Podcasts about ICU

A mini-review published in Frontiers in Neurology suggests that acupuncture may assist ICU patients in recovering more quickly by relieving pain, lowering sedative use, shortening ventilator dependency, enhancing strength, and increasing days free from delirium Acupuncture may help calm inflammation, boost immunity, and improve blood flow in sepsis patients, offering supportive benefits alongside standard ICU treatment It's not just for managing one symptom: Acupuncture could act as a whole-body support tool in the ICU, easing pain, stress, and sleep issues while reducing drug side effects and helping the body recover Emotional Freedom Techniques (EFT) is a needle-free method using fingertip tapping on acupuncture points that offers a gentler alternative for patients wary of traditional acupuncture Other nondrug therapies such as massage, music therapy, and mindfulness contribute to ICU recovery by alleviating anxiety, decreasing pain, and enhancing sleep quality

Send a textHow much oxygen is enough when resuscitating extremely preterm infants? This week on The Incubator Podcast, Ben and Daphna explore the TORPIDO 30/60 trial comparing 60% versus 30% FiO2 at birth. While primary outcomes were similar, babies in the 60% group needed fewer chest compressions and less epinephrine—a signal worth discussing.They examine an Indian non-inferiority study on surfactant thresholds (40% vs 30% FiO2), where waiting until 40% meant significantly fewer intubations and shorter respiratory support for the youngest babies. Ben presents compelling Melbourne data showing growth-restricted preterm infants face six-fold higher NEC risk—even with identical feeding protocols—and discusses how critical birth history gets "lost" as babies grow.Daphna tackles therapeutic hypothermia in late preterm infants, reviewing Toronto's retrospective analysis showing 34-35 weekers experience higher mortality and more brain injury compared to 36-37 weekers. As units rewrite cooling protocols, are we moving too fast on limited evidence?The episode concludes with Ben, Daphna, and Eli discussing the repeal of "sensitive locations" protections for immigration enforcement. Through the story of a mother detained while visiting her NICU baby in Chicago, they explore how these policies impact family-centered care and highlight advocacy opportunities through the Protecting Sensitive Locations Act.Current research meets real-world NICU challenges—all in one episode.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!

Host Victor opens by recapping the podcast's current coverage: weekly breakdowns of The Pitt season 2 with his wife Kim (a medical PA), discussion of Industry, and a recommendation to watch the Game of Thrones prequel A Night of the Seven Kingdoms (six-episode season, renewed for season 2). He also notes a Christopher Nolan rewatch series (Following and Memento). He invites feedback via email and Spotify/YouTube comments and asks listeners to share the show.   Victor and Kim then discuss The Pitt episode 6, directed by Noah Wyle (his first directing credit on the show). They describe it as more “mundane” in plot but possibly the best episode of the season due to staff camaraderie and subtle emotional beats. A central throughline is the death of frequent-flyer patient Louie, which the staff grieves, contrasted with new doctor Ogilvy's detached comments. They discuss how ER staff form relationships with frequent flyers and the episode's late reveal that Louie's chronic drinking followed a car accident that killed his pregnant wife.   A major theme is the “invisible work” of nurses: Perlah's grief, Dana cleaning Louie's body, behind-the-scenes patient prep, and how experienced nurses and advanced practitioners often run workflows and handle details. Kim relates this to real practice, including ICU and ER routines and how PAs/NPs frequently have more laceration-repair experience than attending physicians. They also touch on what happens to unclaimed bodies (morgue, possible cremation) and note the episode's visual focus on a homeless patient as part of a broader theme of dignity for underserved people.   They cover other episode storylines: an incarcerated, malnourished patient whom Dr. Al-Hashimi wants to help despite bed pressures; Dana appears to manipulate an oxygen monitor reading (tape is implied) to keep him from being discharged; and a new competent nurse who arrives mid-shift, prompting discussion of ER shift overlap and staffing. They discuss a law student experiencing a first psychotic episode and how wording like “what's wrong with him” can alarm family members.   Victor and Kim analyze a cancer patient on home hospice who refuses to leave the hospital, with a death doula present. Kim suspects heavy pain medication (including ketamine and long-acting morphine) could lead to respiratory compromise, while Victor wonders if the patient is trying to die away from her husband. They also discuss Santos being behind on notes, a comedic/critical AI documentation thread (including errors like urologist vs neurologist and incorrect surgical history), and broader electronic medical record and faxing frustrations.   Additional medical beats include the waitress developing a life-threatening infection leading to an above-knee amputation, a patient demanding repeated D-dimer testing despite being on Eliquis, and Kim explaining what a D-dimer is and how unnecessary testing increases costs. They discuss translation access for hearing-impaired and non-English-speaking patients via video interpreter services. Character moments include Joy revealing she wants to be a pathologist to avoid patient interaction, and a motorcycle knee-laceration case using fluorescein to check joint involvement.   They end by noting Louie dies from pulmonary hemorrhage (Kim would have liked more foreshadowing) and Kim shares a real trauma case involving an alcoholic with liver failure who died from bleeding after a minor accident. Victor briefly previews Drops of God season 2 episode “Brothers and Sisters,” highlighting themes of sibling conflict and a toxic Georgian sibling relationship, and says they will discuss the current and next episode later. Victor closes with reminders about ongoing Industry coverage, the Nolan rewatch, upcoming premieres, and holiday/Valentine's greetings.   00:00 Welcome + What We're Covering on the Podcast This Week 00:35 Why You Should Watch ‘A Knight of the Seven Kingdoms' (GOT Spinoff Pitch) 02:32 Other Ongoing Coverage: Industry, Nolan Rewatch, and What's Next with Sona 03:58 Subscribe, Feedback, and Quick Programming Notes (Drops of God Tease) 04:50 Episode 6 Kickoff: Why This Might Be the Best ‘The Pit' of the Season 06:26 Louis' Death as the Emotional Through-Line (and Ogilvy's Cold Take) 09:16 The ‘Invisible Work': Nurses, Body Care, and Behind-the-Scenes Medicine 13:02 NP/PA Skills in the ER: Suturing, Lacerations, and Who Really Closes Wounds 15:30 Frequent Flyers & What Happens When No One Claims a Body 17:50 Underserved Patients Theme: Homeless Man, Inmate Case, and Bending the Rules 22:03 Dana Steps Up + The New Nurse Mystery (Shifts, Overlap, and Staffing) 24:48 Psychosis Case Update: Communicating Uncertainty to Family 26:13 End-of-Life Cancer Patient: Husband Dynamics and Pain Med Risks 28:17 End-of-Life Choices: Hospice, Dignity, and ‘I Don't Want to Leave' 30:00 Santos' Rough Week: Sleep Deprivation, Garcia, and AI Note Chaos 31:30 AI in Medicine vs Reality: Dictation Errors, Copy-Paste Charts, and Fax Machines 33:55 The Waitress Case Turns Critical: Above-Knee Amputation & Medical Anxiety 35:20 ER Testing 101: D-Dimer, Patient Demands, and Healthcare Costs 37:38 Communication Barriers: Sign Language, iPad Interpreters, and Future AI Translation 39:54 Joy & Ogilvy Career Talk: Why Pathology Is the ‘Hard Pass' Specialty 41:33 Motorcycle Knee Laceration Workup: Fluorescein Joint Injection Explained 42:53 Louis' Death & Pulmonary Hemorrhage: Humanizing the Staff + A Trauma Story 46:02 Drops of God Check-In: ‘Brothers and Sisters' and Where the Season's Headed 49:22 Wrap-Up: Upcoming Pods (Industry, Nolan Rewatch) and Farewell

In this episode of the Nine Finger Chronicles podcast, Dan Johnson shares a deeply personal story about a life-changing medical crisis involving his wife. He reflects on the importance of family, faith, and the support of friends during challenging times. Through his experience in the ICU, he learns valuable lessons about life, love, and the significance of health and compassion. This episode serves as a reminder to appreciate the moments we have and to live with gratitude and kindness. Takeaways This episode will not be about deer hunting. Time flies when you're scared shitless. What is important about time we have on this planet. I was just kind of almost in shock. I need something from you right now. I felt like everything was going to be okay. You get to see the end. I don't care about this house that I live in. Thank you for this life, man. Live to live the best possible life. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Man Therapy, Dan Johnson shares a deeply personal story about a health crisis involving his wife, Sarah, who experienced a severe asthma attack that led to her being admitted to the ICU. The conversation explores the emotional turmoil and fear that accompanied this experience, as well as the profound realizations about love, faith, and the importance of support during difficult times. Dan reflects on how this crisis shifted his perspective on life, relationships, and the trivialities that often cause stress. The discussion emphasizes the value of presence, communication, and empathy in navigating family dynamics and personal challenges, ultimately highlighting the lessons learned from such harrowing experiences. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the Nine Finger Chronicles podcast, Dan Johnson shares a deeply personal story about a life-changing medical crisis involving his wife. He reflects on the importance of family, faith, and the support of friends during challenging times. Through his experience in the ICU, he learns valuable lessons about life, love, and the significance of health and compassion. This episode serves as a reminder to appreciate the moments we have and to live with gratitude and kindness. Takeaways This episode will not be about deer hunting. Time flies when you're scared shitless. What is important about time we have on this planet. I was just kind of almost in shock. I need something from you right now. I felt like everything was going to be okay. You get to see the end. I don't care about this house that I live in. Thank you for this life, man. Live to live the best possible life. Learn more about your ad choices. Visit megaphone.fm/adchoices

Send a textIn this episode of Neo News, the team examines the intersection of immigration policy and neonatal care. We review a recent op-ed discussing the "chilling effect" of immigration enforcement on families seeking care in "sensitive locations" like hospitals. The discussion highlights a harrowing report from The 19th about a family detained by ICE while en route to the NICU, sparking a conversation on how fear impacts parental presence and follow-up adherence. The hosts explore the Protecting Sensitive Locations Act and the critical role neonatologists play in advocating for safe access to healthcare for all families.----Vernon, L., Swenson, S., & Miller, E. (2025, October). Immigration policies are creating impossible choices for NICU families. Cleveland.com.  https://www.cleveland.com/opinion/2025/10/immigration-policies-are-creating-impossible-choices-for-nicu-families-lelis-vernon-sarah-swenson-and-emily-miller.htmlBarclay, M. L. (2025, December). Postpartum immigrant detention by ICE. The 19th. https://19thnews.org/2025/12/postpartum-immigrant-detention-ice/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!

Groin management is nurse-lingo for the care required after femoral artery or vein access, such as following a cardiac catheterization or interventional radiology procedure. In this episode, we focus specifically on nursing care after the sheath has been removed and hemostasis has been achieved. Using the LATTE framework, we walk through: What a normal groin-site should look like post-procedure Methods utilized to achieve hemostasis  Priority nursing assessments and red flags Tests and imaging you may see ordered if complications arise Key treatments, including SafeGuard management and bedrest precautions Patient and family education to reduce bleeding risk If you're working or precepting in PACU, IR recovery, telemetry, step-down, or the ICU, then this episode is a must-listen!  ___________________ Full Transcript - Read the article and view references Episode 274 - Review vascular assessments. FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats including podquizzes, case studies and drills that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!  LATTE Method Template - Download the free LATTE Method Template so you can streamline how you study and focus on what a nurse needs to know.  All Straight A Nursing Resources - Check out everything Straight A Nursing has to offer, including more FREE resources and online courses to help you succeed throughout nursing school!

