Podcasts about Fistula

Want to Be Among the Best in Veterinary Dentistry? Request your invitation to the Veterinary Dental Practitioner Program at: https://ivdi.org/inv Take your veterinary dental skills to the next level with the Veterinary Dental Practitioner Program—hands-on training and proven protocols for better patient outcomes. More CE & Resources: Explore Dr. Beckman's full CE library on extractions, radiology, oral surgery, and home care protocols: https://veterinarydentistry.net ---------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Welcome back to The Vet Dental Show, your weekly source for practical skills and expert insights in veterinary dentistry. In this episode, Dr. Beckman walks through real-world techniques to simplify extractions, enhance home care compliance, and manage complex cases like oral-nasal fistulas and periodontal furation defects. Whether you're a general practitioner or tech, these insights are clinically transformative. What You'll Learn in This Episode: ✔️ Why and how to sharpen periosteal elevators for safer, more efficient extractions ✔️ How to expose canine roots fully using proper elevation techniques ✔️ Greenies vs. Oravet: what works best for plaque control—and why ✔️ How Oravet's wax coating technology reduces plaque adhesion ✔️ Advanced approach to oral-nasal fistula closure using flap techniques ✔️ Clinical decision-making on furation bone loss in cats and dogs ✔️ Why most furation cases lead to extractions—unless very specific criteria are met Key Takeaways for Veterinary Dental Practice: ✔️ Regular instrument sharpening dramatically improves surgical control ✔️ Bone removal during extraction accelerates healing, not complications ✔️ Oravet's wax coating targets all teeth—not just cheek teeth like Greenies ✔️ Oral-nasal fistula closure requires undermining and tension-free flaps ✔️ Extraction is typically required in furation cases due to cleaning limitations ✔️ Watch for non-inflamed gingival recession in large breeds—it's not always pathological --------------------------------------------------------------------------------- Want to Be Among the Best in Veterinary Dentistry? Request your invitation to the Veterinary Dental Practitioner Program at: https://ivdi.org/inv More CE & Resources: Explore Dr. Beckman's advanced CE library: https://veterinarydentistry.net Questions or case insights? Leave a comment below! Like, subscribe, and join us weekly on The Vet Dental Show for real-world strategies in veterinary oral surgery, periodontics, and client communication.   veterinary dentistry, canine extraction techniques, periosteal elevator sharpening, oral nasal fistula closure, plaque control dog chews, Oravet vs Greenies, furation bone loss vet dentistry, veterinary dental CE, Dr. Brett Beckman podcast, dental tips for vet technicians, healthy mouth for pets, VOHC approved chews, dog tooth resorption, veterinary dental extractions, vet tech dental training

In 2015, Daniel Garza experienced bloating and difficulty completing a bowel movement.  A subsequent digital rectal exam revealed a mass on his sphincter, which led to a diagnosis of anal cancer.  A surgical procedure got rid of the cancer, but it also resulted in his losing half of his sphincter and the temporary presence of a fistula, a tear which was like a second anus.  He underwent a chemotherapy regimen of 5-fluorouracil, followed by radiation treatment, but another major challenge awaited Daniel, as he had to wear an ostomy bag, which he does to this day.  He deals with the bag and has continued his work as an advocate for those with HIV and anal cancer, in addition to being an actor and a comic.   Daniel Garza thought he was in good health until he was plagued by a nasty variety of symptoms.  He experienced bloating, stomach pain, bowel movement blockage and anal bleeding.  The initial conclusion of his doctor was that he had a strangulated intestine tied to a hernia he suffered years earlier.  He prescribed a number of treatments, which did no good.   Daniel went back to the doctor and went through blood tests and a CT scan.  But it was a subsequent digital rectal exam that revealed a mass on his sphincter.  That led to a biopsy and a diagnosis of squamos cell carcinoma of the anus, also known as anal cancer.   The mass was on one side of Daniel's sphincter.  Surgery removed the cancer but also removed half of his sphincter.  Next up was chemotherapy, a type known as 5-fluorouracil, then radiation treatment and time in a hyperbaric chamber.    The cancer was gone, the aforementioned fistula healed, but to dispose of the waste in his system, Daniel had to be fitted with an ostomy bag, which he eventually named Tommy.  He went through three ostomy nurses and two types of bags before he felt comfortable managing the bag.   These days, Daniel Garza says he is doing his best to make peace with Tommy.  It hasn't stopped him from continuing his life as an advocate for those dealing with HIV and anal cancer.  He also travels the world as an actor and a comic.   Additional Resources:   Support Groups:   Man Up To Cancer: https://www.manuptocancer.org   Cheeky Charity: https://www.cheekycharity.org    

In this week's Listener Series episode of The Birth Trauma Mama Podcast, Scarlett bravely shares her story a layered, and still-unfolding journey through birth trauma, postpartum hemorrhage, and complex pelvic floor injuries that continue to impact her life more than five years later.She speaks candidly about the realities of:

Why do anal fistulas return even after treatment? In this insightful episode, colorectal surgeon Dr. Manas Ranjan Tripathy dives deep into the reasons behind the recurrence of anal fistulas. Learn about the common causes, risk factors, and the role of proper diagnosis and follow-up. He also sheds light on advanced laser fistula treatment in HSR Layout, Bangalore—a minimally invasive approach with promising outcomes. Don't miss this episode if you or a loved one is struggling with recurrent anal fistulas.

In this episode, Dr. Valentin Fuster dives into the complex and high-stakes world of cardiogenic shock, spotlighting new clinical trials, expert consensus guidance, and cutting-edge insights from machine learning. From evaluating the impact of intra-aortic balloon pumps to rethinking mechanical support strategies, the episode delivers a powerful update on one of cardiology's most urgent challenges.

