Podcasts about maryland medical center

Audible Bleeding editor Wen (@WenKawaji) is joined by 3rd year medical student Nishi (@Nishi_Vootukuru), 2nd year vascular fellow Donna, JVS editor Dr. Forbes (@TL_Forbes), and JVS-CIT editor Dr. Matt Smeds (@mattsmeds) to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Aridi, Dr. Motaganahalli, Dr. Nagarsheth, and Dr. Madabhushi, the authors of the following papers.    Articles:   Physicians preference for carotid revascularization impacts postoperative stroke and death outcomes Simultaneous percutaneous transmural arterial bypass and deep venous arterialization for treatment of critical limb ischemia    Show Guests  Dr. Hanaa Aridi (@aridi_hanaa)- PGY3 at Indiana University School of Medicine  Dr. Raghu L. Motaganahalli (@Rmotaganahalli)- Professor of Surgery at the Indiana University School of Medicine and an attending Surgeon at the Indiana University Methodist Hospital. He is the Division Chief of Vascular Surgery and the Program Director of vascular surgery training program Dr. Nagarsheth (@KNagarshethMD) -Associate Professor of Surgery and Associate Program Director of Vascular Surgery Fellowship Program at the University of Maryland Medical Center in Baltimore. Program director of the integrated vascular surgery program. Dr. Madabhushi -Vascular Surgery Fellow at the University of Maryland Medical Center in Baltimore Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.  

Learn about recovery timelines, tips, and what to expect after spine surgery from Robin Fencel, PA-C, Orthopedic Physician Assistant at University of Maryland Medical Center, and Wendy Towers, MSN, a nurse practitioner at UM Shore Medical Group – Neurosurgery in Easton, MD.

We talk with medical director Dr. Sarah Schmalzle to hear about the resources University of Maryland Medical Center's THRIVE program provides the community. She also talks about AIDS awareness, prevention and care. In recognition of World AIDS Day, UMMC's THRIVE is offering free HIV, hepatitis, and diabetes screenings. This event will run Dec. 4th from 11:00 AM to 2:00 PM, at UMMC's Midtown Campus Outpatient Tower, located at  800 Linden Avenue in Baltimore, MD.  Do you have a question or comment about a show or a story idea to pitch? Contact On the Record at: Senior Supervising Producer, Maureen Harvie she/her/hers mharvie@wypr.org 410-235-1903 Senior Producer, Melissa Gerr she/her/hers mgerr@wypr.org 410-235-1157 Producer Sam Bermas-Dawes he/him/his sbdawes@wypr.org 410-235-1472

In this episode of BioTalk, host Rich Bendis welcomes Ric Hughen, CEO of Linshom Medical, and Talia Feldman, Software Engineer at Linshom Medical, to discuss their groundbreaking advancements in respiratory monitoring technology. As the main winners of the 2024 Crab Trap Competition at the 10th Annual BioHealth Capital Region Week, Ric and Talia share Linshom's mission to improve patient safety through their innovative and accessible respiratory monitoring devices. Ric explains how Linshom is addressing critical gaps in respiratory monitoring by bringing operating-room-quality data to patient bedsides and homes. Talia shares insights from the engineering side, highlighting the challenges and breakthroughs in developing reliable and user-friendly technology. The conversation explores Linshom's roots in the BioHealth Capital Region and how its partnerships and resources have been instrumental to the company's growth. Talia reflects on her experience presenting at the Crab Trap Competition, and Ric discusses how this recognition aligns with Linshom's broader visibility and growth objectives. Looking ahead, Ric and Talia provide a glimpse into Linshom's future, including upcoming milestones and advancements that promise to further revolutionize respiratory care. Don't miss this episode filled with innovation, collaboration, and a vision for transforming patient safety. Editing and post-production work for this episode was provided by The Podcast Consultant (https://thepodcastconsultant.com). Richard Hughen's thirty years of medical device experience spans three Fortune 500 and three start-up companies with two successful exits to date. He is currently CEO of Linshom Medical, a start-up that is first to deliver operating room quality respiratory data to the patient bedside and home. Ric was an investor and member of the executive team that built start-up CSA Medical, from a technology license (U.S. Navy) through product development, animal trials, clinical trials, five FDA clearances, CE mark, three rounds of funding ($50M), commercial growth and a 2019 sale to Steris. Ric was Managing Director of LearnWare, a life science focused e-learning start-up, which was successfully built and sold to a private equity fund. He is currently a reviewer for the National Science Foundation's SBIR/STTR program, an Entrepreneur in Residence for Johns Hopkins Tech Ventures, an advisory board member of George Mason University's Bioengineering Alliance and a site miner for TEDCO at the University of Maryland Medical Center in Baltimore. Earlier in his career, Ric led various senior management, marketing, training and sales teams for Johnson & Johnson, BD, Abbott and Cordis. Ric holds MBA and BS degrees from The Pennsylvania State University. Talia Feldman is a software engineer at Linshom Medical, an innovative healthcare technology company at the forefront of transforming respiratory monitoring. Talia received a B.S. in Computer Science with a concentration in Artificial Intelligence from the University of Delaware. Upon graduation she worked as a software engineer in the Maritime Division at Leidos. Now combining her technical skills with a passion for innovation, Talia supports Linshom Medical's development of providing continuous predictive respiratory monitoring to improve patient care.

Send us a textJoin hosts Charles Schelle, MS, and Dana Rampolla as they interview Michael Allen, MSW '03, chief executive officer of Therapeutic Connections and chairman of the University of Maryland School of Social Work Alumni Board. Allen shares his inspiring journey navigating through being a social worker at the R Cowley Adams Shock Trauma Center at the University of Maryland Medical Center, employee assistance program (EAP) consulting, and his innovative work at Therapeutic Connections. Learn how he leveraged his experiences to make impactful changes in behavioral health services and hear his advice for aspiring social workers.Listen to The UMB Pulse on Apple, Spotify, Amazon Music, and wherever you like to listen. The UMB Pulse is also now on YouTube.Visit our website at umaryland.edu/pulse or email us at umbpulse@umaryland.edu.

Dean's Chat hosts Drs. Jeffrey Jensen and Johanna Richey are joined by Dr. Jacob Wynes. Dr. Wynes grew up in Baltimore MD where he had been mentored by many outstanding podiatric surgeons. He later went on to graduate from the Temple University School of Podiatric Medicine and continued on to complete a 4 year residency at the University of Pennsylvania, Penn Presbyterian Medical Center. Dr. Wynes then pursued an additional year of training as a clinical fellow at the Rubin Institute for Advanced Orthopedics, International Center for Limb Lengthening with a focus on foot and ankle deformity correction. At this time, Dr. Wynes works at the University of Maryland School of Medicine as an Associate Professor and chief of podiatric services within the Department of Orthopaedics (and newly established Division of Podiatry). Dr. Wynes currently treats patients at University of Maryland Medical Center. Dr. Wynes remains active in patient care, surgery, and research. He is the co-director of the UMMC Limb Preservation Program and site director for the Baltimore VA residency programs as well as program director for the University of Maryland, Limb Preservation and Deformity Correction Fellowship. Enjoy this wonderful discussion with a leader in Podiatric Surgery. https://deanschat.com/ https://bakodx.com/ https://bmef.org/ www.explorepodmed.org https://podiatrist2be.com/ https://higherlearninghub.com/

If you have chronic back pain, lifestyle modifications could help you feel better. Learn tricks and tips to curb your back pain from Robin Fencel, Orthopedic Physician Assistant at University of Maryland Medical Center and member of the UM Spine Network.

Continuing our series on NRHA's 2023 Fellows and Policy Papers, this week we're talking to another group of Fellows that explored pediatric vaccination rates in rural America. Nitika Moibi, Andrea Stephenson, and Cynthia Calixte each touch on the current state of pediatric vaccination rates from the unique perspectives of a provider, through the lens of data, workforce and access, as well as community trust. The Fellows share personal experiences, historical data and information, as well as the importance of increasing these rates and tactics to make a difference. “If you don't have trust in your healthcare provider, then progress can't be made and you're not going to get the good care that you deserve. So please advocate for that and find a healthcare provider that you trust and can have these conversations with.” – Dr. Cynthia Calixte Cynthia Calixte, MD, MPH serves the lower Eastern Shore of Maryland as a Family Physician and the Physician Deputy for Wicomico County and Somerset County Health Departments. She works part-time at Menocal Family Practice in Salisbury, Maryland. Dr. Calixte graduated from SUNY Downstate Medical College in Brooklyn, NY, and completed her residency at the University of Maryland Medical Center in Baltimore.  After residency, she obtained her Masters in Public Health from CUNY School of Public Health and Health Policy in New York.  As a provider, she addresses the health inequities in her community.  She also understands the importance of preventive care and health education.  She is committed to educating her rural community on healthy lifestyle and chronic disease management. Andrea Stephenson-Royster, MBA, MHA is the Chief Executive Officer of the Lake Okeechobee Rural Health Network (LORHN), one of nine rural health networks established by the Florida state legislature. Mrs. Stephenson-Royster is committed to the residents, providers, and community partners that form the rural communities around Lake Okeechobee. She has developed a solid knowledge base of issues and trends in healthcare and human services during her 20 years in the public, private, and non-profit sectors, and has served on community committees and the board of directors of several nonprofit organizations in the fields of aging, health care, child welfare, community partnerships, and mental health. Nitika Moibi works for the Minnesota Department of Health, Office of Rural Health and Primary Care. She oversees statewide collection and analysis of data on Minnesota's healthcare workforce and directs research on workforce availability, distribution and emerging trends to inform workforce policies and investments. Her background includes health services research and rulemaking. Nitika received her undergraduate degree in Sociology and Human Resource Management from the University of Minnesota Duluth, and her graduate degree in public policy from the University of Minnesota's Humphrey Institute of Public Affairs.

Extreme heat is expected to roast most of Maryland over the next week, with triple-digit temperatures forecast for Saturday and Sunday. National Weather Service meteorologist Austin Mansfield joins Midday to discuss the heat, and what is behind the extreme weather. The first heat-related death in Maryland occurred earlier in June. Dr. Sarah Lee, an emergency medicine physician at the University of Maryland Medical Center and an instructor at the University of Maryland School of Medicine, talks about how to identify and treat heat stroke and heat exhaustion.Email us at midday@wypr.org, tweet us: @MiddayWYPR, or call us at 410-662-8780.

Welcome to a chat with a physical therapist who is using their orthopaedic and sports skills outside the typical practice environment. Dr Patricia Weber shares her experience as a senior physical therapist in the shock trauma setting–a world that blends orthopedic, neurologic and multi-trauma in a challenging emotional and psychological environment. Dr Weber is a senior physical therapist at the University of Maryland Medical Center. She primarily treats within the R. Adams Cowley Shock Trauma center in downtown Baltimore.

Learn what happens next when heart failure becomes advanced with advice and insight from Gautam Ramani, MD, assistant professor of medicine at the University of Maryland School of Medicine, cardiologist and medical director of University of Maryland Medical Center's Pulmonary Hypertension Program.

