Podcasts about ICU

On this episode of Wife of Crime I'm telling Russ about a serial killer nurse named Kristen Gilbert! Kristen seemed like an amazing nurse, she had it all together at home and on the job. She was the nurse coworkers counted on because she knew her stuff, but when the number of death's in the ICU started rising every time Kristen worked a few coworkers started noticing a pattern. As her fellow nurses watched more closely they began to ask the unfathomable question ... was Kristen killing the patients? or Was this all a coincidence? What they found was more sinister than they could have ever imagined.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Sign up for your $1/month trial and start selling today at https://shopify.com/lawnerd  Watch the full coverage of the live stream on The Emily D. Baker YouTube channel: https://youtu.be/zZO3aDbc84A  The defendant, Brendan Banfield, is charged with the murders of his wife, Christine Banfield (an ICU nurse), and another man, Joseph Ryan. This murder trial in Fairfax County, Virginia, with Judge Ascarate presiding (yes, the one from the Depp-Heard case!). Hear the shocking theory—an affair with the family's young au pair, Juliana Peres Magalhães, led to a calculated plot to murder Christine and pin the blame on an unsuspecting "fall guy" (Joseph Ryan) lured through a kinky sex roleplay fantasy ("catfishing"). The defense counters by focusing heavily on the reliability of the co-defendant, Juliana Perez Magal, who took a plea deal for manslaughter. They question her incentivized testimony, the police investigation's "catfish theory," and the abrupt removal of key homicide detectives. The au pair, who flipped on Banfield, starts her explosive testimony, detailing the affair, the murder plan, and her involvement in the events of February 24th, 2023. This is a case of alleged premeditated murder driven by a desire to avoid divorce, secure custody, and keep a secret affair. It's a fast-moving trial, and we are zooming to catch up! RESOURCES Brendan Banfield Trial Playlist - https://www.youtube.com/playlist?list=PLsbUyvZas7gJb4sr2pUz0DBmbgee_wMs9 Brendan Banfield Trial Case Briefs - https://www.youtube.com/playlist?list=PLFdNnRZUqH62KmcADDEwU_PMD6z6QGdsz  Depp v. Heard Playlist - https://www.youtube.com/playlist?list=PLsbUyvZas7gLVeg1x2AInDBfPU6-ffnD0Donna Adelson Trial - https://www.youtube.com/playlist?list=PLsbUyvZas7gL0_OPy2AliqyEjGcI8QzBu Learn more about your ad choices. Visit podcastchoices.com/adchoices

Show notes at pharmacyjoe.com/episode1097 In this episode, I'll discuss whether ICU patients benefit from daily QTc interval monitoring during antipsychotic use for delirium.

In this deeply moving episode we explore the reality of chronic pain, the kind that reshapes identity, erodes independence, and too often leaves patients feeling invisible within the healthcare system. Joining us is Meredith Mangold, an inflammatory bowel disease and chronic pain patient advocate whose medical journey began in college and evolved into years of relentless, life-altering pain. Meredith lives with ulcerative colitis, chronic abdominal and pelvic pain, and a constellation of overlapping medical conditions that left her bedbound for years and searching desperately for answers. As a college student, Meredith landed in the ICU with toxic megacolon, a rare and life-threatening complication of inflammatory bowel disease. What followed were multiple major surgeries, escalating pain, and an exhausting cycle of treatments, including opioids, ketamine, spinal cord stimulation, and repeated detox attempts, none of which provided lasting relief. At her lowest point, Meredith's pain hovered at an 8 out of 10 daily, her world narrowed to her bed and doctors' appointments, and hope felt out of reach. In this conversation, Meredith courageously shares what it's like to live with unrelenting pain, the emotional toll of medical trauma, and the devastating impact chronic illness can have on mental health, identity, and self-worth. She also opens up about medical dismissal, the difficulty of managing multiple diagnoses, and the isolation that so many chronic pain patients quietly endure. After years of setbacks, Meredith found a turning point through a personalized, multidisciplinary approach to pain management, one that treated her as a whole person, not just a diagnosis. While her pain hasn't disappeared, it has become more manageable, allowing her to reclaim pieces of her life she once believed were gone forever. Today, Meredith is the founder of Empower Health Strategies, where she uses her lived experience to help healthcare organizations and digital health companies build more patient-centered solutions. Her story is a powerful reminder that progress doesn't always mean being pain-free, sometimes it means being heard, believed, and given the chance to rebuild. In this episode, we discuss: What toxic megacolon is and why it's so dangerous The physical and emotional realities of being bedbound with chronic pain Medical gaslighting, misdiagnosis, and navigating overlapping conditions The toll of long-term opioid use and repeated detox attempts How unmanaged pain contributes to depression, anxiety, and medical PTSD What changed when Meredith finally found a care team with “more ideas” How lived experience can become a powerful form of advocacy A message of hope for anyone who feels they've reached the end of the road This episode is for anyone living with chronic pain, loving someone who is, or working in healthcare and seeking to better understand the human cost of untreated and misunderstood pain. Meredith, thank you for your honesty, vulnerability, and advocacy. Your story gives voice to so many who are still struggling, and reminds us all that healing can take many forms. During the episode we mentioned Hopkins Medicine's spotlight on Meredith and a previous episode of It Happened To Me, #40 Overcoming Crohn's Through Pilates with Ryan Hodgkinson. Connect With Us:  Stay tuned for the next new episode of “It Happened To Me”! In the meantime, you can listen to our previous episodes on Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “It Happened To Me”.  “It Happened To Me” is created and hosted by Cathy Gildenhorn and Beth Glassman. DNA Today's Kira Dineen is our executive producer and marketing lead. Amanda Andreoli is our associate producer. Ashlyn Enokian is our graphic designer. See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, ItHappenedToMePod.com. Questions/inquiries can be sent to ItHappenedToMePod@gmail.com. 

Send us a textCould a simple blood test help identify chronic pulmonary hypertension when echo access is limited? This week on The Incubator Podcast, Ben and Daphna explore this question and others relevant to daily NICU practice. A Toronto study examines NT-proBNP as a practical diagnostic tool in extremely preterm infants.They also examine a puzzling finding from Italy and Belgium: despite near-universal antibiotic use in neonates with HIE undergoing cooling, actual culture-positive sepsis rates are surprisingly low. What does this mean for our approach to empiric antibiotics?Ben presents Norwegian data showing that serial physical exams cut antibiotic exposure in half for term and late preterm infants—without compromising safety. Daphna follows with research connecting NICU capacity strain to patient outcomes, underscoring why adequate staffing isn't just about comfort, but about survival.The episode concludes with Ben, Daphna, and Eli discussing the recent CDC changes to Hepatitis B birth dose recommendations. With federal guidance now diverging from AAP recommendations, how do we navigate conversations with families? They explore transmission risks parents may overlook and share approaches to shared decision-making when expert opinions conflict. A full week of neonatal medicine research and real-world clinical challenges, all in one episodeSupport 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 textThis week on Neo News, we tackle the recent and controversial divergence between CDC and AAP guidelines regarding the birth dose of the Hepatitis B vaccine. With the CDC now recommending a deferred schedule for infants of Hepatitis B-negative mothers, we explore the clinical implications, the risks of vertical transmission, and the challenge of navigating discordant public health advice. We discuss how to handle shared decision-making in an era of waning vaccine confidence and why the "birth dose" remains a critical safety net in a community setting. Join us as we break down the data behind the headlines.----American Academy of Pediatrics. (2025, December 15). AAP: CDC decision on universal birth dose of hepatitis B vaccine irresponsible and purposely misleading. AAP News. https://publications.aap.org/aapnews/news/33980/AAP-CDC-decision-on-universal-birth-dose-of?searchresult=1?autologincheck=redirectedSupport 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!

2026-01-16 | UPDATES #102 | Kadyrov's Mafia Dynasty Wobbles. Car crash, failing kidneys and a gunfight in Mariupol – this episode has it all – intriguing, violence and drama. This is a dangerous time for Putin – a failed succession process in Chechnya could cause massive problems for him, and regime instability. The Kadyrov clan is wobbling, their brand is faltering, and Moscow is watching in trepidation. Chechnya's ruler Ramzan Kadyrov is back at the centre of a storm of health rumours — kidney failure, dialysis, “hospitalized in Moscow,” succession panic — while his 18-year-old son Adam, the one being groomed like a crown prince, is reportedly in serious condition after a motorcade crash in Grozny. (RadioFreeEurope/RadioLiberty) All a coincidence? We must be wary to jump to that conclusion, as freak accidents that occur to the powerful and influential in both Moscow and Grozny rarely turn out to be coincidental. ----------SUPPORT THE CHANNEL:https://www.buymeacoffee.com/siliconcurtainhttps://www.patreon.com/siliconcurtain----------SOURCES: RFE/RL (North Caucasus Service), Jan 16, 2026 — Adam Kadyrov hospitalized after crash; sources on ICU/roads/“barrier”; NIYSO “obstacle” claim. Ukrainska Pravda, Jan 16, 2026 — Echoes Kavkaz.Realii / NIYSO reporting; includes source quote and “obstacle” wording. The Moscow Times, Jan 14, 2026 — What's known on Kadyrov health rumors; denials; Ukrinform/HUR-linked dialysis claim context. FDD (Foundation for Defense of Democracies), Jan 14, 2026 — Analysis of HUR-sourced hospitalization claim and succession destabilization; notes appointment of son Akhmat. Caucasian Knot, Jan 14, 2026 — Compiles Kadyrov's repeated health denials and quotes. Newdosh, Jan 15, 2026 — Translated denial quote (“I swear by God…”) and recap of repeated denials.OC Media, Jan 13, 2026 (background) — Kadyrov video response; “fake information” framing; quote about “kidneys have failed” rumor. UNITED24 Media, Jan 14, 2026 — Mariupol shootout report, citing Atesh; casualty claims and “Year of Friendship” embarrassment framing. Kyiv Independent, Jan 8, 2026 (background) — Zelensky “Why not Kadyrov?” remark context. ----------SILICON CURTAIN LIVE EVENTS - FUNDRAISER CAMPAIGN Events in 2025 - Advocacy for a Ukrainian victory with Silicon Curtainhttps://buymeacoffee.com/siliconcurtain/extrasOur events of the first half of the year in Lviv, Kyiv and Odesa were a huge success. Now we need to maintain this momentum, and change the tide towards a Ukrainian victory. The Silicon Curtain Roadshow is an ambitious campaign to run a minimum of 12 events in 2025, and potentially many more. Any support you can provide for the fundraising campaign would be gratefully appreciated. https://buymeacoffee.com/siliconcurtain/extras----------

