Podcasts about ICU

A 40-year-old physician associate and his wife walked away from their jobs with $50,000 earmarked for a year of world travel. They returned having spent just $30,000—and visited 15+ countries across four continents. This isn't a story about deprivation or cutting corners. It's about strategic geography, intentional choices, and the freedom that comes from knowing exactly what you value. Key Topics Discussed Introduction and Background 00:00:00 Ginger introduces Zack, the "winner of life" from the 2025 end-of-year wins episode. Now 40 with a seven-month-old baby in Arizona, Zack reflects on how a year of travel reset his life trajectory. The Genesis of the Trip 00:03:30 Growing up poor but playing travel soccer planted early seeds. Working short emergency medicine shifts gave Zack flexible scheduling and the mental space to plan an exit strategy with his wife. Financial Foundation and Savings Rate 00:07:00 A 90%+ savings rate funded their dream. Complete financial transparency in marriage and childhood memories of family bankruptcy drove Zack to master personal finance young. Planning and Budgeting 00:10:00 They allocated $50,000 for travel plus another $50,000 for job hunting upon return. Research through books and blogs introduced "low burn and high burn" countries. Chasing the sun meant packing only lightweight clothing. The $30,000 Reality 00:15:00 Final spend: under $30,000. Strategies included medical volunteering, Workaway exchanges, teaching English for pay in London, hostels, homestays, and ruthless geo-arbitrage in Southeast Asia and South America. Travel Strategies and Workaway 00:20:00 Workaway connected them to free accommodation in exchange for skills. They secured a paid two-month teaching position in London and applied to opportunities like an alpaca farm in Norway (visa restrictions prevented that one). Building Community on the Road 00:28:00 Hostels, hiking groups, public transportation, and intentional conversations created friendships. A Malaysian engineer they met on a volcano hike later hosted them. Connection required showing up and being open. Life-Changing Inflection Points 00:33:00 Two moments shaped everything: his family's bankruptcy as a teenager and waking up in an ICU coma in 2018. The latter injected urgency into postponed dreams and clarified what mattered most. Overcoming Scarcity Mindset 00:38:00 Shifting from scarcity to abundance meant building systems aligned with core values. Evidence from past good decisions created confidence to bet on themselves. Favorite Destinations 00:44:00 Guatemala's active volcano El Fuego, cooking classes in Thailand, Colombia's unexpected beauty and value, Vietnam's month-long immersion, and the dream bucket-list destination of New Zealand. Reintegration and Lessons Learned 00:52:00 Coming home brought culture shock and relief from decision fatigue. They found jobs they loved. Travel isn't vacation—it's exhausting in different ways. Resources and Closing Thoughts 00:58:00 Rolf Potts' Vagabonding shaped their philosophy. Journaling preserved memories. No single resource fits everyone; customize your approach by exploring multiple perspectives. Notable Quotes Zack: "We ended up spending just under thirty thousand dollars. If I told you the list of activities we did and the places we visited, you would not think it was possible." Zack: "Easy decisions, hard life. Hard decisions, easy life. When you spend a lot of time thinking about the hard decisions and you go really deep on the core values of your life, then I think it makes it easier to create systems that will help you move forward." Zack: "Traveling teaches you simplicity in a very interesting way. When we came home at the end of the year, we had plenty of room to spare in our backpacks. Your mindset just really shifts from 'this is what we think we need' to 'this is what we need.'" Zack: "I woke up in a coma in the ICU. That experience really brought into perspective mortality and some sense of urgency to do…

The doctors who treated Lindsay Clancy's three children took the stand today in her murder trial. Clancy, 34, of Duxbury, Massachusetts, is accused of strangling 5-year-old Cora, 3-year-old Dawson, and 7-month-old Callan with exercise resistance bands inside the family's Summer Street home on January 24, 2023. She faces three counts of murder and three counts of strangulation, has pleaded not guilty, and is mounting an insanity defense — attorney Kevin Reddington argues she was in the grip of severe postpartum psychosis and psychiatric overmedication when it happened.Dr. Michael Snyder of Beth Israel Hospital, Dr. Andrew Capraro from the Boston Children's Hospital ER, and Dr. David Casavant from the Boston Children's ICU testified about how the children arrived and what treatment looked like once they got there. Central to their testimony: the brain injuries caused by lack of oxygen, injuries that hit hardest in Callan, the youngest and most vulnerable of the three. When doctors describe irreversible brain damage in a baby who hadn't even started crawling, there's no legal maneuvering that softens it. That's the part of this trial no defense strategy gets to touch.Prosecutors are expected to argue Clancy understood the nature of her actions despite the defense's mental-health claims. After the killings, Clancy allegedly attempted to take her own life by jumping from a second-story window, leaving her paralyzed from the waist down. Her husband, Patrick Clancy, was out of the home running errands at the time and has since relocated to Manhattan. The trial, underway in Plymouth Superior Court before Judge William F. Sullivan, is expected to last several weeks.LinksJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodDisclaimerContent on this site is based on publicly available information and reflects commentary and opinion. All individuals are presumed innocent until proven guilty. Nothing published here constitutes legal, medical, or professional advice.Hashtags#LindsayClancy #DuxburyTragedy #PostpartumPsychosis #TrueCrime #PlymouthCounty #CoraDawsonCallan #InsanityDefense #KevinReddington #TrueCrimeToday #Breaking

The medical staff who cared for Lindsay Clancy right after the Duxbury killings had their turn on the stand this week, and their testimony pulls back the curtain on what happened in that hospital room while the rest of the world was still trying to process the news. Clancy, 34, faces three counts of murder and three counts of strangulation over the deaths of her three children — Cora, 5, Dawson, 3, and Callan, 7 months — who prosecutors allege she strangled with exercise resistance bands inside the family's Summer Street home on January 24, 2023. She's pleaded not guilty, and her attorney, Kevin Reddington, is mounting an insanity defense centered on severe postpartum psychosis and psychiatric overmedication.Rachelle Amedee, the trauma nurse who treated Clancy in that early window, testified that once Clancy regained the ability to communicate — via whiteboard, since she couldn't yet speak — she asked for her attorney. Draw your own conclusions on the timing. Meghan Collins, who worked in the ICU, described the treatment Clancy received during her stay there, adding medical detail to the aftermath of an alleged suicide attempt that left Clancy paralyzed from the waist down after jumping from a second-story window.Her husband, Patrick Clancy, was running errands at the time of the killings. He's since moved to Manhattan and given interviews about his wife's mental state. The trial is underway in Plymouth Superior Court and is expected to stretch several weeks.LinksJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodDisclaimerThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.Hashtags#LindsayClancy #DuxburyTragedy #PostpartumPsychosis #TrueCrime #PlymouthCounty #CoraDawsonCallan #InsanityDefense #KevinReddington #TrueCrimeToday #Breaking

Three physicians took the stand today in the murder trial of Lindsay Clancy, the Duxbury, Massachusetts mother accused of strangling her three children — 5-year-old Cora, 3-year-old Dawson, and 7-month-old Callan — with exercise resistance bands inside the family's Summer Street home on January 24, 2023. Clancy faces three counts of murder and three counts of strangulation. She has pleaded not guilty and is mounting an insanity defense, with attorney Kevin Reddington arguing she was in the grip of severe postpartum psychosis and psychiatric overmedication at the time of the killings.Dr. Michael Snyder of Beth Israel Hospital, Dr. Andrew Capraro of the ER at Boston Children's Hospital, and Dr. David Casavant of the ICU at Boston Children's Hospital walked jurors through the children's arrival and treatment — and the brain injuries caused by prolonged oxygen deprivation. The damage was most severe in Callan, the youngest of the three, whose seven-month-old brain had the least capacity to withstand it. These weren't abstract medical terms for the jury. They were a roadmap of exactly what strangulation does to a small child's body, delivered by the people who tried to reverse it and couldn't.Prosecutors are expected to argue Clancy understood the nature of her actions despite the defense's mental-health claims. After the killings, Clancy allegedly attempted to take her own life by jumping from a second-story window, leaving her paralyzed from the waist down. Her husband, Patrick Clancy, was out of the home running errands at the time and has since relocated to Manhattan. The trial, underway in Plymouth Superior Court before Judge William F. Sullivan, is expected to last several weeks.LinksJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodDisclaimerContent on this site is based on publicly available information and reflects commentary and opinion. All individuals are presumed innocent until proven guilty. Nothing published here constitutes legal, medical, or professional advice.Hashtags#LindsayClancy #DuxburyTragedy #PostpartumPsychosis #TrueCrime #PlymouthCounty #CoraDawsonCallan #InsanityDefense #KevinReddington #HiddenKillers #Breaking

Two of the medical staff who treated Lindsay Clancy in the hours and days after the Duxbury killings took the stand this week, and between them they laid out exactly what the state of Massachusetts was dealing with in that hospital room. Clancy, 34, is charged with three counts of murder and three counts of strangulation in the deaths of her children — 5-year-old Cora, 3-year-old Dawson, and 7-month-old Callan — who prosecutors allege she strangled with exercise resistance bands inside the family's Summer Street home on January 24, 2023. She's pleaded not guilty and her attorney, Kevin Reddington, is running an insanity defense built on severe postpartum psychosis and psychiatric overmedication.Trauma nurse Rachelle Amedee testified she treated Clancy in those first critical hours, and told the courtroom that once Clancy could communicate — using a whiteboard, since she couldn't speak — one of the first things she asked for was her attorney. Make of that what you want, because the prosecution certainly will. ICU nurse Meghan Collins followed with details on the treatment Clancy received during her stay, filling in the medical picture of a woman who allegedly jumped from a second-story window and is now paralyzed from the waist down.Her husband, Patrick Clancy, was out running errands when it happened. He's since relocated to Manhattan and spoken publicly about his wife's mental health. The trial continues in Plymouth Superior Court and is expected to run several weeks.LinksJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodDisclaimerThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.Hashtags#LindsayClancy #DuxburyTragedy #PostpartumPsychosis #TrueCrime #PlymouthCounty #CoraDawsonCallan #InsanityDefense #KevinReddington #HiddenKillers #Breaking

Key Points Gamification in medical education can deeply engage learners and improve clinical skills. Rapid Sequence alternates between game blocks, where learners act in clinical scenarios, and teaching blocks, where insights are shared. True expertise is about developing effective cognitive strategies, not just accumulating knowledge. Building mental models involves not just learning, but practicing decision-making in complex environments. The learning environment should foster psychological safety and encourage growth through reflection and feedback. REBEL Rundown Introduction Welcome back to Rebel MIND, the podcast where we sharpen the person behind the practitioner. MIND stands for Mastering Internal Negativity during Difficulty. This series emphasizes productivity, provider performance, and team optimization to ensure we are at our best during high-pressure situations. In this episode, we introduce an innovative teaching tool called Rapid Sequence, aimed at revolutionizing how clinicians learn critical care through gamified experiences. With host Dr. Mark Ramzy, we invite Drs. Sarah Crager, and Ryan Ernst, to explore what it takes to become an expert and how gamification can transform learning in the medical field. Cognitive Question What does it truly mean to be an expert in emergency and critical care medicine? What Is Rapid Sequence?? It’s a gamified clinical case simulation tool consisting of different “blocks” where you have individual learners that can work through cases in non-multiple choice format. You’re basically working on shifts, seeing multiple patients with your team.There’s a cast of characters, interruptions, distractions, and you enter orders just like you would as if you were on shift, and then the cases advance to see the outcome of your decisions, good or badFor more information check it out the Rapid Sequence website here. Use the following Promo Code: REBEL2026 at checkout page to receive a 20% off couponFigure 1: Screenshot from Rapid Sequence showing the initial dashboard Learning Must Be An Active Not Passive Process An important part of the process when acquiring new skills or information is making it an active processIt is not just passively listening, but actively participating, providing answers that aren’t multiple choice, and then responding to the outcomeThis provides the engagement, and increases both the comprehension and retainability of new conceptsWhen you then apply those same concepts in future times of questioning (or in Rapid Sequence's case “Blocks”) it helps expedite active recall through spaced repetition How This Applies to the Emergency Department or ICU? In high-stakes environments like the ED or ICU, clinicians must make fast, informed decisions often without complete data. Rapid Sequence provides a simulated space where clinicians can make mistakes without risk to real patients, receive feedback, and build the cognitive resilience needed for actual shifts, mirroring the chaotic nature of these departments. Immediate Action Steps for Your Next Shift **Embrace Gamified Learning**: Engage with or seek out platforms like Rapid Sequence that offer a practice ground for real-world medical scenarios.**Develop Mental Models**: Start by breaking down complex cases into mental models that you can refer back to during your shift. **Prioritize Feedback and Reflection**: After each shift, allocate time to reflect on decisions and seek peer feedback to refine your cognitive strategies.**Foster a Safe Learning Environment**: Encourage open discussions in your team where all members can express uncertainties and learn from one another. Conclusion Embracing innovative teaching methodologies such as gamification can lead to significant improvements in clinical education and practice. By integrating tools like Rapid Sequence in training, healthcare professionals can not only enhance their skills but also foster a culture of continuous learning and psychological safety. Clinical Bottom Line Effective medical education isn’t about rote memorization—it’s about developing the ability to think critically and adapt rapidly in ever-changing environments. Gamified tools offer an engaging path to achieve true expertise, ensuring clinicians are well-equipped to provide the best patient care possible. Meet the Authors Sara Crager, MD Associate Professor, Critical Care and Emergency Medicine UCLA, Los Angeles, CA Ryan Ernst, MD Assistant Professor of Emergency Medicine, Section Chief of Global EM University of Utah, Salt Lake City, UT Showing Slide 1 of 2 The post REBEL MIND – Teaching Towards Expertise with Gamification appeared first on REBEL EM - Emergency Medicine Blog.

Send us Fan MailWhen is surfactant "early," and when is it too early, or too late? In this second installment of our two-part series with the Neonatal Resuscitation Symposium, Ben Courchia sits down with Dr. Roger Soll, a leading voice in surfactant research since the 1980s, to trace how our thinking on timing has evolved, from aggressive prophylactic dosing to selective rescue therapy to today's less invasive approaches like LISA and SALSA. Dr. Soll unpacks why head-to-head trials keep favoring less invasive administration over InSurE, and how the rise of "nanopreemies" is quietly pulling the pendulum back toward earlier treatment. The conversation also touches on video laryngoscopy and aerosolized surfactant's unfulfilled promise. A candid, technically rich conversation for anyone who has stood at a warmer wondering whether, and when, to reach for surfactant. Dr. Soll expands on these themes at the Neonatal Resuscitation Symposium, September 10 to 11, 2026, at Indiana University School of Medicine. Support 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!

Nikki Goldstein was in a coma in the ICU at St Vincent's Hospital when she first 'met' Rabbi Eli Schlanger. When she woke, the pair embarked together on a project to share the wisdom, compassion and universality of several Jewish teachings.Although they were from very different worlds, when Nikki gained consciousness and met Rabbi Eli properly the two became fast friends.Then, they started writing a book together - based on the deep and expansive conversations they began having about hope, personal growth, spirituality and modern life.Rabbi Eli wanted Nikki's help to share seven ancient Jewish guidelines on living a good life, which he believed could be helpful to anyone, Jewish or not, who was looking for a way to live in a world that feels increasingly chaotic.While Nikki and Rabbi Eli didn't agree on everything all the time, they did both believe these teachings to be universal in their compassion and wisdom.The pair had just recorded their last conversation for the project in December last year, when Rabbi Eli was one of 15 people killed in the Bondi Beach terror attack.Nikki decided to honour his memory by finishing their book alone.Conversations with My Rabbi is published by HarperCollins.This episode of Conversations was produced by Meggie Morris. Executive producer is Nicola Harrison.It explores religion, faith, modern living, disconnection, hope, radical empathy, togetherness, multiculturalism, learning from others, spiritual, family, near-death experiences, autoimmune disease, anti-Semitism, terrorism, grief, tragedy, suffering, meaning of life, spiritual teachings, friendship, prayer, meditation, Judaism, secularism.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.

