In the meantime, you know what I say? Sharing is caring. If you know anyone who is interested in anything, the beauty, biohacking, mind and soul and spirit and holistic health and all of the things that I talk about. And if you know me in real life, if you follow me on Instagram, on a clubhouse and now green room, you will know that that is my job. I love to bring them in all together. And they said it. Could it be done? Guess what? To tell a girl it can't be done and she will do it. So I am going to be delivering some amazing content coming up. And I'm super excited. So you know, the drill guys share this with at least three to five people who know who are going to be interested in any of those topics. Follow me on IG, which you know, @Elizabeth__Molina, let me know how you guys are finding the podcast and I will see you next week. Bye, guys.
En esta ocasión platicamos del número π(pi) de su importancia en el mundo actual, su historia, su definición, algunos datos curiosos y su aplicación en diferentes campos actuales
Enter the mindful world of Ayurvedic Medicine as Mason and practitioner/teacher Wayne Celeban go deep into the holistic layers of Ayurvedic cleansing; A revered ancient system with a unique and gentle approach. With a focus on the importance of springtime cleansing, the undeniable health benefits of being in flow with the seasons, and the sophisticated system of Ayurvedic cleansing, Wayne takes us on a complete journey into bringing the body back to a state of balance and optimal health. ''In Ayurveda, everything can be used as medicine. Everything is potential medicine, but everything is also a potential poison. It means the right application is key". - Wayne Celeban Mason and Wayne discuss: The importance of adaptability in business, personal life, health, and how the season's interplay with these aspects. Getting into the flow of the intent and energy of different seasons. The value of gearing rituals, ceremonies, and celebrations to seasonal changes; How this aspect alone can bring us closer to nature, connect us with the foods that grow seasonally, and build our understanding of the kinds of foods to prepare. The importance of cleansing in spring as a necessary means of supporting that natural elimination process and bolstering our health. The concept of Panchakarma; the five actions of elimination used in Ayurvedic cleansing (Nasal administration, Vamana, Virechana, Basti, and Rakta Moksha). Addressing cellular health and cleansing tissues at a deeper level to ensure that channels of elimination are working optimally when cleansing. The importance of membrane health, gut biodiversity & microbiome health. Enema therapy within Ayurvedic medicine; looking at the large bowel as a route for administering medicine, the relationship it has with the nervous system, mind & endocrine system. The Ayurvedic diet, what it provides, and the role of specific food preparations for vitality and maximum nourishment. Medicated ghee and its vital role in Ayurvedic cleansing. Herbal Steam Therapy to support cleansing; the positive effects it has on dopamine/serotonin levels and how it regulates the nervous system. The importance of cleansing to keep the sense organs healthy and functioning, as ultimately all the things that we love in this life, we experience and perceive through our sense organs. Who is Wayne Celeban? Wayne Celeban is a Naturopath and Ayurvedic practitioner with over 18 years experience in clinical practice. Wayne has studied in numerous Ayurvedic clinics and hospitals in India including JSS Ayurvedic University, Mysore. In 2012 Wayne was accepted into the SDM Ayurvedic Hospital and College post-graduate internship program in Hassan, India where he continues his clinical training. To achieve successful outcomes for his clients, Wayne combines the 5000-year-old traditions of Ayurveda and Yoga philosophy with western medical science and nutritional medicine. Wayne's experience and knowledge is evident in his professional practice and dedication in developing practical and effective health care programs to support his patients in becoming the best version of themselves emotionally, mentally and physically. Resources: Yukti Facebook Yukti Website Wayne's personal Instagram Q: How Can I Support The SuperFeast Podcast? A: Tell all your friends and family and share online! We’d also love it if you could subscribe and review this podcast on iTunes. Or check us out on Stitcher, CastBox, iHeart RADIO:)! Plus we're on Spotify! Check Out The Transcript Here: Mason: (00:04) Hey, Wayne. Thanks again for coming on, man. Wayne: (00:06) You're very welcome. Nice to see you again. Mason: (00:09) Yeah, nice to see you again as well. At least we get to have the... at least we've got the podcast there to keep us catching up and we've always got to... Wayne: (00:17) Yes. Mason: (00:17) ...leave a bit of space for us to catch up before we jump on the phone. Wayne: (00:23) Yeah, definitely. Mason: (00:25) And hearing about how you guys have made some beautiful adjustments to your business and life during the whole lockdown period. And sounds like you've really, just from everything you were saying, it's all about adaptability and seems like it's a real, you're seeing a lot of reward coming from the internal work that's been done for years and years. When something so huge happens to the world, to your business, you had a retail shop, you got... You guys are practitioners and yet you're able to adjust and come through in a place. You've seem way more expressed and at ease, probably compared to when I met you like two years ago, when we went and sat on the beach up the South of Noosa and that's after a huge pandemic, I always just find that it's always proof's in the pudding there, so good on you and your fam man... Wayne: (01:21) Yeah, thank you. Mason: (01:22) ... for knocking that out of the park. Wayne: (01:22) Yeah. Well, it's largely about adaptability, isn't it, it's adjusting to situations and trying to find the best out of whatever presents, I guess. Mason: (01:32) Well, and I guess a lot of the practise comes to the slight adjustments and being adaptable in the seasonality. Quite often in the West, we let seasons happen to us, but can we get into the flow of the intent and energy of a different season. I find that is a micro exercise that when the huge changes happen, you've got, you've been strengthening yourself so much because you've been constantly lifting weights of adaptation through the season. But I'm really interested to hear about how your unique perspective through the lens of all your years as an Ayurvedic practitioner and student and teacher, how, what it is we do in spring. I like that Ayurveda has a big focus on cleansing. I came from the raw food world. We were all cleansing. I was all big salt water flushes back in the day. So yeah, I'd love to hear your... What does spring represent for you? What is it that you start getting up to around this time? Wayne: (02:42) Yeah. In Ayurveda spring is considered as the King of seasons especially for cleansing. So we've just come through winter. So during early and late winter, our digestive systems become stronger, our metabolic activity becomes heightened. So we're needing to increase our energy to regulate our temperature. So as it gets colder, we need to generate more energy to stay warm and maintain that homeostatic balance. And what that reflects is that our digestive system becomes stronger because we need to be consuming more energy in order to maintain those extra layers of fat that create that nice insulation for our bodies. Wayne: (03:35) Early and late winter are my favourite seasons, because basically this is when we get to eat more food and we can get away with eating more food as well. So if you have a look at your shopping bill, you usually spend more money during winter and you're having more heartier foods and more bulky foods and tastier foods and your appetite's just good. So you just naturally enjoying eating food. It's a wonderful, wonderful time of the year. I think we should have Christmas in the middle of winter because it's a good time to just sit around and eat- Mason: (04:09) That's my theory as well, 100%. Wayne: (04:12) ...yeah, it's conducive to good health. Mason: (04:15) Well, it was in the middle of winter [crosstalk 00:04:17]. Wasn't it in the North ? Wayne: (04:19) Yes, exactly. I think we should change it. I think it needs... I think if we started to gear our rituals and ceremonies and celebrations to seasonal changes, I think it would just work better. And I think it would bring more attention to what's actually happening outside. We'd be getting in touch with when food's growing, what food's growing, what sort of foods to prepare. We go for those traditional foods that we have during Christmas, the baked potatoes and the roasts and all of that, the fermented foods, but they're actually more suited for the middle of winter. They're the things that we should be eating at that time. So the winter seasons in Ayurveda are considered as strengthening times of the year. So if we look at the whole four or six seasons, however you look at it, we've got more of a six seasonal thing up on the sunshine coast. We have that kind of rain season that comes in as well. So yeah- Mason: (05:25) That's the same thing we are as well, Mob had six seasons. Wayne: (05:28) Yeah. Mason: (05:28) Yeah. Mm-hmm (affirmative) Wayne: (05:29) Yeah. So that's... And that's real, we might cover that a little bit later in the talk, the importance of managing the detrimental effects of rain season and high humidity periods, because this is generally when our immune systems and our bodies are at their weakest. So what we're doing during winter is we're getting the body as robust and as strong as possible. So when the sun starts to make its way back to the Southern hemisphere, we start basically going into stages of depletion. So during the summer, this is where the body's at the weakest. So generally you are more inclined to eating salads, light foods, fruits, you don't really feel like eating too much and you generally don't need to eat that much, but just in that transitional phase, you've got the spring season where all of that accumulation. Wayne: (06:21) So when you're eating more food, you producing more metabolic byproducts. So basically your output