Send us a textIn this episode of Journal Club, Ben and Daphna review a retrospective cohort study from the Journal of Perinatology examining the association between NICU capacity strain and neonatal outcomes. We discuss how high census and acuity on admission day correlate with increased mortality and morbidity when adjusted for hospital and patient factors. Join us as we explore why being "slammed with admissions" is more than just a badge of honor—it's a critical safety metric for our patients.----The association of NICU capacity strain with neonatal mortality and morbidity. Salazar EG, Passarella M, Formanowski B, Rogowski J, Edwards EM, Halpern SD, Phibbs C, Lorch SA.J Perinatol. 2025 Dec;45(12):1801-1808. doi: 10.1038/s41372-025-02449-0. Epub 2025 Oct 20.PMID: 41116036 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!

TALK TO ME, TEXT ITA routine surgery that spiraled into emergency reentry. A viral exchange where a doctor stumbled over a basic question. An ICE arrest that exposes years of enforcement gaps. A Disney stunt gone sideways and a veteran cast member who shielded a crowd from a 400‑pound runaway prop. Then, to end on a laugh, a baggage carousel spitting out socks and underwear before the suitcase finally limps into view.We pull the thread through all of it: when institutions wobble, people look for clear language, steady systems, and ordinary courage. The health update reminds us how non-linear recovery can be—ICU complications, AFib, and the long road back from anemia demand patience and honest timelines. The Capitol Hill clip sparks a frank talk about medical clarity: compassion and precision are not enemies, and patients deserve words they can trust. The immigration case highlights the difference between lawful entry and later violent convictions, and why transparency in removal timelines is key for public safety and confidence.On the ground, a 30‑year Disney cast member models duty in real time, stepping between danger and families. We unpack how safety culture, redundancy, and on‑stage authority prevent small failures from becoming tragedies. We also wrestle with parental risk at public events—when does protection turn into exposure—and give credit to early advocates who helped shape the debate over women's sports. Finally, that luggage fiasco is ridiculous and revealing: small process failures become viral when reliability slips, so we offer practical travel safeguards to keep your gear off the “carousel of shame.”Listen, share your take, and tell us your worst travel story. If this resonated, follow the show, leave a quick review, and send the episode to a friend who loves sharp takes and stranger‑than‑fiction moments. Your stories and shares help us keep the conversation honest and lively.Buzzsprout - Let's get your podcast launched!Start for FREE Thanks for listening! Liberty Line each week on Sunday, look for topics on my X file @americanistblog and submit your 1-3 audio opinions to anamericanistblog@gmail.com and you'll be featured on the podcast. Buzzsprout - Let's get your podcast launched!Start for FREESupport the showTip Jar for coffee $ - Thanks Music by Alehandro Vodnik from Pixabay Blog - AnAmericanist.comX - @americanistblog

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making. ⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]Topics included in this episode:Application of IV anesthetic pharmacology to real clinical case scenarios rather than just PK/PD theory How to choose between propofol, ketamine, etomidate, and dexmedetomidine based on patient and surgical factors Decision frameworks for managing high-risk situations like trauma, sepsis, cardiac disease, and difficult airways Common pitfalls with induction agents and how to prevent hypotension, apnea, and airway obstruction How anesthesia choices change across environments like OB, ICU, MRI, GI suite, and neurosurgery

Send us a textIn this episode of The Incubator Podcast, Ben and Daphna review a pivotal population-based study from Norway examining a new approach to Early-Onset Sepsis (EOS). The hosts discuss whether serial physical examinations can safely replace routine antibiotic prophylaxis in at-risk term and late-preterm infants. With antibiotic exposure often far exceeding sepsis incidence, this study offers compelling data for a "less is more" strategy. Tune in as Ben and Daphna explore the safety, efficacy, and bedside implications of substituting automatic treatment with structured clinical monitoring—and what this means for reducing unnecessary interventions in the NICU.----Serial physical examination to reduce unnecessary antibiotic exposure in newborn infants: a population-based study. Vatne A, Eriksen BHH, Bergqvist F, Fagerli I, Guthe HJT, Iversen KV, Ud Din FS, van der Weijde J, Kvaløy JT, Rettedal S.Arch Dis Child Fetal Neonatal Ed. 2025 Nov 19:fetalneonatal-2025-329639. doi: 10.1136/archdischild-2025-329639. Online ahead of print.PMID: 41260908Support 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!

New Moon in Capricorn: The Woman with the Mountain EyesUnder the New Moon in Capricorn, a story of power, ambition, and awakening unfolds.In this episode, we weave astrology and storytelling together through the life of Beatrice—a magnetic CEO who built a pharmaceutical empire from the streets of inner-city Los Angeles. She worked 60 to 80 hours a week, lived a VIP-only life, traveled the world, and captivated audiences with her brilliance… and her unforgettable green eyes. Her mother always said those eyes were ancestral—made of mountains, meant to mesmerize, meant to bring success.Capricorn energy built her life brick by brick: discipline, ambition, legacy, and status. But while she mastered wealth and influence, love never stayed. Intimidated partners, failed relationships, and an unrelenting devotion to success convinced her that love simply wasn't written in her chart.Until a New Moon-level reset arrived.A sudden phone call. A mother in ICU. Time slowing down.As Beatrice steps away from her empire to care for family, the Capricorn lesson reveals itself: true wealth is built on what endures—health, lineage, responsibility, and the courage to redefine success.Set against the grounding, karmic energy of the New Moon in Capricorn, this episode explores:Power vs. purposeAncestral blessings and burdensThe Root Chakra connection to safety, money, and legacyAnd how slowing down can realign us with a destiny we didn't know we were missingThis is a modern, mystical story about building an empire—and discovering what's worth protecting when the world goes quiet.

I welcomed Melissa Armstrong, whose journey from childhood trauma to holistic healing is both heartbreaking and inspiring. Listening to Melissa recount her experiences—facing family adversity, surviving a school shooting, and enduring the devastating loss of her brother—reminded me how resilient we can be. As she described how the compassion of ICU nurses inspired her to become one herself and later transition into holistic health, I was struck by her courage to keep healing and help others do the same. We talked about the realities of “mom life,” the hidden effects of trauma, and how symptoms like brain fog and anxiety often go ignored. Melissa shared practical, accessible steps like mindful breathing and EFT tapping, which I believe will truly empower our listeners. Her reminder that healing is a choice and that we're never alone will stay with me. I'm honored to share her story and these transformative tools. Learn more about your ad choices. Visit megaphone.fm/adchoices

We're officially back for Season 3, and this episode is heavier than anything we've shared before. We're opening up about a traumatic farm accident that left Courtney's husband, Aaron, seriously injured after a tree fell on him while working in the woods. Courtney walks through the terrifying day, from the phone call no one ever wants to receive to the med flight, ICU stay, and long road to recovery. It's an honest look at how quickly life can change and how fragile our routines really are.While this episode carries weight, it also carries purpose. There's candid talk about farm safety, including tips to help be prepared for anything. We're reflecting on the power of rural communities, accepting help when it's offered, and how close calls have a way of resetting priorities. As always, there's still Farm Girls humor woven in because that's how we cope, but the message is clear: hug your people, take safety seriously, and don't take a single day for granted.Connect with Annaliese & Courtney:Follow Annaliese on Instagram @modfarmchickFollow Courtney on Instagram @greenpasturescattleFollow Okayest Farm Girls on Instagram @okayestfarmgirlsMake sure to hit subscribe/follow so you never miss an episode!Resources & Links:Paypal Tip JarA Farm Chick's ClosetCheck out our MERCH!Have a farm girl question? Leave us a voicemail!Submit your Farm Girl Confessions and Questions!To shop beef, head mounts, art + more from CourtneyMentioned in this episode:Since 1914, Kemps has been delighting families throughout the upper Midwest with wholesome and delicious dairy products. 

Show notes at pharmacyjoe.com/episode1095 In this episode, I’ll discuss whether routine magnesium supplementation of ICU patients reduces tachyarrhythmia incidence.

