Podcasts about iatrogenic

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Best podcasts about iatrogenic

Latest podcast episodes about iatrogenic

High Yield Family Medicine
#49 - Abnormal Uterine Bleeding

High Yield Family Medicine

Play Episode Listen Later Jun 23, 2026 28:01


Q-BANK: https://www.patreon.com/highyieldfamilymedicineIntro (0:35),Definition (1:44),PALM-COEIN (2:48),Diagnostic approach (3:51),Endometrial polyps (5:39),Adenomyosis (7:37),Endometriosis (9:40),Leiomyoma (11:28),Endometrial hyperplasia and cancer (13:37), Coagulopathy (15:59),Polyendocrine Metabolic Ovarian Syndrome (17:20),Iatrogenic (20:02),Practice Questions (21:22)

AMERICA OUT LOUD PODCAST NETWORK
Was Hep B an iatrogenic disease before it became a vaccine market?

AMERICA OUT LOUD PODCAST NETWORK

Play Episode Listen Later May 30, 2026 57:00 Transcription Available


The Nurses Report with Ashley, Nicole, & David – Ashley and Nurse Nicole speak with Ken McCarthy about The Hep B Chronicles, vaccine marketing, serum hepatitis, iatrogenic harm, package inserts, and informed decision-making. The conversation challenges blind trust, explores public health narratives, and urges listeners to read, question, verify, and think before accepting newborn Hepatitis B vaccination claims today...

market vaccines disease hepatitis b hep b iatrogenic ken mccarthy nurse nicole david ashley
Nurses Out Loud
Was Hep B an iatrogenic disease before it became a vaccine market?

Nurses Out Loud

Play Episode Listen Later May 30, 2026 57:00 Transcription Available


The Nurses Report with Ashley, Nicole, & David – Ashley and Nurse Nicole speak with Ken McCarthy about The Hep B Chronicles, vaccine marketing, serum hepatitis, iatrogenic harm, package inserts, and informed decision-making. The conversation challenges blind trust, explores public health narratives, and urges listeners to read, question, verify, and think before accepting newborn Hepatitis B vaccination claims today...

market vaccines disease hepatitis b hep b iatrogenic ken mccarthy nurse nicole david ashley
BackTable ENT
Ep. 275 Evaluation & Management of Unilateral Vocal Fold Paralysis in Adults with

BackTable ENT

Play Episode Listen Later May 26, 2026 53:53


With such a wide range of presentations and severity, how do laryngologists approach the diagnosis and treatment of unilateral vocal fold paralysis? In this episode of the BackTable ENT and Allergy Podcast, Dr. Rebecca Howell, Laryngologist at the University of Cincinnati, joins Dr. Stephen Schoeff to discuss the evaluation and management of unilateral vocal fold paralysis. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:18 - Classic Symptoms of Vocal Fold Paralysis 04:15 - Etiology and Imaging Workup08:40 - Injection Timing and Materials23:20 - Permanent Options and Framework Surgery28:41 - Arytenoid Adduction Risks and When to Add Adduction30:56 - Awake Thyroplasty Technique compared to Sedation and OR Setup35:48 - Reinnervation and Bilateral Medialization Choices42:10 - Vocal Fold Long-term Injectables51:54 - Closing Remarks --- More about this episode Dr. Howell reviews the spectrum of patient presentations and common causes, including thoracic surgery, ACDF, thyroid surgery, intubation injuries, and idiopathic cases. She explains when to pursue imaging from brainstem to chest, how to set realistic recovery expectations, and the benefits of early intervention. The episode covers office-based injection augmentation, the pros and cons of injectable materials, and treatment durability, as well as risks like calcium hydroxylapatite. Long-term care options are discussed, including framework surgery, arytenoid adduction, bilateral approaches for vocal fold atrophy, reinnervation, and patient selection considerations. --- Resources Pathophysiology of Iatrogenic and idiopathic vocal fold paralysis may be distinct - Ted Mau: https://pubmed.ncbi.nlm.nih.gov/31498451/ Vocal Fold augmentation with injectable calcium hydroxylapatite - Clark Rosen: https://pubmed.ncbi.nlm.nih.gov/15331112/ Using High-Speed Videoendoscopy to Analyze Laryngeal closure parameters during normal swallow - Rebecca Howell: https://pubmed.ncbi.nlm.nih.gov/39659169/ Arytenoid abduction for bilateral vocal fold immobility - Gayle Woodson: https://pubmed.ncbi.nlm.nih.gov/22001662/ Laryngeal Reinnervation for Unilateral Vocal Fold Paralysis - Randal Paniello : https://profiles.wustl.edu/en/publications/laryngeal-reinnervation-for-unilateral-vocal-fold-paralysis/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
Before You Refer to the Hospital: De-Escalation, Safety Planning, and Wraparound Care for Teens in Crisis

The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy

Play Episode Listen Later May 25, 2026 73:19


Before You Refer to the Hospital: De-Escalation, Safety Planning, and Wraparound Care for Teens in Crisis When a suicidal teen is in crisis, is the hospital really the safest call? What outpatient therapists need to know. Curt Widhalm, LMFT, leads this episode from his work running a comprehensive DBT private practice in Los Angeles that specializes in higher-acuity adolescent cases, including teens with serious suicidality, self-harm, and emotional dysregulation. These are exactly the clients most often routed toward psychiatric hospitalization or platform-based care, and Curt argues the default-to-hospital reflex frequently makes things worse, not better. Drawing on recent research and his clinical experience, Curt walks through the iatrogenic harms of adolescent psychiatric inpatient care, why post-discharge is the highest-risk window for completed suicide, and how clinician anxiety can drive premature 5150 holds and crisis referrals. Katie Vernoy, LMFT, joins with years of LPS-designated assessment experience from community mental health, naming what really happens when a teen gets sent in, including the relational rupture that often starts the moment a crisis evaluation is requested. Together they show outpatient therapists, including solo practitioners, how to build the clinical infrastructure that makes hospital diversion a real option: standardized risk assessment, collaborative safety planning that starts at intake, verbal de-escalation, family-integrated care, and wraparound treatment teams that include both formal providers and informal natural supports. This is a continuing education podcourse. Therapists can earn 1 CE credit through the Modern Therapist Learning Community at moderntherapistcommunity.com. What you'll take away: - How to recognize when a teen client really needs inpatient care, and when escalation will cause more harm than help - How to use standardized risk assessment tools (C-SSRS, LRAMP) without losing the therapeutic relationship - How to build a safety plan that actually works, and what to leave out (hint: no-suicide contracts) - What to teach parents about verbal de-escalation and environmental modifications at home - How to construct a mini Intensive Outpatient Program inside a solo or small-group practice - Who belongs on a wraparound treatment team, and how to find informal supports that families often forget to mention - How systemic barriers and health disparities shape access and outcomes for Black, Hispanic, and lower-SES adolescents Timestamps: 00:15 - CE intro and how to earn 1 CE credit 05:17 - Why outpatient therapists need real de-escalation protocols 11:23 - What actually happens during a crisis evaluation, with Katie's LPS-designated insights 18:46 - Iatrogenic harm and post-discharge suicide risk in adolescents 26:27 - Distant admissions, capped beds, and reentry into school and community 30:43 - Building safety plans from the first session, not the first crisis 34:32 - What belongs in a comprehensive adolescent safety plan 41:05 - When a teen says "I want to die," and why language matters 47:27 - Family-integrated care in solo private practice 48:56 - Building a mini IOP without the institutional overhead 55:29 - Wraparound teams and the role of informal natural supports 59:51 - ROIs, HIPAA-compliant communication, and minor consent 1:01:00 - Health disparities and access for marginalized adolescents Earn 1 CE credit: Therapists can earn 1 CE credit for this episode through the Modern Therapist Learning Community. Register, purchase the course, pass the post-test, and complete the evaluation to receive your certificate. Therapy Reimagined is approved by the California Association of Marriage and Family Therapists (CAMFT CEPA #132270). Please check with your licensing board to confirm eligibility. Full show notes, references, and transcript: mtsgpodcast.com CE enrollment: moderntherapistcommunity.com Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

The Locked up Living Podcast
Dr Chris Scanlon (audio); From Innovation to Closure: The Uncomfortable Story of Henderson Hospital's Research Legacy

