Podcasts about itching

Itching to travel but not sure where to go? If you love a deal, City Cast Pittsburgh's Sophia Lo and Megan Harris are back with a bonus episode and talking about more international options, the shocking number of cities you can get to in Florida, the cheapest tickets out of town right now, plus where we would go right now if someone wanted to gift us our next great trip!  Don't sleep on the main episode! We're sharing the best websites and listserves to check before you book, plus how to approach the ticket-buying process when saving money is your top priority. Become a member of City Cast Pittsburgh at membership.citycast.fm. Want more Pittsburgh news?  Sign up for our daily morning Hey Pittsburgh newsletter. We're on Instagram @CityCastPgh. Text or leave us a voicemail at 412-212-8893. Interested in advertising with City Cast? Find more info here.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Do Way Ditty Cream Stan Edward MooreStuck Mac BandThe Mood Change & Tanya Michelle SmithCity Girls Dee Dee Simon & Dani DolceSam Smith Talking Sam Smith Talking Let Your Love Flow The Terri Green ProjectTreat Her Like a Lady The TemptationsLivin ShanDariaAll This Love Jermaine MickeySam Smith Talking Sam Smith Talking Typa Girl AbrinaLike I Do Cardell Treat You Right Devon Howard  (feat. Elliot Levine) Good Time Jeff ReddSam Smith Talking Sam Smith Talking A Distant Memory Karma RoyaleI Owe It To You McKenzie & GardinerRight Now Andy StokesLets Go To Bed Gerald LevertSam Smith Talking Sam Smith Talking Are You Single AurraTreat You Right Luther VandrossPut It On You The LeJIT BrothersNever Picked No Cotton Reggie BooneSam Smith Talking Sam Smith Talking K.I.M. (Keep It Movin) Kinsman Dazz BandI Giit Around 2.0 Chuckii iBooker & Funk UniversitySomeone Like You Dave Tolliver & Skip MartinLove You Too LedisiSam Smith Talking  / Ali Siddiq Comedy Sam Smith Talking /   Ali Siddiq ComedyGroove Funk LordsRing The Bell Harry LinacreZwakala J' SomethingUsed To Be KaliswaySam Smith Talking Sam Smith Talking Can't Stop After 7Will You Love Me Chaka Khan Put Your Mouth On Me Eddie MurphyLove Is Like an Itching in My Heart The Good GirlsSam Smith Talking Sam Smith Talking For the Love of You Isley BrothersSecret Rendezvous Karyn WhiteLovely One The JacksonsI Don't Wanna Lose Your Love PerriSam Smith Talking Sam Smith Talking Sensitivity Ralph Tresvant Another Sad Love Song Toni Braxton Why Can't We Be Friends WarGroove Thang Zhané

We mentioned earlier in the show about the new field turf and how it looks different and might play different for the players…but there's still the elephant in the room regarding the big stadium project itself At what point to we need to hear some sort of news, any sort of update at all? Show Sponsored by NEBCOOur Sponsors:* Check out Hims: https://hims.com/EARLYBREAKAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Why not buy a board game from our sponsors Kienda: kienda.co.uk/polyhedroncollider In this special post-convention episode of the Polyhedron Collider Cast, we unpack all the chaos and cardboard from UK Games Expo 2025! We hit the NEC halls hard, so hard in fact that our feet are still hurting and Steve caught con-crud, but now we're back behind the mics with our favourite board games, standout surprises, and best moments from the UK's biggest tabletop gaming event. From epic Euros and frantic family games to unexpected indie darlings and jaw-dropping miniatures and prototypes. We cover a host of new games and present the prestigious Polyhedron Collider awards. Whether you joined us at the Expo or are living vicariously through our ramblings, this episode is your all-access pass to the best of UKGE 2025.

We're switching things up this episode. Instead of our usual stories about women in history, we're pausing to bring awareness to Chronic Spontaneous Urticaria (aka chronic hives). Nicole is opening up about her deeply personal ongoing health journey that's basically become her personality over the last 10 months.  Hives can be triggered by a wide range of issues, which makes them an incredibly frustrating and mysterious condition. They're often a symptom of something deeper happening in the body. In Nicole's case, the hives took over her entire body—not the tiny, bug-bite-style ones, but massive, intensely itchy welts from head to toe. She's tried nearly everything: parasite treatments, supplements, antibiotics, Xolair, prednisone, and even a grueling cleanse. While she's experienced moments of relief, the hives keep coming back and they like to switch it up every time.  If you've ever felt isolated in your health struggles, been dismissed by doctors, or left without answers, this episode is for you. Nicole's not a doctor and isn't offering medical advice, just an honest account of her experience, in hopes of finding answers or supporting someone else on a similar path. Send us your story, comments, or questions and put "Pissed Off Patient" in the subject line: homancepodcast@gmail.com Follow, comment, or DM us on IG: @homance_chronicles

Discover how to recognize the burden of primary biliary cholangitis (PBC)-associated pruritus and make evidence-based treatment decisions to improve patient quality of life. Credit available for this activity expires: 5/22/26 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/breaking-news-what-youre-itching-know-about-primary-biliary-2025a1000clq?ecd=bdc_podcast_libsyn_mscpedu

No 4 Til 7 Thang this week as The Gang were on holiday, but that doesn't stop us giving you a podcast.In these best bits that never made the podcast before, expect youthful lying, office-based sedentary geography, and porcupine hunting. Hear Johnny on Radio X every weekday at 4pm across the UK on digital radio, 104.9 FM in London, 97.7 FM in Manchester, on Global Player or via www.radiox.co.uk

Shelley Fraser Mickle is an award-winning author and former storyteller for NPR's “Morning Edition.” Her new book is “Itching to Love: The Story of a Dog” where she tells us about her decade long relationship with Buddy the mutt next-door who adopted her as his person.

2025-03-30

In this eye-opening episode, T. Louise shares a timely and necessary reminder: not every voice speaking “in the name of God” is actually sent by Him.Drawing from 1 Kings 22, she breaks down the story of King Ahab, King Jehoshaphat, and the 400 prophets who spoke falsely—exposing how easy it is to be led astray when we only want to hear what feels good. Through personal reflections and biblical truth, T. Louise reveals how "itching ears" can lead to spiritual deception, disobedience, and missed blessings.If you've ever felt overwhelmed by voices—online, in church, or even within your own circle—this episode will challenge you to seek sound doctrine, test every word, and stay aligned with God's truth.

