POPULARITY
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CardioNerds (Dr. Billy-Joe Mullinax, Dr. Dinu Balanescu, and Dr. Jane Ehret) discuss risk stratification in acute pulmonary embolism with Dr. Stavros Konstantinides, Chair of the 2019 ESC Pulmonary Embolism Guidelines. Using a real-world case, this episode explores how modern PE care has moved beyond “massive” and “submassive” labels toward a dynamic, physiology-based approach. The discussion highlights the limitations of static risk scores, the importance of right ventricular dysfunction and biomarkers, and why normotension does not imply stability. Special emphasis is placed on intermediate-high risk PE, early identification of impending hemodynamic collapse, and the role of lactate, serial reassessment, and PERT teams in guiding escalation of care. Audio editing by CardioNerds intern, Joshua Khorsandi.The 2026 American multi-society PE guidelines were published after this episode was recorded. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Stable blood pressure does not mean low risk in PEHypotension is a late finding. Patients may have severe RV failure, hypoxia, and tissue hypoperfusion while remaining normotensive — a key concept behind “normotensive shock.” Risk stratification in PE must be dynamic, not staticLegacy scores like PESI and Bova provide a snapshot and predict 30-day mortality, but they do not capture short-term trajectory or impending hemodynamic collapse. Intermediate-high risk PE is a dangerous and heterogeneous groupPatients with RV dysfunction, positive biomarkers, tachycardia, hypoxemia, and elevated lactate may have in-hospital mortality approaching 15%, rivaling STEMI. Lactate is a critical but underutilized marker in PEElevated lactate reflects tissue hypoxia and early circulatory failure and may identify patients at risk for collapse before blood pressure declines. PERT enables physiology-driven, patient-centered PE carePERT teams operationalize continuous reassessment, integrate imaging, labs, and clinical trajectory, and allow timely escalation — shifting PE management from rigid categories to real-time decision-making. Notes Drafted by Dr. Jane Ehret. 1. What is the contemporary framework for risk stratification in acute pulmonary embolism? Modern PE risk stratification prioritizes hemodynamics and right ventricular (RV) function rather than clot burden. The 2019 ESC Guidelines classify PE into high risk, intermediate risk (low vs high), and low risk, based on: Hemodynamic status, RV dysfunction on imaging, and Cardiac biomarkers. This framework emphasizes early mortality risk but requires clinical context to guide escalation decisions. 2. Why is normotension insufficient to define “stability” in PE? Blood pressure is a late marker of circulatory failure in PE. Patients can maintain normal BP through Tachycardia, Increased sympathetic tone, and RV compensation. Many patients with preserved BP may already have shock physiology, including hypoxemia, elevated lactate, and RV failure — sometimes referred to as “normotensive shock.” 3. How should intermediate-risk PE be conceptualized clinically? Intermediate-risk PE is heterogeneous, ranging from patients who do well on anticoagulation to those who deteriorate rapidly. Intermediate-high risk PE is defined by RV dysfunction on imaging and positive cardiac biomarkers. Clinical features such as tachycardia, increasing oxygen requirement, and elevated lactate identify patients at highest risk within this group. 4. What are the strengths and limitations of commonly used PE risk scores? Legacy scores are useful for initial risk categorization but are static and limited in predicting short-term deterioration. Most scores were developed to predict mortality or complications at fixed time points rather than dynamic clinical trajectory. 5. What are the commonly used risk scores and clinical tools in PE, and what is each designed to predict? ESC Risk Stratification Algorithm: Identifies high-risk PE by hemodynamics. Uses PESI or sPESI in normotensive patients to distinguish low-risk from non–low-risk PE. Uses RV dysfunction and biomarkers to differentiate intermediate-low from intermediate-high risk. Forms the basis of many institutional PE pathways. PESI and sPESI: Validated to predict 30-day mortality. Widely used to identify low-risk patients appropriate for outpatient management. Heavily influenced by age and comorbidities. Bova Score: Predicts 30-day PE-related complications in normotensive patients. Composite PE Shock Score (CPES): Predicts normotensive shock in hemodynamically stable PE patients. Pulmonary Embolism Progression (PEP) Score: Predicts progression from intermediate-risk to high-risk PE within 72 hours of diagnosis. PE Short-term Clinical Outcomes Risk Estimation (PE-SCORE): Predicts clinical deterioration or death within 5 days of PE diagnosis. Hestia Criteria: Identifies low-risk PE patients safe for outpatient treatment. Wells' Criteria and Revised Geneva Score: Determine pretest probability for diagnostic triage. PERC Score: Rules out PE in very low-risk patients. 6. What is the role of biomarkers in PE risk stratification? Troponin and natriuretic peptides reflect RV myocardial injury and strain. Current guidelines treat biomarkers as binary (positive vs negative), despite risk being continuous. Biomarkers are most helpful for: Initial risk classification. They are less useful for: Short-interval monitoring and Detecting rapid clinical deterioration. 7. Why is lactate an important physiologic marker in PE? Lactate reflects global tissue hypoxia and impaired perfusion. Elevated lactate may identify patients with: Early circulatory failure and Increased risk of imminent hemodynamic collapse. Lactate is not currently included in ESC risk algorithms but may add important prognostic information in intermediate-risk patients. 8. How does trajectory influence decision-making in PE management? Risk stratification should be viewed as a dynamic process, not a one-time label. Worsening clinical trajectory may include: Rising heart rate, Increasing oxygen needs, Rising lactate, and Progressive RV dysfunction. Serial reassessment is essential for timely escalation of care. 9. What role do Pulmonary Embolism Response Teams (PERT) play in risk stratification? PERT facilitates: Multidisciplinary decision-making and Integration of imaging, biomarkers, and clinical physiology. PERT is most valuable for: Intermediate-risk and high-risk PE and Patients with complex comorbidities or uncertain trajectory. PERT enables a shift from category-based to physiology-driven PE care. References 1. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Respir J. 2019;54(3):1901647. Published 2019 Oct 9. doi:10.1183/13993003.01647-2019 2. Leidi A, Bex S, Righini M, Berner A, Grosgurin O, Marti C. Risk Stratification in Patients with Acute Pulmonary Embolism: Current Evidence and Perspectives. J Clin Med. 2022;11(9):2533. Published 2022 Apr 30. doi:10.3390/jcm11092533 3. Choi WH, Kwon SU, Jwa YJ, et al. The pulmonary embolism severity index in predicting the prognosis of patients with pulmonary embolism. Korean J Intern Med. 2009;24(2):123-127. doi:10.3904/kjim.2009.24.2.123 4. Jiménez D, Aujesky D, Moores L, et al. Simplification of the pulmonary embolism severity index for prognostication in patients with acute symptomatic pulmonary embolism. Arch Intern Med. 2010;170(15):1383-1389. doi:10.1001/archinternmed.2010.199 5. Chen X, Shao X, Zhang Y, et al. Assessment of the Bova score for risk stratification of acute normotensive pulmonary embolism: A systematic review and meta-analysis. Thromb Res. 2020;193:99-106. doi:10.1016/j.thromres.2020.05.047 6. Zhang RS, Yuriditsky E, Zhang P, et al. Composite Pulmonary Embolism Shock Score and Risk of Adverse Outcomes in Patients With Pulmonary Embolism. Circ Cardiovasc Interv. 2024;17(8):e014088. doi:10.1161/CIRCINTERVENTIONS.124.014088 7. Zhang RS, Alam U, Sharp ASP, et al. Validating the Composite Pulmonary Embolism Shock Score for Predicting Normotensive Shock in Intermediate-Risk Pulmonary Embolism. Circ Cardiovasc Interv. 2024;17(2):e013399. doi:10.1161/CIRCINTERVENTIONS.123.013399 8. Ehret J, Wakefield D, Badlam J, Antkowiak M, Erdreich B. Development of the Pulmonary Embolism Progression (PEP) score for predicting short-term clinical deterioration in intermediate-risk pulmonary embolism: a single-center retrospective study. J Thromb Thrombolysis. 2025;58(2):243-253. doi:10.1007/s11239-024-03051-5 9. Weekes AJ, Raper JD, Lupez K, et al. Development and validation of a prognostic tool: Pulmonary embolism short-term clinical outcomes risk estimation (PE-SCORE). PLoS One. 2021;16(11):e0260036. Published 2021 Nov 18. doi:10.1371/journal.pone.0260036 10. Zondag W, Hiddinga BI, Crobach MJ, et al. Hestia criteria can discriminate high- from low-risk patients with pulmonary embolism. Eur Respir J. 2013;41(3):588-592. doi:10.1183/09031936.00030412 11. Wells PS, Anderson DR, Rodger M, et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med. 2001;135(2):98-107. doi:10.7326/0003-4819-135-2-200107170-00010 12. Wolf SJ, McCubbin TR, Feldhaus KM, Faragher JP, Adcock DM. Prospective validation of Wells Criteria in the evaluation of patients with suspected pulmonary embolism. Ann Emerg Med. 2004;44(5):503-510. doi:10.1016/j.annemergmed.2004.04.002 13. Le Gal G, Righini M, Roy PM, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med. 2006;144(3):165-171. doi:10.7326/0003-4819-144-3-200602070-00004 14. Kline JA, Mitchell AM, Kabrhel C, Richman PB, Courtney DM. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism. J Thromb Haemost. 2004;2(8):1247-1255. doi:10.1111/j.1538-7836.2004.00790.x 15. Kline JA, Courtney DM, Kabrhel C, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost. 2008;6(5):772-780. doi:10.1111/j.1538-7836.2008.02944.x
Elon Musk bukta az OpenAI elleni pert Lovász László szerint érthető, hogy a kormány felmondta az Élvonal Alapítvány szerződését Kibervédelem a gyakorlatban: a Széchenyi István Egyetem öt hallgatója is tagja volt a dobogós magyar csapatnak Megfejtették az óriási laoszi kőkorsók rejtélyét Kiderülhetett, miért vannak többen a jobbkezesek Új dizájnt kaptak a Google ikonjai – nem mindenki elégedett Király áron érkeznek hazánkba a Huawei hosszú üzemidejű okos órái Aktívan kihasznált zero-day Exchange sérülékenységre figyelmeztet a Microsoft Végre kikapcsolhatóvá teszi a Copilot gombot a billentyűzeten a Microsoft Elindult Tihany első turisztikai AI-chatbotja A további adásainkat keresd a podcast.hirstart.hu oldalunkon. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Elon Musk bukta az OpenAI elleni pert Lovász László szerint érthető, hogy a kormány felmondta az Élvonal Alapítvány szerződését Kibervédelem a gyakorlatban: a Széchenyi István Egyetem öt hallgatója is tagja volt a dobogós magyar csapatnak Megfejtették az óriási laoszi kőkorsók rejtélyét Kiderülhetett, miért vannak többen a jobbkezesek Új dizájnt kaptak a Google ikonjai – nem mindenki elégedett Király áron érkeznek hazánkba a Huawei hosszú üzemidejű okos órái Aktívan kihasznált zero-day Exchange sérülékenységre figyelmeztet a Microsoft Végre kikapcsolhatóvá teszi a Copilot gombot a billentyűzeten a Microsoft Elindult Tihany első turisztikai AI-chatbotja A további adásainkat keresd a podcast.hirstart.hu oldalunkon. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
CardioNerds Drs. Dinu Balanescu, Billy-Joe Mullinax, and Mariana Garcia discuss systemic thrombolysis in pulmonary embolism with expert Dr. Allison Burnett. Audio editing by CardioNerds Academy intern, student doctor, Pace Wetstein. Pulmonary embolism is the third leading cause of cardiovascular death in the US, and high-risk PE carries a 30-day mortality risk as high as 30-50%. In this episode, we discuss the indications for systemic thrombolysis, including high-risk PE and cardiac arrest. We addressed how to appropriately select candidates for systemic thrombolysis, balancing the high risk of bleeding. Additionally, we discussed anticoagulation management and timing concurrent with lytic therapy, as well as the importance of multidisciplinary PERT teams. The 2026 American multi-society PE guidelines were published after this episode was recorded. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Risk stratification is crucial in acute pulmonary embolism care. Based on the ESC 2019 guidelines, low-risk PE patients are those who are normotensive with no evidence of right ventricular dysfunction. Intermediate risk includes two categories: intermediate-low, with normotensive patients who have a high PE score with negative biomarkers, and intermediate-high risk, which has elevated biomarkers or signs of RV strain. High-risk PE includes hemodynamically unstable patients (SBP
Audio from the recent PERT webinar. In this virtual program, a multidisciplinary panel of leaders in pulmonary embolism will examine the results and real-world impact of the recent HI-PEITHO data release. This multi-country, multi-center landmark RCT was designed and conducted in partnership between society, industry, and academia to achieve impactful results through robust study design and large patient population to address the biggest questions in pulmonary embolism care today.
Welcome to MrMaple Podcasts, your go-to destination for all things horticulture. Our playlist is a collection of podcasts that showcase various plants and interview renowned horticulturists. We aim to educate and inspire our listeners about the beauty of plants and the knowledge needed to cultivate them. Our podcasts cover a wide range of topics, from Japanese Maples, Conifers, Ginkgos, and Azaleas to interviews with experts in the field. Tune in every Sunday at 8PM eastern for a new episode and join us on this journey to discover the wonders of horticulture.
