Podcasts about ICU

In this episode of the Saving Lives Podcast, Eddy Joe breaks down a 2025 Journal of Critical Care study examining how the choice of the internal jugular vein for initial central line placement impacts outcomes when patients later need hemodialysis catheters. You'll learn why using the left IJV first may reduce the need for repeat procedures and complications. Essential insights for optimizing central line strategy in the ICU.The Vasopressor & Inotrope HandbookAmazon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Affiliate Link)My Store: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Use "podcast" to save 10%)Citation: Gharaibeh KA, Abdelhafez MO, Guedze KEB, Siddiqi H, Hamadah AM, Verceles AC. Impact of initial jugular vein insertion site selection for central venous catheter placement on hemodialysis catheter complications. J Crit Care. 2025 Jun;87:155011. doi: 10.1016/j.jcrc.2024.155011. Epub 2025 Jan 3. PMID: 39755012.

There is no replacing Matt Serra. But when the champ can't make the show, it's never a bad idea to get another champ to fill in — and that's exactly what today's Unfiltered episode delivers with Forrest Griffin talking UFC 319 w/ guest callers Geoff Neal and Chase Hooper. First up, 11th-ranked welterweight Geoff Neal reflects on his inspiring journey from a life-threatening ICU stay in 2020 to competing at the highest level in the UFC. He breaks down his upcoming matchup with Carlos Prates and weighs in on whether “MMA math” applies when comparing each of their recent losses to Ian Machado Garry. Then, Chase Hooper — just 25 years old and already entering his 12th UFC fight — talks about taking on Alexander Hernandez, a dangerous striker with only one submission loss in 24 pro bouts. Usually on dad duty 50+ weeks a year, Chase shares how his locked-in fight-week mentality has brought out his best performances since moving up to 155 pounds. Having seen many of UFC 319's fighters up close in his role at the UFC Performance Institute, Forrest offers sharp analysis for a comprehensive breakdown of the sneaky-good matchups that round out Saturday's stacked card.

In this episode, Dr. Anjalee Galion, President of the Medical Staff at CHOC Children's, shares insights on recent expansions, including a new neuroscience unit and cardiovascular ICU, and discusses strategies for workforce engagement, clinical excellence, and becoming a regional destination for pediatric care.

Some Ascension Wisconsin hospitals are developing plans to outsource their ICU doctors using a staffing agency based in Tennessee. Plus, supporters of redistricting reform in Wisconsin are calling partisan gerrymandering efforts a mistake. And, what do federal changes in rules for food dyes mean for Wisconsin's ice cream makers?

"We only get to do this life once." In this deeply personal reflection, Cody share his own experience of learning that his mom was in the hospital for chest pain. She underwent bypass surgery and Cody flew home to find himself in the center of a story he's seen played out countless times—in a waiting room with family, anxious to see their loved one recovering in the ICU. Last week's episode with Kelly was such an inspiring reminder for Cody (and for all of us) that sometimes life sends unwelcome invitations. Sometimes we need to be reminded that all of this that we know and love is fleeting, so that we can embrace every bit of it while we can. As Cody shares in quoting from Mary Oliver, "Tell me, what is it you plan to do with your one wild and precious life?" This episode also features another message from our By The Way voicemail box, where you can leave a message for anyone who has died. If you'd like to leave your own message, call 720-600-7056 and let them know what you've left unsaid. Messages could be played on a future episode or featured on our website dttypodcast.com

In this episode of Paradigm Shifting Books, hosts Stephen and Britain Covey dive into The Four Disciplines of Execution by Chris McChesney, Sean Covey, and Jim Huling — joined by Chris McChesney himself to share insights firsthand. Together, they break down how the book's core ideas of focusing on what really matters, tracking the right actions, using simple scoreboards, and sticking to regular check-ins can make a huge difference not just in business, but in everyday life, family routines, and even sports.Stephen and Britain point out something a lot of us feel: execution often falls apart because of human nature. But instead of just blaming ourselves, the fix is setting up systems that keep us on track. They share real, relatable examples, like how a sales team stayed motivated with a basic scoreboard or how NFL teams zoom in on just a few key plays to win big games.One big idea they keep coming back to is this: sometimes what seems like a “people problem” is actually a “system problem.” Britain talks about his time in the NFL and how practicing under pressure helped him stay cool when it really counted. Stephen shares how a weekly review habit helps him stay focused on what matters most.The episode is packed with practical takeaways, but one stands out. Choose just one area in your life that feels a bit out of control, give it some focused attention like it's in the ICU, and apply these simple, proven disciplines to start seeing real results.What We Discuss[00:17] Introduction[01:13] Overview of the four disciplines[03:34] Origins of the book & methodology[05:24] Is execution a people or systems problem?[11:30] Rifle vs. shotgun: The power of focus[12:17] Intensive care metaphor for prioritization[15:35] The power of a scoreboard[19:13] Accountability & weekly commitments[21:18] Ownership and buy-in[23:08] Sports example: Accountability from top players[24:20] Summary & key paradigm shiftsNotable Quotes[00:04:24] “We were trying to solve the problem, not write a book” — Chris McChesney[00:08:48] “I really genuinely  feel like practicing helped me control and relax my body when I came to high-pressure situations in other sports.” — Britain Covey[00:10:54] “If I have my weekly review and do that habit, I'm much more likely to focus on my biggest priorities for that week because I block it out in advance.” — Stephen Covey[00:11:30] “What the Four Disciplines of Execution is, is it's a rifle, not a shotgun.” — Chris McChesney[00:15:35] “People play very differently when they're keeping score.” — Chris McChesneyResourcesParadigm Shifting BooksPodcastInstagram YouTube BooksThe 4 Disciplines of ExecutionAtomic Habits by James ClearGetting Things Done by David AllenBritain CoveyLinkedIn InstagramStephen H. CoveyLinkedIn

In this episode, we dive into a new pilot RCT exploring the addition of acetazolamide to furosemide in critically ill patients. We break down the study's methods, findings, and practical implications for fluid management in the ICU. Could this inexpensive, decades-old drug be the key to sustaining diuresis and preventing metabolic alkalosis? Tune in to find out.The Vasopressor & Inotrope HandbookAmazon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Affiliate Link)My Store: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Use "podcast" to save 10%)Citation: Maeda A, Brown A, Spano S, Chaba A, Phongphithakchai A, Hikasa Y, Pattamin N, Kitisin N, Nübel J, Nielsen B, Holmes J, Peck L, Young H, Eastwood G, Bellomo R, Neto AS. Furosemide with adjunctive acetazolamide vs furosemide only in critically ill patients: A pilot two-center randomized controlled trial. J Crit Care. 2025 Apr;86:155002. doi: 10.1016/j.jcrc.2024.155002. Epub 2024 Dec 16. PMID: 39689380.

Trigger Warning: This episode includes honest discussions of depression, self-harm, suicide attempts, trauma, and emotional neglect. Please listen with care. In this Part 1 of a 2-part series, we sit down with Emily, a brave and thoughtful guest who opens up about her early struggles with depression, self-harm, and suicide attempts—and how she's navigating healing while parenting, working in healthcare, and showing up for herself. This episode is packed with vulnerability, insight, and hope. Sh!t That Goes On In Our Heads is the 2024 People's Choice Podcast Award Winner for Health and the 2024 Women In Podcasting Award Winner for Best Mental Health Podcast, with over 2 million downloads across more than 100 countries. We're on a mission to normalize mental health conversations by keeping it real, raw, and full of heart. We'd love to hear your feedback on this episode: https://castfeedback.com/67521f0bde0b101c7b10442a Leave us a voice message or written note—your input helps us maintain this space as honest and supportive as possible. “I didn't want to die—I just didn't want to feel the way I was feeling anymore.” – Emily   What This Episode is About Emily shares her deeply personal mental health journey—from childhood trauma and generational depression to two suicide attempts before the age of 21. She opens up about masking her pain, learning to recognize her triggers, and trying to raise her daughter differently, with emotional safety and open conversation at the core. Topics covered include: Surviving major depression Suicide prevention and recovery Parenting with trauma awareness The long tail of childhood emotional neglect The importance of support systems and safe spaces   SEO Keywords: Mental health journey, depression survival story, suicide prevention, parenting with trauma, mental health awareness, generational trauma, triggers, healing from abuse, recovery, living with depression, emotional support, self-worth, 988 lifeline   Meet Our Guest: Emily Emily is a registered nurse, a survivor, and a mom raising her daughter with the emotional validation she never received as a child. Her mental health journey began at just 11 years old, when she first experienced the weight of emotional pain without words to explain it. Self-harm and isolation followed, eventually leading to two suicide attempts—one during her freshman year of college and another at 20 years old. Despite surviving those moments, Emily was met with silence and shame instead of support. She speaks candidly about being the only young person in a psychiatric unit, about nurses treating her with judgment instead of compassion, and about the decades-long work of learning to feel worthy of love. Her healing is ongoing. And she doesn't pretend otherwise. Emily also talks about being the child of young parents who were navigating their own recovery and mental health challenges—and how that shaped her understanding of love, trust, and emotional connection. Today, she's raising her daughter with intention, focusing on emotional safety, validating feelings, and breaking generational cycles. She's also working in healthcare, where she uses her lived experience to bring compassion and awareness into patient care. Her story is messy, raw, honest, and incredibly powerful. Instagram: https://www.instagram.com/emmiewillyy/   Key Takeaways Healing is not linear. You can still struggle and still be healing—those truths can coexist. Emotional neglect leaves deep scars. Silence around mental health in childhood often echoes into adulthood. Showing up imperfectly is still powerful, especially for those we love.   Actionable Items Save the 988 Suicide & Crisis Lifeline in your phone—and share it with someone who might need it. Talk to your kids about emotions at an early age. Validate their feelings now to build trust later. Pay attention to your triggers. Recognizing them is the first step to healing.   Chapters & Time Stamps [00:01:41] Emily's Why What inspired her to share her story publicly, and how a surprising message from a friend changed everything. [00:04:25] The First Cut The moment at age 11 that started it all—and how her mother's silence shaped years of hiding. [00:06:56] Survival in Silence Emily's first overdose in college, the ICU stay, and her terrifying experience in the psych unit. [00:08:48] The Shift of Motherhood Why having a daughter didn't cure her depression, but changed her purpose. [00:24:13] Breaking Generational Cycles How Emily's learning to be the emotionally available parent she never had. [00:32:00] What Healing Looks Like Now The daily habits, support system, and honest reflection it takes to keep moving forward.   References 988 Suicide & Crisis Lifeline – https://988lifeline.org The Trevor Project – https://www.thetrevorproject.org BetterHelp Therapy – https://www.betterhelp.com Stories of Hope Project (via Greg Eaves)   Subscribe, Rate, and Review! Remember to subscribe for more inspiring and honest conversations. Rate and review us on your favorite podcast platform, or visit our website to leave your thoughts: https://goesoninourheads.net/add-your-podcast-reviews   #MentalHealthPodcast #MentalHealthAwareness #SuicidePrevention #988Lifeline  #ParentingWithTrauma #HealingJourney #DepressionSurvivor #GenerationalHealing #Grex  #DirtySkittles #BreakTheStigma #ItsOkayToNotBeOkay #MentalHealthSupport #RealConversations #TraumaRecovery #EmotionalHealth #RawAndReal #VulnerabilityIsStrength #Podmatch  #PodcastForHealing ***************************************************************************If You Need Support, Reach OutIf you or someone you know is facing mental health challenges, please don't hesitate to reach out to a crisis hotline in your area. Remember, it's OK not to be OK—talking to someone can make all the difference.United States: Call or Text 988 — 988lifeline.orgCanada: Call or Text 988 — 988.caWorldwide: Find a HelplineMental Health Resources and Tools: The Help HubStay Connected with G-Rex and Dirty SkittlesOfficial Website: goesoninourheads.netFacebook: @shltthatgoesoninourheadsInstagram: @grex_and_dirtyskittlesLinkedIn: G-Rex and Dirty SkittlesJoin Our Newsletter: Sign Up HereMerch Store: goesoninourheads.shopAudio Editing by NJz Audio

