Podcasts about Lethargy

Stunt Granny Audio is back as the boys cover the live four-hour Fyter Fest in real time as well as the cluster if NXT this week. What the hell was NT this week> Who are all of these people? Whyt bother trying to counter program AEW with Evolve in Tubi? Tubi? Why hijack a network […] The post Stunt Granny Audio 1065 – NXT Chaos, AEW Fyter Fest, Business Decisions and Lethargy appeared first on Stunt Granny.

Tristan eats an entire box of instant oatmeal and rambles for 30 minutes about mother's day, the pope, ai, dogsitting, and more!

I: There Are No ExcusesII: Urgency Cannot Be Ignored III: Application

Isaiah 2914therefore, behold, I will againdo wonderful things with this people,with wonder upon wonder;and the wisdom of their wise men shall perish,and the discernment of their discerning men shall be hidden.”19 The meek shall obtain fresh joy in the Lord,and the poor among mankind shall exult in the Holy One of Israel.

Nutritionist Leyla Muedin discusses the pervasive issue of chronic fatigue in America, focusing on the impact of diet, lifestyle choices, and essential nutrient deficiencies. Leyla highlights a national survey revealing that nearly 14% of adults experience daily fatigue, with women aged 18 to 44 being the most affected. She explores the role of poor sleep hygiene, lack of physical activity, poor diet, stress, and excessive alcohol and caffeine consumption in contributing to fatigue. The episode emphasizes the importance of correcting deficiencies in Vitamin B12, Omega-3 fatty acids, and Vitamin D to combat fatigue, offering practical advice on improving sleep habits, diet, exercise, and stress management to boost energy levels and overall health.

James Hollis is a Jungian psychoanalyst and the author of many books, including "A Life of Meaning," which is the primary subject of our conversation.------------Book Dan to do an interview or a meeting------------Keep Talking SubstackSpotifyApple PodcastsSocial media and all episodes------------Support via VenmoSupport on SubstackSupport on Patreon------------00:00 Intro01:05 Why Jim wrote "A Life of Meaning"05:28 The shadow08:38 Why confront one's shadow?10:48 The numinous and finding your calling25:20 Lethargy is a threat to living29:55 A modern culture of distraction32:28 Jim's decision to become a public educator37:02 Jim's growth beyond his family of origin44:30 Psychopathology 48:26 Sin: missing the mark55:15 Fear - the spirit of evil is negation of the life force by fear 58:50 Jim is a "recovering nice person"

Welcome to our first-ever Finish More Music podcast series!   This podcast series, "The Creative Calling," explores how pursuing one's passions, particularly in creative fields, leads to a more fulfilling life for you and for others.    In the series I use research and personal stories to illustrate the profound positive impacts of creative pursuits on mental, physical, and emotional well-being, and also address how to balance your personal creative goals with other life commitments.   Fear isn't the only thing stopping us from pursuing our creative calling—there's another silent threat: lethargy.    That feeling of being “too tired,” “too drained,” or “just not in the mood” can quietly steal more days from our lives than we realize.    In this episode, we break down what lethargy really is, why motivation isn't something you wait for, and how small shifts in mindset and action will help you overcome resistance.    Using insights from elite performers, psychological research, and personal experience, we unpack how to reclaim your energy and move forward…   …even when you don't feel like it.  

Thank you for listening. We pray the podcast is a blessing to you. Please visit our website www.columbianabaptist.com.

Welcome back for another monthly Akashic Forecast episode!Today we're diving into the enigmatic waters of February, an emotionally-charged month of invitations, initiations, and explorations. It's a month to pay attention to where you're spending your energy and how. And to be mindful of your self-care. Our themes for FEBRUARY are: Noise Level, Abundance, Sea Level (relating to the environment), Electricity, Lethargy, and Colors.“Bear down, put your feet in the sand, in the ground, in that which is beneath you. Take tender care of yourself, look out on the world with sober eyes. Do your very best to understand all that is taking place around you.And yet do not take your eyes off of your own path.”Enjoy and let us know how it resonates :))Read the transcript HERE: https://open.substack.com/pub/souldrivencollective/p/february-akashic-forecast-coming General registration for “Access Your Akashic Soul” is OPEN - seats are LIMITED. Join here: https://ahnahendrix.com/access-your-akashic-soul/CONNECT ONLINEInstagram https://www.instagram.com/ahnahendrixYouTube https://www.youtube.com/channel/UC5fsN8oqu8Ib8IcvpYZA4jQFEB Events & Offerings* REGISTRATION OPEN: Access Your Akashic Soul https://ahnahendrix.com/access-your-akashic-soul/* FEBRUARY Events:* 2/6 Akashic Guidance Circle 7pm EST* LINK: https://zoom.us/meeting/register/mqgs93HZSl6zC5NHuuecHg* Paid SDC Members ONLY* 2/27 Akashic Restoration GROUP Session 7pm EST $88* LINK: https://ahnahendrix.as.me/?appointmentType=73652955 * FREE for paid members of the SDC* Access the Akashic Records: Self Study Course: https://ahnahendrix.com/access-the-akashic-records-self-study-course/ Get full access to The Soul Driven Collective at souldrivencollective.substack.com/subscribe

Kapha season is considered to be late winter and spring in Ayurveda, however, it's best to think of the qualities of the season as this is what determines whether it's kapha season. It's when there's cooler temperatures, the ground is saturated with rain or melting snow and the air is heavy with humidity. Having the understanding and awareness of the qualities which are present in our natural environment and our body/mind can help guide us in our food and lifestyle choices which can in turn prevent imbalances and illness. Some signs of excess kapha dosha are: Colds, coughs, flu, allergies with mucus and congestion Agni mandya (slow digestion) Feeling heavy and sluggish after eating Water retention Weight gain Lethargy and oversleeping Inertia or lack of motivation Slowness in all activities Foggy mind Feeling sad or depressed Withdrawing from social activities. In this episode Colette gives Ayurvedic tips on how to navigate this season to prevent these imbalances and she covers pacifying foods and tastes, best cooking methods, how and when to eat, self-care and mindfulness practices along with emotional and mental health advice. * Click here to learn more about discounted group Digestive Reset Cleanse starting January 31st, 2025 * Visit Colette's website www.elementshealingandwellbeing.com  Online consultations & Gift Vouchers Next discounted Group Cleanse starts January 31st, 2025 Private at-home Digestive Reset Cleanse tailored to you Educational programs - Daily Habits for Holistic Health Have questions before you book? Book a FREE 15 min online Services Enquiry Call * Join the Elements of Ayurveda Community! * Stay connected on the Elements Instagram and Facebook pages. * Enjoy discounts on your favourite Ayurvedic products: Banyan Botanicals - enter discount code ELEMENTSOFAYURVEDA15 at checkout for 15% off your first purchase.** Divya's  - enter discount code ELEMENTSOFAYURVEDA15 at checkout for 15% off your first purchase.** Kerala Ayurveda - enter discount code ELEMENTS15 to receive 15% off your first purchase.** **Shipping available within the U.S. only. * Thanks for listening!  

Send Me a Message! In this episode of The Dysregulated Podcast, I explore the vital role Seroquel plays in my ability to get a good night's sleep and how its absence leaves me battling through the day. Sleep deprivation exacerbates the negative ruminations that seem to take centre stage of my psyche, and today, they've been particularly focused on my inner workaholic—the sub-part of me constantly pushing to apply for new jobs and to (hopefully) improve my life! That is one part of me that doesn't slow down, even if the self has! Join me as I do my best to explain the challenges of sleeplessness, self-criticism, and the weight of unrelenting expectations, all before the Seroquel kicks in and I finally get some rest!-Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Thank you for listening. We pray the podcast is a blessing to you. Please visit our website www.columbianabaptist.com.

Thank you for listening. We pray the podcast is a blessing to you. Please visit our website www.columbianabaptist.com.

In this lecture on the Third Hinderance towards practice, we can become aware of the reality of Laziness and Lethargy. The path towards freedom comes with the investigation of these potential roadblocks in all of their forms. --- Support this podcast: https://podcasters.spotify.com/pod/show/enkyoji-network/support

Lethargy, trouble sleeping, and anger can signal depression. Listen to what's fueling your child's moods. To support this ministry financially, visit: https://www.oneplace.com/donate/779/29

Marty sits down with Guy Swann to discuss how bitcoin is helping in the aftermath of Hurricane Helene. Guy on Twitter: https://x.com/theguyswann Bitcoin Veterans: https://bitcoinveterans.org/home/ Bitcoin Veterans NC/TN donation page: https://pay.zaprite.com/pl_Mibjv4lkEs 0:00 - Intro 1:29 - Inept/malicious response to disaster 6:10 - Bitcoin Veterans 11:38 - Destruction and loss 15:35 - Flooding 19:59 - Unchained 20:50 - Absurd resource allocation 30:18 - Zaprite 31:18 - People are 1000x more effective than govt 42:14 - Lethargy in the face of a ticking clock 48:38 - Why rules exist 53:30 - Disaster and conflict rackets 1:00:27 - Ungovernable media and ridicule 1:12:16 - How worldviews change 1:26:29 - Overwhelming innovation 1:32:11 - Why open source AI will win 1:38:34 - Approaching AI practically 1:52:30 - Plugging important stuff Shoutout to our sponsors: Unchained https://unchained.com/concierge/ Zaprite https://zaprite.com/tftc Join the TFTC Movement: Main YT Channel https://www.youtube.com/c/TFTC21/videos Clips YT Channel https://www.youtube.com/channel/UCUQcW3jxfQfEUS8kqR5pJtQ Website https://tftc.io/ Twitter https://twitter.com/tftc21 Instagram https://www.instagram.com/tftc.io/ Nostr https://primal.net/tftc Follow Marty Bent: Twitter https://twitter.com/martybent Nostr https://primal.net/martybent Newsletter https://tftc.io/martys-bent/ Podcast https://www.tftc.io/tag/podcasts/

Matt aka Oozing Lethargy is one of the best vinyl pushers around – he’s behind the UK based Alpha Zulu Records Discog’s store, and also works as dance music buyer for London’s Flashback Records. Matt wants to remain a mysterious character so this time there won’t be an interview to accompany the mix. Catch his […] Whole Entry: https://deeprhythms.com/guest_mixes/139_oozing_lethargy_for_deeprhythms/

Justin discusses the importance of embracing challenges and deliberate stress as essential components of self-care and wellness. He also argues against the common notion that rest and recovery are the ultimate goals, emphasizing that true growth and adaptation often come from facing discomfort and pushing one's limits. Justin highlights the need for balance, especially during stressful times, and encourages listeners to seek challenges that foster personal growth and resilience. Takeaways: Sometimes things need to be really hard for growth. Rest and recovery are not synonymous with self-care. Deliberate stress can be beneficial for self-care. Resting more is not always the answer to discomfort. Finding balance is crucial during stressful times. Something is better than nothing when it comes to exercise. If things are easy all the time, we will not get better. Valuing yourself is central to effective self-care. Embrace challenges to foster personal growth. Lethargy and complacency do not help anyone. --- Support this podcast: https://podcasters.spotify.com/pod/show/feel-strong/support

Sky Sports EFL Editor Simeon Gholam is joined by pundits Andy Hinchcliffe and David Prutton for the Championship Catch-up.The guests look back on the opening few weeks of the season, Sunderland's perfect start, the fate so far of the relegated trio as well as West Brom, Watford and Leeds.Hinchcliffe and Prutton then pay a touching tribute to Sol Bamba, the EFL legend, Sky Sports pundit and former Cardiff, Middlesbrough and Leeds defender who tragically passed away earlier this month aged just 39.The panel then assess Cardiff and Plymouth's tricky starts as they find themselves in the bottom three of the embryonic league table and how the promoted trio of Oxford, Derby and Portsmouth are getting on.

In this episode, Bob'nJoyce address the challenge of moving from personal or organizational lethargy to vitality. Good leaders can sense the pulse of an organization and find ways to move the needle on the cultural vibe. So the question becomes how do you engage employees in order to make the shift? Here are a couple of areas we mused on: Responding to, ‘Well, it is what it is.' Combating the malaise of boredom at work. The importance of leaning into the discomfort through dialogue (versus measuring it through stay surveys). The power of putting a name on what's happening. Joyce and Bob get feisty and gritty about what they believe is an oft ignored but important aspect of a healthy organization. Come on in. Grab a snack. Welcome!

In this episode of the Behind the Vision Podcast, host Dustin Chau and Coach Jen explore three key signs of a slow metabolism: lack of appetite, persistent lethargy, and difficulty losing weight. They discuss how these indicators can reflect a compromised metabolic rate and provide insights into how to address these challenges. This episode is especially valuable for busy professionals, like nurses, who often face these issues due to their demanding schedules Timestamps: [0:12] – Introduction: Welcome to Behind the Vision Podcast with Dustin Chau. [1:00] – Meet Coach Gent and the VP Fit Coaches team. [1:30] – Why your metabolism matters: Quick overview. [2:00] – Sign #1: No Appetite. Why not feeling hungry is a red flag. [3:15] – Real talk: Client stories about low appetite. [4:00] – Sign #2: Lethargy and Low Energy. How excessive caffeine use and constant tiredness signal a slow metabolism. [5:30] – How brain fog and naps can indicate metabolic issues. [6:30] – Sign #3: Difficulty Losing Weight. Why your body might be holding onto those pounds. [7:45] – The connection between low calorie intake, excessive exercise, and weight gain. [8:30] – Free Training Announcement: How to restart your metabolism. Feeling the signs of a sluggish metabolism? Don't let it slow you down any longer! We've created a special Metabolism Cheat Sheet Guide just for you. It's packed with easy-to-follow tips that will help you lose your next 10-20 pounds without sacrificing the foods you love. Download your free guide now by visiting our website and entering your email address. Let's start your journey to a healthier, more energetic you today! Click here to get started!

In these letters to the seven churches, Jesus usually has something positive to say, except for Sardis. To this congregation, Jesus offers no commendation. Jesus does not name any specific sin but declares them to be dead. What made them "lifeless?" Listen as Dr. John explains what was missing. The Triumph of the Lamb: Vol 1: It's natural to want to know the future. But if curiosity is all that draws us to the Book of Revelation, we are setting our sights too low. This book is an unveiling of Jesus Christ. It is a portrait of who Jesus is, but also what Jesus wants to say to His Church in every generation. Follow this three-week series on the first 5 chapters of Revelation. The description of Jesus and His Words will give you hope. 

BEAM Method for Pet Health: Decoding Your Pet's Wellbeing Dr. Jeff Feinman's BEAM method is a fantastic tool for pet owners to monitor their pet's overall health and identify potential issues early on. Here's how BEAM relates to diet and nutrition: Behavior: Changes in appetite, eating habits, or picky eating can be signs of underlying health problems. A healthy diet should support your pet's natural energy levels and playfulness. Energy: A balanced diet will provide your pet with sustained energy throughout the day. Lethargy or fatigue can be a sign of nutritional deficiencies or imbalances. Appetite: A sudden decrease in appetite can be a red flag for illness. Conversely, excessive hunger might indicate your pet isn't getting the nutrients they need from their current food. Mood: Just like humans, pets can experience mood swings. Anxiety, irritability, or depression can sometimes be linked to dietary issues. A healthy diet can promote a positive and calm demeanor in your pet. How BEAM Helps with Diet and Nutrition: By monitoring your pet's BEAM score, you can identify subtle changes that might be missed otherwise. These changes can then be discussed with your veterinarian to determine if dietary adjustments are needed. Best Hashtags: #BEAMforPets #HolisticPetNutrition #PetFoodDetective #HealthyPetHappyPet #BH_SalesKennelKelp Titles: Cracking the Code: Using BEAM to Balance Your Pet's Diet with Dr. Jeff Feinman Beyond the Kibble: Decoding Pet Nutrition with BEAM and Dr. Jeff Feinman Spot the Signs: How BEAM Helps Identify Diet Issues in Your Pet (with Dr. Jeff Feinman) Dr. Jeff Feinman: BEAMing Up Your Pet's Health with Balanced Nutrition

5 Ways to Be Productive in Times of Lethargy & Laziness | Abu TaymiyyahBecome a supporter of this podcast: https://www.spreaker.com/podcast/learn-about-islam--5484193/support.

Molly Jacobson discusses how to recognize the signs that your beloved dog might be in the last months, weeks, or days of their life. Articles about the end of life: https://www.dogcancer.com/articles/hospice-and-end-of-life/signs-your-dog-is-dying/ https://www.dogcancer.com/perspectives/hospice-and-end-of-life/warning-signs-dog-is-dying/ Signs Often Seen Starting in the Last Months of Life: 1.     Weight Loss, see https://www.youtube.com/watch?v=YFPUYZtPJ_8 2.     Loss of Appetite, see https://www.youtube.com/watch?v=VWVfBhf4gD0A, and: https://www.dogcancer.com/articles/side-effects/dog-not-eating/ 3.     Dehydration is often caused by diarrhea, urinary incontinence, and vomiting, see below. 4.     Diarrhea, see: https://www.dogcancer.com/articles/side-effects/diarrhea-in-dogs/ and: https://www.youtube.com/watch?v=bzYzZwlA4xo 5.     Urinary Incontinence, see: https://www.youtube.com/watch?v=AIJkyODHyi0 and: https://www.dogcancer.com/articles/hospice-and-end-of-life/bed-sores-on-dogs/ 6.     Vomiting, see: https://www.dogcancer.com/articles/side-effects/vomiting-in-dogs/ and: https://www.youtube.com/watch?v=V2b74r09eDQ 7.     Dimmed or Dull Eyes see Urinary Incontinence 8.     Looking Unkempt see Urinary Incontinence Signs Often Seen in the Last Weeks of a Dog's Life: 9.     Pain, see: https://www.dogcancer.com/perspectives/drugs/pain-management-plus-natural-pain-relief-for-dogs/ and: https://www.youtube.com/watch?v=ZvA7W9XlciM  10. Restlessness see videos and articles under pain 11. Behavioral Changes, see: https://www.youtube.com/watch?v=v4V1nehuGiU&t=2057s and articles under pain 12. Changes in Sleep Patterns, see: https://www.youtube.com/watch?v=jBititnn7U0 13. Breathing Problems, see: https://www.youtube.com/watch?v=Y28IQXhAtXk 14. Confusion see articles on lethargy and depression 15. Depression, see: https://www.youtube.com/watch?v=v4V1nehuGiU and: https://www.youtube.com/watch?v=7dj7ajAPhL0 16. Wanting to Be Outside, see: https://www.youtube.com/watch?v=Ff4zmrzS0Mk Signs Often Seen in the Last Days: 17. Lethargy, see: https://www.youtube.com/watch?v=J5Bh1wIp5bY and: https://www.dogcancer.com/articles/side-effects/lethargy-in-dogs/ 18. Lack of Interest see articles on lethargy and depression, wanting to be outside. 19. Lack of Coordination see articles on lethargy and depression. 20. Twitching see articles on lethargy and depression. 21. Weakness see articles on lethargy and depression. 22. Inability to Control Bowel Movements, see: https://www.dogcancer.com/articles/side-effects/blood-in-dog-stool/ and urinary incontinence and diarrhea above. 23. No Eating or Drinking: See the article on the loss of appetite above. 24. Seizures: see article on brain tumors: https://www.dogcancer.com/articles/types-of-dog-cancer/brain-tumors-in-dogs/ 25. A Puffy Appearance, see: https://www.youtube.com/watch?v=YUXM_jMgkdI 26. Body Odor, see: https://www.youtube.com/watch?v=Y28IQXhAtXk Remember: none of these signs mean your dog is dying ... ask your veterinarian for help with your dog's medical issues ASAP. Chapters: 00:00 Introduction 01:30 Stages of Dying 02:00 1-3 Months 02:25 Weight Loss 02:45 Loss of Appetite 03:29 Dehydration 04:00 Diarrhea 04:30 Urinary Incontinence 04:45 Vomiting 05:17 Dimmed or Dull Eyes 05:36 Looking Unkempt 06:32 1-3 Weeks 07:01 Pain 07:31 Restlessness 07:54 Behavioral Changes 08:12 Changes in Sleep Patterns 08:13 Breathing Problems 08:41 Confusion 09:00 Depression 09:27 Wanting to Be Outside 10:17 Last Days 10:45 Lethargy 11:15 Lack of Interest 11:30 Lack of Coordination 12:00 Twitching 12:10 Weakness 12:30 Inability to Control Bowel Movements 13:00 No Eating or Drinking 13:45 Seizures 14:15 Puffy Appearance 14:45 Body Odor 14:48 Each dog and death is unique 15:34 Outro 16:08 Medical Disclaimer -- Get to know Molly Jacobson: https://www.dogcancer.com/people/molly-jacobson/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Cancer in dogs, the warning signs Cancer is a heart-breaking condition that affects too many people around the world. Unfortunately, it also impacts our beloved canine companions. As a dog owner, it's very important to be aware of some of the signs of cancer in dogs – just as it's essential to take heart from the fact that treatments for this disease are improving all the time. Let's take a closer look… Cancer in dogs Unfortunately, cancer is one of the most common illnesses in dogs. 50% of all dogs over the age of 10 are expected to be diagnosed with some form of cancer. This means that recognizing the warning signs is even more important when you have an aging hound on your hands. By being vigilant, and providing age-appropriate exercise, a nutritious diet, and mental stimulation, you're giving your dog the best shot at a long, active, and healthy life. The most common types of dog cancer Dogs and humans can actually develop the same forms of cancer. This list isn't exhaustive, but it should give you a rough idea of the types of cancer that often affect our canine companions: Skin cancer Blood cancer Bone cancer Cancers of the immune system – such as lymphoma Abdominal cancers Cancer of the uterus Mammary (breast) cancer – mainly found in female dogs Testicular cancer Anal cancer The causes of canine cancer The causes of cancer are complex, and that applies to both humans and dogs. For this reason, there isn't one definite cause. Cancer can be triggered by genetics, age, nutrition, and environmental factors. Fortunately, animal experts agree that canine cancer isn't caused by things like bumps and scrapes. Here's a look at some of the common causes of canine cancer: 1. Genetics As with humans, genes that cause cancer can be inherited. This means if your dog's parents developed cancer, your dog is at higher risk. Certain dog breeds are also more generically prone to certain illnesses, including cancer. Golden Retrievers, Boxers, and Rottweilers are considered at higher risk of developing cancer (and specific types of cancer) than other breeds, 2. Carcinogens Carcinogens are harmful substances or features of the environment that can cause cancer. They include second-hand smoke, insecticides used in agriculture, certain viruses, air pollution, and UV rays from the sun. Researchers have found that sun exposure is a significant factor in developing squamous cell carcinoma, a cancerous tumor that can be seen in almost every single domesticated pet breed. Animals with white fur or markings are more likely to develop this form of cancer. 3. Age Sadly, cancer is one of the leading causes of death in dogs over the age of 10, with 50% of older dogs developing the disease and approximately one in four dogs passing from it. However, the reasons for this are largely speculated. 4. The environment In humans, most cancers are related to environmental factors. This can include their diet, their exposure to UV light and various chemicals, and more. The same is likely true for canine cancer, too. Reducing your dog's exposure to environmental hazards – like smoke – is important in reducing their risk of developing cancer. What could help prevent your dog from getting cancer? One thing you could consider is spaying and neutering. Spaying or neutering your dog could prevent ovarian and testicular cancers from developing. Studies have also shown that spaying a female dog before her first or second heat may also help to reduce the risk of breast cancer developing. You should talk to your veterinarian about the best time for your dog to be spayed or neutered, according to their breed. Keeping your dog's mouth clean and healthy may also reduce the risk of oral cancer. As well as trying to reduce your dog's risk of cancer, you should educate yourself on the warning signs, so your veterinarian can catch and treat it early. What are the warning signs of cancer in dogs? Unfortunately, our four-pawed friends can't tell us when something's wrong. We need to be on the lookout for the warning signs of cancer and other diseases. The earlier it can be caught and treated, the better the outcomes tend to be. If you notice one or more of these potential warning signs, reach out to your veterinarian: 1. Tumors, lumps, or unusual growths Tumors are some of the most obvious signs of cancer, but not all tumors are cancerous. There are actually two types: Malignant tumors. This type is cancerous. They grow very quickly and spread around the bodily easily. Benign tumors. This type is not cancerous. They typically grow very slowly and don't tend to spread around the body. Usually, benign tumors are harmless. Problems only occur if the tumor gets in the way of other body parts or organs. You should also be on the lookout for swollen lymph nodes. Fortunately, they don't cause pain, but they can be a sign of lymphoma – which is a form of cancer commonly found in breeds like Golden Retrievers. Any unusual lumps or bumps on your dog should be examined by your vet – especially if their size, shape, or appearance changes. 2. Wounds that won't heal Just like with humans, any small wounds and lesions your dog gets should heal over time. If a wound doesn't seem to be healing – e.g., if you don't see signs of it scabbing over, or hair re-growing – you should contact your veterinarian as soon as possible. This can be a sign of cancer. 3. Abnormal bleeding Bleeding is a red flag in general. But it's especially concerning if you notice bloody eye discharge or bleeding from the nose – as this is a common sign of eye and skin cancers. Unusual bleeding from your dog's mouth is often the first sign of an oral tumor. It's important to be extra vigilant for these, since they often go undetected. Many owners believe bad breath and discharge from their dogs' mouths are a normal part of aging. But they're actually signs of a health problem, and you should always get your dog checked out by a veterinarian if you notice these signs. 4. Lameness If your dog starts limping, slowing down, or putting more weight on a certain limb, this could be an early sign of bone cancer – although it could also just be a sign of joint stiffness. To be on the safe side, arrange for a checkup with your veterinarian if you notice any issues with your dog's movement. 5. Sudden weight loss or gain Weight loss is frequently seen in dogs with cancer. Similarly, sudden weight gain in dogs can also be a sign of canine cancer. If you see any sudden changes in your dog's weight you should contact your veterinarian right away. 6. Lethargy and lack of enthusiasm to exercise As dogs get older, they naturally slow down and lose energy. It's an unfortunate fact, but there are things you can do to help them keep their energy levels and mobility up. Extreme lethargy, or a sudden, unexplained lack of energy, however, can be a sign of various conditions, including cancer. If your dog suddenly loses interest in going for walks, stops greeting you at the door, or doesn't want to play with their favorite toy, these are all red flags to investigate. Other warning signs include your dog sleeping too much or taking longer to respond to noises or commands. 7. Unusual bowel movements If you've had your dog for years, you probably know what's normal and what's not when it comes to their toilet habits. Unusual stool can be the first sign of many different illnesses. Take a look at this guide to find out what your dog's poo tells you. In particular, you should be on the lookout for bloody or black, tarry stools, or diarrhea – these are often a sign of ulcers, but can sometimes indicate mast cell tumors. What to do if your pet is showing warning signs If you spot any signs that your dog might have cancer, it's extremely important to contact your veterinarian straight away. They'll be able to run a number of tests including X-rays, ultrasounds, and blood tests, to figure out what's wrong. Early detection greatly helps your dog's chances of beating cancer. It can also make a major difference in treating various other issues that your dog may be dealing with. The good news? There's no two ways about it, a cancer diagnosis is heartbreaking. But it doesn't mean you should have to live in fear. Every single year, dogs are living longer and longer – which just goes to show how far pet care and veterinary medicine have advanced. In fact, nowadays there are more options than ever. Treatments such as surgery, radiation therapy and chemotherapy are readily available. And, as we mentioned before, early detection greatly improves your dog's chances of living a long, happy, healthy, and active life. Think your dog is showing any of these common signs of cancer? It's best to get in touch with your vet. And, if you're not doing so already, annual visits to the vet are essential.

Today is the Feast of St. Gregory Barbarigo.   Welcome back to another Tuesday with Fr. Anthony, Tony, and Christina.  Today they banter and speak of the current heat wave in our area, how it affects our motivation, and Parish experiences related to the heat.  After prayer, Father speaks of Cardinal Robert Sarah's view on the power of silence.     St. Stanislaus Kostka Parish

"Join Casey and Justin in this eye-opening episode of The 7 Deadly Sins series as they explore the biblical sin of sloth and its insidious dangers. Drawing from Scripture, they reveal how sloth, often disguised as harmless laziness, can lead to a profound spiritual and personal decay in a man's life. This episode uncovers real-life stories and timeless wisdom on how sloth undermines ambitions, strains relationships, and distances one from their faith and purpose. Through engaging discussions and actionable insights, Casey and Justin provide a roadmap to recognizing and combating sloth, encouraging viewers to reclaim their zeal for life and spiritual growth." Donate: https://www.kavodfamilyministries.org/donate Instagram: https://www.instagram.com/kavodfamily/reels/ Facebook: https://www.facebook.com/p/Kavod-Family-100063817789998/?_rdr TikTok: https://www.tiktok.com/@kavodfamily Website: https://www.kavodfamilyministries.org KAVOD Family is a 501(c) 3 nonprofit Christian Ministry

The heat wave not just takes a toll on physical health, but it also affects us mentally. Tune into this Health Shots InFocus podcast episode to know how heat affects mental health and effective tips to stay cool!

In this episode of the Endurance Nation podcast, Coach Patrick outlines key warning signs that indicate you might be heading into a mid-season slump. Understanding these signs early can help you make necessary adjustments to avoid fatigue and maintain peak performance. Key Warning Signs: Difficulty Sleeping: Not just trouble falling asleep, but restlessness and overheating at night, indicating your body is overworked and struggling to recover. Plateaued Progress: If your training efforts aren't translating into performance improvements or you're experiencing unexpected performance dips, it's a sign you may be overtraining. Emotional Instability: Increased irritability and frustration can be indicators of physical and mental fatigue, often noticeable to friends and family before you realize it. Elevated RPE (Rate of Perceived Exertion): Workouts feel harder than usual, even at lower intensities, suggesting that accumulated fatigue is affecting your performance. Erratic Morning Heart Rate: Significant fluctuations in your morning heart rate or heart rate variability indicate your body is under stress and struggling to recover. Decreased Workout Performance: Inability to complete workouts or needing extended rest between intervals shows that your current training load is too high. Lethargy and Low Motivation: A lack of enthusiasm for workouts you typically enjoy is a red flag that you're heading towards burnout. Increased Susceptibility to Illness and Injury: Frequent aches, pains, and minor illnesses can signal that your body's immune system is compromised due to excessive training stress. By recognizing these signs early, you can adjust your training, prioritize recovery, and maintain your progress throughout the season. Tune in to learn more about how to recognize and respond to these warning signs to stay on track and achieve your endurance goals

Many people give up and quit simply because they are tired, weary and lethargic. If you are stagnant and desire to move forward out of passivity then this episode is for you!! Join me as I discuss some keys in dealing with lethargy. #avoiceinthedarknessllc #lethargy #passive #stagnation #moveforward #strength #breakthrough #movement #advance

Tətsuo • Cell Press • Godflesh • The Black Flamingo • Heavy for the Vintage • Kill The Thrill • Alber Jupiter • Midas Fall • meth. • Glyph • Mudshow • Charles East • Baratro Music On This Mixtape: Tətsuo: "Dots" taken from the album "Dots" Cell Press: "Recoil (A Collective Behaviour of Violence)" taken from the album "Cages" Godflesh: "Angel Domain" taken from the album "Songs of Love and Hate" The Black Flamingo: "An-Nûr" taken from the album "An-Nûr" Heavy for the Vintage: "5-5" taken from the album "Droneuary 2024" Kill The Thrill: "Autophagie" taken from the album "Autophagie" Alber Jupiter: "Daddy's Spaceship" taken from the album "Puis vient la nuit" Midas Fall: "Point Of Diminishing Return" taken from the album "Cold Waves Divide Us" meth.: "Vanity" taken from the album "B-Sides / Demos / Old Ideas" Glyph: "Where He Wandered, Now He Lies." taken from the single "Where He Wandered, Now He Lies." Mudshow: "Destiny Awaits" taken from the album "Destiny" Charles East: "I Am Your Consequence" taken from the album "I Am Your Consequence" Baratro: "Nervous Wreck" taken from the album "The Sweet Smell of Unrest" Thanks for listening! Interviews, reviews, and more at www.dreamsofconsciousness.com

Rains Retreat teachings from 12th July to 1st October 1995. Teachings given by the abbot Ajahn Brahm at Bodhinyana Monastery in Serpentine (southeast of Perth, Western Australia). The main audience was the Sangha.   Track 4/11: The Five Hindrances – 31st July 1995. Five hindrances:  1. Desire for Sensing 2. Aversion and Ill-Will 3. Lethargy and Laziness 4. Restlessness and Regret 5. Doubt and Uncertainty See the full set here. Please support the BSWA in making teachings available for free online via Patreon. To find and download more precious Dhamma teachings, visit the BSWA teachings page: https://bswa.org/teachings/, choose the teaching you want and click on the audio to open it up on Podbean.

Bill, Bryan, and Joey discuss the best ways to make sure you won't ever get better. Plus- Joey Jeopardy.

Summary:In this episode, Lisa Davis interviews Brian Keane, a leading thought leader on health, fitness, and nutrition. They discuss the seven types of laziness and how it affects people's ability to stick to health and wellness goals. They also explore topics such as confusion, fear, self-acceptance, and the importance of healthy fats for hormonal balance. In this conversation, Brian Keane and Lisa Davis discuss various topics related to health and wellness. They cover the importance of healthy fats in hormone balance, the concept of apathy and settling for less, the fear of failure, the risks and benefits of medications like Ozempic, the need for long-term research on medications, the body positivity movement and its relationship to health, the Brian Keane Podcast, and the importance of changing priorities and focusing on functional health.TakeawaysThere are seven types of laziness: confusion, apathy, fixed mindset, lethargy, fear, regret, and identity.Setting clear goals and breaking them down into manageable parts can help overcome confusion and increase motivation.Fear is often based on self-created stories and limiting beliefs. Recognizing and challenging these stories can help overcome fear.Lethargy and lack of energy can be addressed by ensuring adequate nutrition and focusing on hormonal balance.Self-acceptance is crucial for long-term health and wellness. It is important to love and accept oneself throughout the journey.Educating on the importance of healthy fats and their role in hormonal balance can help overcome misconceptions and fears around fat consumption. Healthy fats are essential for hormone balance and overall health.Apathy can lead to settling for less and convincing oneself that they don't care about their goals.The fear of failure can prevent people from taking action towards their goals.It is important to be cautious when considering medications and to prioritize long-term research and potential side effects.The body positivity movement should be balanced with a focus on health and well-being.The Brian Keane Podcast provides valuable insights and perspectives on health and wellness.Priorities change over time, and functional health becomes more important as we age.Chapters00:00Introduction and Background01:30The Seven Types of Laziness07:36Overcoming Fear and Shifting Mindset09:49Dealing with Lethargy and Lack of Energy13:36The Importance of Self-Acceptance23:05The Importance of Healthy Fats in Hormone Balance24:07Apathy and Convincing Yourself to Settle25:32The Fear of Failure and Apathy27:23The Risks and Benefits of Medications like Ozempic29:32The Importance of Long-Term Research on Medications31:11The Body Positivity Movement and Health33:02The Brian Keane Podcast and Open-Mindedness34:00Changing Priorities and Functional HealthAI show notes are experimental. Did you find them useful?

We can trace pretty much any problem that we have during meditation to one or more of these predispositions that we call the 5 Hinderances of Worldly desire, Aversion, Laziness and Lethargy, Agitation due to worry and remorse, and doubt. Let us explore these and the remedy... --- Support this podcast: https://podcasters.spotify.com/pod/show/enkyoji-network/support

The HBS hosts discuss the many paradoxes of ennui. Most of our podcast episodes are about “big” issues, “interesting” topics, “provocative” conversations, or “important” matters… but the truth is that the overwhelming majority of our day-to-day lives is dominated by ennui. Boredom. Tedium. Lethargy. Lassitude. Or, in more common parlance, “the blahs.”Voltaire famously claimed (in The Prodigal Son) “all genres are allowed, except the boring genre." It's easy to see why this is the case for artistic works of fiction, but it also seems to have been true for topics of philosophical reflection as well. Given that boredom is such a ubiquitous part of our human experience, why don't we have a better theory of it?The curious thing about reflecting on the topic of “boredom” is, of course, that the very act of reflecting upon it makes it “interesting.” To wit, is it even possible to reflect on the experience of boredom as such?Full episode notes available at this link:https://hotelbarpodcast.com/podcast/episode-129-boredom-------------------If you enjoy Hotel Bar Sessions podcast, please be sure to subscribe and submit a rating/review! Better yet, you can support this podcast by signing up to be one of our Patrons at patreon.com/hotelbarsessions!Follow us on Twitter/X @hotelbarpodcast, on Facebook, on TikTok, and subscribe to our YouTube channel!  

Let me know in the comments how YOU stay motivated, and stay to the end to hear who's going to be on this week's Muscle Talk! It's going to be a good one, so hit the notification bell now! #ifbb #sylvesterstallone #rocky #hulkhogan #andrethegiant #bobhope #Charity #exhibition #Sheastadium #Movies #BurgessMeredith

Today, Ellie shares her experience with postpartum thyroiditis after experiencing the tell-tale signs and advocating for the appropriate blood tests at her six week check. There are many symptoms in postpartum that can be excused as side-effects of birth recovery and sleep deprivation. However, what's ‘common' isn't always ‘normal'. Postpartum Thyroiditis is a thyroid condition that prompts a range of symptoms including lethargy, brain fog, low mood, anxiety and weight changes. It can also contribute to changes in bowel habits and low milk production. In the general population it affects 5-10 percent of people but it's not routinely tested in postpartum. Today, Ellie shares her experience with postpartum thyroiditis after experiencing the tell-tale signs and advocating for the appropriate blood tests at her six week check. Follow us on Instagram at @australianbirthstories for helpful articles, behind the scenes, and future episodes. --------- Today's episode is brought to you by my postpartum course Discovering Motherhood. This 8 part audio course has been designed to support you through an empowered and confident transition into motherhood. Learn more hereSee omnystudio.com/listener for privacy information.

In this episode we discuss how the inner willingness of every jew to give up his or her life rather than commit idolatry can also give them the power to overcome any lethargy that might stand in the way of their putting in the work needed to  serve G-d with complete effort through Torah study, prayer or with monetary affairs. Music by Shoshannah.   Follow us on:  Youtube: https://www.youtube.com/channel/UCGGTknXIYx1DScUYJe2nupwFacebook: https://www.facebook.com/It-Is-Taught-101805165658211Twitter: https://twitter.com/itistaughtInstagram: https://www.instagram.com/itistaughtpodcast/Support the show

OutlineChapter 14- Hypovolemic States- Etiology - True volume depletion occurs when fluid is lost from from the extracellular fluid at a rate exceeding intake - Can come the GI tract - Lungs - Urine - Sequestration in the body in a “third space” that is not in equilibrium with the extracellular fluid. - When losses occur two responses ameliorate them - Our intake of Na and fluid is way above basal needs - This is not the case with anorexia or vomiting - The kidney responds by minimizing further urinary losses - This adaptive response is why diuretics do not cause progressive volume depletion - Initial volume loss stimulates RAAS, and possibly other compensatory mechanisms, resulting increased proximal and collecting tubule Na reabsorption. - This balances the diuretic effect resulting in a new steady state in 1-2weeks - New steady state means Na in = Na out - GI Losses - Stomach, pancreas, GB, and intestines secretes 3-6 liters a day. - Almost all is reabsorbed with only loss of 100-200 ml in stool a day - Volume depletion can result from surgical drainage or failure of reabsorption - Acid base disturbances with GI losses - Stomach losses cause metabolic alkalosis - Intestinal, pancreatic and biliary secretions are alkalotic so losing them causes metabolic acidosis - Fistulas, laxative abuse, diarrhea, ostomies, tube drainage - High content of potassium so associated with hypokalemia - [This is a mistake for stomach losses] - Bleeding from the GI tract can also cause volume depletion - No electrolyte disorders from this unless lactic acidosis - Renal losses - 130-180 liters filtered every day - 98-99% reabsorbed - Urine output of 1-2 liters - A small 1-2% decrease in reabsorption can lead to 2-4 liter increase in Na and Water excretion - 4 liters of urine output is the goal of therapeutic diuresis which means a reduction of fluid reabsorption of only 2% - Diuretics - Osmotic diuretics - Severe hyperglycemia can contribute to a fluid deficit of 8-10 Iiters - CKD with GFR < 25 are poor Na conservers - Obligate sodium losses of 10 to 40 mEq/day - Normal people can reduce obligate Na losses down to 5 mEq/day - Usually not a problem because most people eat way more than 10-40 mEq of Na a day. - Salt wasting nephropathies - Water losses of 2 liters a day - 100 mEq of Na a day - Tubular and interstitial diseases - Medullary cystic kidney - Mechanism - Increased urea can be an osmotic diuretic - Damage to tubular epithelium can make it aldo resistant - Inability to shut off natriuretic hormone (ANP?) - The decreased nephro number means they need to be able to decrease sodium reabsorption per nephron. This may not be able to be shut down acutely. - Experiment, salt wasters can stay in balance if sodium intake is slowly decreased. (Think weeks) - Talks about post obstruction diuresis - Says it is usually appropriate rather than inappropriate physiology. - Usually catch up solute and water clearance after releasing obstruction - Recommends 50-75/hr of half normal saline - Talks briefly about DI - Skin and respiratory losses - 700-1000 ml of water lost daily by evaporation, insensible losses (not sweat) - Can rise to 1-2 liters per hour in dry hot climate - 30-50 mEq/L Na - Thirst is primary compensation for this - Sweat sodium losses can result in hypovolemia - Burns and exudative skin losses changes the nature of fluid losses resulting in fluid losses more similar to plasma with a variable amount of protein - Bronchorrhea - Sequestration into a third space - Volume Deficiency produced by the loss of interstitial and intravascular fluid into a third space that is not in equilibrium with the extracellular fluid. - Hip fracture 1500-2000 into tissues adjacent to fxr - Intestinal obstruction, severe pancreatitis, crush injury, bleeding, peritonitis, obstruction of a major venous system - Difference between 3rd space and cirrhosis ascities - Rate of accumulation, if the rate is slow enough there is time for renal sodium and water compensation to maintain balance. - So cirrhotics get edema from salt retension and do not act as hypovolemia - Hemodynamic response to volume depletion - Initial volume deficit reduced venous return to heart - Detected by cardiopulmonary receptors in atria and pulmonary veins leading to sympathetic vasoconstriction in skin and skeletal muscle. - More marked depletion will result in decreased cardiac output and decrease in BP - This drop in BP is now detected by carotid and aortic arch baroreceptors resulting in splanchnic and renal circulation vasoconstriction - This maintains cardiac and cerebral circulation - Returns BP toward normal - Increase in BP due to increased venous return - Increased cardiac contractility and heart rate - Increased vascular resistance - Sympathetic tone - Renin leading to Ang2 - These can compensate for 500 ml of blood loss (10%) - Unless there is autonomic dysfunction - With 16-25% loss this will not compensate for BP when patient upright - Postural dizziness - Symptoms - Three sets of symptoms can occur in hypovolemic patients - Those related to the manner in which the fluid loss occurs - Vomiting - Diarrhea - Polyuria - Those due to volume depletion - Those due to the electrode and acid base disorders that can accompany volume depletion - The symptoms of volume depletion are primarily related to the decrease in tissue perfusion - Early symptoms - Lassitude - Fatiguability - Thirst - Muscle cramps - Postural dizziness - As it gets more severe - Abdominal pain - Chest pain - Lethargy - Confusion - Symptomatic hypovolemia is most common with isosmotic Na and water depletion - In contrast pure water loss, causes hypernatremia, which results in movement of water from the intracellular compartment to the extracellular compartment, so that 2/3s of volume loss comes from the intracellular compartment, which minimizes the decrease in perfusion - Electrolyte disorders and symptoms - Muscle weakness from hypokalemia - Polyuria/poly dips is from hyperglycemia and hypokalemia - Lethargy, confusion, Seizures, coma from hyponatremia, hypernatremia, hyperglycemia - Extreme salt craving is unique to adrenal insufficiency - Eating salt off hands ref 18 - Evaluation of the hypovolemic patient - Know that if the losses are insensible then the sodium should rise - Volume depletion refers to extracellular volume depletion of any cause, while dehydration refers to the presence of hypernatremia due to pure water loss. Such patients are also hypovolemic. - Physical exam is insensitive and nonspecific - Finding most sensitive and specific finding for bleeding is postural changes in blood pressure - I don't find this very specific at all! - Recommends laboratory confirmation regardless of physical exam - Skin and mucous membranes - Should return too shape quickly - Elastic property is called Turgur - Not reliable is patients older than 55 to 60 - Dry axilla - Dry mucus membranes - Dark skin in Addison's disease Frim increased ACTH - Arterial BP - As volume goes down so does arterial BP - Marked fluid loss leads to quiet korotkoff signs - Interpret BP in terms of the patients “normal BP” - Venous pressure - Best done by looking at the JVP - Right atrial and left atrial pressure - LV EDP is RAP + 5 mmHg - Be careful if valvular disease, right heart failure, cor pulmonare, - Figure 14-2 - Shock - 30% blood loss - Lab Data - Urine Na concentration - Should be less than 25 mmol/L, can go as low as 1 mmol/L - Metabolic alkalosis can throw this off - Look to the urine chloride - Figure 14-3 - Renal artery stenosis can throw this off - FENa - Mentions that it doesn't work so well at high GFR - Urine osmolality - Indicates ADH - Volume depletion often associated with urine osm > 450 - Impaired by - Renal disease - Osmotic diuretic - Diuretics - DI - Mentions that severe volume depletion and hypokalemia impairs urea retension in renal medulla - Points out that isotonic urine does not rule out hypovolemia - Mentions specific gravity - BUN and Cr concentration - Normal ratio is 10:1 - Volume depletion this goes to 20:1 - Serum Na - Talks about diarrhea - Difference between secretory diarrhea which is isotonic and just causes hypovolemia - And osmotic which results in a lower electrolyte content and development of hypernatremia - Talks about hyperglycemia - Also can cause the sodium to rise from the low electrolyte content of the urine - But the pseudohyponatraemia can protect against this - Plasma potassium - Treatment - Both oral and IV treatment can be used for volume replacement - The goal of therapy are to restore normovolemia - And to correct associated acid-base and electrolyte disorders - Oral Therapy - Usually can be accomplished with increased water and dietary sodium - May use salt tablets - Glucose often added to resuscitation fluids - Provides calories - Promotes intestinal Na reabsorption since there is coupled Na and Glucose similar to that seen in the proximal tubule - Rice based solutions provide more calories and amino acids which also promote sodium reabsorption - 80g/L of glucose with rice vs 20 g/L with glucose alone - IV therapy - Dextrose solutions - Physiologically equivalent to water - For correcting hypernatremia - For covering insensible losses - Watch for hyperglycemia - Footnote warns against giving sterile water - Saline solutions - Most hypovolemic patients have a water and a sodium deficit - Isotonic saline has a Na concentration of 154, similar to that of plasma see page 000 - Half-isotonic saline is equivalent to 550 ml of isotonic saline and 500 of free water. Is that a typo? - 3% is a liter of hypertonic saline and 359 extra mEq of Na - Dextrose in saline solutions - Give a small amount of calories, otherwise useless - Alkalinizing solutions - 7.5% NaHCO3 in 50 ml ampules 44 mEq of Na and 44 mEq of HCO3 - Treat metabolic acidosis or hyperkalemia - Why 44 mEq and not 50? - Do not give with calcium will form insoluble CaCO3 - Polyionic solutions - Ringers contains physiologic K and Ca - Lactated Ringers adds 28 mEq of lactate - Spreads myth of LR in lactic acidosis - Potassium chloride - Available as 2 mEq/mL - Do not give as a bolus as it can cause fatal hyperkalemia - Plasma volume expanders - Albumin, polygelastins, hetastarch are restricted to vascular space - 25% albumin can pull fluid into the vascular space - 25% albumin is an albumin concentration of 25 g/dL compare to physiologic 4 g/dL - Says it pulls in several times its own volume - 5% albumin is like giving plasma - Blood - Which fluid? - Look at osmolality, give hypotonic fluids to people with high osmolality - Must include all electrolytes - Example of adding 77 mEw of K to 0.45 NS and making it isotonic - DI can be replaced with dextrose solutions, pure water deficit - Case 14-3 - Diarrhea with metabolic acidosis - He chooses 0.25 NS with 44 mEq of NaCl and 44 NaHCO3 - Talks about blood and trauma - Some studies advocate delaying saline until penetrating trauma is corrected APR about to. Keep BP low to prevent bleeding. Worry about diluting coagulation factors - Only do this if the OR is quickly available - Volume deficit - Provides formula for water deficit and sodium deficit - Do not work for isotonic losses - Provides a table to adjust fluid loss based on changes in Hgb or HCTZ - Says difficult to estimate it from lab findings and calculations - Follow serial exams - Serial urine Na - Rate of replacement - Goal is not to give fluid but to induce a positive balance - Suggests 50-100 ml/hr over what is coming out of the body - Urine - Insensibles 30-50 - Diarrhea - Tubes - Hypovolemic shock - Due to bleeding - Sequesting in third space - Why shock? - Progressive volume depletion leads to - Increased sympathetic NS - Increased Ang 2 - Initially this maintains BP, cerebral and coronary circulation - But this can decrease splanchnic, renal and mucocutaneous perfusion - This leads to lactic acicosis - This can result in intracellular contents moving into circulation or translocation of gut bacteria - Early therapy to prevent irreversible shock - In dogs need to treat with in 2 hours - In humans may need more than 4 hours - Irreversible shock associated with pooling of blood in capillaries - Vasomotor paralysis - Hyperpolarization of vascular smooth muscle as depletion of ATP allows K to flowing out from K channels opening. Ca flows out too leading to vasodilation - Glyburide is an K-ATP channel inhibitor (?) caused increased vasoconstriction and BP - Pluggin of capillaries by neutrophils - Cerebral ischemia - Increased NO generation - Which Fluids? - Think of what is lost and replace that. - Bleeding think blood - Raise the hct but not above 35 - Acellular blood substitutes, looked bad at the time of this writing - Di aspirin cross linked hemoglobin had increased 2 and 28 day mortality vs saline - Colloids sound great but they fail in RCTs - SAFE - FEAST - Points out that saline replaces the interstitial losses why do we think those losses are unimportant - Pulmonary circulation issue - Pulmonary circulation is more leaky so oncotic pressure less effective there - Talks about the lungs be naturally protected from pulmonary edema - Rate of fluid - 1-2 liters in first hour - Suggests CVP or capillary wedge pressure during resuscitation - No refs in the rate of fluid administration section - Lactic acidosis - Points out that HCO can impair lactate utilization - Also states that arterial pH does not point out what is happening at the tissue level. Suggests mixed-venous sample.ReferencesJCI - Phenotypic and pharmacogenetic evaluation of patients with thiazide-induced hyponatremia and a nice review of this topic: Altered Prostaglandin Signaling as a Cause of Thiazide-Induced HyponatremiaThe electrolyte concentration of human gastric secretion. https://physoc.onlinelibrary.wiley.com/doi/10.1113/expphysiol.1960.sp001428A classic by Danovitch and Bricker: Reversibility of the “Salt-Losing” Tendency of Chronic Renal Failure | NEJMOsmotic Diuresis Due to Retained Urea after Release of Obstructive Uropathy | NEJMIs This Patient Hypovolemic? | Cardiology | JAMAAnd by the same author, a textbook: Steven McGee. 5th edition. Evidence-Based Physical Diagnosis Elsevier Philadelphia 2022. ISBN-13: 978-0323754835The clinical course and pathophysiological investigation of adolescent gestational diabetes insipidus: a case report | BMC Endocrine DisordersSensitivity and specificity of clinical signs for assessment of dehydration in endurance athletes | British Journal of Sports MedicineDiagnostic performance of serum blood urea nitrogen to creatinine ratio for distinguishing prerenal from intrinsic acute kidney injury in the emergency department | BMC NephrologyThe meaning of the blood urea nitrogen/creatinine ratio in acute kidney injury - PMCLanguage guiding therapy: the case for dehydration vs volume depletion https://www.acpjournals.org/doi/10.7326/0003-4819-127-9-199711010-00020?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmedValidation of a noninvasive monitor to continuously trend individual responses to hypovolemiaReferences for Anna's voice of God on Third Spacing : Shires Paper from 1964 (The ‘third space' – fact or fiction? )References for melanie's VOG:1. Appraising the Preclinical Evidence of the Role of the Renin-Angiotensin-Aldosterone System in Antenatal Programming of Maternal and Offspring Cardiovascular Health Across the Life Course: Moving the Field Forward: A Scientific Statement From the American Heart Association2. excellent review of RAAS in pregnancy: The enigma of continual plasma volume expansion in pregnancy: critical role of the renin-angiotensin-aldosterone systemhttps://journals-physiology-org.ezp-prod1.hul.harvard.edu/doi/full/10.1152/ajprenal.00129.20163. 10.1172/JCI107462- classic study in JCI of AngII responsiveness during pregnancy4. William's Obstetrics 26th edition!5. Feto-maternal osmotic balance at term. A prospective observational study

Lethargy, aimless weekends, pioneering podcasting, shrinkflation, wild boars, and a pop star up the lapdancing. Join the Iron Filings Society: https://www.patreon.com/topflighttimemachine Hosted on Acast. See acast.com/privacy for more information.

On this episode we chat with the man behind Front Range Instrument Repair about a whole host topics including: how to cook a turkey, saxophone reeds, the metric system, toxic positivity, music celebrities, as well as growing up in Rochester and playing in various bands, his long time friendship with Erik Burke of Lethargy and Brann Dailor of Mastodon.https://www.frir.net/https://www.facebook.com/momentoftruthhardcore/

Today is another solo press ‘record and talk' style episode. I hope it helps.    1.     Confusion  01:22 You don't know what to do or where to start 2.     Apathy 05:01 You feel like you don't care about it 3.     Fixed Mindset 12:11 You don't actually believe you can do it 4.     Lethargy 19:28 You simply don't have the energy to focus on the task 5.     Fear 24:57 You are intimidated by the task at hand 6.     Regret 30:43 You already feel you have failed so you're starting to give up 7.     Identity 36:49 You've just resigned yourself to being a lazy person   Quick links to all my programs, courses and books  https://briankeanefitness.com/quick-links/  

I get so real in this episode and share the struggles I have faced with burnout.  I thought I had it all together, but that always changes with life. The only constant in life is change.  However, as we all know, it is HARD AF to accept that we struggled to implement tools for a better life, have been promoting them, and now they are NOT working for us.  That is where I found myself.  I had to RE-CREATE everything for myself once the exhaustion set in.  And now, I am passing on ALL THE THINGS I am learning to you - IRT.  Because you deserve to learn the tools as quickly as I do.  They might even save you from getting as mentally exhausted as I am. ✅It's funny, Alexa tells me the synonyms for burnout include : neurosis, mentally exhausted, and collapse. Lethargy, weakness, passive, sluggish, frazzled, listless, drained, worn out.  And it is "funny" because people called me all these things.  BUT I did NOT see it as burnout.  I thought straight up - "Yeah, I AM EXHAUSTED!!" I should sleep ALL DAY.  When really, my body needed a break from work and to just be taken care of by the beach

There's no denying it's a tough road, but remember, current pain is temporary. We'll share insights on how to handle discomfort, and encourage you to choose the rewarding hard path.In our final leg, we'll help you redefine your relationship with temporary discomfort. Let's start viewing those tough moments as stepping stones, not stumbling blocks. We encourage you to make a game out of difficult moments. Remember, we're not defined by our traumas; we can use them as fuel for our journey. As your hosts, we'll share our personal experiences, offer practical strategies, and inspire you to not let temporary pain deter you from making better decisions. Let's transform pain into power, together.(0:00:01) - Embrace Learning and Growth ProcessGolf and pickleball's growing popularity, taking lessons, embracing the 'suck', staying motivated and having fun, and finding joy in the process are discussed.(0:08:53) - Challenging Perceptions and Finding JoyEmotions, intellect, current situation, and practice are discussed to make reliable choices and find pleasure in the journey.(0:19:30) - Permanent Decisions From Temporary PainMotivational speaker's quote and Ed Milet's quote are discussed to illustrate how temporary pain can prevent better decisions in the long run, with fitness as an example.(0:30:28) - Fit to Fat to FitTrainers gain 65 pounds to understand clients' struggles with weight loss, learning importance of temporary pain and not making permanent decisions.(0:34:18) - Finding Joy in Temporary DiscomfortPain is temporary, creating a different relationship with it, and using traumas as a superpower instead of a label.(0:46:11) - Choosing the Hard Path's PowerChoosing the easy path can lead to negative outcomes; recognize temporary pain and strive for budgeting, nourishing relationships, and taking risks.Additional Resources:Janelle's websiteJoin the Cake Cents FB GroupJoin the Push Podcast FB GroupThe Push Podcast's official websiteThe Pusher SocietyCake Mamas InstagramEddie's Instagram