Podcasts about Gabapentin

What do you think of serrapeptase for reducing coronary plaque?We were told to get a TDAP vaccine or we wouldn't be able to see our new grandchild for 8 weeks!Do I have lupus?Which supplements tend to reduce negative effects of X-rays?

The Holiday Season in NYCPeanut allergies cause and effectWhich calcium supplements can I take if I'm allergic to cow protein?Can my husband take saw palmetto in lieu of his prostate medications?What do you think of traction to help bulging discs?What is your take on green powder supplements?

Un nouvel épisode du Pharmascope est disponible! Dans ce 169e épisode dédié aux questions de nos auditeurs, Nicolas et Olivier tentent de pondre des réponses intelligentes à vos excellentes questions. Au menu : trouble d'usage lié à l'alcool, mélatonine et insuffisance cardiaque, taux sérique et hautes doses de vitamine D… et hypertension artérielle chez les plus jeunes! Les objectifs pour cet épisode sont les suivants: Discuter de la combinaison de naltrexone et de gabapentine en trouble d'usage lié à l'alcool Examiner les risques allégués de la mélatonine pour l'insuffisance cardiaque Discuter de la façon d'établir des seuils dits « normaux » de taux sériques de vitamine D Présenter les résultats de certaines études concernant l'innocuité de doses élevées de vitamine D Examiner les bénéfices du traitement de l'hypertension dans une population pédiatrique Ressources pertinentes en lien avec l'épisode Anton RF, et coll. Gabapentin combined with naltrexone for the treatment of alcohol dependence. Am J Psychiatry. 2011 Jul;168(7):709-17. Nnadi, et coll. Abstract 4371606: Effect of Long-term Melatonin Supplementation on Incidence of Heart Failure in Patients with Insomnia. Circulation. 2025; 152(Suppl_3). Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium. Dietary Reference Intakes for Calcium and Vitamin D. Sanders KM, et coll. Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial. JAMA. 2010 May 12;303(18):1815-22. Burt LA, et coll. Effect of High-Dose Vitamin D Supplementation on Volumetric Bone Density and Bone Strength: A Randomized Clinical Trial. JAMA. 2019 Aug 27;322(8):736-745. Dionne JM, et coll; Hypertension Canada Guideline Committee. Hypertension Canada’s 2017 Guidelines for the Diagnosis, Assessment, Prevention, and Treatment of Pediatric Hypertension. Can J Cardiol. 2017 May;33(5):577-585. Chaturvedi S ,et coll. Pharmacological interventions for hypertension in children. Cochrane Database Syst Rev. 2014 Feb 1;2014(2):CD008117.

Epi 7 What does plastic surgery really feel like after the operating room lights go off?In this deeply personal and medically-informed episode of The Cutting Edge Podcast, we talk openly about the pain, fear, medications, and misconceptions surrounding recovery after procedures like tummy tucks, liposuction, muscle repair, and 360 body lifts. Our host Mel, 10 years post-bariatric surgery, knows that the journey doesn't end with weight loss. For many patients, plastic surgery is the next chapter, and with it comes a new kind of pain—both physical and emotional. She's joined by co-host Ashlyn Douglass-Barnes, a Licensed Clinical Social Worker and multi-round plastic surgery patient, who brings both professional and lived experience to this candid conversation. Together with board-certified plastic surgeon Dr. Omar E. Beidas, we go beyond the usual “pain scale” talk. We explore how ERAS (Enhanced Recovery After Surgery) protocols are shifting how pain is managed, why opioids aren't always the answer, and what realistic expectations look like—especially for bariatric patients who may face higher risk with certain meds. This episode is a rare blend of medical expertise, psychological insight, and real-world experience. Whether you're planning your first cosmetic surgery or supporting someone through recovery, you'll walk away with a deeper understanding of: Why some patients describe the pain as “brutal” or “burning” even weeks after surgery How medications like Gabapentin, Valium, and Tylenol are used strategically What it means to overestimate your pain tolerance The emotional pressure to recover quickly or "tough it out" How trauma, weight history, and shame can impact healing We don't sugarcoat anything—and that's the point. Because your recovery should be based on facts, not filters. 

Welcome to Episode 51 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Segment 1 Rodríguez, M. Á., Quintana-Cepedal, M., Cheval, B., Thøgersen-Ntoumani, C., Crespo, I., & Olmedillas, H. (2025, October 7). Effect of exercise snacks on fitness and cardiometabolic health in physically inactive individuals: Systematic review and meta-analysis. British Journal of Sports Medicine. Advance online publication. https://doi.org/10.1136/bjsports-2025-110027 Rodgers, L. (2025, October 17). As pickleball continues to gain players, injuries are increasing. JAMA. https://doi.org/10.1001/jama.2025.18833 Segment 2 Baos, S., Lui, M., Walker-Smith, T., Pufulete, M., Messenger, D., Abbadi, R., Batchelor, T., Casali, G., Edwards, M., Goddard, N., Abu Hilal, M., Alzetani, A., Vaida, M., Martinovsky, P., Saravanan, P., Cook, T., Malhotra, R., Simpson, A., Little, R., Wordsworth, S., Stokes, E., Jiang, J., Reeves, B., Culliford, L., Collett, L., Maishman, R., Chauhan, N., McCullagh, L., McKeon, H., Abbs, S., Lamb, J., Gilbert, A., Hughes, C., Wynick, D., Angelini, G., Grocott, M., Gibbison, B., & Rogers, C. A. (2025). Gabapentin for pain management after major surgery: A placebo-controlled, double-blinded, randomized clinical trial (the GAP Study). Anesthesiology, 143(4), 851-861. https://doi.org/10.1097/ALN.0000000000005655 NEJM Journal Watch. (2024, December 30). Growing evidence of harms associated with gabapentinoid drugs. JWatch. https://www.jwatch.org/na58203/2024/12/30/growing-evidence-harms-associated-with-gabapentinoid-drugs Moeindarbari, S., Beheshtian, N., & Hashemi, S. (2022). Cerebral vein thrombosis in a woman using oral contraceptive pills for a short period of time: A case report. Journal of Medical Case Reports, 16, Article 260. https://doi.org/10.1186/s13256-022-03473-w Peckham, A. M., Evoy, K. E., Ochs, L., & Covvey, J. R. (2018). Gabapentin for off-label use: Evidence-based or cause for concern? Substance Abuse: Research and Treatment, 12, 1178221818801311. https://doi.org/10.1177/1178221818801311 The 2 View: Emergency Medicine PAs & NPs. (2025, January 22). 41 – RCVS and CVT, CPR care science, prehospital tourniquets, blood pressure [Audio podcast episode]. Fireside. https://2view.fireside.fm/41 Strahan, A. E., Rikard, S. M., Schmit, K. M., Zhang, K., Guy, G. P., Jr., & [Additional Authors]. (2025). Trends in dispensed gabapentin prescriptions in the United States, 2010 to 2024. Annals of Internal Medicine. Advance online publication. https://doi.org/10.7326/ANNALS-25-01750 Segment 3 Brown, R. F., Lopez, K., Smith, C. B., & Charles, A. (2025). Diverticulitis: A review. JAMA, 334(13), 1180-1191. https://doi.org/10.1001/jama.2025.10234 Carr, S., & Velasco, A. L. (2024, July 25). Colon diverticulitis. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK541110/ Bob Tubbs on Emergency Radiology: https://youtu.be/Jg1JG67eoJQ Our social media: TikTok: https://www.tiktok.com/@ccmecourses Instagram: https://www.instagram.com/ccmecourses Facebook: https://www.facebook.com/CenterForMedicalEducation LinkedIn: https://www.linkedin.com/in/rickbukata Our podcasts: The 2 View Podcast (Free): Subscribe on Apple Podcasts https://apple.co/3rhVNZw​ Subscribe on Google Podcasts: http://bit.ly/2MrAHcD​ Subscribe On Spotify: http://spoti.fi/3tDM4im Risk Management Monthly Podcast (Paid CME): https://www.ccme.org/riskmgmt ** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. emergencymedicine #cme