大家好，我是猛哥。我最近听说了一个特残忍的手术：把患者的头皮和颅骨分开，往里面填一个假体。这个手术不是为了治病，只是为了拥有一个网络上流行的“高颅顶”。同类型的手术还有，为了增高把腿打断；为了让屁股变翘注射药物。甚至现在，不少00后都会做这些项目。我第一反应是，科技发达了，但也太疯狂了。ICU医生余一生告诉我，她们还真抢救过做了奇葩“美形美容”手术的病人。余一生接触了其中三位年轻病人，她发现，这些人有个共同点，都是在来到一个陌生的大城市以后，突然有了“不得不美”的理由。一起听节目吧！对了！余一生的系列故事《只有ICU医生知道》在微信读书上架啦，一度登上了2025年度总榜第1名！喜欢她故事的听友，可以在微信读书搜索「只有ICU医生知道」或者「余一生」看更多好故事吧！时间轴：06:00 ICU里的“黑话”10:30 侯明昊救过我的命15:00 脂肪进入了大脑血管26:50 ICU里最怕年轻人29:50 为了“家人们”我拼命了36:00 健身健到肝衰竭46:00 外貌不是一切问题的答案嘉宾：ICU医生余一生主播：@猛哥天才捕手剪辑：一雪

In this episode, I welcome back ICU physician and author Dr. Kwadjo Kyeremanteng to discuss his new book, "Prevention Over Prescription." Together, we explore the importance of metabolic health, the power of prevention, stress management, sleep, nutrition, muscle, and the critical role of community in overall well-being. Key Moments: The Motivation Behind the Book The Power of Prevention & Metabolic Health Taking Ownership of Your Health Stress, Inflammation, and Resilience Practical Stress Management Sleep Challenges & Solutions for Shift Workers Nutrition Hacks for Busy Lives Compartmentalization & Emotional Health in Medicine Coping with Heavy Emotions & Burnout The Importance of Muscle & Functional Strength Redefining Longevity & Fitness Goals Community & Connection Let's dive in! Thank you for joining us today. If you could rate, review & subscribe, it would mean the world to me! While you're at it, take a screenshot and tag me @jennpike to share on Instagram – I'll re-share that baby out to the community & once a month I'll be doing a draw from those re-shares and send the winner something special! Click here to listen: Apple Podcasts – CLICK HERESpotify – CLICK HERE Connect with Guest - Instagram | @kwadcast Facebook | @kwadcast Website | solvinghealthcare.ca   This episode is sponsored by: withinUs | Use the code JENNPIKE20 at withinus.ca for a limited time to save 20% off your order St. Francis Herb Farm | Go to stfrancisherbfarm.com and save 15% off every order with code JENNPIKE15 Skin Essence Organics | Go to skinessence.ca and save 15% off your first order with code JENNPIKE15 /// Save 10% off every order with code JENNPIKE10 Eversio Wellness | Go to eversiowellness.com/discount/jennpike15 and save 15% off every order with code JENNPIKE15 /// not available for “subscribe & save” option   Free Resources: Free Perimenopause Support Guide | jennpike.com/perimenopausesupport Free Blood Work Guide | jennpike.com/bloodworkguide The Simplicity Sessions Podcast | jennpike.com/podcast Programs: The Perimenopause Project | jennpike.com/theperimenopauseproject The Hormone Project Academy | jennpike.com/thehormoneproject Synced Virtual Fitness Studio | jennpike.com/synced The Simplicity Women's Wellness Clinic | jennpike.com/wellnessclinic The Audacious Woman Mentorship | jennpike.com/theaudaciouswoman Connect with Jenn: Instagram | @jennpike Facebook | @thesimplicityproject YouTube | Simplicity TV Website | The Simplicity Project Inc. Have a question? Send it over to hello@jennpike.com and I'll do my best to share helpful insights, thoughts and advice.

On this week's episode of Critical Care Time, Dr. David Dulaney rounds out GI bleeds in the ICU by taking on cirrhosis & variceal bleeds! During this show we discuss the unique challenge associated with managing a patient with cirrhosis - specifically focusing on the coagulopathy of advanced liver disease. We then delve into the nuances associated with managing a variceal bleed, both in terms of the unique critical care elements but also the challenges faced by the endoscopist when trying to saves these patients in extremis. Tune in, leave us a review and most importantly - leave us some feedback! Hosted on Acast. See acast.com/privacy for more information.

In this episode of the NCS Podcast Masterclass series, hosts Jon Rosenberg, MD, and Stephan A. Mayer, MD, FCCM, FNCS, are joined by Carolina B. Maciel, MD, MSCR, and Katharina Busl, MD, MS, professors of neurology at the University of Florida. They explore the evolution of opioid-sparing pain management strategies in patients with subarachnoid hemorrhage and acute brain injury. The conversation highlights Dr. Maciel and Dr. Busl's work with sphenopalatine ganglion nerve blocks and the design of a phase 2 clinical trial investigating this novel technique. The guests also discuss the limitations of traditional analgesic options, the complexities of headache mechanisms in neurocritical care and how targeted interventions may improve outcomes and quality of life for patients in the neuro ICU. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

In this 314th episode I welcome Thomas Piraino and Brandon Oto to the show to discuss how we can optimize PEEP in the ICU. We talk about why it matters, different ways to estimate ideal PEEP, and what the research tells us. Our Sponsors:* Check out Eko: https://ekohealth.com/ACCRAC* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/accrac50offAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this deeply impactful episode of Healthy Mind, Healthy Life, we explore the truth about addiction and what real recovery looks like with Trent Carter—founder of Renew Health, nurse practitioner, entrepreneur, and author of The Recovery Tool Belt. From his early days in trauma ICU to building one of New Mexico's most respected recovery clinics, Trent breaks down how recovery is not just about detox or willpower—it's about mindset, tools, support, and self-leadership. We talk about what the healthcare system often misses, how families can better support loved ones in addiction, and what it truly takes to break free from relapses and fear. If you've ever struggled, supported someone through addiction, or want to understand the path to lasting change, this episode is a must-listen. ABOUT THE GUEST   Trent Carter is the founder of Renew Health, a leading addiction recovery center based in New Mexico. He is a nurse practitioner, podcast host, and author of The Recovery Tool Belt. From a small-town Texas upbringing to nationwide impact, Trent brings a powerful, practical, and compassionate approach to addiction recovery and holistic healing. KEY TAKEAWAYS: Mindset is foundational: Whether it's recovery, entrepreneurship, or healing a relationship—your mindset sets the tone for everything. Trent emphasizes that lasting transformation begins with a clear, positive, and resilient mindset. Addiction recovery isn't one-size-fits-all: You must meet people where they are. Individualized strategies—not cookie-cutter programs—lead to better outcomes. Barriers to healing are real but surmountable: Fear of detox, stigma, past failures, or lack of resources often keep people from seeking help. Renew Health tackles this with flexible, safe detox programs and real-world strategies. Action trumps intention: Thinking about recovery is a start, but real change happens through consistent action, especially on the hard days. Healing is not just clinical—it's holistic: Hobbies, habits, routines, and purpose-driven living play a major role in maintaining sobriety and self-worth. There are tools for everyone: Whether you're a loved one, clinician, or someone in recovery, The Recovery Tool Belt is designed for practical, real-world use with strategies, resources, and frameworks to support sustainable change.     CONNECT WITH TRENT CARTER   Website: thetrentcarter.com Recovery Center: renewhealth.com Instagram & Facebook: @renewhealthnm | @thetrentcarter Book: The Recovery Tool Belt available on Amazon, Kindle, and major bookstores   Want to be a guest on Healthy Mind, Healthy Life?DM on PM - Send me a message on PodMatchDM Me Here:https://www.podmatch.com/hostdetailpreview/avik CHECK PODCAST SHOWS & BE A GUEST:   Tune to all our 19 podcasts: https://www.podbean.com/podcast-network/healthymindbyavik Subscribe To Newsletter: https://healthymindbyavik.substack.com/ Join Community: https://nas.io/healthymind OUR SERVICES   Business Podcast Management – https://ourofferings.healthymindbyavik.com/corporatepodcasting/ Individual Podcast Management – https://ourofferings.healthymindbyavik.com/Podcasting/ Share Your Story With World – https://ourofferings.healthymindbyavik.com/shareyourstory STAY TUNED AND FOLLOW US   • YouTube – https://www.youtube.com/@healthymind-healthylife• Instagram – https://www.instagram.com/healthyminds.pod• Threads – https://www.threads.net/@healthyminds.pod• Medium – https://medium.com/@contentbyavik• Facebook – https://www.facebook.com/podcast.healthymind• LinkedIn – https://www.linkedin.com/in/reemachatterjee/ | https://www.linkedin.com/in/avikchakrabortypodcaster• Pinterest – https://www.pinterest.com/Avikpodhealth/ SHARE YOUR REVIEW   Google Review – https://www.podpage.com/bizblend/reviews/new/ Video Testimonial – https://famewall.healthymindbyavik.com/   #podmatch #healthymind #healthymindbyavik #addictionrecovery #mentalhealthpodcast #TheRecoveryToolBelt #TrentCarter #RenewHealth #recoveryispossible #mentalhealthmatters #transformationtools #mindsetshift #wellnesspodcast #selfleadership #podcastinglife

Flair on The Clay Edwards Show: Wrestling Icon Talks Legacy, Cannabis, and Life At Southern Sky Brands in Canton, MS, wrestling legend Ric Flair joined host Clay Edwards for a lively interview blending nostalgia, business, and personal insights. Edwards, a fan since childhood, shared a vivid memory: watching TBS wrestling at 5:05 p.m., where the Four Horsemen broke Dusty Rhodes' leg. His grandfather called Flair "the dirtiest motherfucker in the game"—a compliment in Flair's eyes. At 48, Edwards thanked Flair for decades of memories. Flair's favorite era? NWA in the 1980s. He recalled Jackson Coliseum shows and nights at the Reservoir, bars like The Dock (now gone) and Martin's (still thriving). The chat focused on Flair's "Ric Flair Drip" cannabis line with Southern Sky. Overwhelmed by the facility's quality, Flair praised the team and sales across 200 dispensaries. Edwards, after touring, called it true medical-grade; if he partook, it'd be Flair's brand over competitors. Entry into cannabis came via a late associate and Mike Tyson, a friend since the '80s. Tyson, still in shape post-Jake Paul fight, partnered with Flair. Flair stays fit, deadlifting 400 lbs. Being Flair means constant fame—photos everywhere, but 99% positive. "Living the gimmick" has pitfalls, like tax issues, but he enjoys it. Edwards dubbed him a true icon. Hulk Hogan's recent death added poignancy; Flair plans Biloxi visits before Sept. 2, appearances in 14 states, CarShield ads with Ice-T, and autograph sessions. WOO Energy drink eyes China and Thailand markets. Travel tales included urging Edwards to visit Malaysia; Edwards shared his flying fear and brief LA stint. Excited for Ric Flair Drip's growth, Flair credits Southern Sky's promotion. He appreciates Mississippi's warmth (and drinking prowess over Canadians). On WWE's ESPN deal, Flair's humble: they're printing money. Hogan's decline—surgeries left him diminished—sparked anxiety; Flair's 2017 crisis (organ failure, ICU, stoma) led to life-support limits. Edwards thanked Flair, eager for more MS visits. Flair reciprocated, honored to share his story.

The JournalFeed podcast for the week of Aug4-8, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This review updates our knowledge on CPR with highlights being that compression-only bystander CPR improves survival to hospital discharge compared to conventional bystander CPR and that current evidence does not suggest any improved patient outcomes with CPR monitoring tools. Thursday Spoon Feed:In patients with sepsis, new LV dysfunction is associated with in-hospital and ICU mortality.

Nikolay and Michael discuss case-insensitive data — when we want to treat columns as case-insensitive, and the pros and cons of using citext, functions like lower(), or a custom collation. Here are some links to things they mentioned:citext https://www.postgresql.org/docs/current/citext.htmlOur episode on over-indexing https://postgres.fm/episodes/over-indexingNondeterministic collations https://www.postgresql.org/docs/current/collation.html#COLLATION-NONDETERMINISTICHow to migrate from Django's PostgreSQL CI Fields to use a case-insensitive collation (blog post by Adam Johnson) https://adamj.eu/tech/2023/02/23/migrate-django-postgresql-ci-fields-case-insensitive-collationThe collation versioning problem with ICU 73 (blog post by Daniel Vérité) https://postgresql.verite.pro/blog/2023/10/20/icu-73-versioning.htmlamcheck https://www.postgresql.org/docs/current/amcheck.html~~~What did you like or not like? What should we discuss next time? Let us know via a YouTube comment, on social media, or by commenting on our Google doc!~~~Postgres FM is produced by:Michael Christofides, founder of pgMustardNikolay Samokhvalov, founder of Postgres.aiWith credit to:Jessie Draws for the elephant artwork

In this inspiring episode of What Are You Made Of?, Mike “C-Roc” welcomes the radiant and resilient Rachel Varga, a board-certified aesthetic nurse specialist who's redefining what it means to look and feel your best. Rachel opens up about her deep-rooted purpose: helping others amplify their confidence and vitality through holistic beauty, science-backed biohacking, and inner alignment. From her early days working in pediatric ICU to becoming a trusted expert in medical aesthetics and publishing research on oxidative stress and aging, Rachel has always been driven by a desire to empower others. She shares her personal journey of overcoming pain from multiple car accidents, the silent struggle that led her into the world of advanced wellness, and how true beauty goes far beyond skin deep. Together, Mike "C-Roc" and Rachel explore the science of radiance, the emotional and energetic signals we send into the world, and how presence, purpose, and self-care are at the core of sustained vitality. This episode is a masterclass in confidence, grounded elegance, and elevating your impact—both inside and out.Webiste-https://www.theschoolofradiance.com/ Social Media Links/Handles:https://www.instagram.com/rachelvargaofficial/ https://www.facebook.com/RachelVargaOfficial/,YouTube: https://www.youtube.com/channel/UCZUxR4hUHm4Lf0WisIrudqw

In this high-yield two part episode, we dive into the evolving world of resuscitation with Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis. From the shift in priorities from ABC (Airway-Breathing-Circulation) to CAB (Circulation first) to the practical use of peripheral vasopressors and rapid infusion catheters, this episode breaks down how frontline ED care is adapting to sicker patients, longer ICU boarding times, and limited resources. Tune in for insights on advanced access strategies, pre-hospital blood products, and why old tools, like whole blood and vasopressin, are making a powerful comeback. What do you think of Dr. Leon's tips? Are you using these tools in your practice? We'd love to hear from you. Share them with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis Resources: American Heart Association (AHA) Algorithms Perman SM, Elmer J, Maciel CB, Uzendu A, May T, Mumma BE, Bartos JA, Rodriguez AJ, Kurz MC, Panchal AR, Rittenberger JC; American Heart Association. 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2024 Jan 30;149(5):e254-e273. doi: 10.1161/CIR.0000000000001194. Epub 2023 Dec 18. PMID: 38108133. **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

What is the role of a Clinical Nurse Specialist (CNS) in the ICU? How did Lynette LaBine, MSN, RN, CNS, CCRN leverage her CNS role to win buy-in and guide her team to become an Awake and Walking ICU? Lynette shares with us how consulting and training services opened the doors for her to fully lead the revolution in her ICU. Listen and watch Lynette's RN colleagues HERE and rehab colleagues HERE! Get your CE credit for this episode and all learning you do here!Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com

August 6, 2025: Lisbeth Votruba, Chief Clinical Officer at AvaSure and a third-generation nurse, discusses how virtual care technology is transforming healthcare delivery. How can AI-powered platforms help nurses return to more personalized, joyful patient care while addressing the growing crisis of workplace violence in hospitals? Lisbeth shares her journey from ICU nurse to tech executive, discussing innovative solutions such as ambient monitoring and wake word technology that protect both patients and staff. What role should nurses play in shaping healthcare's digital future, and how can the profession leverage its trusted status to drive meaningful change? The conversation also touches on the emotional toll of caregiving and Lisbeth's advocacy work supporting healthcare workers in recovery. Key Points: 03:45 Innovations in Nursing Technology 08:12 Challenges in Nursing Violence 11:49 Emotional Well-being of Nurses X: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

Dr. Drew has spent decades in the public eye, but sitting down with him revealed the man behind the microphone. We talked about his journey from medical school to becoming one of the most recognizable doctors in America, and how his work in the ICU, psychiatry, and addiction medicine gave him a rare window into the full spectrum of the human experience. He shared deeply personal stories about raising triplets, facing his child's brain surgery, and how his own childhood trauma shaped both his empathy and his work ethic. Dr. Drew didn't shy away from tough topics. We dug into the nature of addiction, why childhood trauma is often the hidden catalyst, and how he believes cities like Los Angeles could actually solve the homelessness crisis if they had the courage to act. He was candid about mental health, loss, and the need for pragmatic solutions in a world that too often favors ideology over reality. This conversation is full of lessons from someone who has truly seen it all- inside the hospital and out in the world. The Sage Steele Show is a weekly podcast hosted by former ESPN anchor Sage Steele. Each week, Sage sits down with entertainers, athletes, business people, and politicians to have deep dive personal one on one discussions that enlighten, entertain, and engage. There's a whole big world out there that's not just sports, and Sage wants to talk about all of it. #sagesteelepodcast #sagesteele #podcast #drdrew #addictionrecovery Subscribe to the Channel for more Podcasts like this! Listen to the Show on all Podcast Apps "The Sage Steele Show" https://podcasts.apple.com/us/podcast/the-sage-steele-show/id1737682826 Follow Sage: https://www.sagesteele.com https://x.com/sagesteele https://www.instagram.com/sagesteele https://www.tiktok.com/@officialsagesteele https://rumble.com/c/SageSteeleProductions Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome back to Ditch the Lab Coat with Dr. Mark Bonta—a podcast where we cut through health hype with evidence, curiosity, and a good dose of scientific skepticism. In this special solo episode, Dr. Bonta takes a step back to reflect on what he's learned after recording over 70 episodes with experts across medicine, wellness, and psychology.Instead of chasing the latest biohacks and trendy do's, Dr. Bonta shares his take on the “don'ts” that could make the biggest difference to our health: don't load your pantry with ultra-processed foods, don't rely on fad diets without respecting your biology, don't ignore your mental resilience, don't keep screens in your bedroom, and don't underestimate the lifelong dangers of substance use—especially alcohol. Drawing from fascinating past guests and peppered with real-life anecdotes, this episode is packed with practical, evidence-based advice that's more about avoiding pitfalls than perfecting routines.So plug in as Dr. Bonta looks back, revisits his birthday reflections, and gives us a no-nonsense breakdown of the habits (and substances) to ditch for a healthier, happier life.Episode Highlights1. Courage to Lead Change — Courage is essential to make necessary healthcare changes; everyone knows what to do, but few are willing to go first. 2. Unlearning as Growth — Success requires letting go of outdated practices, even those we've clung to for decades. 3. Nurses Leading Change — Nurses are often the ones who recognize and push for better patient care, even in the face of resistance. 4. The Role of Clinical Experts — Real-time support from experts can turn ideas into action and prevent regression under pressure. 5. Listening to the Team — Culture change starts with listening to those on the frontlines and empowering their voice. 6. A Better Way to Wean Ventilators — Traditional weaning methods can fail; a spontaneous breathing trial may be more effective. 7. The Importance of Protocols — A clear process protects patients from inconsistency and ensures evidence-based care. 8. Sedation's Downside — Sedation can cause harm; it's time to shift from automatic comfort to mindful, minimal use. 9. The Awakening Moment — A pivotal story about witnessing patients walking while intubated—and the shift it sparked. 10. Belief Before Buy-In — Seeing isn't always believing. Sometimes you must believe there's a better way before you ever see it. 11. What's Possible in Patient Recovery — Awake and mobile patients can achieve more than we think—even while critically ill. 12. Learning From Others — Growth often begins by learning from those who've already done what we thought was impossible. 13. Walking While Intubated — Real-world proof that mobility while ventilated isn't just a theory—it's being done. 14. Staff Impact and Transformation — Watching patients improve has a lasting impact on the staff and the culture of care. 15. Changing ICU Culture — Creating an awake and walking ICU demands a mindset shift and persistent leadership. 16. Making It the New Normal — What was once considered extraordinary can become standard with the right support and structure. 17. The Ripple Effect — Positive change in one unit can influence an entire hospital—and beyond.Episode Timestamps01:00 — Podcast Reflections on Lifespan and Healthcare 04:59 — Living Well: Do's vs. Don'ts 08:33 — Avoid Junk, Embrace Healthy Eating 11:51 — Hormones, Dieting, and Healthy Habits 16:45 — Dangers of Ultra-Processed Foods 18:56 — Prioritize Sleep: Limit Bedroom Screens 23:43 — Breath Work and CBT for Anxiety 27:26 — Optimal Health: Focus on Don'ts 28:38 — Alcohol and Substance Use Dangers 31:43 — Reflections on Healthier LivingDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Dr. Shannon Fernando is an intensivist at Lakeridge Health and a prolific researcher with over 150 publications. Known for his work in outcomes-based research across critical care, he joins us to discuss long-term outcomes after cardiogenic shock.About the Episode:This episode is part of our cardiovascular critical care series and explores what happens after the ICU for patients who survive cardiogenic shock. We unpack quality of life, functional outcomes, mental health, and the hidden burdens on both patients and caregivers. Dr. Fernando provides key data insights from his large cohort studies and shares reflections from ICU follow-up clinics. We also dive into the challenges of prognostication and how to communicate realistic expectations to families.Topics CoveredDefining Long-Term Outcomes:Beyond survival: functional independence, mental health, cognition, and system resource use.Key Findings from Ontario Cohort42% of cardiogenic shock survivors require increased levels of care15% die within a year post-dischargeModest impact of revascularization or mechanical support on long-term outcomesMorbidity and Quality of LifeLoss of independence and inability to return to workHigh incidence of PTSD, depression, and caregiver burdenDelayed functional recovery and unmet expectationsPrognostic Factors and Predictive MarkersFrailty as a key indicatorPre-existing mental health as a predictor of post-ICU mental health outcomesIn-hospital arrest characteristics: rhythm, downtime, comorbiditiesICU Follow-Up ClinicsValue in knowledge translation and emotional supportReal-world insights on functional recovery and patient satisfactionCommon patient sentiment: gratitude mixed with traumaCommunication with FamiliesAvoiding value impositionEmphasizing trajectory over fixed timelinesBalancing hope with realismRethinking Endpoints in ResearchLimitations of 28-day mortalityNeed for patient-centered, long-term functional outcomesTrajectory-based data over snapshot metricsKnowledge Translation as the InterventionEquipping clinicians and patients with realistic expectationsNormalizing psychological responsesShaping future research directions around lived experience

In this season premiere of Girls with Grafts, we're sitting down with Maggie Gould—a powerhouse in burn recovery support and clinical social work.

ICU & You: What Happens When Pulmonary Hypertension Turns Critical? Pulmonary hypertension is already a complex condition, but what happens when it becomes life-threatening? Dr. Jean Elwing breaks down what patients and families can expect when someone with PH ends up in the ICU. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com Like, Subscribe and Follow us: www.phawarepodcast.com. #phawareMD @uc_health @ElwingJean @accpchest 

As a Trauma Surgeon and Critical Care Specialist at Rapid City Hospital, Leslie Van Dyne, M.D. shares her unique perspective on caring for patients in a rural area known for outdoor adventure and seasonal risks. Dr. Van Dyne explains the differences between trauma surgery and emergency medicine, discusses caring for critical patients in the ICU and relates how activities like ATV riding, horseback riding and summer tourism impact the trauma cases she sees. Hosted on Acast. See acast.com/privacy for more information.

If you've ever seen a medical drama, you know how intense it gets when a patient is bleeding and doctors have to act fast. But in real life, understanding why someone is bleeding—and how best to stop it—isn't always straightforward. That's where Dr. Francesco Viola's work at HemoSonics comes in.HemoSonics provides a solution for doctors to get a clear picture of how a patient's blood is clotting. Instead of waiting for slow lab results or guessing which blood products to give, doctors can now make informed decisions in real time—right at the bedside. Dr. Viola brings a unique blend of engineering precision and clinical vision to HemoSonics. With a background in biomedical engineering and more than a decade of experience in medical ultrasound, signal processing, and instrumentation, he's led the charge in developing HemoSonics' groundbreaking Sonic Estimation of Elasticity via Resonance (SEER) technology.Under his leadership, HemoSonics is addressing one of the most critical gaps in patient care: the need for fast, accurate, and actionable blood clotting data—whether during surgery, in the ICU, or at the point of trauma. Qualio website:https://www.qualio.com/ Previous episodes:https://www.qualio.com/from-lab-to-launch-podcast Apply to be on the show:https://forms.gle/uUH2YtCFxJHrVGeL8 Music by keldez

Kerrin Hofstrand was a stripper in Hawaii, dealt cocaine on cruise ships, worked in brothels, was an ICU nurse during the HIV epidemic and was the first person to bring ketamine into Australia. From her drug dealing days to spending time behind bars, Kerrin Hofstrand speaks about her wild life for the very first time - and nothing is off limits. Want to hear more from I Catch Killers? Visit news.com.au. Watch episodes of I Catch Killers on our YouTube channel here. Like the show? Get more at icatchkillers.com.au Advertising enquiries: newspodcastssold@news.com.au Questions for Gary: icatchkillers@news.com.au Get in touch with the show by joining our Facebook group, and visiting us on Instagram or Tiktok.See omnystudio.com/listener for privacy information.

本期节目我们邀请到大家都非常喜欢的《肘子的Swift 记事本》(Fatbobman's Blog)博主——肘子哥。他早年创业，涉猎多个行业，在最忙碌的时候因为健康问题不得不暂停工作、关闭公司，休养了一段时间。 恢复之后，他重新拾起多年前的编程爱好，没想到这一写就是好几年，也由此开始了新的创作之路。我们和肘子哥其实认识多年，但真正线下见面，是今年初在上海 Let's Vision 活动的现场。那次见面让我们印象深刻：肘子哥不仅博学多才，线下更是活力满满、阳光开朗。 这期节目我们终于把他请来，一起聊聊他的创业经历、写作契机，以及他眼中的 Swift 和独立开发者世界。不要错过！ 时间轴 00:00:00 开场: 嘉宾 @东坡肘子 00:00:45 方言打招呼 00:03:47 网名的来历 00:06:40 古早的博客之旅 00:07:51 法律专业毕业后，开始开公司创业 00:11:16 没有特别明确的方向，就是想当老板 00:13:39 一天飞四个城市，对出门没有欲望 00:16:59 从 Swift 入门编程，做博客站 00:19:27 最忙的时候患病，筷子都拿不住 00:23:30 肾功能衰竭、ICU、透析、肾移植 00:27:40 放下一切，调整心境，安心养病 00:29:39 身体会有预警信号，但往往被忽视 00:37:55 该努力，但别累的过度了 00:39:17 Justin：乔布斯传里的故事 00:42:03 康复后，大脑和神经受到了影响 00:44:21 学习 SwiftUI 写记录身体指标的 App 00:45:19 肘子：我的第二台电脑是 Apple II 00:50:01 开始写 Swift 相关的文章，梳理思路 00:51:47 每天都要吃 20 多片药，周期性复查身体 00:54:45 保持年轻的心态，写作取悦自己 00:57:08 欲望会影响初心 01:03:39 能够放下很重要，脸皮厚一些 01:05:18 听友提问：对 SwiftData 未来的发展有何展望？ 01:12:32 对于 Swift 的现状怎么看？迭代速度满意吗？ 01:18:53 作为“反卷”安卓的框架 Skip 的发展现状如何？ 01:24:50 灵魂三问 01:37:10 尾声 相关信息 嘉宾: 东坡肘子 Swift 技术博客 Fatbobman's Blog 的博主，活跃于各大开发者社区和技术活动，经常以讲师身份分享 Swift 开发经验，也热衷于在网络社区中解答开发者的疑难问题。 博客: 肘子的 Swift 记事本 幕后制作 主播: 枫影 Justin Yan 主播: 自力 hzlzh 后期: 静静 监制: 自力 hzlzh 联系我们 微信听友群：加fyfyFM进群 听众反馈: hi@fyfy.fm 节目收听方式 推荐使用苹果Podcast, 小宇宙等播客客户端搜索“枫言枫语”来订阅收听本节目。 小宇宙 - 枫言枫语 直接订阅 Feed URL Apple iTunes Podcast - 枫言枫语

One unstable patient, three departments, and every nurse on alert... Let's break down what really happens during a high-risk STEMI. This episode follows the case of a 62-year old patient from ER to the Cath Lab to the ICU. Nurses Sarah Vance and Caitlyn Nichols help us explore the role of nurses in each stage of care, from stabilizing the patient to placing an Impella device.We cover everything from IV placement and medications to monitoring patients through each phase of care. Learn how to prepare patients for the Cath Lab, manage complications like V-fib and bleeding post-PCI, and support the next team during handoffs. This is a must-listen for nurses involved in cardiac care!Topics discussed in this episode:Case presentation of a 62-year old patientER nurse priorities for STEMI patientsInitial treatment and stabilizationWhy “M.O.N.A.” is an outdated practicePreparing the patient for the Cath Lab teamCath Lab nurse responsibilities and role during PCIHigh-risk PCI vs. standard PCIManaging common complicationsTransitioning from Cath Lab to ICUICU nurse priorities for post-PCI patientsImpella placement and monitoringManaging reperfusion arrhythmiasLong-term care and getting patients off the ImpellaPatient and family educationConnect with Sarah Vance:https://www.instagram.com/iseeu_nurse/Connect with Caitlyn Nichols:https://www.instagram.com/icunursingnotesbycaitlyn/Mentioned in this episode:CONNECT

In a recent interview with Steve Gurney of the Positive Aging Community, registered nurses Elisabeth Mack and Sherri Mack shared their expertise on plant-based therapy, specifically cannabis and hemp-derived products, for older adults. With decades of nursing experience, both have transitioned from traditional medical settings to pioneering the use of cannabinoids to improve quality of life, particularly for seniors. Their company, Holistic Caring and The Green Nurse, offers education, coaching, and consulting to help individuals navigate this evolving field Bloom Hemp CBD, their sister company, specializes in organic hemp-based CBD formulas tailored to target specific symptoms. They also provide free access to a nurse hotline and personalized care plans to support your wellness journey.Personal Journeys to Plant-Based MedicineElisabeth Mack, MBA, BSN, RN, discovered cannabis as medicine after a bicycle accident left her reliant on high doses of ibuprofen and muscle relaxants. Introduced to CBD through a topical massage at her chiropractor's office, she experienced reduced inflammation and pain after adding CBD extracts to her supplement regimen, prompting her to research cannabis extensively. This led to her book, Cannabis for Health: Become a Coach, and the development of training programs for healthcare professionals, nurses and patients.Sherri Mack, BSN, RN, widely known as The Green Nurse, experienced a life-altering health crisis in 2012 that left her hospitalized in the ICU and dependent on numerous pharmaceuticals. Her turning point came when a 70-year-old nurse introduced her to cannabis, which enabled her to transition off 18 medications. Motivated to empower others through her experience, Sherri founded The Green Nurse. In 2021, she joined forces with Elisabeth's Holistic Caring, creating a robust educational platform called Holistic Caring & The Green Nurse. This platform features a free network designed to help individuals adopt, optimize, and maintain holistic approaches to health and wellness using plant medicines.Cannabis nursing has emerged as a recognized specialty, officially endorsed by the American Nurses Association in 2023. The National Council of State Boards of Nursing now requires nurses to be educated on cannabis as a form of medicine. Key resources, such as Cannabis: A Handbook for Nurses (featuring Chapter 9, "The Cannabis Nurse Experience," co-authored by Sherri) and Elisabeth's book, offer valuable professional training. Their comprehensive 30-unit health coach program empowers nurses to incorporate cannabis therapy into their practice, broadening access to this specialized care.Elisabeth and Sherri Mack are transforming how older adults approach plant-based therapy, offering a compassionate, evidence-based alternative to traditional pharmaceuticals. By combining their nursing expertise with personalized coaching, they empower seniors to manage pain, enhance well-being, and live their best lives. For those interested, their resources at Holistic Caring and Bloom Hemp provide a trusted starting point to explore this natural option.For more information, visit Holistic Caring & The Green Nurse  https://holisticcaring.com/ or contact their free nurse line at 970-404-HOPE(4673) to begin your journey with plant-based therapy.

Vanessa Abraham is an expert speech language pathologist. She had given innumerable youth access to communication. Then she found herself speechless in the ICU. Dr. Jared Rosen was a medical student with Vanessa and was a key player in humanizing her journey through critical illness. Buy and share Vanessa's book, “Speechless” here: https://www.amazon.com/Speechless-Therapist-Ability-Struggle-Reclaim/dp/B0DS96R6XTGet CE credit for this episode and all other learning experiences here: https://sapience-affiliate.peachs.co/a/kali-daytonWww.DaytonICUConsulting.com

After a spontaneous out-of-body experience, retired ICU nurse Nancy Rebecca began channeling Blue Light Celestial Beings—transmitting guidance for a global awakening.

Who is Howard?Howard Polansky is a pragmatic individual who navigates life's financial intricacies with a focus on strategic decision-making. Recognizing common defaults in financial practices, he often critiques the conventional 30-year mortgage system prevalent in the United States. Polansky understands that while many opt to pay extra on their monthly mortgage to reduce the term, the fixed nature of the monthly payment remains unchanged, a topic he frequently discusses. His insights reflect a deep understanding of financial commitments, emphasizing the impact of additional payments and highlighting the etymology of "mortgage" as a lasting "death pledge." Through his observations, Polansky shares his wisdom on making informed financial choices.Key Takeaways00:00 "Cash Flow Chat with Howard"06:03 Pay Yourself First, Always08:01 "Ebook Insights on Home Equity"12:40 "Prepare Financially During Success"16:21 "Key Unasked Question"19:32 "Motivating Business Financial Freedom"_________________________________________________________________________________________________Subscribe to our newsletter and get details of when we are doing these interviews live at https://systemise.me/newsletterFind out more about being a guest at : link.thecompleteapproach.co.uk/beaguestSubscribe to the podcast at https://link.thecompleteapproach.co.uk/podcastHelp us get this podcast in front of as many people as possible. Leave a nice five-star review at apple podcasts : https://link.thecompleteapproach.co.uk/apple-podcasts and on YouTube : https://link.thecompleteapproach.co.uk/Itsnotrocketscienceatyt!Here's how you can bring your business to THE next level:If you are a business owner currently turning over £/$10K - £/$50K per month and want to grow to £/$100K - £/$500k per month download my free resource on everything you need to grow your business on a single page :systemise.meIt's a detailed breakdown of how you can grow your business to 7-figures in a smart and sustainable way————————————————————————————————————————————-TranscriptNote, this was transcribed using a transcription software and may not reflect the exact words used in the podcast)SUMMARY KEYWORDSCash flow, cash flow coach, financially led, debt management, high debt professions, medical debt, student loan debt, mortgage payments, fixed debt payments, paying off debt, interest reduction, offset mortgage, home equity line of credit, business owners, business cash flow, paying yourself first, tax payments, IRS, emergency fund, financial planning, risk management, business continuity, business loans, personal finance education, burnout, work-life balance, entrepreneur finances, insurance planning, financial ebook, income preservationSPEAKERSHoward Polansky, Stuart WebbStuart Webb [00:00:33]:Hi, and welcome back to It's Not Rocket Science, five questions over coffee. I haven't actually got a coffee in front of you at the moment. This is actually fruit tea, because if I drink too much coffee, after lunchtime, I start to go to sleep. And I don't wanna go to sleep right at the moment because I'm really interested in speaking with Howard Polanski. Howard is a he's a cash flow coach, who doesn't need to speak to one of those nowadays. Howard is the cash flow coach at Financially Led, and we're we're gonna get into what that means at the moment. But who doesn't wanna spend some time thinking about cash flow and how to preserve it in these days? So, Howard, welcome to It's Not Rocket Science, five questions over coffee, and I trust you're ready to take us through cash flow and financially led.Howard Polansky [00:01:26]:Thank you, Stuart. Thank you for the opportunity.Stuart Webb [00:01:30]:It's It's terrific. So let's start with, let's just start. You're you're you're a former dentist, so we'll get into how you ended up in this situation. But who is it you're trying to help with your advice on on cash flow and and financial matters overall?Howard Polansky [00:01:47]:Those that don't like being in debt. And if we're talking about people let me just use The US since that's where I'm based. Those professions that are high debt type of professions, medical doctors, dentists, chiropractors, optometrists, lawyers, where they just have these massive fixed payments that they're trying to navigate around. And sometimes it feels like all I'm doing is going to work to literally pay off these debts. When do I get to enjoy my life?Stuart Webb [00:02:25]:Yeah.Howard Polansky [00:02:25]:And and I'm not saying that there's not other industries that face that challenge, but those are the obvious ones that if there is a way for us to minimize the impact of those fixed debt payments, get them out of our lives sooner, pay less interest. Now all of a sudden, you have more money freed up at the end of each month.Stuart Webb [00:02:47]:And and and, Howard, I'm I'm sure you can you can sort of, you can help us to understand this, but was that a situation that you were in as a dentist? Did you find yourself wondering every day, why am I doing this? There must be an easier way to make a loss, and that's what you led you to where you are?Howard Polansky [00:03:05]:Well, I didn't know if that was gonna be the question now or it was gonna be question number five in terms of how I got into this. If you wanna wait until then, we can, or you want me to go through the story now, I will.Stuart Webb [00:03:16]:Yeah. I'll put it I'll put it to you as question five. Let's just talk a little bit more about how you, what you the the sort of things that the the people you've helped have got into the sort of trouble they have, and what are they trying to do to get out of it? What is it what is it you see when you sort of they they eventually engage an expert like you and you start dealing with them? So they they recognize eventually they they have a problem and they need to do something about it.Howard Polansky [00:03:42]:Yeah. So, I mean, one of the I hate to call it a mistake, but one of the ways that people are doing it just because it's either it's by default or by design. And so by default, they're like, I've got this mortgage. Let's just say that. And in The US it's a thirty, traditionally a thirty year mortgage. Well, I don't wanna pay on this for thirty years, so let me throw a little bit of additional money against this. So if I've got a $2,000 mortgage, let me put 2,200 and I know that's going to save me some time. The problem is, what's your payment the next month? It's still the $2,000 It does not change when you put extra money against the mortgage because the more mortgage is two French words put together, which literally means death pledge.Howard Polansky [00:04:39]:So the system is set up for you to make payments until the day you die or you're gonna die trying. This allows you and, again, you're we're over on different sides of the pond, so I'm not gonna keep this a secret. Over in The UK and Australia, they're known as offset mortgages. So the open ended mortgages where all of the money can go in to lower the overall balance of the debt. When you lower the overall balance of the debt, you're lowering the amount of interest you pay on a daily basis. And then when the expenses come due, you just take that much out, but you've got the excess now attacking the entirety of the debt versus the way that it's set up in The US. They have a one way street known as your house in front of you. You only make the minimum payment because you're like, if I put more money in, I can't get the money back out.Howard Polansky [00:05:42]:And when we don't have access to money, that's when people don't sleep very well. So that's the common mistake is how I'm just putting more money into this loan, but then if something happens, I get disabled, I get fired, I still have this fixed payment in front of me, and now I have no wiggle room.Stuart Webb [00:06:03]:Yeah. I I'm always very aware that a lot of business owners, disobey, for want of a better word, one of the golden rules which which I think is is something I hope you'll you'll agree with, which is they forget that they need to pay themselves first out of the income into their business. They're putting it against all sorts of other things, and then eventually they realize that there isn't anything left for them. And they they're left in a situation like you've just said where suddenly they are unable to pay the bills that have come in for their family, and they then have to get back on the treadmill and work even harder because they've now forgotten that they've got a life. And and I just think it's it's it's often this the the the the the golden rules of, you know, thinking about your cash flow and how you allocate it are so difficult for many business owners for for reasons because often we are not taught. We are not given the instruction early enough in our lives about how to manage money.Howard Polansky [00:07:04]:What's even worse than not paying yourself first is not only do you pay yourself, you take the money from the IRS that you have to pay them and use that on your expenses too. I've seen that situation happen also. That's never a good situation that I wanna be involved in.Stuart Webb [00:07:23]:Now if there's one thing you should definitely be very aware of is the tax man will find you and will hunt you down if you are if you are diligent in, not diligent in playing that that money off. Howard, look. The the the these must be times at the moment. People are are listening to you and thinking, I think I hear myself in this. This might be me. What valuable piece of advice or or or free free offer can you sort of help people with? And, and how would you sort of, you know, give them that that allow them to sort of access you?Howard Polansky [00:08:01]:Yeah. The probably the easiest way to understand a little bit more of the concept behind this is my ebook. So financiallyled.com, so that's just LEDfinanciallyled.com/ebook. It'll take you maybe about twenty minutes to go through and start to understand the three lessons on how and why this works. The second, if I'm okay if it's okay for me to get a second piece of advice, Stuart, is if you have lived in let's just keep it on the personal side for now. If you've lived in your residence for a number of years now, whether it's in overseas or in The US, it doesn't matter, Your house is probably appreciated substantially, and there is equity. There is cash literally trapped in the bricks. While you're employed, while business looks good, go get a home equity line of credit.Howard Polansky [00:09:08]:Have access to the cash because you just never know what's gonna happen in life. I mean, here's a perfect example. One of my clients is a dentist. She texts me back in November saying, guess what happened to me two months ago? I'm like, this is just out of the blue. I'm like, I don't know. COVID? It's like, no. Two ruptured aneurysms and a mini stroke. Mhmm.Howard Polansky [00:09:34]:Mhmm. She's 40 she's 46 years old, Stuart. I don't think this was in her life plan in terms of, oh, I'm gonna go I wanna be in the ICU and have brain surgery for three weeks sitting in a hospital. If it wasn't for having the business line of credit set up twelve to eighteen months ago, her business would be toast. That buffer of cash is what allowed her to keep paying the bills. Even though there was no money coming in, it was the access to cash that allowed her to pay her team, pay the bills so that she could get back to still having a a functioning business.Stuart Webb [00:10:19]:I've just put a link, on the the screen in front of you, Howard. I'm gonna put that story and the link to your ebook into our vault. Our vault, if you if it listen, guys, it if you're listening to this and you go, I need to do that. If you didn't capture what Howard just said, go to, Systemize, and that's the word systemize, but it's spelled with an s, not a zed, systemize slash free hyphen stuff. There's a vault there with with and and we'll put Howard's link, and we'll put that story in order for you to be able to sort of capture that and come back to it again and again and again because that is really valuable advice. I think that's a truth that everybody should be trying to do, Howard. It's not just dentists that have aneurysms. Anybody can have one of those.Stuart Webb [00:11:03]:You know, I I have a a a a friend who went on a very nice holiday, fell over, skiing, and they were in a similar situation. They were suddenly unable to work. And if they hadn't set up the right systems in place in in his case, it was the fact that his business carried on because he had set up teams that were working. But he had to you have to think ahead, don't you? You have to you do have to do exactly what you said. This might not be in the plan, but there is a risk that this could happen. So, therefore, I need to sort of deal with the risk before it happens, not as it happens because it takes time. These things take time to set up. They don't happen overnight.Stuart Webb [00:11:46]:You have to plan it. You have to think about it. You have to put that into your thinking, don't you?Howard Polansky [00:11:51]:Absolutely. And and look, you know as well as I do, when are banks gonna gonna be most, when are they gonna be most appreciative of giving you money? When you don't need it.Stuart Webb [00:12:06]:When you've got it.Howard Polansky [00:12:08]:That's exactly as soon as you're in distress, they're the last people that wanna help you. So get this set up while things are going goodStuart Webb [00:12:18]:Yeah.Howard Polansky [00:12:19]:And just have it there just in case because stuff happens. I mean, we're live, so I definitely don't wanna say what I normally say, but stuff happens. And it's just far easier to have this all in place before any of this stuff happens because we know it's happened to everyone. It's a it's part of life.Stuart Webb [00:12:40]:It is. And, you know, there's an old there's an old story about a man walking down the road, it's pouring with rain, and he sees a farmer digging a well. And he turned around and said, why are you digging the well when it's raining? And he said, because now the ground is soft and the digging is easy. The last thing you wanna be doing is digging a well when there is no water and the ground is hard. So if you're in a situation at the moment where your business is still doing well, I know we're going into some, economically interesting times at the moment, but if you've got a business that's doing well, now's the time to be digging that well ready for when, perhaps the the ground hardens and it's not quite as easy digging. Howard, I'm I'm I'm gonna gonna, gonna get on with this because otherwise, I think we'll be here for many, many hours talking about this. So was there a sort of we we sort of talked about the the the origin of your sort of, a realization that financially led was the way that you wanted to go. Was there a a books, a course, something that led you from from where you are as a dentist now to being, the guy that tries to advise other people that, they need to think about their cash flow?Howard Polansky [00:13:50]:Yeah. The the one book which really helped in terms of solidifying this whole concept, the author's name is Harsh Gill, h a r j is the first name, g I l l. And it's the book is something like pay off your debt sooner. That was the first time I ever heard in terms of this offset mortgage, they call it the Australian mortgage or whatever. And I was like, oh my god. This is the most logical way I've ever seen in terms of being able to pay off debt. It doesn't have to be a house. It can be student loans.Howard Polansky [00:14:29]:It can be cars. It can be business loans, whatever it is. I just realized that once I was able to utilize this for myself and I got my I got down to a $24 house payment, which might be about £20 for you. I shared that with another dentist and he could not believe what he was seeing and is like, can you help me? And I'm like, I think so. And he ended up paying off his house in eight months instead of thirty years. Wow. Wow. And and that and that's when it really the light bulb went off.Howard Polansky [00:15:07]:And then later on, I was like, wait. I think I can help apply this idea to businesses because if the business has more cash flow, where's it gonna spill over? It's gonna spill over to that owner's personal life, which is where I was trying to make the impact anyway. And the answer is, yeah, it works beautifully, for the average business owner, the cash flow improvements been over $65,000 in year one. SoStuart Webb [00:15:39]:But again, notHoward Polansky [00:15:41]:doing anything crazy.Stuart Webb [00:15:43]:For those that want a personal testimony, I had an offset mortgage. We became mortgage free quite a while ago, and, I'm very grateful for the fact that I found it. So, Howard, perhaps perhaps if I'd got this advice from you many years ago, I'd I'd have to but but I found it myself. So they're a great thing. They're a great thing.Howard Polansky [00:16:03]:For the right person, if you're gonna go and just, you know, spend on Louis Vuitton and Lamborghinis and and trips around the world and you don't have the cash flow to back that up, please don't do this. You are going to get yourself in trouble.Stuart Webb [00:16:21]:I will I will not I will not immediately go out and buy a Lamborghini then. I will I will keep that. I'll keep what I've got at the moment because, clearly, that would be the wrong wrong thing for me. So, Howard, let let me let me let me sort of, help you get back out to helping people do this rather than talking about it. Is there a question that you think I should have asked you in these questions? Is there one thing that you're thinking? I wish you'd hurry up and get to the really important question. And, obviously, once you've posed the question, you need to answer it because I don't know what the question is at the moment.Howard Polansky [00:16:55]:We've kinda hinted at it before. How the heck does someone go from being a dentist to doing this?Stuart Webb [00:17:02]:Let's talk about it.Howard Polansky [00:17:04]:Yeah. So I tell people now sometimes life leaves you little clues and other times life hits you with a two by four. My two by four moment was Sunday morning, Memorial Day weekend twenty eighteen. Jaden, my older son, is 12 years old. I'm sitting next to his bed. He realizes I'm there and he says, Dad. His voice is barely above a whisper. Yeah, buddy.Howard Polansky [00:17:30]:I lean over the bed, I put my ear over his mouth to make sure I can hear him, and he says three words I'll never forget. Am I dying? Oh. Twelve days earlier, Jaden came home with a stomachache. Three days after the stomachache were in the ICU at the Children's Hospital having emergency surgery. Woah. It was a it was appendicitis that turned septic, twenty nine days in the hospital, 19 of them in the ICU, eight straight days of sedation because he went to the Operating Room 5 times. After they take the tube out of his throat, they give him methadone and morphine to bring him down from the drugs he was on. So my 12 year old son looks like a heroin addict coming down from a high, and the very first question he will only ask me are those three little words, am I dying? My first breath was, did I hear him correctly? My second breath was, do not lose it right now.Howard Polansky [00:18:34]:I look him in the eyes, and I tell him, no. You're not dying. You've had prayers from thousands of people all around the world, and you're gonna be just fine. He looks at me, he knows I'm telling him the truth. He closes his eyes to get more rest. I walk outside the room and then I broke. I was already miserable. I was burnt out from sixteen years of dentistry.Howard Polansky [00:18:57]:And one thought seared into my mind, if life is this fragile and I'm unhappy with the path that I'm on, burn the ships, it's over. That's what I did. I sold my practice September 2018, just walked away. And if I didn't make the bold move of walking away from dentistry, I would have never had this $24 house payment and never took the shot to open open a new business and do this. So that's that's the one question, Stuart.Stuart Webb [00:19:32]:Howard, if if if that is the story that motivates people to get and think about their cash flow situation, to manage their business in such a way that they turn it from being a millstone around their neck to something which is actually an asset and something which brings them the financial freedom that you got from making that decision. I trust and pray nobody has to go through what you went through to make that decision, But we can all learn from the fact that you cannot regulate, cannot plan for life to continue being the joy that it is. So if it is currently raining in your business and the ground is soft and you are not currently digging the well and taking advice from people like Howard, I would encourage you, please go and find that stuff in the in what we've said with that, Howard. Get that ebook and get on and listen to some of the brilliant advice. Howard, listen. That is a hugely, humbling story for me to have listened to, and I'm grateful for the fact that you spent just a few minutes with us giving us that story. Let me just let me just be slightly flippant now and just say please come subscribe to our newsletter list because I would love you listening to us now to to be able to get and hear people like Howard talk about these stories and really motivate you to make your business better. If you go to www.systemize.me/subscribe, there's a simple form.Stuart Webb [00:21:06]:It just asks for your first name, your email address, and that's all I want from you. Just so I can send you an email once a week saying we've got this really great guest coming up tomorrow. Come listen to some of the stuff they do, and you can listen to some real truth bombs, like Howard's given us today. Howard, that is a powerful way to end. I'm not really wanting to say very much more other than thank you very, very much for coming on and motivating us to get control of our finances and our cash flow. And and and thank you for taking the steps that you've taken in order to be that, that cash flow coach.Howard Polansky [00:21:41]:Stuart, thank you for the opportunity.Stuart Webb [00:21:44]:It's been brilliant. Thank you. Get full access to It's Not Rocket Science! at thecompleteapproach.substack.com/subscribe

Welcome back to Ditch the Labcoat! In this thought-provoking episode, Dr. Mark Bonta sits down with Kali Dayton, nurse practitioner, international consultant, and the bold voice behind the Awake and Walking ICU movement. Together, they peel back the curtain on a common but rarely questioned practice in critical care: routine heavy sedation of patients on ventilators.Kali shares her journey from a nurse in a pioneering ICU—where awake, mobile, intubated patients were the norm—to a world where comatose ventilator patients are the expectation. She unpacks the hidden harms of automatic sedation, sharing both eye-opening research and the heart-wrenching stories of ICU survivors who left with trauma, cognitive struggles, and fractured lives.Dr. Bonta and Kali explore how culture, habit, and outdated beliefs have shaped critical care—and challenge us all to rethink what's possible. Is it really safer, easier, or kinder to keep patients sedated? Or can presence, mobility, and human connection transform not just survival, but recovery?Get ready to question what you thought you knew about the ICU, discover what's already possible in some hospitals, and hear a call to action for compassionate, evidence-based change. If you work in healthcare—or might ever need it—this is a conversation you can't afford to miss. Let's ditch the lab coat and reimagine patient care, one episode at a time.Episode HighlightsRethinking ICU Sedation — Most ventilated patients don't require deep sedation—remaining awake can actually improve outcomes and reduce harm.Hidden Harm of Sedation — Automatic sedation often leads to delirium, long-term trauma, and cognitive impairment for many ICU survivors.Awake and Walking ICU Model — It's possible and beneficial to keep intubated patients awake and mobile; some ICUs already achieve this routinely.Cultural Myths in Medicine — Common ICU practices persist due to unexamined traditions, not necessarily the latest evidence or patient-centered thinking.Preventing Delirium Is Key — Early avoidance of sedation and encouraging mobility drastically decrease risks of ICU delirium and related complications.Power of Patient Stories — Listening to ICU survivors reveals the real, lasting harms of unnecessary sedation and challenges clinical assumptions.Team Buy-In Essential — Successful change requires educating and involving the entire healthcare team, from doctors to bedside nurses.Early Mobility Saves Lives — Mobilizing patients—even walking them—within hours of intubation is not only feasible, but can improve recovery.Family Involvement Matters — Informing and including families in care expectations helps calm patients and supports a less traumatic ICU experience.Start Small, Lead Change — Begin cultural transformation with one patient, one team—small steps can drive a revolution toward better, humane care.Episode Timestamps05:14 — Challenges of Mechanical Ventilation 06:57 — ICU Nursing: Breathing Tube Walks 10:14 — ICU Norms Challenged: Breathing Tubes 13:16 — Pioneering Awake, Mobile Patient Care 19:11 — Awake and Walking ICU Initiative 22:06 — Rethinking Hospital DVT Practices 25:42 — Sedation Considerations Before Intubation 27:20 — Reducing Delirium in ICU Care 32:57 — Sedation: Not Just Laughing Gas 36:24 — Rounding Culture and ICU Challenges 39:08 — Improving ICU Care: ABCDEF Protocol 41:23 — Rethinking Patient Sedation Practices 44:14 — Improving ICU Patient Care 47:38 — Revolutionizing Awake ICU CareDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of M

Stories of someone's heartwarming meeting with their birth parents, a little girl that went out of her way to uplift the spirits of a stranger in the ICU, a sweet interaction with some little kids that rang a stranger's doorbell with a strange request, trail angels with a goal to help hikers complete their journeys, and more!  Join the conversation on Facebook: https://www.facebook.com/groups/1124919431985231/ Send positive stories, hopeful news articles, or topics you'd like us to cover to us at upliftingpositivestories@gmail.com, and we may feature them in a future podcast episode! Link to the "Trail angels create magical moments for hikers on the Pacific Crest Trail" Article: https://www.opb.org/article/2025/07/04/pacific-crest-trail-magic-angels/ Link to the r/BORUpdates Subreddit: https://www.reddit.com/r/BORUpdates/ Link to the r/randomactsofkindness Subreddit: https://www.reddit.com/r/randomactsofkindness/ Link the r/BenignExistence Subreddit: https://www.reddit.com/r/BenignExistence/  

We're talking nurses + money: 401ks, investing, and what actually builds wealth beyond picking up extra shifts. Kylee sits down with April, a former ICU nurse turned finance coach, to break down what nurses aren't being told about financial freedom and how to take control of your money from day one.   Follow April On Instagram @nursemoneydate  Check Out NurseMoneyDate® website: https://www.nursemoneydate.com/   Join our monthly newsletter for updates on travel, nursing, and wellness - https://astounding-writer-222.ck.page/9de8c9fcc0  Follow us on Instagram @life_beyond_the_bedside & @passportsandpreemies Follow Kylee on TikTok - https://www.tiktok.com/@passportsandpreemies Follow Kylee on YouTube - https://www.youtube.com/@passportsandpreemies Check out our nurses only group trips on Instagram at @beyondthebedside Check out the website www.passportsandpreemies.com  

My life-changing annual event, The Summit of Greatness, is happening September 12 & 13, 2025. Get your ticket today!Heart disease kills 20 million people worldwide each year, yet most people fear cancer more than the real threat silently building in their arteries. Dr. Jeremy London, a heart surgeon with 25 years of experience and over 6,500 heart surgeries under his belt, shares the raw truth about what lands people on his operating table. His personal wake-up call came at age 55 when he needed his own heart procedure, leading him to quit alcohol and transform his entire approach to health. The most vulnerable moment comes when he describes losing patients - something that still keeps him awake at night after decades of surgery. We discuss life-saving insights for anyone who wants to protect their heart before it's too late, with specific action steps that could prevent you from becoming another statistic.Sign up for Dr. London's FREE newsletterThe Dr. Jeremy London PodcastIn this episode you will learn:Why obesity and poor diet create the perfect storm for heart disease and how to break the cycleThe shocking truth about vaping that's sending healthy young adults to the ICU on life supportHow "broken heart syndrome" can literally cause your heart to fail after emotional traumaThe three pillars that reduce cardiovascular events by over 50% (and why most people ignore them)Why alcohol might be the next cigarettes and how quitting transformed a heart surgeon's lifeFor more information go to https://lewishowes.com/1803For more Greatness text PODCAST to +1 (614) 350-3960More SOG episodes we think you'll love:Dr. Rhonda Patrick – greatness.lnk.to/1707SCDr. William Li  – greatness.lnk.to/1410SCGlucose Goddess – greatness.lnk.to/1575SC Get more from Lewis! Get my New York Times Bestselling book, Make Money Easy!Get The Greatness Mindset audiobook on SpotifyText Lewis AIYouTubeInstagramWebsiteTiktokFacebookX

With the increase in the public's attention to all aspects of brain health, neurologists need to understand their role in raising awareness, advocating for preventive strategies, and promoting brain health for all. To achieve brain health equity, neurologists must integrate culturally sensitive care approaches, develop adapted assessment tools, improve professional and public educational materials, and continually innovate interventions to meet the diverse needs of our communities. In this BONUS episode, Casey Albin, MD, speaks with Daniel José Correa, MD, MSc, FAAN and Rana R. Said, MD, FAAN, coauthors of the article “Bridging the Gap Between Brain Health Guidelines and Real-world Implementation” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Correa is the associate dean for community engagement and outreach and an associate professor of neurology at the Albert Einstein College of Medicine Division of Clinical Neurophysiology in the Saul Korey Department of Neurology at the Montefiore Medical Center, New York, New York. Dr. Said is a professor of pediatrics and neurology, the director of education, and an associate clinical chief in the division of pediatric neurology at the University of Texas Southwest Medical Center in Dallas, Texas. Additional Resources Read the article: Bridging the Gap Between Brain Health Guidelines and Real-world Implementation Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Guests: @NeuroDrCorrea, @RanaSaidMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. This exclusive Continuum Audio interview is available only to you, our subscribers. We hope you enjoy it. Thank you for listening. Dr Albin: Hi all, this is Dr Casey Albin. Today I'm interviewing Dr Daniel Correa and Dr Rana Said about their article on bridging the gap between brain health guidelines and real-world implementation, which they wrote with Dr Justin Jordan. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Thank you both so much for joining us. I'd love to just start by having you guys introduce yourselves to our listeners. Rana, do you mind going first? Dr Said: Yeah, sure. Thanks, Casey. So, my name is Rana Said. I'm a professor of pediatrics and neurology at the University of Texas Southwestern Medical Center in Dallas. Most of my practice is pediatric epilepsy. I'm also the associate clinical chief and the director of education for our division. And in my newer role, I am the vice chair of the Brain Health Committee for the American Academy of Neurology. Dr Albin: Absolutely. So just the right person to talk about this. And Daniel, some of our listeners may know you already from the Brain and Life podcast, but please introduce yourself again. Dr Correa: Thank you so much, Casey for including us and then highlighting this article. So yes, as you said, I'm the editor and the cohost for the Brain and Life podcast. I do also work with Rana and all the great members of the Brain Health Initiative and committee within the AAN, but in my day-to-day at my institution, I'm an associate professor of neurology at the Albert Einstein College of Medicine in the Montefiore Health System. I do a mix of general neurology and epilepsy and with a portion of my time, I also work as an associate Dean at the Albert Einstein College of Medicine, supporting students and trainees with community engagement and outreach activities. Dr Albin: Excellent. Thank you guys both so much for taking the time to be here. You know, brain health has really become this core mission of the AAN. Many listeners probably know that it's actually even part of the AAN's mission statement, which is to enhance member career fulfillment and promote brain health for all. And I think a lot of us have this kind of, like, vague idea about what brain health is, but I'd love to just start by having a shared mental model. So, Rana, can you tell us what do you mean when you talk about brain health? Dr Said: Yeah, thanks for asking that question. And, you know, even as a group, we really took quite a while to solidify, like, what does that even mean? Really, the concept is that we're shifting from a disease-focused model, which we see whatever disorder comes in our doors, to a preventative approach, recognizing that there's a tremendous interconnectedness between our physical health, our mental health, cognitive and social health, you know, maintaining our optimal brain function. And another very important part of this is that it's across the entire lifespan. So hopefully that sort of solidifies how we are thinking about brain health. Dr Albin: Right. Daniel, anything else to add to that? Dr Correa: One thing I've really liked about this, you know, the evolution of the 2023 definition from the AAN is its highlight on it being a continuous state. We're not only just talking about prevention of injury and a neurologic condition, but then really optimizing our own health and our ability to engage in our communities afterwards, and that there's always an opportunity for improvement of our brain health. Dr Albin: I love that. And I really felt like in this article, you walked us through some tangible pillars that support the development and maintenance of this lifelong process of maintaining and developing brain health. And so, Daniel, I was wondering, you know, we could take probably the entire time just to talk about the five pillars that support brain health. But can you give us a pretty brief overview of what those are that you outlined in this article? Dr Correa: I mean, this was one of the biggest challenges and really bundling all the possibilities and the evidence that's out there and just getting a sense of practical movement forward. So, there are many organizations and groups out there that have formed pillars, whether we're calling them seven or eight, you know, the exact number can vary, but just to have something to stand on and move forward. We've bundled one of them as physical and sleep health. So really encouraging towards levels of activity and not taking it as, oh, that there's a set- you know, there are recommendations out there for amount of activity, but really looking at, can we challenge people to just start growing and moving forward at their current ability? Can we challenge people to look at their sleep health, see if there's an aspect to improve, and then reassess with time? We particularly highlight the importance of mental health, whether it's before a neurologic condition or a brain injury occurs or addressing the mental health comorbidities that may come along with neurologic conditions. Then there's of course the thing that everyone thinks about, I think, with brain health in terms of is cognitive health. And you know, I think that's the first place that really enters either our own minds or as we are observers of our elder individuals in our family. And more and more there has been the highlight on the need for social interconnectedness, community purpose. And this is what we include as a pillar of social health. And then across all types of neurologic potential injuries is really focusing on the area of brain injury. And so, I think the area that we've often been focused as neurologists, but also thinking of both the prevention along with the management of the condition or the injury after it occurs. Dr Albin: Rana, anything else to add to that? That's a fantastic overview. Dr Said: Daniel, thank you for- I mean, you just set it up so beautifully. I think the other thing that maybe would be important for people to understand is that as we're talking through a lot of these, these are individual. These sound like very individual-basis factors. But as part of the full conversation, we also have to understand that there are some factors that are not based on the individual, and then that leads to some of the other initiatives that we'll be talking about at the community and policy levels. So, for example, if an individual is living in an area with high air pollution. Yes, we want them to be healthy and exercise and sleep, but how do we modify those factors? What about lead leaching from our aging pipes or even infectious diseases? So, I think that outside of our pillars, this is sort of the next step is to understand what is also at large in our communities. Dr Albin: That's a really awesome point. I love that the article really does shine through and that there are these individual factors, and then there there's social factors, there's policy factors. I want to start just with that individual because I think so many of our patients probably know, like, stress management, exercise, sleep, all of that stuff is really important. But when I was reading your article, what was not so obvious to me was, what's the role that we as neurologists should play in advocating? And really more importantly, like, how should we do that? And again, it struck me that there are these kind of two issues at play. And one is that what Daniel was saying that, you know, a lot of our patients are coming because they have a problem, right? We are used to operating in this disease-based care, and there's just limited time, competing clinical demands. If they're not coming to talk about prevention, how do we bring that in? And so Rana, maybe I'll start with you just for that question, you know, for the patients who are seeing us with a disease complaint or they're coming for the management of a problem, how are you organizing this at the bedside to kind of factor in a little bit about that preventative brain health? Dr Said: You know, I think the most important thing at the bedside is, one, really identifying the modifiable risk factors. These have been well studied, we understand them. Hypertension, diabetes, smoking, weight management. And we know that these definitely are correlative. So is it our role just to talk about stroke, or should we talk about, how are you managing your blood pressure? Health education, if there was one major cornerstone, is elevating health literacy for everyone and understanding that patients value clear and concise information about brain health, about modifiable risk factors. And the corollary to that, of course, are what are the resources and services? I completely understand---I'm a practicing clinician---the constraints that we have at the bedside, be it in the hospital or in our clinics. And so being the source of information, how are we referring our families and individuals to social workers, community health worker support, and really partnering with them, food banks, injury prevention programs, patient advocacy organizations? I think those are really ways that we can meet the impacts that we're looking at the bedside that can feel very tangible and practical. Dr Albin: That's really excellent advice. And so, I'd like to ask a follow-up question. With your knowledge of this, trying to get more multidisciplinary buy-in from your clinic so that you really have the support to get these services that are so critically important. And how do you do that? Dr Said: Yeah, I think it's, one, being a champion. So, what does a champion mean? It means that somebody has to decide this is really important. And I think we all realize that we're not the only ones in the room who care about this. We're all in this, and we all care about it. But how do we champion it and carry it through? And so that's the first. Second you find your partnerships: your social workers, your case managers, your other colleagues. And then what is the first-level entry thing that you can do? So for example, I'm a pediatric epileptologist. One of the things we know is that in pediatric epilepsy, depression and anxiety are very strong comorbidities. So, before we get to the point where a child is in distress, every single one of our epilepsy patients who walks in the door over the age of twelve has an age-appropriate screener that is given to them in both English and Spanish. And we assess it and we determine stratifying risk. And then we have our social workers on the back end and we decide, is this a child who needs resources? Is this a child who needs to be walked to the emergency room, escorted? And anything in between. And I think that that was a just a very tangible example of, every single person can do this and ask about it. And through the development of dot phrases and clear protocols, it works really well. Dr Albin: I love that, the way that you're just being mindful. At every step of the way, we can help people towards this lifelong brain health. And Daniel, you work with an adult population. So I wonder, what are your tips for bringing this to a different patient population? Dr Correa: Well, I think---adult or child---one thing that we often are aware of with so many of the other things that we're doing in bedside or clinic room counseling, but we don't necessarily think of in this context of brain health, is, remember all the people in the room. So, at the bedside, whether it's in the ICU, discharge counseling, the initial admission, the whole family is often involved and really concerned about the active issue. But you can look for opportunities- we often try to counsel and support families about the importance of their own sleep and rest and highlighting it not just as being there for their family member, but highlighting it to them as a measure of their own improvement of their brain health. So, looking at ways where, one, I try to find, is there something I can do to support and educate the whole family about their brain health? And then- and with an epilepsy, or in many other situations, I try to look for one comorbidity that might be a pillar of brain health to address that maybe I wasn't already thinking. And then I consider, is there an additional thing that they wouldn't naturally connect to their epilepsy or their headaches that I can bring in for them to work on? You know, we can't often give people twelve different things to work on, and they'd just feel like, okay like, you have no realistic understanding of my life. But if we can just highlight on one, and remind them that there can be many more ways to improve their health and to follow up either with us as their neurologist or their future primary care doctors to address those additional needs. Again, I would really highlight the importance of a multidisciplinary approach and looking for opportunities. We've too often, I feel, relied on primary care as being the first line for addressing unmet social health needs. We know that so many people, once they have a neurologic condition or the potential, even, of a neurologic condition, they're concerned about dementia or something, they may view us, as their neurologist, as their most important provider. And if they don't have the resource of time and money to show up at other doctors, we may be the first one they're coming to. And so, tapping into your institution's resources and finding out, are there things that are available to the primary care services that for some reason we're not able to get on the inpatient side or the outpatient side? Referring to social workers and care workers and showing that our patients have an independent need, that they're not somehow getting captured by the primary care doctors. Dr Albin: I really love that. I think that we- just being more invested and just being ready to step into that role is really important. I was noticing in this article, you really call that being a brain health ambassador, being really mindful, and I will direct all of our listeners to Figure 3, which really captures what practitioners can do both at the bedside, within their local community, and even at the professional society level, to really advocate for policies that promote brain wellness. Rana, at the very beginning of this conversation, you noted, you know, this is not just an individual problem. This really is something that is a component of our policy and the structure of our local communities. I really loved in the article, there's a humility that this cannot be just a person-by-person bedside approach, that this is a little bit determined by the social determinants of health. And so, Rana, can you walk us through a little bit of what are the social determinants of health, and why are these so crucially important when we think about brain health for all? Dr Said: Yeah, social determinants of health are a really key factor that it looks at, what are the health factors that are environmental; for example, that are not directly like what your blood pressure is, what, you know, what your BMI is, that definitely impact our health outcomes. So, these include environmental things like where people are born, where they live, where they learn, work, play, worship, and age. It encompasses factors like your socioeconomic status, your education, the neighborhoods where you are living, definitely healthcare access. And then all of this is in a social and community context. We know that the impact of social determinants of health on brain health are profound for the entire lifespan and that- so, for example, if someone is from a disadvantaged background or that leads to chronic stress, they can have limited access to healthcare. They can have greater risk of exposure to, let's say, environmental toxins, and all of that will shape how their brain health is. Violence, for example. And so, as we think about how we're going to target and enhance brain health, we really have to understand that these are vulnerable populations, special high-risk populations, that often have a disproportionate burden of neurologic disorders. And by identifying them and then developing targeted interventions, it promotes health equity. And it really has to be done in looking at culturally- ethnocultural-sensitive healthcare education resources, thinking about culturally sensitive or adaptive assessment tools that work for different populations so that these guidelines that we have, that we've already identified as being so valuable, can be equitably applied, which is one crucial component of reducing brain health risk factors. And lastly, at the neighborhood level, this is where we really rely on our partnerships with community partners who really understand their constituents and they understand how to have the special conversations, how to enhance brain health through resource utilization. And so, this is another plug for policy and resources. Dr Albin: I love that. And thinking about the neighborhood and the policy levels and all the things that we have to do. Daniel, I'd like to ask you, is there anything else you would add? Dr Correa: Yeah, you know, so I really wanted to come back to this thing is that often and unfortunately, in the beginning understanding of social determinants of health, they're thought of as a positive or a negative factor, and often really negative. These are just facts. They're aspects about our community, our society, and some of them may be at the individual level. They're not at fault of any individual or community, or even our society. They're just the realities. And when someone has a factor that may predict a health disparity or an unmet social need---I wanted to come back to that concept and that term---one or two positive factors that are social determinants of health for that individual are unmet social needs. It's a point of promise. It's a potential to be addressed. And seeking ways to connect them with community services, social work, caregivers, these are ways where- that we can remove a barrier to, so that the possibility of the recommendations that we're used to doing, giving recommendations about medications and management, can be fully appreciated for that person. And the other aspect is, like brain health, this is a continuous state. The social determinants of health may be different for the child, the parent, and the elderly family member in the household, and there might be some that are shared across them. And when one of those individuals has a new medical illness or a new condition, a stroke, and now has a mobility limitation, that may change a social determinant of health for that person or for anyone else in the family, the other people now becoming caregivers. We're used to this. And for someone after a stroke or traumatic brain injury, now they have mobility changes. And so, we work on addressing those. But thinking on how those things now become a barrier for engaging with community and accessing things, something as simple as their pharmacy. Dr Albin: I hear a lot of “this is a fluid situation,” but there's hope here because these are places that we can intervene and that we can really champion brain health throughout this fluid situation. Which kind of brings me to what we're going to close out with, which is, I'm going to have you do a little thought exercise, which is that you find a magic lamp and a genie comes out. And we'll call this the brain health genie. The genie says that they are going to grant you one wish for the betterment of brain health. Daniel, I'll start with you. What is the one thing that you think could really move the needle on promoting and maintaining brain health? Dr Correa: I will jump on nutrition and food access. If we could somehow get rid of food insecurity and have access to whole and fresh foods for everyone, and people could go back to looking at opportunities from their ancestral and cultural experiences to cook and make whole-food recipes from their own cultures. Using something like the Mediterranean diet and the mind diet as a framework, but not looking at those as cultural barriers that we somehow all have to eat a certain way. So, I think that would really be the place I would go to first that would improve all of our brain health. Dr Albin: I love that. So, wholesome eating. Rana, how about you? One magic wish. Dr Said: I think traumatic brain injury prevention. I think it's so- it feels so within our reach, and it just always is so heart-hurting when you think that wearing helmets, using seatbelts, practicing safety in sports, gun safety---because we know unfortunately that in pediatric patients, firearm injury is the leading cause of traumatic brain injury. In our older patients, fall reduction. If we could figure out how to really disseminate the need for preventative measures, get everyone really on board, I think this is- the genie wouldn't have to work too hard to make that one come true. Dr Albin: I love that. As a neurointensivist, I definitely feel that TBI prevention. We could talk about this all day long. I really wish we had a longer bit of time, but I really would direct all of our listeners to this fantastic article where you give really practical advice. And so again, today I've been interviewing Drs Daniel Correa and Rana Said about their article on bridging the gap between brain health guidelines and real-world implementation, written with Dr Justin Jordan. This article appears in the most recent issue of Continuum on the disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much for our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. We hope you've enjoyed this subscriber-exclusive interview. Thank you for listening.