increases, your waste load increases because you are just churning up more energy. And so in the spring season, all of that, as the body starts to dilate, as the temperature starts to warm, you get a lot of accumulation moving from the deeper tissues of the body back to the superficial tissues. So we're accumulating muscle fat, bone, marrow. All of these tissues are getting really well-nourished and then, and also a little bit more contracted. So as, when the body's cold, it'll actually constrict. So the circulation's probably not as efficient during the winter, as it is coming into the hotter months where your body's trying to move, push more heat towards the peripheries. So it's kind of like the river Ganges when the ice starts to melt and you get these larger river systems that start increasing the amount of water that's moving downstream. Wayne: (07:34) But as that ice starts to melt, you get all the debris that's been building up on the banks of the river. So what we're doing during the spring is, we want to collect as much of that debris as possible and bring it out to the areas where we can expel it from the system. So this is where a lot of people notice that they're more susceptible to seasonal rhinitis and hay fever and sinusitis and chest infections, because we're getting a lot of that excess gunk moving back to these channels of elimination. So the upper respiratory tract, also the digestive system and the large bowel. Wayne: (08:17) So if we're cleansing that we're supporting that natural elimination process, we actually bolster our health. So this is why spring is such an important, spring and autumn are the transitional pivotal times of the year where we're either prepping for the time where we're most depleted or we're prepping for the time where we really have to nourish our systems. So when I'm seeing patients during winter, unless it's absolutely necessary, unless there's a disease condition that needs to be treated and can't wait until spring. I want to get those patients as strong and robust as possible because whatever they develop and whatever they accumulate in terms of their body strength, that's what's going to tie them through during summer and then into that rainy season. So if you're cleansing during winter, chances are, come January, February, you're going to experience greater states of depletion and compromised immunity Mason: (09:21) So straight up when you get into that spring system, where are you at with your patients and for yourself, I'm sure it's varied. But in terms of, are you at a point where you are still liking, have you got a thorough cleansing routine, intense cleanses every now and then, or you were saying before we jumped on, you were saying how you've been getting up and gone bush for the night and doing lots of meditation and breath practise. Is it just for you at this point, you know sticking to your bread and butter practises as the weather warms up and allowing that to naturally open up your detox channels, or are you then enjoying going deeper and doing some nice deep removal of debris? Wayne: (10:06) Yeah. Look, I think for Ayurvedic practitioners that practised traditional cleansing methods, this is the season where our clinical practise comes alive because Ayurveda has this beautiful system of cleansing. It's very sophisticated, very well established. It's been practised, these traditions go back 3000 years, at least the classical texts that I use as references they're, they describe in these texts, ancient systems of Ayurvedic medicine. But these books were written two and a half thousand years ago. So the system goes way back, maybe 5,000 years, who knows, but there's a concept in Ayurveda known as Panchakarma. So "Pancha", means five and "Karma", means to action. So there's five actions of eliminations. So when we've got all of this gunk that's starting to move out of the system. Wayne: (11:13) We want to expel it from the body as efficiently as possible. So there's five main methods that we actually move what's called excess doshas or excess dry, cold, light, rough qualities, or excess acidity or sharp qualities that might lead to inflammation, burning and overproduction, like overstimulated metabolic systems, or just sluggish, dull, sticky, slothy stuff that is just building up that can't build the tissue or can't build waste product. So the way that we expel that from the body is we use the nasal cavity. So this is a really efficient way to move those excess Doshas from areas that are above the clavicle. And we use what's called Vamana, which is Emesis. So we... If there's, the patient's got more Dosha or gunk accumulation in the upper regions of the body, we want to expel it through the mouth because it's just the most efficient way to get rid of that excess. Wayne: (12:22) And there is Virechana, which is a purgative treatment. So basically we're flushing out the lower portions of the stomach all the way through the small intestines, that whole abdominal cavity and we're moving it down and outwards. So that's just really strong bowel motions for a period. And then when we have what's called Basti, so this is the area where we use Enema therapies. So I might go into that a little bit later too, because there's a strong trend with using coffee enemas, water enemas. Whereas with Ayurvedic Enema therapy, we use a combination of medicated oils to prep, lubricate, support, protect the bowel. And then we will then follow that up with decoction enemas, which are specifically developed for the patient, their body type, time of year, age, season, all that kind of stuff. Wayne: (13:23) We use salt. We use honey. We use other medicated oil that is emulsified into that. So what we're doing is there's a really strong emphasis with over cleansing that we don't stress the tissues. We don't put the tissues in a state of discomfort or discord or aggravation. So every time, every cleansing method is propping, supporting and lubricating the tissues. So we get this really nice process of eliminating gunk, but we don't cause stress. So it's possible that when we are just using water for Enema therapies, that we're not taking into consideration of microbiome, we're not looking at electrolyte balancing in the large bowel. We're not looking at specifically what qualities need to be rebalanced and supported. And we're not looking at the actual organ itself and making sure that it's actually, it's well-supported so we can start doing these cleansing eliminations. Wayne: (14:26) So generally what you do is you do an oil enema and then you'll do the decoction the following day and oil decoction. So we always start with oil. We always end with oil. So that's the fourth one. And the fifth one is known as Rakta Moksha. So Rakta Moksha translates as bloodletting. So traditionally in Ayurveda we were using leeches and incisions to remove excess gunk and morbid qualities that impair the proper functioning of the tissues through just allowing the blood to move and those toxins to move straight out. So leeches are commonly used in Ayurvedic hospitals in India. So the last time I was there, I got to learn how to apply leeches and to treat during that way using those methods, I don't use them in the clinic here. I'm not even sure whether it's legal to use leeches. Mason: (15:23) I think it is. I've got a friend who gets calls every now and then from the emergency room asking for him to bring in leeches. He said into mainstream hospitals, but they just don't advertise it obviously. Wayne: (15:37) Yeah, they're fantastic cleansers. Just spending time in the hospital where I do my internship training, the results, even just with pain relief, like osteoarthritis and really severe sort of inflammatory conditions in the joints. And these, if we were, we'd be using really strong anti-inflammatories that are having severe, well not severe, but they're having some sort of detrimental effects on liver function and other organ systems. Whereas using these leeches locally, they're reducing all the inflammation. Some patients I was watching, coming in wheelchairs and heading out just walking, complete pain relief. It's fantastic. Wayne: (16:28) So yeah, that's the fifth one, the ones that I use mainly in this clinic here are the Enema therapies, the nasal administration and the Virechana. I will use the vomiting mode of elimination, but I'm very careful with the patients that I select for that. So I want to make sure that they're quite strong, robust, so yeah. Augation is probably the safest and most effective because we can move excess doshas and excess gunk from the upper regions of the body and the lower regions through that purging process. Mason: (17:08) And everyone's a bit used to it. Wayne: (17:12) Yeah. And it's just easier, having somebody killed over a bucket, vomiting milk and salt, licorice decoction is, can be pretty intense, but having somebody sitting on the toilet for four to six-seven hours on a Saturday morning is much more palatable. Mason: (17:31) But he kind of gets it over and done with it. Doesn't it, if you're drinking the milk, the licorice. I mean that's what I- Wayne: (17:42) Yeah. Mason: (17:43) Yeah, I do appreciate just the gentle approach that Ayurveda always has. In the scenes that I was running in when we were so hardcore into our catabolic lifestyle, you know always itching about a feeling of another parasite in us and needing to get of this impurity and this impurity... It was very healthy, very healthy psychologically, always. Wayne: (18:09) It's that Northern Rivers environment. It's that subtropical environment, you know there's some nasty bugs and up here and down where you are, [inaudible 00:18:18] but these are things that they get in it, and they're nasty. They're very stubborn things to get rid of. Mason: (18:27) Yeah but as you said, though, when that, there's a season for it, and when that cleansing mentality kind of takes over your mindset and gets a little far in the Ayurvedic approach was, always a... It always started to buffer everyone in that, like I could see people getting attracted into that system and all of a sudden gaining some kind of responsibility and even using oils rather than friends that did like a 100 days straight of doing coffee enemas. Well, that was a 100 days straight of mushrooms and coffee. So it was a different journey that they