Podcasts about General surgery

A 25-year-old pregnant woman presents with a 1-day history of progressive pain and swelling. The foot is cold, pulseless and neurologic function is deteriorating by the hour. Imaging shows a massive iliofemoral DVT. Now both the limb and the pregnancy are threatened. Do you anticoagulate, thrombolyse or operate? Join us as we break down the management and decision making behind this rare but devastating case.Hosts:·      Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center·      Paul Haser -Division Chief, Vascular Surgery, Brookdale Hospital Medical Center·      Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center·      Lucio Flores, Vascular surgery, Brookdale Hospital Medical CenterLearning objectives:-       Recognize the clinical presentation and pathophysiology of phlegmasia cerulea dolens-       Describe how pregnancy affects decision making in patients with phlegmasia and venous thromboembolic disease-       Discuss the goals of treatment for patients with DVT's and identify when operative intervention is indicated-       Describe the sequelae of DVT's and how this relates to post thrombotic syndrome-       Review the indications, risks, and limitations of anticoagulation, catheter-directed thrombolysis, thrombectomy, and fasciotomy in the management of DVT and phlegmasia.-       Explain the role of IVUS in managing venous thromboembolic disease and May Thurner syndromeReferences:-       Vedantham, S., Goldhaber, S. Z., Julian, J. A., Kahn, S. R., Jaff, M. R., Cohen, D. J., Magnuson, E., Razavi, M. K., Comerota, A. J., Gornik, H. L., Murphy, T. P., Lewis, L., Duncan, J. R., Nieters, P., Derfler, M. C., Filion, M., Gu, C.-S., Kee, S., Schneider, J., … Kearon, C. (2017). Pharmacomechanical catheter-directed thrombolysis for deep-vein thrombosis. New England Journal of Medicine, 377(23), 2240–2252. https://doi.org/10.1056/NEJMoa1615066-       Gomes, M. S., Guimarães, M., & Montenegro, N. (2019). Thrombolysis in pregnancy: A literature review. Journal of Maternal-Fetal & Neonatal Medicine, 32(14), 2418–2428. https://doi.org/10.1080/14767058.2018.1438402-       Mangla, A., & Hamad, H. (2023). May-Thurner syndrome. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK554377/-       Bates, S. M., Rajasekhar, A., Middeldorp, S., McLintock, C., Rodger, M. A., James, A. H., et al. (2018). American Society of Hematology 2018 guidelines for management of venous thromboembolism: Venous thromboembolism in the context of pregnancy. Blood Advances, 2(22), 3317–3359. https://doi.org/10.1182/bloodadvances.2018024802-       Kahn, S. R., Comerota, A. J., Cushman, M., Evans, N. S., Ginsberg, J. S., Goldenberg, N. A., et al. (2014). The postthrombotic syndrome: Evidence-based prevention, diagnosis, and treatment strategies. Circulation, 130(18), 1636–1661. https://doi.org/10.1161/CIR.0000000000000130 https://pubmed.ncbi.nlm.nih.gov/25246013/Sponsor URL: https://www.goremedical.com/If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

It's hospital day five. The patient looked better yesterday… but now she's hypotensive, on vasopressors, acidotic, and spiraling toward multi-organ failure. The CT scan doesn't show perforation or megacolon, but your gut tells you this is going south. Do you keep pushing medical therapy… or is it time to operate?Join Drs. Rushabh Dev, Jeffrey Coughenour, Kevin Bartow, Raymond Okeke, and Desra Fletcher from the Emergency General Surgery team in Tiger Country at Mizzou as they tackle one of the deadliest and most challenging diseases acute care surgeons face: fulminant Clostridioides difficile infection. In this Clinical Challenges episode, the panel discusses diagnostic stewardship, ASCRS recommendations, timing of operative intervention and technique, subtotal colectomy versus diverting loop ileostomy with lavage, and physiology that should push surgeons toward definitive source control. Through a real-world high-risk case vignette, the team explores the hardest question in emergency general surgery: when to stop hoping medical therapy will work and pull the operative trigger.Hosts Dr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve  Dr. Jeffery Coughenour FACS (Surgical Attending) – Professor of Surgery and Emergency Medicine, Trauma Medical Director at the University of Missouri SOM Dr. Kevin Bartow FACS (Surgical Attending) –Professor of Surgery, Minimally Invasive Surgeon and General Surgery. Department of General Surgery at the University of Missouri SOM Raymond Okeke – Acute Care Surgery/Surgical Critical Care Fellow, University of Missouri School of Medicine  Desra Fletcher – PGY 3 General Surgery Resident, University of Missouri School of Medicine  Learning ObjectivesBy the end of this episode, listeners should be able to: Define the spectrum of Clostridioides difficile infection (CDI), including non-severe, severe, and fulminant disease, and recognize the physiologic implications of fulminant colitis.  Review contemporary diagnostic stewardship for CDI, including appropriate stool testing, pitfalls of PCR/NAAT interpretation, and the role and limitations of CT imaging in fulminant disease.  Describe evidence-based medical management of fulminant CDI, including high-dose enteral vancomycin, intravenous metronidazole, rectal vancomycin for ileus, and principles of antimicrobial stewardship.  Recognize the high-risk clinical features that should prompt urgent surgical evaluation, including worsening shock, vasopressor dependence, lactate elevation, organ failure, and evolving abdominal exam findings.  Discuss the operative indications and timing for surgery in fulminant CDI and understand why delayed intervention contributes to mortality.  Compare subtotal colectomy with end ileostomy versus diverting loop ileostomy with antegrade lavage, including current evidence, patient selection, limitations of the literature, and ASCRS recommendations.  Review practical operative strategies for subtotal colectomy in unstable patients, including damage-control principles and common technical pitfalls.  Apply clinical reasoning to a complex, high-risk case of fulminant CDI in a patient with decompensated cirrhosis, septic shock, and multi-organ dysfunction.  References ASCRS Clinical Practice Guidelines for *Clostridioides difficile* Infection (2021)  Surgical Management of *Clostridium difficile* Colitis — Neal et al., 2011 (Loop Ileostomy + Lavage Protocol)  Clinical Practice Guidelines for *Clostridioides difficile* Infection in Adults and Children (IDSA/SHEA, 2021 Update)  Adjunctive Hyperbaric Oxygen and Surgical Outcomes in Necrotizing Soft Tissue Infections (Background discussion of severe infection physiology)  Total Abdominal Colectomy Versus Diverting Loop Ileostomy for Fulminant CDI — Systematic Review & Meta-analysis  Current Status of Surgical Therapy for Fulminant *Clostridioides difficile* Colitis  Behind the Knife Episode 648 – Emergency General Surgery Journal Review: *Clostridioides difficile* Infection  Bottom line: Fulminant C. diff is one of the few EGS diseases where the hardest decision is not what operation to perform — it's recognizing when medical therapy has failed before the patient becomes unsalvageable.Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