On this episode of Wife of Crime I'm telling Russ about an Australian case that has gone completely viral! Erin Patterson seemed like your typical middle aged Mom. Until one day when she invited her ex husband's family over for lunch. Within 12 hours all 4 of her lunch guests would be in the ICU, in critical condition and by the end of that week, 1 of them would be in a coma and 3 of them would be dead. Did Erin poison her lunch guests? Or was this just one big accident?? Learn more about your ad choices. Visit megaphone.fm/adchoices

Nurses Out Loud with Suzi Eichinger, RN – I take listeners on a vibrant journey through my career, from my early days in the ICU in 1987 to the cusp of the COVID-19 pandemic in 2019. With humor, heart, and raw honesty, I share stories of my first critically ill patient, adventures as a travel nurse across the U.S., and my transformative work in long-term care. I set the stage for next week's deep dive into the chaos of 2020 and my personal...

Medical trauma can cause PTSD, with signs like fear of doctors, flashbacks, anxiety, avoidance, panic attacks, and emotional numbness after medical experiences. Check out my FREE grounding Skills course here: https://courses.therapyinanutshell.com/grounding-skills-for-anxiety-stress-and-ptsd Here's the guide about recognizing distress so you can help to prevent medical trauma: https://www.nctsn.org/sites/default/files/resources//pediatric_toolkit_for_health_care_providers.pdf Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Medical trauma can have a deep and lasting impact, often leading to PTSD. Signs of PTSD from medical trauma include persistent fear of hospitals, panic attacks during medical visits, nightmares about past procedures, and emotional detachment. Medical trauma symptoms and signs can also involve hypervigilance, irritability, avoidance of necessary care, and distrust of healthcare providers. Some people may experience physical symptoms like racing heart, nausea, or dizziness when reminded of their trauma. Others might struggle with depression, anxiety, or feelings of helplessness related to their medical experiences. PTSD from medical trauma can develop after surgeries, ICU stays, childbirth complications, invasive procedures, or medical negligence. Recognizing the signs of PTSD and medical trauma symptoms early can help prevent long-term emotional suffering. Treatment often includes trauma-focused therapy, EMDR, or somatic therapies designed to help the body and mind heal from overwhelming experiences. Understanding that medical trauma is real and valid is the first step toward recovery. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Nurses Out Loud with Suzi Eichinger, RN – I take listeners on a vibrant journey through my career, from my early days in the ICU in 1987 to the cusp of the COVID-19 pandemic in 2019. With humor, heart, and raw honesty, I share stories of my first critically ill patient, adventures as a travel nurse across the U.S., and my transformative work in long-term care. I set the stage for next week's deep dive into the chaos of 2020 and my personal...

In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Marilyn N. Bulloch, PharmD, BCPS, FCCM, speaks with Christy C. Forehand, PharmD, BCCCP, FCCM, about retaining highly skilled pharmacists in the ICU setting. Dr. Forehand, a clinical pharmacy specialist and residency program director at Augusta University Medical Center and the University of Georgia College of Pharmacy, shares evidence-based insights and personal reflections on how pharmacist retention directly impacts quality and safety in patient care. The conversation highlights growing concerns around burnout and attrition among ICU pharmacists, underscoring how their involvement improves clinical and economic outcomes—ranging from medication safety and reduced ventilator days to optimized transitions of care. Drawing on American College of Clinical Pharmacy (ACCP) publications and American Society of Health-System Pharmacists (ASHP) guidance, Dr. Forehand outlines strategies for building retention plans that prioritize recognition, advancement opportunities, career mentorship, and structural supports such as protected administrative time. She emphasizes how institutional practices such as improved scheduling, remote work models, and role-specific stipends can prevent burnout while reinforcing team trust and efficiency. Resources referenced in this episode: SCCM's Leadership, Empowerment, and Development (LEAD) Program, which supports professional development Rewards, Recognition, and Advancement for Clinical Pharmacists (Bondi DS, et al. J Am Coll Clin Pharm. 2023;6:427-439)

Most health care providers understand the importance of goals-of-care conversations in aligning treatment plans with patients' goals, especially for those with serious medical problems. And yet, these discussions often either don't happen or at least don't get documented. How can we do better? In today's podcast, we sit down with Ira Byock, Chris Dale, and Matthew Gonzales to discuss a multi-year healthcare system-wide goals of care implementation project within the Providence Health Care System. Spanning 51 hospitals, this initiative was recently described in NEJM Catalyst, showing truly impressive results, including an increase from 7% to 85% in goals of care conversation documentation for patients who were in an ICU for 5 or more days. How did they achieve this?  Our guests will share insights into the project's inception and the strategies that drove its success, including: Organizational Alignment: Integrating GOC documentation into the health system's mission, vision, and strategic objectives. Clinical Leadership Partnership: Collaborating with clinical leaders to establish robust quality standards and metrics. Ease of Documentation: Upgrading the electronic health record (EHR) system to streamline the documentation and retrieval of GOC conversations. Communication Training: Conducting workshops based on the Serious Illness Conversation Guide to equip clinicians with the skills needed for impactful GOC conversations. Join us as we explore how these strategies were implemented and learn how you can apply similar approaches in your own healthcare setting.  

Story at-a-glance Sepsis affects over 1.7 million U.S. adults annually, causing 350,000 deaths. It is characterized by an overwhelming immune response leading to widespread inflammation and organ failure An Iranian study of 66 ICU patients showed curcumin (500 mg) plus piperine (5 mg) reduced inflammation markers by 34.29% to 37.36% within seven days A meta-analysis revealed curcumin alone dramatically increased survival rates up to 90% and protected multiple organs including lungs, liver, and kidneys Adding black pepper to golden milk, a traditional turmeric-based drink, increases curcumin's bioavailability by 2,000% and effectively addresses metabolic syndrome symptoms through anti-inflammatory action Dr. Paul Marik's combination of vitamin C, hydrocortisone, and thiamine protocol is another life-saving option for those suffering from sepsis

Get unlimited CE credits for this podcast and any learning experience here: SapienCE Reflecting Learning | Unleash Your Inner SageIn this podcast episode, we introduce Amanda Luper, an experienced occupational therapist with over 13 years in acute care ICU. Amanda shares her journey, starting from her field placement at Vanderbilt, which shaped her career path, to her current focus on early mobility and cognitive care in the ICU. She discusses the innovative approaches she has championed, including mobilizing patients early, even building protocols for cognitive assessments. Amanda also emphasizes the importance of interdisciplinary collaboration in the ICU and highlights the critical role OTs play in patient care. The episode touches on her experiences advocating for better OT training and competency in ICUs and her work in post-ICU support groups. Through detailed examples and heartfelt patient stories, Amanda illustrates the significant impact occupational therapists can have on patient recovery and outcomes.www.DaytonICUConsulting.com

This episode is sponsored by https://WE-PN.com Become your own VPN provider.To get 50% off enter promo code: kingraam50support@we-pn.com-------------------------This episode is sponsored by BetterHelp. Give online therapy a try at https://betterhelp.com/MASTYORASTY and get on your way to being your best self.-------------------------Massoud one day woke up and saw that his eyes were turning yellow, what he thought was a routine checkup ended up being 4 intensive surgeries to save his life. He ended up in an induced coma for a week and subsequently went through some ICU delirium until he came back to reality. -------------------------To learn more about psychedelic therapy go to my brother Mehran's page at: https://www.mindbodyintegration.ca/ or to https://www.somaretreats.org for his next retreat.***Masty o Rasty is not responsible for, or condone, the views and opinions expressed by our guests ******مستی و راستی هیچگونه مسولیتی در برابر نظرها و عقاید مهمان‌های برنامه ندارد.***--------Support the showhttps://paypal.me/raamemamiVenmo + Revolut: @KingRaam Hosted on Acast. See acast.com/privacy for more information.

What if the key to surviving critical illness starts long before you ever land in a hospital bed? In this powerful episode of the Metabolic Freedom Podcast, host Ben Azadi sits down with ICU and palliative care physician Dr. Kwadwo Kyeremanteng for a conversation that hits close to home. Drawing from years of experience on the front lines of critical care, Dr. Kwadwo opens up about the real, everyday lifestyle factors that make the biggest difference—long before illness strikes. From the overlooked power of protein and muscle mass to the simple habits of walking, managing stress, building community, and finding purpose, this episode explores what truly helps people stay resilient. Dr. Kwadwo doesn't just talk theory—he shares real-life ICU stories that show why prevention beats prescription every time. You'll also hear about his new book, which is all about empowering you to take your health into your own hands—using informed choices and the support of community to stay strong, vibrant, and free. If you've ever wondered what actually matters when it comes to long-term health, this episode will change the way you think.