Podcasts about Obstruction

Get ready for 4 full hours of Great Sports Talk. Sorry, no hockey talk on todays show. Petros wants Matt to be adventurous and do some Obstructions while in Boston this weekend. MLB Network Host Greg Amsinger on the upcoming Shohei Day. Secret Textoso RoundupSee omnystudio.com/listener for privacy information.

In January 2026, our I Ching monthly forecast focuses our attention on new ways to overcome obstacles in our path along with developing and building what is truly important for the long term. Listen to this episode for more insight into how to work with this flow this month. I Ching Resources and Links: https://linktr.ee/ichingcafe Timestamps 0:00 Intro 0:35 Last month's recap 2:15 Hexagram 39 Obstruction 7:29 Hexagram 39 Obstruction, Changing Line 6 9:00 Hexagram 53 Development Tech Specs Main or Present Hexagram - Hexagram 39 Obstruction Changing Lines - 6th Position Outcome Hexagram - Hexagram 53 Development

Strap in and grab your NG tubes, because the EGS team in TIGER Country is taking you on a fast, forceful, and evidence-packed ride through 15 years of global SBO literature. From the OG 2011 Zielinski model to the latest 2025 predictive tools sweeping across Europe and North America, we're breaking down what matters when the bowel stops behaving and the clock starts ticking.  Join Dr. Rushabh Dev and the Acute Care Surgery crew at the University of Missouri as they tackle the most common EGS consult in America with humor, data, and real-world pearls. Get ready for CT red flags, strangulation scores, Gastrografin truths, and the eternal battle between “operate early” vs. “wait it out.” Whether you're a med student trying to decode your first CT or a seasoned attending debating the next Gastrografin challenge, this episode delivers the insights you need to Dominate the Day. Participants: Dr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve   Dr. Raymond Okeke; Acute Care Surgery & SCCM Fellow  Dr. Eugene Ismailov, General Surgery Resident; PGY 5 Dr. Brycen Ratcliffe, General Surgery Resident; PGY 4 Dr. Desra Flecher, General Surgery Resident; PGY 3 Objectives: 1. Identify the core clinical and CT predictors of operative need in SBO including mesenteric edema, free fluid, closed-loop obstruction, lack of enhancement, and feces sign absence — and understand how these features have remained consistent across 15 years of research. 2. Compare major international SBO predictive models (Zielinski, Geneva Severity Score, STRISK, and NOFA) and describe how they inform real-time decision-making in North American acute care surgery. 3. Apply evidence-based algorithms, including the 2025 JTACS EGS pathway to structure SBO evaluation, integrate Water-Soluble Contrast studies, and avoid delayed surgery in high-risk patients. 4. Evaluate the long-term impact of operative vs. non-operative management with emphasis on recurrence risk, timing between episodes, and how to incorporate recurrence data into patient counseling. 5. Synthesize 15 years of evolving SBO literature into practical bedside strategies by balancing red-flag findings, risk-model guidance, and individualized clinical judgment to optimize outcomes. STRISK and NOFA Calculator: Prediction Models | Clinical Abdominal Surgery Helsinki References  1. Geneva Clinical Severity Score Wassmer, C. H., Guber, J., Zeindler, J., Meier, R. P. H., Ouaïssi, M., Ris, F., Morel, P., Didier, C., & Gkikas, I. (2023). A new clinical severity score for the management of adhesive small bowel obstruction: A cohort study. International Journal of Surgery, 109, 262–270. https://pubmed.ncbi.nlm.nih.gov/37026805/ 2. STRISK & NOFA Predictive Models Räty, S., Rinta-Kilpinen, E., Eklund, M., Turunen, N., Koskinen, I., Rasilainen, S., Korhonen, T., & Paajanen, H. (2025). Development and external validation of prediction risk models for strangulation or non-operative treatment failure in small bowel obstruction: A multicenter prospective study. Surgery, 178(1), 45–56. Prediction Models | Clinical Abdominal Surgery Helsinki 3. JTACS EGS Algorithm – Evidence-Based, Cost-Effective Management Livingston, D. H., Wolfson, D., Cogbill, T. H., Rice, T. W., Patel, N., et al. (2025). Evidence-based, cost-effective management of small bowel obstruction: An Emergency General Surgery Algorithms Work Group project. Journal of Trauma and Acute Care Surgery, 98(4), 512–528. https://pubmed.ncbi.nlm.nih.gov/40842046/ 4. Tennessee Recurrence Study (Operative vs Non-Operative Management) Medvecz, A. J., Dennis, B. M., Wang, L., Countouris, M. E., Croce, M. A., Sharpe, J. P., Ivanova, A., & Miller, R. S. (2020). Impact of operative management on recurrence of adhesive small bowel obstruction: A longitudinal analysis of a statewide database. Journal of the American College of Surgeons, 230(4), 544–551.e1. https://pubmed.ncbi.nlm.nih.gov/31954815/ 5. Early Predictive SBO Work – Zielinski (2010–2011) Zielinski, M. D., Eiken, P. W., Bannon, M. P., Heller, S. F., Lohse, C. M., & Huebner, M. (2010). Small bowel obstruction—Who needs an operation? A multivariate prediction model. World Journal of Surgery, 34(5), 910–919. https://pubmed.ncbi.nlm.nih.gov/20217412/ 6. Zielinski, M. D., Haddad, N. N., Cullinane, D. C., Eiken, P. W., & Huebner, M. (2011). Prospective, observational validation of a multivariate small bowel obstruction model to predict the need for operative intervention. Journal of the American College of Surgeons, 212(6), 1068–1076. https://pubmed.ncbi.nlm.nih.gov/21458305/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Despite increasing repression worldwide (as we've documented in previous seasons), activists have been pretty effective at sticking it to obstructionists too…which is probably why all that repression is happening in the first place. In our final episode, Jennie Stephens from the University of Ireland Maynooth and Sharon Yadin from University of Haifa take us through which tactics are working and why.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Glenn speaks with Adam Klasfeld of All Rise News about the ins and outs of the Department of Justice's prosecution of Wisconsin State Court Judge Hannah Dugan who was accused of interfering with immigration officers' attempts to take an undocumented immigrant into custody.Find Adam on Substack: www.allrisenews.comFind Glenn on Substack: glennkirschner.substack.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