We are unbelievably excited this week to be reviewing the hot-off-the-presses 2026 Multi-Society (AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN) Pulmonary Embolism Guidelines with lead author Dr. Mark A. Creager. We will talk about key updates in these guidelines compared to prior practice, including the new risk classification model, and provide an overview from diagnosis to follow-up. Given the clinical importance and prevalence of pulmonary embolism, these guidelines are certainly going to shape practice going forward, so this episode is a can’t miss! Watch the full video of this episode with graphics and helpful teaching visuals on our YouTube channel: https://www.youtube.com/@pulmpeeps Meet Our Guest Dr. Mark Creager is a Professor of Medicine at Dartmouth Hitchcock Medical Center where he specializes in Cardiovascular Medicine with an emphasis on venous thromboembolic disease. He served as the lead author of the 2026 Pulmonary Embolism Guidelines. Article and Reference Creager MA, Barnes GD, Giri J, Mukherjee D, Jones WS, Burnett AE, Carman T, Casanegra AI, Castellucci LA, Clark SM, Cushman M, de Wit K, Eaves JM, Fang MC, Goldberg JB, Henkin S, Johnston-Cox H, Kadavath S, Kadian-Dodov D, Keeling WB, Klein AJP, Li J, McDaniel MC, Moores LK, Piazza G, Prenger KS, Pugliese SC, Ranade M, Rosovsky RP, Russo F, Secemsky EA, Sista AK, Tefera L, Weinberg I, Westafer LM, Young MN. 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2026 Feb 19:S0735-1097(25)10161-7. doi: 10.1016/j.jacc.2025.11.005. Epub ahead of print. PMID: 41712898. Key Learning Points Why these guidelines matter: This is the first joint AHA/ACC clinical practice guideline specifically on acute PE, bringing together a truly multidisciplinary writing committee (cardiology, pulmonology, hematology, emergency medicine, interventional radiology, surgery, and others). Prior guidelines existed from individual societies, but nothing this comprehensive had been updated in roughly five to six years. New PE clinical categories (A through E): One of the most impactful changes is replacing the old “massive/submassive” and “low/intermediate/high risk” labels with five categories that form a severity continuum. Category A is subclinical (incidental PE found on imaging in asymptomatic patients). Category B covers symptomatic but low-severity patients. Category C is where much of the clinical complexity lives — symptomatic, hemodynamically stable patients subdivided into C1, C2, and C3 based on RV function and biomarkers. Category D represents incipient cardiopulmonary failure (transient hypotension, normotensive shock with end-organ dysfunction). Category E is frank cardiopulmonary failure, with E2 being the sickest — refractory or recurrent cardiac arrest. Respiratory modifiers (hypoxia requiring supplemental oxygen) layer onto C, D, and E. Diagnostic approach: Clinical evaluation comes first — history, exam, and validated decision tools (Wells score, revised Geneva, PERC). If clinical probability is low and D-dimer is normal, imaging can be safely avoided. If either is concerning, imaging is warranted. CTPA remains the preferred imaging modality due to superior sensitivity, specificity, wide availability, and ability to assess clot burden and alternative diagnoses. VQ scanning is still appropriate when CTPA is contraindicated, and VQ SPECT offers better reproducibility and specificity than traditional planar VQ if available. Echocardiography is not a diagnostic test for PE but is important for risk stratification — RV size, TAPSE, and tissue Doppler measures all contribute prognostic information. Anticoagulation updates: Anticoagulation remains the cornerstone of treatment. For patients potentially needing advanced therapies (C3, D, E), parenteral anticoagulation is started first. A notable recommendation: low molecular weight heparin is generally preferred over unfractionated heparin, based on evidence showing more effective VTE risk reduction, more predictable pharmacokinetics, no need for routine monitoring, lower rates of heparin-induced thrombocytopenia, and no increase in major bleeding. The committee acknowledged this may create discomfort for clinicians accustomed to unfractionated heparin’s easy reversibility, but the difficulty of achieving and maintaining therapeutic levels with UFH was a significant concern. Advanced therapies: Catheter-based thrombolysis, mechanical thrombectomy, systemic thrombolysis, and surgical embolectomy all received mostly class 2B recommendations (“can consider”) for C3 and D categories, reflecting that current evidence shows improvement in short-term surrogate measures (RV/LV ratio, hemodynamics) but lacks definitive hard outcome data on mortality. For category E1 patients, recommendations are stronger (class 2A). Multiple trials are expected soon — HI-PEITHO, PEERLESS-2, PE-TRACT, PERSEVERE, TORPEDO, and PROG — that should substantially inform future updates. PERT teams: Pulmonary embolism response teams are encouraged, particularly for C3, D, and E patients. They’ve been shown to reduce length of stay. For institutions without PERT capability, establishing consultation networks with larger centers is recommended. Post-PE follow-up: Patients shouldn’t be “left in the wilderness” after discharge. The guidelines recommend communication within the first week to ensure understanding of diagnosis and treatment, an in-person visit at or before three months to assess for persistent symptoms and discuss anticoagulation duration, ongoing surveillance for chronic thromboembolic pulmonary disease, and periodic reassessment for those on extended anticoagulation. Infographics
Pert Near Sandstone hosts the annual String Band Gatherin' at the Turf Club in Saint Paul this Friday and Saturday. Each night there will be local and visiting bands, plus an opening act, and an after party. Phil Nusbaum talked to J. Lenz and Justin Bruhn of the band about the event. First, J responds to Phil's question about thinking, all year ‘round, about acts for the Gatherin'.
Olá, colegas da saúde e apaixonados por medicina de alta performance! Sejam muito bem-vindos a mais um episódio do Medicina do Conhecimento, o podcast que tira a teoria pesada dos livros e artigos e joga direto para a vida real da sua emergência, da sala de cirurgia e da sua UTI. Medicina do Conhecimento é ciência viva — informação acessível a todo momento e em qualquer lugar. Eu sou Pablo Gusman, o anestesiador. Desde 2005, somos um verdadeiro ecossistema digital em anestesia e medicina perioperatória — e com muito orgulho, o primeiro podcast dedicado à anestesia no Brasil! Nosso primeiro episódio foi ao ar em 22 de dezembro de 2015 — e você pode ouvi-lo aqui mesmo, no seu agregador favorito. Vamos ao nosso episódio 177, com novo formato, novas ideias e a mesma paixão por compartilhar conhecimento que transforma a sua prática médica. Imagine a seguinte cena: é madrugada no hospital. O telefone da emergência toca. Do outro lado da linha, o colega da radiologia aciona o alerta de resultado crítico na angiotomografia: falha de enchimento. Embolia Pulmonar Aguda. O relógio começa a correr. Mas a grande pergunta hoje é: a nossa conduta está atualizada com a ciência de ponta? Porque, colegas... o jogo virou. No episódio de hoje, nós vamos mergulhar fundo nas novíssimas e revolucionárias Diretrizes da AHA e do ACC de 2026 para o Manejo da Embolia Pulmonar. É hora de aposentar as velhas planilhas de risco. Vamos apresentar a vocês a nova taxonomia que está mudando as regras do jogo: as categorias clínicas de 'A' a 'E'. O que isso impacta na nossa rotina? Absolutamente tudo. Nós vamos discutir como identificar aquele paciente da nova Categoria B, que pode receber uma alta precoce e segura, desafogando nossos leitos. E, na outra ponta, vamos falar sobre como estruturar os acionamentos de emergência do PERT – o Time de Resposta à Embolia Pulmonar – para os casos críticos que chegam chocados na UTI. Então, se você atua no pronto-socorro, na terapia intensiva ou nos fluxos de radiologia, prepare-se para uma imersão que vai transformar a maneira como você lê o próximo laudo e toma a sua próxima decisão clínica. Pegue seu café, ajuste seus fones de ouvido... e vamos juntos! O resumo tem a nossa curadoria e foi gerado por IA generativa, publicada em texto, áudio e vídeo no Blog do Anestesiador! Lá você encontra resumos diários sobre os melhores artigos em Medicina Perioperatória. Se você quiser ser um early adopter, fique conosco! E assim a gente fecha mais um plantão de ideias aqui no Medicina do Conhecimento! De verdade, espero que esse nosso papo tenha trazido insights valiosos para a sua rotina e para a sua prática. Antes de você tirar os fones, eu tenho um convite especial pra você que ficou comigo até o final. Eu quero muito te ver no nosso grupo VIP de assinantes do Blog do Anestesiador! Funciona assim: vai agora lá no nosso Instagram, no @medicinadoconhecimento, me manda um Direct dizendo que ouviu este episódio, e eu vou liberar um mês de acesso totalmente gratuito pra você experimentar a nossa comunidade. Fechado? E a nossa conexão não precisa parar por aqui. Dá uma passada no nosso site — www.medicinadoconhecimento.com.br — e sintonize na nossa Rádio Web. É ciência, música de informação rolando 24 horas por dia. Ah, e nosso podcast tá em todo canto: Spotify, Deezer, Apple Podcasts, YouTube... Se estiver na correria, é só pedir: “Alexa, tocar podcast Medicina do Conhecimento! Seu feedback é o que move esse projeto. Mande suas dúvidas, casos da sua rotina ou sugestões. Vai que o próximo tema não nasce de uma ideia sua? Se este episódio te ajudou, joga o link lá no grupo do hospital, deixa seu like e segue a gente nas redes sociais. Muito obrigado pela escuta e lembre-se: aqui, compartilhar é multiplicar! Um abraço e até a próxima!
This inaugural episode of the CardioNerds Pulmonary Embolism (PE) Series explores the evolution of acute PE care. Dr. Ibrahim Zahid, Dr. Dinu Balanescu, and Dr. Billy Joe Mullinax join guest expert Dr. Kenneth Rosenfield to discuss the shifting landscape of PE management. Pulmonary embolism (PE) remains a leading cause of cardiovascular mortality and a frequent diagnostic challenge, often masquerading as myocardial infarction or a benign illness. Over the past decade, PE care has evolved from anticoagulation-only strategies to nuanced, risk-stratified, multidisciplinary management. Modern approaches integrate hemodynamics, biomarkers, and advanced imaging to guide therapy, including catheter-directed interventions and large-bore thrombectomy. The Pulmonary Embolism Response Team (PERT) model addresses historical gaps by coordinating rapid, multispecialty decision-making and standardizing care pathways. The PERT Consortium further advances PE care through education, research, and the world's largest PE registry, while fostering leadership and research opportunities for trainees. Despite advances, long-term outcomes and post-PE syndromes remain important areas for future investigation. Audio editing by CardioNerds Academy intern, student doctor, Pace Wetstein. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls PE is a “master masquerader”—maintain suspicion for atypical presentations like myocardial infarction, heart failure, flu, or anxiety. Multidisciplinary management mediated through pulmonary embolism response teams improves outcomes and standardizes care. Risk stratification integrates hemodynamics, biomarkers, and imaging. Advanced therapies have expanded beyond anticoagulation. Long‑term follow‑up and post‑PE syndrome need more research. Notes Notes: Notes drafted by Dr. Ibrahim Zahid. 1. How has the clinical approach to PE changed over the past decade? PE is the third leading cause of cardiovascular death and historically under‑recognized. Symptoms mimic MI, HF, asthma, syncope, and more.PE is a silent killer, and it should be recognized more as a cause of spontaneous cardiac arrest. Where life threatening disease like stroke which is owned by neurological specialists and MI is primarily managed by cardiac specialists, PE is an entity without a professional home. The PERT Consortium brings the specialties together for PE care. 2. Ten years ago, a 58-year-old patient with a large bilateral PE, RV dilation, and positive biomarkers might have been managed with anticoagulation and close observation alone. Today, with evolving—but still uneven—data on advanced therapies, PE care feels far more nuanced and highly dependent on where you practice. What are the major gaps in traditional PE management that clinicians should recognize, and what care pathways should they be aware of across different hospital systems? Care has shifted from anticoagulation‑only to multidisciplinary approaches like catheter directed thrombectomy. Risk‑based pathways and the use of CT angiogram has improved early recognition. Risk stratification tools must be used as tools for early recognition of intermediate risk PE. Untreated PE leads to chronic complications like chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension, which requires long term clinic follow up. 3. What is the role of risk stratification tools such as PeSI, sPeSI scores, cardiac biomarkers, and imaging findings in PE, and how do they guide treatment decisions in real world practice? Integrate vitals (blood pressure and heart rate), biomarkers (troponin, pro-BNP), RV/LV ratio assessment, acid‑base status, and scores. Tools include PESI, sPESI, BOVA, HESTIA, FAST, Geneva, NEWS, shock index. Vitals, lactate, acid-base status, and tools like NEWS or shock index track clinical evolution. PESI/sPESI estimate 30-day mortality and help identify low-risk patients who may be candidates for early discharge or outpatient therapy. Clinical judgment matters—scores don't fully capture clot burden, trajectory, or bleeding risk. 4. How was the pulmonary embolism response team created, and since its creation, what evidence or outcome data became available to support the PERT model? Originated after a sentinel case at MGH: A young, pregnant woman in her 30s, who collapsed at home, underwent thrombectomy, and had to be on ECMO for a few days. The case brought cardiology, cardiac surgeons and critical care physicians together for planning and improvement in her health, which was rewarding. Thereby, it was decided to bring specialties involved in PE care together to create a response team. The name of the team, Pulmonary Embolism Response Team (PERT), was coined by Richard Channick in the first meeting. Posters were set up all over the hospital to call a centralized line when an acute PE is recognized A meeting was held to present the concept of putting together a consortium, with development of action items and a PERT database. Enabled rapid multidisciplinary input using early teleconferencing tools. 5. Given concerns about having too many ‘cooks in the kitchen' during the initial PE call—especially with rotating teams—how can institutions reconcile workflow complexity with standardized pathways in a way that meaningfully supports and justifies the added burden on frontline clinicians? Every hospital's PERT is different, catering to their needs and workflow At least two disciplines are needed to make a PERTData is currently being collected to guide further on how the workflow can be standardized Most importantly, the team brings in resources that were not available prior to PERT formation. 6. What are the main goals of the PERT consortium, and how does it support clinicians and institutions involved? To improve care and improve outcomes for patients with PE Expand education, refine algorithms, standardize care with Centers of Excellence. Maintain the largest PE registry for research and outcomes improvement. 7. Beyond global networking, shared learning from successful systems, and the pathway toward Center of Excellence designation, what additional benefits can clinicians and health systems gain by participating in the PERT Consortium? The ability to learn from other systems, the ability to share experiences. Allow people to develop their professional careers like leadership experience, becoming a member of the trainee council Initiate projects and receive funding for your ideas 8. For trainees interested in pulmonary embolism care, how can a trainee be a champion at their institution? Does PERT provide assistance and how can they really contribute meaningfully even before becoming a fellow/attending? Medical students and residents interested in PE should reach out to the consortium and the consortium will hook you up with the correct mentors who can nurture you along. Listen to the podcasts. Participate with your local PERT team PERT wants involvement of people who are social media savvy to help spread the word on PE. Top three take-away points from this episode Acute PE care has advanced and multiple treatment modalities for acute PE including catheter directed therapy, large bore thrombectomy, are becoming standard of care. Multidisciplinary models like PERT improve coordination and outcomes. Trainees play a vital role in advancing PE care through involvement, research, and education References Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, Huisman MV, Humbert M, Jennings CS, Jiménez D, Kucher N, Lang IM, Lankeit M, Lorusso R, Mazzolai L, Meneveau N, Ní Áinle F, Prandoni P, Pruszczyk P, Righini M, Torbicki A, Van Belle E, Zamorano JL; ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405. PMID: 31504429. https://pubmed.ncbi.nlm.nih.gov/31504429/ Rosovsky R, Zhao K, Sista A, Rivera-Lebron B, Kabrhel C. Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions. Res Pract Thromb Haemost. 2019 Jun 9;3(3):315-330. doi: 10.1002/rth2.12216. PMID: 31294318; PMCID: PMC6611377. https://pmc.ncbi.nlm.nih.gov/articles/PMC6611377/ Rosenfield K, Bowers TR, Barnett CF, Davis GA, Giri J, Horowitz JM, Huisman MV, Hunt BJ, Keeling B, Kline JA, Klok FA, Konstantinides SV, Lanno MT, Lookstein R, Moriarty JM, Ní Áinle F, Reed JL, Rosovsky RP, Royce SM, Secemsky EA, Sharp ASP, Sista AK, Smith RE, Wells P, Yang J, Whatley EM; Pulmonary Embolism Research Collaborative (PERC) Attendees. Standardized Data Elements for Patients With Acute Pulmonary Embolism: A Consensus Report From the Pulmonary Embolism Research Collaborative. Circulation. 2024 Oct;150(14):1140-1150. doi: 10.1161/CIRCULATIONAHA.124.067482. Epub 2024 Sep 12. PMID: 39263752; PMCID: PMC11698503. https://pubmed.ncbi.nlm.nih.gov/39263752/ Sharifi M, Awdisho A, Schroeder B, Jiménez J, Iyer P, Bay C. Retrospective comparison of ultrasound facilitated catheter-directed thrombolysis and systemically administered half-dose thrombolysis in treatment of pulmonary embolism. Vasc Med. 2019 Apr;24(2):103-109. doi: 10.1177/1358863X18824159. Epub 2019 Mar 5. PMID: 30834822. https://pubmed.ncbi.nlm.nih.gov/30834822/ Pandya V, Chandra AA, Scotti A, Assafin M, Schenone AL, Latib A, Slipczuk L, Khaliq A. Evolution of Pulmonary Embolism Response Teams in the United States: A Review of the Literature. J Clin Med. 2024 Jul 8;13(13):3984. doi: 10.3390/jcm13133984. PMID: 38999548; PMCID: PMC11242386. https://pubmed.ncbi.nlm.nih.gov/38999548/ Rivera-Lebron B., McDaniel M., Ahrar K., Alrifai A., Dudzinski D.M., Fanola C., Blais D., Janicke D., Melamed R., Mohrien K., et al. Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism: Consensus Practice from the PERT Consortium. Clin. Appl. Thromb. Hemost. 2019;25:1076029619853037. doi: 10.1177/1076029619853037.https://pubmed.ncbi.nlm.nih.gov/31185730/
Episode 60 features Minneapolis band Pert Near Sandstone, a poem from Soul Coughing bassist Sebastian Steinberg, an unreleased song from singer-songwriter Jim White, and Denver band The Hip Snacks. Plus, we pay tribute to the late comedian Catherine O'Hara.