The Overtired trio reunites for the first time in ages, diving into a whirlwind of health updates, hilarious anecdotes, and the latest tech obsessions. Christina shares a dramatic spinal saga while Brett and Jeff discuss everything from winning reddit contests to creating a universal markdown processor. Tune in for updates on Mark 3, the magical world of Scrivener, and why Brett’s back on Bing. Don’t miss the banter or the tech tips, and as always, get ready to laugh, learn, and maybe feel a little overtired yourself. Sponsor Shopify is the commerce platform behind 10% of all eCommerce in the US, from household names like Mattel and Gymshark, to brands just getting started. Get started today at shopify.com/overtired. Chapters 00:00 Welcome to the Overtired Podcast 01:09 Christina’s Health Journey 10:53 Brett’s Insurance Woes 15:38 Jeff’s Mental Health Update 24:07 Sponsor Spot: Shopify 24:18 Sponsor: Shopify 26:23 Jeff Tweedy 27:43 Jeff’s Concert Marathon 32:16 Christina Wins Big 36:58 Monitor Setup Challenges 37:13 Ergotron Mounts and Tall Poles 38:33 Review Plans and Honest Assessments 38:59 Current Display Setup 41:30 Thunderbolt KVM and Display Preferences 42:51 MacBook Pro and Studio Comparisons 50:58 Markdown Processor: Apex 01:07:58 Scrivener and Writing Tools 01:11:55 Helium Browser and Privacy Features 01:13:56 Bing Delisting Incident Show Links Danny Brown's 10 in the New York Times (gift link) Indigo Stack Scrivener Helium Bangs Apex Apex Syntax Join the Marked 3 Beta LG 32 Inch UltraFine™evo 6K Nano IPS Black Monitor with Thunderbolt™ 5 Join the Conversation Merch Come chat on Discord! Twitter/ovrtrd Instagram/ovrtrd Youtube Get the Newsletter Thanks! You’re downloading today’s show from CacheFly’s network BackBeat Media Podcast Network Check out more episodes at overtiredpod.com and subscribe on Apple Podcasts, Spotify, or your favorite podcast app. Find Brett as @ttscoff, Christina as @film_girl, Jeff as @jsguntzel, and follow Overtired at @ovrtrd on Twitter. Transcript Brett + 2 Welcome to the Overtired Podcast Jeff: [00:00:00] Hello everybody. This is the Overtired podcast. The three of us are all together for the first time since the Carter administration. Um, it is great to see you both here. I am Jeff Severance Gunzel if I didn’t say that already. Um, and I’m here with Christina Warren and I’m here with Brett Terpstra and hello to both of you. Brett: Hi. Jeff: Great to see you both. Brett: Yeah, it’s good to see you too. I feel like I was really deadpan in the pre-show. I’ll try to liven it up for you. I was a horrible audience. You were cracking jokes and I was just Jeff: that’s true. Christina, before you came on, man, I was hot. I was on fire and Brett was, all Brett was doing was chewing and dropping Popsicle parts. Brett: Yep. I ate, I ate part of a coconut outshine Popsicle off of a concrete floor, but Jeff: It is true, and I didn’t even see him check it [00:01:00] for cat hair, Brett: I did though. Jeff: but I believe he did because he’s a, he’s a very Brett: I just vacuumed in Jeff: He’s a very good American Brett: All right. Christina’s Health Journey Brett: Well, um, I, Christina has a lot of health stuff to share and I wanna save time for that. So let’s kick off the mental health corner. Um, let’s let Christina go first, because if it takes the whole show, it takes the whole show. Go for it. Christina: Uh, I, I will not take this hold show, but thank you. Yeah. So, um, my mental health is okay-ish. Um, I would say the okay-ish part is, is because of things that are happening with my physical health and then some of the medications that I’ve had to be on, um, uh, to deal with it. Uh, prednisone. Fucking sucks, man. Never nev n never take it if you can avoid it. Um, but why Christina, why are you on prednisone or why were you on prednisone for five days? Um, uh, and I’m not anymore to be clear, but that certainly did not help my mental health. Um, at the beginning of November, I woke up and I thought that I’d [00:02:00] slept on my shoulder wrong. And, um, uh, and, and just some, some background. I, I don’t know if this is pertinent to how my injury took place or not, but, but it, I’m sure that it didn’t help. Um, I have scoliosis and in the top and the bottom of my spine, so I have it at the top of my, like, neck area and my lower back. And so my back is like a crooked s um, this will be relevant in a, in a second, but, but I, I thought that I had slept on my back bunny, and I was like, okay, well, all right, it hurts a lot, but fine. Um, and then it, a, a couple of days passed and it didn’t get any better, and then like a week passed and I was at the point where I was like, I almost feel like I need to go to the. Emergency room, I’m in pain. That is that significant. Um, and, you know, didn’t get any better. So I took some of grant’s, Gabapentin, and I took, um, some, some, uh, a few other things and I was able to get in with like a, a, a sports and spine guy. Um, and um, [00:03:00] he looked at me and he was like, yeah, I think that you have like a, a, a bolting disc, also known as a herniated disc. Go to physical therapy. See me later. We’ll, we’ll deal with it. Um. Basically like my whole left side was, was, was really sore and, and I had a lot of pain and then I had numbness in my, my fingers and um, and, and that was a problem the next day, which was actually my birthday. The numbness had at this point spread to my right side and also my lower extremities. And so at this point I called the doctor and he was like, yeah, you should go to the er. And so I went to the ER and, and they weren’t able to do anything for me other than give me, you know, like, um, you know, I was hoping they might give me like, some sort of steroid injection or something. They wouldn’t do anything other than, um, basically, um, they gave me like another type of maybe, maybe pain pill or whatever. Um, but that allowed the doctor to go ahead and. Write, uh, write up an MRI took forever for me to get an MRI, I actually had to get it in Atlanta. [00:04:00] Fun fact, uh, sometimes it is cheaper to just pay and not go through insurance and get an MR MRI and, um, a, um, uh, an x-ray, um, I was able to do it for $450 Jeff: Whoa. Really? Christina: Yeah, $400 for the MR mri. $50 for the x-ray. Jeff: Wow. Christina: Yeah. Yeah. Brett: how I, they, I had an MRI, they charged me like $1,200 and then they failed to bill insurance ’cause I was between insurance. Christina: Yes. Yeah. So what happened was, and and honestly that was gonna be the situation that I was in, not between insurance stuff, but they weren’t even gonna bill insurance. And insurance only approved certain facilities and to get into those facilities is almost impossible. Um, and so, no, there are a lot of like get an MR, I now get a, you know, mammogram, get ghetto, whatever places. And because America’s healthcare system is a HealthScape, you can bypass insurance and they will charge you way less than whatever they bill insurance for. So I, I don’t know if it’s part of the country, you know, like Seattle I think might [00:05:00] probably would’ve been more expensive. But yeah, I was able to find this place like a mile from like, not even a mile from where my parents lived, um, that did the x-rays and the MRI for $450 total. Brett: I, I hate, I hate that. That’s true, but Christina: Me too. Me too. No, no. It pisses me off. Honestly, it makes me angry because like, I’m glad that I was able to do that and get it, you know, uh, uh, expedited. Then I go into the spine, um, guy earlier this week and he looks at it and he’s like, yep, you’ve got a massive bulging disc on, on C seven, which is the, the part of your lower cervical or cervical spine, which is your neck. Um, and it’s where it connects to your ver bray. It’s like, you know, there are a few things you can do. You can do, you know, injections, you can do surgery. He is like, I’m gonna recommend you to a neurosurgeon. And I go to the neurosurgeon yesterday and he was showing me or not, uh, yeah, yesterday he was showing me the, the, the, the scans and, and showing like you up close and it’s, yeah, it’s pretty massive. Like where, where, where the disc is like it is. You could see it just from one view, like, just from like [00:06:00] looking at it like, kind of like outside, like you could actually like see like it was visible, but then when you zoomed in it’s like, oh shit, this, this thing is like massive and it’s pressing on these nerves that then go into my, my hands and other areas. But it’s pressing on both sides. It’s primarily on my left side, but it’s pressing on on my right side too, which is not good. So, um, he basically was like, okay. He was like, you know, this could go away. He was like, the pain isn’t really what I’m wanting to, to treat here. It’s, it’s the, the weakness because my, my left arm is incredibly weak. Like when they do like the, the test where like they, they push back on you to see like, okay, like how, how much can you, what, like, I am, I’m almost immediately like, I can’t hold anything back. Right? Like I’m, I’m, I’m like a toddler in terms of my strength. So, and, and then I’m freaked out because I don’t have a lot of feeling in my hands and, and that’s terrifying. Um, I’m also. Jeff: so terrifying, Christina: I’m, I’m also like in extreme pain because of, of, of where this sits. Like I can’t sleep well. Like [00:07:00] the whole thing sucks. Like the MRI, which was was like the most painful, like 25 minutes, like of my existence. ’cause I was laying flat on my back. I’m not allowed to move and I’m just like, I’m in just incredible pain with that part of, of, of, of my, my side. Like, it, it was. It was terrible. Um, but, uh, but he was like, yeah. Um, these are the sorts of surgical options we have. Um, he’s gonna, um, do basically what what he wants to do is basically do a thing where he would put in a, um, an artificial or, or synthetic disc. So they’re gonna remove the disc, put in a synthetic one. They’ll go in through the, the front of my throat to access the, my, my, my, my spine. Um, put that there and, um, you know, I’ll, I’ll be overnight in the hospital. Um, and then it’ll be a few weeks of recovery and the, the, the pain should go away immediately. Um, but it, it could be up to two years before I get full, you know, feeling back in my arm. So anyway, Jeff: years, Jesus. And Christina: I mean, and hopefully less than that, but, but it could be [00:08:00] up to that. Jeff: there’s no part of this at this point. That’s a mystery to you, right? Christina: The mystery is, I don’t know how this happened. Jeff: You don’t know how it happened, right? Of course. Yeah, of course. Yeah. Yeah. Brett: So tell, tell us about the ghastly surgery. The, the throat thing really threw me like, I can’t imagine that Christina: yeah, yeah. So, well, ’cause the thing is, is that usually if what they just do, like spinal fusion, they’ll go in at the back of your neck, um, and then they’ll remove the, the, um, the, the, the, the disc. And then they’ll fuse your, your, your two bones together. Basically. They’ll, they’ll, they’ll, they’ll fuse this part of the vertebrae, but because they’re going to be replacing the, the disc, they need more room. So that’s why they have to go in through the, through, through basically your throat so that they can have more room to work. Jeff: Good lord. No thank you. Brett: Ugh. Wow. Jeff: Okay. Brett: I am really sorry that is happening. That is, that is, that dwarfs my health concerns. That is just constant pain [00:09:00] and, and it would be really scary. Christina: Yeah. Yeah. It’s not great. It’s not great, but I’m, I’m, I’m doing what I can and, uh, like I have, you know, a small amount of, of Oxycodine and I have like a, a, a, you know, some other pain medication and I’m taking the gabapentin and like, that’s helpful. The bad part is like your body, like every 12, 15 hours, like whatever, like the, the, the cycle is like, you feel it leave your system and like if you’re asleep, you wake up, right? Like, it’s one of those things, like, you immediately feel it, like when it leaves your system. And I’ve never had to do anything for pain management before. And they have me on a very, they have me like on the smallest amount of like, oxycodone you can be on. Um, and I’m using it sparingly because I don’t wanna, you know, be reliant on, on it or whatever. But it, it, but it is one of those things where I’m like, yeah, like sometimes you need fucking opiates because, you know, the pain is like so constant. And the thing is like, what sucks is that it’s not always the same type of pain. Like sometimes it’s throbbing, sometimes it’s sharp, sometimes it’s like whatever. It sucks. But the hardest thing [00:10:00] is like, and. This does impact my mental health. Like it’s hard to sleep. Like, and I’m a side sleeper. I’m a side sleeper, and I’m gonna have to become a back sleeper. So, you know. Yeah. It’s just, it’s, it’s not great. It’s not great, but, you know, that, that, that, that, that’s me. The, the good news is, and I’m very, very gratified, like I have a good surgeon. Um, I’m gonna be able to get in to get this done relatively quickly. He had an appointment for next week. I don’t think that insurance would’ve even been able to approve things fast enough for, for, for that regard. And I have, um, commitments that I can’t make then. And I, and that would also mean that I wouldn’t be able to go visit my family for Christmas. So hopefully I’ll do it right after Christmas. I’m just gonna wait, you know, for, for insurance to, to do its thing, knock on wood, and then schedule, um, from there. But yeah, Jeff: Woof. Christina: so that’s me. Um, uh, who wants to go next? Jeff or, uh, Jeff or Brett? Jeff: It’s like, that’s me. Hot potato throwing it. Brett: I’ll, I’ll go. Brett’s Insurance Woes Brett: I can continue on the insurance topic. Um, I was, for a few months [00:11:00] after getting laid off, I was on Minsu, which is Minnesota’s Medicaid, um, v version of Medicaid. And so basically I paid nothing and I had better insurance than I usually have with, uh, you know, a full deductible and premiums and everything. And it was fantastic. I was getting all the care I needed for all of the health stuff I’m going through. Um, I, they, a, a new doctor I found, ordered the 15 tests and I passed out ’cause it was so much blood and. And it, I was getting, but I was getting all these tests run. I was getting results, we were discovering things. And then my unemployment checks, the income from unemployment went like $300 over the cap for Medicaid. So [00:12:00] all of a sudden, overnight I was cut from Medicaid and I had to do an early sign up, and now I’m on courts and it sucks bad. Like they’re not covering my meds. Last month cost me $600. I was also paying. In addition to that, a $300 premium plus every doctor’s visit is 50 bucks out of pocket. So this will hopefully only last until January, and then it’ll flip over and I will be able to demonstrate basically no income, um, until like Mark makes enough money that it gets reported. Um, and even, uh, until then, like I literally am making under the, the poverty limit. So, um, I hope to be back on Medicaid shortly. I have one more month. I’ll have to pay my $600 to refill. I [00:13:00] cashed out my 401k. Um, like things were, everything was up high enough that I had made, I. I had made tens of thousands of dollars just on the investments and the 401k, but I also have a lot of concerns about the market volatility around Nvidia and the AI bubble in general. Um, so taking my money out of the market just felt okay to me. I paid the 10%, uh, penalty Jeff: Mm-hmm. Brett: and ultimately I, I came out with enough cash that I can invest on my own and be able to cover the next six months. Uh, if I don’t have any other income, which I hope to, I hope to not spend my nest egg. Um, but I did, I did a lot of thinking and calculating and I think I made the right choices. But anyway, [00:14:00] that will help if I have to pay for medical stuff that will help. Um. And then I’ve had insomnia, bad on and off. Right now I’m coming off of two days of good sleep. You’re catching me on a good day. Um, but Jeff: Still wouldn’t laugh at my jokes. Brett: before that it was, well, that’s the thing is like before that, it was four nights where I slept two to four hours per night, and by the end of it, I could barely walk. And so two nights of sleep after a stint like that, like, I’m just super, I’m deadpan, I’m dazed. Um, I could lay down and fall asleep at any time. Um, I, so, so keep me awake. Um, but yeah, that’s, that’s, that’s me. Mental health is good. Like I’m in pretty high spirits considering all this, like financial stuff and everything. Like my mood has been pretty stable. I’ve been getting a lot of coding done. I’ll tell you about projects in [00:15:00] a minute, but, um, but that’s, that’s me. I’m done. Jeff: Awesome. I’m enjoying watching your cat roll around, but clearly cannot decide to lay down at this point. Brett: No, nobody is very persnickety. Jeff: I literally have to put my. Well, you say put a cat down like you used to. When you put a kid down for a nap, you say you wanna put ’em down. Right? That’s where it’s coming from. I now have a chair next to my desk, ’cause I have one cat that walks around Yowling at about 11:00 AM while I’m working. And I have to like, put ’em down for a nap. It’s pathetic. It’s pathetic that I do that. Let’s just be clear. Brett: Yeah. Jeff: soulmate though. Jeff’s Mental Health Update Jeff: Um, I’m doing good. I’m, I’m, I’ve been feeling kind of light lately in a nice way. I’ve had ups and downs, but even with the ups and downs, there’s like a, except for one day last week was, there’s just been feeling kind of good in general, which is remarkable in a way. ’cause it’s just like stressful time. There’s some stressful business stuff, like, [00:16:00] a lot of stuff like that. But I’m feeling good and, and just like, uh, yeah, just light. I don’t know, it’s weird. Like, I’ve just been noticing that I feel kind of light and, uh. And not, not manic, not high light. Brett: Yeah. No, that’s Jeff: uh, and that’s, that’s lovely. So yeah. And so I’m doing good. I’m doing good. I fucking, it’s cold. Which sucks ’cause it just means for everybody that’s heard about my workshop over the years, that I can’t really go out there and have it be pleasant Brett: It’s, it’s been Minnesota thus far. Has had, we’ve had like one, one Sub-Zero day. Jeff: whatever. It’s fucking cold. Christina: Yeah. What one? Brett? Brett. It’s December 6th as we’re recording this one Sub-Zero day. That’s insane. Brett: Is it Jeff: Granted, granted I’ve been dressing warm, so I’m ready to go out the door for ice related things. Meaning, meaning government, ice, Brett: Uh, yeah. Yeah. Jeff: So I like wear my long underwear during [00:17:00] the day. ’cause actually like recently. So at my son’s school, which is like six blocks from here, um, has a lot of Somali immigrants in it. And, and uh, and there was a, at one point there was ice activity in the other direction, um, uh, uh, near me. And so neighbors put out a call here around so that at dismissal time people would pair up at all the intersections surrounding the school. And, um, and like a quick signal group popped up, whatever. It was so amazing because like we all just popped out there. And by the time I got out, uh, everyone was already like, posted up and I was like, I’m a, in these situations, I am a wanderer. You want me roaming? I don’t want to pair up with somebody I don’t like, I just, I grabbed a camera with a Zoom on it and like, I was like, I’m in roam. Um, it’s what I was as an activist, what I was as a reporter, like it’s just my nature. Um, but like. Everybody was out and like, and they were just like, they were ready man. And then we got like the all clear and you could just see people in the [00:18:00] neighborhood just like standing down and going home. But because of the true threat and the ongoing arrests here, now that the Minneapolis stuff has started, like I do, I was like wearing long underwear just, and I have a little bag by the door ready to like pop out if something comes up and I can be helpful. Um, and uh, and I guess what I’m saying is I should use that to go into the garage as well if I’m already prepared. Brett: Right. Jeff: But here’s, okay, so here’s a mental health thing actually. So I, one of the, I’ve gone through a few years of just sort of a little bit of paralysis around being able to just, I don’t know what, like do anything that is kind of project related that takes some thinking, whatever it is, like I’m talking about around the house or things that have kind of broken over the years, whatever. So I’ve had this snowblower and it’s a really good snowblower. It’s got headlights. And, uh, and I used to love snow blowing the entire block. Like it just made me feel good, made me feel useful. Um, and sorry I cough. I left it outside for a [00:19:00] year for a, like a winter and a spring and water got into the gas tank. It rusted out in there. I knew I couldn’t start it or I’d ruin the whole damn engine. So I left it for two years and I felt bad about myself. But this year, just like probably a month before the first big snowfall, I fucking replaced a gas tank and a carburetor on a machine. And I have never done anything like that in my life. And so then we got the snowfall and I, and I snow blowed this whole block Brett: Nice. Jeff: great. ’cause now they all owe me. Brett: I, uh, I have a, uh, so I have a little electric powered, uh, snowblower that can handle like two inches of snow. Um, and, and on big snowfalls, if you get out there every hour and keep up with it, it, it works. But, but I, my back right now, I can’t stand for, I can’t stand still for 10 minutes and I can’t move for more than like five minutes. And so I’m, I’m very disabled and El has good days and bad days, uh, thus [00:20:00] far. L’s been out there with a shovel, um, really being the hero. But we have a next door neighbor with a big gas powered snowblower. And so we went over, brought them gifts, and, um, asked if they would take care of our driveway on days we couldn’t, uh, for like, you know, we’d pay ’em 25 bucks to do the driveway. And, uh, and they were, he was still reluctant to accept money. Um. But, but we both agreed it was better to like make it a, a transaction. Jeff: Oh my God. You don’t want to get into weird Minnesota neighbor relational. Brett: right. You don’t want the you owe me thing. Um, so, so we have that set up. But in the process we made really good friends with our neighbor. Like we sat down in their living room for I think 45 minutes and just like talked about health and politics and it was, it was really fun. They’re, they’re retired. They’re in their [00:21:00] seventies and like act, he always looks super grumpy. I always thought he was a mean old man. He’s actually, he laughs more easily than most people I’ve ever met. Um, he’s actually, when people say, oh, he is actually a teddy bear, this guy really is, he’s just jovial. Uh, he just has resting angry old man face. Jeff: Or like my, I have public mis throat face, like when I’m out and about, especially when I’m shopping, I know that my face is, I’m gonna fucking kill you if you look me in the eye Brett: I used Jeff: is not my general disposition. Brett: people used to tell me that about myself, but I feel like I, I carry myself differently these days than I did when I was younger. Jeff: You know what I learned? Do you, have you both watched Veep, Christina: Yes, Jeff: you know, Richard sp split, right? Um, and, and he always kind of has this sweet like half smile and he is kind of looking up and I, I figured out at one point I was in an airport, which is where my kill everybody face especially comes up. Just to be clear. TSA, it’s just a feeling inside. I [00:22:00] have no desire to act to this out. I realized that if I make the Richard Plet face, which I can try to make for you now, which is something like if I just make the Richard Plet face, my whole disposition Brett: yeah. Yeah. Jeff: uh, and I even feel a little better. And so I just wanna recommend that to people. Look up Richard Spt, look at his face. Christina: Hey, future President Bridges split. Jeff: future President Richard Splat, also excellent in the Detroiters. Um, that’s all, uh, that’s all I wanted to say about that. Brett: I have found that like when I’m texting with someone, if I start to get frustrated, you know, you know that point where you’re still adding smiley emoticons even though you’re actually not, you’re actually getting pissed off, but you don’t wanna sound super bitchy about it, so you’re adding smile. I have found that when I add a smiley emoji in those circumstances, if I actually smile before I send it, it like my [00:23:00] mood will adjust to match, to match the tone I’m trying to convey, and it lessens my frustration with the other person. Jeff: a little joy wrist rocket. Christina: Yeah. Hey, I mean, no, but hey, but, but that, that, that, that, that’s interesting. I mean, they’re, they, they’ve done studies that like show that, right? That like show like, you know, I mean, like, some of this is all like bullshit to a certain extent, but there is something to be said for like, you know, like the power of like positive thinking and like, you know, if you go into things with like, different types of attitudes or even like, even if you like, go into job interviews or other situations, like you act confident or you smile, or you act happy or whatever. Even if you’re not like it, the, the, the, the euphoria, you know, that those sorts of uh, um, endorphin reactions or whatever can be real. So that’s interesting. Brett: Yeah, I found, I found going into job interviews with my usual sarcastic and bitter, um, kind of mindset, Jeff: I already hate this job. Brett: it doesn’t play well. It doesn’t play well. So what are your weaknesses? Fuck off. Um,[00:24:00] Christina: right. Well, well, well, I hate people. Jeff: Yeah. Dealing with motherfuckers like you, that’s one weakness. Sponsor Spot: Shopify Brett: let’s, uh, let’s do a sponsor spot and then I want to hear about Christina winning a contest. Christina: yes. Jeff: very Brett: wanna, you wanna take it away? Sponsor: Shopify Jeff: I will, um, our sponsor this week is Shopify. Um, have you ever, have you just been dreaming of owning your own business? Is that why you can’t sleep? In addition to having something to sell, you need a website. And I’ll tell you what, that’s been true for a long time. You need a payment system, you need a logo, you need a way to advertise new customers. It can all be overwhelming and confusing, but that is where today’s sponsor, Shopify comes in. shopify is the commerce platform behind millions of businesses around the world and 10% of all e-commerce in the US from household names like Mattel and Gym Shark to brands just getting started. Get started with your own design studio with hundreds of ready to use [00:25:00] templates. 