were on... Wayne: (19:02) Interesting journey. Mason: (19:04) ...yeah that's an interesting journey but nonetheless, it's, I just think about coffee. I just think about what happens when I just pour coffee onto my skin, I don't particularly enjoy it. And we're just, the constant pouring of coffee onto the membrane within the colon. Ayurveda coming through with this medicinal oil intent and the decoction intent always took it to, it always took it to another level. I kind of lost my trust a little bit in Enema therapy and even colonics to an extent. Wayne: (19:37) Yeah. So just using coffee for an example, in Ayurveda everything can be used as medicine. Everything is potential medicine, but everything is also potential poison. It means the right application is key. So if we were looking, if I was to consider using coffee in enema therapy, I'd be looking at the qualities that are presenting in the patient that need to be rebalanced and I'd be looking at, or what qualities are inherent within that coffee bean that I can actually use effectively. So if I look at qualitative effects of coffee, it is sharp. It is penetrating, it is also having stringent and bitter qualities. So I know that it's going to have a drying effect, and I know that it's going to have a stimulating effect. So if I was looking at a patient that would fit that, that would do well on a medicine like that, I would probably be looking at a bowel that is quite congested, quite sluggish. Wayne: (20:42) I know that there's anti-microbial, anti-bacterial activities in there as well. So you know if there was some sort of dysbiosis playing out and there was congestion, if their stool was sluggish slimy, and they weren't having sort of good timely bowel eliminations or their transit time was a little bit slow, then I would implement that substance. But I would use it in conjunction with other medicines and substances that are also going to support the inherent qualities of the large bowel. So I could get a good cleansing effect from that. And that would be really effective. And then I could sort of back it up with supporting and nourishing and then introducing different medicines that are actually going to start fixing that transit time, working on the nervous system, introducing the right nutritional practises, the right lifestyle practises and things like that. Wayne: (21:39) It's looking at what's presenting what needs to be done. Whereas what I do notice these days is you've got some people that are doing coffee enemas and their system is already dry, they're already in flames, they're already you know sort of prone to losing weight or being in a state of deficiency. And then they're introducing a substance that is actually going to compound on that deficiency and then further dry the bowel out. And then you've got more complications of constipation that might follow that up. And then if you get banked up and then you think maybe I need to go and have some more enema treatments and you further compound. You're actually moving in the other direction. You need to apply the opposite qualities to bring them about that harmony within the organ, and then introduce the substances that are actually going to start building and strengthening. Mason: (22:30) Do you just offer your enemas specific to a patient in clinic, or do you have places where you educate, for people who are maybe not in New South Wales, and are looking to learn how to get a little bit more intention, the way that they're providing their own home enemas? Wayne: (22:47) Yeah. We can offer that through ZOOM consultations. So what I would do if somebody was interested in doing an enema treatment, we would go through, we'd do a full case study. So we'd be looking at their body type, looking at their age, looking at their presenting symptoms, all of these sorts of things are going to play into providing information of the nature of that digestive system. So in Ayurveda we're looking at the mind, we're looking at the central nervous system, we're looking at that whole vagus nerve access and the qualities of the digestive system. So understanding somebody's mental tendencies is going to tell me a lot about what their digestive tendencies are. So if it's irregular, if it's prone to, you know if the endocrine system, the homeostatic balances is out there and there's sleep issues, or there's hormonal imbalances or reproductive menstrual issues, that's still going to give me a lot of information as to what the large intestines and the qualities of the large intestine are presenting. Wayne: (24:03) So I will incorporate those... that information into establishing or what's the best means to bring this body back into balance. So in [crosstalk 00:24:16] one of the classical Ayurvedic texts, he says that the majority of diseases can be treated through enema therapy. The large bowel is a fantastic route for administering medicine, just with the absorption, with the relationship that the large bowel has with the nervous system, the mind, the endocrine system. Mason: (24:35) Well I think what you're...Sorry. Wayne: (24:37) It's just that the ... You need to implement the right qualities to bring about that balance. Mason: (24:41) Yeah. Well, I mean just the awareness around the membrane health. I see that this style of cleansing, so much cleansing, if you'll see say if we're talking to someone who's in, whether they're in Western medicine or more likely in a naturopathic field, and they're getting into a place where they say doing a test, a microbiome tests or they're testing the biodiversity that's within the large intestine, they're the ones that are going to start sounding the alarm for people just constantly going in and doing enemas and doing coffee enemas. So then we have a dichotomy there. And so quite often that's going to create this inner conflict in people that they want to cleanse. But oh hang on, the data is actually showing that I'm lowering the diversity of my bacteria by doing this. Mason: (25:35) So this conversations I was so keen to keep on going down this is because that butting of heads between those two kinds of principles like testing, and Microbiome health, and Biodiversity, and not doing anything to jeopardise that colony, yet the desire to get in there and support the systems in our body in a way that's integrated. And then this Ayurvedic and this enema model, it creates such a beautiful bridging I think in an appeasing of... People are wanting to take something which can be seemingly conflicting inside of themselves yet come to a place where you can have your cake and eat it too. Mason: (26:18) Awareness of the membrane, awareness of protecting the home, the tissue walls and what you said there, which I think is something that a lot of people... I could have probably used hearing eight years ago when I was into this, Is that the impact of the tissue, I can't remember the words, but you were saying, you can sit up the impact or, how much you're going to, like how much you're going to hit or stress. The tissue of the body Wayne: (26:46) Health is a fine line between keeping the channels clear, and maximising communication pathways. So, the body is made up of channels. It's how the body communicates with itself. So we want to make sure that we're using these cleansing procedures to support maximum communication and clear pathways of moving things from one place to another. And then we need to back it up with nourishment and stability, stabilising tissues. So cleansing without strengthening is never going to give you maximum results. You know you have to... the objective is to have a strong body, it is to have good mental stability and sturdiness, and these strong tissues are going to reflect a good immune system. And if the Immune system is strong well, then it's going to support a good quality Microbiome, because the bugs are essentially only going to inhabit an environment that is healthy. Wayne: (27:59) It's like, less people are going to go live in a desert then, on a coastline because the environment's just, more appealing, you've got good weather, you've got good rainfall, you've got, good quality air. Whereas if those bugs aren't living in an environment that is conducive of what their needs are, they're gonna leave. So we can keep continuing to look at what the diversity is, or we can start looking at well, what is going to encourage a good, healthy, diverse range of good quality bugs that are going to have this beautiful symbiotic relationship with supporting our tissues, supporting our cognitive function. So, they're going to be more inclined to living in a strong environment. So, I think that's like the emphasis that we need to bring into cleansing is the importance of the off season. Wayne: (28:56) The off season is key and you need to have good regular off season. Winter gets strong, clean out the excess, and then your tissues are just robust. Whereas if we're kind of like every time we feel imbalanced, we just consider, or we just have to go towards cleansing. If that's the key word that keeps coming up, because that's pretty much what happens if you Google search something that you're suffering from, you're going to find "I gotta do a cleanse". You do a cleanse once, and then three weeks later, you do another cleanse, and then two weeks later you do another cleanse, and then six weeks later, you do another cleanse. You're actually creating destabilising environments. And I just don't think that it works that well. Wayne: (29:42) I think if you've got a regular routine... Like Everything in Ayurveda comes back to regular routine, everything that is... everything that reflects balance and harmony in nature is governed by a regular team. If the rout... If natural routines go out of balance, this is when we get floods, we get intense bushfires, we get some tsunamis. It's all about that balance, strong, seasons where everything grows and is nourished, and then you have a dry season, which is a good time to clear stuff out. Mason: (30:15) Yeah. What are you doing dietarily at the moment? Wayne: (30:21) At the moment, This is a good time to be staying off heavier foods because just coming back to that, talking about the rivers starting to swell, and the ice starting to melt, we wanted to clear those pathways as much as possible. At the moment, like I've got a bunch of people that