Podcasts about Penicillin

This week's topics include a better way to treat A-fib, managing bleeding in cardiac surgery, penicillin for strep infections, and treating pulmonary hypertension.Program notes:0:55 Ablation for afib1:51 Pulsed field ablation PFA2:55 Training physicians3:23 Prothrombin complex versus frozen plasma4:24 Noninferiority outcome5:24 Documented bleeding issue6:25 New treatment for pulmonary hypertension7:25 Improve outcomes in advanced disease8:25 Well tolerated8:40 Penicillin lowest dose to prevent pharyngitis9:40 To avoid 8.1 ng/ml steady state10:40 Get secondary prophylaxis12:10 End

Bei vielen Menschen ist in der frühen Kindheit eine Penicillin-Allergie diagnostiziert worden. Oft haben sie damals mit Symptomen wie Hautausschlag oder Durchfall auf das Antibiotikum reagiert. Aber liegt deshalb gleich eine Allergie vor? Doc Esser und Anne sprechen über Symptome und Nebenwirkungen von Penicillin – und sie erklären, wie ihr testen könnt, ob ihr wirklich allergisch gegen das Antibiotikum seid. Von Anne Schneider ;Heinz-Wilhelm Esser.

Beneath your feet lies one of the most powerful, yet overlooked, health solutions—the earth itself. In this fascinating interview, The First Lady of Nutrition sits down with Clint Ober, the pioneer of grounding (earthing), to discuss why reconnecting with the earth may be the most important health discovery of the 21st century. Together, Ann Louise and Clint explore how grounding floods the body with free electrons, reducing inflammation, calming the nervous system, improving sleep, and supporting the immune system. One can feel the effects often in as little as 30 seconds! Clint shares insights on how modern shoes with rubber or plastic soles block our natural connection to the earth, why grounding is nature's original anti-inflammatory, and practical ways to get grounded—even indoors. They also discuss the real science behind grounding, its impact on blood health, autoimmune conditions, and even cancer and COVID responses. Learn more at https://earthinginstitute.net/ and https://www.earthing.com/. Tune in and discover how grounding could transform your health from the ground up! The post Grounding: The Next Best Thing to Penicillin – Episode 190: Clint Ober first appeared on Ann Louise Gittleman, PhD, CNS.

Today is the Dad Pod!!! The mature members started the pod with Elon and Trump (5:45), Coumo/Adams (9:31), Diana Taurasi retiring (17:55), NBA season ending injuries (21:35), more Justin Tucker allegations (35:35), new music (53:10), Paradise season finale (1:18:10), and so much more!!! Don't forget to follow us @BaselessBanter on Twitter and @Baseless_Banter on IG. Also follow our host's Paul @LifeOfFatPablo, Todd @iamt0dd and Gerard @GeeRock819 on Twitter. Subscribe, rate and review the show!! Email us: baselessbanterpodcast@gmail.com. Give us your thoughts, ideas, and questions.

What is up beautiful people! I might swerve in that corner woaaaOOOaaa!!! Hope you're having a lovely day and ready to tuck into a sweet lil episode of your two favorite white boys (emre and maxime!) talking about music and craving that sweet sweet bev thirst. On the chopping block today: a heavy metal CLASSIC paired with the drink that cured all my ailments (aint that the truth!). You're darn tootin straight - WERE BACK IN BLACK!!! So put your headphones on, grab some snacks, and savour this bite sized episode. And hey, have a drink on us. Peace, love, pancakes,Behind The Bar

“Most penicillin allergy labels are not indicative of any meaningful penicillin allergic reaction, and the vast majority can be de-labelled with direct oral challenges of amoxicillin."  — Dr. Kimberly BlumenthalPenicillin allergy is one of the most commonly reported drug allergies—but here's the twist: most people who carry this label aren't actually allergic. So how did we get here, and what can be done to fix it?On this episode, Dr. Mariam Hanna sits down with Dr. Kimberly Blumenthal, an allergist, immunologist, and clinical researcher at Massachusetts General Hospital, and an associate professor at Harvard Medical School. Dr. Blumenthal is internationally recognized for her work on penicillin allergy and the real-world impact of unnecessary labels on patient care, antibiotic resistance, and health equity.We cover:Why penicillin allergy is so commonly (and incorrectly) diagnosedHow de-labelling can improve antibiotic stewardship and patient outcomesRisk stratification: who needs testing, who can go straight to a challenge, and who should avoid penicillin?The role of allergists in leading the charge on de-labelling effortsSpecial populations, including pregnant patients, children with serum sickness-like reactions, and marginalized communities with less access to allergy careInternational practices that complicate the picture—like routine penicillin pre-screening in some countriesWith the vast majority of penicillin allergy labels being inaccurate, this episode highlights why it's time to stop assuming and start testing.Visit the Canadian Society of Allergy and Clinical ImmunologyFind an allergist using our helpful toolFind Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_caThe Allergist is produced for CSACI by PodCraft Productions

Dr. Arun Sunny, infectious diseases attending for ID Associates of Tampa Bay, discusses antibiotic related drug intolerances. Dr. Sunny begins by reviewing the mechanisms behind types 1 through 4 immune-mediated hypersensitivity. Next, he differentiates DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms, TEN (Toxic Epidemial Necrolysis)/Stevens-Johnson Syndrome, and AGEP (Acute Generalized Exanthematous Pustulosis). Dr, Sunny then further characterizes Beta-lactam and Penicillin drug allergies. He then closes by describing antibiotic-related toxicities and provides several examples.

National plumb pudding day. Entertainment from 1975. 1st use of penicillin, 1st spacecraft to land on an asteroid, Lincoln penny went into circulation, largest sailfish ever caught. Todays birthdays - Abraham Lincoln, Lorne Greene, Moe Bandy, Maud Adams, Michael McDonald, Joanna Kerns, Arsenio Hall, Chynna Phillips, Josh Brolin, Christina Ricci. Tom Landry died.Intro - Pour some sugar on me - Def Leppard    http://defleppard.com/Plumb pudding - The ArchiesFire- Ohio PlayersDevil in a bottle - TG SheppardBirthdays - In da club - 50 Cent     http://50cent.com/Ringo - Lorne GreeneShes not really cheatin (shes just gettin even) - Moe BandyI keep forgettin - Michael McDonaldGrowing Pains TV themeArsinio Hall in Coming to AmericaHold on - Wilson PhillipsExit - Its not love - Dokken     http://dokken.net/

Most people have heard of the Tuskegee syphilis experiment, but have you heard of what the US government did in Guatemala?Email: downtherh@protonmail.com

In der heutigen Folge geht es wieder um Antibiotika. Diesmal aber wie versprochen eine Folge zu den antibiotischen Wirkstoffen. Ihr erfahrt alles über die verschiedenen Wirkstoffklassen, Einnahmehinweise und auf was man achten muss. Dabei geht es zum Beispiel um Fosfomycin, Penicillin, Amoxicillin und viele mehr! Viel Spaß mit der neuen Folge! Folgt uns auch auf Insta @tablettentalk. Quellen, Impressum, wichtige Links: https://linktr.ee/tablettentalk Musik: Drop It by Coma-Media (lizenfrei) Disclaimer: Wir wollen Euch lediglich informieren und keine medizinische Beratung durch Arzt oder Apotheker ersetzen. Der Inhalt dieser Folge wurde mit größter Sorgfalt recherchiert, wir übernehmen jedoch keine Haftung für Vollständigkeit, Richtigkeit, Aktualität oder Verlässlichkeit der bereitgestellten Inhalte. Und diese Inhalte dürfen nicht zur Erstellung eigenständiger Diagnosen verwendet werden. Haftung ausgeschlossen.

Like tens of millions of people, Stephen Dubner thought he had a penicillin allergy. Like the vast majority, he didn't. This misdiagnosis costs billions of dollars and causes serious health problems, so why hasn't it been fixed? And how about all the other things we think we're allergic to? SOURCES:Kimberly Blumenthal, allergist-immunologist and researcher at Mass General Hospital and Harvard Medical School.Theresa MacPhail, associate professor of science and technology studies at Stevens Institute of Technology.Thomas Platts-Mills, professor of medicine at the University of Virginia.Elena Resnick, allergist and immunologist at Mount Sinai Hospital. RESOURCES:Allergic: Our Irritated Bodies in a Changing World, by Theresa MacPhail (2023)."Evaluation and Management of Penicillin Allergy: A Review," by Erica S. Shenoy, Eric Macy, and Theresa Rowe (JAMA, 2019)."The Allergy Epidemics: 1870–2010," by Thomas Platts-Mills (The Journal of Allergy and Clinical Immunology, 2016)."Randomized Trial of Peanut Consumption in Infants at Risk for Peanut Allergy," by George Du Toit, Graham Roberts, et al. (The New England Journal of Medicine, 2015). EXTRAS:Freakonomics, M.D.

Alright, you yacht rockers, it's time for another round of The Old Dog Pack Show! Dr. Rees, The Governor, and Jackson are still solvin' the world's problems while you sit on your couch wonderin' how life got so complicated. In This Very Special Episode: Antibiotics and STD Roulette We're takin' a dive into the world of Ivermectin and Penicillin. And if that doesn't already sound like a fun Saturday night, wait ‘til we throw in antibiotic-resistant syphilis, gonorrhea, and chlamydia. You know, there are pros and cons to everything.  Pam Bondi vs. Janet Reno Anyone see Trump's pick for attorney general? Let's just say she's a little easier on the eyes than ol' Janet Reno. No disrespect, Janet, but we gotta call it like we see it. The Role of the Attorney General Turns out, the AG is more than just a glorified hall monitor. We're breakin' it down so even the jury can understand... which brings us to— Juries: Idiots or Geniuses? Twelve strangers, one verdict. Are they really seein' through the BS, or are they just lookin' for the closest vending machine?  Christopher Cross: Yacht Rock Dealer Extraordinaire Turns out, smooth sailing wasn't just a song—it was a lifestyle. Acid drops, pot dealing, and vibes so chill you'll wonder how this guy ever made it to the studio. So grab a cold one, slap on some sunscreen, and get ready to laugh, learn, love, and question everything you thought you knew about yacht rock and the legal system. Hey, Bud, do us a solid, will ya? Head over to Apple Podcasts or Spotify, slap us with a 5-star rating, and maybe even toss in a quick review. Look, I'm not sayin' we've earned it yet, but c'mon—we're workin' on it! While you're at it, hit that ‘subscribe' button like it owes you money. And hey, swing by olddogpack.com and sign up for The Old Dog Pack newsletter. Is it gonna change your life? Nah. But it's free, so what're ya complaining about? Most importantly—and I mean this—tell a buddy about us. We're nothin' without you guys, and we wanna grow this thing into a whole pack of you maniacs. Help us out, huh?