About the Speaker: Dr. Abigail Chaffin is a Professor of Surgery and Chief of the Division Plastic and Reconstructive Surgery at Tulane University. She is also the Program Director of the Tulane University/Ochsner Clinic Plastic Surgery residency program. She currently serves the Medical Director of the MedCentris Wound Healing Institute at Metairie. Dr. Chaffin is Board-Certified by the American Board of Plastic Surgery and is Board-Certified by the American Board of Surgery. She is also Board-Certified by the American Board of Wound Medicine & Surgery, and the American Board of Wound Healing. Dr. Chaffin is a Fellow of the American College of Surgeons. She is also a Certified Wound Specialist Physician. Due to her clinical and research excellence in wound medicine, she has been honored to be named as a Master of the American Professional Wound Care Association. Dr. Chaffin is a graduate of the University of Michigan, Ann Arbor, where she received a Bachelor's Degree in Biology. She then received M.D. degree at Wayne State University School of Medicine in Detroit, Michigan. After this, she completed a five-year residency in General Surgery at the Wayne State University/Detroit Medical Center program.  She then completed a two-year fellowship in Plastic and Reconstructive Surgery at Tulane University, serving as well as Chief Administrative Resident. Dr. Chaffin has been in practice for over 18 years. She focuses her practice on wound medicine and wound reconstructive surgery, in addition to general reconstructive plastic surgery. She has a particular clinical interest in complex wound surgical reconstruction. She has been honored to receive a Top Doctor award by New Orleans Magazine for the past seven years. As well, she has received the New Orleans Magazine Exceptional Women in Medicine award for the past four years. Dr. Chaffin has published over 65 peer-reviewed publications in wound medicine and plastic surgery. She is a section editor for the ePlasty journal for the reconstructive surgery section. She also serves as an invited peer-reviewer for the Advances in Skin and Wound Care journal, the Journal of Wound Care, and the International Journal of Tissue Repair. She has served as Primary Investigator or Co-Investigator for numerous clinical trials at Tulane University.  She is on the Editorial Board of the International Journal of Tissue Repair. She is an internationally and nationally recognized speaker at scientific conferences, and she frequently serves as a course faculty member and speaker for wound medicine scientific meetings including the Boswick Wound and Burn Symposium, the CAMPs Summit, SIITRAL, and the Symposium on Advanced Wound Care. She is a Board Examiner for the American Board of Plastic Surgery.  She serves as committee chair for several national plastic surgery societies including the American Society of Plastic Surgeons, the Southeastern Society of Plastic and Reconstructive Surgeons, and the American Council of Academic Plastic Surgeons. For ACEPS, she currently serves as Chair of the Research Committee. Dr. Chaffin is currently the Chair of the Assembly of State and Regional Societies for the American Society of Plastic Surgeons, and she is presently serving as a member of the American Society of Plastic Surgeons Board of Directors. Editing and post-production work for this episode was provided by The Podcast Consultant.

What sets the general surgery training program at Brown University apart? In the final installment of our three-part series, we sit down with Residency Program Director Dr. Thomas Miner to break down the clinical, academic, and cultural blueprint of the program. In today's episode, Dr. Miner explains how Brown's unique position as the only major academic medical center in Rhode Island gives residents massive case volumes—graduating with around 1,400 cases—and unparalleled, one-on-one operating time without competing with fellows. We also dive into the program's unique global health electives in Kenya and the Virgin Islands , a research environment that boasts more projects than residents , and how Brown defines professional wellness as a baseline culture rather than just a checklist of perks. If you want to know what it truly means to be a "Brown Surgeon," this episode is a must-listen.

Ileocolic resection is one of the most common operations performed for Crohn's disease, yet the optimal approach to anastomotic construction and mesenteric management remains an active area of debate. From the configuration of the anastomosis to the extent of mesenteric excision, emerging evidence suggests that surgical technique may play a meaningful role in disease outcomes. Join Drs. Jared Hendren, Elissa Dabaghi, Joseph Trunzo, Ajaratu Keshinro, and David Rosen as they discuss methods for ileocolic anastomosis in Crohn's disease while reviewing the latest literature.Hosts: - Jared Hendren, MDInstitution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio- Elissa Dabaghi, MDInstitution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio- Joseph Trunzo, MDInstitution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OhioX/Twitter @joseph_trunzo- Ajaratu Keshinro, MDInstitution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OhioX/Twitter- @AJKesh- David Rosen, MDInstitution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OhioX/Twitter- @davidrrosenmdLearning Objectives: By the end of this episode, listeners will be able to:1.     Evaluate the evidence for the Kono-S anastomosis in reducing postoperative recurrence after ileocolic resection for Crohn's disease2.     Describe the role of the mesentery in driving recurrence and discuss how mesenteric-targeting surgical approaches may influence outcomes3.     Interpret the results of recent randomized controlled trials on extended mesenteric excision and apply them to surgical decision-making in ileocolic resection for Crohn's diseasePlease visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

In this episode, Dr. Thomas Miner, MD pulls back the curtain on what he's really looking for during those crucial 20 minute interview sessions. We discuss the shift to virtual interviews, how to truly convey (and assess) program culture through a screen, the pitfalls of over-scripted behavioral questions, and the definitive answer on whether you should send a post-interview thank-you note. Whether you are applying to Brown or navigating the surgical match elsewhere, this episode is packed with invaluable, straight-shooting advice.