Hiába rendelte el a kormány, mégsem szüntette meg a bíróság a szolidaritási hozzájárulás miatt indított pert A bíróság is felhúzta magát a kormányrendeleten: jogellenes, alkotmányellenes, visszaható hatályú Fejvesztve menekülnek a befektetők Európa egykor legértékesebb cégéből Karácsony Gergely az Európai Bizottsághoz fordul a kormány friss rendelete miatt, mert az a jogbiztonságot kezdi ki Putyin egyetlen embertől fél az egész világon, aki óriási nyomás alatt tartja az orosz elnököt Zelenszkij szerint Megérkezett az orosz válasz Rutte kijelentéseire 27 évesen meghalt Soltész Gréta, magyar válogatott atléta Szegedi BYD-gyár: óriási félreértés történt a termeléssel kapcsolatban egyetlen szó miatt – ez van a háttérben Elárasztották a hazai használtpiacot a kínai gyártók ex-tesztautói? Méretes pofon az orosz hadseregnek Slot áradozott Kerkez Milosról, de szerinte erre még nem áll készen Kaotikusabb versenyeket vár 2026-tól Norris: "Egyszerűbbé nem tették az F1-et!" Délen romló látási viszonyokra figyelmeztetnek A további adásainkat keresd a podcast.hirstart.hu oldalunkon. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Hiába rendelte el a kormány, mégsem szüntette meg a bíróság a szolidaritási hozzájárulás miatt indított pert A bíróság is felhúzta magát a kormányrendeleten: jogellenes, alkotmányellenes, visszaható hatályú Fejvesztve menekülnek a befektetők Európa egykor legértékesebb cégéből Karácsony Gergely az Európai Bizottsághoz fordul a kormány friss rendelete miatt, mert az a jogbiztonságot kezdi ki Putyin egyetlen embertől fél az egész világon, aki óriási nyomás alatt tartja az orosz elnököt Zelenszkij szerint Megérkezett az orosz válasz Rutte kijelentéseire 27 évesen meghalt Soltész Gréta, magyar válogatott atléta Szegedi BYD-gyár: óriási félreértés történt a termeléssel kapcsolatban egyetlen szó miatt – ez van a háttérben Elárasztották a hazai használtpiacot a kínai gyártók ex-tesztautói? Méretes pofon az orosz hadseregnek Slot áradozott Kerkez Milosról, de szerinte erre még nem áll készen Kaotikusabb versenyeket vár 2026-tól Norris: "Egyszerűbbé nem tették az F1-et!" Délen romló látási viszonyokra figyelmeztetnek A további adásainkat keresd a podcast.hirstart.hu oldalunkon. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Viajamos a Bayona (Francia) para entrevistar a Mercedes de Orriols, hija de Álvaro de Orriols, autor de "Las hogueras del Pertús", el libro en el que se inspiró parte del podcast de nuestra productora Nacional II: la ruta del exilio. Mercedes tenía cuatro años y medio cuando su familia tuvo que huir a Francia ante la inminente llegada de las tropas franquistas a Barcelona. Álvaro de Orriols, su padre, poeta y dramaturgo, temía las represalias de los golpistas. Un 25 de enero de 1939, solo un día antes de la llegada de las tropas fascistas, Álvaro de Orriol, su mujer, sus dos hijos, y tres miembros más de la familia se subieron a un camión con dirección a Girona. Pero pronto tuvieron que abandonar ese camión y continuar a pie. Lo hicieron junto a 500.000 personas. Mercedes recuerda en esta entrevista todo lo vivido Más información aquí: https://eldiario.es/132_c45442 Haz posible Carne Cruda: http://bit.ly/ProduceCC
Lola y Duha llegan a la frontera. La republicana, al Pertús, acompañada por Rosa, una nueva compañera de viaje. Duha, a Rafah, donde cientos de personas aguardan con la esperanza de pasar al otro lado. Pero las puertas están cerradas. Mientras Lola y Rosa discuten cómo entrar clandestinamente en Francia, se produce un reencuentro inesperado. Para Duha y su familia acceder a Egipto será una dramática empresa. Créditos: Los sonidos históricos del principio del episodio son documentos sonoros procedentes de los fondos de la Biblioteca Nacional de España. Más información en https://larepublicaindependiente.es/podcast-nacional-ii-la-ruta-del-exilio/ Haz posible Carne Cruda: http://bit.ly/ProduceCC
A Della vendége szerint az Európai Uniónak adhat igazat a bíróság az orosz energiaszállítás leállítása ügyében. Közben offshore paradicsomot csinál Magyarországból a kormány a Török Áramlattal. De mi lesz a brutális mennyiségű gázzal, ami a magyar földben nyugszik? És kell-e aggódnunk az idei fűtési szezon miatt? Válaszok a műsorban. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.
Nuño Domínguez explica la crisis del CNIO incidiendo en lo triste que es que el centro de referencia de investigación contra el cáncer vaya de escándalo en escándalo. Jaime García Cantero pone en contexto internacional los despidos de Telefónica, calibrando en qué medida tienen que ver con la sustitución de trabajadores por IA, y subrayando que no es la IA la que nos quita el trabajo, sino que hay personas que deciden prescindir. Y comenta también el poder que tienen las grandes tecnológicas para presionar a nuestros políticos para que suavicen las medidas que es necesario tomar contra ellas. Una podría ser no usar las redes sociales para todo tipo de anuncios y propaganda, como hacen los políticos de todos los partidos. Una práctica que lleva a cosas como la cuenta de Bolaños en Tik Tok, que parece, según Jaime, un capítulo de la serie The Office.Además, Nuño Domínguez explica lo que ha pasado con Novo Nordisk en bolsa después del fracaso del ensayo clínico de la semiglutida contra el Alzheimer, y lo que supone PERT, el nuevo medicamento que podría funcionar contra el 30% de las enfermedades raras.
Welcome back to the tasty morsels of critical care podcast. This is the second of 2 parts on PE in critical care. The first focused on risk stratification and this one will focus on management. There is a link to a transcript of a more comprehensive talk with references on emergencymedicineireland.com for those keen enough to dive a little deeper. As noted in the last podcast this one leans very heavily on “in the my experience” level of the evidence pyramid and should be weighted as such. For this discussion I’m going to assume your patient is in the ESC High risk category, ie hypotensive with a PE on imaging and you’re satisfied that the PE is causing the hypotension. I do believe there is a tiny cohort of the PE population who warrant aggressive reperfusion even with a normal appearing BP but at this stage I cannot say I have any evidence or guidance to really identify who they are and back that up. For the original talk I gave on this to an EM audience, I split the interventions into helpful , distractions, and not helpful. It was probably a little bit of a provocative division if I’m honest. The slide is on the site for reference and viewing it will likely make what follows more edifying. For the resus room patient in the first 30-60 mins I feel comfortable to standby my assertion that a short list of “helpful interventions” should includes lysis, anticoagulation, noradrenaline, oxygen and some CPR. In the ICU however we’re often present both at the first 30-60 mins but over next hours and many of the items on the “distraction” list become a little more relevant with time. Number 1 on my list of helpful interventions is thrombolysis. As mentioned, if you have found PE and you have satisfied yourself that the sickness and hypotension you’re seeing is caused by that PE then you need to have a good reason not give thrombolysis. The evidence base is not high level RCTs but it is a class 1 recommendation on the ESC guidelines and the list of class 1 interventions is really quite short. In the 25 year old in resus with a massive PE day 3 after an arthroscopy the decision here seems pretty straightforward. However in the post trauma patient in the ICU with massive PE with a small traumatic SAH and an improving SDH and a recent laparotomy then the decision is orders of magnitude more complex and you may well find a very good reason why lysis is not an option. There is not a straightforward answer to lysis because it will vary from patient to patient but I would emphasis that it is a question worth dedicating a decent chunk of your cognitive bandwidth to. Dosing in an unstable patient is often 10mg of alteplase followed by 90mg over 2 hrs. Dosing in a cardiac arrest situation is typically a 50mg bolus. Anticoagulation is one of the other class 1 recommendations on the ESC list. Opinions vary on agent of choice. With my ICU hat on I will almost always advocate for UFH as I feel confident that if i stop it, the heparin effect will be gone in a couple of hours when the inevitable bleeding starts. Opinions vary and I know smart people who advocate for LMWH in this scenario with one of the arguments being you probably get more reliable and quicker anti Xa effect. Both the guidelines and your esteemed narrator recommend against volume resuscitation. Dumping a litre of crystalloid into the venous circulation will shift the IVS further towards the left impairing cardiac filling and doing the opposite of what you intended. A much better resuscitation fluid would be noradrenaline. This is remarkably effective in improving BP and perfusion and I have often used it when I am 90% sure the patient has a PE but haven’t quite got the CT scan to prove it. The noradrenaline can also buy you a little time to make a better decision about the lysis and reperfusion, converting what would have been an immediate decision into something that you maybe have more like 30 mins to make. Certainly if the noradrenaline dosage is rising and the right heart is struggling then adrenaline would be my add on inotrope of choice. Of course we know in the ICU we have a plethora of other agents available to us with lots of theoretical advantage on pulmonary vascular resistance etc. They would rarely be my first line, certainly not in the ED population but I would often reach for them a little further down the line once i have a better handle on the physiology and what they might tolerate. Enough to say that staring someone on 0.5mcg/kg/min milrinone as a single agent with a starting BP of 60/40 is not likely to end well in this context Oxygenation is strongly endorsed given its proclivity for reduction in PVR, however intubating someone in this context to facilitate oxygenation is likely to result in a catastrophic haemodynamic collapse. The adage “resuscitate before you intubate” or even “reperfuse before you intubate” has some relevance here. I find CPR to be helpful in the context of massive PE, not simply for the usual reasons of preserving some degree of forward flow but I suspect there is a mechanical effect of breaking up or moving clot more distally. I have frequently seen stuttering intermittent ROSC in this context. I would suggest caution with the mechanical CPR devices as the presence of a liver lac in the context of tPA is unlikely to be well tolerated. While not available or that relevant to the emergency medicine population I do think the addition of nitric in the ventilated ICU patient who develops nasty PE seems like a low risk intervention with potentially massive gains. There is a small RCT of nitric in the spontaneous breathing PE population that did not however show benefit. I put mechanical devices in the “distraction” category in my original talk as I don’t think they have much relevance in the early stage of resuscitation. However if you have kept them alive long enough or if you have a true contraindication to lysis or a failed lysis then they may well have a role. I have found the evidence base so far here decidedly underwhelming and for catheter directed lysis in particular i struggle to see how a mg/hr tpa via a pulmonary catheter is any different than a mg/hr of tpa via a peripheral IV line given that the entire venous return ends up in the pulmonary circulation either way. The thrombectomy devices are certainly more compelling from a physiological perspective and the obvious and dramatic changes in physiology on removal of clot are quite compelling. But they are a tremendous faff requiring a catheter akin to an ECMO catheter to be threaded into the pulmonary circulation. The recent PEERLESS trial gave an average 90 min procedure time emphasizing the need to keep the patient alive long enough to receive the intervention. I do feel this has a role in our management quiver I am just unsure what that role is, but more evidence in the coming years will likely clarify VA ECMO is undoubtedly a fantastic physiological support for a dying PE patient but bear in mind it is almost definitely not available to you in the vast majority of hospitals in the Ireland and the UK. PERT teams are groups of relevant physicians willing to weigh in on difficult PE cases to advise on management. I put PERT teams in the distraction category. And I feel bad about that because they're usually filled with knowledgeable and enthusiastic people . But there are 2 errors I've seen on this that we should be aware of. One is on us as primary clinicians where we outsource the decision to lyse in someone who has a clear indication. This is not necessarily the fault of the PERT team but there is risk to the patient in delaying as it is a tremendous faff trying to get hold of the relevant people and then get them to agree. The second distraction that can happen is the recommendation for interventions in a patient that they have not seen and are not present to. A couple of times I have had to talk people out of IR interventions that frankly were not needed because the patient was getting better with conventional treatment. Do not underestimate the importance of being at the bedside and seeing the patient and evaluating response to treatment. Surgery, in terms of pulmonary embolectomy is the third and final class 1 recommendation in the ESC guidelines for high risk PE. All be it with a very low evidence rating. It gets talked about in papers and guidelines but you're talking about taking someone who is already mostly dead into theatre, lined, anaesthetised, chest opened and onto bypass. There probably is a role for it somewhere and in certain institutions and it's often raised in the context of contraindications to lysis but those same contraindications to lysis usually apply to the 30000 units of heparin you need to get them on bypass. It seems to suffer from the old goldilocks flaw of “not sick enough” for theatre or “too sick” for theatre I have clearly done way beyond my usual brevity in this scenario but honestly didn’t think anyone could tolerate a 3rd part on PE. Full refunds are available on request For further reading it is probably best to visit the original lecture post where the relevant papers are all listed with a little smattering of critical appraisal thrown in for good measure.