Today we're diving into an important topic for anyone considering or currently using MOTS-c peptide therapy. We'll be discussing injection site reactions, a common side effect for many patients.  Whether you're just starting treatment or have been using MOTS-c for a while, understanding what to expect and how to manage these reactions can make all the difference in your experience. So, stay tuned as we break it all down, from symptoms to solutions, right here on When it comes to injectable treatments, an injection site reaction refers to any type of irritation or physical response at the spot where the needle enters the skin. For MOTS-c, these reactions can range from mild to moderate, and in rare cases, more severe. Typical reactions include redness, swelling, pain, itching, or a lump at the injection site. First, let's break down the most common signs of injection site reactions for MOTS-c: Redness or Discoloration: This is one of the most commonly reported reactions, where the area around the injection site becomes visibly red or irritated. Swelling or Bumps: Another common issue, where a small, sometimes hard lump forms under the skin. This may be accompanied by mild swelling that can last a few hours or up to a day or two. Pain or Tenderness: Mild pain is often reported, which can feel like soreness or tenderness at the injection site, typically disappearing after a short while. Itching or Rash: Itching can occur shortly after the injection, and sometimes a rash may develop, which is usually mild. Many MOTS-c users experience a temporary reaction that can be uncomfortable but is usually not severe. The time it takes for the reaction to begin and resolve can vary.  Most injection site reactions appear within a few minutes to a few hours after the injection. In the case of MOTS-c, users usually feel tenderness or notice redness and swelling shortly after the injection. It's not uncommon for mild itching to follow within a few minutes as well. For many people, the reaction will last anywhere from a few hours to two days. Redness and swelling usually start to subside within 12 to 24 hours. The lump or bump that forms under the skin may take a little longer to disappear, anywhere from 1 to 2 days. While most reactions are short-lived and relatively mild, they can be bothersome to some. However, there are things you can do to help minimize discomfort and speed up recovery. How to Manage Injection Site Reactions  If you're experiencing an injection site reaction, don't panic. There are a few strategies you can use to make the process more comfortable: Ice Packs and Heat Pads: Right after the injection, applying a cold compress can help with swelling and pain. After a few hours, you can switch to a warm compress to help ease any lingering discomfort or swelling. Be sure to wrap the ice or heat pack in a cloth to avoid direct contact with your skin. Massage: Gently massaging the area can sometimes help disperse the fluid build-up under the skin, especially if you're dealing with a small lump. Just make sure to wait for a few hours after the injection before gently rubbing the area. This allows the initial inflammation and discomfort to settle down a bit before applying pressure to the site. When you do begin rubbing, use gentle, intermittent circular motions. Don't massage continuously or too aggressively. Avoid applying too much pressure, as that can worsen the swelling or cause additional irritation.  A few short minutes should be enough to help. Topical Creams: Some users find relief from topical hydrocortisone cream or anti-itch ointments for soothing the area if itching or irritation is a problem. Be cautious, though—apply sparingly to avoid causing further irritation. Rotate Injection Sites: One of the best ways to prevent persistent reactions is by rotating injection sites. This helps to ensure that no one area of the skin becomes overly irritated or scarred. It also gives each site time to heal before being used again. Proper Injection Technique: If you're administering the injection yourself, make sure to follow all the instructions for proper technique. Using a clean needle and making sure the injection is done at the right angle can reduce the risk of complications and minimize irritation.   If you experience any signs of a possible allergic reaction, such as hives, a rash, swelling of the face, lips, or tongue, or symptoms of infection like pus, fever, or chills, it's important to contact your healthcare provider immediately. They may suggest an alternative treatment or provide guidance on how to manage the reaction safely. Just remember, injection site reactions are a known side effect of MOTS-c therapy. The key is to be prepared and proactive. Understanding what to expect and knowing how to manage the discomfort can make your experience with MOTS-c much better.  Thanks for listening to The Peptide Podcast. If you found this episode helpful, be sure to subscribe and leave a review. And as always, have a happy, healthy week. We're huge advocates of elevating your health game with nutrition, supplements, and vitamins. Whether it's a daily boost or targeted support, we trust and use Momentous products to supercharge our wellness journey.  Momentous only uses the highest-quality ingredients, and every single product is rigorously tested by independent third parties to ensure their products deliver on their promise to bring you the best supplements on the market.

Dr. Cremers discusses in this episodes what can cause itching of the eyes and other body part.

Tired of the constant tingling or itching from neuropathy? Holistic treatments at Optimum Wellness Solutions (972-671-2225) incorporate advanced modalities to help you get pain relief and improve nerve function. Visit https://www.optimumwellnesssolutions.com for details. Optimum Wellness Solutions City: Richardson Address: 1750 Collins Blvd Suite 101-B, Website: https://www.optimumwellnesssolutions.com/

Welcome back to another episode of Weird & Proud!  This week we discuss: A Real Life “50 First Dates” Story: woman with short term amnesia Itching is bad for us? Why we will never stop eating cheese And of course weird secrets including: Poop overflow Pregnant fetish Sperm at work & more! Make sure you're following us on Instagram @weirdandproudpod and leave us your own weird secret at ⁠⁠speakpipe.com/weirdandproudpod⁠⁠ - we love you weirdos!

Got an itch that needs scratching? US Researchers have been analysing just what happens in our skin when you get an itch, then scratch it. 

It was only in the last few decades that science became aware that itches aren't just low-level pain. And in that time, the mystery of how we itch and why we scratch has gotten even more baffling. Explore the mystery with Josh and Chuck in this classic episode.See omnystudio.com/listener for privacy information.

Rev. Kenneth Bomberger gives today's prayerful thought based on the day's Scripture readings. Begin your morning in word and prayer with Rev. Kenneth Bomberger, who shares scripture, hymns, prayers, and texts for the day, and also gives a short meditation on the day's scripture lessons. Submit comments or questions to: listener@kfuo.org

The summer science series continues with an episode from RNZ podcast Country Life. From a block of gorse-infected scrubland on Banks Peninsula, renowned botanist Hugh Wilson has spent half a lifetime growing Hinewai Reserve into a 1600-hectare paradise of regenerated native forest by leaving nature to it. Cosmo Kentish-Barnes visits to learn more.The Country Life podcast takes you all over the motu to hear the extraordinary stories of every day rural New Zealand. Hosted and produced by Sally Round, Cosmo Kentish-Barnes, Duncan Smith and Gianina SchwaneckeListen to more Country Life episodes.Guest:Hugh Wilson, botanistSign up to the Our Changing World monthly newsletter for episode backstories, science analysis and more.Go to this episode on rnz.co.nz for more details

Elton Fairfield preaches on the danger of developing “itching ears” from the story of the lonely prophet Micaiah and from Paul's closing words to Timothy. 1 Kings 22:1-29, 2 Tim 4:1-8. (Recorded in Cambridge Avenue Gospel Hall, Ballymena, on 5th Oct 2024) The post Itching Ears (45 min) first appeared on Gospel Hall Audio.

0:00 Intro 0:07 Itching powder 2:39 Work project 8:08 Observe 10:45 Museum thief 13:02 Comment 13:55 iPad Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Michael: Hello, Dr. Cabral, Thank you for all of the information you share on a daily basis. It is very helpful to many people. My question is regarding shipping labs to Washington State. We used to be able to order labs through Equi.life to the state of Washington, but over the last year or so we have been unable to receive labs. Awhile ago I heard you briefly mention the issue is due to state changes regarding labeling, I believe. I'm wondering if there is a timeline to a time we can start to have labs shipped back to to Washington. Is there someone we should be contacting to share how important at home labs are? Thank you for answering my question.     Diana: Hi Dr. Cabral. I've had an issue with mold toxicity for years after growing up and living in a very moldy house. I finally tested negative for mold after working with a functional medicine doctor. We started working on heavy metal toxicity directly after, which included taking a DMSA, and I felt worse. We retested for mold and my results were once again sky-high. The only explanation is that the DMSA promoted the release of mold toxins my body was holding onto. I know this is my body trying to protect me, but how do I get my body to stop holding onto mold toxicity so I can finally heal? It's a chicken-and-the-egg scenario: my body won't release the toxins because it's under too much stress, but my body is under stress BECAUSE of mold toxicity. Thank you for all you do, Diana              Dave: Hello. I bought the Theraozone module and am wondering the benefits of having this run while I am in the sauna, office, or car. A mold inspector came to the house and said that running ozone (on the AirDoctor) was terrible for the lungs and health in general. Is that true? Is the ozone on the AirDoctor the same as the Theraozone module? Are there different levels to ozone therapy? Thanks in advance!                                                                                           Marla: Good day Dr. Cabral…. I've had a very itchy rash on my back since July. It was recently diagnosed as Grover's disease. The only solution given was a topical steroid cream/ointment which doesn't really help. I'm going crazy with the constant itching.Any suggestions would be appreciated. I am planning a detox after new year. Best regards, Marla     Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3271 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

In this episode, Marlyn J. Mayo, MD; Stuart C. Gordon, MD; and Pam Rivard, RN, a person living with primary biliary cholangitis (PBC), discuss the burden of pruritus in PBC and the impact it has on quality of life, including both physical and mental health, from a patient's perspective. Presenters:Marlyn J. Mayo, MDProfessor of Internal MedicineDivision of Digestive & Liver DiseasesUT Southwestern Medical CenterDallas, TexasStuart C. Gordon, MDProfessor of MedicineWayne State University School of MedicineDirector, Division of HepatologyHenry Ford HealthDetroit, MichiganPam Rivard, RNPerson living with PBC Link to full program: https://bit.ly/4gDGDaB

