Podcasts about hospitalization

Send us Fan MailOne infant is diagnosed with neonatal opioid withdrawal syndrome every 27 minutes, and rates are rising. In this episode of Journal Club, Ben and Daphna review the Optimized NOW randomized clinical trial, a landmark multicenter study published in JAMA. The trial compared symptom-based dosing,  a single opioid dose given when a withdrawal threshold is met against the traditional scheduled opioid taper in infants managed with Eat Sleep Console. The results are striking: symptom-based dosing reduced time to medical readiness for discharge by nearly two and a half days, and 65% of pharmacologically treated infants avoided scheduled opioid dosing entirely. Could this be the evidence-based approach that finally reshapes how we treat NOWS pharmacologically?----Symptom-Based Dosing for Neonatal Opioid Withdrawal: The OPTimize NOW Randomized Clinical Trial. Devlin LA et al HEAL Evaluation of Limited Pharmacotherapies for Neonatal Opioid Withdrawal Syndrome (HELP for NOWS) Consortium.JAMA. 2026 Apr 25:e265782. doi: 10.1001/jama.2026.5782. Online ahead of print. PMID: 42033722Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Hosted by Michael Tetreault | Editor-in-Chief, Concierge Medicine Today Episode Overview In one of the most comprehensive episodes in DocPreneur Leadership Podcast history, host Michael Tetreault takes an honest, evidence-based, and encouraging look at the cash-pay and subscription-based primary care landscape — who it serves, how it works, where it's heading, and what every physician and advanced practice clinician needs to understand before making a career-defining decision. This episode doesn't take sides. It takes a clear-eyed look at the full picture — including the parts that don't always make it into the conference keynote. What's Covered in This Episode The Foundation Not all subscription-based primary care models are the same. Two models operating in this space share surface-level similarities but are structurally distinct businesses with different economic logic, different patient populations, and different long-term trajectories. Understanding which one you're considering — and why — changes everything about how you plan. A Lesson From Healthcare History Before committing to any practice model, it helps to understand what happened to the movements that came before it. This episode traces three instructive parallels: the micropractice and ideal medical practice movement of the early 2000s; the decades-long fight for healthcare price transparency and what happened when physicians finally got it; and the rise and reality check of retail health — what scaled, what didn't, and why. The common thread in every model that has achieved durable scale in American healthcare is the same: structural fit with the economic environment, not ideological purity. Two Pathways, One Brand Name The episode walks through both economic models in the cash-pay primary care space — the purist, cash-only, no-insurance model and the employer-integrated model — explaining how each works, who each serves, and what the financial picture actually looks like for physicians considering either path. The revenue math is done out loud. The sustainability data from peer-reviewed research is cited. The patient demographic fit for each model is examined honestly and specifically. Who Each Model Serves — and Where Other Models Fit Better A detailed breakdown of the patient populations each model genuinely serves well — and an honest, evidence-based look at the patient populations where other models may be a better structural fit. Including Medicare-eligible patients, patients with complex chronic disease, lower-income households, and employees of small and mid-sized businesses. The Overlooked Opportunity — NPs, PAs, and Advanced Practice Clinicians One of the most significant and underexplored opportunities in subscription-based healthcare delivery today is the direct-care model as a pathway for nurse practitioners, physician assistants, and other advanced practice clinicians. The evidence on NP and PA-led primary care outcomes is strong and peer-reviewed. The physician shortage projections make the need urgent. And the organizational infrastructure for advanced practice clinician-led direct-care practices is largely unbuilt — which means the opportunity belongs to whoever moves first. The Organizational Landscape An honest look at what the multiplicity of organizations, coalitions, and alliances in the cash-pay primary care space tells us — and what research on professional association dynamics says about the long-term implications of organizational fragmentation for legislative effectiveness and individual practice planning. One Brand, Two Directions Drawing on four documented historical parallels from the history of American medicine — the AMA and managed care, osteopathic medicine's identity divide, family medicine's emergence as a separate specialty, and the micropractice movement — the episode makes the case that two communities with genuinely different economic interests and regulatory priorities currently sharing a brand name may, consistent with historical precedent, find their own distinct professional homes over time. This is presented as pattern recognition grounded in verified historical evidence — and as practical planning context for physicians building practices today. The Tax and Structuring Update A clear, practical summary of the 2025 "One Big Beautiful Bill" Act changes — effective January 2026 — and what they mean for HSA eligibility of cash-pay membership fees. What qualifies, what doesn't, and why legal counsel is essential before making any representations to patients about tax-advantaged payment options. Eight Questions Before You Commit A practical pre-decision checklist — eight specific questions every physician or advanced practice clinician should be able to answer clearly before committing to any cash-pay practice pathway. Key Takeaways Cash-pay primary care and concierge medicine are not the same model, do not serve the same patient populations, and should not be evaluated as interchangeable alternatives. The purist cash-pay model has grown from approximately 100 practices in 2009 to over 2,100 by 2023 — real and meaningful growth. The financial sustainability data, however, reflects consistent challenges that peer-reviewed research has documented specifically in lower-income markets and solo practice settings. The employer-integrated pathway has stronger structural sustainability — multiple revenue streams, embedded benefit relationships, and documented employer cost reductions of 12 to 20 percent over three to five years. A December 2025 Johns Hopkins study found concierge and cash-pay primary care practices combined grew 83.1 percent between 2018 and 2023. The employer-integrated model is the primary driver of that growth trajectory. Concierge medicine — particularly the PCM model — is not retreating. The global concierge medicine market is projected to surpass $34 billion by 2032 and is growing at a compound annual rate that outpaces most healthcare market segments. The National Academy of Medicine's 2021 Future of Nursing report, AAMC physician shortage projections, and peer-reviewed NP/PA outcomes research collectively point to advanced practice clinician-led direct-care models as one of the most significant underexplored opportunities in subscription-based healthcare delivery. Pattern recognition from healthcare history — price transparency, retail health, the micropractice movement — consistently shows that the distance between a compelling healthcare idea and durable scaled impact is longer and more complicated than early advocacy suggests. Models that have achieved durable scale in American primary care share one characteristic: structural fit with the economic environment, not independence from it. Sources and Citations All claims in this episode are supported by published, verifiable sources. Full citations below. Micropractice and Practice Model History Moore, G. (2002). "Accountability and Improvement in Physician Practice." Family Medicine. Moore, G. & Showstack, J. (2003). "Primary Care Medicine in Crisis." Health Affairs. healthaffairs.org AAFP TransforMED Initiative. (2006). aafp.org Nutting, P.A. et al. (2010). "Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home." Annals of Family Medicine. Rittenhouse, D.R. et al. (2009). "Primary Care and Accountable Care." New England Journal of Medicine. Rittenhouse, D.R. & Shortell, S.M. (2009). "The Patient-Centered Medical Home." JAMA. Price Transparency Research Pathak, Y. & Muhlestein, D. (2024). "Public Awareness and Use of Price Transparency: Report From a National Survey." West Health Institute / Gallup. pmc.ncbi.nlm.nih.gov Parente, S.T. (2023). "Estimating the Impact of New Health Price Transparency Policies." Inquiry.pmc.ncbi.nlm.nih.gov ScienceDirect. (2025). "Outcomes of Price Transparency Policies for Healthcare Services in the United States: A Systematic Review." sciencedirect.com Retail Health Fein, A.J. (2017). "Retail Clinic Check Up: CVS Retrenches, Walgreens Outsources, Kroger Expands." Drug Channels. drugchannels.net CNBC. (2024). "Why Walmart, Walgreens, CVS Retail Health Clinic Experiment Is Struggling." cnbc.com Healthcare Finance News. (2023). "Retail Clinics Seeing Utilization Soar, Popularity Grow." healthcarefinancenews.com MedCity News. (2023). "Retail Clinics Are Gaining Momentum." medcitynews.com Cash-Pay and Subscription Primary Care Market Data MedCity News. (March 2026). "DPC Is Scaling — The Financing Architecture Isn't Ready." medcitynews.com Johns Hopkins. (December 2025). Study on concierge and cash-pay practice growth 2018–2023. As cited in MedCity News, March 2026. Liaw, W. et al. (2024). "Direct Primary Care: Financial Analysis and Potential to Reshape the U.S. Healthcare Landscape." Journal of General Internal Medicine. springer.com Lujan, D.Y. (2025). "Why Direct Primary Care Models Fail." KevinMD. kevinmd.com Doan, L. et al. (2019). "Physician Perspectives on Direct Primary Care." Family Medicine. Eskew, P.M. & Klink, K. (2015). "Direct Primary Care: Practice Distribution and Cost Across the Nation." Health Affairs. healthaffairs.org Tseng, P. et al. (2018). "Administrative Costs Associated With Physician Billing and Insurance-Related Activities." JAMA Internal Medicine. Medscape Physician Compensation Report. (2023). medscape.com Employer-Integrated Model Spann, S.J. et al. (2020). "Employer-Sponsored Direct Primary Care." Journal of Occupational and Environmental Medicine. National Alliance of Healthcare Purchaser Coalitions. (2021). purchaseralliance.org Kaiser Family Foundation. (2023). Employer Health Benefits Annual Survey. kff.org National Business Group on Health. (2022). businessgrouphealth.org Employers Health Coalition. (2022). employershealthcoalition.org Patient Demographics and Population Health Anderson, G.F. (2010). "Chronic Conditions: Making the Case for Ongoing Care." Johns Hopkins Bloomberg School of Public Health. Tikkanen, R. & Abrams, M.K. (2020). "U.S. Health Care from a Global Perspective." Commonwealth Fund.commonwealthfund.org Collins, S.R. et al. (2022). "Paying for It: How Health Insurance and Healthcare Costs Are Shaping the Lives of American Adults." Commonwealth Fund. commonwealthfund.org Bureau of Labor Statistics. (2023). "Contingent and Alternative Employment Arrangements." bls.gov Petterson, S. et al. (2012). "Unequal Distribution of the U.S. Primary Care Workforce." Annals of Family Medicine. Advanced Practice Clinicians and Nursing Laurant, M. et al. (2019). "Revision of Professional Roles and Quality Improvement in Primary Care." New England Journal of Medicine. Naylor, M.D. & Kurtzman, E.T. (2010). "The Role of Nurse Practitioners in Reinventing Primary Care." Health Affairs. healthaffairs.org National Academy of Medicine. (2021). "The Future of Nursing 2020–2030." nationalacademies.org AAMC. (2021). "The Complexities of Physician Supply and Demand: Projections from 2019–2034." aamc.org Legal, Tax, and Compliance Eischen, J. (2025). Legal Commentary on Cash Practice Structuring. eischenlawoffice.com DLA Piper. (2025). "Paying for Direct Primary Care Arrangements With HSAs." dlapiper.com IRS Notice 26-05. irs.gov CMS. "Opt-Out Affidavits and Private Contracts." cms.gov Organizational and Professional Identity Research Hoff, T.J. (2010). Practice Under Pressure: Primary Care Physicians and Their Medicine in the Twenty-First Century. Rutgers University Press. Scott, W.R. (2008). Institutions and Organizations: Ideas and Interests. SAGE Publications. Freidson, E. (2001). Professionalism: The Third Logic. University of Chicago Press. Wolinsky, H. & Brune, T. (1994). The Serpent on the Staff: The Unhealthy Politics of the American Medical Association. Putnam. Gevitz, N. (2004). The DOs: Osteopathic Medicine in America. Johns Hopkins University Press. Stephens, G.G. (1989). "Family Medicine as Counterculture." Journal of Family Practice. Colwill, J.M. (1992). "Where Have All the Primary Care Applicants Gone?" New England Journal of Medicine. Meltzer, D.O. & Chung, J.W. (2014). "The Population-Based Physician Workforce." Health Affairs.healthaffairs.org Bodenheimer, T. & Pham, H.H. (2010). "Primary Care: Current Problems and Proposed Solutions." Health Affairs. healthaffairs.org Grumbach, K. & Grundy, P. (2010). "Outcomes of Implementing Patient Centered Medical Home Interventions." JAMA. Concierge Medicine Market Data Grand View Research. (2022). Concierge Medicine Market Size & Growth Report. grandviewresearch.com Precedence Research. (2023). U.S. Concierge Medicine Market Size and Forecast. globenewswire.com MDVIP. (2020). Personalized Primary Care Reduces ER Visits, Hospitalizations, and Outpatient Expenditures.mdvip.com AAPP / Software Advice. (2023). "Concierge Medicine Salary and Definition." softwareadvice.com Disclaimer The DocPreneur Leadership Podcast is produced by Concierge Medicine Today, LLC, an independent healthcare leadership publication. This episode and its accompanying summary are intended for educational and informational purposes only. Nothing in this episode or summary constitutes medical, legal, financial, or accounting advice. The information presented reflects publicly available research, published data, and editorial observation, and is not intended to replace the guidance of qualified medical, legal, financial, or business professionals. All factual claims are supported by named, verifiable third-party sources, which are cited in full above. Concierge Medicine Today makes no guarantee regarding the completeness or currency of external sources cited and encourages listeners to verify information independently. References to specific organizations, publications, legal decisions, or market data are provided for educational context only. Mention of any organization, publication, or individual does not constitute endorsement, and no commercial relationship exists between Concierge Medicine Today and any source cited in this episode unless otherwise disclosed. Physicians, nurse practitioners, physician assistants, and other clinicians considering any practice model change are strongly encouraged to seek qualified legal counsel with specific experience in healthcare compliance, tax structuring, and the applicable regulatory environment in their state before making any practice or business decisions. © 2007–2026 Concierge Medicine Today, LLC. All rights reserved. Reproduction or distribution of this content without written permission is prohibited.