🧭 REBEL Rundown 🗝️ Key Points 💨 NIV = Support without a tube: CPAP, BiPAP, and HFNC improve oxygenation and reduce the work of breathing.🫁 CPAP = Continuous pressure: Best for hypoxemic patients (e.g., pulmonary edema, OSA).️ BiPAP = Two pressures (IPAP/EPAP): Great for hypercapnic failure (e.g., COPD, obesity hypoventilation).🌬️ HFNC = Heated, humidified high flow: Reduces effort, improves comfort, and enhances oxygen delivery.🩺 Supportive, not definitive: NIV stabilizes patients while the underlying cause is treated. Click here for Direct Download of the Podcast. 📝 Introduction Non-invasive ventilation (NIV) refers to respiratory support provided without endotracheal intubation. The most common modalities include continuous positive airway pressure (CPAP), bilevel positive airway pressure (BiPAP), and high-flow nasal cannula (HFNC). These therapies aim to improve oxygenation, reduce the work of breathing, and potentially prevent invasive mechanical ventilation. 💨 CPAP and BiPAP CPAP delivers a single, continuous pressure during inspiration and expiration. This pressure (commonly 5–10 cm H₂O) helps recruit atelectatic alveoli, reduce shunt, and improve oxygenation. It is commonly used for conditions like pulmonary edema, obstructive sleep apnea, or mild hypoxemia without significant ventilatory failure.BiPAP alternates between two pressures:Inspiratory positive airway pressure (IPAP), augments tidal volume and unloads inspiratory muscles.Expiratory positive airway pressure (EPAP), maintains alveolar recruitment and improves oxygenation.The differential between IPAP and EPAP is critical for reducing hypercapnia in patients with COPD exacerbations or acute hypercapnic respiratory failure.IndicationsCPAP: hypoxemia without major ventilatory failure (e.g., cardiogenic pulmonary edema, atelectasis, OSA).BiPAP: hypercapnia with increased work of breathing (e.g., COPD exacerbation, neuromuscular weakness, obesity hypoventilation).A helpful way to conceptualize CPAP and BiPAP is through the hairdryer analogy. Imagine placing a hairdryer in your mouth: 🩺 Clinical Considerations Masks can be uncomfortable, impair secretion clearance, and limit oral intake.Some patients require sedation to tolerate NIV, but this carries risks in patients with unprotected airways.NIV is thus a high-stakes intervention requiring close monitoring.Common starting dose to understand titration, but start at the level appropriate for your patient:  IPAP 10 cm H₂O / EPAP 5 cm H₂O (“10/5”) and are titrated:Increase IPAP to improve tidal volume and CO₂ clearance.Increase EPAP to recruit alveoli and improve oxygenation.Both may be raised simultaneously if the patient is both hypoxemic and hypercapnic. 🚀 High-Flow Nasal Cannula (HFNC) H: Heated & humidified – improves mucociliary clearance, prevents airway drying, and enhances tolerance. I: Inspiratory flow – high flow meets or exceeds patient demand, reducing respiratory rate and effort.F: Functional residual capacity – modest generation of positive end-expiratory pressure (PEEP), promoting alveolar recruitment.L: Lighter – generally more comfortable and less restrictive than mask-based NIV.O: Oxygen dilution – minimizes entrainment of room air, delivering higher and more predictable FiO₂.W: Washout – flushes anatomical dead space, reducing CO₂ rebreathing.HFNC delivers heated, humidified oxygen at high flow rates (30–60 L/min) through wide-bore nasal prongs. A mnemonic, H-I-F-L-O-W, helps summarize its mechanisms:Indications: Traditionally used for acute hypoxemic respiratory failure (e.g., pneumonia), HFNC is increasingly studied for hypercapnic failure as well, with trials suggesting non-inferiority to BiPAP in select populations. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Syed Moosi Raza, MD PGY 3 Internal Medicine Resident Cape Fear Valley Internal Medicine Residency Program Fayetteville NC Aspiring Pulmonary Critical Care Fellow 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator When you take the airway, you take the wheel and ... Thoracic and Respiratory Read More REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes Mechanical ventilation can feel overwhelming, especially when faced with a ... Thoracic and Respiratory Read More REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes For many medical residents, the ICU can feel like stepping ... Thoracic and Respiratory Read More REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine The sicker the patient, the more likely an IO line ... Procedures and Skills Read More REBEL Core Cast 139.0: Pneumothorax Decompression On this episode of the Rebel Core Cast, Swami takes ... Procedures and Skills Read More The post REBEL Core Cast 148.0–Demystifying Non-Invasive Ventilation & HiFlow appeared first on REBEL EM - Emergency Medicine Blog.

Send us a textIn this Journal Club episode of the Incubator Podcast, Ben Courchia and Daphna Yasova-Barbeau review a study from the Journal of Perinatology evaluating NT-proBNP as a diagnostic tool for chronic pulmonary hypertension in extremely preterm infants. The discussion walks through the clinical burden of pulmonary hypertension in babies with bronchopulmonary dysplasia, the limitations of echocardiography, and the appeal of accessible biomarkers. Using data from a SickKids Toronto cohort, the hosts unpack sensitivity, specificity, cutoff values, and real-world applicability, while exploring how NT-proBNP could support screening, risk stratification, and bedside decision-making in everyday NICU practice.----Can N-terminal pro-brain natriuretic peptide accurately diagnose chronic pulmonary hypertension among extremely low gestational age neonates: A Retrospective Cohort Study. Garcia-Gozalo M, Jain A, Weisz DE, Jasani B.J Perinatol. 2025 Nov 13. doi: 10.1038/s41372-025-02462-3. Online ahead of print.PMID: 41233504Support 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!

What happens when prayer collides with eternity?

Our week in review examines the Brendan Banfield case — where digital forensics contradicted the prosecution's theory and two investigators were moved off the case.On February 24, 2023, Christine Banfield — a 37-year-old pediatric ICU nurse — was stabbed to death in her Herndon, Virginia home. Found beside her was Joseph Ryan, a 39-year-old stranger shot twice by two different guns. The initial story was self-defense against an intruder. Prosecutors say that's a lie. They allege Brendan Banfield created a fake FetLife profile using his wife's photo, spent months luring Ryan to the house under the pretense of a violent sexual fantasy, then conspired with the family's au pair to stage a home invasion and murder his wife.But the prosecution's own digital forensics expert reached a different conclusion. Officer Brendan Miller analyzed 60 devices and determined Christine — not Brendan — appeared to be running that FetLife account. His findings were peer-reviewed by the University of Alabama and confirmed. Miller was subsequently transferred out of digital forensics. The lead homicide detective who reportedly disagreed with command staff's direction was also moved.Defense attorney John Carroll called the prosecution's case "a theory in search of facts rather than a series of facts supporting a theory." Judge Penney Azcarate ordered prosecutors to produce communications related to those transfers.The case now hinges on Juliana Peres Magalhaes, who spent nearly a year facing murder charges before changing her story. Her plea deal: time served and deportation to Brazil in exchange for testimony against Banfield. Trial is January 2026. The jury will decide who was really behind the keyboard.#BrendanBanfield #ChristineBanfield #JulianaPeresMagalhaes #FairfaxCounty #DigitalForensics #AuPairMurder #FetLife #TrueCrime #HiddenKillers #WeekInReviewJoin Our SubStack For AD-FREE ADVANCE EPISDOES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Podcast guest 1681 is Dr. Adam Rizvi, ICU, critical care physician and neurologist whose work bridges medicine and non-dual wisdom. He has experienced intuitive knowing, visions, synchronicities, and encounters with luminous presences during patients' transitions.Love Does Not Know Death: Stories of Death, Dying, and the Miracles of True Forgivenesshttps://amzn.to/4icpaZ2CONTACT:Email: jeff@jeffmarapodcast.comAmazon Wish Listhttps://www.amazon.com/hz/wishlist/ls/1ATD4VIQTWYAN?ref_=wl_shareTo donate crypto:Bitcoin - bc1qk30j4n8xuusfcchyut5nef4wj3c263j4nw5wydDigibyte - DMsrBPRJqMaVG8CdKWZtSnqRzCU7t92khEShiba - 0x0ffE1bdA5B6E3e6e5DA6490eaafB7a6E97DF7dEeDoge - D8ZgwmXgCBs9MX9DAxshzNDXPzkUmxEfAVEth. - 0x0ffE1bdA5B6E3e6e5DA6490eaafB7a6E97DF7dEeXRP - rM6dp31r9HuCBDtjR4xB79U5KgnavCuwenWEBSITEwww.jeffmarapodcast.comNewsletterhttps://jeffmara2002.substack.com/?r=19wpqa&utm_campaign=pub-share-checklistSOCIALS:Instagram: https://www.instagram.com/jeffmarapodcast/Facebook: https://www.facebook.com/jeffmarapodcast/Twitter: https://www.twitter.com/jeffmaraP/The opinions of the guests may or may not reflect the opinions of the host.