are going through panchakarma at the moment, and their diets primarily, strong liquid diet, lots of vegetables, lots of steamed vegetables. So even when we're looking at food, it's not enough just to consider that a broccoli is going to be sufficient based on its nutrient content. We need to actually prepare and manipulate the quality of that broccoli, so it's easily digestible, so it still maintains like maximum nourishment, nutrient composition, but it is supporting the vitality itself. Wayne: (31:19) The way that we were doing that in the cleansers that you just lightly steam the broccoli, so it just starts to perspire and it kind of becomes a little less brittle. So you're still getting that rich chlorophyll kind of colour that comes out. So when the broccoli's steamed correctly, it actually becomes brighter. And actually it's almost like it's starting to come alive. So, you would take that, you'd have it with a little bit of olive oil, a little salt, a little bit of pepper just to stimulate digestive function. So you get better absorption of that food. So we kind of... we have different broths. We use Kicherie in Ayurveda traditionally for cleansing which is a Mung Dahl and it's combined with Basmati rice. So when you combine those two food groups, you'd get the complete amino acid profile. Wayne: (32:14) So you're still getting everything that your body needs. You know If we look at an Ayurveic diet during these cleanses, we're getting carbohydrates, we're getting a really good range of fats, we're getting proteins, we're getting a lot of... Plenty of fibre through the vegetables and, we're getting a lot of minerals as well. So, everything's there, it's just presented in a way where the body can still let go and it's not having to... we're just creating, especially these days, A lot of my patients will probably, I'd say 95% of them, they're still working, they still have children. We've got to sort of manage that practicality where we just don't have a setting where they can just be in a retreat type environment and just relax and have everything done for them. So I need to make sure that my patients are still strong and they're still able to go about their responsibilities. So it's finding that kind of sweet spot where we're getting the job done, but we're not putting the body into a state of depletion. Mason: (33:19) Do you keep them vegetarian during that time as well? [crosstalk 00:33:23] Wayne: (33:22) Yeah generally. Some patients, I might consider say chicken broth because it's still very easily digestible. Especially if there's a bit more depletion, if the patient is prone to weakness or what we would call a Vata dominance, or if there's a Vata aggravation, we might, you use that as a... Just to, prop up and to provide extra nourishment, but it still enables the body to let go and cleanse all the excess gunk. There's actually... Well, are you happy for me to talk about how just the whole procedure of Panchakarma, because what we've discussed is, the five... Mason: (34:04) Absolutely, and we've got 11:11 right now, down here in New South Wales. So we're numerological giving you the thumbs up. Wayne: (34:11) Well, I've got 10:11. And what does that mean? Mason: (34:15) Well, that's why I added in the New South Wales. So maybe the Queenslander don't wanna Want to hear about it, but the New South Walsh men and women do. Wayne: (34:21) All right, well, I'm happy to share. Mason: (34:24) Yeah, super happy to hear about that process. Wayne: (34:28) Right? Because this is a really unique... these concepts are really unique to Ayurveda and it's... I think it's really important for people just to at least entertain what's potentially involved in proper cleansing and the extent of cleansing because we do a lot of juice fasts. We do a lot of enema things in the West and I see from my Ayurvedic background, I see gaps, I see areas where we could actually be making much... Providing much more effective cleansing programmes. So we only have to do it once or twice a year. So the way that.... Mason: (35:07) Do you want to throw in the other ones? I'm going to throw in liver cleansing is another one, the incredible liver gallbladder cleanse that's another one that happens big time. The... what I used to do the yogic, well, I can't remember the name, but that saltwater cleanse and get up at five in the morning. Wayne: (35:34) Yeah. What was that called? Shankha prakshalana Mason: (35:35) Yeah something like that, I've got it there from when I did my teacher training. Five litres of basically brine warm salty water. So I'm throwing that down, I'm throwing that up, I'm doing my five movements. I'm doing my Crow, my cobra, I'm doing my spins, doing that. Then it's all coming out of my bum and then doing the Neti pot, that's another kind of like hardcore approach I think. Wayne: (35:58) These are the Yogic Kriyas, the Yogic cleansing procedures. But what we have to consider also is if we're looking at the context in which those procedures were used. Generally these yogis, they had very simplified living situations. There's a lot of Asana practise, a lot of meditation, karma yoga, a little bit of karma yoga in there. Probably not a great deal, but you know, a lot of inward introspective activity. And the Kriya's aren't... From an Ayurvedic perspective, I would say that the Kriya's are more geared around cleansing the elementary tract. So these types of cleanses are going to like remove a lot of debris and gunk that has accumulated in the digestive system, but it's not going to be efficient enough to get into the actual tissue systems. And these are the areas that we're not so much getting into. Wayne: (37:06) If you're doing liver cleansing and bile flushes, I think these are fantastic things to adopt, Because what we do in Ayurveda is we'll divide the body into two different parts. SO we've got, what's called Koshta and what's called Shaka. So Koshta is the abdominal cavity and all the organs that inhabit that space, and also the pleural cavity and the pelvic cavity. So when we're doing liver cleansing, we're kind of cleansing those regions more. So, that we'll get into the blood, we'll probably get a good sort of effective plasma and blood cleansing activity, but really, I think you'd have to do those liver cleansing herbs for at least four to six weeks. You want to be exposing the liver and the blood to those substances for long enough for the liver to completely renew and reproduce itself. So if you've got that, four to six weeks exposure, you're probably going to have a really healthy liver after that period of time. Mason: (38:18) Normally just looking at like these, what we do in the West, we're looking for a wham, bam, thank you. Ma'am, we're doing something potentially beneficial in excess, maybe not, but what we are talking or going into now is that balancing out when we are actually going deeper into the tissue. Wayne: (38:34) We've got to have an effective cleansing. We need to get into the cells, we need to get into the muscle, the fat, the marrow, the bile. These cleansing... I'm not putting these cleansing techniques down. There's definitely an important space for them. And I think everything needs to become... Needs to be practical. Taking a liver cleanse for six weeks and then maybe doing Bile flush with magnesium salts, and citric acid, grapefruit juice. That's going to be really effective, but if we're looking at maintaining and supporting the communication of deeper tissue systems, we need to start looking at kind of more sophisticated processes that really get into those areas. So what we do with the Ayurvedic cleansing is, there's preliminary treatment. And then there is the main treatment, which is the expulsion of the gunk either through the bottom end, top end through the nasal cavity or through the bloodstream. Wayne: (39:40) Then there's the post-treatment. So we want to carefully prep the body for that kind of intense elimination process. And then we want to follow that up with supporting and re-establishing good digestive function afterwards. So the way that that looks is that initially for say three to five days, depending on the patient, and their present health, and what they're presenting with is we will introduce specific medicines, and diet, and lifestyle activities that are going to start eliminating the... I guess you could say the superficial Gunk that is accumulated in the pipes. So every time you digest food, you're potentially going to... you break down substances into absorbable nutrients and you separate the waste product that then gets moved down into the large bowel. But sometimes if you're eatings a little bit of irregular, or if your digestion is weak or you're a little bit stressed when you're eating, you might produce a by-product, which is not suitable for building tissue, but it's not suitable for creating a good quality bowel motion or good quality stool. Wayne: (40:53) So we call this Ama in Ayurveda and it's largely interpreted as toxin, but it's not really a toxin, it's just gunk. That's just like a by-product of separating through chemical activity. So this gunk will accumulate and it's going to start lining the digestive wall. And this is where we start getting probably potentially dysbiotic sort of environments, where we get more aerobic bacteria starting to generate the digestive system. So these are the kind of like early signs of a digestive system starting to kind of turn sour and away. You'll notice that if you have a look at your tongue first thing in the morning, so you might notice that it can be like a white coating, a yellowish coating, excess saliva. Basically what you're looking at is kind of gunk under or Ama that's accumulated, but we can't build tissue with that substance and it's not making a good quality waste product and it's breeding bacteria essentially. Wayne: (42:03) So we wanna... The word is Ama Pachana which means to digest and cook or ripen this gunk. So we want to loosen that from the, you know, the whole, whole intestinal wall from the, from the mouth all the way down to the anus and get that digestive system functioning really well. So we want to stimulate that digestive fire and all those enzymes and acids so they're really strong and working efficiently. So we, we introduce a lot of the time I'll use, what's called a [inaudible 00:42:36] which