Next of Kin After Stroke: When Your 19-Year-Old Has to Decide For You Kylie Ralston was 56, living alone in Sofia, Bulgaria, and getting back into shape after a divorce. Three mornings a week she ran. On the morning everything changed, she was doing a local park run with her friend Rebecca when she slowed to a walk, then tried to run again and couldn’t. “It was like the message wasn’t getting through from my brain to my legs,” she says. No headache. No fatigue. Nothing that felt like an emergency. She finished the run, registered her time, and went home. It wasn’t until she collapsed getting out of the car that anyone understood what was happening. By the time Kylie reached hospital, she had suffered a left frontoparietal haemorrhagic stroke, a spontaneous brain bleed roughly 7.5cm across, with none of the usual risk factors. No high blood pressure. No cholesterol history. No aneurysm, no AVM. She was placed in an induced coma for four days. When she woke, she couldn’t move her right side, and she couldn’t speak. What “Next of Kin” Really Means When a Stroke Hits Abroad Kylie was a permanent resident of Bulgaria, not a citizen, divorced from her daughter’s father, and living on her own. When the hospital needed someone to authorise emergency surgery, there was exactly one person available to make that call: her daughter, then 19 years old, splitting her time between her separated parents’ homes. It’s a detail easy to skim past, but it sits at the centre of this episode: next of kin isn’t a role most of us think about until a hospital needs an answer immediately. Kylie hadn’t nominated her daughter out of any formal planning process; it simply fell to her, because she was the only adult relative in the country who met the age threshold. A 19-Year-Old Signing Consent-to-Operate Forms Kylie’s friends contacted her daughter directly. She rushed to the hospital, and unconscious, unable to advocate for herself, her mother’s care now depended on decisions made by a teenager under enormous duress. Kylie’s first memory afterward is her daughter arriving in the ICU in a hairnet and scrubs, holding her hand, telling her she loved her. It’s the kind of moment that rarely makes it into conversations about stroke recovery, because the focus so often lands on rehabilitation milestones: walking, speaking, returning to work. But before any of that, someone has to be legally empowered to say yes to surgery, and for Kylie, that someone hadn’t expected the responsibility for another few decades. The Gap Between Acute Surgery and Real Rehabilitation Bulgaria’s acute care, Kylie and her friend Nicole Nott both stress, was world-class surgery within roughly two hours of the stroke, the kind of outcome her friends still describe as a miracle given the size of the bleed. What came next was a different story. In the public hospital, physiotherapy visits totalled two sessions. There was no speech therapy. After 14 days, still unable to move her right side or speak, Kylie was expected to go home. Her partner, Guido, refused to accept it, and the couple began privately funding rehabilitation themselves. This is a distinction worth sitting with if you or someone you love is navigating stroke recovery in a country or even a region with limited public rehab funding: acute survival and functional recovery are not the same fight, and they are not always resourced the same way. When a Friend Becomes the Rehab Team Nicole Nott, an occupational therapist and Kylie’s friend since they were 16, found out about the stroke through a message she initially suspected was a scam. Within days she’d cleared her schedule and flown from Australia to Bulgaria. What she found in the private rehab hospital was a caring but under-trained care team, kind staff with, as Nicole puts it, “no rehab expertise.” Nicole spent close to two weeks restructuring Kylie’s room and routine around basic stroke rehabilitation principles: approaching from Kylie’s affected right side to address her spatial inattention, built-up cutlery to force use of her weaker hand, a balloon tapped back and forth for shoulder strength, word games layered on top for speech practice, pegs and curtains repurposed into arm exercises. She also pushed back hard against hospital staff who tried to stop her from helping Kylie transfer to a shower chair or toilet, at one point being told outright she wasn’t permitted because she was a woman. Her single goal before flying home: get Kylie toileting independently again, for dignity as much as mobility. Kylie called her from Dubai airport, mid-transit, to tell her it had happened. Living With Aphasia Fourteen months on, Kylie’s right-side weakness has largely resolved. What remains, she says, is the hardest part: expressive aphasia. “I can’t express myself like I used to.” It’s a small, telling detail of the condition that even the phrase “I can’t” is itself shaped by the aphasia; the words available to describe the loss are affected by the loss. The Unexpected Gains Both women point to what came out of the crisis alongside the hardship: Kylie’s relationship with her daughter deepened. Her circle of friends in Bulgaria proved itself in ways she hadn’t anticipated. And in the rehab hospital, her partner Guido proposed something; he told her he’d already decided before the stroke but simply hadn’t gotten around to asking. If this episode raises questions about who is legally positioned to make decisions for you and whether that person actually knows it, it may be worth a conversation with your own family before a crisis forces the issue. For a deeper account of navigating identity, recovery, and unexpected transformation after stroke, Bill’s book The Unexpected Way That A Stroke Became The Best Thing That Happened is available at recoveryafterstroke.com/book. If this show has helped you, you can support it at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Kylie Ralston: Stroke, Bulgaria, and the Friend Who Flew Across the World When Kylie had a stroke abroad, her 19-year-old daughter became her next of kin, and a friend flew in to help her recover. Bill’s Book: The Unexpected Way That A Stroke Became The Best Thing That Happened Support the Recovery After Stroke On Patreon Highlights: 00:00 Introduction – Next of Kin After Stroke03:47 The Day of the Stroke08:55 Rehabilitation Challenges in Bulgaria16:32 Coping with Language Barriers22:08 Reflections on Healthcare Systems32:50 Setting Goals and Achievements38:29 Family Dynamics and Support Systems45:36 Finding Meaning in Recovery54:44 The Impact of Caregiving58:22 Reflections on Recovery and Gratitude Transcript: Introduction – Next of Kin After Stroke Bill Gasiamis (00:00)And one of my first horrible thoughts was, is this a dreadful hoax? Is someone, you know, is this some horrible scam? And it made me feel quite sick actually And then I rang her son who lives in Australia and he’s like, Yeah, I’m so sorry. I haven’t told you. Yes, it’s true, mum’s had a stroke. Bill Gasiamis (00:16)Welcome back to Recovery After Stroke. I’m Bill Gasiamis, and today I’m joined by two guests, Kylie Ralston and her friend Nicole Nott. Kylie was 56 living in Bulgaria when she suffered a left frontoparietal hemorrhagic stroke, a spontaneous brain bleed with none of the usual risk factors. Nicole is an occupational therapist and one of Kylie’s closest friends since they were teenagers. And when she found out what happened, she got on a plane to Bulgaria to help. In this episode, we get into what it means to have a stroke far from home in a country where you don’t speak the language, and public rehabilitation funding barely exists. We talk about who becomes your next of kin when you least expect it, what it’s like to advocate for a friend inside a hospital system that won’t always listen. And what recovery actually looks like 14 months on, before we get into it, if you want a deeper look at identity, recovery, and unexpected transformation after stroke, my book, The Unexpected Way That Stroke Became, the best thing that happened, is available at recoveryafterstroke.com/book. And if this show has helped you And you can support it to keep me on the path of getting to a thousand episodes, you can do so At patreon.com/recoveryafterstroke Bill Gasiamis (01:37)Kylie Ralston and Nicole Nott, welcome to the podcast. lovely to be here, Bill. Thanks for having us, Bill. Kylie, tell me a little bit about what life was like before the stroke. I was very active and I had a full life and I was working full time. and I was living in Sofia in Bulgaria, in my on my own, in my own apartment. I was renting, actually. and I was getting back to fitness. So I was g getting I was running regularly. So two two or three times a week I was hitting the gym and hitting the tr the treadmill. And that had been happening for like a few month like six months or something like that. but before that I was very fit and active. What kind of work were you involved in? I was a HR work. I was a ha HR leader and so I had my own consultancy I had a team of people that I’ve managed. I had thirty five people, so and that they were people in Germany, Poland, Czechia, Portugal, France, so everywhere in in Europe, basically. Yeah. Wow, how how does an Aussie end up in Bulgaria with staff or clients in that many countries? short answer is I came here with my family, so with my ex husband. and shortly after I arrived we separated and and ultimately got divorced. and I stayed on because my daughter is here. So she was only eleven at the time and I could just couldn’t leave her. The Day of the Stroke So you were living at home with your daughter? she was sharing her time between between us both. Yeah. got it. Okay. So both parents are there. So your daughter was going backwards and forwards. On the night of the stroke or on the day of the stroke, can you take us through that? What were you experiencing? Was there anything unusual that happened that made you think something was wrong? How did it go down? I was with my friend Rebecca. And she was running ahead of me as she she was faster than me, so sh and she often often ran ahead of me. and I’d slowed down to a walk and when I started to run again or try to run again, it it was like the message wasn’t getting through from my brain to my legs. And I thought, that’s strange, that’s that’s really odd. ‘Cause I didn’t feel like tired or anything and I didn’t have a headache and well stuff like that. and I just walked through the rest of the park run. And then when Rebecca saw me coming to the finish line, she waved me over and she said, come on, let’s go register your chip. and so I did that. and she said afterwards that there was a little bit of fumbling with with my phone and there’s a there was a little bit of fumbling when I put my jacket on, but other than that, I just seemed exhausted from a run. do you recall after the experience of feeling exhausted from the run where you ended up? Did you need help? Yeah, I do. So so she didn’t notice that I wasn’t talking because I n I’m normally an endless talker, so I she didn’t notice that I wasn’t talking. And she said that that that is one thing that should have alerted her to what was happening. but it it didn’t. And so I’d caught the bus to the park run and her husband was there and so he drove me home. And I j I remember the journey home and when when we when I went to get out, I just couldn’t. And so and Mark came around to my side of the car and help tried to help me out and I just collapsed against him. And so then that so then they said, quick, something’s wrong something’s I don’t remember what they  They they said, you know, they basically took me straight to the hospital. Yeah. And also rang Guido, my now fiance, but my partner at the time. Uh-huh. So you you went from the run, attempted to go home, and then from that attempt to get you out of the car, actually into your home, it was pretty clear that that wasn’t gonna happen and you ended up in hospital. so Did you guys drive to hospital? Do you recall that? Yes. Yes. We do how far is it from your home? it’s pretty close. I don’t know about kilometres or time, but it’s but it’s like ten or fifteen minutes. Yeah, so it’s not too far. But they didn’t know what was going on, of course. They just knew something wasn’t right and then they figured one of the best things to do is just get it to a hospital. You get to the hospital Do you know what happens after that? Do you get admitted? do you get tested for anything? I suppose what I’m asking is when is the first time you realise that that you’ve had a stroke? When do they report that back? When I came out of the coma. So I was put I was put into an an induced coma straight away. so I I obviously don’t remember anything of of that. and but Rebecca’s told me afterwards. so she’s filled in the f filled in the filled in the blanks for me. and by that stage her husband thought it was a stroke. So she’s he said he said to the staff at the hospital, we think she’s having a stroke. And so yeah. So how long were you in the coma, do you know? Has somebody told you how long it was? Yeah, four four days. Four days, okay. And do you know what kind of stroke you had? Yep. I had a left Frontoparietal hemorrhagic stroke. Wow, that’s a good effort. So you had a brain bleed. Yep. Do they know what caused it? No. It was spontaneous and I didn’t have any of the risk factors. So I didn’t have high blood pressure, a history of high blood pressure, but admittedly I’d hadn’t tested my blood pressure immediately before the stroke. but you know That’s un that’s unlikely to be the cause. And I didn’t have a hi a history of high cholesterol. and so they just and I didn’t have an aneurysm and I didn’t have like what’s the other thing? The An AV AVM. AVM, yeah, I didn’t have any of that. And how old were you? Fifty six. Okay. So you had a spontaneous Bleed in the brain. That happens. People do have that happen from time to time. And sometimes they don’t have any symptoms leading up to it or anything like that. and this is the bizarre nature of like there’s an unlimited number of ways, unfortunately, for people to have a stroke. Now, you woke up in hospital four days later. What kind of deficits did you have? I couldn’t move my right side and I couldn’t speak. Okay. Now I’ve got an idea of well, I haven’t got an idea, but my mind immediately kind of says like if you’re in hospital in Bulgaria, that’s not a hospital in Melbourne. That’s not the Royal Melbourne hospital where no shit is unreal, like it’s perfect and it’s got the highest technology and it doesn’t matter how many things we can bitch and moan about the system being here like compared to Bulgaria, my expectation is that we’re world class. Perhaps that’s not the case in Bulgaria. Would you agree with that statement? I would have agreed before and my my my expat friends here would have agreed before, but now we’re all saying maybe Bulgaria is better than we thought. That’s brilliant. Awesome. Okay, so Rehabilitation Challenges in Bulgaria As far as like medical interventions and all that type of stuff, you felt like that was handled like any other world class hospital would have handled it. Yeah. In that in that s it in that stage it was. but there’s no like that was a public hospital and there’s no there’s no public funded rehab after. or or very li very little. So so that’s where that’s where Australia is ahead. So when you knew you had deficits, was there any rehabilitation whatsoever? Did you get any of that while you were still in hospital? Minimal. So the the physio came to see me twice. and so that’s so that’s all and I got no speech therapy and stuff like that. and but when I was discharged from the public hospital here and went and so they they expected me to go home from the public hospital. And so Guido said she just can’t like like what what the fuck? After how many days? After how many days, how long? Fourteen. Wow, your right side was still offline and you still had problem. Yeah. Okay. So we we just paid for paid for private rehab. got it, right. Yeah. And how long were you in private rehab for? another like two months or something like that. Right. Okay, that’s pretty cool. So i even though you couldn’t access it publicly, you were still able to Access a private now. Are you a citizen in Bulgaria? Not a citizen, a permanent resident. Okay. So do you have are you as a result of the fact that you’re a permanent resident and not a citizen, do you have different things that you are able to access because of your status? No. no. I’m it’s I have the same rights as a citizen. The only one the only right I don’t have is I’m I’m not able to vote here and I’m not I’m not able to work in other EU countries. Got it. Okay. So that’s pretty traumatizing, the whole experience, and then to have to deal with overcoming your left side and your speech deficits after the two month mark, roughly where were you at where you where you are now? Because you kinda sound pretty good. Okay. No, yeah. no and and the other thing the other thing that I must say about Bulgaria is I don’t speak Bulgarian. very very little. So that was a problem. Yeah. I can imagine, yeah. so maybe you can come in here, Nicole, and and talk about where I was at when you came to see me, because that was very very very early on in my in in the private rehab hospital. Yeah, Nicole, tell me a little bit about what it’s like to receive a phone call to find out that your friend has had a stroke. I was absolutely hellish. the way I found out is I got a message through social media from someone saying, Hey, I’m a friend of Kylie’s and she’s in hospital in Bulgaria. And one of my first horrible thoughts was, is this a dreadful hoax? Is someone, you know, is this some horrible scam? And it really, you know, it made me feel quite sick actually thinking this is that’s not someone I know. It does look like a name I’ve seen in Kylie’s kind of social media world. And then I rang her son who lives in Australia and he’s like, Yeah, I’m so sorry. I haven’t told you. Yes, it’s true, mum’s had a stroke. and I was kind of beside myself because by training I’m an occupational therapist, but Kylie and I have known each other each other since we were about 16. and it was really hard to get the information that I wanted as a friend, but also as a health professional. I was wanting to understand what kind of stroke is it? Where is it? What’s the rehab? What can we do? How’s it going? And at that stage the information that I had was that you know, it was really seriously affected the speech part of the brain and obviously the hemiplegia, the weakness down the right side and knowing that Kylie was right handed. so, you know, it’s the friendship part that your heart’s breaking and it’s also the therapist part that’s wanting the information to be able to, you know, reconcile it for myself, professionally what that was going to look like as a consequence for Kylie. Yeah, and you’re so far away, so you really can’t do anything and kind of have to like take information second hand, third hand, and be kind of in a position which is really uncomfortable for, I imagine, a friend, but also a therapist, right? So as an occupational therapist, that’s not the information you work on. You work on actual facts, scans, reports, like a whole bunch of things. So are you also playing it out in your mind? Are you kind of Doom thinking it, like are you how does it affect you personally? I think for me I was all I was really very conscious of not stressing other people. So like friends, family, because sometimes when you are a health professional, you know, you have knowledge and information and you know, you sometimes you you’re keeping that to yourself to some extent because you do know what can happen to people and you do know what consequences can be. So I was really trying not to ask too many questions of people as well. but I was seriously desperate for information. And so I remember I’d gone to a party and I didn’t really want to go because I was actually, you know, upset and stressed for Kylie. And I did end up going to a party and during the party I was really kind of outside having a bit of a downer really by a campfire. but I got a phone call or a message to say that I think you’d said some words, Kylie, and were kind of waking up. so you’re still in the acute hospital then and that you’d been able to move your leg a little bit, I think. Yeah. And you know, joy in that moment. And yeah, I felt very, very far away. And then What happens over the next few days? Like do you guys continue to communicate somehow? Do you keep getting information? Are you being updated? Yeah. Yeah. I wasn’t able to get my into my phone or my any of my devices. So I wasn’t able to able to because I couldn’t remember my password, right? And so and and I tried like d different ones and I you know I just got locked out. So and when I was able to get in then that made it it made it easier t because I was able just text short messages. So so Nicole and I kept in touch that way. and before English-speaking Before you came, Nicole, I think I was talking, but not not not as well as I am now. Yeah. So was it, Nicole, in your mind, you were always going to fly over to Bulgaria and beath your friend? Or did you guys have to work that out? Like what happened now? It’s so cool that you get to have a somebody in your corner that is also a Fred, but also a medical professional in the exact field that you’re struggling with now. Right. Like how do you just drop everything and go overseas and be with your friend? Yeah, well, very grateful that I had an up to date passport. So that was that was a good thing. Kylie, it was interesting because the texting, like if I go back and look at that history, it’s like you can see the progress in the texts. So you can see that Kylie was using kind of more single words and having struggles with spelling and putting sentences together. And then over time, you know, they became more fluent. but the thing that happened was that Kylie and I were talking and she was able to you know, she got some speech back and we were talking. And she was just saying about the rehab care that the the the kind of caring staff just seemed to have no rehab expertise. So the physios were amazing. I think they were great. There was no active speech therapy for Kylie. I think we ultimately found an English speaking speech therapist but who still had Bulgarian as a first language. And there’s very few occupational therapists in Bulgaria, seems to be some expats. And Kylie was talking to me a jab about just you know, really basic things like not being taken to the toilet. and that’s probably what broke my heart. It’s like I cannot leave her in bed, not being able to go to the toilet. I just can’t do it. And so I just said to my partner, I think I just need to go to Bulgaria. And luckily I’m self-employed. So I just kind of cleared my schedule, got on a plane and yeah, I was just I suppose I’m incredibly grateful to have the skill. incredibly grateful to have the financial ability to do it. and yeah, and the skills to do it. And you know, you don’t always get an opportunity in life to do the right thing, or sometimes you don’t make that decision and later you think, Why didn’t I do X, Y, and Z? I try not to live my life like that. I try to actually do those things. So, yeah, I got on a plane and basically arrived at the airport, got on a train straight out to see Kylie at the Rehope Hospital. You’re a real superhero. I’m very grateful to Nicole. Yeah. I rec you know, my story is kind of well, it has a similar kind of thread to it. I one of my best friends is a radiographer and he was a radiographer at the Royal Melbourne Hospital where I was a patient for nearly two and a half years because I was in and out with a number of brain hemorrhages. I had three in total in the same spot, but over two and a half years, then I had brain surgery. And I can’t tell you how many scans I had, but being a radiographer, he was the one who was in the room taking the photos through the MRI. Yeah. And then he would come out. And he would tell us what he saw in the RI, which was against the rules. that’s why I won’t name him. But but that meant that we didn’t have to wait a month to get our results and the the meeting for the results was just more of we’ll go through the process and and have the meeting. Yeah. And and and it was like and I regretted my life when at school I used to throw his books on the roof of the canteen just to mess with him going to s to class late to get in trouble. and I’ve apologised profusely for that and thanked him every day for the fact that, you know, he was able to lend his well, you know, he was able to be in the room. He was able to have that conversation with us and he was able to ease our minds. over that two and a half year period and then you won’t believe it. Like his daughter had an AVM at seventeen. And she went through that and and has recovered from that somewhat now in the last few years. and I got to be I mean I hate that I had to be this guy, but I got to be the guy that supported him through that really acute phase and There is just nothing to describe what it’s like to be able to a repay the favor. and then but B, when I was in that situation to have somebody kind of well, you know, like put their arm around me and really walk me through every stage. Me and my wife and my family walk us through every stage of that part of it, other than intervening as a brain surgeon. But he was the one that put us in char in in touch with my brain surgeon. like Everything that happened was just the most amazing experience to be able to be guided like that. And I know it’s a privilege and many people don’t get that opportunity. so I see Chris, I haven’t told him this in person. I see him as like a bit of a superhero, but he doesn’t know that. I’ve told him I love him in the way men tell each other that they love each other by s abusing him and swearing at him and telling him that the team that he follows is terrible and all that kind of stuff. Reflections on Healthcare Systems so you arrived in Bulgaria. take me from the airport to the hospital. Like what happens? How is that? Actually the flight was really good. Customs was pretty easy. There was some annoying folk in front of me who I wanted to punch in the face and tell them to hurry up, but I was just, you know, needed to to get there. Kylie’s daughter met me at the airport. And then we got the train together out to the hospital. So, you know, obviously I’m seeing my first sight of Bulgaria. I’d never been there before. so not really taking a tourist route at this point. so went out to see Kylie. And, you know, when you just eyeball someone and I, you know, just thank God I’m here, I’m in front of her. Her she’d had a shaved head. she had some pretty spectacular surgical scars, a couple of very big scabs still on her head. she looked skinny, she looked pale, she had started doing a little bit of movement and the hospital room was really kind basic and crazy. Her friends had funded a pressure mattress for her that didn’t exist. And some of these things I had been liaising with Kylie’s friends in Bulgaria about what could we do, how you know, what do we want to prevent? So we want to prevent anyone pulling on from. Her weak shoulders and like don’t let anyone pull her by the arm. this is how I want, you know, to help her with posture in bed or in sitting. and you know, like speaking in single kind of actions at a time and just take your time, say something, wait, wait, wait, wait, wait. Just allow Kylie’s brain to, you know, take that information on board. Don’t speak for her. and when I got there, it was really clear that. She had an inattention to the right hand side as an effect from the stroke. So then I was a bit of a ball breaker, rearranging the whole room. No, no, no, no, no. Where, you know, everyone come from the right, everyone sit on the right. no cutler, you’re not allowed to have your phone in your left hand, you’re having your phone in your right hand. I’d taken some things with me from Australia to Bulgaria that I thought she might need. like some built-up cutlery, because I wanted her to use her right hand to feed herself. I took a couple of kind of activities that I thought we could do to look at some retraining for the right arm. what I’ll still bring with me, try to remember now. Benjamin. So yeah, just try kind of going into early stroke rehab principles. Yeah. Did you go there well you went there as a friend. But when you were there, were you able to be a professional and also have a conversation with the local team? Kylie and I laughing. Do you want to tell that story, Kylie? Which one are you thinking about? Where I got told off. No, I don’t remember that. well, Kylie was in act like, you know, there was still quite a lot of weakness, but she was also so determined for her own rehab. And in the system there their carers really don’t have a rehab focus. They have a I’ll provide you a meal focus and I’ll occasionally do some cleaning and I’ll occasionally change the bed linen and but really not a rehab focus. So I’ve personally found it quite easy to help Kylie to like stand move. And so the very first weekend I was there, it was a long weekend and what I didn’t realise later was that they were actually quite understaffed. Which worked in our favour because I was helping Kylie to get onto a shower chair, taking her to have a shower, us taking her to the toilet, because prior to that time they were just, you know, using pads for toileting because Kylie couldn’t stand up or move on her own. And because I’m trained, I found it very easy. She’s a lightweight person and she and I just work together and I could do that. I think it was the Tuesday, person who I refer to as Nurse Ratchet. remembering now kind of intercepted me bringing Kylie back from the bathroom to her room and just like, nope, nope, nope, nope, nope, nope, nope. What are you doing? Stop that, stop that, stop that. and you know, she and I are having a bit of a a discussion. And basically she’s refused and I’m allowed to move Kylie. So Kylie is sitting out in the corridor. I think I’d luckily kind of covered you up for privacy. and she’s like, No, you’re not allowed to move her. I’m gonna go and get the physio. I think at least forty minutes went by and then she comes back, well, okay, and I said, Look, I am a trained person, it’s easy, it’s safe. no, I’ll think about it. And then after I think another fifteen minutes she pushed your chair into the bedroom. And then I think it was probably another fifteen minutes where she just decided to move Kylie herself at that point. even though that was out of policy and the physios had to do it. And then it was all this discussion with me that you can’t do it. And in the end it was you can’t do it because you’re a woman. Not strong enough, you know. so yeah. Then Kylie and I kind of would go on clandestine missions because again, from a rehab point of view, being able to stand transfer, it’s putting all the weight through the leg, it’s giving feedback to the brain. I really wanted to make sure Kylie’s bladder and bowel were gonna work properly. And you know, sitting in bed and that’s just not ideal. So then Kylie’s like, Nicole, I want to go to the toilet. I was like, I’m banned, I’m banned, Mother Nurse Ratchet, I’m not allowed to take you. And I was like, shit. So I would go on a little mission, go look down the corridor, make sure she was nowhere to be seen. And then I quickly stole the shower chair and then I found a bucket. And so Kylie and I were doing secret Wii missions in the bedroom. until w on one of our missions I just hadn’t quite got the bucket in the right place. And so then I it was also then later on a cleaning mission. So it was it was a pretty crazy environment. yeah, just for that lack of t whole team approach to rehab. Whereas, you know, in Australia the nurses would all be rehab trained. They would be transferring someone physios would come in, speech would be coming, OTs would be coming. So I was kind of desperately trying to convince Kylie or to get her rehab to a standard where she’d be able to come back to Australia to get some more rehab. You know what’s good about this conversation other than the hilarious nature of it also is that I as an as a person who hadn’t had a stroke before my hadn’t known anyone who had a stroke before my experience, if I had come across somebody who had had a stroke, I wouldn’t have known what to look out for and what to say to support them in a situation where perhaps something was being neglected. Because I don’t know what I don’t know. I’m not a professional, right? Just like those nurses and therapists that weren’t specifically trained. Yeah. In certain things. I mean, you may as well be not only talking a different language, but you may as well be making it up as you go because as far as they know, now this is what we do for stroke patients. This is how we handle that. is it a lack of understanding of what r stroke rehabilitation requires, or is it a lack of resources, or is it a little bit of both? Do you feel in Bulgaria when you were there? I think I think it’s a lack of of all all of that but it’s the lack of maybe money. So it’s a lack of training. So th there’s there’s not enough there’s not the the nurses or the orderlies or whatever they’re called here, are are aren’t paid very much. So they so And t just like, even though I was in a private rehab hospital, so you would have expected that more. It’s you would have expected more, but I just think that they just don’t have the money to to train those people. Yeah. it wasn’t really a role, was it, Kylie? Like they really were more like housekeepers in a sense. It was more like cleaning a meals. I have to say the physios were excellent. and a lot of the physios had good English as well, which was for your rehab was so important. because again a lot of the carers they would come into the room and you know, again, just from a speech therapy point of view, in Australia, say if someone came into the room who was the person who did the menus or filled up the water bottles or the cleaners, Kyler could have spoken to all of those people and had   incidental communication the whole day in English. But because of all of those p incidental people coming in didn’t speak English, you know, reasonably in Bulgaria. it just for me, I was worried about the lack of just exposure to English language as well. So not even speech therapy, just incidental language through the day. Which is very helpful and people don’t realise how helpful it is to be able to speak to a nurse about how you’re feeling or what’s happening. Yeah. And all the usual stuff. And Kylie’s chatty and friendly and she would have just been having conversations galore, but it just it it it couldn’t be. Yeah. Yeah, it’s another another barrier. so you know when you go overseas, it’s your friend and you’re a professional. How do you handle that? Because you know, like are you emotional? Are you trying to put a lid on it? Are you allowing yourself to Gonna be emotional. How does that work? We had some killer laughs, didn’t we? I mean, I’m a joker anyway. And so, like the first time Kylie got to do a poo on the toilet, I just did a poo dance for her. So I I felt half my job was you know, cheering her up and keeping it light and having fun and chatting about stuff we would just always chat about. as well as doing as much rehab because it was very exhausting because, you know, p after a stroke, it’s very fatiguing. you know, so to Kylie was really tired and needed lots of rest. So and because I had just you know, obviously dropped tools to go over quickly, I was just working sometimes. So I just have my computer and if Kylie was asleep I’d just stay with her and and her partner Guido as well, who was there with her as well. So just, you know, emotional support wise. But Yeah, I do some work. And I stayed in Kylie’s apartment. So I w was I just stayed at her place and I I train out to see her each day at the hospital. W how many hours would you spend in hospital with her? What do you think, Kylie? you would often arrive at like ten in the morning and you wouldn’t go till like five in the evening or six in the evening. Yeah. So technically visiting hours kind of finished at six. So I just try and stay most of the day. A full shift. Yeah. Yeah. Unpaid. Unpaid labour. Slave driver. Yeah. yeah. But nah. That’s what friends are for. I very what I very much wanted to stay the whole day because I did really, really wanna like especially the toileting thing. I just really wanted that. Setting Goals and Achievements I had this bit of a goal for myself for Kylie that she would be able to take herself to the toilet before I left the country. So just from a dignity point of view, from a mobility point of view, transfers, you know, bladder control. So yeah, that was one of my big goals. And she rang me when I was in transit at Dubai Airport on my way back to Australia and said, Nicole, I just took myself to the toilet. Wow, that’s cool. Yeah. Yeah. And and I was having physio two physio sessions a d a wi a day. So I was having other than Nicole. So I was having like about one session about of about an hour in the morning and one session of about an hour in the in the afternoon. Got it. You Kylie seem like pretty mm chill, pretty calm. how are you handling it though, emotionally? How’s the aftermath Treating you because there’s a little bit of you know, there’s all that acute stuff. It’s awesome when your friend is there, but then your friend goes home, right? So how how does that transition kind of happen? Yeah, I might start crying. because I’ve just recently spent seven months in Australia. So I I went to Australia in October last year and I came back in just in May. and I had more rehab there. So I had I had student led rehab at at first and then I got in got accepted into Birch, which is the brain injury rehab community and home in Ad in Adelaide. so that’s that is is a whole team of people. So I had I had physio and I and a occupational therapist and a a e exercise physiologist and a speech therapist and stuff like that so I th that’s really good. now the most frustrating part for me is the aphasia so I I can’t I can’t express myself like I used to. Yeah. You know what I love about interviewing people who have aphasia is when they say I can’t in a sentence to describe something to me it triggers the part of the condition which doesn’t allow the words to come out. It’s so interesting. That happens so so often. And it’s just a for me, I noticed this I’m saying it just from a perspective is maybe I can’t is not the right word. I don’t know. You might remember this, you might not, but maybe I can’t is not the right word. Maybe the right word is Something that helps you get to the word that you need to get to. And okay, now that’s just me, the uneducated stroke survivor on a phasia guy. Like I don’t know about that. But it’s so interesting, it happens every time. but then Nicole goes home, you go home, your partner is kind of now taking over the caregiving role, and you still have some deficits. phage is one of them. what about your right side? How offline was it? I I also moved in with Guido after the after the stroke. So so that was that was a has was ha was and has continues to be a challenge because we’re still getting used to living together because we weren’t living together before. and I was very in very independent before. And I was living in Sofia and he and he and I now live in a in a village. So I live in in a village just outside of Sofia. And I’m not driving yet. but I was medically cleared to drive in Australia before I left. So I’m going through the process here. so anyway, all of all of those things together make it very challenging. don’t get me wrong, I I l I love him, but but you know, and and I d and and I made that decision because my apartment is was was on the fourth floor and th there was no lift. Wow. Yeah. So back to your question. When I was when I was when I came here, when I was discharged, I continued with as an outpatient and and the physio continued to come at home twice a week. So I was having more physio maybe like five times a week. and like it were ha had started to come my right side had was all already back online, but I would I was just working on building strength and and I would get still very tired. Yeah. And did your daughter end up coming to live with you as well? No. but she she at the beginning she she was my next of kin. So at the ripe old age of nineteen, she signed the consent to operate forms. yeah, so that was that was very difficult for her. I didn’t know that at the time, obviously. but yeah. And did that happen, did she become your next of kin because your former partner, her dad, and you had separated and then his that role wasn’t gonna be his anymore. It’s just passed down to the person who was the closest to you. Like how did that happen? Family Dynamics and Support Systems We’re divorced. I I’m divorced from her dad. Yeah. So he’s definitely not my next kin. Right. So that ha changed after the divorce and she was the only person you could nominate because she was over is there an age limit to the next of kin? Eighteen. Yeah. Okay. So she had hit that criteria, you nominated her and then at nineteen she got to make a decision. Which she never and you never would have expected ever for that to be a thing. I didn’t nominate her, it would just happen. So I was I I was unconscious at the time that she signed those forms. So yeah. So my friends actually contacted her. and she she rushed to the hospital. so it was all under duress. It was like this is what happened to your mum, you’re her Next of kin, whether you like it or not, you have to decide. Yeah. Far out. Okay, that’s pretty full on for a 19 year old. Yeah. Yeah, seems like she did a good job. How did she handle this whole mum’s not well situation, this stroke thing? Like how did she deal with it? she was very good. my first memory actually is of her coming into the ICU with with the with the whole, you know, the whole like the the hairnet and the mask and the and the and the what’s it called the scrubs. Scrubs, yeah. and she held my hand and said t that she loved me. so that was pretty special. And incidentally I have an a another memory of Guido coming into the ICU as well and singing singing to me. So he he said that he said that I always wanted him to sing and he refused before. And so did did I want him to sing to me now? And I squeezed his hand or on the on the left he’s was holding my left hand and I squeezed his hand and so he knelt down beside my bed and started singing. Wow. Can he actually hold the tune or is he hard to hear? Yes, see he’s he’s very musical. Okay. Thank God. If my wife had asked me to sing a w if I had asked my wife to sing, it wouldn’t have been a good experience at all for either of us. Yeah, he was he was a busker in i in his younger years. Yeah. and now he decided to come good. Fair enough. Well that that’s important. You know, things like that are important. It lightens the the mood and it makes Yeah. You kind of feel like your family’s around and that you know you know, maybe kind of things might be all right. Like it gives that glimmer of hope. Is that how you received it? Yeah, I did. yeah, but I’m also very, very determined. So I’m a I’m a very normally very strong woman and so everyone said to me that if if well not to me, but w we had a we had a group WhatsApp chat so and I was added to it later and everyone said in that that if anyone can get through this, Kylie can. Yeah. So you know when you’re told you’ve had a stroke, you wake up with all the deficits and everything. Are you like how do you take it? I woke up, couldn’t use my left side. I I did not for one minute. It did not cross my mind like for one minute that this is not a good thing. Like I mean, clearly I wasn’t able to move, etcetera. But it never kinda went a lifesaver, I’m fucked. Like I never had that happen. Me as well. yeah. I I’d I’ve never thought that. I don’t know whether I even thought that It was n like you said, that was not a good thing. I just put one foot in front of the other and or not literally, but the Yeah. Metaphorically. Yeah. Metaphorically. so one foot in front of the other and just got on with it. Yeah. Nicole, like you come across in your work, you come across a lot of different versions of patience, right? Like you get people who might just be by design more negative to a bad experience and then people that are half class full to a bad experience. Just from a professional perspective, what’s the difference like when you’re trying to rehabilitate somebody that has kind of that different mindset? From perhaps what Kylie and I described. Yeah, I mean I’m probably in the last half full camp as well. So as an OT, I suppose we always meet people where they’re at. because everyone is a combination of their past experiences, aren’t they? So and cultural things, like there’s a very significant cultural differences in how people respond to pain or disability and expectations of kind of family and I suppose cultural expectations in Australia are even about you know, what what what should be publicly available. So, you know, from an expectations point of view, I think a lot of it is based on, you know, previous experience. So as a therapist, we’re obviously there to support, you know, emotional well being, physical well being, and try and find the things for people that connect with them. So meaningful, like OTs are our absolute core is meaningful occupation. So how do we find something that’s meaningful to that person that we think is going to get them from kind of, you know, here to there and it’s gonna be very different different motivators, you know. Kylie is probably, you know, very self motivated as described. Sometimes it’s about people really have a d strong desire to get back to work, or people have a really strong family structure that they want to be able to get back to do something with their family. So finding the way or the thing hopefully that’s going to motivate them. But we certainly work with people who you know, have a high level of distress from what’s happened to them and and on an ongoing basis. One of the things I’ve got a little quote on my desk that you can’t see here, but it says, I’m still me, just a different version of me. And it’s what someone one of my clients told me recently who has MS. and often we find need to find the new version of someone. and the new meaning for someone if that, you know, needs to happen. So that’s our great challenge, I suppose. That’s a big job, especially very early on when identity is so tied up into who they were literally days ago. You know, like a week ago. The mobile person, the working person, the money making person, the father, the mother, the whatever. Finding Meaning in Recovery And then, you know, you’re dealing with a physical crisis, the existential crisis, the identity crisis, like you’re dealing with it all in the one moment, and you’re trying to get them to sort of see, well, you know, you’re still you and how we’re gonna move forward with the still you person, like we’re still gonna move forward with that person. And then later does come an adjustment of what that you looks like. did for me like it’s a massive adjustment into what me looks like. But my identity wasn’t so much tied up in a one label specifically, although, you know, I s I was the person who felt like they needed to be the main breadwinner, you know, that you know ran a business that did all these things. I I had a big strong identity. But I think one of the things this is going to sound weird or might even sound logical depending on like w who you are and why you’re listening to this podcast. But for me, the fact that my brain went offline was a really good thing because it and that allowed my emotional side to come to the fore. Like it really enabled me to see things with a different intelligence, you know, and access part of me that my emotional intelligence perhaps that I hadn’t that I perhaps suppressed previously, you know, and just battled through things. And that kind of allowed my identity to come with me, it allowed me to leave some stuff behind and allowed me to bring into my identity this emotional side of me, you know, which who cried, who got excited about new and different opportunities, you know, that my head didn’t convince me out of. You know, so there was a lot of silver linings that I didn’t I wasn’t able to iterate back then. I wouldn’t have been able to tell you that it was a silver lining. But now and a few years later, after it all happened, I was definitely able to talk about those silver linings. Kylie Do you you’re fourteen months or so out, right? So maybe you’re not there yet, I don’t know. But are there some silver and I know a hundred percent Nicole was one of those silver linings, I get it. but do you see some silver linings in this whole saga? Yep. I do. my relationship with my daughter got stronger. Yep. So that was all s that was definitely a silver lining. and you know, I I’m was very grateful before, but it cemented how g how grateful I am for my circle of friends. Yeah. Kylie’s friends were amazing. Yeah. Your friends were amazing. Yeah. Yeah. Yeah. Big family still in Australia is is there a big family in Australia, Kylie? Not not a big one, but my mum and dad are still still alive. So they’re they’re in Melbourne. and my sister is in on the Gold Coast and my brother is in Melbourne as well. Yeah. And my and my son is in Adelaide. Okay. So you still have some family here, but then you were able to create a community in the years before the stroke in Bulgaria. Yeah. you you were doing it a little bit tough after the stroke. Yeah. Correct. Yep. So that’s spot on. Did you Nicole tag team with some of those people as well? Yeah, so Kylie’s friends were beautiful and they were looking after me too. So When I was in Bulgaria, they were looking after me, you know, giving me dinner and what have you, and kind of giving me emotional support as well. And I think they were grateful that I was there from a skills point of view, like they were doing a beautiful job of supporting Kylie emotionally. But and I did kind of train them up a little bit in in some rehab as well, you know, how to help with approaching from the right and how to communicate and also just even doing some activities. Kylie and I had the balloon and we were tapping it back and forward to each other for strengthening up the right arm. And then we’d play some kind of word games as we were doing that for some speech therapy. So I was educating her friends around that kind of stuff. But the other thing, Kylie, that you and I have spoken about is, you know, after the stroke is knowing what’s important and how to let some sh shit go that would have been, you know, annoying or you know. focus on something and now it’s just you you just know it’s just not important. Yeah. Being able to just let crap go. Correct correct. and the other silver lining is that I got engaged. Yes. Did he propose soon after? Yes, in the in the rehab hospital. what a romantic Yeah. But he but he said that he’d already decided before the stroke that he wanted to marry be ma be married to me. So he just hadn’t got around to asking me yet. Yeah, fair enough. That stroke has a way of interrupting people’s plans and the things that they think they’re gonna do. so Nicole you normally treat your patients. They get to a stage. Usually they’re a lot better than they were when they first met you. And part of what you do is you send them off into the big wide world like a kid. I’ve grown you know, I’ve raised them, you know, like they know how to comb their hair now. And you kinda send them off and it’s kind of bittersweet, I imagine, but also a very important part that the people who you’re helping get better actually go off into the world on their own. And stop needing to be supported by you. I know there’s some people who need more support and that continues for longer and some people who don’t get enough and it and it’s never enough. But what’s it like knowing the job is not done, but you still have to leave and go home? that was heartache. I mean, Kylie and I both balled our lies out. it was a long flight home. Yeah. Yeah, it was a long flight home. with lots of reflections. I suppose the good thing at that point was Kylie was easily able to speak on the phone or message each other. So and also, you know, I think at that stage maybe I got to see the brain scan and I was just like, my god, how have you even survived this? ‘Cause I think was it about a seven centimeter bleed, Kylie? Yep. seven and a half. Yeah. To be precise. It truly felt like a a miracle. And again, full kudos to the surgeons in Bulgaria, truly, for that acute care. Because I think Kylie, I feel like you were in surgery in about within about two hours or something after the stroke, which is phenomenal. And, you know, your friends really saved your life. taking you straight to the hospital and prevented like, you know, more serious outcomes from the stroke. So yeah, so for me, I was proud of myself as well. and I, you know, I like to live my life by thinking I can look myself in the mirror. And I felt like I can really I’ve got a tear, really look myself in the mirror. Yeah. Doing the right thing. Yeah. Yeah, yeah. Yeah. You came to the need of somebody who was in need and needed specifically not only your love and support as a friend, but also your skills. Like you had the complete package for them at that time. How long did you end up staying in total? Was I ra away about just under two weeks probably with the flights and everything like that? So yeah. so yeah, leaving was leaving was horrible. But the goal of being able to go to the toilet was met. and also just the skills for, you know, skilled up a few other people and Kylie, you know, had her good networks. I also went out to Kylie’s property out in the village to have a look at any home modifications. So that was another kind of OT type role that that was done. and she’s got an amazing property out there, but it is kind of needs a bit of love and so that was also just reassuring her partner too, like reassuring Guido that no, look, Kylie’s got this. There were a few times where it was like, Nicole, I don’t want her to do this. Like I’m like Guido, she’s safe. She can do it. She’s got sitting balance. She’s okay to sit over the side of the bed. She can wiggle sideways. But he was anxious. And so again, part of my job was to reassure him to make sure that he let her do things. and didn’t step in too quickly. And so as an O T, we’re all used to like sitting on our hands and taking time and letting people struggle a bit. And it was hard for him to let Kylie struggle. So to just encourage him to let her struggle a bit so that she could do it herself and just wait. Just take the time, especially with communication. so yeah, I I kind of obviously knew there was a lot more rehab to be done, but I also had seen Kylie’s determination and that, you know, she kind of knew what to do. and and so that was I I was grateful again for that. Kylie, what was it like when your friend had to leave? I was heartbroken. The Impact of Caregiving I felt like she was a lifeline and I felt like that that had been cut because obviously she speaks English and obviously like Obviously we have a really good relationship. and I felt like I was in a like how do I describe it? In a in a sea of not n of people not understanding. So yeah, not my friends, but the hospital staff, basically. So not the not the physios. Like Nicole said, the physios were exceptional. but, you know, just the hospital staff. Yeah, just generally speaking. So did you feel like she had put you on the right path? Were you more confident with kind of where she left you as opposed to where you guys started and was that enough to kind of give you the foundation for what you needed to take responsibility for when she left? Definitely. yeah, definitely. Yeah. Man, w what a kind of interesting whole situation. You know, if this was fifty years ago, there’s no way anyone’s going anywhere to help anyone with anything. you know, like your hospital s experience in country like Bulgaria after what they’ve been through would have been completely different. You know, your s the chance of surviving telling your story is probably s you know, very much decreased. I know this is gonna sound weird, but like it’s never been a better time to have a stroke in in most of the world. Like let’s face it. the the possibilities are just endless. I’m a miracle from all the medical professionals that put all their time and effort in. I am eternally grateful to my occupational therapists and physios and surgeons and people who invent X ray machines and people who make C T scanners and The plastic bottles where drips go in, like every single thing is just an an absolute miracle of God or medicine or science or I don’t care what, like whatever you want to call it. And it just to me, it you know, here’s a really terrible situation and here and and but look at all the amazing things that came out of it. Somebody from the other side of the planet to be able to come over and intervene in that way, train people up. Like, man, it’s the Perfect like feel good story, you know. Everything’s going okay, things turn shit, and then something good comes out of it and yeah hopefully there’s more good to come, you know. Like, man, it’s just an amazing experience. I just feel really privileged to be able to hear it and share it further. No, not not not me, personally. but now that you say that I will s I will think about it now. the most thing that that Nicole and I reflect on is, you know, like like we’ve already said, how good was that my friends got me to the hospital quickly? How good was the the surgeons the surgeons because it could have all gone wrong. or gone gone a different way. so that’s the stuff we reflect on more. and just just like my amazing recovery. Reflections on Recovery and Gratitude Because I recovered so quickly and so well, like I’ve thrown everyone away here. So so my new my neurologist, my my physios, ever everyone here is like well, back then was like really surprised. So we it’s when I first walked into the n neurologist, she said, like, wow, No one expected you to recover that quickly from such a severe stroke. Yeah. That’s such a good outcome. I like to I like to think that those things wouldn’t have been possible without your most amazing superhero friend Nicole. Nicole, your final thing I’d like to kind of run by you is that your whole career you’re working towards making things better. Yep. Like for people who are going through all really difficult times. have you had you ever dealt with a family member who needed your intervention or family friend or someone like that that needed an intervention with your specific skills before this? man. yes. So when I was quite a young therapist, probably in my early twenties, my dad told me that his One of his like great aunts or cousins elderly relative had had a stroke and she was in hospital and I didn’t really know her. Like she wasn’t someone in the family that I I had knew had known. And I said to Dad, I’ll go and visit her in hospital. And and so I went to the hospital and I found out she was in this room and I walk into the room and there were four people. And I see this gorgeous little old lady who is all crumpled in her chair and squashed and nearly falling out. And I I just walked in and I was horrified. And I just walked straight over to her. And I just said, look, can I help get you more comfortable, get you into a better position? And then I realized it was it was my own relative. and I said to her, I’m Nicole, I’m John’s daughter. you know, dad’s asked me to come and see you. And and she just said the most cutest thing ever. She said, when you walked into the room. You just look so lovely and I hoped you were here to see me, but I I wouldn’t have known what I could have done to deserve that or something something dead cute. anyway, she’d had a very dense stroke and they were basically saying that she wasn’t a candidate for rehab and that she should go straight to a nursing home. And her daughter was a nurse. And she said, Nope, Mum’s not going to a nursing home and she ended up taking her home and I used to go every night after work and do rehab with her. she ended up being able to walk quite with a pretty awkward gait and a and a stick. but she got back to, yeah, walking and living at home and I just again always think that if she didn’t have her daughter, the nurse and myself, she probably would have ended up not not walking. Yeah, being in a nursing home. It’s not that quality of life. So there’s people who definitely go through that. And what I love about you sharing that part of the story is there’s people listening and they’re paying attention and maybe they haven’t been given the amount of therapy that they feel they deserve or need. And maybe that’s going to trigger people to go, you know what, stuff this, I’m gonna find a way to get more therapy, I’m gonna ask. I’m gonna hassle some people, I’m gonna be a pain in the butt to some people, I’m gonna do more. for myself to get me further. I love that you shared that part of the story. That’s kind of the unique experience that a that a a seasoned occupational therapist can kind of impart on us who are early on in the recovery about like how you need to advocate for somebody or yourself for more physical therapy. And and even if you Can’t access that people listening and watching YouTube channels. Go to YouTube. There are a ton of awesome therapists on YouTube showing people how to do exercises at home. Yeah. And I mean, I just took some really basic things. We s I, you know, stole some things out of Kylie’s flat to take in. And Guido’s son gave me some toys and we use those like stacking things to, you know, do rehab with Kylie’s hand. I took some pegs from her house and we made an activity of pegging up the curtains to do shoulder and arm rehab. So you can often do a lot without, yo