It’s Monday in America, time for The World’s Greatest Political Podcast: THE LEFT SHOW! This week JM Bell, Tiffany, and Jon get all up into DJT’s insane business this week, ICE gets worse, and RFK, Jr. goes after the kiddos. Going to jail for sharing a meme, Stefanik goes underground, and the BEST kind of […]

Glenn speaks with Adam Klasfeld of All Rise News about the ins and outs of the Department of Justice's prosecution of Wisconsin State Court Judge Hannah Dugan who was accused of interfering with immigration officers' attempts to take an undocumented immigrant into custody.Find Adam on Substack: www.allrisenews.comFind Glenn on Substack: glennkirschner.substack.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A Wisconsin judge accused of helping a Mexican immigrant dodge federal authorities has been convicted by a jury. AP correspondent Donna Warder reports.

ACA subsidies are expiring, and premiums are exploding. A West Virginia woman's story reveals how GOP obstruction turns ideology into suffering and preventable deaths.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE

This Day in Legal History: Bill of Rights RatifiedOn December 15, 1791, the Bill of Rights was officially ratified, marking a foundational moment in American legal history. With Virginia becoming the crucial eleventh state to approve the measure, the first ten amendments to the U.S. Constitution achieved the three-fourths majority required for adoption. These amendments were crafted in response to fears that the newly formed federal government might trample on individual freedoms, a concern strongly voiced by the Anti-Federalists during the Constitution's ratification debates. Drafted primarily by James Madison, the Bill of Rights was intended to secure essential civil liberties and limit government power.The amendments enshrine core protections such as freedom of speech, religion, and the press, the right to bear arms, and safeguards against unreasonable searches and seizures. They also provide important rights to those accused of crimes, including the right to a fair trial, protection against self-incrimination, and freedom from cruel and unusual punishment. At the time, these provisions applied only to the federal government, but their scope was later expanded through the Incorporation Doctrine using the Fourteenth Amendment.The ratification of the Bill of Rights represented a political compromise but ultimately became a defining element of American constitutional identity. Over the centuries, courts have invoked these amendments in countless rulings, from free speech cases to gun rights and due process protections. The Bill of Rights not only shapes modern legal debates but also remains a symbol of the nation's enduring commitment to individual liberty and the rule of law. Its ratification on this day in 1791 continues to influence how justice is understood and delivered in the United States.Judge Hannah Dugan of the Milwaukee County Circuit Court is on trial for allegedly obstructing an immigration arrest in her courtroom, a case seen as a test of Donald Trump's aggressive immigration enforcement policies. Federal prosecutors accuse Dugan of helping a Mexican migrant, Eduardo Flores-Ruiz, evade arrest by redirecting ICE agents and escorting the defendant through a non-public exit after his hearing. Dugan, who has been suspended from the bench, has pleaded not guilty to charges of concealing a person from arrest and obstructing federal proceedings.Prosecutors claim she acted corruptly and misled law enforcement, allegedly showing anger when she learned of ICE's presence and insisting a judicial warrant was needed. Dugan's defense argues she acted in good faith, following courthouse policy designed to handle ICE encounters after previous controversial arrests. The trial highlights growing legal and political tensions around courthouse arrests, which critics say intimidate immigrants and undermine trust in the legal system. The outcome could influence how far judges and local officials can go in pushing back against federal immigration actions.Wisconsin judge faces trial for stopping courtroom arrest of migrant in Trump crackdown | ReutersCalifornia filed a lawsuit against the Trump administration for cutting over $33 million in federal grants intended for commercial vehicle safety programs. The U.S. Department of Transportation, led by Secretary Sean Duffy, justified the funding termination by claiming California failed to properly enforce English proficiency requirements for truck drivers. California argues its standards align with federal rules and called the decision unlawful and harmful to public safety and the economy.The lawsuit comes amid broader efforts by the Trump administration to crack down on non-English-speaking and non-U.S. citizen truck drivers. This includes halting commercial driver visas and threatening similar funding cuts in states like New York and Minnesota. The administration has also targeted Democrat-led states for other transportation-related penalties. In California's case, the withheld funds were designated for safety inspections, audits, traffic enforcement, and education programs.California contends that its licensed drivers are involved in significantly fewer fatal crashes than the national average, challenging the administration's justification. The legal dispute reflects escalating tensions between federal agencies and Democratic states over immigration and transportation enforcement.California sues Trump administration over terminated transportation grants | ReutersA federal judge ruled that evidence seized from Daniel Richman, a former attorney for ex-FBI Director James Comey, was wrongfully retained by prosecutors, presenting a hurdle for any new charges against Comey. U.S. District Judge Colleen Kollar-Kotelly ordered the Department of Justice to return the files but allowed a sealed copy to remain with the court should prosecutors later obtain a valid warrant. Richman had filed a lawsuit claiming the DOJ had improperly held onto materials seized during an investigation that ended in 2021 without charges.While the judge found the DOJ's actions amounted to an unreasonable seizure, she declined to prevent the department from pursuing future leads based on the information already reviewed. The seized files had been used earlier this year to support an indictment against Comey, accusing him of making false statements and obstructing Congress over his 2020 testimony.That indictment, along with one against New York Attorney General Letitia James, was dismissed last month after it was found the prosecutor involved had been unlawfully appointed. The judge's ruling now complicates the DOJ's ability to revive its case against Comey, a frequent critic of Donald Trump and a central figure in past investigations into Trump's conduct.Judge says Comey evidence was wrongfully retained, creating hurdle for new charges | ReutersA California jury has ordered Johnson & Johnson to pay $40 million to two women who claimed its talc-based baby powder caused their ovarian cancer. The jury awarded $18 million to Monica Kent and $22 million to Deborah Schultz and her husband, finding the company failed to warn consumers despite allegedly knowing of the product's risks for decades. Both women testified that they used the powder for over 40 years and have undergone extensive cancer treatments since their diagnoses in 2014 and 2018.J&J denies the product causes cancer and plans to appeal the verdict, calling it an “aberrant” outcome. The company points out that no major U.S. health agency has definitively linked talc to ovarian cancer and argues that plaintiffs' claims rely solely on legal arguments rather than scientific consensus.This is the first talc trial to move forward since J&J's latest bankruptcy attempt, aimed at resolving over 67,000 similar lawsuits, was rejected by the courts. The company previously stopped selling talc-based baby powder in the U.S. in 2020. While it has faced some large verdicts—including a $4.69 billion award in a past case—it has also won dismissals and reductions on appeal. In addition to ovarian cancer claims, J&J is also facing suits linking its talc products to mesothelioma, with some recent verdicts exceeding $900 million.Jury orders Johnson & Johnson to pay $40 million to two women in latest talc trial | Reuters This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe

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Interview with Molly N. Huston, MD, and William A. Strober, MD, MSCI, authors of Biofeedback vs Respiratory Retraining for Inducible Laryngeal Obstruction: A Randomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Biofeedback vs Respiratory Retraining for Inducible Laryngeal Obstruction

This Day in Legal History: Madoff ArrestedOn December 11, 2008, Bernard L. Madoff was arrested by federal agents and charged with securities fraud, marking the start of one of the most consequential white-collar crime cases in American legal history. Madoff, a former NASDAQ chairman and respected figure in the investment world, confessed to running a Ponzi scheme that defrauded thousands of investors—individuals, charities, and institutional clients—out of an estimated $65 billion. The legal scheme unraveled when Madoff admitted to his sons that the business was “one big lie,” prompting them to alert authorities. Prosecutors swiftly brought charges under multiple statutes, including securities fraud under 15 U.S.C. § 78j(b), mail fraud, wire fraud, money laundering, perjury, and false statements.The Department of Justice pursued criminal charges while the SEC, heavily criticized for prior inaction, launched civil enforcement actions under the Securities Act of 1933 and the Securities Exchange Act of 1934. Madoff waived indictment and pleaded guilty on March 12, 2009, to 11 felony counts without a plea deal. He was sentenced to 150 years in federal prison—the statutory maximum—and ordered to forfeit $170.8 billion, reflecting the full scope of the fraud. The case catalyzed intense scrutiny of the SEC's oversight failures and led to internal reforms within the agency, including new whistleblower protections and enhanced enforcement procedures.In the bankruptcy proceedings under SIPA (Securities Investor Protection Act), trustee Irving Picard was appointed to recover funds for victims, using clawback lawsuits under fraudulent transfer laws to retrieve ill-gotten gains from those who had profited—wittingly or not. The legal theories underpinning those suits, including the application of actual and constructive fraud standards, sparked complex litigation that continues to shape bankruptcy and securities jurisprudence. Madoff's arrest also prompted Congress to review gaps in financial regulation, laying groundwork for reforms later codified in the Dodd-Frank Act of 2010.Jury selection began in the federal trial of Milwaukee County Judge Hannah Dugan, who is accused of helping a Mexican migrant avoid arrest by U.S. immigration agents. The case, brought by the Trump administration's Justice Department, charges Dugan with concealing a person from arrest and obstructing federal proceedings, alleging she deliberately diverted Immigration and Customs Enforcement (ICE) agents and allowed the migrant, Eduardo Flores-Ruiz, to exit through a non-public courthouse door following a domestic violence hearing.Federal prosecutors argue that Dugan acted corruptly, citing her visible anger upon learning that ICE agents were present and her claim that a judicial warrant was required for the arrest—an assertion prosecutors say was false. Flores-Ruiz was ultimately arrested outside the courthouse after a brief chase.Dugan's defense contends that she was navigating unclear rules around courthouse immigration enforcement and had sought guidance from court leadership days earlier. Her legal team maintains she was not trying to obstruct justice but rather to understand what rules applied.The case illustrates the broader tension between local judicial discretion and federal immigration enforcement under Trump's expanded deportation policies, which have included more aggressive operations in local courthouses. Critics argue such tactics deter immigrants from accessing courts and undermine public confidence in the legal system.Dugan, a judge since 2016 and formerly head of Catholic Charities in Milwaukee, has been suspended from the bench pending the outcome of the trial. Her prosecution echoes an earlier Trump-era case against a Massachusetts judge accused of similar conduct—charges that were later dropped during the Biden administration.Wisconsin judge on trial as Trump administration targets immigration enforcement resistance | ReutersThe Center for Biological Diversity filed a lawsuit against the U.S. Interior Department to block its decision to feature President Donald Trump's image on the 2026 America the Beautiful national parks annual pass. The group argues the move violates the Federal Lands Recreational Enhancement Act of 2004, which requires the pass to display the winning photograph from a public contest depicting natural scenery or wildlife in a national park or forest.This year's winning photo—a landscape of Glacier National Park—was allegedly discarded in favor of a close-up image of Trump, posed beside George Washington, without any new contest or congressional approval. The lawsuit calls the switch an unlawful act of self-promotion and criticizes it as an attempt to turn a public symbol into a personal branding tool.Adding to the controversy, the lawsuit claims that the Glacier photo was demoted to a new $250 pass for foreign visitors, part of Trump's newly introduced “America-first” admissions system. The updated pricing structure and design were part of a broader Interior Department announcement touting “modernization” of park access.The lawsuit also highlights changes to the free admission calendar, noting that Trump's birthday (June 14) was added as a holiday, while existing free days honoring Martin Luther King Jr. and Juneteenth were eliminated. These shifts coincide with Trump's efforts to slash the national parks budget and workforce while raising fees for international visitors.Lawsuit seeks to keep Trump's face off of national parks annual pass | ReutersIn a piece for Forbes this week I unpacked the misleading claim that Social Security is no longer taxed under the One Big Beautiful Bill Act (OBBBA). Despite bold headlines and political messaging to the contrary, Social Security remains taxable, just as it has been since 1983. What the bill actually includes is an expanded senior-specific deduction—$6,000 for individuals and $12,000 for couples—that may reduce taxable income, but doesn't isolate or exempt Social Security from taxation in any way.The structure of Social Security taxation—where up to 85% of benefits can be taxed for higher-income seniors—remains untouched. What changed is that some seniors, depending on income and deductions, might now end up paying less tax, including on Social Security, not because the income is tax-exempt, but because the overall taxable income has been reduced. This is a fungible deduction, applicable to any income source, not a targeted policy shift.The White House's messaging reframes a broad-based, temporary deduction as a specific, permanent tax relief for seniors, creating confusion. While some retirees may see a tax reduction, the underlying rules that govern when and how Social Security is taxed have not changed, and inflation-adjusted thresholds that pull more seniors into taxability remain. The deduction itself expires in 2028, unlike other OBBBA provisions that benefit wealthier taxpayers and corporations.The element worth highlighting is the difference between a deduction and an exemption, and how political messaging often blurs this. Deductions reduce taxable income; exemptions remove specific income from taxation entirely. In this case, branding a general deduction as a Social Security exemption is both legally inaccurate and politically strategic—obscuring the truth behind a familiar and emotionally charged issue.The Truth About ‘No Tax On Social Security'The estate of an 83-year-old woman filed a lawsuit against OpenAI and Microsoft, alleging that their chatbot, ChatGPT, played a central role in a tragic murder-suicide in Connecticut. The suit claims that Stein-Erik Soelberg, a 56-year-old man experiencing delusions, had been interacting for months with GPT-4o, which allegedly validated and intensified his paranoid beliefs, ultimately leading him to kill his mother, Suzanne Adams, before taking his own life.The complaint, filed in California Superior Court, accuses OpenAI and Microsoft of product liability, negligence, and wrongful death, arguing that the chatbot systematically encouraged Soelberg's psychosis—affirming fantasies about divine missions, assassination attempts, and even identifying his mother as an operative. The plaintiffs argue that Microsoft shares liability because it benefited directly from the deployment of GPT-4o and played a role in bringing the model to market.This is the first known lawsuit to link ChatGPT to a homicide, though it follows a growing number of legal actions that claim the AI system has fostered delusions and contributed to suicides. OpenAI denies wrongdoing, emphasizing efforts to improve mental health safeguards and noting that newer models have significantly reduced inappropriate responses in emotionally sensitive conversations.The suit also names OpenAI CEO Sam Altman as a defendant and cites Soelberg's social media posts as evidence of his deteriorating mental state and dependence on the chatbot. The plaintiffs seek monetary damages and a court order to compel OpenAI to implement stronger safety measures. The law firm behind the case, Edelson PC, is also representing a similar lawsuit involving a California teenager's suicide allegedly linked to ChatGPT.OpenAI, Microsoft Sued Over Murder-Suicide Blamed on ChatGPT This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe

Interview with Molly N. Huston, MD, and William A. Strober, MD, MSCI, authors of Biofeedback vs Respiratory Retraining for Inducible Laryngeal Obstruction: A Randomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Biofeedback vs Respiratory Retraining for Inducible Laryngeal Obstruction

We've never lied to you on Drilled and we're not going to start now. It's bleak out there. But some efforts to fight back against obstruction are working and litigation is one of them. In this episode we talk to London School of Economics' Joana Setzer about how courts around the world are getting involved and what that means for companies that keep reminding us they're global. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week's Parsing Immigration Policy podcast features another panel discussion from the third annual conference of the International Network for Immigration Research (INIR), convened recently in Washington. The three speakers each discuss various types of lawfare affecting the enforcement of immigration laws in the U.S. and European countries. Matt O'Brien, Deputy Executive Director at the Federation for […]

reference: Sri Aurobindo, Bases of Yoga, Chapter 3, In Difficulty, pg. 45This episode is also available as a blog post at https://sriaurobindostudies.wordpress.com/2025/11/24/the-practitioner-of-the-integral-yoga-will-face-difficulties-obstructions-and-challenges-with-the-support-of-the-divine-force-to-meet-them-and-overcome-them/Video presentations, interviews and podcast episodes are allavailable on the YouTube Channel https://www.youtube.com/@santoshkrinsky871More information about Sri Aurobindo can be found at www.aurobindo.net  The US editions and links to e-book editions of SriAurobindo's writings can be found at Lotus Press www.lotuspress.com#Sri Aurobindo #yoga #integral yoga #spirituality