Watch the full episode with Paul Levy here: https://youtu.be/2xnziV5N6kESupport this show http://supporter.acast.com/inspiredevolution. Hosted on Acast. See acast.com/privacy for more information.

Accurate OASIS coding is essential for all home health clinicians due to the impact that coding has on reimbursement. With the CMS plan to move to a universal outcome measure for all post-acute settings, OASIS will become an important tool beyond home health. Payment through PDGM is driven not only by improvement of quality indicators but through a complicated calculation of risk adjustment driven by baseline functional scores, acute cognitive changes, and hospitalization risk. This course will provide easy to use methods that will improve a clinician's ability to provide accurate coding to these sections of OASIS E1.   To view accreditation information and access completion requirements to receive a certificate for completing this course, please click here.   The content of this Summit podcast is provided only for educational and training purposes for licensed physical therapists and occupational therapists. This content should not be used as medical advice to treat any medical condition in either yourself or others.

Listener feedback from the DanGer Shock investigators, complete vs staged revascularization, polygenic risk scores, and quality improvement failure in an RCT are the topics John Mandrola, MD, discusses in this week's podcast.   This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Listener Feedback DanGer Shock Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2312572 CHIP-BCIS 3 Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2515704 II Immediate Complete vs Staged Revascularization in STEMI Meta-analysis: Timing of Complete Revasc in Patients with STEMI and Multivessel Disease https://www.ahajournals.org/doi/10.1161/CIRCINTERVENTIONS.126.016601 COMPLETE Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1907775 FULL REVASC Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2314149 iMODERN Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2512918 III Polygenic Risk Scores for Prediction Polygenic Risk Report in US-Based Hospitals for 8 CV Conditions  https://www.jacc.org/doi/10.1016/j.jacc.2026.03.035 IV Practice Improvement Policies Undergo the Proper Test – Randomization Quality Improvement on Hospitalizations and Health Outcomes for People with CHD https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012904 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

Howie Kurtz on the Media Insight Project study showing that 60% of Americans are actively avoiding news about President Trump, the dramatic decline in Obamacare coverage following the expiration of federal subsidies, and the escalating situation in the Strait of Hormuz as the Trump administration launches new efforts to protect international shipping. Learn more about your ad choices. Visit podcastchoices.com/adchoices

For most people, a trip to the ER is unexpected. But when your child has medical complexities, it's often an inevitable and rhythmic part of life.Every time something seems off and feels like it's progressing, you're forced to make a gut-wrenching call: do we handle this at home, or do we go in?In this episode, we're unpacking what those moments actually look like. From the fear that sits in the background of every illness, to the reality of navigating ER teams who don't know your child, to the emotional whiplash of being hyper-focused in the moment and unraveling later. We talk about how these decisions evolve over time, what experience teaches you (and what it doesn't), and why “better safe than sorry” doesn't even begin to capture the full picture.And a big thank you to Functional Formularies, our sponsor for this episode.Links:Learn more about Functional Formularies!Join The Rare Life newsletter andnever miss an update!Fill out our contact form to joinupcoming discussion groups! Listen to Ep. 185: Medical Parent Trauma!Listen to Ep 170: Hospitalizations!Follow us on Instagram @the_rare_life!Donate to the podcast or Contactme about sponsoring an episode.

RSV Prefusion F Vaccine for Prevention of Hospitalization in Older AdultsUltrasound-Facilitated, Catheter-Directed Fibrinolysis for Acute Pulmonary Embolism* Endovascular management of intermediate-risk pulmonary embolism: evidence, outstanding questions, drivers of utilization, and the horizon This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

