Podcasts about minimally

Ready to revolutionize your podiatry practice? Minimally invasive foot surgery (MIS) isn't just another technique—it's a complete paradigm shift that delivers extraordinary benefits for both practitioners and patients alike.Dr. TJ Ahn, mentored by the renowned Dr. Steven Aisham, shares his expertise on this game-changing approach that's been refined over fifty years. The advantages are remarkable: smaller incisions, reduced pain levels, minimal hardware requirements, and significantly faster recovery times for your patients. But the benefits extend far beyond clinical outcomes.Performing MIS procedures in your office creates a financial windfall many podiatrists overlook. Medicare pays nearly double for identical CPT codes (28296, 28299, 28308), while private insurers increase reimbursements by 30-100% compared to traditional approaches. Meanwhile, you'll eliminate hospital commutes, schedule disruptions, and the frustration of last-minute cancellations. Your patients benefit too, with greater convenience, lower out-of-pocket expenses, and decreased risk of hospital-acquired infections.This isn't a skill mastered overnight—it's a journey requiring commitment and ongoing practice. That's why Dr. Ahn created structured training programs with different advancement levels, allowing you to begin with simpler procedures while developing more complex skills. As your expertise grows, you'll transform from just another podiatrist into the go-to specialist in your region.Ready to elevate your practice, enhance your skillset, and change patient lives with every procedure? Subscribe to learn more about our MIS intensive programs and join our elite private membership community where we're redefining what's possible in modern podiatric surgery. More resources? ----------------------- Watch Full Episodes in my YouTube channel! https://youtube.com/@drtjahn ---------------------- Get Your Free Copy of my book, "Podiatry Profits Book: Crafting A Seven-Figure Lifestyle Practice" to grow your podiatry practice. You just cover the shipping: https://www.podiatryprofitsbook.com ---------------------- Do you want to build your dream private practice without the hassles of insurance networks? Then schedule a FREE 45-min Strategy Session with me. We will dive to look at your current practice and I will provide you with a crystal game plan for you: https://drtjahn.com/the-profit-accelerator-session/ ---------------------- I've created this EXCLUSIVE Private Facebook Group community of like-minded podiatrists who are coming together to build their DREAM PRIVATE PRACTICE, and FREE to join!! https://www.facebook.com/groups/podiatryprofits

On today's episode we are going to talk about how living a clean and organized lifestyle takes true discipline and how to get there.Follow on Instagram: @thebeachclassroomWelcome to basically minimal where we'll talk about all things cleaning, being lucky, and living an intentional life.

Sorry we're late. Listen to this episode to find out how you could win free tickets to see Kevin Smith. Not a joke! Call us at (319) 849-8733! Go here for full episode notes: https://www.patreon.com/posts/129945352 https://rockhardcauc.us

Hair plays a crucial role in our identity, often symbolizing youth and confidence. Dr. Alan Bauman, with nearly 30 years in hair restoration, has seen the profound impact of hair loss and emphasizes dispelling misconceptions. Many hesitate to seek help, thinking their hair loss isn't severe or treatments are ineffective. However, early intervention is vital. Addressing hair loss early can prevent further thinning and even reverse it. Dr. Bauman stresses this proactive approach. A common myth is that hair restoration is only for complete baldness. In reality, early action yields better outcomes. Men noticing a receding hairline and women experiencing thinning should seek evaluation. Early detection allows for non-invasive treatments and lifestyle changes to prevent further loss. Minimally Invasive Transplants The era of "hair plugs" is over. Follicular Unit Extraction (FUE) has revolutionized transplants, leaving no linear scars and allowing quick recovery. Bauman Medical prioritizes natural hairlines that suit facial features. Patients experience faster recovery, less discomfort, and natural-looking results. While transplanted follicles are permanent, other hair needs ongoing maintenance due to factors like hormones and stress. Advanced Non-Surgical Therapies Modern restoration extends beyond transplants. Options include Platelet-Rich Plasma (PRP) Therapy, using a patient's blood to stimulate growth. Exosome Therapy boosts regeneration, and PDO Threads provide support for growth. FDA-cleared Red Light Therapy, like the Bauman Turbo Laser Cap, promotes healthier hair with daily use. Early Intervention and Future Tech Hair thinning can begin earlier than many realize, sometimes as early as high school or college. Individuals with a family history of hair loss should proactively monitor their hair health. Women with conditions like PCOS are particularly vulnerable to early hair loss due to hormonal imbalances. Regular measurements and early treatments, such as PRP or nutraceuticals, can prevent irreversible damage. One promising development is hair cloning, which could eliminate supply limitations for hair transplants. While still under development, Dr. Bauman has already banked his own hair follicle stem cells in anticipation of this technology. Stem cell banking allows individuals to preserve their healthiest hair follicles for future regenerative therapies, ensuring they are ready when cloning becomes a reality. For those concerned about hair loss, early action is crucial. Avoid quick fixes and consult a qualified, board-certified hair restoration physician. In this podcast, you'll learn: Latest advancements and misconceptions in hair restoration. Minimally invasive transplant techniques with natural results. Advanced non-surgical therapies like PRP, Exosome, and Red Light Therapy. The importance of early intervention and future technologies like hair cloning and stem cell banking.   EPISODE RESOURCES: Instagram LinkedIn Facebook

Minimally invasive beauty procedures offer noticeable results without the downtime, risks, and costs associated with plastic surgery. Radiance Aesthetic Medicine's experts explain the benefits. Learn more: https://radianceaesthetic.com/ Radiance Surgery & Aesthetic Medicine City: Duluth Address: 6250 Abbotts Bridge Rd #100, Duluth, GA 30097, United States Website: https://radianceaesthetic.com/ Phone: +1-678-412-0311 Email: support@radianceaesthetic.com

Summary: In this conversation, Justin Townsend and Adam Berkelmans explore the health benefits of foraging and eating wild foods with guest Arthur Haines. They discuss the nutritional advantages of wild foods compared to cultivated options, the concept of neo-aboriginal living, and the importance of reconnecting with nature for overall well-being. Haines shares insights from his background and research, emphasizing the need for a shift in mindset towards sustainable living and the benefits of hunting and gathering for both personal health and the environment. In this conversation, Arthur Haines discusses the critical role of antioxidants in our diet, particularly how a shift to agricultural diets has diminished our intake of these essential nutrients, leading to chronic diseases. He emphasizes the nutritional superiority of wild foods over cultivated ones, highlighting the importance of understanding the nutritional value of what we consume. Haines also delves into the significance of omega fatty acids, explaining how modern diets are skewed towards omega-6 fatty acids, which can lead to health issues. Finally, he advocates for a deeper connection with nature through foraging and consuming wild foods, which not only benefits our health but also fosters a greater appreciation for the ecosystems around us. - ⁠⁠Leave a Review of the Podcast⁠⁠ - ⁠⁠Buy our Wild Fish and Game Spices⁠⁠ Links: Arthur Haines Arthur Haines YouTube Facebook Books Wilder Waters Website Wilder Waters Community Instagram Takeaways: Foraging connects us to our food and the environment. Wild foods offer greater nutrient density than cultivated foods. The concept of neo-aboriginal living encourages a participatory mindset. Chronic diseases are linked to modern agricultural diets. Learning to feed oneself is a radical act of defiance. Hunter-gatherers had lower rates of tooth decay and chronic disease. Sustainable hunting and gathering can benefit the planet. The decline in dietary diversity is harmful to health. Minimally modified foods retain more nutrients and phytochemicals. Connecting with nature through foraging enhances our relationship with food. Preserving wild species is essential for ecological balance. Diverse diets, including predators, contribute to better health outcomes. Chapters: 00:00 Exploring Wild Foods and Health Benefits 04:21 Introducing Arthur Haines: A Journey into Nature 10:20 The Concept of Neo-Aboriginal Living 20:24 Foraging for Health: The Nutritional Benefits of Wild Foods 34:40 The Importance of Antioxidants in Our Diet 39:31 Understanding Nutritional Value: Wild vs. Cultivated Foods 46:57 The Role of Omega Fatty Acids in Health 53:57 Connecting with Nature: The Benefits of Wild Foods Keywords: Foraging, wild foods, health benefits, neo-aboriginal, nutrient density, gut health, wild crafted medicines, primitive skills, reconnecting with nature, sustainable living, antioxidants, wild foods, nutrition, omega fatty acids, health, chronic disease, dietary choices, natural history, foraging, ancestral skills Learn more about your ad choices. Visit megaphone.fm/adchoices