Although there is currently no FDA-approved treatment for pruritus in primary biliary cholangitis (PBC), symptoms can be mitigated with nonpharmacologic or pharmacologic agents. In this episode, Marlyn J. Mayo, MD; Stuart C. Gordon, MD; and Pam Rivard, RN, a person living with PBC, discuss the clinical management of pruritus in PBC, including:Pruritus assessment toolsOptimal use of tools, including frequency of assessmentCurrent management of pruritusNonpharmacologic interventionsPharmacologic agentsStrategies to optimize assessment and management of pruritusCollaborative careDevelopment of a treatment planOngoing assessment and adjustment of therapyResources and support for patientsPresenters:Marlyn J. Mayo, MDProfessor of Internal MedicineDivision of Digestive & Liver DiseasesUT Southwestern Medical CenterDallas, TexasStuart C. Gordon, MDProfessor of MedicineWayne State University School of MedicineDirector, Division of HepatologyHenry Ford HealthDetroit, MichiganPam Rivard, RNPerson living with PBCLink to full program: https://bit.ly/3Dnfb2E

Clinical gaps in the treatment of pruritus in primary biliary cholangitis (PBC) remain. In this episode, taken from a recent symposium, Marlyn J. Mayo, MD; Stuart C. Gordon, MD; and Pam Rivard, RN, a person living with PBC, discuss emerging therapies currently in clinical trials for the management of this disease that can dramatically affect patients' quality of life.Listen as they discuss:Gaps in current managementPatient perspectives: why we should not dismiss itching as an underlying psychologic problemPPAR agonists and how they affect pruritusBEZURSO and FITCH ELATIVEENHANCE and RESPONSEIBATs (inhibitors of bile acid transport)GLIMMERCommon questionsPresenters:Marlyn J. Mayo, MDProfessor of Internal MedicineDivision of Digestive & Liver DiseasesUT Southwestern Medical CenterDallas, TexasStuart C. Gordon, MDProfessor of MedicineWayne State University School of MedicineDirector, Division of HepatologyHenry Ford HealthDetroit, MichiganPam Rivard, RNPerson living with PBCLink to full program: https://bit.ly/3Dnfb2E

In this episode, Marlyn J. Mayo, MD; Stuart C. Gordon, MD; and Pam Rivard, RN, a person living with primary biliary cholangitis (PBC), discuss the burden of pruritus in PBC and the impact it has on quality of life, including both physical and mental health, from a patient's perspective.Presenters:Marlyn J. Mayo, MDProfessor of Internal MedicineDivision of Digestive & Liver DiseasesUT Southwestern Medical CenterDallas, TexasStuart C. Gordon, MDProfessor of MedicineWayne State University School of MedicineDirector, Division of HepatologyHenry Ford HealthDetroit, MichiganPam Rivard, RNPerson living with PBCLink to full program: https://bit.ly/4gDGDaB

Although there is currently no FDA-approved treatment for pruritus in primary biliary cholangitis (PBC), symptoms can be mitigated with nonpharmacologic or pharmacologic agents. In this episode, Marlyn J. Mayo, MD; Stuart C. Gordon, MD; and Pam Rivard, RN, a person living with PBC, discuss the clinical management of pruritus in PBC, including:Pruritus assessment toolsOptimal use of tools, including frequency of assessmentCurrent management of pruritusNonpharmacologic interventionsPharmacologic agentsStrategies to optimize assessment and management of pruritusCollaborative careDevelopment of a treatment planOngoing assessment and adjustment of therapyResources and support for patientsPresenters:Marlyn J. Mayo, MDProfessor of Internal MedicineDivision of Digestive & Liver DiseasesUT Southwestern Medical CenterDallas, TexasStuart C. Gordon, MDProfessor of MedicineWayne State University School of MedicineDirector, Division of HepatologyHenry Ford HealthDetroit, MichiganPam Rivard, RNPerson living with PBCLink to full program: https://bit.ly/3Dnfb2E

Clinical gaps in the treatment of pruritus in primary biliary cholangitis (PBC) remain. In this episode, taken from a recent symposium, Marlyn J. Mayo, MD; Stuart C. Gordon, MD; and Pam Rivard, RN, a person living with PBC, discuss emerging therapies currently in clinical trials for the management of this disease that can dramatically affect patients' quality of life.Listen as they discuss:Gaps in current managementPatient perspectives: why we should not dismiss itching as an underlying psychologic problemPPAR agonists and how they affect pruritusBEZURSO and FITCH ELATIVEENHANCE and RESPONSEIBATs (inhibitors of bile acid transport)GLIMMERCommon questionsPresenters:Marlyn J. Mayo, MDProfessor of Internal MedicineDivision of Digestive & Liver DiseasesUT Southwestern Medical CenterDallas, TexasStuart C. Gordon, MDProfessor of MedicineWayne State University School of MedicineDirector, Division of HepatologyHenry Ford HealthDetroit, MichiganPam Rivard, RNPerson living with PBCLink to full program: https://bit.ly/3Dnfb2E

Once upon a time, artificial general intelligence was the only business plan OpenAI seemed to have. Tech journalist Brian Merchant joins Emily and Alex for a time warp to the beginning of the current wave of AI hype, nearly a decade ago. And it sure seemed like Elon Musk, Sam Altman, and company were luring investor dollars to their newly-formed venture solely on the hand-wavy promise that someday, LLMs themselves would figure out how to turn a profit.Brian Merchant is an author, journalist in residence at the AI Now Institute, and co-host of the tech news podcast System Crash.References:Elon Musk and partners form nonprofit to stop AI from ruining the worldHow Elon Musk and Y Combinator Plan to Stop Computers From Taking OverElon Musk's Billion-Dollar AI Plan Is About Far More Than Saving the WorldBrian's recent report on the business model of AGI, for the AI Now Institute: AI Generated Business: The rise of AGI and the rush to find a working revenue modelPreviously on MAIHT3K: Episode 21: The True Meaning of 'Open Source' (feat. Sarah West and Andreas Liesenfeld)Fresh AI Hell:OpenAI explores advertising as it steps up revenue driveIf an AI company ran Campbell's Soup with the same practices they use to handle dataHumans are the new 'luxury item'Itching to write a book? AI publisher Spines wants to make a dealA company pitched Emily her own 'verified avatar'Don't upload your medical images to chatbotsA look at a pilot program in Georgia that uses 'jailbots' to track inmatesYou can check out future livestreams on Twitch.Our book, 'The AI Con,' comes out in May! Pre-order your copy now.Subscribe to our newsletter via Buttondown. Follow us!Emily Bluesky: emilymbender.bsky.social Mastodon: dair-community.social/@EmilyMBender Alex Bluesky: alexhanna.bsky.social Mastodon: dair-community.social/@alex Twitter: @alexhanna Music by Toby Menon.Artwork by Naomi Pleasure-Park. Production by Christie Taylor.