Transforming healthcare delivery in resource-limited contexts around the world calls for compassionate, innovative solutions. Learn how The Luke Commission is bringing healthcare to the most isolated and underserved in Eswatini through a scalable model for advancing health equity.

What does "holistic review" actually mean in a top-tier surgery program? In Part 1 of our interview with Dr. Thomas Miner, MD, General Surgery Program Director at Brown University Health, we explore the mechanics of the residency selection process. Dr. Miner dispels common "urban legends" about research requirements and explains why high Step 2 scores aren't the primary driver of success in residency. Whether you are a rising 4th year or just starting your medical journey, this episode provides a roadmap for navigating signaling, regional preferences, and the critical importance of a Sub-I performance.

What is cultural distress? It is a negative response rooted in a cultural conflict where the patient lacks control over their situation. It results in more physiologic effects on the body resulting in allostatic overload. To prevent this, healthcare practitioners must use strategies such as cultural humility to help patients navigate healthcare. Come find the best ways to deliver culturally sensitive care in any setting.

Thinking about surgery can feel overwhelming—but it doesn't have to be.In this episode of Baptist Health Talk, Dr. Juan Carlos Verdeja, Chief of General Surgery, breaks down what general surgeons actually do—from treating hernias to removing gallbladders—and what recovery really looks like today.Thanks to modern techniques like laparoscopic and robotic surgery, procedures are less invasive, recovery is faster, and patients are back to their normal lives sooner than ever.We cover: What general surgeons treat  Common conditions like hernias and gallstones  When to seek medical care  What recovery really feels like  Debunking common myths about surgery 

In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Eamon O'Reilly talked about how his time in the navy defined his approach to being a surgeon, his belief in living a life of service, how to approach patients with that philosophy in mind and why it requires a degree of sacrifice, his three rules for the operating room, and how he was able to sustainably and reproducibly create a microsurgery service at the San Diego Naval Medical Center. He also discusses why the surgical system and infrastructure matters more than the surgeon, why the postoperative period needs to be a focal point of patient care, how he pulls off a 45 minute breast reduction safely,  his experience setting up the gender affirmation surgery program in San Diego, how innovation requires a firm grasp of foundational principles and a willingness to fail, the three qualities he thinks make a good resident,  and finally, his food adventures on the hospital ship Mercy.   Read a recent "PRS Global Open" article by Dr. O'Reilly and co-authors, "Donor Limb Functional Restoration via a Novel Clinical Care Pathway following Fibula Free Flap Harvest for Head and Neck Reconstruction": https://bit.ly/Fibula-FF-Care-OReilly.   Dr. Eamon O'Reilly is  board certified general surgeon and plastic surgeon and an Associate professor at the University of Missouri division of Plastic Surgery. Dr. O'Reilly was born and raised in Anchorage Alaska and graduated from the University of Notre Dame with a degree in Biochemistry, followed by medical school at the University of Washington, and a General Surgery residency at the Naval Medical Center San Diego. After spending a year with the US Navy, working as the only general surgeon in Guantanamo Bay, Cuba, he completed a plastic surgery fellowship at the University of Texas Southwestern Medical Center in Dallas. He returned to the Naval Medical Center San Diego where he eventually served as the Department Head and the Plastic Surgery Consultant to the US Navy Surgeon General. He deployed overseas multiple times on the hospital ship USNS Mercy, and to Afghanistan NATO Role 3 Hospital in Kandahar. He recently joined the University of Missouri Division of Plastic Surgery where his practice focuses on complex microsurgical reconstruction including limb salvage and limb preservation, head and neck reconstruction, as well as breast and body aesthetic surgery.   Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas.   #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this episode, we explore the grueling realities of the general surgery preliminary year—a high-stakes, one-year audition for surgical trainees operating without a safety net. We sit down with a program director, a former IMG prelim turned attending, and a recently successful SOAP applicant to uncover exactly what it takes to survive the scramble and excel clinically. Listen in to learn actionable strategies for navigating hospital expectations, securing vital mentorship, and ultimately turning your preliminary position into a secured categorical spot.Hosts:Ayman Ali, MDDr. Ayman Ali is a Behind the Knife fellow and general surgery PGY-4 at Duke Hospital. Kevin Naresh Shah, MDDr. Kevin Shah is an Assistant Professor of Hepatobiliary Surgery at the Duke University School of Medicine and Program Director of General Surgery. Katharine Louise Jackson, MBBSDr. Louise Jackson is an Assistant Professor of Colon and Rectal Surgery at the Duke University School of Medicine and the Medical Student Clerkship Director. Rafael Felix Tiongco, MDDr. Rafael Tiongco is a first-year resident at Penn State College of Medicine.Sponsor Disclaimer: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content.  Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only ***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

General surgery is where many perioperative nurses begin their OR journey. It's one of the most diverse and foundational specialties in the operating room, touching everything from colorectal and thyroid cases to breast, abdominal, and head & neck procedures. In this First Case Articles-On-The-Go, Lindsay Joyce, MSN, RN, CNOR breaks down the Top 10 things OR teams should know about general surgery - from being ready to convert laparoscopic cases to open, to understanding patient positioning, implants, ERAS protocols, hemostatic agents, and proper drain management. Whether you're new to the OR or just need a refresher, this episode highlights why versatility, preparation, and attention to detail are essential in one of surgery's broadest specialties. ------- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #generalsurgery #ornurse #nurse #scrubtech