In this episode of The Motherwhelm, I sit down with Sarah to talk about severe preeclampsia, birth trauma, and being diagnosed with autism and ADHD after becoming a mother.Sarah shares her experience of a high-risk pregnancy that ended in a traumatic emergency caesarean birth at 35 weeks, a stay in ICU, and a long physical and emotional recovery. Together, we explore what it was like to begin motherhood while recovering from a near-death experience, navigating postpartum PTSD, and learning to bond with her baby while fighting to recover herself.We also discuss the guilt of not loving stay-at-home motherhood in the way she expected, the importance of having an identity beyond motherhood, and why advocating for yourself during pregnancy can be lifesaving. Sarah speaks candidly about missed warning signs, weight bias in healthcare, recognising the symptoms of preeclampsia, and the lasting impact pregnancy complications can have long after birth.Later in the conversation, Sarah shares how motherhood led her to seek an assessment for autism and ADHD, opening the door to a completely new understanding of herself. We explore sensory overwhelm, masking, late diagnosis in women, and why so many mothers discover their neurodivergence after having children.This is an honest conversation about surviving birth trauma, rebuilding after medical complications, embracing neurodivergence, and learning that motherhood can reveal parts of ourselves we never knew existed.If you've experienced preeclampsia, birth trauma, postpartum PTSD, or you've found yourself questioning your own neurodivergence since becoming a mother, I hope Sarah's story helps you feel seen and reminds you that you're not alone.Resources mentionedSay HoorayPerinatal mental health supportTopics discussed: preeclampsia, severe preeclampsia, pregnancy complications, emergency caesarean, birth trauma, ICU, postpartum PTSD, postpartum recovery, premature birth, advocacy in pregnancy, medical bias, maternal mental health, motherhood identity, returning to work, autism in women, ADHD in women, AuDHD, late diagnosis, sensory overwhelm, masking, neurodivergent motherhood.