Croup is a clinical syndrome of upper airway obstruction defined by barking cough, stridor, and hoarseness. Management hinges on severity assessment, universal corticosteroid use, and selective epinephrine. The key clinical task is distinguishing typical croup from high-risk mimics that require urgent airway intervention. Learning Objectives Differentiate croup from other causes of pediatric upper airway obstruction using key historical and physical exam features. Apply a severity-based approach to croup management, including appropriate use of corticosteroids and nebulized epinephrine. Recognize clinical features that suggest alternative or life-threatening diagnoses requiring escalation of care. References Cooke A, Conway S, Griffin L. Croup: Rapid Evidence Review. Am Fam Physician. 2026;113(3):254-258. Gates A, Johnson DW, Klassen TP. Glucocorticoids for Croup in Children. JAMA Pediatr. 2019;173(6):595-596. doi:10.1001/jamapediatrics.2019.0834 Bjornson CL, Klassen TP, Williamson J, et al. A Randomized Trial of a Single Dose of Oral Dexamethasone for Mild Croup. N Engl J Med. 2004;351(13):1306-1313. doi:10.1056/NEJMoa033534 Bjornson CL, Johnson DW. Croup. Lancet. 2008;371(9609):329-339. doi:10.1016/S0140-6736(08)60170-1 Bjornson C, Russell K, Vandermeer B, Klassen TP, Johnson DW. Nebulized Epinephrine for Croup in Children. Cochrane Database Syst Rev. 2013;(10):CD006619. doi:10.1002/14651858.CD006619.pub3 Transcript This transcript was generated using Descript and subsequently reviewed and lightly edited for spelling, grammar, and clarity. Minor inaccuracies may remain, and the audio recording should be considered the definitive version of this content.  Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski. And today we're gonna talk about croup. We're gonna focus on diagnosis, severity based management, and how to differentiate it from scarier high risk conditions that may present similarly, but behave very differently. So croup is best understood as a clinical syndrome of upper airway obstruction caused by inflammation at the level of the larynx and subglottis. So in most cases this is viral laryngotracheitis, most commonly due to parainfluenza virus. But as you'd expect multiple viruses can cause it. The subglottis is the narrowest portion of the pediatric airway. So even small amounts of edema create large increases in airway resistance. So that's why the clinical picture is so consistent. You've got inspiratory stridor, hoarseness, and that characteristic barking cough, which either sounds like a seal or a dog, and yes, of course, I know the difference between the two coughs because I was a biology major. This is primarily a disease of children between six months and three years of age with a peak incidence in the second year of life. It's really, really common, like one and a half percent of all ED visits, maybe 350,000 visits a year, and 85% of these kids have mild disease. Hospitalization is rare. The range is variable, about two to 8% of cases, and return visits occur in about three to 5%. Fewer than 1% of children, a lot fewer, require intensive care or airway intervention. Honestly, most kids do really well. The ones who don't can get sick very quickly, and that's been my clinical experience. In the Northern Hemisphere, we see croup throughout the fall and winter, usually starting in around November and sort of tapering off by April. But that being said, I've seen croup-like symptoms every month of the year over the past couple of decades. Croup is absolutely a classic clinical diagnosis. A typical case begins with 12 to 48 hours of viral prodrome, you know, body aches, fever, congestion, cough, followed by often abrupt nighttime onset of barky cough and stridor. Symptoms fluctuate, and they're generally worse with agitation and get better when the kid is calm. That variability is the key feature. So what you'll have is a child who wakes up after sleeping for a few hours with a barky cough and then noisy stridor. This freaks parents out, and this is not hyperbole. There's this little center in the back of your brain that's like, please don't stop breathing and die. So appropriately, they're worried about the kid, they call emergency medical services, they bring them to the emergency department, and by and large, by the time they get there, the stridor has resolved. The kid is calm, and parents will say, I swear he looked a lot worse at home. Trust me, we believe you parents, this is what croup does. When I'm taking a history of croup, I get all of these details. Are there any sick contacts? If the parents are worried about a foreign body inhalation or ingestion, then I'm worried about a foreign body inhalation or ingestion. Listen to the lungs, inspect their airway. Always check the ears for concomitant otitis and I'll feel their trachea. I'll actually grab and hold the trachea and move it. Kids with croup really don't have a painful trachea. Kids with bacterial tracheitis, aside from looking more toxic, actually have a lot of pain when they move their trachea. Testing for croup is generally unnecessary. Labs and viral studies do not change management, and imaging is really reserved for atypical presentations or when you're considering an alternative diagnosis like a foreign body. If you do get an X-ray, what you're looking for is the classic steeple sign on the AP view. It is seen in croup, but it's not 100% sensitive nor specific. Once you've made the diagnosis of croup, it's important to assess severity, and remember that I said that most kids are mild. So mild croup is defined by the absence of stridor at rest. So they may have some stridor when they're upset or even a little bit of hoarseness or noise. It's important to listen to many, many children with croup to get a sense of this. Moderate croup includes stridor at rest with mild to moderate retractions. So at rest means that the child is in a position of comfort. They're calm with a parent, and they've generally been that way for about 10 to 15 minutes. Sometimes that's how long it can take for the stridor to dissipate once you get the kid calm. Severe croup, which is fortunately rare, involves marked work of breathing, agitation, fatigue, need for oxygen, altered mental status, and this aligns with the Westley croup score. It formalizes stridor, retractions, air entry, cyanosis, and mental status. But really, in practice, most of us get very good at bedside assessment of croup. Management of croup starts with corticosteroids. This is one of the highest-yield interventions that we have in pediatric emergency medicine. Every child with croup should receive dexamethasone. Typically 0.6 milligram per kilogram as a single dose up to a maximum of 10 milligrams. Some places will use 0.15 milligram per kilogram. Locally, we often give the IV formulation orally. It's 10 milligrams per mL. Tastes bad, but pairs reasonably well with apple juice. The oral suspension is 1 milligram per mL, tastes terrible, and pairs nicely with being spit on the ground by toddlers. The evidence behind dexamethasone is very robust. The main benefit is that it reduces return visits and hospital readmissions by about half, and those return visits include doctor's offices and emergency departments. In a Cochrane review of 1,679 children, glucocorticoids reduce return visits or readmissions with a risk ratio of 0.52, so that translates to a number needed to treat of seven. I've certainly seen seven or more croup kids during one shift, so for every seven children treated with dexamethasone, one return visit is prevented. Symptom improvement begins within about two hours and lasts at least 24 hours, but maybe up to a couple of days. Hospital length of stay for kids that get steroids is reduced by an average of 15 hours as well. Serious adverse events are rare. It's well tolerated, and other than the taste, kids do fine with it. And importantly, the benefit is consistent across all severities of croup, mild, moderate, and severe. So when you explain this to families who are very scared about their kids, but now their kid is looking better and you're only giving them a single medicine, not doing any tests or X-rays or anything, I think you have to frame the medicine in terms of what it's going to do for them over the next couple of days. So one way of explaining this to families would be to say something like this is a steroid called dexamethasone. It reduces the swelling in your child's airway that's causing the barky cough and noisy breathing. Most children start feeling better within a couple of hours, and the benefit lasts at least a full day, if not longer. Without this medicine, about one in five children need to come back because symptoms get worse again. You really get two bad days with croup in most cases. With this medicine, the risk of returning drops to about one in 10, so it cuts the chance of coming back in half. We can expect your child's cough to start improving over the next day or two. Most children are feeling a lot better within 48 hours, though a little bit of hoarseness and cough can last for a week to about 10 days. So it's possible that when your child goes to sleep later tonight, they may experience that barking cough and noisy breathing again. They're almost certainly going to be upset. The steroid blunts enough of the swelling so that you are much more likely to have them free of distress and stridor, that noisy breathing, once you get them calm. So if they're upset, get them calm, and if in about 10 minutes the stridor and noisy breathing get better, that's the dexamethasone doing its job and you can safely stay home. For children with moderate or severe croup, we're gonna use nebulized racemic epinephrine. It works fast by reducing airway edema by constricting inflamed blood vessels. You'll see improvement in stridor and work of breathing often within 30 minutes. The effect is transient and largely gone by about two hours, and you need to do a structured reassessment at about 30 minutes after the racemic epinephrine. If the child's clearly better, continue that observation for up to two hours. If they're unchanged or worse, repeat the epinephrine and start thinking more carefully about your diagnosis and disposition. Because it's got such a short duration, that two hours after treatment is the most common time period, though some institutions and some children will need to be observed a little bit longer. If they remain well appearing with no stridor at rest, normal oxygenation, minimal work of breathing, and they can tolerate oral fluids, they can be discharged. If symptoms recur, they require repeated epinephrine, or they fail to improve, then you may have to escalate care and consider admission. Honestly, with croup, supportive care is still one of the most important things. You gotta keep kids calm by minimizing agitation. Parents are experts at this with their own children. Agitation worsens airway obstruction. Airway resistance is fourfold greater when the kid's upset. Give oxygen if the kid's hypoxic. Fortunately, this is rare. Antipyretics and fluids are great, do them. Humidified air has not been shown to provide meaningful benefit, and obviously we should avoid sedatives because they can suppress respiratory drive without improving airway patency. Many parents will say that their kid was better when they were exposed to cool air or mist in the shower. Those can help, but honestly, don't stick your kid's head in the freezer if it upsets them. Keep them calm, hold them, and comfort them. Alright, croup, barking cough, stridor, variable symptoms, easy, right? There are some other diagnoses that can mimic this or overlap that you shouldn't miss. Spasmodic croup is a related phenotype. You've got sudden nighttime onset, often minimal prodrome, and recurrent episodes. These kids are typically well between episodes, and the pattern becomes more apparent over time. Some kids will bark with every mild cold or stuffy nose up until about eight or nine, but they usually don't have stridor and respiratory distress. Bacterial tracheitis is progression to a more severe and dangerous airway infection. These children often start with viral symptoms and then rapidly worsen. They've got a high fever, they appear toxic. Most importantly, they fail to respond to standard croup therapy. Toxic appearance plus lack of response should immediately shift your diagnostic reasoning. These kids may have a lot of pain when you grab and move their trachea. The cough can be more junky because again, they've got purulent mucus in their trachea. Epiglottitis is defined by the absence of barking cough and the presence of drooling, dysphagia, and tripod positioning. These children are very anxious, they're very ill, their airway is at risk, and so your immediate priority is keeping them calm and having the airway managed in the safest environment, generally the operating room. Deep neck space infections, including retropharyngeal cellulitis and abscesses and peritonsillar abscesses, present with fever, neck stiffness, sometimes even torticollis, and lymphadenopathy. Kids won't really have a barky cough and the exam localizes to the neck rather than the airway alone. Acute foreign body aspiration presents with sudden onset symptoms, no viral prodrome, no barking cough, and sometimes some asymmetric exam findings. The diagnosis is frequently missed when clinicians anchor too early on croup. If you have an esophageal foreign body, remember that 70% of these get stuck at the thoracic inlet. So always think about a kid who sounded like they had croup and got croup treatments, but also has some swallowing issues and is the right age to put things in their mouth. This is when you see coins and button batteries and other things stuck not in the upper airway, but in the esophagus right behind it. Alright, now when it comes to disposition, most kids with croup are gonna be sent home. Children who improve, they have no stridor at rest, minimal work of breathing, can be discharged home with clear return precautions. Those with persistent symptoms, need for repeated racemic epinephrine, hypoxia, or concerning features should be admitted. For kids who continue to worsen despite standard therapy, escalation includes high-flow nasal cannula, noninvasive ventilation as a bridge. Heliox can be used as a temporizing measure to reduce work of breathing. Fortunately, needing to intubate a child with croup is rare, but when it's needed, it can be challenging due to subglottic narrowing. You need the best proceduralists, and you should downsize your endotracheal tube by 0.5 to 1 millimeter smaller than usual. And I'll reiterate this again. The natural course of croup is really favorable for most kids. The fear's not gonna go away for the parents, this is a scary diagnosis, but I think with some reassurance, we can help them understand that this is something that is unlikely to cause significant problems and will get better. Most kids improve significantly within 48 hours, though like any other respiratory illness, symptoms can persist for a week or so. Severe outcomes are fortunately rare, and they almost always occur in children whose severity or alternative diagnosis was not recognized early. So again, here's my take-home points. Croup is a clinical diagnosis. Severity determines your management. Steroids, dexamethasone, should be given to all patients. Racemic epinephrine is used for moderate to severe disease with mandatory reassessment and observation. And most importantly, always reassess the diagnosis when the presentation does not fit the expected patterns. Things can get rough when you're barking up the wrong tree and thinking it's croup when it's actually something else. Well, I hope you enjoyed this episode on honestly one of the most classic conditions that we see in the pediatric emergency department. If you've got any feedback on the episode, send it my way. As the kids would say, like, rate, and review. I would love it if you left a review on your favorite podcast site. It helps more people find the show. I do this as a labor of love because I enjoy teaching, and I think that this is a wonderful way to reach my colleagues and learners. If you've got suggestions on other topics or episodes, I'd love to hear them. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.