Is Laser Treatment the Right Choice for Anal Fistula? Let's Break It Down with Dr. Manas Ranjan TripathyIn this episode, join expert colorectal surgeon Dr. Manas Ranjan Tripathy as he explores one of the most talked-about advancements in anorectal surgery — laser treatment for anal fistula. Is it truly the best option? What makes it different from traditional surgery? Who is the right candidate?We'll discuss:How laser treatment works for fistulasAdvantages over conventional methodsRecovery time and risks involvedWhen laser surgery is not recommendedExpert recommendations based on real casesWhether you're a patient, caregiver, or just curious about modern medical techniques — this episode will give you clear, evidence-based insights on managing anal fistulas with precision and safety.

Holmberg's Morning Sickness - Thursday February 20, 2025 Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Holmberg's Morning Sickness - Thursday February 20, 2025 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Holmberg's Morning Sickness - Thursday February 20, 2025 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Holmberg's Morning Sickness - Thursday February 20, 2025 Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Holmberg's Morning Sickness - Thursday February 20, 2025 Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Holmberg's Morning Sickness - Thursday February 20, 2025 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Holmberg's Morning Sickness - Thursday February 20, 2025 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Holmberg's Morning Sickness - Thursday February 20, 2025 Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Aziz Aadam, MD, interventional endoscopist, Daniel Borja-Cacho, MD, transplantation surgeon, and Ahsun Riaz, MD, vascular and interventional radiologist, discuss a complex biliary case involving a patient with advanced stage cancer. They explore the innovative, multidisciplinary approach taken to manage the patient's biliary fistula and hepatic duct obstruction. The physicians highlight the collaborative efforts and advanced techniques that led to a successful outcome and improved quality of life for the patient.

In this episode, we spotlight the ASCRS QI Fistula Collaborative, an initiative dedicated to improving outcomes for patients with complex fistulas. Dr. Julia Saraidaridis and Dr. Bob Hollis share their insights on the importance of data collection and discuss the collaborative's mission to advance fistula care through shared knowledge and research. They also highlight the critical need for more participants, inviting colorectal surgeons to join the effort and contribute to this project. If you're interested in joining the project, reach out to Dr. Bob Hollis at rhhollis@uabmc.edu.