is a herbal paste. It's a... it's herbs that have been cooked for long periods of time, decocted mixed with jaggery and honey, and a little bit of ghee. And then we'll take that, and I'll administer that three times a day before food and just start getting that digestive system really strong, because if we need to get herb's in to start really addressing cellular health and cleansing tissues at a deeper level, we need to sure that the channel of elimination is working very efficient, but we also want to maximise the absorption of these drugs. Wayne: (43:16) So they're getting to where they need to act. So, if you've got a gunky digestive system and you want to do a tissue cleanse, or you're potentially limiting to like the amount of the potential for that substance to get to where it needs to go. So we want to clear that area out to begin with. Wayne: (43:36) So once we get that done, the second part of the preliminary treatment is called [inaudible 00:19:44], which is the internal oleation. So this is where we start introducing a medicated ghee. So there's loads of different formulations where drugs are infused into a clarified butter, and you know Ayurveda is very big on the clarified butter. Nutritionally, It's very good for you, but one of the key reasons why we're so big on ghee is because it has this really amazing capacity to imbibe the constituents of whatever substance it's mixed with. Wayne: (44:24) So if, if I combine a group of herbs that I want to use to address the nervous system, or address the skin, or address the fat tissue, I can insert those drugs through these preparations, infuse them into that fat and a likelihood of those Herb's getting to where I want them to act is going to be much more efficient. So what I do is with the cleansing is we introduce about 30 mls of this medicated fat on the first day, and we have a very light diet. So your body is almost going into a ketogenic state. Where you start increasing the fatty acid load over a period of time. So we introduced 30 mls on the first day, and we just observe to see how well that digests and if all goes well, it's not sort of sitting there, there aren't ghee burps three or four hours later, and this will be determined by the previous treatment. Wayne: (45:24) If I get the digestive system functioning really well, the gee's going to digest very well. So the next day I'll introduce 60 ml the next day, 90 ml, possibly up to one 120 ml. Basically we keep going until the body becomes completely saturated in this medicated fat. Mason: (45:42) Just straight down the gob. Wayne: (45:44) Yeah, it's the hardest part of the cleanse, especially when you're getting into the higher, you know the one 120 ml but you have it as hot as you can take it and then you can just follow it with a little bit of ginger tea and that sort of clears the palate and helps it digest. Mason: (46:02) Yeah that's okay. I'll have to chat to you later. I've got two things, smells that nearly make me vomit on, cue. Canned tuna from a kid, and ghee and I've just recently been able to say to myself now I'm going to overcome that one because ghee is not something I wish to have that aversion to. Maybe I can chat to you about it later because I'd like to partake and I think that maybe that would be my initiation back into being able to palette ghee, especially having it warm with a bit of ginger tea afterwards that might be it but I just thought, I'd throw that out there. It's amazing how much that makes me gag when I smell it. Wayne: (46:48) Well the medicated ghee's can taste very different to just plain Ghee. So, there's one medicine that I use a lot called [inaudible 00:46:58] , which has made with a [inaudible 00:47:01] which is a resin that's found in the Mocho tree, which is very good as an anti-inflammatory. I use it a lot in rheumatoid arthritis cases, very good for regulating cholesterol levels, but the ticktum is bitter. Wayne: (47:17) So there's a whole range of different bitter herbs that are infused, and it changes the whole composition of the fat. So, say it's August, it's still pretty cold and I've got 10 different medicated fats in jars sitting on my shelf. One fat will be completely solid. Whereas I might have another fat that's going to be almost liquid or semi-liquid. And the reason is because the ghee has imbibed the qualities of those herbs. Wayne: (47:48) So those herbs are influencing the actual texture and the composition of the fats. So if I look at how those fats are going to interact, like if I've got a really bitter fat, I know that it's going to be predominantly cooling, and I know that it's going to be, it's going to have. Wayne: (48:03) sort of those qualities that are going to be soothing. So it's more compacted. Whereas, if I have a Ghee that is very sharp in its attributes, because of the way that it's been infused with these herbs, it's going to have more of a liquid composition by nature. Wayne: (48:22) So if I was wanting to get those drugs into the deeper parts, like if there were say, growths you know lymphatic congestion. I would be looking at these types of vehicles for drugs to get that drug in to start breaking down. And those deposits, those fatty or congested deposits that might be accumulating the body. Wayne: (48:47) So every step of the way of Ayurvedic cleansing, everything is carefully considered. Because what we're essentially doing, is we're looking at what the presenting qualities are of the tissues in the body and what needs to be done and we're looking at which drugs matched and support bringing that body back to balance most efficiently. Mason: (49:09) Mm-hmm. Wayne: (49:09) So when we start getting into those higher doses of Ghee, I'll notice that the skin will become oily. The lacrimal secretions of the eyes can become sticky and eventually the Ghee will be passed as stool. So what that tells me is that the body is saturated and can't take any more fat. Wayne: (49:35) That means we've reached [inaudible 00:01:37]. According to classical texts, that means that the fat has penetrated the deepest tissue level. It supposedly goes into the marrow and it takes those constituents into the cells. And then the cells are forced to excrete excess metabolites, because the cells are saturated. So it pushes the gunk out of the membrane of the cell back into those channels of circulation, the extracellular compartments, and it starts making its way back to the digestive system or the cavity. Wayne: (50:18) So what we're doing is we're taking drugs in, and we're actually using them as a vehicle to bring the gunk back out into the areas where we can expel them from the body. Excuse me. Wayne: (50:32) One of the beautiful things about using these fats is, it's going to support the elimination of fat soluble toxins as well. When we're looking at lead, mercury and cadmium, we're looking at potential binding agents for these toxic elements that are not able to be excreted from the body naturally. We have a very efficient detoxifying system, but water-soluble substances are more efficiently excreted through those pathways. If we're using the fat soluble constituents, then we're able to be more effective with what we're actually bringing out of the body. Excuse me. Mason: (51:22) That's what's really striking me as the most significant thing here. Having the wham-bam cleansers in the repertoire, if you do have a strong body and maybe not, as you were saying, like a Vata dominance at the time when you're doing a cleanse. Beautiful, it's like me going and having a sauna or doing my thing here and there. I'm probably after so many years of deep cleansing, I'm happy having my little break, but then when you... I was just dropping into the significance, especially getting deep enough into the tissue and the marrow into those cells where they can offload those fat-soluble toxins or gunk for that better way to look at it. Just if you can drop in and feel the amount of degeneration that could potentially be avoided and the amount of vibrant health that would be procured and grown in the population. Mason: (52:23) That's why I do like Ayurveda. After really having that time in Taoism and I've had my little obsessive time and now I'm out. I'm just looking everywhere. I'm looking at that strength of Ayurveda and what it's like. It's nice to see... In some places it's always been strong, like in places in India and in the community. Mason: (52:46) I'm seeing in my world, this resurgence. Especially in this sensible cleansing scape, it's the contribution that it's going to be able to potentially offer into the, hopefully integrated medical system in the future, but people can just start taking it on now and saving themselves a lot of hassle in the future when they have all this gunk stuck in their body. Wayne: (53:10) Yeah. Well as you say it's preventing that degeneration. Fat's considered as the preserving agent of life in Ayurveda. So when we're cleansing, we're also introducing a preserving action. So we're actually supporting that cellular activity at the same time with the use of fatty substances. You can use them for nourishment. You can use them for palliative care and you can use them for cleansing. It's such a versatile medium that supports human health. It's fantastic. We need fats. They support nourish... And especially with cleansing, because what we're doing is, we're actually... It's quite an aggressive kind of impact on the body. And we need to make sure that we're kind of like buffering those harmful impacts. So once we actually get the body to that level of saturation, that's when all of the hard work finishes. Wayne: (54:24) After that, usually I'll book my patients in for three to five day therapies. So this is where Ayurveda just has this beautiful neurological calming, mental calming, cleansing procedure, where you come in and you have medicated oil massage. Wayne: (54:44) What we're doing is, we want to manipulate all of the Ghee and the herbs that we've introduced into the body. So we're going to start actually physically squeezing, pushing and supporting the lymphatic system and basically encouraging physically the gunk or the armour to come back to the abdominal cavity. So we do that through hour to hour and a half massages. Then you go into a herbalist steam bath. So you can probably see that steam bath behind me. It looks kind