In this powerful episode, Loral talks with Dr. Phil Ovadia about heart disease prevention and the myths that keep so many people stuck in poor health. From his years as a heart surgeon to his own 100-pound weight loss, Dr. Phil explains why traditional advice about cholesterol, low-fat diets, and statins often misses the bigger picture.They unpack the real drivers behind heart disease prevention, including metabolic health, insulin resistance, and why so many patients end up on the operating table when better nutrition and lifestyle support could have changed the outcome.If you want a more empowering, life-changing conversation about heart disease prevention, food, health advocacy, and taking ownership of your future, this episode is a must-listen.Key Takeaways:Dr. Phil Ovadia's Journey to Heart Surgery (00:00)Personal Health Transformation and Insulin Resistance (03:14)Myth Busting: Cholesterol and Diet-Heart Hypothesis (05:04)Advocacy for Personal Health and New Food Pyramid (10:55)Insulin Resistance and Its Impact on Health (15:19)Introduction to Dr. Ovadia's New Book (21:47)Pre-Order Bonuses and Telemedicine Services (26:26)Meet Dr Philip OvadiaDr. Philip Ovadia is a board-certified Cardiac Surgeon and founder of Ovadia Heart Health. His mission is to optimize the public's metabolic health and help people stay off his operating table. As a heart surgeon who used to be morbidly obese, Dr. Ovadia has seen firsthand the failures of mainstream diets and medicine. He realized that what helped him lose over 100 pounds was the same solution that could have prevented most of the thousands of open heart surgeries he has performed—metabolic health.In Stay off My Operating Table: A Heart Surgeon's Metabolic Health Guide to Lose Weight, Prevent Disease, and Feel Your Best Every Day, Dr. Ovadia shares the complete metabolic health system to prevent disease.Dr. Ovadia grew up in New York and graduated from the accelerated Pre-Med/Med program at the Pennsylvania State University and Jefferson Medical College. This was followed by a residency in General Surgery at the University of Medicine and Dentistry at New Jersey and a Fellowship in Cardiothoracic Surgery at Tufts – New England Medical School.Pre-order Your Copy Of Stay Off My Operating TableOther Resources========================Ask a Question/Make a Request? Submit them and join me and my expert guests for weekly Q&As:http://askloral.com/ Free Gifts: https://askloral.com/podcast YouTube Learning Journal [Pre-Order]https://askloral.com/youtubejournal The Millionaire Intensivehttps://askloral.com/event Learn more about me, CEO of Integrated Wealth Systems:https://www.lorallangemeier.com/ Learn more about Integrated Wealth Systems:https://integratedwealthsystems.com/ Listen to the Real Money Talks Podcast:http://realmoneytalkspodcast.com/ Subscribe with one click to my YouTube channel:https://www.youtube.com/@LoralLangemeier Building wealth isn't hard! Book a strategy call with me for a customized session designed to get you on the path to financial freedom:https://integratedwealthsystems.com/gap-analysis-worksheet/ About Loral Langemeier========================Loral Langemeier is a money expert, sought-after speaker, entrepreneurial thought leader, and Five Time New York Times best-selling author who is on a relentless mission to change the conversation about money and empower people worldwide to become millionaires.Loral's straight talk electrifies audiences and inspires powerful action from live stages and television programs ranging from CNN, CNBC, The Street TV, Fox News Channel, Fox Business Channel-America's Nightly Scoreboard, The Dr. Phil Show and The View. She is a regular guest-host on The Circle in Australia and has been featured in articles in USA Today, The Wall Street Journal, The New York Times, Forbes Magazine and was the breakout star in the film The Secret.Social Media Links:Loral on Facebook: https://www.facebook.com/askloral/Loral on YouTube: https://www.youtube.com/user/lorallive/videosLoral on LinkedIn: https://www.linkedin.com/in/lorallangemeier/Affiliate Sign-Up: https://integratedwealthsystems.com/affiliatesFrom Loral: I believe in relationships based on trust.When we work together, I'll walk into our relationship thoroughly, maintain strong ties with you, even make hard decisions were necessary to support you.I'll seek to understand your needs and communicate with you thoroughly and quickly.When required, I'll give you what's needed, ask a lot of questions about what you need, and offer real solutions so that you can feel confident, good about yourself, and your process to get the results you want and deserve.I'll meet you where you are and take you where you want to go.-Loral========================Anything seen or heard here should not be viewed as an offer to buy or sell a security. 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Colorectal health is one of the most overlooked—and most quietly essential—parts of our wellbeing. From common concerns like constipation, hemorrhoids, and anal fissures to lifesaving screenings like colonoscopies, the colon tells an important story about our overall health. Yet embarrassment and stigma often keep people from talking openly about symptoms that are incredibly common and treatable. Why do so many of us feel shame around a system that everybody relies on? When should we stop ignoring discomfort and start paying closer attention to what our gut may be trying to tell us? Do at-home remedies, like daily fiber supplements, Sitz baths, and hemorrhoidal creams, actually work?In this episode, we are joined by Dr. Albert Chung, MD, FACS, MBA, FASCRS (known online as Your Friendly Proctologist with over 200,000 subscribers on YouTube), a double board-certified general and colorectal surgeon based in Rancho Santa Margarita, California. Dr. Chung received his MD from the University of Illinois at Chicago, where he also completed his 5-year General Surgery residency. He then completed his Colon and Rectal Surgery fellowship at Henry Ford Health System in Detroit, Michigan. Dr. Chung has been featured in TIME Magazine.Follow Friends of Franz Podcast: Website, Instagram, FacebookFollow Christian Franz (Host): Instagram, YouTube