In this episode of Hope for the Caregiver, I sit down with Lindsay Funches, a mother who has spent nearly two decades navigating life with a medically complex child. Her son, Steele, was born during a military deployment and later diagnosed with Crouzon syndrome, a rare craniofacial condition that has required dozens of surgeries, long hospital stays, and constant vigilance. We talk about what it's like to push back when doctors don't listen, to raise siblings alongside illness, and to keep a marriage and faith steady through deployments, uncertainty, and exhaustion. Lindsay reflects on learning when to advocate, when to wait, and how a life shaped by caregiving can deepen joy rather than erase it. This conversation moves through real moments: kitchen-table decisions, ICU nights, humor in hospital rooms, and the slow realization that "normal" may never return, but meaning still can. It's a candid discussion about caregiving, special needs parenting, military family life, and the faith that sustains people when answers don't come easily. READ LINDSAY'S ARTICLE

For The Other Side NDE Videos Visit ️ youtube.com/@TheOtherSideNDEYT Purchase our book on Amazon The Other Side: Stories From the Afterlife https://a.co/d/23Bbbsa  Deborah's story begins in 1972, when a sudden collision leaves her injured and hovering above the wreck, focused only on her father below. She grows up, becomes an ICU nurse, and keeps that memory buried as she works on the front lines of life and death. One night, a patient's precise recollection of a resuscitation mirrors what Deborah once experienced herself. Years later, during her own medical emergency, she finds herself returning to a place she recognizes instantly — calm, dark, and unmistakably familiar. Check Out More Of Deb's NDE Near Death Experience https://www.drdebking.com/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Hot flashes, brain fog, anxious nights, and a doctor telling you it's “just stress” can make you feel powerless. We start the year by taking that power back. I sit down with Dr. Sarah Doyle—doctor of physical therapy and functional medicine practitioner—to map the real mechanics of midlife: how estrogen fuels brain energy and vessel health, why progesterone calms the nervous system, and how chronic stress diverts raw materials away from the hormones that stabilize mood, sleep, libido, and cognition.We dig into the surprising overlap between postpartum and perimenopause—both are hormone crashes that scramble serotonin, GABA, and dopamine. You'll hear why ignoring “small” clues like night sweats, frozen shoulder, recurrent UTIs, or new-onset anxiety can snowball into bigger issues if you don't address root causes. Dr. Doyle breaks down adrenals and cortisol in plain language, showing how fight-or-flight can stall sex hormone production, raise cardiovascular risk, and accelerate musculoskeletal pain. We also talk candidly about racial disparities in symptom duration, the genitourinary syndrome of menopause, and the life-changing role of local estrogen for tissue health and comfort.BioDr. Sarah Doyle is a former ICU physical therapist turned Functional Medicine clinician and Diplomate of the American Clinical Board of Nutrition who specializes in hormone optimization and disease prevention through evidence-based nutrition. After years of publishing research, writing bestselling books (The THIN Formula and 7X Method), co-founding HealWell Regenerative Institute at the prestigious Carillon Wellness Resort, and working as a performance physiotherapist for artists like Shakira and The Weeknd, Dr. Doyle identified a major gap in women's hormone care—especially during perimenopause and menopause. She created her new menopause supplement to be as strong as HRT under the Vita-Fem brand: a potent, all-natural, research-backed daily stick pack designed to reduce brain fog, balance hormones, and improve compliance by dissolving easily in water. Proven through before-and-after testing and published case studies, this innovative formula reflects Dr. Doyle's mission to help millions of women thrive through their “second puberty” and beyond—without reliance on pharmaceuticals. 15 min. Free Consultation -https://vita-fem.com/Website - https://drsarahdoyle.comSocial MediaInstagram @Vita_Fem_SupplementsTikTok @Vita_FemClick here to order Vita-FemThank you for listening to the V.I.B.E. Living Podcast. If this episode resonated, please like, subscribe, and share it with a woman stepping into her next chapter. V.I.B.E. represents who you're meant to be — Vibrant, Intuitive, Beautiful, and Empowered — and awakening is the journey back to yourself through awareness, community, and intentional self-care. Stay connected with Lynnis and explore the V.I.B.E. Living world:

Send us a textIn this Journal Club episode, Ben and Daphna review a large national cohort study examining the association between antenatal corticosteroid exposure and survival in extremely preterm infants born between 21 and 24 weeks' gestation. They discuss biologic plausibility, practice variation, and the challenges of interpreting retrospective data, while focusing on how these findings may inform counseling and shared decision-making at the margins of viability.----The Effects of Antenatal Corticosteroids on Extremely Premature Neonates Born between 21 and 24 Weeks. Yao R, Tritch N, Vedhanayagam K, Ali N, Reimche-Vu H, Gedestad I, Karageuzian S, Contag S.Am J Perinatol. 2025 Nov 6. doi: 10.1055/a-2722-8107. Online ahead of print. PMID: 41086871Support 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!

This week: Frank does a deep dive into everyone's ancestry, Neela is on the mend, Abby spends the day working in the waiting room, Pratt is angling for the chief job, Morris and Hope are fighting about her leaving on a humanitarian mission, Moretti continues to change ER procedures, Sam is a brunette, and Gates' first day in the ICU gets off to a rocky start.   

生命的最后一道防线，有一扇厚重的大门..门外， 是等待与祈祷；门内，是生死的博弈。本期节目，我们请来了经历ICU一线生死考场的碧浪大夫，以深度口述的形式，推开这扇生死之门。“人都是要走向死亡，所以，我觉得ICU是离生最近的地方..”在这里，医生不仅是命运的操盘手，更是人性的观察者。被病魔纠缠的患者，求生与求死的命运微光，照射在人生百态的亲人与爱人的心上，这一刻，人性的魔盒被再一次打开；这不是普通的医疗故事，这是一位生命“守门人”的真诚告白，是关于希望、绝望，勇气、人性，告别与存在的真相探寻。

Send us a textBen and Daphna review the ICAF randomized clinical trial evaluating extended caffeine therapy in preterm infants and its impact on intermittent hypoxia through 41 weeks postmenstrual age. They discuss the study design, oximetry outcomes across multiple saturation thresholds, inflammatory biomarkers including TNF-α, and clinically relevant safety signals such as oxygen restart rates, length of stay, and weight gain. The conversation focuses on what intermittent hypoxia may mean for ongoing risk, and whether a targeted subgroup of infants might benefit from extending caffeine beyond traditional stopping points.----Intermittent hypoxia and caffeine in infants born preterm: the ICAF Randomized Clinical Trial. Eichenwald E, Corwin M, McEntire B, Knoblach S, Limperopoulos C, Kapse K, Kerr S, Heeren TC, Ikponmwonba C, Hunt CE; ICAF Study Group.Arch Dis Child Fetal Neonatal Ed. 2025 Nov 24:fetalneonatal-2025-329230. doi: 10.1136/archdischild-2025-329230. Online ahead of print.PMID: 41285561Support 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!

What if we had an expert continually present in the ICU dedicated to caring for the mental and spiritual health of families, patients, and staff in the ICU?How would this impact stress, grief, and trauma in the ICU?How would this kind of support impact patient and family experiences, outcomes, and staff morale and burnout? Stephanie Jacques, LMT, joins us now to share her expertise, experience, and pioneer legacy. www.DaytonICUConsulting.com Get CME for this episode at SapienCE!

In this powerful and deeply moving episode, I sit down with my friend Terry Weaver to unpack one of the most terrifying and transformative experiences of his life. Terry opens up about surviving severe sepsis, an illness that landed him in the ICU for 10 days and very nearly cost him his life. What started as pushing through an important event quickly turned into a medical emergency that forced Terry to confront his own mortality in a very real way. We walk through the moments leading up to his hospitalization, including the pressure of hosting an event while feeling unwell and the warning signs that were easy to dismiss at the time. Terry shares what it was like inside the hospital, how quickly sepsis can take hold, and the reality of being told just how serious his condition was. This conversation sheds light on how fragile life truly is and how quickly everything can change. Beyond the medical crisis, this episode dives deep into what happens after you survive something that big. Terry reflects on how his near-death experience reshaped his definition of success, ambition, and productivity. We talk about the emotional toll of recovery, managing anxiety and racing thoughts late at night, and learning how to close mental open loops that keep us stuck in stress and fear. One of the most powerful themes of this conversation is community. Terry shares how the support of friends, family, and people he didn't even realize were paying attention carried him through the darkest moments. We explore the importance of deep relationships, showing up for others, and why real legacy has far more to do with connection than accomplishment. We also talk about gratitude in a way that feels earned, not performative. Terry shares how finding humor in difficult situations, letting go of what no longer matters, and embracing a new sense of freedom changed how he lives his life today. This episode is a reminder that success without health, connection, and presence is empty, and that the real work is learning how to live fully while we still can. In this episode, you will learn: What sepsis is and why it can become life threatening so quickly The warning signs of serious illness that are easy to ignore until it's too late How a near-death experience can completely redefine success and ambition Why community and support matter more than accomplishments during crisis Practical ways to manage anxiety, nighttime worries, and mental open loops How to reframe negative thoughts during recovery and high stress seasons Why gratitude becomes deeper and more meaningful after loss or trauma How humor and perspective can help you navigate even the darkest moments What it really means to build a lasting legacy rooted in relationships How to live with more presence, intention, and appreciation for life

In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, speaks with Nilufer Yalcin, MD, a neurointensivist at Boston Medical Center, about her Currents article on the use of virtual reality in neurorehabilitation. Together, they explore the neuroscience behind virtual reality–based therapies, including multisensory engagement, cortical reorganization and the role of motivation and reward pathways in recovery. Their conversation also examines different VR modalities, the current evidence supporting motor and cognitive rehabilitation and emerging applications in the ICU setting. Dr. Yalcin further highlights practical considerations such as feasibility and standardization, as well as future directions for the field, including brain-computer interfaces and tele-rehabilitation. To read the full article, visit Currents: Virtual Reality for Neurorehabilitation: Mechanisms, Modalities, and Clinical Applications. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