of like a coffin. What we do is we use a combination- Mason: (55:20) It's a nice coffin. Wayne: (55:20) Yeah it's pleasurable coffin. Mason: (55:27) For those of you on audio, there isn't just some generic, modern... Wayne: (55:33) It's a nice handcrafted, hand-carved coffin. Wayne: (55:37) Yeah so we put the 10 root herbs generally in the decoction and you have this herbalised steam pumped into the steam chamber. This is another little thing that Ayurveda takes into consideration too. You're lying in the steam chamber and you're having your body pumped with herbalised steam. It usually sits at about 42 degrees, or around there. But your head sits out the end. So we're not exposing the eyes to excess heat, and we're still allowing the body to have that nice fresh air coming in. What I do is I get organic Rose water and douse it in tissue and you just sit it over the eyes so it keeps the eyes really cool. Your body's cooking, but your head stays cool. What we're looking for is signs that heat is starting to move above the clavicle. Wayne: (56:25) You'll see that where the ears start to get red, you'll start to get droplets of sweat. So I leave the patient in there until they start breaking a sweat, but there's a point where they do feel hot and they're ready to get out. Wayne: (56:44) From the studies that I've looked at, there's these heat shock proteins that are released and you get all of these really nice anti-inflammatory actions that come with that herbal steam therapy that is supporting cleansing as well. It affects the dopamine levels and serotonin levels, so it's very good for regulating the nervous system as well, really calms the mind. Wayne: (57:06) So what we do is, we manipulate the body and then when we cook the body, so it dilates. It expands. So you get these channels where you've got these extracellular spaces that are starting to move gunk back to the channels of elimination. Through the heat, you're actually supporting a wider berth to allow these substances to move. Because you've got that saturation of the Ghee, you've got this nice lubrication within those channels of circulation, so it prevents anything from getting stuck or just ending up lodged somewhere down the pathway. So It really encourages everything to come back to the gastrointestinal tract as well. Wayne: (57:49) So you're getting these three to five days of super relaxing therapies. Then, depending on the success of that, if it's done properly, everything runs smooth. So on the fifth day, the evening before we actually eliminate all the gunk from the system, you have quite a tasty meal. What we're doing is, we're encouraging a lot of acids and enzymes and a lot of activity to come back to the gastrointestinal tract. The tastier your food and the more varied it tastes... If you have something that is a combination of sweet, sour, salty, pungent, bitter, and astringent, you're going to draw out all the potential enzymatic and gastric activity that is going to digest that spectrum of taste, which is pretty much all the tastes that we have. Wayne: (58:44) So for every taste there'll be an equivalent digestive substance to break that down. So what we want to do is, we want to encourage that to come in, back into the elementary tract. Then the following morning, on the rise of the red sun, you take a particular... This is with the purgation. It's different with the Amacethes, but you'll take a substance, it might be a paste. Generally what I use in my clinic is, I use castor oil at a fairly high dose. And I mix that with either almond milk, depending on the patient's preference or milk. Castor oil on its own is disgusting. It's really gluggy, it's a horrible oil. But when you combine it with a little bit of sugar and milk is actually it's quite palatable. Wayne: (59:36) So you have that on the rising of the red sun, according to classic texts. So as soon as that sun comes up, it's when you drink this castor oil. Then usually you'll have triphala powder about 10, 15 minutes after that. Wayne: (59:52) Then you just relax and you just sit back and enjoy the ride. So you're on the toilet generally four to six hours. Mason: (01:00:06) If you don't mind explaining what the movements are like? Is it gluggy? Is it running out? Is it spurting out? What do you expect there? Wayne: (01:00:17) Basically, using Ayurvedic inflammation knowledge, we can predict what the dose is going to be. So the thing is, I don't want to... Each dose will be different for each patient, because we have ways of gauging whether the bowl has a tendency towards dryness or whether it has a tendency towards oiliness, or if it's somewhere in between. So the dose is determined based on all of these different variables, based on the patient's body type. So it can be a little bit delayed. Everybody's transit and peristaltic kind of activity is slightly different. My experience is that I might have a patient that is going to start having bowel motions within 45 minutes, somebody might not have one for two hours, and then somebody might have a strong one after an hour and nothing for a few hours after that. Wayne: (01:01:22) So it does vary. But what I'm looking for is, I want all of the solid matter to be evacuated. Then it usually goes into a semi liquid state, then it goes to a liquid state and then usually there can be a bright orange pigment in the stool or a little bit green. What that's telling me, is that I'm getting into the areas where the bile duct is starting to cleanse. So I'm able to gauge how efficiently I've cleaned out that digestive tract. That's what we want to get to. Once we can get to that point, usually it just becomes a clear water. At that point I want to turn the tap off, because we've eliminated the gunk, it's been a successful procedure. But, if we keep going after that, and this is why dosage is really important, we start going into dehydration. We start getting into the point where we start draining the body and we start affecting the electrolyte and fluid balance. Wayne: (01:02:26) There is a formula, or a drink that you usually take. It's called Takra. It's a buttermilk that has a combination of spices. It might have a combination of a formula called Hingwashtak Churna, which is a combination of eight different spices. It's got hing in there. It's got black cumin seed, cumin seed, coriander, it's got some salts in there and ajowan seed. Mason: (01:02:58) Yum. Wayne: (01:02:59) It's actually quite- Mason: (01:03:00) That was a sincere yum. Not the yum when I was referring to the triphala. That was a sarcastic yum. Wayne: (01:03:07) Yeah, triphala is not very good. Apparently, when your body is balanced triphala should actually taste sweet. Wayne: (01:03:16) I've never- Mason: (01:03:17) Oh, God, I'm a mess. Wayne: (01:03:18) I've never experienced it either. Usually the- Mason: (01:03:21) Back to the drawing board. Wayne: (01:03:24) The feedback from the taste perception will determine the qualities, or the imbalanced state that your body's in. So some people do find it quite sour. Some people will find it stringent. Some people find it really bitter. So it does vary. And that's usually the present health that determines that. Mason: (01:03:44) Schizandra berry does that for us. It gives us an insight for them depending on what they're tasting. Wayne: (01:03:51) Yeah. Taste receptors are really important and they provide a lot of information. Wayne: (01:03:55) So you'll have this Takra, and what that does is it acts as a little bit of a binding agent. So it helps to turn that tap off and then that's pretty much done. But the thing is, if you're doing a strong purge, or if you're eliminating all of this gunk, you're also losing a lot of bile, salts, gastric acids, enzymatic activity as well through that purge. So we need to start building that back up. This is a really critical time. From my experiences, this is one of the most important parts of cleansing, because what people do is they do these really intense elimination processes, but they don't put the time into rebuilding that digestive fire. Without a good strong digestive system, you're just going to go back into creating partially undigested substances when you're eating. Wayne: (01:04:50) You're not going to be able to build healthy tissues and you're not going to build waste products. So it's kind of like a campfire. You've got to start with that kindling, little bit of paper, and then you listen to the fire. The fire will tell you what it needs. You know when to put the sticks on, and then you can start getting back to that point where you've got nice, good, hot coals and good hardwood sitting on them, burning for long periods of time. That usually, depending on how intense the elimination and the purge is, would determine how many days it will take to get the digestive system back on track. So good digestion is key. That is one of the most important things for health. If you're not breaking down food efficiently, you're not producing good quality, healthy tissues and your metabolic system is going to mirror that as well. Wayne: (01:05:47) If your digestion is sluggish, your metabolism will sluggish. If it's erratic, your metabolism will be erratic. If it's too sharp, then you're going to be hungry all the time. You're going to need to eat six meals a day. We spend about four days just building that food back up. There's specific recipes that we'll do. Generally, we just introduce some rice water. We'll cook some rice and basically you're just drinking that water with a bit of cumin, a little bit of salt. All we're doing is we're trying to stimulate the digestion, but we're introducing basic sugars into the system. We just build the energy back up because the body's tired, it needs to be hydrated. The salt supports the electrolytes, and then we start introducing a little bit of food and then we build up, and then we get back to normal. Once we get to that point, this is a really good time to start introducing your tonic herbs. Mason: (01:06:46) The convalescence stage. Wayne: (01:06:49) Yeah. Wayne: (01:06:50) You're going to have really good absorption... Are you there? Mason: (01:06:55) Mmm-Hmm. Wayne: (01:06:56) I think I just lost you. Wayne: (01:06:57) You're going to have really good absorption. So chances are whatever tonic herbs you're having for whatever... We've all got strong and