Today's podcast guest is a person that believes in treating people nicely regardless of how they initially may be treating you. Her name is Nicole Cable and she is the CEO/Founder of Ignite HX, where "every interaction promotes positive change." We discuss being bussed to an all white school. Meeting her first person named "Crystal". Having co-workers caring more about how people treated her than she allowed it to bother herself. Dealing with broken individuals and remaining calm when trying to help them. And many other stories about her efforts to improve how organizations can encourage better treatment for everyone. More about Nicole (https://linkedin.com/in/nicolecable/) Nicole Cable, MHS, CPXP, LBBP, is a leader dedicated to enriching human experiences in healthcare. With a diverse background spanning retail, hospitality, and healthcare, Nicole's journey has been shaped by personal challenges, including a battle with a hospital-acquired infection, which ignited her passion for improving the patient experience.   As the founder of IGNITE HX (https://ignitehx.com/), a pioneering minority-owned enterprise, Nicole demonstrates humility and innovation in her approach to business and customer experience (CX) leadership. Through initiatives like establishing Offices of Human Experience (OHX), she strives to foster positive change in healthcare, prioritizing inclusivity and representation.   As the former Chief Experience Officer for CareMax, Inc., Nicole leads efforts to implement OHX and champion initiatives focused on health equity and inclusive data collection practices.   With executive experience at esteemed organizations such as InnovaCare Health and the University of Maryland Medical Center & Capital Region, Nicole has been honored as one of the “Women We Admire Top 50 Women Leaders in Wellness & Fitness” and recognized among South Florida Business Journal's Influential Business Women of 2023. Additionally, she has been acknowledged as one of the CX Network's “20 CX Leaders to Watch” and their Inaugural Power List. Nicole holds a Master of Science in Healthcare Sciences focusing on Public Health and is pursuing a Ph.D. in Public Policy: Social Policy.

Scurvy is not just for pirates! Join us as we discuss the critical role of nutrition in preventing scurvy and managing COPD. Learn the history of the disease and gain practical insights and dietary solutions from Dr. Robert Reed, medical director of the University of Maryland Lung Transplant Program and University of Maryland Medical Center.

Audible Bleeding editor Wen (@WenKawaji) is joined by 5th year general surgery resident Richa Kalsi (@KalsiMD) from University of Maryland Medical Center, 4th year general surgery resident Nitin Jethmalani from New York Presbyterian Hospital-Weill Cornell, JVS (@JVascSurg) editor Dr. Forbes (@TL_Forbes) and JVS-VL (@jvsvl) editor Dr. Bush (@ruthlbush) to discuss two great articles in the JVS family of journals regarding chronic pain and resident burnout and SFJ reflux and its implication in C2 and C3 chronic venous insufficiency. This episode hosts Dr. Pillado (@drpillado), Dr. Coleman (@ColemanDM_vasc) and Dr. Lal.    Articles:   Reported pain at work is a risk factor for vascular surgery trainee burnout by Dr. Pillado and colleagues. Effect of junctional reflux on the Venous Clinical Severity Score in Patients with Insufficiency of the great saphenous vein (JURY study) by Dr. Lal and colleagues.     Show Guests: Dr. Coleman: Professor of Surgery at Duke University and Division Chief of Vascular and Endovascular Surgery at Duke University Medical Center. Dr. Pillado: vascular surgery resident at Northwestern Hospital in Chicago, IL  Dr. Lal: Professor of Surgery at the University of Maryland, Professor of neurology at Mayo clinic, and professor of biomedical engineering at George Mason University. and Director of Center for Vascular Research at University of Maryland Medical Center   Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.  

Patient  Experience Week provides an opportunity to celebrate those who have made a positive impact on patient experience, in this episode, we shine a spotlight on Nicole Cable.Fanatical about process improvement, Nicole delves into her own experiences as a patient and the importance of finding a trusted care provider, even if that requires driving three counties over! She also shares what she thinks is going to be revolutionary in the patient experience movement.Key Moments:00:00 – Introductions01:05 – Nicole Cable introduces herself and shares her passions and a promise she made herself and mother.04:45 – Nicole shares how her own healthcare experience has grounded and honed her professional career. Sometimes words can be a patient's catalyst.15:18 – Marcus asks what are some key elements in patient experience.20:30 – Nicole talks about witnessing compassion and being there for her mother.24:15 – Marcus and Nicole talk about leadership and exciting trends in Nicole's work.31:18 – Rapid-fire questions! Nicole wants to leave us with, “Words create worlds. Speak well.”38:07 – Thank yous and goodbyes! Resources for you: More communication tips and resources for how to cultivate compassion: https://marcusengel.com/freeresources/Connect with Marcus on LinkedIn: https://www.linkedin.com/in/marcusengel/Connect with Nicole Cable on LinkedIn: https://www.linkedin.com/in/nicolelcable/Learn more about Ignite Human Experience: https://www.ignitehx.comLearn more about Marcus' Books: https://marcusengel.com/store/Subscribe to our podcast through Apple: https://bit.ly/MarcusEngelPodcastSubscribe to our podcast through YouTube: https://bit.ly/Youtube-MarcusEngelPodcast More About Nicole Cable, CPXP, MHS, LSSBB:Nicole Cable brings a wealth of executive experience to the forefront, having held prominent roles such as Chief Experience Officer at CareMax and InnovaCare Health, Corporate Director of Patient Experience Programs for ChenMed Family of Companies, and Director of Patient Experience at the University of Maryland Medical Center & Capital Region. Currently collaborating with Lifestyle Medical, she focuses on empowering individuals to embrace healthier lifestyles, fostering health and joy.Her leadership has not gone unnoticed. Her achievements include being named one of the Women We Admire Top 50 Women Leaders in Wellness & Fitness and being honored as one of South Florida Business Journal's Influential Business Women of 2023. She has also been recognized as a top 20 CX Leader to Watch and included in the inaugural Global Power List by the CX Network. Nicole's expertise is highly regarded and frequently sought after as a speaker at events globally.Her commitment to advancing the healthcare experience extends beyond her professional roles. She serves on the Strategic Advisory and Patient Experience Policy Boards for The Beryl Institute, a global community dedicated to elevating the human experience in healthcare. Additionally, she contributes as an Advisory Board Member of the Society for Health Systems, an organization focused on healthcare engineering and performance improvement.Date: 4/29/2024 Name of show: Compassion & Courage: Conversations in Healthcare Episode number and title: Episode 142.5 – The Importance of Patient Experience - Nicole Cable, CPXP, MHS, LSSBB

In a heartrending incident in the early hours of a Tuesday, the iconic Francis Scott Key Bridge in Baltimore suffered a calamitous collapse. A large container vessel that had suddenly lost power rammed into a support pillar, leading to a catastrophic failure of the structure and plunging both people and vehicles into the cold depths of the Patapsco River, according to officials. The ship in question, a Singapore-flagged container vessel named the 'Dali', was under the operation of the charter company Synergy Group, and was carrying cargo for Maersk customers at the time of the incident. In a puzzling turn of events, the ship lost power instantly prior to impacting the bridge. The exact cause that led to the vessel's power failure remains enigmatic. Paul Wiedefeld, the Secretary of Maryland's Department of Transportation, conducted a mid-morning press briefing with a somber countenance. During the update, he informed the media that six individuals, all members of a construction team performing pothole repairs on the bridge, were still unaccounted for. Their colleagues, two workers who had also toppled into the water, were fortunately saved by the tireless efforts of rescue workers. On one hand, a worker was fortunate enough to escape the calamity unscathed. On the other, his colleague was transferred to the University of Maryland Medical Center in a critical condition. Currently being treated, the individual is yet to provide their statement to investigators due to the severity of his injuries. In light of the grievous event, Wes Moore, the Governor of Maryland, officially declared a state of emergency. The Governor assured that his administration was vigilantly collaborating with various agencies to fast-track deployment of Federal aid from the Biden administration during this trying time. He expressed gratitude to the intrepid men and women tirelessly working on rescue missions and extended his prayers for the safety of all. Details unraveled that a distress call took place in the wee hours of the day, around 1:30 a.m., with emergency phone lines lighting up with reports of a vessel colliding with the bridge. The exact number of vehicles on the structure during the disastrous event is still uncertain, but reports suggest the presence of a significant tractor-trailer on the facility. Kevin Cartwright, the communications director for the fire department, classified the unfortunate incident as a 'mass casualty event'. Drawing a grave picture of the situation, he described some of the ship's cargo still hanging precariously from the damaged bridge. In response to the distress signals, emergency protocols were quickly put into action. Preemptive measures, including the halting traffic to the bridge, were taken based on the received mayday call. Wes Moore and Baltimore Mayor Brandon Scott jointly affirm that these judicious decisions saved numerous lives that fateful night. Amid catastrophic circumstances, speculations about potential terrorist involvement demanded official resources. The Federal Bureau of Investigation (FBI) conducted an on-scene assessment to rule out any links to terrorism. William DelBagno, the special agent-in-charge at the FBI's Baltimore office, dismissed any allegations tying the calamitous bridge collapse to terrorist activities. On the flip side, the National Transportation Security Board has been proactive in its response. The Security Board dispatched a team to meticulously scan the scene of the accident and investigate the incident thoroughly. While recovery efforts continue, Baltimore's Mayor has called for prayers and gratitude for the first responders, the affected families, and those entangled in the ongoing efforts. The impact of the collapse echoed through the surrounding area, with a local Baltimore resident comparing the rumble to an earthquake or a powerful thunderclap. This event has significantly hampered the operations of the Baltimore Port - a critical junction for East Coast shipping. Consequently, shipping to and from Baltimore has been temporarily suspended. Named posthumously after the composer of 'The Star-Spangled Banner', the Francis Scott Key Bridge, established in 1977, served as a frequent passage for approximately 31,000 commuters daily. The four-lane span catered to a bustling flow of traffic, and its absence is expected to result in a significant shift in local transportation dynamics. Governor Moore has declared it premature to predict the timeframe required to restore the bridge and resume regular operations. In the aftermath of the tragic incident, Pete Buttigieg, the U.S. Transportation Secretary, publicly announced his support. He confirmed having engaged in communications with Governor Moore and Mayor Scott, extending the aid of the U.S. Department of Transportation as rescuing efforts persist. He further urged motorists in the Baltimore area to heed local advisories on alternatives and response procedures. Real News Now Website Connect with Real News Now on Social Media Facebook: https://www.facebook.com/RealNewsNowApp/ X Twitter: https://twitter.com/realnewsapp Instagram: https://www.instagram.com/realnews/ TikTok: https://www.tiktok.com/@realnewsnowapp Threads: https://www.threads.net/@realnews/ Tumblr: https://www.tumblr.com/realnewsnow Truth Social: https://truthsocial.com/@RealNews YouTube:https://www.youtube.com/@realnewsnowapp End Wokeness: https://endthewokeness.com #realnewsnow See omnystudio.com/listener for privacy information.