Send us Fan MailWhich babies with critical congenital heart disease face the highest risk of brain injury, and does earlier surgery actually help? Why is infant CHD mortality climbing again after years of decline, and who's most affected? Can a mother's cardiovascular status in preeclampsia predict her newborn's circulatory transition? This week's Journal Club brings together five conversations on CHD, maternal-fetal physiology, and vaccine policy. Nim and Adrianne cover a meta-analysis on brain injury in critical CHD, a 25-year national mortality study, a pilot study on preeclampsia and neonatal cardiac output, and a look at RV diastolic function after CHD intervention. Ben and Eli close with Neo News on a controversial hepatitis B vaccine trial in Guinea-Bissau.Support 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!

James C. Jackson, PsyD, is a clinical psychologist, researcher, and award-winning author specializing in trauma, PTSD, and the psychological impact of critical illness. He serves on the faculty at Vanderbilt University Medical Center, where his work focuses on ICU survivors and the long-term effects of medical trauma.Dr. Jackson is the author of Clearance and Reclaiming Your Life from Medical Trauma, his latest book offering a practical, compassionate roadmap for survivors of serious illness and ICU stays. Drawing on clinical experience and patient stories, the book helps readers understand post-intensive care syndrome (PICS), process trauma, and rebuild a sense of meaning and identity after medical crises.Reclaiming Your Life from Medical TraumaAbout Dr. JacksonThe CIBS CenterBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.---Thank you for listening!If you want to support the show, I've got three options and every bit helps.$5.00 PayPalhttps://www.paypal.com/ncp/payment/NPKS32G8KVSN2$10.00 PayPalhttps://www.paypal.com/ncp/payment/495AMDFXQFC3L$15.00 PayPalhttps://www.paypal.com/ncp/payment/M7V5RREUKVD8JThank you to our Sponsors: Jane App - use code GUY1MO at https://janesoftware.partnerlinks.io/ngvcwcxqt2jx-4afv8i (https://jane.app/book_a_demo)Rebound - https://hellorebound.com/ttBeducated - Complete the quiz for one month free https://beduc.at/pd2629-traumatherapist

Send us Fan MailIn this episode of Neo News, Ben and Eli break down a troubling story in vaccine policy: an unsolicited $1.6 million CDC grant funding a Danish research group's trial in Guinea-Bissau, one designed to withhold or delay the hepatitis B birth dose from thousands of newborns in a country where the disease is highly endemic. They trace the ethical parallels to Tuskegee, the funding irregularities, and the pushback from the Africa CDC that halted the study. They also cover the clinical stakes clinicians face daily, including age-dependent chronicity and the real risks of a "safe" two-month delay. A candid, unfiltered conversation about advocating for evidence-based care when the evidence itself becomes politicized.Support 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!

When my dear friend Debra Hewitt texted me and said, "Jamie, you have got to get Sarah Faulkner on The SavvyCast," I listened. And I am so glad I did!  Sarah is a brain aneurysm survivor, but this conversation is not just a story about surviving. It is a story about what comes after.  After a ruptured aneurysm, Sarah went through emergency surgery and 21 days in the ICU. What she came home to was something none of us could have predicted: a troubled marriage transformed from the ground up, childhood trauma healed that she had carried for decades, and a faith that changed the way she sees everything.  She is also the founder of Milk Velvet Pearls, a jewelry ministry built on the truth that beauty is born from struggle, and Sarah's story is living proof of just that.   WHAT TO EXPECT IN THIS EPISODE: What a brain aneurysm rupture actually feels like, why Sarah did not call 911, and how she spent five days before making it to the emergency room Her emergency surgery, her time in the ICU, and what recovery really looked like when she finally came home The troubled 20-year marriage she nearly walked away from, how her husband got sober, and what "Marriage 2.0" actually looks like today How she renewed her mind and healed not just physically but from years of childhood trauma and abuse she had carried her whole life The story behind Milk Velvet Pearls, the pearl as a symbol of beauty born from struggle   LINKS & RESOURCES Milk Velvet Pearls website Follow Sarah Faulkner on Instagram (@mvpearlgirl) Double Portion Earrings | Milk Velvet Pearls Debra Hewitt Art   WHERE TO LISTEN If this episode encouraged you, we would love it if you took a few minutes to rate and review The SavvyCast! It means so much and helps more women (just like you) find the show! Apple Podcasts Spotify YouTube   ENJOYED THIS EPISODE? CHECK THESE OUT! Stop Dreading Getting Older. This 77-Year-Old Changed Everything I Thought About Aging! Apple Podcasts Spotify YouTube   Am I Becoming Catholic? My Faith Journey Update Apple Podcasts Spotify YouTube

Patrick examines how the public’s trust unraveled during the COVID-19 pandemic, threading together raw stories of hospital reporting, misclassified deaths, frustrated teachers, and families caught off guard by shifting mandates. Honest voices hint at personal scars, especially in students’ behavior and anxiety, as Patrick questions how justice, forgiveness, and accountability might coexist when truth feels so scarce. Bureaucratic responses, ethical concerns, and the collision of hope with disappointment set the tone as he stirs reflection on what should change before the world faces another upheaval. Joline - I went in for pneumonia and when I was discharged my paper said COVID. (00:59) Audio: History should remember how the unvaccinated were treated by these people – 2:15 - https://x.com/KellyLMcCarty/status/2082422837948662092 (09:14) Audio: Fauci "you're attacking science and the truth" when you attack Anthony Fauci – 20sec - https://x.com/mazemoore/status/2082475031100006446?s=20 Theresa - My husband died in 2020 and they put COVID on his death certificate, but he died from kidney failure. (12:24) Joe - I just want to chime in on the Covid death stats. I was working as state trooper during 2020. Autopsy said they had COVID yet clearly died in crash. Still listed as a COVID death. (14:39) Kate - My husband fell a few years ago and had to go to hospital. His lungs were clear but they put him as having COVID. (24:13) Sharon - I am an ICU nurse. I want to add that, yes, the doctors did write down COVID on death certificates. It is because hospitals like mine needed the money. (27:43) Nick - How can we let go about all the COVID stuff and forgive Fauci? I want to move on and forgive him. (33:28) Audio: US Government and Health Officials Lie about Covid Vaccine Preventing Transmission - https://www.youtube.com/watch?v=56nhx3UGm-4 (40:57) Liz - I'm a nurse, worked during the pandemic. Covid really broke the healthcare system and how we look at things. (44:22)

    The Chiefs got on the field 11 on 11 and all systems are go for the team, and more importantly, Patrick Mahomes.  The NFL's most decorated quarterback was a full go and that has everyone optimistic.      Andy Reid loves his new runningback and off the field he reports that Mia Bienemy is out of ICU.  Team President Mark Donovan discussed the process of securing a Super Bowl at the new Arrowhead and we are one week away from the first NFL preseason game... ugh... the Cardinals and Panthers.    The Royals won a clean game 4-0 that had a bunch of really unusual things in it including Salvy hitting a triple.    Anthony Fauci had one really horrible day Wednesday getting grilled by Senators and used his fifth amendment rights 111 times to not answer any questions.    A new poll shows just how much men hate the democrat party.    Kansas candidate for governor Philip Sarnecki is getting me and Jessica's votes in the primary Tuesday.... we'll talk with him about his plan to audit the state and sell the governor's $9 million airplane.  I really like what I hear and he clearly has run the best campaign.  That matters to me.