===== MDJ Script/ Top Stories for January 2nd Publish Date:  January 2nd    Commercial: From the BG AD Group Studio, Welcome to the Marietta Daily Journal Podcast.    Today is Friday, January 2nd and Happy Birthday to Cuba Gooding Jr. I’m Keith Ippolito and here are the stories Cobb is talking about, presented by Times Journal No more cars up Kennesaw Mountain, starting January Paychex founder makes historic $50 million gift to Wellstar Meet Aloka, the peace dog winning hearts nationwide during Walk for Peace Plus, Leah McGrath from Ingles Markets on breads All of this and more is coming up on the Marietta Daily Journal Podcast, and if you are looking for community news, we encourage you to listen and subscribe!  BREAK: INGLES 2 STORY 1: No more cars up Kennesaw Mountain, starting January  Starting this month, private cars will no longer be allowed up Kennesaw Mountain. The park’s steep, winding Mountain Road—famous for its blind curves and 12% grade—has become a safety headache, with too many close calls between cars, cyclists, and hikers. Instead, visitors can reach the summit by shuttle, bike, or on foot. A new pedestrian lane will make the 1.5-mile trek safer for walkers, while the unpaved hiking trail remains untouched. Acting Superintendent Beth Wheeler said the changes address “growing safety concerns” and aim to protect the park’s natural and historic beauty. Road striping starts Jan. 6, with closures lasting through March. STORY 2: Paychex founder makes historic $50 million gift to Wellstar Philanthropist and Paychex founder Tom Golisano just made history with a $50 million gift to Wellstar Children’s Hospital of Georgia (WCHOG), the largest donation in Wellstar’s history. In recognition, the hospital will now be called the Wellstar Golisano Children’s Hospital of Georgia. This isn’t just a check—it’s a game-changer. The hospital is joining the Golisano Children’s Alliance, a network of 12 children’s hospitals across the U.S., opening doors to collaboration, innovation, and shared expertise. It’s the only hospital in the alliance representing Georgia and its neighboring states. The donation will fund projects like a cutting-edge pediatric cardiac ICU, further cementing Wellstar’s reputation for top-tier pediatric care. Other hospitals in the alliance include institutions in Buffalo, Fort Myers, and Hershey, Pa.—all part of Golisano’s mission to improve children’s health nationwide. STORY 3: Meet Aloka, the peace dog winning hearts nationwide during Walk for Peace   If you’ve ever seen a serene dog strolling alongside Buddhist monks—sometimes dressed better than the humans—you’ve probably met Aloka, the Peace Dog. Aloka isn’t flashy. He doesn’t bark for attention or demand the spotlight. But somehow, he’s become the quiet soul of the Walk for Peace, embodying everything it stands for. He walks when he can, rides when he’s tired, and never strays from the monks’ side. Once a stray in India, Aloka chose this life. Literally. He started following the monks during a peace walk years ago and never stopped. Now, he’s trekking across the U.S., his calm presence lifting spirits and drawing fans online. Despite the growing attention, Aloka stays grounded. He’s shy with fans, content to rest his paws in the grass or wait patiently for the next step. He doesn’t need words or signs to make his point. Aloka just shows up, step after step, proving that quiet compassion can be the loudest message of all. We have opportunities for sponsors to get great engagement on these shows. Call 770.799.6810 for more info.  We’ll be right back. Break: INGLES 2 STORY 4: Duo Arpeggione to perform Jan. 11 at St. Catherine’s Episcopal Church  St. Catherine’s Episcopal Church in Marietta (571 Holt Road) is hosting something special: a performance by the world-renowned Duo Arpeggione as part of its Friends of Music series. Mark your calendar—Sunday, Jan. 11, at 3 p.m., in the church sanctuary. Duo Arpeggione, formed in 2017, brings together pianist Catherine Lan and cellist Claudio Jaffe. Their program, “Romantic Resonance,” promises a journey through the evolution of piano and cello music, from Beethoven’s refined elegance to the fiery, nationalistic flair of Cassadó and Chopin. Admission is free—donations welcome. Seating is first-come, first-served. Questions? Call 770-971-2839 or email stcats@stcatherines.org. STORY 5: Sprayberry comes back to upend Sandy Creek Down 12 in the second half against three-time defending state champs Sandy Creek, Sprayberry’s boys basketball team could’ve folded. But they didn’t. Instead, they clawed their way back for a gritty 50-45 win Monday at the Lemon Street Classic. Sandy Creek (6-2) brought the heat early, showing why they’re one of the toughest defensive teams around. Sprayberry (9-3) struggled to find rhythm, trailing 26-18 at halftime. Nate McDaniel sparked an 11-2 run in the third, hitting a three and sinking free throws to pull Sprayberry within three. McDaniel, who’s been part of the program since he was a kid, finished with 16 points, 10 in the second half. The Yellow Jackets opened the fourth with eight straight points, taking a 39-34 lead. Sandy Creek fought back, briefly reclaiming the lead at 42-41, but McDaniel’s clutch three-point play and a layup from Christian Bass sealed the deal. ANTHONY JOSHUA: The boxing world is reeling after a tragic car crash near Lagos on Monday left Anthony Joshua injured and claimed the lives of two of his closest friends, Sina Ghami and Latif Ayodele. Joshua, a two-time heavyweight champ and Olympic gold medalist, is recovering in stable condition, his promoter confirmed. But the loss of Ghami, his strength coach, and Ayodele, a trainer, has left a deep void. Just hours before the crash, Joshua and Ayodele had shared a lighthearted moment on social media, playing table tennis together. Tributes poured in from the boxing community. Tyson Fury called it “heartbreaking,” while Chris Eubank Jr. remembered Ghami and Ayodele as “genuinely good men.” Shannon Courtenay urged fans to keep Joshua in their prayers, adding, “No one should have to witness what he did.” The crash is a stark reminder of the fragility of life, even for giants like Joshua. I'm Keith Ippolito and that’s your MDJ Sports Minute. And now here is Leah McGrath from Ingles Markets on breads We’ll have closing comments after this. Break: INGLES 2 Signoff-   Thanks again for hanging out with us on today’s Marietta Daily Journal Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger Podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at mdjonline.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. Produced by the BG Podcast Network Show Sponsors: www.ingles-markets.com See omnystudio.com/listener for privacy information.

A Moscow corporate party turned into a medical emergency when a celebrity chef's flashy "cryo-show" cocktail expanded inside a man's stomach like an internal airbag, rupturing the organ and sending him to the ICU — and he's far from the only victim.READ or SHARE: https://weirddarkness.com/liquid-nitrogen-cocktailsWeirdDarkness® is a registered trademark. Copyright ©2026, Weird Darkness.#WeirdDarkness, #LiquidNitrogen, #DangerousDrinks, #StomachRupture, #DragonBreath, #FoodSafety, #ViralTrends, #TrueCrime, #BizarreStories, #DontTryThis

Send us a textIn this New Year's episode, Kendra Corman gets candid about why she's heading into 2026 tired, excited… and fiercely committed to one word: no. After a 2025 defined by “forge” (building, growing, expanding), a family crisis and an overload of opportunities forced her to re-evaluate sustainability, boundaries, and what it really takes to preserve creative focus.Kendra shares the behind-the-scenes story of her year—what went right, what went sideways, and why the systems and people you build now are what save you later. What 2025 Taught Kendra About Growth and OverloadKendra went into 2025 with momentum, capacity, and big goals—and hit them hard.A strong first quarter with focused, energized work timeA goal of 25 speaking gigs that turned into 35+ eventsMovement on major business projects, including a second edition of her bookA huge personal “yes”: becoming a full-time assistant professor at Rochester Christian UniversityThe Moment Everything ChangedA serious fall and ICU stay for Kendra's mom pulled her into months of caretaking and travel.What stood out most wasn't just the disruption—it was the proof that what she'd built actually held up:Her assistant (Carol) triaged inboxes, managed tasks, and kept clients supportedSystems like Asana and strong relationships prevented a total business collapseThe experience reinforced how vital support structures are—even for solopreneursKendra realized: capacity isn't just about time. It's about what you've built to hold you when life happens.When “Forge” Turned into “Fracture”Even with major wins, Kendra stretched too far.Weeks with multiple speaking events, including one with four in a single weekDrift from a 4–5 day workweek back to 7 daysFeeling like she was working constantly but not moving forwardBook revisions stalled, and recovery time evaporatedThe truth she landed on: success without boundaries becomes burnout in disguise.Why “No” Is Her Word of the Year (Again)Kendra revisits a tool that once helped her escape burnout in 2022: saying no first.So in 2026, “no” is back as the guardrail.Her challenge to listeners:Block vacations nowProtect pre- and post-travel buffersPut the important stuff on the calendar before it gets crowded outKey TakeawaysSystems and support are what keep your business stable when life interrupts.Saying yes is exciting—but on Looking to leverage AI? Want better results? Want to think about what you want to leverage?Check and see how I am using it for FREE on YouTube. From "Holy cow, it can do that?" to "Wait, how does this work again?" – I've got all your AI curiosities covered. It's the perfect after-podcast snack for your tech-hungry brain. Watch here

When Snawing Alvarado came to the Bronx from the Dominican Republic at eight years old, he thought snow meant success. Instead, it meant Section 8 housing, roaches, and a basement that smelled like broken promises. The “American Dream” wasn't what it looked like on TV — it was crowded apartments, tired parents, and the quiet pressure to make it out.Snawing became the first in his family to graduate college and land a “good job” as an ICU nurse. But three months in, the dream cracked. Long hours. Miserable pay. No freedom. He realized he wasn't chasing purpose — he was chasing a paycheck.So he bet on himself. He left nursing, flipped his savings into real estate, and built multiple care homes that now cash-flow over $20K a month. But the bigger the numbers got, the more he realized: money isn't peace. The grind cost him relationships, sleep, and moments with the people who mattered most.Today, Snawing's success isn't defined by dollar signs — it's defined by balance. Coaching others, salsa dancing, spending time with family — that's the real wealth.Because the American Dream? It's not free. It'll take your comfort, your time, and sometimes your heart.But if you pay the price with purpose, it's worth every cent.Subscribe to Young Boss with Isabelle Guarino wherever you get your podcasts, and be sure to like, share and follow on Instagram and TikTok.And remember, youth is your power.