CardioNerds cofounder Dr. Dan Ambinder joins Dr. Angie Molina, Dr. Cullen Soares, and Dr. Andrew Lutz from the University of Maryland Medical Center for some beers and history by Fort McHenry. They discuss a case of disseminated haemophilus influenzapresumed fulminant bacterial myocarditis with mixed septic/cardiogenic shock. Expert commentary is provided by Dr. Stanley Liu (Assistant Professor, Division of Cardiovascular Medicine, University of Maryland School of Medicine). Episode audio was edited by Dr. Chelsea Amo-Tweneboah. A woman in her twenties with a history of intravenous drug use presented with acute onset fevers and sore throat, subsequently developed respiratory distress and cardiac arrest, and was noted to have epiglottic edema on intubation. She developed shock and multiorgan failure. ECG showed diffuse ST elevations, TTE revealed biventricular dysfunction, and pleural fluid culture grew Haemophilus influenza. Right heart catheterization showed evidence of cardiogenic shock. She improved with supportive care and antibiotics. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Sore Throat, Fever, and Myocarditis - It's not always COVID-19 The post-cardiac arrest ECG provides helpful information for diagnosing the underlying etiology.​ Be aware of diagnostic biases - availability and anchoring biases are particularly common during respiratory viral (such as COVID-19, RSV) surges. Consider a broad differential diagnosis in evaluating myocarditis, including non-viral etiologies. Right heart catheterization provides crucial information for diagnosis and management of undifferentiated shock​. When assessing the need for mechanical circulatory support, consider the current hemodynamics, type of support needed, and risks associated with each type. Show Notes - Sore Throat, Fever, and Myocarditis - It's not always COVID-19 ECG findings consistent with pericarditis include diffuse concave-up ST elevations and downsloping T-P segment (Spodick's sign) as well as PR depression (lead II), and PR elevation (lead aVR). In contrast, regional ST elevations with “reciprocal” ST depressions and/or Q-waves should raise concern for myocardial ischemia as the etiology. Biventricular dysfunction and elevated troponin are commonly seen post-cardiac arrest and may be secondary findings. However, an elevation in troponin that is out of proportion to expected demand ischemia, ECG changes (pericarditis, ischemic ST elevations), and cardiogenic shock suggest a primary cardiac etiology for cardiac arrest. The differential diagnosis of infectious myopericarditis includes, most commonly, viral infection (respiratory viruses) and, more rarely, bacterial, fungal, or parasitic. Noninfectious myopericarditis may be autoimmune (such as lupus, sarcoidosis, checkpoint inhibitors), toxin-induced (alcohol, cocaine), and medication-induced (anthracyclines and others). Right heart catheterization can help diagnose the etiology of undifferentiated shock, including distinguishing between septic and cardiogenic shock, by providing right and left-sided filling pressures, pulmonary and systemic vascular resistance, and cardiac output. Mechanical circulatory support (MCS) is indicated for patients in cardiogenic shock with worsening end-organ perfusion despite inotropic and pressor support. MCS includes intra-aortic balloon pump, percutaneous VAD, TandemHeart, and VA-ECMO. The decision to use specific types of MCS should be individualized to each patient with their comorbidities and hemodynamic profile. Shock teams are vital to guide decision-making. References Witting MD, Hu KM, Westreich AA, Tewelde S, Farzad A,

Join us for a conversation on breaking stereotypes and empowering women to prioritize heart health. Dr. Manjula Ananthram, a cardiologist at University of Maryland Medical Center, shares valuable insights and tips for a heart-healthy lifestyle.

Welcome to “Live Well and Thrive,” a podcast recognizing the hard work, dedication, and diversity of our team at Kaiser Permanente Northern California. I'm your host Carrie Owen Plietz. Today we're here to learn about self-compassion or the art of being kind to ourselves. This episode focuses on being more gracious to ourselves as we go about our daily lives. I have been thinking about this concept a lot and I was struck by a recent article in the Washington Post by Christopher W.T. Miller, MD. His article emphasizes cultivating self-compassion as a key mental health goal. I'm delighted to have the article's author with us on Live Well & Thrive. Christopher W.T. Miller, MD, is a psychiatrist and psychoanalyst practicing at the University of Maryland Medical Center and an associate professor at the University of Maryland School of Medicine. As always, I invite you to share what's on your mind, ask a question or suggest a topic or guest. Send it to LiveWell&Thrive@kp.org. And whether you're listening on your commute or during a down moment, keep those comments coming. Hosted on Acast. See acast.com/privacy for more information.

The two final episodes on this season of The Tidbit are focusing on goal setting and the future of your business using your unique positioning. On today's episode, we explore how to position your business in a B2B (business-to-business) context —specifically with institutional buyers. We address sustainability in the workplace, specifically when it comes to food systems and health, and overall core values that determine the “why” behind what institutions may want to buy. Kim talks to Sara Hoverter, a senior fellow, attorney and adjunct professor at Georgetown Law specializing in health and food policy, and Kai Abelkis, sustainability manager at University of Maryland Medical Center.Host: Kim BrydenProducer: Gabriela SaldiviaGuests:Sara Hoverter: https://www.law.georgetown.edu/faculty/sara-p-hoverter/Kai Abelkis: https://www.linkedin.com/in/kai-abelkis/

Audible Bleeding editor Wen (@WenKawaji) is joined by 5th year general surgery resident Richa Kalsi (@KalsiMD) from University of Maryland Medical Center, 3rd year general surgery resident Sasank Kalipatnapu (@ksasank) from UMass Chan Medical School, JVS editor Dr. Forbes (@TL_Forbes), and JVS-CIT editor Dr. Smeds (@matsmeds) to discuss two great articles in the JVS family of journals regarding endosuture aneurysm repair mid-term follow-up and endovascular repair of thoracic aortic aneurysm with aberrant subclavian artery. This episode hosts Dr. Frank Arko (@farkomd), Dr. Sukgu Han (@SukguH), and Dr. Fernando Fleischman, authors of the following papers:   Articles: Five-year outcomes of endosuture aneurysm repair in patients with short neck abdominal aortic aneurysm from the ANCHOR registry by Arko et al Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery by Fleischman and Han et al   Show Guests: Dr. Arko is the Chief of Vascular and Endovascular Surgery with Atrium Health, Siverling Endowed Chair of vascular surgery clinical professor at Wake Forest University, and  co-director of Center for Aortic Disease at Sanger Heart and Vascular Institute. Dr. Sukgu Han is an Associate Professor of Surgery and Program Director for the residency/fellowship in the Division of Vascular Surgery and Endovascular Therapy at Keck School of Medicine of USC. He is also the Co-Director of the Comprehensive Aortic Center at Keck Hospital of USC.  Dr Fernando Fleischman is a cardiothoracic surgeon with extensive aortic expertise at Keck Hospital of USC. He is an Associate Professor of Surgery and Associate Program Director of cardiac surgery at USC. He is also the Co-Director of the Comprehensive Aortic Center.     Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

Join my brand new training, Quit Your Doctor Job by Becoming a Doctor Coach, taking place on November 28th at 8PM EST.In this never before seen training, I will teach you how to sell a $5K-$20K offer in your coaching business and completely transform your career.After the training, we will open the doors to DCS, my comprehensive coach training program for women doctors of color, where you will learn how to make your first $100K.If you can't attend live, there will be a replay for all registrants.When you attend the training live and book your call, you will receive a special bonus: you will qualify for a VIP Small Group Intensive day with me where we will put together your personalized $100K Roadmap.PLAN ON ATTENDING LIVE.Sign up for the training now.******************************************************************************Welcome to another episode of The Doctor Coach School™ Podcast.Dr. Jessica Daigle, “Dr. Jess,” is a board-certified pediatrician, neonatal/pediatric hospitalist, and Founder/CEO of Mom & Me LLC.She offers life coaching for Nicu moms to help them navigate their Nicu journey, release mom guilt, and be the confident mom they want to be. She also has a concierge medical practice that provides local in-home/virtual care services to newborns (including Nicu babies) and their mothers to make the transition home easier and less overwhelming.Dr. Daigle graduated from Xavier University of Louisiana with a Bachelor of Science in Chemistry and received her Doctor of Medicine at Louisiana State University New Orleans. She completed her pediatrics residency at Morehouse School of Medicine and received extra training in neonatal-perinatal medicine at the University of Maryland Medical Center. She is a former Medical Director for the Level 2 NICU at Wellstar Spalding Regional Hospital in Griffin, Georgia, and currently works part-time as a neonatal hospitalist.Dr. Daigle loves coaching, educating, and reassuring moms, especially nicu moms and new moms. She is passionate about Nicu and Postpartum care. She believes moms and their babies should thrive not simply survive on their postpartum journey and onward.Connect with Dr. JessHer Link treeLet's Connect: On Instagram On Facebook On LinkedIn On TikTok On my website

Drs. Paul Yi and Ali Tejani speak with Dr. Florence Doo, the Director of Innovation University of Maryland Medical Center, about Sustainability in AI. 

Drs. Paul Yi and Ali Tejani speak with Dr. Florence Doo, the Director of Innovation University of Maryland Medical Center, about Sustainability in AI. 

Successful hospitals thrive on effective perioperative suites. In this episode, two executive leaders from North American Partners in Anesthesia (NAPA)—Dr. Leo Penzi, Executive Vice President, and Chief Medical Officer; and Dr. Ali Ekbatani, Executive Vice President, and American Group President—discuss how the organization's extensive data warehouse, known as NAPA Data Labs, provides their clinicians and hospital clients with comprehensive metrics that lead to meaningful analysis. Powerful data and reporting fuel evidence-based decision-making, with the potential for broad impact. From improved quality and patient safety to enhanced OR operations, resource utilization, staffing, and growth, discover how data can help increase performance at your facility.Guest bios:Leo J. Penzi, MD, serves as Executive Vice President and Chief Medical Officer for NAPA. Dr. Penzi has spent much of his career as a clinical anesthesiologist. Since joining NAPA in 1991, he has served in various leadership roles, including as Executive Vice Chairman at one of NAPA's quaternary care hospitals. He has also served on numerous hospital and health system leadership committees and has extensive experience in operating room operational efficiency, quality improvement, and patient safety. Dr. Penzi is a diplomate of the American Board of Anesthesiologists. He received his medical degree from New York University and completed his anesthesia residency training at New York-Presbyterian/Columbia University Irving Medical Center. Contact: lpenzi@NAPAanesthesia.com.Ali Ekbatani, DO, MBA, serves as Executive Vice President and American Group President for NAPA. Dr. Ekbatani is a Diplomate of the American Board of Anesthesiology. He received his Doctorate of Osteopathy from the Philadelphia College of Osteopathic Medicine in Philadelphia and fulfilled his residency at the University of Maryland Medical Center in Baltimore, MD. He earned his Master of Business Administration in Health Management Services and Administration from Saint Joseph's University in Philadelphia. Prior to joining NAPA, Dr. Ekbatani was an Assistant Professor of Anesthesiology at Thomas Jefferson University. Contact: aekbatani@NAPAanesthesia.com.This episode is sponsored by North American Partners in Anesthesia.

In this episode, Dr. Geo interviews Dr. Muhammad Minhaj Siddiqui, a renowned urologic oncology and robotic surgery specialist at the University of Maryland Medical Center. They explore the topic of active surveillance for prostate cancer, particularly focusing on Gleason 7 cases. Dr. Siddiqui shares his insights on determining the ideal candidates for active surveillance and discusses the correlation between prostate cancer metabolism and diet. They also discuss Dr. Siddiqui's research on the association between vasectomies and lethal prostate cancer. Join us for this enlightening conversation on urologic oncology and gain valuable insights from Dr. Siddiqui's expertise._______________Thank you to our sponsors.This episode is brought to you by ExoDx™ Prostate Test for prostate tissue. The ExoDx™ Prostate Test is a simple, non-DRE, urine-based, liquid biopsy test indicated for men 50 years of age and older with a prostate-specific antigen (PSA) 2-10ng/mL, or PSA in the “gray zone” who may be considering a biopsy. The ExoDx Prostate test provides a risk score that determines a patient's potential risk of clinically significant prostate cancer (Gleason Score ≥7). The test is included in the National Comprehensive Cancer Network (NCCN) guidelines and has been clinically validated at the cut-point of 15.6 with a 91% sensitivity and 92% negative predictive value, meaning there is less than a 9% chance of having aggressive prostate cancer below the validated cut-point of 15.6. Ask your urologist about the ExoDx Prostate Test.This episode is also brought to you by AG1 (Athletic Greens). AG1 contain 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, your nervous system, your immune system, your energy, recovery, focus, and aging. All the things. Enjoy AG1 (Athletic Greens).----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo's Health Community.Improve your urological health with Dr. Geo's formulated supplement lines: XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo's online dispensary for other supplement recommendations Dr. Geo's Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion and not that of my employer(s) or any affiliated company.Use of this...