Send us Fan MailIn this prospective study, Adrianne and Nim dig into an area with almost no normative pediatric data: right ventricular diastolic function. Comparing 57 infants with RV pressure overload after intervention for pulmonic stenosis or tetralogy of Fallot to 134 healthy controls, the authors found a consistent pattern, reduced beat-to-beat variability, a higher atrial contribution to filling, and an E/A ratio inversion that was nearly universal in the CHD group versus about half of controls. It's one of the first real attempts to define what a right-sided diastolic pattern actually looks like in this population. But without a comparison against cardiac catheterization, the hosts agree the findings are hypothesis-generating at best, a starting point for a multi-parametric approach, not a reason to skip an invasive workup.----Echocardiographic Markers of Right Ventricle Diastolic Dysfunction in Neonates and Infants with Congenital Heart Disease. Cantinotti M, Capponi G, Scalese M, Palladino E, Giordano R, Franchi E, Viacava C, Corana G, Marchese P, Pizzuto A, Assanta N, Santoro G. J Clin Med. 2025 Dec 23;15(1):98. doi: 10.3390/jcm15010098. PMID: 41517351 Free PMC article.Support 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!

It's Hump Day at The Majority Report On today's program: Dr. Anthony Fauci testifies before the Senate Homeland Affairs & Governmental Affairs Committee Hearing and calls out committee chair Sen. Rand Paul for his "unhinged obsession" with him and then invokes the fifth amendment.  As the Republicans focus on relitigating early COVID policy, the country is reeling from outbreaks of cyclospora, salmonella, measles, screwworm and the return of whooping cough and polio. This is all in the wake of DOGE gutting the CDC's programs dedicated to managing such outbreaks.  David Hogg, former DNC vice-chair and president of Leaders We Deserve, joins the show for a conversation about the dysfunction within the DNC. Biplob Kumar Das, investigative reporter joins to discuss his piece published by Drop Site News, "India's Cockroach Protests End as Modi Government Bows to Demands" In the Fun Half: Lindsey Graham's funeral brings out all the biggest demons from Trump to Netanyahu, and the eulogies are as selfish and hilarious as one would imagine them to be. Hannity uses his eulogy to brown nose to Trump. While Trump's remarks centered around how no one like Graham and that he never saw a war he didn't like. Minnesota State Senator John Hoffman says that when he was in the ICU recovering from a shooting, Angie Craig sent over staffers to seek his endorsement for her Senate campaign. As grocery prices rise at a record pace, NYC Mayor Zohran Mamdani announces that staple products will be priced at 30% lower than market rate. Rep. Max Miller (R-OH) is accused of horrific abuse towards his wife and children. all that and more. To connect and organize with your local ICE rapid response team visit ICERRT.com The Congress switchboard number is (202) 224-3121. You can use this number to connect with either the U.S. Senate or the House of Representatives. Follow us on TikTok here: https://www.tiktok.com/@majorityreportfm Check us out on Twitch here: https://www.twitch.tv/themajorityreport Find our Rumble stream here: https://rumble.com/user/majorityreport Check out our alt YouTube channel here: https://www.youtube.com/majorityreportlive Gift a Majority Report subscription here: https://fans.fm/majority/gift Subscribe to the AM Quickie newsletter here: https://am-quickie.ghost.io/ Join the Majority Report Discord! https://majoritydiscord.com/ Get all your MR merch at our store: https://shop.majorityreportradio.com/ Get the free Majority Report App!: https://majority.fm/app Go to https://JustCoffee.coop and use coupon code majority to get 10% off your purchase Check out today's sponsors: FAST GROWING TREES: Get 20% off your first purchase.  FastGrowingTrees.com/majority SUNSET LAKE CBD: Use coupon code "Left Is Best" (all one word) for 20% off of your entire order at SunsetLakeCBD.com Follow the Majority Report crew on Twitter: @SamSeder @EmmaVigeland @MattLech On Instagram: @MrBryanVokey Check out Matt's show, Left Reckoning, on YouTube, and subscribe on Patreon! https://www.patreon.com/leftreckoning Check out Matt Binder's YouTube channel: https://www.youtube.com/mattbinder Subscribe to Brandon's show The Discourse on Patreon! https://www.patreon.com/ExpandTheDiscourse Check out Ava Raiza's music here! https://avaraiza.bandcamp.

Join Jim and Greg for the Wednesday 3 Martini Lunch as they react to Dr. Anthony Fauci invoking the Fifth Amendment to avoid questions about his handling of the Covid pandemic, NYC Mayor Zohran Mamdani publishing the names and addresses of "rich" people he plans to tax, Hawaii's Lt. Gov. getting indicted for Covid-related corruption, and whether Minnesota U.S. Senate candidate Angie Craig asked for an endorsement from a state lawmaker shortly after he was shot last year.First, they discuss Dr. Fauci refusing to testify before Sen. Rand Paul and the Senate Homeland Security and Governmental Affairs Committee, now that he's not covered by President Biden's pardon. Jim explains why this is a really bad look for Fauci and shows how the left is trying to defend Fauci in some ways while distancing itself in others. Greg notes the stunning lack of mainstream media interest in the Fauci diaries.Next, they fume over Mayor Mamdani's decision to release a database listing the names and addresses of everyone his administration sees as eligible for his new "pied-à-terre" tax aimed at owners of second homes above a certain value in the city. Jim explains how reckless this is and why aggressive pushback is needed now.Then, they look at reports of Hawaii Democrat Lt. Gov. Sylvia Luke getting indicted for taking $35,000 in campaign contributions in exchange for steering COVID testing contracts while she was in the state legislature. Finally, they consider allegations that Minnesota Rep. Angie Craig asked State Sen. John Hoffman for an endorsement in her campaign for U.S. Senate while he was still in the ICU after he and his wife were shot last year. Craig denies the accusations.Please visit our great sponsors:OneSkinGet 15% off OneSkin Summer Bundles with promo code 3ML at https://oneskin.co/3mlQuoMoney is on the line. Always say hello with QUO. Try QUO for FREE PLUS get 20% off your first 6 months when you go to https://Quo.com/3MLHomeServeProtect your home through HomeServe.  For 50% less your first year, visit https://HomeServe.com/Martini  for the plan that's right for you. Savings compared to renewal price. Void in Florida.New episodes every weekday. 

Send us Fan MailIn this small prospective pilot study, Adrianne and Nim explore a domain rarely discussed on rounds, how a mother's cardiovascular function in preeclampsia shapes her newborn's circulatory transition. Using maternal echo and neonatal electrical cardiometry across 13 mother-baby dyads, the authors found an inverse relationship: the worse the mother's cardiac function, the higher the neonate's cardiac output, though vascular tone barely budged. It's a compelling hypothesis about placental strain and fetal adaptation. But Nim pushes back hard on the methodology, pairing this paper with a companion study showing electrical cardiometry consistently overestimates cardiac output in neonates, and questioning why daily echoes were performed on these babies but the results never reported.----Linking maternal and neonatal circulation in preeclampsia. Piani F, Annesi L, Degli Esposti D, Vincenzi S, De Crescenzo S, Della Gatta AN, Simonazzi G, Corvaglia L, Martini S.Am J Physiol Heart Circ Physiol. 2026 Mar 1;330(3):H708-H716. doi: 10.1152/ajpheart.00945.2025. Epub 2026 Jan 12.PMID: 41525138 Free article.Support 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!

Show Notes Caring Beyond the Critical Care Phase What happens after a patient survives the ICU—but recovery has only begun? In this episode of Acute Conversations, hosts Dr. Leo Arguelles and Dr. Nicole Neveau welcome Dr. Rania Farhat, MD, MSHA, FCCP, an assistant professor of medicine at Saint Louis University School of Medicine and founder and medical director of the SSM/SLUCare Post-ICU Multidisciplinary Clinic. Together, they explore post-intensive care syndrome, or PICS, and why meaningful recovery must extend far beyond ICU discharge. Dr. Farhat shares how her clinic grew from a once-monthly idea into a multidisciplinary program connecting critical care, physical therapy, occupational therapy, pharmacy and transitional care. The conversation examines the lasting physical, cognitive and emotional effects of critical illness, as well as the burden carried by families and caregivers. Listeners will hear how the team uses measures such as six-minute walk distance, grip strength, cognitive screening and quality-of-life assessments to uncover needs patients may not recognize themselves. The group also discusses early mobility, plain-language education, care transitions and the challenge of expanding access when demand far exceeds clinic capacity. This episode invites acute care clinicians to redefine success beyond extubation or ICU discharge and ask a more patient-centered question: What happens next? Recovery is a journey, and the work begins in the ICU but continues across every setting that follows. Listen now on Apple or Spotify. Today's Guest Rania Farhat, MD, MSHA, FCCP Assistant Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Saint Louis University School of Medicine Founder and Medical Director, SSM/SLUCare Post-ICU Multidisciplinary Clinic Medical Director, Pulmonary Embolism Response Team Email: rania.farhat@slucare.ssmhealth.com LinkedIn: Rania Farhat, MD, FCCP X: @raniafarhat88 Guest Quotes Timestamps are approximate. Quotes have been lightly edited for clarity. 8:00 — Dr. Farhat: “This is more of a recovery clinic than just, ‘Oh, ICU.' This is about recovery. It's a journey. It's not one time only.” 10:00 — Dr. Farhat: “The transition and the recovery is a very long process. I make sure to mention that to patients and their families, because expectations matter.” 17:00 — Dr. Farhat: “I'm trying to connect the dots in your brain. I want them to understand what actually happened to them.” 24:00 — Dr. Farhat: “The perceived physical tolerance for patients is completely different from what they actually can and cannot do.” 35:00 — Dr. Farhat: “Anything that actually impacts patients' lives and this long journey of recovery, I'm there for it.” Rapid Responses Favorite type of weather: Summer Shoes for the acute care floors: Running shoes—Brooks or New Balance Least favorite high school class: History Another possible profession: Engineering, to fit in with her family of engineers Favorite board game: Chess Movie she can recite: A Walk to Remember Favorite word in another language: “Alhamdulillah” in Arabic Favorite meal after a long day: Lebanese food You know you're an acute care or ICU provider when: “I comment on every scene in a medical show.” Episode Links Critical and Acute Illness Recovery Organization CAIRO Post-ICU Clinic Collaborative Directory International Walk for PICS Connect With Our Hosts Leo Arguelles Pronounced LEE-O R-GWELL-IS Email: largue2@uic.edu X: @LeoArguellesPT Nicole Neveau, PT, DPT, NCS Email: ngunder1@gmail.com LinkedIn: Nicole Neveau Danny Young, PT, DPT, PhD Email: daniel.young@unlv.edu X: @DLYoungDPTPhD Bluesky: @dlyoungdptphd.bsky.social Listen and Subscribe Spotify | Apple Podcasts Or listen wherever you get your podcasts. #AcuteCare #PostICUSyndrome #ICURecovery #PhysicalTherapy Interested in being a future guest? APTA Acute Care Optimizing Recovery, Elevating Care Website Awards Journal Access Aspire and Achieve Mentorship Program X: @AcuteCareAPTA Facebook: APTA Acute Care Instagram: @AcademyAcutePT YouTube: APTA Acute Care Podcast APTA Acute Care Resources APTA Adult Vital Signs APTA Lab Values Document Webinar Recordings

In this episode I interviewed Caralee Hudson, a retired ICU and CCU nurse and volunteer grief group facilitator, about supporting individuals after sudden and unexpected loss. Key Takeaways: Sudden loss brings unique challenges, often including trauma, guilt, anger, and unanswered questions that can complicate the grieving process. Healing happens in connection, and grief support groups provide a compassionate space where people feel seen, heard, and understood. You don't have to fix grief to help - simply being present, listening, and bearing witness can be one of the greatest gifts you offer someone who is grieving.

Lexie Miller balances her work as an ICU nurse with her new role as Miss Ohio while promoting heart health and preparing for Miss America.Support the show: https://richlandsource.com/membersSee omnystudio.com/listener for privacy information.

Dr. Rana Awdish is one of those rare humans who can speak from both sides of the hospital bed with complete authority, and somehow make you feel understood in the process. She's a critical care physician whose first book, In Shock, is a landmark medical memoir about becoming critically ill on the last day of her fellowship in her own ICU and it was one of the books that helped Kristin make sense of her own co-survivor experience after my cardiac arrest. Rana's new book is Aftershock: Learning to Reinhabit My Body After Illness, and it picks up where In Shock left off: not the dramatic part, but the harder part, the years of PTSD, the process of learning to trust her own body again, and the realization that medicine doesn't own healing. We talk about her experience of being repeatedly hospitalized in her own ICU, the embodiment work she had to do to unlearn what medical training takes from you, and the specific, extraordinary moment when she was sitting at her window watching snow that looked like dividing cells and understood, with total certainty, that she had cancer, before any test confirmed it. She then tried to schedule her own surgery before the pathology came back. The biopsy came back positive. Her body was right. Kristin asks us both the question I've been avoiding: is humor a deflection? I can't fully say it isn't. There's a pretty direct line between making a wearable defibrillator comedy video the moment I got home from the hospital and not having fully processed what happened. Rana's concept of "externalizing", putting difficult things outside yourself so they live somewhere other than inside your body, maps uncomfortably well onto what I do. We also get into interoception (a new word for me, as Kristin noted with zero surprise), moral injury, and what Rana would tell healthcare professionals who reflexively dismiss patients who say they know something is wrong. She's a professor at two medical schools, and the line I keep thinking about is this: "There's so much in our training that causes us to believe we have to have the answer or we have no value." This is one you'll want to sit with for a bit. I'm still sitting with it. Takeaways: Medicine doesn't own healing. Humor and creativity can be externalizations as much as they are healing Interoception, the nervous system's awareness of internal body states, is real, measurable science, not woo Living with a foreshortened sense of the future is a predictable and poorly-addressed consequence of surviving critical illness Physicians are trained to function without physical or emotional needs, and the deprogramming required to reconnect with their own bodies is real and difficult — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information. Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us Fan MailIn this retrospective national study, Adrianne and Nim look at 25 years of congenital heart disease mortality in the US using CDC WONDER data. Infant mortality remains staggeringly high (54 per 100,000), and after years of steady decline, it has been climbing again since 2014. Disparities run throughout: higher deaths among males, non-Hispanic Black and American Indian/Alaska Native populations, and in rural, Midwestern regions, pointing more to gaps in access and resources than to disease biology. The conversation also flags a growing, under-discussed problem, an aging adult congenital population outpacing the pediatric one for the first time, with too few specialists trained to care for them.----National Trends and Disparities in Congenital Heart Disease Mortality in the United States, 1999-2024.Raja S, Albrahim MMS, Aldhafeeri BF, Omar AA, Alqadeeb BA, Alhuways MM, Bangaryd AA, Alqahtany MG, Alfaraj AB, Almughyir RS, AlRasheed ST, Alfaifi M. Pediatr Cardiol. 2026 Jan 13. doi: 10.1007/s00246-025-04156-1. Online ahead of print.PMID: 41528440Support 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!

Send us a Text Message (please include your email so we can respond!)Episode 97! In this episode we talk about mucolytics for patients with difficult to clear secretions on the ventilator and the effects of a tele ICU rehabilitation intervention! We also have some emails following up on scurvy and the taste of chalk.Scurvy History:https://pmc.ncbi.nlm.nih.gov/articles/PMC1276007/Bootcamp: https://www.vumc.org/advanced-practice-critical-care/welcomeMARCH: https://www.nejm.org/doi/pdf/10.1056/NEJMoa2603406Tele-Rehab: https://jamanetwork.com/journals/jama/article-abstract/2850403If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music! 