Have a question or comment for us? We welcome you to send us a text, thank you! Host-June Bryant, Panelists- Kenny McClain, Patricia Steen, Antoine Mcfadden#vent101 Support the showhttps://www.facebook.com/VENT-101-103416278100472https://www.youtube.com/@v.e.n.t.101https://www.vent-101.com/https://instagram.com/v.e.n.t.101?igshid=NTA5ZTk1NTc=

In this episode, Christopher L. Bowlus, MD, discusses recent advances in the management of primary biliary cholangitis (PBC), including:Treatment goalsUse of PPAR agonists for the treatment of PBCClinical trial results for elafibranor (ELATIVE), seladelpar (RESPONSE), and bezafibrate (BEZURSO)Presenter:Christopher L. Bowlus, MDLena Valente Professor and ChiefDivision of Gastroenterology and HepatologyUniversity of California Davis School of MedicineSacramento, CaliforniaLink to full program: https://bit.ly/41tvSDuGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

In this episode, Christopher L. Bowlus, MD, discusses recent advances in the management of primary biliary cholangitis (PBC), including:Treatment goalsUse of PPAR agonists for the treatment of PBCClinical trial results for elafibranor (ELATIVE), seladelpar (RESPONSE), and bezafibrate (BEZURSO)Presenter:Christopher L. Bowlus, MDLena Valente Professor and ChiefDivision of Gastroenterology and HepatologyUniversity of California Davis School of MedicineSacramento, CaliforniaLink to full program: https://bit.ly/41tvSDuGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

Please visit answersincme.com/YZW860 to participate, download slides and supporting materials, complete the post test, and obtain credit. In this activity, an expert in dermatology discusses biologic therapy for prurigo nodularis, and a patient presents her perspective. Upon completion of this activity, participants should be better able to: Identify the therapeutic needs of patients with PN; Review the evidence for current and emerging biologic treatments for PN; and Outline how to integrate biologic therapies into the care of patients with PN.

Please visit answersincme.com/YZW860 to participate, download slides and supporting materials, complete the post test, and obtain credit. In this activity, an expert in dermatology discusses biologic therapy for prurigo nodularis, and a patient presents her perspective. Upon completion of this activity, participants should be better able to: Identify the therapeutic needs of patients with PN; Review the evidence for current and emerging biologic treatments for PN; and Outline how to integrate biologic therapies into the care of patients with PN.

Generative AI has upended how we write things… or even if we write at all. Now a startup wants to be the main character in the next chapter of that story: AI that replaces the role of the publisher. Spines is a self-publishing platform that claims that — thanks to being powered by artificial intelligence Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sarah and Susie are fresh off their New York adventure, and they spent one night in their hotel room getting spooked by the Manhattan Alien Abduction documentary. Hear why we are kind of convinced that a woman was abducted, and feel bad that people question it. Susie met a man who gave himself a vasectomy (don't worry, he's a urology surgeon), and got the scoop on whether it really is as bad as men claim it is. We learn about a Strongman champion who recently died, and how he was a successful bird breeder who said the color and beauty of the fowls brought out his "gentle side." We also discuss the founder of the JanSport company and inventor of the backpack, mummy sleeping bag, and modern hiking bag, and how his innovative designs are so ubiquitous we can't imagine a world without them! We talk about new advances in the science of itching and the reasons why pain gets all the attention, while itching is understudied. Plus, we have a theory (well, Lincoln does) about why one basketball player refused to admit his actual height.Listen to more podcasts like this: https://wavepodcastnetwork.comRead this week's Newsletter: https://mailchi.mp/thebraincandypodcast/fool-me-once-science-of-itching-luckiest-guy-in-the-worldJoin our Candy Club, shop our merch, sign-up for our free newsletter, & more by visiting The Brain Candy Podcast website: https://www.thebraincandypodcast.comConnect with us on social media:BCP Instagram: https://www.instagram.com/braincandypodcastSusie's Instagram: https://www.instagram.com/susiemeisterSarah's Instagram: https://www.instagram.com/imsarahriceBCP on X: https://www.x.com/braincandypodSponsors:To get 15% off your next gift, go to https://www.uncommongoods.com/candyVisit https://cozyearth.com/braincandy and use my exclusive 40% off code BRAINCANDY to give the gift of luxury this holiday season.Get Up to 50% OFF @honeylove by going to https://www.honeylove.com/braincandy! #honeylovepodSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the AnxietyRX Podcast, I chat with Terry Baranski, an Internal Family Systems (IFS) therapist, about some fresh, non-traditional ways to tackle anxiety. Terry shares his interesting path from computer science to therapy, stressing how crucial it is to understand trauma and the mind-body connection. We also take a closer look at why some traditional therapies miss the mark and explore how IFS and compassionate inquiry can lead to real healing and self-compassion. Join us for an insightful conversation that might just change your perspective on anxiety! Thank you for listening and you can find me on IG: @theanxietymd if you have any questions. PS. If you would like to join the MBRX family of 4000+ anxiety WARRIORS who are shifting from coping with their anxiety to actually HEALING it, click the link below: https://www.theanxietymd.com/MBRX ______________________________ TIMESTAMPS 00:00 - Introduction 01:44 - Terry Baranski's Background 03:04 - Critique of Traditional Therapy 04:37 - IFS Therapy Overview 05:48 - The Importance of Curiosity in Therapy 07:30 - Analogy of Itching and Scratching 09:45 - Managing vs. Healing Anxiety 11:24 - Mind-Body Connection 12:29 - Critique of Somatic Approaches 13:22 - Integration of Mind and Body in Therapy 16:17 - Overview of IFS Parts 18:04 - Self-Compassion in IFS 19:56 - Trauma and Energy Disruption 22:06 - Conflict Among Parts 23:01 - Self-Blame in Childhood Trauma 25:43 - Repetition Compulsion 26:44 - Anger as a Defense Mechanism 27:46 - Negative Self-Perception 28:09 - Dissociation and Coping Strategies 29:29 - The Role of Self in Healing 31:03 - Childhood Trauma and the Amygdala 32:29 - Connecting Body and Mind 33:20 - Age Regression in Emotional Reactions 36:06 - Recognizing Triggers as Guidepost 37:10 - Healthy Expression of Anger 38:48 - Understanding Trauma and Healing 39:55 - Building Trust with the Self 41:35 - Child Development and Trust 42:04 - The Impact of Trauma on Trust 43:45 - Ego Dragon and Panic Attacks 44:56 - Rapid Trust Development in Therapy 45:29 - Personal Journey of Confidence  46:26 - Sensitivity and Trauma 47:13 - Healing from the Bottom Up 48:07 - Self-Compassion and Trauma 48:58 - Clearing Trauma for Emotional Freedom 50:07 - Coping Strategies vs. Healing 51:24 - Gradual Exposure to Emotional Pain 52:55 - The Midlife Crisis and Healing 53:22 - Cold Plunge Analogy 54:36 - Building Resilience Through Discomfort 56:09 - Preference for Healing Over Discomfort 57:21 - Empowerment through Facing Pain 58:49 - A Different Path in Therapy 59:37 - Finding Terry Online

(00:00) Some equipment malfunction causes YouTube viewers catching Wallach itching his eggs. (16:36) Belichick is NO FAN of the Uche trade (33:13) Kitty cats are on full display on the Paul Finebaum show CONNECT WITH TOUCHER & HARDY: linktr.ee/ToucherandHardy For the latest updates, visit the show page on 985thesportshub.com. Follow 98.5 The Sports Hub on Twitter, Facebook and Instagram. Watch the show every morning on YouTube, and subscribe to stay up-to-date with all the best moments from Boston's home for sports!