Surgical quality is a term that is often thrown around in surgical practice. We have multiple quality improvement projects, metrics and benchmarks that motivate us to do better, and of course the ever expanding patient reviews to possibly “reflect” the type of surgical care provided. But what does quality actually mean? What metrics can we use to understand the type of care being provided by ourselves, our colleagues, and the health system at large. Today, we delve into these questions to understand how quality is currently understood within surgery and how we hope it to evolve in the future. Joining BTK fellow Agnes Premkumar and ASGBI hosts Jared Wohlgemut and Gita Lingam are two fantastic guests - Dr. Mark Cheetham, joining us from the UK, has deep experience in national audits and system-level quality improvement. Dr. Cheetham is a colorectal surgeon and the National Clinical Lead for General Surgery at the Getting it Right First Time Programme in NHS England, or GIRFT. Dr. Alexander Perez is representing the US; he is a board-certified general surgeon and minimally invasive surgeon at Baylor St. Luke's Medical Center. He has worked extensively with institutional quality programs and is the current assistant Dean for patient safety, simulation, and process improvement at the Baylor College of Medicine. Resources: Institute for Healthcare Improvement: https://www.ihi.org/library/tools/quality-improvement-essentials-toolkit NSQIP: https://www.facs.org/quality-programs/data-and-registries/acs-nsqip/ Getting it right first time (UK): https://gettingitrightfirsttime.co.uk/ ***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Charter Medical Private Hospital (CMPH) Mullingar is pleased to announce on behalf of Alliance Medical the launch of its new state-of-the-art CT scanning service in partnership with Alliance Medical, one of Ireland's leading independent diagnostic providers. The enhanced service, delivered on-site in Mullingar, will provide significantly expanded diagnostic capacity for patients across the Midlands. The investment by Alliance Medical in the delivery of the new CT scanning service further enhances CMPH's role as a key regional healthcare provider, supporting faster diagnosis, earlier intervention, and improved outcomes for both public and private patients. It also serves to strengthen the long-term partnership between CMPG and Alliance Medical and is a clear demonstration of support by Alliance Medical in the development of the hospital's infrastructure, along with the ambitious expansion plans of CMPH. The CT service is fully operational and accepting referrals from GPs, consultants and allied health professionals. It provides access to a comprehensive suite of high-quality imaging services. CMPH patients can now access Neuro CT, Orthopaedic & Musculoskeletal, Vascular CT, CT Angiography, and Oncology CT. Cardiac CT will be added shortly, strengthening CMPH's ability to support rapid diagnosis of cardiovascular conditions. All imaging is carried out on-site by Alliance Medical's specialist radiography team, with reporting completed by RCSI-accredited consultant radiologists, ensuring clinical accuracy and rapid turnaround times. The collaboration with Alliance Medical ensures CMPH can provide a best-in-class diagnostic experience while maintaining seamless integration with its surgical, outpatient and public healthcare services. Peter Burke TD, Minister for Enterprise, Trade & Employment, said: "This investment by Alliance Medical into Charter Medical Private Hospital, Mullingar, is extremely positive for local and regional healthcare. Faster access to diagnostics has a profound impact on patient outcomes, and the expansion of the service here in Mullingar will ease pressure on the wider system. It is encouraging to see continued investment in high-quality services and clinical capacity here in Westmeath. I wish both CMPH and Alliance Medical every success with this important initiative. " Paula Gray, Chief Executive Officer, Charter Medical Private Hospital Mullingar, said: "This development represents a major step forward for patient care in the Midlands. Quick access to accurate diagnostics is critical for early detection, effective treatment and peace of mind. By working closely with Alliance Medical, we can now offer patients the highest standard of imaging locally, without long waiting times or the need to travel. This is an important investment in the health of our community and the future of our hospital." Stephen Sullivan, Alliance Medical Unit Manager, Mullingar: "We have seen a great uptake in referrals in the first few months of the service, and we are very excited to see this grow over the course of the year. To be able to offer patients access to high-quality CT scans without the need to travel long distances is a great benefit for the local area." Charter Medical Private Hospital is a 77-bed acute hospital delivering a broad range of clinical, surgical and diagnostic services to patients across the Midlands. It is part of a wider healthcare network employing over 300 professionals across Dublin and Westmeath. CMPH plays a significant role in supporting the HSE through the National Treatment Purchase Fund (NTPF) and Access to Care (ATC) programmes, delivering thousands of procedures in ENT, Ophthalmology, Urology, Dermatology, and General Surgery and minor procedures The hospital is also home to the only public Minor Injuries Unit in the Midlands, treating approximately 10,000 patients per year. CMPH accepts a wide range of insurance providers, including VHI, Laya Healthcare, Irish Life Health, Garda Medical A...

Prof. Avi Rivkind is Head of the Department of General Surgery and the Trauma Unit at Hadassah Medical centre in Jerusalem.

Have you longed to integrate your Christian faith into your patient care—on the mission field abroad, in your work in the US, and during your training? Are you not sure how to do this in a caring, ethical, sensitive, and relevant manner? This “working” session will explore the ethical basis for spiritual care and provide you with professional, timely, and proven practical methods to care for the whole person in the clinical setting. https://www.dropbox.com/scl/fi/qpah9kh1lttg6cm1jjop9/Bob-Mason-Ethics-of-Spiritual-Care-revised.pptx?rlkey=0emve2ja8282nv8xc4uinq1hg&st=9033htwx&dl=0

Join the Behind the Knife Surgical Oncology Team as we discuss the PRADO and NADINA randomized control trials regarding neoadjuvant therapy in Stage III melanoma with macroscopic nodal disease!Hosts:Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center.Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist/HPB surgeon at Kaiser LAMC in Los Angeles.Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a 2ndYear Surgical Oncology fellow at MD Anderson.Beth (Elizabeth) Barbera, MD (@elizcarpenter16) is a General Surgery physician in the United States Air Force station at RAF Lakenheath.Joe (Joseph) Broderick, MD, MA (@joebrod5) is a General Surgery research resident between his second and third year at Brooke Army Medical Center.Galen Gist, MD (@gistgalen) is a General Surgery research resident between his second and third year at Brooke Army Medical Center. Learning Objectives:-       Evaluate the role of Completion Lymph Node Dissection (CLND) in patients with positive sentinel lymph nodes, specifically citing the lack of melanoma-specific survival benefit vs. the improvement in regional disease control demonstrated in the MSLT-II trial.-       Determine the appropriate surgical excision margins for primary cutaneous melanoma, comparing the outcomes of 1 cm versus 2 cm margins as analyzed in the MINT trial (Lancet 2019).-       Analyze the impact of adjuvant systemic therapy (Anti-PD1/Immunotherapy) on recurrence-free survival in patients with resected high-risk Stage III melanoma.References:Reijers, I.L.M., Menzies, A.M., van Akkooi, A.C.J. et al. Personalized response-directed surgery and adjuvant therapy after neoadjuvant ipilimumab and nivolumab in high-risk stage III melanoma: the PRADO trial. Nat Med 28, 1178–1188 (2022). https://doi.org/10.1038/s41591-022-01851-xChristian U. Blank et al. Neoadjuvant nivolumab plus ipilimumab versus adjuvant nivolumab in macroscopic, resectable stage III melanoma: The phase 3 NADINA trial.. J Clin Oncol 42, LBA2-LBA2(2024). DOI:10.1200/JCO.2024.42.17_suppl.LBA2*Sponsor Disclaimer: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content.  Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Those who hope to honor God and advance Jesus' Kingdom face powerful opposition from spiritual, physical, and psychological enemies. Successful launching and long term fruitfulness depends on recognizing and, in dependence on the Holy Spirit, waging war against those enemies.