The Locked up Living Podcast

Play Episode Listen Later May 20, 2026 82:47


Five years ago, 2021, David Jones and Naomi Murphy began the Locked up Living podcast. Over 400 episodes later we are still going and are proud of the library of conversations we have produced with so many excellent colleagues. This is an extended version of an episode from 2021 previously shared with Dr Fiona Warren and focuses on the closing of the Henderson Hospital. The full episode with Dr Warren features a discussion about the value and meaning of research in a socio-political climate that wants to look elsewhere. This episode features Dr. Christopher Scanlon, a consultant psychotherapist with decades of experience working with complex trauma and mental health services. Chris offers a candid reflection on the evolution, challenges, and possibilities of therapeutic communities, emphasizing the importance of social and relational approaches over purely biomedical models. Key topics: The history and legacy of Henderson Hospital as a pioneering therapeutic community How group and sociotherapy approaches foster belonging, resilience, and growth Critiques of the biomedical model and the limitations of randomized controlled trials for complex social interventions The impact of societal changes, neoliberal policies, and professional rivalries on specialist services The concept of the "unhoused mind" and societal exclusion as a psychosocial phenomenon Lessons from the demise of services like Henderson and what can be learned about service design and relational capacity The importance of community, belonging, and holding space for marginalized individuals How social dynamics and professional hierarchies influence treatment and organizational culture The threat of privatization and market-driven approaches to mental health services The importance of housing, inclusion, and societal belonging in healing trauma Timestamps: 00:00 - Introduction to Chris Scanlon's background and work 01:08 - The psychosocial orientation versus psychoanalytic models 02:05 - The role of group analysis and community in treatment 03:23 - Experiences working at Henderson Hospital 04:37 - The interface of community assessment and outreach 06:15 - Challenges of referral and ethical consent in high-security settings 08:11 - Critique of personality disorder label and trauma adaptation 09:37 - Systemic dysfunction and medicalization of complex trauma 11:34 - Attitudes towards difficult patients and systemic resistance 13:19 - The system's reliance on medication and lack of holistic treatment 14:17 - Iatrogenic effects and the failure of biomedical dominance 16:10 - Societal trauma, racism, exclusion, and the "unhoused" state 17:16 - Organizational culture at Henderson and peer influence 18:48 - The significance of social relationships over formal therapy 19:55 - Key moments of social connection as pivotal to healing 20:34 - The decline of sociotherapy in prison and community settings 22:39 - Hierarchies, professional identity, and relational humility 23:23 - The undervaluing of milieu and social space in treatment 24:50 - Difficulties of measuring multi-modal, relational interventions 26:54 - Challenges of evidence-based support and cost-effectiveness 29:56 - The cost benefits of residential and community-based services 32:32 - Political and professional rivalries in resource allocation 35:06 - The impact of commissioning practices on service sustainability 36:11 - Lessons from the closure of Henderson and systemic failure 38:09 - The role of community and relational trust in service efficacy 40:12 - The importance of understanding failure through political and social lenses 43:27 - The influence of market forces and privatization on service models 44:30 - The threat of profit motives and the privatization of mental health in prison 49:53 - The challenge of belonging and power in community settings 57:29 - Building capacity for creativity and resilience through social spaces 60:06 - The importance of trust, shared authority, and authentic relationships 61:52 - The culture of inquiry and the transferential space 66:14 - The significance of presence, continuity, and shared lived experience 68:42 - The concept of the "Hendo" as a transference object and community symbol 73:56 - The "unhoused mind": societal exclusion, trauma, and belonging 76:47 - Society's role in housing and trauma, and the psychosocial lens 78:35 - Broader societal issues: extremism, colonialism, and systemic injustice 80:36 - The healing power of shared community and relational space 81:12 - Personal reflections on the loss of Henderson and current gaps 81:58 - The dangers of societal disconnection and the importance of inclusive belonging

ASRA News
Iatrogenic Nerve Injury: Can We Do Better For Our Patients?

ASRA News

Play Episode Listen Later Mar 19, 2026 13:16


"Iatrogenic Nerve Injury: Can We Do Better For Our Patients?" From ASRA Pain Medicine News, February 2026. See the original article at www.asra.com/february26news for figures and references. This material is copyrighted.Support the show

J Loren Norris
3/10/2026 THE PROBLEM YOU'RE TRYING TO SOLVE IS YOU

J Loren Norris

Play Episode Listen Later Mar 10, 2026 29:09


3/10/2026 THE PROBLEM YOU'RE TRYING TO SOLVE IS YOUEPISODE 1752Idiopathic. It basically means we have no clue. Iatrogenic. It basically means the doctor did it. This is not an attack on the medical profession. It is a call to account for leaders of every level to step away from the dopamine rush of having all the answers and dive into the pool of accountability where humility awaits on the other side. What if the problem you're trying to solve is you?Have you ever asked: “Why does this keep happening?” Perhaps the common denominator is closer than you suspect. https://j-loren-s-school.thinkific.com/_________________________________________________________Leading Leaders Podcast is a short but impactful leadership video, blog and podcast distributed 5 days a week by J Loren Norris to promote faith, family and freedom in the face of a global leadership drought.Leadership Training, Interviews and EntertainmentVisit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.StoryPowerAcademy.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more training material#leadingleaderspodcast #storypower #transforminggracetv #jlorennorrisLOOK FOR LEADING LEADERS PODCAST ON THESE PLATFORMS:- OBBM Network TV- WorldTrumpetTV- Apple Podcast- Spotify- Amazon- RumbleCopyright 2026 Tell It Like It Is Inchttps://my.linkpod.site/Jlorennorris 3/10/2026 THE PROBLEM YOU'RE TRYING TO SOLVE IS YOUEPISODE 1752Idiopathic. It basically means we have no clue. Iatrogenic. It basically means the doctor did it. This is not an attack on the medical profession. It is a call to account for leaders of every level to step away from the dopamine rush of having all the answers and dive into the pool of accountability where humility awaits on the other side. What if the problem you're trying to solve is you?Have you ever asked: “Why does this keep happening?” Perhaps the common denominator is closer than you suspect. https://j-loren-s-school.thinkific.com/_________________________________________________________Leading Leaders Podcast is a short but impactful leadership video, blog and podcast distributed 5 days a week by J Loren Norris to promote faith, family and freedom in the face of a global leadership drought.Leadership Training, Interviews and EntertainmentVisit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.StoryPowerAcademy.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more training material#leadingleaderspodcast #storypower #transforminggracetv #jlorennorrisLOOK FOR LEADING LEADERS PODCAST ON THESE PLATFORMS:- OBBM Network TV- WorldTrumpetTV- Apple Podcast- Spotify- Amazon- RumbleCopyright 2026 Tell It Like It Is Inchttps://my.linkpod.site/Jlorennorris

Leading Leaders Podcast with J Loren Norris
3/10/2026 THE PROBLEM YOU'RE TRYING TO SOLVE IS YOU

Leading Leaders Podcast with J Loren Norris

Play Episode Listen Later Mar 10, 2026 29:09


3/10/2026 THE PROBLEM YOU'RE TRYING TO SOLVE IS YOUEPISODE 1752Idiopathic. It basically means we have no clue. Iatrogenic. It basically means the doctor did it. This is not an attack on the medical profession. It is a call to account for leaders of every level to step away from the dopamine rush of having all the answers and dive into the pool of accountability where humility awaits on the other side. What if the problem you're trying to solve is you?Have you ever asked: “Why does this keep happening?” Perhaps the common denominator is closer than you suspect. https://j-loren-s-school.thinkific.com/_________________________________________________________Leading Leaders Podcast is a short but impactful leadership video, blog and podcast distributed 5 days a week by J Loren Norris to promote faith, family and freedom in the face of a global leadership drought.Leadership Training, Interviews and EntertainmentVisit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.StoryPowerAcademy.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more training material#leadingleaderspodcast #storypower #transforminggracetv #jlorennorrisLOOK FOR LEADING LEADERS PODCAST ON THESE PLATFORMS:- OBBM Network TV- WorldTrumpetTV- Apple Podcast- Spotify- Amazon- RumbleCopyright 2026 Tell It Like It Is Inchttps://my.linkpod.site/Jlorennorris 3/10/2026 THE PROBLEM YOU'RE TRYING TO SOLVE IS YOUEPISODE 1752Idiopathic. It basically means we have no clue. Iatrogenic. It basically means the doctor did it. This is not an attack on the medical profession. It is a call to account for leaders of every level to step away from the dopamine rush of having all the answers and dive into the pool of accountability where humility awaits on the other side. What if the problem you're trying to solve is you?Have you ever asked: “Why does this keep happening?” Perhaps the common denominator is closer than you suspect. https://j-loren-s-school.thinkific.com/_________________________________________________________Leading Leaders Podcast is a short but impactful leadership video, blog and podcast distributed 5 days a week by J Loren Norris to promote faith, family and freedom in the face of a global leadership drought.Leadership Training, Interviews and EntertainmentVisit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.StoryPowerAcademy.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more training material#leadingleaderspodcast #storypower #transforminggracetv #jlorennorrisLOOK FOR LEADING LEADERS PODCAST ON THESE PLATFORMS:- OBBM Network TV- WorldTrumpetTV- Apple Podcast- Spotify- Amazon- RumbleCopyright 2026 Tell It Like It Is Inchttps://my.linkpod.site/Jlorennorris

The Robert Scott Bell Show
Natural Products Expo West, Jonathan Emord, Operation Epic Fury, Health Freedom Poll Shock, Iatrogenic Addiction Crisis - The RSB Show 3-5-26

The Robert Scott Bell Show

Play Episode Listen Later Mar 6, 2026 128:02


TODAY ON THE ROBERT SCOTT BELL SHOW: LIVE! Natural Products Expo West Anaheim, Jonathan Emord, Operation Epic Fury, Health Freedom Poll Shock, Michigan Vaccine Bills, SCOTUS Parental Rights Win, Campus Protest Double Standard, Public Health Spin, Youth Cancer Origins. Iatrogenic Addiction Crisis, and MORE! https://robertscottbell.com/live-natural-products-expo-west-anaheim-jonathan-emord-operation-epic-fury-survives-senate-health-freedom-poll-shock-michigan-vaccine-bills-scotus-parental-rights-win-campus-protest-double-stan/ Purpose and Character The use of copyrighted material on the website is for non-commercial, educational purposes, and is intended to provide benefit to the public through information, critique, teaching, scholarship, or research. Nature of Copyrighted Material Weensure that the copyrighted material used is for supplementary and illustrative purposes and that it contributes significantly to the user's understanding of the content in a non-detrimental way to the commercial value of the original content. Amount and Substantiality Our website uses only the necessary amount of copyrighted material to achieve the intended purpose and does not substitute for the original market of the copyrighted works. Effect on Market Value The use of copyrighted material on our website does not in any way diminish or affect the market value of the original work. We believe that our use constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the U.S. Copyright Law. If you believe that any content on the website violates your copyright, please contact us providing the necessary information, and we will take appropriate action to address your concern.