Today, Dr. Monica Gray, Dr. Pradip Kamat, and Rahul Damania discuss a critical case involving a 10-year-old boy who developed post-intubation desaturation. Using the DOPE mnemonic (Displacement, Obstruction, Pneumothorax, Equipment failure), they systematically troubleshoot the emergency, highlighting the importance of teamwork, capnography, and manual ventilation. The team emphasizes structured approaches, simulation training, and essential bedside tools to ensure rapid, effective management of acute deterioration in intubated children, turning a life-threatening crisis into a controlled, solvable situation.Show Highlights:Clinical case discussion of a ten-year-old boy with post-intubation desaturation in the pediatric ICUUse of the "DOPE" mnemonic (Displacement, Obstruction, Pneumothorax, Equipment failure) for troubleshootingSystematic approaches in emergency situations in pediatric critical careAssessment and management of sudden desaturation in intubated patientsEvaluation of potential causes of desaturation, including tube displacement and obstructionRole of equipment failure in acute deterioration and strategies to address itSignificance of continuous capnography and manual ventilation techniquesPrevention strategies for unplanned extubation in pediatric ICU settingsEmphasis on teamwork, communication, and simulation training in crisis managementReview of literature insights related to hypoxemia and equipment issues in pediatric intubationReferences:Topjian AA, et al. Part 4: Pediatric Basic and Advanced Life Support—2020 AHA PALS Guidelines. Circulation. 2020.Foundational pediatric resuscitation guidance endorsing early switch to manual ventilation and structured troubleshooting for the deteriorating intubated child.Cook TM, et al. Major complications of airway management in the UK: NAP4. British Journal of Anaesthesia. 2011.Seminal audit highlighting ICU/ED airway failures and the critical role of waveform capnography in preventing unrecognized esophageal intubation.Volpicelli G, et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Medicine. 2012. High-impact consensus placing lung ultrasound at the bedside to rapidly diagnose pneumothorax during post-intubation deterioration.Prekker ME, et al. Video vs direct laryngoscopy for ED intubation—randomized trial. New England Journal of Medicine. 2023.NEJM RCT showing higher first-pass success with video laryngoscopy—relevant to preventing displacement/misplacement drivers of desaturation.Chrimes N, et al. Preventing unrecognised oesophageal intubation: consensus guideline. Anaesthesia. 2022.Modern, practice-changing guidance: sustained waveform capnography is the mainstay to exclude esophageal placement and avert catastrophic hypoxemia.

From misdiagnosed asthma to anxiety-related breathing issues, inducible laryngeal obstruction is often hiding in plain sight. In this episode of the BackTable ENT Podcast, Dr. Steven Sims from Rush University Medical Center discusses contemporary care for inducible laryngeal obstruction (ILO) with guest host Dr. Stephen Schoeff. --- SYNPOSIS The discussion elaborates on the evolution of the nomenclature surrounding vocal cord dysfunction and the clinical challenges in diagnosing and managing ILO. Dr. Sims shares his approach to patient evaluation, various presentations, and targeted treatment strategies, including the use of neuromodulators, speech pathology, and nerve blocks. He also delves into trauma-informed care, particularly focusing on patients with adverse childhood events and their impact on laryngeal function. The episode highlights the importance of an interdisciplinary approach, especially the role of speech pathologists in treating this complex condition. --- TIMESTAMPS 00:00 - Introduction 01:39 - Understanding Inducible Laryngeal Obstruction04:53 - Patient Presentation and Evaluation07:51 - Management Strategies and Patient Care09:06 - Trauma and Mental Health Considerations19:27 - Interdisciplinary Approach and Additional Testing23:52 - Understanding Subglottic Stenosis and Asthma27:08 - The Role of Botox in Treatment31:49 - Biofeedback and Patient Empowerment34:25 - Exercise-Induced Laryngeal Obstruction39:05 - Advanced Treatment Approaches and Challenges41:06 - Conclusion and Final Thoughts --- RESOURCES Dr. Stephen Schoeff https://www.enthealth.org/find-ent/stephen-s-schoeff/ Dr. H, Steven Sims https://doctors.rush.edu/details/22035

In this episode of The Headache Doctor Podcast, Dr. Taves explores how issues with the jaw and airway can contribute to headaches and migraines. He breaks down how restricted breathing, muscle tension, and misalignment in the jaw and neck can impact the entire headache system — and why these problems often go undiagnosed.Listeners will learn how airway obstruction and jaw tension can affect oxygen flow, stress responses, and nerve sensitivity, all of which may increase headache frequency and intensity. Dr. Taves also shares practical insights on how to identify if jaw or airway dysfunction could be at the root of your headaches and what can be done to address it.If you've ever wondered whether your jaw pain or nighttime breathing issues could be linked to your migraines, this episode is a must-listen.Novera: Headache Center

Adhesions—internal scar tissue that can form after injury or surgery—cause serious medical problems such as infertility, intestinal blockages, and chronic pain. While surgery is the usual treatment, it often causes more adhesions. After Belinda Wurn developed painful adhesions following surgery and radiation, she and her husband Larry Wurn spent three years creating a hands-on physical therapy method to reduce adhesions without surgery. The therapy relieved Belinda’s pain and later helped other patients—some of whom became pregnant despite prior infertility diagnoses. Working with Dr. Richard King, a hospital Chief of Staff, they established a research team to study their results. To date, 18 peer-reviewed medical studies have shown the Wurn Technique® can effectively replace surgery for various conditions linked to adhesions, including infertility, endometriosis, and pain. A controlled study by surgeons from Harvard, Stanford, and others showed the method reduced life-threatening small bowel obstructions by 15-fold. To learn more about the Wurn Technique, and the Clear Passage clinics, visit www.clearpassage.com, or call 352-336-1433 Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