This is Garrison Hardie with your CrossPolitic Daily News Brief for Thursday, June 1st, 2023. https://www.theepochtimes.com/chick-fil-a-faces-growing-backlash-over-diversity-equity-and-inclusion-efforts_5300643.html?utm_source=partner&utm_campaign=BonginoReport Chick-fil-A Faces Growing Backlash Over ‘Diversity, Equity, and Inclusion’ Efforts Some conservatives have suggested a boycott of Chick-fil-A after the fast-food chain was discovered to have a vice president of “diversity, equity, [and] inclusion,” or DEI. In a previously issued Chick-fil-A news release, the company said that Erick McReynolds serves as its vice president of DEI, saying: “Chick-fil-A restaurants have long been recognized as a place where people know they will be treated well. Modeling care for others starts in the restaurant, and we are committed to ensuring mutual respect, understanding, and dignity everywhere we do business.” DEI is a set of principles that large corporations, government agencies, and schools have increasingly incorporated into their work environments, often mandating employees receive such training. However, these principles are rooted in Marxism, according to prominent critics including Christopher Rufo and James Lindsay, that are essentially vehicles for “left-wing racialist ideology and partisan political activism.” “They are designed to replace the system of academic merit with a system of race-based preferences and discrimination—which, in many cases, explicitly violates federal civil rights law,” wrote Rufo for his Substack page earlier this year. The Chick-fil-A announcement was highlighted this week by several prominent conservative accounts. According to McReynolds’s LinkedIn page, he was hired as Chick-fil-A’s vice president for “Diversity, Equity [and] Inclusion” in late 2021. The chicken-based fast-food chain has been generally well respected among conservatives due to the company’s religious values and its prior support for religious groups. In the McReynolds DEI announcement, Chick-fil-A makes reference to its corporate purpose, which is “to glorify God by being a faithful steward of all that is entrusted to us” and “to have a positive influence on all who come into contact with Chick-fil-A.” In recent weeks, a number of companies have faced backlash for embracing what critics say are left-wing values or a pro-LGBT agenda. Since early April, Bud Light has seen a significant backlash after it produced a beer can with transgender activist and influencer Dylan Mulvaney’s face and as Mulvaney suggested a partnership with the brand. Sales of Bud Light have dropped significantly year-over-year, with consumers opting to drink brands like Coors or Miller in its place, according to data released by industry analysts. Data published by Bump Williams Consulting and Nielsen IQ shows that by the week ending May 20, Bud Light sales declined 29.5 percent year-over-year, while revenue is down 25.7 percent. The CEO of Anheuser-Busch has, on multiple occasions, said that Bud Light did not partner with Mulvaney, a man who identifies as a woman, and that only “one can” with Mulvaney’s face was produced. Local distributors in some areas also released advertisements saying as much in a bid to lure back customers, while Bud Light has marketed several deals to move cases of beer. Another major boycott was directed at Target after the company released a line of LGBT clothing for children—including onesies for infants—for its “pride collection,” according to its website. Other companies, like Kohl’s and PetSmart, have similarly been criticized for selling similar products. Last week, Target said in a news release that it would be moving its “pride” merchandise to other areas of the store. The company, meanwhile, has seen its stock drop considerably since mid-May, falling another 3.5 percentage points on Tuesday. https://www.dailywire.com/news/9-teenagers-arrested-over-brutal-assault-of-3-u-s-marines 9 Teenagers Arrested Over Brutal Assault Of 3 U.S. Marines Sheriff’s deputies in San Clemente, California, arrested nine teenagers over the brutal assault of three U.S. Marines last Saturday. San Clemente Mayor Chris Duncan announced that Orange County Sheriff’s Department had charged the teenagers, five of whom were accused of assault with a deadly weapon and the other four with misdemeanor assault and battery. “They think they have the people they are looking for,” Duncan stated. “Not to say that there might not be a few others out there. They feel pretty confident that they have the main perpetrators. … They had some videotape that wasn’t readily available to the public that had a lot better images of the individuals involved.” “In today’s age, you’re going to get caught — people are going to record it,” Duncan continued. “I hope this serves as a learning lesson for young folks in the community not to let themselves get out of control when something like this happens.” As many as 40 young people were involved when the three U.S. Marines near a California beach Saturday night were attacked in a horrific moment caught on now-viral video. The Marines were enjoying time off from their service at Camp Pendleton in Oceanside at approximately 10 p.m. along the beach in San Clemente. One of the Marines, Hunter Antonino, said a piece of debris hit him in the face, prompting him to ask the group to stop lighting fireworks. “They were lighting off fireworks, they were being belligerent and obnoxious and annoying other people, so I went up to them and told them to stop,” he recalled. Antonio said the group then followed the Marines as they returned to the pier, whereupon Antonio and another Marine informed the group that they were Marines so the group would leave them alone. Instead, the group savagely attacked the Marines. One individual punched a Marine in the back, prompting the Marine to turn and charge at him, sparking the melee. Video shows two of the Marines lying in the fetal position on the ground as the group kicked them and hurled racial epithets at them. The Marines were kicked in the head and upper body. Although the Marines were injured, they refused to go to a hospital, according to Orange County Sheriff’s deputies. Antonio thought he may have suffered a concussion. https://www.washingtonexaminer.com/policy/healthcare/anti-abortion-protesters-beaten-baltimore-planned-parenthood Two anti-abortion protesters beaten outside Planned Parenthood in Baltimore Two senior citizen anti-abortion protesters were attacked outside of a Planned Parenthood clinic in North Baltimore on Friday morning, sending one to the University of Maryland Medical Center. “Please pray for my dear friend, Mark Crosby,” President of the Baltimore County Right to Life organization Jay Walton said on Facebook Friday. “He was viciously attacked yesterday, May 26, 2023 while he was praying in front of Planned Parenthood in Baltimore City. He and another prolifer were attacked from behind and the thug ran away.” Mark Crosby and Dick Shafer have been confirmed as the victims in Friday's attack. Both men are over the age of 70, according to police reports. WMAR reported that surveillance video shows the suspect tackling Shafer, disturbing a large flower planter outside of the abortion facility. When Crosby came to Shafer’s aid, the assailant shoved Crosby to the ground, and the person was seen punching and kicking him in the face. Baltimore anti-abortion advocate John Roswell told LifeSiteNews that while Shafer is recovering well, Crosby “is bleeding from some unidentified area behind his eye and the bone eye orbit is completely shattered.” Walton said on Monday morning that Crosby, who had been released from the hospital, had to be transported back to the emergency room due to further complications. Roswell told LifeSiteNews that a Planned Parenthood escort, who guides abortion patients into the organization's facilities, was present at the scene and engaged with the assailant prior to the attack. In his experience, Roswell said that escorts are usually present in the rare cases that pro-abortion rights activists engage in violent altercations with anti-abortion advocates. Investigators told local news outlets WBAL and WMAR that they are searching for the suspect. https://www.theblaze.com/news/tony-holford-us-canada-border-explosives-sign Police open fire on driver at US-Canada border; truck had 'sign' indicating 'explosive device on- board' Police opened fire on a truck driver on Memorial Day as the driver aproached the U.S.-Canadian border with a sign indicating he had an explosive device on board. The motorist, 42-year-old Tony Holford of Providence, Rhode Island, faces charges of aggravated reckless conduct, a class B crime; terrorizing, a Class D crime, and failure to stop, a class E crime, the Maine State Police Major Crimes Unit said in a press release. At 10:39 a.m. Monday, Maine State Police Trooper Denver Roy attempted to stop a vehicle heading north on Interstate 95 in Houlton, Maine. The driver did not stop, instead continuing north. Trooper Roy "observed a sign indicating that the operator had an explosive device on-board," the MSP wrote. It is not clear what sort of sign was displayed. When the vehicle eventually stopped between the U.S. and Canadian ports of entry, troopers commanded him to get out of the vehicle. When the vehicle's operator reportedly maneuvered the truck toward the Canadian port of entry, Corporal Eric Paquette shot at him. Holford, who was uninjured, surrendered to Main State Police troopers and was taken to the Aroostook County Jail after being medically cleared. MSP say the scene is contained and there is no ongoing danger to the public. Authorities in Canada and the United States are collaborating on an investigation into the incident. The Maine State Police Bomb Squad and crime scene technicians advised motorists to use alternative points of entry as they processed the scene. The Woodstock, New Brunswick, border crossing was reopened Monday night, according to a tweet posted by the Canada Border Services Agency's Atlantic Region. The Office of the Maine Attorney General and the Maine State Police will work together "in the coming days to continue the investigation and the events that led up to the officer-involved shooting." https://justthenews.com/politics-policy/education/virginia-eliminates-degree-requirements-most-state-jobs Virginia eliminates degree requirements for most state jobs Virginia Republican Gov. Glenn Youngkin on Tuesday announced a change in state hiring practices that would eliminate requirements or preferences that applicants for most state positions have a college degree. A press release from Youngkin indicated that the change will take effect on July 1 and affect roughly 90% of state positions. The Old Dominion's myriad agencies post as many as 20,000 job listings per year. "On day one we went to work reimagining workforce solutions in government and this key reform will expand opportunities for qualified applicants who are ready to serve Virginians," Youngkin said in a statement. State Secretary of Labor Bryan Slater further, in the same release, indicated that the state was looking into heavily regulated private industries to streamline the professional certification processes. The move comes as American high school graduates increasingly opt against pursuing college degrees to due affordability and return on investment concerns. President Joe Biden has moved to lessen the financial burden of incurring debt to pay for college by offering up to $10,000 in repayment relief for most loan recipients and up to $20,000 for those who received a Pell Grant, though that plan has faced legal scrutiny and may well end up permanently blocked by the judiciary. The proposed deal to raise the debt limit facing Congress includes a measure to end a temporary freeze on student loan repayments.