We meet back up with the founder of Klaris, Chase Haider to talk about making ice. Yeah, we know, sounds easy – but there is a science here. Chase gives us the in's and out's of making clear ice (with or without a Klaris machine). Jules outs the budding bromance between Uncle Brad and Chase. Uncle Brad and Jules spin up a couple of cocktails; Brad makes the classic Penicillin and Jules puts here riffy-do on it.   Penicillin Glass: Double Rocks Glass  Garnish: Candied Ginger Directions & Ingredients In your shaker tin add 1.5oz Blended Scotch whisky  1 tsp. Peated Scotch whisky (Laphroaig)  2 tsp fresh lemon juice  0.5 oz Ginger liqueur  2 tsp Honey syrup (3:1 - acacia honey is best) Double strain over ice Add garnish: skewered piece of candied ginger   Riffy-do Glass: Coupe Garnish: Candied Ginger Directions & Ingredients In your shaker tin add Egg whilte   0.75 fresh lemon juice  0.5 oz cinnamon syrup  0.5 oz ginger syrup   0.5 oz Blended Scotch  1.5 oz bacon fat washed Cognac Dry shake Shake again with ice Double strain in chilled coupe glass   TIP: When and why we use ice   Get 10% off your Klaris Ice Machine using ARTOFDRINKING10 at checkout Go to www.craftklaris.com   Get your Zbiotics Pre-Alcohol Probiotic here: zbiotics.com/ARTOFDRINKING Be sure to enter the code ARTOFDRINKING for 15% off your first order   The Art of Drinking IG: @theartofdrinkingpodcast    Jules IG: @join_jules TikTok: @join_jules Website: joinjules.com   Brad IG: @favorite_uncle_brad   This is a Redd Rock Music Podcast IG: @reddrockmusic www.reddrockmusic.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Die meiste Zeit der Menschheitsgeschichte waren Krankheitserreger unsere größten Feinde, wie zum Beispiel die Bakterien, die Tuberkulose auslösen. Erst ab circa 1870 begann man zu verstehen, dass es so etwas wie Viren und Bakterien gibt – einige Jahrzehnte später gab es dann Penicillin, das erste Antibiotikum, mit dem sich tödliche Bakterien plötzlich bekämpfen ließen. Damit begann unser Siegeszug über die Infektionskrankheiten.

Dr. Kitan Amin, Infectious Diseases Fellow at the USF Morsani College of Medicine, presents this talk on the current state of syphilis in the U.S. Dr. Amin begins by discussing the epidemiology and classification of Treponemial organisms. The history of Syphilis is then reviewed, including the origins of the disease in the new world and the unfortunate history of the Tuskegee trials. Next, the clinical manifestations of Syphilis are detailed, including primary, secondary, late latent, and neurosyphilis. The unique effects of Syphilis in HIV are also covered. Lastly, syphilis testing and treatment are reviewed, including the effects of the recent Benzathine penicillin shortage and alternatives to Penicillin for treatment.

The age of antibiotics began in September 1928, with the discovery of penicillin by Alexander Fleming (1881-1955), then a professor of bacteriology at St. Mary's Hospital in London. Previously there were no effective treatments against a range of bacterial infections from pneumonia to sepsis.

Hello to you listening in Laxa, Sweden!Coming to you from Whidbey Island, Washington this is Stories From Women Who Walk with 60 Seconds for Wednesdays on Whidbey and your host, Diane Wyzga.The other night I was watching Episode 16 of Season 3 of the TV series The West Wing. Sam Seaborn is visited by his former physics professor, Dr. Dalton Millgate, who wants Sam to put in a good word for the funding of the superconducting supercollider - a controversial scientific project that would cost billions. Senator Enlow from Illinois is holding up the project for political reasons. A short exchange happens in Sam's office between Dalgate, Enlow and Seaborn about what this costly project “does":   Sen. Jack Enlow, D-IL: If we can only say what benefit this thing has. No one's been able to do that.Dr. Dalton Millgate: That's because great achievement has no road map. The X-Ray is pretty good, and so is penicillin, and neither were discovered with a practical objective in mind. I mean, when the electron was discovered in 1897, it was useless. And now we have an entire world run by electronics. Haydn and Mozart never studied the classics. They couldn't. They invented them.Sam Seaborn: Discovery.Dr. Dalton Millgate: What?Sam Seaborn: Discovery is what. That's what this is used for. It's for discovery!Practical Tip: When we lose hope or direction or get discouraged about what we're about, about what our project does or is good for, remember this: it's for discovery!  And that's the road map to great achievement.Click HERE to watch the scene on YouTubeYou're always invited: “Come for the stories - stay for the magic!” Speaking of magic, would you subscribe and spread the word with a generous 5-star review and comment - it helps us all - and join us next time!Meanwhile, stop by my Quarter Moon Story Arts website to:✓ Check out Services I Offer,✓ For a no-obligation conversation about your communication challenges, get in touch with me today✓ Stay current with me as “Wyzga on Words” on Substack and on LinkedInStories From Women Who Walk Production TeamPodcaster: Diane F Wyzga & Quarter Moon Story ArtsMusic: Mer's Waltz from Crossing the Waters by Steve Schuch & Night Heron MusicAll content and image © 2019 to Present Quarter Moon Story Arts. All rights reserved.

This episode discusses five recent articles on syphilis including the effectiveness of linezolid and azithromycin, a new penicillin allergy testing algorithm, and a successful integrated response to address a syphilis epidemic in a rural American Indian community. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Program Director of the UW Infectious Diseases Fellowship Program. 

Check out our recap and breakdown of Season 3 Episode 23 of the Big Bang Theory! We found 5 IQ Points!00:00:00 - Intro00:12:52 - Summary Begins00:14:33 - What is Lunar Ranging? 00:40:08 - Graphic Design is Science!00:53:13 - That wasn't in Frankenstein! 01:05:11 - Penicillin, life's greatest mistake01:38:25 - Did Leonard do the math right? Find us everywhere at: https://linktr.ee/theoreticalnonsense~~*CLICK THE LINK TO SEE OUR IQ POINT HISTORY TOO! *~~-------------------------------------------------Welcome to Theoretical Nonsense! If you're looking for a Big Bang Theory rewatch podcast blended with How Stuff Works, this is the podcast for you!  Hang out with Rob and Ryan where they watch each episode of The Big Bang Theory and break it down scene by scene, and fact by fact, and no spoilers! Ever wonder if the random information Sheldon says is true? We do the research and find out! Is curry a natural laxative, what's the story behind going postal, are fish night lights real? Watch the show with us every other week and join in on the discussion! Email us at theoreticalnonsensepod@gmail.com and we'll read your letter to us on the show! Even if it's bad! :) Music by Alex Grohl. Find official podcast on Apple and Spotify https://podcasts.apple.com/us/podcast/theoretical-nonsense-the-big-bang-theory-watch-a/id1623079414

Bomani Jones starts today's show by recapping the Cowboys vs Lions matchup. (0:50) He reiterates his Day 1 fandom of the Detroit Lions, while reveling in the blow out win over the Dallas Cowboys. Bomani explains that he had Super Bowl aspirations for this team right until the Aidan Hutchinson injury, which has certainly hurt the teams morale. Speaking of morale, the Cowboys look terrible following that loss and Bo discusses why they showed zero fight in that game. (9:30) From there, Bomani transitions to Nick Sirianni and the Eagles, who despite the win over the Browns, have a coach who should be fired. Bo stresses his disdain for bringing your kids up to the podium during a press conference especially when they're being used as human shields. (16:40) Then Bomani briefly talks about Lincoln Riley who has lead the USC Trojans to three straight losses. And finally, another round of If You Haven't Heard stories and your Al Bundy voicemail stories. (34:00) IYHH Contributors:  Matteo Wong, Staff Writer at The Atlantic: “AI's Penicillin and X-Ray Moment” https://bit.ly/4eI8je2  Oshan Jarow, Staff Writer at Vox: “Nitrous, one of the oldest mind-altering drugs, is back" https://bit.ly/3NKRnb7  Allie Kelly, Reporter at Business Insider: “A major curveball in retirement preparedness: divorce” https://bit.ly/3BCFzEL  . . . Subscribe to The Right Time with Bomani Jones on Spotify, Apple or wherever you get your podcasts and follow the show on Instagram, Twitter, and Tik Tok for all the best moments from the show. Download Full Podcast Here: Spotify:  https://open.spotify.com/show/6N7fDvgNz2EPDIOm49aj7M?si=FCb5EzTyTYuIy9-fWs4rQA&nd=1&utm_source=hoobe&utm_medium=social Apple:  https://podcasts.apple.com/us/podcast/the-right-time-with-bomani-jones/id982639043?utm_source=hoobe&utm_medium=social Follow The Right Time with Bomani Jones on Social Media:  http://lnk.to/therighttime Support the Show:  PrizePicks: Daily Fantasy Made Easy! Visit PrizePicks.com/BOMANI and use code BOMANI for a first deposit match up to $100! Download the Viator app now to use code VIATOR10 for 10% off your first booking in the app. Cut your wireless bill to 15 bucks a month at MintMobile.com/Bomani. Learn more about your ad choices. Visit megaphone.fm/adchoices

Free book is here at https://www.memorizingpharm.com/books Summary Chapter 3.19 Antitubercular Chapter 3.19 discusses antitubercular medications used to treat tuberculosis (TB), which primarily affects the lungs. These drugs work by inhibiting mycobacterial growth or disrupting RNA synthesis, requiring long-term treatment (6 months to 2 years). Key considerations include monitoring liver function, avoiding alcohol, and ensuring patient adherence to therapy. Common medications include isoniazid and rifampin. Multiple Choice Questions How do antitubercular medications primarily work? a) Inhibiting protein synthesis b) Inhibiting mycobacterial growth c) Enhancing DNA replication d) Blocking cell wall formation How long does antitubercular therapy usually last? a) 1 month b) 3 months c) 6 months to 2 years d) 1 week Which organ's function should be closely monitored during antitubercular therapy? a) Heart b) Liver c) Kidney d) Lungs Which substance should patients avoid during antitubercular treatment? a) Caffeine b) Alcohol c) Dairy d) Citrus fruits What is a commonly used antitubercular medication? a) Penicillin b) Isoniazid c) Acyclovir d) Metronidazole Answer Key b) Inhibiting mycobacterial growth c) 6 months to 2 years b) Liver b) Alcohol b) Isoniazid

It's not always easy to make friends, but in this week's episode, both of our storytellers take us on heartwarming and sometimes unexpected journeys to find true friendship and meaningful connections. Part 1: Eva Chebishev gets voted “Most Organized” in first grade and struggles to fit in with her peers. Part 2: Morgan Roberts is worried about how people will see her if she enters a high school math competition. Eva Chebishev (she/her) is a microbiology PhD candidate in the lab of Dr. Ana Fernandez-Sesma at the Icahn School of Medicine at Mount Sinai (ISMMS). Her research focuses on the immune response to Dengue virus (DENV) with hopes of creating a safe, effective vaccine that is protective against all four serotypes of DENV. When she finally finishes this PhD, she aims to combine her enthusiasm for science communication and public outreach with her life-long passion for musical theatre. To this end, she recently had the incredible opportunity to perform in the limited, Off-Broadway run of “Lifeline” an original musical which tells the story of Alexander Fleming's discovery of Penicillin and the ongoing, rising global public health threat of antimicrobial resistance. She was also an attendee of ComSciCon-Flagship-2024, a science communication conference for graduate students, and has guest starred on the podcast “Mattsplaining” by Matthew Storrs. Outside of the lab, she performs in, directs, and produces “The Sinai Story Project”, a student-run showcase of original stories from the ISMMS student body. Finally, she is a diversity and disability advocate for equal opportunities in science and would like to thank The Story Collider for this opportunity and her Story Collider Workshop instructors for helping her find and craft her story. Morgan Roberts is a Mechanical Engineering major in her junior year at Boise State University. She is currently pursuing aerospace engineering and has had wonderful opportunities interning for various aerospace companies in the US and is hopeful to get more! She loves playing volleyball, reading, spending time with friends and family, and working in the machine shop on campus. Learn more about your ad choices. Visit megaphone.fm/adchoices