Identifying Red Flags: Making Safer Relationship ChoicesDr. David Wexler joins Bill Eddy to discuss his new book "Choose Him Wisely: How to Identify a Safe Partner," co-authored with Dr. Donald Meichenbaum. Drawing from over 40 years of clinical experience working with relationship dynamics and domestic violence, Dr. Wexler shares crucial insights about recognizing concerning patterns early in relationships.Understanding Warning SignsThe conversation explores three key categories of warning signs: observed behaviors, historical factors, and gut feelings. Dr. Wexler explains how early relationship behaviors like "love bombing," expressions of contempt, and patterns of entitlement can indicate potential future challenges. The discussion examines why psychological abuse often creates deeper lasting impacts than physical abuse through its systematic erosion of self-esteem and autonomy.Questions Answered in This EpisodeWhat are the top three warning signs of potentially abusive relationships?How can someone distinguish between healthy attention and concerning obsession?Why do people sometimes ignore clear warning signs?What role does family history play in relationship patterns?When is couples therapy helpful or potentially harmful?Key TakeawaysEarly relationship intensity ("love bombing") warrants careful evaluationExpressions of contempt and entitlement serve as significant red flagsPersonal boundaries and gut feelings provide valid assessment criteriaUnderstanding attachment patterns helps explain relationship choicesSelf-blame often prevents recognition of concerning behaviorsThis episode provides valuable tools for anyone navigating dating and relationships, offering practical guidance for evaluating potential partners while maintaining healthy boundaries. The discussion emphasizes empowerment through awareness rather than victim-blaming, acknowledging that while warning signs exist, many relationships can provide safe, healthy connections.Additional ResourcesDr. WexlerBook: Choose Him WiselyRelationship Training InstituteOnline Course for Family Law: Conversations About Domestic Violence in Family Law with 16 Experts Law PrfProfessional DevelopmentInvite us to speak at your organizationNew Ways Training (work, mediation, divorce)Conflict Influencer Class (for personal life)Connect With UsVisit High Conflict Institute: highconflictinstitute.comSubmit questions for Bill and MeganBrowse our complete collection of books and resources in our online store—available in print and e-book formatsFind these show notes and all past episode notes on our websiteWatch this episode on YouTube!Important NoticeOur discussions focus on behavioral patterns rather than diagnoses. For specific legal or therapeutic guidance, please consult qualified professionals in your area. (00:00) - Welcome to It's All Your Fault (00:42) - Dr. David Wexler (02:41) - David's Book Choose Him Wisely (03:42) - David's Background (09:23) - Warning Signs (14:25) - Obstructions (23:18) - Psychological vs. Physical Abuse (26:53) - From Victim to Abuser (30:33) - Where Is the Line? (35:09) - Gut Feeling Test (38:07) - Counseling and Couples Counseling (43:34) - Wrap Up

 Local governments are double-edged swords on climate, capable of either doing far more or far less than national governments and acting as either an agent of change or an agent of obstruction in and of themselves. In this episode, Rebecca Bromley-Trujillo, of Christopher Newport University and Joshua A. Basseches, of Tulane University, join to walk us through how these subnational governments work, and how they engage in climate obstruction, in various parts of the world. Learn more about your ad choices. Visit megaphone.fm/adchoices

If your patients still struggle with sleep apnea after other treatments, it might be time to look at the nose. In this episode of the BackTable ENT Podcast, otolaryngologist and facial plastic surgeon Dr. Scott McCusker joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss the impact of nasal airway obstruction on obstructive sleep apnea (OSA).---This podcast is supported by:Aerin Medicalhttps://aerinmedical.com/---SYNPOSISDr. McCusker shares insights on his practice, evaluation techniques for nasal obstruction, and the use of minimally invasive procedures like VivAer. The conversation covers the importance of the septal swell bodies, the effectiveness of nasal treatments on OSA outcomes, and patient management strategies, including when to combine different surgical interventions. The episode also touches on post-operative care and the potential role of new technologies and treatments in enhancing patient outcomes.---RESOURCESDr. Scott McCusker https://ambrdfcs.org/doctors/scott-mccusker-md/

The U.S. is a global leader on climate obstruction, but they're not the only ones. In this episode, M. Omar Faruque, from Queen's University in Canada and  Ruth E. McKie from De Montfort University join us to take a look at why and how those who will bear the brunt of climate change and have contributed the least, participate in climate obstruction. Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode covers: Cardiology This Week: A concise summary of recent studies Arrhythmias in cardiac amyloidosis Taking the 'O' out of HOCM: managing LVOT obstruction Snapshots Host: Susanna Price Guests: Carlos Aguiar, Stephanie Schwarting, Ahmad Masri Want to watch that episode? Go to: https://esc365.escardio.org/event/2176 Want to watch that extended interview on Arrhythmias in Cardiac Amyloidosis? Go to: https://esc365.escardio.org/event/2176?resource=interview Disclaimer: ESC TV Today is supported by Bristol Myers Squibb and Novartis through an independent funding. The programme has not been influenced in any way by its funding partners. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. The ESC is not liable for any translated content of this video. The English language always prevails. Declarations of interests: Stephan Achenbach, Yasmina Bououdina, Nicolle Kraenkel and Susanna Price have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. John-Paul Carpenter has declared to have potential conflicts of interest to report: stockholder Mycardium AI. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Konstantinos Koskinas has declared to have potential conflicts of interest to report: honoraria from MSD, Daiichi Sankyo, Sanofi. Ahmad Masri has declared to have potential conflicts of interest to report: research grants from Pfizer, Ionis, Attralus, Cytokinetics and Janssen. Consulting fees from Cytokinetics, BMS, BridgeBio, Pfizer, Ionis, Lexicon, Attralus, Alnylam, Haya, Alexion, Akros, Edgewise, Rocket, Lexeo, Prothena, BioMarin, AstraZeneca, Avidity, Neurimmune, and Tenaya. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Stephanie Schwarting has declared to have potential conflicts of interest to report: advisory board for Alnylam, Bayer, Pfizer; principal investigator in trials sponsored by Alexion, Novo Nordisk and Intellia. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

The Trump administration may be preparing charges against FBI Director Christopher Wray—and it reads like a real-life spy thriller. From burn bags filled with classified documents to the so-called “Durham Annex,” we break down allegations of obstruction of justice, hidden evidence, and the long-running Russia-collusion saga. Could these revelations finally expose the inner workings of the FBI during the 2016 election?