This is Garrison Hardie with your CrossPolitic Daily News Brief for Thursday, June 1st, 2023. https://www.theepochtimes.com/chick-fil-a-faces-growing-backlash-over-diversity-equity-and-inclusion-efforts_5300643.html?utm_source=partner&utm_campaign=BonginoReport Chick-fil-A Faces Growing Backlash Over ‘Diversity, Equity, and Inclusion’ Efforts Some conservatives have suggested a boycott of Chick-fil-A after the fast-food chain was discovered to have a vice president of “diversity, equity, [and] inclusion,” or DEI. In a previously issued Chick-fil-A news release, the company said that Erick McReynolds serves as its vice president of DEI, saying: “Chick-fil-A restaurants have long been recognized as a place where people know they will be treated well. Modeling care for others starts in the restaurant, and we are committed to ensuring mutual respect, understanding, and dignity everywhere we do business.” DEI is a set of principles that large corporations, government agencies, and schools have increasingly incorporated into their work environments, often mandating employees receive such training. However, these principles are rooted in Marxism, according to prominent critics including Christopher Rufo and James Lindsay, that are essentially vehicles for “left-wing racialist ideology and partisan political activism.” “They are designed to replace the system of academic merit with a system of race-based preferences and discrimination—which, in many cases, explicitly violates federal civil rights law,” wrote Rufo for his Substack page earlier this year. The Chick-fil-A announcement was highlighted this week by several prominent conservative accounts. According to McReynolds’s LinkedIn page, he was hired as Chick-fil-A’s vice president for “Diversity, Equity [and] Inclusion” in late 2021. The chicken-based fast-food chain has been generally well respected among conservatives due to the company’s religious values and its prior support for religious groups. In the McReynolds DEI announcement, Chick-fil-A makes reference to its corporate purpose, which is “to glorify God by being a faithful steward of all that is entrusted to us” and “to have a positive influence on all who come into contact with Chick-fil-A.” In recent weeks, a number of companies have faced backlash for embracing what critics say are left-wing values or a pro-LGBT agenda. Since early April, Bud Light has seen a significant backlash after it produced a beer can with transgender activist and influencer Dylan Mulvaney’s face and as Mulvaney suggested a partnership with the brand. Sales of Bud Light have dropped significantly year-over-year, with consumers opting to drink brands like Coors or Miller in its place, according to data released by industry analysts. Data published by Bump Williams Consulting and Nielsen IQ shows that by the week ending May 20, Bud Light sales declined 29.5 percent year-over-year, while revenue is down 25.7 percent. The CEO of Anheuser-Busch has, on multiple occasions, said that Bud Light did not partner with Mulvaney, a man who identifies as a woman, and that only “one can” with Mulvaney’s face was produced. Local distributors in some areas also released advertisements saying as much in a bid to lure back customers, while Bud Light has marketed several deals to move cases of beer. Another major boycott was directed at Target after the company released a line of LGBT clothing for children—including onesies for infants—for its “pride collection,” according to its website. Other companies, like Kohl’s and PetSmart, have similarly been criticized for selling similar products. Last week, Target said in a news release that it would be moving its “pride” merchandise to other areas of the store. The company, meanwhile, has seen its stock drop considerably since mid-May, falling another 3.5 percentage points on Tuesday. https://www.dailywire.com/news/9-teenagers-arrested-over-brutal-assault-of-3-u-s-marines 9 Teenagers Arrested Over Brutal Assault Of 3 U.S. Marines Sheriff’s deputies in San Clemente, California, arrested nine teenagers over the brutal assault of three U.S. Marines last Saturday. San Clemente Mayor Chris Duncan announced that Orange County Sheriff’s Department had charged the teenagers, five of whom were accused of assault with a deadly weapon and the other four with misdemeanor assault and battery. “They think they have the people they are looking for,” Duncan stated. “Not to say that there might not be a few others out there. They feel pretty confident that they have the main perpetrators. … They had some videotape that wasn’t readily available to the public that had a lot better images of the individuals involved.” “In today’s age, you’re going to get caught — people are going to record it,” Duncan continued. “I hope this serves as a learning lesson for young folks in the community not to let themselves get out of control when something like this happens.” As many as 40 young people were involved when the three U.S. Marines near a California beach Saturday night were attacked in a horrific moment caught on now-viral video. The Marines were enjoying time off from their service at Camp Pendleton in Oceanside at approximately 10 p.m. along the beach in San Clemente. One of the Marines, Hunter Antonino, said a piece of debris hit him in the face, prompting him to ask the group to stop lighting fireworks. “They were lighting off fireworks, they were being belligerent and obnoxious and annoying other people, so I went up to them and told them to stop,” he recalled. Antonio said the group then followed the Marines as they returned to the pier, whereupon Antonio and another Marine informed the group that they were Marines so the group would leave them alone. Instead, the group savagely attacked the Marines. One individual punched a Marine in the back, prompting the Marine to turn and charge at him, sparking the melee. Video shows two of the Marines lying in the fetal position on the ground as the group kicked them and hurled racial epithets at them. The Marines were kicked in the head and upper body. Although the Marines were injured, they refused to go to a hospital, according to Orange County Sheriff’s deputies. Antonio thought he may have suffered a concussion. https://www.washingtonexaminer.com/policy/healthcare/anti-abortion-protesters-beaten-baltimore-planned-parenthood Two anti-abortion protesters beaten outside Planned Parenthood in Baltimore Two senior citizen anti-abortion protesters were attacked outside of a Planned Parenthood clinic in North Baltimore on Friday morning, sending one to the University of Maryland Medical Center. “Please pray for my dear friend, Mark Crosby,” President of the Baltimore County Right to Life organization Jay Walton said on Facebook Friday. “He was viciously attacked yesterday, May 26, 2023 while he was praying in front of Planned Parenthood in Baltimore City. He and another prolifer were attacked from behind and the thug ran away.” Mark Crosby and Dick Shafer have been confirmed as the victims in Friday's attack. Both men are over the age of 70, according to police reports. WMAR reported that surveillance video shows the suspect tackling Shafer, disturbing a large flower planter outside of the abortion facility. When Crosby came to Shafer’s aid, the assailant shoved Crosby to the ground, and the person was seen punching and kicking him in the face. Baltimore anti-abortion advocate John Roswell told LifeSiteNews that while Shafer is recovering well, Crosby “is bleeding from some unidentified area behind his eye and the bone eye orbit is completely shattered.” Walton said on Monday morning that Crosby, who had been released from the hospital, had to be transported back to the emergency room due to further complications. Roswell told LifeSiteNews that a Planned Parenthood escort, who guides abortion patients into the organization's facilities, was present at the scene and engaged with the assailant prior to the attack. In his experience, Roswell said that escorts are usually present in the rare cases that pro-abortion rights activists engage in violent altercations with anti-abortion advocates. Investigators told local news outlets WBAL and WMAR that they are searching for the suspect. https://www.theblaze.com/news/tony-holford-us-canada-border-explosives-sign Police open fire on driver at US-Canada border; truck had 'sign' indicating 'explosive device on- board' Police opened fire on a truck driver on Memorial Day as the driver aproached the U.S.-Canadian border with a sign indicating he had an explosive device on board. The motorist, 42-year-old Tony Holford of Providence, Rhode Island, faces charges of aggravated reckless conduct, a class B crime; terrorizing, a Class D crime, and failure to stop, a class E crime, the Maine State Police Major Crimes Unit said in a press release. At 10:39 a.m. Monday, Maine State Police Trooper Denver Roy attempted to stop a vehicle heading north on Interstate 95 in Houlton, Maine. The driver did not stop, instead continuing north. Trooper Roy "observed a sign indicating that the operator had an explosive device on-board," the MSP wrote. It is not clear what sort of sign was displayed. When the vehicle eventually stopped between the U.S. and Canadian ports of entry, troopers commanded him to get out of the vehicle. When the vehicle's operator reportedly maneuvered the truck toward the Canadian port of entry, Corporal Eric Paquette shot at him. Holford, who was uninjured, surrendered to Main State Police troopers and was taken to the Aroostook County Jail after being medically cleared. MSP say the scene is contained and there is no ongoing danger to the public. Authorities in Canada and the United States are collaborating on an investigation into the incident. The Maine State Police Bomb Squad and crime scene technicians advised motorists to use alternative points of entry as they processed the scene. The Woodstock, New Brunswick, border crossing was reopened Monday night, according to a tweet posted by the Canada Border Services Agency's Atlantic Region. The Office of the Maine Attorney General and the Maine State Police will work together "in the coming days to continue the investigation and the events that led up to the officer-involved shooting." https://justthenews.com/politics-policy/education/virginia-eliminates-degree-requirements-most-state-jobs Virginia eliminates degree requirements for most state jobs Virginia Republican Gov. Glenn Youngkin on Tuesday announced a change in state hiring practices that would eliminate requirements or preferences that applicants for most state positions have a college degree. A press release from Youngkin indicated that the change will take effect on July 1 and affect roughly 90% of state positions. The Old Dominion's myriad agencies post as many as 20,000 job listings per year. "On day one we went to work reimagining workforce solutions in government and this key reform will expand opportunities for qualified applicants who are ready to serve Virginians," Youngkin said in a statement. State Secretary of Labor Bryan Slater further, in the same release, indicated that the state was looking into heavily regulated private industries to streamline the professional certification processes. The move comes as American high school graduates increasingly opt against pursuing college degrees to due affordability and return on investment concerns. President Joe Biden has moved to lessen the financial burden of incurring debt to pay for college by offering up to $10,000 in repayment relief for most loan recipients and up to $20,000 for those who received a Pell Grant, though that plan has faced legal scrutiny and may well end up permanently blocked by the judiciary. The proposed deal to raise the debt limit facing Congress includes a measure to end a temporary freeze on student loan repayments.

Dr. Allison Lankford is an Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Services at the University of Maryland. She is a Maternal Fetal Medicine and Critical Care physician at the University of Maryland Medical Center. Dr. Lankford presents a lecture entitled "Gas Exchange and Pulmonary Ventilation in the Critically- Ill Obstetric Patient" as part of the DC5 Lecture series.

Dr. Allison Lankford is an Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Services at the University of Maryland. She is a Maternal Fetal Medicine and Critical Care physician at the University of Maryland Medical Center. Dr. Lankford presents a lecture on the "Hypertensive Disorders of Pregnancy" as part of the DC5 Lecture series.

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Marco Colasurdo (1) and Prof. Dheeraj Gandhi (2), authors of the original research article, "Predictors for large vessel recanalization before stroke thrombectomy: the HALT score" - https://jnis.bmj.com/content/early/2023/04/25/jnis-2023-020220 This paper is free-to-access for a month following the publication of this podcast.  Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767  Thank you for listening! This episode was edited by Brian O'Toole.  (1) Interventional Neuroradiology, Dept. of Diagnostic Radiology, Uni. of Maryland Medical Center, Baltimore, Maryland, USA  (2) Dept. of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, USA

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Marco Colasurdo (1) and Prof. Dheeraj Gandhi (2), authors of the original research article, "Predictors for large vessel recanalization before stroke thrombectomy: the HALT score" - https://jnis.bmj.com/content/early/2023/04/25/jnis-2023-020220 This paper is free-to-access for a month following the publication of this podcast. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was edited by Brian O'Toole. (1) Interventional Neuroradiology, Dept. of Diagnostic Radiology, Uni. of Maryland Medical Center, Baltimore, Maryland, USA (2) Dept. of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, USA

In this episode, Dr. Tom Varghese interviews Dr. Bartley Griffith, professor of surgery at the University of Maryland Medical Center, and the first surgeon to successfully transplant a genetically modified pig heart into a human patient. In the episode, we learn about his upbringing in Pittsburgh and his upward trajectory in academia. Hear about his hilarious first attempts while learning to perform heart transplants, his mentors in Pittsburgh, and his move to the University of Maryland Medical Center. Dr. Griffith discusses the first animal-to-human heart transplant, the work he and his team did in preparation, and how they shattered the barriers around xenotransplantation. Finally, Dr. Griffith talks about the growth opportunities he sees in cardiac surgery and how innovation can shape the future.    “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. The podcast series is supported by AstraZeneca. Learn more about STS diversity and inclusion efforts at sts.org/diversity.

Dr. Chana Weinstock Neuberger is a Medical Oncologist and Hematologist who has been a Genitourinary Oncology Team Leader at the U.S. Food and Drug Administration since 2017. She is a graduate of Bais Yaakov Toronto and BJJ, and then graduated with high distinction from the University of Toronto before completing her MD at the Albert Einstein College of Medicine. After her training, she practiced Thoracic and Genitourinary Oncology at the University of Maryland Medical Center and at the Baltimore VA Medical Center, where she remains on staff. Her original oncology research has been published in peer reviewed journals such as the Journal of Clinical Oncology, Journal of Urology, and Clinical Cancer Research, and she has presented at national meetings, including oral presentations at ASCO, ASCO GU symposium, and AACR and ASTRO workshops. She served as the former track leader of ASCO's GU oncology kidney and bladder cancer educational track, was on the Bladder Cancer Advocacy Network Annual Meeting planning committee, and is an FDA observer on the National Cancer Institute Scientific Steering Committee in Genitourinary Oncology, She is also on the DEI committee of the ACGME, was the founding co-Vice President of JOWMA, and is proud to serve on the executive leadership board of the Baltimore JCC. She lives in Baltimore with her husband and children and is an avid, albeit slow, runner and a devoted coffee drinker.

Dr. Jessica “Jess” Daigle is a board-certified pediatrician, Nicu and pediatric hospitalist, and the Founder/CEO of Mom & Me MD, an in-home & virtual concierge practice in Atlanta designed to deliver 1:1 personalized care to newborns and their mothers during the 4th trimester to ease the transition home after birth. Dr. Daigle received her Doctor of Medicine at LSU School of Medicine New Orleans and completed her pediatrics residency at Morehouse School of Medicine, along with extra training in neonatal-perinatal medicine at the University of Maryland Medical Center. She is a former Medical Director at a Level 2 NICU at Wellstar Regional Hospital and currently works as a Locums pediatrician while building her businesses. She is a co-author along with 46 other female physicians in a book called “Made for More: Physician Entrepreneurs Who Live Life and Practice Medicine on Their Own Terms” available on Amazon and other book platforms. She has been featured on many different podcasts and is on the cover of this month's issue of “Baby Whisper,” a parent magazine in Atlanta, Georgia. Dr. Daigle enjoys educating, advising, and reassuring moms, especially new moms and nicu moms. Interested in learning more about newborn and postpartum care? Follow her on Instagram @momandme_md.