Guest: Dr. Christian de Virgilio is the Chair of the Department of Surgery at Harbor-UCLA Medical Center. He is also Co-Chair of the College of Applied Anatomy and a Professor of Surgery at UCLA's David Geffen School of Medicine. He completed his undergraduate degree in Biology at Loyola Marymount University and earned his medical degree from UCLA. He then completed his residency in General Surgery at UCLA-Harbor Medical Center followed by a fellowship in Vascular Surgery at the Mayo Clinic.   Resources:  Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext  KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/    Outline: Steal Syndrome Definition & Etiology Steal syndrome is an important complication of AV access creation, since access creation diverts arterial blood flow from the hand. Steal can be caused by multiple factors—arterial occlusive disease proximal or distal to the AV anastomosis, high flow through the fistula at the expense of distal arterial perfusion, and failure of the distal arterial networks to adapt to this decreased blood flow.  Incidence and Risk Factors The frequency of steal syndrome is 1.6-9%1,2, depending on the vessels and conduit choice Steal syndrome is more common with brachial and axillary artery-based accesses and nonautogenous conduits. Other risk factors for steal syndrome are peripheral vascular disease, coronary artery disease, diabetes, advanced age, female sex, larger outflow conduit, multiple prior permanent access procedures, and prior episodes of steal.3,4  Long-standing insulin-dependent diabetes causes both medial calcinosis and peripheral neuropathy, which limits arteries' ability to vasodilate and adjust to decreased blood flow. Patient Presentation, Symptoms, Grading Steal syndrome is diagnosed clinically.  Symptoms after AVG creation occurs within the first few days, since flow in prosthetic grafts tend to reach a maximum value very early after creation. Native AVFs take time to mature and flow will slowly increase overtime, leading to more insidious onset of symptoms that can take months or years. The patient should have a unilateral complaint in the extremity with the AV access. Symptoms of steal syndrome, in order of increasing severity, include nail changes, occasional tingling, extremity coolness, numbness in fingertips and hands, muscle weakness, rest pain, sensory and motor deficits, fingertip ulcerations, and tissue loss.  There could be a weakened radial pulse or weak Doppler signal on the affected side, and these will become stronger after compression of the AV outflow. Symptoms are graded on a scale specified by Society of Vascular Surgery (SVS) reporting standards:5  Workup Duplex ultrasound can be used to analyze flow volumes. A high flow volume (in autogenous accesses greater than 800 mL/min, in nonautogenous accesses greater than 1200 mL/min) signifies an outflow issue. The vein or graft is acting as a pressure sink and stealing blood from the distal artery. A low flow volume signifies an inflow issue, meaning that there is a proximal arterial lesion preventing blood from reaching the distal artery. Upper extremity angiogram can identify proximal arterial lesions. Prevention Create the AV access as distal as possible, in order to preserve arterial inflow to the hand and reduce the anastomosis size and outflow diameter.  SVS guidelines recommend a 4-6mm arteriotomy diameter to balance the need for sufficient access flow with the risk of steal. If a graft is necessary, tapered prosthetic grafts are sometimes used in patients with steal risk factors, using the smaller end of the graft placed at the arterial anastomosis, although this has not yet been proven to reduce the incidence of steal.  Indications for Treatment Intervention is recommended in lifestyle-limiting cases of Grade II and all Grade III steal cases. If left untreated, the natural history of steal syndrome can result in chronic limb ischemia, causing gangrene with loss of digits or limbs. Treatment Options Conservative management relies on observation and monitoring, as mild cases of steal syndrome may resolve spontaneously. Inflow stenosis can be treated with endovascular intervention (angioplasty with or without stent) Ligation is the simplest surgical treatment, and it results in loss of the AV access. This is preferred in patients with repetitive failed salvage attempts, venous hypertension, and poor prognoses. Flow limiting procedures can address high volumes through the AV access. Banding can be performed with surgical cutdown and placement of polypropylene sutures or a Dacron patch around the vein or graft. The Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER) technique employs a percutaneous endoluminal balloon inflated at the AVF to ensure consistency in diameter while banding Plication is when a side-biting running stitch is used to narrow lumen of the vein near the anastomosis. A downside of flow-limiting procedures is that it is often difficult to determine how much to narrow the AV access, as these procedures carry a risk of outflow thrombosis. There are also surgical treatments focused on reroute arterial inflow. The distal revascularization and interval ligation (DRIL) procedure involves creation of a new bypass connecting arterial segments proximal and distal to the AV anastomosis, with ligation of the native artery between the AV anastomosis and the distal anastomosis of the bypass. Reversed saphenous vein with a diameter greater than 3mm is the preferred conduit. Arm vein or prosthetic grafts can be used if needed, but prosthetic material carries higher risk of thrombosis. The new arterial bypass creates a low resistance pathway that increases flow to distal arterial beds, and interval arterial ligation eliminates retrograde flow through the distal artery.  The major risk of this procedure is bypass thrombosis, which results in loss of native arterial flow and hand ischemia. Other drawbacks of DRIL include procedural difficulty with smaller arterial anastomoses, sacrifice of saphenous or arm veins, and decreased fistula flow. Another possible revision surgery is revision using distal inflow (RUDI). This procedure involves ligation of the fistula at the anastomosis and use of a conduit to connect the outflow vein to a distal artery. The selected distal artery can be the proximal radial or ulnar artery, depending on the preoperative duplex. The more dominant vessel should be spared, allowing for distal arterial beds to have uninterrupted antegrade perfusion. The nondominant vessel is used as distal inflow for the AV access. RUDI increases access length and decreases access diameter, resulting in increased resistance and lower flow volume through the fistula. Unlike DRIL, RUDI preserves native arterial flow.  Thrombosis of the conduit would put the fistula at risk, rather than the native artery.  The last surgical revision procedure for steal is proximalization of arterial inflow (PAI). In this procedure, the vein is ligated distal to the original anastomosis site and flow is re-established through the fistula with a PTFE interposition graft anastomosed end-to-side with the more proximal axillary artery and end-to-end with the distal vein. Similar to RUDI, PAI increases the length and decreases the diameter of the outflow conduit. Since the axillary artery has a larger diameter than the brachial artery, there is a less significant pressure drop across the arterial anastomosis site and less steal. PAI allows for preservation of native artery's continuity and does not require vein harvest.  Difficulties with PAI arise when deciding the length of the interposition graft to balance AV flow with distal arterial flow. 2. Ischemic Monomelic Neuropathy Definition Ischemic monomelic neuropathy (IMN) is a rare but serious form of steal that involves nerve ischemia. Severe sensorimotor dysfunction is experienced immediately after AV access creation. Etiology IMN affects blood flow to the nerves, but not the skin or muscles because peripheral nerve fibers are more vulnerable to ischemia. Incidence and Risk Factors IMN is very rare; it has an estimated incidence of 0.1-0.5% of AV access creations.6 IMN has only been reported in brachial artery-based accesses, since the brachial artery is the sole arterial inflow for distal arteries feeding all forearm nerves. IMN is associated with diabetes, peripheral vascular disease, and preexisting peripheral neuropathy that is associated with either of the conditions. Patient Presentation Symptoms usually present rapidly, within minutes to hours after AV access creation. The most common presenting symptom is severe, constant, and deep burning pain of the distal forearm and hand. Patients also report impairment of all sensation, weakness, and hand paralysis. Diagnosis of IMN can be delayed due to misattribution of symptoms to anesthetic blockade, postoperative pain, preexisting neuropathy, a heavily bandaged arm precluding neurologic examination. Treatment Treatment is immediate ligation of the AV access. Delay in treatment will quickly result in permanent sensorimotor loss.   3. Perigraft Seroma Definition A perigraft seroma is a sterile fluid collection surrounding a vascular prosthesis and is enclosed within a pseudomembrane. Etiology and Incidence Possible etiologies include: transudative movement of fluid through the graft material, serous fluid collection from traumatized connective tissues (especially the from higher adipose tissue content in the upper arm), inhibition of fibroblast growth with associated failure of the tissue to incorporate the graft, graft “wetting” or kinking during initial operation, increased flow rates, decreased hematocrit causing oncotic pressure difference, or allergy to graft material. Seromas most commonly form at anastomosis sites in the early postoperative period. Overall seroma incidence rates after AV graft placement range from 1.7–4% and are more common in grafts placed in the upper arm (compared to the forearm) and Dacron grafts (compared to PTFE grafts).7-9 Patient Presentation and Workup Physical exam can show a subcutaneous raised palpable fluid mass Seromas can be seen with ultrasound, but it is difficult to differentiate between the types of fluid around the graft (seroma vs. hematoma vs. abscess) Indications for Treatment Seromas can lead to wound dehiscence, pressure necrosis and erosion through skin, and loss of available puncture area for hemodialysis Persistent seromas can also serve as a nidus for infection. The Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines10 recommend a tailored approach to seroma management, with more aggressive surgical interventions being necessary for persistent, infected-appearing, or late-developing seromas.   Treatment The majority of early postoperative seromas are self-limited and tend to resolve on their own Persistent seromas have been treated using a variety of  methods-- incision and evacuation of seroma, complete excision and replacement of the entire graft, and primary bypass of the involved graft segment only. Graft replacement with new material and rerouting through a different tissue plane has a higher reported cure rate and lower rate of infection than aspiration alone.9     4. Infection Incidence and Etiology The reported incidence of infection ranges 4-20% in AVG, which is significantly higher than the rate of infection of 0.56-5% in AVF.11  Infection can occur at the time of access creation (earliest presentation), after cannulation for dialysis (later infection), or secondary to another infectious source. Infection can also further complicate a pre-existing access site issue such as infection of a hematoma, thrombosed pseudoaneurysm, or seroma. Skin flora from frequent dialysis cannulations result in common pathogens being Staphylococcus, Pseudomonas, or polymicrobial species. Staphylococcus and Pseudomonas are highly virulent and likely to cause anastomotic disruption. Patient Presentation and Workup Physical exam will reveal warmth, pain, swelling, erythema, induration, drainage, or pus. Occasionally, patients have nonspecific manifestations of fever or leukocytosis. Ultrasound can be used to screen for and determine the extent of graft involvement by the infection.   Treatments In AV fistulas: Localized infection can usually be managed with broad spectrum antibiotics.  If there are bleeding concerns or infection is seen near the anastomosis site, the fistula should be ligated and re-created in a clean field. In AV grafts: If infection is localized, partial graft excision is acceptable. Total graft excision is recommended if the infection is present throughout the entire graft, involves the anastomoses, occludes the access, or contains particularly virulent organisms Total graft excision may also be indicated if a patient develops recurrent bacteremia with no other infectious source identified. For graft excision, the venous end of the graft is removed and the vein is oversewn or ligated. If the arterial anastomosis is intact, a small cuff of the graft can be left behind and oversewn. If the arterial anastomosis is involved, the arterial wall must be debrided and ligation, reconstruction with autogenous patch angioplasty, or arterial bypass can be pursued. References   1. Morsy AH, Kulbaski M, Chen C, Isiklar H, Lumsden AB. Incidence and Characteristics of Patients with Hand Ischemia after a Hemodialysis Access Procedure. J Surg Res. 1998;74(1):8-10. doi:10.1006/jsre.1997.5206 2. Ballard JL, Bunt TJ, Malone JM. Major complications of angioaccess surgery. Am J Surg. 1992;164(3):229-232. doi:10.1016/S0002-9610(05)81076-1 3. Valentine RJ, Bouch CW, Scott DJ, et al. Do preoperative finger pressures predict early arterial steal in hemodialysis access patients? A prospective analysis. J Vasc Surg. 2002;36(2):351-356. doi:10.1067/mva.2002.125848 4. Malik J, Tuka V, Kasalova Z, et al. Understanding the Dialysis access Steal Syndrome. A Review of the Etiologies, Diagnosis, Prevention and Treatment Strategies. J Vasc Access. 2008;9(3):155-166. doi:10.1177/112972980800900301 5. Sidawy AN, Gray R, Besarab A, et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025 6. Thermann F, Kornhuber M. Ischemic Monomelic Neuropathy: A Rare but Important Complication after Hemodialysis Access Placement - a Review. J Vasc Access. 2011;12(2):113-119. doi:10.5301/JVA.2011.6365 7. Dauria DM, Dyk P, Garvin P. Incidence and Management of Seroma after Arteriovenous Graft Placement. J Am Coll Surg. 2006;203(4):506-511. doi:10.1016/j.jamcollsurg.2006.06.002 8. Gargiulo NJ, Veith FJ, Scher LA, Lipsitz EC, Suggs WD, Benros RM. Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas. J Vasc Surg. 2008;48(1):216-217. doi:10.1016/j.jvs.2008.01.046 9. Blumenberg RM, Gelfand ML, Dale WA. Perigraft seromas complicating arterial grafts. Surgery. 1985;97(2):194-204. 10. Lok CE, Huber TS, Lee T, et al. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. Am J Kidney Dis. 2020;75(4):S1-S164. doi:10.1053/j.ajkd.2019.12.001 11. Padberg FT, Calligaro KD, Sidawy AN. Complications of arteriovenous hemodialysis access: Recognition and management. J Vasc Surg. 2008;48(5):S55-S80. doi:10.1016/j.jvs.2008.08.067