Medical missionaries often feel powerful emotional burden from moral injury, and it is a leading cause of departure from the mission field. But we have learned proven methods of preventing and dealing with moral injury. Use God’s powerful methods to protect yourself and your team, and to grow in wisdom and spirit!

Audible Bleeding editor Wen Kawaji (@WenKawaji) is joined by integrated vascular surgery resident Falen Demsas, JVS editor Dr. Duncan (@ADuncanVasc), JVS-VI editor-in-chief Dr. Dua (@AnahitaDua) to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Huber, Dr. Fassler, Nishanth Konduru (@n_konduru), and Dr. Rao.   Articles:   Outcomes of open bypass and superior mesenteric artery endarterectomy for patients with chronic mesenteric ischemia resulting from long-segment superior mesenteric artery occlusive disease Retrograde tibiopedal access as an alternative procedural technique for genicular artery embolization    Show Guests  Dr. Huber Former Division Chief (served as Chief for 13 years) of Vascular Surgery at the University of Florida and the Edward R. Woodward Professor of Surgery at the University of Florida College of Medicine. He was also the chair of the writing committee for the SVS Guidelines on Chronic Mesenteric Ischemia. Dr. Fassler PGY-4 General Surgery resident at the University of Florida.  Nishanth Konduru Fourth year undergraduate at the University of North Carolina Chapel Hill Dr. Rao Interventional cardiologist with Vascular Solutions of North Carolina.   Founder of Rao Clinic https://www.raoclinic.org/ Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.  

In resuscitative trauma surgery every second counts. Can time and lives be saved by moving interventions closer to the point of injury? In this episode, we discuss a recent journal article on prehospital resuscitative thoracotomy as a treatment for traumatic cardiac arrest. Opening the chest on the street, who should do it, why should we do it, and for whom?• Hosts:  Mr Prashanth Ramaraj. General Surgery trainee, Edinburgh rotation. @LonTraumaSchool Dr Roisin Kelly. Major Trauma Junior Clinical Fellow, Royal London Hospital.  Mr Max Marsden. Resuscitative Major Trauma Fellow, Royal London Hospital. @maxmarsden83 Mr Christopher Aylwin. Consultant Trauma & Vascular Surgeon, Royal London Hospital and Co-Programme Director MSc Trauma Sciences at Queen Mary University of London. @cjaylwin Mr Zane Perkins. Consultant Trauma & UGI Surgeon, Royal London Hospital and Prehospital Surgeon at London's Air Ambulance. @ZBPerkins  • Learning objectives: A)    To be aware of the steps of a resuscitative thoracotomy (RT)B)     To understand the rational for prehospital (PH) trauma interventions.C)     To understand the timelines required to optimise success in PH RT.D)    To be familiar with the training governance for clinicians undertaking PH RT.E)     To recognise that PH RT is predominantly an intervention for cardiac tamponade.F)     To understand the contexts in which PH RT might be successful as a standardised intervention.• References: Perkins ZB, Greenhalgh R, Ter Avest E, Aziz S, Whitehouse A, Read S, Foster L, Chege F, Henry C, Carden R, Kocierz L, Davies G, Hurst T, Lendrum R, Thomas SH, Lockey DJ, Christian MD. Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest. JAMA Surg. 2025 Feb 26;160(4):432–40. doi: 10.1001/jamasurg.2024.7245. PMID: 40009367; PMCID: PMC11866073. https://pubmed.ncbi.nlm.nih.gov/40009367/ ter Avest, E., Kocierz, L., Alvarez, C. et al. Improving decision-making for prehospital Resuscitative Thoracotomy in traumatic cardiac arrest: a data-driven approach. Crit Care 29, 485 (2025). https://doi.org/10.1186/s13054-025-05705-z. https://pubmed.ncbi.nlm.nih.gov/41233917/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Show Notes:In this episode of 'Own Your Pleasure', Whitni Miller and her guest, Dr. Michelle Gordon, discuss the complexities of hormonal changes in women, particularly during perimenopause and menopause. Dr. Gordon emphasizes the importance of understanding how weight impacts hormonal health and the misconceptions surrounding weight loss. The discussion also covers sexual health, the role of various hormones, and the significance of finding a supportive healthcare provider who listens to women's concerns. Dr. Michelle Gordon is Board Certified in Obesity Medicine, Lifestyle Medicine, and General Surgery and is a Telehealth Innovator. After building and running a multi-million dollar surgical practice, she shifted her focus from surgery to weight management, hormone health, and longevity through high-impact telehealth for lesbian midlife women. She brings advanced, personalized care straight to you —without gatekeeping, delay, or the one-size-fits-all approach of traditional systems. Her background in surgery gives her a sharp clinical lens in obesity and lifestyle medicine. She's seen how strategic, non-surgical interventions can reverse complex metabolic disease. Her experience drives the results she delivers today, through evidence-based care that respects your time, autonomy, and goals. She uses telehealth to deliver high-quality, personalized care. This isn't a quick prescription model. She takes the time to understand each patient's goals, history, and challenges to create treatment plans that are safe, effective, and built for long-term success. Her mission is simple. She gives you clear, evidence-based guidance and real support throughout your health journey. You deserve more than a rushed visit or generic advice. She takes the time to understand what's actually going on so you can make lasting, meaningful changes together. You are never just a number. She works closely with you so you feel seen, heard, and respected from start to finish. With a foundation in clinical experience and systems thinking, she focuses on what works. She uses tools that make personalized medicine more accessible without compromising quality. This isn't about hype or trends. It's about real care, delivered with intention, one patient at a time. Follow Dr. Michelle Gordon at:TikTok: @drmichellegordon IG: @doctormichellegordon FB: @michelleEgordon Learn More From Whitni:https://www.bde-moves.com Follow Whitni at:IG - @bde.movesFB - groups/bdemovesYouTube - Podcast Channel = @BDE-Moves Old Channel = @BdeTalksTikTok - @bdemoves