It's Joever for TLaw, a sick DFS build, and a Jonathan Taylor conspiracy theory! Follow us on Betstamp and they'll name the Washington stadium after us: https://signupexpert.com/thfantac Hosted on Acast. See acast.com/privacy for more information.
Felsóhajthatnak a Windows 10-et használók 6G labort nyitott az Ericsson Budapesten "Előkerült a telefonod" – így lopják el a fiókodat is az iPhone tolvajok Ismét megjelent a Nap irányába mutató csóva a 3I/Atlas körül Hidrogénmeghajtás a repülésben – magyar kutatók írják a légiközlekedés jövőjét Gyér színvonalon kommunikálunk egymással a közösségi médiában, így agyrothadás fenyegeti a nagy nyelvi modelleket Hatalmas napkitörés érte el a Földet: komolyan hat ránk, de van pár tipp amivel elkerülhetjük a nagyobb bajt Antibiotikumokkal és vírusokkal a szuperbaktériumok ellen Több mint 300 000 kilométernyi római út rajzolja újra a birodalom térképét Jövőre törhet ki az Amerika partjainál rejtőző víz alatti vulkán Kozmikus ütközés miatt az űrben ragadtak az asztronauták Felmérés: az emberek többsége nem tudja megkülönböztetni az MI által komponált zenét az emberitől Megérkezett a GPT-5.1: jobb, gyorsabb, személyre szabhatóbb Pert indított a Google kínai hackerek ellen, akik adatlopáshoz kínáltak eszközöket A további adásainkat keresd a podcast.hirstart.hu oldalunkon. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Felsóhajthatnak a Windows 10-et használók 6G labort nyitott az Ericsson Budapesten "Előkerült a telefonod" – így lopják el a fiókodat is az iPhone tolvajok Ismét megjelent a Nap irányába mutató csóva a 3I/Atlas körül Hidrogénmeghajtás a repülésben – magyar kutatók írják a légiközlekedés jövőjét Gyér színvonalon kommunikálunk egymással a közösségi médiában, így agyrothadás fenyegeti a nagy nyelvi modelleket Hatalmas napkitörés érte el a Földet: komolyan hat ránk, de van pár tipp amivel elkerülhetjük a nagyobb bajt Antibiotikumokkal és vírusokkal a szuperbaktériumok ellen Több mint 300 000 kilométernyi római út rajzolja újra a birodalom térképét Jövőre törhet ki az Amerika partjainál rejtőző víz alatti vulkán Kozmikus ütközés miatt az űrben ragadtak az asztronauták Felmérés: az emberek többsége nem tudja megkülönböztetni az MI által komponált zenét az emberitől Megérkezett a GPT-5.1: jobb, gyorsabb, személyre szabhatóbb Pert indított a Google kínai hackerek ellen, akik adatlopáshoz kínáltak eszközöket A további adásainkat keresd a podcast.hirstart.hu oldalunkon. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
PERT Consortium 2025 gives interventionalists the reins to tackle even the toughest saddle pulmonary embolisms. In this episode of the BackTable Podcast, host Dr. Aaron Fritts welcomes interventional radiologist Dr. Osman Ahmed and interventional cardiologist Dr. Jonathan Paul to discuss their experiences at the annual PERT Consortium in San Diego, and offer their perspectives on the latest developments in pulmonary embolism (PE) treatment.---SYNPOSISThe doctors delve into advancements and trials within the PE treatment space, including new devices and clinical studies that are set to shape the future of pulmonary embolism care. The conversation highlights the value of collaboration between interventional specialties, the safety and efficacy of various PE interventions, and the growing trend of using combined therapies. They also provide updates on their ongoing innovation with Flow Medical, describing their philosophy and motivation for developing a new device for PE treatment that incorporates real-time pulmonary artery pressures, mean systolic and diastolic pressures, and a potential for AI utilization in the future. ---TIMESTAMPS00:00 - Introduction01:23 - PERT Consortium Highlights02:11 - Emerging Clinical Trials and Innovations03:59 - Thrombectomy Devices and Market Trends12:37 - Flow Medical: Origin and Updates19:37 - Advanced Data Tracking in Cardiology20:45 - Remote Monitoring and Mobile Integration22:45 - Cardiologists' Data-Driven Approach23:10 - Upcoming Studies and Data Insights24:10 - Interventional Radiology and Cardiology Collaboration25:07 - Access to Care and Procedure Adoption27:32 - Final Thoughts---RESOURCESPulmonary Embolism Response Team (PERT) Consortiumhttps://pertconsortium.org/ Flow Medicalhttps://www.flowmedical.co/ PEERLESS RCThttps://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.124.072364RESCUE-IIhttps://www.jacc.org/doi/10.1016/j.jacadv.2025.101789 PEERLESS II https://www.jscai.org/article/S2772-9303(24)01053-6/fulltextPulmonary Embolism - Thrombus Removal With Catheter-Directed Therapy (PE-TRACT)https://clinicaltrials.gov/study/NCT05591118 The HI-PEITHO Studyhttps://www.bostonscientific.com/en-EU/medical-specialties/vascular-surgery/venous-thromboembolism-portal/pulmonary-embolism/clinical-data/hi-peitho.htmlPRAGUE-26https://eurointervention.pcronline.com/article/design-and-rationale-of-prague-26-a-multicentre-randomised-trial-of-catheter-directed-thrombolysis-for-intermediate-high-risk-acute-pulmonary-embolism Pulmonary Embolism - Thrombus Removal With Catheter-Directed Therapy (PE-TRACT)https://clinicaltrials.gov/study/NCT05591118 Aaron Fritts, MDhttps://www.backtable.com/shows/vi/contributors/dr-aaron-fritts Osman Ahmed, MDhttps://jointvascular.com/team/osman-ahmed-m-d-fcirse/ Jonathan Paul, MDhttps://www.uchicagomedicine.org/find-a-physician/physician/jonathan-d-paul
PERT Consortium 2025 gives interventionalists the reins to tackle even the toughest saddle pulmonary embolisms. In this episode of the BackTable Podcast, host Dr. Aaron Fritts welcomes interventional radiologist Dr. Osman Ahmed and interventional cardiologist Dr. Jonathan Paul to discuss their experiences at the annual PERT Consortium in San Diego, and offer their perspectives on the latest developments in pulmonary embolism (PE) treatment.---SYNPOSISThe doctors delve into advancements and trials within the PE treatment space, including new devices and clinical studies that are set to shape the future of pulmonary embolism care. The conversation highlights the value of collaboration between interventional specialties, the safety and efficacy of various PE interventions, and the growing trend of using combined therapies. They also provide updates on their ongoing innovation with Flow Medical, describing their philosophy and motivation for developing a new device for PE treatment that incorporates real-time pulmonary artery pressures, mean systolic and diastolic pressures, and a potential for AI utilization in the future. ---TIMESTAMPS00:00 - Introduction01:23 - PERT Consortium Highlights02:11 - Emerging Clinical Trials and Innovations03:59 - Thrombectomy Devices and Market Trends12:37 - Flow Medical: Origin and Updates19:37 - Advanced Data Tracking in Cardiology20:45 - Remote Monitoring and Mobile Integration22:45 - Cardiologists' Data-Driven Approach23:10 - Upcoming Studies and Data Insights24:10 - Interventional Radiology and Cardiology Collaboration25:07 - Access to Care and Procedure Adoption27:32 - Final Thoughts---RESOURCESPulmonary Embolism Response Team (PERT) Consortiumhttps://pertconsortium.org/ Flow Medicalhttps://www.flowmedical.co/ PEERLESS RCThttps://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.124.072364RESCUE-IIhttps://www.jacc.org/doi/10.1016/j.jacadv.2025.101789 PEERLESS II https://www.jscai.org/article/S2772-9303(24)01053-6/fulltextPulmonary Embolism - Thrombus Removal With Catheter-Directed Therapy (PE-TRACT)https://clinicaltrials.gov/study/NCT05591118 The HI-PEITHO Studyhttps://www.bostonscientific.com/en-EU/medical-specialties/vascular-surgery/venous-thromboembolism-portal/pulmonary-embolism/clinical-data/hi-peitho.htmlPRAGUE-26https://eurointervention.pcronline.com/article/design-and-rationale-of-prague-26-a-multicentre-randomised-trial-of-catheter-directed-thrombolysis-for-intermediate-high-risk-acute-pulmonary-embolism Pulmonary Embolism - Thrombus Removal With Catheter-Directed Therapy (PE-TRACT)https://clinicaltrials.gov/study/NCT05591118 Aaron Fritts, MDhttps://www.backtable.com/shows/vi/contributors/dr-aaron-fritts Osman Ahmed, MDhttps://jointvascular.com/team/osman-ahmed-m-d-fcirse/ Jonathan Paul, MDhttps://www.uchicagomedicine.org/find-a-physician/physician/jonathan-d-paul
Sveriges – eventuellt – förste terrorist hette Anton Nilsson. Han sprängde Amalthea. Ett skepp där brittiska strejkbrytare huserade. Det första decenniet på 1900-talet utmärktes av stora oroligheter på den svenska arbetsmarknaden. Vilket kulminerade i storstrejken 1909.I det här avsnittet gör vi följande: tar pulsen på samhället anno 1906, forskar i Herman Lindqvists släktled och delar ut skinnjackor till särskilt duktiga spaningsflygare i röda armén. Det vill ni inte missa.—Kom ihåg att ni kan bli prenumeranter och lyssna fritt från reklam på historiepodden.supercast.com—Läslista:Ohlsson, Per T., Svensk politik, Historiska media, Lund, 2014Wigforss, Ernst, Minnen. 1 Före 1914, Tiden, Stockholm, 1950Platen, Gustaf von, Bakom den gyllne fasaden: Gustaf V och Victoria : ett äktenskap och en epok, Bonnier, Stockholm, 2002Ankarloo, Bengt (red.), 1900-talet: vår tids historia i ord och bild, Bokfrämjandet, Helsingborg, 1976Lindqvist, Herman, Historien om Sverige Drömmar och verklighet, 2., korr. uppl., Norstedt, Stockholm, 2000 Hosted on Acast. See acast.com/privacy for more information.
In this episode, a multidisciplinary panel of PE experts take learners on a deep dive into Deep Vein Thrombosis (DVT). Listen as they cover the latest in DVT diagnosis and treatment, exploring both clinical considerations and ever-evolving approaches.
We get Don Knotts on the boat, learn what Pert means and witness some of the worst plans ever made. Thanks for listening!Instagram - @LoveBoatProjectFacebook - The Love Boat ProjectEmail us - TheLoveBoatProject@gmail.comYouTube - The Love Boat Project
Vidéken van, ahol 40 kilométerre találni háziorvosi ügyeletet, a fővárosban pedig soha ennyi praxis nem ürült még meg, és évről évre rekordot dönt az ügyeletek zsúfoltsága. A Válasz Extra nyolcadik adásának vendége Keczéry Attila a MOK titkára, zuglói háziorvos és Sárközy Gergő ügyvéd volt. Hívtuk és vártuk még az Országos Mentőszolgálat szóvivőjét is, de ő nem reagált a megkeresésünkre. (Az adás a kamarával együttműködésben készült.)
Join us for an exclusive look inside The PERT Consortium™ as President Dr. John Moriarty and incoming President Dr. Mahir Elder sat down with Communications Committee Chair Dr. James Horowitz. From their personal journeys into leadership, to The Consortium's most impactful initiatives, this episode uncovers the bold vision driving the future of PE care. Get ready to hear how these visionary leaders are setting the stage for innovation, collaboration, and life-saving breakthroughs.