Most surgeons trained learning extracapsular tonsillectomies. What does the evidence say about intracapsular tonsillectomies? Two pediatric otolaryngologists explain why they made the switch and never looked back. On this episode of the BackTable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with pediatric otolaryngologists Dr. Stephen Chorney from UT Southwestern and Children's Health Dallas and Dr. Kevin Huoh from Children's of Orange County to examine post-operative complications after tonsillectomy and adenoidectomy, with a focus on coblation intracapsular tonsillectomy. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Smith + Nephewhttps://www.smith-nephew.com/en/ --- Timestamps 00:00 - Introduction02:53 - Why Switch Techniques?07:58 - Risk Stratification and Patient Selection11:04 - Respiratory Complications and Management15:57 - Preop Screening21:35 - Risks for Post-op Bleeding and Counseling26:16 - Managing Post-op Bleeding31:56 - Surgical Tips to Prevent Bleeds and Management39:30 - Intracapsular Tonsillectomy in Older Kids43:44 - Post Op Pain Plan and Return To School48:33 - Use of Toradol & Readmission for Pain and Dehydration53:16 - Caution of Burn and Stenosis Injuries61:01 - Final Takeaways --- More about this episode Dr. Chorney and Dr. Huoh share why they each committed fully to the intracapsular technique and what that shift has meant in practice, from secondary hemorrhage rates hovering around 0.5–0.6% to fewer nursing line calls, readmissions for pain and dehydration, and faster returns to school and normal activity. They walk through their approach to patient risk stratification and admission criteria (age 30/ICU consideration) as well as how to manage the most common post-operative respiratory complications. The conversation also covers practical guidance for handling outside-ER bleed calls, the role of nebulized TXA, toradol considerations, and managing dehydration. They also share for navigating intracapsular coblation in older children, strategies to reduce burn injuries, and a closer look at the rare but serious risk of pharyngeal stenosis. Check out this episode to hear Dr. Chorney and Dr. Huoh discuss how intracapsular tonsillectomy doesn't just improve outcomes but can transform the recovery experience for patients and their families. --- Resources Extracapsular vs Intracapsular Tonsillectomy: Outcomes in Children with a Focus on Developmental Delayhttps://pubmed.ncbi.nlm.nih.gov/34839135/ Current Status and Future Trends: Pediatric Intracapsular Tonsillectomy in the United Stateshttps://pubmed.ncbi.nlm.nih.gov/32969500/ Dr. Chorney Episode 259 - Understanding Coblation Tonsillectomy https://www.backtable.com/shows/ent/podcasts/259/understanding-coblation-tonsillectomy-benefits-outcomes-techniques Dr. Huoh Episode 110 - Intracapsular Tonsillectomy in Childrenhttps://www.backtable.com/shows/ent/podcasts/110/intracapsular-tonsillectomy-in-children --- 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

Send us Fan MailIn this systematic review and meta-analysis, Nim and Adrianne dig into just how common brain injury really is in neonates with critical congenital heart disease. Pooling 31 studies spanning two decades, the authors found that nearly 70% of these babies show some form of ischemic brain injury, split roughly between pre-operative and post-operative timing. Counter to what most clinicians would predict, kids who went to surgery earlier (days 4-6) had higher rates of white matter injury than those who waited longer. MRI remained the most sensitive tool for picking up these lesions, well ahead of ultrasound or CT. But the data stops well short of proving these findings predict long-term outcomes, and Nim pushes back on the idea that an abnormal scan alone should steer decisions about whether to operate.----Prevalence of Ischemic Brain Injury in Neonates With Congenital Heart Disease: A Systematic Review and Meta-Analysis.Kim C, Chetan D, Kazazian V, Alzamil J, Chau V, Seed M, Miller SP, Selvanathan T.Neurology. 2026 Feb 10;106(3):e214569. doi: 10.1212/WNL.0000000000214569. Epub 2026 Jan 9.PMID: 41512205Support 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!

Posting a video about the role of communication for sedation management to help prevent post-ICU syndrome sparked important discussion and the sharing of valid concerns. @pulmtoilet comes back to the podcast to address the cultural and educational roots of the the current state of affairs to dissect why communication prior to sedation is a hot topic in the ICU community. Follow @pulmtoilet and check out Dr. Ghionni's YouTube channel with incredible content on ventilator management! Find the agitation algorithm here! www.DaytonICUConsulting.com

How Making a Stroke Recovery Documentary Helped a Former One-Percenter Reclaim His Life Shayne DeMarce spent most of his adult life defined by physical strength. He rode Harleys through the Canadian Rockies in every season, ran a plumbing and heating business, and had recently begun prospecting with a one-percenter motorcycle club drawn there, he says, by the brotherhood at a time when his wife’s cancer diagnosis and a failing business were pulling the rest of his life apart. Then, on a low-speed group ride at under 20 kilometres an hour, his back wheel slid on loose gravel. To avoid landing on a fellow rider, he dove off his bike into a ditch and broke nine of his twelve ribs, his collarbone, and his scapula, punctured a lung, and tore his aorta. What nobody caught for another thirteen hours was that he’d also had a stroke. A Low-Speed Crash With High-Speed Consequences Shayne’s accident is a reminder that the danger in a fall isn’t always where it looks like it is. He walked away from the crash site convinced his injuries were broken bones, painful, but familiar territory for a man who’d spent a lifetime playing football, doing judo, and dirt biking. It wasn’t until he was in the truck heading to hospital, feeling suddenly and inexplicably worse, that anyone suspected something else was happening. By the time doctors in Edmonton confirmed it was a bilateral carotid artery dissection that had cut off blood flow to his brain, the left side of his body was already gone. He spent five months in hospital and ICU, then seven more in inpatient rehab. Non-weight-bearing for most of that time, he had to relearn how to exist in a body that no longer matched the identity he’d spent decades building. Losing the Body He Built His Identity On “I was a physical guy,” Shayne said. “My job was physical, everything about me was physical. So it wasn’t just my identity; it really was who I was.” For a man whose sense of manhood was tied to strength, work capacity, and being able to hold his own, losing the use of half his body wasn’t just a medical setback. It was, in his words, “very humbling.” The turning point came from an unexpected source: a blunt question from the principal at his rehab facility’s education centre. When Shayne told her his only goal was getting his body back, she asked him plainly, “So what if you don’t get your body back?” It’s a question that stroke survivors and their families rarely get asked directly, and it’s often the one that needs asking. Shayne describes it as heartbreaking in the moment, and something he’s since come to be grateful for. Why He Turned to a Camera Instead of a Gym That question pushed Shayne toward a skill he’d never have considered before his stroke: typing, then editing, then filmmaking. He describes teaching himself to type as doing more for his affected hand than any of his occupational therapy, and it opened a door to something bigger. Once home, he noticed a gap: plenty of content from doctors and news stations about stroke, but very little from survivors themselves, talking honestly about what recovery actually looks like. So he started the UpStroke Podcast. Then, within days of getting home from inpatient rehab, he set himself an ambitious goal: make a full-length stroke recovery documentary about his own experience, and finish it within six months. No film background, no crew, no guaranteed audience just early mornings, self-taught editing, and a refusal to let pride keep him from trying something that scared him. Making a Stroke Recovery Documentary From the Ground Up The finished film runs 55 minutes and represents hundreds of hours of work planning, scripting, filming, and re-filming after the inevitable rookie mistakes (forgotten microphones, unrecorded interviews, background noise nobody caught until the edit). Shayne interviewed his own kids and friends for the film, describing the process as “ripping the same band-aid off fifty times a day for six months straight.” What makes a stroke recovery documentary like this different from a polished studio production is exactly what makes it valuable: it was built by someone still living the recovery it documents, using the same self-taught persistence he’d once applied to fixing pipes and riding through winter. Screening the Film for the People Who Understand It Most The most meaningful moment of the entire project, Shayne says, wasn’t a premiere or a review; it was screening the documentary at the rehab facility where he’d been an inpatient, for a room that was roughly 80% stroke survivors and staff. He remembers patients in that same gymnasium who never had a single visitor in six months, and he now sees his film and podcast as a way to reach exactly those people: the ones running out of hope in a system that doesn’t always have room to give them much of it. A New Club Shayne no longer rides with the one-percenter club he’d started prospecting with before his accident. He describes his community now as “a bunch of stroked out strokers,” the friends, fellow survivors, and families he’s met through the podcast and the film. It’s a different kind of brotherhood than the one he set out to find, but by his own account, it’s the one that’s carried him. His documentary is now available free on YouTube, so that as many stroke survivors, caregivers, and healthcare professionals as possible can watch it. If Shayne’s story resonates with where you are in your own recovery, Bill’s book, The Unexpected Way That A Stroke Became The Best Thing That Happened, walks through ten tools for recovery and personal transformation built from these same kinds of conversations: recoveryafterstroke.com/book. If this show has helped you, you can support it at patreon.com/recoveryafterstroke. Footer Disclaimer: This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. The transcript will be available soon… The post The One-Percenter Biker Who Turned His Stroke Into a Documentary appeared first on Recovery After Stroke.

In this episode of *Pediatric Critical Care Insights*, Dr. Monica Gray and Dr. Pradip Kamat chat about how capnography, specifically end-tidal CO2 monitoring, is used in the pediatric ICU. They walk through a real-life case of a 9-year-old with respiratory failure from influenza A, showing how ETCO2 monitoring helps confirm endotracheal tube placement, guides ventilation, spots cardiac arrest, and even helps assess the quality of CPR. Along the way, they break down how to interpret capnography waveforms, discuss different types of devices, and explain the key physiological concepts. The episode is packed with practical, bedside tips for intensivists caring for critically ill kids.Show Highlights:Importance of capnography (end-tidal CO2 monitoring) in the pediatric intensive care unit (PICU)Clinical case study of a 9-year-old boy with respiratory failure due to influenza AUse of capnography for confirming endotracheal tube placement and assessing ventilation statusDetection of cardiac arrest and guidance for CPR quality through ETCO2 monitoringOverview of capnography physics and physiology, including terminology distinctionsTypes of capnography: mainstream vs. sidestream, and their applications in pediatric patientsAssumptions for accurate ETCO2 approximation of arterial CO2 and conditions affecting this relationshipAnalysis of capnography waveform phases and their clinical significancePrognostic value of ETCO2 during cardiac arrest and its correlation with patient outcomesPractical applications of ETCO2 monitoring in critical care, focusing on airway, breathing, and circulation managementReferences:Noninvasive respiratory monitoring and assessment of gas exchange. David F. Butler; Kenneth A. Schenkman. Fuhrman and Zimmerman's Pediatric Critical Care, 43, 483-491.e3Humphreys S, Schibler A, von Ungern-Sternberg BS. Carbon dioxide monitoring in children—A narrative review of physiology, value, and pitfalls in clinical practice. Pediatr Anaesth. 2021;31:839–845. https://doi.org/10.1111/pan.14208Lasa JJ, Dhillon GS, Duff JP, et al. Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics. 2026;157(1):e2025074351O'Flaherty. Capnography: principles and practice. London: BMJ Publishing Group; 1994.Aminiahidashti H, Shafiee S, Zamani Kiasari A, Sazgar M. Applications of End-Tidal Carbon Dioxide (ETCO2) Monitoring in Emergency Department; a Narrative Review. Emerg (Tehran). 2018;6(1):e5. Epub 2018 Jan 15. PMID: 29503830; PMCID: PMC5827051.

In this episode of Communicable, Nav Narayanan and Thomas Tängdén kick off the first 'Ask me anything' episode, inviting EUCAST and CLSI leadership Sören Gatermann, Christian Giske and Amy Mathers to answer questions from our listeners. Together, they discuss the roles and operations of both organisations, similarities and differences between EUCAST and CLSI, how breakpoints and guidance documents are developed, set the record straight about the 'I' category, explain which data inform breakpoint decisions, and much more.This episode was edited by Communicable's executive producer, Angela Huttner. Further readingDocuments/resources:CLSI MicroFree, https://em100.edaptivedocs.net/Login.aspx?ru=1EUCAST: When there are no antifungal breakpointsEUCAST: When there are no breakpoints?Use_of_fosfomycin_iv_breakpoints_General_advice_20240528.pdfEUCAST: Definition of S, I and REUCAST Guidance Document, “When there are no breakpoints”, https://www.eucast.org/bacteria/guidance-documents/EUCAST Guidance Document for “Rare Yeasts”, https://www.eucast.org/fungi-afst/guidance-documents/Articles (alphabetical): Bixby ML, et al. Fosfomycin Disk Diffusion Testing among Klebsiella pneumoniae Results in Frequent Inner Colonies and Categorical Disagreement Based on Conflicting Breakpoint Organization Recommendations. Microbiol Spectr 2023. DOI: 10.1128/spectrum.03363-22DeMarco MG, et al. Impact of media brand on cefiderocol disk diffusion results. J Clin Microbiol 2025. DOI: 10.1128/jcm.01648-24Giske CG, et al. Aminoglycoside breakpoints-the EUCAST approach and what this means for the clinician. CMI 2025. DOI: 10.1016/j.cmi.2025.08.015Mouton JW, et al. MIC-based dose adjustment: facts and fables. J Antimicrob Chemother 2018. DOI: 10.1093/jac/dkx427Narayanan N, et al. Amoxicillin-Clavulanate Breakpoints Against Enterobacterales: Rationale for Revision by the CLSI. Clin Infect Dis 2024. DOI: 10.1093/cid/ciae201Narayanan N, et al. Amoxicillin-Clavulanate Breakpoints Against Enterobacterales: Rationale for Revision by the Clinical and Laboratory Standards Institute. Clin Infect Dis 2024. DOI: Pham Thanh D, et al. A novel ciprofloxacin-resistant subclade of H58 Salmonella Typhi is associated with fluoroquinolone treatment failure. eLife 2016. DOI: 10.7554/eLife.14003.001 Smekal A. Swedish multicentre study of target attainments with β-lactams in the ICU: which MIC parameter should be used? J Antimicrob Chemother 2023. DOI: 10.1093/jac/dkad327Turnidge J, et al. How to: the application and analysis of categorical agreement in antimicrobial susceptibility testing using EUCAST breakpoints. CMI 2026. DOI: 10.1016/j.cmi.2025.12.018Turnidge J, et al. Rationale for contemporary antimicrobial treatment of Stenotrophomonas maltophilia: a narrative review. CMI Comms 2025. DOI: 10.1016/j.cmicom.2025.105082Weinstein M, et al. The CLSI Subcommittee on Antimicrobial Susceptibility Testing: Background, Organization, Functions, and Processes. J Clin Microbiol 2020. DOI: 10.1128/jcm.01864-19

This week we discuss a recent report from the team at SickKids in Toronto on minimally invasive cardiac surgery. What sorts of operations are most common for this approach? Why are length of ICU and length of hospitalization periods lower in this surgical cohort than more traditional midline sternotomy approaches? How does one train a surgeon to perform these operations if the surgical exposure is so small, allowing only the priimary surgeon to see the majority of the surgery? What are the limits of this sort of surgical approach? These are amongst the questions posed to the first author of this work, Associate Professor of Surgery at University of Toronto, Dr. Christoph Haller. DOI: 10.1016/j.jtcvs.2025.12.009

Send us Fan MailWhat if communication were treated as a procedure, something we train for and get feedback on, just like an intubation?  In this episode of Neo News, Eli Cahan talks with Dr. Jessica Fry of Northwestern University and Lurie Children's Hospital about her NeoReviews piece, "Recognizing Communication as a Procedural Skill in Neonatology." Dr. Fry shares the personal loss that shaped her career, the ethical stakes of getting family communication right, and how trauma-informed care can guide something as simple as how we address parents on rounds. They discuss the critical first 48 hours after admission and how simulation-based training can build real skill over time. A candid look at a skill every NICU provider uses daily, and how we can all get better at it. Support 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!

Why do some people with hEDS or HSD report meaningful relief with medical cannabis, while others feel worse, notice no benefit, or experience side effects? And what might these varied responses teach us about pain, the autonomic nervous system, gut function, and nervous system sensitization? In this episode, host Dr. Linda Bluestein, the Hypermobility MD, is joined by Professor David Nutt, a neuropsychopharmacologist at Imperial College London, and Lucy Stafford, a PhD researcher in clinical neuroscience with lived experience of hypermobile Ehlers-Danlos syndrome. This is not a hype episode, a recommendation to use cannabis, or medical advice. Instead, it is a careful, curiosity-driven conversation about what is known, what is still emerging, and what remains uncertain about medical cannabis in hEDS and HSD. Lucy shares her experience of severe illness, high-dose opioid treatment, a feeding tube, repeated ICU stays, and eventually coming off opioids, an experience that helped shape her path into cannabinoid research. Professor Nutt explains the discovery of the endocannabinoid system and why this system may be relevant to pain processing, stress responses, autonomic regulation, immune signaling, and gut function. Together, they explore how cannabinoids may influence a sensitized nervous system, why responses vary so widely, and why medically complex patients need individualized guidance rather than shame, dismissal, or unsupported promises. The conversation covers many of the practical questions patients often ask, including the difference between CBD and THC, full-spectrum products, terpenes and the entourage effect, routes of administration, absorption differences, and the importance of a cautious “start low, go slow” approach when cannabis is being considered under appropriate medical supervision. They also address important safety considerations, including contraindications, drug interactions, psychiatric risk, impairment, dependence, and why cannabis is not appropriate for everyone. The episode closes with a broader discussion of stigma, the emerging science of psychedelics for chronic pain, and the human and financial costs of undertreated complex illness. The Bendy Bodies podcast is for educational purposes only and is not a substitute for personalized medical advice. Laws, product quality, dosing, and individual risks vary, so patients should consult a qualified healthcare professional before using cannabis or changing any treatment plan. Takeaways: The endocannabinoid system is an important regulatory system involved in pain processing, stress responses, immune signaling, gut function, and nervous system homeostasis, yet it receives relatively little attention in medical and neuroscience training. Cannabinoids do not work like opioids. Rather than simply “blocking” pain, they may influence pain modulation, nervous system sensitization, autonomic tone, and gut motility, though much remains to be studied specifically in hEDS and HSD. CBD and THC have different effects, benefits, and risks. CBD may reduce some unwanted THC effects for certain people, but responses vary, and dosing should be individualized. A cautious “start low, go slow” approach is especially important for medically complex patients, particularly those with dysautonomia, medication sensitivity, MCAS-like symptoms, anxiety, or multiple medications. Individual responses to cannabis vary widely. Differences in absorption, metabolism, product composition, route of administration, and underlying physiology may help explain why one person improves while another worsens or notices no effect. Cannabis is not right for everyone. Extra caution is warranted for people with a history of psychosis, paranoia, substance use disorder, significant cognitive impairment, fall risk, pregnancy, or medications metabolized through overlapping liver pathways. Patients deserve balanced information: neither stigma and dismissal nor exaggerated promises. The goal is thoughtful, evidence-informed, individualized decision-making. Go http://www.AquaTru.com now for 20% off (your purifier) using promo code BENDY. Head to http://www.cozyearth.com and use my code BENDY for an exclusive 20% off. Want more Professor Dave Nutt & Lucy Stafford? X / Twitter link. Profdavidnutt@twitter.com & @lucystaffie BleuSky:profdavidnutt@bluesky.com Instagram: @lustaffordphd, @drugscienceuk, @Drug_Science & @EmbodiedNeuro Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Want to learn more about the UVA EDS Center? For Appointments and Questions: RUVAEDSCenter@uvahealth.org UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinic UVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

Tatyana Norman Webler graduated nursing school in May 2020 — straight into the COVID pandemic. She spent three years as an ICU nurse watching the healthcare system fail patients in real time, asking why the left hand never talked to the right hand, and wondering if there was a way to fix it. Then she went to law school.She graduated — in labor — passed the bar with a newborn at home, and landed in big law. Eight months later, she was gone.This is the story of what happened in between. And what the blood work proved.In this episode we talk about the moment Tatyana realized big law wasn't just misaligned with her values — it was bad for her biology. We talk about high functioning depression, the Body Keeps the Score, and what it actually looks like to climb out of survival mode and build a life from scratch that actually fits who you are.In this episode we cover:How a single moment on a hospital ethics committee made Tatyana want to go to law schoolGraduating law school in active labor — and walking across that stage anywayPassing the bar with a newborn and four hours of study time a dayWhat eight months in big law actually cost her — and how her biomarkers told the whole storyThe week she didn't nurse her daughter once because of an artificial deadline — and the rage that followedWhy she left and what happened to her blood work six months laterHigh functioning depression: what it is, how it's different from burnout, and why so many lawyers are living in it without knowing"You can't outthink your way out of depression" — and what she's doing insteadHow coaching helped her stop strategizing and start actually doingThe portfolio career she's building: Lucid Edge Advising, the Ohio Brain Capital Alliance, and her podcast Lucid CommonsWhy two things can be true at the same time — and why that's the permission slip most of us needBooks mentioned:Becoming You by Suzy WelchHigh Functioning Depression by Dr. Judith JosephThe Body Keeps the Score by Bessel van der KolkConnect with Tatyana Norman Webler:LinkedIn: Tatyana Norman WeblerPodcast: Lucid Commons (Spotify, Apple, YouTube)Advising: Lucid Edge AdvisingNonprofit: Ohio Brain Capital AllianceWork with Erin Gerner: Erin coaches high-achieving female attorneys who are successful on paper but struggling with burnout, identity, and what's next — helping them redefine success on their own terms.