The Gateway Podcast – Carmel O'Sullivan – How Intuition Guides Healing, Purpose, and Life Direction Date: December 30, 2025 Episode: 109 Discussion: How Intuition Guides Healing, Purpose, and Life Direction About Carm: Healer with a Message, Carm O'Sullivan is a compassionate, Christ-oriented healer who embraces all faiths and belief systems. Her healing journey began in 2012 through Reiki and Healing Touch, where she became known for easing anxiety, reducing pain, and supporting overall well-being. A Certified Healing Touch Practitioner and Medical Reiki Master, Carm spent five years providing bioenergetic therapies in hospital settings including ICU, Labor and Delivery, and surgical care, helping patients find relief from physical discomfort and emotional stress. She also works closely with individuals facing autoimmune disease and cancer, supporting symptom management, reducing treatment side effects, and fostering inner peace. Alongside her healing work, Carm is an accomplished psychic and medium, trained by respected mentors including John Holland, Janet Nohavec, and Spirit Artist Joe Shiel. Under Joe Shiel's mentorship, she developed the unique ability to draw spirits during readings, offering powerful validation and comfort to those grieving. With over a decade of experience as an educator, Carm teaches intuitive development throughout Colorado, Arizona, and California, having guided more than 300 students through courses, circles, podcasts, and writing focused on healing and spiritual growth. Carm believes everything is energy—if you feel drawn to her work, trust your intuition and connect with her for a reading, healing session, or class. She deeply loves the work she does and the clients guided to her. Website: CarmOSullivan.com Host: CL Thomas C.L. Thomas travels widely every year as a fine arts photographer and writer exploring various afterlife research, OBEs, metaphysics, folklore, and lectures at events. C.L. does "Spirit" art on request. She is the author of the haunting memoir "Dancing with Demons" and the acclaimed historical-fiction novel “Speaking to Shadows”. C.L. is the creator and host of The Gateway Podcast & Small Town Tales Podcast. She has written many articles and maintains a blog on legends, folklore magic, and paranormal stories. Currently, she resides in Las Vegas, Nevada with her beloved Golden Retriever and Maine Coon cat. www.clthomas.org Follow CL on Social Media: Facebook: https://www.facebook.com/cl.thomas.428549/ Instagram: https://www.instagram.com/author_cl_thomas/ YouTube: https://www.youtube.com/@clthomas

Podcast TitleDC EKG with Joe Grogan: A Healthcare Policy Podcast Ep. 122 Healthcare AI Gets Real: Naomi Lopez on ACCESS, TEMPO, and the Future of Care Episode Description-In this episode of DC EKG with Joe Grogan: A Healthcare Policy Podcast, Joe recaps the first Healthcare AI Policy Summit, held on December 10th in Washington, DC, with his co-host for the event, Naomi Lopez, founder of Nexus Policy Consulting. They walk through the big themes shaping healthcare AI right now: how HHS is approaching AI adoption, what real regulatory clarity could look like, and how new federal initiatives like ACCESS and TEMPO may reshape chronic disease management for Medicare patients. Joe and Naomi unpack HHS Deputy Secretary Jim O'Neill's view of AI in government, from using large models to improve physician productivity, payment integrity, and care coordination to managing privacy and re-identification risk when working with federal health data. They dig into the ACCESS Medicare payment model and the FDA TEMPO initiative, explaining how these pilots test AI and machine learning tools in real-world chronic disease management (hypertension, diabetes, musculoskeletal pain, and depression), and what that means for Medicare payment models, FDA oversight, and healthcare innovation. The conversation then widens to physician burnout, interoperability, rural care, and the role of states and federal preemption in setting the rules for healthcare AI. If you care about the real-world impact of healthcare AI on policy, payment, and patients, this episode offers a clear, practical summary of what the summit revealed and what to watch next. Today Joe and Naomi cover: Jim O'Neill's vision for AI at HHS, including internal AI adoption and keeping a direct line open for small innovators. ACCESS and TEMPO as new federal test beds for AI in chronic disease management and Medicare payment. How wearables, remote monitoring, and “virtual ICU” models can support aging in place and reduce pressure on state budgets. Ways AI can reduce documentation burden, support care coordination, and act as a first-line triage tool without replacing clinicians. The emerging idea of personal AI agents that help patients navigate the system and share the right data with clinicians. How AI-enabled diagnostics and tools can expand access in rural and underserved communities. Why interoperability, ONC's API rules, and the balance between state AI regulation and federal preemption will shape how quickly these tools scale. The potential for tech companies to become Medicare Part B providers under ACCESS, and what that means for reimbursement and competition. Key Takeaways: Healthcare AI is being built into policy through programs like ACCESS and TEMPO, tying AI tools to Medicare payment and FDA pathways in chronic disease management. Regulatory clarity and predictable routes from FDA clearance to Medicare reimbursement are essential for sustained AI adoption. AI is currently most valuable as a force multiplier for physician productivity, taking on administrative and analytic work so clinicians can focus on patients. Personal AI agents may become a primary interface between patients and the health system, coordinating data, benefits, and care. Rural and underserved communities could benefit significantly if payment and regulatory rules support AI-enabled diagnostics and remote care. Interoperability, state AI laws, and federal preemption will determine whether healthcare AI stays in pilots or reaches patients nationwide. Naomi Lopez is the founder of Nexus Policy Consulting and a leading voice in healthcare policy, healthcare AI, and state health reform. She co-founded a healthcare AI working group with Joe Grogan and co-hosted the inaugural Healthcare AI Policy Summit on December 10th in Washington, DC.

Send us a textAs 2025 comes to a close, Ben and Daphna reflect on a year of growth, community, and evolution for The Incubator Podcast. In this end-of-year wrap-up, they preview major changes coming in 2026, including new standalone podcast feeds, expanded journal club content, CME opportunities, and exciting partnerships with organizations like the Vermont Oxford Network and PAS. They also share what's ahead for the Delphi Conference and offer a candid look at their personal and professional goals for the year ahead. Thank you for being part of this extraordinary neonatal community. 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!

Join Sandra for a breathtaking conversation with Heather Vandermeyden, a woman who didn't just have one Near-Death Experience—she had a series of them. At just twenty years old, Heather faced a catastrophic medical crisis (ulcerative colitis, sepsis, and organ failure) that kept her in the ICU for three months. While her body withered away to 79 pounds and endured thirteen emergency surgeries, her spirit was busy traveling beyond the veil. In this episode, Heather details the more than twenty times she popped out of her body to escape the pain. She shares vivid descriptions of the "Ancient Healing Waters" that saved her liver, a visit to a Hall of Records (the Library), and a heartwarming reunion with her deceased grandmother and great-grandfather. She also describes seeing God stand in the doorway of the hospital room—a being of pure, non-judgmental love with vibrant blue eyes. Perhaps most miraculously, Heather describes meeting two specific children on the other side. Years later, unable to carry a pregnancy due to her surgeries, she fostered and adopted two children who matched the exact description of the souls she met in Heaven. Get Heather's new book "Miracles from the Other Side" on Amazon: https://amzn.to/3Muuefn Visit Heather's website: https://www.heathervandermeyden.com *Connect with Sandra Champlain: * Website (Free book by joining the 'Insiders Club, Free empowering Sunday Gatherings with medium demonstration, Mediumship Classes & more): http://wedontdie.com *Patreon (Early access, PDF of over 790 episodes & more): Visit https://www.patreon.com/wedontdieradio  *Don't miss Sandra's #1 "Best of all things afterlife related" Podcast 'Shades of the Afterlife' at https://shadesoftheafterlife.com

Send us a textTransitioning from fellowship to your first attending job? You're probably not prepared for the business side of medicine—and that's exactly the problem Dr. Tung Giep addresses in this episode. Dr. Giep, a neonatologist with over 30 years of experience, shares hard-earned lessons from building and selling a private practice in Houston, navigating toxic work environments, and eventually finding his place in telemedicine. His new book, The Business of Medicine: The Definitive Guide to Help New Physicians Start Their Career on the Right Path and Avoid Costly Mistakes, tackles what medical training ignores: contract negotiation, non-competes, choosing the right CPA and attorney, and understanding your self-worth.Ben and Dr. Giep discuss why new physicians get blindsided by job offers, how to vet a practice properly, and the reality of community neonatology versus academic medicine. They also explore the growing role of AI in healthcare and what it means for the next generation of physicians. Whether you're finishing fellowship or reconsidering your current position, this conversation offers practical guidance on taking control of your career—and avoiding costly mistakes along the way. 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!

'twas the day after The Night Before Christmas, and all through the house, nobody really wanted to be responsible for making other people work. So I didn't. Uh... not even a mouse, or whatever. Today, we'll all take a moment to relax--whether you have reason to or not--and think back to a time when Christmas meant the impending departure of Donald Trump. A simpler time, when we didn't yet know that someone had blown a city block of Nashville sky high, on Trump's "watch." You could be forgiven for forgetting, though, since he also launched a MAGA assalut on the U.S. Capitol less than two weeks later. So, yes, please enjoy this, our December 24, 2020 episode! David Waldman, opens today's KITM yawning like the MGM lion, waking us up for Christmas eve: Donald Trump keeps handing out pardons like moist candy canes to anyone that met him under the mistletoe over the last few years. Donald pardoned Jesse Benton as a gift to his employers, Ron Paul and Mitch McConnell and the uncle of Benton's wife, Rand Paul… (Jesse will probably be Matt Gaetz' son by the end of the day.) Trump pardoned a former Maryland police officer whose heart he knew was in the right place. (They need to be arrested faster than Trump can pardon them.) Merry Christmas! Trump's Blackwater pardons aren't bringing much cheer to their victim's families, however. There's bound to be more today, but Dad's saving the nicest ones for under the tree in Mar-a-Lago. Greg Dworkin reminds us that actually, Donald Trump doesn't give gifts to anyone but himself. If he can take someone else's gift, it's even better. Merry F***ing Christmas to everyone in Congress with the Gop at each other's throats and Democrats trying to pull $2000 checks out of the fireplace. It seems that Trump might be a little over his head still on how government works, or how reality works for that matter. Kelly Loeffler, too. Two Republican House members voted by proxy — while simultaneously suing to ban the use of proxy voting . Ron DeSantis figures, why appoint experts when he can be the guy that says expert things? Rep.-elect Luke Letlow checked himself into the hospital for no particular reason, and is now thinking about checking out the ICU for the holidays. People who are immunocompromised or otherwise allow coronavirus to hang around for while might encourage unfortunate mutations. Did Bill Barr arrest Lev Parnas to keep him from testifying against Donald Trump? Did a Democratic House candidate lose by 6 votes after 22 votes were improperly excluded in Iowa? Did the Kansas City Star misreport on Black Kansas Citians for generations? Yes.