In this episode of Meathead Test Kitchen, Sadie and Sausha crack open the world of eggs, diving deep into this protein-packed staple that deserves a spot in your kitchen! With their signature blend of humor and expertise, they explore the science behind chicken eggs, discussing everything from their nutritional benefits to the anatomy of an egg. Join the duo as they share personal anecdotes, including Sadie's childhood memories on her grandpa's farm, while dispelling common myths about egg consumption. They emphasize the importance of eggs in your diet, highlighting their role in improving cholesterol levels and providing essential nutrients like choline. Expect plenty of laughs as they tackle the practical side of incorporating more eggs into your meals, including tips for making delicious egg bites and creative breakfast ideas. Don't miss this egg-citing episode filled with fun facts, relatable stories, and a little bit of kitchen wisdom. Whether you're a seasoned chef or just starting your culinary journey, this episode will inspire you to embrace the humble egg! Please follow, rate and review our podcast! Follow us on Twitter, Instagram, TikTok, and Youtube. Twitter: http://twitter.com/mtkstaff Instagram: http://instagram.com/meatheadtestkitchen TikTok: http://tiktok.com/meatheadtestkitchen Facebook: http://facebook.com/meatheadtestkitchen Hosted by Sadie Gray and Sausha Follow them on social media: Sadie: http://instagram.com/meatheadsadie Sausha: http://instagram.com/meatheadsausha Show notes and more on our website: http://meatheadtestkitchen.com Hurrdat Sports is a digital production platform dedicated to the new wave of sports media. From podcasting to video interviews along with live events and entertainment, we're here to change how you consume sports. Find us online at Hurrdatsports.com
In this episode of Meathead Test Kitchen, Sadie and Sausha crack open the world of eggs, diving deep into this protein-packed staple that deserves a spot in your kitchen! With their signature blend of humor and expertise, they explore the science behind chicken eggs, discussing everything from their nutritional benefits to the anatomy of an egg. Join the duo as they share personal anecdotes, including Sadie's childhood memories on her grandpa's farm, while dispelling common myths about egg consumption. They emphasize the importance of eggs in your diet, highlighting their role in improving cholesterol levels and providing essential nutrients like choline. Expect plenty of laughs as they tackle the practical side of incorporating more eggs into your meals, including tips for making delicious egg bites and creative breakfast ideas. Don't miss this egg-citing episode filled with fun facts, relatable stories, and a little bit of kitchen wisdom. Whether you're a seasoned chef or just starting your culinary journey, this episode will inspire you to embrace the humble egg! Please follow, rate and review our podcast! Follow us on Twitter, Instagram, TikTok, and Youtube. Twitter: http://twitter.com/mtkstaff Instagram: http://instagram.com/meatheadtestkitchen TikTok: http://tiktok.com/meatheadtestkitchen Facebook: http://facebook.com/meatheadtestkitchen Hosted by Sadie Gray and Sausha Follow them on social media: Sadie: http://instagram.com/meatheadsadie Sausha: http://instagram.com/meatheadsausha Show notes and more on our website: http://meatheadtestkitchen.com Hurrdat Sports is a digital production platform dedicated to the new wave of sports media. From podcasting to video interviews along with live events and entertainment, we're here to change how you consume sports. Find us online at Hurrdatsports.com
On this episode I have the pleasure to talk with Kathi Sohn who I met just two weeks ago at the latest Podapalooza event. Kathi, as it turns out, is quite knowledgeable and fascinating on many levels. Kathi grew up in Rhode Island. She describes herself as a shy child who had been adopted. While in her mother's womb, her mother tried to conduct a self-abortion when Kathi was six months along. I tell you about this because that fact and others are quite relevant to Kathi's story. Kathi will tell us that at some level we have memories that go back to even before we are born. Science supports this and it is one of the concepts that Kathi's late husband utilized in creating what he calls the “body memory process”. Kathi graduated from high school and went to college. As you will learn, over time Kathi secured several college degrees and even became a certified nurse. At some point she joined the army. That story is best told by her. Suffice it to say that Kathi says that joining the army on the advice of her adopted father was one of the best moves she could have made. From her four years in the military she learned commitment, responsibility and discipline. After the army, Kathi went to work for the Department of Defense and at some point she met and married her husband David. Again, a story better told by Kathi. For many years Kathi and David lived in Maryland. Eventually they moved to Alabama. Kathi will tell us about the work David conducted to develop the “body memory process” which he used to help many overcome fears and life challenges. After David's death in 2019 Kathi decided to retire from the Department of Defense after 36 years and then to continue the work David had begun regarding the body memory process which is the discovery and release of self-limiting beliefs (vows) we all create in early childhood. Today she is a coach and she is an accomplished author. Her book about the body memory process is entitled, “You Made It Up, Now Stop Believing It, which was released in 2023. It has reached twice bestseller status on Amazon Kindle. Our conversation ranges far and wide about medicine, our limiting beliefs and how to deal with our limitations using the body memory process. I think you will like what Kathi has to say. She has some good nuggets of wisdom we all can use. About the Guest: In 2020, Kathi Sohn retired from her first career as a senior manager after 36 years with the Department of Defense. When Kathi lost her beloved husband David in 2019, she decided to devote her life to sharing the powerful work he created – the Body Memory Process, which is the discovery and release of self-limiting beliefs (vows) we all create in early childhood. Kathi wrote a book on the work, You Made It Up, Now Stop Believing It, which was released in 2023 and it has twice reached bestseller status on Amazon Kindle. This information-packed book not only gives the reader the entire childhood vow discovery and release processes, but also has practical exercises for increasing self-awareness and fascinating stories of real people who experienced personal transformation by using the Body Memory Process. Kathi is also a speaker and coach, sharing as broadly as possible the importance of healing childhood wounds. She is dedicated to mitigating the cycle of inter-generational trauma. Ways to connect Kathi: WEBSITE: https://kathisohn.com FREE GIFT: https://bodymemoryprocess.com/free-gift/ FREE PARENT GUIDE: https://coaching.kathisohn.com/freeparentguide "RESILIENT TEEN": https://coaching.kathisohn.com/resilientteen PURCHASE BOOK WITH FREE GIFTS: https://youmadeitupbook.com/bonuses FACEBOOK: https://www.facebook.com/bodymemoryprocess/ INSTAGRAM: https://www.instagram.com/kathi.sohn/ TWITTER: https://twitter.com/kat_sohn LINKEDIN: https://www.linkedin.com/in/kathisohn/ YOUTUBE: https://www.youtube.com/channel/UCC9R0noiiPPWf1QjzrEdafw https://linktr.ee/MCAnime About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog. Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards. https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/ accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/ https://www.facebook.com/accessibe/ Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset . Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts. Transcription Notes: Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us. Michael Hingson ** 01:21 Hi everyone. I am your host, Mike Hingson, and welcome once again to another episode of unstoppable mindset today. Once again, as we've done a few times already in the last few weeks, we have the opportunity and joy to interview, well, not interview, but talk with someone who I met at our recent patapalooza Number 12 event, and today we get to talk to Kathi Sohn Kathi was at podapalooza. Pat Kathi has a lot of things going for her, and she'll tell us all about all of that. She had a long career with the Department of Defense, and if we ask any questions about that, then probably we'll all have to disappear. So we won't, we won't go into too much detail, or we'll have to eliminate you somehow. But in 2020 she left the career that she had with DOD and started working to promote something that her late husband, who died in 2019 worked on the body am I saying it right? Kathy, body memory process, yes, and and she will tell us about that, so we'll get to all that. But for now, Kathi, welcome to unstoppable mindset. We're really glad you're here. Kathi Sohn ** 02:37 Michael, it is great to be here. You are such a big inspiration to me. So thank you so much for having me on your show. Michael Hingson ** 02:44 Well, thank you. I really am very glad that we get to do this. Do you have a podcast? No, I don't. Well see, did PodaPalooza convince you to start one? Kathi Sohn ** 02:55 No, but there's always. I'm open to possibilities in the future. So Michael Hingson ** 03:01 as as I tell people, potable is a pretty neat event. You go because you're a podcaster. You want to be a podcaster, or you want to be interviewed by podcasters, which covers basically a good part of the world. And so you're in the I want to talk to podcasters. And there we are, and we got to meet Kathi and chat with Kathi, and here we are. So it's a lot of fun. And so why don't we start, if you would, by you telling us a little bit about maybe the early Kathi growing up and all that sort of stuff, that's always fun to start at the beginning, as it were, yes, Kathi Sohn ** 03:37 my goodness, so I, I grew up not in A a neighborhood where, you know, kids just played together and ride their bikes. I was, I was in a rather along a kind of a rural road in in Rhode Island, going down to the beach. If anyone has heard of watch Hill and westerly that area. So it was a beautiful, beautiful area. But because I didn't have a lot of, you know, again, I didn't have the neighborhood kids to play with, and I tended to be a little shy and to myself, I spent a lot of time after I was old enough and my mom let me just sort of exploring the woods nearby and learning, you know, just really kind of going within myself and thinking, and I would look at things in nature, and I would write this very deep poetry about it. So I think I was very fortunate, on the one hand on to have a very introspective life growing up. On the other hand, it didn't help me to work out, you know, some of that, that shyness, so that's something I needed to tackle a little bit later. As an adult, I had two older brothers, all three of us were adopted from very, very difficult beginnings. And again, it wasn't until I was an adult. And in fact, doing using the work that I'm going to talk about today, that I was able to understand some of the things that I was feeling and didn't understand growing up about myself, because some things were were shrouded in mystery, and I was able to get to the bottom of it, but basically, I had a very happy childhood. My adoptive parents were just so loving and wonderful and very, very fortunate to had a great education and parents who told me that I could do anything that I put my mind to. Michael Hingson ** 05:38 It's great when parents do that, isn't it? Oh, yeah, I was very fortunate to have parents that took that position with me. When the doctor said, Send him up to a home, because no blind child could ever grow up to be anything, and all he'll do is be a drain on the family. And my parents said, No, I was very fortunate. So it's yeah, I I definitely sympathize and resonate with that, because it's so wonderful when parents are willing to really allow children to grow and explore. And obviously parents keep an eye on us, but still, when they allow us to do that, it's great. Yeah, Kathi Sohn ** 06:13 I had heard you. I've heard you talk, because I have your your your book, live like a guide dog. And hearing about that story, and it reminds me, if anyone of your listeners are familiar with the Barry cowfield and his wife, who had an extremely autistic son, and the doctors were telling them, You need to institutionalize them that you can't you're not going to be able to deal with that. And they said, Are you kidding me? He's our son. If the best that we can do is just love him, then we're going to have him home. You know, he's our son. We're not going to put him anywhere. And then, of course, they they work with him, actually brought him out of autism through an amazing, amazing process. But yes, you're absolutely right. The parents are just, I know it seems almost cliche, but really, parents are instrumental, not just taking care of the physical needs, but those emotional needs, so, so critical and related to what we're going to talk about today. Michael Hingson ** 07:20 Yeah, well, and it's, it's unfortunate when parents don't do that and they give into their fears and they don't let children explore, they don't let children grow. That's, that's so unfortunate when that happened. But I'm really glad that my parents and I'm glad your parents allowed you to to stretch and grow as well. That's a neat thing. So you and of course, being a reader of a variety of Stephen King books, when you talk about Rhode Island, although the Stephen King things were a little bit further north, but and the woods sort of makes me think of, oh my gosh, did you ever run into Pet Cemetery? But we won't worry about that. 08:03 Fortunately not, Michael Hingson ** 08:06 yeah, yeah, that was a that was a scary book. Yeah, he's a pretty creative guy. But anyways, enjoy him. But anyway, so you went through school, you went to high school and and were a little bit shy. I kind of, again, I kind of empathize. I was in a neighborhood. It was not as rural, probably, as as what you grew up in. And kids did play, but I didn't really get a chance to do much playing with the kids, because I didn't do baseball and sports and all that. So I did a lot more reading. I hung around where the kids were, somewhat the other kids were, but my brother was the one that that really interacted with them. And I, I have to admit, that I didn't do as much of that, and was was probably a little bit shy or at least hesitant as a result, but I did make some friends. And in fact, when I was seven, there was a girl named Cindy who moved into our neighborhood, who had a bike, and she asked if I ever rode my bike, and I said I didn't have one. And she let me learn how to ride a bike on hers. And my parents saw that, and so then they got me a bike, and my brother had a bike, so we did a lot of bike riding after that, it was kind of fun. Kathi Sohn ** 09:21 Yes, I love the part of the book where your dad took a call from the neighbor who was so nonplussed about the fact that, well, did he, did he fall off right? Did he? Did he run into anything? No, what's the problem? I got a good laugh out of that. Yeah, well, and Michael Hingson ** 09:39 I know many blind people who, who, when they were kids, rode bikes. You know, it's not that magical. You have to learn how to do it. But so do side are kids. So it's, it's the same sort of thing. So what did you do after high school? Did you go to college? Kathi Sohn ** 09:56 Yes, it's kind of a long. Story. Let's see if I can, if I can, sort of summarize, I had, I went into college in actually, was, in my mind, pre med, my I it was the major was zoology. Where did you go? University of Rhode Island. Okay, and I, I had been well when I was 12, I started piano lessons, and then I had private singing lessons when I was 14. So here I found myself on a college campus where there was a Fine Arts Center, and I had continued to, of course, develop in music. And a part of me kind of wanted to pursue becoming a sort of a music star, while the other part of me, of course, was more practical and guided by my parents about, okay, get yourself some, you know, a more dependable career. And so here I am on this college campus and spending more time in the fine arts center than than the library. So my college years were a little turbulent, as I was still trying to figure out really what I wanted to be. I went from pre med into nursing because, again, my grades weren't that great. And because of the distraction, and I even that, even that wasn't working, the problem essentially came with me. And instead of a fine arts building, it became, you know, playing, playing the piano in local bars was just kind of trying to find my way. And my dad told me one evening I was visiting, I was home with my parents, and I was very distraught. I don't know what I'm going to do. My grades aren't that great. And he said, I think I have an idea. I'll talk to you in the morning. Well, he worked for General Dynamics Electric Boat division. So he was involved working with the Navy building nuclear submarines. Did Michael Hingson ** 12:10 he go to rotten Connecticut? Yes, yeah. And Kathi Sohn ** 12:15 I actually ended up working there myself briefly. And he said, you know, the military may just be what you need. So, long story short, I ended up in the army and for, you know, for four years, and really did turn everything around. Then I started getting building that self confidence. I finished a undergraduate degree in political science. And then when I started working for the Defense Department, and there was I took advantage of the benefits of them helping me with paying for graduate degrees. I i got a graduate degree in conflict resolution and one from the Naval War College where I graduated top of my class in national security studies. Wow. So turned it all around. And yeah, so in the in, you'll love this too. A little loose end that I tied up. My dad encouraged me to do this the New York regions. It was called regents college, I think, yeah, University of the state of New York had a Regents college where you could challenge a nursing degree program. So with all the courses I had taken, and I just I went to a local hospital, I they helped me to practice stealth, adjusting changes and, you know, and all of that, giving IVs, and I passed the test. It was a weekend of clinical, one on one with a nurse evaluator failure. I could not, you know, had to be 100% and I passed. So I also have an Associates in nursing. Well, Michael Hingson ** 13:57 I wanted to, you know, is this the time to say I wanted to be a doctor, but I didn't have any patients anyway. Go ahead, yes, Kathi Sohn ** 14:06 gosh, I'm still interested in medicine, but I figure it all, it all comes in handy if I'm, you know, I have my kids at the doctor, and I can, I can talk with them at a level, you know, a little bit of a notch above just being a worried mom. What Michael Hingson ** 14:20 do you think of a lot of the tendencies and the trends, and I've talked to a number of people on on a stop level mindset about it, a lot of the things that go on in Eastern medicine that Western medicine doesn't practice. Kathi Sohn ** 14:34 Well, yeah. In fact, with the body memory process, my late husband factored that into what he developed as the body map, which I can can can discuss when the time comes, very, very important stuff that's just really being missed, although there are more and more doctors who are understanding the value. Yeah. That the body is an energy system and energy and information system, and they're starting to integrate that more. Michael Hingson ** 15:08 And at least, my opinion, is they should. There is a lot more to it. It isn't all about drugs and surgery or shouldn't be. And so it is nice to see a lot of movement toward more, what, what many might call spiritual but there's, there's so much scientific evidence and anecdotal evidence that validates it, that it's, it's good, that more people are really starting to look at it. Yeah, Kathi Sohn ** 15:37 absolutely. And this, if this might be an appropriate place to talk a little bit about some of the scientific underpinnings of the work that I'd like to discuss. There is science behind