Free book is here at https://www.memorizingpharm.com/books Summary 3.17 Antiprotozoals  Chapter 3.17 discusses antiprotozoals, medications used to treat protozoan infections such as Giardia. An example is metronidazole, which disrupts protozoal folic acid synthesis. It can be administered orally, topically, or intravenously. Side effects may include seizures, peripheral neuropathies, and dizziness. Patients should avoid alcohol during treatment and be aware that the medication can cause darkened urine. Multiple Choice Questions What is a common antiprotozoal medication? a) Penicillin b) Metronidazole c) Acyclovir d) Fluconazole How does metronidazole work? a) Enhances protein synthesis b) Inhibits folic acid synthesis c) Blocks DNA replication d) Prevents cell wall formation What side effect should patients monitor while taking antiprotozoals? a) Hair loss b) Seizures c) Increased appetite d) Weight gain What should patients avoid while taking antiprotozoals? a) Dairy products b) Alcohol c) Exercise d) Salty foods What symptom might indicate a protozoal infection? a) Dry skin b) Diarrhea c) Hair growth d) Weight gain Answer Key b) Metronidazole b) Inhibits folic acid synthesis b) Seizures b) Alcohol b) Diarrhea

The BanterThe Guys discuss the pros and cons of “Best of” lists and how they would rank some colorful local watering holes.The ConversationThe Restaurant Guys welcome acclaimed writer Robert Simonson,  a cocktail enthusiast and expert. They devise a dream team of restaurant reviewers, bond over a love of hot dogs and discuss an exclusive gin that might be worth its price.See below for The Guys' newest mashup cocktail:The Presidential Stormy Porn Star MartiniA mash up of three cocktails★ El Presidente (Rum, Curacao)★ Dark and Stormy (Black Seal Rum, Ginger)★ Pornstar Martini (Passion Fruit, Vanilla Vodka)Ingredients1    oz  Goslings Black Seal Bermuda Rum.75 oz  Chinoa Passion Fruit Liqueur.75 oz  Pierre Ferrand Orange Curacao.5   oz  Stolichnaya Vanilla Vodka.25 oz  Poire Williams (Purkhart).5   oz Ginger Syrup (same as for Penicillin - see sub recipe below)Combine all above ingredients in a mixing glass.Stir over ice until completely chilled.  Strain into coup.Dash Regan's Orange BittersDash DeGroff Bitters (Sub Angostura Bitters if necessary)Garnish: Flag of Candied Ginger and Cherry                     The Inside TrackThe Guys have known Robert for a long time and have hosted a couple of book signings to share Robert's knowledge and expertise with others. After much research, Robert has deemed The Guys' restaurant Stage Left Steak the oldest continuously running craft cocktail bar.“Cocktails come with an attached culture and I don't think I would have spent so many years writing about cocktails if that culture wasn't so fascinating,” Robert Simonson on The Restaurant Guys Podcast 2024BioRobert Simonson writes about cocktails, spirits, bars, and bartenders for the New York Times and is the creator and author of the Substack newsletter The Mix with Robert Simonson. His books include The Old-Fashioned (2014), the first single-drink cocktail book of its kind; A Proper Drink (2016), the first (and so far only) history of the modern cocktail revival; 3-Ingredient Cocktails (2017), which was nominated for a 2018 James Beard Award; The Martini Cocktail (2019), which was nominated for a 2020 James Beard Award and IACP Award and won that year's Spirited AwardReach out to The Restaurant GuysOur Sponsors The Heldrich Hotel & Conference Centerhttps://www.theheldrich.com/ Magyar Bankhttps://www.magbank.com/ Withum Accountinghttps://www.withum.com/ Our Places Stage Left Steakhttps://www.stageleft.com/ Catherine Lombardi Restauranthttps://www.catherinelombardi.com/ Stage Left Wineshophttps://www.stageleftwineshop.com/ To hear more about food, wine and the finer things in life:https://www.instagram.com/restaurantguyspodcast/https://www.facebook.com/restaurantguys**Become a Restaurant Guys Regular and get two bonus episodes per month, bonus content and Regulars Only events.**Click Below! https://www.buzzsprout.com/2401692/subscribe

HIV specialist and former punk rock musician, Eamonn Vitt, MD, joins Paul Sax MD, FIDSA, to discuss running a small private practice in NYC and his efforts to seek lower drug costs for his patients.General registration is now open for the premier ID meeting! Register for IDWeek for the opportunity to surround yourself with the ID experts who are advancing the field. Join ID professionals who want to stay current, apply state-of-the-art science to clinical care and excel in their own careers with CME/CPE/CNE/MOC credit available. Find your why and find your way to IDWeek, Oct. 16-19! https://idweek.org/registration/

In episode 585, Mike and James invite Émélie Braschi back to the podcast to talk about the tricky issue of how to deal with a potential penicillin allergy. Believe it or not there are a couple of RCTs looking at this issue. These two trials compared oral challenge alone to skin testing followed (if negative) […]

Jeff Clear joins the TTAB crew this week to try to take down our returning champ. Join in and see how he does! CARD 1 CLUE: Achoo CATEGORY: Things You Are Allergic To ANSWERS: Pollen, Dust, Peanuts, Penicillin, Bees, Pets, Milk CARD 2 CLUE: One if By... CATEGORY: Modes of Transportation ANSWERS: Motorcycle, Bus, Airplane, Train, Bicycle, Walking, Skateboard CARD 3 CLUE: Say Ahh CATEGORY: Things You Put In Your Mouth ANSWERS: Toothbrush, Thumb, Thermometer, Pencil, Gum, Dental Floss, Toothpick CARD 4 CLUE: Charles People CATEGORY: X-Men Characters ANSWERS: Storm, Beast, Wolverine, Cyclops, Rogue, Gambit, Nightcrawler CARD 5 CLUE: The New Age CATEGORY: Pixar Movies ANSWERS: Turning Red, Lightyear, Cars, Finding Dory, The Incredibles, Ratatouille, Soul CARD 6 CLUE: It's Right Above You CATEGORY: Things that Are Blue ANSWERS: Sky, Berries, Birds, Bonnets, Bells, Crabs, Corn

National Double Cheeseburger day. Entertainment from 2023. 1st 8 track tape players installed in cars, Tanks used for the 1st time in battle, Penicillin discovered. Todays birthdays - Marco Polo, Roy Acuff, William Howard Taft, Agatha Christie, Fay Wray, Oliver Stone, Tommy Lee Jones, Kelly Keagy, Wendie Jo Sperber. Ric Ocasek died.Intro - Pour some sugar on me - Def Leppard    http://defleppard.com/McDonald's burger rap - Sherman GanI remember everything - Zach Bryan  Kacey MusgraveLove you anyway - Luke CombsBirthdays - In da club - 50 Cent     http://50cent.com/The wabash canonball - Roy AcuffSister christian - Night RangerShake it up - The CarsExit - It's not love - Dokken     http://dokken.net/Follow Jeff Stampka on Facebook and cooolmedia.com

Sam Ross, of Attaboy, Milk & Honey, Temple Bar, Good Guy's, and general cocktail creation fame joins us to discuss one of said creations: the Paper Plane. Vying for position with the Penicillin as one of Ross's most famous and beloved drinks, the Paper Plane took off by employing the Last Word template and introducing some then-little-known ingredients, including non-negotiable Amaro Nonino. Listen on (or read below) to learn Ross's Paper Plane recipe — and don't forget to leave a rating, review, and subscribe! Sam Ross's Paper Plane Recipe Ingredients - ¾ ounce fresh lemon juice - ¾ ounce Aperol - ¾ ounce Amaro Nonino - ¾ ounce bourbon (above 90 proof) Directions 1. Add all ingredients to a cocktail shake with one large cube of ice. 2. Hard shake until chilled. 3. Strain into a frosted coupe glass.

How was Wi-Fi invented? Why did they grow a mould room at the institute? Who gifted people the joy of hearing? And what does this have to do with shells on the beach? The second season of the podcast "Koo-koo, kookaburra!" is all about Australian inventions. Audio in Russian only. - Как придумали Wi-Fi? Зачем в институте вырастили комнату плесени? Кто вернул людям слух? И причем тут ракушки на пляже? Второй сезон подкаста для детей "Ку-ку, кукабара!" рассказывает об австралийских изобретениях. Тема этого эпизода - медицинское применение пенициллина.

Australian bartender Sam Ross first made his name in the New York City bar world at Milk & Honey, working under Sasha Petraske and alongside longtime business partner Michael McIlroy. Today, Ross is the co-owner of Attaboy, along with a growing list of bars and cafes. For this episode, we talk about the duo's newest New York bar, Good Guy's; the growth of their bar group in New York City and Nashville; and about his role as creator of modern classic cocktails including the Penicillin and the Paper Plane.Radio Imbibe is the audio home of Imbibe magazine. In each episode, we dive into liquid culture, exploring the people, places, and flavors of the drinkscape through conversations about cocktails, coffee, beer, spirits, and wine. Keep up with us at imbibemagazine.com, and on Instagram, Threads, and Facebook, and if you're not already a subscriber, we'd love to have you join us—click here to subscribe. 

Jemand aus meinem Bekanntenkreis erzählte mir von seiner plötzlichen Erkrankung. Blutvergiftung! Sofort ins Krankenhaus. Dort wurden intravenös große Mengen von hochwirksamen Antibiotika verabreicht. Gott sei Dank gibt es Penicillin und andere Antibiotika, durch die ein gefährlicher Infektionsherd erfolgreich bekämpft werden kann. Der schottische Arzt Alexander Fleming entdeckte 1928 das Penicillin.

NP Pulse returns this week with guest Alexander Wrynn, whose presentation at the 2024 AANP National Conference was entitled “Don't be Rash: Mastering Penicillin Allergies.” With host Sophia Thomas, Wrynn discusses classifying and managing penicillin allergies, and walks us through what he has learned in his practice about self-reported allergies to this antibiotic.  

In 1980s Berkeley, an eccentric chemist and his wife, a self-taught therapist, experimented with MDMA. Their work would kickstart a decades-long campaign to mainstream psychedelics as a therapeutic tool — one that's coming to a head this month, with a decision due from the FDA. This episode was reported and produced by Haleema Shah, edited by Lissa Soep and Matt Collette, fact-checked by Laura Bullard, engineered by Andrea Kristinsdottir and Rob Byers, and hosted by Sean Rameswaram. It's the second in a series supported with a grant from the Ferriss–UC Berkeley Psychedelic Journalism Fellowship. Transcript at vox.com/today-explained-podcast Support Today, Explained by becoming a Vox Member today: http://www.vox.com/members Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week, Marianna sits down with John Faragon to talk all about the shortage of benzathine penicillin. Tune in to learn about the current supply status, who providers should be reserving this medication for, and some recent changes in New York State guidelines. --Help us track the number of listeners our episode gets by filling out this brief form! (https://www.e2NECA.org/?r=PCS6722)--Want to chat? Email us at podcast@necaaetc.org with comments or ideas for new episodes. --Check out our free online courses: www.necaaetc.org/rise-courses--Download our HIV mobile apps:Google Play Store: https://play.google.com/store/apps/developer?id=John+Faragon&hl=en_US&gl=USApple App Store: https://apps.apple.com/us/developer/virologyed-consultants-llc/id1216837691

Außerdem: Allergisch gegen Penicillin - Warum sollte man das hinterfragen? (08:18) / Mindesthaltbarkeitsdatum - Geht das auch besser? (16:07) // Mehr spannende Themen wissenschaftlich geprüft findet Ihr hier: www.quarks.de // Habt Ihr Feedback, Anregungen oder Fragen, die wir einordnen sollen? Dann meldet Euch über Whatsapp oder Signal unter 0162 344 86 48 oder per Mail: quarksdaily@wdr.de. Von Ina Plordroch.

Hey, please share this podcast with your friends, family and neighbours or even write a review :). The podcast can now also be found on Youtube (https://t1p.de/kt83z). You can contact me on Instagram (https://www.instagram.com/slowgermanwithculture/) or write a mail to learngermanwithculture@web.de .Transkript:   In der heutigen Episode sprechen wir über den Besuch beim Arzt. Ein Arztbesuch kann manchmal schwierig sein, besonders wenn man die Sprache nicht gut spricht. In dieser Episode lernst Du einige typische Sätze und Ausdrücke, die dir helfen können.Beim Arzt gibt es unterschiedliche Orte. Ein wichtiger Ort ist der Empfang. Dort musst Du als erstes erscheinen. Am Empfang sagst du vielleicht: "Guten Tag, ich habe einen Termin bei Dr. Müller." Wenn du deine Krankenkarte vergessen hast, kannst du sagen: "Ich habe keine Krankenkarte dabei."Nach dem Empfang gehst Du meistens ins Wartezimmer. Dort wartest Du auf deinen Termin beim Arzt. Im Wartezimmer fragst du vielleicht: "Wie lange muss ich noch warten?" oder "Wann bin ich dran?"Wenn du aufgerufen wirst, gehst Du ins Sprechzimmer. Im Sprechzimmer findet die Untersuchung oder das Gespräch mit dem Arzt statt. Im Sprechzimmer begrüßt du den Arzt mit "Guten Tag, Herr/Frau Doktor." Dann beschreibst du deine Beschwerden, zum Beispiel: "Ich habe seit drei Tagen Kopfschmerzen." oder "Mir ist schwindelig und ich habe Fieber." Es ist auch wichtig, Allergien zu erwähnen: "Ich bin allergisch gegen Penicillin."Der Arzt wird dir Fragen stellen, wie: "Wo tut es weh?" und "Seit wann haben Sie die Schmerzen?" Er kann auch fragen: "Nehmen Sie irgendwelche Medikamente?"Nach der Untersuchung sagt der Arzt vielleicht: "Ich verschreibe Ihnen ein Rezept." oder "Sie sollten sich ausruhen." Manchmal sagt er auch: "Kommen Sie in einer Woche wieder."Nach dem Arztbesuch kannst du am Empfang fragen: "Wo kann ich das Rezept einlösen?" oder "Brauche ich einen neuen Termin?"Diese Sätze helfen dir, dich beim Arzt besser verständigen zu können. Wenn du diese Sätze übst, wirst du sicherer bei deinem nächsten Arztbesuch sein. Aber natürlich hoffe ich, dass Du gar nicht erst zum Arzt gehen musst. 

It's a doozy this week - the origin and history of penicillin. It's so much more than just Alexander Fleming. From the ancient use of molds in bandages, to the arrival of germ theory, to World War II, Lynne will go into detail to describe the long and, at times, arduous process that ended with one of the most influential pharmaceutical products of all time.  Discovery of Penicillin International Historic Chemical Landmark  The Discovery of Penicillin - New Insights After More Than 75 Years of Clinical Use by Robert Gaynes History of Penicillin by Kholring Lalchhandama The real story behind penicillin by Dr. Howard Markel Alexander Fleming via Science History Institute  Moulds in Ancient and More Recent Medicine by Milton Wainwright Struggle Against Infection by W Fraser-Moodie Syphilis and Salvarsan by Gervase Vernon How a Deadly Fire Gave Birth to Modern Medicine by Linda Marsa Cocoanut Grove Fire via Wikipedia Fulton, penicillin and chance via Yale Medicine Magazine Please contact us with questions/concerns/comments at defunctdoctorspodcast@gmail.com. @defunctdoctorspodcast on Instagram, Facebook, X (Twitter), Threads, YouTube, and TikTok  Follow Lynne on Instagram @lynnedoodles555

The Truth About Raw Milk: Breaking Down the Risks with Savana Everhart NunnSavana Everhart Nunn, PhD in One Health Sciences from Texas Tech University, joins the show to share why the US government agencies caution against consuming raw milk. We also explore the implications of not pasteurizing milk, and Savana's groundbreaking research on mastitis in dairy cattle. Whether you're a food science enthusiast or just curious about the science behind your daily foods… you're in the right place.In this episode, you'll hear about:What does pasteurization involve and why is it necessary for milk safety?Who is at greater risk when consuming raw milk?The pathogenic bacteria most commonly found in raw milkHow animal health directly impacts food safety and human healthHow Savana helped pioneer a PhD program in One Health SciencesJump to:(06:07) Why HTST is the common pasteurization method in the US.(08:41) The negligible benefits and risks of drinking raw milk.(11:44) Penicillin resistance in US dairy.(13:50) The challenges of grad school and coping with mental health.(19:28) The scientists analyzing big data to solve problems.(21:41) Passionate about zoonoses and improving animal health.(25:14) Featured artist and song(26:03) This episode's MantraFeatured Artist and Song:THE SMOKE by CΔTΔLYSTLinks mentioned in this episode:‘Factors Surrounding the Implementation of Food Safety Management Systems and Their Impact on Food Safety Culture' by Savana Everhart Nunn‘Cross-Contamination to Surfaces in Consumer Kitchens Using MS2 as a Tracer Organism in Ground Turkey Patties' by Savana Everhart Nunn, et al.Institute for One Health InnovationEuclid by Sleep Token, music recommended by Savana Everhart Nunn.Connect with the showAQUALAB

Send us a Text Message.This week, I'll delve into the surprising history of antibiotics. You'll learn how penicillin was discovered by accident and how its development was helped along by a moldy cantaloupe from a Peoria, Illinois farmers market. I'll also uncover how it went on to act as a secret weapon, helping the allied forces to victory during World War II. Plus I'm going to get real personal to share the tell all story of why my husband is physically disabled and suffering from chronic pain at the age of 35 from taking a particular type of antibiotic. This is not easy to share, but I need to warn you. It may very well save your life. Sources: The Microbiology Society "The History of Antibiotics"National Library of Medicine "The Treasure Called Antibiotics"National Library of Medicine "Antonie Van Leeuwenhoek: Master of Fleas and Father of Microbiology"National Library of Medicine "A Brief History of the Antibiotics Era"PBS "The real story behind penicillin"Live Science "What is penicillin, and how was it discovered?"healthychildren.org "The History of Antibiotics"World Health Organization "Global child deaths reach historic low in 2022 - UN report"Harvard Library "Germ Theory"USDA "The Enduring Mystery of Moldy Mary"HistoryNet "Penicillin: Wonder Drug of WWII" The Atlantic "What Americans Don't Know About Their Medications"FDA "FDA updates warnings for oral and injectable fluoroquinolone antibiotics due to disabling side affects"American Chemical Society "Discovery and Development of Penicillin"MN Department of Health "About MRSA"Support the show! Buy Me a CoffeeVenmo @Shea-LaFountaine

In this week's episode, Kayla and Taylor discuss Lauren Groff's 2023 novel The Vaster Wilds. Topics include wilderness and spiritual awakening, smallpox-infested boots, and bears pondering waterfalls. And of course, we spent several minutes discussing Taylor Swift's new album. We might be okay, but we're not FINE AT ALL.This week's drink: Penicillin via liquor.comINGREDIENTS:2 oz blended scotch¾ oz lemon juice, freshly squeezed¾ oz honey-ginger syrup*¼ oz Islay single malt scotchGarnish: candied gingerINSTRUCTIONS:Add the blended scotch, lemon juice and syrup into a shaker with ice, and shake until well-chilledStrain into a rocks glass over fresh iceTop with Islay single malt scotchGarnish with a piece of candied ginger* To make the honey-ginger syrup: Combine 1 cup honey, 1 6-inch piece of peeled and thinly sliced ginger and 1 cup water in a saucepan over high heat, and bring to a boil. Reduce heat to medium, and simmer 5 minutes. Place in fridge to steep overnight. Strain with a cheesecloth.Subscribe to our Patreon, where we discuss “lower-case-l” literature and have a silly good time doing it! Follow us on Instagram @literatureandlibationspod.Visit our website: literatureandlibationspod.com to submit feedback, questions, or your own takes on what we are reading. You can also see what we are reading for future episodes! You can email us at literatureandlibationspod@gmail.com.Please leave us a review and/or rating! It really helps others find our podcast…and it makes us happy!Purchase books via bookshop.org or check them out from your local public library. Join us next time as we discuss The Color Purple by Alice WalkerHere is the cocktail recipe for next week's episode if you want to drink along with us!Spring Fever via @gracelynnhewittINGREDIENTS:1 oz Empress 1908 Indigo Gin1 oz fresh squeezed lemon juiceSplash of honeyLemon lime sodaINSTRUCTIONS:In a cocktail shaker filled with ice, add the gin, lemon juice, and splash of honey. Shake until chilled.Strain into a coup glass. Add lemon lime soda, leaving a little bit of room.Top with the Empress Gin to create an ombre effect.

Presenting: More on Penicillin-Binding-Proteins than you realistically ever need to know! What is the difference between Gram positive and negative bacteria's cell walls?What is a Penicillin Binding Protein (PBP)?Why are they called PBPs?What do PBPs do?What makes MRSA resistant to (most) beta-lactams?These any many more questions answered!Notion page here - you'll need it for this one, check it out!  Support the Show.Questions, comments, suggestions to idiotspodcasting@gmail.com or on X/Threads @IDiots_podPrep notes for completed episodes can be found here (Not all episodes have prep notes).If you are enjoying the podcast please leave a review on your preferred podcast app!Feel like giving back? Donations of caffeine gratefully received!https://www.buymeacoffee.com/idiotspod

New documents reveal the EPA’s history of forcing animals to inhale toxic fumes on the taxpayers’ dime – Rare    Harvard Scientists Caught Taking Bribes To Publish False Research About Causes of Heart Attacks – The People’s Voice (thepeoplesvoice.tv)   What places allow teachers to be armed with firearms? | [April Updated] (thegunzone.com)    “CLASTOGENIC” […] The post Eugenics 101 * Penicillin, Statins and Ivermectin are secretly killing you. Making people go BLIND in Africa to Heart attacks in USA. Sugar Industry Paid Harvard Researchers to Say Fat (Not Sugar) Caused Heart Disease. appeared first on Psychopath In Your Life.

In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnostic error, Matthew McArthur on penicillin allergy labels, myths and penicillin challenges, and Susan Lu on how ED physician personality influences patient outcomes... The post EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality appeared first on Emergency Medicine Cases.

Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: Examples of Highly Counterfactual Discoveries?, published by johnswentworth on April 23, 2024 on LessWrong. The history of science has tons of examples of the same thing being discovered multiple time independently; wikipedia has a whole list of examples here. If your goal in studying the history of science is to extract the predictable/overdetermined component of humanity's trajectory, then it makes sense to focus on such examples. But if your goal is to achieve high counterfactual impact in your own research, then you should probably draw inspiration from the opposite: "singular" discoveries, i.e. discoveries which nobody else was anywhere close to figuring out. After all, if someone else would have figured it out shortly after anyways, then the discovery probably wasn't very counterfactually impactful. Alas, nobody seems to have made a list of highly counterfactual scientific discoveries, to complement wikipedia's list of multiple discoveries. To that end: what are some examples of discoveries which nobody else was anywhere close to figuring out? A few tentative examples to kick things off: Shannon's information theory. The closest work I know of (notably Nyquist) was 20 years earlier, and had none of the core ideas of the theorems on fungibility of transmission. In the intervening 20 years, it seems nobody else got importantly closer to the core ideas of information theory. Einstein's special relativity. Poincaré and Lorentz had the math 20 years earlier IIRC, but nobody understood what the heck that math meant. Einstein brought the interpretation, and it seems nobody else got importantly closer to that interpretation in the intervening two decades. Penicillin. Gemini tells me that the antibiotic effects of mold had been noted 30 years earlier, but nobody investigated it as a medicine in all that time. Pasteur's work on the germ theory of disease. There had been both speculative theories and scattered empirical results as precedent decades earlier, but Pasteur was the first to bring together the microscope observations, theory, highly compelling empirical results, and successful applications. I don't know of anyone else who was close to putting all the pieces together, despite the obvious prerequisite technology (the microscope) having been available for two centuries by then. (Feel free to debate any of these, as well as others' examples.) Thanks for listening. To help us out with The Nonlinear Library or to learn more, please visit nonlinear.org

It can be difficult to find VBAC support with gestational diabetes and most who are supportive of VBAC highly recommend a 39-week induction. Heidi's first pregnancy/birth included gestational diabetes with daily insulin injections, a 39-week induction, Penicillin during labor for GBS, pushing for five hours, and a C-section for arrest of descent due to OP presentation. Heidi wasn't sure if she wanted to go through another birth after her first traumatic experience, but she found a very supportive practice that made her feel safe to go for it again. Though many practices would have risked her out of going for a VBAC due to her age and subsequent gestational diabetes diagnosis, her new practice was so reassuring, calm, and supportive of how Heidi wanted to birth. Heidi knew she wanted to go into spontaneous labor and try for an unmedicated VBAC. With the safety and support of her team, she was able to do just that. At just over 40 weeks, Heidi went into labor spontaneously and labored beautifully. Instead of pushing for over five hours, Heidi only pushed for 30 minutes! It was exactly the dreamy birth she hoped it would be. ThrombocytopeniaReal Food for Gestational Diabetes by Lily NicholsInformed Pregnancy Plus Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details 05:50 Review of the Week08:04 Heidi's first pregnancy with gestational diabetes12:05 Taking insulin18:08 39-week induction 20:59 Pushing 24:29 Arrest of descent and opting for a C-section27:06 Researching providers before second pregnancy38:04 Discussions around induction41:45 NSTs twice a week47:10 Testing for preeclampsia54:53 Spontaneous labor57:43 Going to the hospital1:02:03 Laboring in the tub1:06:22 Pushing for 30 minutesMeagan: Hello, Women of Strength. It is Meagan and we have a friend from New Hampshire. Her name is Heidi. Hello, how are you? Heidi: I'm doing great. How are you?Meagan: I am so great. I'm excited to record this story today because there are so many times in The VBAC Link Community on Facebook where we see people commenting about gestational diabetes and for a really long time on the podcast, we didn't have any stories about gestational diabetes. Just recently, this year really, we've had some gestational diabetes stories. I just love it because I think a lot of the time in the system, there is doubt placed with the ability to give birth with gestational diabetes or there is the whole will induce or won't induce type thing, and with gestational diabetes, you have to have a baby by 39 weeks if they won't induce you and it just goes. So I love hearing these stories and Heidi's story today– she actually had gestational diabetes with both so with her C-section and with her VBAC. It was controlled. It was amazing. That's another thing that I love hearing is that it is possible to control. We love Lily Nichols and the book about gestational diabetes and pregnancy. We will make sure to have it in the link, but it is so good to know that it doesn't have to be a big, overwhelming thing. It can be controlled and it doesn't have to be too crazy. Right? Did you find that along the way? Heidi: Yes. Yes, definitely. The first one was pretty scary, but then the second one, you know what you are doing and you can control it and you can keep advocating for yourself. Meagan: Absolutely. And then in addition to gestational diabetes, she had advanced maternal age barely with her second, but that is something that also gets thrown out. A lot of the time, we have providers saying, “We shouldn't have a vaginal birth. We should have a C-section by this time,” so that's another thing. If you are an advanced-maternal-age mama, listen up because here is another story for you as well. We don't have a lot of those on the podcast. We are so excited to welcome Heidi to the show. 05:50 Review of the WeekMeagan: Of course, we are going to do a Review of the Week and then we will dive right in. This was from stephaniet and it says, “Inspiring and Educational.” It says, “As a mother currently in her third trimester preparing for a VBAC, I was so happy to find this podcast. The stories shared are so encouraging and it is so comforting to know that I am not alone in feeling that once a Cesarean, always a Cesarean.” 100%. That is 100% true. You are not alone here. And once a Cesarean is not always a Cesarean. It says, “This does not have to be my story. Thanks, Meagan and Julie, for providing the support and education to women who are fighting for a chance to have a natural childbirth. I would love to encourage anyone wanting to learn more about VBAC to listen to this podcast.” Thank you, stephaniet. This was quite a few years ago, actually. This was in 2019. We still have some reviews in 2019 that weren't read. It's 2024, so that's really awesome and as usual, if you have a moment, we would love your reviews. Your reviews truly are what help more Women of Strength find these stories. We want these stories to be heard so leave us a review if you can on Apple Podcasts and Google. You can email us a review or whatever, but definitely if you listen to the podcast on a platform, leave a review and that would help. 08:04 Heidi's first pregnancy with gestational diabetesMeagan: All right, Ms. Heidi. Welcome to the show and thank you for being with us. Heidi: Thanks for having me. This is awesome. Meagan: Well, let's talk about it. Share your story with us with your C-section. Heidi: Yeah. We were planning for a child and we just decided. We were like, “Okay. Let's shoot for an April birthdate.” We just thought that we could just have a child, but we got lucky and we did on the first try. Meagan: Amazing. Heidi: We went to our local hospital that was about five minutes away for care and it just seemed good enough. At the time, I thought you just go to the hospital. You get care. You can trust the provider and you don't really need to do anything other than a hospital birth class for prepping. We just went along that journey. They assured me, “This will be a normal pregnancy. Everything is great.” The pregnancy was uneventful until about 20 weeks when I found out my baby was missing a kidney during a routine ultrasound. That sent us down Google rabbit holes and all kinds of fun things. Meagan: I'm sure, yeah. Heidi: Yeah. So at that point, we were assigned a Maternal-fetal medicine OB. I was offered an amniocentesis if we wanted to check and see what else was wrong and things like that. That was a major curveball. Meagan: Did you end up participating in the amnio? Heidi: No, we didn't. We had a couple of detailed ultrasounds after that. At first, they didn't actually tell me what they were looking for. I had three ultrasounds in a row that were not the more detailed ones. Meagan: Oh, okay. Heidi: I was like, “Why am I having all of these ultrasounds? Nobody is saying anything.” I finally got a phone call telling me that my daughter was missing a kidney so that's what they were looking for. I was like, “Okay. Good to know.” Meagan: Yeah. You would have thought some communication before then would have happened though. Heidi: Yeah. It was pretty scary. So what seemed pretty uneventful–Meagan: Got eventful. Heidi: Yeah, it did. So right around 28-30 weeks when they do the gestational diabetes check, I went in for my check and found that I would need to start tracking my blood sugar and diabetes does tend to kind of run in my family even though everybody is very healthy. I was wondering if it would come up and also being older, sometimes they say there is a link but it still took me by surprise because I'm a very active person and I eat really healthy. I felt like a failure basically. Meagan: I'm so sorry Heidi: Yeah. All of a sudden, I'm meeting with a nutritionist. They give me this whole package of a finger pricker. Yeah, exactly. All of a sudden, I'm submitting logs four times a day checking blood sugar, and the fasting numbers for me just weren't coming down so it was about one week of that, and then all of a sudden, they were saying, “Okay. You probably need insulin.” 12:05 Taking insulinHeidi: It came on so fast, so strong. Meagan: Wow. Heidi: It was really scary so then I found myself going to the pharmacy. I am a very healthy person so it was just all really weird going to the pharmacy buying insulin and learning all about insulin and learning almost how little the medical field understands about gestational diabetes. That was something bouncing in my head bouncing off the wall trying to understand the plan there. Meagan: Yeah. Heidi: Yeah, so after that, then I got phone calls from the nurses. They said, “You know, now you are on insulin. Now, you are going to have twice weekly NSTs required at 35 weeks.” I'm thinking, “Well, I'm working full time. How am I going to do all of this?” There is just so much sick time and it was really, really difficult to hear all of that. Meagan: Yeah. How do I have time for all of that? Plus just being pregnant. Heidi: Yeah. Yeah. Insulin and just for anyone that doesn't know, basically you inject yourself. I was injecting myself every night with an insulin pen and it was all just very weird because you're also thinking, “Well, I'm pregnant. I've never been on this medication. What is it going to do to me? What is it doing to my baby?” Very nervewracking. It's all normal to feel that way. Meagan: Yeah. I think sometimes when we get these diagnoses, we want to either recluse because it's so overwhelming, and sometimes then, our numbers can get a little wonky, or we dive in so much that it consumes us and we forget that we are still human and we don't have to do that. Heidi: Yeah. Now that you say that, I definitely did a little bit of both. Meagan: Did you? Heidi: I did a little bit of denial and then I did a little bit of obsessive researching. Meagan: Yeah, because you want to know. You want to be informed and that's super good, but sometimes it can control us. Heidi: Yes. Absolutely. You're watching every single thing that goes into your body. I probably didn't look at food normally until my second pregnancy to be honest with you. Meagan: Really? Heidi: Yeah. Meagan: Yeah. Yeah. So it was working. Things were being managed. Heidi: Yes. I was honestly very grateful for the insulin. Obviously, it took a little while to feel that way, but it was very well-managed. My numbers were right in range. My blood sugars were always normal throughout the day. I never had to do anything during the day. I just checked my blood sugars. Then the other thing that came as an alarm, they told me about the NSTs which are non-stress tests. They also mentioned that I would need an induction in the 39th week because–Meagan: 39 to be suggested, I should say. Heidi: Yeah. It wasn't explained to me that with that provider, it was a choice. It wasn't a suggestion. It was like, “You have to do this or you might have a stillbirth.” It was really scary. Meagan: Oh. Heidi: I didn't know I had a choice. Being a first-time mom and not knowing about evidence-based birth, this podcast, or all of it. I had no idea. So I was told I could schedule it anytime after my 36th week and for every appointment that I had as I started getting closer, I felt a lot of pressure from the providers to schedule the induction. They cited the ARRIVE trial. Meagan: Yes. Another thing I roll my eyes at. I don't hate all things. I just don't like when people call people old and when they tell people they have to do something because of a trial that really wasn't that great. But, okay. Heidi: Yep. Yeah. I mean, they didn't explain the details of it either. They just said, “Oh, it's the ARRIVE trial,” so I go and Google and try to make sense of it. They just say, “Stillbirth risk increases.” They say, “If you are induced at the 39th week, there is no increase and chance of a C-section,” so I thought, “Oh, okay. Sure.” Meagan: Right. Right, yeah. Heidi: I finally gave in near the end and I scheduled my induction for the 39th week and 6th day. Meagan: Okay, so almost 41. Heidi: Yep. So then I worked right up to the night before my induction. I was admitted to the hospital at 7:00 AM. I was planning for an unmedicated, uncomplicated delivery and an induction using a Cook balloon because my provider had checked me in the office the day before and they found that I was 1 centimeter dilated so they said they could probably get the balloon. I'm thinking, “Oh, it's going to be a mechanical induction. There's going to be no IV. It's going to be really as natural as possible.” 18:08 39-week induction Heidi: I get into triage and immediately, they start putting an IV in my right arm. I am right-handed. Meagan: Why do they do that? If you are listening and you are getting an IV, don't hesitate to say, “Hey, that's my dominant hand. Can we put it in the other one?” Also, don't hesitate to say, “Don't put it in my wrist where I'm going to try and be bending and breastfeeding a baby in the end. Put it in the hand or put it up in the arm.” Heidi: That's really good advice. I didn't know that the first time. Meagan: I didn't either. Heidi: I knew enough to say, “Whoa, whoa, whoa. Put it in my left hand.” They ended up putting it in my forearm. So here I am. I was hooked up to Penicillin. I was GBS positive. I feel like I had all of the things. Meagan: Yes. We've got gestational diabetes, GBS, maternal age, and now we've got an induction. Heidi: Yeah. Oh yeah. So yeah. They put in Penicillin, Pitocin, and saline, and then they showed me how to move around while wheeling an IV pole. Meagan: Mmm, yeah. Fun.Heidi: Yeah. We felt a little gutted at that point. We are in the hospital and sorry, when I say we, it's my husband and I. Yeah. The midwife had trouble getting the Cook balloon in. We just sat around on Pitocin that first day. The OB finally got it in around 10:00 PM that night. It was her first visit to see us actually. She probably could have gotten it in earlier had she come earlier. It sped up the labor overnight as soon as the Cook balloon went in. It was a bit painful. They stopped the Pitocin the next morning. My water broke on its own. They were talking about coming in to break my water and I think my body probably heard them, so it broke on its own. Yeah. I was just laying in the bed and it happened. Then labor began to pick up, but the contractions were still not regular. Pitocin was increased and then the contractions got really intense, but still irregular until around 4:00 PM that day at which point, I just couldn't take it. I asked for the epidural. Meagan: That's a lot. That's a lot. Heidi: Yeah. It was intense. 20:59 Pushing Heidi: The shift changed and a new nurse had a student with her. So I consented to the student being there thinking, “Oh yeah. Come on. Come observe my awesome labor. This is going to be amazing. It's going to be a vaginal delivery and everything,” so I'm like, “Yeah, sure. Let them learn.” I achieved 10 centimeters dilation and full effacement around 9:00 PM that night so it was really exciting. Meagan: That's actually pretty fast. 10:00 is when the Cook was planned the night before. 9:00 PM, so hey, that's pretty good. Heidi: Yeah. I was happy about that. I was so excited to push. I couldn't feel a lot because I was on the epidural, but it really took the pain away and it helped a lot in the moment. So let's see, I was mostly on my back. I was tired. I was just really tired at this point. There was, the nurse that I had was pretty new. She had been there for I think 6 months and then she was also trying to juggle the student nurse. She didn't have a lot of knowledge of positioning. I thought going into it that all nurses were trained in Spinning Babies and all nurses had the knowledge of baby positioning and things like that, but I was wrong. Meagan: Yeah, unfortunately, they are not all. I don't think a lot of them have it actually. Most of them don't. Heidi: Yeah. I pushed mostly on my back and when the OB came in around 11:00, she noticed my pushing was not effective at 11:00 PM. Meagan: So two hours in. Heidi: Yes. My position needed to be changed. She got me up on the squat bar and then she left again, but she showed me how to push and everything in the meantime. When she came back in, she explained to me that I would probably need a C-section soon. I don't exactly remember that sequence of events because it is so intense. I felt really defeated. I was like, “I just started. What do you mean I will probably need a C-section?” Meagan: So you were still wanting to keep going?Heidi: Oh yeah. Oh yeah. She also explained that meconium started to show in the amniotic fluid. The OB explained to me that the baby was probably in distress because of that. That was all that was said. Heidi: I spiked a fever. They gave me Tylenol and then the baby's heart rate began to slow a little bit, just for a little bit. The OB inserted a monitor on the top of her head. At this point, I felt like I was pushing for my life. I was like, “Oh my gosh. I need to get this baby out. How do I do this?” But I still felt like, “I can do this. I can do this. I know I can do this.” Meagan: Yeah. Heidi: But there were definitely questions at this point. 24:29 Arrest of descent and opting for a C-sectionHeidi: Yeah, so then around 2:30 in the morning, I was told by the OB to get on all fours and try one last position and I could opt for a C-section at that point or I could push until the OB came back in. I was like, “You know what? I'm going to give it all I have. I'm going to work so hard and the baby is going to come out in the next 45 minutes. She's got to.” So I did. Honestly, I was so grateful that I had that last 45 minutes. I feel like if I didn't, it would have been stolen from me. I feel I was defeated when she came back in because she was still not out and I was exhausted, but I was ready. The baby was not going to come out any other way at this point for whatever reason. That was going to be dissected months later, years later by me, but in the moment, yeah. She was at station 0. I was told she wasn't far enough down to do an assisted delivery, so they wheeled me into the OR for the C-section. I requested that the baby have skin-to-skin as well as delayed cord clamping. Unfortunately, none of this happened and I guess I should also note that once they put the monitor on her head, she did great. She still was not in distress. I was doing great too. The C-section was just really for arrest of descent. They just thought it was taking too long because I had been pushing for a little over 5 hours at that point. Meagan: Yeah. Heidi: Yeah. She was born via C-section at 3:20 in the morning. She weighed 7 pounds, 1 ounce and she was in the OP position. Meagan: I was just going to say, was there a positional issue here? I always wonder when there's patterns like yours where I'm like, “That sounds like a positional thing.” Okay, so OP. Occiput posterior for anyone who is listening or sunny-side up. Baby just needed rotation. Heidi: Yeah. Yeah. Yeah. That was that. Meagan: Yeah. So then did you end up when you got pregnant, did you end up staying with this provider? How did that journey begin? 27:06 Researching providers before second pregnancyHeidi: I went back– let's see. I'm trying to think. I went back for routine care almost a year later. I had care in between, but I had wanted to see that provider just to have closure. I asked her. At the time, I wasn't really sure that I wanted another child. My husband and I were just really thinking, “Is that what recovery is always like?” After the C-section, it was really hard. I asked her, “If I were to have another child, what would be my odds of delivering vaginally? Could I have another child that way instead of the C-section?” She said, “You probably would end up with another C-section if you even tried so you probably have about a 40% chance.” It was not based on anything. Meagan: Hmm. So she didn't even do the calculator, just gave you a percentage. Heidi: No. Just gave me a percentage. Meagan: Oh dear, okay. Heidi: So at the end of that appointment, again, I still had not really educated myself and knew that there were amazing resources out there, so I just said, “Okay. If I have another child, I'll have to have another C-section.” I went home and told my husband. I said, “If we have another child, we're going to have to have a C-section.” We were both like, “Okay, maybe we won't have another child.” Yeah, so then another year passed. We were beginning to get ready and slowly started to research other providers just for routine gynecological care. We ended up finding a hospital that was just about 25 minutes away just thinking, “Well, what if?” I had heard this hospital was well-known for VBACs and I had also started seeing a pelvic floor therapist prior to going to this hospital for care who was working at this hospital. It was kind of on my radar. Heidi: From there, I met the OB. I met the OB and then I was just really shocked at how supportive she was. In the past, you just go into the OB or gynecologist and they will put you in a gown and they do whatever they need to do, a pap smear or whatever. But this one, the nurse had said, “Don't get undressed. They want to meet you. They want to talk to you first.” Meagan: I love that so much. I love that. That's awesome. Heidi: It was so different. It was in a hospital, but it didn't feel like a medical office. The rooms were painted blues and greens. You could tell there was a lot of effort being made to make it feel like home. I began my journey. I had just met with her. This OB had talked to me about birth story processing. I had no idea what any of this was. I had no idea that I even had trauma from my last pregnancy at this point until I had just met with her and was talking with her. She said, “There is no pressure if you don't want to have another child.” I was just there to meet with her and have a check-up. I think I want to say a couple of months passed and actually, that night, I went home to see my husband. I was like, “You know if we do have another child, it's going to be here.” Yeah, so a couple of months went by and we did decide to have another child. Again, the baby was conceived right away. No complications. This time, we started working with a doula. I began birth story medicine at the same time. I did that for a couple of months in addition to my therapist to process the birth trauma and just everything. I was tested for gestational diabetes early during this pregnancy. I started insulin at 11 weeks and I was just kind of ready this time. It wasn't as scary honestly the second time. It's a lot of work. I would say that it was annoying, but it wasn't scary. Meagan: Well, and you're like, “I've done this before. I did a really good job last time. I learned a lot,” because you did go pretty deep into it, so you're like, “I can do this. I've got this.” Duh, this kind of sucks, but you know. You got it. No problem. Heidi: Right. My first baby was born at a really great weight and there were no complications at all. Meagan: Good. Did they already start talking about induction and things like that from the get-go? Did they talk about extra testing? Because at this point, you for sure have it. Earlier or later, did they talk about that stuff? Heidi: With this provider, I went in and they told me I was old last time, the other provider. I'm really old. They looked at me and were like, “No, you're not.” Meagan: No, you're not. Heidi: Yeah. They're like, “You're 37. That's not old.” Meagan: Yeah. Heidi: I'm like, “What?” Meagan: The other clinic, would they have wanted to do NSTs because of age and gestational diabetes? Heidi: I don't know. Meagan: Okay. But these guys were like, “No, we're good. We don't need to do any extra testing because of an early diagnosis of gestational diabetes and now you're 37.” Heidi: Yeah. They said what they do consider older but it's still not impossible was, I believe, over 40. Meagan: So you didn't even have that pressure from the get-go? Heidi: No, no. Meagan: What an amazing way to start. Heidi: Yeah. It was amazing. They also weren't concerned with the fact that I was on insulin. We did talk about NSTs because I asked because I knew it would come up and they had said, “You can have once a week as long as your sugars are in control, we are comfortable with that.” I felt so relieved. Yeah. It was such a holistic, relaxed approach. They trusted me to manage my body and to know what I needed and that was so empowering, the whole journey whereas before, I felt like I had a really short leash and they were basically managing everything for me as if they knew what was right for me and my body. Meagan: I was just looking. I'm just looking because I'm sure people are like where is this person? Where is this provider? Was it at the CMC? Is that where it was? Heidi: Yes. Yeah, Catholic Medical Center in Manchester. Meagan: Awesome. This is good. These are good vibes here with this provider. Heidi: Totally, yeah. Oh my gosh, yeah. 38:04 Discussions around inductionHeidi: So let's see. Once I'm diagnosed with gestational diabetes, I have maternal-fetal medicine ultrasounds, but that also was true because my first daughter was born missing a kidney. Again, she's totally healthy and totally great, but they wanted to make sure that nothing weird was going on, yeah. That was at about 32 weeks. They were also checking the baby's growth and baby's size at that point. Baby was measuring very average. She had two kidneys. Little things that we take for granted, we were so grateful for. Yeah. That went really well. The pregnancy was just progressing really well. In my third trimester, I was struggling with all of the extra appointments and the trauma that I was processing though from my last birth because I knew and my gut told me, “You need to work through this because if you don't, you have to be really strong to have a VBAC. You have to really work through a lot of mental blocks and things that come your way.” So I just started getting really stressed between work and the appointments will all the different therapies so I decided to take a couple of months away from work prior to the delivery in order to process everything and prepare myself. That was a really hard decision but it was probably one of the best decisions that I could make. Meagan: Good for you. Heidi: Yeah. At around 36 weeks, it was suggested to me by my provider that I could consider a 39-week induction, but it was delivered so differently. Meagan: Good. Heidi: Reasoning basically says that ACOG has a suggestion for insulin-controlled gestational diabetes. They basically told me the data. They told me why they are suggesting this, but ultimately it is my choice. It was a discussion that I just found to be so incredible and weird in a really good way. Meagan: Which in my opinion is so sad that these things happen that are good conversations have to feel weird to us because that should just be normal, but it's not a lot of the time, right? Heidi: Yeah. I was working with my doula at the time and she was a really big proponent of expectant management and letting everything happen naturally and honestly, that's all I ever wanted. I think that's what most people want. So I just explained, “I am not interested in induction. I want to do expectant management as long as everything progresses the way that it's going and it goes well. That's what I want to do.” They said, “Okay. We can do that.” Meagan: I love that. That's great. Heidi: It was amazing. It was really empowering. 