It's another session of CardioNerds Rounds! In these rounds, Dr. Karan Desai (Formerly FIT at University of Maryland Medical Center and currently faculty at Johns Hopkins School of Medicine) joins Dr. Dan Burkhoff (Director of Heart Failure, Hemodynamics and MCS Research at the Cardiovascular Research Foundation) to discuss mechanical circulatory support options through the lens of pressure-volume loops! Dr. Burkhoff is the author of Harvi, an interactive simulation-based application for teaching and researching many aspects of ventricular hemodynamics. Don't miss this wonderfully nerdy episode with a world-renowned expert in hemodynamics and MCS! Audio editing by CardioNerds Academy Intern, student doctor Chelsea Amo Tweneboah. This episode is supported with unrestricted funding from Zoll LifeVest. A special thank you to Mitzy Applegate and Ivan Chevere for their production skills that help make CardioNerds Rounds such an amazing success. All CardioNerds content is planned, produced, and reviewed solely by CardioNerds. Case details are altered to protect patient health information. CardioNerds Rounds is co-chaired by Dr. Karan Desai and Dr. Natalie Stokes.  Challenging Cases - Atrial Fibrillation with Dr. Hugh Calkins CardioNerds Rounds PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Show notes - Hemodynamics and Mechanical Circulatory Support Case Synopsis: Case SynopsisWe focused on one case during these rounds. A man in his mid-50s presented to his local community hospital with 3 days of chest pain, nausea, and vomiting. He appeared ill in the emergency room with HR in the 150s, BP 90/70s and ECG demonstrating inferior ST elevations. He was taken emergently to the catheterization lab and received overlapping stents to his right coronary artery. Over the next 24 hours, he developed a new harsh systolic murmur heard throughout his precordium and progressed to cardiogenic shock. Echocardiogram demonstrated a large basal inferoseptum ventricular septal rupture. From this point, we discussed the hemodynamics of VSR and MCS options. Case Takeaways Dr. Burkhoff took us through the hemodynamics of VSR with pressure-volume loops to better understand the pathology and impact of various MCS options. Of note, there are no MCS devices specifically approved to treat acute ventricular septal rupture. In regards to the acute hemodynamic effects of a VSR (an abrupt left to right shunt), there are several aspects to note. First, the effective LV afterload is reduced; however, there is less “forward flow” as well and as a consequence, decreased left-sided cardiac output (“Qs”) and blood pressure. At the same time, flow through the pulmonary artery increases (the “Qp”). Additionally, due to the abrupt shunt flow, there is increased RV “loading” with increasing central venous pressure and pulmonary artery pressure. The hemodynamic priorities in treating patients with cardiogenic shock and VSR are to normalize blood pressure, cardiac output, and oxygen delivery, while attempting to minimize shunt flow to allow healing. However, medications and MCS are unlikely to completely normalize hemodynamics. For instance, if the patient was placed on peripheral VA ECMO, while total CO and BP may increase, flow across the VSR could also increase at high ECMO flows (e.g., by introducing more LV afterload). In patients with persistent cardiogenic shock and VSR, short-term MCS to divert flow away from the shunt can be an effective strategy. LV-to-aorta or LA-to-arterial MCS may provide the best single-device hemodynamic profiles by decreasing shunt flow, reducing pulmonary capillary wedge pressure, and improving blood pressure. Surgical and percutaneous VSD repair are the definitive treatment options. If able to stabilize patients and pursue delayed repair,

Dr. Robert O'Toole, Professor of Orthopaedic Trauma, Division Head of Orthopaedic Traumatology, Chief of Orthopaedics at the R Adams Cowley Shock Trauma Center, Program Director of the Orthopaedic Traumatology Fellowship Program, Department of Orthopaedics at the University of Maryland Medical Center discusses the recent METRC study comparing aspirin vs LMWH for DVT prophylaxis in ortho […]

The Alert Medic 1 team sits down with Dr. Ben Lawner to discuss various topics related to medical direction. Dr. Lawner is an Associate Professor in the Department of Emergency Medicine at University of Maryland Medical Center. Dr. Lawner obtained his EMT certification in 1994 and worked with Alachua County (Florida) Fire Rescue as a paramedic/firefighter prior to entrance into medical school. Dr. Lawner is residency trained in emergency medicine. He completed an EMS fellowship jointly sponsored by the University of Maryland, the Maryland Institute for Emergency Medical Services Systems (MIEMSS), and the University of Maryland Baltimore County. From 2009-2010, he served as a Chief Resident and Faculty Development fellow for the emergency medicine training program. Dr. Lawner's interests include resuscitation, airway management, and transport critical care. Dr. Lawner currently serves as the Medical Director for the Maryland ExpressCare Critical Care Transport Team and the Baltimore City Fire Department. Dr. Lawner works clinically a University of Maryland Medical System emergency physician and is a member of the Shock Trauma Center's “Go-Team” He is actively engaged in medical education for students, residents, and prehospital clinicians.

Why it's important to use exercise for optional bone, muscle, and joint health. If you are using exercise for just fat loss alone, hopefully, this podcast will help you change your mindset to start choosing an exercise program that your 80-year-old self will thank you for!   References:  Exercise and physical activity – your everyday guide from the National Institute on Aging, National Institute on Aging, USA.  Aging changes in the bones – muscles – joints, University of Maryland Medical Center, USA.  The benefits of exercise, Centre for Physical Activity in Ageing, Royal Adelaide Hospital Health Services, South Australian Government. More information here.  Warburton, DER, Nicol CW, Bredin SSD 2006, ‘Health benefits of physical activity: the evidence', Canadian Medical Association Journal, vol. 174, no. 6, pp. 801–809. More information here.  Nelson ME, Rejeski WJ, Blair SN et al, 2007, ‘Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association', Med Science Sports Exercise, vol. 39, no. 8, pp. 1435–1445. More information here.  Active for later life: Promoting physical activity with older people, British Heart Foundation National Centre for Physical Activity and Health, UK.

This is a re-posting of Episode 60 due to audio problems with the oriiginal posting. We know how helpful continuous glucose monitors are for individuals with diabetes, but might they be of benefit to individuals with prediabetes? Today host Aaron Lohr will talk with Hisham Farhan, MD, an endocrinology fellow at the University of Maryland Medical Center. Dr. Farhan and colleagues made an oral presentation at ENDO 2022 titled, “Impact of Continuous Glucose Monitoring (CGM) on Lifestyle Modifications in Individuals with Prediabetes.” For more information, including helpful links and other episodes, visit our website at https://www.endocrine.org/podcast.

We know how helpful continuous glucose monitors are for individuals with diabetes, but might they be of benefit to individuals with prediabetes? Today host Aaron Lohr will talk with Hisham Farhan, MD, an endocrinology fellow at the University of Maryland Medical Center. Dr. Farhan and colleagues made an oral presentation at ENDO 2022 titled, “Impact of Continuous Glucose Monitoring (CGM) on Lifestyle Modifications in Individuals with Prediabetes.” For more information, including helpful links and other episodes, visit our website at https://www.endocrine.org/podcast

This is a re-posting of Episode 60 due to some audio problems with the previous posting. We know how helpful continuous glucose monitors are for individuals with diabetes, but might they be of benefit to individuals with prediabetes? Today host Aaron Lohr will talk with Hisham Farhan, MD, an endocrinology fellow at the University of Maryland Medical Center. Dr. Farhan and colleagues made an oral presentation at ENDO 2022 titled, “Impact of Continuous Glucose Monitoring (CGM) on Lifestyle Modifications in Individuals with Prediabetes.” For more information, including helpful links and other episodes, visit our website at https://www.endocrine.org/podcast

We know how helpful continuous glucose monitors are for individuals with diabetes, but might they be of benefit to individuals with prediabetes? Today host Aaron Lohr will talk with Hisham Farhan, MD, an endocrinology fellow at the University of Maryland Medical Center. Dr. Farhan and colleagues made an oral presentation at ENDO 2022 titled, “Impact of Continuous Glucose Monitoring (CGM) on Lifestyle Modifications in Individuals with Prediabetes.” Show notes are available at https://www.endocrine.org/podcast/enp60-cgm-and-prediabetes — for more information, including helpful links and other episodes, visit our website at https://www.endocrine.org/podcast

We know how helpful continuous glucose monitors are for individuals with diabetes, but might they be of benefit to individuals with prediabetes? Today host Aaron Lohr will talk with Hisham Farhan, MD, an endocrinology fellow at the University of Maryland Medical Center. Dr. Farhan and colleagues made an oral presentation at ENDO 2022 titled, “Impact of Continuous Glucose Monitoring (CGM) on Lifestyle Modifications in Individuals with Prediabetes.” Show notes are available at https://www.endocrine.org/podcast/enp60-cgm-and-prediabetes — for more information, including helpful links and other episodes, visit our website at https://www.endocrine.org/podcast

The modern ICU, or Intensive Care Unit, was born out of a time of crisis. It was 1952, and polio was raging in many places — especially the city of Copenhagen. Patients poured into the hospitals, many of them gasping for air, turning blue, and eventually dying. Then a brilliant doctor tried a radically different approach — pumping air directly into patients' lungs. It was an idea that would require intensive manpower, but save many lives. And it led to the birth of a new kind of medicine: intensive care. Seventy years later, ICUs sit at the cutting edge of modern medicine. They’re the destination for the sickest patients — including those who’re hovering at death’s door — and home to some of medicine’s most profound interventions. ICUs can be a place of pain and healing, of comfort and dying, a laboratory for innovation, or a sanctuary for grieving families. On this episode, we take a look at intensive care — its roots, what it's like to work there, and how the coronavirus pandemic has changed it. Also heard on this week's episode: Journalist Daniel Semo tells the story of anesthesiologist Bjorn Ibsen — the brilliant doctor who ushered in a new era in medicine. We talk with Haney Mallemat, a critical care physician at Cooper Medical Center at Rowan University, about what drew him to intensive care, making life-and-death decisions, and dealing with the lingering trauma of COVID-19. Reporter Jad Sleiman talks with Nirav Shah, an ICU doctor at the University of Maryland Medical Center, about the strange, sometimes one-sided relationships doctors develop with their unconscious patients … and one patient he will never forget.