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
1091: What is iatrogenic hyperchloremia and what is so bad about it?

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later Dec 29, 2025 3:40


Show notes at pharmacyjoe.com/episode1091 In this episode, I'll discuss iatrogenic hyperchloremia.

iatrogenic
You Must Be Some Kind of Therapist
191. Insurance Fraud Enables Medical Abuse of “Trans” Kids: Dr. Eithan Haim Blows the Whistle Again

You Must Be Some Kind of Therapist

Play Episode Listen Later Dec 8, 2025 90:38


Dr. Eithan Haim first became nationally known as the whistleblower on Texas Children's Hospital's secret pediatric gender program. After facing prosecution by the Biden Department of Justice and the prospect of ten years in prison, the surgeon was ultimately successful in his case and is now practicing medicine while continuing to expose ethical violations in pediatric sex trait modification.Today, we dive deep into the insurance fraud that enables gender clinics to operate—a layer of scandal beneath the already discredited evidence base for these interventions. Dr. Haim explains how medical billing codes work and reveals that clinics are routinely using false diagnosis codes to get insurance companies to cover hormones, blockers, and surgeries. We discuss the 95% rate of fraudulent "endocrine disorder unspecified" diagnoses found at one university gender clinic, how patients' sex is being falsified in medical records, and how the American Medical Association—with its government-mandated monopoly on medical coding—may be facilitating this fraud.What are the consequences of this scheme? Why would the AMA recommend coding mastectomies as "breast reductions"? How is this affecting insurance premiums for ordinary Americans? And where does Dr. Haim see all of this heading? This conversation will change how you understand the machinery behind gender medicine.Dr. Eithan Haim is a general and trauma surgeon in Greenville, Texas. In 2023, he served as the anonymous whistleblower who exposed Texas Children's Hospital for secretly continuing its pediatric gender program after publicly claiming it had shut down. Within 24 hours of the story's publication, the Texas Senate passed bipartisan legislation banning these interventions on minors.The Biden Department of Justice responded by charging Dr. Haim with four federal felonies, sending armed U.S. Marshals to his home on the morning of his surgical residency graduation. Facing up to 10 years in prison, he and his wife—an attorney—drained their savings to fight the charges. He was ultimately successful, with the case resolved in his favor.Dr. Haim now continues his work as a surgeon while raising awareness about fraud and ethical violations in pediatric gender medicine. He and his wife Andrea live outside Dallas with their young child.Follow him on X @EithanHaimDonate to his GiveSendGo[00:00:00] Start[00:01:29] Introduction to Dr. Eithan Haim[00:05:30] How medical billing codes work: CPT and ICD codes[00:09:30] 95% of gender clinic patients had fraudulent "endocrine disorder" diagnosis[00:14:45] Iatrogenic harm: treatment creates the condition listed in the diagnosis[00:19:45] The AMA's government-mandated monopoly on medical coding[00:24:15] AMA recommends coding mastectomies as breast reductions[00:34:00] The "alternative diagnosis codes" guide removed after exposure[00:39:00] Falsifying patient sex in medical records[00:49:00] Wildest case: male diagnosed with "agenesis of the cervix"[00:58:00] How this fraud affects healthcare costs for everyone[01:04:15] The disturbing romanticization of surgery among trans-identified youth[01:10:30] Why "adults can do what they want" doesn't apply to doctors[01:16:00] Where this is heading: criminal prosecutions[01:25:15] Dr. Haim's family and current work[01:28:15] Where to find Dr. Eithan HaimROGD REPAIR Course + Community gives concerned parents instant access to over 120 lessons providing the psychological insights and communication tools you need to get through to your kid. Now featuring 24/7 personalized AI support implementing the tools with RepairBot! Use code SOMETHERAPIST2025 to take 50% off your first month.PODCOURSES: use code SOMETHERAPIST at LisaMustard.com/PodCoursesTALK TO ME: book a meeting.PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.SUPPORT THE SHOW: subscribe, like, comment, & share or donate.Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order.MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.ALL OTHER LINKS HERE. To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!Learn more about Do No Harm.Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.Check out my shop for book recommendations + wellness products.Show notes & transcript provided with the help of SwellAI.Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD. ★ Support this podcast on Patreon ★

The Vet Dental Show
Episode 193 - Iatrogenic Jaw Fractures & Dental Restorations

The Vet Dental Show

Play Episode Listen Later Oct 8, 2025 10:58


Ready to elevate your veterinary dentistry skills? https://ivdi.org/inv Request an invitation to the Veterinary Dental Practitioner Program Today.  ------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM  In this episode of The Vet Dental Show, Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM, addresses critical questions from veterinary professionals about iatrogenic jaw fractures during extractions and the longevity of dental composites. Gain valuable insights into avoiding complications and ensuring successful dental restorations. What You'll Learn ✅ How to assess the risk of jaw fractures during canine tooth extractions. ✅ Proper techniques for extracting teeth with significant bone loss. ✅ The importance of dental explorers in identifying dental issues. ✅ Radiographic interpretation tips for identifying chevron effects. ✅ Recommendations for using dental composites to restore defects and protect tooth structure. ✅ How long dental composites last under normal mastication. Key Takeaways ✅ Iatrogenic jaw fractures are most common during mandibular canine extractions, especially when significant bone loss is present. ✅ Proper extraction techniques are crucial to avoid fractures. If you're uncomfortable, refer the case. ✅ Dental explorers are essential for identifying and measuring periodontal issues under anesthesia. ✅ Chevron effects on radiographs can be tricky; compare with contralateral views and consider consulting with a radiologist. ✅ Dental composites, when properly bonded, can provide long-lasting protection to dentin, but monitoring is essential to ensure pulp vitality. ------------------------------------------------------------------------- Don't miss out on the opportunity to enhance your veterinary dentistry skills. Request your invitation to the Veterinary Dental Practitioner Program now: https://ivdi.org/inv Want to expand your skills even further? Explore Dr. Beckman's full selection of courses and resources designed specifically for veterinary professionals!  https://veterinarydentistry.net/ ------------------------------------------------------------------------- What are your biggest challenges in veterinary dentistry? Share your questions and experiences in the comments below! ------------------------------------------------------------------------- Veterinary Dentistry, Dog Dental, Cat Dental, Tooth Extraction, Jaw Fracture, Dental Composite, Veterinary Radiography, IVDI, Brett Beckman, Veterinary Dental Practitioner Program, Periodontal Disease, Dental Explorer, Chevron Effect, Iatrogenic Fracture

The Poison Lab
LIVE from Chicago: 2025 NACCT Research Review – Insights from the North American Congress of Clinical Toxicology

The Poison Lab

Play Episode Listen Later Oct 5, 2025 101:29


Show NotesIn this special live episode from the 2025 North American Congress of Clinical Toxicology (NACCT), Ryan takes you inside the conference to hear directly from the researchers themselves. Covering 11 abstracts that span high-stakes management decisions, surprising case reports, and challenges to toxicology dogma, this year's highlights feature everything from amlodipine overdoses to naturopathic misadventures, metformin-associated blindness, and more. The show kicks off with a foreword from Ryan and Dr. Jon Cole (abstract co-chair for AACT) discussing some of their favorite research from the conference. If you couldn't make it to NACCT or just want to catch up on some of the most impactful new research in our field, this episode will give you a front-row seat. Check below for links to the published abstracts, the full list of studies discussed, and timestamps for where you can hear each one.Link to published abstract manuscriptForeword with Dr. Jon Cole 10:24 #7. Is beta blocker toxicity associated with hypoglycemia?Lead author: Dr. Megan Audette, MD17:58 #237. V-A ECMO as a treatment for vasoplegic shock in amlodipine poisoning: a comparisonLead author: Dr. Daniel Tirado, MD27:59 #247. Blocked but not beaten: ECMO's role in severe amlodipine toxicity – a poison center case seriesLead author: Dr. Carlos Saldarriaga, MD28:39 #26. Amlodipine double-dose therapeutic errors reported to Poison CentersLead author: Johanne Freeman30:19 #27. Dosing on the edge: unpacking inadvertent amlodipine ingestions reported to a single poison centerLead author: Dr. Tiana Patriarca, PharmD33:44 #292. Intravenous administration of sodium zirconium cyclosilicate resulting in deathLead author: Dr. Stephen Thornton, MD Researcher interviews43:57 – #21. Quantitative analysis of amlodipine removal by plasmapheresisGuest: Dr. Keahi Horowitz, MD – Acute and Intensive Care Research Award winner48:14 – #23. Relationship between reported ingestion dose and outcome in amlodipine poisoningGuest: Dr. Colleen Cowdery, MD51:18 – #24. Management of severe amlodipine toxicity with high-dose calcium aloneGuest: Dr. Vincent Ma, MDHigh dose norepinephrine in amlodipine overdose Case report of calcium death 56:37 – #70. Iatrogenic exposure to long-acting buprenorphine injectable in an opioid-naïve patientGuest: Dr. Conor Young, MD59:52– #182. Left in the dark: a case of blindness in the setting of metformin toxicityGuest: Dr. Madison Bombard, MD61:52 – #169. Just because it's natural doesn't mean it's safe: a case of pediatric toxicity from topical and herbal remediesGuest: Dr. Aria Darling, MD64:12 – #203. Serotonin syndrome after vaping MoocahGuest: Dr. Connor Murphy, MD66:47 – #307. Intravenous ozone autohemotherapy: a retrospective observational case seriesGuest: Nicole McLarty 71:06 – #134. Do they really need n-acetylcysteine? Exploratory analysis of outcomes in patients with elevated liver function