it, and you know that when there's research that's done in, say, the pharmaceutical area, it ends up the public will find out about it through, say, new new medications. With technology, you know, you went there's some breakthrough. You end up with something new for your phone. But some of the breakthroughs that were made in the 80s about the awareness of babies and children, especially babies in the womb, and also the mind body connection. You can you can see it referenced in some, you know, scientific papers, but it doesn't really often make it to to the public, and it is very relevant to the to the public. And that's what my late husband did, was he took this research and he turned it into a practical application to people's everyday lives. One of the most really stunning discoveries back in the 70s and 70s and 80s was made by someone named Dr Candice PERT. She wrote Molecules of Emotion, and they were trying to figure out why drugs work in the body. They figured it was sort of a lock and key that if, if you know so APO opiates worked in the body. They they figured that there was an opiate receptor somewhere. And during the course of this, they sort of accidentally discovered that during emotional events, the neurotransmitters from the brain travel to receptors all over the body, that they're actually located everywhere and in the organs, in the muscles. And Dr pert would make statements like deep trauma puts down deep roots in the body. You know, your body is your subconscious mind, so that is very, you know, very strong underpinning for the body memory process at that whole mind, body connection that we never really understood so well before Michael Hingson ** 18:00 one of our earliest podcasts, it was actually number 18. I just looked it up. Was with a gentleman, Dr Gabe Roberts, and it was also from, I think a pot of Palooza was the first one I attended. And he is a psychologist, and he or he deals with psychological things, but one of the things that he talked a lot about, and talks a lot about, is people's traumas and their injuries and the things that bother them and and even the things that are good are all actually holograms that are in your memory. And he calls them holograms because you can get to a particular one, and hologram usually is really something that's just composed of a whole bunch of littler holograms. But what he does to help people is to work with them to find that hologram that they thought they got rid of, that they didn't really get rid of, because everything is always in your memory, and if you don't really deal with it, then it's going to sit there and continue to to affect you. But what he does is he works to help people find those memory things that really need to be corrected, and then helps them to correct it was fascinating interview. As I said, it's number 18 and unstoppable mindset. So my point it'd be, I think you might find it fun, and I think other people might find it fun to Kathi Sohn ** 19:30 listen to. Yeah, definitely that. That sounds incredibly interesting. He's Michael Hingson ** 19:35 in Kansas. I'm not sure if it's Kansas City, but he's in the Kansas area somewhere, as I recall, well, so you did all that, and then you, you were working at the Department of Defense. Were you a civilian and working essentially as a contractor, or working, Kathi Sohn ** 19:52 yes, as a civilian? I It was sort of a natural, you know, from being in the military. Then I was. Able to find an assignment as a civilian when I got I only did four years in the Army. I never intended it really to be a lifetime career, but it was enough time again for me to turn things around. Well, Michael Hingson ** 20:14 that's not the issue, isn't it? Yes, 20:17 yes, absolutely. Michael Hingson ** 20:19 So I mean, that's, that's and your father. So your father was right, and obviously he cared a lot about you Yes, Kathi Sohn ** 20:27 and helped me with that. I Yes, I, my father did me such a great service by pointing me in that direction. I mean, my, my, you know, incredible career that I could not have imagined myself in if he hadn't pointed me in that direction, so I don't know what I would be doing. Hopefully it's still not floundering in college somewhere. Michael Hingson ** 20:49 Yeah, so is there a truth to the old Jerry Lewis song, the baby gets a gravy and the army gets the beans. But anyway, it's a cute song. I listen to it every so often on my little Amazon Echo device. It's cute, yeah. But so, so when did you meet your husband through all this? Kathi Sohn ** 21:11 Yeah, so it was 1994 and so I was pretty much square in the middle of my my career, my civilian career. And it was a there was a friend of mine that was sort of a mutual friend. She she knew him as well. I was living in Maryland, and David was living in Alabama, actually, where I live now. And she kept saying, You got to meet this guy. And kept saying to him, You got to meet this girl. It was one of those sort of matchmaker deals. And and she was right, even though the the both David and I weren't really looking for someone. So when she actually dragged him to my doorstep on Fourth of July, 1994 you know, there were some sparks, I think that we acknowledged that, but it took some time. I mean, we dated for almost three years before we were married, and then we were we were married for about 25 years, wow, before I last, before I lost David, and it was, you know, really wonderful. And, like all marriages, you know, some some, some ups and downs, but the overall theme was that we supported each other, you know, he was, you know, really incredible. I spent I would go to, I would go to war zones every now and then he would tell people, yeah, and then she came home with a flack vest and said, you know, by the way, this is where I'm going to be going. You know, when, when I came to him, and I guess it was 20 so 2017 I'm trying to what exactly, before that was 2015 the kids were still pretty young, but it was, it was really important for me to do a job, actually, in Afghanistan that was going to take me away from home for six months there. And he said, You know what, if it's if it's important to you, it's important to me, and we'll make it work. And he came from a military family, so we really understood that type of, yeah, he understood mission and commitment, right? And yeah. So he was probably never, Michael Hingson ** 23:38 I never, needless to say, got to serve in the military because they they don't. When the draft was around, they wouldn't draft blind people, and later on, they wouldn't allow blind people to enlist, although, during the time of Afghanistan and Iraq, there were a few people who lost eyesight while in the military, and a couple of a few of them were allowed to to continue. But they never let me do that, and I, and I, and I understand the the prejudice, if you will, but it, it doesn't really stand that everyone has to be able to go into combat directly, and they could have found other jobs, but that's okay, and I certainly don't hold it against the military in any way, but I do appreciate the responsibility, and I've learned enough about military life from talking to a number of people and and my father was in World War Two, so starting with him, but others learning a lot about military. I appreciate what you're saying about it taught you a lot about responsibility. It taught you about commitment and so on. The closest I come to that is when I worked at Guide Dogs for the Blind any number of the puppy raiser families, those are the families that have agreed to take a guide dog puppy when they're about nine weeks old and they'll raise the dog, teach them basic obedience, teach them how to behave. In public and so on. And one of the things that children say, young kids who want to be puppy raisers and who take on the responsibility, is they learn so much about responsibility from doing that, because when they take on the job, it means they have to do the job, because the dog has to get used to somebody doing it, and they do such a wonderful job of raising these dogs who come back and they, a lot of them, become successful guide dogs. Not every dog does, because not every dog is really cut out to be a guide dog, but it's, it's not military, but it is still teaching responsibility and commitment. And the young kids who do it and really catch on are great. Yeah, Kathi Sohn ** 25:42 yeah. So yeah, I can see the corollary there, Michael Hingson ** 25:45 yeah, oh yeah. There's definitely some. It's pretty cool. Well, so I'm sorry, of course, you you lost your husband. I lost my wife Three years later, as you know, in 2022 but tell me so he was for a lot of the time when you were married. Was he in the military, or did he do other things? No, Kathi Sohn ** 26:06 he was not in the military. They would not let him in the military because when he was 14, he was he had a near death experience. He had double staff pneumonia, and he was pronounced dead for a period of time, no respirations, no heart rate for a significant period of time. And then his dad noticed Bill something on the monitor, and there he was back again, and it's one of the reasons why he had ended up actually pulling this work together. So he he wanted to be in he was actually in ROTC, and I think it's interesting that he got through all of that, and then they decided that they didn't want to medically clear him to go into the military. But the men in his family always became military officers. His his dad was a general in the Air Force, and the closest that he got was helping with medevac, like Tanzania. And I remember him telling me the some stories about that he was working as an EMT, and he managed to do some connections to be able to do this work, just to be somewhat a part of, you know, the Vietnam War, but he really wanted to to be a military officer, and they just wouldn't allow him. But I think that maybe God wouldn't allow him because he had a different mission. I'm pretty convinced of that. So, Michael Hingson ** 27:36 so he became a doctor. Kathi Sohn ** 27:40 No, he, he had a couple of very advanced degrees, and, let me had a couple of doctorates, but he did not choose to not a medical doctor, to be a medical doctor, right, and do any type of mainstream work, because what he, what he brought in, was really kind of cutting edge, and you wanted to have the freedom, to be able to to put the work together without somebody telling them that, you know, is got it for regulations. He couldn't do that. Michael Hingson ** 28:11 Well, let's get to it. I know you've alluded to it, and we've kind of circled around it. So tell us about the body memory process, and tell us what he did and all that you want to tell us about that Sure. Kathi Sohn ** 28:24 So I talked a little earlier about the some of the the I talked about Dr Candice Kurt and the what she talked about with the by the mind body connection, what she learned and right about that time was also some research by Dr David Chamberlain about the consciousness of babies. Just, you know, they didn't even realize, I mean, the birthing practices were actually rather traumatic, really, just regular birthing practices in terms of the baby coming from that warm environment into a rather cool temperatures and very bright lights. So Dr Chamberlain did a lot of work. He wrote books like babies, remember birth and the mind of your unborn baby. And really brought a lot to bear about about how influential that period of time in our life can be. So then to take a couple steps backwards. First, we talked about David having that near death experience, and as he was growing up, the doctors kept telling him that he was never truly going to be well, and he kind of railed against that, and he was like, Well, you know, it really brought him to wonder, okay, what truly is wellness? So back in, back in that day, nobody was really talking about it. I think that if you look online these days, you see a lot of different theories about wellness and. You know, is across a spectrum, right of not just mind, body and spirit, but so many other things, including environmental factors. But he, in his quest for wellness, he did study the Far Eastern medicine medical practices, and he he studied Dr Chamberlain's work and about the such as Dr perks work, about the mind body connection. And so he pulled together what he called the body memory process, based upon the fact that what we believe, like the power of belief and the mind body connection and the awareness of babies and children that we had never really realized before about how they actually can create their reality. I mean, they they, but Dr Bruce Lipton calls if you're familiar with biology and belief, he talks about putting these programs in the place that we you know, we're born with sort of the operating system, but we need the programs. And so what we observe and what we experienced before we're seven years old, largely, we put together the core belief system. And so that's the body memory process is about, you know, basically how this all comes about. That's sort of like the this, the sort of the in the information part, there's a discovery part, which is, you know, what are your childhood vows? David called them vows, because, just like wedding bows, they're about what we promise ourselves, about how we're going to be in life, based upon these decisions we make when we're very, very young and and then so between, you know that that mind, body, spirit, side of things, he pulled together this process where, after you have discovered what your vows are, then there is a release process, how to be able to let that go. And these, these beliefs are in, these Vows are actually in our cell memory, kind of like that hologram that you were talking about before, and David created a process for people to be able to then, sort of like, if it's a vow, then to disavow it, to be able to empty the cell memory. Because he said, If you, if the cup is full, right, you can't put anything new in, you know? You can try with affirmations, you can try, through willpower, to change a habit, but if you, but if you have these, these, this energetic you know aspect to yourself, these vows that are actually in your subconscious and are there, then it needs to be dealt with. That energy needs to be released in order to be able to truly create what you want in the present moment as an adult. Michael Hingson ** 33:11 Hence the title of your book. You made it up now stop believing it. Yes, yeah. I figured I love the title. That's a great title. So, so what exactly is the body memory process then? Kathi Sohn ** 33:27 So it's the book goes into live details about it, you know, there, there is a discovery aspect to it, you know, and there's that's that involves both subjective and objective data, if you will. It's, you know, what, what am I feeling in my body? Where do I carry tension? Maybe, if I have the same thing, you know, sort of happening over and over again, like I I always, maybe, maybe it's the right side of my body where I'm always, maybe I'm stubbing my right toe or, you know, maybe I've, whenever I have a I fall down, you know, it's always like, I land on the right side, and I create problems there, and maybe I have a really tight right hip. You know, it's like, what, what's going on in your in your body? It's about what's going on in your life. I mean, how are, how are things overall, with your health, with your finances, with your relationships, with your career. And then there's, you know what? What was going on start in your very early life, starting with when you were in the womb, like, what was going on with mom, you know what? And that's sort of like an investigative process that clients get to do, you know, if mom is still around then, that she's really probably the best source of information there, but there could be other family members who are who are aware, and sometimes you don't. Get a lot, or maybe you don't even get any information from that period of time, and you need to just do a lot of this work through, through, you know, through intuition and and being being able to take a look at sample beliefs, which I have a collection of over 900 that David had gathered over the years of working with his clients, and to be able to take a look and see what resonates. You know, clients find that very valuable. To be able to say, oh, yeah, yep, that's absolutely me, you know, right there, because sometimes it's difficult to access it, because it's in the subconscious. I I have a video that I've created to help walk people through that discovery process. And since losing David, I've done whatever I can to sort of replicate what he was able to do quite intuitively. He would, he would be with someone for about three, three and a half hours, and he could just laser being right to do what was going on based upon how they were talking about what was going in their life, on in their life now and then, talking about what their childhood was like, Mom, Dad, how the relationship was. He would listen to how they would talk. He called it listening them, not listening to because when you're listening to someone, sometimes you're already thinking about what you want to say next to contribute to the conversation, which is fine, but when you're when you're listening someone. You're giving them that full space. You pull in all your energy, and you give them the full attention so that you can catch them saying pretty much their script. He said, you could, you know, you could hear even their birth script like they would, their belief system would just sort of come out. And the things that they would say, like, well, I know nobody ever really believes me, right? So as an example, and sometimes we might say that sort of in just in talking, it's sort of an assumption there that people just let that go, unless there's someone who's really engaged and says, Hey, wait a minute, let's talk about that a little bit like, what's the evidence that you have that nobody ever believes you and and sometimes people need to be able to take some of these assumptions that they that they just find they live their life by, and actually challenge them and say, you know, where does that come from? And try to get back to, you know, when, when that first occurred, because then thereafter, a lot of times it's just a self fulfilling prophecy, and every and he just keeps reinforcing itself. Michael Hingson ** 37:48 Well, yeah, and we, we sell ourselves short in so many ways. And one of the things that you talked a little bit about is is childhood and so many people think, well, you're when you're when you grow up, your childhood is left behind. And I gather that you're saying, No, that's not true, because even from the womb, there's memory. How. How do we know that? Kathi Sohn ** 38:16 Really, I think it's if you don't just sort of deal with whatever was going on back then, then it is going to sort of reach up and bite you at some point. I mean, everybody has something, even the people who say they have the have had the most perfect childhood. Because it's not about when I talk about childhood trauma in the book, and I talk about trauma, it's not about abuse and neglect. I mean, unfortunately that happens to many, but it's about how we actually sort of traumatize ourselves, because we're not yet logical. So before we're seven, we're not we're not even logical, and we're largely, you know, in our emotional brain, and we're the center of our own universe. We're very egocentrical During those years, and so we tend to jump to the conclusion that it's about right, it's about me, something happened, or mom and dad are fighting. It's about me, right? Or anything that goes wrong, it's either about something I did or something I didn't do. That was really big for me, like it's one of the other damned if I do, damned if I don't. So yeah, I would, I would be willing to make a rather bold statement that says everyone has something that they could look at from their early life, and that, because it's having some type of an impact on your adult life. Michael Hingson ** 39:45 Has anyone ever used hypnosis to help somebody actually go back and and either at least learn about maybe that early childhood or even pre birth kind of thing Kathi Sohn ** 39:59 I'm. Sure. I mean, so, you know, David created his work, and he called it the body memory process. It's not the only game in town, right there. There are other people who are are doing other things that are similar. I think Hypno, hypnosis, hypnotherapy, can get you there as well. I think that there's also something called rebirthing that was something that was going on, I think, that came out of the of the 80s as well, which was about, very specifically, getting you back to when you were born, right? What was going on during that time? So I think that you know anything that that that works for for you, to get you, you know, back into that time period is good. I think what makes David's work so especially powerful is that he has a very balanced sort of mind, body, spirit approach. And that is not just about, well, here's the bad news. It's about, you know, here's the good news too, because here's a way to be able to let that go and and to be able to move on. You know, I when we talk about, when I talk about this topic of going back to your childhood, I always think of that scene from The Lion King, where the monkey, you know, Rafiki, sort of bops The Lion, the young lion, Simba on the head right with the stick that says, It doesn't matter. It's all in the past. And that's true to on the one hand, because we need not dwell on the past, we need to be able to get the goodness from it, learn from it. That's the point, and then be able to let it go. And I think that's what the body memory process does, is it takes us back to be able to do that, that self examination, and then gives us a way to then be able to move on and not dwell on it, because it's not who we are. It's not it doesn't define us, even though, if we're not aware of it, we inadvertently let it define us. Yeah, Michael Hingson ** 42:10 and that's the issue. It's like I always say, and many people say, in the National Federation of blind, blindness doesn't define us. It is part of who we are, but it doesn't define us. But when we allow something specific to define us without understanding the importance of it, that's a problem, but that is something that we have control over if we choose to do it. Kathi Sohn ** 42:32 Yes, yes, absolutely. So how did David Michael Hingson ** 42:36 come to actually create the whole concept of the body memory process. Kathi Sohn ** 42:42 Well, you know, again, I think it was his personal quest for wellness that got him, you know, into doing the the investigative work that he did. He actually had other other work that he was doing for a while. He did a home restoration, you know. And he was a builder, a home builder, at one point, but this work just really kept calling him. And it was, I think, the early 80s. It was somewhere around 1984 I think that he started actually working with clients where he had pulled together all of this information and created the the discovery and then the release process for poor beliefs. But he there was someone who actually paid for him to go through a lot of the trainings that were going on in the 80s, like life, spring was one of them, and there's a few others where I think there was this human potential movement. Back during that time, people were starting to turn inward. And then, of course, at the same time all of this research was was coming out, like Dr Chamberlain and Dr PERT. So I think that David was is sort of like in the middle of a perfect storm to be able to create this because he had his own personal motivation. He had access to the all of the state of the art research that was going on around him during that time period, and he was also very intelligent and very intuitive. So he said that when he came back from his near death experience, he he knew that there, there was a reason that he came back. So I think he always had a sense of mission that he wanted to make a contribution to the world. And then it just over time, it just became clearer and clearer what that was. Yeah. Michael Hingson ** 44:51 So have you had any direct experience with the body memory process? I. Kathi Sohn ** 44:59 Yes, I absolutely have. I used to tell David that I was his poster child because of, because I had a lot of stuff that I was dealing with. I I had a birth mom, and then I had an adoptive mom, and I had, you know, my own, my own baggage that came from, from both. So I had, you know, many layers to, you know, to work through. But I guess, you know, there's always got to be something. You know, David said that he would work with the greedy, the needy and the greedy. He said the needy were the were people who ended up in some sort of crisis, because this, if you call it, your life script, which was another word for this collection of vows that we create during early life, that your your life script can either keep you in your comfort zone or it will keep you in crisis. There's really, there's, there's really two, but two, those two avenues, when you have this unexplored stuff that's that's going on, right? And then the greedy are the people who would like pretty good and they just want more, and he's so and it's all valid. It's all good, right? The different avenues that lead us to the work. For me, it really was a personal crisis that had been simmering for me through all of my life, starting when I was very, very young. I mentioned earlier that I was kind of shy, but it was really, really difficult for me just to just through school when you know I knew the answers to things. I wanted to be able to to talk in front of the class, but it was so scary for me just to be the center of attention. It was just, I just think of, there's some of the stories are kind of funny in my mind about what happened, even to the point where once I got in front of the class and I was laughing at my own science fiction story that I had written, and then everybody else started laughing. And that was actually a pretty positive experience, but most of them were rather negative, but it didn't really come to a head for me until I was a manager. I worked my up, my way up in at the Defense Department, and I was in in charge of an office. I I needed to be able to speak to my personnel. I had staff meetings, and I had greater and greater responsibilities. I needed to lead conferences and things like that. And I became face to face with my own fears of just being in front of a great as bigger and bigger rooms of people. And I know that, you know, this is a common thing for for for people, common fear with public speaking. But for me, it was, it's just, I can't even explain on the inside how difficult it was. I managed to pull it off a lot of times, and people would compliment me, and they didn't, you know, like you didn't look nervous. But I realized that I had to deal with it, or it was going to make me ill because of internally, the turmoil I was going through. And so I did use the work and ended up discovering, I told you that my parents adopted kids from very difficult beginnings, as it as I discovered, again, that's another story, but a little bit later in life, I had been, you know, basically At six months I had been born, though, from from an attack from my birth mom, so she tried to to do a home abortion when I was six, only six months along, and so that was rather traumatic, you know? I ended up born. I was an orphan, and I didn't have, you know, I wasn't received into the world by a loving mom. And then I think what was piled on top of that was the fact that I was in an incubator, and I was peered at by the medical staff, probably many of whom didn't think I was going to make it. So, you know, when you again, based upon the work that Dr Chamberlain did, and the idea of the connectedness, and that everything is about energy, and that there is communication that's going on, but it's at a sort of at a vibrational level, and that the infant is actually able to pick up on that, it's not, it's not about language, right? It's not about their mental development. It's something else that, you know, it just, it puts it's it puts these foundations within us into into place, until again, we're able to get back into that energy and be able. To deal with it. So for me, it was about that judgment. Whenever I got myself, got in front of a room, you know, I was that little baby in an incubator, and people that were, you know, like, I don't think she's going to make it. And so that was sort of a, if you picture, if you, if you kind of take that and overlay that on, you know, speaking in front of a room, what is not being able to make it or, you know, or dying, you know, it's like, Well, I kind of screw up, right? I forget what I was going to say. Or, but, and again, it's not, it's not, it's not rational. I couldn't say that it was I knew very specifically of what the turmoil was about. It was just about this intense energy that I could not define. But it was there for me. It was like I was right back in that incubator being evaluated and fighting for my life. Michael Hingson ** 51:01 So what did you do? Kathi Sohn ** 51:04 Well, I did the body memory process. Well, first I had my my my David and I sat down, and we really explored it, and I was able to put words to it. So for me, it was they watched me to see when I'm going to die and when I was able to do the body memory process, and again, it's all outlined in the book, but you know, the specific process around that I was able to, over time, increasingly, be able to feel comfortable in front of a room. And now I do public speaking, I'm able to be on camera and take David's work, you know, really to the world, and be the face of the work. If he had said that I was going to be doing this back in those years, I would have said, You've got to be kidding me. There's no way that I could, that I could do that through most of the years. When I had David, I was so thankful that he was the one who stood in front of the room right he was the one in front of the camera, and I was very happy to support him from behind the scenes. But I think that when I made the decision to carry on his work, and I think that's when I did the final steps of the process of being able to release all of that and say, Okay, again, that's in the past. Right to to be able to have to let that go, realize it for what it was. But it's not about who I am now. But Michael Hingson ** 52:35 the issue is that you recognize it, you you learn from it, which is why it's important that you acknowledge it, yes. And you know, in live like a guide dog. We talk, as you know, about self analysis, introspection and so on. And I wish more people would do it. And I wish people would do it more often. I'm a fan of saying that people should do it every day. You should look at what at the end of the day. Look at what happened today, what worked, what didn't work, and even the stuff that worked, could I do it better, or the stuff that maybe didn't work? It's not a failure, it's a learning experience, and you should use it and treat it as that, which is why I also tell people never use the term. I'm my own worst critic. I've learned that I'm my own best teacher, which is a whole lot more positive anyway. Kathi Sohn ** 53:25 Yes, absolutely. The other thing, Michael and Anna, and this is from, I think, in an interview that you were in when they were talking about what you were going through on 911 and you know you as the you were thinking to saying to God, gee, we got through one tower, and now there's another one coming down and and what are we facing? And that you you your own guidance you heard about. Just don't try to just what you can control. Can worry about what you can Right, right? And I think that's what this work is about, is that if we go through life and we're not we don't know that all of this is operating below the surface. It's so easy to blame events and people and circumstances and conditions for everything, but if we're willing to take personal responsibility, and go back to those early years, then we are doing something about what we can do, and then when we go forward in our adult life, we can handle those crises, and we can be much more in control of ourselves. And that's where we're we're truly in a place of power, because we can't control all those events and conditions, but we can be, you know, I just think again, that's why you're so inspirational. Like, okay, you know, you couldn't do anything about what was going on around you in in New York, but you were able to be. Com and trust your dog and to trust God, and that's the way we want to be in life. Michael Hingson ** 55:06 Well, and that went both ways. The dog trusted me as well, and it and it really is a two way trust situation. You know, I read articles even as late as 30 years after I was born, about people who became blind from the same thing that I did, retroenter fibroplasia, now called retinopathy or prematurity, and I'll never understand why they changed the name doesn't change anything. But anyway, people sued their doctors, even 30 years later, and won lawsuits because medical science had started to learn. At least a couple of doctors had discovered. One specifically discovered that giving a child in an incubator, a premature baby, a pure oxygen environment, 24 hours a day, could be a problem for retinal development, and even if you gave them a little bit of regular error, the incidence of blindness went to zero, but it wasn't accepted by medical science, and so people sued, and they won, and I and I asked my dad one day, what do you think? Should we go back and sue the doctors? And he said, and what would it accomplish? Yeah, and he was absolutely right. And I wasn't asking him, because I was ready to go do it. I was just curious to see what he thought about it. And he thought, really, the same thing that I did, what would it accomplish? Even if we won, it doesn't do anything, and it ruins lives, because the doctors were doing the best with what they had. You couldn't prove negligence, yeah, Kathi Sohn ** 56:39 absolutely it's they were doing the best with the information they had, and that's the way we should be with ourselves too, right? This isn't about going back and then get feeling guilty or blaming your parents or, you know, blaming yourself. We did the best that we in our own lives, at every stage of our lives. You know, we really are doing the best that we can with the information and the resources that we have Michael Hingson ** 57:04 exactly, and that's what we should do. Yes. So what are some ways that people can benefit from the body memory process? Kathi Sohn ** 57:14 Well, you know, again, I get, I had mentioned that 360 degree, look at your life there, there's, there's so many ways that you you can can benefit, because when you have this energy that you haven't discovered these, these, these beliefs, there, there is, there are words that You can put to it, and that actually plays out in your life, sometimes in very, very limiting ways. And you know, if you're looking at, say, finances, if you were raised with, you know the root of money, the root of evil is, you know money is the root of evil. You know that in you have that operating, then you're you're going to have a limit, a limit, you know, a limited way that you're interacting with money. I like to talk about some of the rather innocuous ways that, you know, relatives talk to us when we're little, and, you know, they end up impacting us as adults and limiting us, for example, if, if I have an uncle who says, Well, you know this, the Smiths are hard workers. We work hard for every penny. We don't make a lot, but we work really hard for every penny we make. It's like, okay, well, gee thanks. Now, you know, I'm going to grow up, and that's in there, in my subconscious. And, you know, I, I'm gonna, I believe that I have to work hard. And not only do I have to work hard, but I'm, you know, I may, I can't really earn money easily, right? So maybe investments are off the table for me, investments that might yield, you know, a lot of money. I mean, there's, there's, there's so many ways that this plays out in our life, and we don't even know that it's it's impacting us in what we do, and then what we're not doing, you know, if we're not taking risks, that could actually be good for us because of this. So people would benefit from from just taking a look, because you don't know, you know where it could could help you, but I can say that it can help you across health, across finances, relationships. That's huge about you know, what you observed in your parents and how they talk to each other, and then how how you are in relationship as an adult. So in so many different really, those important areas of our lives, this type of work can really benefit. There Michael Hingson ** 59:57 are so many things that. Happen to us, or that we become involved in in some way or another, that are really things that we chose to have happen, maybe whether we realize it or not, and it's really all about choice, and likewise, we can choose to be successful. It may not happen exactly the way we think, but it's still a matter of choice, and that is something that is so important, I think, for people to learn about and to understand that you can make choices, and it's it's all about learning. So when you make a choice, if it doesn't work out, or it doesn't work out the way you thought, and it's not a problem, or it is a problem, then you make another choice, but if we don't explore and we don't learn, we won't go anywhere, right, right? Well, this has been a lot of fun, and I hope people will go out and buy the book again. You made it up. Now stop believing it. I love the title and and I hope that people will get it. We put a picture of it in the show notes, so definitely go check it out. And I want to thank you for being here and spending the last hour plus with us. I I've enjoyed it. I've learned a lot, and I always like to learn, so that's why doing this podcast is so much fun. So thank you for that. And I want to thank you all for listening wherever you are or watching if you're on YouTube. Cathy was a little bit worried about her room isn't as neat as she maybe wanted it, so she wasn't sure whether it was going to be great to video. And I pointed out, I don't have a background or anything. Don't worry about it. The only thing I do is close my door so my cat won't come in and bother us. 1:01:41 Oh, yeah, me too, yeah. Well, stitch Michael Hingson ** 1:01:44 is probably out there waiting, because it's getting close to one of them many times during the day that she wants to eat, and I have to pet her while she eats. So we do have our obligations in life. Yes, we do, but it's fun, but I want to thank you for being here. But thank you all, and please, wherever you're listening or watching, give us a five star review. We value it. I'd love to hear your thoughts about today and our episode. So if you would email me, I'd appreciate it. Michael H, I m, I C, H, A, E, L, H i at accessibe, A, C, C, E, S, S, I, B, e.com, or go to our podcast page. Michael hingson.com/podcast, Michael hingson is m, I, C, H, A, E, L, H, I N, G, S o, n.com/podcast, definitely love to get your thoughts Kathy. How do people get a hold of you if they want to learn more? Or are you are you doing coaching or working with people today? Kathi Sohn ** 1:02:37 Yes. So if you go to Kathi sohn.com, that's k, A, T, H, I, s, O, H n.com, there's a lot of information on there. You can learn more about body memory. You can get a free chapter of the book. I have a couple other free gifts on there. You can and you can learn about my coaching programs. I have private coaching and for individuals, and I love to work with parents as well. Michael Hingson ** 1:03:06 Well, there you go. There you go. So Kathisohn.com and I hope people will do that again. We really appreciate a five star review. And Kathy for you, and all of you out there, if you know anyone else who ought to be a guest on unstoppable mindset, because you feel they have a story they should tell introduce us. And if they don't think they can come on and tell the story, I'll talk with them. And oftentimes I can show people why it's important that they come on and tell their story. A lot of times, people say, I don't really have anything that makes me unique or different. Well, yeah, you do the fact that you're you, but anyway, if you know anyone who ought to be a guest, we'd love to hear from you and Kathy, if you know anyone same for you. But again, I really appreciate you being here and being a part of unstoppable mindset today. So thank you very much for coming. 1:03:56 Yes, thank you for having me here. Michael Hingson ** 1:04:02 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.