Your post op day #4 right pneumonectomy patient is suddenly coughing up large volumes of serosanguinous sputum! What are you worried about and what do you need to do? Join your Swedish thoracic surgery team, Drs. Chloe Hanson, Peter White, and Brian Louie as we discuss the management of this dangerous and frustrating surgical complication. Hosts: Chloe E. Hanson, M.D., PGY3 Brian E. Louie, MD, Thoracic Attending Peter T. White, MD, Thoracic Attending Learning Objectives: What is a bronchopleural fistula (BPF) and what different ways do they present? Describe the acute management of an early BPF. Describe the differences in operative considerations between an early and late BPF. Describe different options for closure of a pneumonectomy space. References: -  Sugarbaker's Adult Chest Surgery, 3e Sugarbaker DJ, Bueno R, Burt BM, Groth SS, Loor G, Wolf AS, Williams M, Adams A. Sugarbaker D.J., & Bueno R, & Burt B.M., & Groth S.S., & Loor G, & Wolf A.S., & Williams M, & Adams A(Eds.),Eds. David J. Sugarbaker, et al. https://shc.amegroups.org/article/view/3787/html -  Dal Agnol G, Vieira A, Oliveira R, Ugalde Figueroa PA. Surgical approaches for bronchopleural fistula. Shanghai Chest 2017;1:14. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