This episode offers a practical, case-based overview of evaluating and managing anastomotic leaks in colorectal surgery. It highlights early clinical warning signs, optimal imaging, and a framework for choosing nonoperative versus operative strategies, including when to drain, divert, repair, or revise an anastomosis. The discussion also covers management considerations in diverted patients and those with Crohn's disease, as well as long-term issues such as chronic leak–related complications and planning for stoma reversal. Join Drs. Jared Hendren, Elissa Dabaghi, Joseph Trunzo, Ajaratu Keshinro, and David Rosen as they discuss this clinical challenge in colorectal surgery.Hosts: - Jared Hendren, MDο      Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio- Elissa Dabaghi, MDο      Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio- Joseph Trunzo, MDο      Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohioο      Social Media Handle: X/Twitter @joseph_trunzo- Ajaratu Keshinro, MDο      Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohioο      Social Media Handle: X/Twitter- @AJKesh-  David Rosen, MDο      Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio- Social Media Handle: X/Twitter- @davidrrosenmdLearning Objectives: By the end of this episode, listeners will be able to: Assess postoperative changes that warrant imaging and/or intervention in suspected anastomotic leaks. Apply a structured decision-making approach to determine when nonoperative management, drainage, diversion, or operative intervention is most appropriate. Recognize key considerations in managing leaks in diverted patients and those with Crohn's disease, including long-term complications and factors influencing stoma reversal planning. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

What is a call? How does a person know if God is calling them to mission service? Join in a discussion as these and other questions are addressed.

The 2025 year draws to a close with the December episode of RAPM Focus, where RAPM Social Media Editor Alopi Patel, MD, converses with Benjamin S. Brooke, MD, PhD, and Michael “Jay” Buys, MD, following the April 2024 publication of their original research paper, “Postsurgical opioid prescribing among veterans using community care for orthopedic surgery at non-VA hospitals compared to a VA hospital with a transitional pain service: a retrospective cohort study | Regional Anesthesia & Pain Medicine.” The research study looked at opioid prescriptions after orthopedic surgery for veterans, comparing veterans who underwent surgery at the Salt Lake City VA Hospital to those in the community. Dr. Brooke is a Professor of Surgery, Biomedical Informatics (adjunct), Population Health Sciences (adjunct), and Chief of the Division of Vascular Surgery at the University of Utah. He grew up in Salt Lake City, receiving his Doctor of Medicine from the University of Utah before heading east to complete his internship and residency in General Surgery at the Johns Hopkins Hospital. During his surgical residency, Dr. Brooke received his PhD in Clinical Investigation at the Johns Hopkins Bloomberg School of Public Health. He then completed a fellowship in Vascular Surgery at the Dartmouth-Hitchcock Medical Center. Dr. Buys is an Associate Professor (Clinical) of Anesthesiology at the University of Utah and Chief of the Acute/Transitional Pain Section at the Salt Lake City VA Medical Center. He completed his medical degree at the University of Iowa and residency in anesthesiology at the University of New Mexico, after which he served as an active duty anesthesiologist in the US Air Force at Wilford Hall Medical Center in San Antonio and at Craig Joint Theater Hospital in Afghanistan. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, LinkedIn @Regional Anesthesia & Pain Medicine, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.

Low resource settings require much innovation and streamlining resources to meet set goals. With healthcare becoming more commercial and profit driven, missional healthcare in low resource settings faces many challenges. Sustainability is a big question with people finance , and equipment scarce and hard to come by. Missional models of healthcare often run into hurdles of sustainability, longevity and relevance even as healthcare slowly turns into business. In this setting of multifactorial challenges and increasing compliances how can missional healthcare be relevant and sustainable? Many saints of God have committed their lives to fulfil this great commission in some of the most underserved and unreached areas of the world. With the birth of Emmanuel Hospital Association (EHA) a different model of missional healthcare emerged in India. Over the last 55 years of its existence, EHA has shown that through all the challenges, this may be one of the ways to sustain missional healthcare in areas of need. With increasing divide between the rich and poor, overwhelmed government systems, a ruthless insurance system, and high end corporate healthcare, it is still possible for missional healthcare to provide low cost, high quality, technologically advanced care to people in need while remaining sustainable. We bring lessons from India and our experience with Emmanuel Hospital Association over the last 3 decades.

Show Notes:In this episode of 'Own Your Pleasure', Whitni Miller and her guest, Dr. Michelle Gordon, discuss the complexities of menopause, hormonal changes, and the healthcare system's treatment of women's health issues. Dr. Gordon emphasizes the importance of finding a doctor who listens, the impact of the Women's Health Initiative on hormone therapy, and the cultural dismissal of women's health concerns. Dr. Gordon advocates for a holistic approach to treatment, recognizing obesity as a disease and the need for hormone optimization to improve quality of life. The discussion also touches on the importance of self-advocacy and the challenges women face in the medical system. Dr. Michelle Gordon is Board Certified in Obesity Medicine, Lifestyle Medicine, and General Surgery and is a Telehealth Innovator. After building and running a multi-million dollar surgical practice, she shifted her focus from surgery to weight management, hormone health, and longevity through high-impact telehealth for lesbian midlife women. She brings advanced, personalized care straight to you —without gatekeeping, delay, or the one-size-fits-all approach of traditional systems. Her background in surgery gives her a sharp clinical lens in obesity and lifestyle medicine. She's seen how strategic, non-surgical interventions can reverse complex metabolic disease. Her experience drives the results she delivers today, through evidence-based care that respects your time, autonomy, and goals. She uses telehealth to deliver high-quality, personalized care. This isn't a quick prescription model. She takes the time to understand each patient's goals, history, and challenges to create treatment plans that are safe, effective, and built for long-term success. Her mission is simple. She gives you clear, evidence-based guidance and real support throughout your health journey. You deserve more than a rushed visit or generic advice. She takes the time to understand what's actually going on so you can make lasting, meaningful changes together. You are never just a number. She works closely with you so you feel seen, heard, and respected from start to finish. With a foundation in clinical experience and systems thinking, she focuses on what works. She uses tools that make personalized medicine more accessible without compromising quality. This isn't about hype or trends. It's about real care, delivered with intention, one patient at a time. Follow Dr. Michelle Gordon at: TikTok: @drmichellegordon IG: @doctormichellegordon FB: @michelleEgordon Learn More From Whitni: https://www.bde-moves.com Follow Whitni at: IG - @bde.moves FB - groups/bdemoves YouTube - Podcast Channel = @BDE-Moves Old Channel = @BdeTalks TikTok - @bdemoves