Are “contact lens veneers” just fake news? Why is the traditional 0.7mm prep approach outdated? Are you truly preserving enamel in your veneer preparations? Should you ever bond veneers to root dentin or cementum after crown lengthening? Why is the Galip Gürel technique the gold standard for minimal prep veneers? https://youtu.be/5BEFD1XaZtE Watch PDP219 on Youtube Dr. David Bloom joins Jaz for an insightful episode, sharing his 36 years of experience in cosmetic and restorative dentistry. With over two decades in the same practice, he's seen what works—and what leads to failure—when it comes to veneers. We also cover the key steps in mock-ups, planning, and veneer preparation. Protrusive Dental Pearl:  Always Wax Up for 10: When planning veneers, start with a 10-unit wax-up (even if the patient initially wants 4 or 6). This allows them to visualize their full smile with a mock-up, compare different options, and make an informed decision. It's not about upselling - most patients will appreciate the fuller look. Key Take-aways: Health and diagnosis are foundational in cosmetic dentistry. Visual try-ins are crucial for patient engagement and satisfaction. Minimally invasive techniques are preferred for cosmetic procedures. Communication with patients about their options is essential. Bonding to enamel is more reliable than bonding to dentin. Permission statements help in guiding patient expectations. The transition from veneers to crowns should be carefully considered. Staining is not the primary concern when bonding to dentin. A change in surface texture is key in modern dental preparations. Visual aids are crucial in helping patients understand their treatment options. The Gurel technique emphasizes minimal preparation for veneers. Effective communication with patients can enhance their treatment experience. Understanding occlusion is fundamental in aesthetic dentistry. Veneer thickness should be as minimal as possible for aesthetic results. Patient involvement in the design process is essential. Cementation techniques can vary based on gingival health. Maintaining a facial path of insertion is important for aesthetic outcomes. Building a good relationship with lab technicians is key to successful restorations. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:56  Protrusive Dental Pearl 04:15 Interview with Dr. David Bloom: Journey and Expertise 11:54 The Importance of Enamel in Veneer Longevity 13:46 Prepless Cases and Visual Try-Ins 18:54  Permission Statement 22:24 Visual Try-Ins Protocol 25:13 Decision-Making: Veneers vs. Crowns 28:35 Bonding to Root Dentine and Long-Term Outcomes 33:34 Opening Embrasures: Techniques and Tips 35:19 Visual Try-Ins and Patient Communication 38:50 Wax-up in Occlusion 41:25 The Gurel Technique Explained 47:09 Black Triangles  49:40 Guidelines for First Veneer Case 54:10 Contact Lens Veneers 56:18 Cementation Preferences and Techniques 01:00:15 Final Thoughts and Educational Resources Need expert guidance on veneers and smile design? Join Intaglio Mentoring and connect with top mentors for real-time case support and level up your Dentistry. Dr David Bloom is also a mentor on Intaglio. Watch this space for David's new educational website coming soon - he teaches Veneers hands-on too. If you loved this episode, make sure to watch How to Temporise Veneers Step by Step FULL GUIDE – PDP214 This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 780 ESTHETICS/COSMETICDENTISTRY (Tooth colored restorations) #PDPMainEpisodes #AdhesiveDentistry Aim: To provide an in-depth understanding of minimal preparation veneers, focusing on enamel preservation, diagnostic workflows, patient communication,

Male urinary dysfunction falls into three categories: voiding symptoms (affecting the bladder outlet), storage symptoms (often from an overactive bladder), and red flags requiring urgent referral Benign prostatic hyperplasia shares risk factors with cardiovascular disease and erectile dysfunction, suggesting a holistic approach to assessment and management Minimally invasive prostate surgery offers advantages, including day surgery, faster recovery, less bleeding, and better preservation of sexual function Healthcare professionals should refer patients when medical therapy fails to meet expectations or when red flags are present Early referrals and effective treatments can help patients regain their quality of life Host: Dr David Lim | Total Time: 21 mins Experts: A/Prof Eric Chung, Urological Surgeon Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Sex. Sexual Dysfunction. You're junk just ain't working right. Don't panic gay men. But get the right help. Today, Dr. Joshua R. Gonzalez, a board-certified urologist and sexual health specialist based in West Hollywood, dives deep into the world of gay mens sexual health, hormone balance, and of course the overall biggest challenge - erectile dysfunction. Trust me this Doc delivers!!! Today we tackle... Managing erectile dysfunction (ED) and arousal disorders. The latest breakthroughs in sexual health technology, like SoftWave® therapy and penile doppler ultrasounds. Tailored care for the LGBTQ+ community and addressing unique health challenges. Minimally invasive solutions for common urological issues, including BPH and hormone imbalances. Whether you're curious about restoring vitality, enhancing intimacy, or simply learning more about your bod and sexual health as a gay man, you won't want to miss this conversation backed by science and delivered with compassionate care. About Dr. Gonzales Joshua R. Gonzalez, MD, is a board-certified and fellowship-trained urologist and sexual medicine specialist who focuses on managing sexual dysfunctions in men and women at his self-named practice, Joshua R. Gonzalez, MD, in the West Hollywood neighborhood of Los Angeles, California. At his state-of-the-art facility, Dr. Gonzalez understands the toll hormone deficiencies, menopause, arousal disorders, and erectile dysfunction (ED) can take on one's quality of life. He offers complete general urology and sexual health care at his office to patients, many of who identify as members of the LGBTQ+ community. He invests in advanced technology, such as penile doppler ultrasounds and SoftWave® therapy, to ensure that his patients receive the highest quality of care without invasive surgery. He strives to uncover the root of sexual dysfunction through comprehensive testing one-on-one time with his patients. Dr. Gonzalez uses his extensive experience to find the best treatment for every patient, whether they have a hormone imbalance or an enlarged prostate. The practice is home to a wide range of minimally invasive treatments for urology and sexual dysfunction treatments, including UroLift® for benign prostatic hyperplasia (BPH) and hormone replacement therapy (HRT). Dr. Gonzalez aims to help every patient restore their vitality and regain control over their sexual function. Connect With Dr. Gonzales Instagram Dr. Joshua's Testosterone Replacement Website Hey Guys, Check This Out! Are you a guy who keeps struggling to do that thing? You know the thing you keep telling yourself and others you're going to do, but never do? Then it's time to get real and figure out why. Join the 40 Plus: Gay Men Gay Talk, monthly chats. They happen the third Monday of each month at 5:00 pm Pacific - Learn More! Also, join our Facebook Community - 40 Plus: Gay Men, Gay Talk Community Break free of fears. Make bold moves. Live life without apologies

In this episode of the Other Side Lifestyle Podcast, Jim and Aram engage with Braydon Barrett, who shares his transformative experience of living abroad for seven months. The conversation explores themes of personal growth, the decision to embrace a minimalist lifestyle, and the symbolic act of cutting his long hair. Braydon discusses the shift in focus from physical aesthetics to mindfulness and mental clarity, emphasizing the importance of meditation and letting go of societal expectations. The discussion also touches on nutrition, training, and the often-overlooked personal responsibility in health and wellness. In this conversation, the speakers delve into the significance of identity in personal transformation, emphasizing the need for individuals to shift their self-perception to achieve lasting change. They discuss the challenges of letting go of old identities, the importance of empathy in coaching, and the resistance clients often face when confronted with deeper issues. The dialogue also highlights the necessity of setting boundaries for mental health and the struggle many have with self-care versus caring for others. Ultimately, the speakers encourage pursuing passion and authenticity over perfection, recognizing that true growth comes from within. In this conversation, the speakers discuss the evolving role of coaches in the health and fitness industry, emphasizing the importance of addressing mental and emotional aspects alongside physical training. They explore the integration of mindfulness and meditation into fitness programs, the necessity of setting standards in coaching relationships, and the balance between personal and professional growth. The conversation is infused with humor and personal anecdotes, highlighting the human side of coaching and the need for deeper connections with clients.   Follow Brayden on IG:  @looklikeyoulift   If you are a coach, sign up now for The Real Coaches Summit 2025 in Las Vegas this April, organized by yours truly - Aram Grigorian.  The speaker lineup is insane, and don't forget macro friendly breakfast, lunch, and dinner is provided, as well as a top shelf open bar happy hour each evening to network and meet the speakers.  No VIP - we are all equals at this event!     You can find us on Instagram: Aram: @4weeks2thebeach Jim: @jimmynutrition   Grab some Serenity Gummies: CuredNutrition.com Code: OSL for 20% OFF Get some t-shirts/tanks/hoodies at:   https://www.othersidelifestyle.com/shop If you'd like to reach out to Aram, you can find him at:  https://www.4weeks2thebeach.com/work-with-me If you'd like to reach out to Jim, you can find him at:  https://www.othersidelifestyle.com/schedule Go get some supplements: www.legionathletics.com, use code: ARAM

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Biomimetic restorative dentistry has been taught and practiced for over 20 years, with its roots linked to minimally invasive dentistry that started decades earlier. Minimally invasive dentistry sought to conserve tooth structure and restore only parts of the tooth affected by pathologies. With the invention of adhesive materials, adhesive dentistry showed promise in advancing minimally invasive principles with new materials that no longer required retention, but the adhesive restorations still fell short. Teeth are more complex than many other materials that are adhesively connected, so simply bonding the restoration to the tooth did not yield long-term success.In this episode Dr. David Alleman discusses how minimally invasive dentistry paved the way for the more conservative approaches we use today, how biomimetic dentistry made adhesives more predictable, allowing for longer-lasting bonds, and where cosmetic dentistry fits in to the adhesive dentistry spectrum.Send us a textNew 2025 training programs announced:Biomimetic Mastership - class starts February 10. Learn more and register at allemancenter.com/mastershipIn-Person SLA Workshop Dates:April 25-26August 8-9October 24-25December 12-13Learn more and register at allemancenter.com/trainingLearn more about Dr. Alleman's work at training programs at allemancenter.com.Instagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

Liquid biopsies and circulating tumor DNA are changing and improving the way cancer is detected and treated. In this episode, Sameek Roychowdhury, PhD, MD, explains the basics of circulating tumor DNA, how it's being used at the James, his lab's clinical trials, and the promising future. “When a normal cell and a cancer die they sheds fragments of their DNA,” he said. “Cancer can be detected in the blood by looking for these fragments and this is becoming an important research tool and treatment tool for the care of cancer patients.” For example, about 50 percent of cancer patients who have a tumor surgically removed will have a recurrence. And it's very difficult to determine which patients will have the recurrence. Minimally invasive liquid biopsies after surgery “helps us stratify and determine patients with a lesser recurrence risk who won't need chemotherapy or immunotherapy treatment versus those patients who need even more treatment than we've normally given them in the past.” Monitoring circulating tumor DNA “also becomes part of the surveillance program and we'll do a precise test every three months that measures fragments in the blood,” Roychowdhury said, adding that finding a recurrence of cancer from these fragments, months before it would appear on more traditional scans “allows us to make a diagnosis about the molecular drivers of the cancer and we can begin treatment earlier and better understand which treatment options will work best.”