In this bonus episode, Brody sits down with Kilby for a full update on Greg's health scare. She recounts the sudden collapse, the battle in the ICU, and the emotional rollercoaster of not knowing what was going to happen. After returning to the U.S., a fast-track visit to Duke brought clearer answers and a new path forward. Kilby shares how their community stepped in, in powerful ways, how Greg is doing now, and how this experience is shaping their plans to head back to Uganda better prepared for what's ahead.Please continue to be in prayer for Greg, Kilby, and Alma!Support the Helms familySend a textPlease leave a review on Apple or Spotify to help improve No Sanity Required and help others grow in their faith. Click here to get our Colossians Bible study.

🧭 REBEL Rundown 📌 Key Points The 4 Steps of an ED Consult:👋 Introduce yourself and your role🎯 Lead with the outcome (the ask)🧾 Give a focused case summary (why it’s theirs + what you’ve done)🔁 Close the loop (timeline, next steps, contingencies) Click here for Direct Download of the Podcast. 📝 Introduction Today we’re tackling one of the most important (and most under-taught) skills in emergency medicine: how to call a consult in the ED and what to do when a consultant pushes back.To call a consult in the ED, start with a brief introduction, lead with the outcome you need (“the ask”), give a focused decision-relevant summary, and close the loop with timeline and next steps. If the consultant resists, clarify the “why,” restate the ask, offer alternatives, and escalate when patient safety or disposition is at risk.After two decades in emergency medicine and countless consult calls, here’s a simple framework—plus copy/paste scripts—to make your consults faster, clearer, and easier to say “yes” to. 🤔 Why Consult Skills Matter in Emergency Medicine Consults aren’t a formality—they’re a patient-care intervention. Strong consult communication:Reduces delays in time-sensitive careImproves ED throughput and dispositionDecreases conflict and miscommunicationClarifies ownership and next stepsProtects the patient (and the team) when plans are unclear 🪜 The 4-Step ED Consult Framework (Introduction → Ask → Summary → Close the Loop) Most consult friction comes from one of two problems: unclear expectations or excessive noise. This four-step structure solves both.1) Introduce yourself and your roleA simple intro sets a professional tone and removes ambiguity.Script: “Hey, this is Swami, one of the ED attendings. I’m calling for an ortho consult.” 2) Lead with the outcome (the ask)Don’t bury the lede. The consultant wants to know what you need—immediately.Script: “I’m calling about a patient with a suspected septic knee. I need you to evaluate for operative management.” 3) Give a focused, decision-relevant summaryYour summary should answer:Why this is your service’s problemWhat’s already been doneWhat I’m worried about / what decision is needed nowScript: “43-year-old man with no major PMH, 3 days of knee pain and swelling. XR negative. Febrile. Aspiration yielded purulent fluid—cultures sent. We started antibiotics after the tap. He’s hemodynamically stable.” High-yield pearl: Add quick “stability anchors” when relevant:“Airway stable, pain controlled.”“Neurovascularly intact.”“No signs of compartment syndrome.”“No hypotension or escalating oxygen requirement.” 4) Close the loop (timeline + next steps)This prevents the consult from floating in limbo and protects patient flow.Script: “When do you expect to see the patient, and do you want anything done before you arrive—NPO, repeat labs, additional imaging?” 📝 ED Consult Script General ED Consult Script “Hi, this is Dr. ___ in the ED. I’m calling for a ___ consult. The reason is ___. Briefly: ___ year-old with ___. We’ve done ___ and started ___. I’m concerned about ___. Can you see them today, and what’s your preferred next step?” Septic joint / Ortho Example “Hi, this is Swami in the ED. I need an ortho consult for suspected septic arthritis. 43-year-old with 3 days of atraumatic knee swelling and fever. XR negative. Tap produced purulent fluid—cultures sent. Antibiotics started after aspiration. Can you evaluate for operative management, and when can you see the patient?” Neurology example (time-sensitive) “Hi, this is Dr. ___ in the ED. I need neurology for suspected acute stroke. Last known well ___. NIHSS ___. CT/CTA completed (or pending). I’m calling to discuss candidacy for thrombolysis/thrombectomy and next steps. When can you evaluate and what additional workup do you want now?” ⛓️‍💥 Common ED Consult Mistakes (and Fixes) Mistake: Long story before the askFix: Lead with the outcome in the first sentenceMistake: Unfiltered data dumpFix: Provide only decision-relevant detailsMistake: No timelineFix: Ask explicitly when they’ll see the patient and what they need firstMistake: Implicit “ownership”Fix: Clarify who is admitting, who is following, and what happens if the patient worsens ✋ What to Do When a Consultant Pushes Back Even a perfect consult can meet resistance. Your job is to stay calm, keep it professional, and protect the patient.1) Ask “why?”Don’t argue first—diagnose the refusal.Script: “Help me understand your concern about seeing this patient.” Many refusals are based on misunderstanding: wrong service, missing key detail, or incorrect assumption about stability.2) Restate the consult in one sentence, then offer optionsIf the conversation starts spiraling, reset it.Script: “To be clear, I’m concerned this is septic arthritis and needs ortho evaluation. If you don’t feel you’re the right service, who should be—rheum, medicine, or another surgical team?” This keeps you collaborative while preventing dead ends.3) Humanize the decision (use sparingly)This is a “high-voltage” tool. Use it when stakes are high and you’ve already clarified the medical facts.Script: “I’m worried we’re missing something time-sensitive. If this were your family member, what would you want us to do next?” Use it to re-anchor to patient risk—not as a guilt tactic. ⚡️When and How to Escalate a Consult Escalation isn’t personal—it’s a safety mechanism when there’s an impasse that threatens timely care.When to escalateTime-sensitive condition is delayed (e.g., septic joint, cord compression, testicular torsion, GI bleed with instability)No clear disposition plan despite reasonable ED evaluationConsultant refusal blocks needed specialty decision-makingPatient safety or deterioration risk is increasing in the ED How to escalate (lowest to highest intensity)Ask for the consultant’s attending (if speaking to a resident)Call the on-call attending directlyInvolve ED leadership/medical directorEscalate to service chief/department chair (rare, but real)Hospital supervisor/admin escalation for immediate operational impasseScript: “We’re at an impasse and the patient needs a decision. I’m escalating to clarify ownership and ensure timely care.” ️ Documentation Tips for Consult Refusals Documentation should be factual and patient-centered, not punitive.Include:Your clinical concern and why the consult is neededWho you spoke with (name/role)Their stated reason for refusal or delayAlternatives discussedEscalation steps taken and final plan 👉 FAQ: Emergency Medicine Consults What is the best way to call a consult in the ED?Introduce yourself, lead with the specific ask, summarize only decision-relevant details, and close the loop with a clear plan and timeline.What should I say when a consultant refuses to see a patient?Ask why, clarify misunderstandings, restate your concern and the ask, and request an alternative plan or appropriate service.When should I escalate a consult?Escalate when an impasse delays time-sensitive care, threatens patient safety, or prevents appropriate disposition.How do I document a refused consult?Document the clinical concern, who you spoke with, their stated reason, alternatives discussed, and escalation steps taken. 🏁 Conclusion Mastering emergency medicine consults makes you faster, safer, and easier to work with. The goal isn’t to “win” a consult call—it’s to get the patient the right care, with clear ownership and a shared plan. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Associate Editor Anand Swaminathan MD, MPH All Things REBEL EM Meet The Team 🔎 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 150.0: Emergency Medicine Consults: How to Call a Consult + Handle Pushback (With Scripts) appeared first on REBEL EM - Emergency Medicine Blog.

Send a textIn this segment, Ben and Daphna review a retrospective study from the Hospital for Sick Children comparing outcomes of therapeutic hypothermia in late preterm (34-35 weeks) versus early term (36-37 weeks) infants. They discuss the significantly higher rates of mortality, hemodynamic instability, and hypoglycemia found in the younger cohort, known as "Group 1". The hosts explore the implications of using MRI scoring systems like the Weeke score for preterm brains and debate the ethical challenges of conducting future randomized trials as clinical practice shifts away from cooling younger babies based on emerging retrospective data.----Whole-body hypothermia in late preterm and early term infants: a retrospective analysis from a neurocritical care unit. Martinez A, Cikman G, Al Kalaf H, Wilson D, Banh B, Abdelmageed W, Beamonte Arango I, Christensen R, Branson HM, Cizmeci MN.Pediatr Res. 2026 Jan 7. doi: 10.1038/s41390-025-04701-x. Online ahead of print.PMID: 41501407Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

"It gives people from grief to relief. It gives them a little bit of a lightened load when it comes to their emotional state, and they can not move on, but utilize it better." —Jenessa WyattThis episode explores how grief, fear, and uncertainty can be faced without losing grounding in real life. Psychic medium Jenessa Wyatt shares how her work blends evidence, intuition, and spiritual connection to help people find healing, protection, and clarity. Through stories of health warnings, house clearings, and personal lessons, she offers a practical, no-fluff perspective on how spirituality and everyday life can coexist. Tune into this episode and explore how grief, intuition, and spiritual protection can sit side by side with everyday life, not outside it.How Jenessa describes being a psychic medium and why comedy is part of her workTurning “grief to relief” through evidence-based mediumshipSpecific stories of medical warnings, early cancer flags, and ICU “downloads”Daily spiritual protection rituals with white light and candlesA dark entity attachment, poltergeist-like activity, and what finally cleared itHow she protects survivors of abuse during readingsWorking with spirits in homes, from gentle presences to unsafe entitiesSage, rituals, and practical house cleansing stepsChildren as sensitives, signs to watch, and when spirit contact becomes a concernPolitical energy, staged-looking events, and how fear is used to controlCorporations, pharma, food systems, and the economics of fearManaging intuitive downloads without losing mental and emotional stabilityJenessa's vision for a reality show that normalizes spirituality without scriptsA live mini reading for Heather: her friend's sudden passing, family health, and career shiftConnect with Heather: WebsiteLinkedInInstagramFacebookYouTubeEpisode Highlights:01:31 Meet Jenessa: From Grief to Relief 09:00 Carrying Heavy Topics: Death, Cancer, & Emotional Boundaries13:02 How Forgetting a Candle Opened the Door to a Dark Attachment17:00 Protecting Trauma Survivors 30:48 When to Take It Seriously37:09 Who Really Runs Things 47:06 Validating Energy and Personality Traits 53:33 For the FamilyResources:

This week on After Hours Jennifer and Laura are joined by Moms on Call consultant Alexandra Pereira. A former cardiac ICU and NICU nurse, she shares her experiences as a mother of three young children, discussing the importance of consistent boundaries and the challenges of parenting multiple children. Alex emphasized the significance of creating a structured environment for children, which helps in building their confidence and decision-making skills. She also highlighted the value of maintaining calm amidst the chaos of family life, using strategies like contact napping and engaging children in activities to manage daily routines. These insights reflect the core philosophy of Moms On Call, which is to empower parents with the tools and confidence to thrive in their parenting journey. Follow Alex on Instagram at @em.parent.ment

We chat with Melissa Nestor, clinical pharmacist in neurocritical care, about tho subtleties of glucose and insulin management in the ICU. Learn more at the Intensive Care Academy!