Carotid artery disease management has come a long way. From the days when every stroke meant an endarterectomy to a modern era defined by precision, evidence, and evolving technology. With advances in medical therapy and newer techniques like TCAR, the vascular surgeon has even more to consider when choosing the best treatment for carotid disease. Join us as we break down the major landmark trials NASCET, CREST and the Asymptomatic Carotid trials, and discuss how their findings shape our clinical decisions in practice today. Hosts: ·      Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center ·      Paul Haser -Division Chief, Vascular Surgery, Brookdale Hospital Medical Center ·      Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center ·      Lucio Flores, Vascular surgery, Brookdale Hospital Medical Center Learning Objectives: · Review the key findings and clinical implications of the NASCET, ACST, and CREST trials. · Discuss patient selection for carotid endarterectomy (CEA) vs carotid artery stenting (CAS). · Understand how age, calcification, and aortic arch anatomy affect stenting outcomes or choice between stent and CEA. · Identify how advances in medical therapy have influenced management of asymptomatic disease.  · Discuss appropriate screening/ follow up plans for patients who do not meet criteria for intervention References: -       North American Symptomatic Carotid Endarterectomy Trial Collaborators. (1991). Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. The New England Journal of Medicine, 325(7), 445–453. https://pubmed.ncbi.nlm.nih.gov/1852179/ -       Brott, T. G., Hobson, R. W. II, Howard, G., Roubin, G. S., Clark, W. M., Brooks, W., ... & Howard, V. J. (2010). Stenting versus endarterectomy for treatment of carotid-artery stenosis. The New England Journal of Medicine, 363(1), 11–23. https://pubmed.ncbi.nlm.nih.gov/20505173/ -       Halliday, A., Mansfield, A., Marro, J., Peto, C., Peto, R., Potter, J., & Thomas, D.; MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group. (2004). Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: Randomized controlled trial. The Lancet, 363(9420), 1491–1502. https://pubmed.ncbi.nlm.nih.gov/15135594/ -       Halliday, A., Bulbulia, R., Bonati, L. H., Chester, J., Cradduck-Bamford, A., Peto, R., & Pan, H., & the ACST-2 Collaborative Group. (2021). Second asymptomatic carotid surgery trial (ACST-2): A randomised comparison of carotid artery stenting versus carotid endarterectomy. The Lancet, 398(10305), 1065-1073. https://doi.org/10.1016/S0140-6736(21)01910-3 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Infertility isn't only a women's issue, though too often, it's talked about like it is. In this episode, we're digging into male factor infertility: what it means, how it's diagnosed, and how it impacts couples emotionally, physically, and relationally. We're joined by Paul Kassebaum, a quantum physicist, and his wife Julia Cohen, an economist, who live in Westchester, NY. In 2021, their family-building journey took an unexpected turn with a diagnosis of male factor infertility. They open up about the medical and emotional twists and turns of their path, and why they hope sharing their story will help others feel less alone. To give us a full picture, we also bring in experts: Dr. Ariel Moradzadeh, a reproductive endocrinologist, and Abbe Golding, a genetic counselor at Jscreen. Together, we explore: What male factor infertility actually is, what the causes are, and how it's evaluated Who should be doing the testing and why it matters The role genetics can play in male infertility The emotional and psychosocial impact on men and couples How couples like Paul and Julia navigate the unexpected and find resilience Whether you're directly facing male factor infertility, supporting a partner, or simply learning more about the different paths to parenthood, this conversation is a mix of story, science, and support. Note: This episode is the 3rd of a series of 5 that we are collaborating on with Jscreen in 2025.  Take a look at our previous two episodes here : Episode 157: Introduction to Genetics and Infertility Episode 166: Fragile X Syndrome: A Silent Factor in Infertility About Paul Kassebaum and Julia Cohen: Paul Kassebaum (Kass-eh-bomb) and Julia Cohen live in Westchester, NY where Paul is a quantum physicist and Julia is an economist. In 2021 they were forced to reconsider how to start a family when presented with a diagnosis of male factor infertility. They hope that by sharing both the medical and emotional aspects of their journey they can be a resource for other couples navigating the infertility space. About Dr. Ariel Moradzadeh: Dr. Ariel Moradzadeh attended medical school at The David Geffen school of medicine at UCLA. Following medical school, he completed his General Surgery internship and Urology residency at Cedars-Sinai Medical Center, where he developed his passion for men's health and male infertility. Following residency, he completed an andrology, men's health, male and infertility fellowship at UCLA, and he now works as a full-time reproductive Urologist at Cedars-Sinai. When he is not treating patients, he enjoys running, swimming, weight lifting and yoga. About Abbe Golding: Abbe Golding is a certified genetic counselor and works as a community education and outreach manager for JScreen. She is passionate about providing genetic knowledge that empowers individuals to make informed healthcare decisions. Abbe believes that accurate and relatable genetic information should be accessible to everyone. Abbe lives in Raleigh, North Carolina with her husband and daughter. Connect with JScreen -visit their website here -check out their instagram Connect with us: -Check out our Website -Follow us on Instagram and send us a message -Watch our TikToks -Follow us on Facebook -Watch us on YouTube -Connect with us on LinkedIn