Many people experience trauma not from accidents or violence—but from medical events. ICU stays, surgery, birth trauma, or even routine procedures can leave lasting emotional wounds. In this conversation, Emma McAdam (Therapy in a Nutshell) and Christen Mullane, LMHC, unpack what medical trauma really is, how it differs from medical PTSD, and practical ways to heal. Christen explains how medical experiences can damage trust in your body and in healthcare systems, why “health anxiety” is sometimes actually trauma, and how to gently rebuild a sense of safety and empowerment. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

In this episode of Unwritten, host Trevor Barreca sits down with Chase Maly to share a story marked by suffering, mercy, and unexpected hope.

Join me for a profound conversation with Camille Scott-Wiles, an ICU nurse turned financial educator who transformed personal tragedy into a mission to help everyday professionals build lasting wealth. Camille's story begins in East New York, Brooklyn, where she grew up in poverty despite having a millionaire father, creating a complex relationship with money that would shape her entire financial philosophy. Camille shares the pivotal moment when both her parents died of cancer just 19 hours apart, leaving her to navigate two estate settlements across multiple countries while launching her nursing career. This experience revealed critical gaps in financial planning that most families face—from missing life insurance policies to unprotected assets—and ignited her passion for teaching others how to avoid the same pitfalls. Throughout our conversation, Camille reveals why she allocated 75% of her portfolio to precious metals, how she uses index universal life insurance policies that the wealthy have leveraged since 1913, and why she checks her investments daily in today's volatile economic climate. She breaks down complex concepts like the gold-to-silver ratio, wealth cycles, and the geopolitical shifts that are reshaping how we should think about protecting our assets. This episode is essential listening for anyone who wants to take control of their financial education and build wealth that can weather any economic storm. Key Topics: What you learn about money from watching your parents' struggles—and why sometimes the best lessons come from what NOT to do How losing both parents within 19 hours forces you to become financially savvy overnight and manage estates across countries Why life insurance is the first line of defense in estate planning—and the policy types most people never hear about How to educate yourself on alternative investments while working full-time by following wealth cycles and market pioneers Why diversifying into precious metals offers peace of mind when traditional markets face geopolitical and economic turbulence What the gold-to-silver ratio reveals about when to enter and exit commodity investments for maximum returns How index universal life insurance policies let you build tax-free retirement wealth the way elites have since 1913 Why checking your portfolio daily keeps you ahead of market shifts and helps you rebalance for changing economic conditions Connect with Camille online: Website: https://stan.store/PreciousMetalsMasterclass LinkedIn: https://www.linkedin.com/in/camillewiles/   Find more from Syama Bunten: Instagram: @syama.co, @gettingrichpod Join Syama's Substack: https://thewealthcatalystwithsyama.substack.com/ Website: https://wealthcatalyst.com Download Syama's Free Resources: https://wealthcatalyst.com/resources Wealth Catalyst Summit: https://wealthcatalyst.com/summits Speaking: https://syamabunten.com Big Delta Capital: www.bigdeltacapital.com  

Like most people, when Deb Krier was told she had metastatic breast cancer in 2015, she went into a tailspin. She previously worked for an oncologist and later, the American Cancer society and still was not prepared. What stuck with her was something the oncologist had said years earlier: 99% of survival is in your head. Deb shared with us how hard she worked to maintain an upbeat attitude. Always upbeat, throughout her life, she was always independent. As an only child, raised in the mountains of CO, her mother encouraged her to take care of herself.However, chemotherapy treatment almost killed her - 7 weeks with septic shock in the hospital, in and out of ICU and 30 surgeries. This experience and two other bouts with cancer led Deb to devote her life to helping people live life while fighting cancer. And so, she created the website, https://www.tryingnottodie.live. The site offers information and support packages: Bear hugs and other ways to brighten the lives of people you care for with cancer.It is 10 years now. In addition to managing her website and still living with cancer, Deb volunteers with the University of Colorado, is involved with the National Beagle Club of America and reads and gardens with her husband who is a huge source of support. “We are in charge of how we manage our lives when living with cancer: I choose life.” - Deb KrierThank you to our sponsor, Women's Connection, a nonprofit women's group with chapters around the country. Members are vibrant, accomplished women, age 50 and forward, who connect around common interests, empower each other to thrive, and stick together as they travel through the stuff of life, no matter what comes their way. https://www.womenconnecting.org.Women Over 70 is a proud member of the Age-WISE Collective, a group of women-hosted podcasts featuring stories from women 50+ and conversations that promote the pro-aging movement. This week we feature Suzy Rosenstein, host of Women in the Middle: Loving Life After 50. This weekly podcast explores a wide range of topics designed to help women get excited about their lives again. Women in the Middle®: Loving Life After 50 - Midlife Coach

In one ICU room, patients repeatedly report seeing the same silent man standing in the same corner—often just before sudden clarity, recovery, or death. Nurses notice the pattern. Doctors document an unusual concentration of terminal lucidity. The room keeps being used. In this episode of The Box of Oddities, Kat and Jethro explore a real medical mystery involving repeating end-of-life visions tied to a single hospital room, and why science struggles to explain why place—not patient—seems to matter. Then, we examine ancient Christmas folklore warning that animals speak at midnight—and that overhearing them reveals forbidden knowledge, often about death. From hospital wards to medieval superstition, this episode asks: what if clarity at the end comes after something leaves? Listener discretion advised. Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode Summary    In this inspiring episode of WarDocs, we are honored to feature the extraordinary journey of Retired Army Brigadier General Clara Adams-Ender. Rising from humble beginnings as one of ten children born to sharecroppers with limited formal education, she defied expectations to become a trailblazer in military medicine. Her story is a testament to the power of education, resilience, and the relentless pursuit of excellence. Although she initially dreamed of becoming a lawyer, she honored her father's wishes to attend nursing school, a decision that launched a remarkable 34-year career culminating in her service as the 18th Chief of the Army Nurse Corps.    BG(R) Adams-Ender shares powerful anecdotes that defined her leadership philosophy, starting with her first assignment as a Second Lieutenant in an ICU. She recounts a tragic incident involving a Marine shot by a friend during horseplay, a moment that taught her the stark difference between "book learning" and the practical responsibilities of an officer to care for the discipline and safety of troops. She also details the grit required to become the first woman to earn the Expert Field Medical Badge (EFMB). Refusing to settle for the lower physical standards set for women at the time, she marched the full 12 miles alongside her male counterparts, proving that competence knows no gender.   Throughout the conversation, she emphasizes the evolution of the Army Nurse Corps from a workforce viewed merely as labor to leaders in healthcare policy and administration. She discusses her time as an educator during the Vietnam War, mentoring students facing the draft and ethical dilemmas. General Adams-Ender passionately argues for the necessity of nurses having a "seat at the table" in healthcare leadership, noting that without a voice in policy, the profession cannot control its destiny. As the Army Nurse Corps approaches its 125th anniversary, she reflects on the core values of clinical excellence, administration, research, and education (CARE), offering timeless advice for the next generation of military medical professionals.   Chapters (00:00-06:40) From Sharecropper's Daughter to Nursing School (06:40-11:45) A Tragic Lesson in Leadership and Troop Welfare (11:45-17:15) Breaking Barriers to Earn the Expert Field Medical Badge (17:15-22:42) Educating Nurses During the Vietnam War Era (22:42-37:55) The Power of Policy and Having a Seat at the Table (37:55-45:34) Core Values and the Legacy of the Army Nurse Corps   Chapter Summaries (00:00-06:40) From Sharecropper's Daughter to Nursing School The guest discusses her family background, emphasizing her parents' deep value for education despite their limited schooling. She shares how she initially aspired to be a lawyer but followed her father's directive to attend nursing school, eventually discovering a passion for the challenge the profession provided. (06:40-11:45) A Tragic Lesson in Leadership and Troop Welfare Reflecting on her first assignment at Fort Dix, the guest describes the transition from academic theory to the practical realities of military nursing. She recounts a harrowing story of a young Marine shot due to horseplay, which served as a pivotal lesson on an officer's responsibility to maintain discipline and care for the troops beyond clinical duties. (11:45-17:15) Breaking Barriers to Earn the Expert Field Medical Badge The conversation shifts to the guest's historic achievement as the first woman to earn the EFMB. She details her determination to meet the same physical standards as the male soldiers, including marching 12 miles instead of the required 8 for women, viewing the grueling training as an opportunity to prove her capabilities. (17:15-22:42) Educating Nurses During the Vietnam War Era The guest describes her time as an instructor at Walter Reed, where she taught students from diverse backgrounds. She highlights the challenges of mentoring nursing students during the Vietnam War, helping them navigate their fears and obligations regarding deployment to a combat zone. (22:42-37:55) The Power of Policy and Having a Seat at the Table Moving into administration, the guest explains how she learned that writing good policy allows a leader to influence far more outcomes than hands-on care alone. She stresses the importance of nurses securing leadership roles to ensure they are in charge of their profession's destiny and not merely following orders from others. (37:55-45:34) Core Values and the Legacy of the Army Nurse Corps As the 125th anniversary of the Army Nurse Corps approaches, the guest reflects on the enduring values of the profession, using the acronym CARE. She concludes with a dedication to her mentors and offers advice to current nurses on maintaining standards and commitment to the mission.   Take Home Messages Leadership Requires Practical Adaptability Success in military medicine often requires unlearning the rigid structures of "book learning" to adapt to the practical realities of the environment. True competence is demonstrated not just by clinical knowledge, but by the ability to handle unexpected situations and the human dynamics of the troops under one's command. The Responsibility of the Officer Extends Beyond Patient Care A medical officer's duty is not confined to the hospital bed or the clinic; it encompasses the overall welfare, discipline, and safety of the soldiers. Preventing tragedy through discipline and looking out for the troops is as vital as treating the wounds that result when safety protocols fail. Equality is Proven Through Standards Breaking barriers and earning respect often comes from a refusal to accept lower standards based on gender or background. By voluntarily meeting the more rigorous requirements set for counterparts, a leader demonstrates resilience and capability that silences doubters and inspires the team. Influence Through Policy and Administration While direct patient care is the heart of medicine, long-term impact is achieved by securing a "seat at the table" in administration and policy-making. Writing effective policy allows a medical professional to guide the hands of thousands of others, shaping the destiny of the profession and improving care on a systemic level. Total Commitment to the Profession Medical service is difficult, demanding work that requires a full "all-in" mentality. The key to longevity and success is to make a firm decision to commit to the profession; once that decision is made, energy should be directed toward the mission and patient care rather than complaints or negativity.   Episode Keywords Clara Adams-Ender, Army Nurse Corps, EFMB, Expert Field Medical Badge, Military Medicine, Leadership, Women in Military, Black History, Vietnam War Nursing, Walter Reed, Nursing Education, Healthcare Policy, Mentorship, WarDocs, Army General, Brigadier General, Nursing Administration, Military History, Veteran Stories, Medical Podcast Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.   Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