King Louis XIV underwent risky surgery to remove a painful anal fistula on 18th November, 1686: an event that created a sensation at court, leading to 1686 being declared the ‘year of the fistula'.  Louis's choice to undergo such a dangeous procedure signalled an unspoken endorsement of surgery, bringing it a semblance of respectability - though the risk to Royal health had been highly mitigated in advance, as Royal Surgeon Félix de Tassy had already experimented on (and killed) dozens of peasants in preparation. In this episode, Arion, Rebecca and Olly take a deep dive into the Royal bottom, discovering the salves made from luxurious ingredients which had previously failed to cure Louis; reveal how Felix developed his special “Royal Scalpel” just for the king's surgery; and explore how the “Grand Operation,” as it became known, inspired a highly peculiar trend… Further Reading: • ‘Sciences at Versailles part 6: fit for a king, medicine and surgery' (Google Arts & Culture): https://artsandculture.google.com/story/sciences-at-versailles-part-6-fit-for-a-king-medicine-and-surgery-palace-of-versailles/pwXBUrLu24XTIg?hl=en • ‘It is good to be the king: The French surgical revolution' (Hektoen International, 2019): https://hekint.org/2019/10/31/it-is-good-to-be-the-king-the-french-surgical-revolution/ • ‘The Many Diseases of Louis XIV, King of France' (SLICE, 2020): https://www.youtube.com/watch?v=3V68ws3K0Qk Learn more about your ad choices. Visit podcastchoices.com/adchoices

okay now im serious, subscribe to our patreon: patreon.com/westernpromises.com oh boy we are so back. teratomas, fistulas, kris angel uterus freak, current events, ahmeds big day, Mohamed's Theorem, metal gear solid V, standing on business. this week all three boys are in it to win it and we can see that checkered flag. kept ya waiting huh? also i am on a work field trip and Paris is dealing with a mysterious water situation so we are both on airpods. honestly its is pretty good. Please tell your brothers and sisters about our show.

Tracheoesophageal Fistula with Dr. Satish Nagula

The Flame Con hangover is real, folks! While Joey, Aaron, and John are "out on assignment," Bob, Chris, and Steve recap the good times at Flame Con 2024, discuss the intense terror of Alien: Romulus, get real about medical history, and talk about some of their favorite comics from the past week! Flame Con might be over, but we're still riding the high!Books: Houses of the Unholy OGN, Batman: City of Madness #1-3, Starfighters Vol. 1-4, Sherperd's Sword, Saint's Quarter Vol. 1, Magical Boy Basil #1-2, Fantastic Four #23, Sensational She-Hulk #10[https://open.spotify.com/playlist/6G4cO7QwDsaEJ61fwJOtj6?si=ee9525c7c2cf4fd0]

Sherif Mourad, chair of the ICS Developing World Committee, discusses his team's ICS 2024 Madrid workshop with Shannon Wallace. During the workshop, participants will learn about female urogenital fistula, including simple and complex cases. The workshop is free and open to everyone. There will also be presentations from Cüneyd Zkürkçügil, Riyad Taher Al Mousa, Wally Mahfouz, and Sandip Prasan Vasavada on the panel of experts participating in the workshop. Find out more at https://www.ics.org/2024/session/7701 Early registration for ICS 2024 Madrid is now open at www.ics.org/2024The ICS annual meeting is the must-attend, multidisciplinary event for clinical and research scientists interested in: Urology Urogynaecology Female and functional urology Gynaecology Bowel dysfunction Neurourology Pure and applied science Physiotherapy Nursing Geriatrics The ICS 2024 Madrid conference fosters collaboration between all disciplines involved in continence care.

This recording features audio versions of June 2024 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Virtual Reality for the Management of Pain and Anxiety for IR Procedures: A Prospective, Randomized, Pilot Study on Digital Sedation ReadFinal 3-Year Study Outcomes from the Evaluation of the Zilver Vena Venous Stent for the Treatment of Symptomatic Iliofemoral Venous Outflow Obstruction (VIVO Clinical Study) ReadTwo-Year Cumulative and Functional Patency after Creation of Endovascular Arteriovenous Hemodialysis Fistulae ReadPercutaneous Disc Biopsy versus Bone Biopsy for the Identification of Infectious Agents in Osteomyelitis/Discitis ReadComparison of a Patient-Mounted Needle-Driving Robotic System versus Single-Rotation CT Fluoroscopy to Perform CT-Guided Percutaneous Lung Biopsies ReadPercutaneous Microwave Ablation versus Cryoablation for Small Renal Masses (≤4 cm): 12-Year Experience at a Single Center ReadPre-emptive Aortic Side Branch Embolization during Endovascular Aneurysm Repair Using the Excluder Stent-Graft System: A Prospective Multicenter Study ReadA Claims-Based Method for Identification and Characterization of Practicing Interventional Radiologists ReadJVIR and SIR thank all those who helped record this episode:Host:Manbir Singh Sandhu, University of California Riverside School of MedicineAudio editor:Sonya Choe, University of California Riverside School of MedicineAbstract readers:Dhanush Reddy, MBBS, Massachusetts General HospitalVasan Jagadeesh, University of California San Diego Alena Khalil, MA, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic MedicineJacob Knittel, Creighton University School of Medicine, PhoenixNour Homsi, University of California Riverside School of MedicineMillennie Chen, University of California Riverside School of MedicineColin Standifird, Kirk Kirkorian School of Medicine at UNLV, NevadaTaji Kommineni, MD, JD, LLM, Emory ©  Society of Interventional RadiologySupport the Show.

"I think one of the most important things about fistula is that it is completely preventable and treatable. So this is a solvable problem. We used to have this problem here in the US and now we don't." – Bonnie RuderObstetric fistula affects around 2 million women globally, with 50,000 to 100,000 new cases each year. This devastating, yet entirely preventable condition profoundly impacts women's lives, causing chronic infections, incontinence, and severe social ostracism and isolation.In this powerful new episode, I'm joined by Bonnie Ruder, midwife, medical anthropologist, and co-founder of Terrewode Women's Fund. Together, we explore the: The definition and causes of obstetric fistula - and why this should never happen to any woman, anywhere in the world The nefarious history of obstetric fistula surgery on enslaved women in the United StatesThe medical, personal, and social impacts of fistula on women's lives — and their incredible resilienceBonnie's journey from home birth midwife to fistula activistHolistic treatment approaches: medical care, social reintegration, and economic empowermentEfforts to prevent fistula through better access to maternal healthcare and the role of traditional birth attendants in fistula preventionTune into this heart-wrenching yet inspiring episode to learn more about the impact of obstetric fistula and the incredible work being done to confront it.Terrewode Women's Fund's mission to end obstetric fistula in Uganda are truly inspiring.