Part Two of a Two Part SeriesOn June 30, 2025, officers from the North Andover Police Department in Massachusetts responded to what should have been a routine domestic call at the home of one of their own. Twenty-nine-year-old Officer Kelsey Fitzsimmons—on maternity leave with her four-month-old son—was being served a restraining order filed by her ex-fiancé amid a heated custody dispute. Moments after the officers entered, the situation exploded.Fellow officer Patrick Noonan drew his weapon and fired twice, striking Fitzsimmons in the chest. She survived, but the aftermath ignited a firestorm: Was Fitzsimmons, claiming a mental-health crisis and postpartum struggles, attempting suicide by pointing the gun at herself? Or did she turn the weapon on a fellow cop and pull the trigger first, as Noonan and prosecutors alleged?In this Exposed: Investigates episode, Jim unpacks the dramatic bench trial that gripped Essex County, the conflicting eyewitness accounts, the absence of body-camera footage, and the raw questions about police training, mental health support, and what happens when the thin blue line turns inward.  From the tense moments inside that bedroom to the judge's stunning verdict, this is the full, unflinching story of a cop-on-cop shooting that no one saw coming—and the verdict that left an entire department divided.Timestamps02:00  Justin's Alleged Crimes02:57  Kelsey's Hospitalization and Arrest05:01  Kelsey's Statement from the Hospital11:43  Grand Jury Findings and Charges13:12  Kelsey's House Arrest Conditions24:43  Court Hearing and Judge's Decision32:18  Kelsey's Trial Begins41:32  Verdict For commercial free early releases, bonus episodes and more! https://www.patreon.com/exposedpodcastfilesBecome a supporter of this podcast: https://www.spreaker.com/podcast/exposed-scandalous-files-of-the-elite--6073723/support.

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Send us Fan MailMany people are told their symptoms are “normal,” psychosomatic, or simply stress-related, even when they know something deeper is wrong.In this episode of Never Been Sicker, Michael Rubino sits down with Miriam Putnam, a board-certified health and wellness coach and freedom-from-stress counselor, to talk about the connection between body health, mental health, and environmental triggers.They discuss why so many people end up on prescription medication before finding the true root cause, how mold, Lyme, allergies, and other hidden stressors can affect both the body and mind, and why self-advocacy matters so much in today's healthcare system.Miriam also shares her own story of a traumatic accident, neurological Lyme symptoms, and the long path toward finding answers outside the standard medical box.Timestamps00:00 Intro: Meet Miriam Putnam00:41 What Miriam does: body health, stress counseling, and holistic support01:14 Have we “never been sicker”?02:04 Why so many people are on prescription medication03:40 What could really be underneath the symptoms05:16 How Miriam's journey began through her mother's struggles07:14 Medical gaslighting and being told symptoms are “all in your head”08:42 Insurance limitations and why testing often falls short09:51 Is healthcare designed to create wellness or profit from sickness?11:24 Why mental health care often masks symptoms instead of solving them15:56 Michael's story about nearly being medicated as a child16:55 Parenting, school systems, and how quickly kids can be labeled18:34 PANS, PANDAS, and environmental triggers behind behavioral symptoms20:30 Why real care is often only accessible to those who can afford it21:48 How Miriam helps people get to the root cause24:24 Informed consent and learning to advocate for yourself26:39 The biggest lies in mental health and medicine27:03 Miriam's family's experience spending nearly $1 million seeking answers30:10 Why fixing body health is foundational to mental health31:05 The need for more comprehensive blood testing32:57 Why the U.S. approach to wellness is falling behind34:06 Miriam shares her personal Lyme disease story35:33 The airboat accident that changed everything37:56 Hospitalization, worsening symptoms, and neurological Lyme39:07 Getting real answers through integrative testing40:12 The healing modalities Miriam explored42:38 Trauma, immunity, and what may activate deeper health issues45:05 How many doctors it took before she found answers47:17 Why personal advocacy matters for everyone48:41 How to connect with Miriam and get her wellness checklist50:09 Final thoughts-----------------------------------------------------------------------------------------------

Every week brings two ways to grow: Tuesdays dive into the physical next steps with real-life guidance for seniors and families, and Fridays uplift the heart with spiritual and emotional next steps—encouragement, faith, and hope for the journey ahead. Today’s episode explores the transformative power of forgiveness and its vital role in experiencing an abundant life as we age. To learn more about Next Steps 4 Seniors, contact us at 248-651-5010 or visit us online at www.nextsteps4seniors.com. Learn more : https://omny.fm/shows/next-steps-4-seniors-with-wendy-jonesSee omnystudio.com/listener for privacy information.

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Discover the heartbreaking case of April Lynn Holt, a young woman whose life was tragically cut short amid emotional manipulation, unanswered questions, and a justice system that left her family fighting for more.In this episode of Murder in the Black, we walk through April's story — from her vibrant life as a beauty entrepreneur and social media influencer to the disturbing details surrounding her death, the evidence that raised red flags, and the legal outcome that continues to spark outrage.This is more than a case.It's a conversation about emotional abuse, missed warning signs, and what justice really looks like when the system falls short.

Holly Porter, Hon. Ph.D. is a spiritual entrepreneur,author of Near Death SHIFT, and survivor of a profound near-death experience during a 70-day COVID hospitalization. Her journey through realms oflight and angelic guidance inspires others to embrace purpose, healing, and transformation. Connect with Hollyat https://linktr.ee/hollyporter. #drdanamzallag, #drdanpodcast, #Happinessjourneywithdrdan, #ddanmotivation,#inspiringinterviews,