🧭 REBEL Rundown 🗝️ Key Points 💨 Peak vs. Plateau Pressures: PIP reflects total airway resistance and compliance, while Pplat isolates alveolar compliance—elevations in both suggest decreased lung compliance (e.g., ARDS, pulmonary edema, pneumothorax).🧱 PEEP Protects Alveoli: Maintains alveolar recruitment and prevents collapse; typical range 5–8 cmH₂O, but higher levels may benefit moderate–severe ARDS.️ Driving Pressure (ΔP = Pplat − PEEP): Lower ΔP reduces atelectrauma and improves outcomes; optimize by adjusting PEEP thoughtfully.💥 Prevent VILI: Keep Pplat < 30 cmH₂O, use low tidal volumes (6 mL/kg IBW), and monitor for barotrauma, volutrauma, atelectrauma, and biotrauma.📚 Evidence-Based Practice: ARDSNet and subsequent trials confirm that lung-protective ventilation—low Vt, limited pressures, and individualized PEEP—improves survival in ARDS. Click here for Direct Download of the Podcast. 📝 Introduction This episode reviews essential ventilator pressures and how to interpret them during ICU rounds. 🚀 Under Pressure Peak Inspiratory Pressure (PIP)Definition: Total pressure required to deliver a breath.Reflects: Airway resistance + lung/chest wall compliance.Common Causes of ↑ PIP:Mucus pluggingBiting the endotracheal tubeKinked tubing or bronchospasmPlateau Pressure (Pplat)Definition: Alveolar pressure measured after an inspiratory hold.Reflects: Lung compliance (stiffness of lung tissue).When Both PIP & Pplat Are Elevated:→ Indicates poor compliance (e.g., ARDS, pulmonary edema, pneumothorax).Positive End-Expiratory Pressure (PEEP)Definition: Pressure remaining in airways at end-expiration to prevent alveolar collapse.Typical Range: 5–8 cmH₂O but needs to titrated to meet patient requirements Notes:Provides physiologic “glottic” PEEP in intubated patients.Using high PEEP strategy shows mortality benefit only in moderate–severe ARDS in meta-analysis.Driving Pressure (ΔP)Definition: ΔP = Pplat − PEEP.Reflects: Pressure needed to keep alveoli open during the respiratory cycle.Goal: Lower ΔP → less atelectrauma & improved outcomes.Optimize: Increase PEEP to reduce ΔP and alveolar cycling. 📖 Interpreting High PIP/High Pplat ↑ PIP & ↑ PplatInterpretation: ↓ ComplianceCommon Causes: ARDS, pulmonary edema, pleural effusion, pneumothorax↑ PIP & Normal/Low PplatInterpretation: ↑ Airway ResistanceCommon Causes: Mucus plug, bronchospasm, tube obstruction or biting 🤕 Ventilator-Associated Lung Injury (VILI) Barotrauma:Mechanism: Excessive airway pressure damages alveoli.Prevention: Keep Pplat < 30 cmH₂O.Volutrauma:Mechanism: Overdistension from excessive tidal volumes.Prevention: Use low tidal volume ventilation (6 mL/kg ideal body weight).ARDSNet trial: 6 mL/kg → lower mortality compared to 12 mL/kg.Ideal Body Weight: Based on height and sex, not actual weight.Typical patient: Tidal Volume: 6–8 mL/kg IBWARDS: Tidal Volume: 4–6 mL/kg IBWAtelectrauma:Mechanism: Repeated opening/collapse of unstable alveoli.Prevention: Optimize PEEP to keep alveoli open and reduce driving pressure.Biotrauma:Mechanism: Inflammatory cascade (↑ IL-6, TNF-α) from mechanical injury.Effect: Can trigger systemic inflammation & multiorgan dysfunction.Prevention: Minimize all other forms of VILI. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Joel Rios Rodriguez, MD PGY 3 Internal Medicine Resident Cape Fear Valley Internal Medicine Residency Program Fayetteville NC Aspiring Pulmonary Critical Care Fellow 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator When you take the airway, you take the wheel and ... Thoracic and Respiratory Read More REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes Mechanical ventilation can feel overwhelming, especially when faced with a ... Thoracic and Respiratory Read More REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes For many medical residents, the ICU can feel like stepping ... Thoracic and Respiratory Read More REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine The sicker the patient, the more likely an IO line ... Procedures and Skills Read More REBEL Core Cast 139.0: Pneumothorax Decompression On this episode of the Rebel Core Cast, Swami takes ... Procedures and Skills Read More The post REBEL Core Cast 147.0–Ventilators Part 5: Key Mechanical Ventilator Pressures & Definitions Made Simple appeared first on REBEL EM - Emergency Medicine Blog.

“There are hundreds, maybe thousands, of drug repurposing opportunities just waiting to be uncovered,” explains David Fajgenbaum, M.D.  David Fajgenbaum, M.D., physician-scientist, bestselling author of Chasing My Cure, co-founder of Every Cure, and leader in the global push for drug repurposing, joins us today to explain why the cures of tomorrow may already be on pharmacy shelves today—and how his team is racing to uncover them. - From college athlete to ICU (~3:15) - Finding a cure (~7:20) - Hope needs to drive action (~9:45) - Repurposing drugs (~11:10) - Use cases of generic drugs (~13:30) - Lithium for bipolar & Alzheimer's (~16:00) - Lidocaine & breast cancer (~17:25) - GLP-1 for longevity benefits (~19:20) - Increasing awareness in the healthcare system (~20:10) - The 3 main hurdles for repurposing drugs (~22:00) - Opportunities in the space (~23:10) - 14 advanced repurpose treatments (~28:00) - The power of AI (~32:50) - Using AI for personalized medicine (~34:30) - AI for treatment options (~37:45) - Common drugs with big potential (~41:00) - The future of healthcare & drug discovery (~44:50) - How you can help (~49:30) Referenced in the episode:  - Follow Fajgenbaum on Instagram (@dfajgenbaum)  - Check out his website (https://davidfajgenbaum.com/)  - Pick up his book, Chasing My Cure (https://www.amazon.com/Chasing-My-Cure-Doctors-Action/dp/1524799637/)  - Listen to his TED Talk (https://www.youtube.com/watch?v=sb34MfJjurc)   - Learn more about Every Cure (https://everycure.org/) We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week, I'm answering your YouTube questions, including why my histology shirt is back, and then diving into a mystery case straight from the ICU. A sedated teenager with a swollen face, red eyes, and a whole lot of chemosis needs help, and I show up with… my ophthalmologist luggage. What I found is something every ICU clinician has seen but doesn't always recognize: exposure keratopathy, the completely preventable eye emergency that happens when the lids won't close, the tears disappear, and the cornea gets sacrificed to hospital airflow. Takeaways: How facial edema and chemosis in the ICU create the perfect setup for exposure keratopathy and why it often goes unnoticed. Why artificial tears twice a day are nowhere near enough for a sedated patient who can't blink. The simple bedside tools ophthalmologists bring to evaluate non-responsive patients (including the portable slit lamp). Why corneal abrasions in hospitalized patients can become dangerous fast and how to stop them before they start. The easiest ICU intervention ever: ointment, moisture chambers, and remembering that eyelids exist for a reason. 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.  Today's episode is brought to you by Microsoft Dragon Copilot. Dragon Copilot is an AI clinical assistant that streamlines documentation, surfaces critical information, and automates routine tasks — empowering healthcare teams to focus more on patients and less on administrative work. Learn more at ⁠⁠https://glau.cc/Dragon⁠⁠ Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices