Podcasts about IV

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    Fat Mascara
    Hidden Dangers of the Med Spa Industry with Dr. Kate Dee

    Fat Mascara

    Play Episode Listen Later Feb 7, 2025 63:17


    Are you risking your health at unregulated med spas? Dr. Kate Dee, author of Med Spa Mayhem and owner of Glow Medispa in Seattle, reveals the shocking truth about America's aesthetic clinics. In this episode, she explains how to identify if a med spa is operating legally; the risks of unregulated treatments; and how lasers, cosmetic filler, microneedling, and IV treatments can go wrong. Plus, she shares her vision for improving industry standards. Tune in to learn how to protect yourself and demand better from the med spa industry.Episode recap (with links to look up your medical providers' credentials): fatmascara.com/blog/dr-kate-deeProducts mentioned in this episode: shopmy.us/collections/1245591Sponsor links & discount codes: fatmascara.com/sponsorsPrivate Facebook Group: Fat Mascara Raising a WandTikTok & Instagram: @fatmascara, @jenn_edit, @jessicamatlin + contributors @garrettmunce, @missjuleeSubmit a "Raise A Wand" product recommendation: text us or leave a voicemail at 646-481-8182 or email info@fatmascara.com Become a member at https://plus.acast.com/s/fatmascara. Hosted on Acast. See acast.com/privacy for more information.

    Meditaciones diarias
    1795. Hombres y mujeres de conciencia recta

    Meditaciones diarias

    Play Episode Listen Later Feb 6, 2025 22:42


    Meditación en el viernes de la IV semana del Tiempo Ordinario. El Evangelio nos cuenta la triste historia de como Herodes, alentado por Herodías, que odiaba a Juan por decirle que no podía tenerla como mujer, por ser la mujer de su hermano, manda encarcelar y posteriormente decapitar a Juan. Podemos leer esta escena como una lucha entre el pecado (representado por Herodías y su hija) y la conciencia de Herodes (representado por Juan).

    One Thing In A French Day
    2468 — À quoi songeaient les deux cavaliers dans la forêt — mercredi 5 février 2025

    One Thing In A French Day

    Play Episode Listen Later Feb 5, 2025 4:06


    Lisa avait un devoir de français à rendre dimanche soir. Il s'agissait de choisir un poème parmi ceux du livre IV des Contemplations de Victor Hugo et ensuite d'envoyer un fichier audio de dix minutes dans lequel elle présentait le poème, expliquait son choix, lisait le poème et enfin proposait un parallèle avec un tableau.  Tous les poèmes du recueil traitent du même sujet : la disparition de la fille de Victor Hugo, Léopoldine, et combien cette mort le rend triste. Le poème choisi par Lisa s'intitule « A quoi songeaient les deux cavaliers dans la forêt ».  www.onethinginafrenchday.com

    StoryLearning Spanish
    Season 8 - Episode 143. Siempre serás mi hija

    StoryLearning Spanish

    Play Episode Listen Later Feb 5, 2025 6:46


    7-day FREE trial of our Intermediate Spanish course, Spanish Uncovered: ⁠⁠www.storylearning.com/podcastoffer⁠⁠ Join us on Patreon: ⁠⁠www.patreon.com/storylearningspanish⁠⁠ Glossary portasuero:  IV pole andador: walking stick Follow us on social media and more: ⁠⁠www.linktr.ee/storylearningspanish

    Meditaciones diarias
    1794. Fraternidad cristiana

    Meditaciones diarias

    Play Episode Listen Later Feb 5, 2025 31:00


    Meditación en el jueves de la IV semana del Tiempo Ordinario. El Evangelio nos presenta el envío de los Doce Apóstoles de dos en dos. Tomamos pie para hablar de la fraternidad cristiana, que es el mejor modo de evangelizar. Se trata de una meditación predicada en un contexto especial: a personas supernumerarias del Opus Dei en un retiro especial.

    Continuum Audio
    Classification and Diagnosis of Epilepsy With Dr. Roohi Katyal

    Continuum Audio

    Play Episode Listen Later Feb 5, 2025 25:40


    Epilepsy classification systems have evolved over the years, with improved categorization of seizure types and adoption of more widely accepted terminologies. A systematic approach to the classification of seizures and epilepsy is essential for the selection of appropriate diagnostic tests and treatment strategies. In this episode, Aaron Berkowitz, MD, FAAN, speaks with Roohi Katyal, MD, author of the article “Classification and Diagnosis of Epilepsy,” in the Continuum February 2025 Epilepsy issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology and a neurohospitalist, general neurologist, and clinician educator at the San Francisco VA Medical Center at the San Francisco General Hospital in San Francisco, California. Dr. Katyal is an assistant professor of neurology and codirector of adult epilepsy at Louisiana State University Health Shreveport in Shreveport, Louisiana. Additional Resources Read the article: Classification and Diagnosis of Epilepsy Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME 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: @AaronLBerkowitz Guest: @RoohiKatyal Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Roohi Katyal about her article on classification and diagnosis of epilepsy, which appears in the February 2025 Continuum issue on epilepsy. Welcome to the podcast, Dr Katyal, and could you please introduce yourself to our audience? Dr Katyal: Thank you for having me. I'm very excited to be here. I'm Dr Roohi Katyal. I currently work as Assistant Professor of Neurology at LSU Health Shreveport. Here I also direct our adult epilepsy division at LSU Health along with my colleague, Dr Hotait.  Dr Berkowitz: Fantastic. Well, happy to have you here. Your article is comprehensive, it's practical, and it focused on explaining the most recent International League Against Epilepsy (ILAE) classification of epilepsy and importantly, how to apply it to provide patients with a precise diagnosis of epilepsy and the particular subtype of epilepsy to guide the patient's treatment. There are so many helpful tables and figures that demonstrate all of the concepts and how to apply them at the bedside. So, I encourage our listeners to have a look at your article, even consider maybe screenshotting some of these helpful tables onto their phone or printing them out for handy reference at the bedside and when teaching residents. Your article begins with the current definition of epilepsy. So, I want to ask you about that definition and make sure we're on the same page and understand what it is and what it means, and then talk through a sort of hypothetical patient scenario with you to see how we might apply these in clinical practice. You talked about, in your article, how the new definition of epilepsy from the ILAE allows for the diagnosis of epilepsy in three different scenarios. So, could you tell us what these scenarios are? Dr Katyal: So, epilepsy in general is a chronic condition where there is a recurrent predisposition to having seizures. As you mentioned, epilepsy can be diagnosed in one of three situations. One situation would be where an individual has had two or more unprovoked seizures separated by more than 24 hours. The second situation would be where somebody has had one unprovoked seizure and their risk of having recurrent seizures is high. And the third situation would be where somebody had---where the clinical features could be diagnosis of an epilepsy syndrome. An example of that would be a young child presenting with absence seizures and their EEG showing 3 Hz characteristic generalized spike in with discharges. So that child could be diagnosed with childhood absence epilepsy.  Dr Berkowitz: Perfect. Okay, so we have these three scenarios, and in two of those scenarios, we heard the word unprovoked. Just to make sure everyone's on the same page, let's unpack this word “unprovoked” a little bit. What does it mean for a seizure to be unprovoked versus provoked?  Dr Katyal: So unprovoked would be where we don't have any underlying provoking features. So underlying provoking features are usually reversible causes of epilepsy. These would be underlying electrolyte abnormality, such as hyperglycemia being a common one which can be reversed. And these individuals usually do not need long-term treatment with anti-seizure medications. Dr Berkowitz: Fantastic. Tell me if I have this right, but when I'm teaching residents, I… did it provoked and unprovoked---there's a little confusing, right? Because we use those terms differently in common language than in this context. But a provoked seizure, the provoking factor has to be two things: acute and reversible. Because some people might say, well, the patient has a brain tumor. Didn't the brain tumor provoke the seizure? The brain tumor isn't acute and the brain tumor isn't reversible, so it would be an unprovoked seizure. I always found that confusing when I was learning it, so I try to remind learners I work with that provoked means acute and reversible, and unprovoked means it's not acute and not reversible. Do I have that right? Am I teaching that correctly? Dr Katyal: That's correct. Dr Berkowitz: Great. And then the other important point here. So, I think we were all familiar prior to this new guideline in 2017 that two unprovoked seizures more than twenty-four hours apart, that's epilepsy. That's pretty straightforward. But now, just like we can diagnose MS at the time of the first clinical attack with the right criteria predicting that patient is likely to have relapse, we can say the patient's had a single seizure and already at that time we think they have epilepsy if we think there's a high risk of recurrence, greater than or equal to sixty percent in this guideline, or an epilepsy syndrome. You told us what an epilepsy syndrome is; many of these are pediatric syndromes that we've studied for our boards. What hertz, spike, and wave goes with each one or what types of seizures. But what about this new idea that a person can have epilepsy after a single unprovoked seizure if the recurrence rate is greater than sixty percent? How would we know that the recurrence rate is going to be greater than sixty percent? Dr Katyal: Absolutely. So, the recurrence rate over sixty percent is projected to be over a ten year period. So, more than sixty percent frequency rate in the next ten years. And in general, we usually assess that with a comprehensive analysis and test. So, one part of the comprehensive analysis would be, a very important part would be a careful history taking from the patient. So, a careful history should usually include all the features leading up to the episodes of all the prodromal symptoms and warning signs. And ideally you also want to get an account from a witness who saw the episode as to what the episode itself looked like. And in terms of risk assessment and comprehensive analysis, this should be further supplemented with tests such as EEG, which is really a supportive test, as well as neuroimaging. If you have an individual with a prior history of, let's say, left hemispheric ischemic stroke and now they're presenting with new onset focal aware seizures with right arm clonic activity, this would be a good example to state that their risk of having future seizures is going to be high. Dr Berkowitz: Perfect. Yeah. So, if someone has a single seizure and has a lesion, as you said, most common in high-income countries would be a prior stroke or prior cerebrovascular event, prior head trauma, then we can presume that the risk is going to be high enough that we could call that epilepsy after the first unprovoked seizure. What if it's the first unprovoked seizure and the imaging is unremarkable? There's no explanatory lesion. How would we get to a diagnosis of epilepsy? How would we get to a risk of greater than sixty percent in a nonlesional unprovoked seizure? I should say, no lesion we can see on MRI. Dr Katyal: You know, in those situations an EEG can be very helpful. An EEG may not always show abnormalities, but when it does show abnormalities, it can help us distinguish between focal and generalized epilepsy types, it can help us make the diagnosis of epilepsy in certain cases, and it can also help us diagnose epilepsy syndromes in certain cases.  Dr Berkowitz: Perfect. The teaching I remember from a resident that I'm passing on to my residents, so please let me know if it's correct, is that a routine EEG, a 20-minute EEG after a single unprovoked seizure, this sensitivity is not great, is that right? Around fifty percent is what I was told with a single EEG, is that right? Dr Katyal: Yeah, the sensitivity is not that great. Again, you know, it may not show abnormality in all the situations. It's truly just helpful when we do see abnormalities. And that's what I always tell my patients as well when I see them in clinic. It may be abnormal or it may be normal. But if it does show up normal, that does not rule out the diagnosis of epilepsy. Really have to put all the pieces together and come to that finally diagnosis. Dr Berkowitz: Perfect. Well, in that spirit of putting all the pieces together, let's walk through together a hypothetical case scenario of a 19-year-old patient who presents after a first event that is considered a possible seizure. First, how do you approach the history and exam in this scenario to try to determine if you think this was indeed an epileptic seizure?  Dr Katyal: So, if I'm seeing them in the clinic or in the outpatient setting and they're hopefully presenting with somebody who's already seen the seizure itself, my first question usually is if they had any warning signs or any triggers leading up to the episode. A lot of times, you know, patients may not remember what happened during the episode, but they may remember if they felt anything different just before or the day prior, something different may have happened around that time. Yeah, so they may report that. Then a very important aspect of that would be talking to somebody who has seen the episode, a witness of the episode; and ideally somebody who has seen the onset of the episode as well, because that can give us very important clues as to how the event or the episode started and how it progressed. And then another very important question would be, for the individual who has experienced it, is how they felt after the episode ended. So, you can get some clues as to if they had a clear postictal state. Other important questions would be if they had any tongue biting or if they lost control of their bladder or all those during the episode. This, all those pieces can guide us as to if the seizure was epileptic, or the episode was epileptic or not. Dr Berkowitz: Fantastic. That's very helpful guidance. All right. So, let's say that based on the history, you're relatively convinced that this patient had a generalized tonic clonic seizure and after recovering from the event, you do a detailed neurologic exam. That's completely normal. What's your approach at this point to determining if you think the seizure was provoked or unprovoked, since that's, as you said, a key component of defining whether this patient simply had a seizure, or had a seizure and has epilepsy? Dr Katyal: The important findings would be from the laboratory test that may have been done at the time when the patient first presented with the seizure. So, we want to rule out features like hypoglycemia or other electrolyte abnormalities such as changes in sodium levels or big, big fluctuations there. We also want to rule out any other metabolic causes or other reasons such as alcohol withdrawal, which can be a provoking factor. Because these would be very important to rule out is if we find a provoking reason, then this individual may not need to be on long term anti-seizure medication. So very important to rule that out first.  Dr Berkowitz: Great. So, let's say you get all of your labs and history and toxicology screen and no provoking factors there. We would obtain neuroimaging to see if there's either an acute provoking factor or some type of lesion as we discussed earlier. Let's say in this theoretical case, the labs are normal, the neuroimaging normal. There is no apparent provoking factor, there's no lesion. So, this patient has simply had a single unprovoked seizure. How do we go about now deciding if this patient has epilepsy? How do we try to get ourselves to either an above sixty percent risk and tell this patient they have epilepsy and probably need to be on a medicine, or they have a less than sixty percent risk and that becomes a little more tricky? And we'll talk about that more as well.  Dr Katyal: For in a young patient, especially in a young patient as a nineteen year old as you present, one very important aspect if I get this history would be to ask them about absolutely prior history of similar episodes, which a lot of times they may not have had similar episodes. But then with this age group, you also want to ask about episodes of brief lapses in awareness or episodes of sudden jerking or myoclonic jerking episodes. Because if you have brief lapses of awareness, that could signify an absence seizure in this particular age group. And brief, sudden episodes of myoclonic jerking could be brief myoclonic seizures in this age group. And if we put together, just based on the clinical history, you could diagnose this patient with a very specific epileptic syndrome, which could be juvenile myoclonic epilepsy in the best case. Let's say if you ask about episodes of staring or relapses of awareness, that's not the case, and there's no history of myoclonic jerking episodes or myoclonic seizures, then the next step would be proceeding to more of our supplemental tests, which would be an EEG and neuroimaging. In all cases of new-onset seizure especially should have comprehensive assessment with EEG and neuroimaging to begin with, and we can supplement that with additional tests wherever we need, such as genetic testing and some other more advanced testing.  Dr Berkowitz: That's very helpful. OK, so let's say this particular patient, you talk to them, you talk to their family, no prior history of any types of events like this. No concerns for spells that could---unlike absence, no concern for movements that could sound like myoclonus. So, as you said, we would be looking for those and we could get to part one of the definition. There is more than one spell, even though we're being consulted for one particular event. But let's say this was the only event, we think it's unprovoked, the neuroimaging is normal. So, you said we proceed to an EEG and as you mentioned earlier, if the EEG is abnormal, that's going to tell us if the risk is probably this more than sixty percent and the patient should probably be on a medicine. But common scenario, right, that the patient has an event, they have a full work up, we don't find anything. We're convinced it was a seizure. We get our routine EEG as we said, very good, an affirmative test, but not a perfectly sensitive test. And let's say this person's routine EEG turns out to be normal. So how would you discuss with the patient their risk of a future seizure and the considerations around whether to start an anti-seizure medicine if their work-up has been normal, they've had a single unprovoked seizure, and their EEG is unrevealing? Dr Katyal: And I'm assuming neuroimaging is normal as well in this case? Dr Berkowitz: Correct. Yeah.  Dr Katyal: We have a normal EEG; we have normal neuroimaging as well. So, in this case, you know, it's more of a discussion with the patient. I tell them of that, you know, the risk of seizure may not be higher than sixty percent in this case with all the tests being normal so far and there's no other prior history of similar episodes. So, we have a discussion with them about the risks that can come with future seizures and decide where the medication should be started or not.  Dr Berkowitz: And so how do you approach this discussion? The patient will say, Doctor Katyal, I had one seizure, it was very frightening. I got injured. You told me I can't drive for however many months. One cannot drive in that particular state. But I don't really like taking medicines. What is my risk and what do you think? Should I take a medicine?  Dr Katyal: I'll tell you this because normally I would just have a direct conversation with them, discuss all the facts that we have. We go over the seizure one more time just to make sure we have not missed any similar episodes or any other episodes that may be concerning seizure, which ruled out all the provoking factors, any triggers that may be seen inseizures like this in a young age. And another thing would be to basically have a discussion with them, you know, these are the medication options that we can try. And if there is another seizure, you know, these are the these are the restrictions that would come with it. And it's a very individualized decision, to be honest. That, you know, not everyone may want to start the medication. And you'll also find that some patients who, you know, some individuals are like no,  I want to go back to driving. I don't want to be in this situation again. I would like to try a medication and don't want to ever have a seizure. So, I think it's a very individualized decision and we have a discussion with the patient based on all of these tests. And I would definitely maintain follow-up with them to make sure that, you know, things have not changed and things have---no seizures have recurred in those cases.  Dr Berkowitz: Yeah, great to hear your approach. And similar experience to you, right, where some patients say, I definitely don't want to take the medication, I'll roll the dice and I hope I don't have another seizure. And we say, we hope so also. As you said, let's keep a close eye. And certainly, if you have another seizure, it's going to be a lifelong seizure medicine at that point. And some patients who, as you said, say, wait, I can't drive for months. And if I don't take a medicine and I have a seizure in the last month, I would have to have another period of no driving. Maybe in that case, they would want to start a medicine. That said, we would present that either of these are reasonable options with risks and benefits and these are the medications we would offer and the possible side effects and risk of those, and make a joint decision with the patient. Dr Katyal: Absolutely correct. Mentioned it perfectly well that this is a very individualized decision and a joint decision that we make with the patient.  Dr Berkowitz: Fantastic. Another topic you touch on in your article is the definition of resolved epilepsy. How is that defined in the guidelines?  Dr Katyal: Yes. So, an epilepsy can be considered resolved if an individual has been seizure-free for at least ten years and has been off of IV seizure medications for at least five of those years. Another situation where epilepsy can be considered resolved would be if they have an age-defined epilepsy syndrome and now they are beyond the relevant age group for the syndrome.  Dr Berkowitz: That's very helpful. So again, a very clear definition that's helpful in these guidelines. And yet, as I'm sure you experience your practice, as I do in mine, sometimes a little challenging to apply. So, continuing with our made-up hypothetical patient here, let's say at some point in the subsequent years, they have a second unprovoked seizure, still have a normal EEG but they do go on an anti-seizure medicine. And maybe four or five years later, they're seizure-free on a low dose of an anti-seizure medicine. And they say, you know, do I really still need this medicine? I'd really like to come off of it. What do you think? Is that safe? How do you talk about that with the patient? This definition of ten years and five years off medicine seems to be---and maybe unless someone's seeing a lot of children and young adults, a relatively uncommon scenario. It's we've had a first unprovoked seizure. We never figured out why. We don't really know why they had the seizure. We can't really gauge their subsequent risk. They're on medicines, they don't want to be on them and it's only been a few years, let's say three, four, or five years. How do you frame discussion with the patient? Dr Katyal: Yeah, so that's the definition of being resolved. But in terms of tapering off medications, we can usually consider tapering off medications earlier as well, especially if they've been seizure-free for two or more years. Then again, as we mentioned earlier, it would be a very individualized decision and discussion with the patient, that we could consider tapering off of medication. And we would also want to definitely discuss the risk of breakthrough seizures as we taper off and the risks or the lifestyle modifications that would come with it if they have another breakthrough seizure. So, all those things will go into careful concentration when we decide to taper off, because especially driving restriction may be a big, you know, hard stop for a lot of patients that, you know, now is not a time to taper off medication. So, all of these factors will go into consideration and we could consider tapering off earlier as well.  Dr Berkowitz: That's very helpful. Yeah, as you said, when we're tapering off medications, if that's the direction the patient wants to go during that period, obviously we wouldn't want them to drive, or be up on a ladder, or swimming alone. You said that some patients might say, actually, I'll keep the medicine, whereas some might say, OK, I'll hold off on all these activities and hope that I can be off this medication. I remember epilepsy colleagues quoting to me at one point that all comers, when a patient's been seizure-free for two years, they estimate the risk of relapse, of having another seizure, somewhere around thirty to forty percent. In your expert opinion, is that about what you would quote to a patient as well,. about a thirty to forty percent, all comers? Obviously not someone who's had a history of status epilepticus and has a lesion or a syndrome, but in the sort of common situation of some unprovoked seizures in an adult, we don't have a clear ideology. Is that thirty to forty percent figure, more or less, you would place the risk when you talk to the patient? Or?  Dr Katyal: Yeah, absolutely, especially if the neuroimaging is completely normal, all their EE GS have been normal. They have been in this situation---you have a young patient with two seizures separated by so many years. After three or four years of being on the medication and, you know, the patient has been adhering. There are no more seizures. Thirty to forty percent seems reasonable, and this is what I usually tell them that the risk of, as we taper off medications, that risk is not zero but it's low. And around thirty percent is relatively where we would place the risk at. Dr Berkowitz: We've said in this theoretical case that the EEG is normal. But last question, I've heard some practitioners say that, well, let's say the patient did have an abnormal EEG early on. Not a syndrome, but had maybe a few focal spike wave discharges or sharps and that made you convinced that this patient had epilepsy. But still becomes seizure free for several years. I've heard of some practitioners repeating the EEG before tapering the anti-seizure medicines and I always wonder, would it change anything? It's a brief twenty-minute period. They still have one spike, but I tell them they can't come off. If the spikes are gone, it may be because of the medication, and maybe when I take them off they would have a spike. And how do you use---do you use or how do you use EEG in that decision of whether to taper a medicine? Dr Katyal: Yeah. In general, I would not always use an EEG for considering tapering off medication. Again, it's very individualized decision. I can give you a hypothetical example, but it's a fairly common one, is that if an individual with let's say focal seizures with impaired awareness, they live alone, they live by themselves. Oftentimes they'll say that, I'm not sure if I'm missing any seizures because nobody has seen them. I may or may not be losing awareness, but I'm not too certain. They have not had any definite seizures for history in the last couple of years and are now considering tapering off medication. So, this may be a situation where I may repeat an EEG, and perhaps even considering the longer EEG for them to understand their seizure burden before we decide to taper off medication. But in most situations, especially if we consider the hypothetical situation you had mentioned for the young patient who had to witness seizures separated by several years and then several years without any seizures, that may be a good example to consider tapering off medication, especially considering all the tests that had been normal before then.  Dr Berkowitz: That's very helpful to hear. And of course, this is your expert opinion. As you said, no guidelines and different people practice in different ways, but helpful to hear how you approach this common and challenging scenario for practitioners. Well, I want to thank you again, Dr Katyal. This has been a great opportunity to pick your brain on a theoretical case, but one that I think presents a number of scenarios that a lot of us---myself as a general neurologist, as well as you and your colleagues as epileptologists, we all see in general practice patients with unprovoked seizures and a revealing workup, and how to approach this challenging scenario based on the guidelines and on your expert opinion. I learned a lot from your article. Encourage our readers again to take a look. A lot of very helpful tables, figures, and explanations, some of the concepts we've been discussing. So again, today I've been interviewing Dr Roohi Katyal about her article on classification and diagnosis of epilepsy, which appears in the most recent issue of Continuum on Epilepsy. Be sure to check out Continuum audio episodes from this and other issues. And thank you again so much to our listeners for joining us.  Dr Katyal: Thank you for having me. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor
    NEW: Throwing Out Cancer Trash: Kristen Dahlgren Joins Saranne

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor

    Play Episode Listen Later Feb 5, 2025 28:20


     On Beating Cancer Daily, Saranne is joined by Kristen Dahlgren, renowned for her work on the Today Show and NBC Nightly News. Currently, Kristen is the CEO of the Cancer Vaccine Coalition. The discussion begins on a light-hearted note before Saranne surprises Kristen with an engaging exercise based on an article about life-changing decluttering.Kristen Dahlgren, a familiar face from her illustrious journalism career, brings her expertise and personal insights as a cancer survivor and advocate. Having transitioned to lead the Cancer Vaccine Coalition, Kristen shares her unique perspective on managing life post-cancer while supporting innovative cancer vaccine initiatives."I like the idea of taking back my closet and just getting rid of them because it is this negative energy of the ‘what if?'” – Kristen DahlgrenToday on Beating Cancer Daily:·     The importance of removing negative energy items like old medical supplies and unused wigs·     Surprising benefits of removing processed foods from your diet for better health·     Strategies to overcome exercise procrastination for improved physical well-being·     The challenges and impact of reducing social media usage in a digitally-driven world·     Understanding and eliminating energy vampires, or useless friends, to regain positivity·     The benefits of decluttering spaces like closets and drawers for better mental clarity·     The surprising perspective on getting rid of entertainment and how it doesn't fit everyone·     A deep dive into personal and emotional cleanup to surround oneself with supportive, positive influencesGuest Contact Information:Kristen Dahlgren https://cancervaccinecoalition.org/  The #1 Rated Cancer Survivor Podcast by FeedSpot and Ranked the Top 5 Best Cancer Podcasts by CancerCare News, Beating Cancer Daily is listened to in more than 101 countries on six continents and has over 300 original daily episodes hosted by stage IV survivor Saranne Rothberg!   To learn more about Host Saranne Rothberg and The ComedyCures Foundation:https://www.comedycures.org/ To write to Saranne or a guest:https://www.comedycures.org/contact-8 To record a message to Saranne or a guest:https://www.speakpipe.com/BCD_Comments_Suggestions To sign up for the free Health Builder Series live on Zoom with Saranne and Jacqui, go to The ComedyCures Foundation's homepage:https://www.comedycures.org/ Please support the creation of more original episodes of Beating Cancer Daily and other free ComedyCures Foundation programs with a tax-deductible contribution:http://bit.ly/ComedyCuresDonate THANK YOU! Please tell a friend who we may help, and please support us with a beautiful review. Have a blessed day! Saranne  

    Money Talks: El otro lado de la moneda
    T08E14 ¿Cuál fue el rol del oro en la Conquista de Mesoamérica y el inicio de la Nueva España?

    Money Talks: El otro lado de la moneda

    Play Episode Listen Later Feb 5, 2025 55:06


    Conversamos con Iván Rivero, historiador, sobre el papel que jugó el oro durante el proceso de conquista de Mesoamérica y el establecimiento de la Nueva España. En términos generales, las décadas entre 1520 y 1550 en lo que hoy es México ha sido lo más cercano que se ha vivido a un Apocalipsis o a una invasión alienígena. Esta conversación está basada en los siguientes artículos de Iván: Con brillo propio: el oro de aluvión en la incipiente Nueva EspañaLo que el fuego no se llevó. La orfebrería mixteca como tributo, 1526-1530Síguenos! En Instagram ⁠ En LinkedIn⁠En Twitter: ⁠https://www.twitter.com/walterbuchananc⁠⁠ ⁠⁠https://www.twitter.com/luizgonzali⁠⁠ ⁠⁠ https://www.twitter.com/fravazah Distribuido por Genuina Media

    Psychedelic Therapy Frontiers
    Sleep apnea awareness, 5-MeO-DMT for heavy drinking, LSD for anxiety, and psychedelics for personality disorders

    Psychedelic Therapy Frontiers

    Play Episode Listen Later Feb 4, 2025 68:40


    Send us a textDo you have one of those fancy wearable devices that tracks your sleep? How reliable are those things? Could they help detect a serious sleep disorder like sleep apnea? How detrimental is sleep apnea on physical and mental health? What are the latest treatment innovations for sleep apnea? Can psychedelics help people with personality disorders? Could 5-MeO-DMT help reduce excessive alcohol consumption? Could LSD be used to treat anxiety? What happens when you let people self-regulate a DMT dose through an IV? In today's episode of the Psychedelic Therapy Frontiers podcast, we share data from a number of studies that seek to answer these questions. For those of you who are new to the show, welcome! Psychedelic Therapy Frontiers is brought to you by Numinus Network and is hosted by Dr. Steve Thayer and Dr. Reid Robison.Learn more about our podcast at https://numinus.com/podcast/Learn more about psychedelic therapy training opportunities at https://numinus.com/training/Learn more about our clinical trials at https://www.numinus.com/clinical-trials Learn more about Numinus at https://numinus.com/Email us at ptfpodcast@numinus.com Follow us on Instagram: https://www.instagram.com/drstevethayer/https://www.instagram.com/innerspacedoctor/https://www.instagram.com/numinushealth/

    Meditaciones diarias
    1793. Creo firmemente que estás ahí... en el sagrario

    Meditaciones diarias

    Play Episode Listen Later Feb 4, 2025 21:18


    Meditación en el miércoles de la IV semana del Tiempo Ordinario. El Evangelio nos narra la visita de Jesús a su ciudad, Nazaret, y como los suyos no lo acogieron con fe, porque lo conocían desde siempre. Jesús se admira de su poca fe, no puede hacer muchos milagros allí y se marcha a predicar a otras ciudades. Ese mismo Jesús está presente en los sagrarios de nuestras iglesias: ¿con qué fe acudo a rezar, a la Santa Misa?

    FiringTheMan
    From Friendship to Franchise: The Journey of Innovating IV Therapy with Jordan Cobb & Jana Gavin

    FiringTheMan

    Play Episode Listen Later Feb 4, 2025 48:50 Transcription Available


    Curious about how two friends can transform a shared passion into a thriving business? We sit down with Jana Gavin and Jordan Cobb, co-founders of iVitamin, to explore their remarkable journey in the IV therapy wellness industry. With Jana's roots in pharmaceuticals and Jordan's background in medical device sales, they discovered an opportunity to bring innovative IV hydration services to Austin, Texas. This episode promises to reveal the secrets behind their successful venture, from overcoming initial skepticism to embracing the entrepreneurial spirit ingrained in Jana's family history.Our conversation takes us through the dynamic world of wellness entrepreneurship, where Jana and Jordan's dedication to quality and customized care sets iVitamin apart. Listeners will learn how they navigated the challenges of launching their first location and rapidly scaled their business using a fractional franchise model. By adhering to strict safety guidelines and offering tailored IV cocktails, they've built a sustainable business model that resonates with patient wellness and stands the test of time. Tune in to hear their insights into the growing popularity of IV therapy, paving the way for aspiring entrepreneurs in the wellness sector.Beyond business, Jana and Jordan share personal stories of how entrepreneurship has enabled them to pursue their passions, from wake surfing to spending time with their families. Their candid advice emphasizes the importance of building a supportive network and seeking mentorship to combat the often-hidden loneliness of entrepreneurial life. Whether you're an established business owner or just starting out, this episode delivers invaluable lessons on balancing personal freedom with professional success. Join us as we celebrate the power of friendship, innovation, and the relentless pursuit of wellness.How to connect with Jordan and Jana?Website: https://www.ivitamintherapy.comJordan Cobb: jcobb@ivitaminatx.comJana Gavin: jgavin@ivitaminatx.comInstagram: https://www.instagram.com/ivitaminatx/Facebook: https://www.facebook.com/ivitamintherapy Support the show

    La Santa Misa
    4 de Febrero del 2024

    La Santa Misa

    Play Episode Listen Later Feb 4, 2025 31:35


    Martes de la IV semana del tiempo ordinarioLectionary: 324 /guadaluperadio.com

    HASTA QUE SE ACABE EL CAFÉ
    CAP 240/ (10) LA VERDADERA HUMIDAD, ES SER COMO CRISTIANO RONALDO

    HASTA QUE SE ACABE EL CAFÉ

    Play Episode Listen Later Feb 4, 2025 64:05


    #HastaQueSeAcabeElCafe #FreddyBeltran #IvanMarín Hoy vamos a hablar de las declaraciones polémicas del jugador de futbol Cristiano Ronaldo. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Las conversaciones más incoherentes pero viscerales ya no se perderán, ahora tienen eco en las redes. Queremos ser famosos. DIFUNDAN LA NUEVA NUEVA. #HastaQueSeAcabeElCafe #VideoPodcast #FreddyBeltran #IvanMarin ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ESCUCHENOS EN

    6AM Hoy por Hoy
    No se puede dialogar eternamente, tenemos que dar pasos claros hacia la paz: Cepeda sobre Catatumbo

    6AM Hoy por Hoy

    Play Episode Listen Later Feb 4, 2025 6:16


    En Caracol Radio estuvo el senador Iván Cepeda. El congresista se refirió a la situación que se vive en el Catatumbo.

    Se me subió el muerto
    SMSEM Ep 198 - El diablo te ayuda a vender pan

    Se me subió el muerto

    Play Episode Listen Later Feb 4, 2025 70:08


    Link para el show de Iván https://linktr.ee/soyivanmendozaa Link para el show de Alex Quiroz https://arema.mx/e/9538 Link para el show de Solin https://app.recurrente.com/ Link de la merch oficial https://semesubioelmuerto.myshopify.com/ Link de boletos tour 2025 https://linktr.ee/semesubioelmuerto https://www.instagram.com/soyivanmendOZA https://www.instagram.com/soyalexquiroz/ https://www.instagram.com/solinstandup/ SMSEM CREW: https://www.instagram.com/flaquimedios La flaquita: https://www.instagram.com/putzulbrizuela Flaquito: https://www.instagram.com/albertoo_brizuela FlaquiMich: https://www.instagram.com/mich_xh Silvia: https://www.instagram.com/_silviasiu/ Joch: https://www.instagram.com/elmismojoch/

    Disintegrator
    25 - CRIT (w/ Avocado Ibuprofen)

    Disintegrator

    Play Episode Listen Later Feb 4, 2025 46:35


    You already follow @avocado_ibuprofen. His memes IV-ed into the arm of the artworld, circulating through the DMs; they are acidic and thereaputic, they throw up solidarity through critique and gentle negation. We talk about art education, disappointment, exhaustion, glamour, and a beautiful idea (automating the viewer) he began to expand upon in an interview with Valentinas Klimašauskas here.Buy his mugs. Memes we discuss:(Selling Mugs Galaxy Brain)(Phone/Pocket/Lineage)(AI Meme 1, AI Meme 2)Ambient track is 'Respect for the Medium' by friend of the pod They Became What They Beheld, show them some love on Bandcamp.

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor

    In today's episode of Beating Cancer Daily, Saranne discusses the strategies to alleviate the misery and discomfort often accompanying a cancer diagnosis. Drawing from her experience in conquering Stage IV cancer, Saranne offers practical tips for tackling the challenges one step at a time, aiming to improve the overall quality of life for those going through the cancer journey. Stay tuned as Saranne shares insightful ways to navigate uncomfortable encounters and provides a humorous take on finding moments of joy amidst difficulties. Join us as we delve into the little things that can make a big difference in the battle against cancer.The #1 Rated Cancer Survivor Podcast by FeedSpot and Ranked the Top 5 Best Cancer Podcasts by CancerCare News, Beating Cancer Daily is listened to in more than 101 countries on six continents and has over 300 original daily episodes hosted by stage IV survivor Saranne Rothberg!   To learn more about Host Saranne Rothberg and The ComedyCures Foundation:https://www.comedycures.org/ To write to Saranne or a guest:https://www.comedycures.org/contact-8 To record a message to Saranne or a guest:https://www.speakpipe.com/BCD_Comments_SuggestionsTo sign up for the free Health Builder Series live on Zoom with Saranne and Jacqui, go to The ComedyCures Foundation's homepage:https://www.comedycures.org/Please support the creation of more original episodes of Beating Cancer Daily and other free ComedyCures Foundation programs with a tax-deductible contribution:http://bit.ly/ComedyCuresDonate THANK YOU! Please tell a friend who we may help, and please support us with a beautiful review. Have a blessed day! Saranne 

    The Judgies
    Ep 243: New Hot Dog

    The Judgies

    Play Episode Listen Later Feb 3, 2025 94:09


    In this episode we talk about: a guy who tried out a "TikTok trend" on his wife, an annoying boyfriend who hogs the tv, a "lawyer" who gets caught in her lies, a listener who had an unfortunate moment at a Joji concert, and a very weird person who wants to steal his brother's girlfriend. Christian also outlines some things he saw while pondering his orb in the circle jurdge and we get a bonus section of Josh being very wrong TWICE. This episode is sponsored by: Hello Fresh! Check out HelloFresh.com/judgies10fm for up to 10 free meals and a free high protein item for life! Judgies Merch is Available HERE! Want fun, cool stickers and MORE? www.aurorascreaturecorner.store Palestine Children's Relief Fund Donation Link Edited by: https://www.youtube.com/@currentlyblinking https://twitter.com/currentlyblink https://tiktok.com/@currently.blinking Our Patreon is officially open, if you want to see extra content go check it out!  https://www.patreon.com/JudgiesPod  Send us mail! (Addressed However You'd Like)  P.O. Box 58 Ottawa, IL 61350  Leave a Review!  https://podcasts.apple.com/us/podcast/the-judgies/id1519741238  Follow us on Twitter: https://twitter.com/judgiespod Follow us on Instagram: https://instagram.com/judgiespod  Intro Music by: Iván  https://open.spotify.com/artist/5gB2VvyqfnOlNv37PHKRNJ?si=f6TIYrLITkG2NZXGLm_Y-Q&dl_branch=1  Story Links: "It Was Just a Trend" TV Hogging Boyfriend Lying "lawyer" Very Weird Brother Time Stamps: 0:00 Start/Mail Time 9:15 "It Was Just A Trend" | AITA 17:16 TV Hogging Boyfriend | AITA 27:29 Lying "Lawyer"| AITA 38:50 Josh Being Wrong Twice 47:34 CJ: Pisstradamus 58:40 LS Sound 1:01:51 LS Story: Joji 1:09:00 Very Weird Brother 1:26:38 Outro Learn more about your ad choices. Visit megaphone.fm/adchoices

    The Beautifully Broken Podcast
    Two Guys One Testicle: A Cancer Story with Louie Helmecki

    The Beautifully Broken Podcast

    Play Episode Listen Later Feb 3, 2025 92:55


    Louie Helmecki shares his deeply personal journey through multiple cancer diagnoses, shedding light on the emotional, physical, and medical challenges he faced along the way. From enduring chemotherapy and surgeries to navigating the complexities of cancer recurrence, Louie speaks candidly about the toll of treatment and the resilience required to push forward. He and Freddie Kimmel discuss the critical role of health ownership, the importance of advocating for the right medical care, and the gaps in traditional medicine that often leave patients searching for more holistic solutions. Louie's story is not just about surviving but about reclaiming control over his well-being and redefining what it means to thrive beyond cancer. This conversation also delves into groundbreaking health innovations, including the use of peptides, GLP-1 medications, and lifestyle medicine as tools for recovery and disease prevention. Freddie and Louie explore the latest advancements in cancer detection, weight management, and muscle preservation, emphasizing the importance of a personalized and proactive approach to health. They highlight the growing integration of complementary therapies like red light therapy, IV treatments, and biohacking strategies that support the body's natural healing process. More than just a story of struggle, this episode is a testament to the power of mindset, education, and taking action to build a life beyond illness.Chapters00:00 Introduction to Cancer Journeys05:00 Louie's Cancer Diagnosis and Initial Treatment09:52 Chemotherapy Experiences and Challenges16:01 Surgery and Recovery Insights20:01 Recurrence and New Diagnosis30:00 Navigating Medical Decisions and Expert Opinions35:50 Navigating Cancer Treatment Experiences41:07 The Intersection of Traditional and Complementary Medicine49:01 Innovations in Health and Wellness Practices55:46 Understanding Peptides and Their Impact on Health01:05:59 Exploring Weight Loss Medications01:08:02 The Importance of Comprehensive Health Assessments01:09:55 Navigating Weight Loss Programs Responsibly01:12:03 Innovative Approaches to Health and Wellness01:16:52 Cancer Detection and Preventative Measures01:26:51 Life Lessons from Cancer SurvivalUPGRADE YOUR WELLNESSSilver Biotics Wound Healing Gel: https://bit.ly/3JnxyDD (30% off)Code: BEAUTIFULLYBROKENSaga Bands: https://ca.saga.fitness/?ref=titvyccmCode: beautifullybrokenStemRegen: https://www.stemregen.co/products/stemregen?_ef_transaction_id=&oid=1&affid=52Code: beautifullybrokenLightPathLED https://lightpathled.pxf.io/c/3438432/2059835/25794Code: beautifullybroken CONNECT WITH FREDDIE Check out my website and store: (http://www.beautifullybroken.world) Instagram: (https://www.instagram.com/beautifullybroken.world/) YouTube: (https://www.youtube.com/@BeautifullyBrokenWorld)

    The Dr. Kinney Show
    Balancing Health, Business, & Motherhood: Wellness Strategies for Busy Women w/ Dr. Julie Militello

    The Dr. Kinney Show

    Play Episode Listen Later Feb 3, 2025 41:57


    Welcome back to the Dr. Kinney Show! This week, I'm joined by Dr. Julie Militello, a board-certified internist and founder of Revitalive MD, a state-of-the-art IV hydration therapy center in Baltimore. As a doctor, entrepreneur, and mom of four, Dr. Julie understands the unique challenges women face when juggling business, family, and personal wellness.In this episode, we dive into real-life strategies for optimizing health while managing a busy lifestyle. From sleep and nutrition to hydration and stress management, Dr. Julie shares practical, science-backed tips to help women feel their best while handling everything life throws their way.In Today's Episode We Discuss:How busy women can prioritize their health without burnoutThe non-negotiables for energy, resilience, and longevityWhy quality sleep is essential and how to improve it naturallyThe benefits of IV hydration therapy and when to use itHow movement and resistance training support hormonal balanceThe importance of protein intake for women, especially in perimenopauseSupplements that boost energy, support hormones, and aid recoveryThe power of delegation, boundaries, and self-care for mental well-beingDr. Julie's insights will help you rethink your approach to wellness and equip you with real-life tools to stay strong, energized, and focused—no matter how full your schedule is.Learn More About Dr. Julie Militello & Revitalive MD:Website: https://www.revitalivemd.com/Location: Baltimore, MDInstagram: @revitalivemdDr. Erin Kinney is a Naturopathic Doctor, coach, and speaker, who helps patients understand their bodies to regain control of their health. Each week, alongside leading health and wellness experts, Dr. Kinney shares strategies and tools for optimal body function.Tune in to the Dr. Kinney Show to reconnect with your body's wisdom and restore harmony in your life.

    Meditaciones diarias
    1792. Fe humilde

    Meditaciones diarias

    Play Episode Listen Later Feb 3, 2025 19:39


    Meditación en el martes de la IV semana del Tiempo Ordinario. El Evangelio de Marcos nos cuenta dos milagros: la resurrección de la hija de Jairo, y la curación de la hemorroísa. Ambos son ejemplos de cómo una fe humilde consigue conmover a Jesús, el Señor de los favores.

    La Santa Misa
    3 de Febrero del 2025

    La Santa Misa

    Play Episode Listen Later Feb 3, 2025 31:12


    Lunes de la IV semana del Tiempo ordinarioLectionary: 323 /guadaluperadio.com

    Redeemer Presbyterian Church
    Joshua 1:1-9 A Covenant Confidence

    Redeemer Presbyterian Church

    Play Episode Listen Later Feb 3, 2025 34:42


    I. Joshua's confidence in God's Promise. II. Joshua's confidence as God's Provision. III. Joshua's confidence in God's Presence. IV. Joshua's confidence in God's Plan

    Yale Anesthesiology
    Intravenous Access for Cesarean Delivery

    Yale Anesthesiology

    Play Episode Listen Later Feb 3, 2025 27:11


    In this episode, we discuss the importance of following intravenous access recommendations for cesarean deliveries with Dr. Scott Seki at his institution. How do Dr. Seki and his colleagues define adequate intravenous access? Which patients are more or less likely to receive the recommended IV access? What are the patient implications if we fail to … Read More Read More

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor
    NEW: Laughing and Crying Cancer Away with Saranne

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor

    Play Episode Listen Later Feb 3, 2025 23:52


    Today on Beating Cancer Daily, Saranne passionately explores the therapeutic effects of laughing and crying, particularly in battling cancer. Her unique perspective emphasizes the importance of embracing tears—whether from joy or sadness—and how these emotional releases can contribute significantly to mental and physical well-being. Saranne shares touching anecdotes, practical advice, and intriguing research findings to highlight the healing power of tears and laughter, especially during challenging times like cancer diagnosis and treatment."Expressing grief without words: crying may be our purest form of communication." ~ SaranneToday on Beating Cancer Daily:·     Saranne's approach to using joy and mourning to find emotional balance after cancer experiences quickly.·     Exploration of research explaining why we cry when we laugh and the physiological effects involved.·     The concept of tears as a detoxifying agent, helping rid the body of stress hormones and toxins.·     Discussing the vanity considerations that often prevent people from crying more freely.·     The positive effects of crying on mood, stress levels, sleep, and the immune system.·     Cultural perspectives on crying and how some cultures view it as a sign of strength or weakness.·     Practical tips for those uncomfortable with crying and techniques to manage or harness tears healthily.·     Saranne's affinity for humorous content as a means to shift tears of sadness to tears of laughter. The #1 Rated Cancer Survivor Podcast by FeedSpot and Ranked the Top 5 Best Cancer Podcasts by CancerCare News, Beating Cancer Daily is listened to in more than 101 countries on seven continents and has over 350 original daily episodes hosted by stage IV survivor Saranne Rothberg!   To learn more about Host Saranne Rothberg and The ComedyCures Foundation:https://www.comedycures.org/ To write to Saranne or a guest:https://www.comedycures.org/contact-8 To record a message to Saranne or a guest:https://www.speakpipe.com/BCD_Comments_Suggestions To sign up for the free Health Builder Series live on Zoom with Saranne and Jacqui, go to The ComedyCures Foundation's homepage:https://www.comedycures.org/ Please support the creation of more original episodes of Beating Cancer Daily and other free ComedyCures Foundation programs with a tax-deductible contribution:http://bit.ly/ComedyCuresDonate THANK YOU! Please tell a friend who we may help, and please support us with a beautiful review. Have a blessed day! Saranne

    WealthStyle Podcast
    How To Build a Winning Culture with Jeremy Zoll from the Minnesota Twins

    WealthStyle Podcast

    Play Episode Listen Later Feb 3, 2025 45:04


    What does it take to lead an elite team bursting with talent and ambition? Iván Watanabe and Adam Rolewicz dive into the world of leadership and organizational culture with Jeremy Zoll, the new General Manager of the Minnesota Twins. They discuss the challenges and strategies involved in shaping a winning sports team while fostering a … Read More Read More

    Historia de Aragón
    Tertulia; análisis de la actualidad - 03/02/2025

    Historia de Aragón

    Play Episode Listen Later Feb 3, 2025 47:12


    Debate de actualidad con los periodistas Eva Sereno, Iván Trigo y Juan Bolea. Hoy con los ecos de la entrevista a la Fiscal Superior de Aragón; el debate sobre los nuevos criterios de la financiación autonómica; la entrada en servicio de un nuevo bus lanzadera para aliviar la zona en obras de Cesar Augusto en Zaragoza; el inicio del juicio del 'caso Rubiales'; y el anuncio de EEUU de nuevos aranceles a México, Canadá y China.

    Calvary Church with Skip Heitzig Audio Podcast
    I Believe, but My Mental Health Is Suffering

    Calvary Church with Skip Heitzig Audio Podcast

    Play Episode Listen Later Feb 2, 2025 48:43


    An alarming report from one research group noted, “Our nation is facing a new public health threat…feelings of anxiety and depression have grown to levels where virtually no one can ignore what is happening.” Today, we consider the help available for our mental health. In this letter to the Philippian church, Paul gives us five steps that will improve our mental health.I. Rejoice in the Presence of GodII. Rely on the Power of GodIII. Recall the Provision of GodIV. Rest in the Peace of GodV. Reflect on the Purpose of GodTalk with God: Ask the Lord to guide your steps and provide wisdom and clarity as you seek to improve your mental health in accordance with Scripture.Talk with others: If you're struggling with anxiety, depression, or another mental health issue, ask a pastor, ministry leader, or mentor for prayer and practical support.Talk with kids: How were the people disobeying God's commands?

    Meditaciones diarias
    1791. Me llamo legión

    Meditaciones diarias

    Play Episode Listen Later Feb 2, 2025 19:04


    Meditación en el lunes de la IV semana del Tiempo Ordinario. El Evangelio recoge un episodio más de la lucha de Jesús contra el diablo. Expulsa una legión de un hombre y les deja entrar en una piara de cerdos que se precipita por un acantilado al mar y se ahoga. El pecado es el único mal verdadero, y es una planta parásita, que acaba destruyendo a quien lo acoge en su interior.

    Cataract Coach with Uday Devgan MD
    97: CataractCoach Podcast 97: Jack Parker MD PhD

    Cataract Coach with Uday Devgan MD

    Play Episode Listen Later Feb 2, 2025 57:41


    Dr Jack Parker is a corneal specialist who has truly mastered the art of lamellar surgery and amazingly performs more than 1000 surgeries per year in his clinic-based operating room. And that is without IV anesthesia, using only room air, and without any required head positioning. We have previously featured great cases from him and he makes it look easy. His story and path in ophthalmology is really fascinating and I know you'll find it fascinating. He also shares videos of corneal techniques on his own channel. We feature a new podcast every week on Sundays and they are uploaded to all major podcast services (click links here: Apple, Google, Spotify) for enjoying as you drive to work or exercise. The full video of the podcast is here on CataractCoach as well as on our YouTube channel. Starting now we have sponsorship opportunities available for the top podcast in all of ophthalmology. Please contact us to inquire.

    The Loudini Rock and Roll Circus
    EP808: The Rise & Fall of the Double Album

    The Loudini Rock and Roll Circus

    Play Episode Listen Later Feb 2, 2025 104:32


    The rise and fall of the double album in popular music is a fascinating journey that reflects changes in artistic ambition, technology, and the music industry itself. Here's an outline of key developments: Billy Joel Killed the Double Album??? History of the Double Album (wiki)   I. Introduction Definition of a double album: Typically a collection of two LPs or CDs, often featuring a cohesive concept or theme. Overview of its significance in popular music. II. The Rise of the Double Album Early Examples (1950s-1960s) Introduction in jazz and classical music as a way to showcase longer compositions. Examples: Miles Davis's Sketches of Spain (1960). First Double album of all time: Ella Fitzgerald Sings the Cole Porter Songbook   The Concept Album Movement (Late 1960s) The Beatles' The White Album (1968): A landmark in the double album format, showcasing diverse musical styles. Pink Floyd's The Wall (1979) and other progressive rock bands embrace the format for storytelling. Artistic Expression and Ambition Double albums seen as a canvas for ambitious concepts and themes. Notable examples: The Rolling Stones' Exile on Main St. (1972) and Bob Dylan's Desire (1976). Commercial Success Major sales: Double albums often topped charts and received critical acclaim. Increased visibility of artists willing to take risks. III. The Peak of the Double Album Cultural Impact (1970s-1980s) The double album becomes a symbol of artistic integrity and ambition. Festivals and concerts: Artists using double albums to frame their live performances. Mainstream Adoption More artists from various genres (rock, pop, R&B) begin to experiment with the format. Examples: Fleetwood Mac's Tusk (1979) and Prince's Sign o' the Times (1987). IV. The Decline of the Double Album Changing Industry Dynamics (1990s) The rise of the CD as a dominant format: convenience led to a preference for shorter albums. Economic considerations: Record labels focused on singles rather than lengthy projects. Shift in Listening Habits The emergence of MTV and music videos: Visual media shifted focus from album artistry to hit singles. The rise of radio formats emphasizing shorter songs. Digital Era and Streaming (2000s-Present) Playlist culture: Listeners favor curated collections over lengthy albums. Shorter tracks dominate streaming platforms, leading to a decline in the production of double albums. V. Resurgence and Evolution Recent Trends (2010s-Present) Some artists, like Taylor Swift (The Double Album), explore the format, appealing to nostalgia and artistry. Conceptual storytelling continues in fragmented forms (e.g., extended play releases or singles). Legacy of the Double Album Influence on modern artists: Many still draw inspiration from the narrative and artistic ambitions of classic double albums. Critical appreciation: Recognition of double albums as significant artistic statements. VI. Conclusion Reflection on the evolution of the double album in the context of broader changes in popular music. Enduring legacy: While its prominence may have waned, the double album remains an important part of music history, embodying the struggle between commercial viability and artistic expression. The greatest double albums of all time: https://www.google.com/search?q=the+most+important+double+albums+of+all+time&sca_esv=9e556a6b58aef874&sxsrf=ADLYWIKkcUDDNCKglv7ygX8kIkbP2CWZhg%3A1728351563421&source=hp&ei=S40EZ_GjF9DaptQP16upMA&iflsig=AL9hbdgAAAAAZwSbW6lgun8H7EM64J1LyNVRvReuIRSd&oq=the+most+important+double+albums+&gs_lp=Egdnd3Mtd2l6IiF0aGUgbW9zdCBpbXBvcnRhbnQgZG91YmxlIGFsYnVtcyAqAggAMgUQIRigATIFECEYoAEyBRAhGKABMgUQIRigATIFECEYnwUyBRAhGJ8FMgUQIRifBTIFECEYnwUyBRAhGJ8FMgUQIRifBUi6lQFQ-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-vbAw&sclient=gws-wiz New & Notable:   Loudini: Flying Joes; Black Stone Mr Pittsburgh: Tiny Warz; Walking On Clouds   The rise and fall of the double album in popular music is a fascinating journey that reflects changes in artistic ambition, technology, and the music industry itself. Here's an outline of key developments: Billy Joel Killed the Double Album??? History of the Double Album (wiki)   I. Introduction Definition of a double album: Typically a collection of two LPs or CDs, often featuring a cohesive concept or theme. Overview of its significance in popular music. II. The Rise of the Double Album Early Examples (1950s-1960s) Introduction in jazz and classical music as a way to showcase longer compositions. Examples: Miles Davis's Sketches of Spain (1960). First Double album of all time: Ella Fitzgerald Sings the Cole Porter Songbook   The Concept Album Movement (Late 1960s) The Beatles' The White Album (1968): A landmark in the double album format, showcasing diverse musical styles. Pink Floyd's The Wall (1979) and other progressive rock bands embrace the format for storytelling. Artistic Expression and Ambition Double albums seen as a canvas for ambitious concepts and themes. Notable examples: The Rolling Stones' Exile on Main St. (1972) and Bob Dylan's Desire (1976). Commercial Success Major sales: Double albums often topped charts and received critical acclaim. Increased visibility of artists willing to take risks. III. The Peak of the Double Album Cultural Impact (1970s-1980s) The double album becomes a symbol of artistic integrity and ambition. Festivals and concerts: Artists using double albums to frame their live performances. Mainstream Adoption More artists from various genres (rock, pop, R&B) begin to experiment with the format. Examples: Fleetwood Mac's Tusk (1979) and Prince's Sign o' the Times (1987). IV. The Decline of the Double Album Changing Industry Dynamics (1990s) The rise of the CD as a dominant format: convenience led to a preference for shorter albums. Economic considerations: Record labels focused on singles rather than lengthy projects. Shift in Listening Habits The emergence of MTV and music videos: Visual media shifted focus from album artistry to hit singles. The rise of radio formats emphasizing shorter songs. Digital Era and Streaming (2000s-Present) Playlist culture: Listeners favor curated collections over lengthy albums. Shorter tracks dominate streaming platforms, leading to a decline in the production of double albums. V. Resurgence and Evolution Recent Trends (2010s-Present) Some artists, like Taylor Swift (The Double Album), explore the format, appealing to nostalgia and artistry. Conceptual storytelling continues in fragmented forms (e.g., extended play releases or singles). Legacy of the Double Album Influence on modern artists: Many still draw inspiration from the narrative and artistic ambitions of classic double albums. Critical appreciation: Recognition of double albums as significant artistic statements. VI. Conclusion Reflection on the evolution of the double album in the context of broader changes in popular music. Enduring legacy: While its prominence may have waned, the double album remains an important part of music history, embodying the struggle between commercial viability and artistic expression. The greatest double albums of all time: https://www.google.com/search?q=the+most+important+double+albums+of+all+time&sca_esv=9e556a6b58aef874&sxsrf=ADLYWIKkcUDDNCKglv7ygX8kIkbP2CWZhg%3A1728351563421&source=hp&ei=S40EZ_GjF9DaptQP16upMA&iflsig=AL9hbdgAAAAAZwSbW6lgun8H7EM64J1LyNVRvReuIRSd&oq=the+most+important+double+albums+&gs_lp=Egdnd3Mtd2l6IiF0aGUgbW9zdCBpbXBvcnRhbnQgZG91YmxlIGFsYnVtcyAqAggAMgUQIRigATIFECEYoAEyBRAhGKABMgUQIRigATIFECEYnwUyBRAhGJ8FMgUQIRifBTIFECEYnwUyBRAhGJ8FMgUQIRifBUi6lQFQ-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-vbAw&sclient=gws-wiz New & Notable:   Loudini: Flying Joes; Black Stone Mr Pittsburgh: Tiny Warz; Walking On Clouds

    Sermons – Word of Truth Bible Church
    Голгофа – это место унижения Христа

    Sermons – Word of Truth Bible Church

    Play Episode Listen Later Feb 2, 2025 54:28


    Зрелище на Голгофе-1 / The Scene on Golgotha-1Голгофа – это место унижения Христа / Golgotha is the place of Christ's HumiliationЕвангелие от Луки – 232От Луки 23:33-39I. Распятие / CrucifixionII. Молитва / PrayerIII. Нагота / NakednessIV. Народ / PeopleV. Религиозные лидеры / Religious LeadersVI. Воины / SoldiersVII. Пилат / PilateVIII. Разбойник / Robber

    The Numlock Podcast
    Numlock Sunday: Olivia Walch on the science of sleep

    The Numlock Podcast

    Play Episode Listen Later Feb 2, 2025 37:00


    By Walt HickeyWelcome to the Numlock Sunday edition.This week, I spoke to Olivia Walch, author of the brand-new book Sleep Groove: Why Your Body's Clock Is So Messed Up and What To Do About It.Olivia's a good friend of mine and I've been hearing about her research and her work for years, and now she's finally got a whole book diving into why ideal sleep is more than just the eight hours number we hear so much about. It's a delightful book with all sorts of cool insights that can have major impacts on your life and health. We spoke about the human body's numerous circadian rhythms, why sleep regularity is more important than sleep duration, and why permanent daylight saving time is a bad idea. Walch can be found at oliviawalch.com and the book can be found wherever books are sold.This interview has been condensed and edited. Olivia, thank you so much for coming on.I'm so delighted to be here.You are the author of the brand-new book Sleep Groove: Why Your Body's Clock Is So Messed Up and What To Do About It. It's a really, really fun book. It covers a lot of the science behind sleep and actually has some pretty surprising stuff in there for folks who are interested in their own sleep health.You have a really interesting story about how you even fell into being interested in the science behind sleep. You did a sleep study at some point in grad school that changed your life, it sounds like.Well, you knew me before then. We were in college together.Each diabolically bad at sleeping.I would give each of us a failing grade — you maybe a lower grade than me. I was bad, but you were exploring new horizons of bad, like with polyphasic sleep.I tried it once. It was such a bad idea.Maybe a D, D-minus. I knew when I went to grad school something had to change. I was not sleeping; I was not making new memories; I was getting sick. I got MRSA in college and I wonder all the time, was it because my immune system was like a frail Cheeto trying to hold the door closed to the germs? But at the time, I thought at college, you have to do everything. You have to be in every club and miss no opportunity for an experience. And I now remember no experiences from that time period.In grad school, I decided I was going to sleep more. I did, but I didn't actually notice that huge of a difference with fewer things filling my schedule, even though I was sleeping more. It was better, but it wasn't that much better. It took a sleep study in which I had to keep a really regular bedtime and researchers were spying on me. They would know if I didn't, because I was wearing a device, ye olde Jawbone, which is not even a thing anymore. For months, I went to bed at 11:30 every single night.The changes were so profound. I didn't just instantly fall asleep at 11:30, though that did happen. I got faster, I lost weight, skin conditions cleared up. In every dimension, my life was better. And the thing that had shifted was not really sleep duration, but sleep regularity.You get at this idea early in the book. There's this very common number that everybody associates with the right thing to do about sleep, which is that you should sleep for eight hours. The book goes the next level deeper, looks at some of the other dimensions of sleep, and it turns out that eight hours is good, that's a good thought to keep in your mind, but it's really the rhythm. What is the conceit here? Why are rhythms important when it comes to this stuff?Our understanding of sleep health is so fixated on duration that there's a creepypasta on Reddit that goes, "Oh, these Russians were kept awake and they went crazy." The creepypasta has always been funny to me because it's like, "Yeah, and after five days of no sleep, they started eating their own organs." (Spoilers for the Russian sleep experiment creepypasta.) Yet we've kept lots of people up for five days and they don't start eating their organs. We have this conception in our minds that losing sleep duration is going to be really bad. It's not good, but it also doesn't make you self-cannibalize after five days of no sleep.That definition of sleep health is woefully inadequate. The movement in the sleep field is higher dimensional. There are more things that matter to sleep health. There's this big, long list of things. People say you should think about how many times you wake up in the middle of the night, and you should think about how alert you feel during the day.All of those are great, but they're not memorable. People don't keep two things in their head, let alone five. I'm trying to get people to keep two, which is duration and regularity, as the latitude and longitude of sleep health. You don't say Madrid and New York are close together just because they have the same latitude; longitude also matters. You shouldn't say somebody who sleeps eight hours a night is healthy if they have horrible regularity. That's a case where they are probably pretty far from health, just like New York and Madrid are pretty far from each other.A lot of this comes down to circadian rhythms. What are they in your view? What kind of bodily processes are governed by them?The whole shebang. The problem with circadian rhythms is that their UI is terrible. People talk about the circadian rhythm, but that's not really right because circadian rhythms are plural. Sleep is under the subhead of circadian rhythms, but so is everything else in your body: when you're strongest, when you metabolize food, when your immune system peaks, when you repair DNA. There's this real problem. I think that because circadian rhythms are kind of everything, people just say, "You know, the rhythms." This leads to everyone who doesn't study this all day, every day, walking around having no idea what they are and just thinking it's probably the same thing as sleep.Your body has an internal clock, and it schedules things according to when it thinks you need to do more or less of them. That clock is set by your light exposure, and in modern life, we get light whenever we want it, which is not particularly traditional or natural.Circadian rhythms developed as a process because we live on Earth, right? We know there's a certain amount of daylight and when certain things should happen, and we evolved specifically to have a circadian rhythm.Yes. The circadian rhythm is so tuned to Earth that if you put us on a planet with 28-hour days, we probably wouldn't be able to adjust. We would basically continue to have close to a 24-hour period in our rhythms that would continue, even though the sun on this planet would be up and down at different times. It's baked into us, and it's the case that there's just stuff in your body at some times that isn't there at other times. The hormone melatonin, for example. If I made you spit into a tube right now, you would not have melatonin in your spit.We're speaking in the middle of the afternoon. It's very, very bright outside.No melatonin. But 10 hours from now? Different story. The thing to imagine is just a bunch of switches in your body getting flipped on and off depending on the time of day, which has massive implications for health, drug efficacy, how you feel, and people have lost their connection to that. Number one, we can have light whenever we want it, so our rhythms are squished relative to where they otherwise would be. But number two, I think we don't have a great way of talking about rhythmic health, which my book tries to address. I'm sure there's much better I can do and other people can do in the future, but this is my first stab at it.You get at this inflection point where so much of these functions are the result of, if not tens of thousands, then millions of years of evolutionary processes really locking us into a day/night process. Then you have the emergence of electricity, and a lot of your book reflects on how that's actually changed the way our bodies work, in ways we wouldn't ordinarily expect. What are some of those ways?I would say signs of rhythms having different effects on your body in the winter versus summer. Any study that reports on those, I'm always very cautious about, because I was involved in a study where we looked at Twitter patterns over the course of the year. We wanted to know if people tweeted differently at different times of the year in a way that reflected the sun and circadian rhythms, and we saw this pretty incredible trend where things seemed to really shift around the spring. Daylight saving time is happening then, the sun is changing, so you think, okay, maybe it's related to the sun.Then we dug a little more closely into the data and saw that the entire effect was just driven by people going on spring break. You would see that people tweeted later when they were on break because they were sleeping in. The fact that we have light available to us whenever we want it and we're not just sitting around in the dark at 6 p.m. in December with nothing to do means that we're in a sort of perpetual summer. We have light as late as we want, as long as we want, and that's stepping on these natural rhythms that would be emerging in the absence of that light.The title of the book is Sleep Groove, and sleep groove is actually a thing you talk about quite a bit in the book. It's getting locked into a really strong, robust, resilient rhythm, and there are lots of advantages to having that. What are some of the advantages that you have by having that rhythm, and what are some things that can go wrong if you don't?I would say you die sooner. This is a brand-new result, that sleep regularity predicts dying better than sleep duration, but it does. Again, this definition of sleep health being how long you sleep would say, okay, shoot for eight hours on average, it doesn't matter when, and you're good.But if you actually look to see what predicts whether you die, the people who have the worst sleep regularity are highly correlated with dying younger, and it keeps coming out. This is in the last 18 months that connections are coming out between sleep regularity and hypertension, diabetes, mood disorders. The data was all there, but people weren't really looking at sleep regularity. We also didn't have as textured tools for defining sleep regularity as we do now, so that's another reason why it's coming out. But things that can go wrong without sleep regularity are all those bad things I listed.I should say that those are all correlations. You could say, well, maybe stressed people die earlier, and they're also sleeping irregularly as a sign of their stress. Except we also have studies where you put people on weird light schedules and you can watch a melatonin rhythm that's really robust just go away. They go 24 hours without making melatonin, which is weird. You've basically flattened their rhythm altogether.The mental image I always have in my mind for modern life is that we've taken rhythms that would be really high and pronounced — like, hey, now's the time to fix your DNA so you don't get cancer. Let's fix all our DNA right now. It's really clear period for fixing DNA — and you've stepped on it. Now it's like, well, I don't know. I guess it's the time to fix DNA? Maybe I'll do a little bit of that.The science is emerging. I don't want to overstate it, but I think there's a strong theoretical case for why the quashing of circadian amplitude is tied to a lot of bad things. The good thing is that more melatonin means you sleep better, feel better — basically my life after doing that one study.What's a situation where you have a strong circadian amplitude? A lot of light during the day? How do you get there?You do the same exact thing every day. I should say, I'm going to speak from a theoretical perspective because a lot of the experiments haven't been run yet. It's my collaborators and me who are calling for amplitude to be the new thing we go after, because sleep regularity is just circadian amplitude wearing glasses and a mustache. They pick up the same thing.What the theory says will get you the maximum circadian amplitude is to have a super bright day and get tons of daylight during the day, and then have a really, really dark night, and copy and paste that over and over again. That's basically it. I'm always think I should add other things for people to do, but it boils down to that.One of the challenges why people haven't discovered this on their own is that that's actually really hard to do in practice. Light at night is super fun, and we also have to work, and often work is indoors where there's just not as much sunlight.It really does seem like a problem of modernity. We've always had a way to illuminate the night, for all intents and purposes, but there's a vast gulf of difference between a candle and an incandescent light bulb, and then there's an even bigger difference between an incandescent light bulb and a full room of fluorescent light. There's been this subtle shift that we didn't notice over time, but our bodies did.You're speaking my language. This is exactly it: the creeping of light into every aspect of our life. Also, because it literally doesn't have mass, it feels immaterial, right? What, the photons are going to get you?And I don't think they will on a short time span. You can absolutely have a bad night of sleep. You can absolutely have disrupted sleep. People cross time zones. But it does add up over a lifespan, which is why we see sleep regularity being a better predictor of mortality than sleep duration. If you're highly irregular over your whole life, all these rhythms that would otherwise have been high metabolism, high DNA repair, robust ability to sleep, become flat and crappy and you get an accumulation of risk.So, a lot of what we've talked about is that there are lots of negative things when you're out of that appropriately phased kind of sleep. There are actually some really good things about being very attuned to that, too. You write in the book about athletics, about medicine. What are some of the ways we can actually gain quite a bit through knowing about this?By having a better sense of what our circadian time is. Conflict of interest disclosure, I do have a startup that tries to do this, but we'll be able to time drugs so that they're maximally effective and as least toxic as they can be.People sometimes go, okay, timing drugs as in you take sleep medication before you go to sleep. Sure, okay. But what if there were a drug that sometimes made your tumor shrink and at other times made it grow faster? That's a paper that came out in the last year. People aren't thinking about this. They're thinking about a 10% variation over the course of the day. They're not thinking about how this person's glioblastoma treatment didn't work because they took dexamethasone at the wrong time, and they died months earlier.I think the simplicity of the idea has started to act as a reason for people to not do it. They think, well, if timing actually mattered, somebody would have figured it out already. I won't be the one who wastes a bunch of time rediscovering what everyone else has. My stance is that we're just beginning to scratch the surface of all the things that can be controlled by timing, and the magnitude of the effects we can see.Imagine the drug I mentioned that accelerated tumor growth sometimes and squished it at others is standard of care. Everybody gets it with this particular type of brain tumor that it was studied in. Imagine you're testing a new drug and oh, it seems to work in these patients but it doesn't work in these other patients. Must not be a very good drug, so it gets ditched. It could be that that entire efficacy difference was driven by when they were taking this standard-of-care drug that everybody takes according to the clock, according to their body's clock. If you could just control for that, you could get more drugs making it through clinical trials.You even made a point that there's a good shift happening between notes saying you should take this pill in the morning, you should take the pill at night, and changing that to say you should take this pill after waking up or take this pill before you go to sleep. It's getting better at adequately describing the bodily conditions you should take pharmaceuticals under.Right. If you're a shift worker, you could be waking up at 3 p.m., for instance, and morning could be the worst time for you. You should take it when you wake up. Then again, if you're a shift worker, your rhythms are so funky that — I might be biased here — you should be using Olivia's cool app to track your circadian rhythms and know when to take all these different things.But yes, circadian medicine is all about timing your pills before you go to bed or after you wake up. It's also this idea of introducing grooves where we've removed the groove. An example would be that you have a sick kid and you can't feed them, so you put them on total parenteral nutrition, or TPN. They're getting fed through an IV, and the standard for that is to either do it overnight or do it just continuously, 24 hours a day. But if you think about it, if our whole bodies are rhythmic and we expect some things at some times and not at other times, and you're feeding them constantly, that's like being in the light all the time, which we would consider to be torture. If you put somebody in constant light, they are miserable.These researchers just changed it so they gave TPN only during the day, when the kids are awake and their metabolism is up and running. They were able to leave the hospital on average four days earlier because they weren't being force fed like a foie gras goose overnight. So, it's not just sleep grooves: it's food grooves, it's activity grooves, it's mood grooves, it's all these things. Acknowledging that they're rhythmic will lead to people being healthier.The medical stuff can get a bit in the weeds, but I thought it was really informative when you talked about U.S. Olympians going to Japan. You reflected on when folks went to Japan and how they trained there. There's actually a lot of performance that was hypothetically not being unlocked because people weren't being attuned to their circadian peaks. Do you want to talk a little about that?I was reading what people who are Olympians posted on their Instagram, imagining that we were friends. I saw somebody in the weight lifting category be like, "Can't wait to go to Tokyo in two days to compete!" They were fully adjusted or entrained to U.S. time, and they were going to do this trip to Tokyo that was going to massively disrupt their circadian rhythms. Then they were going to compete shortly after landing.Probably the reason for that is because it's really expensive to go and leave your life for a long period of time, and weight lifting isn't the moneybags, the dollar sign, of Olympic sports. But that probably wasn't the best for optimizing performance, to wait until right before you're supposed to go on and then try and lift something really hugely heavy — though it could have been.The thing is, when you travel, you get tired and you undergo jet lag because your light exposure is changing, but you also have a circadian rhythm in performance where people tend to do best in the evening. Around 5 or 6 p.m., you're strong and fast and can run far and lift heavy things. If in Japan, you were supposed to compete at 10 a.m., maybe what you want to do is not adjust and be really careful about staying on your old time zone for the first day you're there, so that your body is at 6 p.m. during Japan's local time of 10 a.m.When it's most suited to compete.Exactly, to lift a big, heavy thing.Exciting. You wrote a little about how there are two big peaks for performance over the course of a given day. What are those?People tend to be alert in the morning, and then they have a second wave of alertness as the day winds down. The way we think about that is that there are two forces that combine to make you feel sleepy: There's how much hunger for sleep you've built up, and then there's your circadian clock basically shaping the gravity. How heavy is gravity for you right now?In the morning, after you get over this initial wave of grogginess, you have the first wave of alertness and that's because you don't have any hunger for sleep. Imagine you're biking, and you just started biking so you're feeling fresh, you're okay. You haven't accumulated feeling tired from biking. In the middle of the day, though, you have accumulated some fatigue. You've been doing stuff with your brain and the circadian clock is not saying it's a great time to be alert. People often get sleepy in the middle of the day, like you would be sleepy if you'd been biking for four hours.Then later in the day, the circadian clock comes in and says it's time for you to be awake. You need to get your act together before the sun goes down or you might die. That's like the road you're biking on sloping downward. It becomes easier. It doesn't take as much effort to stay awake; it doesn't take as much effort to pedal. Your circadian clock is like, great, be alert. Do stuff in the latter part of your day up until close to your habitual bedtime, when the road starts to swoop up again.Then you basically hit the wall of, it's 3 a.m. I want to die. Why am I staying up super late in the year 2009 next to my good friend Walter? What are we doing? You push through that and you get on the other side, and the road starts to slant down again.It was really cool to see, because this speaks to my experience of being sleep deprived and going over the swing set. It's really cool that circadian rhythm still holds, and that's why you get that second wind in the morning and sleep deprivation madness or whatever you want to call it. You do still see that swing hold even if you get more and more sleep weight accumulating.Exactly.I want to talk about some of the studies that you covered, because they're very, very interesting, but I also want to talk about some policy implications. Two things stuck out to me. One was the conversation about daylight saving time and potentially going either permanent DST or permanent standard time. The other one that was super interesting was basically how teenagers react to light and how we set school schedules. What are your insights on those two potential policy questions?Let's do DST first. This also has horrible UI. Nobody can figure out what they're saying when they talk about DST. So, standard time is brighter mornings, darker evenings. Standard time is what we're on in the winter when everyone's depressed and they're like, "It's 5 p.m. and it's dark. Stupid, stupid DST." That's actually standard time that's causing that. DST is darker mornings, lighter at night. DST is what we're on in the summer when we have lots of light even at 9 p.m. It's really bright at night.The thing most circadian scientists are going to tell you is that permanent standard time is best, then the current system where we switch, and then the last and least preferable is permanent DST. You might think, okay, but why isn't it just better to not switch? There's this penalty of everyone jet lagging themselves when we wake up an hour earlier or have to stay up an hour later when we do these transitions in the spring and the fall. The reason is because having the light late into the day in the summer, and especially having light in the afternoons and evenings in the winter and really, really dark mornings in the winter, is worse than the jet lag from transitioning. If we did permanent DST, where we have really dark mornings in the winter, it wouldn't just be a couple days of us all feeling jet lagged. It would be this chronic buildup of a messed up groove.One of the reasons why it's hard for people to concisely say why permanent DST is bad is because it's about rhythmic health. It's been argued, hey, if you want to maximize the amount of hours that we have really bright light during the daytime periods where people are normally awake, DST is really good for that, because you have light until super late. Think about the summer.But do we want to maximize that?Exactly, because imagine the case that I alluded to when we were talking about the meal timing thing. If you're in bright light 20 hours a day like people are up in the Arctic, you have bad sleep. It's not because you don't know about blackout curtains; it's because you're not able to adjust to a rhythm that's all bright light, little bit of darkness. What permanent DST does is basically, in the wintertime, it forces a bunch of people to wake up in darkness, or dim light. They then stay in the dark for a really long time, and they get their bright light weighted way on the latter half of their day.I'm going to go into a long analogy, but I promise I'll bring it back down. Imagine a sidewalk with alternating yellow and black squares, and I give you a yellow shoe and a black shoe. I say, yellow shoe steps on the yellow square, black shoe steps on the black square. If it's well sized to your legs, you could just do that. You're like, awesome, this is great. But then I do something where I basically take the yellow squares and scoot them up into the black squares. Then I have this brownish, crappy blurring of light and dark: yellow, black, and the blur. If I go, "Okay, walk on this," what you have to do is take one big step with one foot and a little step with your other, and you have to repeat that over and over again.That's basically what DST is doing to you in the winter. If we were to go to that in the winter, you'd wake up in the darkness, but then you'd get light later in the day. It makes it so that your rhythms are thrown off. You wake up with a bunch of melatonin in your body. It's like everybody's popping melatonin pills first thing, if you were to do permanent DST.If you're sitting here thinking, "I'm not convinced by her arguments around stepping on yellow tiles with yellow shoes and black tiles with black shoes," the most compelling reason is the fact that we literally tried this. We tried DST in the winter. We didn't even make a year. Russia tried it in the last decade — they made it three years and they bailed. People have tried DST in the winter and we all think it sucks. Meanwhile, Arizona has been on standard time all year since the 1960s and they're going strong.They seem really thrilled with their situation in Arizona.They're pretty happy. So, moral of the story, the current system would be better than having super dark mornings in the winter, which is what permanent DST would be. But I don't really care that much because I'm so convinced that if we try this again, we'll be like Russia in 2014 and bail. We'll be like us in the '70s and bail. We just need to, as a generation, collectively experience it and realize, oh yeah, this is why DST sucks.The old knowledge has been lost. We must relearn it.We'll relearn it and we'll say, no, we're never going to make this mistake again. And then in 50 years, we'll make it again.People always want the optimization of, I want more sleep. I want eight hours of sleep. I want the most sleep I can possibly get, or I want the most light I can possibly get. It seems like that's a trap. I completely understand why people get into that position, because I like light and I like sleep, but just realistically, if you're seeing how much of this governs the rhythm of lots of different processes that are more sophisticated than just enjoying seeing bright things, it's a real shock to the system.Human brains are just not wired to think rhythmically. It's like if you're in a math class and you're learning about Fourier series, to go extremely niche, really fast. It's not intuitive. People are wired to think, "More of thing good," and we're just less wired to think, well, it's good at some times and bad at other times.Very briefly, then, should kids be going to school as early as they currently go to school?No. At the same time, we also shouldn't make it so late, because what would happen if we made it really late is kids would just stay up later. There are diminishing returns, but now you have kids who are waking up at 5:30. That's absolutely what it would feel like for me to wake up at 3:30. It's cruel to them. There's this idea that, oh, we'll do DST. We'll do permanent DST so we don't have to switch, and then we'll also make school times an hour later.You've basically just got us back to where we started. You've made it so that they're going to be functionally popping a melatonin pill in the morning, just based on how much more melatonin is in their body when they wake up, and then you're letting them sleep in another hour. You cannot make both of those changes and act like you've changed anything. You at best maintain the status quo. My personal vote is we should do permanent standard time or keep the current system and make it so that schools for kids start later.The book is full of really, really interesting studies. Some of them are fascinating, recent, breaking studies that, like you mentioned earlier, reveal incredible things about the link between these biorhythms as well as pharmaceuticals and things like that. Some of them, however, are from a more swashbuckling age of discovery, and you cover a lot of really interesting sleep studies from the earliest days of sleep research. Do you have any favorites?In the book it probably comes across that I am so enamored with these old sleep studies, in part because they really underscore this point that if our definition of sleep health is only duration, it's insufficient. There are a bunch of peer-reviewed papers that went, yeah, this guy said he didn't want to sleep anymore, so he just didn't sleep for a week and we watched him. Actually, that's maybe my favorite. There's this guy who comes into a lab and is like, humans don't need to sleep and I can prove it. And then he just doesn't.They went, whoa, let him cook?Yeah, he might be on to something. In the paper, they're like, we tried to stop him but he said he was going to do it anyway, so we gave him a typewriter to see how bad he got at typing. The answer is, he got so bad at typing so fast that he just went, I can't do this. They didn't make him type anymore because it was too hard for his eyes. He got really snippy. People tend to hallucinate when you keep them up all night. They get paranoid for days and days. But at the same time, he was functioning. He was able to, on the last day of the study, write a vaguely sexist acrostic poem. I have tried to understand this thing. It's confusing, but you get the sense that it's not positive toward women.The original no-sleep creepypasta.Seriously. Obviously, I'm glad we don't do studies like this now. We have human subject protections. Why would you need to run the study? They did that in the '30s and '60s, and it was weird. But the data's been out there for so long. The creepypasta levels of sleep deprivation, people can survive. You should not do it. You should absolutely not do it. It's a bad idea. But it's not an instantly fatal thing, like you pulled an all-nighter so watch out.The punchline is, unfortunately for human brains, which want very rapid feedback and instant gratification, the way to have sleep health is not something acute, like the absence of these all-nighters that are terrible for you, but rather the constant maintenance of healthy rhythms that are on the time scale of weeks, months and years, as opposed to hacks that you can do in one hour of your day.The book is called Sleep Groove: Why Your Body's Clock Is So Messed Up and What To Do About It. There are so many fascinating things in here, Olivia. Why don't you tell readers a little about where they can find the book and you.Sleep Groove is a book about the emerging science of sleep regularity and how it matters so much to your overall health, well-being, and how you feel at 3 a.m. in the morning. You probably feel pretty bad; my book will explain why. You can find it where books are sold, including Amazon and your local independent bookseller. There's also an audiobook coming out next month.Oh, fun. That's great. Thanks so much for coming on, Olivia.Thanks for having me.Edited by Susie Stark.If you have anything you'd like to see in this Sunday special, shoot me an email. Comment below! Thanks for reading, and thanks so much for supporting Numlock.Thank you so much for becoming a paid subscriber! Send links to me on Twitter at @WaltHickey or email me with numbers, tips or feedback at walt@numlock.news. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.numlock.com/subscribe

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor

    In today's episode, Saranne delves into life's speed bumps, particularly about a cancer diagnosis. She shares her journey of discovering ways to decelerate and cherish life beyond the bounds of cancer treatments. Urging listeners to unearth their ways of integrating these 'speed bumps' into everyday life, Saranne also invites listeners to share their unique strategies for adopting a slower pace, aiming to enhance the overall richness of life.The #1 Rated Cancer Survivor Podcast by FeedSpot and Ranked the Top 5 Best Cancer Podcasts by CancerCare News, Beating Cancer Daily is listened to in over 101 countries on six continents and has over 300 original daily episodes hosted by stage IV survivor Saranne Rothberg!   To learn more about Host Saranne Rothberg and The ComedyCures Foundation:https://www.comedycures.org/ To write to Saranne or a guest:https://www.comedycures.org/contact-8 To record a message to Saranne or a guest:https://www.speakpipe.com/BCD_Comments_Suggestions To sign up for the free Health Builder Series live on Zoom with Saranne and Jacqui, go to The ComedyCures Foundation's homepage:https://www.comedycures.org/ Please support the creation of more original episodes of Beating Cancer Daily and other free ComedyCures Foundation programs with a tax-deductible contribution:http://bit.ly/ComedyCuresDonate THANK YOU! Please tell a friend who we may help, and please support us with a beautiful review. Have a blessed day! Saranne 

    The Cabral Concept
    3284: Glutamine & Binders, Thinning Eyebrows, Don't Die Documentary, High Vitamin D Levels, Taking Vitamin D (HouseCall)

    The Cabral Concept

    Play Episode Listen Later Feb 1, 2025 21:34


    Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Sharon:  Hello Dr. Cabral. I recently listened to your podcast on the use of binders. I have also seen other functional practitioners recommend Igg immunoglobulin supplements for gut issues. I don't see anything like this in your store. But the supplement is described elsewhere as binding toxins. Can you explain the difference between this and the other binders you recommend and if you believe these supplements are useful for certain situations and if and when they might be recommended vs the traditional binders you discussed. I also see this recommended to heal gut lining. Do you find this useful for that purpose instead of glutamine?                                                                                                                         Lee: Hi Dr Cabral, I wanted to tap into your expertise as iv noticed a change rand wondered what could be behind it. I'm a 42 year old female, relatively fit & healthy but could do better in all areas! Iv noticed both my eyebrows are starting to thin at the inner edges so from the bridge of the nose. I'm now having to use an eyebrow pencil to colour that part in and even them up! Any thoughts are appreciated.                             Lara: Hi, dr. C.. I'm wondering whether you've been following the longevity journey of Bryan Johnson.. the documentary just came to Netflix and it's called Don't Die because he literally wants to do everything in his power not to die, ever.. some of the things seem pretty dangerous to me (like gene therapy and taking immunosuppressants) and also he's selling some products like the Blueprint olive oil (I'm guessing it has lots of polyphenols, like the one you use as a supplement).. I was just wondering what you think about it all :)                                                                                                                            Anonymous: Hi, I tested my vit D at home & the test said I had levels above 100ng/mL - this test only goes up to 100ng/mL because most people don't have higher levels, so I don't know exactly how high they are. I understand this could be dangerous for my kidneys & arteries & maybe other things as well? I am wondering what could have caused my levels to get this high? I was using 4000iu per day since beginning of autumn & I didn't get really tan this summer either. There's additional 400iu in the multi I take, but is 4400iu really too much in the winter months? Considering I have fibromyalgia & hormone & gut problems I thought I would have some trouble with absorption of it all anyway so this really came as a shock! I am really interested in the explanation, the reasons why this can occur. Thank you                                        Anonymous: I was reading about vit D a lot & a naturopath I follow is really against supplementing with it, considering it's a secosteroid hormone & if we live where there's no Sun strong enough in the winter months, the nature obviously didn't intend for us to be having it in those months. She says that the tests only look at the reserves & there is no way of knowing how much of active vit D you have. Supplementing with it is therefore taking hormone therapy, that we should get it from Sun exposure in the summer months and then use up those reserves in the winter as nature intended. I really value your opinion so please explain in depth what is your take on this? Thank you                               Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3284 - - - 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!  

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    Rock N Roll Pantheon
    Ugly American Werewolf in London: Led Zeppelin - Physical Graffiti Part 1

    Rock N Roll Pantheon

    Play Episode Listen Later Feb 1, 2025 78:52


    1975, Led Zeppelin were at the height of their rock god power. They'd made 5 albums that sold off the charts, especially in the US where they enjoyed the fruits of their labors on the Sunset Strip. They were a top touring act that could fill arenas and stadiums with four of the best individual musicians in any band. They founded Swan Song Records to not only handle their own records but even signed acts like Bad Company and Detective to the label. So after some time off they headed back to Headley Grange where they'd recorded for Led Zeppelin III & IV in early 1974 to lay down some tracks. The results were among the heaviest, funkiest, longest, most epic and groovy songs in the Zeppelin catalog. But because they made more than 1 LP's worth of material, they decided to dust off a few tunes from previous sessions, rework them and fit them all into what would be Zeppelin's only double album, Physical Graffiti. The first album to ship platinum in the US, it would eventually go 16x platinum (but only 2x platinum in the UK). Hitting #1 on both sides of the Atlantic, it's too epic for just one episode. So we've divided into LP/CD one on this episode and UAWIL 219 will go in depth on LP/CD 2. The first disc of Physical Graffiti is an extraordinary album on its own. From the riff & groove of Custard Pie, maybe the best opening track on an LZ album, to the epic and otherworldly Kashmir the boys flex and stretch like they hadn't before. Jimmy Page is at his best laying down killer slide on In My Time Of Dying, riffing out on The Rover and leading the boys in jams on Trampled Under Foot. John Paul Jones is killer on the bass and the clavinet which give different textures to the tunes. John Bonham is at his thunderous best while his mate Robert Plant still had the range and emotion that made him a legend. Going track x track and watching some old Zeppelin footage from Earls Court 1975 and Knebworth 1979 reminds us that we missed one of the greatest bands to walk the Earth and they should be celebrated. Part 2 will be episode 218 out soon! Check out our new website: Ugly American Werewolf in London Website Visit our sponsor RareVinyl.com and use the code UGLY to save 10%! Twitter Threads Instagram YouTube LInkTree www.pantheonpodcasts.com Learn more about your ad choices. Visit megaphone.fm/adchoices

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor
    Giving Cancer the Cold Shoulder with Saranne

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor

    Play Episode Listen Later Feb 1, 2025 16:04


    In today's episode, Saranne takes a chilly approach to wellness as she discusses the potential benefits of cold therapy and its effects on cancer treatment. With her signature optimism and wisdom gained from beating Stage IV cancer, Saranne invites listeners to consider the idea of integrating cold showers into their daily routine. Join her as she delves into the research, shares her personal experiences, and offers insights into how this unconventional practice can contribute to overall well-being. Get ready to explore new perspectives and find moments of joy as we continue to beat cancer daily together.The #1 Rated Cancer Survivor Podcast by FeedSpot and Ranked the Top 5 Best Cancer Podcasts by CancerCare News, Beating Cancer Daily is listened to in more than 101 countries on six continents and has over 300 original daily episodes hosted by stage IV survivor Saranne Rothberg!   To learn more about Host Saranne Rothberg and The ComedyCures Foundation:https://www.comedycures.org/ To write to Saranne or a guest:https://www.comedycures.org/contact-8 To record a message to Saranne or a guest:https://www.speakpipe.com/BCD_Comments_Suggestions To sign up for the free Health Builder Series live on Zoom with Saranne and Jacqui, go to The ComedyCures Foundation's homepage:https://www.comedycures.org/ Please support the creation of more original episodes of Beating Cancer Daily and other free ComedyCures Foundation programs with a tax-deductible contribution:http://bit.ly/ComedyCuresDonate THANK YOU! Please tell a friend who we may help, and please support us with a beautiful review. Have a blessed day! Saranne 

    Se me subió el muerto
    SMSEM Ep 197 - Si eres mesero y haces esto te irás al infierno

    Se me subió el muerto

    Play Episode Listen Later Jan 31, 2025 70:28


    Link para el show de Iván ⁠⁠⁠⁠https://linktr.ee/soyivanmendozaa⁠⁠⁠⁠ Link para el show de Alex Quiroz ⁠⁠⁠⁠https://arema.mx/evento/13677⁠⁠⁠⁠ Link para el show de Solin ⁠⁠⁠⁠https://app.recurrente.com/⁠⁠⁠⁠ Link de la merch oficial ⁠⁠⁠⁠⁠⁠⁠⁠https://semesubioelmuerto.myshopify.com/⁠⁠⁠⁠⁠⁠⁠⁠ https://www.instagram.com/soyivanmendOZA https://www.instagram.com/soyalexquiroz/ https://www.instagram.com/solinstandup/ SMSEM CREW: https://www.instagram.com/flaquimedios La flaquita: https://www.instagram.com/putzulbrizuela Flaquito: https://www.instagram.com/albertoo_brizuela FlaquiMich: https://www.instagram.com/mich_xh Silvia: https://www.instagram.com/_silviasiu/ Joch: https://www.instagram.com/elmismojoch/

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor
    NEW: Making Proteins Fun: Cancer Expert Joins Saranne

    Beating Cancer Daily with Saranne Rothberg ~ Stage IV Cancer Survivor

    Play Episode Listen Later Jan 31, 2025 29:46


     Today on Beating Cancer Daily, Saranne is joined by Jacqui Bryan to explore the enticing world of spices and their role in enhancing proteins while boosting overall health. With Jacqui's extensive expertise, listeners will gain specific insights into optimal spice combinations for various proteins like chicken, beef, fish, and even tofu. As a cancer survivor herself, Jacqui shares not just the flavors but the incredible health benefits these spices can bring, transforming simple meals into dietary powerhouses.Jacqui Bryan is a certified nutrition specialist, whole health educator, health coach, and registered nurse. Her expertise in functional medicine has been instrumental in helping countless individuals embrace healthier lifestyles. With over two decades of experience, Jacqui offers a wealth of knowledge that spans across multiple health disciplines, making her a sought-after advisor for those seeking wellness through holistic food choices."Spices are like medicine; they can do amazing things for our health." – SaranneToday on Beating Cancer Daily:·     Understanding the significance of spices in daily cooking and how they act as natural medicines·     The proper way to check spices for expiration dates and why it's vital for maintaining their potency·     The best spice combinations for enhancing chicken, beef, pork, fish, and even plant-based proteins·     Health benefits of popular spices such as thyme, rosemary, oregano, paprika, garlic powder, and cumin·     Tips for storing spices to maintain their freshness and nutritional value·     How specific spices can protect against cell damage and boost immune function·     Methods for bringing out the best flavors in different proteins without resorting to unhealthy sauces·     Creative ways to incorporate underutilized spices like fennel and bay leaves into everyday meals. The #1 Rated Cancer Survivor Podcast by FeedSpot and Ranked the Top 5 Best Cancer Podcasts by CancerCare News, Beating Cancer Daily is listened to in more than 101 countries on six continents and has over 300 original daily episodes hosted by stage IV survivor Saranne Rothberg!   To learn more about Host Saranne Rothberg and The ComedyCures Foundation:https://www.comedycures.org/ To write to Saranne or a guest:https://www.comedycures.org/contact-8 To record a message to Saranne or a guest:https://www.speakpipe.com/BCD_Comments_Suggestions To sign up for the free Health Builder Series live on Zoom with Saranne and Jacqui, go to The ComedyCures Foundation's homepage:https://www.comedycures.org/ Please support the creation of more original episodes of Beating Cancer Daily and other free ComedyCures Foundation programs with a tax-deductible contribution:http://bit.ly/ComedyCuresDonate THANK YOU! Please tell a friend who we may help, and please support us with a beautiful review. Have a blessed day! Saranne  

    Nursing Podcast by NRSNG (NCLEX® Prep for Nurses and Nursing Students)
    Sleeping on a Dumpster Mattress (My Journey Part IV)

    Nursing Podcast by NRSNG (NCLEX® Prep for Nurses and Nursing Students)

    Play Episode Listen Later Jan 30, 2025 17:42


    Oh man . . . it's hard to believe that about 14 years ago I was sleeping on a mattress I'd found in the dumpster - not even sure if nursing school would ever end.  It did.  I survived.  I passed the NCLEX.  And I got a job in the Neuro ICU right out of nursing school.  Today I want to share part IV of my journey. Happy Nursing Jon Haws, RN

    NRSNG NCLEX® Question of the Day (Nursing Podcast for NCLEX® Prep and Nursing School)

    Oh man . . . it's hard to believe that about 14 years ago I was sleeping on a mattress I'd found in the dumpster - not even sure if nursing school would ever end.  It did.  I survived.  I passed the NCLEX.  And I got a job in the Neuro ICU right out of nursing school.  Today I want to share part IV of my journey. Happy Nursing Jon Haws, RN

    Nursing School Struggles by NRSNG
    Sleeping on a Dumpster Mattress (My Journey Part IV)

    Nursing School Struggles by NRSNG

    Play Episode Listen Later Jan 30, 2025 17:42


    Oh man . . . it's hard to believe that about 14 years ago I was sleeping on a mattress I'd found in the dumpster - not even sure if nursing school would ever end.  It did.  I survived.  I passed the NCLEX.  And I got a job in the Neuro ICU right out of nursing school.  Today I want to share part IV of my journey. Happy Nursing Jon Haws, RN

    The Unofficial NCLEX® Prep Podcast by NURSING.com (NRSNG)
    Sleeping on a Dumpster Mattress (My Journey Part IV)

    The Unofficial NCLEX® Prep Podcast by NURSING.com (NRSNG)

    Play Episode Listen Later Jan 30, 2025 17:42


    Oh man . . . it's hard to believe that about 14 years ago I was sleeping on a mattress I'd found in the dumpster - not even sure if nursing school would ever end.  It did.  I survived.  I passed the NCLEX.  And I got a job in the Neuro ICU right out of nursing school.  Today I want to share part IV of my journey. Happy Nursing Jon Haws, RN

    The Valley Today
    Wellness on the Go: The DRIPBaR Experience

    The Valley Today

    Play Episode Listen Later Jan 30, 2025 23:04


    In this episode of "The Valley Today," host Janet Michael visits the DRIPBaR in Winchester to have a conversation with the owner, Tyler Emerick. They discuss the services offered at the DRIPBaR, specifically IV therapy, which is designed to enhance wellness by providing essential vitamins and hydration directly to the bloodstream. Tyler elaborates on their medical background, the stringent sterilization processes they use, and the different goals that their IV therapy can help achieve, from boosting energy to aiding post-viral recovery. Janet and Tyler also talk about the streamlined client intake process, including consultations with a medical director for first-time clients. They address common misconceptions about IV therapy, emphasizing that it is not just a hangover cure but a comprehensive wellness service. The conversation touches on various membership plans, additional perks like access to infrared saunas and cold plunges, and the possibility of corporate partnerships to offer these wellness services to employees. Throughout, Janet experiences the IV therapy firsthand and shares her thoughts on the process and the welcoming environment at the DRIPBaR. They conclude by providing information on operating hours, booking appointments, and their location within the Winchester community. Learn more on their website: https://thedripbar.com/winchester/ 

    The Ugly American Werewolf in London Rock Podcast
    UAWIL #218: Led Zeppelin - Physical Graffiti Part 1

    The Ugly American Werewolf in London Rock Podcast

    Play Episode Listen Later Jan 30, 2025 78:52


    1975, Led Zeppelin were at the height of their rock god power. They'd made 5 albums that sold off the charts, especially in the US where they enjoyed the fruits of their labors on the Sunset Strip. They were a top touring act that could fill arenas and stadiums with four of the best individual musicians in any band. They founded Swan Song Records to not only handle their own records but even signed acts like Bad Company and Detective to the label. So after some time off they headed back to Headley Grange where they'd recorded for Led Zeppelin III & IV in early 1974 to lay down some tracks. The results were among the heaviest, funkiest, longest, most epic and groovy songs in the Zeppelin catalog. But because they made more than 1 LP's worth of material, they decided to dust off a few tunes from previous sessions, rework them and fit them all into what would be Zeppelin's only double album, Physical Graffiti. The first album to ship platinum in the US, it would eventually go 16x platinum (but only 2x platinum in the UK). Hitting #1 on both sides of the Atlantic, it's too epic for just one episode. So we've divided into LP/CD one on this episode and UAWIL 219 will go in depth on LP/CD 2. The first disc of Physical Graffiti is an extraordinary album on its own. From the riff & groove of Custard Pie, maybe the best opening track on an LZ album, to the epic and otherworldly Kashmir the boys flex and stretch like they hadn't before. Jimmy Page is at his best laying down killer slide on In My Time Of Dying, riffing out on The Rover and leading the boys in jams on Trampled Under Foot. John Paul Jones is killer on the bass and the clavinet which give different textures to the tunes. John Bonham is at his thunderous best while his mate Robert Plant still had the range and emotion that made him a legend. Going track x track and watching some old Zeppelin footage from Earls Court 1975 and Knebworth 1979 reminds us that we missed one of the greatest bands to walk the Earth and they should be celebrated. Part 2 will be episode 218 out soon! Check out our new website: Ugly American Werewolf in London Website Visit our sponsor RareVinyl.com and use the code UGLY to save 10%! Twitter Threads Instagram YouTube LInkTree www.pantheonpodcasts.com Learn more about your ad choices. Visit megaphone.fm/adchoices

    The VBAC Link
    Episode 374 ​​Julia's HBAC with Labor Beginning at Almost 43 Weeks + The Evidence on Postdates

    The VBAC Link

    Play Episode Listen Later Jan 29, 2025 40:47


    Julia knew something was off during her first pregnancy and birth experience. She knew she didn't feel right about consenting to a Cesarean, but it wasn't until she started diving into research that she realized how much her care lacked informed consent. She discovered options that should have been offered to her that never were.Julia's research led her to choosing the midwifery model of care in a home birth setting. She felt in control of her experience and free to birth the way she felt she needed to. Meagan and Julia discuss stats on uterine rupture, stillbirth, continuous fetal monitoring, induction, due dates, and how our birthing culture can highly influence what we think is safe versus what scientific evidence actually tells us. Evidence-Based Birth: The Evidence on Due DatesThe Business of Being BornNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello. Women of Strength I am so excited for today's guest. Our friend, Julia, is from Texas. She is a wife and a stay-at-home mother living in, it Spring, Texas, Julia?Julia: Spring, Texas.Meagan: Close to Houston, yes, with her two sons. And she has had a Cesarean and then an HBAC. We get a lot of questions in our inbox every day, but a really common question is dates. "Hey, I'm 40 weeks. My doctor is telling me I had to have my baby by tomorrow or even approaching 39 weeks." People are being told they have to have their babies or really bad things will happen. And Julia's story is proof that you don't have to have a baby by 40 weeks or 41 weeks, would you say? Almost 42 weeks is what you were. So we are excited to hear this story. And I know if you are one that goes past your due date and you're getting that pressure, you're definitely gonna wanna listen. Julia: Thank you so much for having me, Meagan, I'm really, really happy to be here.Meagan: I'm so happy that you are here. I would just love to have you share your stories.Julia: Okay, so my firstborn, he came during the height of the COVID pandemic. It was August 2020.I just saw my OB who I had been seeing for regular gynecology visits. And from the very first appointment, it just, I just kind of got an off feeling. She had seen a small subchorionic hematoma on my ultrasound at my very first appointment at eight weeks. And she just told me, "Don't Google this. It's going to scare you." She basically just said, "Just enjoy being pregnant now because when you come back next week, you may not be." So as a first-time mom, it was obviously pretty upsetting and caused a lot of anxiety. When I went back for my next appointment, she just kind of shrugged it off after she saw the ultrasound. She just said, "It cleared up on its own." There really wasn't any explanation of how it resolved.But that being said, that start to my prenatal care kind of set the tone for the rest of that pregnancy and birth. From then on there was just a lot of fear-mongering going on, and a lot of problems were brought up that really never turned out to be an issue. Around 20 weeks at the anatomy scan, they saw that my son was in the bottom 10th percentile.She had said that she classified that as IUGR, intrauterine growth restriction. We had a lot of extra testing done. Everything was normal. I felt confident and very comfortable just waiting it out. And that really wasn't what she wanted.Actually, starting around 35 weeks, she had started talking about delivering early. I was pressured at each appointment by my OB and the nurses to stay that day and deliver solely because of his size, even though everything was looking great on the monitors. Keep in mind, you know, during COVID, I wasn't able to have my husband or anyone with me during these appointments. And so just being asked that question each time I came in as a first-time mom by myself was just really hard and made me second guess a lot of things and second guess my intuition. I had explained that, "I think he's just a small baby. He needs more time to grow."She basically just said at my 38-week appointment if I didn't deliver that day, it would not be her fault if my baby died and that she or the hospital was--Meagan: What?! Julie: Right?Meagan: She said that she or the hospital, if I walk out that day, they're not liable if something happens because I'm going against her recommendations. I was even seeing a high-risk doctor as well at that point. And even he was saying, "Everything's looking fine. There's no problem with waiting if you want to."The reason she wanted to schedule the C-section because he was breech. I knew that I wasn't even going to have the opportunity to go into spontaneous labor. There were really no alternatives presented at the time. I knew nothing about out-of-hospital birth or about midwives. She offered an ECV, but she said she didn't recommend it because of his size.She didn't really explain why. So I just kind of felt backed into a corner. I remember I had left the office that day at 38 weeks and called my husband immediately and explained what she had said. We felt like, "Okay, well, I guess, we obviously don't want our baby to die, so maybe we need to just stay." I remember pushing my gut feeling aside the whole time. As they were prepping me, I just felt, This isn't right." I wanted to give my baby more time to grow and also to flip so that I wouldn't be backed into a C-section. Had I known then what I know now, I definitely would have opted for a home birth with my midwife who's trained in breach delivery.Just at the time with COVID, I didn't have the resources or the information, so we went through with the C-section that ended in a four-day hospital stay. I didn't sleep at all. Meagan, I'm not even kidding you. I did not sleep those four days. The nurses were really concerned about the baby's size, even though he was growing. He was actually back to his birth weight by the time we were discharged.But I'll never forget this one-Meagan: That's quick!Julie: Right? I know. And so there was so much fear-mongering, so much uncertainty by medical staff, despite how great my baby was doing. And I remember this nurse frantically coming into the room just a few hours after my C-section with this Medella hospital-grade pump. She was just like, "You need to start pumping now on top of breastfeeding because your baby's small. He's not going to grow."It just kind of left me feeling like, I feel confident in what I'm doing, but now all these medical professionals are telling me like, I'm in danger, my baby's in danger. It triggered a lot of feelings of postpartum anxiety. I really struggled that first year. And so it wasn't a very good experience.I just felt like my power had been taken away in the birthing process and felt defeated and like I didn't have a say for my first birth.Meagan: Yeah, I was just listening to an episode the other day, not on our podcast, on another podcast about that experience after baby is born and that postpartum within the hospital and how crazy it is that sleep is one of the best things we can get when it comes to energy, milk production, getting our babies fed and helping them grow, and doing all these things. But then we're not allowed that time. And then on top of it, it's all the fear-mongering and the doubt when it's like we should be being built up like, "Oh my gosh, look how good you're doing. Look how good this baby's doing. Look how good you're doing. Let's keep doing this." Instead of making you doubt that what you're doing isn't good enough and not letting you sleep and doing all these things. It's just weird to me. It doesn't make sense.Julia: Right, and as a first-time mom, you're just like, okay, they know what's best, obviously. I'm going to listen to them and what do I know about birth? They're the doctors. But yeah, it was just really eye-opening, and I really knew I wanted a completely different experience the next time around.Meagan: Yeah, I don't blame you. I don't blame you for wanting a different experience.Julia: So after I had my C section, pretty soon after that, I started digging and doing a lot of research and realized I felt really cheated by the lack of informed consent. I had mentioned that my doctor just had said, "You need a C-section because he's breech."I had no idea that there were even midwives and out-of-hospital birth options where they delivered breech vaginally and not only that, but were highly trained and qualified to do so. I had no idea that in other parts of the world of similar economic status to the US that they were routinely delivering breech babies vaginally with better outcomes than we have here in the US hospitals. So I really didn't feel like there was informed consent there. Even the fact that she didn't even want to try the ECV was upsetting to me. I just felt like I really wish I would have done more research at the time. But I just put all my energy into this next birth. I knew even before I got pregnant that I wanted a VBAC.Pretty early on in the process of my research, I became really fascinated with physiological birth and I knew that I really wanted to experience that. For someone who may not be familiar with that term, physiological birth is natural unmedicated childbirth with no intervention unless medically necessary. It sees birth as a safe biological function rather than a medical event or something that that's inherently dangerous which is how I felt I was treated my whole first pregnancy and birth. I felt like a walking hazard, to be honest, when in reality I was an extremely healthy 25-year-old, first-time mom with a healthy baby with no issues. So the fact that I was gaslit into thinking there was a lot of danger was sad. So I knew that for my next birth I wanted to do a physiological birth and I knew that it would kind of be a fight to achieve in the hospital. I did a lot of research, I watched The Business of Being Born. I read a lot of natural childbirth books. I also knew that on top of the regular hospital policies, I would have some excess restrictions because of the fact that I was a VBAC.Meagan: Yeah, yeah. Julia: I did go back to that same OB at first. I presented my birth plan early on to her and it included things like I didn't want an IV. I wanted freedom to eat or drink. I didn't want any drugs whatsoever for pain relief. I didn't want them pushing an epidural. I would have liked a water birth, but I knew that wouldn't have been possible in the hospital. But I at least would have liked water immersion in labor, minimal cervical checks. I wanted to go into spontaneous labor. I wanted no coached pushing and fully delayed cord clamping.I could tell, right away she was more so just VBAC-tolerant rather than supportive. She really used a lot of fear-mongering. Right away she mentioned the uterine rupture risk. She had said, I think she had said she had just had a mom die from a VBAC not too long ago.Meagan: Goodness. Holy moly.Julia: Without any explanation. Who knows where she was going with that? But she had also said, it may be better to just have a repeat C-section because with the risk of rupture, you may need a hysterectomy after giving birth. She commonly used the word TOLAC which also I didn't really like. I didn't want to feel like I was having to try. I felt like I'm planning a VBAC. I don't need to try for it. It is what it is. I wanted someone to encourage me. She really also highly, highly recommended I got an epidural because she said, "Well, with your increased risk of rupture, if something should happen, then they're just gonna have to knock me out."She also said, "Unmedicated moms tear the worst," which was not at all the case for me. She was saying that because it hurts so bad that you just can't control your pushing. I knew all of this was not true. I was kind of in a funny position because I didn't want to be fighting with her, but I knew the evidence in the back of my mind and all of that scary language. I knew it was not evidence-based. I really wanted someone on my team who was really going to believe in me, who knew the evidence, and who believed in my ability to have a VBAC.  I didn't want to spend all of my energy and labor fighting for this VBAC and for this birth experience that I knew was possible and that I knew that I deserved.My heart really had always deep down been set on a home birth from the very beginning. I loved watching home birth videos and hearing positive home birth stories. I just loved everything about it and also about the midwifery model of care and how much more comprehensive that was. I had heard about a local group of midwives on a Facebook group that I'm in for holistic moms in my area. I found out that this group of midwives offered a HypnoBirthing class. So my husband and I signed up for that. We took the six-week course and we just never looked back after that. We knew that a home birth VBAC would be the way to go. I felt deep in my heart confident about it and that's really what I wanted. I just knew I had found my dream birth team.My midwife was just amazing and I just really couldn't imagine birthing anywhere other than in my own home with her and my husband by my side and someone that didn't look at me differently because of my previous Cesarean.Meagan: Right. And I love that you just pointed that out. Someone who didn't look at me differently because of my previous Cesarean. This is the problem, not the problem. It's one of one of the many problems when it comes to providers looking at VBAC moms. We talk about this in our VBAC course. We should just be someone going in and having a baby, but we are not viewed that way. And it's extremely frustrating because not only do they not view us that way, they make us know and feel that they don't view us that way.Julia: Right, right.Meagan: It's just, it feels crummy.Julia: Absolutely. We knew we were making the right decision. I was really excited about the whole thing. That was another thing that I talked to my OB about. I was like, "I'm excited to be in labor. I want to welcome all these sensations of birth. I know it's going to be hard work, but that experience means something to me and I want that." And she had said, "Well, if you ask other moms who had been through labor, they would say it's painful, it's hard." She was basically saying, I shouldn't want this birth experience. I just didn't want to be fighting that or dealing with someone who had this view on birth that it's just this dangerous medical event. I didn't want to go through feeling defeated like I did last time.Meagan: Absolutely. Good for you for recognizing that and then doing what you needed to do to not have that experience.Julia: Right? Thank you.So I had mentioned that I really wanted to go into spontaneous labor. I didn't want to be induced at all. That's another reason why I'm so thankful that I was with my midwife because I went almost all the way to 43 weeks pregnant. I went into labor at 42 weeks and 5 days in the middle of the night. Had I had been with my OB, I'm positive that I would have had to deliver much earlier and I would have probably been scheduled for a repeat C-section. So I'm just really happy that I was with my midwife and I felt really confident about waiting. I had NSTs and BPPs, non-stress tests and biophysical profiles done daily starting at 42 weeks just to monitor baby's health and to make sure that everything is normal and it was.So we just opted to wait for spontaneous labor. I'm really glad that I did so that I could go through with the home birth.Meagan: Absolutely. What you were saying, yeah, I know I probably would have been scheduled Cesarean and definitely would have been pressured. I mean, even if you would have said no, the pressure would have been thick, especially going over 41 weeks.Julia: Right.Meagan: And then, let alone 42.Julia: Right. Yeah. The pressure was there. Everyone was well intentioned, asking, "Have you had your baby yet?" But I was getting these questions as early as like 38 weeks, 39 weeks. I'm like, "Whoa, I'm not even at my due date yet."Everyone was just excited to meet the baby and had friends asking about that. But my immediate family was so supportive and I'm so, so happy that I had that support because just feeling that from my midwife and from my parents and my husband, knowing that they all really believed in me and we were confident with waiting. As long as everything looked good with baby, that was really what was most important. So I just kind of tuned everything else out and tried to relax as much as possible.We just went out to dinner a few times and cherished these last couple weeks as a family of three. It finally happened in the middle of the night at 42 weeks and 5 days. I remember when the contractions were first starting. I'd had some contractions on and off for the past few weeks, but nothing consistent. So I just kind of thought, okay, well, this is just some Braxton Hicks or something like that.I noticed that around 2:00 AM, they started getting more consistent. I told my husband and they were getting more intense and a little closer together. We called our midwife around 6:00 AM and she was like, "Yeah. Sounds like you're in early labor." I was just so, so happy and grateful to be in labor.Yes, it was hard work, but I can honestly say I really enjoyed the experience. I thought it was extremely empowering. I just remember thanking God through the surges. We called them surges in HypnoBirthing. Just knowing the awesome work that my body was doing from within to give birth to my baby. I really, really enjoyed the freedom of just being able to eat and drink in labor freely wherever I wanted in my home without any restricting policies. I wasn't tethered to any IVs or monitors. I think that's another thing. In the hospital, that would have added anxiety seeing the monitor constantly. We know that continuous fetal monitoring isn't really evidence-based and leads to more C-sections. I knew in the hospital that would have been something that would have been required so I'm really glad that that wasn't the case at home. I just think the freedom and the autonomy is really what helped my labor to progress so smoothly without any complications.There weren't people coming in and out of my room, and I just really enjoyed the whole experience. Listening to birth affirmations helped me. I was swaying through the surges. My husband had helped me put up twinkle fairy lights in our room, and we had some flickering votive candles on my dresser. It just created this really nice ambiance and a calming atmosphere.It just felt so good to know that my husband really, truly believed in my ability to do this. I mean, I really have to give him a shout-out because he was right there with me not only through all of labor, but when I knew that I wanted a VBAC from the very beginning, he was right there with me reading all the natural childbirth books, doing all the research on VBAC with me.He was just really supportive. That's something I would say is very important for a VBAC mom is to have a support person who's not just present, but truly supportive of you and knows what you're going to need and does the work with you ahead of time so that you can just focus on laboring and they can be there to make sure you have water, and you're fed if you're hungry, so I was really blessed to have him and to have his full support.Meagan: Absolutely.My husband told me, he said, "I just don't understand." He just didn't understand. I get that he didn't understand, but I love hearing this where we're learning together. I want to say to couples or to partners, even if you don't understand, understand and trust that it's important to your partner and be there for them because, like you were saying, it can make such a big impact in the way you feel, the way you view your birth, and your overall experience.Julia: Right. No, and that's so true because I feel like, most people's support person is their husband, and a lot of men feel like maybe they can't really help as much or just say, "Well, the doctor knows what to do. I'm just here, like, for emotional support."But it's so much more than that. My husband learned ahead of time how to do counter pressure, and I actually really didn't need it. I think he had done it once, but what really helped me the most was just leaning on him. I did that most of the time. Just leaning into him, and letting him support my weight. He also did a really great job of reminding me to just focus on my breathing techniques and just relaxing between the surges.All of those natural pain relief remedies were really, really helpful. I bought a TENS machine and a heating pad, but I ended up not needing any of those.Meagan: But you at least were prepared with them.Julia: I was. Yeah, I was definitely prepared. We also had hung up all my birth affirmations. We had done a lot of meditation and visualization exercises throughout pregnancy, and so I used some of those as well. He was really great at reminding me just saying, "I love you. You're doing it. You're doing a great job." That was very helpful just feeling him there.Meagan: Yeah, absolutely.So with postpartum, this is also another common question. Is it better postpartum from my Cesarean versus my VBAC? What would you say? And any tips that you have for healing through your VBAC?Julia: Yeah, so my postpartum experience this time around is so much better. It's a night and day difference, not just physically healing like that. My VBAC is nothing compared to the C section. I think a lot of people fail to realize that a C-section is major, major abdominal surgery. Anyone else who had major abdominal surgery would be sent home to be on bed rest for weeks and you have to care for a newborn on top of that. With my C-section, I was a first-time mom. It was so overwhelming. Everything was new to me. I had a lot of pain with breastfeeding at first. I attribute a lot of that to the nurses making me pump. I was never sized for flanges. I just used the ones that came with the Medella and they weren't sized to me.I think that caused a lot of nipple damage. I ended up getting mastitis at two weeks postpartum the first time around and had to go back into the hospital for that and just had so much pain with latching that I ended up exclusively pumping for my son. I'm really proud because I was able to do that for two years, so he had breastmilk for two years.Meagan: That is a commitment.Julia: Yes, it was such a commitment. But I'm really, really happy that I did it and it was worth it to me. I just didn't want that negative experience of the birth and all that damage that happened early on from the pump to affect this because I really knew I wanted to breastfeed, and I was able to do it with exclusive pumping.And then this time around, it was just so much better. Breastfeeding is going great, and I've seen some research on that too. When you have a positive birth experience, that can also affect breastfeeding and even the first latch and everything.Just your emotions surrounding postpartum, when you go through something like that and you feel supported and in charge of your birth, you go into motherhood feeling the same way.Meagan: Yeah.Julia: I can't explain how much better it is this time around. That's why I really encourage all moms to know that you can do your own research and especially VBAC moms, there's so much out there about uterine rupture, and when you look at the relative risk versus the absolute risk, these are the kinds of things that you may not know to do because your doctor is just going to present the statistics one way. But we know that the way that those statistics are presented really greatly impacts what decision you make. And it's important to understand that.And so I would say my biggest tip for VBAC moms is to just really do your own research and find a provider who you feel like in your gut is going to be there for you, and is going to really believe in you. Meagan: Absolutely. Absolutely. And that's what I was looking for with my crazy interview process was someone who I didn't just think would be there to be there, but be there to support me and really root for me and really be on my team, not just be there. I just think it makes such a big, big difference. And kind of going away from provider but coming into due dates and waiting longer. When I say longer, past the traditional 39 to 41 weeks. Now you were mentioning, people were even saying at 38 weeks, "Hey, have you had your baby? When are you gonna have your baby?" Oh my gosh. And these people, most of the time, I would say 99% of the time, they really just are excited for you to have your baby. And so if you're listening and maybe you have this situation, do say things like, "Hey, oh my gosh, I'm just so excited for you," not like, "When are you going toa have this baby?" Because it does start taking a toll sometimes on mom's mental health at the end.I wanted to also talk a little bit about due dates because Evidence Based Birth-- Rebecca Dekker, she's incredible. If you guys don't know them yet, go check out Evidence Based Birth. They've got a lot of really great blogs. But there is just a little part of a large blog that I wanted to read about and her little bullet point says, "Is the traditional due date really your due date?" I think this just fits so well here because you were 42 weeks and which day again?Julia: 42 weeks and 5 days.Meagan: 5 days, that's what I was thinking. So 42 weeks and 5 days. So obviously your traditional due date that you were given weeks before wasn't really true. Right? So it says, "Based on the best evidence, there is no such thing as an exact due date, and the estimated due date of 40 weeks is not accurate. Instead, it would be more appropriate to say that there is a normal range of time in which most people give birth. About half of all pregnant people will go into labor on their own by 40 weeks and 5 days for first-time mothers or 40 weeks and 3 days for mothers who have given birth before. The other half will not." Then it says, "Are there some things that can make your pregnancy longer? By far, the most important predictor of a longer pregnancy is family history of long pregnancies, including your own personal history, your mother, your sisters, etc. and the history of the baby's biological father's family history as well." In 2013, there was a large study that was looked at with more than 475,000 Swedish births, most of which were dated with an ultrasound before 20 weeks in that they found that genetics had an increasingly strong influence on your chance of giving birth after 42 weeks. Okay, there's so much more you guys. It talks about if you've had a post-term birth before, you have a 4.4 times more likely chance of having another post-term, if I can read, with the same partner. If you've had post-term birth before, then you switch partners, you have 3.4 times the chance of having another post- term birth with your new partner. And if your sister had a post-term birth, you have a 1.8 times the chance of having a post-term birth. You guys, it goes on and on and on. This is such a great article and eye opening in my opinion. I'm going to attach it in the show notes and it does continue to go on for risk for mothers, risk for infants.What about stillbirth? We know that is a huge topic when it comes to going past your due date just like uterine rupture is a huge topic for VBAC. I feel like when due dates come in, it's stillbirth. And she actually says that. It says up until the 1980s, some research thought that the risk of stillbirth past 41 to 42 weeks was similar to the risk of stillbirth earlier. She's going to go back and talk with how it definitely is a different measurement here, but the stats are there. The evidence is there. But look at you. You went. You trusted your body. You went with your body. You did what you needed to do to take extra precautions and had a beautiful, beautiful experience.Julia: Yeah, I'm really happy that I did trust my intuition and I did the research. All those things that you were talking about like risk of stillbirth and everything that you hear, there's a common thing that goes around social media like, "Oh, nothing good happens past 40 weeks." But that's just not the case.If you look at other countries that are like very similar in economic status to us in the US, due dates are calculated differently everywhere, so who's to say that this mythical 40-week due date is the end all be all? A lot of other countries won't even induce prior to 42 weeks unless there's like an issue. In the US, we see so many people routinely getting induced at 39 weeks, so I just think's it's really a cultural thing, so we we come to believe that it's the safest thing.But when you step back and do your own research, you can get a full picture and you can see, why are we inducing without any, any contraindication? Like why are people being presented Cesarean section as if it's just a minor procedure?I feel like in the Business of Being Born documentary, if you haven't seen it, I would highly recommend everybody watching it really, because it shows how C-sections have become so much more popular and the reasons why they think that is and just the flaws in the medical system. It was just really eye opening and really encouraged me on my VBAC journey. It gave me a lot of tips and information and led me to find other resources. VBAC Facts was another really great thing that I referenced a lot. Evidence Based Birth like you had mentioned, and then of course, listening to The VBAC Link Podcast and podcasts of moms who have really positive VBAC stories because you only hear the negative a lot of the time.With birth in general, I feel like, it's just presented as such a scary thing. I really want to encourage women to know that birth is made to be this way. It doesn't have to be some scary out of control thing where you're at the mercy of a doctor or a provider telling you when to push or telling you to do something that you don't feel comfortable doing. When we trust nature and we surrender to the power of labor, it's really sacred. It's beautiful. It's normal, and most of all, it's safe in most cases.We don't have to fight it or medicalize it. And in the words of Ricky Lake, who gave birth in her bathtub in that stellar documentary Business of Being Born, she had said, "Birth is not an illness. It's not something that needed to be numbed. It needed to be experienced." For anyone who's planning or would like to plan an unmedicated birth, you can get a lot of resistance or people who don't understand. But I really encourage you to know that you can do it, that women have been doing it for generations. And just keep those affirmations in your mind and believe in yourself. You have to do that.Meagan: Exactly. I love that you pointed that out. There are so many times that we do treat birth as this medical event, this illness, this problem, and it's just not. It's not. It's not. I don't know what else to say. It is not. And we have to change our view. And just like you were re saying, it's a cultural thing. We have to change or it's just not going to get better. It could get worse. We're seeing the Cesarean rate. We're seeing these things happen. And there's a problem. There's a problem out there. We have to start stepping back and realizing that birth is not that medical event and we can trust this process. And our bodies were meant to do this. And they do it every day. Every day, all over the world. Every single day, a baby is born, probably thousands. I don't even know the exact number. But we can do this. We don't have to, we don't have to treat it like that.Julia: Right. That's what I really liked about the midwifery model of care. It was just so different to my experience with, with my OB. I think a lot of people fail to realize that in most other parts of the world, low-risk women are attended by midwives and the obstetricians are there to take care of the percentage of women who are having issues. With home birth, you can think, oh well, what if something goes wrong and you're not in the hospital setting?But what a lot of people don't realize is that oftentimes these interventions that are routinely done in the hospital that most of the time they don't even ask for permission to do, or they present it in a way that they're helping you actually lead to some of these devastating consequences, like low-risk women going in and then ending up with a C-section for reasons that they often can't even understand.And so that's something that I really feel passionately about is just encouraging women to advocate for yourself and to know ahead of time, what is routine and why are they offering this? Is this for your benefit or for the doctor's benefit? With all these risks of these different things that can happen, like Pitocin, which is commonly used to induce or augment labor, you might not need that. Or did you know that if they started that you can ask for them to shut it off?You should be in charge of your birth. When you're in that setting, it can be intimidating and you might feel like you don't have a voice, especially when you're already in a vulnerable position in labor. So I was really confident with my midwives' ability to look out for anything that may go wrong. But I love her hands-off approach. She didn't intervene. She just stood back and was just there to witness. There was no telling me when to push. I was able to experience the fetal ejection reflex which was really cool. I just felt my body pushing for me and surrendered to that. She was there to make sure that everything was going smoothly. I was the one who picked my baby up out of the water and she just stood back while my husband and my baby and I met each other for the first time. It was just all really special. That's something I want to say. With the risk of uterine rupture that you hear about with VBAC, that wasn't even in my mind. I didn't have someone there constantly telling me, "Oh, well, we're seeing this on the monitor," or scaring me with the very, very slim chance of rupture.Meagan: Exactly. Oh, so many good tips, such a great story. I am just so grateful that you are here today sharing it with us.Julia: I'm really grateful to be here and to share my story with everybody.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

    Beyond The Horizon
    Cartel Chronicles: The Evolution Of The Sinaloa Cartel Under The Leadership Of The Chapito's (1/28/25)

    Beyond The Horizon

    Play Episode Listen Later Jan 29, 2025 56:02


    Following the 2017 extradition of Joaquín "El Chapo" Guzmán to the United States, leadership of the Sinaloa Cartel transitioned to his sons, collectively known as "Los Chapitos." This group includes Iván Archivaldo Guzmán Salazar, Jesús Alfredo Guzmán Salazar, Ovidio Guzmán López, and Joaquín Guzmán López. Under their direction, the cartel expanded its operations, notably increasing the production and trafficking of synthetic opioids like fentanyl, utilizing sophisticated laboratories in Culiacán. They also diversified smuggling methods, employing tunnels, maritime routes, and air transportation to distribute drugs into the United States.The leadership of Los Chapitos has not been without internal strife. Tensions escalated between their faction and that of Ismael "El Mayo" Zambada, a co-founder of the cartel. In July 2024, both Zambada and Joaquín Guzmán López were arrested in El Paso, Texas. Zambada alleged that Guzmán López betrayed him, leading to his capture. This incident intensified conflicts within the cartel, resulting in violent confrontations in regions like Culiacán, as factions vied for dominance. The internal discord has led to significant violence, with reports indicating over 1,000 individuals dead or missing due to the infighting.to contact me:bobbycapucci@protonmail.com

    Comics With Kenobi
    Episode #434 -- Six Weeks

    Comics With Kenobi

    Play Episode Listen Later Jan 29, 2025 103:37


    All the comics are out today. Ever.OK, not all of them, but there are six books out today, including four from Dark Horse Comics -- The High Republic Adventures Phase III #14, The HIgh Republic Adventures 2025 Annual, Echoes of Fear #4 (of 4) and Dispatches From the Occlusion Zone #4 (of 4). Each book is key, with stories that pitch forward phase III of the The High Republic.From Marvel, Ewoks #4 (of 4) wraps up its love letter to not just Ewoks as creatures, but the cartoon, the television films and the original 1980s run. In Star Wars: A New Legacy, we mark 10 years of Marvel Star Wars comics with three stories in a giant one-shot, including a great DoctorAphra and Sana Starros story that features some familiar faces, but a whole lot of not-so familiar faces, too.Comics Discussed This Week:Ewoks #4 (of 4)Dispatches From the Occlusion Zone #4 (of 4)Echoes of Fear #4 (of 4)The High Republic Adventures Phase III #14The High Republic Adventures 2025 AnnualA New Legacy #1 one-shotStar Wars Comics New to Marvel Unlimited This Week:_ NoneNews: Alex Segura will write and Phil Noto illustrate Star Wars (Vol. 4) #1, which debuts on May 7 and is set in the New Republic era.Over at Star Wars Explained, Alex talks about what's to come with Marvel's Jedi Knights, Legacy of Vader and Star Wars (Vol. IV) with writers Marc Guggenheim, Charles Soule and Alex Segura.We're going to make an educated guess and posit that Doctor Aphra is returning to Marvel's Star Wars comics this summer, if this Annie Wu "Aphra Sneak-Preview Variant" for May 7's Star Wars (Vol. 4) #1 solicit is a guide.John Tyler Christopher's action-figure variant for May 7's Star Wars (Vol. 4) #1 will move to Kenner's The Power of the Force card-back style.The Rise of Skywalker Adaptation TPB collecting the five-issue mini-series is poised for release on Oct. 21.The Force