The ‘CHATGPT' Of Oncology: How AI Is Bridging The Gap In Cancer Care A person's life expectancy should never be determined by their zip code, yet access to top-tier cancer centers remains a major factor in survival rates. To bridge this gap, a new AI-driven platform is providing patients with expert breakdowns of their specific diagnosis. Our experts this week discuss how this new tool is ensuring all patients have access to the most effective and up-to-date care strategies available. Guests:  Simone Jensen, founder & CEO, Radical Health Elisabeth Drabkin, board member, Radical Health's Patient Advisory Board Host: Elizabeth Westfield Producer: Kristen Farrah     The Patient Playbook: Navigating Billing Systems And Reducing Medical Debt Do you know that you should never pay a medical bill as soon as you receive it? This is just one of many common mistakes patients make that's losing them a lot of money. Our expert this week breaks down how to take control of your financial health and get rid of unnecessary medical debt. Guests: Caitlin Donovan, senior director, Patient Advocate Foundation Host: Greg Johnson Producers: Kristen Farrah Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Patient Playbook: Navigating Billing Systems And Reducing Medical Debt Do you know that you should never pay a medical bill as soon as you receive it? This is just one of many common mistakes patients make that's losing them a lot of money. Our expert this week breaks down how to take control of your financial health and get rid of unnecessary medical debt. Guests: Caitlin Donovan, senior director, Patient Advocate Foundation Host: Greg Johnson Producers: Kristen Farrah Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Severe vitamin D deficiency is linked to a sharply higher risk of hospitalization for respiratory infections such as bronchitis and pneumonia, turning common illnesses into serious medical events Adults with the lowest vitamin D levels face worse outcomes after pneumonia, including a much higher risk of dying months after hospital discharge, even when initial illness appears mild Higher vitamin D levels are associated with fewer everyday respiratory infections like colds and flu, reducing how often illness disrupts work, sleep, and daily life Vitamin D deficiency is widespread, often silent, and driven by limited sunlight exposure and modern indoor lifestyles, making it a correctable risk factor rather than an unavoidable one Combining systemic immune support from vitamin D with early, localized airway defenses helps stop respiratory infections from gaining momentum before they escalate

Patty Riddle Kirshner, a Nebraska pastor and evangelist, shares how her life changed when COVID swept through her church in August 2020. Patty spent 83 days in four hospitals, over four weeks in a coma, suffered paralysis from the neck down, and died briefly from cardiac arrest. During that moment, she describes being in heaven's "glory," overwhelmed by God's presence, seeing an unusual sky color and things that stunned her. God told her she could stay or return; she chose to come back because there was more work to do.  After extensive rehabilitation, she recovered movement and a national news team welcomed her home. Tragically, she soon faced her husband Ronnie's glioblastoma diagnosis; he died in May 2021. Patty reflects on the anger, the grief, learning to live "in the moment," staying connected to community and church, starting the widows' group Embrace, and testifying that God remained faithful through suffering, loss, and renewed purpose.  00:00 A Glimpse of Glory  00:41 Meet Patty and Her Story  01:33 Life Before COVID  02:37 Symptoms and Denial  04:43 Hospitalization and Fear  07:20 Coma and Ventilator Fight  10:29 Heart Stops Heaven Visit  13:36 Choose to Stay or Go  14:48 Rehab Isolation and Fear  18:45 Recovery and Witnessing  20:41 Vision of Anointing  22:24 Husband's Fall and Diagnosis  24:17 Grief After Loss  25:58 Finding Hope Again  26:56 New Love And Calling  28:51 Hard Questions Anger  31:14 Staying In The Moment  33:22 Advice For Widows  36:20 Embrace Support Group  40:59 Knowing God Is Real  44:07 Haiti Prophetic Warning  45:20 Ministry Links And Prayer of blessing over listeners  Patty's facebook page: https://www.facebook.com/p/Evangelist-Patty-Riddle-100081176667734/  Patty's Website: https://www.womenunitedministry.com/

New AHA/ACC guidelines overhaul pulmonary embolism management with a five-tier risk classification, endorsing ED discharge for low-risk patients and DOACs as first-line therapy. A JAMA trial confirms IV acetaminophen adds modest but real pain relief when combined with morphine. A large cohort study shows SGLT2 inhibitors dramatically reduce kidney, cardiovascular, and liver complications in diabetic cirrhosis patients.

High-Dose Influenza Vaccine Effectiveness against Hospitalization in Older Adults* High-Dose Influenza Vaccine to Reduce Hospitalizations* Efficacy of high-dose versus standard-dose influenza vaccine in older adultsBeta-blockers after myocardial infarction: effects according to sex in the REBOOT trial This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

METs and VA Disability Ratings — What Veterans Should Know About Heart ClaimsHosted by: Leah Bucholz, Founder & CEO of Prestige Veteran Medical Consulting

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Effective value-based care depends on tight care coordination, clinician trust, and financial alignment that prevents avoidable hospitalizations. In this episode, three healthcare leaders discuss why proactive kidney care depends on early identification and ongoing patient education, long before dialysis decisions become urgent. Colette Boroch, Director of Clinical Services at PRINE Health, explains how early screening, repeated education, and removing barriers like transportation help prevent patients from “crashing” into the hospital. Kathryn Anderton, Vice President of Clinical Operations at ThoroughCare, shares how care management platforms reduce documentation burden, standardize workflows, and free clinicians to focus on patients, while Jonathan Goldstein, Chief Financial Officer at PRINE Health, outlines how care coordination lowers avoidable utilization, improves quality metrics, and supports shared savings. Together, they explore provider buy-in, fragmented data, AI-enabled scalability, and why value-based care must be treated as a strategic asset. Tune in and learn how clinical care, technology, and finance must work together to successfully scale value-based care. Resources Connect with and follow Colette Boroch on LinkedIn. Follow PRINE Health on LinkedIn and discover their website! Follow and connect with Kathryn Anderton on LinkedIn. Learn more about ThoroughCare on LinkedIn and explore their website. Listen to Kathryn's previous interview on the podcast here. Email Kathryn directly here.

Health Affairs' Rob Lott interviews John Scott of the University of Washington about his recent paper exploring findings on the financial fallout from traumatic injuries, highlighting persistent medical debt burdens and the policy gaps that leave many patients unprotected. Order the February 2026 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast

Am I the Jerk? is the show where you can confess your deepest darkest secrets and be part of the conversation.

Surgery of some kind or another is a near universal experience for medically complex kids. (And yes, procedures that involve anesthesia or something similar count too!) And these experiences don't just affect our children, but our entire families. In this episode of The Rare Life, Alyssa and Madeline dig into all of the big feelings that come up before, during and after our kid's surgeries, the heart-rending questions we ask ourselves when deciding which surgeries are necessary, and advice from the community for getting through these tough moments. Whether you're planning for an upcoming surgery for your child or you've been through one in the past and feel like you're still processing, there's something for you in this episode. And our FUEL The Rare Life fundraiser is live! Help us fund the podcast for another year by sharing our fundraiser with your loved ones and community so we can keep supporting you! Learn more here.Links: Share our FUEL The Rare Life fundraiser! Listen to Ep 170: Hospitalizations. Listen to Ep 180: Does It Get Easier? Listen to Ep 140: A Mistaken Brain Surgery (Alyssa's Story). Join The Rare Life newsletter and never miss an update! Fill out our contact form to join upcoming discussion groups! Follow us on Instagram @the_rare_life! Donate to the podcast or Contact me about sponsoring an episode.

This episode is going to be one of the most honest conversations I've ever had on Yo Quiero Dinero. It's a raw, unfiltered conversation about what happens when you mix family and business—and spoiler alert: it gets messy as hell. My sister Lianne is back after a year-long hiatus, and we're spilling ALL the tea. From her rapid social media growth that turned into a nightmare with death threats, to being diagnosed with MS at 37, to almost filing for bankruptcy—this episode holds nothing back.We talk about what it was really like when she worked for me while I was a brand new mom, how her personal struggles spilled into the business, and why we ultimately had to make the difficult decision to part ways professionally. This isn't some sanitized "family business success story", it is the real shit that nobody talks about.If you've ever worked with family, hired a family member, or wondered if you should mix business with blood, this episode is required listening.WE GET INTO: 00:00 - Intro: Family, Business & Messy Dynamics02:03 - From 0 to 100K Followers to Death Threats05:03 - MS Diagnosis, Hospitalization & Bankruptcy07:20 - "I Was a Horrible Employee": Taking Accountability10:58 - The Performance Improvement Plan & Final Warning30:38 - The Money Problem: 1099 Tax Chaos37:26 - Digging Out of the Spiral: The Brutal Reality41:36 - Landing the New Job & Finding Peace54:56 - The 2026 Comeback: What's Different This Time58:29 - Should You Work with Family? The Real AnswerKEY TAKAWAYS:​​The gift and curse of rapid social media growthWhy follower counts don't equal moneyHow to navigate difficult conversations with family in businessRecognizing when a business relationship has reached its expiration dateThe importance of boundaries in ALL relationshipsHow to rebuild after burning everything downRESOURCES MENTIONED:Listen: Episode 179: 2 Sisters, 2 Survivors | Lianne Torres | Watch Us Thrive PodcastErica KramerCONNECT WITH LIANNE:WebsiteInstagram: @watchusthrivepodcastTAKE THE NEXT STEP:Yo Quiero Dinero Private MembershipRead my book: Financially LitLeave me a voicemail*Content Warning: This episode contains discussions of mental health struggles, financial hardship, and online harassment.This episode of Yo Quiero Dinero was produced by Heart Centered Podcasting. Hosted on Acast. See acast.com/privacy for more information.