Core EM Podcast
Episode 213: Pneumothorax

Core EM Podcast

Play Episode Listen Later Sep 1, 2025


We break down pneumothorax: risks, diagnosis, and management pearls. Hosts: Christopher Pham, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Pneumothorax.mp3 Download Leave a Comment Tags: Chest Trauma, Pulmonary, Trauma Show Notes Risk Factors for Pneumothorax Secondary pneumothorax Trauma: rib fractures, blunt chest trauma (as in the case). Iatrogenic: central line placement, thoracentesis, pleural procedures. Primary spontaneous pneumothorax Young, tall, thin males (10–30 years). Connective tissue disorders: Marfan, Ehlers-Danlos. Underlying lung disease: COPD with bullae, interstitial lung disease, CF, TB, malignancy. Technically, anyone is at risk. Symptoms & Differential Diagnosis Typical PTX presentation: Dyspnea, chest pain, pleuritic discomfort. Exam clues: unilateral decreased breath sounds, focal tenderness/crepitus. Red flags (suggest tension PTX): JVD Tracheal deviation Hypotension, shock physiology Severe tachycardia, hypoxia Differential diagnoses: Pulmonary: asthma, COPD, pneumonia, pulmonary edema (SCAPE), ILD, infections. Cardiac: ACS, CHF, pericarditis. PE and other acute causes of dyspnea. Diagnostics Bloodwork: limited role, except type & screen if intervention likely. EKG: reasonable given chest pain/shortness of breath.

The Manila Times Podcasts
OPINION: Iatrogenic traffic as emblematic of our failed thinking | Aug. 22, 2025

The Manila Times Podcasts

Play Episode Listen Later Aug 22, 2025 5:20


OPINION: Iatrogenic traffic as emblematic of our failed thinking | Aug. 22, 2025Subscribe to The Manila Times Channel - https://tmt.ph/YTSubscribe Visit our website at https://www.manilatimes.net Follow us: Facebook - https://tmt.ph/facebook Instagram - https://tmt.ph/instagram Twitter - https://tmt.ph/twitter DailyMotion - https://tmt.ph/dailymotion Subscribe to our Digital Edition - https://tmt.ph/digital Check out our Podcasts: Spotify - https://tmt.ph/spotify Apple Podcasts - https://tmt.ph/applepodcasts Amazon Music - https://tmt.ph/amazonmusic Deezer: https://tmt.ph/deezer Stitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein #TheManilaTimes#KeepUpWithTheTimesSubscribe to The Manila Times Channel - https://tmt.ph/YTSubscribe Visit our website at https://www.manilatimes.net Follow us: Facebook - https://tmt.ph/facebook Instagram - https://tmt.ph/instagram Twitter - https://tmt.ph/twitter DailyMotion - https://tmt.ph/dailymotion Subscribe to our Digital Edition - https://tmt.ph/digital Check out our Podcasts: Spotify - https://tmt.ph/spotify Apple Podcasts - https://tmt.ph/applepodcasts Amazon Music - https://tmt.ph/amazonmusic Deezer: https://tmt.ph/deezer Stitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein #TheManilaTimes#KeepUpWithTheTimes Hosted on Acast. See acast.com/privacy for more information.

The Manila Times Podcasts
OPINION: Iatrogenic crisis? | Aug. 15, 2025

The Manila Times Podcasts

Play Episode Listen Later Aug 15, 2025 4:07


OPINION: Iatrogenic crisis? | Aug. 15, 2025Subscribe to The Manila Times Channel - https://tmt.ph/YTSubscribe Visit our website at https://www.manilatimes.net Follow us: Facebook - https://tmt.ph/facebook Instagram - https://tmt.ph/instagram Twitter - https://tmt.ph/twitter DailyMotion - https://tmt.ph/dailymotion Subscribe to our Digital Edition - https://tmt.ph/digital Check out our Podcasts: Spotify - https://tmt.ph/spotify Apple Podcasts - https://tmt.ph/applepodcasts Amazon Music - https://tmt.ph/amazonmusic Deezer: https://tmt.ph/deezer Stitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein #TheManilaTimes#KeepUpWithTheTimes Hosted on Acast. See acast.com/privacy for more information.

Neurology Minute
Electronic Medical Record Alert to Prevent Iatrogenic Interventions in Patients With PNES

Neurology Minute

Play Episode Listen Later Jun 19, 2025 2:03


Dr. Halley Alexander and Dr. Serena Yin discuss the effectiveness of an electronic medical record best practice alert in preventing iatrogenic interventions for patients with a diagnosis of PNES. Show references:  https://www.neurology.org/doi/10.1212/CPJ.0000000000200457 

Neurology® Podcast
Electronic Medical Record Alert to Prevent Iatrogenic Interventions in Patients With PNES

Neurology® Podcast

Play Episode Listen Later Jun 16, 2025 12:15


Dr. Halley Alexander talks with Dr. Serena Yin about the effectiveness of an electronic medical record best practice alert in preventing iatrogenic interventions for patients with a diagnosis of psychogenic nonepileptic seizures. Read the related article in Neurology® Clinical Practice.  Disclosures can be found at Neurology.org. 

GI Insights
Managing Iatrogenic Colon Perforations: Strategies and Considerations

GI Insights

Play Episode Listen Later May 6, 2025


Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Mark Benson, MD Colonic perforations during colonoscopy are rare, but when they occur, taking swift and informed action is critical, particularly to avoid surgical intervention. Joining Dr. Peter Buch to offer his insights on perforation prevention, risk-reduction techniques, and repair strategies is Dr. Mark Benson, an advanced endoscopist and Associate Professor in the Division of Gastroenterology and Hepatology at the University of Wisconsin School of Medicine.

GI Insights
Managing Iatrogenic Colon Perforations: Strategies and Considerations

GI Insights

Play Episode Listen Later May 6, 2025


Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Mark Benson, MD Colonic perforations during colonoscopy are rare, but when they occur, taking swift and informed action is critical, particularly to avoid surgical intervention. Joining Dr. Peter Buch to offer his insights on perforation prevention, risk-reduction techniques, and repair strategies is Dr. Mark Benson, an advanced endoscopist and Associate Professor in the Division of Gastroenterology and Hepatology at the University of Wisconsin School of Medicine.

Food Safety Talk
Food Safety Talk 319: I'm Feeling Botchy Today

Food Safety Talk

Play Episode Listen Later Feb 27, 2025 99:01


The Bug - YouTubeDire Straits - The Bug (Official Music Video) - YouTubeFood Safety Talk 318: Head Grime And The Lice — Food Safety TalkRecognizing Botulism: New Insights from Old Narratives: Talkington, Dr. J.A., Cook, Cherity, Eldridge, Makenzie: 9781952966170: Amazon.com: BooksPeoria's resident botulism historian is out with a new book on the rare illness | WCBU PeoriaJane Talkington | Staff | About | Turner School of Entrepreneurship and Innovation | Academics | Bradley UniversityHistorical Newspapers from the 1700's-2000sMunicipality of Port HopeUnit 731 - WikipediaVichyssoise: A sad food safety story - Produce Blue BookFoodborne Botulism – IllinoisBotulism Outbreak Lawsuits | Marler ClarkBotulism Victim Settles With Castleberry After… | Marler ClarkTurn back the clock to 1977 botulism outbreak: Improper processing of canned foods can be deadly | barfblogBotulinum Neurotoxin-Producing Bacteria. Isn't It Time that We Called a Species a Species? - PMCNOTES ON BACILLUS BOTULINUS | Journal of BacteriologyFoodborne Botulism Outbreak Associated With Commercial Nacho Cheese Sauce From a Gas Station Market - PubMedNotes from the Field: Large Outbreak of Botulism Associated with a Church Potluck Meal — Ohio, 2015Jane Talkington, PhD | PatreonThe International Outbreak Museum |Canned Ripe California Olives Spread Botulism in 1919 | Food Safety NewsFoodborne Illness - Causes, Symptoms and Prevention | STOPStop Foodborne Illness Announces Sandra Eskin as New CEOThe recent outbreak of Iatrogenic botulism: point of view from the present world: editorial - PMCPtomaine poisoning - The LancetLaboratory Diagnostics of Botulism - PMCFoodborne Illness Acquired in the United States—Major Pathogens - PMCA Fallen Marionette: I Was A Prisoner Inside My Own Body: Walsh, Geo: 9781723815560: Amazon.com: BooksWilliam Schaffner, MD – NFID