It's another session of CardioNerds Rounds! In these rounds, Co-Chair, Dr. Karan Desai (previous FIT at the University of Maryland Medical Center, and now faculty at Johns Hopkins) joins Dr. Ryan Tedford (Professor of Medicine and Chief of Heart Failure and Medical Directory of Cardiac Transplantation at the Medical University of South Carolina in Charleston, SC) to discuss the nuances of managing pulmonary hypertension in the setting of left-sided heart disease. Dr. Tedford is an internationally-recognized clinical researcher, educator, clinician and mentor, with research focuses that include the hemodynamic assessment of the right ventricle and its interaction with the pulmonary circulation and left heart. This episode is supported with unrestricted funding from Zoll LifeVest. A special thank you to Mitzy Applegate and Ivan Chevere for their production skills that help make CardioNerds Rounds such an amazing success. All CardioNerds content is planned, produced, and reviewed solely by CardioNerds. Case details are altered to protect patient health information. CardioNerds Rounds is co-chaired by Dr. Karan Desai and Dr. Natalie Stokes.  Speaker disclosures: None Cases discussed and Show Notes • References • Production Team CardioNerds Rounds PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Show notes - Challenging Cases - Nuances in Pulmonary Hypertension Management with Dr. Ryan Tedford Case #1 Synopsis: A woman in her late 30s presented to the hospital with 4 weeks of worsening dyspnea. Her history includes dilated non-ischemic cardiomyopathy diagnosed in the setting of a VT arrest around 10 years prior. Over the past 10 years she has been on guideline-directed medical therapy with symptoms that had been relatively controlled (characterized as NYHA Class II), but without objective improvement in her LV dimensions or ejection fraction (LVEF 15-20% by TTE and CMR and LVIDd at 6.8 cm). Over the past few months she had been noting decreased exercise tolerance, worsening orthopnea, and episodes of symptomatic hypotension at home. When she arrived to the hospital, she presented with BP 95/70 mmHg, increased respiratory effort, congestion and an overall profile consistent with SCAI Stage C-HF shock. In the case, we go through the hemodynamics at various points during her hospitalization and discuss options for management including medical therapy and mechanical support. The patient was eventually bridged to transplant with an Impella 5.5. Initial Hemodynamics Right Atrium (RA) Pressure Tracing: Right Ventricle (RV) Pressure Tracing: Pulmonary Artery (PA) Pressure Tracing: Pulmonary Capillary Wedge Pressure (PCWP) Tracing: Case 1 Rounding Pearls One of the first points that Dr. Tedford made was thinking about our classic frameworks of characterizing acute decompensated heart failure, specifically the “Stevenson” classification developed by Dr. Lynne Stevenson that phenotypes patients along two axes: congestion (wet or dry) and perfusion (warm or cold). Dr. Tedford cautioned that young patients may not fit into these classic boxes well, and that a normal lactate should not re-assure the clinician that perfusion is normal.In reviewing the waveforms, Dr. Tedford took a moment to note that besides just recording the absolute values of the pressures transduced in each chamber or vessel, it is critical to understand the morphology of the tracings themselves. For instance, with the RA pressure tracing above, there is no respiratory variation in the mean pressure. This is essentially a “resting Kussmaul's sign,” which is typically indicative of significant RV dysfunction. Thus, even though our echocardiogram in this case did not necessarily show a significantly dilated RV with mildly reduced longitudinal function (T...

This is the Waberboy with your Daily News Brief for Wedneesday July 13, 2022 Gold River Trading Co. Are you tired of buying sugary drinks and coffee from large woke corporations? Throw a tea party! Gold River Trading Co. is an American company that offers premium alternatives for Americans who enjoy a delicious cup of tea. Start your day with Gold River’s invigorating American Breakfast Blend, cool down with a pitcher of crisp & refreshing Iced Tea, or unwind with Chamomile Herbal tea. Explore a variety of high-quality blends and enjoy a healthy, flavorful alternative from an American company that shares your values. Go to goldriverco.com and save 10% off all orders using discount code CROSSPOLITIC at checkout. On July 8th President Biden was supposed to sign an executive order regarding reproductive rights, and the order would direct Health and Human Services to take action…but there is one problem. He neer signed an executive order. Go to the Federal Registry, you can’t find it! https://www.federalregister.gov/presidential-documents/executive-orders/joe-biden/2022 But what they have released is a Fact Sheet…that has literally no authority: FACT SHEET: President Biden to Sign Executive Order Protecting Access to Reproductive Health Care Services https://www.whitehouse.gov/briefing-room/statements-releases/2022/07/08/fact-sheet-president-biden-to-sign-executive-order-protecting-access-to-reproductive-health-care-services/ Today, President Biden will sign an Executive Order Protecting Access to Reproductive Health Care Services. This Executive Order builds on the actions his Administration has already taken to defend reproductive rights by: -Safeguarding access to reproductive health care services, including abortion and contraception; -Protecting the privacy of patients and their access to accurate information; -Promoting the safety and security of patients, providers, and clinics; and -Coordinating the implementation of Federal efforts to protect reproductive rights and access to health care. HHS: https://www.hhs.gov/about/news/2022/07/11/following-president-bidens-executive-order-protect-access-reproductive-health-care-hhs-announces-guidance-clarify-that-emergency-medical-care-includes-abortion-services.html Since the plan was announced, HHS has taken the following actions: Launched the ReproductiveRights.gov public awareness website, which includes a know-your-rights patient fact sheet; Convened a meeting with health insurers, and sent them a letter, calling on the industry to commit to meeting their obligations to provide coverage for contraceptive services at no cost as required by the Affordable Care Act; Issued guidance to patients and providers that addresses the extent to which federal law and regulations protect individuals’ private medical information when it comes to seeking abortion and other forms of reproductive health care, as well as when it comes to using health information apps on smartphones; Announced nearly $3 million in new funding to bolster training and technical assistance for the nationwide network of Title X family planning providers; and Met with Michigan Governor Gretchen Whitmer, Oregon Governor Kate Brown, and Maine Governor Janet Mills and state attorneys general to discuss state-specific concerns. HHS will take additional actions in the coming days. Pig-Heart Transplants in Two Brain-Dead People Offer Chance to Improve Tests for Pig Viruses https://www.wsj.com/articles/pig-heart-transplants-in-two-brain-dead-people-offer-chance-to-improve-tests-for-pig-viruses-11657638000 According to WSJ: Two brain-dead individuals received genetically modified pig-heart transplants, part of growing efforts by scientists who want to improve tests on pig organs for pig viruses and gather data that could help launch clinical trials of animal-to-human organ transplants. Scientists at NYU Langone Health, where the research studies took place in June and July, said the pig hearts were flown from a facility hundreds of miles away and then transplanted into two recently deceased individuals, Lawrence Kelly, 72, a former welder from Beaver Meadows, Pa., and Alva Capuano, 64, a former teacher from New York City. Mr. Kelly was driving alone in his car when he suffered a heart attack, according to his fiancée, Alice Michael. Ms. Capuano, who had been the recipient of a kidney transplant from her son many years ago, had a heart attack while at home, said her husband, Richard Capuano. Both individuals were later declared brain-dead and maintained on ventilators. Their families agreed to donate their bodies to science, to take part in the research studies. In the U.S., brain death is defined as the irreversible cessation of all brain function, even if heart and lung activity can be maintained with machines. The pig hearts weren’t immediately rejected by the recipients’ bodies and functioned for the duration of the three-day studies, according to Nader Moazami, surgical director of heart transplantation at NYU Langone Health, who led the pig-heart procedures. The data haven’t been published yet or peer-reviewed. The issue was highlighted by the recent case of David Bennett, a 57-year-old handyman from Hagerstown, Md., whose pig-heart transplant was conducted at the University of Maryland Medical Center in Baltimore. The emergency procedure was aimed at extending the critically ill man’s life. Mr. Bennett died in March, 60 days after the transplant surgery. Fight Laugh Feast Magazine Our Fight Laugh Feast Magazine is a quarterly issue that packs a punch like a 21 year Balvenie, no ice. We don’t water down our scotch, why would we water down our theology? Order a yearly subscription for yourself and then send a couple yearly subscriptions to your friends who have been drinking luke-warm evangelical cool-aid. Every quarter we promise quality food for the soul, wine for the heart, and some Red Bull for turning over tables. Our magazine will include cultural commentary, a Psalm of the quarter, recipes for feasting, laughter sprinkled through out the glossy pages, and more. Sign up today, at fightlaughfeast.com. Euro, dollar a penny away from parity for first time in 20 years https://www.foxbusiness.com/economy/euro-dollar-penny-away-from-parity-first-time-20-years For the first time in nearly two decades, the exchange rate between the euro and the U.S dollar is about equal. The euro dropped to a 20-year low on Monday, approaching parity with the dollar on fears that an energy crisis in the European Union could drag the region into a recession. The euro traded at around $1.007 on Monday afternoon in the U.S, down roughly 15% from the start of the year. The parity between the two currencies comes as Russia shut off a key pipeline – Nord Stream 1 – carrying gas to Germany for annual maintenance. While the routine work that includes "testing of mechanical elements and automation systems" is scheduled to end on July 21, German officials fear the suspension of Russian gas could last longer than anticipated because of the war in Ukraine. The strong U.S. dollar is good news for Americans traveling to Europe this summer, who can expect to pay less for a plethora of goods while they are overseas. Atlanta Fed GDP Tracker Still Negative Even After Blowout Jobs Number https://www.breitbart.com/economy/2022/07/08/atlanta-fed-gdp-tracker-still-negative-even-after-blowout-jobs-number/ The jobs number for June was much better than expected but not good enough to push the Atlanta Fed’s real-time GDP tracker back into positive territory. The Department of Labor said the U.S. economy added 372,000 jobs in the month of June, far better than the 250,000 expected. Wholesaler inventories grew by 1.8 percent in May, slightly lower than the initial estimate of two percent. The growth of employment and inventories was not enough to overcome the disappointing news in the weeks preceding it. The real-time GDP tracker run by the Federal Reserve, called GDPNOW, fell into negative territory weeks ago and remains there even now. On Friday afternoon, it registered a 1.2 percent contraction in the economy in the second quarter. If that turns out to be right, this would be the second consecutive quarterly contraction. In the minds of many, that constitutes a recession—even if the official arbiters of recessions at the National Bureau of Economic Research may not declare it to be a recession because unemployment remains so low. The odds are that the Atlanta Fed’s tracker will not rise into positive territory. There are only three more readings left before the official read of second quarter GDP is published on July 28th. On July 27th, we’ll get the final read. It will include figures from estimates of manufacturing in June, likely to show evidence of the contraction that has shown up in surveys. The final data source that will inform that GDPNOW estimate will be the Advance Economic Indicators, which are an amalgam of what we learned from inventory and trade data. In short, GDPNOW is more likely to fall than rise. Big upside surprises in the economic data could turn it around but that looks unlikely. Housing Could Provide More Fuel for Inflation https://www.wsj.com/articles/housing-could-provide-more-fuel-for-inflation-11657618231 Climbing housing costs are set to keep inflation elevated this year, creating another challenge for Federal Reserve officials who want to see signs that price pressures are easing before slowing their interest-rate increases. Overall annual inflation rose to 8.6% in May, while core inflation, which excludes volatile food and energy costs, hit 6%, according to the Labor Department’s consumer-price index. The June figures are set to be released Wednesday. Rising fuel costs and supply-chain disruptions from Russia’s war against Ukraine added to inflation that was already high due to surging demand from the economy’s reopening and aggressive government stimulus. Annual housing inflation, as measured in the CPI, hit a recent low in early 2021 at 1.4% and it has since rebounded, to 5.4% in May, well above the annual average of 3.5% between 2015 and 2019. Because of the way the Labor Department captures rental prices, rent inflation could continue to rise this summer before peaking at around 6.5% over the next several months, said David Wilcox, a senior economist at Bloomberg Economics and the Peterson Institute for International Economics. That would be a 36-year high. Fed rate increases have led to a broad pullback in financial risk taking, sending up borrowing costs and leading to stock-market declines. Mortgage rates have recently jumped to a 14-year high, and home builders and real-estate agents are reporting a significant pullback in sales. But demand for rental housing could continue to rise, keeping rents high. “These rent-based components in the inflation indices are likely to prove relatively impervious to the tightening in financial conditions we’re seeing right now,” said Mr. Wilcox. Other inflation forecasters see less scope for an additional, large run-up in housing inflation. Based on recent data, Omair Sharif, head of the advisory firm Inflation Insights LLC, expects housing inflation to rise to 6% by the end of the year. Meanwhile, he expects other service prices, such as for health insurance, to drop at the end of the year, providing enough downward pressure to monthly inflation readings to more than offset any strength from housing. This is Gabriel Rench with your CrossPolitic Daily News Brief.