Guest Thomas Karagianes | Jonathan Romano Panelist Richard Littauer Show Notes In this episode, host Richard Littauer discusses the journey and impact of Eterna with developers Jonathan Romano and Thomas Karagianes. The conversation revolves around Eterna's role in RNA research through user-contributed puzzle solutions, emphasizing community engagement and educational outreach. Topics include the integration of hybrid intelligence, where human intuition complements AI in scientific discovery, and the significance of explainable AI in motivating player participation. The episode also touches on the ethical considerations in collaborating with for-profit entities, the development of accessible COVID vaccines, and low-cost tuberculosis diagnostics. Hit download now to hear more! [00:01:24] Jonathan describes Eterna, a platform where players solve puzzles to contribute to RNA research. [00:02:12] Thomas explains that Eterna focuses on RNA complexity and its importance in modern science, like mRNA vaccines and how Eterna engages players in folding RNA sequences and testing them in labs. [00:04:36] Richard asks if the project is open source and Jonathan says its partially open source and explains the technical limitations that prevent full openness. [00:05:26] We learn about Eterna's community with around 100,000 total players, and a core group of about 30-40 who regularly engage in scientific challenges. [00:07:31] Thomas discusses ongoing efforts to make the game more accessible and increase community engagement through educational outreach and simplifying the tutorial system, and Eterna is used in classrooms as a teaching tool. [00:09:47] Jonathan explains how some Eterna players become code contributors, staff members, and even lead authors on academic papers. [00:13:32] We hear about the funding of the community. [00:15:56] Thomas discusses how Eterna integrates AI to assist players but stresses the importance of human intuition in tackling unique challenges and Jonathan explains how Eterna uses hybrid intelligence, combining AI and human input for better research outcomes. He highlights how Eterna's community has contributed to important research, including COVID-19 vaccine development and tuberculosis diagnostics. [00:22:29] Thomas shares that Eterna attracts players who enjoy breaking the model or exploring boundaries, making the game engaging and motivating for them. [00:27:48] Jonathan and Thomas discuss the ethical considerations of partnerships, especially with for-profit companies, and the need to engage the community in decision-making processes. [00:31:41] Jonathan shares how you can contribute to Eterna and how to join the developer community on GitHub. Quotes [00:10:10] “Minimally, whenever there is a scientific publication that comes out of Eterna from players contributions, there is a consortium author on the paper. That will include everyone who has submitted a solution.” [00:14:21] “There's definitely this pattern - and you can even see it in the code- where open source code passes from grad student to grad student.” [00:19:14] “Hybrid intelligence is an underused buzzword.” Spotlight [00:33:16] Richard's spotlight is The Internet Archive. [00:34:23] Jonathan's spotlight is txircd, a modular IRC daemon written in Python. [00:35:32] Thomas's spotlight is Bioconda. Links SustainOSS (https://sustainoss.org/) podcast@sustainoss.org (mailto:podcast@sustainoss.org) richard@sustainoss.org (mailto:richard@sustainoss.org) SustainOSS Discourse (https://discourse.sustainoss.org/) SustainOSS Mastodon (https://mastodon.social/tags/sustainoss) SustainOSS LinkedIn (https://www.linkedin.com/company/sustainoss/?trk=public_profile_volunteering-position_profile-section-card_full-click&originalSubdomain=in) Open Collective-SustainOSS (Contribute) (https://opencollective.com/sustainoss) Richard Littauer Socials (https://www.burntfen.com/2023-05-30/socials) Thomas Karagianes LinkedIn (https://www.linkedin.com/in/thomaskaragianes/) Jonathan Romano Website (https://luxaritas.com/) Jonathan Romano LinkedIn (https://www.linkedin.com/in/luxaritas/) Eterna (https://eternagame.org/) Eterna Project Information (https://eternagame.org/about) Eterna OpenVaccine (https://eternagame.org/challenges/10845741) Eterna OpenTB (https://eternagame.org/challenges/10845742) Eterna OpenKnot (https://eternagame.org/challenges/11843006) Eternagame-GitHub (https://github.com/eternagame) Foldit (https://fold.it/) RNA (https://en.wikipedia.org/wiki/RNA) Hybrid Intelligence (Springer Link article) (https://link.springer.com/article/10.1007/s12599-019-00595-2) Mapping Citizen Science through the Lens of Human-Centered AI (Human Computation article) (https://hcjournal.org/index.php/jhc/article/view/133) Practical recommendations from a multi-perspective needs and challenges assessment of citizen science games (PLOS ONE article) (https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0285367) Mountains Beyond Mountains by Tracy Kidder (https://en.wikipedia.org/wiki/Mountains_Beyond_Mountains) Internet Archive (https://archive.org/) txircd (https://github.com/elementalalchemist/txircd) Bioconda (https://bioconda.github.io/) Reamde by Neal Stephenson (https://en.wikipedia.org/wiki/Reamde) Credits Produced by Richard Littauer (https://www.burntfen.com/) Edited by Paul M. Bahr at Peachtree Sound (https://www.peachtreesound.com/) Show notes by DeAnn Bahr Peachtree Sound (https://www.peachtreesound.com/) Special Guests: Jonathan Romano and Thomas Karagianes.

Discover the unexpectedly craveable taste of Dixie Grace's Boiled Peanuts. Unique taste, layered in flavor and texture. Plant-based protein grown in the ground, not in a lab. Minimally processed with carefully curated ingredients. Beloved snack all around the world for centuries! Dixie joins Justin to discuss this delicious brand!

Today we are talking about Freemium Drupal Modules, The WordPress hub-bub, and Drupal, Now with AI with our hosts. We'll also cover FullCalendar as our module of the week. For show notes visit: https://www.talkingDrupal.com/471 Topics Freemium Drupal Wordpress controversy Drupal CMS and AI Resources Dries Wordpress Blog Post Non-Code Contribution: Using your passion and skills to power open source. DrupalCon Barcelona Driesnote Drupal AI Guests Hosts Nic Laflin - nLighteneddevelopment.com nicxvan John Picozzi - epam.com johnpicozzi Aubrey Sambor - star-shaped.org starshaped Martin Anderson-Clutz - mandclu.com mandclu MOTW Correspondent Martin Anderson-Clutz - mandclu.com mandclu Brief description: Have you ever wanted an interactive calendar to display your Drupal events with drag-and-drop rescheduling, and without using jQuery? There's a module for that. Module name/project name: FullCalendar Brief history How old: created in Sep 2010 by ablondeau, though I've been behind the most recent releases Versions available: 7.x-2.0 and 3.0.0-beta2 versions available, the latter of which supports Drupal 10 and 11 Maintainership Actively maintained, latest release was this morning Security coverage, though technically the 3.0.x branch will have it once it's stable Test coverage, minimal but on the roadmap Documentation - does have a user guide, but created for the D7 version, so newer documentation is needed Number of open issues: 337 open issues, none of which are bugs against the 3.0.x branch Usage stats: 3,388 sites, though the vast majority of those are for the D7 version, since the 3.0.x branch is very new Module features and usage No jQuery! Lots of configurability plus some extras specifically for Drupal Drag-and-drop to alter events Option to require confirmation Can display toast-style notifications when updates are save Double-click on a day or time to create an event at that time Can display events from different content types, even if they use different fields to store dates, and yes, even different kinds of fields, so a mixture of core and Smart Date fields will work You can set default colors and output type (block or the newer, list-item display), and the ability to override color based on content type or a taxonomy reference This module had been essentially dormant for over 4 years, but I decided to work with Jürgen Haas on reviving it after a similar and popular project called Fullcalendar View was not only marked as “Minimally maintained” and “Maintenance fixes only”, but the project page directed users to contact the maintainer to pay for a premium version, in order to use the current version of the Fullcalendar JS library, or to load events via AJAX, which as been an often-requested feature because Fullcalendar View has had common reports of performance problems on sites with lots of event data. Worse, the maintainer has closed as “won't fix” issues that had community-provided patches, because he only wanted to provide said improvements in the paid, premium version In my work on the Events recipe for Drupal CMS, I knew that having a solid calendar would be important, and I didn't feel good about relying on a module that seemed to be pushing users more and more towards a paid model. I'm grateful to Jurgen and everyone who worked on FullCalendar before us for creating such a robust and extensible code base

It has been found at the top of Mount Everest, the bottom of the ocean, and even inside the human body: plastic, once revered as a modern miracle, is now a global threat. Minimally recycled, it never fully disappears; instead, it simply breaks down into tiny particles called microplastics, which contaminate the air we breathe and the water we drink. In “A Poison Like No Other: How Microplastics Corrupted Our Planet and Our Bodies,” science journalist Matt Simon exposes the far-reaching consequences of this omnipresent material on both our environment and our health. Simon, formerly a staff writer at “WIRED” and now a senior staff writer at Grist, a non-profit media organization focused on climate solutions, joins host Alec Baldwin to discuss the alarming impact of plastic pollution, ways to reduce personal exposure, and the urgent solution he believes is needed to tackle this environmental crisis. See omnystudio.com/listener for privacy information.