Obstetric fistula is a birth-related injury that results when women go through prolonged and obstructed labor. As a result, some women experience stigma and exclusion from their families and the community.  This study focuses on understanding how these women are included in their families and communities after receiving surgical correction. For upcoming interviews check out […]

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Kate Grant, Chief Executive of the Fistula Foundation, on receiving $15M from philanthropist MacKenzie Scott and treating women with devastating childbirth injuries. Obstetric fistula is a devastating childbirth injury. It leaves a woman incontinent, humiliated, and—all too often—shunned by her community. Surgery is the only cure. The Fistula Foundation is the global leader in fistula treatment, providing more surgeries to more women than any other organization, including the U.S. government and United Nations. Since 2009, they have supported treatment in 33 countries in Africa and Asia.  Thank you for downloading this episode of the Do One Better Podcast. Visit our Knowledge Hub at Lidji.org for information on 250+ case studies and interviews with remarkable leaders in philanthropy, sustainability and social entrepreneurship. 

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Fistula-in-Ano/Perianal Fistula⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠from the Gastrointestinal section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Download for FREE today -  special Mnemonics Cheatsheet - so you can be SURE that you have that Must Know information down:  bit.ly/nursing-memory   Outline The 3 C's C-Choking C-Coughing C-Cyanosis Description A tracheal esophageal fistula (TEF) is a congenital abnormality in which there is an opening between the trachea and the esophagus. Surgery is required to repair the opening before a baby can receive oral nutrition. Signs and symptoms to identify TEF are choking, coughing, and cyanosis.

Insider's Look into Anal Fistulas: Dr. Ude and Dr. Ritha Belizaire Collaborate on Weekly Dose. A Must-Listen Episode for those Seeking Comprehensive Medical Information!Dr. Ritha Belizaire, MD, a leading general and colorectal surgeon based in Houston, Texas she opened her solo surgical practice, Houston Community Surgical, in July 2023, and is passionate about accessible, inclusive surgical care. Dr. Belizaire is a "single mother by choice" to Amelia (4) and Raffaela (2).Tune in for an enlightening conversation!Here's the Social Media link of Dr. Ritha BelizaireFB https://lnkd.in/g4NQMXimIG @rithabelizairemdTT @rithabelizairemdWebsite: https://lnkd.in/gM38swTJLooking for a quality primary-care physician?Call 3043501087https://lnkd.in/gAbRjVUTAccepting New PatientsOpen 7 days a weekEvening Hours Available!Subscribe herehttps://lnkd.in/gEin8mQHhttps://lnkd.in/gh9sn3GpPlease Like and Share…Disclaimer: This content is for information purposes only. While I am a Physician, I am not your personal physician. Nothing discussed should be taken as intentional personal medical advice. Any personal medical questions or concerns must be directed to your personal physician.#applevalleyfamilymedicine #primarycarephysician

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The 6th of January is Nollaig Na mBan, or Women's Little Christmas. It will also mark the release of FISTULA, a powerful new film directed by Dearbhla Glynn, the award-winning Irish filmmaker who lives in Clare. If you haven't heard of Fistula, it's a condition that over 2 million women live with, causing immeasurable suffering and social isolation. To find out more about it and the film, on Friday's Morning Focus, Alan Morrissey was joined by Dearbhla Glynn, Award-winning Irish filmmaker who lives in Clare.

Can you imagine a world without Obstetric Fistula? Brooke Sulahian and Cara Brooks,  the driving forces behind Hope for Our Sisters,  share their inspiring stories, fervor, and dedication in advocating for and providing support to women battling with this condition. This episode is not just about shedding light on Obstetric Fistula; it's about humanizing the struggle. Brooke and Cara emphasize the role of Hope for Our Sisters in making a tangible difference through the prevention of Fistula and empowerment of their sisters affected by Fistula.  We take a hard look at the aftermath of surviving Fistula - the rehabilitation and reintegration back into society. We touch on the empowerment of these survivors, the uplifting stories of their strength, and the tireless efforts made to bring about change. Check out the shownotes to learn more!__________________Thank you to our partners at CHIMUK: A sustainable and ethical handmade fashion brand transforming women's lives through knitting. Purchase one of a kind, high quality baby alpaca, and cotton handmade scarves, hats, and more! Each product comes with a special QR code linking you to a photo/bio of the artisan who handmade your product! Click here to see the impact you can make by shopping with Chimuk. >>Use the code GHP10 for 10% off at checkout!

Fistula repair surgery originated in the late 19th century. Yet, at least one million women today suffer for want of this surgery that can transform their lives. In this episode, Jesse Chu, the senior program manager at Fistula Foundation, shares her personal quest in encountering the world of obstetric fistula. We dive into the tireless work of Fistula Foundation, how they are building trust in communities, leading women to the right care, and harnessing a network of dedicated surgeons. We learn about their community outreach, partnerships, free treatment awareness, and surgeon training. Despite innumerable challenges, they are making a significant difference in places like Kenya, Zambia, Democratic Republic of Congo, and Tanzania. Check out the shownotes to learn more!__________________Thank you to our partners at CHIMUK: A sustainable and ethical handmade fashion brand transforming women's lives through knitting. Purchase one of a kind, high quality baby alpaca, and cotton handmade scarves, hats, and more! Each product comes with a special QR code linking you to a photo/bio of the artisan who handmade your product! Click here to see the impact you can make by shopping with Chimuk. >>Use the code GHP10 for 10% off at checkout!

Coping with kidney disease and dialysis can be difficult. Sometimes you have to think outside the box! Have you considered music or art therapy? Today Social Worker Melissa Fry and patient Steve Light are here to share their experiences with using music and art as coping strategies. In this episode we spoke with,  Melissa Fry, MSW, CAPSW is a dialysis social worker at Mile Bluff Medical Center. She has worked in the dialysis unit for the past 25 years. She has focused on assisting her patients with anxiety, depression and other mental health issues. She has used music as one technique to assist her patients with coping with various life stressors. Steven Light is an artist from Swindon UK. He used his art as a way to express himself though a second wave of kidney failure, and created an exhibition around this experience called ‘Fistula'. His brother lovingly donated a kidney to him in July 2022 and both have fully recovered.   Additional Resources  Effect of music therapy on dialysis patients   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.