This is the Waberboy with your Daily News Brief for Wedneesday July 13, 2022 Gold River Trading Co. Are you tired of buying sugary drinks and coffee from large woke corporations? Throw a tea party! Gold River Trading Co. is an American company that offers premium alternatives for Americans who enjoy a delicious cup of tea. Start your day with Gold River’s invigorating American Breakfast Blend, cool down with a pitcher of crisp & refreshing Iced Tea, or unwind with Chamomile Herbal tea. Explore a variety of high-quality blends and enjoy a healthy, flavorful alternative from an American company that shares your values. Go to goldriverco.com and save 10% off all orders using discount code CROSSPOLITIC at checkout. On July 8th President Biden was supposed to sign an executive order regarding reproductive rights, and the order would direct Health and Human Services to take action…but there is one problem. He neer signed an executive order. Go to the Federal Registry, you can’t find it! https://www.federalregister.gov/presidential-documents/executive-orders/joe-biden/2022 But what they have released is a Fact Sheet…that has literally no authority: FACT SHEET: President Biden to Sign Executive Order Protecting Access to Reproductive Health Care Services https://www.whitehouse.gov/briefing-room/statements-releases/2022/07/08/fact-sheet-president-biden-to-sign-executive-order-protecting-access-to-reproductive-health-care-services/ Today, President Biden will sign an Executive Order Protecting Access to Reproductive Health Care Services. This Executive Order builds on the actions his Administration has already taken to defend reproductive rights by: -Safeguarding access to reproductive health care services, including abortion and contraception; -Protecting the privacy of patients and their access to accurate information; -Promoting the safety and security of patients, providers, and clinics; and -Coordinating the implementation of Federal efforts to protect reproductive rights and access to health care. HHS: https://www.hhs.gov/about/news/2022/07/11/following-president-bidens-executive-order-protect-access-reproductive-health-care-hhs-announces-guidance-clarify-that-emergency-medical-care-includes-abortion-services.html Since the plan was announced, HHS has taken the following actions: Launched the ReproductiveRights.gov public awareness website, which includes a know-your-rights patient fact sheet; Convened a meeting with health insurers, and sent them a letter, calling on the industry to commit to meeting their obligations to provide coverage for contraceptive services at no cost as required by the Affordable Care Act; Issued guidance to patients and providers that addresses the extent to which federal law and regulations protect individuals’ private medical information when it comes to seeking abortion and other forms of reproductive health care, as well as when it comes to using health information apps on smartphones; Announced nearly $3 million in new funding to bolster training and technical assistance for the nationwide network of Title X family planning providers; and Met with Michigan Governor Gretchen Whitmer, Oregon Governor Kate Brown, and Maine Governor Janet Mills and state attorneys general to discuss state-specific concerns. HHS will take additional actions in the coming days. Pig-Heart Transplants in Two Brain-Dead People Offer Chance to Improve Tests for Pig Viruses https://www.wsj.com/articles/pig-heart-transplants-in-two-brain-dead-people-offer-chance-to-improve-tests-for-pig-viruses-11657638000 According to WSJ: Two brain-dead individuals received genetically modified pig-heart transplants, part of growing efforts by scientists who want to improve tests on pig organs for pig viruses and gather data that could help launch clinical trials of animal-to-human organ transplants. Scientists at NYU Langone Health, where the research studies took place in June and July, said the pig hearts were flown from a facility hundreds of miles away and then transplanted into two recently deceased individuals, Lawrence Kelly, 72, a former welder from Beaver Meadows, Pa., and Alva Capuano, 64, a former teacher from New York City. Mr. Kelly was driving alone in his car when he suffered a heart attack, according to his fiancée, Alice Michael. Ms. Capuano, who had been the recipient of a kidney transplant from her son many years ago, had a heart attack while at home, said her husband, Richard Capuano. Both individuals were later declared brain-dead and maintained on ventilators. Their families agreed to donate their bodies to science, to take part in the research studies. In the U.S., brain death is defined as the irreversible cessation of all brain function, even if heart and lung activity can be maintained with machines. The pig hearts weren’t immediately rejected by the recipients’ bodies and functioned for the duration of the three-day studies, according to Nader Moazami, surgical director of heart transplantation at NYU Langone Health, who led the pig-heart procedures. The data haven’t been published yet or peer-reviewed. The issue was highlighted by the recent case of David Bennett, a 57-year-old handyman from Hagerstown, Md., whose pig-heart transplant was conducted at the University of Maryland Medical Center in Baltimore. The emergency procedure was aimed at extending the critically ill man’s life. Mr. Bennett died in March, 60 days after the transplant surgery. Fight Laugh Feast Magazine Our Fight Laugh Feast Magazine is a quarterly issue that packs a punch like a 21 year Balvenie, no ice. We don’t water down our scotch, why would we water down our theology? Order a yearly subscription for yourself and then send a couple yearly subscriptions to your friends who have been drinking luke-warm evangelical cool-aid. Every quarter we promise quality food for the soul, wine for the heart, and some Red Bull for turning over tables. Our magazine will include cultural commentary, a Psalm of the quarter, recipes for feasting, laughter sprinkled through out the glossy pages, and more. Sign up today, at fightlaughfeast.com. Euro, dollar a penny away from parity for first time in 20 years https://www.foxbusiness.com/economy/euro-dollar-penny-away-from-parity-first-time-20-years For the first time in nearly two decades, the exchange rate between the euro and the U.S dollar is about equal. The euro dropped to a 20-year low on Monday, approaching parity with the dollar on fears that an energy crisis in the European Union could drag the region into a recession. The euro traded at around $1.007 on Monday afternoon in the U.S, down roughly 15% from the start of the year. The parity between the two currencies comes as Russia shut off a key pipeline – Nord Stream 1 – carrying gas to Germany for annual maintenance. While the routine work that includes "testing of mechanical elements and automation systems" is scheduled to end on July 21, German officials fear the suspension of Russian gas could last longer than anticipated because of the war in Ukraine. The strong U.S. dollar is good news for Americans traveling to Europe this summer, who can expect to pay less for a plethora of goods while they are overseas. Atlanta Fed GDP Tracker Still Negative Even After Blowout Jobs Number https://www.breitbart.com/economy/2022/07/08/atlanta-fed-gdp-tracker-still-negative-even-after-blowout-jobs-number/ The jobs number for June was much better than expected but not good enough to push the Atlanta Fed’s real-time GDP tracker back into positive territory. The Department of Labor said the U.S. economy added 372,000 jobs in the month of June, far better than the 250,000 expected. Wholesaler inventories grew by 1.8 percent in May, slightly lower than the initial estimate of two percent. The growth of employment and inventories was not enough to overcome the disappointing news in the weeks preceding it. The real-time GDP tracker run by the Federal Reserve, called GDPNOW, fell into negative territory weeks ago and remains there even now. On Friday afternoon, it registered a 1.2 percent contraction in the economy in the second quarter. If that turns out to be right, this would be the second consecutive quarterly contraction. In the minds of many, that constitutes a recession—even if the official arbiters of recessions at the National Bureau of Economic Research may not declare it to be a recession because unemployment remains so low. The odds are that the Atlanta Fed’s tracker will not rise into positive territory. There are only three more readings left before the official read of second quarter GDP is published on July 28th. On July 27th, we’ll get the final read. It will include figures from estimates of manufacturing in June, likely to show evidence of the contraction that has shown up in surveys. The final data source that will inform that GDPNOW estimate will be the Advance Economic Indicators, which are an amalgam of what we learned from inventory and trade data. In short, GDPNOW is more likely to fall than rise. Big upside surprises in the economic data could turn it around but that looks unlikely. Housing Could Provide More Fuel for Inflation https://www.wsj.com/articles/housing-could-provide-more-fuel-for-inflation-11657618231 Climbing housing costs are set to keep inflation elevated this year, creating another challenge for Federal Reserve officials who want to see signs that price pressures are easing before slowing their interest-rate increases. Overall annual inflation rose to 8.6% in May, while core inflation, which excludes volatile food and energy costs, hit 6%, according to the Labor Department’s consumer-price index. The June figures are set to be released Wednesday. Rising fuel costs and supply-chain disruptions from Russia’s war against Ukraine added to inflation that was already high due to surging demand from the economy’s reopening and aggressive government stimulus. Annual housing inflation, as measured in the CPI, hit a recent low in early 2021 at 1.4% and it has since rebounded, to 5.4% in May, well above the annual average of 3.5% between 2015 and 2019. Because of the way the Labor Department captures rental prices, rent inflation could continue to rise this summer before peaking at around 6.5% over the next several months, said David Wilcox, a senior economist at Bloomberg Economics and the Peterson Institute for International Economics. That would be a 36-year high. Fed rate increases have led to a broad pullback in financial risk taking, sending up borrowing costs and leading to stock-market declines. Mortgage rates have recently jumped to a 14-year high, and home builders and real-estate agents are reporting a significant pullback in sales. But demand for rental housing could continue to rise, keeping rents high. “These rent-based components in the inflation indices are likely to prove relatively impervious to the tightening in financial conditions we’re seeing right now,” said Mr. Wilcox. Other inflation forecasters see less scope for an additional, large run-up in housing inflation. Based on recent data, Omair Sharif, head of the advisory firm Inflation Insights LLC, expects housing inflation to rise to 6% by the end of the year. Meanwhile, he expects other service prices, such as for health insurance, to drop at the end of the year, providing enough downward pressure to monthly inflation readings to more than offset any strength from housing. This is Gabriel Rench with your CrossPolitic Daily News Brief.

Dr. Jess Daigle. She is a board-certified pediatrician with a focus in neonatal medicine. She received her Doctor of Medicine at Louisiana State University, completed her pediatrics residency at Morehouse School of Medicine and received extra training in neonatal-perinatal medicine at the University of Maryland Medical Center. She now proudly serves as a Neonatal hospitalist and the former Medical Director for the Level 2 NICU at Wellstar Spalding Regional Hospital in Griffin, Georgia. Dr. Daigle is a mom of 2 prior preterm infants and due to her own postpartum journeys, she founded Mom & Me by Jess Daigle MD, an in-home/virtual postpartum care service designed to ease the transition from birth to home for new moms & NICU moms and their babies. She helps these moms adjust to being home with their new babies and reduce the overwhelm, anxiety and guilt that comes. She provides real time counsel, education, and reassurance so moms can THRIVE not just survive during their postpartum journey.On the podcast we chatted about:-Why she chose to go into medicine.-How she has managed as a doctor and parent through the pandemic.-Why she founded Mom & Me.- The importance having a postpartum plan and  having your 911 crew - a village of friends/family you can count on when you need a break.-How moms can get rid of mom guilt.-Why you must schedule self care into your schedule.You will not want to miss this episode!To find Dr. Jess goto: www.instagram.com/momandme_md------Follow me:www.instagram.com/stayathomemomyeahright.comwww.facebook.com/stayathomemomyeahright.com

*** FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLScxkGQTz-rh5OfPJBBdyvVZ4Pq2R8NWgBUOC1dt8VQHtvawhw/viewform *** In January 2022, the University of Maryland Medical Center performed the world's first transplant involving a genetically modified animal heart. Join Behind the Knife as we discuss this significant transplant milestone with the 2 surgeons who led this historic case - Dr. Bartley Griffith and Dr. Muhammad M. Mohiuddin! Dr. Bartley Griffith is the Thomas E. and Alice Marie Hales Distinguished Professor in Transplant Surgery at UMSOM. Dr. Muhammad Mohiuddin is a Professor of Surgery at UMSOM and established the Cardiac Xenotransplantation Program with Dr. Griffith, the first in the United States.  Tune in to learn about the history of xenotransplantation and the barriers that have been overcome to make xenotransplantation a reality. Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.