After a bonkers weekend of games, Dianna Russini and Chase Daniel break out the vibe meter to measure what teams are feeling a week out from the trade deadline. They share what they're hearing and seeing from Washington (with an impromptu appearance from Pardon My Take's PFT Commenter), where the vibes are soaring. And they take stock of the atmospheres in Chicago, Cleveland, San Francisco, Dallas, Tennessee and Detroit before Chase provides some brutally honest feedback about how Anthony Richardson took himself out of a critical situation in yesterday's Colts game against the Texans. Then, The Athletic's Jets Zack Rosenblatt joins the pod to share what's going on behind the scenes of that team's losing streak. And Dianna and Chase end the show pumping up The Athletic's viral coverage of the NFL's fascination with Uncrustables snacks and debate which kid foods are okay for adults to eat. Hosts: Dianna Russini, Chase Daniel Producer: Marissa Dunn Executive Producer: Michael Martinez Follow Scoop City on YouTube  Follow Dianna Russini: @DMRussini Follow Chase Daniel: @ChaseDaniel Learn more about your ad choices. Visit megaphone.fm/adchoices

After a bonkers weekend of games, Dianna Russini and Chase Daniel break out the vibe meter to measure what teams are feeling a week out from the trade deadline. They share what they're hearing and seeing from Washington (with an impromptu appearance from Pardon My Take's PFT Commenter), where the vibes are soaring. And they take stock of the atmospheres in Chicago, Cleveland, San Francisco, Dallas, Tennessee and Detroit before Chase provides some brutally honest feedback about how Anthony Richardson took himself out of a critical situation in yesterday's Colts game against the Texans. Then, The Athletic's Jets Zack Rosenblatt joins the pod to share what's going on behind the scenes of that team's losing streak. And Dianna and Chase end the show pumping up The Athletic's viral coverage of the NFL's fascination with Uncrustables snacks and debate which kid foods are okay for adults to eat.Hosts: Dianna Russini, Chase DanielProducer: Marissa DunnExecutive Producer: Michael MartinezFollow Scoop City on YouTube Follow Dianna Russini: @DMRussini Follow Chase Daniel: @ChaseDaniel Hosted on Acast. See acast.com/privacy for more information.

David Newton joins the show to talk Bryce Young's return and more!

Headlines for October 17, 2024; “The Gaza Playbook”: Israel Brings Displacement, Death and Destruction to Lebanon; Ex-State Dept. Official: Israel Is Starving Gaza Now. We Can’t Wait Another 30 Days to Take Action; “Itching for a War”: Biden Deploys U.S. Troops to Israel as Netanyahu Threatens Escalation with Iran

Headlines for October 17, 2024; “The Gaza Playbook”: Israel Brings Displacement, Death and Destruction to Lebanon; Ex-State Dept. Official: Israel Is Starving Gaza Now. We Can’t Wait Another 30 Days to Take Action; “Itching for a War”: Biden Deploys U.S. Troops to Israel as Netanyahu Threatens Escalation with Iran

Episode 184: Vulvar Itching and Vaginal Health with Dr. Carol Lynn In this episode, Heather Pettey and Dr. Carol Lynn discuss an often uncomfortable but important topic for midlife women: vulvar itching and vaginal health. Resources Mentioned: Register here: -Sex and Intimacy Workshop in Midlife - Midlife Moxie private Facebook group   You will learn: - Common causes of vulvar itching, including yeast infections, bacterial infections, and hormonal changes - How to distinguish between different types of itching and when to see a doctor - The impact of menopause on vaginal health and itching - Safe products and treatments for vulvar itching - The connection between sexual activity and vaginal health - When itching may be a sign of more serious conditions Highlights: - Dr. Lynn explains why many women are hesitant to discuss vulvar itching with their doctors - Discussion of over-the-counter treatments and when to use them - Tips for maintaining vaginal pH balance and preventing infections - The importance of regular check-ups and open communication with your doctor Upcoming Retreat: Heather and Dr. Lynn share exciting details about their upcoming midlife women's retreat in Isle of Palm, featuring: - Beachfront mansion accommodations - Private chef - Massage services - Hormone testing - Breathwork sessions - Group activities For more information on the retreat, visit OurMidlifeMoxie.com. Remember to subscribe to never miss an episode of Life Coach BFF Show!   Connect with Dr. Lynn: Linkedin Website: https://www.drcarollynn.com Stay connected with Heather: Email: Heather@HeatherPettey.com Website: WWW.HEATHERPETTEY.COM Speaker Request: Click here Instagram @HeatherPettey_ Facebook: @HeatherPettey1 Linkedin: @HeatherPettey *Quick Disclaimer- Heather Pettey is a certified coach and not a therapist. Always seek the support of a therapist for clinical mental health issues.        