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That was Jeff: Yeah. Cha-ching Brett: they got the chorus, they got the Overtired Christina: You did. You got the Overtired Jeff: They didn’t think to ask for it, but that’s our brand. Christina: shopify.com/ Overtired. Jeff Tweedy Jeff: What was, uh, I was watching a Stephen Colbert interview with Jeff Tweedy, who just put out a triple album and, uh, it was a very thoughtful, sweet interview. And then Stephen Colbert said, you know, you’re not supposed to do this. And Jeff Tweety said, it’s all part of my career long effort to leave the public wanting less. Christina: Ha, Jeff: That was a great bit. Christina: that’s a fantastic bit. A side note, there are a couple of really good NPR, um, uh, tiny desks that have come out in the last couple of month, uh, couple of weeks. Um, uh, one is shockingly, I, I’ll, I’ll just be a a, a fucking boomer about it. The Googo dolls. Theirs was [00:27:00] great. It’s fantastic. They did a great job. It already has like millions of views, like it wrecked up like over a million views, I think like in like, like less than 24 hours. They did a great job, but, uh, but Brandy Carlisle, uh, did one, um, the other day and hers is really, really good too. So, um, so yeah. Yeah, exactly. So yeah. Anyway, you said, you saying Jeff pd maybe, I don’t know how I got from Wilco to like, you know, there, Jeff: Yeah. Well, they’ve done some good, he’s done his own good Christina: he has, he has done his own. Good, good. That’s honestly, that’s probably what I was thinking of, but Jeff: It’s my favorite Jeff besides me because Bezos, he’s not in the, he’s not in the game. Christina: No. No, he’s not. No. Um, he, he’s, he’s not on the Christmas card list at all. Jeff: Oh man. Jeff’s Concert Marathon Jeff: Can I just tell you guys that I did something, um, I did something crazy a couple weeks ago and I went to three shows in one week, like I was 20 fucking two, Brett: Good grief. Jeff: and. It was a blast. So, okay, so the background of this is my oldest son [00:28:00] loves hip hop, and when we drive him to college and back, or when I do, it’s often just me. Um, he, he goes deep and he, it’s a lot of like, kind of indie hip hop and a lot. It’s just an interesting, he listens to interesting shit, but he will go deep and he’ll just like, give me a tour through someone’s discography or through all their features somewhere, whatever it is. And like, it’s the kind of input that I love, which is just like, I don’t, even if it’s not my genre, like if you’re passionate and you can just weave me through the interrelationship and the history and whatever it is I’m in. So as a result of that, made me a huge fan of Danny Brown and made me a huge fan of the sky, Billy Woods. And so what happened was I went to a hip hop show at the seventh Street entry, uh, which is attached to First Avenue. It’s a little club, very small, lovely little place, the only place my band could sell out. Um, and I watched a hip hop show there on a Monday night, Tuesday night. I went to the Uptown Theater, which Brett is now a actually an operating [00:29:00] theater for shows. Uh, and I, and I saw Danny Brown, but I also saw two hyper pop bands, a genre I was not previously aware of, including one, which was amazing, called Fem Tenal. And I was in line to get into that show behind furries, behind trans Kids. Like it was this, I was the weirdest, like I did not belong. Underscores played, and, and this will mean something to somebody out there, but not, didn’t mean anything to me until that night. And, uh. I felt like such, there were times, not during Danny Brown, Danny Brown’s my age all good. But like there were times where I was in the crowd ’cause I’m tall. Anybody that doesn’t know I’m very tall and I’m wearing like a not very comfortable or safe guy seeming outfit, a black hoodie, a black stocking cap. Like I basically looked like I’m possibly a shooter and, and I’m like standing among all these young people loving it, but feeling a little like, should I go to the back? Even like I was leaving that show [00:30:00] and the only people my age were people’s parents that were waiting to pick them up on the way out. So anyway, that was night two. Danny Brown was awesome. And then two nights later I went to see, this is way more my speed, a band called the Dazzling Kilman who were a band that. Came out in the nineties, St. Louis and a noisy Matthew Rock. Wikipedia claims they invented math rock. It’s a really stupid claim, uh, but it’s a lovely, interesting band and it’s a friend of mine named Nick Sakes, who’s who fronted that band and was in all these great bands back when I was in bands called Colos Mite and Sick Bay, and all this is great shit. So they played a reunion show. In this tiny punk rock club here called Cloudland, just a lovely little punk rock club. And, um, and, and that was like rounded out my week. So like, I was definitely, uh, a tourist the early part of the week, mostly at the Danny Brown Show. But then I like got to come home to my noisy punk rock [00:31:00] on, uh, on Thursday night. And I, I fucking did three shows and it hurt so bad. Like even by the first of three bands on the second night. I was like, I don’t think I can make it. And I do. I already pregame shows with ibuprofen. Just to be really clear, I microdose glucose tabs at shows like, like I am, I am a full on old man doing these things. But, um, I did get some cred with my kids for being at a hyper pop show all by myself. And, Christina: Hell yeah. A a Jeff: friends seemed impressed. Christina: no, as a as, as as they should be. I’m impressed. And like, and I, I, I typically like, I definitely go to like more of like, I go, I go to shows more frequently and, and I’m, I’m even like, I’m, I’m gonna be real with you. I’m like, yeah, three in one week. Jeff: That’s a lot. Christina: That’s a lot. That’s a lot. Jeff: man. Did I feel good when I walked home from that last show though? I was like, I fucking did it. I did not believe I wasn’t gonna bail on at least two of those shows, if not all three. Anyway, just wanted to say Brett: I [00:32:00] do like one show a year, but Jeff: that’s how I’ve been for years this year. I think I’ve seen eight shows. Brett: damn. Jeff: Yeah, it’s Brett: Alright, so you’ve been teasing us about this, this contest you won. Jeff: Yeah, please, Christina. Sorry to push that off. Christina: No, no, no, no. That’s, that’s completely okay. That, that, that, that’s great. Uh, no. Christina Wins Big Christina: So, um, I won two six K monitors. Brett: Damn. Jeff: is that what those boxes are behind you? Christina: Yeah, yeah. This is what the boxes are behind me, so I haven’t been able to get them up because this happened. I got them literally right in the midst of all this stuff with my back. Um, but I do have an Ergotron poll now that is here, and, and Grant has said that he will, will get them up. But yeah, so I won 2 32 inch six K monitors from a Reddit contest. Brett: How, how, how, Jeff: How does this happen? How do I find a Reddit contest? Christina: Yeah. So I got lucky. So I have, I, I have a clearly, well, well, um, there was a little, there was a little bit of like, other step to it than that, but like, uh, so how it worked was basically, um, LG is basically just put out [00:33:00] two, they put out a new 32 inch six K monitor. I’ll have it linked in, in, in the show notes. Um, so we’ve talked about this on this podcast before, but like one of my big, like. Pet peeve, like things that I can’t get past. It’s like I need like a retina screen. Like I need like the, the perfect pixel doubling thing for that the Mac Os deals with, because I’ve used a 5K screen, either through an iMac or um, an lg, um, ultra fine or, um, a, uh, studio display. For like 11 years. And, and I, and I’ve been using retina displays on laptops even longer than that. And so if I use like a regular 4K display, like it just, it, it doesn’t work for me. Um, you can use apps like, um, like better control and other things to kind of emulate, like what would be like if you doubled the resolution, then it, it down, you know, um, of samples that, so that. It looks better than, than if it’s just like the, the, the 4K stuff where in the, the user interface things are too big and whatnot. And to be clear, this is a Macco West problem. If [00:34:00] you are using Windows or Linux or any other operating system that does fractional scaling, um, correctly, then this is not a problem. But Macco West does not do fractional scaling direct, uh, correctly. Um, weirdly iOS can, like, they can do three X resolution and other things. Um, but, but, but Macs does not. And that’s weird because some of the native resolutions on some of the MacBook errors are not even perfectly pixeled doubled, meaning Apple is already having to do a certain amount of like resolution changes to, to fit into their own, created by their, their own hubris, like way of insisting on, on only having like, like two x pixel doubling 18 years ago, we could have had independent, uh, resolutions, uh, um, for, for UI elements and, and, and window bars. But anyway, I, I’m, I’m digressing anyway. I was looking at trying to get either a second, uh, studio display, which I don’t wanna do because Apple’s reportedly going to be putting out a new one. Um, and they’re expensive or getting, um, there are now a number of different six K [00:35:00] displays that are not $6,000 that are on the market. So, um, uh, uh, Asus has one, um, there is one from like a, a Chinese company called like, or Q Con that, um, looks like a, a complete copy of this, of the pro display XDR. It has a different panel, but it’s, it’s six K and they, they’ve copied the whole design and it’s aluminum and it’s glossy and it looks great, but I’d have to like get it from like. A weird distributor, and if I have any issues with it, I don’t really wanna have to send it back to China and whatnot. And then LG has one that they just put out. And so I’ve been researching these on, on Mac rumors and on some other forums. And, um, I, uh, I, somebody in one of the Mac Roomers forums like posted that there was like a contest that LG was running in a few different subreddits where they were like, tell us why you should get one of, like, we’re gonna be giving away like either one or two monitors, and I guess they did this in a few subreddits. Tell us why this would be good for your workflow. And, um, I guess I, I guess I’m one of the people who kind of read the [00:36:00] assignment because it, okay, I’ll just be honest with this, with, with you guys on this podcast, uh, because I, I don’t think anyone from LG will hear this and my answers were accurate anyway. But anyway, this was not the sort of contest where it was like we will randomly select a winner. This was the moderators and lg, were going to read the responses and choose the winner. Jeff: Got it. Christina: So if you spend a little bit of time and thoughtfully write out a response, maybe you stand a better chance of winning the contest. Jeff: yeah, yeah. Put the work in like it was 2002. Christina: Right. Anyway, I still was shocked when I like woke up like on like Halloween and they were like, congratulations, you’ve won two monitors. I’m like, I’m sorry. What? Jeff: That’s amazing. Christina: Yeah, yeah, yeah, Jeff: Nice work. I know I’ve, you know, I’ve been staring at those boxes behind you this whole time, just being like, those look like some sweet monitors. Christina: yeah, yeah. Monitor Setup Challenges Christina: I mean, and, uh, [00:37:00] uh, it’s, it’s, it’s, it’s, it’s, and I, I’m very much, so my, my, my only issue is, okay, how am I gonna get these on my desk? So I’m gonna have to do something with my iMac and I’m probably gonna have to get rid of my, my my, my 5K, um, uh, uh, studio display, at least in the short term. Ergotron Mounts and Tall Poles Christina: Um, but what I did do is I, um, I ordered from, um, Ergotron, ’cause I already have. Um, two of their, um, LX mounts, um, or, or, or, or arms. Um, and only one of them is being used right now. And then I have a different arm that I use for the, um, um, iMac. Um, they sell like a, if you call ’em directly, you can get them to send you a tall pole so that you can put the two arms on top of them. And that way I think I can like, have them so that I can have like one pole and then like have one on one side, one Jeff: I have a tall pole. Christina: and, and yeah, that’s what she said. Um, Jeff: as soon as I said it, I was like, for fuck’s sake. But Christina: um, but, uh, but, but yeah, but so that way I think I, I can, I, in theory, I can stack the market and have ’em side by side. I don’t know. Um, I got that. I, I had to call Tron and, and order that from them. [00:38:00] Um, it was only a hundred dollars for, for the poll and then $50 for a handling fee. Jeff: It’s not easy to ship a tall pole. Brett: That’s what she said. Christina: that is what she said. Uh, that is exactly what she said. But yeah, so I, I, the, the, the unfortunate thing is that, um, I, um, I, I had to, uh, get a, like all these, they, they came in literally right before Thanksgiving, and then I’ve had, like, all my back stuff has Jeff: Yeah, no Christina: debilitating, but I’m looking forward to, um, getting them set up and used. And, uh, yeah. Review Plans and Honest Assessments Christina: And then full review will be coming to, uh, to, I have to post a review on Reddit, but then I will also be doing a more in depth review, uh, on this podcast if anybody’s interested in, in other places too, to like, let let you know, like if it’s worth your money or not. Um, ’cause there, like I said, there are, there are a few other options out there. So it’s not one of those things where like, you know, um, like, thank you very much for the free monitor, um, monitors. But, but I, I will, I will give like the, the, you know, an honest assessment or Current Display Setup Brett: So [00:39:00] do you currently have a two display setup? Christina: No. Um, well, yes, and kind of, so I have my, my, I have my 5K studio display, and then I have like my iMac that I use as a two to display setup. But then otherwise, what I’ve had to do, and this is actually part of why I’m looking forward to this, is I have a 4K 27 inch monitor, but it’s garbage. And it, it’s one of those things where I don’t wanna use it with my Mac. And so I wind up only using it with my, with my Windows machine, with my framework desktop, um, with my Windows or Linux machine. And, and because that, even though I, it supports Thunderbolt, the Apple display is pain in the ass to use with those things. It doesn’t have the KVM built in. Like, it doesn’t like it, it just, it’s not good for that situation. So yeah, this will be of this size. I mean, again, like I, I, I’m 2 32 inch monitors. I don’t know how I’m gonna deal with that on my Jeff: I Brett: yeah. So right now I’m looking at 2 32 inch like UHD monitors, Christina: Yeah,[00:40:00] Brett: I will say that on days when my neck hurts, it sucks. It’s a, it’s too wide a range to, to like pan back and forth quickly. Like I’ll throw my back out, like trying to keep track of stuff. Um, but I have found that like if I keep the second display, just like maybe social media apps is the way I usually set it up. And then I only work on one. I tried buying an extra wide curve display, hated it. Jeff: Uh, I’ve always wanted to try one, but Christina: I don’t like them. Jeff: Yeah. Christina: Well, for me, well for me it’s two things. One, it’s the, I don’t love the whole like, you know, thing or whatever, but the big thing honestly there, if you could give me, ’cause people are like, oh, you can get a really big 5K, 2K display. I’m like, that’s not a 5K display. That is 2 27 inch, 1440 P displays. One, you know, ultra wide, which is great. Good for you. That’s not retina. And I’m a sicko Who [00:41:00] needs the, the pixel doubling? Like I wish that my eyes could not use that, but, but, but, Jeff: that needs the pixel. Like was that the headline of your Reddit, uh, Christina: no, no. It wasn’t, it wasn’t. But, but maybe it should be. Hi, I’m a sicko who only, um, fucks with, with, with, with, with, with, with retina displays. Ask me anything. Um, but no, but that’s a good point. Brett: I think 5K Psycho is the Christina: 5K Sicko is the po is the po title. I like that. I like that. No, what I’m thinking about doing and that’s great to know, Brett. Um, this kind of reaffirms my thing. Thunderbolt KVM and Display Preferences Christina: So what’s nice about these monitors is that they come with like, built in like, um, Thunderbolt 5K VM. So, which is nice. So you could conceivably have multiple, you know, computers, uh, connected, you know, to to, to one monitor, which I really like. Um, I mean like, ’cause like look, I, I’ve bitched and moaned about the studio display, um, primarily for the price, but at the same time, if mine broke tomorrow and if I didn’t have any way to replace it, I’ve, I’ve also gone on record saying I would buy a new one immediately. As mad as I am about a [00:42:00] lot of different things with that, that the built-in webcam is garbage. The, you know, the, the fact that there’s not a power button is garbage. The fact that you can’t use it with multiple inputs, it’s garbage. But it’s a really good display and it’s what I’m used to. Um, it’s really not any better than my LG Ultra fine from 2016. But you know what? Whatever it is, what it is. Um. I, I am a 5K sicko, but being able to, um, connect my, my personal machine and my work machine at the same time to one, and then have my Windows slash Linux computer connected to another, I think that’s gonna be the scenario where I’m in. So I’m not gonna necessarily be in a place where I’m like, okay, I need to try to look at both of them across 2 32 inch displays. ’cause I think that that, like, that would be awesome. But I feel like that’s too much. Brett: I would love a decent like Thunderbolt KVM setup that could actually swap like my hubs back and Christina: Yes. MacBook Pro and Studio Comparisons Brett: Um, so, ’cause I, I have a studio and I have my, uh, Infor MacBook Pro [00:43:00] and I actually work mostly on the MacBook Pro. Um, but if I could easily dock it and switch everything on my desk over to it, I would, I would work in my office more often. ’cause honestly, the M four MacBook Pro is, it’s a better machine than the original studio was. Um, and I haven’t upgraded my studio to the latest, but, um, I imagine the new one is top notch. Christina: Oh yeah. Yeah. Brett: my, my other one, a couple years old now is already long in the tooth. Christina: No, I mean, they’re still good. I mean, it’s funny, I saw that some YouTube video the other day where they were like, the best value MacBook you can get is basically a 4-year-old M1 max. And I was like, I don’t know about that guys. Like, I, I kind of disagree a little bit. Um, but the M1 max, which is I think is what is in the studio, is still a really, really good ship. But to your point, like they’ve made those, um. You know, the, the, the new ones are still so good. Like, I have an M three max as my personal laptop, and [00:44:00] that’s kind of like the dog chip in the, in the m um, series lineup. So I kind of am regretful for spending six grand on that one, but it is what it is, and I’m like, I’m not, I’m not upgrading. Um, I mean, maybe, maybe in, in next year if, if the M five Pro, uh, or M five max or whatever is, is really exceptional, maybe I’ll look at, okay, how much will you give me to, to trade it in? But even then, I, I, but I feel like I’m at that point where I’m like, it gets to a point where like it’s diminishing returns. Um, but, uh, just in terms of my own budget. But, um, yeah, the, the new just info like pro or or max, whatever, Brett: I have, I have an M four MacBook Pro sitting around that I keep forgetting to sell. Uh, it’s the one that I, it only had a 256 gigabyte hard drive, Jeff: what happened to me when I bought my M1, Brett: and I, and I regretted that enough that I just ordered another one. But, uh, for various reasons, I couldn’t just return the one I didn’t Jeff: ’cause it was.[00:45:00] Brett: so now I, now I have to sell it and I should sell it while it’s still a top of the line machine Christina: Sell it before, sell, sell, sell, sell it before next month, um, or, or February or whenever they sell it before then the, the pros come out. ’cause right now the M five base is out, but the pros are not. So I think feel like you could still get most of your value for it, especially since it has very few battery cycles. Be sure to put the battery cycles on your Facebook marketplace or eBay thing or whatever. Um, I bought my, uh, she won’t listen to this so she won’t know, but, um, they, there was a, a killer Cyber Monday deal, uh, for Best Buy where they had like a, the, the, the, so it’s several years old, but it was the, the M two MacBook Air, but the one that they upgraded to 16 gigs of Ram when Apple was like, oh, we have to have Apple Intelligence and everything, because they actually thought that they were actually gonna ship Apple Intelligence. So they like went back and they, like, they, they, you know, retconned like made the base model MacBook Air, like 16 [00:46:00] gigs. Um, and, uh, anyway, it was, it was $600, um, Jeff: still crazy. Christina: which, which like even for like a, a, a 2-year-old machine or whatever, I was like, yeah, she, my sister, I think she’s on like, like a 2014 or older than that. Like, like MacBook Air. She doesn’t even know where the MagSafe is. I don’t think she even knows where the laptop is. So she’s basically doing everything like on her phone and I’m like, okay, you need a laptop of some type, but at this point. I do feel strongly that like the, the, the $600 or, or, or actually I think it was $650, it was actually less, it is actually more expensive than what the, the, the Cyber Monday sale was, um, the M1, Walmart, MacBook Air. I’m like, absolutely not like that is at this point, do not buy that. Right? Like, I, especially with eight gigs of ram, I’m, I’m like, it’s been, it’s five years old. It’s a, it was a great machine and it was great value for a long time. $200. Cool, right? Like, if you could get something like use and, and, and, and if you could replace the battery or, you know, [00:47:00] for, for, you know, not, not too much money or whatever. Like, I, I, I could see like an argument to be made like value, right? But there’d be no way in hell that I would ever spend or tell anybody else to spend $650 on that new, but $600 for an M two with Jeff: Now we’re talking. Christina: which has the redesign brand new. I’m like, okay. Spend $150 more and you could have got the M four, um, uh, MacBook Air, obviously all around Better Machine. But for my sister, she doesn’t need that, Jeff: What do we have to do to put your sister in this M two MacBook Christina: that, that, that, that, that, that’s exactly it. So I, I, I was, well, also, it was one of those things I was like, I think that she would rather me spend the money on toys for my nephew for Santa Claus than, than, uh, giving her like a, a processor upgrade. Um, Jeff: Claus isn’t real. Brett: Oh shit. Jeff: Gotcha. Every year I spoil it for somebody. This year it was Christina and Brett. Sorry guys. Brett: right. Well, can I tell you guys Jeff: Yeah. [00:48:00] Brett Software. Brett: two quick projects before we do Jeff: Hold on. You don’t have to be quick ’cause you could call it Brett: We’re already at 45 minutes and I want Jeff: What I’m saying, skip GrAPPtitude. This is it? Brett: okay. Christina: us about Mark. Tell us about your projects. Brett: So, so Mark three is, there’s a public, um, test flight beta link. Uh, if you go to marked app.com, not marked two app.com, uh, marked app.com. Uh, you, there’s a link in the, in the, at the top for Christina: Join beta. Mm-hmm. Brett: Um, and that is public and you can join it and you can send me feedback directly through email because, um, uh, uh, the feedback reporter sucks for test flight and you can’t attach files. And half the time they come through as anonymous feedback and I can’t even follow up on ’em. So email me. But, um, I’ll be announcing that on my blog soon-ish. Um, right now there’s like [00:49:00] maybe a couple dozen, um, testers and I, it’s nice and small and I’m solving the biggest bugs right away. Um, so that’s been, that’s been big. Like Mark, even since we last talked has added. Do you remember Jeff when Merlin was on and he wanted to. He wanted to be able to manage his styles, um, and disable built-in styles. There’s now a whole table based style manager where you Jeff: saw that. Brett: you can, you can reorder, including built-in styles. You can reorder, enable, disable, edit, duplicate. Um, it’s like a full, full fledged, um, style manager. And I just built a whole web app that is a style generator that gives you, um, automatic like rhythm calculations for your CSS and you can, you can control everything through like, uh, like UI fields instead of having to [00:50:00] write CSS. Uh, but you can also o open up a very, I’ve spent a lot of time on the code mirror CSS editor in the web app. Uh, so, and it’s got live preview as you edit in the code mirror field. Um, so that’s pretty cool. And that’s built into marts. So if you go to style, um, generate style, it’ll load up a, a style generator for you. Anyway, there’s, there’s a ton. I’m not gonna go into all the details, but, uh, anyone listening who uses markdown for anything, especially if you want ability to export to like Word and epub and advanced PDF export, um, join the beta. Let me know what you think. Uh, help me squash bugs. But the other thing, every time I push a beta for review before the new bug reports come in, I’ve been putting time into a tool. Markdown Processor: Apex Brett: I’m calling [00:51:00] Apex and um, I haven’t publicly announced this one yet, but I probably will by the time this podcast comes out. Jeff: I mean, doesn’t this count? Brett: It, it does. I’m saying like this, this might be a, you hear you heard it here first kind of thing, um, but if you go to github.com/tt sc slash apex, um, I built a, uh, pure C markdown processor that combines syntax from cram down GitHub flavored markdown, multi markdown maku, um, common mark. And basically you can write syntax from any of those processors, including all of their special features, um, and in one document, and then use Apex in its unified mode, and it’ll just figure out what. All of your syntax is supposed to do. Um, so you can take, you can port documents from one platform to another [00:52:00] without worrying about how they’re gonna render. Um, if I can get any kind of adoption with Apex, it could solve a lot of problems. Um, I built it because I want to make it the default processor in marked ’cause right now, you, you have to choose, you know, cram Christina: Which one? Brett: mark and, and choosing one means you lose something in order to gain something. Um, so I wanted to build a universal one that brought together everything. And I added cool features from some extensions of other languages, such as if you have two lists in a row, normally in markdown, it’s gonna concatenate those into one list. Now you can put a carrot on a line between the two lists and it’ll break it into two lists. I also added support for a. An extension to cram down that lets you put double uh, carrots inside a table cell and [00:53:00] create a row band. So like a cell that, that expands it, you rows but doesn’t expand the rest of the row. Um, so you can do cell spans and row spans and it has a relaxed table version where you don’t have to have an alignment row, which is, uh, sometimes we just wanna make quickly table. You make two lines. You put some pipes in. This will, if there’s no alignment row, it will generate a table with just a table body and table data cells in no header. It also allows footers, you can add a footer to a table by using equals in the separator line. Um, it, it’s, Jeff: This is very civilized, Brett: it is. Christina: is amazing, Brett: So where Common Mark is extremely strict about things, um, apex is extremely permissive. Jeff: also itty bitty things like talk about the call out boxes from like Brett: oh yeah, it, it can handle call out syntax from Obsidian and Bear and Xcode Playgrounds. [00:54:00] Um, and it incorporates all of Mark’s syntax for like file includes and even renders like auto scroll pauses that work in marked and some other teleprompter situations. Um, it uses file ude syntax from multi markdown, like, which is just like a curly brace and, uh, marked, which is, uh, left like a double left, uh, angle bracket and then different. Brackets to surround a file name and it handles IA writer file inclusion where you just type a forward slash and then the name of a file and it automatically detects if that file is an image or source code or markdown text, and it will import it accordingly. And if it’s a CSV file, it’ll generate a table from it automatically. It’s, it’s kind of nuts. I, it’s kind of nuts. I could not have done this [00:55:00] without copilot. I, I am very thankful for copilot because my C skills are not, would not on their own, have been up to this task. I know enough to bug debug, but yeah, a lot of these features I got a big hand from copilot on. Jeff: This is also Brett. This is some serious Brett Terpstra. TURPs Hard Christina: Yeah, it is. I was gonna say, this is like Jeff: and also that’s right. Also, if your grandma ever wrote you a note and it, and though you couldn’t really read it, it really well, that renders perfectly Christina: Amazing. No, I was gonna say this is like, okay, so Apex is like the perfect name ’cause this is the apex of Brett. Jeff: Yes. Apex of Brett. Christina: That’s also that, that’s, that’s not an alternate episode title Apex of Brett. Because genuinely No, Brett, like I am, I am so stunned and impressed. I mean, you all, you always impressed me like you are the most impressive like developer that I, that I’ve ever known. But you, this is incredible. And, and this, I, I love this [00:56:00] because as you said, like common Mark is incredibly strict. This is incredibly permissive. But this is great. ’cause there are those scenarios where you might have like, I wanna use one feature from one thing or one from another, or I wanna combine things in various ways, or I don’t wanna have to think about it, you know? Brett: I aals, I forgot to mention I aals inline attribute list, which is a crammed down feature that lets you put curly brackets after like a paragraph and then a colon and then say, dot call out inside the curly brackets. And then when it renders the markdown, it creates that paragraph and adds class equals call out to the paragraph. Um, and in, in Cramon you can apply these to everything from list items to list to block quotes. Like you can do ’em for spans. You could like have one after, uh, link syntax and just apply, say dot external to a link. So the IAL syntax can add IDs classes and uh, arbitrary [00:57:00] attributes to any element in your markdown when it renders to HTML. And, uh, and Apex has first class support for I aals. Was really, that was, that Christina: that was really hard, Brett: I wrote it because I wanted, I wanted multi markdown, uh, for my prose writing, but I really missed the als. Christina: Yes. Okay. Because see, I run into this sort of thing too, right? Because like, this is a problem like that. I mean, it’s a very niche problem, um, that, that, you know, people who listen to this podcast probably are more familiar with than other types of people. But like, when you have to choose your markdown processor, which as you said, like Brett, like that can be a problem. Like, like with, with using Mark or anything else, you’re like, what am I giving up? What do I have? And, and like for me, because I started using mul, you know, markdown, um, uh, largely because of you, um, I think I was using it, I knew about it before you, but largely because of, of, of you, like multi markdown has always been like kind of my, or was historically my flavor of choice. It has since shifted to being [00:58:00] GitHub, labor bird markdown. But that’s just because the industry has taken that on, right? But there were, you know, certain things like in like, you know, multi markdown that work a certain way. And then yeah, there are things in crammed down. There are things in these other things in like, this is just, this is awesome. This Brett: It is, the whole thing is built on top of C mark, GFM, which is GitHub’s port of common mark with the GitHub flavored markdown Christina: Right. Brett: Um, and I built, like, I kept that as a sub-module, totally clean, and built all of this as extensions on top of Cmar, GFM, which, you know, so it has full compatibility with GitHub and with Common Merck by out, like outta the box. And then everything else is built on top of that. So it, uh, it covers, it covers all the bases. You’ll love it Christina: I’m so excited. No, this is awesome. And I Brett: blazing fast. It can render, I have a complex document that, that uses all of its features and it can render it in [00:59:00] 0.006 seconds. Christina: that’s awesome. Jeff: Awesome. Christina: That’s so cool. No, this is great. And yeah, I, and I think that honestly, like this is the sort of thing like if, yeah, if you can eventually get this to like be like the engine that powers like mark three, like, that’ll be really slick, right? Because then like, yeah, okay, I can take one document and then just, you know, kind of, you know, wi with, with the, you know, ha have, have the compatibility mode where you’re like, okay, the unified mode or whatever yo