weak tissue systems. Some people have good muscles. Some people have good bones. Some people have good nervous systems. We want to prop up and support the weakest tissues with those tonic herbs. Because we've cleaned that system out and we've improved pathways of communication, we're going to get those active constituents getting to where they need to act. This is the most important thing, because this is where the immune system comes online. It's strong where the tissues... They're robust and healthy. Then we'll introduce... We call it Rasayana in Ayurveda, which means just rejuvenation or strengthening. Wayne: (01:07:50) It's super important to cleanse, but it's super important to build. If you can always just make sure that whatever cleansing that you're doing, you've always got an element where you, prep, you support, you cleanse, you rebuild, you strengthen. That's key. If you can get that right, you're not going to feel like you need to do a cleanse, because you've gotten everything back to normal. It's like taking your car to a mechanic. You get everything cleaned out, the car just runs better. You don't feel like you need to go back to the mechanic and clean the oil out a week or two later, because you've gotten the job done properly. Mason: (01:08:31) Especially if you're doing routine maintenance, that's possible just at home. Maintaining that with diet, with saunas, tonic herbs. Just to be in that diet that keeps you running and strong. Wayne: (01:08:49) Sorry. Mason: (01:08:50) Go on. It's all good. We're just both too excited. No, go for it. Wayne: (01:08:56) The maintenance was super important. This is where the daily practises come in. Like tongue scraping every day. Having freshly grated ginger tea first thing in the morning. The Ayurvedic oil massage and also not just considering health as being healthy skin, healthy tissues, healthy digestive system. When we look at what the definition of life is in Ayurveda, it's a combination of the body, the tissue systems, the mind and the sense organs. Wayne: (01:09:36) Ideally, if we look at what our objective is as Ayurvedic physicians, we want to have really healthy functioning digestion, really healthy functioning tissue systems. We want to have clear cognitive function and we want to have really well functioning sense organs. We want to be able to see clearly, hear clearly, smell clearly, taste and have good tactile perception. The objective is to... Ayurveda considers that the central factor of existences is the [foreign language 01:10:12], or the soul or the witness. Whatever is operating through that medium is the witness. Whatever's in me, whatever's in you that is just there that's watching. That's aware of thought, aware of essential perception and aware of its body. That is the central factor. We want that soul, or that witnessing factor to be able to come into this physiology and just relax, just relax into being. Wayne: (01:10:42) If the body's healthy, if the sense organs are healthy, the feedback is clear, if the cognitive function is working. Well that can be a really beautiful experience. It's when all of that distortion comes into the mind and all of the stories. Then that sets off hormonal and endocrine dysfunction and digestive dysfunction. The body becomes sluggish or irregular. We want that to be really clear. Wayne: (01:11:09) Coming back to the sense organs, this is our communication bridge. Our pathway to the external reality is determined by how clearly we can see. A lot of these practises, these maintenance practises are geared up to support that cen
In this episode, we review the latest guidelines on antiemetics from the American Society of Clinical Oncology (ASCO). Host David H. Henry, MD, is joined by ASCO guideline author Paul J. Hesketh, MD, of Lahey Hospital and Medical Center in Burlington, Mass. Dr. Hesketh explains the recommendations for antiemetic use in cancer patients receiving checkpoint inhibitors (CPIs) or high-, moderate-, or low-emetic-risk antineoplastic agents. Checkpoint inhibitors The update to ASCO’s guidelines was primarily driven by questions about antiemetic use in patients receiving CPIs, according to Dr. Hesketh. After a literature review, Dr. Hesketh and coauthors concluded that: Patients receiving CPIs alone do not require an antiemetic regimen. When CPIs are given with chemotherapy, there is no need to modify the antiemetic regimen. Dexamethasone does not compromise the efficacy of CPIs. High-emetic-risk antineoplastic agents Adults treated with cisplatin and other high-emetic-risk single agents should be offered a four-drug combination: an NK1 receptor antagonist, a serotonin (5-HT3) receptor antagonist, dexamethasone, and olanzapine on day 1. Dexamethasone and olanzapine should be continued on days 2-4, as cisplatin can cause delayed emesis. Adults treated with an anthracycline plus cyclophosphamide should be offered a four-drug combination: an NK1 receptor antagonist, a 5-HT3 receptor antagonist, dexamethasone, and olanzapine on day 1. Unlike with cisplatin, only olanzapine should be continued on days 2-4. Olanzapine is an effective antiemetic in a number of settings, Dr. Hesketh said. For example, olanzapine is useful in the setting of hematopoietic stem cell transplant. A 5-mg dose of olanzapine has proven effective and may be better tolerated than a 10-mg dose. Moderate-emetic-risk antineoplastic agents Adults treated with higher-dose carboplatin (area under the curve ≥4 mg/mL per min) should be offered a three-drug combination: an NK1 receptor antagonist, a 5-HT3 receptor antagonist, and dexamethasone on day 1. Adults treated with moderate-emetic-risk antineoplastic agents (excluding higher-dose carboplatin) should be offered a two-drug combination: a 5-HT3 receptor antagonist and dexamethasone on day 1. Adults treated with cyclophosphamide, doxorubicin, oxaliplatin, and other moderate-emetic-risk antineoplastic agents known to cause delayed nausea and vomiting may be offered dexamethasone on days 2-3. Low-emetic-risk antineoplastic agents Adults treated with low-emetic-risk antineoplastic agents (e.g., fluorouracil, gemcitabine) should be offered a single dose of a 5-HT3 receptor antagonist or a single 8-mg dose of dexamethasone before antineoplastic treatment. Cannabinoids There is no good data on the use of cannabinoids, apart from those cannabinoids approved by the Food and Drug Administration, according to Dr. Hesketh. The ASCO guidelines state: There is insufficient evidence to make a recommendation regarding medical marijuana to prevent nausea and vomiting in cancer patients receiving chemotherapy or radiation. Similarly, there is insufficient evidence to make a recommendation on the use of medical marijuana in place of the approved cannabinoids dronabinol and nabilone for the treatment of nausea and vomiting in cancer patients receiving chemotherapy or radiation. SOURCE: Hesketh PJ et al. J Clin Oncol. 2020 Aug 20;38(24):2782-97. https://bit.ly/3oxahUP Show notes written by Alesha Levenson, MD, a resident at Pennsylvania Hospital, Philadelphia. Disclosures: Dr. Hesketh disclosed institutional research funding from AstraZeneca and F. Hoffmann-La Roche. Dr. Henry has no relevant disclosures. * * * For information on the negative effects of marijuana, listen to our sister podcast, Psychcast, on MDedge (https://bit.ly/3mBM6TB), Spotify (https://spoti.fi/3mwVvvn), or wherever you get your podcasts. * * * For more MDedge Podcasts, go to mdedge.com/podcasts. Email the show: podcasts@mdedge.com. Interact with us on Twitter: @MDedgehemonc. David Henry on Twitter: @davidhenrymd.
This free iTunes segment is just one tiny snippet of the fully-loaded 3-hour monthly Peds RAP show. Earn CME on your commute while getting the latest practice-changing peds information: journal article breakdowns, evidence-based topic reviews, critical guideline updates, conversations with experts, and so much more. Sign up for the full show at hippoed.com/PEDSRAPPOD. Sol Behar, MD, and Jason Woods, MD discuss the evaluation and management of bilious emesis in a neonate. Bilious emesis in an infant should be treated as an emergency because this is often a symptom of obstruction due to intestinal atresia or midgut volvulus. Causes of intestinal obstruction that present during the neonatal period include: Malrotation with or without volvulus Intestinal atresia Hirschsprung disease Intussusception (rare in the neonatal period) Necrotizing enterocolitis Malrotation with volvulus. In this condition, the cecum is abnormally positioned in the right upper quadrant and this abnormal positioning predisposes the intestine to twist on its mesentery resulting in volvulus. This causes acute small bowel obstruction and ischemia. An upper GI, the gold standard for diagnosing or evaluating malrotation, classically shows a duodenum with a "corkscrew" appearance. Intestinal atresia. This is a term used to describe a complete blockage or obstruction anywhere in the intestine. Approximately 30% of infants with duodenal atresia have a chromosomal anomaly, most typically Down syndrome. The "double bubble" sign is caused by dilation of the stomach and proximal duodenum and strongly suggests duodenal atresia Hirschsprung disease. This is a disorder of the motor innervation of the distal intestine that leads to a functional obstruction. In Hirschsprung, the nerves that allow the relaxation of the smooth muscle within the intestine wall are missing, so the area that is affected is constricted. A contrast enema can support the diagnosis of Hirschsprung disease. It will often show the presence of a “transition zone” which represents the change from the normal caliber rectum to the dilated colon proximal to the aganglionic region. For younger kids who have not had time to develop the “transition zone”, the rectosigmoid index, the ratio between the diameter of the rectum and the sigmoid colon, is typically >1 in normal children Necrotizing enterocolitis. This is a condition characterized by bowel necrosis with associated severe inflammation, bacterial invasion, and dissection of gas into the bowel wall. Pneumatosis intestinalis, a hallmark of NEC, appears as bubbles of gas in the bowel wall. Meconium ileus is caused by the obstruction of the small intestines with inspissated meconium. Approximately 10% of patients with CF present with meconium ileus.