Send a textIn this episode of Journal Club, Ben and Daphna review a prospective cohort study from the Journal of Perinatology that examines the care of neonates following in-utero growth restriction. The hosts unpack the critical distinction between Fetal Growth Restriction (FGR) and Small for Gestational Age (SGA), highlighting how the "decay of information" in the NICU can lead clinicians to overlook early risk factors as babies grow. They discuss the study's alarming findings regarding the six-fold increased risk of Necrotizing Enterocolitis (NEC) in SGA infants and the importance of maintaining a comprehensive medical history throughout a patient's stay.----Care of neonates following in-utero growth restriction: A prospective cohort study exploring neonatal morbidity. Alda MG, Wood AG, MacDonald T, Charlton JK.J Perinatol. 2025 Sep;45(9):1219-1225. doi: 10.1038/s41372-025-02397-9. Epub 2025 Aug 21.PMID: 40841433 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!

"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

Did you know that visiting a museum can lower your cortisol levels? Or that singing can bond a group faster than almost any other activity? We tend to think of the arts as entertainment, but science tells a different story. Today, we explore why creativity is hardwired into our biology and how it can be used to treat everything from postnatal depression to stroke recovery.Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(4:14) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(9:01) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(15:30) The Chemistry of Connection. Why singing evolved before language and how it accelerates group bonding(20:32) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(25:57) The Professional Paradox: Balancing the wellbeing benefits of art with the pressures of a creative career(30:03) Predictive Coding & Play: Why the human brain needs improvisation and why we shouldn't outsource creativity to AI(33:26) Singing to Daphne: How Daisy usedsinging to comfort her premature daughter in the ICU(37:55) World Health Organization, Public Policy & Social Prescribing(46:04) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(58:17) Finding Artistic Reverence in Nature Episode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

Did you know that visiting a museum can lower your cortisol levels? Or that singing can bond a group faster than almost any other activity? We tend to think of the arts as entertainment, but science tells a different story. Today, we explore why creativity is hardwired into our biology and how it can be used to treat everything from postnatal depression to stroke recovery.Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author of Art Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(4:14) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(9:01) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(15:30) The Chemistry of Connection. Why singing evolved before language and how it accelerates group bonding(20:32) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(25:57) The Professional Paradox: Balancing the wellbeing benefits of art with the pressures of a creative career(30:03) Predictive Coding & Play: Why the human brain needs improvisation and why we shouldn't outsource creativity to AI(33:26) Singing to Daphne: How Daisy usedsinging to comfort her premature daughter in the ICU(37:55) World Health Organization, Public Policy & Social Prescribing(46:04) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(58:17) Finding Artistic Reverence in Nature Episode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

Did you know that visiting a museum can lower your cortisol levels? Or that singing can bond a group faster than almost any other activity? We tend to think of the arts as entertainment, but science tells a different story. Today, we explore why creativity is hardwired into our biology and how it can be used to treat everything from postnatal depression to stroke recovery.Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author of Art Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(4:14) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(9:01) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(15:30) The Chemistry of Connection. Why singing evolved before language and how it accelerates group bonding(20:32) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(25:57) The Professional Paradox: Balancing the wellbeing benefits of art with the pressures of a creative career(30:03) Predictive Coding & Play: Why the human brain needs improvisation and why we shouldn't outsource creativity to AI(33:26) Singing to Daphne: How Daisy usedsinging to comfort her premature daughter in the ICU(37:55) World Health Organization, Public Policy & Social Prescribing(46:04) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(58:17) Finding Artistic Reverence in Nature Episode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

Did you know that visiting a museum can lower your cortisol levels? Or that singing can bond a group faster than almost any other activity? We tend to think of the arts as entertainment, but science tells a different story. Today, we explore why creativity is hardwired into our biology and how it can be used to treat everything from postnatal depression to stroke recovery.Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author of Art Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(4:14) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(9:01) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(15:30) The Chemistry of Connection. Why singing evolved before language and how it accelerates group bonding(20:32) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(25:57) The Professional Paradox: Balancing the wellbeing benefits of art with the pressures of a creative career(30:03) Predictive Coding & Play: Why the human brain needs improvisation and why we shouldn't outsource creativity to AI(33:26) Singing to Daphne: How Daisy usedsinging to comfort her premature daughter in the ICU(37:55) World Health Organization, Public Policy & Social Prescribing(46:04) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(58:17) Finding Artistic Reverence in Nature Episode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

Join Augustine on the Midwifery Wisdom Podcast as she welcomes Ashley from Michigan, who shares her transformative journey from birth trauma to healing and empowerment. Ashley, a former ICU nurse, candidly discusses the importance of recognizing and honoring birth trauma, advocating for co-care and collaborative care, and the revolutionary experience of having a maternal assisted C-section. Together, they delve into the significance of patient rights, the balance between medical intervention and natural processes, and the profound impact compassionate, dignified care can have on the birthing experience. This episode is a powerful testament to the possibility of change and hope within the birthing community.Links: For more information about the Turnkey Birth Centre for Sale in Abilene, Texas, write to amy@midwiferywisdom.comFollow Ashley's Instagram @birthonherterms00:00 Introduction and Special Announcement01:26 Meet Ashley: A Journey of Change03:32 Balancing Art and Science in Birth04:08 Challenges in Community-Based Midwifery08:48 Ashley's Personal Birth Experiences21:40 The Maternal Assisted C-Section37:41 Standing Firm on Informed Decisions38:21 The Importance of Family Inclusion39:52 Advocating for Support During Birth41:16 The Impact of Birth Experiences on Mental Health42:28 The Need for Patient Rights and Advocacy44:14 The Role of Communication in Healing48:36 Transforming Pain into Power49:11 Balancing Passion and Parenthood54:12 The Value of Midwives and Postpartum Support01:04:20 The Importance of Trauma-Informed Care01:12:58 Advocating for Change in Healthcare01:16:54 Sharing the Journey and Future Plans

"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast

本期提要：1、全球第四大车企爆雷，深度解读背后的原因？2、吉利与欣旺达庭外和解，巨额赔偿的背后，到底对汽车圈有哪些影响？3、置换和报废补贴细则落地，有哪些需要我们买车的时候注意？4、蔚来去年四季度盈利，今年能否持续盈利？是不是这一口气喘过来了？5、中国一汽发布 1000 公里固液电池，这到底是个什么概念？6、固态电池真的很快就要来了吗？【本期高光】Part 1 行业震荡与巨头抉择：减值、警告与收购魔法00:03:55 Stellantis 265亿减值刷新纪录，新能源转型误判致股价暴跌30%！00:07:35 CEO发出「军令状」：2026年底不盈利的品牌将面临关停！00:08:57 吉利收购沃尔沃的魔法：领克与极氪如何横空出世？00:10:18 安踏「点石成金」：斐乐如何从白菜价变身300亿现金奶牛？00:13:33 财务洗澡？福特与斯特兰蒂斯的激进减值策略背后。00:14:19 中国电动化优势「全家桶」：廉价劳动力、政府补贴与稀土资源。Part 2 技术前沿与市场博弈：电池突破与召回风云00:19:33 电池突破！中国一汽发布1000公里续航固液电池，能量密度超500瓦时。00:21:41 锰基电池的「兴奋剂」效应：能量爆棚但稳定性存疑。00:26:46 极氪召回3.8万辆车，背后竟是一场23亿到6亿的天价官司！00:32:05 极氪的「借力打力」：成功索赔6亿，稳住3.8万车主。00:33:49 补贴的「经济魔法」：南京5亿补贴如何撬动200亿销售额？00:36:48 宁德时代注资换电业务，蔚来单季交付超12万，财报「甩包袱」？Part 3 企业生存与个人思考：定位、转型与未来方向00:39:59 蔚来「出ICU」：但30万价格天花板与未来定位成谜。00:40:56 蔚来的生死线：月销4万台是2026年不倒闭的关键？00:46:22 自媒体的十字路口：搞情绪价值还是做专业内容？仿佛婆媳间的拉锯战。00:49:14 危机中的机遇哲学：胆大的冲，胆小的躲，信息差是关键！00:58:43 二手车商新玩法：社交平台+AI，精准识别卖车意图。01:00:36 听众的生活智慧：讨厌主播声音？不如买副耳机保持家庭和谐。【本期主播】 三刀：自称“别人研究车，而我研究人”的汽车KOL。2006年从事汽车销售，2013年成立播客工作室，靠一支麦克风从播客做到抖音、B站，小红书、微博等平台。节目里既聊车，也聊人间冷暖，刀友们口中的“老大哥”。抖音丨快手丨小红书丨视频号：三刀侃车汽车之家丨懂车帝丨bilibili丨公众号：百车全说微博：百车全说三刀欢迎在苹果播客、小宇宙、喜马拉雅、网易云音乐、qq音乐、蜻蜓FM、微博音频、微信视频号搜索【百车全说】，马上订阅节目，不错过每次更新。加入听友社群，微信号：46415254想与三刀1对1交流，扫码加入知识星球：

Is This a Frog Boil or a Full Blaze, and Are We Ready for What Comes Next?#GoRight with Peter BoykinIs America Arguing While the Fire Spreads, and Are You Ready for What Comes Next? Something feels different in America right now. The outrage cycle moves faster than ever, but it does not always move evenly.Some tragedies dominate headlines instantly, while others fade into silence. In this episode of #GoRight with Peter Boykin, we dive into the growing tension surrounding ICE enforcement, national protests, and the deeper question many Americans are asking: why does public outrage seem selective?This podcast examines recent events, including the fatal ICE-related shooting of ICU nurse Alex Jeffrey Pretti, the nationwide protests that followed, and how the conversation is playing out across North Carolina, from Durham to Raleigh to Alamance County. Is this simply political polarization, or are we witnessing a cultural shift that changes whose stories get told and whose voices get ignored? From a Constitutionalist for Liberty perspective, Peter Boykin explores the balance between enforcement and compassion, accountability and public safety, and the responsibility of local leadership when national issues reach the county level. This is not about race or hate. This is about consistency, equal value for human life, and asking hard questions when narratives clash with reality.Are we slowly boiling without noticing, or standing at the edge of a full blaze? Watch, listen, and decide for yourself.Watch & Listen:https://rumble.com/v75lvws-is-this-a-frog-boil-or-a-full-blaze-and-are-we-ready-for-what-comes-next.htmlhttps://youtu.be/ItzpTNP0JAchttps://www.spreaker.com/episode/is-this-a-frog-boil-or-a-full-blaze-and-are-we-ready-for-what-comes-next--69972646Read:https://gorightnews.com/is-this-a-frog-boil-or-a-full-blaze-and-are-we-ready-for-what-comes-next/Follow and support:GoRightNews.comPeterBoykin.comGoRightNC.com#GoRight, #GoRightNews, #PeterBoykin, #ConstitutionalistForLiberty, #ICE, #ImmigrationDebate, #BorderSecurity, #FreeSpeech, #PoliticalCommentary, #AmericaFirst, #NorthCarolinaPolitics, #AlamanceCounty, #NewsAnalysis, #CitizenJournalism, #PoliticsPodcast, #ConservativeVoices, #CivilLiberties, #RuleOfLaw, #PoliticalDiscussion, #USPoliticsBecome a supporter of this podcast: https://www.spreaker.com/podcast/goright-with-peter-boykin-gorightnews-com--3096608/support.