Caylee joins us from Canada sharing her experience with two VBACs after a twin Cesarean birth. She also shares what it was like having cholestasis in all three pregnancies. Cholestasis is a liver condition that slows or stalls the flow of bile. Meagan and Caylee discuss in greater detail what cholestasis means during pregnancy, what symptoms can look like, and how it is diagnosed. One of Caylee's most intense symptoms was incessant itching. She talks about how it affected her not only physically but mentally as well. While all three of her pregnancies were preterm births and her two VBACs were medically necessary inductions, Caylee advocated throughout her entire labors and was able to stay the course to achieve the vaginal births she knew she was capable of. Cleveland Clinic Article: Cholestasis of PregnancyAmerican Journal of Obstetrics and Gynecology Article: Risk of Stillbirth in U.S. Patients with CholestasisHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. Welcome to the show. We have our friend, Caylee, with us and her little wee, tiny little newborn. Caylee: Hi everyone. Meagan: Oh my gosh. Welcome to the show. How old is your baby? Caylee: He just turned 3 months. He was born a month early though. Meagan: Okay, 3 months and a month early. We are going to talk about why he was born a month early. You guys, today we are going to be sharing some stores and talking a little bit about cholestasis. This is something that we actually don't have a lot about on the show. When you were listening, Caylee, did you? Caylee: I don't think I've heard a single episode, yeah. Meagan: Did you hear about it in general on other platforms? Was it talked about?Caylee: Not really, no. I found it online on Facebook. I'm in the ICP Care Facebook group and that's super helpful. They are amazing in there and super knowledgeable, but yeah. It's not very common. It's quite rare. I think it's 1 in 1000 women who end up getting it. Meagan: Yeah. Caylee: So yeah. It's not very well known about and even with providers, providers don't know about it very well either. Meagan: Yeah. I think that can be part of the problem, right? Because we've got providers who don't know a lot about it and then it can cause a little bit of a panic and then a lot of the times, it can cause Cesareans or lead, I should say, to Cesarean. We're going to be talking about that today and sharing her stories. Review of the WeekMeagan: But I do have a Review of the Week so I'm going to get into that and then turn the time over to cute Caylee. This is from Cori and it doesn't say where it's from. Somewhere in the universe, it is from. It says, “The VBAC Link is gold.” It says, “Of all of the things I did to prepare in pursuing for a VBAC after two C-sections, I think is one of the most important is that I was listening to this podcast. Hearing these stories and information from Meagan and Julie made the dive into learning about VBAC and birth in general so much easier. I was blessed with my VBA2C” so VBAC after two C-sections “with my sweet Brynne Lynn and I sincerely believe I wouldn't have gotten to that point without this resource and the community. Thank you guys for all that you do.” Oh, that just makes me smile so much because this community– oh my gosh. I mean, Caylee and I were kind of just talking about this. Yes, Julie and I are here, but there is this community, this absolutely incredible community and all of the people coming forth to share their stories. And Caylee, you just said it yourself when you were like,  it's like all of these people who came and shared these stories impacted you. Caylee: Yeah, totally. Meagan: Yeah, they are the reason. You are the reason right here. Caylee, you are the reason why what Cori said in this review is possible by sharing your stories, by coming in the community on Facebook and on Instagram and having these conversations and learning and also being vulnerable. There are so many times where I see posts where it's the most vulnerable, genuine post and I can't explain to you the outpouring of love that I see come in for this person from this community. The VBAC Link Community, just the VBAC community in general, oh my gosh. You are all amazing. Thank you so much and yes, if you want to join that community, check us out on Facebook at The VBAC Link Community. It is a private group. You do have to answer the questions to get in so just keep that in mind. If you are not answering questions, you might not be allowed in. And on Instagram, and of course, if you want to have a review that I could share for the Review of the Week, please do so. We would love that.  Symptoms of Cholestasis Meagan: Okay, Caylee. Are you ready? I'm so ready. Caylee: I am ready, yes. Meagan: Awesome, I would love to turn over the time. Caylee: I don't know where to start. Should we start by talking a little bit about cholestasis so that they understand the risks? Meagan: Yeah, I think that– well yeah, the risks, the symptoms, and then also how it can be missed and then how it can sometimes– well it kind of goes with the risk, but there are other things that can come in I should say from cholestasis and I actually even had a client myself, a VBAC client after two C-sections. She had cholestasis, preeclampsia, VBAC after two Cesareans, and was induced. Caylee: Wow, good for her. Meagan: Yeah, but preeclampsia, right? Okay, let's talk about the things. So what are the symptoms that you one, may be experiencing, and two, that there may be that someone might not experience? Caylee: Yeah, so for me, it was intense itching mainly on the bottom of my feet and on the palm of my hands but I had it everywhere. I have scars on my ankles, up my arms, on my belly just from scratching. Meagan: From scratching? Caylee: Yes, incessantly. It's an itch that you can't really scratch. It's in your blood that is making you so itchy so you can scratch all you want and it's temporary relief but as soon as you stop, it's like, oh. I broke down in tears so many times and had ice packs on my feet and on my hands while I was trying to sleep. Another symptom is darker urine output and some upper right quadrant pain. Meagan: Yes. Yeah. Caylee: Those are very common and some people also experience jaundice. Meagan: I was going to say yellowing, jaundice. Decreased appetite. Caylee: Yeah. You're more likely to get preeclampsia and gestational diabetes. Yeah. Meagan: Mhmm, yeah. So nausea, feeling unwell, dark urine, lack of urine output which a lot of the time, dark urine is the beginning of that. Your kidneys are warning you and then you stop. Yeah. I had a client, not the one I was telling you about, but another client. She said that her bowels like her poop smelled really weird, like abnormal. Caylee: Yeah, I've heard that before too. Meagan: Yeah. That's the first time when she was like– that was actually one of her first symptoms that she noticed. Thinking back, she was like, “Yeah, I guess I was kind of itchy, but I wasn't itchy-itchy until later.” But that was one of the things where she was like, “I just thought I ate something weird.” Caylee: Yeah. Meagan: A decreased appetite. Pain in your belly and your quadrants, jaundice, and of course, itching. Those are the main signs. Caylee: Itching. And the severity of the itching can vary greatly between cases so the first time, it was quite mild and then it progressively got worse throughout my pregnancies. That's different for everyone who experiences that so if you have any itching, you should ask for LST's and bile acid tests from your provider. Itching can also precede the bile acids rising and the elevated bile acids is what's dangerous for the baby. It increases the risks in the baby where they might pass meconium before birth and also stillbirth risk goes up a lot if the bile acids are above 40. Meagan: Too high, yeah. So when you are pregnant, if you are having symptoms, definitely go in and get checked like she said. Get these tests. Then if you have cholestasis, if you test positive and things are looking like you have it, it is something that may increase extra testing and extra visits because you do want to keep a close eye on this. Again, like she said in the beginning, it's really rare. Even right here, it shows on this link that I'm going to put in the show notes, it's from the Cleveland Clinic, but it shows 1-2 in 1000 people during pregnancy will experience this. It's pretty low, but it can be a serious thing. Also, I was going to ask you because I know my clients have in the past. They've been given some things to try and control, to minimize, to control, to lower things to try and continue pregnancy to a good, safe term stage. Were you given anything like that? Caylee: Yeah. I was put on a medication called Ursodiol. It helps lower bile acids to make it a little bit safer for the baby so you can continue. With my last pregnancy, they were very severe levels. They were over 100 so it was kind of touch and go there whether we could get him to 36 weeks or not. They were talking about inducing me at 34 weeks. We ended up opting for non-stress tests and biophysical profile ultrasounds just to keep an eye on him. Meagan: And he did well? Caylee: He was doing well. He had already passed meconium sometime before I was induced though at 36 weeks. It was time for him to come out. He was already in distress so it was good that we did end up taking him out at 36 weeks, but he did great. Really great. Meagan: Good. Good. That's another thing I would like to drop in and note that if you do have cholestasis, it may be something that brings you to something like an induction that is earlier than expected. Obviously here, we're going to share this story in just a second about VBAC and induction. It's possible and totally doable, but that is a thing. Cause of CholestasisMeagan: She's mentioning bile. It is in the liver, right? Am I correct? It's in the liver. Caylee: Yeah. Meagan: We don't really know why. I don't know why. Do we know exactly why it happens?Caylee: They don't. They think it's something to do with pregnancy hormones and the placenta, but they don't know for sure. It's some sort of genetic factor as well, but no woman in my family who I know has had it. So I think it's just something that can happen sometimes. Meagan: Yeah. I have heard the hormones like estrogen and progesterone can be too much in the body. So just to circle back around again, if you have had any of these symptoms or if you are having any of these symptoms, it's okay. Don't hesitate and go in and get checked out. Caylee: And if you go in and get a negative result and still have symptoms, ask your provider to keep testing you. Meagan: Yes. Go back and check again. Okay, so baby number one? First pregnancy: TwinsCaylee: Twins. Meagan: Twins! Caylee: Baby one and two, my first pregnancy. Meagan: So twins. You had symptoms? Caylee: I did, yes. I got it pretty early on and they tested me and it was negative. They just put me on Ursodiol before anything came