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
981: Tranexamic Acid to Control Iatrogenic Bleeding During Flexible Bronchoscopy

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later Dec 9, 2024 4:14


Show notes at pharmacyjoe.com/episode981. In this episode, I'll discuss tranexamic acid for controlling iatrogenic bleeding during flexible bronchoscopy. The post 981: Tranexamic Acid to Control Iatrogenic Bleeding During Flexible Bronchoscopy appeared first on Pharmacy Joe.

flexible bleeding iatrogenic tranexamic acid bronchoscopy
Ground Zero Media
Show sample for 12/5/24: MONKEY ME MONKEY YOU W/ DR. KEVIN MCCAIRN AND CHARLES RIXEY

Ground Zero Media

Play Episode Listen Later Dec 6, 2024 8:09


Last month, Alpha Genesis made headlines after 43 rhesus macaque primates escaped from the Yemassee facility because an employee failed to secure a door during routine feeding and health checks. Two weeks after the incident, four of the monkeys remained unaccounted for. Alpha Genesis specializes in non-human primate health and testing, focusing on the study of prions, a type of infectious protein responsible for neurodegenerative diseases. Congruently, the authors of the new and alarming report said there appears to be a relationship between COVID-19 infection and prion disease after numerous independent lab tests were conducted. When compounded with the biological component of a vaccine, we get future diseases that are part of an Iatrogenic result. Are we heading for another pandemic but with a much greater death toll? Tonight on Ground Zero (7-10 pm, pacific time) Clyde Lewis talks with Dr. Kevin McCairn and Charles Rixey about MONKEY ME MONKEY YOU. Listen Live: https://groundzero.radio Archived Shows: https://aftermath.media

The Vet Dental Show
Ep 142- How to Perfect Dental Extractions and Prevent Iatrogenic Jaw Fractures in Canine Patients?

The Vet Dental Show

Play Episode Listen Later Sep 4, 2024 13:01 Transcription Available


 "Ever wondered how to perfect your dental extractions while safeguarding against iatrogenic jaw fractures in canine patients? In this episode, we dive deep into best practices, essential techniques, and expert tips to enhance your veterinary dental procedures!" The focus is on specific procedures such as canine extractions, jaw fracture risks, the Chevron effect in radiographs, and much more. Dr. Beckman answers real-world questions from practitioners, sharing expert advice that can be immediately applied in your clinic.       Guest & Host: Host: Dr. Brett Beckman, Board-Certified Veterinary Dentist Sponsor: Veterinary Dental Practitioner Program (IVDI)       Main Talking Points: Envelope Flaps in Canine Extractions: How and when to use envelope flaps. Expected healing time and the importance of post-surgical care, including the use of Elizabethan collars. Avoiding Jaw Fractures in Canine Patients: Risk of iatrogenic jaw fractures during extraction, particularly in smaller dogs. Importance of correct technique and bone preservation. Chevron Effect in Radiographs: Explanation of Chevron effects, and how to discern them in mandibular and maxillary teeth. Dental Composites and Longevity: How long dental composites last and how to monitor their effectiveness over time.       Interesting Quotes: "It literally takes just days for the gingiva to reattach, but it's crucial to prevent the patient from disturbing the surgical site." "A Chevron effect can sometimes be mistaken for a more severe lucency, so it's important to be discerning in your interpretation."       Timestamps: 0:00 – Introduction to the show and sponsor. 2:00 – Understanding envelope flaps in canine extractions. 6:30 – Risks of iatrogenic jaw fractures in small dogs. 10:45 – How to identify and interpret the Chevron effect in radiographs. 16:30 – Dental composites: When and how to use them, and their longevity.         [Veterinary dentistry, canine extraction techniques, iatrogenic jaw fracture, Chevron effect in radiographs, veterinary dental composites, dental radiography, veterinary dental training]       Affiliate & Sponsor Links: For more information on enhancing your skills in veterinary dentistry, submit a request for the Veterinary Dental Practitioners Program at ivdi.org/inv. 

Gender: A Wider Lens Podcast
Premium: How the Danish Rainbow Council Influenced Politics

Gender: A Wider Lens Podcast

Play Episode Listen Later Aug 10, 2024 3:52


This is a free preview of a paid episode. To hear more, visit www.widerlenspod.comIn this bonus episode for premium subscribers, Jesper Rasmussen emphasizes a strategic approach to effecting change in public policy and societal perceptions. His comprehensive strategy balances direct political action with broader efforts to sway public opinion and leverage media influence. His efforts in Denmark involved relentless conversations about the hidden truths behind gender affirming care for minors, much like the iatrogenic effects. His persistence in securing meetings and fostering alliances significantly impacting the debate in the Danish Parliament. Jesper highlights the importance of engaging public perception in shaping political decisions and leveraging media and strategic messaging to change societal views.----The iatrogenic effect refers to any adverse condition or complication that results from medical treatment or intervention rather than from the underlying disease or condition itself. In the context of pediatric sex changes, iatrogenic concerns revolve around the potentially harmful outcomes that result from early social and medical interventions. These effects may lock a child into a transition process that they might not have chosen if left to develop naturally, leading to irreversible and life-altering consequences.Iatrogenic effects are generally a significant concern in medicine because they underscore the importance of weighing the risks and benefits of any medical intervention. Medical professionals strive to minimize these effects through careful planning, informed consent, and adherence to best practices. So why are they being entirely disregarded with respect to pediatric gender medical treatments? ----Watch our full length episode with Jesper Rasmussen: https://www.widerlenspod.com/p/episode-177For instructions on setting up a private feed to listen to our premium content in your favorite podcast app, visit https://www.widerlenspod.com/p/how-to-listen-to-our-full-premium.

Fertility and Sterility On Air
Fertility and Sterility On Air - TOC: May 2024

Fertility and Sterility On Air

Play Episode Listen Later Jun 2, 2024 71:21


Take a sneak peek at this month's Fertility and Sterility! Articles discussed this month are:  6:24 Iatrogenic and demographic determinants of the national plural birth increase 18:10 Comparison of outcomes between intracytoplasmic sperm injection and in vitro fertilization inseminations with preimplantation genetic testing for aneuploidy, analysis of Society for Assisted Reproductive Technology Clinic Outcome Reporting System data 24:54 Retrospective cohort study comparing the success of medical management of early pregnancy loss in pregnancies conceived with and without medical assistance 33:31 Association of duration of embryo culture with risk of large for gestational age delivery in cryopreserved embryo transfer cycles 38:32 Endometriosis diagnosed by ultrasound is associated with lower live birth rates in women undergoing their first in vitro fertilization/intracytoplasmic sperm injection treatment 47:29 Quantitative ultrasound measurement of uterine contractility in adenomyotic vs. normal uteri: a multicenter prospective study 53:13 Unhealthy air quality secondary to wildfires is associated with lower blastocyst yield 1:03:22 The American Society for Reproductive Medicine's new and more inclusive definition of infertility may conflict with traditional and conservative religious-cultural values  View Fertility and Sterility May 2024, Volume 121, Issue 5: https://www.fertstert.org/issue/S0015-0282(24)X0004-7 View Fertility and Sterility at https://www.fertstert.org/  

ICS Podcast
Iatrogenic incontinence in institutional care settings

ICS Podcast

Play Episode Listen Later May 15, 2024 30:04


The public rightly expects high quality dignified care for all, including older people and persons living with dementia who require care in an institutional care setting such as a hospital or care home. However, in many countries, care quality within these institutions falls far below the public's expectations.The speakers for this podcast draw on their own research and broader research to draw attention to institutional structures and processes of care that are risk factors for iatrogenic incontinence. Professor Joan Ostaszkiewicz advocates for continence care that foregrounds the person's dignity in everyday care interactions. Professor Katie Featherstone describes how her ethnographic research illuminated practices in hospitals that systematically fail to recognise and meet the basic hygiene needs of older people and people living with dementia. Dr Tiina Vaittinnen argues that iatrogenic incontinence is a form of harm and injustice that is deeply imbued in the present cultures of care in institutionalised care settings and that it is caused by dysfunctional health systems. Collectively, they articulate the system-level, long-term economic and environmental impacts of the lack of attention to incontinence and continence caregiving in public health and policy.Joan Ostaszkiewicz, NurseKatie Featherstone, Social ScientistTiina Vaittinen Vaittinen, Health Services ResearcherPiers Gibbon, Journalist Early registration for ICS 2024 Madrid is now open at www.ics.org/2024The ICS annual meeting is the must-attend, multidisciplinary event for clinical and research scientists interested in: Urology Urogynaecology Female and functional urology Gynaecology Bowel dysfunction Neurourology Pure and applied science Physiotherapy Nursing Geriatrics The ICS 2024 Madrid conference fosters collaboration between all disciplines involved in continence care.