If we desire answers to our prayers, we must first remove the obstacles that interfere with our walk with God. http://redemptionchurch.com For other great resources from Pastor Nora King, visit us at: https://bit.ly/34chHm7

The federal government's Bill C-9 would amend the Criminal Code to address hate propaganda, hate crime and access to religious or cultural places. But a human rights coalition says it threatens the Charter rights and civil liberties of all people in Canada, including those communities that the government wishes to protect. We speak with Tim McSorley of the International Civil Liberties Monitoring Group.

Interview with Eric J. Kezirian, MD, MPH author of Anteroposterior and Lateral Epiglottis-Related Obstruction in Adult Obstructive Sleep Apnea. Hosted by Paul C. Bryson, MD MBA. Related Content: Anteroposterior and Lateral Epiglottis-Related Obstruction in Adult Obstructive Sleep Apnea

James Comey, once the untouchable face of the FBI, is finally facing charges — but not nearly enough to cover his long list of alleged abuses. While the mainstream media will obsess over the perjury count, they'll downplay the bigger story: obstruction of Congress. In this episode, we break down how Comey knowingly pushed the Russia collusion hoax, lied repeatedly to lawmakers, and bragged about entrapping Mike Flynn under false pretenses. From burying evidence to protecting Hillary Clinton's campaign, to turning Trump allies into felons, Comey's legacy is being put on trial. We explore the irony of the FBI's former director facing the same perjury charges he weaponized against others — and why obstruction may finally open the door to justice long denied.

We must confront and remove the obstructions that hinder our prayer life! http://redemptionchurch.com For other great resources from Pastor Nora King, visit us at: https://bit.ly/34chHm7

Obstruction would never have been as effective as it has been without the help of the PR industry and the willful ignorance of the media. Today, Melissa Aronczyk, of Rutgers University, and Max Boykoff, of the University of Colorado, join us to walk through why getting a handle on the media's role in climate obstruction is critical to solving the problem. The book Climate Obstruction: A Global Survey, is available from Oxford University Press here, and will be available for free download beginning October 14th. Learn more about your ad choices. Visit megaphone.fm/adchoices

We review the diagnosis, risk stratification, & management of acute pulmonary embolism in the ED. Hosts: Vivian Chiu, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Pulmonary_Embolism.mp3 Download Leave a Comment Tags: Pulmonary Show Notes Core Concepts and Initial Approach Definition: Obstruction of pulmonary arteries, usually from a DVT in the proximal lower extremity veins (iliac/femoral), but may be tumor, air, or fat emboli. Incidence & Mortality: 300,000–370,000 cases/year in the USA, with 60,000–100,000 deaths annually. Mantra: “Don't anchor on the obvious. Always risk stratify and resuscitate with precision.” Risk Factors: Broad, including older age, inherited thrombophilias, malignancy, recent surgery/trauma, travel, smoking, hormonal use, and pregnancy. Clinical Presentation and Risk Stratification Presentation: Highly variable, showing up as anything from subtle shortness of breath to collapse. Acute/Subacute: Dyspnea (most common), pleuritic chest pain, cough, hemoptysis, and syncope. Patients are likely tachycardic, tachypneic, hypoxemic on room air, and may have a low-grade fever. Chronic: Can mimic acute symptoms or be totally asymptomatic. Pulmonary Infarction Signs: Pleuritic pain, hemoptysis, and an effusion. High-Risk Red Flags: Signs of hypotension (systolic blood pressure < 90 mmHg for over 15 minutes),

The Department of Justice installed one of Trump's personal lawyers, Lindsay Halligan as the US Attorney in the Eastern District of Virginia, and, four days later, she obtained a two-count indictment against former FBI Director Jim Comey for lying to Congress and Obstruction. The Trump Administration continues to imperil criminal cases with extrajudicial statements as a federal judge finds multiple Department of Justice employees may have violated local rules guaranteeing Luigi Mangione's right to fair trial.Attorney General Pam Bondi's chief of staff Chad Mizelle and Jim Comey's son in law Troy Edwards have both resigned their positions at DOJ.Trump's Justice Department shut down an investigation into the Border Czar Tom Homan for accepting a $50,000 cash bribe in exchange for government contracts. Plus listener questions…Do you have questions for the pod?  Follow AG Substack|MuellershewroteBlueSky|@muellershewroteAndrew McCabe isn't on social media, but you can buy his book The ThreatThe Threat: How the FBI Protects America in the Age of Terror and TrumpWe would like to know more about our listeners. Please participate in this brief surveyListener Survey and CommentsThis Show is Available Ad-Free And Early For Patreon and Supercast Supporters at the Justice Enforcers level and above:https://dailybeans.supercast.techOrhttps://patreon.com/thedailybeansOr when you subscribe on Apple Podcastshttps://apple.co/3YNpW3P Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Brand new details on the actual evidence that led the Justice Department to seek an indictment against former FBI director James Comey. We also look at the pressure being put on the Biden-appointed judge overseeing this case.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

In the 5 AM hour, Larry O'Connor & Patrice Onwuka discussed: Comey Indicted for Alleged False Statements, Obstruction of Congressional Proceeding Comey’s Sanctimonious Response About Being Indicted FBI Bombshell: 274 Agents Sent to Capitol for J6, Many Later Complained They Were Political ‘Pawns’ Where to find more about WMAL's morning show: Follow Podcasts on Apple, Audible and Spotify Follow WMAL's "O'Connor and Company" on X: @WMALDC, @LarryOConnor, @JGunlock, @PatricePinkfile, and @HeatherHunterDC Facebook: WMALDC and Larry O'Connor Instagram: WMALDC Website: WMAL.com/OConnor-Company Episode: Friday, September 26, 2025 / 5 AM HourSee omnystudio.com/listener for privacy information.