In this episode, I talk about looking at all the unobvious and overlooked areas that you can improve on, why 1% daily is more substantial than you're counting, how your competitive advantage is in the things most people don't see that affect your craft, an excerpt from James Clear's Atomic Habit and more.Follow me on Instagram @mattgottesmanJump on my weekly texts for the soul here 480-530-7352My writing mattgottesman.substack.com → Apparel (The Niche is You™) - Designs by me - thenicheisyou.com→ Recommended Book List - CLICK HEREFREE WORKSHOPS:→ Need MORE clarity? - Here's the FREE… 6 Days to Clarity Workshop - clarity for your time, energy, money, creativity, work & play→ Need MORE focus? - Here's our FREE Goal Planning Workshop 1-page templates for focus, priorities & defining clear, actionable next steps→ Need MORE money? - Here's our FREE Get Paid For Your Genius Workshop - steps to align your value with what you get paidMASTERCLASSES:→ Write, Design, Build: Content Creator Studio & OS - Growing the niche of you, your audience, reach, voice, passion & incomeCOMMUNITIES:→ Need a CREW to run with? - Join our… Build 1 Thing Creator Community (Weekly Live Coaching & Monthly Workshops) - Get unstuck, avoid burnout, hack habits, create & execute fluidly… accountability & growth group for artists, creatives and entrepreneurs.OTHER RELATED EPISODES:How to Get Rich Without Getting Lucky (An Excerpt by Naval)Apple: https://apple.co/3Xl8q80Spotify: https://spoti.fi/3XkOpy9

When buying Sisit, a person should know what to ask for. Some features are integral to the Misva and some are Humrot-stringencies to enhance the Misva. The Shulhan Aruch clearly states that the strings must be spun L'shma-for the sake of the Misva. Therefore, strings manufactured by non-Jews, even if a Jew oversees the process, are invalid. However, the stages before the spinning, including the "Niputz"-the combing of the wool, do not require L'shma, according to most early authorities. However, the MaHaram M'Rotenberg did require that even the Niputz be done L'shma. Therefore, if possible, one should try to obtain strings that meet the stricter standards of the MaHaram. Such strings are available today in stores for a few extra dollars. There is a controversy whether the Sisit may be spun by machine. Hacham Bension held that such strings are invalid, and therefore one should make an effort to obtain Sisit spun by hand. The next stage in making Sisit is "Shezira"-twisting several thin strings into a single cord of Sisit. If you look closely at your Sisit, you will notice that each string is actually comprised of several thinner strings twisted together. The Rambam holds that Shezira is optional. However, Maran rules in accordance with the majority opinion that Shezira is mandatory, and it must be done L'shma. Minimally, Shezira requires only two threads be twisted into one. However, The Ramah MiPano, as well as the Ben Ish Hai (Rav Yosef Haim of Baghdad, 1833-1909) in Parashat Noach rule that it is best to have each cord made of eight thinner threads twisted together. This results in a total of 256 individual strings in every Tallit: 8 thin strings comprising each of the eight strings for each of the four corners. This corresponds to a certain mystical intention alluding to the wings of the angels, as elaborated by the Ben Ish Hai. Sometimes the strings that are twisted together become unraveled. Technically, this is not a problem as long as four centimeters remain. In order to prevent this, some have the custom to tie a little knot at the end of each string. This was the practice of the Rabbenu HaAri (Rav Yishak Luria of Safed, 1534-1572), and is cited by the Rama. However, today this is usually not necessary as our strings are generally twisted very tightly and rarely become unraveled. There is a disagreement amongst contemporary Poskim whether one may apply a bit of glue to the tip of the string to prevent it from becoming unraveled. Hacham David, in his Halacha Berura, permits it, whereas Rav Wosner, in his Shebet HaLevi, opposes this, since this was not the traditional practice in previous generations. SUMMARY The ideal Sisit should be combed and spun L'shma and be twisted with 8 thin strings.

Minimally invasive bunionectomy (MISB) has emerged as a popular approach to treat symptomatic hallux valgus deformity. Although previous studies focused on distal foot width changes postsurgery, this research introduces a novel midshaft measurement to evaluate proximal transverse midfoot width, aiming for a comprehensive understanding of foot changes post-MISB.   In conclusion, we found in this cohort of 44 patients that MISB for HV leads to an expected decrease in distal bony foot width but, on average, an increase in midshaft foot width.     Click here to read the article.

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to "Ditch the Lab Coat," the podcast where we explore the fascinating world of health and medicine with a skeptical eye. I'm Dr. Mark Bonta, your host, and today's episode features an enlightening discussion with the esteemed Dr. George Oreopoulos, a renowned vascular surgeon and interventional radiologist.In this episode, Dr. Oreopoulos provides insight into the high-stakes world of vascular surgery, discussing the urgency of aortic aneurysm ruptures and the low survival rates in community settings. We delve into the complexities of managing varicose veins and venous diseases, the evolution of vein treatments, and the crucial role of specialists like Dr. Oreopoulos in addressing traumatic vascular situations.Join us as we explore the future of vascular surgery, from the potential impact of artificial intelligence and nanotechnology to the delivery of biologic therapies through interventional radiology. We also discover the intricacies of endovascular repair, the challenges of managing different types of vascular injuries, and the critical role of randomized control trials in determining treatment efficacy.Stay tuned for an insightful conversation that's both engaging and informative. And remember, while we're here to provide knowledge, always seek professional medical advice for your health concerns. Let's "ditch the lab coat" and embark on this enlightening journey!04:09 Specialist trains surgeons and radiologists, discusses surgery.09:24 What to do if someone is injured?12:53 Specialized hospital treats complex medical procedures efficiently.15:24 Vein clots may require catheter-wire treatment.17:18 Vascular surgery focuses on treating vein issues.22:46 Modern vein treatments available in Ontario. Insurance coverage.24:19 Vein surgery has evolved to outpatient treatment.28:15 Aortic aneurysm rupture risks and outcomes.32:21 Minimally invasive aneurysm treatment under local anesthetic.38:17 AI improves aneurysm prediction, but needs personalization.42:02 Interventional radiology: innovative, effective treatments for patients.44:49 Interventional procedures and accessing arteries, minimal invasiveness48:53 Innovative technology aims to improve medical procedures.50:55 Vascular surgery, veins, arteries, future, family tree.54:58 Medical expert shares fascination and future predictions.

Welcome to my podcast. I am Doctor Warrick Bishop, and I want to help you to live as well as possible for as long as possible. I'm a practising cardiologist, best-selling author, keynote speaker, and the creator of The Healthy Heart Network. I have over 20 years as a specialist cardiologist and a private practice of over 10,000 patients. Dr. Warrick Bishop, a cardiologist, discusses highlights from a medical conference he attended. He focuses on two key topics - the impact of climate change on cardiovascular health, and the treatment of patent foramen ovale (PFO), a common heart condition. Climate change is linked to increased inflammation, coagulation, heat stress, electrolyte imbalances, and air pollution - all of which can negatively impact heart health. Studies have shown that reducing secondhand smoke exposure can significantly lower heart attack risk in affected communities. PFO is a hole in the heart that typically closes at birth, but remains open in about 25% of people. This can allow blood clots to pass from the venous to arterial circulation, potentially causing strokes. Minimally invasive procedures can be used to close the PFO and prevent this complication. Doctor Bishop shares his own experience of having a PFO-related stroke, which resolved without lasting symptoms. He plans to have his PFO closed as a preventive measure.

You've stopped your coffee. You've treated your constipation. But you're still urinating too frequently. In this latest episode of Balls Deep, Dr. Joe Pazona dives deep into the various OAB treatments. Learn about the latest overactive bladder medications including their effectiveness and side effects. Minimally invasive therapies such as bladder Botox and bladder pacemakers can help slow down your bladder, and in some cases, change your life. Enjoy today's humorous and informative episode on treating an overactive bladder.