Send a textIn this episode of Journal Club, Ben and Daphna review a non-inferiority trial from the European Journal of Pediatrics exploring surfactant administration thresholds in preterm neonates. The study, conducted in India, compares a 30% versus 40% FiO2 threshold for babies 26-32 weeks gestational age. The hosts break down the counterintuitive findings regarding respiratory support duration in younger subgroups and discuss the broader implications of using rigid FiO2 heuristics versus individualized patient assessment. They also debate how resource availability influences clinical protocols and the potential benefits of "LISA" (Less Invasive Surfactant Administration) for avoiding intubation.----Higher (40%) versus lower (30%) FiO2 threshold for surfactant administration in preterm neonates between 26 and 32 weeks of gestational age: a non-inferiority randomized controlled trial. Haq MI, Datta V, Bandyopadhyay T, Nangia S, Anand P, Murukesan VM.Eur J Pediatr. 2025 Nov 25;184(12):793. doi: 10.1007/s00431-025-06628-1.PMID: 41288797 Clinical Trial.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!

If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results…  Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income.  And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com.                                                          =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs.                                                                                                 =============== Former hospital executive and operations leader Joe White explains how years spent running ER, hospitalist, and ICU services showed him the hidden costs and inefficiencies of traditional locums arrangements. Working as an ER tech, COO, and corporate VP, he saw firsthand how opaque markups, slow credentialing, and rigid contracts hurt both hospitals and physicians, and why it made sense to rebuild the process from the ground up. He describes how that experience led him to launch SendIt, a platform that lets physicians contract directly with hospitals, set their own hourly rates, control their availability, and treat clinical work more like flexible fractional gigs. Along the way, he demystifies how hospital finances really work, how administrators think about coverage and service lines, and what doctors should understand before negotiating, signing up for locums work, or relying on staffing agencies You'll find links mentioned in the episode at nonclinicalphysicians.com/restore-physician-autonomy/

This week’s Pulm PEEPs Pearls episode is all about spontaneous breathing trials (SBTs). SBTs are a standard part of the daily practice in the intensive care unit, but the exact methods vary across ICUs and institutions. Listen in to hear about the most common methods of SBTs, the physiology of each method, and what the evidence says. Contributors This episode was prepared with research by Pulm PEEPs Associate Editor George Doumat. Dustin Latimer, another Pulm PEEPs Associate Editor, assisted with audio and video editing. Key Learning Points What an SBT is really testing An SBT is a stress test for post-extubation work of breathing, not just a ventilator check. The goal is to balance sensitivity and specificity: Too hard → unnecessary failures and delayed extubation Too easy → false positives and higher risk of reintubation Common SBT modalities and how they compare T-piece No inspiratory support and no PEEP Highest work of breathing Most “physiologic” but often too strict Pressure support (PS) + PEEP (e.g., 5/5 or 8/5) Offsets ETT resistance and provides modest assistance Easier to pass than T-piece CPAP (0/5) No inspiratory help, but provides PEEP to counter ETT resistance Sits between PS and T-piece in difficulty Evidence favors pressure-supported SBTs for most patients Large meta-analysis (~6,000 patients, >40 RCTs): Pressure-supported SBTs increase successful extubation (~7% absolute benefit) No increase in reintubation rates Trials (e.g., FAST trial): Patients pass SBTs earlier Leads to earlier extubation and fewer ventilator-associated risks Bottom line: A 30-minute PS 5/5 SBT is evidence-based and appropriate for most stable ICU patients When a T-piece still makes sense T-piece SBTs are useful when: Cost of reintubation is high Difficult airway Prior failed extubation Pretest probability of success is low Prolonged or difficult weaning Tracheostomy vs extubation decisions Need to mimic physiology without positive pressure In LV dysfunction or pulmonary edema even small amounts PEEP may significantly improve physiology Some centers use a hybrid approach: PS SBT → short confirmatory T-piece before extubation CPAP as a middle ground Rationale: Allows full patient effort while compensating for ETT resistance Evidence: Fewer and smaller trials Possible modest improvement in extubation success No clear mortality or LOS benefit Reasonable option based on patient physiology, institutional protocols, and clinician comfort No single “perfect” SBT mode Across PS, T-piece, CPAP, and newer methods (e.g., high-flow via ETT) there are no consistent differences in mortality or length of stay What matters most: Daily protocolized screening Thoughtful bedside clinical judgment Matching SBT difficulty to patient-specific risk Institutional variation is normal—and acceptable Examples: PS 10/5 in postoperative surgical ICU patients PS 5/0 as an intermediate difficulty option Key question clinicians should ask: What does passing or failing this specific SBT tell me about this patient's likelihood of post-extubation success? Take-home pearls SBTs are stress tests of post-extubation physiology. PS 5/5 for 30 minutes is a strong default for most ICU patients. T-piece trials are valuable when false positives are costly or physiology demands it. CPAP is reasonable but supported by less robust data. Consistency, daily screening, and judgment matter more than the exact mode. References and Further Reading Burns KEA, Khan J, Phoophiboon V, Trivedi V, Gomez-Builes JC, Giammarioli B, Lewis K, Chaudhuri D, Desai K, Friedrich JO. Spontaneous Breathing Trial Techniques for Extubating Adults and Children Who Are Critically Ill: A Systematic Review and Meta-Analysis. JAMA Netw Open. 2024 Feb 5;7(2):e2356794. doi: 10.1001/jamanetworkopen.2023.56794. PMID: 38393729; PMCID: PMC10891471. Burns KEA, Sadeghirad B, Ghadimi M, Khan J, Phoophiboon V, Trivedi V, Gomez Builes C, Giammarioli B, Lewis K, Chaudhuri D, Desai K, Friedrich JO. Comparative effectiveness of alternative spontaneous breathing trial techniques: a systematic review and network meta-analysis of randomized trials. Crit Care. 2024 Jun 8;28(1):194. doi: 10.1186/s13054-024-04958-4. PMID: 38849936; PMCID: PMC11162018. Subirà C, Hernández G, Vázquez A, Rodríguez-García R, González-Castro A, García C, Rubio O, Ventura L, López A, de la Torre MC, Keough E, Arauzo V, Hermosa C, Sánchez C, Tizón A, Tenza E, Laborda C, Cabañes S, Lacueva V, Del Mar Fernández M, Arnau A, Fernández R. Effect of Pressure Support vs T-Piece Ventilation Strategies During Spontaneous Breathing Trials on Successful Extubation Among Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial. JAMA. 2019 Jun 11;321(22):2175-2182. doi: 10.1001/jama.2019.7234. Erratum in: JAMA. 2019 Aug 20;322(7):696. doi: 10.1001/jama.2019.11119. PMID: 31184740; PMCID: PMC6563557. Burns KEA, Wong J, Rizvi L, Lafreniere-Roula M, Thorpe K, Devlin JW, Cook DJ, Seely A, Dodek PM, Tanios M, Piraino T, Gouskos A, Kiedrowski KC, Kay P, Mitchell S, Merner GW, Mayette M, D’Aragon F, Lamontagne F, Rochwerg B, Turgeon A, Sia YT, Charbonney E, Aslanian P, Criner GJ, Hyzy RC, Beitler JR, Kassis EB, Kutsogiannis DJ, Meade MO, Liebler J, Iyer-Kumar S, Tsang J, Cirone R, Shanholtz C, Hill NS; Canadian Critical Care Trials Group. Frequency of Screening and Spontaneous Breathing Trial Techniques: A Randomized Clinical Trial. JAMA. 2024 Dec 3;332(21):1808-1821. doi: 10.1001/jama.2024.20631. PMID: 39382222; PMCID: PMC11581551. Mahul M, Jung B, Galia F, Molinari N, de Jong A, Coisel Y, Vaschetto R, Matecki S, Chanques G, Brochard L, Jaber S. Spontaneous breathing trial and post-extubation work of breathing in morbidly obese critically ill patients. Crit Care. 2016 Oct 27;20(1):346. doi: 10.1186/s13054-016-1457-4. PMID: 27784322; PMCID: PMC5081985. Yi LJ, Tian X, Chen M, Lei JM, Xiao N, Jiménez-Herrera MF. Comparative Efficacy and Safety of Four Different Spontaneous Breathing Trials for Weaning From Mechanical Ventilation: A Systematic Review and Network Meta-Analysis. Front Med (Lausanne). 2021 Nov 22;8:731196. doi: 10.3389/fmed.2021.731196. PMID: 34881255; PMCID: PMC8647911.​