In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss with disgust the decline and fall of American public health and the rise of "only me" when highlighting completion of the US withdrawal from the WHO and possibility of making IPV and MMR optional vaccines, before Dr. Griffin then deep dives into recent statistics RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, Europe losing its measles elimination status, first measles death in Mexico, almost 1000 measles cases in South Carolina, where to find PEMGARDA, how to access and pay for Paxlovid, long COVID treatment center, the effectiveness of this season's influenza vaccine, where to go for answers to your long COVID questions and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode US completes withdrawal from World Health Organization (AP News) Rejecting Decades of Science, Vaccine Panel Chair Says Polio and Other Shots Should Be Optional (NY Times) A Frightening Interview (Beyond the Noise) Unexplained Pauses in Centers for Disease Control and Prevention Surveillance: Erosion of the Public Evidence Base for Health Policy (Annals of Internal Medicine) Wastewater for measles (WasterWater Scan) UK among 6 European countries losing measles elimination status (Dougall MD: DG Alerts) European Regional Verification Commission for Measles and Rubella Elimination (RVC) (WHO: Europe) Measles Outbreak Associated with an Infectious Traveler — Colorado, May–June 2025 (CDC: MMWR) South Carolina measles cases hit 789, surpassing Texas' 2025 outbreak total (Reuters) Measles cases and outbreaks (CDC Rubeola) Tracking Measles Cases in the U.S. (Johns Hopkins) Measles vaccine recommendations from NYP (jpg) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) States across the country report first measles cases of year(CIDRAP) First measles death confirmed in Mexico in 2026 (Mexico News) Influenza: Waste water scan for 11  pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) Influenza Vaccine Effectiveness Among Children With and Without Underlying Conditions(Pediatrics) OPTION 2: XOFLUZA $50 Cash Pay Option(xofluza) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Effectiveness and Durability of the BNT162b2 KP.2 vaccine against COVID-19 Hospitalization and Emergency Department or Urgent Care Encounters in US Adults (OFID) Where to get pemgarda (Pemgarda) EUAfor the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) Understanding Coverage Options (PAXCESS) Infectious Disease Society guidelines for treatment and management (ID Society) Association of Nirmatrelvir-ritonavir with intubation or mortality risks in severe COVID-19 patients (BMC Infectious Diseases) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Anticoagulationguidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1292 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

Talltail gets trapped. By love.Resources: Mobilize.usStand With MinnesotaMN Immigrant Rights Action Committee (MIRAC)The Immigrant Defense NetworkImmigrant Law Center of MNBook: Super Edition: Tallstar's Revenge Support us on Ko-fi! WCWITCast Ko-fiFollow us on BlueSky! WCWITCastFollow us on Instagram! WCWITCastCat Fact Sources:Who Is Shaving Virginia's Cats? - Atlas Obscura Mystery in Virginia: Someone is shaving other people's cats | AP NewsWaynesboro woman warns others of cats being shavedWaynesboro cat owners fearful over pets getting 'shaved'Alert issued in Kent after cats shaved in spate of attacksMetro Co UK - Phantom Shaver in KentWarning to cat owners after pets shaved in 'disturbing' spate of attacks across Kent | ITV News MeridianYoutube - ITV News, Kent Cat ShaverMusic:Happy Boy End Theme Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 4.0https://creativecommons.org/licenses/by/4.0/This transformative podcast work constitutes a fair-use of any copyrighted material as provided for in section 107 of the US copyright law. Warrior Cats: What is That? is not endorsed or supported by Harper Collins and/or Working Partners. All views are our own.

When does sadness become a disease? Grief? Dr. Roger McFillin sits down with Mary Ann Kenny a lecturer, a mother of two, and the author of The Episode: A True Story of Loss, Madness and Healing. Ten years ago, her husband went out for a morning run and never came home. What followed was grief—and then a collision with a psychiatric system that would change her life in ways she never could have anticipated. Visit Center for Integrated Behavioral HealthDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

In his weekly clinical update, Dr. Griffin and Vincent Racaniello are bewildered and dismayed by RFK Jr's announced changes in the routine childhood immunization schedule, though not unpredicted, and highlight the science and evidence which eviscerate these changes, then deep dives into recent statistics on the measles epidemic- in particular in South Carolina, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, estimated societal burden of COVID-19 illness, deaths and hospitalizations, benefit of maternal COVID-19 vaccination, where to find PEMGARDA, how to access and pay for Paxlovid, long COVID treatment center, where to go for answers to your long COVID questions, neurodevelopmental consequences of in-utero SARS-CoV-2 infection and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Childhood Immunization Schedule by Recommendation Group (US Health and Human Service) Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger (American Academy of Pediatrics) Kennedy Scales Back the Number of Vaccines Recommended for Children (NY Times) There RFK Jr. Goes Again . . .(Wall Street Journal) Hepatitis B Vaccination is an Essential Safety Net for Newborns (Johns Hopkins Bloomberg School of Public Health) Effectiveness and Impact of Maternal RSV Immunization and Nirsevimab on Medically Attended RSV in US Children (JAMA Pediatrics) Rotavirus (College of Physicians of Philadelphia) Hepatitis A in the Era of Vaccination (Epidemiologic Reviews) Meningococcal Vaccination in the United States: Past, Present, And Future (Ped Drugs) Meningococcal Vaccination: Recommendations of the Advisory Committee on Immunization Practices, United States, 2020 (CDC: MMWR) N.Y. DOH says childhood vaccine recommendations remain unchanged despite CDC's update (Spectrum 1 News) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Tracking Measles Cases in the U.S. (Johns Hopkins) South Carolina measles cases rise by 26 to 211, state health department says (Reuters) Measles vaccine recommendations from NYP (jpg) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) Influenza Vaccine Composition for the 2025-2026 U.S. Influenza Season (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) Estimated Burden of COVID-19 Illnesses, Medical Visits, Hospitalizations, and Deaths in the US From October 2022 to September 2024 (JAMA Internal Medicine) The Role of Vaccination in Maternal and Perinatal Outcomes Associated With COVID-19 in Pregnancy (JAMA) Where to get pemgarda (Pemgarda) EUAfor the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) UnderstandingCoverageOptions (PAXCESS) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Anticoagulationguidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID The COVID generation: the neurodevelopmental consequences of in-utero COVID-19 exposure (Brain, behavior and Immunity) Reaching out to US house representative Letters read on TWiV 1286 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

Jen Sabella, the Director of Strategy and co-founder of Block Club Chicago, joins Bob Sirott to share the latest Chicago neighborhood stories. She provides details on: Flu Hospitalizations In Chicago Hit 3-Year High: The rise is driven by a new variant called subclade K that's led to outbreaks across the globe. There's still time to get […]

Welcome to a new episode of 'Colon, Meet Cancer' from A Shot in the Arm Media. In this first episode of 2026, Ben shares his experiences of treatment side effects while living with stage four colorectal cancer, and how these impact his ability to live as near a normal life as possible. Also covered are unexpected complications like clostridioides difficile and pulmonary embolism, which had Ben hospitalized in December 2025. He also reflects on his interactions with medical staff, including the invaluable support from nurses, and discusses his thoughts on resilience, the future, and living beyond the diagnosis. Join Ben as he candidly narrates his personal cancer journey and hopes for the year ahead. 00:00 Introduction and Diagnosis 01:08 Coping with Chemotherapy 03:06 Maintenance Therapy Explained 06:41 Hospitalization and Complications 09:33 Reflections on Healthcare and Diversity 12:21 Christmas Reflections 14:16 Living with Uncertainty 17:27 Looking Ahead to 2026 Join the Conversation! If you or someone you know is living with cancer, share your experiences and thoughts in the comments! Check Out Ben's Substack: https://substack.com/@benplumley1 Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

High-Dose Influenza Vaccine Effectiveness against Hospitalization in Older Adults

For the latest and most important news of the day | https://www.thecanadianpressnews.ca To watch daily news videos, follow us on YouTube | https://www.youtube.com/@CdnPress The Canadian Press on X (formerly Twitter) | https://twitter.com/CdnPressNews The Canadian Press on LinkedIn | https://linkedin.com/showcase/98791543

In this episode, we sit down with Sebastien Scemla, a Florida-licensed real estate broker and developer who runs a family fund focused on income-producing real estate across Miami. A Miami native and early investor in neighborhoods like the Design District, Little River, Wynwood, and North Miami, Sebastien shares how he identifies emerging markets before the mainstream catches on.As the founder of Omega Real Estate Management Group, Sebastien has brokered and sponsored over $300M in commercial real estate, assembled key properties prior to major value spikes, and played a pivotal role in the redevelopment of Downtown North Miami, including the vision behind The Gardens District.We dive into his long-term approach to market analysis, negotiation, public incentives, and urban redevelopment, as well as his philosophy on community impact, live-work-play developments, and building lasting value through real estate.

In the 200th episode of Health & Veritas, Harlan offers end-of-the-year reflections on medicine drawn from his editor's notes in JACC (the Journal of the American College of Cardiology), and Howie provides updates on gun violence, flu, measles, and the health benefits of yoga. Show notes: Editor's notes by Harlan Krumholz "The Day I Became a Doctor" "When Your Patient Dies" "Rethinking Physician Certification: A Call for a Modern, Meaningful Standard" Gun violence, flu, and measles "Mass shootings outnumber annual days in U.S., children are missing school due to measles, Covid-19 is peeping around the corner, and some hope" "Measles outbreaks worsen in South Carolina, Arizona and Utah" "Connecticut reports first measles case in years" "New Flu Variant May Be Triggering Spike in Severe Disease" "High-Dose Influenza Vaccine Effectiveness against Hospitalization in Older Adults" "Pfizer Reaffirms Full-Year 2025 EPS Guidance and Provides Full-Year 2026 Guidance" The benefits of yoga "Yoga for chronic non‐specific low back pain" "Yoga-based interventions may reduce anxiety symptoms in anxiety disorders and depression symptoms in depressive disorders: a systematic review with meta-analysis and meta-regression" "Effect of Yoga on Frailty in Older Adults" "Yoga in autoimmune disorders: a systematic review of randomized controlled trials" "Long-term effects of yoga-based practices on neural, cognitive, psychological, and physiological outcomes in adults: a scoping review and evidence map" "Yoga isn't just for flexibility. It may also protect brain health." In the Yale School of Management's MBA for Executives program, you'll get a full MBA education in 22 months while applying new skills to your organization in real time. Yale's Executive Master of Public Health offers a rigorous public health education for working professionals, with the flexibility of evening online classes alongside three on-campus trainings. Email Howie and Harlan comments or questions.

He quit during Hell Week. Most don't come back. Jovon Quarles did — and became a Navy SEAL Honor Graduate.Born into chaos in Washington D.C., Jovon grew up with a mom addicted to crack, no father, and violence all around. He became a dad before he graduated high school. Then he joined the Navy — not because he wanted to, but because he had no choice.He found the SEAL Teams by accident. But what followed wasn't luck — it was pain, failure, and redemption.In this Urban Valor interview, Jovon walks us through:- Quitting his first Hell Week and what it did to his soul- Fighting to go back and earn the Trident- The mindset it takes to finish BUD/S- Real SEAL Team deployments in combat zones- Why he says pain is the path- And how he turned his lowest moment into a missionThis isn't just a Navy SEAL story. This is what it looks like to lose everything… and choose to fight anyway. If you're struggling, stuck, or feel like it's too late — this one's for you.

Pussycat Doll's SHOCKING Vax Injury & Spiritual Awakening In this powerful and candid episode of the Unlimited Podcast, host Elizabeth Carson sits down with former Pussycat Doll Jessica Sutta for an incredibly honest, unfiltered conversation about her life's dramatic shifts, from the dizzying heights of fame to a terrifying health crisis and profound spiritual awakening.TIME STAMPS:* 00:00:00 Introduction to Jessica Sutta* 00:02:06 Jessica's Early Life & Dancing Career (Miami Heat, Will Smith)* 00:06:00 Joining the Pussycat Dolls (PCD)* 00:08:56 The Downsides of Fame and Narcissistic Traits* 00:16:44 The Self-Hate, Abusive Relationships & Alcoholism* 00:21:00 Spiritual Awakening and Sobriety* 00:27:40 The Decision to Get the Vaccine* 00:28:46 Adverse Reaction Symptoms Begin* 00:30:22 Hospitalization and Dismissal* 00:32:14 The Weaponization and Psyops of the Vax* 00:34:50 Her Mother's Death & Advocacy Work (REACT19)* 00:37:10 Recovery and Stem Cell Therapy Success* 00:41:00 The Decline in Loved Ones' Health* 00:54:50 Why She Feels Safe Speaking Out* 01:00:00 Humanity and the Importance of God-Given Immunity* 01:03:00 How to Support Jessica and REACT19### ➡️ Follow Jessica Sutta:X: @JSuttaInstagram: @JessicaSuttaREACT19 (Nonprofit for the Injured): https://react19.org✨ Follow Me or Join the Journey:Your first step towards peace: https://unlimitedmeditationpack.com/Text UNLIMITED to (954) 539-1259 for updates on when Elisabeth goes live, drops a new podcast, or exclusive updates on what's happening with her community

On this Public Health Thank You Day, ASTHO's Chief Medical Officer, Dr. Susan Kansagra, joins us to share encouraging news from the front lines of public health. Thanks to increased partnerships with birthing hospitals and the rollout of monoclonal antibodies for infants and the maternal RSV vaccine, infant RSV hospitalizations dropped nearly 30–40% last season, one of the most significant improvements in years. Dr. Kansagra also discusses a major decline in overdose deaths, driven by expanded community partnerships, naloxone distribution, peer support specialists, and innovative response programs.  Looking ahead, she explains what's next with the new $50 billion Rural Health Transformation Grant, how states plan to use this funding to strengthen workforce, behavioral health, chronic disease prevention, and health technology, and reflects on the collective hard work of the nation's public health workforce heading into the holiday season.

What if mania isn't a malfunction — but a message from the psyche trying to heal?Sean Blackwell is an author, teacher, and researcher who has spent nearly two decades exploring the spiritual and somatic dimensions of bipolar disorder. His work challenges the mainstream psychiatric model by suggesting that episodes of mania, depression, and psychosis often have trauma roots and can reflect deep inner attempts at healing rather than symptoms of a broken brain.In 1996, Sean went through a sudden and life-altering psychotic-spiritual emergency - an experience that would send him on a lifelong path of studying consciousness, trauma, and the symbolic nature of extreme states. Years later, after training with Grof Transpersonal Training, he developed Bipolar Breathwork, a somatic healing method designed to help people safely release the emotional and energetic blockages underlying bipolar symptoms.Since 2007, Sean has taught internationally, run immersive healing retreats, offered long-distance breathwork sessions, and released dozens of educational videos to help people reframe bipolar disorder as a potentially meaningful and transformative process. His book Bipolar Awakenings and his upcoming second book continue this work - bridging psychology, spirituality, trauma science, and subtle-body energetics into a new way of understanding human breakdown and human growth.Sean's approach is deeply interesting, compassionate, and grounded in real lived experience - a perspective that has helped many people find hope, coherence, and self-understanding after years of confusion or misdiagnosis.This episode explores the somatic roots of bipolar disorder, the symbolic language of psychosis, the role of trauma in extreme states, and how Kundalini and breathwork can create dramatic shifts in consciousness.Notable quotes from the episode:“People think delusions are random. But around the world, the same 13 spiritual delusions show up. There is structure.” - Sean“Breakdowns often happen because something in us finally refuses to stay buried.” - Sean“I've met so many people who weren't sick - they were overwhelmed by a truth they weren't taught how to carry.” - Jacob“What psychiatry calls a disorder can be the beginning of a profound inner journey.” - Sean“Trauma doesn't live in the mind. It lives in the body - and the body tries to heal in dramatic ways.” - Sean“The body whispers for years, and when we don't listen, it eventually sends a storm.” - Jacob“When those energetic blockages release, the result can look like mania, visions, or symbolic delusions.” - Sean“Sometimes healing looks like falling apart in ways we can't cleanly explain.” - Jacob“The psyche speaks in myth and metaphor. Mania is often that language becoming audible.” - SeanIf this conversation expanded your understanding of bipolar disorder or spiritual awakening, consider following the show and sharing it with someone it might help.00:00 Sean Blackwell on Bipolar Disorder & Spiritual Awakening00:00:25 What Bipolar Disorder Really Is (Symptoms vs Reality)00:01:30 Bipolar I, Bipolar II & Psychosis Explained00:02:20 Spiritual Delusions & the Ram Dass Connection00:03:38 Sean's Landmark Experience: The Turning Point00:05:05 Entering Psychosis: The Dreamlike State & Ego Death00:06:32 Crisis, Hospitalization & Early Integration00:08:05 How Helping Others Became Sean's Calling00:09:16 Supporting His Niece Through Awakening00:10:49 Why Psychiatry Defaults to Lifelong Medication00:11:35 Kundalini, Trauma Energy & Somatic Roots of Bipolar00:14:11 Which Book to Read First00:15:24 Breathwork, Distance Sessions & Trauma Release00:18:53 Meaning, Intuition & Sean's Multiverse Theory00:21:27 Closing Reflections on Healing & Awakeningbipolar disorder, mania, psychosis, spiritual emergency, kundalini awakening, trauma healing, somatic therapy, breathwork, transpersonal psychology, Stanislav Grof, mental health, bipolar healing, consciousness, subtle body, emotional release, awakening process, nervous system regulation, alternative mental health, spiritual awakening, bipolar awarenessCheckout more Sean here: https://www.bipolarawakenings.com/Grab his latest book: https://a.co/d/8UUU1rTand 'Am I Bi-Polar or Waking Up?': https://a.co/d/4qX7nR2Browse his 25k+ subscriber YouTube channel: https://www.youtube.com/@bipolarawakeFacebook: https://www.facebook.com/bipolarawakeningsSpotify: https://open.spotify.com/show/2Xz36ES0eiX2c4L4SyCJno?si=319134dba8e740d1