Truth in Love
TIL 465: Bad Therapy (feat. Sam Stephens)

Truth in Love

Play Episode Listen Later May 13, 2024 42:23


1. Initial Perception of Bad Therapy 2. Introductioin and Purpose of Bad Therapy 3. Interacting with Cobelligerents 4. Identifying the problems of the times 5. Iatrogenic effects of Psychotherapy 6. Increase in Problems becuase of Secular Therapy 7. Inconsistencies of Trauma Theories 8. Ideology of Gentle Parenting as Deceptive Philosophy Rejecting God's Word. 9. Implementing God's Word as Truth Click here to search for courses through our training centers. Click here for our CEU reading list. 

The Great Simplification with Nate Hagens
Zak Stein: "Values, Education, AI and the Metacrisis”

The Great Simplification with Nate Hagens

Play Episode Listen Later May 8, 2024 113:07


On this episode, Nate is joined by philosopher and educator Zak Stein to discuss the current state of education and development for children during a time of converging crises and societal transformation. As the pace of life continues to accelerate - including world-shaking technological developments - our schools struggle to keep pace with changes in cultural expectations. What qualities are we encouraging in a system centered on competition and with no emphasis on creating agency or community participation? How is unfettered technology and artificial intelligence influencing youth - and what should parents, adults, and teachers be doing in response? What could the future of education look like if guided by true teacherly authority with the aim to create well-rounded, stable young humans with a sense of belonging and purpose in their communities?  About Zak Stein:  Dr. Zak Stein is a philosopher of education, as well as a Co-founder of the Center for World Philosophy and Religion. He is also the Co-founder of Civilization Research Institute, the Consilience Project, and Lectica, Inc. He is the author of dozens of published papers and two books, including Education in a Time Between Worlds.  PDF Transcript Show Notes 00:00 - Zak Stein works + Info, Civilization Research Institute, Education in a Time Between Worlds, Center for World Philosophy and Religion, First Principles and First Values  03:24 - No Child Left Behind 03:56 - Joseph Tainter + TGS episode 03:53 - Iatrogenic  05:30 - Daniel Schmachtenberger (TGS Episodes), Ken Wilbur, Marc Gafney 16:01 - Effects of screens and social media on teen mental health 16:54 - Marshall McLuhan 17:20 - The importance of adult boundary and limit setting for children 18:17 - How social media affects the brain 19:06 - The rise of ADHD in the 90s and effects on education - a timeline 19:58 - Hypercompetitive primary education systems 20:20 - High level of stress and cheating in primary education 22:28 - Scandinavian school systems 26:27 - Cold war effects on the education system 26:35 - Sputnik 27:25 - Tech elites don't give their kids tech 28:35 - Elite overproduction, Peter Turchin 34:10 - Your Unique Self  37:28 - Iain McGilchrist + TGS Episode 38:02 - Moral Relativism 43:27 - Foundations of advertising  47:07 - Negatives of standardized testing 47:22 - Donald T. Cambell - Campbell's law 48:57 - Nature vs Nurture Debate 49:20 - Cooperation and competition 52:10 - Effects of a competitive school environment 55:02 - The effects of an above-and-beyond teacher 55:42 - Legitimate teacherly authority 59:55 - Importance of the environment in the first 5 years of life 1:02:20 - John Dewey 1:10:31 - The best way to learn is to teach 1:11:40 - David Graeber, Bullshit Jobs 1:15:25 - How standardized testing increased high education access 1:16:08 - Civilian Conservation Corp, Lawrence A. Cremin 1:17:02 - New Deal 1:22:07 - Risks around artificial intelligence 1:24:58 - Rise of relationships with AI 1:28:41 - First Chatbot ELIZA 1:30:01 - Electricity use of AI 1:37:30 - The Future of Human Nature 1:41:19 - Peak Oil 1:42:29 - Mental Health Crisis 1:46:35 - Correlation of COVID with IQ loss Watch this video episode on YouTube

AMA Journal of Ethics
Author Interview: “Should Patients' Boredom in Locked Inpatient Psychiatric Units Be Considered Iatrogenic Harm?”

AMA Journal of Ethics

Play Episode Listen Later Mar 15, 2024 5:07


Dr Carrie Tamarelli joins Ethics Talk to discuss her article, coauthored with Angela Cao and Dr Rebecca Grossman-Kahn: “Should Patients' Boredom in Locked Patient Psychiatric Units Be Considered Iatrogenic Harm?”  Recorded December 7, 2023.  Read the full article for free at JournalOfEthics.org

Neurology Today - Neurology Today Editor’s Picks
AI and 911 stroke detection, iatrogenic Alzheimer's and human growth hormone, seizure dogs and refractory epilepsy

Neurology Today - Neurology Today Editor’s Picks

Play Episode Listen Later Mar 7, 2024 4:38


Neurology Today Editor-in-Chief Joseph E. Safdieh, MD, FAAN, highlights new stories reporting on the use of AI in EMS systems for stroke detection, the association between human growth hormone and iatrogenic Alzheimer's, and seizure dogs for refractory epilepsy.

Never Post
Mailbag, Episode 1-3

Never Post

Play Episode Listen Later Mar 6, 2024 68:24 Transcription Available


We respond to listener comments about independent media co-ops, the disappearance of tween fashion, posting disease, influencer voice, mourning online, and human height throughout history.--This conversation contains a single, brief mention of suicide.--☎️ Call us at 651 615 5007 to leave a voice mail

The Concast
Episode #148 Iatrogenic factors & concussion

The Concast

Play Episode Listen Later Feb 16, 2024 33:42


During today's episode I tackle something I've been thinking about for years, the ever difficult question of iatrogenic factors in clinical practice.  An iatrogenic side effect is an illness or symptom, caused by a medical procedure, intervention and/or provider.  I discuss how I see this topic, the things I am paying attention to in my own practice as I try to achieve the best results for the people that I see.  Thank you for listening to my jumbled thoughts on this topic! Is this something you've considered before? Comment below. --- Send in a voice message: https://podcasters.spotify.com/pod/show/concast/message

It's Not Just In Your Head
⁠#158: Iatrogenic harm (ft. Emanuel Sferios & Dr. Asad Khan)⁠

It's Not Just In Your Head

Play Episode Listen Later Nov 15, 2023 54:51


Why is the public discourse around vaccination either 100% good or 100% evil?  Ikoi along with our two guests, both of whom have suffered significant vaccine injuries but remain pro-vaccination, share their stories, experiences and nuanced opinions. -- Support us on Patreon: https://www.patreon.com/itsnotjustinyourhead Email us with feedback, questions, suggestions at itsnotjustinyourhead@gmail.com. -- Harriet's other shows: WBAI Interpersonal Update (Wednesdays): https://wbai.org/program.php?program=431 Capitalism Hits Home: https://www.youtube.com/playlist?list=PLPJpiw1WYdTNYvke-gNRdml1Z2lwz0iEH -- ATTENTION! This is a Boring Dystopia/Obligatory 'don't sue us' message: This podcast provides numerous different perspectives and criticisms of the mental health space, however, it should not be considered medical advice. Please consult your medical professional with regards to any health decisions or management. --- Send in a voice message: https://podcasters.spotify.com/pod/show/itsnotjustinyourhead/message

khan harm iatrogenic asad khan emanuel sferios
PeerView Endocrinology & Diabetes CME/CNE/CPE Video Podcast
Richard Keen, PhD, FRCP, Edna E. Mancilla, MD - Can YOU Avoid Iatrogenic Harm? Understanding and Identifying Fibrodysplasia Ossificans Progressiva

PeerView Endocrinology & Diabetes CME/CNE/CPE Video Podcast

Play Episode Listen Later Sep 20, 2023 64:45


Go online to PeerView.com/NYY860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in fibrodysplasia ossificans progressiva (FOP) discuss the pathophysiology, prevalence, and burden of the disease, as well as the disease's manifestations and common misdiagnoses. With a focus on improving patient care and quality of life, the activity also includes a patient interview and 3D animation and is part of a larger education collection on FOP. Upon completion of this activity, participants should be better able to: Describe the mechanism of disease of FOP, including the underlying genetic pathophysiology; Summarize the spectrum of FOP disease manifestations, understanding the holistic burden on the patient and impact on quality of life; and Avoid iatrogenic harm caused by diagnostic errors by correctly identifying patients with the clinical hallmarks of FOP

PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
Richard Keen, PhD, FRCP, Edna E. Mancilla, MD - Can YOU Avoid Iatrogenic Harm? Understanding and Identifying Fibrodysplasia Ossificans Progressiva

PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast

Play Episode Listen Later Sep 20, 2023 64:45


Go online to PeerView.com/NYY860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in fibrodysplasia ossificans progressiva (FOP) discuss the pathophysiology, prevalence, and burden of the disease, as well as the disease's manifestations and common misdiagnoses. With a focus on improving patient care and quality of life, the activity also includes a patient interview and 3D animation and is part of a larger education collection on FOP. Upon completion of this activity, participants should be better able to: Describe the mechanism of disease of FOP, including the underlying genetic pathophysiology; Summarize the spectrum of FOP disease manifestations, understanding the holistic burden on the patient and impact on quality of life; and Avoid iatrogenic harm caused by diagnostic errors by correctly identifying patients with the clinical hallmarks of FOP

PeerView Clinical Pharmacology CME/CNE/CPE Audio Podcast
Richard Keen, PhD, FRCP, Edna E. Mancilla, MD - Can YOU Avoid Iatrogenic Harm? Understanding and Identifying Fibrodysplasia Ossificans Progressiva

PeerView Clinical Pharmacology CME/CNE/CPE Audio Podcast

Play Episode Listen Later Sep 20, 2023 64:30


Go online to PeerView.com/NYY860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in fibrodysplasia ossificans progressiva (FOP) discuss the pathophysiology, prevalence, and burden of the disease, as well as the disease's manifestations and common misdiagnoses. With a focus on improving patient care and quality of life, the activity also includes a patient interview and 3D animation and is part of a larger education collection on FOP. Upon completion of this activity, participants should be better able to: Describe the mechanism of disease of FOP, including the underlying genetic pathophysiology; Summarize the spectrum of FOP disease manifestations, understanding the holistic burden on the patient and impact on quality of life; and Avoid iatrogenic harm caused by diagnostic errors by correctly identifying patients with the clinical hallmarks of FOP

PeerView Oncology & Hematology CME/CNE/CPE Video Podcast
Richard Keen, PhD, FRCP, Edna E. Mancilla, MD - Can YOU Avoid Iatrogenic Harm? Understanding and Identifying Fibrodysplasia Ossificans Progressiva

PeerView Oncology & Hematology CME/CNE/CPE Video Podcast

Play Episode Listen Later Sep 20, 2023 64:45


This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/NYY865. CME credit will be available until August 30, 2024.Can YOU Avoid Iatrogenic Harm? Understanding and Identifying Fibrodysplasia Ossificans ProgressivaIn support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and International Fibrodysplasia Ossificans Progressiva Association ,Progressive Osseous & Heteroplasia Association ,The American Society for Bone and Mineral Research. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent medical education grant from Regeneron Pharmaceuticals, Inc.Disclosure PolicyAll relevant conflicts of interest have been mitigated prior to the commencement of the activity.Faculty/Planner DisclosuresCo-Chair/PlannerRichard Keen, PhD, FRCP, has a financial interest/relationship or affiliation in the form of:Consultant and/or Advisor for Ipsen Biopharmaceuticals, Inc.; Kyowa Kirin Co., Ltd; Regeneron Pharmaceuticals Inc.; and UCB, Inc.Grant/Research Support from Incyte; Ipsen Biopharmaceuticals, Inc.; Kyowa Kirin Co., Ltd; and Regeneron Pharmaceuticals Inc.Speaker for Ipsen Biopharmaceuticals, Inc.; Kyowa Kirin Co., Ltd; Regeneron Pharmaceuticals Inc.; and UCB, Inc.Co-Chair/PlannerEdna E. Mancilla, MD, has a financial interest/relationship or affiliation in the form of:Consultant and/or Advisor for Ipsen Biopharmaceuticals, Inc./Clementia Pharmaceuticals.Grant/Research Support from Incyte.Patient/PlannerErin Danzer has no financial interests/relationships or affiliations in relation to this activity.Planning Committee and Reviewer DisclosuresPlanners, independent reviewers, and staff of PVI, PeerView Institute for Medical Education, do not have any relevant financial relationships related to this CE activity unless listed below.

phd speaker patients md identifying consultants bone advisor harm american society keen cme medical education ucb frcp planning committee progressiva accreditation council mancilla regeneron pharmaceuticals iatrogenic incyte pvi continuing medical education accme pharmacy education acpe mineral research practice aids peerview institute reviewer disclosuresplanners grant research support disclosure policyall
The Deep State Consciousness Podcast
COVID: Iatrogenic Deaths and Early Spread, an interview with Bill Rice Jr

The Deep State Consciousness Podcast

Play Episode Listen Later Jul 22, 2023 52:39


Bill Rice Jr is a professional journalist, whose frustration with the COVID narrative led him to break free and ply his trade on Substack. His regular newsletter now attracts thousands of readers. I came across Bill's work when preparing the Measuring the Mandates report, as he has specialised in documenting the evidence for early spread of the virus. Although we'd approached this question from different angles, we'd both realised the implications of this: that COVID couldn't be the thing driving the excess mortality. This is the biggest scandal of our time. In this interview I ask Bill all about that. We also discuss some of his writing and insights into how ‘The Narrative' insulates and protects itself, and what we can do to break through.  Follow Bill on Substack: https://billricejr.substack.com/ Read Measuring the Mandates, Questioning the States Response to COVID-19: https://www.deepstateconsciousness.com/measuring-the-mandates

The Vet Dental Show
Ep 72 - Why do you do envelope flaps? What is the risk of iatrogenic jaw fracture during extractions in canine patients?

The Vet Dental Show

Play Episode Listen Later Apr 5, 2023 13:19


Love Veterinary Dentistry?

AMA Journal of Ethics
Author Interview: “What the COVID-19 Pandemic Teaches Us About Pediatric Iatrogenic Risk”

AMA Journal of Ethics

Play Episode Listen Later Feb 1, 2023 3:06


Dr Katherine Pumphrey joins Ethics Talk to discuss her article, coauthored with Dr Jessica Hart: “What the COVID-19 Pandemic Teaches Us About Pediatric Iatrogenic Risk.”  Recorded December 9, 2022. Read the full article at JournalofEthics.org

AMA Journal of Ethics
Ethics Talk: How to Avoid Hyper Medicalization and Iatrogenic Child Abuse

AMA Journal of Ethics

Play Episode Listen Later Feb 1, 2023 18:52


Drs Andrea Asnes and Sundes Kazmir join Ethics Talk to discuss medical child abuse, sites of pediatric neglect, and how clinicians can best carry out their responsibilities as mandatory reporters. Recorded November 3, 2022.  Read the full February 2023 issue for free at JournalofEthics.org.

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
760: Can You Use Tranexamic Acid For Controlling Iatrogenic Bleeding During Flexible Bronchoscopy?

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later Oct 27, 2022 4:15


Show notes at pharmacyjoe.com/episode760. In this episode, I'll discuss tranexamic acid for controlling iatrogenic bleeding during flexible bronchoscopy. The post 760: Can You Use Tranexamic Acid For Controlling Iatrogenic Bleeding During Flexible Bronchoscopy? appeared first on Pharmacy Joe.

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
760: Can You Use Tranexamic Acid For Controlling Iatrogenic Bleeding During Flexible Bronchoscopy?

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later Oct 27, 2022 4:15


Show notes at pharmacyjoe.com/episode760. In this episode, I ll discuss tranexamic acid for controlling iatrogenic bleeding during flexible bronchoscopy. The post 760: Can You Use Tranexamic Acid For Controlling Iatrogenic Bleeding During Flexible Bronchoscopy? appeared first on Pharmacy Joe.

MeatRx
Type 1 Diabetic Quits Carbs And Here's What He Finds Out | Dr. Shawn Baker & Paul

MeatRx

Play Episode Listen Later Oct 7, 2022 54:13


Visit D'Artagnan: https://www.dartagnan.com/ Paul was diagnosed 5 years ago with type 1 diabetes in a pretty severe crisis. Through very low carb (less than 30 TOTAL carbs per day), often zero, he has managed blood glucose in the normal range. The last 3 A1c readings have been right around 5.0%.  Timestamps 00:00 Introduction 01:49 Type 1 diabetes diagnosis in old age 05:06 Coaching type 1 diabetics 06:06 ADA type 1 diabetic self-care handbook 07:54 Dr. Bernstein 08:43 Blood sugar rollercoaster 10:49 Discovering being type 1 diabetic 12:53 Type 1 vs type 2 diabetes 14:06 Trying carnivore diet for type 1 diabetes 15:57 Self-experimenting 18:04 Current diabetic routine 19:28 Using insulin on type 1 diabetes 22:21 Meal size 24:18 Negative effects of carnivore diet 25:11 Blood sugar and dementia 26:22 Carnivore diet resolves retinopathy 28:28 Carnivore diet & peripheral neuropathy 31:10 Diabetes and infections 32:49 Over-the-counter insulin 34:22 CGM for diabetes 36:33 CGMs and women 37:54 Carnivore diet and family 41:09 Carnivore diet and heart disease risk 44:55 Mastering Diabetes 45:46 Vegans and diabetes 47:01 Literature vs patient experience 48:16 Iatrogenic causes 50:23 Corrective doses of insulin See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Book a Carnivore Coach: https://carnivore.diet/book-a-coach/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation   #humanfood #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree  ‪