In this episode of SHE MD, Mary Alice Haney and Dr. Thaïs Aliabadi sit down with Hospice Nurse Julie, a hospice and palliative care nurse who has supported thousands of patients and families at the end of life. Together, they gently explore what dying actually looks like, both physically and emotionally, and how understanding the process can help reduce fear.Julie explains common signs seen in the final days, including terminal lucidity, changes in breathing, the “death rattle,” and decreased awareness, helping listeners understand that many of these experiences are natural and not signs of suffering. They discuss terminal agitation, how hospice teams manage comfort, and the thoughtful use of medications like morphine.The conversation also emphasizes the importance of end of life planning, including advance directives, family conversations, and making wishes known to reduce guilt and conflict later. Julie shares how her work has changed the way she lives, encouraging presence, gratitude, and honest conversations about mortality. This episode offers comfort, clarity, and reassurance for anyone caring for a loved one, facing serious illness, or simply wanting to approach death with less fear and more understanding.Subscribe to SHE MD Podcast for expert tips on PCOS, Endometriosis, fertility, and hormonal balance. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.Sponsors:Ka'Chava - Stick with your wellness goals. Go to kachava.com and use code SHEMD for 15% offPeloton - Let yourself run, lift, sculpt, push, and go. Explore the new Peloton Cross Training Tread+ at onepeloton.com ButcherBox - As an exclusive offer, new listeners can get their choice between organic ground beef, chicken breast or ground turkey in every box for a year, PLUS $20 off when you go to ButcherBox.com/SHEMD Talkiatry: Head to Talkiatry.com/shemd and complete the short assessment to get matched with an in‑network psychiatrist in just a few minutesWhat You'll Learn:How hospice care works and when it's appropriateWhat terminal lucidity is and why it happensWhat the “death rattle” is and why it usually does not indicate sufferingHow hospice manages comfort, pain, and terminal agitationWhy advance directives and end of life planning matter for familiesHow talking about death can reduce fear and guiltHow working with dying patients can change the way we liveKey Timestamps:00:00 Introduction to hospice care and why understanding death reduces fear06:25 What does hospice really mean and when is it appropriate10:00 What is terminal lucidity and why do some patients suddenly rally11:30 Julie's journey as a nurse14:40 The difference between dying in the ICU and in hospice19:30 The stages of dying21:50 What actually happens during the actively dying phase39:10 Explanation of “visioning”42:30 What causes the death rattle and is the patient suffering48:50 When is morphine used and is it always necessary50:00 What is terminal agitation and how is it managed53:00 How can families prepare emotionally and practically for end of life01:00:25 How working with dying patients changes the way you live01:07:10 Advice for someone who is scared they are dying01:09:30 Is hospice covered by insurance and Medicare01:10:30) Final reflections on making death less frightening and more meaningfulKey Takeaways:Many physical changes at the end of life are natural and not signs of sufferingComfort, dignity, and presence are the core goals of hospice carePlanning ahead helps families feel confident and united in difficult momentsBeing present with a loved one can be more meaningful than trying to control every detailUnderstanding death can help us live more fully and with deeper gratitudeGuest Bio:Julie McFadden, RN, is the bestselling author of Nothing to Fear and a hospice/palliative care nurse with more than fifteen years of experience. Passionate about normalizing death and dying, she has more than one million followers on TikTok as @hospicenursejulie. She has been featured in Newsweek, Time, USA Today, and The Atlantic, and has appeared on Dr. Phil Primetime, Howie Mandel Does Stuff, and elsewhere.Links:Hospice Nurse Julie Social Media: https://www.instagram.com/hospicenursejulieWebsite: https://www.hospicenursejulie.comNothing to Fear Book: https://www.penguinrandomhouse.com/books/734126/nothing-to-fear-by-julie-mcfadden-rn/Nothing to Fear Journal: https://www.penguinrandomhouse.com/books/777758/the-nothing-to-fear-journal-by-julie-mcfadden-rn/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, Garrett and Payton explore the case of Patrick de la Cerda, a man living what seemed like a fairytale romance until his life was tragically cut short by a killer no one saw coming. Links: Netflix: https://www.netflix.com/murderwithmyhusband Patreon: https://www.patreon.com/murderwithmyhusband NEW MERCH LINK: https://mwmhshop.com Discount Codes: https://mailchi.mp/c6f48670aeac/oh-no-media-discount-codes Twitch: https://www.twitch.tv/themwmh Instagram: https://www.instagram.com/murderwithmyhusband/ Watch on Youtube: https://www.youtube.com/@murderwithmyhusband Listen on Apple: https://podcasts.apple.com/us/podcast/into-the-dark/id1662304327 Listen on spotify: https://open.spotify.com/show/36SDVKB2MEWpFGVs9kRgQ7?si=f5224c9fd99542a7 Case Sources: Oxygen.com - https://www.oxygen.com/a-plan-to-kill/crime-news/patrick-de-la-cerda-shot-to-death-at-florida-home News-JouralOnline.com - https://www.news-journalonline.com/story/news/courts/2021/05/29/man-convicted-murder-plan-slaying-romantic-rival-deltona/5243838001/ CaseLaw.FindLaw.com - https://caselaw.findlaw.com/court/fl-district-court-of-appeal/2196501.html ThatsLife.com - https://www.thatslife.com.au/crime/deadly-delivery-killed-by-a-fake-postie/ TillManFuneralHome.com - https://www.tillmanfuneralhome.com/obituaries/5296709 CrimeAndCoffeeCouple.wordpress.com - https://crimeandcoffeecouple.wordpress.com/2024/10/06/the-murder-of-patrick-de-la-cerda/ ClickOrlando.com - https://www.clickorlando.com/news/2018/03/02/deltona-man-slain-in-attack-sparked-by-jealousy-sheriff-says/ DailyMail.com - https://www.dailymail.co.uk/news/article-10200995/Florida-man-nearly-gets-away-murder-wife-girlfriend-meet-hospital-ICU-stay.html CBS.com - https://www.cbsnews.com/news/patrick-de-la-cerda-murder-gregory-bender-trash-48-hours/ A Plan to Kill Season 1 Episode 6 - https://www.peacocktv.com/watch/playback/vod/GMO_00000000506750_01/e5dccebe-1846-3a2f-9acb-1fbc994f950d?paused=true Learn more about your ad choices. Visit podcastchoices.com/adchoices

In today's episode, I chat with Serrin a graphic designer from Byron Bayabout her extraordinary pregnancy journey involving a life-threatening arteriovenous malformation (AVM). What began as severe headaches that were initially dismissed as normal pregnancy symptoms escalated into a major brain haemorrhage at 22 weeks. Serrin takes us through her weeks in ICU at Gold Coast University Hospital, living in Airbnbs throughout her pregnancy due to medical restrictions, and ultimately welcoming her daughter Bobby via caesarean at 38 weeks. She also shares her challenging recovery journey, including a second brain bleed following post-birth surgery when Bobby was six months old. This is a powerful story of medical complexity, community support, and finding strength through vulnerability - with important lessons about trusting your instincts and advocating for proper care when something doesn't feel right during pregnancy.Proudly brought to you by iL Tutto.To celebrate the release of iL Tutto's newest award-winning Frankie Electric Recliner, listeners of Australian Birth Stories can enjoy an exclusive 20% off the iL Tutto Trend Collection for a limited time. iL Tutto creates beautifully designed nursery furniture that supports parents through every stage, from those first days at home to life beyond the nursery. Their ever-growing premium Trend Collection brings together thoughtfully designed, sustainable timber cots and chests, alongside award-winning nursing chairs, including the much-loved Frankie and Louie in Teddy-Fleece and Corduroy. And now, iL Tutto has welcomed the newest addition to the collection, the award-winning Frankie Chair in Soft Teddy-Fleece, available in two stylish, trend-led colours designed to elevate your nursery and live beautifully in your home long after the baby years. To celebrate, enjoy 20% off iL Tutto's Trend Collection for a limited time.Simply use the code ABS20 at iltutto.com.au. This offer ends 25 March, 2026.Conditions apply.iL Tutto, designed for comfort, made to last. Hosted on Acast. See acast.com/privacy for more information.

Bryon survived a childhood most people wouldn't believe — raised in a crack house, learning to read danger before breakfast, and using intelligence as a survival weapon. In Episode 98 of The Wild Chaos Podcast, he shares a raw journey through counterfeit crime, addiction, prison, near-death experiences, and the slow work of choosing a different life.To watch the full episode in studio, visit: https://youtu.be/t4wmtq3DgY8From shooting himself during an armed robbery to surviving a 70-foot waterfall fall and an ICU stay with acute pancreatitis, Brian explains how trauma, brilliance, and addiction fed each other for decades. He opens up about twenty years of cocaine use, living double lives, and the moment sobriety finally stuck. The hardest chapter comes later — fatherhood.Watching his son struggle with addiction forces Bryon to confront his own past, set boundaries without abandoning love, and learn what real leadership looks like at home. Alongside legal self-defense, grief, marriage repair, and faith-based healing, this episode explores what redemption actually costs.If you've ever wondered whether it's too late to change — or how a “high-functioning” life can still be deeply broken — this conversation tells the truth.Follow Wild Chaos on Social Media:Apple iTunes: https://podcasts.apple.com/us/podcast/the-wild-chaos-podcast/id1732761860Spotify: https://open.spotify.com/show/5KFGZ6uABb1sQlfkE2TIoc?si=8ff748aa4fc64331⁠⁠⁠Instagram: https://www.instagram.com/wildchaospodcastBam's Instagram: https://www.instagram.com/bambam0069Youtube: https://youtube.com/@wildchaospodTikTok: ⁠⁠⁠https://www.tiktok.com/@thewildchaospodcastMeta (Facebook): ⁠⁠⁠https://www.facebook.com/TheWildChaosPodcastFor business inquiries, email us at: info@thewildchaos.com

In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Elizabeth H. Mack, MD, MS, FCCM, speaks with Nadir Yehya, MD, MSCE, an attending physician in the Pediatric Sepsis Program and the Division of Critical Care Medicine at the Children's Hospital of Philadelphia in Philadelphia, Pennsylvania, USA. They discuss Dr. Yehya's study, “Parent and Provider Perspectives on Short-Term Outcomes of Critically Ill Ventilated Children,” published in the September 2025 issue of Pediatric Critical Care Medicine. The study explores whether widely used composite clinical outcomes such as ventilator-free days truly reflect what families value most when their child is in the pediatric intensive care unit (PICU). Dr. Yehya discusses how the project emerged from a long-standing question in pediatric critical care research: Are the outcomes we measure in clinical trials aligned with the priorities and lived experiences of families? Because mortality is low in pediatrics, composite short-term outcomes such as ventilator-free days, ICU-free days, and hospital-free days are commonly used. However, little is known about whether these metrics are truly patient- and family-centered. Using survey data from parents and PICU clinicians, the study found strong agreement between parents and clinicians on the importance of minimizing duration of invasive mechanical ventilation. But parents and clinicians diverged on other short-term outcomes. Families ranked oxygen duration as more important than ICU or hospital length of stay, reflecting concerns about ongoing medical needs, missed work, and the possibility of going home on oxygen. Clinicians prioritized ICU and hospital days over oxygen use. Substantial variation was also found within both groups. Dr. Yehya highlights the value of feedback from patient and family advisory councils in designing this type of research, explaining that such feedback informed the study's instrument design and family approach. He calls for deeper investigation into post-discharge recovery, functional outcomes, and long-term developmental trajectories—areas families consistently identify as their greatest concerns. Resources referenced in this episode: Parent and Provider Perspectives on Short-Term Outcomes of Critically Ill Ventilated Children (Shannon MM, et al. Pediatr Crit Care Med. 2025;26:e1149-e1153)