Discover Lafayette welcomes Katie Ferguson, whose remarkable story is one of resilience, advocacy, and choosing purpose in the face of life’s most unexpected challenges. A Lafayette native, communications professional, and passionate community advocate, Katie has lived through two extraordinary journeys. First, she became the long term caregiver for an Army veteran whose life changed forever after a catastrophic spinal cord injury. Years later, while feeling completely healthy, a free heart screening uncovered a life threatening ascending aortic aneurysm caused by an undiagnosed congenital heart defect, leading to open heart surgery that ultimately saved her life. Katie approaches both experiences with remarkable clarity and compassion. As she explains, “Nothing happens without having purpose. When something happens to me, chances are it’s happening to someone else. And if I can shine a light on what they’re going through, if I’m able to help ease anyone’s journey, it’s worth it.” That philosophy has shaped her work as an Elizabeth Dole Foundation Fellow, where she advocates for military and veteran caregivers across the country, and as a spokesperson for heart health awareness through the American Heart Association’s Go Red for Women initiative. Katie’s caregiving journey began in 2010 under circumstances she never could have imagined. She and Army officer Barry were casually dating and, by her own admission, were “kind of looking like we were going to break up” as he prepared to retire from military service and move overseas to launch a business. The day after signing his retirement paperwork, Barry suffered a devastating spinal cord injury after slipping from a rope swing into a sandbank, shattering his cervical spine and becoming immediately quadriplegic. Katie recalls receiving a call from a mutual friend before joining his family in the intensive care unit, beginning what she describes as “many, many waits in ICU rooms and hospital rooms and not knowing.” Rather than walking away from an uncertain future, Katie leaned in. “I loved him,” she says simply. As Barry progressed through months of rehabilitation in New Orleans, Lafayette, and Atlanta, the two began dating in earnest while he was still hospitalized. They eventually married, allowing Katie to become his full time paid caregiver after leaving her successful public relations career. “I gave up my career because this was much more important. This was all encompassing.” Her description of caregiving offers a rare, honest glimpse into the invisible work performed by millions of family caregivers every day. “You are literally trying to plan two steps ahead,” she explains, describing everything from helping with showers and medications to waking every three or four hours throughout the night to reposition Barry and prevent pressure sores. While the physical demands were immense, Katie says the mental burden proved even greater. “You don’t think about it when you’re going through it. You’re trying to survive. This is the hand you’re dealt, and you don’t have a choice in the matter. You put your head down and you make it work.” One of the most compelling parts of Katie’s story is that caregiving did not end when her marriage did. Although she and Barry divorced after twelve years, she remains his primary caregiver outside of the hours covered by home health services. She still helps several times each week and is often the first call when emergencies arise at night or on weekends. As she explains, “Whenever his breathing changes, I know what that means. Whenever his eye movement starts moving around, I know what those eye movements mean. Why would I not help somebody if I have the tools to make someone’s life a little bit better?” Katie also shares invaluable advice for caregivers navigating military systems and government bureaucracy. Persistence, she says, is essential. After spending two and a half years successfully appealing a Department of Defense financial decision, she learned that “everything has steps and you just have to go through the steps.” Perhaps more importantly, “You have to know the right question to ask… nobody will just volunteer the information to you. But if you go in and you say, ‘I need this particular form,’ or ‘I need help with this thing,’ they open up doors.” Her work with the Elizabeth Dole Foundation has given Katie an even broader perspective on military caregiving. She notes that seventy five percent of caregivers are not spouses, reminding us that caregiving is defined not by legal status but by love, compassion, and responsibility. She also highlights the foundation’s Hidden Heroes initiative, which recognizes caregivers serving behind the scenes, and the Hidden Helpers program, which acknowledges children who quietly shoulder caregiving responsibilities within military families. Katie’s second life changing chapter began almost by accident. Feeling “100% healthy” and completely without symptoms, she attended a free cardiovascular screening during Women’s Health Month because heart disease ran in her family. A routine calcium score CT scan revealed no plaque buildup, but it did reveal something far more dangerous: an enlarged ascending aorta. “I felt fine. I went to the surgeon, to my open heart surgery, completely asymptomatic.” Initially, like many people would, Katie delayed following up. Three months later, additional imaging confirmed a life threatening ascending aortic aneurysm. Doctors monitored it for nearly a year before recommending surgery. During the operation in January 2023, surgeons discovered an undiagnosed congenital bicuspid aortic valve, a birth defect in which the heart valve has only two leaflets instead of three. They replaced it with a mechanical valve while repairing the aneurysm. Today, Katie says the gentle clicking of that valve, once unsettling, has become reassuring. “It’s more calming to me now… I kind of use it to lull me to sleep.” Throughout the conversation, Katie passionately advocates for preventive health care. She emphasizes that heart disease remains the leading killer of women, noting that one in three women will die from cardiovascular disease, compared with one in twelve from cancer. Her own experience illustrates why proactive screening matters. Had she ignored that free test, doctors estimated she likely would not have survived another five years. Looking back, she reflects, “Had I not been proactive, I’d be gone.” Katie also discusses how women’s heart attack symptoms often differ dramatically from men’s, frequently resembling flu symptoms, indigestion, jaw pain, reflux, or unexplained fatigue rather than the classic crushing chest pain. She praises the work of Go Red for Women, not only for raising awareness but also for funding research and local initiatives such as CPR education, blood pressure screening stations, and food security programs throughout Acadiana. Perhaps the most meaningful takeaway from this conversation is Katie’s conviction that advocacy begins with caring for yourself. Years spent advocating for someone else taught her to ask questions, seek second and third opinions, and never hesitate to pursue answers. “I’m no good if I’m not here,” she says. “I have to advocate for myself so I can be here physically present to help.” When asked what she would tell caregivers, Katie offers wisdom born from experience. Learn to ask for help. Accept support when it comes. And if someone you know is caregiving, do not wait for them to ask. Simple gestures, whether bringing a meal or rolling a neighbor’s trash cans to the curb, can lighten an overwhelming mental load. Katie Ferguson’s story reminds us that resilience is not simply surviving hardship. It is choosing, again and again, to use our experiences to lift others. Whether advocating for military caregivers, encouraging women to take charge of their heart health, or simply sharing practical advice with someone facing an uncertain diagnosis, Katie continues to transform personal adversity into hope for others.

Ben Tasker joins Jeff Mains to break down the real reason most AI rollouts fail: it's almost never the technology. From his time as Dean of AI at Southern New Hampshire University to building life-saving diagnostic tools at MaineHealth, Ben has seen firsthand how change management, human-centric strategy, and data quality determine whether AI creates value or amplifies chaos.In this episode, Ben introduces the concept of the "AI Between Times" — the transition period where organizations are leaving old processes behind but haven't yet arrived at a fully AI-integrated future. He explains why 95% of AI implementations fail, what separates the 5% that succeed, and how founders and leaders can build a culture of continuous learning that makes their organizations genuinely AI-resilient. Ben also shares a practical four-step learning cycle (Learn → Practice → Apply → Reflect) and makes the case that adaptability and flexibility — not technical expertise — are the most critical skills to develop right now.Key Takeaways[0:00] — Hook: 95% of AI implementations fail — not because of bad tech, but because of what surrounds it: poor rollouts, unengaged leaders, and broken processes that get automated at scale.[3:11] — Ben introduces the "AI Between Times" — the transition moment where organizations are leaving old processes but haven't reached AI maturity. Change management is the most overlooked factor.[5:19] — What the 5% do differently: transparent campaigns that communicate why AI is being implemented, where, how, and what not to do — plus training pathways and upskilling resources.[7:38] — Why people resist change: 66% of individuals currently hold negative AI sentiment, driven by news around layoffs, data centers, and high-profile failures. Trust and transparency are the antidote.[7:52] — The danger of a "point solution" mindset: using AI to solve one small problem without mapping the full system. Ben's pizza-ordering example illustrates how a narrow implementation can actually increase costs, erode trust, and kill adoption.[13:44] — AI doesn't fix a messy organization — it amplifies it. Garbage in, garbage out. Data quality and process integrity must come before the model.[13:45] — Ben's healthcare origin story: his first job exposed the cost of poor data infrastructure and uncommunicated change. Physicians worked around the system because no one explained the why.[15:27] — From community college to ICU: Ben's student success algorithm took 12 months just to get faculty buy-in — a timeline the data science team never anticipated. At MaineHealth, a similar algorithm flagged ICU patients for early infection, potentially saving thousands of lives.[21:11] — Why people treat AI as just a search engine: ChatGPT reached 1 million users in 5 hours — faster than the iPhone, the computer, or the internet. Accessibility doesn't equal strategy. Most people use 2–3 use cases and miss the full picture.[22:58] — Prompting is a skill. A prompt for a video, an image, and a report require different approaches. Without a learning plan, you're not using AI — you're guessing.[26:20] — AI's primary objective is to interact with you more. The more you use it, the more personalized it becomes. But that also means being thoughtful about what data you share.[31:25] — Ben's personal AI origin story: photographed workout equipment, had ChatGPT build CrossFit plans, then photographed his fridge for meal planning. That non-work use case built the prompting instincts he later applied professionally.[33:14] — AI augmentation is the sweet spot — not replacement. Most roles will incorporate AI; the job titles that don't exist yet (Dean of AI, prompt engineer) are proof the economy is already shifting.[35:48] — "Prompt engineer" has at least two completely different career paths — one for marketing professionals, one for PhD-level AI researchers. Organizations need to recruit by skills, not job titles.[42:47] — What successful large-scale AI transformations have in common: leadership engagement, middle-layer exploration, and org-wide AI literacy — treated as a cultural shift, not a one-time training.[44:00] — Context is the new data. Websites, job descriptions, PowerPoint decks — these become the data sources that AI ingests. If the context isn't clean and structured, the output won't be either.[40:13] — The Learn → Practice → Apply → Reflect cycle: where most people break down is the reflection step. Without asking "What did I learn? Did I like it? What would I do differently?" the cycle can't repeat effectively.[43:15] — Adaptability vs. flexibility: adaptability is accepting that change is coming; flexibility is navigating it once it arrives. These are the top two skills organizations are hiring for — and neither is a technical skill.[44:10] — Individuals who know AI earn a 52% pay premium over those who don't.[45:07] — The one investment SaaS founders can't skip: start using AI themselves and talk about it positively. Use your domain expertise to create context and systems that make your product AI-resilient before disruption forces the conversation.Tweetable Quotes"AI doesn't fix a messy organization. It amplifies it." — Ben Tasker"95% of AI implementations fail — and the 5% that succeed take care of the change management first." — Ben Tasker"You can use it doesn't mean you know how to use it. Just because you have access doesn't mean you have a strategy." — Ben Tasker"Data is the oil to the AI engine. Garbage in, garbage out — at scale." — Ben Tasker"If leaders aren't fully engaged with AI and using it themselves, the rollout is dead on arrival." — Ben Tasker"AI can amplify your organization, but it can also amplify your natural abilities. The two are not the same thing." — Ben Tasker"Context is the new data. If you're not setting up the system to succeed, the end result won't succeed either." — Ben Tasker"Individuals who know AI right now have a 52% premium on pay. If that's not an incentive, I'm not sure what is." — Ben Tasker"We're in the AI Between Times — not fully in the future, but moving out of the past. Change management is what bridges the gap." — Ben Tasker"It's not complete replacement. But it's also not forgetting to upskill your organization. Both have to happen." — Ben TaskerSaaS Leadership Lessons1. Ship culture before you ship the feature. Most AI rollouts fail because leadership announces the tool but skips the story. Before your team touches a new AI system, build a transparent change management campaign: communicate the why, the where, the how, and critically — what not to do. Your people will fill silence with fear. Fill it with clarity first.2. Don't automate a broken process — you'll just scale the chaos. AI amplifies what's already there. If your data is dirty, your workflows are fragmented, or your customer experience is inconsistent, AI won't fix it — it will magnify it. Map the full system front-to-back before you plug in any model. Finance, product, data, ops — all stakeholders belong at the table before implementation, not after.3. Point solutions are the fastest path to failed adoption. The pizza-ordering example is a masterclass in what not to do. When you solve one narrow problem without thinking about the full customer or employee experience, you create friction that erodes trust — and trust, once lost, is expensive to rebuild. Think in systems, not spotfixes.4. Leaders who don't use the tools can't lead the transformation. Mandatory AI training from a leader who has never opened ChatGPT is theater. Your team will follow what you do, not what you announce. Model the behavior. Use AI in your own workflows. Talk about it openly — including the failures. That psychological safety is what makes adoption stick.5. Skills are more durable than job titles. Roles like "Dean of AI" and "prompt engineer" didn't exist three years ago. The titles will keep changing. What won't change is the value of skills: adaptability, systems thinking, communication, analytical reasoning. Build a skills inventory for your organization and create learning pathways before you need to fill a role. Your next AI hire might already be on your payroll.6. The first 12–16 months are the egg — don't rush the hatch. Organizations that win with AI invest heavily in the foundation: data infrastructure, leadership engagement, org-wide literacy, and structured reflection. The ones that rush straight to implementation — running experiments with no strategy, no vision, no metrics — burn budget, burn trust, and burn out their teams. Slow down to go fast. The payoff compounds.Guest Resourcesbentaskerai@gmail.comhttps://www.bentaskerai.comhttp://linkedin.com/in/bentaskeraihttp://instagram.com/bentaskeraiEpisode SponsorThe Futureproof Series -

Why do some people with hEDS or HSD report meaningful relief with medical cannabis, while others feel worse, notice no benefit, or experience side effects? And what might these varied responses teach us about pain, the autonomic nervous system, gut function, and nervous system sensitization? In this episode, host Dr. Linda Bluestein, the Hypermobility MD, is joined by Professor David Nutt, a neuropsychopharmacologist at Imperial College London, and Lucy Stafford, a PhD researcher in clinical neuroscience with lived experience of hypermobile Ehlers-Danlos syndrome. This is not a hype episode, a recommendation to use cannabis, or medical advice. Instead, it is a careful, curiosity-driven conversation about what is known, what is still emerging, and what remains uncertain about medical cannabis in hEDS and HSD. Lucy shares her experience of severe illness, high-dose opioid treatment, a feeding tube, repeated ICU stays, and eventually coming off opioids, an experience that helped shape her path into cannabinoid research. Professor Nutt explains the discovery of the endocannabinoid system and why this system may be relevant to pain processing, stress responses, autonomic regulation, immune signaling, and gut function. Together, they explore how cannabinoids may influence a sensitized nervous system, why responses vary so widely, and why medically complex patients need individualized guidance rather than shame, dismissal, or unsupported promises. The conversation covers many of the practical questions patients often ask, including the difference between CBD and THC, full-spectrum products, terpenes and the entourage effect, routes of administration, absorption differences, and the importance of a cautious “start low, go slow” approach when cannabis is being considered under appropriate medical supervision. They also address important safety considerations, including contraindications, drug interactions, psychiatric risk, impairment, dependence, and why cannabis is not appropriate for everyone. The episode closes with a broader discussion of stigma, the emerging science of psychedelics for chronic pain, and the human and financial costs of undertreated complex illness. The Bendy Bodies podcast is for educational purposes only and is not a substitute for personalized medical advice. Laws, product quality, dosing, and individual risks vary, so patients should consult a qualified healthcare professional before using cannabis or changing any treatment plan. Takeaways: The endocannabinoid system is an important regulatory system involved in pain processing, stress responses, immune signaling, gut function, and nervous system homeostasis, yet it receives relatively little attention in medical and neuroscience training. Cannabinoids do not work like opioids. Rather than simply “blocking” pain, they may influence pain modulation, nervous system sensitization, autonomic tone, and gut motility, though much remains to be studied specifically in hEDS and HSD. CBD and THC have different effects, benefits, and risks. CBD may reduce some unwanted THC effects for certain people, but responses vary, and dosing should be individualized. A cautious “start low, go slow” approach is especially important for medically complex patients, particularly those with dysautonomia, medication sensitivity, MCAS-like symptoms, anxiety, or multiple medications. Individual responses to cannabis vary widely. Differences in absorption, metabolism, product composition, route of administration, and underlying physiology may help explain why one person improves while another worsens or notices no effect. Cannabis is not right for everyone. Extra caution is warranted for people with a history of psychosis, paranoia, substance use disorder, significant cognitive impairment, fall risk, pregnancy, or medications metabolized through overlapping liver pathways. Patients deserve balanced information: neither stigma and dismissal nor exaggerated promises. The goal is thoughtful, evidence-informed, individualized decision-making. Go http://www.AquaTru.com now for 20% off (your purifier) using promo code BENDY. Head to http://www.cozyearth.com and use my code BENDY for an exclusive 20% off. Want more Professor Dave Nutt & Lucy Stafford? X / Twitter link. Profdavidnutt@twitter.com & @lucystaffie BleuSky:profdavidnutt@bluesky.com Instagram: @lustaffordphd, @drugscienceuk, @Drug_Science & @EmbodiedNeuro Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Want to learn more about the UVA EDS Center? For Appointments and Questions: RUVAEDSCenter@uvahealth.org UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinic UVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