In this explosive episode #1,068 of The Always Incendiary, Very Masculine, High Testosterone Clay Edwards Show, I ditched my original game plan—complete with show prep on Mississippi's 911 outage and Jim Comey's indictment for Obstruction of Justice under the Trump DOJ—and pivoted hard into a raw, unfiltered 2-hour takedown of the relentless war on masculinity that's crippling young men across America. From the poison spewed on the internet and social media, to the indoctrination in schools and colleges, the emasculation in workplaces, and even those gutless TV ads, real men and true masculine strength have been under savage siege for over 30 years straight.

In this bite-sized episode of SurgOnc Today, Drs. Zhi Ven Fong and Adriana Gamboa discuss palliative techniques for the management of gastric outlet obstruction in pancreatic cancer. Stay tuned for Part 2!

For at least a decade now, there's been growing agreement around the fact that what's stopping the world from addressing the climate crisis is not a lack of data or scientific certainty, or a lack of technological or policy measures available to address it. The problem is a lack of political will. And that didn't just happen; political will has been intentionally obstructed at every turn. As we gear up for the 30th UN climate summit, a new book pulls together everything we know about how this happened and what can be done about it. To prep for COP, Amy's reading the whole thing and talking to the researchers along the way. In today's episode, Amy's joined by Timmons Roberts (Brown University), Jennifer Jacquet (University of Miami), Carlos Milani (Rio de Janeiro State University), and Christian Downie (Australian National University) to through an overview of what we're dealing with and what we can expect in the year ahead. You can check out the book here: https://global.oup.com/academic/product/climate-obstruction-9780197787151?cc=us&lang=en& And download it for free from that same link after October 14th! You can also check out the Climate Social Science Network here: https://cssn.org/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Senator Shelley Moore Capito of West Virginia joined The Guy Benson Show today to share her reaction to the disturbing assassination of Charlie Kirk, why it should cause the nation to pause, and why extreme political rhetoric against the other side of the aisle must be toned down. Sen. Capito and Guy also discussed the Senate's "nuclear option" to change chamber rules in order to get President Trump's nominees confirmed in the face of the left's historic taboo blockade. Capito further weighed in on the potential "overcorrection" among some conservatives who are becoming more heavily anti-vaccine toward children in response to COVID-era mandates. Listen to the full interview below! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Episode 74 - Guideline Spotlight - Stents for Benign Central Airway Obstruction by AABIP

No BS Newshour Episode #381Labor Pains(29:41) Ghost membership and discarded ballots.  Will the corruption in the UAW leadership ever end?(0:04) Detroit's Wizard of Woodward. The dark political arts of Mayor Mike Duggan. (4:20)(24:06) Obstruction of Justice- Michigan's corrupt AG Dana Nessel thumbs her nose at the law and lands herself a subpoena compelling her to appear before the House Oversight Committee.  Under oath. And bring the documents, madam.⁠NBN on YouTube⁠⁠: https://www.youtube.com/@NoBSNewshourNBN on iTunes⁠⁠: https://podcasts.apple.com/us/podcast/no-bs-newshour-with-charlie-leduff/id1754976617NBN on Spotify⁠⁠: https://open.spotify.com/show/0qMLWg6goiLQCRom8QNndC⁠⁠Like NBN on Facebook⁠⁠:  https://www.facebook.com/LeDuffCharlie⁠⁠Follow to NBN on Twitter : https://x.com/charlieleduff Sponsored by American Coney Island, Pinnacle Wealth Strategies, and XG Service Group

Texas Democrats' decision to stall redistricting efforts mirrors the same cynical political gamesmanship that has crippled the Epstein investigation for years. Both sides of the aisle claim moral high ground yet resort to procedural stunts and manipulations when it benefits them, undermining credibility and eroding trust. Just as the DOJ and Trump administration used delays, sealed records, and narrative control to bury the Epstein case, Democrats now adopt similar obstructionist tactics, proving that justice is not about truth but convenience. Every time politicians treat procedure as a weapon, the focus shifts from exposing Epstein's enablers to empty theater, leaving survivors sidelined and the public disillusioned.This cycle of politicization ensured that Epstein remains untouchable. Each stunt feeds apathy, conditioning the public to expect no real accountability while predators and their protectors breathe easier. By embracing the same culture of obstruction they once condemned, Democrats have destroyed their moral high ground, handed Republicans a defense, and confirmed that neither party truly seeks justice. In the end, Epstein's secrets stay buried, survivors remain without answers, and the political class shows once again that its loyalty lies not with truth, but with power.to contact me:bobbycapucci@protonmail.com

In this episode, John Solomon uncovers significant developments surrounding the obstruction of FBI investigations into pay-to-play corruption allegations against Hillary Clinton during the 2016 election, discussing key phrases like 'Shut it down,' which were reportedly used to impede the investigation. Joining John to discuss the latest in the Clinton scandal and more is Senator Ron Johnson, the former Kentucky Attorney General Daniel Cameron, and Illinois State Representative Chris Miller, who recently made waves by halting a controversial green energy project. Plus, John highlights the efforts of Sentry H2O in providing water purifiers to communities affected by flooding. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Guy Benson Show 08-01-2025 Learn more about your ad choices. Visit podcastchoices.com/adchoices