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Not too long ago, pregnant celebrities were boasting about their at-home ultrasound machines. Then, vanity ultrasound places became a thing, offering scans of your baby as keepsakes. Now, there are sonography centres offering packages for detailed and advanced antenatal ultrasound scans. Are these as harmless as they sound, or are there risks associated with undergoing ultrasound scans without the supervision and care of medical specialists? We find out from Dr Muniswaran Ganeshan, President, Obstetrical & Gynaecological Society of MalaysiaImage credit: Shutterstock
Cutting Edge Obstetrical Care: Dr. Kaitlyn Cunningham
Pregnancy, childbirth, and the post-partum period can be full of serious health issues for the mother. For many women, the time of pregnancy and beyond marks their first major interaction with the medical world, and unsuspected problems can emerge. The process of birth can reveal other physical vulnerabilities. This means that OB/GYN nurses need to be highly aware of obstetrical bleeding. Courtney Moorhouse and Sasha Benner are highly experienced OB/GYN nurses, expert witnesses, and LNCs who share with us what to look for during this time. All bleeding during pregnancy should be checked out medically, as we cannot judge whether it's harmless or not. The most dangerous period is post-partum. Bleeding at any stage of the post-partum period can indicate the retention of accreta, often placental tissue. If this issue isn't addressed, infection and uterine scarring can result. This condition requires very close attention. Courtney and Sasha provide a detailed guide on symptoms to look for and treatment to address for the range of pregnancy, labor, delivery, and post-partum phases of motherhood. In addition, they describe what makes a pregnancy low-, medium-, or high-risk. This essential podcast is invaluable to anyone who will have a childbirth-related case. Learn More About Critical Obstetrical Bleeding - Cortney Moorhouse and Sasha Benner When can bleeding occur in pregnancy? When does it cause the most trouble? When does a postpartum hemorrhage usually occur? What does the nurse need to ask the postpartum patient who's bleeding? What are some other postpartum bleeding issues? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. We want to hear from you! Click the red send voicemail button on the far right. (function(d){ var app = d.createElement('script'); app.type = 'text/javascript'; app.async = true; app.src = 'https://www.speakpipe.com/loader/laulw5fck6uczyhl834u7d3jfzpe7xy5.js'; var s = d.getElementsByTagName('script')[0]; s.parentNode.insertBefore(app, s); })(document); Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/SJ47oci9MUU Join us for a 1-day virtual event designed for legal nurse consultants just like you LNC Success® Pat Iyer and Barbara Levin put together THE first Legal Nurse Consulting Virtual Conference in July 2020. They are back with their 10th all-new conference based on what attendees said they'd find most valuable. The LNC Success Conference implementation and also networking event is designed for LNCs at any stage in their career. Build your expertise, also attract higher-paying attorney clients, and take your business to the next level. After the LNC Success™ Virtual Conference, you will leave with clarity, confidence, and also an effective step-by-step action plan that you can immediately implement in your business. Your Presenter of Critical Obstetrical Bleeding - Cortney Moorhouse and Sasha Benner Courtney and Sasha have over 18+ years in women's health, namely labor and delivery and have a passion for ensuring women and there families are provided the highest level of safe and evidenced based case at such a vulnerable time. Connect with Silvia at www.weberlegalnurse.com or on social media at TWITTER: https://twitter.com/weberlegalnurse LINKEDIN: https://www.linkedin.com/in/weberlegalnurse?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app INSTAGRAM: https://instagram.com/weberlegalnurseconsulting?igshid=OGQ5ZDc2ODk2ZA== FACEBOOK PAGE: https://www.facebook.com/profile.php?id=100093296215961&mibextid=LQQJ4d https://www.facebook.com/profile.php?id=100084265389215&mibextid=LQQJ4d
Obstetrical vacuum and forceps are incredible tools, when used correctly, to assist vaginal delivery. Appropriately selected and used, they can be pivotal in reducing the number of unnecessary cesareans and potentially decreasing certain fetal and maternal complications. However, there are several pearls of wisdom to remember when using them. In this episode, we will focus on a rare – but potentially fatal – complication of vacuum use: subgaleal hemorrhage. Although subgaleal hemorrhage can occur following normal birth processes, and even cesarean section, vacuum use is the strongest independent factor for its occurrence. In this, we will review these pearls of wisdom and the importance of detecting neonatal subgaleal hemorrhage quickly.
In 2024, the Ministry of Health will provide Tdap (Tetanus, Diphtheria and Acellular Pertussis) vaccination to all pregnant mothers at all government primary health clinics. The vaccination is aimed at protecting newborn babies against the three highly infectious and serious diseases. Prof Dr Nazimah Idris, President of the Obstetrical & Gynaecological Society of Malaysia, joins the show to explain why it's important for pregnant women to protect their infants with this vaccination, and to address any concerns about the safety of the vaccine.Image Credit: Shutterstock
This week we delve into the world of fetal cardiology when review a recent report from Nationwide Children's Hospital on the utility of fetal echocardiography in the setting of a negative obstetrical ultrasound and Down syndrome. Down syndrome is associated with congenital heart disease but can the obstetrical ultrasound effectively rule out 'critical' newborn heart disease, obviating the need for a fetal echo, particularly if a postnatal transthoracic scan is planned? Associate Professor of Pediatrics, Dr. Clifford Cua shares his thoughts on this provocative question and work. doi: 10.1007/s00246-023-03183-0.Epub 2023 Jun 23.
Obstetrical injuries, or those that occur during labor and delivery are more common than patients may realize. Six to seven percent of women undergoing vaginal deliveries will have damage to the anal sphincter muscles, or obstetric anal sphincter injuries (OASIS). Holly Richter, M.D., and Clark Powell, M.D. discuss the complex care required for these injuries and describe their research-backed OASIS care bundle that offers a comprehensive approach bridging obstetrics and gynecology. Learn more about the importance of talking about and addressing OASIS, preferably at an institution that actively assesses quality of care.
Perineal trauma after vaginal birth is common, with approximately 9 of 10 women being affected. Second-degree perineal tears are twice as likely to occur in primiparous births, with a incidence of 40%! Obstetrical lacerations of all degrees can lead to significant physical and even psychological morbidity, and have been identified as an independent risk factor for sexual dysfunction- which could last up to 18 months after delivery. Can perineal massage help reduce the rate of obstetrical trauma at time of vaginal birth? In this episode, we will summarize a new publication from the AJOG which was released on Aug 10, 2023 (first released as an ePub at the end of 2022) and compare the results covered in that publication with a separate systematic review and meta-analysis published in Feb 2023 in a separate journal. Does antepartum perineal massage help? What about intrapartum perineal massage? The answer depends on who you ask/read? Listen in, and find out why.
On this podcast, Bekah Bischoff interviews Dr. Malavika Prabhu about AIM's newest bundles, the Sepsis in Obstetrical Care Bundle. Dr. Prabhu outlines the bundle and describes implementation strategies for facilities. Speakers: Malavika Prabhu, MD and Bekah Bischoff (Series Moderator) Prabhu: @DrPrabhuMFM Recorded: May 2023
Obstetrical forceps have played a significant role in the history of childbirth assistance, but their use has declined in recent decades. One reason for this decline is the complexity and skill required to effectively and safely use forceps. Mastering the technique of forceps delivery requires extensive training and experience. The risk of complications increases when forceps are not applied correctly. As a result, the medical community has shifted towards alternative methods, such as vacuum extraction and cesarean sections, which are considered safer and more accessible for most healthcare providers. While forceps still have their place in specific situations, their limited use is due to the challenges associated with mastering their application For centuries, obstetrical forceps were hailed as an essential tool in aiding childbirth. Developed in the 16th century, these spoon-shaped instruments provided a means to safely extract a baby when the mother encountered complications during labor. Skilled practitioners utilized their expertise to maneuver the forceps with precision, ensuring the safe delivery of the infant. Several factors have contributed to the diminishing use of obstetrical forceps in contemporary childbirth. First and foremost, advances in medical technology have led to the development of alternative methods that provide safer and more controlled delivery options. Vacuum extraction and cesarean sections have become more prevalent, reducing the need for forceps-assisted deliveries. Obstetrical forceps, once a cornerstone of childbirth assistance, have gradually become a rarity in modern delivery rooms. Advances in medical technology, changing philosophies surrounding childbirth, and the emergence of alternative methods have contributed to their decline. While the art of using obstetrical forceps may be fading into history, it is a testament to the remarkable progress made in ensuring safer and more personalized birthing experiences. As we embrace these advancements, we honor the past and look forward to a future where every birth is a cherished and protected journey. Our practice website can be found at: Maternal Resources: https://www.maternalresources.org/ Remember to subscribe wherever you get your podcasts. Please consider leaving us a review. Send us an email with your feedback at info@maternalresources.org Our Social Channels are as follows Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB
Modern obstetrics depends on information gathered by way of ultrasound imaging (also called sonography). Most women will have 2-3 ultrasounds at specific points in their pregnancies as part of normal care. Sheri Jenkins, MD, and Niki Marsh, a sonographer, join Dr. Huh to discuss the ultrasound process and how the scans are used to provide individualized care throughout a pregnancy. Learn more about the rigorous national ultrasound accreditation held by UAB Maternal-Fetal Medicine.