Sol Behar, MD and Jason Woods, MD get together to discuss the evaluation and management of bilious emesis in a neonate. Bilious emesis in an infant should be treated as an emergency because this is often a symptom of obstruction due to intestinal atresia or midgut volvulus. Causes of intestinal obstruction that present during the neonatal period include: Malrotation with or without volvulus Intestinal atresia Hirschsprung disease Intussusception (rare in the neonatal period) Necrotizing enterocolitis To view all the rest of the incredible show notes and see all the references Click Here
Các cặp từ trong bài: - Epistaxis - Nose bleeding - Amenorrhea - absence of menses - Arthralgia - joint pain - Dyspnea - shortness of breath - Adenopathy - swollen lymph nodes - Emesis - vomiting - Anorexia - lack of appetite - Anticonvulsant - drugs used to prevent seizures Med Lang Fanatic team “Dare to get out of the box!” Facebook: https://www.facebook.com/MedLangFanatic Website: https://medlangfanatic.com/ Youtube: https://www.youtube.com/c/MedLangFanatic Podcast: https://open.spotify.com/show/0L2jMfX2LvL1w37ovyu7jW Contact us at: medlangfanatic@gmail.com
Toxicological hazards around the home are numerous, so it is inevitable vets will see poisoning cases in their practices. Nicola Robinson, who is head of service at the Veterinary Poisons Information Service (VPIS), discusses companion animal toxicology advice in this latest Vet Times Podcast. – Dr Robinson has coauthored an article in issue VT50.06 (4 February 2020) “Companion animal toxicology”, which is available at www.vettimes.co.uk/article/companion-animal-toxicology It features practical advice for first opinion practitioners, including history taking, decontamination and when to refer, and includes several information panels, including “Emesis in the management of poisoning” and “Substances not adsorbed by activated charcoal”, and a table of drugs and products used in management of poisoning. Nicola Bates, senior information scientist/VPIS research lead, cowrote the article. She qualified as a biologist from the Brunel University, London, and has worked in human and veterinary toxicology for more than 30 years. As well as providing emergency advice via telephone, she has written extensively on veterinary toxicology. She is the congress abstract editor for the European Association of Poisons Centres and Clinical Toxicologists, and involved in World Health Organization work on guidelines on the management of lead poisoning. Dr Robinson qualified from the University of Cambridge in 1999, and worked in small animal and equine practice in the UK for 16 years, including four years in Australia. She joined the VPIS in 2015 and became head of service in 2016, managing the operations team and ensuring the service runs smoothly. The UK has two poison information services – the VPIS, aimed at veterinary professionals, and the Animal PoisonLine (APL) aimed at owners. For more on the VPIS, visit www.vpisglobal.com
Author: Michael Hunt, MD Educational Pearls: Organophosphate “nerve agents” were developed in the 1930’s These agents have cholinergic effects, which can be remembered by the mnemonic “SLUDGE” Salivation Lacrimation Urination Defecation GI cramping Emesis The “SLUDGE” toxidrome is mediated through the muscarinic acetylcholine receptors. Nerve agents also affect the nicotinic acetylcholine receptors, which leads to muscle paralysis Death in these cases is from respiratory collapse due to secretions (bronchorrhea) and diaphragmatic paralysis Treatment includes atropine to reduce secretions (often in incredibly high doses) and pralidoxime (2-PAM) to treat muscle paralysis Benzodiazepines may be necessary for seizures References https://www.osha.gov/SLTC/emergencypreparedness/guides/nerve.html Michael Eddleston Novel Clinical Toxicology and Pharmacology of Organophosphorus Insecticide Self-Poisoning. Annual Review of Pharmacology and Toxicology 2019 59:1, 341-360 Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD
In the next episode of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu talk to former NASPGHAN President, the "Emperor of Emesis" himself, Dr. B Li about cyclic vomiting syndrome (CVS). He explains how collaboration with a parent support group that is now the Cyclic Vomiting Syndrome Association (CVSA) helped define his career. We discuss how to make a diagnosis, the evolving treatment of CVS, and controversial topics like the relationship between CVS, marijuana use, and cannabinoid hyperemesis syndrome. As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Produced by: Jenn LeeSpecial requests:Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we would like to ask you to consider doing any or all of 3 things:Tell one person that you think would like this type of content about the podcast. We want to reach more GI docs and trainees as well as general pediatricians, pediatric residents and med students.Leave a review on Apple Podcasts - this also helps more people discover our podcastYou can also support the show by making a donation to the NASPGHAN FoundationThanks and stay tuned for more great content every month!Support the show (https://www.naspghan.org/content/87/en/foundation/donate)
Kicking off APSA week, we begin with a Grand Rounds installment. Dr. Diana Diesen, pediatric surgeon at Dallas Children's Hospital, presents everything you need to know about bilious emesis in the pediatric population. This is high yield information for those pediatric surgery questions on ABSITE, and simplified enough for rotating medical students to understand as well. Enjoy!
In Episode 86, the guys talk about “Melvin”, Valentine's Day and more! Follow them on Twitter @ChefWaites, @NY_Wiseass, @AdamMichaelJr and @ILL_Wil_
Kevin, Shelly, and Uttam (you LOVE Uttam) discuss PONV demographics and strategies. You'll laugh, you'll cry, you may hurl (Wayne's World reference for Millenials). Join hosts for lively discussion into a topic people would pay big bucks to NOT have.
Friend to the show, Jim DuCanto has been obsessed with SALAD. Not the leafy greens delicately touched with a tart emulsion, but with Suction Assisted Laryngoscopy and Airway Decontamination (SALAD). Jim DuCanto, MD is an anesthesiologist extraordinaire with a constant drive to perfect new airway techniques and document them on video along the way. COI Statement Dr. DuCanto invented and receives royalties on the DuCanto Catheter from SSCOR and the Nasco SALAD mannequin Read More about SALAD from Taming the Sru TtS Post Esophageal Diversion Maneuver (Intentional Esophageal Intubation) deliberately insert the ETT down the esophagus and gently inflate the balloon There is lit for this [cite source='pubmed']25943615[/cite] SALAD Park Maneuver Keep tip of suction catheter in the esophagus on the left side of the mouth SALAD Techniques Meconium Suction Set-Up Here was our original letter (J Clin Anesth, 23 (2011), pp. 518–519) (fulltext) It was recently validated (The Journal of Emergency Medicine Volume 52, Issue 4, April 2017, Pages 433–437) Large Bore Suction Surrogate Wanted to run something by you. I'm an EM-3 in Cleveland at University Hospitals rotating up in the CT-ICU at my institution with a CA-2. We were just fooling around with mechanisms to make large bore suction improvisation kits, and stumbled upon a VERY good one I didn't see on your site. 7.0 ETT with the adapter pulled off. Hook that up to suction EXTENSION tubing with the little white plastic adapter that comes with the extension tubing. Connect that tubing adapter directly to the 7.0 ETT on one end, and the tubing it is meant for on the other. Should have a small gap of that adapter bridging between the tubing end (traditionally a blue end I believe) and the ETT. Doesn't work with larger bores we found out. Easy as that. Drained 750cc of fluid in less than 3 seconds on repeat testing with continuous suction. No meconium aspirator needed (for those working in the community), and because it is an ETT, there is the built in hole at the end of the tube to prevent suck down events onto tissue in the oropharynx. -Chris Peluso ( cfpeluso10@gmail.com ) SALAD Comic More Stuff SALAD Facebook Page SSCOR Site Taming the SRU write-up of SALAD DuCanto Suction Catheter General Description of system and demonstration by Jeff Hill of the University of Cincinnati’s EM Program Product page of SALAD Mannequin University of Wisconsin HEMS Fellow with the “Static” Excercise University of Wisconsin HEMS Fellow with the “Dynamic” Excercise University of Wisconsin HEMS Attending takes on the SALAD Simulator Check out the next level of SALAD—SALAD 2.0 Listen to the JellyBean with Jim More from Jim DuCanto on EMCrit Podcast 73 – Airway Tips and Tricks A New Bougie for your Pocket by Jim DuCanto A Guide to Intubating through the Intubating Laryngeal Airway Two New Videos from Jim DuCanto The Oxylator More DuCanto and Pocket Bougie Videos Two OR Intubation Videos How to Custom Bend a Video Stylet for use with the Cookgas AirQ ILA image at the top from J Downham Now on to the Podcast...
This episode covers Chapter 29 of Rosen's Emergency Medicine. Episode Overview: Describe the mechanism of development of a Hypochloremic Metabolic Alkalosis in vomiting List commonly used anti-emetics including their dose and their receptor site of action. List causes of vomiting specific to age groups: infant, newborn, child, and teen. Wisecracks: What are the three main areas providing afferent inputs to the vomiting centre? Name 6 critical causes and 6 complications of vomiting
This episode covers Chapter 29 of Rosen's Emergency Medicine. Episode Overview: Describe the mechanism of development of a Hypochloremic Metabolic Alkalosis in vomiting List commonly used anti-emetics including their dose and their receptor site of action. List causes of vomiting specific to age groups: infant, newborn, child, and teen. Wisecracks: What are the three main areas providing afferent inputs to the vomiting centre? Name 6 critical causes and 6 complications of vomiting
Nursing Mnemonics Show by NRSNG (Memory Tricks for Nursing School)
Anticholinergics- side effects Can’t see – burred vision Can’t pee – urinary retention Can’t spit – dry mouth Can’t s*** – constipation Cholinergic Crisis – Signs and symptoms SLUDGE Salivation Lacrimation Urination Defecation Gastric upset Emesis… The post Ep12 Cholinergic, Anticholinergic (SLUDGE) appeared first on NURSING.com.
Dr Scott gives a rundown on what happens with the food comes up instead of going down.
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