Following on from last week's topic of rest and recovery (which it seems a lot of you are craving too) I have an interview that I think you are going to love - all about how to take care of yourself when life is going at full speed.My guest is Dr Jillian Bybee, MD a busy paediatric ICU physician (with a seriously hardcore schedule, dealing with life and death every day), as well as being a mother, transformational speaker, leader, and mindset coach who is dedicated to helping others live the lives they desire.I have been a huge fan of Dr Jillian and her Substack Humans Leading ever since I came across her a few years ago. She is such a wise, warm and incredibly smart human, with so much to teach us about how to live a full on life without burning out.And so I was delighted to finally get the chance to sit down with her and dive deep into the topic of how to take care of yourself when life is full on.In this conversation we talk about:* Why Jillian was drawn to the Goodbye Hello Journal as an anchor - not because her life is quiet, but because it's full (hospital shifts, leadership, parenting, and everything in between) - and so the journal helps her return to the question ‘how can I take care of myself?'* What it looks like to recover from burnout without giving up ambition (and without making yourself ‘selfish')* Grief, and the way loss can completely reorder your definition of success * The micro-tools that make a big difference: the ‘check your pulse' practice, five-minute resets, why ice cold water can calm your stress response, and why eating lunch with a knife and fork can be a surprisingly powerful tool to help you slow down* How medical training encourages people to become “brains in jars”… and why Jillian is actively helping to change that culture from the inside* Jillian's tips on switching off after an intense day (and why she has a Spotify playlist called Songs to Cry To that her colleagues now request

In this episode of "PICU Doc on Call," Drs. Pradip Kamat and Rahul Damania dive into a pediatric ICU case involving a 4-year-old girl who presents with severe anemia and bleeding, ultimately diagnosed with von Willebrand disease (VWD). They chat about the causes and different types of VWD, walk through the key clinical features, and break down how to diagnose and manage this condition. Drs. Kamat and Damania highlight the important roles of desmopressin and factor concentrates in treatment. Throughout the episode, they stress the need to recognize VWD in kids who have mucosal bleeding and offer practical tips for intensivists on lab evaluation and treatment strategies for this common inherited bleeding disorder.Show Nighlights: Clinical case discussion of a 4-year-old girl with severe anemia and bleeding symptomsDiagnosis of von Willebrand disease (VWD) and its significance in pediatric critical careEtiology and pathogenesis of von Willebrand diseaseClassification of von Willebrand disease into types (Type 1, Type 2 with subtypes, Type 3)Clinical manifestations and symptoms associated with VWDDiagnostic approach for identifying von Willebrand disease, including laboratory testsManagement strategies for VWD, including desmopressin and von Willebrand factor concentratesRole of adjunctive therapies such as antifibrinolytics and hormonal treatmentsImportance of multidisciplinary collaboration in managing complex bleeding disordersOverview of the pathophysiology of von Willebrand factor and its role in hemostasisReferences:Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter ***.Reference 1: Leebeek FW, Eikenboom JC. Von Willebrand's Disease. N Engl J Med. 2016 Nov 24;375(21):2067-2080.Reference 2: Ng C, Motto DG, Di Paola J. Diagnostic approach to von Willebrand disease. Blood. 2015 Mar 26;125(13):2029-37.Platton S, Baker P, Bowyer A, et al. Guideline for laboratory diagnosis and monitoring of von Willebrand disease: A joint guideline from the United Kingdom Haemophilia Centre Doctors' Organisation and the British Society for Hematology. Br J Haematol 2024 May;204(5):1714-1731.Mohinani A, Patel S, Tan V, Kartika T, Olson S, DeLoughery TG, Shatzel J. Desmopressin as a hemostatic and blood-sparing agent in bleeding disorders. Eur J Haematol. 2023 May;110(5):470-479. doi: 10.1111/ejh.13930. Epub 2023 Feb 12. PMID: 36656570; PMCID: PMC10073345.

ADAM RIZVI, M.D. is a critical care physician and neurologist whose work bridges medicine and non-dual wisdom. Author of "Love Does Not Know Death: Stories of Death, Dying and Miracles of True Forgiveness," he draws from years in the ICU and decades of contemplative study to show how forgiveness transforms fear into peace. He lives in California, where he teaches, writes, and co-hosts the podcast Letters to the Sky. He has experienced intuitive knowing, visions, synchronicities, and encounters with luminous presences during patients' transitions—The Paranormal Dimension. These moments transcend explanation, revealing an undeniable sacred presence during transitions. He talks about profound healing and life-changing insights  discovered during this sacred time of transition. He discusses extraordinary moments around death and how he and the dying person's loved ones have been affected..  Adam speaks of personal experiences of synchronicity (e.g., his father's passing on a pilgrimage. The book affirms that consciousness continues beyond physical death, citing overwhelming evidence and personal reflection. "Even after bodily death, the seemingly separated mind keeps on going and dreaming". Death is portrayed as symbolic of the belief in separation. Healing occurs by recognizing death's unreality: "The first step in forgiving death is to recognize its unreality... "The most real thing is love".  adam.rizvi.substack.com loveknowsnodeath.com      

Darrell Castle talks about what is going on in Minneapolis as well as the state of Minnesota — what is going on there, does anyone care, and what about fraud. Transcription / Notes MINNESOTA IS A STRANGE PLACE Hello, this is Darrell Castle with today's Castle Report. This is Friday the 6th day of February in the year of our Lord 2026. Although I am a little late for the party I will be talking about what is going on in Minneapolis as well as the state of Minnesota. What in the world is going on there and does anyone care about the violence and death, and also what about the fraud. Was a 37-year-old ICU nurse really a threat to the ICE agents in Minnesota? Do Americans who film such agents as they try to do their jobs belong on government lists. Should the presence of ICE agents in Minnesota be eliminated since the politicians and the people apparently are violently opposed to their presence. The answers to these questions, unfortunately, almost always depend on one's political party affiliation. Republicans back ICE in its deportation efforts while Democrats stand with Alex Pretti. Sometimes these positions require members of both parties to abandon the principles they once held dear. The struggle this time around has often centered on the real culprit, the ruling class. Everything seems like a diversion or distraction. When you see the Minnesota politicians parading around talking about the demonization of the Somali community one might wonder if they are just trying to distract attention away from the billions in fraud from which they allegedly received hefty amounts. When the administration doubles down on its hardline response by sending in more and more agents even after people have been killed one wonders if this is in reality an effort to distract us from the coming stupid pointless war against Iran. Yes the U.S. sent another carrier battle group into the Persian Gulf as an obvious threat to attack at the moment of Trump's or Netanyahu's choosing. Yes, Bibi has or soon will be coming to America for the 6th time in the Trump presidency perhaps to deliver to the president his strike options for the coming attack on Iran. A diversion for our attention is therefore a welcome side benefit thanks to the violence of the protesters in Minneapolis. I can't help but wonder why the president has made no effort to explain to the American people why an attack on Iran is in their best interest. He seems to go from one reason to another as one justification is erased, another takes its place. He first gave us the nuclear threat or weapons of mass destruction we have heard many times before. Then, we are told the nuclear enrichment sites were obliterated in a previous American attack. Then CIA, Mossad, and who knows how many others, allegedly launched a violent protest movement directed at regime change. When the Iranian regime put down the uprising with extreme violence that became another excuse for an attack. The sides are talking now about a way to avoid war but I get the impression it is simply a brief delay for some reason or another. A similar delay is going on in Minnesota as the sides are talking and Mr. Homan has agreed to withdraw 700 agents. Could the agreement be this, look Governor Waltz if you will stop inciting this violence and let us at least arrest the murderers and rapists among you then you can keep the millions you stole from the American people. I don't know if that is true but it sounds plausible to me. What about fraud? Let's talk about that for a moment. The fraud conducted by the “Somali community” escorted into the country by Barack Obama and Joe Biden and grouped together in Minnesota so they could have political power and even elect their members to congress to lecture us about racism. We are expected to concentrate on the seeming insanity of the ICE protesters and ICE agents instead of the money and where it goes. The last figures I have seen reveal that Somali welfare fraud in Minnesota is estimated at $9 billion. That is $9 billion of Medicaid and other welfare stolen from people who work and from people who need the help and shuffled off to various fraudulent enterprises run by the Somali community. That is just the amount found to have been stolen in Minnesota. It's predicted to be even worse in California, Illinois, Maine, New York, and perhaps other Democrat states. Who knows how many billions of dollars of your labor have been stolen. Well, Elon Musk says he knows the various forms of fraudulent payments given away by the federal government amount to $1.5 and $2 trillion per year which is about 25% of annual government spending and which coincides almost exactly with the deficit. In other words, if these figures are correct that $2 trillion the government spends over what it takes in is all fraud. Almost all this fraud goes to perpetuate various deep state programs and to line the pockets of Democrat voters and especially their politicians. That's why they fight so hard to make us ignore it and to detract us from investigating it. Now, let me say a few words about the killing of Alex Pretti by ICE agents in Minneapolis. Mr. Pretti apparently was killed when the agents first disarmed him of his legally possessed handgun, then threw him to the ground and shot him in the back many times. The object he was waving in his hand was a cell phone and to say they thought it was a gun made no sense because he had been disarmed by them. It does remind one a little of the bad old days of Democrat presidents when conservatives feared the Feds rather than supporting them. I'm thinking specifically of the incident in which Vicki Weaver had her head blown off by an FBI sniper named Lon Horiuchi while she stood in her cabin door holding her child. Agents also killed the Weaver's 14-year-old son by shooting him in the back. I knew Randy Weaver quite well back then as we had met at many speaking engagements and he was often at gun shows where I campaigned for office. The government today says there is no comparison with Vickie and Alex Pretti because she was unarmed. The truth is that Vickie had a .380 handgun in a holster under her dress just as Pretti had a legal gun in his possession. Once again they, the ruling elite that is, distract us from the real enemy. I've seen and heard Mr. Pretti described as a beloved ICU nurse and a peaceful man. I have no argument with the beloved description since I have no evidence to dispute that but the peaceful part I definitely dispute. To me, he appeared to be a man so fanatical in his system of beliefs that he was out of control and violently so. He was a nurse, which is a profession of the most noble among all if it is practiced correctly. Who can't tell stories of heroic nurses sitting with the dying or helping one through some of the most trying moments of life. Well, there was another nurse whose name goes unmentioned, but not for me. I say her name and I hope her parents are not offended by that but I feel compelled to speak for her because she really was peaceful. Her name was Laken Riley and she was peacefully jogging on her Georgia college campus when she was assaulted, raped, and murdered by an illegal criminal invited into this country by Joe Biden. Why, I ask, do none of the protesters care about Laken. She goes unmentioned by Democrat politicians and their protesters because I guess she just doesn't fit their political agenda. Laken's benevolence, her altruistic pursuits, her many accomplishments, her hopes and dreams count for nothing because she did not meet the Democrat politician's definition of someone they should care about. Sadly, Laken went out for a jog and she didn't come back the same fate has happened to literally dozens of women and girls at the hands of criminals whose cages were opened by Joe Biden. Just to name a few Sarah Root, Rachel Morin, Jocelyn Nungaray but there have been countless others. Jocelyn is of particular importance to me but I don't say much about her because she was a 12 year of child when she was very brutally murdered by five of Joe Biden's criminal invaders. No one speaks for her I suppose she is an embarrassment to the entire spectrum of what the ruling elite are trying to accomplish in this country and this world. That's probably enough about the women who have been murdered but there is one more and very recently. In Illinois recently a man named Joe Abraham has gained attention because he has had the audacity to speak for his 20-year-old daughter Katie, killed while stopped at a traffic light by a drunk illegal named Julio Cucol-Bol. Mr. Bol fled the scene but Katie was killed instantly. At least she didn't have to endure the torture that Jocelyn did. This case reminds me of that most appealing argument that to deport criminals would be forced separation of families. Well, the Abraham, Riley, and Nungaray families among countless others were certainly separated. None of these women are ever spoken of by Democrats and there have been no protests or demonstrations objecting to the government's policy of inviting violent criminals to walk among us. I suggest that when we see and hear the violent protests about ICE we try to remember the real victims who for Democrat politicians and their supporters remain nameless but for their families the loss is never ending. In Conclusion, I want to conclude by recommending a book that was just released and which I had to get an early copy to read. Peter Schweizer's “The Invisible Coup, How American Elites and Foreign Powers Use Migration as a Weapon.” That book opens for you the war that has been prosecuted against us by people who hate us and intend to destroy us, and unfortunately that often includes our leaders. Finally, folks, what in the world does this all mean? That's a topic for another day perhaps next week, we'll see. Remember the nameless fallen ones and pray for peace here and abroad. At least that's the way I see it, Until next time folks, This is Darrell Castle, Thanks for listening.