back positive. They didn't do anymore testing or anything. I didn't have any itching. The medication must have made it go away somewhat. Yeah. I was only 21 when I was pregnant with the twins so I was pretty young. I didn't know much of anything. I knew I wanted a vaginal birth. I had actually switched providers in my third trimester to somebody who was comfortable with vaginal birth with twins and they ended up being breech when they decided they needed to take them out. Preterm Cesarean at 36 weeks due to breech presentation and IUGRIt wasn't due to cholestasis, but I did have them at 36 weeks because one of the twins had stopped growing so they took them out. Meagan: IUGR? Caylee: Yeah. Yeah. He was quite significantly smaller than his brother. Meagan: Okay. That can happen with twins too, I know. Caylee: Yeah, totally. Yeah. My twin A was 6 pounds, 7 ounces, and twin B was 4 pounds, 4 so it was quite a big difference. Meagan: Mhmm. Caylee: Yeah, so it was a C-section with them. We were in the NICU for two weeks. Second pregnancyCaylee: I ended up getting pregnant again when the twins were 16 or 17 months old. I knew I did not want to do that again, having a C-section so I found supportive midwives and got on with them. Unfortunately, I don't know if it's in Canada, but they don't allow home birth for your first VBAC for some reason. Maybe it was just those midwives, I don't know, but I really wanted a home birth and they were like, “No, let's do hospital. It's safer.” I was like, “Okay, as long as I can still have my VBAC. I'll just do that.” The pregnancy went well. I thought I wasn't going to get it again. No itching, then I hit 34 weeks and the dreaded itching started again. I kind of had a feeling that I had it during my first pregnancy too from my own research. I had mentioned it to my midwives beforehand so we were looking for it seeing if it would happen. They sent me for testing right away at 34 weeks. It came back negative so they ended up testing me again weekly and then at 36 weeks, they tested me and my liver function tests were very high. My liver was basically failing and they didn't even wait for the bile acids to come back. They just brought me in for an induction. Meagan: What week again? Caylee: I was 36 weeks and 2 days when they started my induction.Meagan: Okay, so technically preterm. Caylee: Yes, yes. InductionCaylee: When I went in, they started with a Foley balloon to help dilate my cervix and that was awful. It's like a torture device, I swear. But it was effective I guess. It dilated me and then it fell out and I don't know if they didn't have a nurse for me or something, but I was waiting 8 hours for them to continue my induction. The OB came in and he wanted to break my water. I said, “No. Let's start low Pitocin.” He was like, “Well, it's not really going to do anything if you're not going to break your water too.” I said, “Okay, let's see how it goes.” Meagan: Yes. Caylee: We did that. Labor was going smoothly. I loved being in the shower. It was amazing. Then they made me get out because his heart rate was dipping really high so they wanted to get me out and be able to monitor him a little bit better. That's when things got really intense and I felt like I wasn't able to cope as well after I got out of the shower. I think in the back of my mind, I was still pretty young with him too for my first VBAC. I was only 24 and I know that uterine rupture risk is very low, but for some reason, I just couldn't get that out of my mind and every contraction I'd have, I'd just feel like I was being ripped open and was so scared that I was having a uterine rupture. I ended up– it was 32 hours into my induction and I still was at 4 centimeters just because I wasn't letting my body relax and do the work. I was tensing and fighting every contractions because I was terrified. I ended up getting an epidural at 1:00 AM and 5 hours later, I woke up and was fully dilated and pushed for 15 minutes and he came out. Meagan: 15?! 1-5? Caylee: Yeah, 1-5. Meagan: Oh my goodness. Caylee: As he was coming out, I pulled him up to my chest and it was just this amazing feeling like, Oh my god, I did it. The high that comes with that is unbelievable. Meagan: Yeah. Caylee: I just kept looking at everyone saying, “I did it. I did it.” Meagan: Absolutely. Caylee: It's an amazing feeling. Meagan: It really is. Caylee: I fought with the OB who was on call a little bit, the one who wanted to break my water. He kept saying, “Does she want to do this? Let's just go for a C-section.” I'm like, “Yeah, I can do this all night long and he can stay out of my room until I'm pushing. My midwives have got this, thanks.”Unfortunately, because I had to be induced, I had to be overseen by an OB so my midwife ran the show and was able to be with me and do everything, but he had to be there in case anything went wrong I guess. Meagan: That's kind of normal. A lot of the times, when there is a hospital midwife, there are OBs who oversee them. Caylee: Yeah. Yeah. So yeah, that was my first VBAC, first induced VBAC. Second Induced VBACCaylee: I just recently had another induced VBAC. With this one, my levels went up high. I think it was 28 weeks that I tested positive so it was sooner. Meagan: Significantly sooner. Caylee: Yeah. They went from 0 to 100 within a matter of days. They put me on Ursodiol immediately as soon as it came back positive. I was being monitored weekly with NSTs, non-stress tests, and they were sending me for biophysical profiles as well weekly which is an ultrasound to check on the baby's well-being. He was doing well so they just were keeping going with that and unfortunately, the Ursodiol did not help my itching this time around. It was so severe. I was in tears pretty much daily from the severity of the itching. Yeah. It was really bad this time. The mental health aspect of having that incessant itching I don't think is talked about a lot either. It really gets to you. It's depressing. Meagan: Oh, I would not do well with that. I would find myself getting very anxious probably and out of control. Caylee: Even now, if I get an itch, I get PTSD. It's like, Oh my god. It's not going to stop. I freak myself out and work myself up. I remember that after my second pregnancy as well. It was like I'd get a bug bite and I'd just have to itch and itch and itch until it was bleeding. Oh, it was just bad. I don't know how to leave itching alone now. His levels were very severe, or my levels I guess. My liver function tests were some of the worst that my OB had ever seen. Meagan: Interesting. Caylee: So yeah, it was just really bad. Caylee: I had actually applied for midwives. We had just moved from Alberta for BC pretty much as soon as we found out we were pregnant with Henley here. I applied pretty much as soon as I found out I was pregnant for the midwives here. I ended up hearing back from the midwives in Edmonton which is an hour and a half away that they could see me up there but once I got the itching and cholestasis, I was like, “Just transfer me to an OB where I live. It's just easier for me then all of my appointments will be out here and I don't have to drive 1.5-2 hours to appointments in the middle of winter.” Yeah, so they scheduled my induction for exactly 36 weeks because of the high levels. They didn't want me going past that because with levels over 100 bile acids, the stillbirth risk goes up very high after 37 weeks. Meagan: Did they give you a percentage or anything like that? Caylee: Yeah, I think it's upwards of 15% with very severe levels. Meagan: Oh wow. Caylee: If levels stay under 40, your risk of stillbirth is around the same as anyone else's. They go up 3% over 40 and over 100, it's even more. So it was a bit touch and go there. They were talking about inducing at 34 weeks and we were able to get to 36. Still preterm, but a higher likelihood that he wouldn't need additional support. InductionCaylee: I was induced at exactly 36 weeks. I actually had influenza B when I had to be induced. Meagan: That's miserable. Caylee: As if labor isn't hard enough alone, I had to have influenza B. It was great. Meagan: Miserable. Yes. Caylee: Yeah, one perk though was that we got a private room right away. I didn't have to labor in triage until I was far enough along to get my delivery room or whatever. They put me right in there. I was able to get set up and feel like it was my space and get more comfortable. So yeah, they started with the Foley balloon again to open the cervix. They can't do Cervadil or a few of the other cervical ripening– Meagan: Cytotec. Caylee: Yeah, because it really does increase the risk of uterine rupture with induction, but the Foley balloon is a safer option and it works. Within an hour and a half this time, my cervix was 4 centimeters. Meagan: Wow. Caylee: From barely a 1. It was kind of funny. I was standing there talking to my husband and I took a step toward the bathroom and it just flopped out and there was this line of blood up and down the floor. It was like a total bloody show. Meagan: Mucus. Caylee: In a perfect line. Meagan: Oh my gosh. Caylee: Because they attach the tube to your leg. They tape it to your leg so when it falls out, it makes a long, smooth line. My husband pulled the nurse call button and she's laughing. She ended up cleaning me up. Things picked up pretty quickly from there this time. I felt it was much more manageable though. I don't know if the nurses were nicer this time and they were doing the Pitocin a bit slower because I remember with my first VBAC, the contractions just felt back to back like I wasn't getting a break at all and it was really mentally wearing me out after 32 hours. I hadn't slept. I ended up getting the epidural but this time, it felt like more of a natural progression. I don't know. I've never had natural labor, but for me, I was able to handle it a lot better. Maybe that's because I knew what to expect this time so it wasn't as scary. Meagan: It could be. Caylee: Yeah, I don't know. Or I've heard too that with cholestasis that the bile acids or something make Pitocin more effective so maybe I didn't need as much of it this time because my levels were higher. I don't know but it was much more peaceful this time and I knew what to expect even though I was sick. I labored in the shower for a little bit with the mobile monitor because with inductions, they want to be able to monitor the baby constantly which I know is talked about a lot on here as something that is not ideal. Meagan: Yeah. Even if no induction with VBAC, it's really, really common if not 100% that your hospital is going to want that monitoring. Caylee: Yeah. And having that mobile monitor though is so helpful if your hospital has one of those. Definitely ask because oh my gosh, it's so nice to be able to get up and walk around and move and shower. Unfortunately, because of the flu, we were battling a fever. I had a fever so as soon as my Tylenol would wear off, my fever would spike and