Healthy Charleston
Words Matter: The Power of Language In Health and Fitness

Healthy Charleston

Play Episode Listen Later Oct 3, 2022 78:42


We have realized how much words matter when it comes to patient's and client's recovery and pain experience. Our words can change the way someone thinks, feels, and acts and our words have the capacity to heal or the potential to cause harm. Tune in, as we discuss why words matter in health care and fitness and what some solutions are to help our patients get better results by changing how we communicate with them.In this episode, we are joined by Dr. Rachel Heller, Physical Therapist and Yoga Instructor here at Made2Move.Follow her on IG:@thebalancedrach Welcome to the Healthy Charleston Podcast, where we help you take ownership of your health and fitness. We are here to be your source of accurate health and fitness information while spreading awareness about the health and fitness resources available to you in the Charleston area. Be sure you are subscribed so you never miss an episode, we hope you enjoy the show.Follow Hannah and Made2Move:@hannahbreal_dpt @made2movept DONT spend another day in pain! Sign up for an appointment at made2movept.com and get 10% off your first visit when you mention the podcast.Articles we reference in this episodeBarsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017 Dec 26;318(24):2425-2426. doi: 10.1001/jama.2017.16216. Erratum in: JAMA. 2018 Feb 27;319(8):833. PMID: 29090307.Colloca L. Nocebo effects can make you feel pain. Science. 2017 Oct 6;358(6359):44. doi: 10.1126/science.aap8488. PMID: 28983038; PMCID: PMC5754642.Darlow, Ben, et al. "The enduring impact of what clinicians say to people with low back pain." The Annals of Family Medicine 11.6 (2013): 527-534.Friedman, Daniel Jonah, Louise Tulloh, and Karim M. Khan. "Peeling off musculoskeletal labels: sticks and stones may break my bones, but diagnostic labels can hamstring me forever." British Journal of Sports Medicine 55.21 (2021): 1184-1185.Stewart, Michael, and Stephen Loftus. "Sticks and stones: the impact of language in musculoskeletal rehabilitation." journal of orthopaedic & sports physical therapy 48.7 (2018): 519-522.Webster BS, Bauer AZ, Choi Y, Cifuentes M, Pransky GS. Iatrogenic consequences of early magnetic resonance imaging in acute, work-related, disabling low back pain. Spine (Phila Pa 1976). 2013 Oct 15;38(22):1939-46. doi: 10.1097/BRS.0b013e3182a42eb6. PMID: 23883826; PMCID: PMC4235393.

Healthy Charleston
Words Matter: The Power of Language In Health and Fitness

Healthy Charleston

Play Episode Listen Later Oct 3, 2022 78:42


We have realized how much words matter when it comes to patient's and client's recovery and pain experience. Our words can change the way someone thinks, feels, and acts and our words have the capacity to heal or the potential to cause harm. Tune in, as we discuss why words matter in health care and fitness and what some solutions are to help our patients get better results by changing how we communicate with them.In this episode, we are joined by Dr. Rachel Heller, Physical Therapist and Yoga Instructor here at Made2Move.Follow her on IG:@thebalancedrach Welcome to the Healthy Charleston Podcast, where we help you take ownership of your health and fitness. We are here to be your source of accurate health and fitness information while spreading awareness about the health and fitness resources available to you in the Charleston area. Be sure you are subscribed so you never miss an episode, we hope you enjoy the show.Follow Hannah and Made2Move:@hannahbreal_dpt @made2movept DONT spend another day in pain! Sign up for an appointment at made2movept.com and get 10% off your first visit when you mention the podcast.Articles we reference in this episodeBarsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017 Dec 26;318(24):2425-2426. doi: 10.1001/jama.2017.16216. Erratum in: JAMA. 2018 Feb 27;319(8):833. PMID: 29090307.Colloca L. Nocebo effects can make you feel pain. Science. 2017 Oct 6;358(6359):44. doi: 10.1126/science.aap8488. PMID: 28983038; PMCID: PMC5754642.Darlow, Ben, et al. "The enduring impact of what clinicians say to people with low back pain." The Annals of Family Medicine 11.6 (2013): 527-534.Friedman, Daniel Jonah, Louise Tulloh, and Karim M. Khan. "Peeling off musculoskeletal labels: sticks and stones may break my bones, but diagnostic labels can hamstring me forever." British Journal of Sports Medicine 55.21 (2021): 1184-1185.Stewart, Michael, and Stephen Loftus. "Sticks and stones: the impact of language in musculoskeletal rehabilitation." journal of orthopaedic & sports physical therapy 48.7 (2018): 519-522.Webster BS, Bauer AZ, Choi Y, Cifuentes M, Pransky GS. Iatrogenic consequences of early magnetic resonance imaging in acute, work-related, disabling low back pain. Spine (Phila Pa 1976). 2013 Oct 15;38(22):1939-46. doi: 10.1097/BRS.0b013e3182a42eb6. PMID: 23883826; PMCID: PMC4235393.

Benzodiazepine Awareness with Geraldine Burns
Episode 41: Jennifer DeGuilio: A Positive Attitude Through Tapering

Benzodiazepine Awareness with Geraldine Burns

Play Episode Listen Later Jul 22, 2022 53:49


Jennifer DeGuillio is a wife, mother of four and a health coach, who specializes in ketogenic living, nutrition, health and wellness. She has coached hundreds of women, who have successfully sustained a healthy lifestyle. Jennifer loves sharing knowledge and helping others. She is a passionate person who will go the extra mile and over-deliver.When an Iatrogenic illness to benzodiazepines took her by surprise, she used this same healthy lifestyle and positive attitude to approach her taper.  She is proof, not everyone has to suffer when tapering a benzodiazepine.https://linktr.ee/JenniferDeguilio 

Cardionerds
186. Case Report: Coronary Artery Bypass Grafting: An Iatrogenic Left to Right Cardiac Shunt – SUNY Downstate

Cardionerds

Play Episode Listen Later Mar 20, 2022 47:27


CardioNerds (Amit Goyal and Daniel Ambinder) and guest host, Dr. Priya Kothapalli (UT Austin fellow and CardioNerds Ambassador), join SUNY Downstate cardiology fellows, Dr. Eric Kupferstein and Dr. Gautham Upadhya to discuss a case about a patient who had coronary artery bypass grafting that was complicated by a LIMA grafted to the great cardiac vein. Dr. Alan Feit (Professor of Medicine, SUNY Downstate) provides the E-CPR for this episode. Dr. Moritz Wyler von Ballmoos (Director, robotic cardiac and vascular surgery for Houston Methodist Cardiovascular Surgery Associates) provides a special perspective regarding coronary artery bypass grafting as it relates to this case. Episode introduction with CardioNerds Clinical Trialist Dr. Jana Lovell (Johns Hopkins). Left Internal Mammary Artery (LIMA) to Left Anterior Descending (LAD) artery anastomosis is the cornerstone of Coronary Artery Bypass Graft (CABG) surgery. Anastomosis of the LIMA to the Great Cardiac Vein (GCV) is a known but rare complication of the surgery. Currently there are no clear guidelines in regard to further management. We report a case of a LIMA to GCV anastomosis managed with a drug eluting stent (DES) to the mid LAD after ruling out a significant left to right heart shunt. Jump to: Case media - Case teaching - References CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - Coronary Artery Bypass Grafting: An Iatrogenic Left to Right Cardiac Shunt Angiography Episode Schematics & Teaching - Coronary Artery Bypass Grafting: An Iatrogenic Left to Right Cardiac Shunt Pearls - Coronary Artery Bypass Grafting: An Iatrogenic Left to Right Cardiac Shunt Listen to the patient's story. The patient determines when the angina is no longer stable angina.The placebo effect of our interventions should not be discounted.LIMA to GCV anastomosis creates a left to right cardiac shunt. A Qp:Qs greater than 1.5 signifies a significant shunt.Increasing the pressure in the coronary sinus may actually be beneficial to the patient.LIMA-LAD is remains the most efficacious and long lasting graft but why not other arterial grafts? Notes - Coronary Artery Bypass Grafting: An Iatrogenic Left to Right Cardiac Shunt Iatrogenic anastomosis of the LIMA to the GCV is a rare but noted complication of CABG surgery. Review of the literature has reported under 40 such cases of arteriovenous fistula formation in the coronary system. Detection of the anastomosis generally stems from recurrent angina which can be attributed to unresolved ischemia or coronary steal syndrome but also can be detected with new heart failure (namely right sided heart failure due to left to right shunting). Diagnosis is usually made with coronary angiography, but CT coronary angiography has also been reported. Due to the rarity of this complication, no clear guidelines are in place directing the management leaving it to the discretion of the various Heart Teams. Evaluating for signs of heart failure and/or ischemia, and measuring the Qp:Qs have been the most common signs directing management. Various options are available for closing the fistula and include coil or balloon embolization, vascular plugs, venous ligation or a covered stent. Redoing the surgery is also an option. Spontaneous closure of the fistula has also been reported. Lastly, if redo surgery is not performed then regardless of fistula closure, coronary intervention for the native diseased artery may be pursued to relieve symptoms. References Boden et al; COURAGE Trial Research Group. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med. 2007 Apr 12;356(15):1503-16. doi: 10.1056/NEJMoa070829. Epub 2007 Mar 26. PMID: 17387127.