🧭 REBEL Rundown 📌 Key Points 💨 HFNC met criteria for non-inferiority to BPAP for preventing intubation or death within 7 days in four of the five ARF subgroups.🧪 Bayesian dynamic borrowing increased power across subgroups but created variable certainty, especially in smaller groups such as COPD.🫁 The immunocompromised hypoxemia subgroup did not meet non-inferiority, leading to early trial stopping for futility.️ Rescue BPAP use, subgroup-specific exclusion criteria, and non-standardized BPAP delivery are important contextual factors that influence how subgroup results should be interpreted. Click here for Direct Download of the Podcast. 📝 Introduction Bilevel Positive Airway Pressure (BPAP) has long been a foundational modality in the management of acute respiratory failure (ARF), particularly in COPD exacerbations and cardiogenic pulmonary edema, where it can rapidly reduce work of breathing and improve gas exchange. It remains a core tool in our respiratory support arsenal.High-flow nasal cannula (HFNC), however, has expanded what we can offer patients by delivering many of the same physiologic benefits through a far more comfortable interface. With high flows, modest PEEP, and effective dead-space washout, HFNC can improve oxygenation and decrease work of breathing while preserving the ability to talk, cough, eat, and interact with staff and family. This combination of physiologic support and tolerability makes HFNC especially attractive in patients where comfort, anxiety, or cardiovascular stability are key considerations, and in settings where prolonged noninvasive support may be needed. Rather than competing with BPAP, HFNC broadens our options in ARF and allows us to better match the modality to the patient and their underlying disease process.The RENOVATE trial set out to answer a high-impact question across five distinct etiologic groups: Is HFNC non-inferior to BPAP (NIV) for preventing intubation or death in acute respiratory failure? 🧾 Paper Azoulay É, et al. High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure: The RENOVATE Randomized Clinical Trial. JAMA. 2025 PMID: 39657981 🔙Previously Covered On REBEL: HFNC: Part 1 – How It WorksHFNC: Part 2 – Adult and Pediatric IndicationsFLORALI and AVOID TrialFLORALI-2: NIV vs HFNC as Pre-Oxygenation Prior to IntubationThe Pre-AeRATE Trial – HFNC vs NC for RSI ️ What They Did CLINICAL QUESTION Is HFNC non-inferior to BPAP for rate of endotracheal intubation or death at 7 days in patients with acute respiratory failure due to a variety of causes? STUDY DESIGN Multicenter, randomized non-inferiority trial33 Brazilian hospitalsNov 2019 – Nov 2023Adaptive Bayesian hierarchical modeling with dynamic borrowingOpen label, outcome adjudicators blindedPatients were classified into 5 subgroups SUBGROUPS 1. Non-immunocompromised hypoxemiaSpO₂ < 90% on room air orPaO₂ < 60 mm Hg on room air plusIncreased respiratory effort (accessory muscle use, paradoxical breathing, thoracoabdominal asynchrony) orRespiratory rate > 25 breaths/min2. Immunocompromised hypoxemiaDefined as:Use of immunosuppressive drugs for >3 monthsOR high-dose steroids >0.5 mg/kg/dayOR solid organ transplantOR solid tumors or hematologic malignancies (past 5 years)OR HIV with AIDS / primary immunodeficiency3. COPD exacerbation with acidosisHigh clinical suspicion of COPD as primary diagnosisRR >25 with accessory muscle use, paradoxical breathing, and/or thoracoabdominal asynchronyABG: pH 454. Acute cardiogenic pulmonary edema (ACPE)Sudden onset dyspnea and rales± S3 heart soundNo evidence of aspiration, infection, or pulmonary fibrosisCXR consistent with pulmonary edema5. Hypoxemic COVID-19 (added June 2023)Added due to deviations between expected and observed outcome proportionsAny patient across the other 4 groups with PCR-confirmed SARS-CoV-2 infection in any of the above groups POPULATION Inclusion Criteria:≥18 yrs with ARF* in one of 5 pre-defined subgroups excluding COPD was defined by the following:Hypoxemia with SpO₂

In this episode, I sit down with Dr Steven Lu, a former cardiac surgeon turned preventative health pioneer and the founder of Everlab.Steven shares his journey through medicine, from operating in high-pressure ICU and surgical environments to asking a deeper question: why are we waiting until people are critically unwell before intervening? After years of treating heart disease at its most advanced stages, he realised the system was built around reacting to illness rather than preventing it.We unpack the philosophy behind Everlab and why prevention, early detection, and personalised health data are the future of healthcare. Steven explains how understanding your biomarkers, lifestyle, and risk factors can help you take ownership of your health long before symptoms appear.This conversation also dives into simple, practical health habits anyone can start today, from movement and nutrition to sleep, stress, and consistency over perfection. It is a powerful reminder that small daily choices can dramatically change long-term outcomes.If you have ever felt confused, overwhelmed, or reactive about your health, this episode will help you reframe the way you think about wellbeing and empower you to take action earlier rather than later.In this episode we cover:Steven's journey from cardiac surgery to preventative medicineWhy the healthcare system is reactive by designThe moment that inspired him to start EverlabThe importance of early testing and personalised health dataSimple daily habits that reduce long-term disease riskWhy prevention is not about perfection, but consistencyHow to think long-term about your health and energyThis episode is about taking responsibility for your health, one decision at a time, before crisis forces the conversation.Follow Dr Steven/EverlabINSTAGRAMSend @thegoodhumanfactory a DM on Instagram saying "I wanna join the club" to join our FREE mindfulness and gratitude accountability community :)1% Good Club Book!!The Good Human FactoryAmazonBooktopiaCooper's SocialsInstagramTikTokThe Good Human Factory LinksInstagramWebsiteMerch – Use code PODCAST for 25% OFFWorkshop EnquiryTHE GOOD HUMAN FACTORY™️ 2020 Hosted on Acast. See acast.com/privacy for more information.

Send us a textEver been told to “suck it up” after a call that split your world in two? We challenge that script with a grounded, respectful look at how first responders can access care that actually helps. Steve sits down with licensed clinician and podcaster Susan Roggendorf for a candid, unfiltered conversation about culture, stigma, and practical support for police, fire, EMS, dispatch, ER, ICU, NICU, and corrections.We unpack why the tired question “What's the worst thing you've seen?” is not only unhelpful but harmful—and what clinicians should ask instead. Susan shares her background serving LGBTQ clients and first responders, detailing how role-specific stressors shape symptoms: from dispatchers carrying incomplete stories and auditory flashbacks, to EMS haunted by pediatric calls, to ER staff absorbing wave after wave of crisis without pause. Together, we outline a trauma-informed approach that centers consent, pacing, and control, building skills that fit real shifts: brief grounding, tactical breathing, movement that discharges stress, and cognitive resets you can use between calls.This episode also draws a clear map of the first responder circle without watering it down. We talk moral injury, hypervigilance, sleep disruption, and why peer support must be more than a checkbox. You'll hear podcasting war stories, yes, but also a deeper point: humility and repair are part of resilience, whether in a studio or on a scene. If you've ever sat through a therapy session that felt like a TV script, this is your reset. Expect real language, straight answers, and tools you can put to work immediately.To reach Susan, please go to https://psychhub.com/us/provider/susan-roggendorf/1316326036Support the showYouTube Channel For The Podcast