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the November 2025 Emergency Medicine Practice article, Diagnosis and Management of Emergency Department Patients With Alcohol Withdrawal SyndromeEpidemiology & Background Rising ED visits related to alcohol use. Mortality rates and spectrum of patient presentations. Importance of high suspicion and complexity of cases.Pathophysiology & Mechanisms Alcohol metabolism and neurochemical changes. Differential diagnosis: Conditions that mimic alcohol withdrawal.Prehospital & EMS Considerations Role of EMS in triage and initial management. Use of sobering centers vs. ED transport. Prehospital administration of benzodiazepines (IM midazolam).History & Risk Assessment Key questions to assess risk for alcohol withdrawal syndrome. Importance of patient history, medication use, and comorbidities. Discussion on patient honesty and rapport.Physical Exam & Scoring Systems DSM-5 criteria for alcohol withdrawal. Use of CIWA-AR, BAWS, and PAWSS scoring systems. Importance of objective measurement for monitoring and disposition.Complications & Special PresentationsComplicated alcohol withdrawal: Hallucinosis, seizures, delirium tremens. Diagnostic workup: Labs, imaging, and co-ingestions. Special populations: End-stage liver disease, pregnancy, intubated patients.Treatment Strategies Mainstay: Benzodiazepines (types, dosing, and protocols). Phenobarbital: Indications, dosing, and evidence. Adjunctive therapies: Thiamine, glucose, magnesium. Alternative/adjunct medications: Gabapentin, ketamine, dexmedetomidine, baclofen.Clinical Pearls & Practice Changes Early, aggressive therapy to prevent complications. Symptom-based vs. fixed-schedule treatment. Gabapentin as an alternative or adjunct. Anti-craving medications for relapse prevention.Disposition & Protocols Use of scoring systems for safe discharge, observation, or admission. Importance of protocolized approaches and community resources.Summary & Take-Home Points Five key practice-changing points. Clinical pathway.Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Show notes at pharmacyjoe.com/episode1080. In this episode, I'll discuss using gabapentin to reduce benzodiazepine use in patients hospitalized with alcohol withdrawal.