Though childbirth injuries are practically eradicated in the developed world, they still hold a devastating grip on the lives of countless women in sub-Saharan Africa and South Asia. Obstetric fistula, a result of prolonged, obstructed labor, leaves women socially ostracized and emotionally shattered, with many enduring the consequences for an average of five years before receiving treatment. Today's conversation with Jesse Chu, program manager of Fistula Foundation, takes us deep into the harsh realities of this childbirth injury and the work being done to combat it.Check out the shownotes to learn more!__________________Thank you to our partners at CHIMUK: A sustainable and ethical handmade fashion brand transforming women's lives through knitting. Purchase one of a kind, high quality baby alpaca, and cotton handmade scarves, hats, and more! Each product comes with a special QR code linking you to a photo/bio of the artisan who handmade your product! Click here to see the impact you can make by shopping with Chimuk. >>Use the code GHP10 for 10% off at checkout!

Click to know more about Easy Ayurveda Hospitalhttps://www.easyayurveda.com/hospital/Buy our new course on Marma Therapyhttps://www.easyayurveda.com/marma1Subscribe to Easy Ayurveda Video Classes https://www.easyayurveda.com/video-classes/Subscribe to our free Easy Ayurveda newsletter here (you can unsubscribe and stop them anytime) -  https://forms.aweber.com/form/58/2129766958.htm Buy our course on diabetes reversal, powered by Madhavbaug https://www.easyayurveda.com/diabetes Buy our online video course on Treatment of cardiac disorders with Ayurveda https://www.easyayurveda.com/heartMaster ECG in one week. Sign up for video course https://www.easyayurveda.com/ecgContact Dr. MB Gururaja BAMS MD (Ayu)https://www.easyayurveda.com/gururaja  Contact Dr. Raghuram YS BAMS MD (Ayu)https://www.easyayurveda.com/raghuram Buy Easy Ayurveda Ebooks https://www.easyayurveda.com/my-book Buy Easy Ayurveda Printed Books https://www.easyayurveda.com/books/

A practical case-based approach to the management of bronchopleural fistulas while patients are on positive pressure ventilation.  

Habiba C Mohamed is a social change activator, and trained psychotherapist advocating for women's bio-psychosocial health and rights. Ms Mohamed supports marginalized women and girls to tap into their inner strengths and amplify their potential and impact in society. Habiba Mohamed works with Fistula Foundation as the Regional Director, Programs (Africa, Asia). Habiba Joined the Foundation in 2014 as the outreach manager. In this role, she designed and spearheaded the community strategy for the Fistula Foundation Treatment Network in Kenya. Later, she was promoted to country director to oversee the entire network of hospital and community partners. Her work has contributed to provision of fistula surgeries, and restoring of dignity to more than 11,000 women in the last 8 years. In her role as regional director of programs, Habiba is responsible for the expansion of the treatment network model throughout the African region.Before joining the Fistula Foundation, Ms. Mohamed worked on the fistula program for nearly a decade. She is the Founder and Lead Director of Women and Development Against Distress in Africa (WADADIA), a nonprofit organization that advocates for sexual reproductive health and rights for the marginalized women. Since establishing the organization in the year 2006, she has been actively involved in the formulation of policies, procedures and strategies that has led to its growth and expansion. Besides her work with WADADIA, Habiba also supported a community program funded by the United Nations Population Fund for six years, and served as a consultant program specialist for One By One, a US-based nonprofit focused on fistula treatment. She has worked and volunteered with several other organizations, giving her an in-depth understanding of community dynamics and engagement.  Ms Mohamed was the lead consultant in the development of the female genital fistula training curriculum for community health volunteers in Kenya, and a contributor for the new global fistula guidance. She is the author of the psychosocial effects of obstetric fistula on young mothers in Western Kenya, obstetric fistula post-repair follow up; an outreach workers perspective, and the obstetric fistula community-based assessment tool (OF-COMBAT) - a verbal screening tool, that has helped reduce the number of women being referred to fistula treatment centers with other forms of incontinences.Ms Mohamed began her career as a veterinarian, assisting livestock farmers in Western Kenya. Through this close contact with the community, she began to see the social challenges faced by rural, communities and became passionate about working with marginalized women. She has a higher diploma in Social Work and Community Development, a first and a master's degree in counseling psychology and is an ongoing PhD candidate of counselling psychology at Kenyatta University. Links:https://fistulafoundation.org/https://www.facebook.com/fistulafoundation/ https://www.facebook.com/WADADIA/https://www.wadadia-nonprofits.org/https://www.facebook.com/WADADIA/Support the showPlease support us at daysforgirls.org