Dr. Gillett And James O'Hara NP, Discuss each others health updates. 00:00 Intro 01:22 Kyle's eye surgery 02:37 James gyno surgery 12:59 Kyles labs 18:10 Kyles Dexa discussion 20:18 Kyles HSV results 25:00 Dexas 32:34 Micro needling for scar tissue33:57 How's the recovery gone 37:42 Minimally efficacious dose of BPC40:36 James is off statins 47:15 James Heavy metal toxicity 48:55 What omega is James taking?52:00 OutroFor High-quality labs:► https://gilletthealth.com/order-lab-panels/For information on the Gillett Health clinic, lab panels, and health coaching:► https://GillettHealth.comFollow Gillett Health for more content from James and Kyle► https://instagram.com/gilletthealth► https://www.tiktok.com/@gilletthealth► https://twitter.com/gilletthealth► https://www.facebook.com/gilletthealthFollow Kyle Gillett, MD► https://instagram.com/kylegillettmdFollow James O'Hara, NP► https://Instagram.com/jamesoharanpFor 10% off Gorilla Mind products including SIGMA: Use code “GH10”► https://gorillamind.com/For discounts on high-quality supplements►https://www.thorne.com/u/GillettHealth#podcast #health #recoveryAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

We are delighted to partner with Olympus America for this episode of the Prostate Health Podcast. Minimally invasive surgical therapies (MIST) have revolutionized treatment options for men suffering from symptoms of an enlarged prostate. So, we are excited to have urologist Dr. Rahul Mehan joining us today to bring our listeners up to speed on the iTind™ procedure. Dr. Mehan is a nationally recognized expert in minimally invasive urology treatments and the Founder of East Valley Urology Center in Mesa, Arizona. In his practice, he provides state-of-the-art urologic care, using the latest technology to improve the quality of life of his patients. He led several workshops at the national meeting of the American Urologic Association in San Antonio earlier this year and frequently gets invited to teach surgery across the US. He is also a social media influencer, providing enjoyable educational content. Stay tuned as Dr. Mehan shares the low-down on the iTind™ procedure, highlighting its safety and explaining how it provides rapid symptomatic relief while preserving the sexual function of men with enlarged prostates. Disclaimer: The Prostate Health Podcast is for informational purposes only. Nothing in this podcast should be construed as medical advice. By listening to the podcast, no physician-patient relationship has been formed. For more information and counseling, you must contact your personal physician or urologist with questions about your unique situation. Pertinent disclosure for today's episode – Dr. Mehan is a paid consultant for Olympus. The following are the opinions of Dr. Mehan based upon his education and personal experiences and are not those of Olympus.   Show Highlights: Explanation of what the iTind™ device is  Dr. Mehan was one of the first urologists to utilize the iTind™ technology in his region. How men have recently been taking a stance against medications with sexual side effects Which men are ideal iTind™ candidates? What are the risks associated with theiTind™ procedure? How the iTind™differs from other currently available MIST interventions  Expectations from the iTind™procedure  What recovery looks like after the iTind™ procedure, in terms of device removal, potential limitations, and symptomatic improvement Dr. Mehan shares some of the clinical pearls he gained from his iTind™ experience. Links:  Follow Dr. Pohlman on Twitter and Instagram - @gpohlmanmd  Get your free What To Expect Guide (or find the link on our podcast website)   Join our Facebook group  Follow Dr. Pohlman on Twitter and Instagram  Go to the Prostate Health Academy to sign up.  You can access Dr. Pohlman's free mini webinar, where he discusses his top three tips to promote men's prostate health, longevity, and quality of life here. Olympus America iTind™ East Valley Urology Center, Mesa, Arizona  

Payman chats with the world-renowned professor Avijit Banerjee, who shares his journey in academia, discussing his research focused on applying scientific findings to patient care.  As you'd expect from a polymathic mind like Prof. Banerjee's, the conversation ranges far and wide, covering challenges in dental education, the role of new technologies in diagnosis and the public's perception of fluoride. Prof. Banerjee also wisdom on clinical judgement, patient communication, the value of documenting cases, and much more. Enjoy!  In This Episode 00:03:45 - Academia, research and curiosity 00:10:00 - Research, commercialisation and sharing  00:18:15 - Recent studies  00:28:11 - Oral health messaging 00:31:25 - Shift towards whole patient care and holistic dentistry in education 00:33:30 - Training: past, present, UK and abroad 00:42:20 - Advice for young dentists 00:43:20 - NHS funding  00:48:10 - International teaching and research 00:55:40 - Minimally invasive dentistry  01:16:40 - New technologies 01:20:10 - Danger of undertreatment 01:23:20 - Experimentation and evidence 01:26:05 - Bureaucracy and red tape  01:28:05 - Misunderstanding and misinformation 01:34:00 - Fluoride and fissure sealants 01:44:10 - Black box thinking  01:50:25 - Teaching style  01:51:25 - Fantasy dinner party  01:58:40 - Last days and legacy About Professor Avijit Banerjee Professor Avijit Banerjee, a global authority in minimally invasive dentistry, leads the Cariology & Operative Dentistry research program at King's College London Faculty of Dentistry, Oral & Craniofacial Sciences.  He serves as Head of Conservative & MI Dentistry, Director of Education (UG), and Programme Director for the KCL distance-learning Masters in Advanced Minimum Intervention Dentistry. Banerjee's research focuses on MI operative caries management and adhesive dental biomaterials, resulting in over 120 publications and £2.5 million in research funding. He collaborates with international Industry partners as an R&D KOL and is the primary author of the widely respected text, Pickard's Guide to Minimally Invasive Operative Dentistry. Banerjee holds editorial positions in several prominent dental journals and maintains a specialist clinical practice in Restorative Dentistry, Prosthodontics & Periodontics. He currently serves as the President of the BDA Metropolitan Branch Section.

Listen as Dr. Zoe Rodriguez shares her medical and patient-advocating expertise about life before and after hysterectomy.Episode SummaryJoin Fempower Health as we discuss hysterectomies with Dr. Zoe Rodriguez, the Assistant Professor of Obstetrics, Gynecology, and Reproductive Science at the Icahn School of Medicine at Mount Sinai. In this episode, we address the misconceptions, diverse cultural perspectives, and crucial insights surrounding hysterectomies. We talk about different hysterectomy options, recovery expectations, and the significant impact of surgical choices on women's health. Whether you are considering this procedure or seeking deeper understanding, this discussion offers valuable guidance to navigate your health decisions confidently.Key TakeawaysThe different types of hysterectomy surgery—including total, supracervical, and partial hysterectomy—and why it's so important to know the different options.How cultural backgrounds influence perceptions of healthcare and surgical decisions, particularly within the Latina community.The importance of setting realistic expectations and being well-informed about post-surgical recovery, hormonal impacts, and sexuality after hysterectomy.Debunking common misconceptions that Western physicians are “eager to perform surgeries,” plus ethical considerations and patient-centric approaches adopted by modern medicine.Minimally invasive procedures for fibroids and other conditions that can be alternatives to hysterectomy.The role of informed consent and ensuring patients are fully aware of what their surgery entails, including the potential removal of ovaries and subsequent hormonal implications.Tips for patients on how to interact effectively with healthcare providers to ensure all their concerns are addressed.Dr. Rodriguez's vision for accessible, high-quality healthcare for all, regardless of immigration or citizenship status.Quote“I need you to really pay attention to your symptoms because that's the only way I'm gonna know. And if you are having symptoms, then I can provide you with these beautiful menopausal hormone therapies.”- Dr Zoe RodriguezRelated to this episode:Resources on Pelvic Health and Peri/MenopauseLearn about ACOG (American College of Obstetricians and Gynecologists): A leading organization in women's health care, providing guidelines and practice bulletins for medical practitioners.Learn about The Menopause Society: Likely referring to The North American Menopause Society (NAMS), which provides guidance and information on menopause management.Learn about ASRM (American Society for Reproductive Medicine): An organization dedicated to advancing knowledge and expertise in reproductive medicine, including fertility preservation.If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on iTunes or

Dr. Greg Aldrich, Chief Operating Officer at Nulo Pet Food, recently joined Petworking host Peter Kenseth to discuss Nulo's latest innovations in minimally processed pet foods and the brand's philosophy on optimal pet nutrition. Aldrich, who previously worked as an associate professor at Kansas State University studying pet nutrition, joined Nulo about 15 months ago after consulting with the company for over a decade. He has been working closely with Nulo founder Michael Landa on developing foods that align with an active lifestyle for both pets and their owners. A Focus on Minimal Processing A key focus for Nulo is minimizing the processing and heat applied to their foods in order to maximize nutrient retention and availability. Aldrich explained that traditional manufacturing processes like extrusion for kibble and retort canning subject all ingredients to very high heat, which can damage nutrients and create undesirable chemical interactions. Nulo is exploring techniques like cold pressing, gently cooking, air drying, and freeze drying as alternatives that apply lower temperatures for shorter periods. "We're trying to find the perfect time and temperature for each component," said Aldrich. He positions Nulo's approach between raw diets, which have food safety and shelf-life challenges, and highly-processed kibble and cans. The goal is pasteurization to control pathogens while minimizing nutrient loss. High Protein, Low Carb Philosophy In line with the idea that dogs and cats are carnivores, Nulo has adopted a nutritional philosophy focused on high animal protein and low carbohydrates from low-glycemic sources like miscanthus grass fiber. Aldrich cited research linking high protein to better lean body mass and concerns that highly-digestible starches may contribute to obesity and diabetes in pets. Partnering with Athletes To emphasize the nutrition and performance connection, Nulo has partnered with elite athletes like Simone Biles and plans to feature more Olympians heading into the Paris 2024 games. The idea is that consumers will be more receptive to nutritional advice from the athletes they admire. What's Next Nulo's latest innovations include the new cold pressed diet, gently cooked shelf-stable pouches, rebranded freeze dried, and new canned cat foods. At SuperZoo 2024, the brand plans to unveil new treat products aligned with their nutritional principles as well as updated packaging. Aldrich is aiming for continued progress toward the "perfect pet food" through optimal ingredient selection and processing tailored to each nutrient type. However, he emphasized the need for more research funding specifically for pet nutrition to advance knowledge in this area.