41:45 NSTs twice a weekHeidi: So let's see. They suggested that I have a 36-week ultrasound to check my baby's size again. Actually, no sorry. They suggested it. I was actually able to negotiate my way out of it. I said, “You know, I just had one at 32 weeks. Is it really necessary to have another in 4 weeks?” I talked to the OB and she was like, “You know what? No. You don't have to do that.” Yeah. Meagan: Things are just getting better and better. Heidi: Oh, so good. Yeah. So right around then, the NSTs began. I'll just say also, I walk into– so NSTs were really awkward during my first pregnancy. I sat on the hospital bed so uncomfortable and sitting up with all of these things attached to me. At this provider, I go in. There is an NST room and it's painted blue and it's really common. There is a reclining chair and for me, it just really felt like they were normalizing the fact that NSTs do happen and it's okay and it's normal. Here's a special space for it. Meagan: Well, and almost like they are setting you up for success in those NSTs because in NSTs, when we are really uncomfortable and tense, overall, that's not going to be good for us or our babies. That's going to potentially give us readings that we don't want but when we are comfortable and we are feeling welcomed and we are like, “Yeah, we're not happy that we are here taking this test,” or sometimes we are, but when we are comfortable and we are feeling the beautiful colors and the nice, soft recliner, it's a very different situation to set you up for very different results. Heidi: Yes. Absolutely. Yeah, so then my journey just kept going. My NSTs were beautiful every week. It was really interesting how they set them up because they had the NSTs after the doctor's appointments because they weren't expecting. If they can get a good reading, I think the minimum is 20 minutes whereas I had the NSTs before so it was like they were looking for a problem then I had the doctor's appointment so I ended up being there for 2 hours during my first pregnancy. But these ones, I never sat more than 20 minutes.The nurses usually saw what they needed within 5 minutes and they said, “Your baby is doing great. You're out of here as soon as the time is up.” Meagan: That is amazing. Oh my gosh, 2 hours. That is a long time. Heidi: Yes. Yes. This pregnancy was really odd, but I'll take it. I stopped needing insulin during the last two weeks. Usually, there is a peak near the end of pregnancy, and then the need for insulin goes down in the last two weeks I want to say. For me, it actually just kept going down, down, down, and then all of a sudden, it was gone. That didn't happen last time. They were a little nervous about that because it didn't really happen. I explained to them, “I think it's honestly probably lack of stress,” because I wasn't working at my job at the time and I was moving a lot more too, so who knows? Meagan: Really interesting. Heidi: It did make them a little nervous because they said there is very limited data, but sometimes it can indicate an issue with the baby. Meagan: Oh, the placenta. Heidi: Sorry, I'm nervous so I'm forgetting. Meagan: There are times when it can be the placenta being affected. Is that what they were saying?Heidi: Yes, thank you. They said, “We could offer an induction at this point,” because I was at 39 weeks when they brought that up. I said, “I don't think so. I really want to stay the course. I want to do expectant management.” They said, “Okay, would you be open to twice-weekly NSTs?” I said, “Yes. If that lets me keep doing what I'm doing, we can do that and it's probably not a bad idea, because you never know.” 47:10 Testing for preeclampsiaHeidi: I woke up one morning at week 40 and thought my water was trickling out. I texted my doula and she was getting home from another birth and was going to rest, so I worked with my backup doula for that day which was a little scary. I didn't know what was going to happen from there. Around 6:00 PM that night, my husband and I arranged for my mom to watch our daughter because we needed to get to the hospital to get the amniotic fluid checked. We probably should have gone a little earlier, but the backup doula had suggested it might not be amniotic fluid. It might just be discharge. Meagan: Is there much going on labor-wise? Heidi: Not really. It was pretty quiet. Then I actually had an NST the day before that and there really wasn't much going on. I felt little Braxton Hicks-type things, but nothing much. We packed our bags, got ready, and got my mom. We arrived in triage. I had slightly elevated blood pressure which was just a routine check, but that basically led to them testing me for preeclampsia and then a urine test. Meagan: Hmm, a slight increase? Oh, man. Heidi: Yeah. It was slightly increased. You know, like a lot of people, hospitals make me nervous. Meagan: Yep. Yeah. They jumped right in and started going the moment you got there. Heidi: Yes. Yeah. It's different. It's still in the hospital, but it's separate. Labor and delivery is separate. They just had a very different mindset at the moment. I was sure that I didn't have preeclampsia. They asked me all of the questions and I'm like, “I really don't think that's what this is.” They were saying, “You're also post-date with gestational diabetes.” Meagan: Post-date by one? Heidi: Yes. Meagan: Or by 40 weeks. Heidi: Yeah. Yeah, so I would need an induction if I get preeclampsia and all of this. Who let this girl go this long? What the heck kind of thing? Meagan: Not helping your blood pressure, that's for sure. Heidi: I definitely started feeling PTSD. I was just like, “This again? Oh no. I feel like I'm in prison.” That's the way it felt last time. I knew I needed to get out of there fast. It wasn't good. The OB came in and lectured me. This was a different OB. She lectured me about preeclampsia and how I should really stay in the hospital. They were going to send for bloodwork even if it came back okay, I should stay the night. They drew the blood and I'm just beside myself at this point. I was like, “Well, when are they going to get the results back?” They said, “Probably about an hour or so.” You know how backed up the lab is. They were like, “Are you really going to drive home and come back?” I was like, “If I have to come back, which I really don't think I will, then yes, I will.” The blood was taken. The nurse ran back within– I want to say it was 10 minutes. It was really fast. She said, “You guys should really consider staying. Your platelets are low.” I said, “Okay.” Meagan: The labs came back that fast? Heidi: They came back really fast. Meagan: Because you were saying that you were maybe going to go back home? That's interesting. Heidi: Yeah. I said, “Okay. That's thrombocytopenia.” My provider had said I had that. We talked about it and I also had it during my last pregnancy. Meagan: Wait, what did you just call that? Heidi: Thrombocytopenia. Meagan: Thrombocytopenia. I've heard low platelets. I've never heard it called that. Heidi: Thrombocytopenia. I actually listened to a podcast oddly enough with Nr. Nathan Fox. Meagan: We love him. Heidi: Yeah, he's awesome. He was basically saying that it's common and it's generally not a big deal. Meagan: I just Googled it. Yeah, it says it's a condition where the platelets are low. It can result in bleeding problems. Yeah. Okay, all right. Keep going. Heidi: Yeah. It was interesting because he had said, “Within range,” and I was within that range, but I also talked to my provider about it months before and she said, “Oh yeah. This is common. We are not concerned with your levels.” Luckily, I was like, “Oh my gosh. I know enough.” I was like, “Nope. I know what that is. We are okay and we are going home. They can call us with the results.” So we went home. Meagan: That is amazing. Did they make you sign an AMA or anything like that? Were they just like, “Fine. We were going to have you stay, but you are good to go.” Heidi: Yeah. There was no paperwork. Meagan: Okay. Good. Heidi: I was free. Yeah. I was actually amazed at how– I mean, I was very firm with them. I was just like, “We are going home now.”Meagan: That is hard. That is really, really hard to do, like really, really hard so good for you for following your gut. Heidi: Yeah. It felt really good. Yeah. We got home. I started to feel some mild, irregular contractions and the same thing I had been feeling. We sent my mom home because she was still at my house. Like, “Go ahead. We've probably got another day.” I was like, “I know something is going to be happening soon. I feel it.” So around 10:30 that night, I got the call from the OB– Meagan: Yours? Heidi: Sorry, the one in the hospital that was treating me. She had said, “All right. You don't have preeclampsia. You don't have to come back.” I said, “Okay. We did it.” Meagan: Yep. Yep. Yep. Can you imagine having to be there that whole time? Heidi: No. Yeah. I'm sure they would have found something else. Who knows? Meagan: You never know. 54:53 Spontaneous laborHeidi: Yeah, so when we were home, we unpacked our bags, ate some food and sent my mom home. I bounced on my birth ball. I was pumped. I was so excited. We were like, “Okay. Back on the normal track.” Then around midnight, some contractions started that I figured would stop once I laid down for bed. I didn't really know. I never really had normal, non-Pitocin-induced contractions before, so I didn't really know what they would feel like. I was in denial, to be honest. I was like, “There's no way. I'm not going into labor right now. What are these? These are nothing. It's just cause I'm nervous or something.” I laid down. My husband was already asleep at this point and they didn't stop. They just kept getting stronger. I was lying there thinking, “No. I can't go into labor right now. I don't want to see that OB. I can't. I can't. This is not happening.” I was just willing my body, wishing and willing my body to wait until 6:00 AM or 7:00 AM until the shift change. So then I was like, “Okay. I should probably start timing these because this is no joke.” I found a timer and started timing them. They were spaced at 5 minutes apart lasting a minute each. I was like, “This is early labor. This is it.” I finally woke my husband up and I was like, “Hey. I think we're going.” Meagan: This is going to happen. Heidi: Yeah. I called my doula. I had been texting her meanwhile the whole time and she was super supportive throughout, then I finally was like, “I need to call her.” She talked me through what I was experiencing because I had no idea. She was like, “You guys should probably leave soon because this is your second baby and it could happen really fast.” I noticed there was pink discharge. Meagan: And you had made it to 10 before. Heidi: Yes, exactly. She was like, “This could happen really fast.” I noticed some discharge and it was pink. Contractions started to be really regular and really painful. She was like, “That's probably your cervix dilating.” I was like, “Why am I dragging my feet? We need to go. We need to go now.” 57:43 Going to the hospitalHeidi: We called my mom to have her come back to our house. I think it was 1:00 in the morning at this point. She didn't answer immediately probably because she was exhausted. Meagan: Probably asleep, yeah. Heidi: When she did, it was finally 2:00 AM and there was a bit of an ice storm outside, just a little one but just enough to make the roads slippery because she had texted me when she was going back home and she was like, “It's kind of icy. I just want to let you know.” So then I was like, “Oh no. My mom's on her way, but it's going to take her a while to get back to the house.” Then it's going to take us a while to get to the hospital. It was really getting pretty scary, but we were just like, “Okay. Let's just pack our bags again,” because we had started unpacking them. My provider had actually said that they were comfortable with me going until at least 41 weeks so I was like, “I could go until 41 weeks and then who knows?” Meagan: Right. Heidi: Anyway, so we put everything back. It was a really good distraction and then every single contraction, we would stop and brace ourselves. My mom got to our house at 3:15. We got to the hospital around 4:00 AM. It was the longest car ride of my life. My doula was like, “The contractions might slow down in the car.” I was secretly praying that they didn't because so many people that I knew had prodromal labor and I was like, “I want this to come like a freight train. I don't want it to stop.” It is so painful, then a lot of people say you get nervous when you get in the hospital. Things will slow down. I was just so nervous about all of that. I got to the hospital. My doula arrived soon after. We spent almost two hours in triage even though we were already there filling out paperwork. The contractions didn't stop or slow down during this. I was beside myself. I was like, “Oh my gosh. My body is ready. We are doing this.” The nurse in triage, at the time, was a different nurse. I think she worked a half shift or something, but she was really skeptical of VBAC. I was not comfortable with her. She said I couldn't eat. She had obviously outdated info. I asked her, “Why can't I eat?” She said, “Well, the odds of you needing another C-section are higher.” I'm like, “Well, how do you know that?” It was just really frustrating. I requested a midwife to deliver my midwife because the same OBs were on staff. I was going to a midwife for my care, a midwife, and an OB team. I actually ended up seeing the midwife even more than the OB so I really was comfortable with requesting a midwife to deliver, but the nurse really pushed back. She said, “You're a VBAC. I don't think you can have a midwife.” Yeah. She went into the hall, made a phone call with the midwife and the midwife on staff actually said no supposedly because I was a VBAC. Meagan: What? They had never said anything like this in your prenatals. Heidi: No. No. I think again, it's a little different. They also use other hospital staff at this hospital so you never know who you're going to get, but my doula is there and that's what matters. That's why I had a doula because you don't know. Meagan: You don't always know, yeah. 1:02:03 Laboring in the tubHeidi: They asked to do a cervical check. I was hesitant, but they said, “We have to do this to admit you.” I was like, “I'm not leaving at this point. I'm clearly in labor.” I consented to it and they found I was 4 centimeters dilated so I stayed. I got to my room around 6:30 and actually, I think I was about 80% effaced at this point. I got to my room around 6:30 and I just began setting it up to distract myself. My doula started setting up the bath for me. I was like, “I want to go to the bath.” I got to the tub around 7:00 AM to deal with the contractions because I really wanted a natural birth this time. My water broke 5 minutes after that. Shift changed at 7:00 AM. I feel like my body was like, “Okay, hey. Shift change at 7:00,” and then my water broke. Meagan: You said we were in triage for two hours and I was like, “Your body was waiting for shift change intuitively.” There you go. Heidi: I got in the tub. My water broke. A new nurse came in around 7:15. She had a trainee, but this was a nurse who had a lot of experience and she was just training to be in labor and delivery so it was basically like an extra set of experienced hands. She was also a nurse who had run a training for us a couple of months before and I was like, “I hope I get this nurse. I really, really hope I get this nurse.” In she walked, and I couldn't believe it. She came down to me at the tub. She started asking me questions right away about my birth plan. It's like she studied it. It was the most amazing thing. I can't exactly remember what she was asking, but just clarification and she was like, “Yes. We can do this. We can do this and we will do that.” I was like, “Wow.” The first time, I had a birth plan, but I'm pretty sure they burned it. Meagan: Aww. Heidi: Then she just started talking about how the birth process would go and how I would be feeling mentally more than likely and she also said that she is well-versed in Spinning Babies. Meagan: What you wanted! Heidi: Yeah. Yeah. I was like, “This is heaven.” I also took a short course in it to prep for this labor and I really was trying to do all of the things. I couldn't do all of the things, but I think there is a lot of science to Spinning Babies, especially having an OP baby the first time. Initially, I was experiencing back labor. She asked me, “Where do you feel your pain?” I said, “In my back.” She said, “Get on all fours. The baby could be OP.” I was just like, “Oh my gosh. I will do anything to not have another OP baby.” She said, “We're going to spin her.” I stayed on all fours. I just did this. I started using the nitrous. This hospital provided nitrous. Meagan: Nitrous oxide?Heidi: Yeah. The other hospital did not have that, but I was so excited for that. It helped me just breathe through my contractions, really get in tune with my body, and gave me a focus. I was able to move around really freely. When I was in the tub, I started to feel the urge to push so we moved out into the bed. I still stayed on all fours. But I was also just, I don't remember this, but my doula was saying that I really was kind of dancing. I was moving in the ways that my body told me to do. It felt so incredible and obviously painful. 1:06:22 Pushing for 30 minutesHeidi: Then it was about 9:15 and I was really, really wanting to push at this point. I was told to wait for a cervical check though and I was like, “Why do I need a cervical check? I'm ready.” Meagan: My body is saying I'm ready, yeah. Heidi: Yeah. A midwife came in. She introduced herself and she was like, “I'm going to be delivering your baby.” I was like, “Okay.” I couldn't believe it. It was a different midwife and she was like, “I want to check you because you could have a lip if you're not fully effaced. Your pushing will be ineffective.” She found that I was 10 centimeters dilated, fully effaced so then we went on and pushed. My daughter came out at 9:46 AM so we pushed for a half hour. Meagan: Oh my gosh! So you got baby in a good position and isn't there such a difference between pushing? Heidi: Yes. Not having the epidural, I could feel everything. It was so real. She was 7 pounds, 3 ounces. She did have a compound presentation. She was head down, but yeah. She came out with her hand pressed against her head. Meagan: Yes, come out thinking. Heidi: Yeah. I had really no tearing, very, very minimal. I achieved the delayed cord clamping. My husband got to cut the cord. We didn't have to remind them of our wishes. They just knew. We had a golden hour which I never had before, but I was told I could take as long as I wanted, and yeah. It was just the most beautiful thing I have ever experienced in my life and I just couldn't believe I did it. Meagan: Yeah, what a journey. I am so happy for you. Heidi: Thank you. Meagan: Congratulations. And now, at this time of recording, how old is your baby? Heidi: She is 8 weeks.Meagan: 8 weeks. Brand new! How has the postpartum been? Heidi: Oh my gosh. It's been amazing. I mean, as amazing as it can be. Let's be real, but compared to what it was. Meagan: Good. I'm so happy for you. You know, when you finished your first, you were like, “My husband and I didn't even know if we would ever want another kid.” I can just see this joy on your face right now. Where are you at in that stage now? Are you two and done or are you like, “I could do this again”? Heidi: We are two and done. Meagan: Hey. Heidi: Yeah, I mean it's funny because the nurse and my OB were like, “You really should have another one.” Meagan: This is what I did. I went out with a bang. You went out with a bang. Heidi: You can't top this. Meagan: You got the birth you wanted and all the things. You know, you advocated for yourself in the birth room. You left and then still advocated for yourself in the birth room. I mean, how amazing. How amazing. Heidi: Yeah. I ended up with the most supportive team. You do never know what you're going to get, but the team that came in at 7:00 AM, oh my goodness. They treated me like I was just a normal, vaginal birth. There was no VBAC. There was no jargon. It was beautiful. Meagan: I love hearing that. That is truly how it is supposed to be and it's so often not. Then yeah, then we learned more about the correct diagnosis or term of low platelets. I totally Googled it really quickly and it just said that gestational thrombocytopenia, how do you say it? Heidi: Thrombocytopenia. Meagan: Thrombocytopenia is a diagnosis of exclusion. The condition is asymptomatic. It usually occurs in the second half of pregnancy in the absence of a history of thrombocytopenia. Heidi: You got it. Meagan: It said, “The pregnancy and the platelet counts spontaneously return to normal within the first two months of postpartum.” We will make sure to have a little bit more reading. It will go back into some things, but one of the things it does say is that it is not necessarily an indication for a Cesarean delivery which is also important to know because I mean, there can be low platelet levels that are more intense like HELLP syndrome and things like that, but this is a really good things to know because that would have easily been something if it hadn't been for Dr. Nathan Fox and if it hadn't been for them talking to you about this. It could have scared you like, “Oh, okay. Okay. Let's stay.” But you were fully educated in the situation and were able to make a good choice for you and advocate for yourself and say, “I feel good about this. You can call me when the preeclampsia levels come back, but I feel good about this decision. We're moving on.” Then the amazing, miraculous, no insulin need, that's another really cool thing about your story, but I also wanted to share Lily Nichols. I don't know if you've ever heard of her. Heidi: Yes. For my first pregnancy, I read both of her books. She's amazing. Meagan: She's amazing. We'll be sure to link her books and stuff in the show notes as well so you can make sure to check it out. If you were given a diagnosis of gestational diabetes or even actually just in general, her books are amazing. You can read and be really, really well educated. Okay, well thank you so much for sharing your beautiful stories. Heidi: Yeah. Thank you for having me. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Bradley Burnam woke up one morning, looked in the mirror and found one ear twice it's normal size and his face swollen and discolored. He would spend the next several years in and out of the hospital fighting a relentless infection that would not respond to available treatments. The experience took him from patient to mad scientist, to biotech company founder. In this episode, Bradley takes us through his desperate journey to find a cure. We also talk with the leader of an organization helping to get more antimicrobials to the marketplace.Follow us on LinkedIn, X, Facebook and Instagram. Visit us at https://www.bio.org/

In this episode, discover an amazing connection between Orville Wright and Neil Armstrong, two aviation legends. We also dive into the recent college football coaching shake-ups and unveil the office rules you should never break. Tune in for a journey through history, sports, and workplace etiquette!

Show notes at pharmacyjoe.com/episode872. In this episode, I’ll discuss how to obtain penicillin G benzathine during a national shortage. The post 872: What Happens If You Run Out of Penicillin G Benzathine? appeared first on Pharmacy Joe.

This week's episode is devoted to accidental inventions. From the match stick, to Play-Doh, super glue, to the humble ice cream cone. It turns out many of our favourite inventions came about purely by accident. But it's no accident that on this episode we are joined by the great Michelle Brasier!This is a comedy/history podcast, the report begins at approximately 06:52 (though as always, we go off on tangents throughout the report).Support the show and get rewards like bonus episodes: patreon.com/DoGoOnPodSupport the show on Apple podcasts and get bonus episodes in the app: http://apple.co/dogoon Live show tickets: https://dogoonpod.com/live-shows/ Submit a topic idea directly to the hat: dogoonpod.com/suggest-a-topic/ Check out our AACTA nominated web series: http://bit.ly/DGOWebSeries​ Our awesome theme song by Evan Munro-Smith and logo by Peader ThomasDo Go On acknowledges the traditional owners of the land we record on, the Wurundjeri people, in the Kulin nation. We pay our respects to elders, past and present. Other inventions covered: Penicillin, Post-it notes, granny smith apples, microwave, smoke alarmsREFERENCES AND FURTHER READING:https://science.howstuffworks.com/innovation/inventions/15-of-the-coolest-accidental-inventions.htm#pt2 https://www.snopes.com/fact-check/kelloggs-corn-flakes-masturbation/https://www.popularmechanics.com/technology/gadgets/a19567/how-the-microwave-was-invented-by-accident/ https://theconversation.com/myth-about-how-science-progresses-is-built-on-a-misreading-of-the-story-of-penicillin-120990https://www.smithsonianmag.com/innovation/accidental-invention-play-doh-180973527/ https://arstechnica.com/gadgets/2016/03/half-of-inventions-arise-unexpectedly-from-serendipity-not-direct-research/ Hosted on Acast. See acast.com/privacy for more information.