Is pain during sex common, especially for women? In a society where sexual health is still a taboo topic, questions like these aren't always asked and answered, even though they could be a sign of a more serious health condition. Consultant obstetrician and gynaecologist Dr Hoo Mei Lin joins us to shed more light on this and break some taboos along the way. Click here to find out more about the Obstetrical and Gynaecological Society of Malaysia's women's health event. Image Credit: Shutterstock
Wednesday Feb 15th - Gander Mayor Percy Farwell - Issues with Centralizing Obstetrical Services by VOCM
Chloe, a doula in Midland Tx, shares her amazing story of empowerment after a challenging birth and her personal experience with Obstetrical Assault. https://www.midlanddoula.com/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/healingtraumamamas/support
This podcast features DATO' Dr K Balanathan A/L Kathirgamanthan, President of Obstetrical and Gynaecological Society of Malaysia, and Head of Department of Obstetrics and Gynaecology, Hospital Seberang Jaya, Malaysia. He is speaking with CNS in lead up to 2022 International Conference on Family Planning.Listen to this podcast on Apple Podcasts, Amazon Music, Google Podcasts, Spotify, Stitcher, TuneIn, aCast, Podtail, BluBrry, Himalaya, ListenNotes, American Podcasts, CastBox FM, Ivy FM, Player FM, and other podcast streaming platforms.ThanksCNS team
A former communications strategist at a top public affairs firm in Baltimore, Maryland, Cristen Pascucci is the founder of Birth Monopoly and Birth Monopoly's Doula Power group, co-creator of the Exposing the Silence Project, and, from 2012 to 2016, vice president of national advocacy organization Improving Birth. She has run an emergency hotline for women facing threats to their legal rights in childbirth, created a viral consumer campaign to “Break the Silence” on trauma and abuse in childbirth, and helped put obstetric violence and the maternity care crisis in national media. Today, she is a leading voice for women giving birth, speaking around the country and consulting privately for consumers and professionals on issues related to birth rights and options. Cristen is also the host of Birth Allowed Radio as well as executive producer of a documentary film planned for release in 2020 to start a national conversation on obstetric violence, birth trauma, and women's rights in birth. facebook.com/birthmonopoly instagram.com/birthomonopoly
Today we are going to be talking about obstetrical injuries that can lead to sexual pain with Dr. Alisha Bruhl, pelvic floor physical therapist. She will be describing the different types of injury and the complications they can cause, including sexual pain. She explains how pelvic floor physical therapy intervention reduces the risk of these complications.Articles discussed can be found herehttps://drive.google.com/drive/folders/14j1j6uGxnT236fjZB_GiaS0s1JNQAhIdTo contact Dr. Bruhl call 567-585-0240To comment or inquire about today's discussion go to:ohiosexualhealthcollaborative@gmail.com
In this podcast, Dr. Andraya Huldeen, an obstetrician and gynecologist with Western OB/GYN, a division on Ridgeview Clinics will discuss several obstetrical myths; including medication safety profiles for pregnant women, epidurals, COVID vaccinations and induction of labor. Also joining in this podcast is Dr. Nate Beerling, an anesthesologist with Ridgeview, who will add to the discussion of epidurals. Enjoy the podcast! Objectives: Upon completion of this podcast, participants should be able to: Assess timing for induction of labor. Recognize there is lack of evidence of COVID vaccines causing infertility. Describe the different medication classes in pregnancy and how to balce risk/benefit in prescribing some medications. Summarize the role epidurals play in labor. CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at rmccredentialing@ridgeviewmedical.org. To receive continuing education credit for this activity - click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) DISCLOSURE ANNOUNCEMENT The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics. Any re-reproduction of any of the materials presented would be infringement of copyright laws. It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Thank-you for listening to the podcast. SHOW NOTES: *See the attachment for additional show information. Medications in Pregnancy:- Current, but not standard system - Risks vs outweighing benefits - Old system: ABCD & X - A: studied extensively, no risk - B: used extensively & very few problems - C: "waste baskeet garbage world" - D: can cause increase risk of birth defects but benefit outweighs the risk - X: Never use, serious side effects or defects MYTH: All medications cause birth defects if taken during pregnancy- Cold medicines - NSAIDs - Acetaminophen - Narcotics - Ondansetron MYTH: Cervical exam has to be less than 4 to get epidural MYTH: Epidurals slow down labor and cause c-sections- History of epidurals - Epidural at what stage of labor - Epidural placement - Combined Spinal Epidural - Intrathecal: Spinal block - Contraindications for epidurals/spinal blocks - Complications: - Epidural hematomoa - Postural puncture headache MYTH: COVID vaccinations are not safe for pregnant women MYTH: COVID vaccine cause infertility- Concerns & live attenuated vaccines - Pertussis vaccination - COVID vaccination & infection & pregnancy outcomes - IVF & Fertility Outcomes MYTH: Induction of labor causes more c-sections- Previously: induction at 41 weeks unless medical reason to be induced earlier - With higher primary C-section & repeat C-sections - morbidity & mortaility - Prevent 1st C-section - 39th week is lowest risk week to deliver - "Arrival Trial" - Induction of labor - Bishop scale - No specific order for starting induction - provider dependent * For links and resources - see attached "Show Notes". Thanks for listening.
Hey LTP fam! Welcome back for a brand spanking new ep of LTP!Today's solo episode is part 2 of all about adenomyosis! With it being adeno awareness month currently, I would it would be a great opportunity to share all about adeno and answer some questions from the LTP fam! Things I mentioned in the ep:Is it Endo, Adeno or PCOS blog - Let's Talk, Period.1:1 Mentoring with Isabella Harada, T. et al. (2016). The Impact of Adenomyosis on Women's Fertility. Obstetrical and Gynaecological Survey, 71(9), 557-568. If you haven't got your ticket for our online textured paint and sip yet, get on it! Tickets are $65 and it is going to be SUCH a fun evening!! Get your ticket here If you want to keep updated with all things Let's Talk, Period. you can follow us on Instagram at @letstalkperiodau. Don't forget we also have our Let's Talk, Period. Community on facebook. It's the place for people with endo, adeno, pcos or chronic illnesses to ask questions, get support and connect with others who get it! You can join here!Let's Talk, Period. is an independent podcast, so if you did enjoy this episode and want to support the show, it would be amazing if you could follow on apple podcasts and leave a rating and review, or if you're listening along on spotify, you can follow the show and leave a rating!If you want to help grow the Let's Talk, Period. community, you could share this episode with a friend or anyone who you think might enjoy our show or even share that you're listening on your instagram grid or stories! This really helps to find new listeners and build the beautiful LTP podcast community!Your host is Isabella Gosling (@i_gosling)
Put on your Columbo jackets! When a patient tells the story of what happened in their labor and delivery experience, they often leave clues as to what truly happened from a medical perspective. Every clinician understands that patients are not necessarily coming from a medical background when they recount their own experiences with healthcare. The pertinent medical information can be colored by the patient's own perceptions of what was happening we and what they were informed of at the time. A good physician will be able to piece together the puzzle and find the medical facts in the story to crack the case of what really happened in any labor and delivery room. In this creative and interesting episode, Dr. Abdelhak walks us through how he puts on his Sherlock Holmes' cap and can make accurate deductions from fragments of information in a patients story and medical records. True Birth presents : Forensic Obstetrics Our practice can be found at: https://www.maternalresources.org/ Remember to subscribe wherever you get your podcasts. Please consider leaving us a review on iTunes Our Social Channels are as follows Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB
Gregg Luther returns to the podcast to speak about Obstetrical Malpractice. Papa Don has a great passion for cases that involve children, especially medical malpractice with child victims. He personally chose Gregg to speak on this topic so you know it is going to be good! Tune in to hear why OB malpractice cases strike a stronger cord with jurors.Contact Gregg Luther atEmail: Gluther@keenanlawfirm.comPhone: (405) 212-5610Website: https://greggwluther.com/
In this episode of Inside Medical Malpractice, Chris Rokosh sits down with Ontario Perinatal Nurse expert witness Angela King. Listen in as these two share a wealth of experience as Obstetrical experts, hard working Labor and Delivery nurses, mothers, and care providers. Don't miss the hearing about Angela's most memorable cases, and her stories about being on a front line worker in a busy hospital during the seemingly never-ending COVID pandemic. Angela shares that the experience of having a baby, or suffering a pregnancy loss, has been incredibly challenging. She is incredibly skilled in the management of many of the obstetrical complications that end up in malpractice lawsuits, and shares stories and advice for nurses, doctors and the public. Don't miss this episode!
When brought into the presence of a pregnant human female, SCP-051 has various deleterious effects upon the pregnancy, generally resulting in miscarriage of the fetus. Subscribe for more SCP Foundation Files. Now on YouTube! https://www.youtube.com/channel/UCHvwHFhZlVsf-0YWULKVxAg Secure, Contain, Protect - SCP Foundation http://scp-wiki.wikidot.com Robotsradio.net Learn more about your ad choices. Visit megaphone.fm/adchoices
When should student training, experience, and education be prioritized over patient safety and our Do No Harm oath? Nurse Flora is our guest today, and we discuss her story of a time where she had just seen enough dismissive patient care. Have you ever felt torn in a middle of what looks, feels, and sounds like coercive or dishonest patient education and care? And if physician and nurse education (in this case, resident training) is priority over patient safety and honest, trauma-informed care, what are we teaching the next generation of healthcare professionals? *Names and parts of some stories have been changed to protect anonymity of nurse and birthing people
Secrets, in Medicine, are a crime against humanity. Dr Marcus Baw holds an unusual career as a GP, Emergency Physician and health hacker. He makes a controversial claim: That we have an ethical duty to openly share our technological innovation — and anything short of this is a crime against humanity. Links from Marcus Digital Health Networks (CCIOs, CIOs, CSOs, Caldicott Guardians, Clinicians Who Code and more) discourse.digitalhealth.net Open Health Hub - completely open discussion of all things open sourcey in healthcare https://openhealthhub.org/ My OSITOWFM blog https://medium.com/@marcus_baw/open-source-is-the-only-way-for-medicine-9e698de0447e "Royal Colleges 3.0" https://marcus-baw.medium.com/royal-colleges-3-0-best-practice-as-code-7065bce821a7 Faculty of Clinical Informatics https://facultyofclinicalinformatics.org.uk/ RCGP Health Informatics Group (for GPs who are RCGP members only) - GP IT specialism https://hig.primary-care.org.uk Chamberlen Forceps https://en.wikipedia.org/wiki/Obstetrical_forceps#History Me on Twitter https://twitter.com/marcus_baw Marcus's Website: https://pacharanero.github.io You can find me on Twitter @MustafaSultan and subscribe to my newsletter on www.musty.io
The widely-held idea known as the “obstetrical dilemma” is a hypothesis that explains why babies are so helpless, and why childbirth is so difficult for humans compared to other animals. The obstetrical dilemma suggests that babies are born early so their big brains can fit through the mother’s pelvis, which can’t get any wider due to our method of bipedal locomotion. This problem, the idea says, is solved by an evolutionary tradeoff that increases risks to pregnant mothers who must struggle to birth bigger and bigger-brained babies through narrow birth canals. On this episode, Leakey Foundation grantees Dr. Holly Dunsworth and Dr. Anna Warrener describe their search for the evidence behind the obstetrical dilemma and they discuss the importance of the stories we tell about our bodies. Send us your questions! Have a question about human evolution? Something you've always wondered about? We will find a scientist to answer it on a special episode of Origin Stories! There are three ways to submit your question: Leave a voicemail at (707) 788-8582 Visit speakpipe.com/originstories and leave a message Record a voice memo on your phone and email it to us at originstories@leakeyfoundation.org Links The Mermaid's Tale A Most Interesting Problem There is no 'obstetrical dilemma': towards a braver medicine with fewer chilbirth interventions Metabolic hypothesis for human altriciality A Wider Pelvis Does Not Increase Locomotor Cost in Humans, with Implications for the Evolution of Childbirth The obstetrical dilemma hypothesis: there's life in the old dog yet YouTube - Close up video of chimp childbirth The Leakey Foundation Origin Stories is a project of The Leakey Foundation, a nonprofit organization dedicated to funding human origins research and outreach. All donations to support the podcast will be quadruple-matched thanks to Jeanne Newman and the Ann and Gordon Getty Foundation. Visit leakeyfoundation.org/donate and use the notes field let us know your donation is in support of Origin Stories. Thanks Thanks to Lynn and Larry Schafran for sponsoring this episode. We are grateful for their support of The Leakey Foundation and our educational programs. Lunch Break Science Lunch Break Science is The Leakey Foundation's web series featuring short talks and interviews with Leakey Foundation grantees. Episodes stream live on the first and third Thursdays of every month. Sign up for event reminders and watch past episodes at leakeyfoundation.org/live
D.O. or Do Not: The Osteopathic Physician's Journey for Premed & Medical Students
On this Episode of D.O. Or Do Not, Dr. Tonni Bacoat Jones shares her story with us. Dr. Jones graduated with a degree in Mathematics from Bennett College in Greensboro, North Carolina. She attended Medical school at Des Moines University and completed a traditional osteopathic rotating internship in Brooklyn New York. Dr Jones completed a residency in anesthesiology and subsequently a pain management fellowship at the University of Maryland at Baltimore. Ultimately, she went on to work and teach at Nova-Southestern University on the Clearwater campus, where she is currently the post baccalaureate gross anatomy course director and assistant course director for first year medical students. Dr. Bacoat holds a Master of Public Health which she obtained through the George Washington University.In this interview, Dr. Jones will tell us about her journey as a non traditional medical student who raised her five year old daughter during her studies at Des Moines. She describes how an early family mentor led her to choosing Osteopathic Medicine and she will give students her study strategies to be successful in medical school . We hope you enjoy listening to Dr. Bacoat's journey. Hosted by Tiffany CarlsonEdited by Nicholas Buskill
The ladies delve into the organization of beehives and question why humans are hard to bear (literally!)
A nurse who has 35 years of experience as an OB specialist, Ellen Hahn will share with you some of the most critical issues that threaten the health of mothers and also babies in an obstetrical environment. Obstetrical lawsuits medical malpractice cases that emerge from this environment are emotionally charged and also tragic. Ellen thoroughly describes some of the principal dangers and also emphasizes the importance of good communication among medical personnel. In this episode of Legal Nurse Podcast, you’ll get tips on obstetrical lawsuits. Here are some of the points Ellen Hahn covers: Determining that the nurse correctly interpreted fetal monitor strips is vital.Why nurses and also doctors have to rapidly decide how to intervene with a Caesarean.Why it is critical to evaluate the correct use of Pitocin .Has the nurse measured blood loss correctly?The biggest risk for injury is poor communication. Also make sure that communication through the chain of command was properly followed. Get all these tips and more. Click here to get the transcript for this podcast! https://youtu.be/tDRoBRsBQAc Join Us For LNC Success A Virtual Conference March 4, 5 and 6, 2021 from 10:30 am to 6:00 pm Eastern Pat and Barbara put together the first Legal Nurse Consulting Virtual Conference in July 2020. They are back with an all new conference based on what attendees said they’d find more valuable. This new implementation and networking event is designed for LNCs at any stage in their career. Build your expertise, attract higher-paying attorney clients, and take your business to the next level. After the LNC Success Virtual Conference, you will leave with clarity, confidence, and an effective step-by-step action plan that you can immediately implement in your business. Over 100 LNCs attended our first virtual conference in July 2020. Get updated, inspired, and motivated by your experience. Feel connected to LNCs from across the country. Barbara Levin and I put together a distinguished panel of LNCs, doctors, lawyers, and also business experts to share their knowledge to you in the comfort of your own home. Who is Barbara Levin? Barbara is my colleague, friend, also an expert witness, orthopaedic nurse clinician, and much more. No airfare, no hotel, no Uber or Lyft, also no germs and no masks! Get in touch with the Ellen at ellenrnc@yahoo.com Listen to this Podcast on your phone. Download our mobile app BIZ.EDU
Your care provider. When you think of the person who will be attending your birth, what adjectives come to mind? Do you feel at peace, comforted and cared for, or do you feel bullied, manipulated and belittled? Hannah has experienced both ends of the spectrum, and I’m so happy to have her on today’s episode to share with you just how difficult, and then how beautiful birth can be. Happy Homebirth Academy has an affiliate program for care providers. To enter yourself in a monthly drawing for a Happy Homebirth T Shirt (or Amazon gift card), tell your care provider about it! Take a screenshot of the text or email sending them to www.myhappyhomebirth.com/affiliate , and send it to katelyn@myhappyhomebirth.com with the subject line: Midwife Message Hannah thought her hospital birth would be totally covered, as she was actually on two insurance plans. As it turned out, she was not, and her hospital birth was more expensive than her later homebirth. One big red flag Hannah experienced with her OB, that she now wishes would have made her turn and run, was that when she gave the OB her birth plan, the response was “Oh, you’ll get the epidural. Don’t be a hero.” Hannah urges mothers— if you’re experiencing obstetrical bullying, FIND ANOTHER PROVIDER! She actually experienced her first labor contractions while camping at 40 weeks. The labor was long—beyond 48 hours, and she finally received pitocin, an epidural, and “purple pushed” for 2 hours. When she became pregnant with her second child, she still felt somewhat traumatized by the first experience. Even though she knew she wanted a different experience, she wondered, “Can I do it?” She chose a midwife, and the difference she notes is that she felt completely secure and completely safe at home She felt her care provider was perfectly aligned with her. During her second pregnancy, she and her husband communicated more effectively about what she would want during labor. This paid off, and he was able to support her perfectly. Hannah also hired a doula, which she recommends to everyone. She loved the book “Childbirth Without Fear,” and one of the biggest takeaways she found was this: In Genesis, we’ve translated the discussion of the fall as Adam toiling the land and Eve experiencing great pain with childbirth. However, the same Hebrew word is used in both: Toil. She discusses the idea that labor is an experience of toil, not necessarily an experience of pain.Once her baby arrived, Hannah experienced “the birth pause” where all felt right in the world. She was overwhelmed with thankfulness and connection, where she recalls feeling completely out of it after her first hospital birth. Her biggest takeaway from birth is that when you have the right care provider, you feel in charge, not managed. Episode Roundup: 1.If your care provider is bullying you, FIRE THEM AND RUN. Remember, they work for you. Remember, you are your own and your child’s advocate 2. I want to bring back this discussion of pain vs. toil. I love this concept, and as I’ve said many times… I just don’t consider childbirth painful. I know this isn’t the case for everyone, and I love to hear all of the ways that others experience it. But toil… great work? Certainly. Remember that so much of our experience is often unknowingly wrapped up in our own expectations. If we’re expecting pain, well, pain we shall likely have. Coming into childbirth with an open mind and an arsenal of tools to provide comfort gives such a great chance at truly appreciating, if not downright enjoying, the experience.
Have you ever heard the term “obstetrical violence” and wondered what it meant? Or maybe you envisioned this blatant act of disrespect or an assault of sorts. These are both examples of obstetrical violence, but is another side to it, too. A sneaky side. Today’s episode is going to share a few instances of medical manipulation in the birth room that were silent and coy and draped in not-so-graceful wordsmithing from providers. I am sitting down with Tranquility by HeHe team member and doula, Caitlin LeBeau, to chat about the things we have witnessed in labor and delivery rooms across the nation. Some cases are blatantly obvious and some cases are as covert as 007 himself. Note to listener: we do not give traumatic recounts of these instances. You need not be worried about hearing content that may cause trauma. Nonetheless, this episode is focused on obstetrical violence so listener discretion advised. To learn your rights as a birthing person and understand how to protect yourself during your birth experience, visit www.thebirthlounge.com
Episode 45 is here! Today, LJ and Zach are joined by ED RN Meghan, as they spend an episode talking about obstetrical emergencies and precipitous labor. Meghan shares the tale of a particularly precipitous delivery that she attended, and then gang goes for gold on Zach takes the NCLEX, as LJ has devised not 3 but 4 devious questions. Do Zach and Meghan have what it takes to defeat the test? Tune in and find out!Music:You're There by The Mini VandalsAll Night by Ikson
Hey everyone! Welcome back to the Crazy Beeutiful Life. I am so excited to introduce a new series to #CBL, Bee's Estrogen Empire! CBLxBEE will focus on education and awareness about several different women's health topics. This series is part of a project I am doing for a women's health course at University of Toronto, so please be mindful that these episodes will involve more research and be a wee bit more serious than my typical episodes. Please keep in mind, CBLxBEE is NOT a diagnostic tool, so if you feel that you may have some of the conditions discussed, please consult your family doctor or gynecologist. Below you will find this episode's references, thank you so much for joining me! REFERENCES: 1. Achour, R., Koch, M., Zgueb, Y., Ouali, U., & Rim, B. H. (2019). Vaginismus and pregnancy: epidemiological profile and management difficulties . Psychology Research and Behavior Management, Volume 12, 137–143. doi: 10.2147/prbm.s186950 2. Almeida, M. B. A., Barra, A. A., Saltiel, F., Silva-Filho, A. L., Fonseca, A. M. R. M., & Figueiredo, E. M. (2015). Urinary incontinence and other pelvic floor dysfunctions in female athletes in Brazil: A cross-sectional study. Scandinavian Journal of Medicine & Science in Sports, 26(9), 1109–1116. doi: 10.1111/sms.12546 3. Fadul, R., Garcia, R., Zapata-Boluda, R., Aranda-Pastor, C., Brotto, L., Parron-Carreño, T., & Alarcon-Rodriguez, R. (2019). Psychosocial Correlates of Vaginismus Diagnosis: A Case-Control Study. Journal of Sex & Marital Therapy, 45(1), 73–83. doi: 10.1080/0092623x.2018.1484401 4. Lahaie, M.-A., Amsel, R., Khalifé, S., Boyer, S., Faaborg-Andersen, M., & Binik, Y. M. (2014). Can Fear, Pain, and Muscle Tension Discriminate Vaginismus from Dyspareunia/Provoked Vestibulodynia? Implications for the New DSM-5 Diagnosis of Genito-Pelvic Pain/Penetration Disorder. Archives of Sexual Behavior, 44(6), 1537–1550. doi: 10.1007/s10508-014-0430-z 5. Ozen, B., Özdemir, Y. O., & Bestepe, E. E. (2018). Childhood trauma and dissociation among women with genito-pelvic pain/penetration disorder. Neuropsychiatric Disease and Treatment, Volume 14, 641–646. doi: 10.2147/ndt.s151920 6. Pacik, P. T. (2015). Understanding and Treating Vaginismus. Obstetrical & Gynecological Survey, 70(5), 314–316. doi: 10.1097/01.ogx.0000464926.75285.1c
I know we are told that the biggest decision as a woman is who we choose, if we do, to spend the rest of our lives with. And that's very true when you think of life goals, financial goal, career goals, etc. but next to that, if you choose to have a family, the biggest decision is who will take care of you before pregnancy, during pregnancy, during labor and delivery and then postpartum. Oh my goodness. I didn't realize how big of a deal this was until I was deep into my training. Yall, I have seen the good, the great, the amazing, the bad, the ugly, and the WTF. 99% of my colleagues are amazing women and men that have devoted their life (Yes their LIFE) to women and the life of their unborn. 99% of us take you into our hearts and treat you like family. Obstetrical providers that aren't the same but for different reasons. It could be training, or bias, race, cultural, upbringing, or whatever. It is your duty as a Momma to make sure you are putting the life of yourself and your child in the best trained person you have in your area. You want a physician or midwife that views your life and the life of your child as a priority. On this episode, I'm going to give tips on how to find the perfect and safest Obstetrical team and birthing facility for you. Find Dr. San and the Mature Momma Tribe at : www.instagram.com/drsanobgyn www.facebook.com/drsanobgyn And don't forget to join the mailing list: https://view.flodesk.com/pages/5e0a1f31efd02b0026c7ab64
In this episode, resident physician Lindsay Drummond will describe the basic components of an obstetrical history for medical students and junior residents. At the end of this podcast, listeners will be able to: 1. List the components of a complete obstetrical history 2. Demonstrate ways in which to ask the details of the four cardinal questions 3. Describe elements on history which are relevant to current pregnancy management 4. Summarize a patient's presentation in a concise and clear manner
Content Warning: miscarriage, obstetrical body horror ---- CLEARANCE GRANTED... WELCOME, AUTHORIZED PERSONNEL... SCRIPT BASED ON ORIGINAL ENTRIES BY mari_who: www.scp-wiki.net/scp-051 www.scp-wiki.net/interview-051-1 License: creativecommons.org/licenses/by-sa/3.0/ ---- The voice of the Database was provided by Joshua Alan Lindsay. The voice of the interviewer was provided by Joshua Alan Lindsay. The voice of Dr. David Ehrenfeld was provided by Romeo Rosales, Jr. ---- Sound Credits "OxygenTank S08ER.365.wav" by Blastwave FX / PSE "ShoesWalkTiles01.wav" by Otakua of Freesound.org [CC BY 3.0], altered "ShoesWalkTiles02.wav" by Otakua of Freesound.org [CC BY 3.0], altered "squeaky valve.wav" by FreqMan of Freesound.org [CC BY 3.0] ---- Enjoy the podcast? Consider supporting us on Patreon! Patrons get access to bonus Joke episodes, outtakes, exclusive merch, and can even request episodes on specific SCP objects. www.patreon.com/thescpfoundationdatabase Listen and read along in one place on our website: www.scpdatapodcast.com/episodes/scp-051 Follow us on Twitter: twitter.com/SCPDataPodcast Like us on Facebook: www.facebook.com/scpdatapodcast Questions or comments? Email us at SCPDataPodcast@gmail.com
Obstetrical forceps have a strange history: considered by historians to have been created by William Chamberlain, a French surgeon, the tool was kept a close family “secret” for well over a century! Eventually, the device and concept was sold by a destitute Chamberlain family member. William Smellie would then take this device to the masses. In this podcast, we provide a brief historical perspective on obstetrical forceps.
Today, we talk with special guest Anna Dix all about acupuncture in and around pregnancy! --- If you liked this episode of To Birth and Beyond, tell your friends! Find us on iTunes and Stitcher to rate/review/subscribe to the show. Want more? Visit www.ToBirthAndBeyond.com, join our Facebook group (To Birth and Beyond Podcast), and follow us on Instagram @tobirthandbeyondpodcast! Thanks for listening and joining the conversation!
Today, we talk with special guest Anna Dix all about acupuncture in and around pregnancy! --- If you liked this episode of To Birth and Beyond, tell your friends! Find us on iTunes and Stitcher to rate/review/subscribe to the show. Want more? Visit www.ToBirthAndBeyond.com, join our Facebook group (To Birth and Beyond Podcast), and follow us on Instagram @tobirthandbeyondpodcast! Thanks for listening and joining the conversation!
Happy February everyone!!! The month of love and home to Valentine’s Day, so you know what that means??? Pregnancy. So for this podcast in OBGYN month, we will discuss obstetrical laboratory screening: what do you order, when do you order it, what is absolutely required, what is available but not routinely ordered, and everything else you need to know when counseling pregnant patients.
In this episode of Inter Vitam et Mortem, Mary Anne Urlakis interviews Julie Shocksnider, RN, MSN, on the challenges of obstetrical nursing. Among the more difficult topics which she addresses in this interview is the subject of fetal loss. In addition to discussing ethical considerations regarding the loss of a child and grief, Julie also discusses ethical considerations the subject of informed consent. (February 18, 2019)
Practice Bulletin #165 Prevention and Management of Obstetrical Lacerations at Delivery
Contraception for the High-Risk Obstetrical Patient: A Call to Action
Transcript for this episode is found under the pic Ron is a co-host of PodcastDX, he was injured as a child when he was struck by an automobile. He survived the critical injuries but a permanent deficit of his brachial plexus nerve bundle remained. Although he does not have the use of his right arm, he continues to take on challenge after challenge. His latest goal is to compete in the 2020 Paralympics! We certainly support his drive to excel, and hope to see him on the podium for that event accepting his first medal! Episode 13 Brachial Plexus .mp3 Ron [00:00:19] Hello and welcome to PodcastDX the show that brings you interviews with people, just like you whose lives were forever changed by a diagnosis. This podcast is not intended to be a substitute for professional medical advice diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen and never disregard professional medical advice or delay it in seeking because it's something you have heard on this podcast. Lita [00:00:58] I'm Lita. Jean [00:00:59] I'm Pokémon. Lita [00:01:00] . Pokey man? Ron [00:01:04] And I guess I'm Ron. I am one of the co-hosts and also today's guest. Lita [00:01:10] Yes. Yay Ron. Collectively we are the hosts of podcast D X and Ron we will not make you ask questions as well as answer them today because that would be a whole different theme show under DSM 5. Ron [00:01:24] I do appreciate that thank you very much. Jean [00:01:27] The topic for today is rather complex so bear with me a moment. The actual injury we will discuss is a brachial Plexus Avulsion and a secondary topic is living a full life with any type of disability from handling bullying as a child to searching for a job as an adult. The first brachial plexus is a network of nerves that sends a signal from your spinal cord out to your shoulder arm and hand. Lita [00:01:54] That's correct. It's a bundle. Or like Jean said a network of nerves starting at c5 going down to T1. So it's C5 C 6, c7 c 8 and T1 there are five of them coming from the spinal cord going out through each shoulder down to the arm and the fingers they connect and they run all the way to the fingers and they separate and rejoin as they do this so they'll be like opening up closing back together. It's it's a nerve bundle. Now if. Part of the nerve bundle is stretched or compressed possibly through contact sports like wrestling or football. The individual can feel an electric shock or a burning sensation down the arm or a numbness or weakness in the arm. For minor injuries the symptoms could last well maybe a couple of seconds a couple of minutes they might linger for days but in a more severe injury called an avulsion the nerve root is actually torn from the spinal cord where it originates. This might happen in a motor vehicle accident or other trauma. And Ron was a youngster when his occurred. It affected his right arm which never recovered from what must have been a complete tear. Ron [00:03:15] That's pretty much true. I was so young at the time. I. I didn't get any information from the doctors. I mean we've had like almost 50 years ago. Lita [00:03:26] Yeah that's, that's probably hard to remember that. Jean [00:03:29] Right in when you get injured as a young child it must be you've had been a very frightened time for you and for your mother as well. Ron [00:03:37] Well to be honest for me I don't really have any recollection. I think I was maybe too young or something that maybe just blocked out of my mind. I was four… Jean: Sure Ron: … when the accident happened but for my mom, I'm sure it was much more of a traumatic event. Anybody who's a parent out there when something happens to your child it's like... Lita [00:04:07] it's your whole world. Ron [00:04:07] yeah Because you're her child. Ron [00:04:07] Yeah right. Ron & Lita [00:04:08] Your whole world. Ron [00:04:09] The responsibility and all that whether or not it's your fault or not. So yeah I'm sure it's probably much harder on the mom. But again for me as a kid I don't recollect any of it whatsoever. Lita [00:04:25] ok, We've had many medical advances since the what, this would be like the 1960s that this has happened. Ron [00:04:32] Somebody said you know, I'm not that old (Laughter) Lita [00:04:33] I'm sorry about that. ( laughter )But again we're dating myself and treatment protocols are more aggressive now with the use of nerve transplants. This injury is more common than you would think during birth when the baby's shoulder has trouble passing under the mother's pubic bone. And the doctor has to do significant manipulation of the baby in order to allow the birthing process to take place. The resulting injuries called Herb's palsy depending on the severity of the injury it can also be a lifelong detriment or it could clear up on its own in time or with the new surgical procedures and techniques like nerve transplant. Jean [00:05:13] That's right. Obstetrical brachial plexus injuries happened about four out of a thousand births. It's not it's common but it's not all that common in parents probably don't even hear about it unless it happens to their child breech deliveries force babies arms to stretch up over their head during birth and that can be one of the causes. Ron [00:05:32] It's pretty interesting I'm sure that the new mothers out there or mothers to be are going to be thinking about this right now. Jean [00:05:40] Yeah. Ron [00:05:41] And of course we know that the brachial plexus injury have been very contact sports like football hockey and wrestling. Jean [00:05:47] Or even high jumps. Lita [00:05:49] ohhh High Jumps, . The only data I could find was dated 1990s where it was reported to be the most common injury during contact sports with two point two per hundred players incurring this injury during their time playing sports. And that's across the board. That's all sport players from youngsters up to professional athletes when the injury occurs the athlete feels a sharp burning or stinging pain hence the common names burner or Stinger radiating from the Super Clavicular area down the arm to the hand. This is accompanied by numbness or tingling of the upper extremity. Jean [00:06:29] I think everyone's felt something comparable to this at some point in their lives if they never hit their elbow. Lita [00:06:34] Right. Jean [00:06:34] Sharply. And you feel that selection faint tingling painful feeling and that's the nerve being hit at that point. There are actually several forces at work when a youngster has a traumatic accident on a plus size because the nerves and muscles are still developing there's always a chance for some recovery with just given time and possibly with physical therapy. Also if the incident occurs very early on the child may learn to adapt well with this and automatically without even realizing that there is maybe a deficit or something they'll just be able to adapt and learn around it. And if it's all you've ever known well then it's your own level of normal. And Ron I think that is what you're saying. You were saying before the show that you're used to it. Ron [00:07:21] Well yeah that's right. Because the accident it had happened so long ago and I was so young I never really learned how to do something. Another way. I grew up learning how to do things that I did with we'll be getting into that but I learned how to do them the way I learned how to do them. So that was my normal. But it's a lot different for people who are older that have to adapt. Yes I'd become their new normal. But the older you are the more you're used to doing it one way then you need to change what you're doing to a different way to adapt to you know whatever happened. A lot of times that becomes much more difficult for people because they have to relearn how to do something. Jean [00:08:08] Right. Lita [00:08:09] Right. So you're injury because it was so young and it resulted in atrophy of your right arm. You just adapted to life without it and because it happens so young you really didn't even realize that. It was there or wasn't there. And what you might have been missing is that right. Ron [00:08:26] Right. I wouldn't call it adapting, because I didn't know any other way you know what I mean I guess you could say it wasn't happening but because I didn't know you just said hey this is how it works for me right. Jean [00:08:39] Right. Well as a youngster did your friends or family members ever treat you differently. Were you ever bullied or were you just one of the guys. Ron [00:08:48] You know looking back. Family wise not always always encouraged to do stuff. I've always played sports as a kid growing up. I would have been playing baseball softball and baseball in my mid 30s. I played a lot of different sport. I never really had that from my family at all and from kids growing up I guess if I look back it probably was some but because I was doing a lot of the same sports activities as my parents and my friends I didn't look at it that way or I wasn't getting as much as some people may get. Jean [00:09:31] OK. And in no matter what happened you persevered and you've kept your positive attitude throughout and I'm sure your family had a lot to do with your attitude and always looking you know to succeed and that's you know obviously their support is extremely important. Ron [00:09:49] Oh absolutely my family's been great. I never ever. Had things. Given to me differently or told I couldn't do something for fear of get hurt or told you should'nt try this. I was always encouraged or maybe not encouraged, but my mom or my family would always be behind you when I said you could do stuff. Never surprised when they tried to do something new or different. But I was encouraged to do so. Yeah. My family's been great my whole life. Lita [00:10:22] I know that some of the sports you've participated in scuba for sure since you're a part of the Dive Heart organization and baseball golf and lately archery. Has it been any easier the last 30 years compared to the first 20 years of your injury. The Americans With Disabilities Act of 1990 that might have been having a benefit for your pursuing sports. Ron [00:10:45] To be honest the ADA really has not been an issue for me one way or the other. Again when I started playing sports. It was 20 years you know almost 20 years before the ADA came about and I've been doing it my whole life. I like the challenge. I when I was a kid I loved playing baseball I still wish I could. But you know father time has caught up with me. But I still do other sports that may not be as physically active I like to be involved and whatever it is. I like the challenge. Lita [00:11:28] right, Well I know that at the range we were talking yesterday and you said as an adult you still have to prove yourself when joining a new group. You said that. It sounded a lot like where I said it sounded a lot like. Being a female mechanic and you didn't understand that because you're not a female or a mechanic but talk about that a little bit now as an adult. How difficult is it for you to get into new situations. Are there people that stare. Does it make you self-aware. Ron [00:11:57] Right. And before we go along with this I need to say thank you for stealing my line. I think that was my line yesterday. I'm not a woman or a mechanic. Lita [00:12:04] Laughter. Ron [00:12:06] I mean. Lita [00:12:08] I knew I heard it somewhere. Ron [00:12:13] The reality. Yes. You know the one thing I have noticed throughout the years is because I do things my own way to participate. I do see people that busted me or does dare I lead them and now I'm used to it. But it's probably a little more un-nerving when I was growing up. But again like I said I'm used to it now. But even since I was a kid I did always have to prove myself. But even with my peers or the kids from little league that I grew up with. After a while they knew me. But when I started playing against other people they didn't, or when I played in travel leagues. we did, you know, other people people didn't know me per se, yes. And I always had to prove myself again because they're always looking at me out there who's doing things differently than them. And a lot of times I would get the look, or the stares, or the "yeah this kid doesn't belong. This guy shouldn't be here" until I started playing. Jean [00:13:18] Okay. Well I just learned that, when you're meeting new people or entering a new group the functional MRI of someone who is meeting new people looks the same as a functional MRI of someone who is perceives a threat. Or is in distress. So for I think for everyone it's always challenging and a little bit scary when entering a new group and it's just interesting that you know it it's it can be hard for anyone. And I know that when I was using a wheelchair I often felt that people always wanted to help me even if I didn't need help or I felt like I could do something on my own. And I oftentimes felt conflicted. You know sometimes I wanted people I needed help and other times I just wanted to be able to do things on my own and I had difficulty finding the words to actually let someone know that I'm okay I can handle something and I I'm okay and I know what I was doing. Do you ever feel uncomfortable asking for help or would rather do things on your own until you can acquire the ability or something like that. Ron [00:14:28] That's an interesting question. I'm pretty stubborn in that sense that yeah I like to do things independently. I will ask if I can't or it just becomes too difficult. But there really isn't much at all that I can't do because again I find a way to do it. Jean [00:14:49] mmhmm. Ron [00:14:49] And there are people out there and with all good intention some kind of want to help or whatever. Sometimes it's difficult to not accept the help or I mean I do. I'm just so used to doing things myself. Jean [00:15:04] Mmhmm ok, Lita [00:15:06] Your your recent challenge is a personal one. That's archery. I know you're working hard to improving your stance and you're breathing. What is the hardest part of your current challenge. Ron [00:15:20] Well you are an Archer from the past and you could understand the sport and every little part of your stand. Every part of your posture, every little part of your release it impacts where your arrows are lined up. So right now I think the biggest challenge I'm having is consistency with all the little minute aspects of the sport. If you're aware I'm shooting at a target it's 50 meters 55 yards from where I'm standing and the whole size is about half the size of a compact disc. So trying to hit a target that small from that distance precision and accuracy is paramount. So any little. Change in posture or release can affect the arrow where it hits the target. So it's getting that consistency with every aspect of eventually releasing the arrow. Jean [00:16:26] OK. And I think those of us who have fired at a range with weaponry we kind of understand that where even like the slightest variation in your breath can affect where you hit on a target and if any of our listeners have any tips or tricks or suggestions we'd be happy to hear them and pass them on to Ron. And I know I won't be at the archery range anytime soon. I was almost almost never made it into this world when a stray arrow almost got me when I was still in my mom's belly. So yeah a little bit of a fear there. Lita [00:17:01] Yeah yeah. We won't be dragging you out there. I want the parents at home to realize that. It's only a disability if you let it become one. I know it's simplistic. I don't mean to be shallow regarding anyone's feelings but I think it's okay to let your child stumble just like any other child that will, as they're growing. You don't need to be overprotective. You can let the child learn and adapt. You can give guidance and support. And be there when they need you but don't be so overprotective that they can't grow and learn for themselves what will work, what won't work, is that What you are trying to say Ron? Ron [00:17:43] Yeah it's funny that you put it that way. I recall when I was a child. One of the parents, this was in little league, actually. Told my mom. That she was surprised that my mom was allowing me to ride a bike. Lita [00:18:03] tskk. Ron [00:18:03] Exactly. It's ridiculous. Now I again I'm sure she meant well but sometimes if you're overprotective you don't allow your kids to be kids you know grow and flourish. Lita [00:18:15] Right. Jean [00:18:17] Well we heard about a quad amputee who had a bike modified from Ride to Recovery. And he was injured. The gentleman was injured in the military and had to have all four limbs amputated amputated and he actually he works. His part. He works there, I don't know exactly how the motion works but he's had adapt, adaptations made to the bike. And when it's first time out on the road he fell over and was,. Lita [00:18:46] wiped out. Jean [00:18:48] And wiped out. And they went to him and said "Oh you you do not want to try this." and he said "oh no let's. Let's go. Let's try it". You know you got to get out there you've got to try it and adoptions can be made for anyone. Ron [00:18:59] Oh absolutely. I remember I could take some of my students adaptted water skiing with a group that provides beach sports in waterskiing for people that can't walk. And one of my students who was waterskiing on the lake up in Twin Lakes Wisconsin wiped out. Jean [00:19:18] Yeah. Ron [00:19:18] You know everybody's freaking out. "Oh my God oh my God." And we got the girl up, and get her back on to the ski boat. She was laughing. Lita [00:19:30] (laughter). Ron [00:19:30] And everybody said what are you laughing for. I'm having fun. Jean [00:19:34] Yeah. Ron [00:19:35] You know I think she cut herself. Who doesn't. You know you can't treat somebody you know like glass just because you're afraid something's going to happen. Lita [00:19:45] Kids are gonna get hurt. Ron [00:19:46] Exactly. But it's great. Nowadays a lot of organizations are out there that have opportunity if you will both for sport and for. The other other forms of leisure that weren't around many many years ago. You guys were aware of being Veterans and through the VA hospital,. Jean [00:20:12] yeah. Ron [00:20:12] And we have in Chicago now known as the Shirley Ryan ability clinic or ability lab. Lita [00:20:18] Right. Ron [00:20:19] They have so much going on out there, that borders, of the different organizations that I'm involved with, with the Dive Heart which does adapted Scuba diving, the other organization which I mentioned is the water skiing, is called dreams for kids. Jean [00:20:36] OK,. Ron [00:20:36] And they allow kids to be kids. Jean [00:20:39] Right. Ron [00:20:39] So by water skiing in the summer snow skiing in the winter. You know for kids that can't walk. There's a lot more that goes into it. But where I'm going with this is a lot more opportunity for not just kids. Kids and adults, with any type of disability to get involved in sport or any other recreational activities. So the sky can be the limit now. Lita [00:21:03] I think we finally touched on the recreational therapy portion. Jean [00:21:08] Oh Shocking given that we have two recreational therapists in the room. What do you get when you have two recreational therapists in the room. Yeah. A lot of talk about recreational therapy. And they will tell you that anyone can do anything. Lita [00:21:22] Yes. Ron [00:21:24] What's not great about that. (Laughter) Yeah. Anything that's out there, there is always a way to modify it for somebody to participate in and that's what Lita and I went to school for and I believe we both still believe wholeheartedly in this and the way I got involved had nothing to do with my disability although having a disability it's kind of helped me to help others. But again because of the times we are in now and all the different organizations there are out there and the opportunities that exist if you are interested whether an active sport or any other type of recreational opportunity is always going to be something there for you. Jean [00:22:12] Well that's that's really great. I know always our world gets smaller with our ability to communicate instantly and diversity is easier to observe and hopefully more accepted our collective appreciation and acceptance of people is certainly one of human natures its greatest strengths. Ron [00:22:32] Oh I totally agree. I think nowadays with much more emphasis on acceptance I don't think there is much of a stigma, that used to be when I was a kid. And I think that the world is more open to people with disabilities participating in sports. Jean [00:22:55] OK, Yeah. You got to see the person. Lita [00:22:57] Right. Well. We started out the episode discussing brachial plexus injury but also we drifted off into the difficulties children may have when there's something a little bit different than their peers. But we celebrate those differences we stand in support of anyone with a physical mental or emotional challenge and we hope our listeners will do the same and help those in their lives to also do the same. Jean [00:23:24] When they need help or when they ask for it. Lita [00:23:26] If they need it. Jean [00:23:27] Yeah. Lita [00:23:27] Be there for them all Jean: right. Lita: If you have any questions or comments related to today's show please contact us at Podcast D X at yahoo dot com to our Web site Podcast DX dot com, our Facebook page, Pinterest, Instagram or Twitter and Ron. Thank you for being our guest. Jean: Thank you. Ron [00:23:47] I appreciate it. I wish I had more time but I'm joking over here. Lita [00:23:54] (laughter). Ron [00:23:54] Thank you. And for our listeners out there if you have a moment to spare please give us a five star review where ever you get your podcast ap. Until next time. Lita [00:24:03] We're gone.
In this session we will cover general surgery comditiond in pregnancy. The three most common non-obstetrical surgical conditions in pregnancy are: appendicitis, gallbladder disease, and acute intestinal obstruction. In this session, we will cover the diagnostic evaluation and treatment of these non-obstetrical surgical conditions.
Tanti contenuti e curiosità tutti da assaggiare! Embrioni che emettono scintille, uomini che cambiano durante la gravidanza e tante altre perle. Buon ascolto!
The February 2018 edition of the JAAPA Podcast with hosts Adrian Banning and Kristopher Maday. In this month's episode, our hosts examine the benefits of exercise in patients with colon cancer and they discuss the workup of incidental renal masses. We also discover a new opportunity for PAs: the obstetrical laborist role. This issue also features a discussion of transgender patient care and a quick review of otitis external. And, just for kicks, how about an update on anticoagulants? Plus, our hosts take a time-traveling trip that music buffs will love. Jump to Content: Exercise in Colon Cancer – 6:00 Incidental Renal Mass - 13:25 Obstetrical Laborists - 20:42 Transgender Care - 24:50 QRS Otitis Externa - 31:54 Advances in Anticoagulation - 36:06
We continue to grow as registered nurses everyday in our field & I've had the pleasure to work with a great team here in San Diego with my Nurses in the Critical Care, IMU, Tele & Recovery Unit. So the million dollar question Is which Specialty would you choose? -Ambulatory care nursing -Advanced practice nursing -Burn nursing -Camp nursing -Cardiac nursing -Cardiac Intervention nursing -Dental nursing -Medical case management -Community health nursing -Correctional nursing -Critical care nursing -Emergency nursing -Environmental health nursing -Faith community nursing -Flight nursing -Forensic nursing -Gastroenterology nursing -Genetics nursing -Geriatric nursing -Health visiting -Holistic nursing -Home health nursing -Hospice and palliative care nursing -Hyperbaric nursing -Immunology and allergy nursing -Intravenous therapy nursing -Infection control nursing -Infectious disease nursing -Legal nursing -Maternal-child nursing -Medical-surgical nursing -Military and uniformed services nursing -Neonatal nursing -Neurosurgical nursing -Nursing informatics -Nursing management -Nursing research -Nurse midwifery -Obstetrical nursing -Occupational health nursing -Oncology nursing -Orthopaedic nursing -Ostomy nursing -Pediatric nursing -Perianesthesia nursing -Perioperative nursing -Private duty nursing -Public health nursing -Pulmonary nursing -Quality improvement -Radiology nursing -Rehabilitation nursing -Research nursing -Renal nursing -School nursing -Space nursing -Sub-acute nursing -Substance abuse nursing -Surgical nursing -Telenursing -Telephone triage nursing -Transplantation nursing -Travel nursing -Urology nursing -Utilization management -Wound care ----------------------------------------------------------------------------------------------- Don't Forget to Follow NurseMendoza & P.L.A.N ✌
Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Obstetrical emergency care units offer pregnant women highly-specialized emergency care as a better alternative to the traditional emergency room visit. These units have been proven to increase patient satisfaction and improve emergency room wait time lengths. Where are they being utilized, and what are the barriers to implementing them nationwide? Host Renee Allen talks with guests Dr. Brian Gilpin, National Clinical Director of Operations for OB Hospitalists at Mednax National Medical Group, and Dr. Christopher Swain, Founder and Chief Medical Officer for Ob Hospitalist Group (OBHG). They discuss the benefits and challenges of obstretical emergency care units.
Guests: Dr. Nikolas Capetanakis In this episode, we will cover: the list of things Dr. Cap wants each of his patients to do before they go into labor - it's not what you think how Dr. Cap helps create a "Golden Hour" after birth for mommy, daddy and baby to bond together what the #1 thing Dr. Cap has seen that helps ensure a woman has an amazing hospital birth Resources mentioned in the conversation: www.CapWellnessCenter.com A list of all the birth classes offered: Cap Wellness Center Classes A library of informational videos about pregnancy and birth: Cap Wellness YouTube Channel About Dr. Capetanakis: Dr. Capetanakis is Board Certified by the American Board of Obstetrics and Gynecology and the owner/founder of the Cap Wellness Center. He received his medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific so Along with all the requirements of an MD, Dr. Capetanakis has trained in the art of osteopathic manipulative medicine. He serves as the Vice Chair of the Obstetrical and Gynecological Department at Scripps Memorial Hospital, Encinitas and is a member of the American Congress of Obstetricians and Gynecologists. When not working, Dr. Cap enjoys spending time outdoors with his wife Angie and their three young children. He is an avid cyclist and has performed in numerous triathlons and bike rides. He also enjoys camping, hiking, soccer and traveling.
Is There a Doctor on the Plane? Summary by: Joe Lex How Common Are In-Flight Emergencies?• Occur on one in every 600 flights• 44,000 of 2.75B airline passengers / year What Are Most Common Emergencies• Lightheadedness or fainting ~37%• Respiratory problems ~12%• Nausea or vomiting ~10%• Cardiac symptoms ~8%• Seizures ~6%• Other Emergencies• Laceration ~0.3%• Cardiac arrest ~0.3%• Ear pain ~0.4%• Obstetrical or gynecological symptoms ~0.5%• Headache ~1% Who Responds to the Call?• Physician passenger responds in ~48%• Nurse passenger responds in ~20%• EMT passenger responds in ~5% Minimum first aid kits on commercial airliners16 Adhesive bandage compressors, 1 in20 Antiseptic Swabs10 Ammonia Inhalants8 Bandage compressors, 4 in5 Triangular bandage compressors, 40 in1 Arm splint, non inflatable1 Leg splint, non inflatable4 Roller bandage, 4 in2 Adhesive tape, 1 in standard roll1 Bandage Scissors2 Protective latex gloves pair2 Insect sting relief pad2 Triple antibiotic ointment2 First Aid/burn cream, 9 gm.2 Povidone iodine infection control wipes2 Alcohol cleansing pads2 Gauze dressing pad 2" x 2" in2 Motion Sickness Tab4 Ibuprofen tablets4 Non Aspirin Tablets2 Sunscreen lotion towelette2 Trauma pads 5 x 9 in (12,7 x 22,8 cm)1 Survival rescue blanket1 Pelican case 1170 waterproof1 Emergency first aid guide (American Red Cross) Required medications on flights• Antihistamine – tablets and injectable• Atropine 0.5 mg injectable• Aspirin tablets 325mg• Bronchodilator MDI• Dextrose 50% injectable• Epinephrine 1:1000 and 1:10,000• Nitroglycerin tablets• Lidocaine injectable• IV needle• 500ml Saline injectable All crewmembers are trained for common emergencies. For each flight attendant¥ Instruction to include performance drills in the proper use of automated external defibrillators¥ Instruction to include performance drills in cardiopulmonary resuscitation¥ Recurrent training … at least once eve
Gary Butterfield and Kole Ross talk about the ending of the main portion of Bloodborne. The next mainline episodes will be about the DLC. LINKS OF NOTE: Mego Toys Air Jordan Murders That birth thing Kole was talking about The Boss Behelit Tragedy of the Commons I've seen spinals Helios Merger
Guests: Dr. Capetanakis and Care Messer In this episode, we will cover: 1) The history of C-Section and why it has become so prevalent in the US today. 2) What are the real risks and dangers a woman must consider when trying for a VBAC or Vaginal Birth After Cesarean. 3) What Dr. Cap and Care believe a woman must do in order to prepare herself for a VBAC and be successful in labor and delivery. 4) A list of resources to get more information about VBAC. Resources mentioned in the conversation: ● www.CapWellnessCenter.com ● A list of all the birth classes offered: Cap Wellness Center Classes ● A library of informational videos about pregnancy and birth: Cap Wellness YouTube Channel Bios: Full Bios can be read here Dr. Capetanakis is Board Certified by the American Board of Obstetrics and Gynecology and the owner/founder of the Cap Wellness Center. He received his medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific so Along with all the requirements of an MD, Dr. Capetanakis has trained in the art of osteopathic manipulative medicine. He serves as the Vice Chair of the Obstetrical and Gynecological Department at Scripps Memorial Hospital, Encinitas and is a member of the American Congress of Obstetricians and Gynecologists. When not working, Dr. Cap enjoys spending time outdoors with his wife Angie and their three young children. He is an avid cyclist and has performed in numerous triathlons and bike rides. He also enjoys camping, hiking, soccer and traveling. Care Messer is a founder of the Cap Wellness Center as well as the owner/founder of the Birth Education Center and San Diego HypnoBirthing. She became a doula under the instruction of Gerri Ryan through DONA, went on to become certified in HypnoBirthing and has taught HypnoBirthing since 2009. She is a Certified Hypnotherapist through NATH and is also a Certified Placenta Encapsulationist. She trained with ICEA to become certified as an international educator and trained with Cappa to be a Postpartum Doula. Care has taught Natural Birth Training to student nurses at SDSU and holds a board position with The Nizhoni Institute of Midwifery, and until recently, she served as Vice President of the San Diego Birth Network. Care is also the mother of two girls and two Pomeranians.
Guests: Dr. Capetanakis and Care Messer In this episode, we will cover: 1) How Dr. Cap & Care came together to create the Cap Wellness Center 2) Why they believe integrating alternative healthcare services makes for healthier pregnancies 3) Why educating pregnant women translates to safer, more natural, more powerful births Resources mentioned in the conversation: ● www.CapWellnessCenter.com ● A list of all the birth classes offered: Cap Wellness Center Classes ● A library of informational videos about pregnancy and birth: Cap Wellness YouTube Channel Bios: Full Bios can be read here Dr. Capetanakis is Board Certified by the American Board of Obstetrics and Gynecology and the owner/founder of the Cap Wellness Center. He received his medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific so Along with all the requirements of an MD, Dr. Capetanakis has trained in the art of osteopathic manipulative medicine. He serves as the Vice Chair of the Obstetrical and Gynecological Department at Scripps Memorial Hospital, Encinitas and is a member of the American Congress of Obstetricians and Gynecologists. When not working, Dr. Cap enjoys spending time outdoors with his wife Angie and their three young children. He is an avid cyclist and has performed in numerous triathlons and bike rides. He also enjoys camping, hiking, soccer and traveling. Care Messer is a founder of the Cap Wellness Center as well as the owner/founder of the Birth Education Center and San Diego HypnoBirthing. She became a doula under the instruction of Gerri Ryan through DONA, went on to become certified in HypnoBirthing and has taught HypnoBirthing since 2009. She is a Certified Hypnotherapist through NATH and is also a Certified Placenta Encapsulationist. She trained with ICEA to become certified as an international educator and trained with Cappa to be a Postpartum Doula. Care has taught Natural Birth Training to student nurses at SDSU and holds a board position with The Nizhoni Institute of Midwifery, and until recently, she served as Vice President of the San Diego Birth Network. Care is also the mother of two girls and two Pomeranians.
Guests: Dr. Capetanakis and Care Messer In this episode, we will cover: 1) How Dr. Cap can tell if a woman has taken birth education classes before delivery or not 2) What classes are the best to take and when 3) Why a pregnant woman who has been educated about birth has safer, more natural, more powerful births Resources mentioned in the conversation: ● www.CapWellnessCenter.com ● A list of all the birth classes offered: Cap Wellness Center Classes ● A library of informational videos about pregnancy and birth: Cap Wellness YouTube Channel Bios: Full Bios can be read here Dr. Capetanakis is Board Certified by the American Board of Obstetrics and Gynecology and the owner/founder of the Cap Wellness Center. He received his medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific so Along with all the requirements of an MD, Dr. Capetanakis has trained in the art of osteopathic manipulative medicine. He serves as the Vice Chair of the Obstetrical and Gynecological Department at Scripps Memorial Hospital, Encinitas and is a member of the American Congress of Obstetricians and Gynecologists. When not working, Dr. Cap enjoys spending time outdoors with his wife Angie and their three young children. He is an avid cyclist and has performed in numerous triathlons and bike rides. He also enjoys camping, hiking, soccer and traveling Care Messer is a founder of the Cap Wellness Center as well as the owner/founder of the Birth Education Center and San Diego HypnoBirthing. She became a doula under the instruction of Gerri Ryan through DONA, went on to become certified in HypnoBirthing and has taught HypnoBirthing since 2009. She is a Certified Hypnotherapist through NATH and is also a Certified Placenta Encapsulationist. She trained with ICEA to become certified as an international educator and trained with Cappa to be a Postpartum Doula. Care has taught Natural Birth Training to student nurses at SDSU and holds a board position with The Nizhoni Institute of Midwifery, and until recently, she served as Vice President of the San Diego Birth Network. Care is also the mother of two girls and two Pomeranians.
The CHIPS trial of Hypertension in Pregnancy and TIPPS trial of Thrombophilia in Pregnancy Janice and Amol want you to understand the following: 1. Tight blood pressure control in pregnancy does not affect fetal outcomes in pregnancy compared with loose blood pressure control. The only difference in maternal outcomes is a reduced risk of severe hypertension ... The post Obstetrical Medicine Special: Hypertension and Thrombophilia in Pregnancy appeared first on Healthy Debate.
The CHIPS trial of Hypertension in Pregnancy and TIPPS trial of Thrombophilia in Pregnancy Janice and Amol want you to understand the following: 1. Tight blood pressure control in pregnancy does not affect fetal outcomes in pregnancy compared with loose blood pressure control. The only difference in maternal outcomes is a reduced risk of severe hypertension ...The post Obstetrical Medicine Special: Hypertension and Thrombophilia in Pregnancy appeared first on Healthy Debate.
In this episode, the Running Obstetricians reviews Obstetrical forceps blades. The podcast begins with a review of the basic anatomy of the blade, and then goes into the differences in blade shape and composition among modern forceps in clinical use.
Topics: This afternoon, I’d like to talk about obstetrical hemorrhage. Free Links: OBGYN-101 OBGYN-101 Gray Haired Notes Brookside Associates Medical Education Division
Topics: Today I’ll review the obstetrical symptoms of vaginal bleeding, decreased fetal movement, contractions, fluid loss, headache, and that ominous catch-all, “I just don’t feel very well.” What these all have in common, is that they are common, usually innocent, and occasionally life-threatening. The other thing they all have in common is that they are a [...]