Welcome back to The Sports Docs Podcast!  In this episode, we're going to continue our discussion with Dr. Bonnie Chien and focus on surgical treatment for Achilles tendon ruptures.Our conversation picks back up with an article from the March 2023 issue of AJSM titled “Outcomes and Complications of Open Versus Minimally Invasive Repair of Acute Achilles Tendon Ruptures.” This Level I meta-analysis included 10 RCTs and found no difference in AOFAS scores and rate of total complications, re-ruptures, deep infections, skin necrosis, wound dehiscence, adhesions or keloid scars. But there were some significant differences between the groups.Open repair was associated with significantly longer surgical time, higher risk of superficial infections and higher risk of ankle stiffness. Minimally invasive repair was associated with a higher rate of sural nerve injury, 3.4% compared to 0% in the open group.Next up is a level I RCT from the June 2020 issue of AJSM titled “Comparison of Tendon Lengthening With Traditional Versus Accelerated Rehabilitation After Achilles Tendon Repair.” Patients were randomized to either a traditional rehab group with weightbearing at 6 weeks or an accelerated rehab group with graduated weightbearing starting at 2 weeks. All patients were found to have tendon lengthening after surgery with no significant differences found in overall lengthening between traditional and accelerated rehab groups. There were also no differences noted in ankle range of motion or outcome scores between the groups.We finished up with an article from the October 2017 issue of AJSM titled “Professional Athletes' Return to Play and Performance After Operative Repair of an Achilles Tendon Rupture.” This level III cohort study looked at return to play rates and performance among professional athletes after Achilles tendon repair in the NFL, NBA, MLB and NHL. The authors found that 30% of athletes with an isolated Achilles rupture were unable to return to play at all after surgical repair. Those that were able to return to play had significantly less play time, less game played and played significantly worse compared to their pre-op performance levels. NBA players were most affected.

In today's episode of "Practical Stoicism," I explore the concept of living simply, not in the sense of minimalism as it's often portrayed—with a focus on physical belongings and a Scandinavian design aesthetic—but in the realm of simplifying our thoughts and, by extension, our lives. While Stoicism isn't about adopting an aesthetic of minimalism, it does advocate for simplicity over complexity in many aspects of life. I delve into how living simply, in a Stoic sense, means focusing on what truly matters, reducing unnecessary mental clutter that leads to physical clutter. By reflecting on Seneca's admiration for Scipio Africanus's modest bathhouse, I illustrate the beauty of simplicity and the Stoic pursuit of focusing on essentials. This episode challenges contemporary culture's superficial grasp of ancient philosophies and invites you to embrace true simplicity by prioritizing virtue and rational choices over material excess. -- Become a Patron: https://stoicismpod.com/members Download Stoicism260: https://stoicismpod.com/app Subscribe to the newsletter: https://practicalstoicism.net/subscribe Pre-order my book: https://stoicismpod.com/book Plant some trees: https://stoicismpod.com/trees Podcast Artwork by Randy Johnson: https://originalrandy.com Letter 86 from Seneca: https://en.wikisource.org/wiki/Moral_letters_to_Lucilius/Letter_86 Learn more about your ad choices. Visit megaphone.fm/adchoices

Minimally invasive spine surgery isn't right for every patient but when it is used, these procedures are muscle sparing, and often have faster recovery time. Sasha Vaziri, MD, is a neurosurgeon in Sarasota trained in minimally invasive spine surgery, and discusses the advancements made to help patients have great outcomes.You can also watch the video recording on our Vimeo channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.

Andrew Huberman's Science-Backed Diet: Fuel Your Body and Mind Unlocking Peak Performance Through Evidence-Based Nutrition Intrigued by Andrew Huberman's high-achieving lifestyle? Wondering what fuels his success? Look no further than his science-backed approach to diet. This article delves into the core principles that guide his choices, offering valuable insights for optimizing your own health and performance. The Science Behind the Plate: Huberman's diet isn't about fad trends; it's about strategic nutrition with a focus on:Nutrient-dense whole foods: Minimally processed protein (eggs, grass-fed meat, fish), complex carbohydrates, and diverse vegetables form the foundation.Macronutrient balance: Protein for muscle building, healthy fats for satiety, and controlled carbohydrates for sustained energy.Micronutrient support: Fruits, vegetables, and strategic supplements like AG1 ensure a full spectrum of essential vitamins and minerals.Intermittent Fasting: A Powerful Tool: Huberman incorporates time-restricted eating, typically fasting for 16 hours and eating within an 8-hour window. This practice has been linked to various benefits, including:Improved blood sugar controlEnhanced cognitive functionPotential for weight managementBeyond Food: The Role of Supplements: While whole foods are prioritized, Huberman acknowledges the complementary role of supplements. He uses specific options to target:Immune functionTestosterone levelsSleep qualityCognitive functionRemember: Supplements are not a magic bullet. A healthy lifestyle with proper sleep, exercise, and stress management is crucial for optimal well-being. Exercise and Diet: A Synergistic Duo: Huberman's workout routine is intricately linked to his diet. Post-workout meals prioritize nutrients for muscle recovery and protein synthesis. Sleep and Recovery: Huberman finishes his last meal 3 hours before bedtime to allow for proper digestion and promote restorative sleep. This aligns with research highlighting the negative impacts of late-night eating on sleep quality and metabolism. Stress Management and Dietary Choices: Certain foods and nutrients can impact stress levels. Huberman incorporates adaptogens like ashwagandha and Rhodiola rosea to support his body's stress response. Personalize Your Approach: While Huberman's diet offers valuable insights, it's crucial to adapt it to your unique needs. Consider your:Health goalsLifestyle factorsDietary preferencesExisting health conditionsListen to your body and experiment to find the right balance of foods, eating patterns, and supplements that optimize your energy, sleep, and cognitive function. Key Takeaways:Huberman's diet prioritizes evidence-based strategies for maximizing energy, sleep, and cognitive function.Nutrient-rich foods, intermittent fasting, and targeted supplements form the core principles.Personalization is key – adapt these strategies to your unique needs and preferences.By understanding the science behind Huberman's approach and tailoring it to your own circumstances, you can unlock the potential for a healthier, more productive you. Thanks for listening to Quiet Please. Remember to like and share wherever you get your podcasts. And Hey! History buffs, buckle up! Talking Time Machine isn't your dusty textbook lecture. It's where cutting-edge AI throws wild interview parties with history's iconic figures. In the Talking Time Machine podcast: History Gets a High-Tech Twist, Imagine: Napoleon Bonaparte talking French Politics with Louis the 14th! This podcast is futuristically insightful. Our AI host grills historical legends with questions based on real historical context, leading to surprising, thought-provoking, and often mind-blowing answers. Whether you're a history geek, a tech junkie, or just love a good interview, Talking Time Machine has something for you. Talking Time Machine: search, subscribe and (Listen Now!)

One of the common procedures we do as dentists is remove teeth. And for most us, it's a fairly routine procedure. But with more research on the topic of tooth extraction and the extraction site itself, and how it all relates to implants, we're learning that minimizing the trauma to the surgical site is of utmost importance. To tell us more about this is Dr. Isaac Tawil. Dr Tawil received his Diplomate from the International Academy of Dental Implantology. He is a graduate of NYU Dental School and practices in Brooklyn NY. Thanks to our episode sponsors: GC America - https://www.gc.dental/ NSK America - https://www.nskdental.com/

Merlin conducts a deep dive on being busy versus being time-constrained, and Dan has some updates on his task management odyssey.

Host Dr. Joseph Patterson interviews paper author Dr. Josh Parry. This paper was presented at the 2023 OTA Annual Meeting. To see the abstract while listening, download the free ConveyMED App: Apple Store click here Google Play click here. For additional educational resources visit https://ota.org/ 

Today's interview is with Debbie Levitt, who is the CXO of Delta CX and the author of Customers Know You Suck. Debbie joins me today to talk about how we are in danger of over-indexing on failure and celebrating failure rather than trying to emulate what makes successful companies successful, how that is manifesting itself, why we talk about Apple and Amazon a lot but often don't really emulate them, the relationship between failure, speed and quality and what customers actually care about. This interview follows on from my recent interview – Personalization is pervasive but it's not personal – Interview with Shafqat Islam – and is number 488 in the series of interviews with authors and business leaders who are doing great things, providing valuable insights, helping businesses innovate and delivering great service and experience to both their customers and their employees.