then his heart rate would go up. I had an anterior placenta so it was kind of in the way of the monitoring and it was hard to get him constantly so they ended up wanting to do the electrode. Meagan: The IUPC and the FSC? Caylee: Yeah, I think so. It's the one that they put on the scalp. Meagan: Okay, that's an FSC, fetal scalp electrode. Caylee: Yeah, that unfortunately didn't work very well. I was bed-bound but I was so sick that I didn't even really care. I was just switching sides laboring through, using the gas. I loved the gas this time.Yeah. I ended up getting to an 8, 8 centimeters and the OB unfortunately was not the OB who I had through my pregnancy. She had gone on vacation for my induction, unfortunately. I was really sad about that, but the OB on call came in and he was like, “You know, this is taking pretty long. I think it's time that we start thinking about a C-section. I'm getting worried about your scar.” I'm like, “I've done this before and it took longer last time. I am not having a C-section.” Meagan: Good for you. Caylee: I don't think he really liked that though because he was like, “Well, then you're getting an epidural because at least if you have the epidural and something happens, we can rush you in and open you up faster,” and blah, blah, blah. I'm like, “It has to be at least 24 hours and it's only been maybe 12 hours of hard, active labor here. My C-section scar is strong. It's been over 7 years since my first C-section. We are both doing well. Yes, I'm sick. Yes, his heart rate keeps going up when we have a fever but when the Tylenol kicks in, his heart is going back down and his tracing is normal. Why would I have a C-section?” Meagan: The fact that you're having a fever is more likely to the fact that you are sick versus that you have an infection.Caylee: Yeah, exactly. They tested me when I got there and they knew that I had influenza B and I tested for Group B strep so I was just having to fight with another OB again which is really frustrating, but yeah. He ended up leaving the room and my doula and my nurse were both like, “Wow, you're amazing. I'm actually so impressed with you saying no to him.” I guess a lot of people just go with what the doctor says. Meagan: Well, I guess. Caylee: That is why there are so many unneeded C-sections. Meagan: Well, we've talked about it on the show where it's like, I didn't go to years and years of medical school, so okay, I guess. Same thing with me, I was like, Okay, and went down and had a C-section when I completely did not need a C-section. Caylee: You hope that doctors are saying that when it is actually medically necessary and not when it's convenient for them. I think he was getting like, It's been 24 hours. I'm almost off-shift. I don't know, but I was not having it. It was actually funny. When he texted me, he was like, Oh, you're 8 centimeters, but he's -2 position and not coming down. He was like, It's probably time to do a C-section. I was like, “No, it's not actually.” Meagan: Oh my gosh. He really wanted to do a C-section. Caylee: Yeah, so I was like, “No, I'm not having a C-section.” He ended up leaving the room and pretty much immediately, I had a super strong contraction. I jumped off the bed trying to get away from it because apparently, that can help. I kind of grabbed my nurse's shoulders, the poor thing. She is this tiny, little 20-something nurse. I grabbed her shoulders and my body was pushing. I was farting and things were moving down there. Meagan: I bet that baby was coming down quickly too. Caylee: Yeah, that quick movement. Popping up just brought him down and she was like, “Are you pushing?” My doula was like, “Well, that's a good sign.” I was like, “I don't think so.” But my body was just doing it and then I barely made it back on the bed before his head was out. Meagan: Oh my gosh. So was the provider even in there? Caylee: No. Nope, he was just leaving the room telling me that I needed a C-section because I wasn't progressing. Meagan: I know that he had left but I didn't know if she was beeping him back in like, “Come back in!”Caylee: I guess he was down the hallway at that point and his head was out. I made it back onto the bed thankfully. My nurse was down there taking the fetal electrode out of his scalp panicking a little bit being a nurse. She was like, “You need to keep pushing.” I'm like thinking in my mind, No, I need to rest for a second. His head's out. He's fine. I knew in my soul that he was okay. I took half of a second to rest and then my body was pushing again and he was out. Meagan: Oh my gosh. Caylee: He had the umbilical cord wrapped around his neck and his armpit. I thought that maybe was why he wasn't coming down. Meagan: It could be. Caylee: Maybe he was tangled up in there a little bit and couldn't come down fully but maybe that quick movement that I did to pop out of bed was just enough to let him come down. It was so quick. I was looking around. My doula ended up riding out into the hallway to call my OB back and my nurse was frantic. She was like, “This was my first baby I caught!”Meagan: Aw, and it was a VBAC. Caylee: Yeah, yeah. I'm looking around the room like, “Whoa. What just happened?” I went from 5 minutes ago being told it was time for a C-section to my baby on my chest. Meagan: Yes. Oh, that is amazing. You know, maybe that person needed to leave to also relieve some stress so baby could come down. That's another thought I had. Caylee: Yeah, I think that was it and maybe my baby was like, Yeah, we're not going for surgery, mom. Let's show this OB what's up. Meagan: Yeah, seriously. It reminds me– is it the tiger or the lion? I can't remember the thing, but when you are being chased or when you are in a hostile environment, you either tense up or you run or whatever. We've got all of these senses and you could have been like, Nope. I am not having this baby with you in this room. I've had enough of your C-section talk. So cool. So after, with all of the babies, but especially with this one because your levels were so bad, were there any complications? Caylee: I guess I did touch on this a little bit before. I forgot though during my birth story there, when they broke my water, because I did allow it earlier this time because I felt with my first VBAC that that actually helped speed things up a little bit. I did allow them to break my water and start Pitocin at the same time this time. When they broke my water, it was full of meconium. They weren't too worried about it. Thankfully, that OB seemed pretty C-section happy and he was still like, “Oh, no big deal. We'll just monitor him. It's okay. There is a risk there for aspiration, but it's not a total risk that that will happen.” So they were just monitoring that. When he came out, he was fine for being 36 weeks. He was breathing good. They wiped his face because there was the meconium on his face, but no. He was great. It was more me that I was worried. I was like, “Is he okay?” They were like, “He's fine.” Meagan: Good. That's so good to know. I was just curious because he was early, high levels, induction, fevers, all the things so that's so good to hear that he was really great. Caylee: Mhmm, yeah. Even my twins were 36 weeks, 2 days when I had my C-section. They were in the NICU for 2 weeks and that was just for feeding and growing. They didn't know how to suck and then with my now 5-year-old, he was totally healthy when he came out too. He was 36+4 at the time he was born because my induction took so long with him, but yeah. He was healthy. He did have jaundice quite badly though so he needed the bilirubin lights and then with my baby now, he also had jaundice but he was able to stay off of the lights. He was just under that level for needing phototherapy. That's pretty common with early babies anyway. I don't know if that had anything to do with cholestasis in general or if that was just them being early that it was more likely to happen.Meagan: Yeah, that makes sense. Oh, well thank you so much for sharing your story and talking more about cholestasis with us. Like you said, there is not a lot out there. It is not very common so it makes sense that it is not talked about that often. However, uterine rupture isn't very common but it is talked about all the time. Caylee: Yeah. Meagan: So you know, but it's good. It's good to be aware. It's good to understand the symptoms and what's going on and why so I'm so grateful that you shared your stories. I'm so grateful that everyone is healthy and happy and wonderful and you are smiling and have some good birth experiences and maybe some healing birth experiences. Caylee: Yeah, totally. Meagan: You showed yourself that you could stand up to pressuring doctors. Caylee: Yes. I honestly thank my doula for being there for my last birth because I don't know if I would have had the confidence to be that firm with such a pushy, “this is what's going to happen” doctor. We had talked about it previously that she can't say anything for me but that she will be there to support and give me the power to advocate for myself. I totally felt that power from her. She was amazing. I'd like to shout her out to Little Loves Doula in Red Deer. She was amazing. Stephanie, she's great. If anyone is in Red Deer, Alberta, definitely contact Stephanie from Little Loves. Meagan: Well, you know that we love doulas here and always encourage checking out a doula. We do have VBAC Link-certified doulas. She's got her doula. Yeah. Caylee: I think she was also VBAC Link certified. Meagan: Was she or is she? Caylee: Yeah. Meagan: That's so awesome. You can check out The VBAC Link doulas at vbaclink.com/findadoula. Let me tell you, it's so fun to see all of the doulas in all of the different states. We are growing within the States. And if you have a doula in mind who is not on the VBAC list, send them the link. We would love to have them and have them support our VBAC clients and our VBAC community. Thank you so much again. Caylee: Thank you. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Keanu Thompson has spilled her tiny little beans about the atrocities of Aaron Imholte. It's everything we already knew, but it's good to see the slowest amongst us finally catching up! You want teasers? Aaron lied about paying Keanu and Geno, lied about communications, put words in people's mouths, and most importantly he all but strangled his children's shiny new forever mommy. The dirt is stacked high, and that means our best boy Aaron Imholte is going to be crawling with invisible fleas on his show today. Itching and bouncing away, watch the cascade of cope this show brings, from taking the high road to fabricating an entire new timeline and wading deeper in to the pool of victimhood. Mooby has his sites on a new ally and he will stop at nothing to make sure you hate anyone who has one bad word to say about the worst broadcaster in Minnesota. ...

From 05/08 Hour 1: The Sports Junkies discuss if JP should play in an adult baseball league.