An even more random episode than normal... This episode we discuss: Max Michelle & Lena dropping SIG, DOJ demands gun rights group names (aka: registry of gun owners), pontificate about the circuit court system in this country, .380 carry guns, a potential new drinking game that will put you in the ICU, and a lot on a secret topic you'll just have to listen to find out. -S_S

Sepsis management has traditionally focused on timely antibiotic treatment, hemodynamic support, and source control, but emerging evidence suggests that outcomes may be shaped long before patients reach the ICU. In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, speaks with Sayed Abdulmotaleb Almoosawy, MBChB (Hons), about his article “The Association Between Socioeconomic Position and Mortality in Patients With Sepsis and Septic Shock—A Systematic Review and Meta-Analysis,” published in the April 2026 issue of Critical Care Medicine. Drawing on 13 observational studies that encompassed nearly 4 million patients, the analysis evaluates how factors such as insurance status, income, education, and neighborhood deprivation relate to short-term mortality outcomes. The findings reveal a consistent association between lower socioeconomic position and increased mortality, with lack of private insurance demonstrating the strongest signal—likely reflecting barriers to timely access to care and delayed presentation. This episode challenges clinicians and researchers alike to recognize the link between socioeconomic disadvantages and worse sepsis outcomes, highlighting the need to collect equity-relevant data and reduce gaps in care to improve survival for critically ill patients. Resources referenced in this episode: Almoosawy SA, Fernando SM, Rochwerg B, et al. The association between socioeconomic position and mortality in patients with sepsis and septic shock—a systematic review and meta-analysis. Crit Care Med. 2026;54(4):692-700. Prescott HC, Antonelli M, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026. Crit Care Med. 2026;54(4):725-812.

This morning I want to share some witnesses of healing with you. Before I share them, I want to talk with you about how important it is to enlist others to pray with you and for you as well. I am on several prayer chains. In case you aren't sure what that means, let me explain. It is a group of people who offer to intercede on your behalf. A lot of churches have a prayer line where you can call in or email in a prayer request, and then whoever is in charge will email it out to all who volunteered to help pray. Also, it may be the members of a prayer group, or another group that has a group chat. I am in three different WhatsApp groups, and we send prayer requests when we have them, and then everyone on the chat prays for the person requesting prayer. If your church does not have a prayer line, consider starting one. It is as easy as setting up an email address where people can send in requests. For instance, I started one at St. J's collaborative in MA. So I went on Gmail and created an email account name that is St.Jsprayerline@gmail.com. Then I put an announcement in the bulletin looking for people who would be willing to pray for any requests that came in. There are 42 people who volunteered to be on that email list. Now, people send in prayer requests, and at least 42 other people are praying for them. For the various WhatsApp groups, there are different numbers of people in each group. There are a lot of reasons why we may not want to ask for prayers. We may not want people to know we are struggling. We may not want to worry people. We may not think our struggle is important enough to bother people with. We may think God has more important prayers to answer. We may think other people are too busy to pray for us. Whatever it is that we might be thinking, the truth is, no one is too busy to say a quick prayer. Another truth is that there is so much power in asking people to pray for you. There is so much power in multiple people interceding on your behalf. You do not have to suffer in silence. You do not have to just deal. Ask people to pray. Also, we get graces every time we pray. So asking others to pray is actually helping them out too!   Here are a few prayer requests and responses from the various prayer groups. This woman had asked for prayers because she had to go to the eye doctor. The pressure was high in her eyes, and they said she needed to come back for a follow-up. If it was still high, they were going to need to do surgery. The doctor seemed pretty sure that they were going to need to do surgery. Here was her text the next day. “Good evening, Prayer Warriors. JESUS DID IT AGAIN! The test for my eyes was normal - the pressure was low, under 20! YES - HE DID IT AGAIN - what a wonderful GOD we serve. Thank you for your prayer this morning. God bless you all.”   Next is a woman whose uncle has been refusing to eat. He was having dreams of his wife who had passed away telling him not to eat, so he wasn't. We prayed at our prayer meeting that he would start eating, and here is her text message afterward. “Good morning, Watchmen.  My uncle just asked for food. Thank you for your intercession. May God continue to bless all of you, and may He answer your prayers speedily!”   Next, I have the specific prayer request and the text message reply. Dear Sisters, I ask for your prayers for my friend. He is young, in his late 40s. Tomorrow morning he is having a very complicated open-heart surgery to replace one of the valves. This is his third surgery, and it's a complicated one because of complications from an enlarged heart/aorta. Her reply after the surgery? “I wanted to update you that my friend has come through his open heart surgery successfully yesterday and is in the ICU. Thank you for your prayers and intentions. God bless you all.”   Here is the next prayer request and answer. “Good morning, watchmen. Please keep me in your prayers. The director of the agency that I work for has recommended me for a promotion at the agency's headquarters. There are two other candidates, but the director just told me she would rather have me in that position due to my work ethic. Good morning, beautiful people of God. God has done it! The prophecy came to pass.  I got the promotion!!! Please help me praise God for his divine mercy and provision.  May God do unto you all the marvelous things he has done for me.” This woman did not even know there was a promotion available. She did not seek it out; her boss came to her, told her about it, and told her to apply. She not only got this promotion, but she got a second job that she had been looking for! God is so good! This same woman was in prayer group one morning and mentioned her daughter was sick. Her daughter had been experiencing intense ear pain for the previous 8 hours or so. She was going to have to take her to the doctors. We took time to pray over her daughter. After prayer, her daughter said it felt a little better. Later that day I got a text from the mom saying her daughter felt so much better she wanted to go to school that day.   Here is a prayer request from another group. “Healing for my niece Kathy who broke her back 2 months ago. She is in a lot of pain, and can't be treated until some healing can happen. Please pray for healing.” Here is the text we received a few months later: “Regarding my niece Kathy who broke her back in February, I asked for her because there was no hope the surgeons could restore anything. The sutures finally came out today; she will start Physical Therapy soon and will hopefully go back to work in August. A miracle thank you for your prayers!!!” Here is another prayer request: “Please pray for Ann, who is in the hospital and having surgery on her back to repair chipped bones to help lessen her back pain. Thanks” And the text afterward: “Update- Ann's surgery went well. She might come home today. Thanks for the prayers.”   Here is another one: “Prayer request for Tom having cardiac ablation tomorrow at 12:30 pm. Thank you, everyone.” The reply: “Thank you, everyone, for your prayers. Tom had his heart procedure; so far, he is doing well and needs to be careful. 5 days of being careful, then back to normal! Praise God” These are just a few of the many prayer requests that come in. As you can see, some of them are really big, and some might not feel so big. There is no criterion for when we should ask for prayers and when we shouldn't. If you ask me, you always should; what could it hurt to get extra prayers? I remember in my Encounter Ministries classes Deacon Joe would always say it doesn't matter if we are praying for a healing of cancer or a healing of a hangnail. God cares just the same about both and can heal them both. He doesn't have to pick. When we are praying to God about the things we might think are small, it doesn't take anything away from other people's prayers. God can hear all of our prayers. He is not limited in any way. I pray this episode of Witness Wednesday does three things for you. First, I pray in encourages you to ask others to pray for you whenever you have a prayer request. Second, I hope you search out a prayer line or prayer chain you can join so you can start interceding more for others. And finally, that when you do ask people to pray for you, you update them on how the situation turned out. When we tell others about how God answered our prayers, it builds their faith in God and also reinforces that prayer does work! I love you all, and I want you to know that even though I may not know you, I am praying for you and your families. Please pray for others, it is so important!! www.findingtruenorthcoaching.comCLICK HERE TO DONATECLICK HERE to sign up for Mentoring CLICK HERE to sign up for Daily "Word from the Lord" emailsCLICK HERE to sign up for my newsletter & receive a free audio training about inviting Jesus into your daily lifeCLICK HERE to buy my book Total Trust in God's Safe Embrace

Dr Vin Gupta on How To Stay Healthy in Trump's Summer of WTF. Every six months, Paul brings in a doctor the country can actually trust. This time it's Dr. Vin Gupta — pulmonologist, ICU physician, Air Force Reserve major, and one of the sharpest independent voices on public health in America. They open with the human cost of Trump's Iran policy as a third service member's death is confirmed, then move to the Pentagon, where Pete Hegseth is pushing blanket testosterone screening for men over 30 while simultaneously making flu vaccines optional. Gupta, who has spent fourteen years in military medicine, calls it what it is: culture-war medicine with no readiness justification, dressed up as toughness while units at Lackland get sidelined by preventable flu outbreaks. From there the conversation widens. Wildfire smoke is no longer a Western problem — over thirty states now see native wildfires in a given year, and New York skies look like Seattle's used to. Gupta lays out concrete, no-nonsense steps to protect your indoor air and your family's lungs while the federal government abdicates. They dig into the cyclospora outbreak tied to Taco Bell suppliers, why you can't trust the current FDA's messaging, and what to actually do if you or a loved one gets sick. It closes where the show always does — on hope, connection, and the small acts of vigilance that keep a family and a country whole. -WATCH full video of this episode here. -Millions of American veterans are being locked out of primary elections in the country they served. See what we're doing to change that. -Visit Kalshi and trade on anything. Use code [INDEPENDENT] to get ten dollars when you trade ten. -Join Noble Mobile today and get a $100 bonus when you use code PAUL and stay a member for 2 months! -Join IVA and help us get independent veterans elected to office. -Learn more about Paul's work to elect a new generation of independent leaders with Independent Veterans of America. -Learn more about American Veterans for Ukraine here. -Remember Independent is an Attitude. -Learn more about The Headstrong Project for Veterans, Tragedy Assistance Program for Survivors (TAPS), and Department of Veterans Affairs resources in your area. Seeking support is not a sign of weakness. It's a show of strength. If you or a loved one are in immediate crisis, dial 988 and press 1, or text 838255. Connect with Independent Americans: Subscribe on YouTube, Spotify, Apple Podcasts, and all podcast platforms Read more at Substack Support ad-free episodes at Patreon  Connect: Instagram  • X/Twitter • BlueSky • Facebook  Follow on social: @PaulRieckhoff on X, Instagram, Threads, and Bluesky -Join the movement. Hook into our exclusive Patreon community of Independent Americans. Get extra content, connect with guests, meet other Independent Americans, attend events, get merch discounts, and support this show that speaks truth to power.  -And get cool IA and Righteous hats, t-shirts and other merch now in time for the new year.  Independent Americans is powered by veteran-owned and led Righteous Media.  And now part of the BLEAV network!  Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Avery is putting her nurse hat back on. In this solo episode, she pulls from her years as a PICU and NICU nurse and her own postpartum experience to give new and expecting moms the real talk nobody else will. She opens up about the night feeds that broke her, the guilt she carried as a working mom who couldn't afford the fancy stuff, and why social media is setting mothers up to feel like failures. Then she runs through her full list of baby and postpartum must-haves, the same one ICU doctors used to ask her for. Fed is best, sleep when the baby sleeps, and trust your gut. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

Women doctors joke about being cursed with every complication, but what if the job itself is quietly damaging their health? Jessie Mahoney, a pediatrician and certified coach, returns to share her own story of pregnancy complications, an ICU stay, and a string of surgeries she spent years writing off as bad luck. This episode is based on her article "Women physicians' health is paying the price of medicine," published on KevinMD. You will hear why so many women physicians carry chronic illness, early cancers, and infertility at rates that feel too common to be coincidence, and why almost no one has studied the link. Jessie explains how the culture of medicine teaches women to blame themselves, hide what is wrong, and treat their own bodies as a liability when they fail. She makes the case for retiring the word curse, pushing for real data, and building a culture where taking time to heal is not seen as weakness. Jessie reframes a problem medicine has laughed off for generations and asks what it would take to finally take it seriously. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Send us Fan MailHow far has delivery room ventilation really come? In this special episode, recorded in collaboration with the Neonatal Resuscitation Symposium, Ben sits down with Dr. Charles Roehr, professor of neonatology and perinatal medicine at the University of Bristol, clinical trialist at the University of Oxford, and member of ILCOR. Together they trace the evolution of respiratory support at birth, from the era of fixed inflation breaths to today's focus on physiologic stability and gentle cardiopulmonary transition. Dr. Roehr reflects on a quarter century of resuscitation science, the enduring challenge of human factors in the delivery room, and where the field may be heading, from better intrapartum monitoring to increasingly specialized resuscitation teams.Dr. Roehr will be delivering a keynote, "Optimizing Effective Ventilation Strategies in the Delivery Room," at the Neonatal Resuscitation Symposium, taking place September 10 to 11 at Indiana University in Indianapolis. Learn more and register here: https://medicine.iu.edu/pediatrics/specialties/neonatal-perinatal/education/resuscitation-symposium Support 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!

Recorded live at the EBPOM World Congress in London, this episode of TopMedTalk AI features host James Bowness and co-host Amy Gomes speaking with Joe Harris, anaesthesia resident and Innovation Fellow in Anaesthesia at University College London Hospitals (UCLH) NHS Foundation Trust and Sanjay Wijayatilake, Consultant in Anaesthesia and Neuro Intensive Care MedicineBarking, Havering and Redbridge University Hospitals NHS Trust about "AI demand signaling" in intensive care. Harris explains the demand-signaling method—surveying clinicians on key problems, translating these into candidate AI use cases, prioritizing them via a Delphi panel, then exploring them in multidisciplinary workshops—to ensure AI development starts from frontline clinical needs rather than industry assumptions. Following completion of the anesthesia project, the intensive care survey is open to UK ICM clinicians across professions until July 31, with Delphi work planned for August–September and workshops in November–December. Follow this link for more: https://demandsignal.uk/ The discussion highlights governance, regulation, liability, and "black box" concerns, alongside potential ICU applications such as reducing alarm fatigue, documentation and transcription support, ventilator and workflow assistance, medication interaction checks, and evidence synthesis to support diagnosis and treatment, emphasizing AI as a partner with a human in the loop. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

What really happens behind the doors of a modern hospital ICU? In this thought-provoking interview, an intensive care nurse with more than 25 years of frontline experience shares a perspective rarely heard outside the hospital walls. Drawing on decades of caring for critically ill patients, she discusses the realities of intensive care and how corporate financial interests can influence the care of you and your loved ones. Whether you agree with her perspective or not, this conversation offers a rare glimpse into the world of critical care and raises important questions about patient advocacy, informed decision-making, and what every family should understand before a medical emergency occurs.   Join my NEW 90-day Carnivore Challenge group on Mighty Networks below! https://dr-chaffee-s-90-day-carnivore-challenge.mn.co/landing/ If you liked this and want to learn more go to my new website www.DrAnthonyChaffee.com   This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. Dietary and lifestyle changes are only part of the complete health picture, the impact of which will depend on each person's individual circumstances. It is important to stay under the care of appropriate health care professionals, whose advice should be sought before making any substantial dietary or other changes.    Song Credit: Music by https://www.bensound.com License code: AICYC10EIJRDKB3A Music: Bensound.com/free-music-for-videos License code: XVJWRBKZE2S2L0TE Music by: Bensound.com/royalty-free-music License code: JG7TBNKWXVPITRKG Music by Bensound License code: MKUTDEGUU6VFETQV Music: Bensound License code: ZHL5IEJZPXHWXDYJ

Send us Fan MailWhich PDAs actually need treatment? Can maternal voice and scent shape language outcomes? Should we cool at 35 weeks? And did stepping away from probiotics come at a cost? This week's Journal Club takes on five papers that push back on standard practice. Ben reviews the SMART-PDA trial and a comparative study of PDA pharmacotherapy, Daphna covers the MIND trial on multisensory maternal interventions and a Pediatrix database study on NEC after the FDA probiotic warning, and Ben rounds out the main segment with a national look at hypothermia in 35-week infants with HIE. Ben and Eli wrap the week with Neo News on rising vitamin K refusal.Support 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!

Volume 96 of Brad & Mira For the Culture...Mira sleeps through her alarm by 2 hours...Mira wants Brad to be a drag queen...Mira gets botox....Brad gets the shingles vaccine...insane evangelicals on airplanes...the explosive diarrhea outbreak of 2026...Lindsey Graham dies...no more NDAs...Mitch McConnell relaxes in blue jeans in the ICU...Hunter Biden's invincible podcast era...almost comes to blows with Nick Fuentes...Mira confesses that she would join Hunter Biden Premium OnlyFans...Clavicular in Israel...another looksmaxxer bites the dust...farewell to the great Kiwi übermensch Sam Neill...& more... *** ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Otherppl with Brad Listi⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ is a weekly podcast featuring in-depth interviews with today's leading writers. Available where podcasts are available: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, etc. Get ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠How to Write a Novel,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ the debut audio course from DeepDive. 50+ hours of never-before-heard insight, inspiration, and instruction from dozens of today's most celebrated contemporary authors. Subscribe to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Brad's email newsletter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Support the show on Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Merch⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠TikTok⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Bluesky⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Email the show: letters [at] otherppl [dot] com The podcast is a ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠proud affiliate partner of Bookshop⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, working to support local, independent bookstores. Learn more about your ad choices. Visit megaphone.fm/adchoices