Author and recovery advocate Dennis “D.J.” Quinn joins Rich to share a deeply human mentoring journey—from Big Brothers Big Sisters to a 13-year bond with “Mike,” a foster-adopted child whose life was later upended by severe mental illness. Dennis unpacks how “just showing up” can anchor a life, the hard hospital visits, the gratitude that birthed his memoir Stick Figures, and why mentorship and recovery work still matter today.Guest Bio:  Dennis “D.J.” Quinn is an author, longtime mentor, and recovery advocate. Raised in Montana and a former Northwest Airlines flight attendant for 26 years, he has spent decades volunteering with Big Brothers Big Sisters and bringing recovery meetings into juvenile detention centers. He lives in Gig Harbor, Washington, and is the author of Stick Figures, a memoir honoring his 13-year mentoring journey with Mike. Main Topics: ·         Growing up in Montana: big family values, faith, and community·         26 years as a flight attendant: exposure to diverse lives and cultures·         Big Brothers Big Sisters: first match, what real mentorship looks like·         Meeting Mike: foster care, disability, progress—and the onset of mental illness·         Hospitalizations and hard days: “ministry of presence” and boundaries·         Writing Stick Figures: the calendar drawings that became a memoir·         Inclusion in mentoring: local BBBS policy change and why it mattered·         Recovery work with incarcerated teens: hope, honesty, and resources·         Gratitude and “a lucky life”: what Mike taught Dennis (and us)·         How to start mentoring or volunteering—time, commitment, payoff Resources mentioned: ·         Dennis “D.J.” Quinn — Website: djquinnauthor.com (signed copies available)·         Dennis “D.J.” Quinn — Books: Stick Figures (also on Amazon)·         Big Brothers Big Sisters (one-to-one youth mentoring)·         Boys & Girls Club (youth development, group-based)·         Places/notes referenced: Northwest Airlines, Disneyland, juvenile detention programming·         Supporter: Full Circle Boards·         Supporter: Sincerely Sawyer Photography Send us a texthttps://harfordcountyhealth.comSupport the showRate & Review on Apple Podcasts Follow the Conversations with Rich Bennett podcast on Social Media:Facebook – Conversations with Rich Bennett Facebook Group (Join the conversation) – Conversations with Rich Bennett podcast group | FacebookTwitter – Conversations with Rich Bennett Instagram – @conversationswithrichbennettTikTok – CWRB (@conversationsrichbennett) | TikTok Sponsors, Affiliates, and ways we pay the bills:Hosted on BuzzsproutSquadCast Subscribe by Email

Contributor: Travis Barlock, MD Educational Pearls: Quick Statistics on Electrical Burns: Electrical burns compose roughly 2 to 9% of all burns that come into emergency departments. The majority of patients who receive electrical burns are male, typically aged 20's to 30's, accounting for 80 to 90% of all electrical burn victims. The majority of burns are linked to occupational exposure. The upper extremities are more commonly impacted by electrical burns, accounting for 70 to 90% of entry points into the body during an exposure. What are some of the key considerations in electrical burns? Unlike chemical or fire/heat related burns, electrical burns have the potential to cause significant internal damage that may not be physically appreciated externally. This damage can include, but is not limited to: Cardiac dysthymias (PVCs, SVT, AV block, to more serious ventricular dysrhythmias such as ventricular fibrillation or ventricular tachycardia). Deep tissue injury resulting in rhabdomyolysis from the initial surge of electricity Rare cases of compartment syndrome What are the treatment considerations for patients who suffer electrical burns? Remembering that cutaneous findings associated with burns may underestimate the severity of the injury, with deeper structures being more likely to be involved as the voltage of the burn injury is directly correlated to severity. Manage the patient's airway, breathing, and circulation as always, and conduct further workup into potential cardiac involvement with EKGs, as well as analysis of the extremities where entry occurred for muscle breakdown and compartment syndrome. Clinical Pearl on Voltage and Current: Voltage can be thought of being equivalent to pressure in a fluid/liquid system. Higher voltages are equivalent to higher pressures, but the ultimate damage delivered to the system is from the rate of delivery/speed of the electrical energy surging (current) through the body. Current is dependent on the tissue it is travelling through, with different tissues having differing electrical resistances. Tissues like the stratum corneum of the skin and the human bone confer the most resistance (thus lower current) whereas skeletal muscle confers lower electrical resistance (thus higher current) due to water and electrolyte content, which is why injuries like rhabdomyolysis are possible and increase with increasing voltage. References Khor D, AlQasas T, Galet C, et al. Electrical injuries and outcomes: A retrospective review. Burns. 2023;49(7):1739-1744. doi:10.1016/j.burns.2023.03.015 Durdu T, Ozensoy HS, Erturk N, Yılmaz YB. Impact of Voltage Level on Hospitalization and Mortality in Electrical Injury Cases: A Retrospective Analysis from a Turkish Emergency Department. Med Sci Monit. 2025;31:e947675. doi:10.12659/MSM.947675 Karray R, Chakroun-Walha O, Mechri F, et al. Outcomes of electrical injuries in the emergency department: epidemiology, severity predictors, and chronic sequelae. Eur J Trauma Emerg Surg. 2025;51(1):85. doi:10.1007/s00068-025-02766-1 Faes TJ, van der Meij HA, de Munck JC, Heethaar RM. The electric resistivity of human tissues (100 Hz-10 MHz): a meta-analysis of review studies. Physiol Meas. 1999;20(4):R1-10. doi:10.1088/0967-3334/20/4/201 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate

Paris speaks with Daniela Skinner, an artist, corporate professional and mother who shares her journey navigating bipolar to raise her now 9 year old son. Diagnosed at 27, Daniela recounts her challenging experiences with postpartum mania, hospitalizations and navigating life as a new mother under immense stress. She details her struggles, the pivotal role of finding the right medication and how she managed to rebuild her life through creative practices and strong family ties. Daniela opens up about her fears, coping strategies and how she found balance, ultimately showing that it's possible to lead a full, meaningful life with bipolar. This episode is a compelling testament to resilience, offering hope and insightful advice to others on a similar path.Stay connected with Daniela here! Learn to support someone you love with bipolar here!00:00 Introduction and Guest Introduction01:27 Daniela's Bipolar Diagnosis and Early Episodes03:34 Postpartum Challenges and Manic Episode07:42 Hospitalization and Personal Struggles10:16 Custody Battle and Road to Recovery14:03 Finding Stability and Creative Reconnection18:46 Living Well with Bipolar24:53 Motherhood and Family Conversations33:32 Final Thoughts and Closing Remarks

Three of our favorite segments from the week, in case you missed them.Christopher Eisgruber, president of Princeton University, talks about issues of free speech (First) | A 30 Issues in 30 Days debate about involuntary hospitalization of New Yorkers with severe and untreated mental illnesses (Starts at 29:48) | Your favored (and least favored) seasons (Starts at 1:17:46)If you don't subscribe to the Brian Lehrer Show on iTunes, you can do that here.

Brian Stettin, senior advisor on severe mental illness for the Office of the New York City Mayor, and Michael F. Hogan,  PhD, consultant at Hogan Health Solutions and New York State Commissioner of Mental Health from 2007-2012, debate whether the city and state's policy of involuntarily hospitalizing New Yorkers displaying signs of severe mental illness is humane and effective ahead of the November mayoral election.

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Here's a 300-word iTunes/Podcast Apps summary for Episode 562: What happens when your carefully planned vacation in France takes an unexpected turn? In Unexpected France: History, Nature, and a Bit of Chaos, host Annie Sargent talks with traveler Gregg Furey about a journey filled with breathtaking discoveries, surprising challenges, and a few classic French travel mishaps. Listen to this episode ad-free Gregg's trip took him to places most visitors overlook. He explored the prehistoric caves of Arcy-sur-Cure, where ancient paintings connect today's traveler with humanity's earliest stories. He visited the soaring cathedrals of Laon and Bourges, each one a masterpiece of Gothic architecture. At the battlefield of Alésia, Gregg learned how Julius Caesar defeated Vercingetorix and how that moment still shapes French identity. And in Colombey-les-Deux-Églises, he reflected on the life of General Charles de Gaulle at the Croix de Lorraine memorial and museum. But not everything went according to plan. Gregg ended up in a hospital in Sarlat after unexpected health issues. Instead of panic, he found efficient doctors, affordable treatment, and an eye-opening look at how the French healthcare system really works. This detour disrupted his schedule but turned into one of the most memorable parts of the trip. This conversation is about more than just sightseeing. It's about handling the unpredictable. It's about staying flexible, finding humor when things go wrong, and discovering that mishaps often make the best stories. Annie and Gregg remind us that France is more than Paris and the Riviera. Smaller towns, Roman ruins, and quiet villages hold just as much magic. Subscribe to the Join Us in France Travel Podcast to hear more stories like this one. Learn how to plan smarter, travel deeper, and embrace the unexpected side of France. Table of Contents for this Episode [00:00:31] Today's Episode [00:01:02] Support the Podcast [00:01:33] Strikes and Political Difficulties in France [00:01:55] Air Quality in Paris, ETIAS and EES requirements [00:02:40] Gregg and Annie [00:02:52] Greg's Unique Travel Experiences [00:03:39] Exploring Small Towns Near Paris [00:05:04] Visiting Melun [00:06:46] Hospitalization in France [00:13:07] Medical “Deserts” [00:15:28] Discovering Laon [00:17:09]  Disque de Stationnement [00:22:49] Exploring Vézelay and Nearby Caves [00:23:04] Exploring Neolithic Art in French Caves [00:26:50] The Historical Significance of Vézelay [00:30:25] The Battle of Alesia and Roman Conquest [00:35:31] Charles de Gaulle's Legacy in Colombey-les-Deux-Églises [00:40:13] Final Thoughts and Future Travels [00:41:50] Thank You Patrons! [00:42:49] Tour Review [00:43:25] Podcast Listeners Discounts [00:44:34] Strikes Coming Up [00:47:20] Political Uncertainty [00:48:44] Air Quality in Paris [00:50:33] EES and ETIAS [00:52:25] Next Week on the Podcast [00:52:47] Copyright More episodes about going off the beaten path in France