Send Zorba a message!Dr. Zorba and Karl look at two new studies that show cannabis products can help with back pain. Zorba takes a call about a special turmeric drink, and helps listeners with insomnia, gut health issues, and advice on shingles. They also hear a mom joke and get a visit from the newly badged Grammar Cops.Support the showProduction, edit, and music by Karl Christenson Send your question to Dr. Zorba (he loves to help!): Phone: 608-492-9292 (call anytime) Email: askdoctorzorba@gmail.com Web: www.doctorzorba.org Stay well!

Send Zorba a message!Dr. Zorba and Karl look at two new studies that show cannabis products can help with back pain. Zorba takes a call about a special turmeric drink, and helps listeners with insomnia, gut health issues, and advice on shingles. They also hear a mom joke and get a visit from the newly badged Grammar Cops.Support the showProduction, edit, and music by Karl Christenson Send your question to Dr. Zorba (he loves to help!): Phone: 608-492-9292 (call anytime) Email: askdoctorzorba@gmail.com Web: www.doctorzorba.org Stay well!

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Lynette: I have Celiac Disease and worry about cross-contamination when eating at restaurants or friends' homes. People have suggested taking a gluten digestive enzyme, but I don't want to digest gluten. Is there anything I can take prior to eating that would rid my body of gluten, should I unknowingly come into contact with it? I'm a "silent celiac" so don't experience immediate GI upset, but instead suffer joint pain, headaches, and skin issues afterward. Living gluten-free out in the world is tough, so any suggestions to make things easier and safer are appreciated. Thanks!                                          Anonymous: I received a complimentary bottle of CBD Gummies -- thanks! Are there any contraindications with taking them? I'm thinking about them for my older parents, who are on the typical American old-age pharmaceuticals, including high blood pressure medication, statins, and Gabapentin. Will the gummies help with general aches and pains? Thank you.                                                                                                                                                                                            Sarah: I did labs through Equilife and found that my testosterone and DHEA were significantly low. For reference, I am a 49 year-old perimenopausal female. I started using about 8 mg of DHEA orally daily. (at that point I had 25 mg capsules I was splitting) Within three days of starting I had some longer lasting cystic acne on my face starting to appear. I gave it a few weeks to resolve and then began 25 mg of 7 keto DHEA daily and have had no acne breakouts at all. On my call with my IHP through Equilife to follow up from the labs, I was told that 7 keto DHEA is the same as regular DHEA and is likely just a marketing tool. Can you tell me why I reacted significantly different to the 7 keto DHEA? Several companies, some quite reputable sell it, do you recommend it in my case?                                              Anonymous: Hello, I appreciate the work you do, and would like your input to help me make a purchasing decision. I wanted to buy some Japanese selvedge jeans and notice they contain 2% Polyurethane. I had difficulty establishing whether the use of Polyurethane in clothing is harmful and wanted to know if you could direct me to resources which could provide me with more insight on this topic? Please let me know.                                                                                               Anonymous: I struggle with brain fog and low energy in the afternoons, even though I get enough sleep. Could this be related to blood sugar balance, and if so, what are some easy ways to stabilize it throughout the day?               Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3558 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Episode 173 of Limb Lengthening LIVE is an open mic discussion! Patients are invited to join the stream, share their stories, updates, and ask questions in real time.Also the PRECICE nail price could increase significantly after the new year. We'll discuss what this could mean for future patients and the limb lengthening community._____________________Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - 0:00 – Intro1:07 – Noah Update: Halfway Through Lengthening (35 mm Down)2:00 – Pain Management Journey & Medication Challenges3:10 – Slow vs Staggered Lengthening Rates (0.66 mm & 0.99 mm Alternating)4:00 – Evolution of Lengthening Protocols & Surgeon Insights5:03 – “I Need to Stretch” Shares Tibia Correction and Duck-Butt Posture6:25 – Aaron Joins: Bone Healing X-Rays & First Walking Video Reveal8:30 – Proportion Talk: 7.4 cm Gain and Natural-Looking Silhouette10:00 – Aaron on Early Walking & Learning Limits15:00 – New Guest Olympus Joins – Femur Surgery & Fat Embolism Story17:10 – Olympus Recovery Journey & Learning From Complication19:20 – DS Joins – New Tibia Patient (Precice 2) & Biomechanics Motivation22:20 – Pain, Swelling & Nerve Compression Discussion + Compression Tips27:00 – Live Chat Q&A: Work Return, Pain Tips, Gabapentin & Insurance35:00 – Risk Assessment of Surgery (Panel 1–10 Scale) & Real-World Insights43:00 – DS on Surfing, Proportions & Restoring Tibia-Femur Balance55:00 – Lifestyle and Social Questions (Post-Op Work & Telling Friends)1:00:00 – Outro______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life

Welcome back! Today, we will be talking about Pregabalin, brand-name Lyrica, a similar medication to Gabapentin, and we will specifically be focusing on its use in psychiatry. What are its benefits and drawbacks compared to Gabapentin? Sources:- https://pubmed.ncbi.nlm.nih.gov/33563173/- https://pubmed.ncbi.nlm.nih.gov/39989902/- https://pmc.ncbi.nlm.nih.gov/articles/PMC3699256/- https://pubmed.ncbi.nlm.nih.gov/33563173/

Welcome back! Today, we will be talking about Gabapentin, brand-name Neurontin, one of the most commonly-prescribed medications in the United States, and we will specifically be focusing on its use in psychiatry. It is commonly prescribed for anxiety disorders, alcohol use disorder, and sometimes even bipolar disorder! But what does the evidence say?Sources: https://pmc.ncbi.nlm.nih.gov/articles/PMC3619699/#:~:text=The%20FDA%20approved%20gabapentin%20enacarbil,legs%20syndrome%20(RLS)%20symptoms.https://journals.lww.com/intclinpsychopharm/Abstract/2017/01000/Pregabalin_for_generalized_anxiety_disorder__an.8.aspxhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9507147/https://pmc.ncbi.nlm.nih.gov/articles/PMC4732322/https://pubmed.ncbi.nlm.nih.gov/9263379/https://pubmed.ncbi.nlm.nih.gov/28988943/https://www.cdc.gov/mmwr/volumes/71/wr/mm7119a3.htm

https://ivdi.org/inv Ready to elevate your veterinary dental skills? Request an invite to the Veterinary Dental Practitioner Program. -------------------------------------------------------------------------

Listen as pulmonologist Peter Dicpinigaitis discusses his approach to the diagnosis and management of patients with refractory chronic cough in the context of a clinically relevant case and provides insights regarding emerging therapies.PresenterPeter Dicpinigaitis, MDProfessor of MedicineAlbert Einstein College of MedicineDivision of Critical Care MedicineMontefiore Medical CenterDirector, Montefiore Cough CenterBronx, New YorkLink to full program:https://bit.ly/4kweynG

In this latest AMA instalment, Matt and Dr. Eti Ben Simon begin by discussing environmental influences on sleep. The conversation covers how high latitude and prolonged daylight disrupt circadian rhythms, with Eti sharing her own personal experience. Together, our duo shares strategies for managing light exposure and regulating core body temperature with methods like warm baths. The episode also offers evidence-based approaches for shift workers, including strategic napping and forward-rotating schedules.The discussion then shifts to internal mechanisms, debunking the "sleep before midnight" myth and emphasizing alignment with one's chronotype. The role of the thalamus as a sensory gate for blocking pain during sleep is detailed, with Eti noting that meaningful stimuli can still break through this barrier. Finally, the use of Gabapentin is examined, outlining its limited efficacy for primary insomnia versus conditions like restless legs syndrome.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Partner of the podcast, AG1, is one sponsor that Matt relies upon for his foundational nutrition. Their new science-backed Next Gen formula features upgraded probiotics, vitamins, and minerals. Start your subscription today to get a FREE bottle of Vitamin D3+K2 and 5 free travel packs with your first order at drinkag1.com/mattwalker.Another of this week's sponsors, David, is a revolutionary new protein bar developed with Dr. Peter Attia. It boasts an unbeatable ratio: 28g of protein and 0g of sugar in just 150 calories. Incredibly satiating with six amazing flavors, it's perfect for muscle health. Buy yours today at davidprotein.com/mattwalker and buy 4 cartons to get a 5th FREE! If they're not already sold out, you can also find them at a local store using the store locator—or on Amazon.Our third sponsor this week, LMNT, offers a science-based electrolyte drink with no sugar or artificial ingredients. Try their new limited-time Lemonade Salt flavor, available May 20th! Get eight free sample packs with any order at drinklmnt.com/mattwalker. Stock up on this summer flavor while it lasts!As always, if you have thoughts or feedback you'd like to share, please reach out:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299Eti: X @etoosh, Instagram https://www.instagram.com/eti_bensimon/,  or email at etoosh@gmail.com

What should patients expect during the early stages of limb lengthening recovery? In Episode 171 of Limb Lengthening LIVE, we'll break down the key milestones, challenges, and lessons from the first days after surgery lengthening process.We'll discuss:- What the beginning phase looks like (pain, mobility, daily routines)- Key adjustments patients must make early on- Common obstacles and how to overcome themThis episode is perfect for prospective patients, those just starting their journey, or anyone curious about the realities of recovery after limb lengthening._____________________Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - 0:00 – Intro & Welcome to Episode 1710:23 – Meet Noah: Recent Femur Lengthening Patient (2 Weeks Post-Op)1:16 – Motivation & Mental Health: Why Noah Chose Limb Lengthening2:31 – Talking to Doctors & Psychiatrist Before Surgery4:11 – Starting Height, Goal (7 cm), & Average Height Target5:43 – Expectations vs Reality: Pain, Sleep & Recovery Struggles7:14 – Hospital Experience: Fentanyl, Ketamine & Early Pain Levels10:07 – Daily Routine, Sleep Challenges & Pain Management (NSAIDs Debate)12:30 – Early Progress: 8 mm Gained, Weekly X-Rays & Gabapentin for Nerve Pain14:44 – Support Systems: Family, Friends & Mental Resilience18:45 – Advice for Prospective Patients: Research, Doctors, & Planning Ahead20:18 – Roundtable Q&A: Stretches, Weight, Mobility & Walking Techniques28:42 – Panel Reflections: Comparing Early Pain & Recovery Experiences33:02 – Nail Safety, Weight Considerations & Patient Experiences38:45 – Bone Stimulator, Supplements, & Optimizing Recovery43:21 – Final Patient Advice: Cardio, Stretching & Preparing for Surgery1:00:31 – Wrap-Up, Discord Community & Closing Thoughts______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life

Those injection-free sublingual GLP-1 drops for individualized microdosing—do they actually work? Options for treating stubborn neuropathy; Her new doctor said, “Vitamins are hogwash”—so she fired him; There is hope for tinnitus—via diet and lifestyle; I'm taking German classes, and a new study suggests it'll help me ward off cognitive decline. 

https://ivdi.org/inv Ready to elevate your veterinary dentistry skills? Request an invitation to the Veterinary Dental Practitioner Program! -------------------------------- Host: Dr. Brett Beckman, Board Certified Veterinary Dentist In this episode of the Vet Dental Show, Annie Mills, LVT VTS (Dentistry), addresses common questions about electrosurgery for gingival hyperplasia, post-extraction protocols, and pain management, providing practical insights for veterinary professionals. What You'll Learn ✅ The dangers of using electrosurgery for gingival hyperplasia and why a scalpel is preferred. ✅ Proper charging protocols for post-extraction X-rays and regional blocks. ✅ The importance of blood clots in post-extraction sites and when to use hemostatic agents. ✅ Effective pain management strategies, including CRI protocols and take-home medications when NSAIDs are contraindicated. ✅ The limited benefits of fluoride treatments in veterinary dentistry. Key Takeaways ✅ Electrosurgery can cause significant tissue and bone damage due to heat, making a scalpel a safer option for gingival excisions. ✅ Always charge for each post-extraction X-ray and each quadrant receiving a regional block to ensure proper compensation for your services. ✅ A blood clot is the best bone graft for post-extraction sites; avoid routine use of hemostatic agents unless emergent bleeding occurs. ✅ Manage wind-up pain effectively with CRIs of buprenorphine and lidocaine (cats) or hydromorphone, lidocaine, and ketamine (dogs), along with appropriate loading doses. ✅ When NSAIDs are contraindicated, fentanyl and gabapentin can be a powerful combination for pain management. ---------------------------------- Don't miss out on the opportunity to become a leader in veterinary dentistry! Request your invitation to the Veterinary Dental Practitioner Program today: https://ivdi.org/inv What are your experiences with electrosurgery or post-extraction complications? Share your thoughts and questions in the comments below! --------------------------------- Keyword Tags Veterinary Dentistry, Electrosurgery, Gingival Hyperplasia, Tooth Extraction, Post-Extraction Care, Regional Blocks, Pain Management, Veterinary Anesthesia, IVDI, Brett Beckman, Veterinary Dental Practitioner Program, Veterinary Medicine, Dog, Cat, Oral Surgery, Dental Radiography, Hemostatic Agents, Wind-Up Pain, NSAIDs, Fentanyl, Gabapentin, Fluoride Treatments

Host Doug Stephan and cardiologist Dr. Ken Kronhaus (of Lake Cardiology in Mount Dora, FL – 352.735.1400) unpack the latest headlines in medical science — from heart health and sleep habits to food, supplements, and breaking research on cancer, dementia, and more.Highlights from This Episode: Exercise & Heart HealthNew research shows cardiac rehab-style physical activity can reduce the frequency and severity of Atrial Fibrillation (A-Fib).Just 15 minutes of fast-paced walking per day could lower the risk of dying from heart disease — a small change with a big impact.The Hidden Dangers of Ultra-Processed FoodsA study warns about the negative impact of processed foods on long-term health.Dr. Ken also flags a rise in skin problems linked to fad diets and unregulated supplements promoted online.Dementia Risks: Air Pollution & GabapentinNew evidence links air pollution to increased dementia risk.The popular medication Gabapentin, used for nerve pain and restless leg syndrome, may also raise dementia concerns.Sleep Matters — More Than You ThinkIrregular sleep patterns, untreated sleep apnea, and lack of sleep all contribute to serious physical and mental health issues.Cannabis Use Disorder & Oral CancerA study from UC San Diego finds that people with cannabis use disorder are nearly 4x more likely to develop oral cancer within five years.Good News for IBS SufferersEncouraging developments in the treatment and understanding of Irritable Bowel Syndrome (IBS).Listener Q&A with Dr. Ken:Mercury preservative removed from all flu shots, following action signed by RFK Jr.How intense grief can lead to early death within 10 years after a major loss.The return of severe strep throat, and a genetic mutation found by Japanese researchers that may explain why it's so deadly for some.Science you can use. Health news you can trust.Subscribe to Good Day Health for your weekly dose of medical insight with heart and humor on GoodDayHealthShow.com, and follow on Facebook and Instagram: @GoodDayNetworks.

In this episode of Limb Lengthening LIVE, we're going to get patients to give us an update on their lengthening process.Timestamps - 0:00 Intro3:00 Aaron shares major nerve pain update during femur lengthening6:00 Gabapentin, icing, and slowing down recovery plan9:00 Nerve pain vs muscle tightness – key differences12:00 Risks of pre-consolidation and bone healing timeline15:00 Master Distractor's bone healing strategy and low pain update18:00 Pre-op stretching and ROM performance discussion21:00 Strength and tightness changes at 5 cm of lengthening24:00 Bobby Jones reveals his new tibia lengthening journey27:00 Tibia vs femur lengthening – pain, risk, and recovery differences30:00 Pain management, night splints, and standing hacks33:00 Tibia advice – offloading tips, expectations, and stretching36:00 Compression boots, nerve pain, and complications post-op39:00 DJ Cyborg, Socrates, and others join the livestream42:00 Dealing with anterior tibia pain and swelling during tibia lengthening45:00 Nail bending myths, vertical vs lateral loading tips48:00 Marathon prep post-rod removal and recovery realities51:00 Mindset, height dysphoria relief, and patient experiences54:00 More patient Q&A – healing timelines and recovery advice57:00 Wrap-up messages and final takeaways from all guests_____________________________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life

Listen as Michael S. Benninger, MD, describes his approach to the diagnosis and management of chronic cough and refractory chronic cough in the context of a clinically relevant case.PresenterMichael S. Benninger, MDProfessor of Otolaryngology-Head and Neck SurgeryLerner College of MedicineThe Cleveland ClinicPresident, International Association of PhonosurgeryCleveland, OhioLink to full program:https://bit.ly/4kweynG

Story at-a-glance Spinal pain affects millions despite over $134 billion spent annually in the USA alone, with most patients remaining stuck in chronic pain cycles due to treatments that address symptoms rather than root causes Common pain generators are frequently missed, including weak ligaments, tight muscles, structural misalignments, trapped emotions, and inflammatory conditions — leaving patients to cycle through increasingly dangerous interventions without addressing underlying issues Conventional medications create more problems than they solve — NSAIDs are the leading cause of drug-related hospital admissions, Tylenol causes 56,000 ER visits annually from toxicity, and Gabapentin provides minimal benefit while causing cognitive effects such as drowsiness Corticosteroids, despite being "wonder drugs," cause devastating long-term damage, including 5% to 15% yearly bone loss, 70% weight gain rates, and dramatic increases in heart attacks (226%), heart failure (272%), and strokes (73%) Spinal surgeries remain highly profitable but questionable in effectiveness, with significant risks that patients often don't learn about until after complications occur, and no ability to "undo" surgical damage

Listen as Michael S. Blaiss, MD provides case-based perspectives on chronic cough recognition, burden, management, and pathophysiology and describes the evolving treatment landscape for refractory chronic cough.PresenterMichael S. Blaiss, MDClinical Professor of PediatricsDivision of Allergy-ImmunologyMedical College of Georgia at Augusta UniversityAugusta, GeorgiaLink to full program: https://bit.ly/4kweynG

Join us as we review recent practice-changing articles on the effect of vitamin D3 and omega-3 fatty acids on physical performance, gabapentin and falls, gepotidacin for uncomplicated UTI, and intermittent fasting for weight loss. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), special guest Laura Glick (@LauraRGlick) and Matt Watto (@doctorwatto). Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Credits Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Rahul Ganatra MD, FACP Reviewer: Sai S Achi, MD,MBA,FACP Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro, disclaimer Vitamin D3 vs omega-3 fatty acids and physical performance Gabapentin vs duloxetine and risk of falls Gepotidacin vs nitrofurantoin for uncomplicated UTI Intermittent fasting vs daily calorie restriction for weight loss Outro Sponsor: Bombas Head over to Bombas.com/curb and use code curb for 20% off your first purchase.

Join Jay Gunkelman, QEEGD (the man who has analyzed over 500,000 brain scans), Dr. Mari Swingle (author of i-Minds), and host Pete Jansons for another eye-opening episode of the NeuroNoodle Neurofeedback Podcast.✅ RFK Jr & Blue Dye Claims: The team critically evaluates whether methylene blue really alters EEG and brain healthYouTube Clip:    • RFK Jr. Takes This Blue Dye for Brain...  ✅ Babies, Vitamin D & Brain Development: Newborn deficiencies tied to developmental issuesResearch Article: https://neurosciencenews.com/vitamin-...✅ Politics & the Brain: Does ideology shape EEG patterns?YouTube Clip:    • Liberal vs Conservative Brains? Dr. M...  ✅ Overarousal EEG Phenotypes: Learn to identify patterns that can lead to burnout, mood issues, and even Parkinsonian traits.✅ Stress vs. Strain: Jay unpacks why strain—not stress—is the real danger to mental health.✅ BONUS: Jay shares details about his 77th birthday EEG Summit – Suisun City style!✅ Event & App Updates:Dr. Mari Swingle's Apps & Info: https://swinglesonic.comJay Gunkelman's Events & Info: https://suisuncitysummit.com✅ Help us keep the NeuroNoodle Podcast going!Support us on Patreon

Vidcast:  https://www.instagram.com/reel/DI16wk0vP5e/The Indian company Glenmark Pharmaceuticals is recalling 26 types of over-the-counter and prescription.  The company is in violation of federal standards for pharmaceutical manufacturing that yields safe and effective medications.The recalled medications are used to treat a variety of common conditions, including heart disease, high cholesterol, diabetes, epilepsy, psychiatric disorders, pain, and infections. I'm going to list the drugs that have been recalled and provide you with a link to an AARP article that provides the details regarding doses of the drugs, lot numbers, and expiration dates.Over-The-Counter:Acetaminophen, ibuprofen, cetirizinePrescription:Carvedilol, Clindamycin, Colesevelam, Diltiazem, Fenofibrate,  Fluphenazine, Frovatriptan, Gabapentin, Indomethacin, Lacosamide, Metformin, Naproxen, Nitroglycerin, Pravastatin, Prochlorperazine, Propafenone, Ranolazine, Rosuvastatin, Rufinamide, Saxagliptin, Solifenacin, Teriflunomide, Voriconazole.If you have any of these Glenmark drugs, contact your medical team to obtain alternatives.If you have questions for the company, call Glenmark at 1-877-538-8445.https://www.aarp.org/health/drugs-supplements/generic-drugs-medications-recall-april-2025.html#glenmark #recall #manufacturing #pharmaceuticals

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Kate: Hi there Stephen !I am a big fan of your work, your book and your podcast! All the way from australia I am working in a pharmacy, and feeling like i'm sanitising my hands, more than I probably need to. Does hand sanitiser contain Endocrine disrupters, and should I consider other options? Thanks heaps!                    Sonny: Hi Dr Cabral, Around 18 months ago, I noticed hair loss at the front of my hairline. I'm in good health, and the only change has been using an infrared sauna 4-5 times a week. I tried 3 PRP sessions, which helped some regrowth, but the hair is now coarse, brittle, and wiry. A trichologist suggested possible alopecia areata, but no clear diagnosis was made. I've been using biotin, EquiLife Daily Hair Support, a red light cap, derma rolling, and copper peptide serum, but haven't seen much improvement. Are there any tests you'd recommend to investigate this further? I'm considering the Stress, Mood & Metabolism Test. Any advice would be greatly appreciated!                                                                                            Sheena: Hi Dr C! Hope you are well and hope 2025 is treating you and your family well. Quick question, after doing The BIG 5, my IHP2 has recommended that I do a Limited CBO protocol. My question is, because its a Limited protocol, would it be ok for me to do a 'cheat meal' once a week? Or should I still wait for after 21 days to have my first cheat meal? Thank you so much!                                                    Spencer: Hello Dr. Cabral, Asking a question for my girlfriend. All of the sudden, during a stressful work time, her shoulder started hurting. She had limited range of motion and pain all day. It made sleeping hard. She works from home and wasn't using it or injuring it during this time, it just kind of started to hurt. She went to the orthopedic and he diagnosed with frozen shoulder, gave her a cortisone shot, and said give it a 3-6 months and it should go back to normal. I'm wondering if you have anything complementary that could be added to this as just waiting doesn't feel like the optimal strategy. Thank you for all you do                                                                                                                                                              Kavita: Hello Dr. Cabral, I have a question about my husband's diagnosis and also the history. Looking for some answers from you as you have mentioned several times that everything is curable. This is the diagnosis from the doctor: Right leg numbness in the setting of Common peroneal neuropathy at the head of bula versus right & Lumbosacral radiculopathy at L5, superimposed on likely diabetic Neuropathy: Improving symptoms of right lower lateral leg/foot numbness w/in distribution of both the peroneal and L5 nerve root. No evidence of foot drop/weakness. Mild pain, Gabapentin prn for pain as below. Neuropathy is likely from diabetes, will monitor, appears mild/primarily SF based on recent NCS/EMG above. - gabapentin 100 MG Oral Cap; Take 1 capsule (100 mg total) by mouth nightly as needed         Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3333 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Brett and Christina dive into a sleepless whirlwind of tech chatter and media binges in this wildly overtired episode. Brett recounts his struggles with insomnia, trazodone, and Gabapentin while lamenting the lack of manic productivity….

Today, Cheryl from Australia, shares her story of LDN for long Covid that resulted in fibromyalgia and chronic fatigue syndrome. I got COVID in August 2021, which resulted in a severe infection with double pneumonia and landed me in the hospital for a month. When I arrived home from the hospital a month later, that was exactly when long Covid began. However, back then, it was still relatively new, and nobody knew much about it. It is actually very common for long Covid to set in a month after having Covid. As you mentioned, I've since been diagnosed with chronic fatigue syndrome (CFS) and fibromyalgia, which are my worst symptoms.Would you like me to go through the treatment options?Yes, I would. I'd like to know when you were diagnosed, what treatment options you were given, and what has happened from then until now.I had to seek help from a long Covid clinic because no treatment options were offered, as the doctors simply didn't know what to do with my symptoms. I experienced severe pain throughout my upper body and in all of my joints, which I rated at 9 to 10 out of 10. They put me on a high dose of Gabapentin (2400 milligrams) as a treatment option, which helped alleviate the pain, but also caused drowsiness and fatigue. I eventually started researching and found out about low-dose naltrexone (LDN), which my doctor was willing to prescribe. As I gradually increased the LDN dosage, I was able to decrease the Gabapentin slowly as well. Over the years, my pain has decreased from 9-10 out of 10 to 1-2 out of 10, which has significantly improved my quality of life.I experienced a lot of drowsiness, which wasn't great since I was already dealing with fatigue. Those were my main side effects, although I also experienced extra fatigue. I always took it at night. I was on it for at least a year. When I was on Gabapentin, my pain levels were still at least 8 out of 10. They didn't reduce much, but they took the edge off the pain. The pain was very severe, and I had to take a high dose just to cope with it. It got me to a level where I could manage, but I couldn't do much. My fatigue was so bad that I could only go out once a week to shop for 18 months. The post-exertional malaise was so bad that for 48 hours after going out, I would sleep for 24 hours straight. I had to set an alarm to wake up and eat before going back to sleep.I have been taking Low Dose Naltrexone (LDN) for the past 18 months, and it has significantly reduced my fatigue. It took some time, but now I can actually get up and function. Before taking LDN, I was practically nonfunctional. Taking it when I wake up works best for me, giving me a bit of energy to cope with the day. It wasn't just about the duration of taking LDN, but also finding the right dosage for me. It's been a combination of factors that has allowed me to really improve. Between 8 and 12 months, I didn't experience much improvement, and I could only shower once a week. However, now I can go out every day, and my post-exertional malaise is almost non-existent. I always advise people to see LDN as a long-term solution and not to expect instant results. It took a while for me, but it has definitely been worth it. Some people may notice amazing results in the first month, but for others, like me, it takes time and patience. It's not easy to be patient when you're not feeling well, but sticking with it is well worth it. LDN has also significantly reduced my severe shortness of breath and swallowing issues. I used to struggle to swallow medications, but that hasn't happened in quite a few months. My nighttime throat spasms have also reduced in severity and frequency. Despite being diagnosed with paralyzed vocal cords and vocal cord dysfunction, a combination of LDN and exercises taught by a speech pathologist has helped me greatly. Additionally, the headaches with concurrent eye pain have stopped, which

Mr. Joe explores the overall status of him mental health. He discusses microdosing, as well as Autism. Mr. Joe also provides information and feedback on Gabapentin.

Caroline became addicted to codeine after taking painkillers for her headaches. Mary became addicted to Gabapentin after back surgery.

On the top 200 drugs podcast, we cover 5 more medications. The medications covered on today's episode include; omalizumab, nitroglycerin, apixaban, gabapentin, and etanercept. Omalizumab is a monoclonal antibody used in moderate to severe asthma. It targets IgE-mediated asthma attacks and reactions. Anaphylaxis is a significant concern with the use of this medication. Sublingual nitroglycerin is frequently used on an as needed basis for angina symptoms. I discuss major drug interactions and much more. Apixaban is an anticoagulant used to prevent stroke in atrial fibrillation. It can also be used in DVT/PE treatment and prevention. Gabapentin is classified as an antiepileptic agent but is most commonly used for neuropathic type pain. Etanercept targets TNF alpha which plays an important role in autoimmune diseases such as rheumatoid arthritis.

In this episode, we discuss two related anti-convulsants better known for their effect on neuropathic pain and anxiety in cats and dogs. However, there is some benefit of these drugs for seizure control in both species although there is not a lot of information to help us determine when we should consider their use and what to expect. Join us to find out what we do know and then see if you would consider using these drugs for one of your challenging cases.

Show notes at pharmacyjoe.com/episode961. In this episode, I'll discuss the continuation of newly prescribed gabapentin for acute pain management after hospital discharge. The post 961: Is that gabapentin just temporary? appeared first on Pharmacy Joe.

Reach out to Dr. Robbins Contact The Paley Institute: Website: https://limblengthening.org Book consult - https://paley.thec4llective.com Main Point of Contact - Angelique Keller - Director of Stature Lengthening 1) Email: akeller@paleyinstitute.org 2) Instagram: Stature - https://www.instagram.com/paleystaturelengthening/ 3) YouTube: Stature - https://www.youtube.com/@UCBDZvE1b-EEJm9ubxEctmyg ________ Audio Podcast: will be available within 48hrs when stream ends Timestamps: 0:00 – Intro 1:00 – Proportions - Dr. Robbins Presentation in Denmark 8:00 – Knee ligament repair surgery and LL at same time? Bowlegged correction & LL? 15:00 – Benefit of a Weight Bearing Nail like Precice MAX 17:00 – Reducing Scars 19:00 – When can you walk without assistance 21:00 – Walking normally 27:00 – Bone canal size for weight bearing 30:30 – When do you start lengthening bone and how long to finish 32:20 – Psychological screening prior to LL 38:00 – Benefit of talking to other patients during lengthening 43:15 – Weaning off of Gabapentin for nerve pain 45:45 – What type of Physical therapy back home 48:20 – Supplements to help with bone healing 55:00 – Can you get around with walker using 10.7mm nails 56:00 – Rebuilding leg muscles after LL 58:00 – Benefits of Physical therapy when doing homework on own 1:04:30 – ERC and nail max out – patient question 1:08:00 – Conservative lengthening benefits 1:13:00 – Does Muscle size affect lengthening 1:14:00 – Rebuilding muscle AFTER LL – muscle memory 1:16:45 – NOT 8.3cm on PRECICE nail – just a rumor – it's 8cm 1:18:00 – Do you LOSE Athleticism from doing more LL amount 1:19:15 – Precice MAX (vs) Precice 2.2 recovery times 1:21:00 – Soft tissue releases are not welcome 1:26:20 – How much of an LLD is okay to live with? 1:28:10 – Dangerous 2 Osteotomies from inexperienced clinic 1:31:00 – Nerve irritation during lengthening 1:32:30 – Brett went from 5'7” to 6'1” 1:35:30 – When to be able to walk without walker or crutches 1:36:10 – Dr. Robbins recent books 1:38:45 – Patient appreciation 1:40:10 - Outro ________

Molly is joined by Dr. Valarie Tynes, a veterinarian with a specialty in behavior, to talk about commonly prescribed medications for cat behavior issues. Which drugs are better for aggression from stress, and which are better for spraying? Get an understanding of why your veterinarian is prescribing behavior meds and learn how drug therapy might work well hand-in-hand with a behavior modification plan.

Gabapentin is a common medication prescribed for sciatica pain. How does it work? What are things to consider? Today we answer some questions that you probably wanted to ask, but couldn't find the answers, with Dr. Bailey Schroeder, PharmD. Here are some research articles about gabapentin and sciatica pain: https://www.ncbi.nlm.nih.gov/pmc/journals/3749/ and https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8515246/You can reach out and hear more about the work that Dr. Schroeder has been doing here: getinformmed.com and https://www.instagram.com/getinformmed/Did you know that our YouTube channel has a growing number of videos including this podcast? Give us a follow here- https://youtube.com/@fixyoursciatica?si=1svrz6M7RsnFaswNAre you looking for a more affordable way to manage your pain? Check out the patient advocate program here: ptpatientadvocate.comHere's the self cheat sheet for symptom management: https://ifixyoursciatica.gymleadmachine.co/self-treatment-cheat-sheet-8707Book a free strategy call: https://msgsndr.com/widget/appointment/ifixyoursciatica/strategy-callSupport this podcast at — https://redcircle.com/fix-your-sciatica-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Welcome to Episode 37 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 37 of “The 2 View” – Pitfalls in Managing Pain in the ED with Sergey M. Motov, MD, FAAEM. Segment 1 Bachhuber MA, Hennessy S, Cunningham CO, Starrels JL. Increasing Benzodiazepine Prescriptions and Overdose Mortality in the United States, 1996-2013. Am J Public Health. 2016;106(4):686-688. doi:10.2105/AJPH.2016.303061. https://pubmed.ncbi.nlm.nih.gov/26890165/ Bijur PE, Kenny MK, Gallagher EJ. Intravenous morphine at 0.1 mg/kg is not effective for controlling severe acute pain in the majority of patients. Ann Emerg Med. 2005;46(4):362-367. doi:10.1016/j.annemergmed.2005.03.010. https://pubmed.ncbi.nlm.nih.gov/16187470/ Evoy KE, Covvey JR, Peckham AM, Ochs L, Hultgren KE. Reports of gabapentin and pregabalin abuse, misuse, dependence, or overdose: An analysis of the Food And Drug Administration Adverse Events Reporting System (FAERS). Res Social Adm Pharm. 2019;15(8):953-958. doi:10.1016/j.sapharm.2018.06.018. https://pubmed.ncbi.nlm.nih.gov/31303196/ Kim HS, McCarthy DM, Hoppe JA, Mark Courtney D, Lambert BL. Emergency Department Provider Perspectives on Benzodiazepine-Opioid Coprescribing: A Qualitative Study. Acad Emerg Med. 2018;25(1):15-24. doi:10.1111/acem.13273. https://pubmed.ncbi.nlm.nih.gov/28791786/ Li Y, Delcher C, Wei YJ, et al. Risk of Opioid Overdose Associated With Concomitant Use of Opioids and Skeletal Muscle Relaxants: A Population-Based Cohort Study. Clin Pharmacol Ther. 2020;108(1):81-89. doi:10.1002/cpt.1807. https://pubmed.ncbi.nlm.nih.gov/32022906/ Peckham AM, Evoy KE, Covvey JR, Ochs L, Fairman KA, Sclar DA. Predictors of Gabapentin Overuse With or Without Concomitant Opioids in a Commercially Insured U.S. Population. Pharmacotherapy. 2018;38(4):436-443. doi:10.1002/phar.2096. https://pubmed.ncbi.nlm.nih.gov/29484686/ Smith RV, Havens JR, Walsh SL. Gabapentin misuse, abuse and diversion: a systematic review. Addiction. 2016;111(7):1160-1174. doi:10.1111/add.13324. https://pubmed.ncbi.nlm.nih.gov/27265421/ Suvada K, Zimmer A, Soodalter J, Malik JS, Kavalieratos D, Ali MK. Coprescribing of opioids and high-risk medications in the USA: a cross-sectional study with data from national ambulatory and emergency department settings. BMJ Open. 2022;12(6):e057588. Published 2022 Jun 16. doi:10.1136/bmjopen-2021-057588. https://pubmed.ncbi.nlm.nih.gov/35710252/ Segment 2 Caplan M, Friedman BW, Siebert J, et al. Use of clinical phenotypes to characterize emergency department patients administered intravenous opioids for acute pain. Clin Exp Emerg Med. 2023;10(3):327-332. doi:10.15441/ceem.23.018. https://pubmed.ncbi.nlm.nih.gov/37092185/ Connors NJ, Mazer-Amirshahi M, Motov S, Kim HK. Relative addictive potential of opioid analgesic agents. Pain Manag. 2021;11(2):201-215. doi:10.2217/pmt-2020-0048. https://pubmed.ncbi.nlm.nih.gov/33300384/ Fassassi C, Dove D, Davis A, et al. Analgesic efficacy of morphine sulfate immediate release vs. oxycodone/acetaminophen for acute pain in the emergency department. Am J Emerg Med. 2021;46:579-584. doi:10.1016/j.ajem.2020.11.034. https://pubmed.ncbi.nlm.nih.gov/33341323/ Irizarry E, Cho R, Williams A, et al. Frequency of Persistent Opioid Use 6 Months After Exposure to IV Opioids in the Emergency Department: A Prospective Cohort Study. J Emerg Med. Published online March 14, 2024. doi:10.1016/j.jemermed.2024.03.018. https://pubmed.ncbi.nlm.nih.gov/38821847/ Sapkota A, Takematsu M, Adewunmi V, Gupta C, Williams AR, Friedman BW. Oxycodone induced euphoria in ED patients with acute musculoskeletal pain. A secondary analysis of data from a randomized trial. Am J Emerg Med. 2022;53:240-244. doi:10.1016/j.ajem.2022.01.016. https://pubmed.ncbi.nlm.nih.gov/35085877/ Wightman R, Perrone J, Portelli I, Nelson L. Likeability and abuse liability of commonly prescribed opioids. J Med Toxicol. 2012;8(4):335-340. doi:10.1007/s13181-012-0263-x. https://pubmed.ncbi.nlm.nih.gov/22992943/ Segment 3 Anshus AJ, Oswald J. Erector spinae plane block: a new option for managing acute axial low back pain in the emergency department. Pain Manag. 2021;11(6):631-637. doi:10.2217/pmt-2021-0004. https://pubmed.ncbi.nlm.nih.gov/34102865/ Chauhan G, Burke H, Srinivasan SK, Upadhyay A. Ultrasound-Guided Erector Spinae Block for Refractory Abdominal Pain Due to Acute on Chronic Pancreatitis. Cureus. 2022;14(11):e31817. Published 2022 Nov 23. doi:10.7759/cureus.31817. https://pubmed.ncbi.nlm.nih.gov/36579238/ Dove D, Fassassi C, Davis A, et al. Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial. Ann Emerg Med. 2021;78(6):779-787. doi:10.1016/j.annemergmed.2021.04.031. https://pubmed.ncbi.nlm.nih.gov/34226073/ Elkoundi A, Eloukkal Z, Bensghir M, Belyamani L, Lalaoui SJ. Erector Spinae Plane Block for Hyperalgesic Acute Pancreatitis. Pain Med. 2019;20(5):1055-1056. doi:10.1093/pm/pny232. https://pubmed.ncbi.nlm.nih.gov/30476275/ Finneran Iv JJ, Gabriel RA, Swisher MW, Berndtson AE, Godat LN, Costantini TW, Ilfeld BM. Ultrasound-guided percutaneous intercostal nerve cryoneurolysis for analgesia following traumatic rib fracture -a case series. Korean J Anesthesiol. 2020 Oct;73(5):455-459. doi: 10.4097/kja.19395. Epub 2019 Nov 5. PMID: 31684715; PMCID: PMC7533180. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533180/ Finneran JJ, Swisher MW, Gabriel RA, et al. Ultrasound-Guided Lateral Femoral Cutaneous Nerve Cryoneurolysis for Analgesia in Patients With Burns. J Burn Care Res. 2020;41(1):224-227. doi:10.1093/jbcr/irz192. https://pubmed.ncbi.nlm.nih.gov/31714578/ Gabriel RA, Finneran JJ, Asokan D, Trescot AM, Sandhu NS, Ilfeld BM. Ultrasound-Guided Percutaneous Cryoneurolysis for Acute Pain Management: A Case Report. A A Case Rep. 2017;9(5):129-132. doi:10.1213/XAA.0000000000000546. https://pubmed.ncbi.nlm.nih.gov/28509777/ Herring AA, Stone MB, Nagdev AD. Ultrasound-guided abdominal wall nerve blocks in the ED. Am J Emerg Med. 2012;30(5):759-764. doi:10.1016/j.ajem.2011.03.008. https://pubmed.ncbi.nlm.nih.gov/21570238/ Kampan S, Thong-On K, Sri-On J. A non-inferiority randomized controlled trial comparing nebulized ketamine to intravenous morphine for older adults in the emergency department with acute musculoskeletal pain. Age Ageing. 2024;53(1):afad255. doi:10.1093/ageing/afad255. https://pubmed.ncbi.nlm.nih.gov/38251742/ Mahmoud S, Miraflor E, Martin D, Mantuani D, Luftig J, Nagdev AD. Ultrasound-guided transverse abdominis plane block for ED appendicitis pain control. Am J Emerg Med. 2019;37(4):740-743. doi:10.1016/j.ajem.2019.01.024. https://pubmed.ncbi.nlm.nih.gov/30718116/ McCahill RJ, Nagle C, Clarke P. Use of Virtual Reality for minor procedures in the Emergency Department: A scoping review. Australas Emerg Care. 2021;24(3):174-178. doi:10.1016/j.auec.2020.06.006. https://pubmed.ncbi.nlm.nih.gov/32718907/ Nguyen T, Mai M, Choudhary A, et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Ann Emerg Med. Published online May 2, 2024. doi:10.1016/j.annemergmed.2024.03.024. https://pubmed.ncbi.nlm.nih.gov/38703175/ Sikka N, Shu L, Ritchie B, Amdur RL, Pourmand A. Virtual Reality-Assisted Pain, Anxiety, and Anger Management in the Emergency Department. Telemed J E Health. 2019;25(12):1207-1215. doi:10.1089/tmj.2018.0273. https://pubmed.ncbi.nlm.nih.gov/30785860/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Are you having a BRAT summer, because we sure are here on the NAVAS podcast! By BRAT, we mean Best Remedies for Analgesic Therapy! We're excited to continue our discussion on post-operative pain control for dogs and cats. If you haven't listened to part one of this conversation, please go back and listen before diving into this episode. We're going to finish up our conversation on surgical pain management by discussing the nuances of NSAID use in cats, confronting some controversial opinions on Gabapentin, rave about local anesthetic agents, and introduce some pharmacologic and non-pharmacological therapies to help tackle acute pain for our patients. Joining us again is Dr. Melina Zimmerman, veterinary anesthesiologist and owner of The Doggy Gym, where she provides pain management therapies for all kinds of species. Pain management is so much more than “set and forget”, and we hope to convince you of that right here on the NAVAS podcast.References are made to the following resources in the episode:Our previous short episode on Nocita with Dr. Tammy Grubb.2022 ISFM consensus guidelines on managing acute pain in cats that has been endorsed by the American Association of Feline Practitioners (AAFP): 2024 ISFM & AAPF consensus guidelines on long-term NSAID use in catsBuprenorphine as an additive agent with bupivacaine for certain dental blocks in dogsIf you like what you hear, we have a couple of favors to ask of you:Become a member of NAVAS for access to more anesthesia and analgesia educational and RACE-approved CE content. Spread the word. Share our podcast on your socials or a discussion forum. That would really help us achieve our mission: Reduce mortality and morbidity in veterinary patients undergoing sedation, anesthesia, and analgesia through high-quality, peer-reviewed education.As a reminder, the ACVAA Annual Meeting is happening in Denver, CO from September 25-27 later this year. Registration rates are discounted for NAVAS members. We hope to see you there! Sign up today!Thank you to our sponsor, Dechra - learn more about the pharmaceutical products Dechra has to offer veterinary professionals, such as Zenalpha.If you have questions about this episode or want to suggest topics for future episodes, reach out to the producers at education@mynavas.org.All opinions stated by the host and their guests are theirs alone and do not represent the thoughts or opinions of any corporation, university, or other business or governmental entity.

Gabapentin has quietly become one of the most widely-prescribed drugs in America, and some say that could spell big trouble. Michael Abrams of Public Citizen explains why, as neurologist Dr. Brian Callaghan offers a counterpoint.Subscribe to my two podcasts: “The Sharyl Attkisson Podcast” and “Full Measure After Hours.” Leave a review, subscribe and share with your friends! Support independent journalism by visiting the new Sharyl Attkisson store. Preorder Sharyl's new book: “Follow the $Science.” Visit SharylAttkisson.com and www.FullMeasure.news for original reporting. Do your own research. Make up your own mind. Think for yourself.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Another month for horror trip reports all the way from Gabapentin all the way to βk-2C-B...

Join us as we review recent practice-changing articles on E-cigarettes for smoking cessation, Gabapentin and COPD exacerbations, lidocaine patches for mechanical neck pain, Cdiff risk by antibiotic type, and “dosing by clicks” for GLP1 agonists. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Claim CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatra MD, MPH Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Introduction and disclaimer E-cigarettes for smoking cessation Gabapentinoids and COPD exacerbations Topical lidocaine for neck pain Association between specific antibiotics and C. diff infection Shortage of GLP-1 agonists and “dosing by clicks” Sponsor: Locumstory Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts. Sponsor: Freed  You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 

The mystery surrounding the death of Sarah Kathleen Sweeney, 39, found deceased in a firefighter's home in the Village of Westwood near Frontenac on Jan. 13, has taken a significant step forward as the St. Louis County Medical Examiner completed her autopsy. Chief Medical Examiner Dr. Gershom Norfleet determined that Sweeney's cause of death was "Oxycodone, Gabapentin, and Diphenhydramine Intoxication," though the manner of death remains "Undetermined." According to the official report released by Frontenac PD, Sweeney was discovered with no apparent signs of trauma, and the investigation suggests she was alone at the time of her death. In response to the findings, the Sweeney family issued a statement expressing gratitude for the investigative efforts. "Our family has complete confidence in the thorough investigation made by the St Louis County Medical Examiner's office and the Frontenac Police Department," they said. "We'd like to thank them for their hard work on this case, and for their kindness and compassion when communicating with us." Acknowledging the ongoing police investigation, the family urged privacy, stating, "Our hope is to close this chapter of our lives soon so that we can grieve, move on, and continue to honor the memory of our Sarah." Days after Sweeney's tragic demise, her attorney revealed that she battled severe health conditions, including a life-threatening bone disorder and mast cell activation disorder. These conditions shed light on potential factors contributing to her death, raising questions about the circumstances surrounding her passing. Complicating matters further, the home where Sweeney was found deceased had a troubling history. It belonged to a man whose fiancée, Grace Holland, died of a single gunshot wound to the head two years prior. While police initially classified Holland's death as a suicide, her family harbored concerns about the investigation's integrity. Through their attorney, Holland's family had called for a meticulous examination into Sweeney's death, citing lingering doubts stemming from Holland's case. However, no charges or arrests have been made in connection with Sweeney's death, and the firefighter's identity and department remain undisclosed. Despite inquiries, Frontenac police have yet to provide additional information regarding the ongoing investigation. As the community awaits further developments, questions linger surrounding the circumstances of Sarah Kathleen Sweeney's untimely demise, leaving loved ones seeking closure and justice. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com 

The mystery surrounding the death of Sarah Kathleen Sweeney, 39, found deceased in a firefighter's home in the Village of Westwood near Frontenac on Jan. 13, has taken a significant step forward as the St. Louis County Medical Examiner completed her autopsy. Chief Medical Examiner Dr. Gershom Norfleet determined that Sweeney's cause of death was "Oxycodone, Gabapentin, and Diphenhydramine Intoxication," though the manner of death remains "Undetermined." According to the official report released by Frontenac PD, Sweeney was discovered with no apparent signs of trauma, and the investigation suggests she was alone at the time of her death. In response to the findings, the Sweeney family issued a statement expressing gratitude for the investigative efforts. "Our family has complete confidence in the thorough investigation made by the St Louis County Medical Examiner's office and the Frontenac Police Department," they said. "We'd like to thank them for their hard work on this case, and for their kindness and compassion when communicating with us." Acknowledging the ongoing police investigation, the family urged privacy, stating, "Our hope is to close this chapter of our lives soon so that we can grieve, move on, and continue to honor the memory of our Sarah." Days after Sweeney's tragic demise, her attorney revealed that she battled severe health conditions, including a life-threatening bone disorder and mast cell activation disorder. These conditions shed light on potential factors contributing to her death, raising questions about the circumstances surrounding her passing. Complicating matters further, the home where Sweeney was found deceased had a troubling history. It belonged to a man whose fiancée, Grace Holland, died of a single gunshot wound to the head two years prior. While police initially classified Holland's death as a suicide, her family harbored concerns about the investigation's integrity. Through their attorney, Holland's family had called for a meticulous examination into Sweeney's death, citing lingering doubts stemming from Holland's case. However, no charges or arrests have been made in connection with Sweeney's death, and the firefighter's identity and department remain undisclosed. Despite inquiries, Frontenac police have yet to provide additional information regarding the ongoing investigation. As the community awaits further developments, questions linger surrounding the circumstances of Sarah Kathleen Sweeney's untimely demise, leaving loved ones seeking closure and justice. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

Today, this is what's important: Bodily fluids, facial hair, Adam's foot, Miguel, Hollywood sex parties, video cameras, krumping, the TII tour, pain meds, rap groups, Burning Man, and more.   See omnystudio.com/listener for privacy information.