🧭 REBEL Rundown 🔑Key Points 🛌 Rest isn’t a luxury; it’s a necessity and differs significantly from sleep in terms of mental and physical recovery needs.🧠 Uncovering the seven types of rest can highlight diverse needs: physical, mental, sensory, creative, emotional, social, and spiritual.🏃‍️ Rest from high-stress environments such as the ED is crucial for reducing exhaustion, enhancing decision-making, and maintaining empathy.🔄 The necessity for intentional rest: tailor your rest strategies to meet personal recharge needs effectively.🧐 Rest should be deserved, not earned—it’s a vital component of overall health and wellness, on par with nutrition and hydration. Click here for Direct Download of the Podcast. 👀Previously Covered and Related Content: REBEL Core Cast: Sleep HygieneRebellion in EM: Care For Yourself – Sleep HygieneFirst10EM: Some Evidence For Working Night ShiftsREBEL MIND: Dunning Kruger Effect 📝 Introduction Welcome to this episode of REBEL MIND, where MIND stands for Mastering Internal Negativity during Difficulty. Here we sharpen the person behind the practitioner by focusing on things that improve our performance, optimizing team dynamics and the human behavior that embodies the hidden curriculum of medicine. Today we are exploring the imperative topic of rest and why it’s not just about sleeping. The first of a two part series, hosted by Dr. Mark Ramzy with guests Dr. Maureen Aiad and Dr. Amil Badoolah, our discussion sheds light on the multifaceted nature of rest, especially in the demanding field of emergency medicine. If you’re a clinician striving to perform at your best under pressure, this episode offers valuable insights into achieving the rest you deserve. Cognitive Question How do healthcare professionals in high-stress environments distinguish between rest and sleep, and how can they effectively incorporate various types of rest into their routines to manage stress and improve performance? 💤How is Rest Different From Sleep? Sleep is biological. It’s essential—but it’s only one form of recovery.Rest, on the other hand, is intentional, multifaceted, and active. You can sleep for 8 hours and still feel depleted—because what you needed wasn’t sleep, it was rest—in a different dimension. 🏥How This Applies to the Emergency Department or ICU? In the fast-paced, high-pressure world of the ED or ICU, medical professionals often overlook the importance of rest, perceiving it as unproductive. Yet, rest is crucial for maintaining cognitive function and emotional resilience. The unique concept of rest outlined in the ‘seven types of rest’ can be particularly beneficial. Understanding and implementing these can help practitioners handle the rigors of patient care and decision-making more effectively. 7️⃣The Seven Types of Rest 1️⃣Physical Rest: Passive (like sleep) and active (like stretching, massage, gentle movement).2️⃣Mental Rest: Reducing decision fatigue. Tools like brain dumping, meditation, or taking real breaks during work.3️⃣Sensory Rest: This involves reducing the input from your senses, such as limiting screen time, turning off the lights, or enjoying quiet time.4️⃣Creative Rest: Reconnecting with awe. Nature, art, music—things that refill your inspiration tank5️⃣Emotional Rest: Being around people you don’t have to perform for. Saying “I’m not okay.” spaces and people where you can be your authentic self and be at peace6️⃣Social Rest: Taking space from draining interactions; spending time with life-giving people. 7️⃣Spiritual Rest: Connection to a greater purpose—faith, community, reflection, meditation ⏩Immediate Action Steps for Your Next Shift **Identify Your Rest Needs**: Reflect on what kind of fatigue you’re experiencing and tailor rest activities accordingly, whether it’s sensory detox or emotional unwinding.**Practice Sensory Rest**: Take brief moments to close your eyes, or step outside for fresh air to manage overstimulation during shifts.**Plan Intentional Breaks**: Schedule specific times for rest that focus on particular dimensions you identify as lacking.**Engage in Active Rest**: Incorporate activities like stretching or meditation during your breaks to enhance mental clarity and reduce physical exhaustion.**Connect with Supportive Colleagues**: Seek interactions with peers who offer emotional and social support, promoting a healthy work-life balance. 🛌🏽The Many Aspects of What Makes Up Rest Rest is multifaceted – it comes in more than one formRest is productive – it improves performance, decision-making, empathyRest is intentional – it requires thoughtful engagement, not autopilot. Make a real planRest is layered – especially sensory, which uses all 5 sensesRest is about input and detox – what you consume, and what you remove. Social rest is a good exampleRest is personal – one person’s recharge is another’s stressorRest is deserved, not earned – full stop. Conclusion Rest is a pivotal, multi-dimensional tool that extends beyond mere sleep. For healthcare professionals navigating the strenuous environment of an emergency setting, recognizing and implementing varied forms of rest can enhance overall well-being, decision-making, and patient care. Make rest a deliberate part of your routine, understand its different forms, and remember that it’s a necessity you deserve. 🚨 Clinical Bottom Line Incorporating rest into your lifestyle aligns with the demands of your professional roles and personal health needs. By understanding and employing various types of rest, you not only support your individual wellness but also enhance your ability to care for patients effectively. Rest is vital; it is not a privilege earned but an essential right you deserve every day. Further Reading Dalton-Smith, S. Sacred Rest: Recover Your Life, Renew Your Energy, Restore Your Sanity. Hachette Nashville, 2017.Dalton-Smith, S.The 7 Types of Rest: Seven Ways to Live a More Energized Life. Hachette Book Group, 2022Abramson, A“Seven types of rest to help restore your body’s energy.” American Psychological Association, 6 May 2025, Link is Here Meet the Authors Mark Ramzy, DO Co-Editor-in-Chief Cardiothoracic Intensivist and EM Attending RWJBH / Rutgers Health, Newark, NJ Maureen Aiad, DO Assistant Professor of Emergency Medicine NYU Grossman Long Island School of Medicine, New York Amil Badoolah, DO Assistant Professor of Emergency Medicine NYU Grossman Long Island School of Medicine, New York REBEL Core Cast 119.0 – Sleep Hygiene REBEL Core Cast 119.0 – Sleep Hygiene Click here for Direct Download of ... Read More The post REBEL MIND – Rest Is Not Sleep: The Seven Dimensions of True Recovery appeared first on REBEL EM - Emergency Medicine Blog.

Headlines for February 03, 2026; Chicago Mayor Brandon Johnson Directs Local Police to Investigate “Rogue, Reckless” ICE Agents; Philly City Council Considers “ICE Out” Legislation, as DA Krasner Decries “Wannabe Nazi” ICE Agents; Immigrant Rights Leader in Maine Says ICE Raids Caused Panic & “Wave of Fear”; ProPublica Identifies CBP Agents Who Fatally Shot ICU Nurse Alex Pretti in Minneapolis

Two federal immigration agents — Border Patrol agent Jesus Ochoa and Customs and Border Protection officer Raymundo Gutierrez — have been identified in government records as the officers who fatally shot Minneapolis protester and ICU nurse Alex Pretti during Operation Metro Surge in January, igniting nationwide outrage and calls for accountability. In other major developments, newly released Epstein files contain some of the most disturbing allegations yet about Jeffrey Epstein's abuse, as more evidence emerges that Epstein may have acted as a Mossad asset. Go to ⁠⁠⁠shipstation.com⁠⁠⁠ and use code DAMAGE for sixty days for free! Refresh your winter wardrobe with Quince. Go to ⁠⁠⁠quince.com/damage⁠⁠⁠ for free shipping on your order and 365-day returns. Hosts: Ana Kasparian & Cenk Uygur SUBSCRIBE on YOUTUBE ☞  https://www.youtube.com/@TheYoungTurks FOLLOW US ON: FACEBOOK  ☞   https://www.facebook.com/theyoungturks TWITTER  ☞       https://twitter.com/TheYoungTurks INSTAGRAM  ☞  https://www.instagram.com/theyoungturks TIKTOK  ☞          https://www.tiktok.com/@theyoungturks

1. ICE Incident & Media Narrative A story circulated claiming ICE detained a 5‑year‑old child; the document states this was false. ICE was arresting the father, who allegedly fled and abandoned the child. The mother reportedly refused to take the child back. The argument: media outlets amplified a misleading narrative to evoke emotional reaction and sway suburban voters. 2. Narrative of Political Motivation Democrats and major media are using immigration stories to fuel a political campaign against ICE. John Kasich and others are highlighted as contributing to public perception around ICE enforcement. 3. Government Shutdown Predictions A 100% chance of a government shutdown tied to DHS and ICE funding. Chuck Schumer and other Democratic leaders are quoted as refusing to fund DHS without major ICE restrictions. A distinction is made: many agencies are already funded, so the shutdown would be more limited than the previous historical shutdown. 4. “Abolish ICE” Positioning Democrats are unified in refusing to fund ICE or DHS, framing it as similar to “abolish ICE / abolish police” rhetoric. Democrats want a prolonged and painful shutdown to signal to their base that they are fighting against ICE. 5. Trump Accounts (Economic Policy Section) Benefits include: Could lead to significant wealth accumulation due to compound growth (e.g., $300k by 18; $1M+ by 28 with max contributions). Intended to help children in poverty or lower‑income households build long‑term wealth. Employer and charitable contributions (e.g., Michael & Susan Dell, Brad Gerstner) will accelerate scale and impact. Compared in transformative potential to the creation of 401(k) plans. 6. Minneapolis Shooting & Media Coverage Media portrayed the man shot by ICE as a peaceful ICU nurse, omitting earlier confrontational behavior. Video evidence reported by BBC showed the man spitting at, confronting, and kicking an ICE vehicle days before the shooting. Media intentionally shaped the story to portray ICE as murderers. 7. MSNBC AI Image Controversy MSNBC used an AI‑enhanced image to make the man appear more attractive, which the document calls political propaganda. Commentary from Joe Rogan criticizing the altered image. MSNBC admitted to using an AI‑generated thumbnail but did not apologize or fire anyone. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the 47 Morning Update with Ben Ferguson and The Ben Ferguson Show Podcast Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening YouTube: https://www.youtube.com/@VerdictwithTedCruz/ Facebook: https://www.facebook.com/verdictwithtedcruz X: https://x.com/tedcruz X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.

In the two months Minnesota has been under siege by federal agents, immigration officers have shot and killed two U.S. citizens, poet and artist Renee Good and ICU nurse Alex Pretti. Local and state law enforcement say they've been blocked from properly investigating the shootings of Good and Pretti. “The federal government has blocked our state BCA, so that's the Bureau of Criminal Apprehension. They are the state law enforcement agency that has authority to investigate any kind of deadly use of force involving police,” says Hennepin County Attorney Mary Moriarty, who is leading local investigations into the killings of Good and Pretti. “We've not gotten anything from the federal government,” Moriarty says. “To tell you how odd this situation is, we are getting our information from the media ... we are not getting that from the federal government.” This week on The Intercept Briefing, host Akela Lacy speaks with Moriarty, whose office has jurisdiction over both killings. Moriarty says federal agents have blocked local and state law enforcement from properly investigating the killings. Even Moriarty, the top prosecutor in Minneapolis, does not know the identity of the agents who killed Pretti. In response, Moriarty says, “We set up a portal and asked the community to send any kind of videos or any other kind of evidence so that we could collect absolutely everything that we possibly could.” The BCA, she says, was even “blocked physically, actually, by federal agents from processing the scene where Alex Pretti was shot.”Meanwhile, attacks by the administration on Minnesota's Somali citizens persist. At her first town hall of the year in Minneapolis, an attendee sprayed Rep. Ilhan Omar with an unidentified substance on Tuesday. Trump has backtracked on some of his bluster and removed Border Patrol Gregory Bovino from Minnesota, replacing him with border czar Tom Homan. None of that has changed things on the ground yet in Minneapolis, says Moriarty. “Minnesotans care about their neighbors. They're delivering meals to people. They are there and they do not approve of the fact that their federal government is attacking them and their neighbors.“We hear a lot of people talking to us about how they understand the threat from the administration or from DHS on their neighbors and on their communities, and it's really much more rooted in an understanding that they think their freedoms are under threat, even if they are not an immigrant or even if they don't really have deep ties to immigrant communities, that this really matters to them and it really bothers them,” says Jill Garvey, co-director of States at the Core, an organization that leads and runs ICE Watch training programs. “So we hear a lot from folks who just haven't been engaged previously. But this for all those reasons is enough for them to step up.”Garvey says her organization is training community members in how to properly document ICE. “We also know that we can't stop all this aggression,” Garvey says. “The aggression is the point of these operations. So we can't guarantee that people aren't going to be targeted with violent actions from federal law enforcement. What we can say is, if you're doing this in community, other people are going to be watching.”Listen to the full conversation of The Intercept Briefing on Apple Podcasts, Spotify, or wherever you listen. If you want to support our work, you can go to theintercept.com/join. Hosted on Acast. See acast.com/privacy for more information.

This week Alex travels to Minneapolis to see first hand how the community is responding to the terrorizing presence of ICE and the killing of ICU nurse Alex Pretti. She shines a light on the grassroots efforts of mothers mobilizing to help both students and teachers who fear being targeted, and speaks to Reverend Dan Johnson about how his congregation has been impacted as well the very un-Christian nature of this administration's tactics. Then Alex sits down with Minnesota Attorney General Keith Ellison to talk about how President Trump's rhetoric contributed to the attack on Rep. Ilhan Omar, whether judicial interference can stop the federal government's overreach, and why access to voter rolls is an issue at the center of this crisis. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.