Minimally invasive procedures are now more widely used for benign and some low-risk cancerous thyroid tumors. In certain cases of papillary thyroid microcarcinomas; and if those are positioned in a favorable location, Radiofrequency Ablation (RFA) offers a less invasive treatment option compared to traditional surgical approaches. Listen to Leonardo Guimarães Rangel, MD, Head and Neck Surgeon in Rio de Janeiro, Brazil, and international expert in minimally invasive procedures in thyroid tumors, present his Visual Vignette on Radiofrequency Ablation of Papillary Thyroid Microcarcinomas,  moderated by Sina Jasim, MD, MPH, Associate Professor of Medicine, and Endocrine Neoplasia Specialist at Washington University School of Medicine. Key topics include procedure safety, determining the right patient and nodule candidate, follow-up care, challenges, and future outcomes. Visit https://www.aaceclinicalcasereports.com/article/S2376-0605(22)00010-4/fulltext to view and read the full AACE Visual Vignette.

On today's show, we are talking about knee replacement surgery with Dawn Richardson, a friend I met in my last couple of years in the Army. Dawn is a retired Navy Captain, former restaurant manager, and former Bed and Breakfast owner who is delighted to say she's now retired and finds fulfillment in her volunteer activities and personal pursuits.  About 4% of people 50 and older have knee replacements.  At age 80, that number is above 10%. The average age is 65 and more women than men have knee replacements.  Three facts we were surprised to hear after speaking with Dawn:  You aren't supposed to travel for 6 weeks  You aren't supposed to kneel on that knee for 6 months  You shouldn't have any non-emergency dental work for 6 months to include cleanings These surgeries have evolved greatly after the use of minimally invasive scope-type surgeries.   Total knee replacement is a type of surgery to replace a damaged knee joint. A minimally invasive surgery uses a smaller cut (incision) than a traditional total knee replacement. This type of surgery typically requires special tools so that the surgery team can see and do the procedure through the smaller incision. The knee has several parts: the lower end of the thigh bone (femur), the upper end of the shin bone (tibia), and the kneecap (patella). A smooth substance called cartilage caps the ends of these bones and keeps the bones from grinding together. When there is damage to the knee joint, these bones may scrape together abnormally and cause pain. During minimally invasive total knee replacement, your surgeon makes an incision to access your shinbone and thigh bone. Next, he or she removes a portion of the bones that make up the knee joint. Your surgeon replaces these bone parts with metal components that recreate the joint surface. A layer of plastic is placed between the metal components for smooth gliding. Minimally invasive total knee replacement often takes place under general or spinal anesthesia. (credits: Johns Hopkins Medical)      

236 – Prolapse – Surgical and Non-Surgical Options This podcast is sponsored by Femselect Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine. In this episode, we talk a lot about prolapse and touch on-  ·      What is pelvic organ prolapse? ·      Why prolapse needs a rebranding – so much shame ·      Risk factors for prolapse ·      What are the signs and symptoms? ·      Our tips for treating constipation ·      Prolapse risk goes up after menopause – we discuss the likely role of hormones and decreased muscle strength. ·      The impact of prolapse on those suffering ·      Why we hate calling it “bladder prolapse” ·      How the bladder can be affected by vaginal prolapse and what may and may not improve ·      How do we know if we have prolapse ·      How do we know if we should treat prolapse ·      Risk of de novo stress urinary incontinence when prolapse is fixed, either with pessary or surgery ·      What is a pessary and what are the risks of a pessary. ·      Can you be sexually active with prolapse? ·      The role of pelvic floor physical therapy and prolapse. ·      Surgical treatment options: o   One size does not fit all. o   Obliterative surgery – colpocliesis o   Hysteropexy vs. hysterectomy o   Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures o   New treatment options (EnPlace) benefits and data o   The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery. ·      Modern prolapse repair is safe, effective and recovery is not too stressful for most women. ·      Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy ·      The risk of recurrent prolapse ·      When to consider adding a sling to your prolapse procedure ·      Just because someone or something said you have prolapse, doesn't mean you need surgery Instagram.com/allurebydrsonya https://allurepelvicwellness.com/ #EnPlace, #PelvicOrganProlapse, #WomensHealth #PelvicHealth My previous Prolapse episodes 21 – pelvic organ prolapse master class 138 – February Live – Hormones, prolapse, pelvic floor PT and more 161 – “I Just need to put something in my vagina”, Prolapse, and how PT helps Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

When it comes to saving money, it's all about simplicity. Which is why I'm sharing nine practical money habits for you to try if your budget is in need of a reset. Also, let's unpack the one question we've all asked: Will making more money solve my problems? What You Get in This Episode: ·     5 Frugal Habits to Cut Your Expenses in Half ·     4 Things Minimalists Do to Build Wealth ·     Will Making More Money Solve Your Problems?   Helpful Resources: ·      Grab Telestrations at your local Walmart. ·      Try BetterHelp today! ·      Check out Christian Healthcare Ministries. ·      Start budgeting for free with EveryDollar. ·      Get on the waitlist for Rachel's new kids book, I'm Glad for What I Have   Sponsors pay the producer of this show, The Lampo Group, LLC, advertising fees for mentioning their services or products during programming. Advertising fees are not based upon or otherwise tied to any product sale or business transacted between any consumer or sponsor. The following sponsors have paid for the programming you are viewing: Christian Healthcare Ministries, Op Games and Better Help.   Learn more about your ad choices. https://www.megaphone.fm/adchoices Ramsey Solutions Privacy Policy

In this episode of the podcast "Self Funded with Spencer," host Spencer Smith sat down with CJ Brock, the CEO of Better Way Medical Group, to discuss a range of topics related to healthcare innovations and challenges. The conversation covered groundbreaking advancements in heart transplants, the shift of surgical procedures to office settings, and the obstacles faced by healthcare providers. One of the highlights of the episode was the opening discussion on the revolutionary heart box, a device that keeps the heart alive during transportation. CJ Brock described it as "science fiction to the max." This innovative technology has the potential to increase the success rate of heart transplants by almost 50%, expanding the donor pool and saving more lives, but also costs upwards of $1,000,000! Better Way Medical Group, founded by hand and wrist surgeons Dr. Chris Bates and Dr. Nathan Leslie, focuses on providing high-quality, low-cost surgical care in the office setting. This approach has not only improved patient care but also increased revenue. By leveraging advances in medicine and anesthesia, procedures can now be performed in a more convenient location, resulting in lower costs and reduced risks of complications. The podcast delved into the challenges associated with shifting procedures from surgery centers to physician offices. CJ Brock emphasized the importance of embracing change and innovation in healthcare. He highlighted the cost savings achieved through this shift and the positive impact it has had on both physicians and patients. By performing procedures in the office setting, physicians can see more patients, improve their quality of life, and ultimately make more money. The conversation also touched on the challenges faced by healthcare providers when dealing with payers in the industry. CJ Brock acknowledged that the goal is always to achieve zero revisions, complications, and infections, but he recognized that it is not always realistic. He emphasized the need to reserve surgery for patients who truly need it and explore non-invasive, non-surgical methods for treating underlying conditions. Throughout the episode, CJ Brock shared his personal journey from being a professional golfer to becoming a healthcare professional. His adaptability and determination were evident as he discussed the importance of problem-solving and embracing change on a daily basis. He quoted a mentor who said, "Life is messy. Change is messy. Organizations have to embrace messy." This mindset allows for incremental improvements and ultimately leads to significant progress over time. The episode of "Self Funded" featuring CJ Brock and Better Way Medical Group shed light on the innovations and challenges in healthcare. It showcased the potential of groundbreaking technologies like the heart box and highlighted the benefits of shifting procedures to office settings. The conversation emphasized the importance of considering the impact on patients, physicians, and the healthcare system as a whole when making decisions about healthcare innovations. By embracing change and continuously seeking improvement, healthcare providers can deliver better care, reduce costs, and ultimately improve patient outcomes. Listen now! Chapters: 00:00:51 The Revolutionary Heart Box: Expanding Donor Pool 00:07:42 Office-Based Surgery for Hand and Wrist Procedures 00:14:08 Transitioning from Golf to Healthcare: CJ's Journey 00:17:51 Innovative In-Office Hand and Wrist Surgery 00:28:33 Shifting Procedures to Physician Offices 00:33:31 Shift to Physician Offices for Cost Savings 00:39:09 Innovative Solutions for Payer Challenges 00:47:20 Minimally invasive needle treatment for elbow pain 00:52:27 Driving change and innovation in healthcare --- Support this podcast: https://podcasters.spotify.com/pod/show/spencer-harlan-smith/support

In this inspiring episode of the Living Brightly podcast, Paige sits down with Julia from Rich in What Matters to explore the transformative power of living minimally. Julia, a Christian wife, business owner, and mother of four, shares her personal journey of breaking free from $40,000 of consumer debt by embracing a minimalist lifestyle. Through their conversation, they dive into the profound advantages of living with less, including increased peace, improved relationships, and a life of significantly less stress. This episode goes beyond the surface-level aspects of minimalism, diving into the deep and meaningful benefits that come with embracing a minimalist mindset. Tune in for a discussion on the life-changing effects of living minimally. Sign-up for Julia's newsletter to get 50% off within your first week of being a subscriber to her most popular decluttering course here: https://richinwhatmatters.com/decluttering-courses/ Find Julia on Instagram here: @richinwhatmatters Blog post: ⁠paigeschmidt.com Join Live Brightly: paigeschmidt.com/livebrightly  Download the Your Bright Life Journaling Exercise: https://www.paigeschmidt.com/bright-life/ Connect with Paige: Instagram: ⁠@paigeschmidt⁠ Website: ⁠paigeschmidt.com⁠Email: ⁠paige@paigeschmidt.com⁠