Hii leo ni siku ya Kimataifa ya Kutokomeza Fistula na jaridani kama ilivyo ada ya kila Jumanne leo tunakuletea mada kwa kina ikimulika juhudi za kutokomeza Fistula zinazofanywa na Hospitali ya CCBRT nchini Tanzania.  Pia tunakuletea habari kwa ufupi zikiwemo za utapiamlo kwa watoto katika Pembe ya Afrika na msaada wa kibinadamu nchini Myanmar. Mashinani tunakuletea ujumbe kuhusu hatua zinapaswa kuchukuliwa ili kuzuia fistula itokanayo na uzazi.  Fistula ya uzazi ni shimo kati ya njia ya uzazi na kibofu cha mkojo au rektamu, inayosababishwa na uchungu wa kujifungua wa muda mrefu, bila kupata matibabu ya wakati, na ya hali ya juu. Maudhui ya mwaka huu ni “Miaka 20 ya vita dhidi ya ugonjwa huu kuna maendeleo lakini hayatishi, hivyo hatua zhitajika sasa kutokomeza Fistula ifikapo 2030”. Shirika la Umoja wa Mataifa la kuhudumia Watoto UNICEF limeonya kwamba Watoto zaidi ya milioni 7 wa umri wa chini ya miaka mitano katika Pembe ya Afrika wana utapiamlo na wanahitaji msaada wa haraka wa lishe huku wengine zaidi ya milioni 1.9 wakiwa katika hatari ya kifo kutokana na unyafuzi.Na jumuiya ya kimataifa nchini Myanmar leo imezindua ombi la dola milioni 333 ili kuwasaidia watu millioni 1.6 walioathirika na kimbunga Mocha kilichoikumba nchi hiyo Mei 14.Katika mashinani tunajiunga na mshauri wa kanda ya Afrika katika masuala ya afya ya jinsia na uzazi kufahamu ni hatua gani zinapaswa kuchukuliwa ili kuzuia fistula itokanayo na uzazi.Mwenyeji wako ni Anold Kayanda, Karibu!

In this edition of his Search for Meaning podcast, Stephen Wise Temple Senior Rabbi Yoshi Zweiback hosts Carol Mabeya, gynecologist Dr. Debbie Matityahu, and Ariela Zweiback of Beyond Fistula. During his sabbatical, Rabbi Yoshi spent two weeks in Eldoret, Kenya working with Beyond Fistula, a non-profit charity that aids women and girls in Africa who have recently undergone surgical repair for fistulas, helping them rebuild their lives through education and vocational skills training. It was a transformative experience for Rabbi Yoshi and his family, including Ariela.Beyond Fistula got its start during Dr. Matityahu's 10-month family trip around the world with her husband and two children in 2010. The Matityahus spent one of those months in Kenya, where they met and worked with Carol's husband, Dr. Hillary Mabeya, the founder and primary surgeon at Gynocare Women's and Fistula Hospital. At that hospital, Dr. Matityahu and her 12-year-old daughter Arielle found a cause.Obstetric fistulas are holes that occur when a woman undergoes a long and obstructed labor during childbirth. Though largely eradicated in the developed world, obstetric fistulas are still a devastating scourge for women in the world's poorest countries. Women laboring in huts in remote villages may push for days—rather than hours—on end with no anesthesia or medical support. The baby's head pinches and necroses the tissue between the vagina and the bladder, and sometimes the vagina and the rectum, destroying that tissue. The tissue erodes off, creating the fistula, which can lead to uncontrolled leakage of urine and feces. Many of the babies do not survive, and the women are left exhausted, incontinent, humiliated, and—all too often—ostracized by their community. "I remember one of the young girls that we operated on had such severe internal damage, that I, as a gynecologist who looks at this anatomy almost every day, could not identify what was left inside the pelvis," Dr. Matityahu said. "Everything had necrosed off. No bladder, no vagina, the colon was hanging open ... It was so devastating that I had no idea what I would have done next."Dr. Matityahu wanted to learn more about that women, and those like her. As she listened to their horrific stories of rape, starvation humiliation, and desperation, she felt like she had to do something. Three of the women she operated on had one desire after surgery: They wanted to go back to school. What started with Dr. Matityahu donating money to fund those three women's education grew into an organization that picks up where surgery leaves off. Not only does Beyond Fistula fight the trauma and stigma facing women who suffer from fistulas, but it provides hope and dignity, along with education, room and board, and vocational training on its property in Kenya. Originally set up with one house and a tailoring program for six young women, Beyond Fistula has evolved. They now offer counseling and courses in tailoring, hairdressing, literacy skills, computer skills, and business for women of all ages—from those in their teens and those who have lived with the fallout from fistulas for 50 years. Through partner Farming God's Way, Beyond Fistula even offers a farm skills training program, whose graduates not only leave with training, but a grant to start their own small farming business.

Ever worry about the risk of intervention versus the risk of recurrence when facing challenges in patients with Perianal Crohn's Disease? Join Alex, Avery, Biddy, Jon, and Sam as they weigh in and discuss their own stories, perspectives and approaches.  Conflict of Interest Disclosure/s for this episode: Dr. Sam Eisenstein is a consultant with Takeda and receives research and grant support from the Crohn's and Colitis Foundation.    OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital.  She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society.  Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9.   Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston.   Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City.  He has 2 older brothers and both of his parents are dentists.  Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting.  He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan.  Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.   Sam Eisenstein, MD La Jolla, CA   Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health.  He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York.  Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative).  Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.

In this episode, we review the high-yield topic of Transesophageal Fistula ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Pediatrics section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

This episode is for all the women who have messaged me begging for a positive story about vaginal birth after a severe perineal tear. Here is all the inspiration (and information) you'll need! Diana shares her experience with a fourth-degree tear and details her shock when she was told that she had a recto-vaginal fistula. She admits that she did very little birth preparation and was happy to go with the flow but when it was time to birth her baby, she couldn't feel anything because of the epidural. Furthermore, her baby was born in one push. Diana's complications made for a physically and mentally challenging postpartum and motivated her to do things differently for her subsequent birth. Determined to embrace support and preparation, she worked closely with her doula and MGP midwife and had a physiological labour with perineal support that resulted in a small second-degree tear. ___________ Have you heard the news? My new book, The Complete Australian Guide to Pregnancy and Birth, is now available for purchase. This book covers everything you need as you journey through pregnancy and prepare for a positive birth experience. --> Get yours  today. I hope you love it.

Where, why, how and what to do with it once it is diagnosed...

Valerie Browning moved to the northern deserts of Ethiopia as a naive young nurse in 1973. A chance meeting on the streets of neighbouring Djibouti changed her life, and women's health in the region

Valerie Browning moved to the northern deserts of Ethiopia as a naive young nurse in 1973. A chance meeting on the streets of neighbouring Djibouti changed her life, and women's health in the region