Jay Feldman is back for his fourth appearance on B.rad! Jay is one of my favorite guests to have on the podcast and our episodes together are some of my all-time favorites, as I love the way he presents his compelling argument that we should rethink many of the foundational principles of ancestral health, such as intermittent fasting, low-carb, keto, and time-restricted feeding. You will hear some scientific insights in this show that will get your head spinning and inspire you to rethink many of these practices we've been indoctrinated into from a big-picture perspective, such as are these things we've been doing actually healthy? And who (and what) can we trust to lead us down the path towards a healthy, happy, balanced, and energetic life? As you will hear in this show, a lot of the science and dogma we have been fed for a long time (not just mainstream dogma, but ancestral dogma as well) can now be scrutinized as coming from flawed or dated science or misinterpreted science. We talk about a few controversial topics, such as the comparison between being a fat burner like our ancestors or prioritizing carbohydrates as the human body's preferred and most efficient source of energy, and you'll also hear about the actual causes of excess body fat and how to get it off appropriately and healthily. Finally, we wrap up with a round of quick questions: are Omega-3's really the anti-inflammatory Kings/vaunted centerpiece of our diets, or should we now avoid all forms of polyunsaturated fats?     TIMESTAMPS: We need to rethink many of the foundational principles of ancestral health. [02:35] There is much controversy among extreme health enthusiasts regarding healthy nutrition. Compare being a fat burner versus being good at burning glucose. [08:21] We must question and be open to learning new things.  In school we are taught to read this book and memorize what is in it. You have to experiment on your own for what is best for you.  [10:11] What people are the best candidates to thrive on keto, fasting, or carb restriction? [16:43] Stress can catch up to you when you are involved in some of these restrictive diets. [20:56] Fructose can go to the liver and cause fat, but there is much more to it than that.  [22:17] What is going on when the hunger is dysregulated and the obesity is occurring? [30:58] When Jay was a young athlete, he was experimenting with his diet and at one point was emphasizing starches and doing himself a disservice. [32:33] Let's talk about sugar. Good or bad? Ray Peat's work talks about preferring carbs over fats. [38:25] Our health depends on our ability to produce energy. [43:43] When we look at our evolution from our ancestors, we see that if we are in an environment that is more energetically favorable, it'll lead to greater complexity, greater brain function, greater ability to function. [45:52] Calorie restriction is not the best way to extend life span, according to Jay. [55:20] Work on not being sedentary and work on changing the foods you eat. [01:01:05] It's fats versus carbs?  Which is better? You don't have to put all your eggs in one basket. [01:04:17] Fat burning produces more reactive oxygen species and as such, it has a hormetic effect. [01:08:23] Keto, fasting, those things are beneficial in some ways despite the stress. [01:16:47] If getting fat adapted is known to have a performance benefit, is this a different paradigm than us at rest and trying to get through our life when we're going out on a four-hour bike [01:24:20] What about mixing carbs and fasts in general? [01:27:57] If you are carrying excess body fat, it is important to get healthy first by making better choices. [01:32:10] Does prescription medication have an influence on things like our hunger, satiety, energy production signals in terms of side effects? [01:33:45]   LINKS: Brad Kearns.com Brad's Shopping page Stan Efferding Ray Peat Diet Carbs vs Fat article Why I Stopped Fasting (Mutzel) Randle Cycle Energy Balance Podcasts   Join Brad for more fun on: Instagram: @bradkearns1 Facebook: @bradkearnsjumphigh Twitter: @bradleykearns YouTube: @brad.kearns TikTok: @bradkearns   We appreciate all feedback, and questions for Q&A shows, emailed to podcast@bradventures.com. If you have a moment, please share an episode you like with a quick text message, or leave a review on your podcast app. Thank you! Check out each of these companies because they are absolutely awesome or they wouldn't occupy this revered space. Seriously, Brad won't promote anything he doesn't absolutely love and use in daily life. Mito Red Light: Photobiomodulation light panels to enhance cellular energy production, improve recovery, and optimize circadian rhythm. Use code BRAD for 5% discount! NutriSense: Continuous glucose monitor and 1:1 expert support to help optimize diet choices and lifestyle behaviors. $30 B.rad discount! Marek Health: Comprehensive lab testing and expert tele-health support for peak performance. Use code “BRAD” for 10% discount! Plunge: Sensational custom-designed home cold plunge with filtered, circulating water, custom temperature setting, and sleek design. Save $150 with code BRAD LMNT Electrolyte Drink Mix: Tasty, sugar-free, scientifically formulated electrolyte drink mix with everything you need and nothing you don't. Free sample pack, just click the link! B.rad Whey + Creatine Superfuel: Premium quality, all-natural supplement for peak performance, recovery, and longevity Male Optimization Formula with Organs (MOFO): Optimize testosterone naturally with 100% grassfed animal organ supplement Brad's Macadamia Masterpiece: Mind-blowing, life-changing nut butter blend Online educational courses: Numerous great offerings for an immersive home-study educational experience Check out the my Favorites page for discounts on other great products!See omnystudio.com/listener for privacy information.

Please join Drs. Graham Skelhorne-Gross, Jordan Nantais and Ashlie Nadler from our Emergency General Surgery Team for a discussion on cirrhotic patients.   Child-Pugh Score (https://www.mdcalc.com/calc/340/child-pugh-score-cirrhosis-mortality) ·      Bilirubin, albumin, INR, ascites, encephalopathy ·      Used to predict operative mortality based on cirrhosis severity ·      Mortality in EGS: - Child-Pugh A: 10% electively and 22% emergently - Child-Pugh B: 30% electively and 38% emergently - Child-Pugh C: 80% electively and up to 100% emergently Model for End Stage Liver Disease (MELD) (https://www.mdcalc.com/calc/10437/model-end-stage-liver-disease-meld?utm_source=site&utm_medium=link&utm_campaign=meld_12_and_older) ·      creatinine, bilirubin, INR, and sodium ·      MELD < 20 – 1% increase in mortality with each point increase ·      MELD > 20 – 2% increase in mortality with each point increase Pre-operative Planning ·      Identification of cirrhosis with physical examination, bloodwork and imaging ·      Involvement of other medical services (internal medicine, hepatology, ICU) as needed ·      Cirrhosis optimization, if possible ·      Abdominal wall mapping Unexpected Intraoperative Finding Communicate unexpected findings to the operative team and think of additional adjuncts you may need such as additional ports, topical hemostatic agents or energy devices. Think about why you are in the OR. If its an elective situation and can wait, consider bailing. If its emergent, you may have to do something more definitive. Exposure may be a challenge, you may have to alter your typical approach including where the assistant grabs and retracts. Extra hands are helpful. Bleeding can be a big deal. If possible, map out the abdominal wall ahead of time with cross-sectional imaging. Stay away from varices around the umbilicus or porta Ventral Hernia + Cirrhosis ·      Ideally, control ascites pre-operatively, if you can't consider leaving drains ·      Small (< 2cm) hernias close primarily ·      Larger (>2cm) hernias repair with mesh unless infected filed (controversial) ·      Minimally invasive repairs can be performed Benign Biliary Disease + Cirrhosis ·      Incidence of gallstones is 4-5 times higher in cirrhotic patients ·      Prophylactic laparoscopic cholecystectomy (LC) generally not done ·      LC generally considered acceptable in CP A or B but not C (exceptions: HD instability, gangrenous cholecystitis, hemorrhagic cholecystitis) ·      Cholecystostomy and ERCP are safe References:  Bleszynski, M. et. Al. Acute care and emergency general surgery in patients with chronic liver disease: how can be optimize perioperative care? A review of the literature. 2018. World Journal of Emergency Surgery; 13:32 Mansour A, Watson W, Shayani V, et al. Abdominal operations in patients with cirrhosis: still a major surgical challenge. Surgery. 1997;122:730–5. Yeom SK, Lee CH, Cha SH, Park CM. Prediction of liver cirrhosis, using diagnostic imaging tools. World J Hepatol. 2015 Aug 18;7(17):2069-79. doi: 10.4254/wjh.v7.i17.2069. PMID: 26301049; PMCID: PMC4539400. Jain D, Mahmood E, V-Bandres M, Feyssa E. Preoperative elective transjugular intrahepatic portosystemic shunt for cirrhotic patients undergoing abdominal surgery. Ann Gastroenterol. 2018 May-Jun;31(3):330-337. doi: 10.20524/aog.2018.0249. Epub 2018 Mar 15. PMID: 29720858; PMCID: PMC5924855. **Fellowship application link: https://forms.gle/PiKM2MMQpE5jSAeW7 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other Emergency General Surgery episode here: https://behindtheknife.org/podcast-category/emergency-general-surgery/