The Stupid History of Pert ShampooBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-stupid-history-minute--4965707/support.
In this episode of PERTcast, Trainee Council members present compelling cases, discuss their PERT volunteer experience, and encourage residents and fellows to get involved given the many benefits of doing so.
In this episode, resident and fellow members of The PERT Consortium™ Trainee Council share their volunteerism experience with consortium leaders Drs. Rachel Rosovsky and James Horowitz. From research to mentorship, educational content development to committee appointments, this discussion highlights the tremendous value for trainees serving on the PERT Consortium Trainee Council. The deadline to submit a Trainee Council Application is April 15, 2025.
Det finns en hel del historiska skeenden som förekommer så flitigt i våra berättelser att vi slutar tänka på hur underliga de egentligen är. Bondetåget 1914 till exempel. Hur kommer det sig att några borgare i Uppsala fick fler än 30 000 av Sveriges lantbrukare att sätta sig på tågvagnar för att uppvakta kungen? Och hur kunde kungens mottagande av dessa i sin följd leda till att Sverige bara några månader innan första världskrigets utbrott stod utan regering?Det fanns mycket underligt i luften de där vintermånaderna 1913 och 1914. Och genom att plocka fram mikroskopet för att nära undersöka en händelse som annars alltid används som del av berättelsen om demokratiseringen upptäcker man flera mänskliga och roliga händelser.Hoppas ni gillar avsnittet!Läslista:Frykberg, Ragnhild, Bondetåget 1914: dess upprinnelse, inre historia och följder, Hörsta, Stockholm, 1959Platen, Gustaf von, Bakom den gyllne fasaden: Gustaf V och Victoria : ett äktenskap och en epok, Bonnier, Stockholm, 2002Hägg, Göran, Svenskhetens historia, Wahlström & Widstrand, Stockholm, 2003Ohlsson, Per T., Svensk politik, Historiska media, Lund, 2014 Lyssna på våra avsnitt fritt från reklam: https://plus.acast.com/s/historiepodden. Hosted on Acast. See acast.com/privacy for more information.
The Look Back with Host Keith Newman welcomed Bloomberg Tech Writer Kurt Wagner to the program, as we convinced him to take a break from all that's happening around his white hot tech beats (Breaking News on 3 Co's; Meta, TikTok and X) to discuss his book on Twitter-Elon-X titled “Battle for the Bird” - along with a few sidebar chats on AI and + the current (and future) state of journalism.
Erika and Steven complete the Pertwee era, and it’s a bittersweet farewell! Against all odds, Erika is genuinely sad to see ol’ Pert go! Erika Ensign and Steven Schapansky.
5 - Nem adta át a helyét egy síró gyereknek, most pert indít egy nő by Balázsék
Join us for a compelling episode as we highlight key insights from our recent webinar, featuring a fascinating complex case of a 75-year-old female patient with a history of Sjogren's syndrome, breast cancer, and chronic thromboembolic disease. Our expert panelists discuss the complexities of diagnosis, the role of advanced imaging techniques, and the lessons learned from this challenging case. Whether you missed the webinar or want to revisit the discussion, this episode is packed with valuable takeaways for healthcare professionals. Tune in now and expand your knowledge with insights from leading experts in the field!
"I think that really worked well to put the specialty where it needed to be ... but now we're competing in the space with other endovascular specialists. You know, there are a lot of people who are trying to do similar things, and I think we have to differentiate ourselves in a way that goes a little bit beyond what we've already been doing."—Rex Pillai, MDIn a special year-end review, interventional radiologists Nishita Kothary, MD, FSIR, Warren Krackov, MD, FSIR, Rex Pillai, MD, and Roger Tomihama, MD, join SIR Director of Publications Brian Haefs to reflect on the top stories from the past year—the Society of Interventional Radiology (SIR) 50th Anniversary, artificial intelligence and IR, and more.Plus, we share excerpts from the three most downloaded IR Quarterly articles of the year:Managing pain with SI joint fusion and nerve ablation, by Junjian Huang, MD, and Douglas P. Beall, MD, FSIRPatient-affirming care: The role of IR in gender-affirming medicine, by Hope RacineAI toolbox: PERT implementation, by Jared Meshekow, MD, MPH, Daniel Kushner, MD, Perry Gerard, MD, MBA, Joseph Panaro, MD, Gary Cohen, MD, FSIRFinally, we share excerpts from the top three most played Kinked Wire episodes of the year:Episode 51: SIR 50th Anniversary: The growth of interventional radiology and vascular care. Host: Roger Tomihama, MD; Guest: Barry T. Katzen, MD, FSIREpisode 52: From crisis to care: How interventional radiology saved Sebastian Junger's life. Host: Warren Krackov, MD, FSIR; Guests: Sebastian Junger, Philip J. Dombrowski, MD, and Michael J. Hallisey, MD, FSIREpisode 55: Entrepreneurship and interventional radiology: Q&A with Blockchain co-founder Nicolas Cary. Note: This episode was recorded on Dec. 11, 2024.SIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show
Matt teams up with master plumber Eric Aune, aka @mechanicalhub, to explore the “art” of value engineering plumbing systems. They dive right into cost-effective strategies that don't compromise quality.Matt and Eric cover the shift from traditional materials like copper to modern solutions such as PEX and PERT, highlighting their affordability, durability, and ease of installation. They also discuss the evolution from cast iron to PVC for drainage, weighing the pros and cons of each.For homeowners and builders, they stress the importance of investing in high-quality fixtures from trusted brands like Kohler, Moen, and Delta, to avoid costly replacements. They also explore the long-term benefits of durable options like cast iron tubs versus fiberglass alternatives.They wrap-up with practical tips for designing plumbing systems with maintenance and accessibility in mind, such as using removable walls behind washers and adding floor drains to prevent water damage.Whether you're a builder, plumber, or homeowner, this episode offers practical advice on creating efficient, reliable plumbing systems. Don't miss this engaging discussion with two industry pros!Find Eric on the web:Build Show Videos: https://buildshownetwork.com/go/ericauneInstagram: @mechanicalhubFacebook: https://www.facebook.com/mechanicalhubYouTube: https://www.tiktok.com/@mechanicalhub_ericWebsite: https://mechanical-hub.com/Find Matt and The Build Show on the web:Build Show Videos: https://buildshownetwork.com/go/mattrisingerInstagram: @risingerbuild and @thebuildshowTikTok: @thebuildshowYouTube channel: https://www.youtube.com/@buildshowWebsite: https://risingerbuild.com/ and https://buildshownetwork.com/Save the Date for Build Show LIVE 2025 in Dallax, TX: October 16-18, 2025! Don't miss a single episode of Build Show content. Sign up for our newsletter.
On this episode of the Scouting For Growth podcast, Sabine VdL talks to Dawn Herndon, a visionary leader at the forefront of artificial intelligence innovation. With a profound passion for technology and its transformative impact on society, Dawn is spearheading IBM's efforts in embeddable AI and the groundbreaking watsonx platform. Her work is revolutionizing how organizations across industries integrate AI into their products and services, enabling real-time data processing, decision-making, and automation directly within applications and devices. Dawn will share her insights on the challenges and opportunities organizations face when integrating AI, the importance of trustworthy and responsible AI, and her vision for the future trends in our rapidly evolving landscape. KEY TAKEAWAYS I have the best job in the company, every day I get to talk about emerging technologies and right now it's all about AI. Pert of what makes this an exciting topic is that it's a bit unknown to people, and organisations and companies are trying to figure out what to do with AI. What excites me most about AI technology is the innovations that comes from companies take advantage of these technologies and the ability they have to leverage it to drive real and tangible outcomes for their business. These can be enhanced productivity, attracting new clients, getting to new markets, driving their products, services, and solutions into new market categories. My passion lies in helping drive that innovation with the companies that we work with by providing thought leadership or co-creating with them. Embeddable AI has evolved not only so a company can leverage NLP/speak-to-text/text-to-speech technologies in the AI space but has expanded into the production of the “what's next platform.” IBM's platform provides not only machine learning technology and advanced analytics but also an overall studio for organisations to incorporate large language models, train them, fine tune them, provide governance around the models, and ways for organisations to take advantage of IBM's AI technologies to drive productivity, efficiency, and optimisation. You can't have AI if you don't have data. If you have large sources of data and you don't know where it came from then you have risk and exposure. IBM believes that data should be trusted, that you should know the data and, if you're working with our AI technology, that you own the data, we don't use your data, you use it to accomplish the outcome you're driving in your business. More than that, we have a keen focus on governance, risk management and compliance – AI ethics. BEST MOMENTS ‘What is your company trying to solve and how can we work together to leverage technology that helps you solve that initiative and helps you drive that outcome you're trying to achieve?' ‘We want to make sure it's tangible for an organisation and we do that by using an AI assistant, which doesn't just provide a conversational AI-based interface but integrations to back-end systems.' ‘Once a person joins an organisation and becomes an employee, watsonx orchestrate provides that ability for a manager to take action on anything to do with employee relations, like processing a salary increase.' ‘Productivity is an ambiguous word that can be applied to so many different situations within companies, AI can improve that productivity across your enterprise.' ABOUT THE GUEST Dawn Herndon is an experienced global business leader with over 25 years at IBM, showcasing expertise across various functional areas, general management, and building strategic partnerships. Currently serving as the IBM Vice President of EMEA Build Ecosystem and AI Partnerships, Dawn is at the forefront of the evolution of AI, focusing on embedding AI and watsonx. She spearheads the development of strategic partnerships that drive innovation and deliver value for organizations across industries and market segments. LinkedIn IBM PartnerPlus IBM Watsonx IBM Embeddable AI IBM Podcast ABOUT THE HOST Sabine is a corporate strategist turned entrepreneur. She is the CEO and Managing Partner of Alchemy Crew a venture lab that accelerates the curation, validation, & commercialization of new tech business models. Sabine is renowned within the insurance sector for building some of the most renowned tech startup accelerators around the world working with over 30 corporate insurers, accelerated over 100 startup ventures. Sabine is the co-editor of the bestseller The INSURTECH Book, a top 50 Women in Tech, a FinTech and InsurTech Influencer, an investor & multi-award winner. Twitter LinkedIn Instagram Email Website
Get caught up on the current best practices and guidelines in venous interventions. Dr. Adam Raskin covers this and more, with host Dr. Sabeen Dhand in this discussion of DVT and PE treatments. Dr. Raskin is an interventional cardiologist, medical director of Cardiac ICU, and Co-Director of the PERT program at Mercy Health in Cincinnati, Ohio. --- CHECK OUT OUR SPONSOR Imperative Care https://imperativecare.com/vascular/ --- SYNPOSIS Dr. Raskin shares his comprehensive approach for treating patients with DVT and PE, highlighting recent advancements in thrombectomy systems, as well as underscoring the need for more randomized trials to further build on current venous disease treatment guidelines. The doctors also touch on the significance of accurate diagnostic tools and thorough follow-up to improve patient outcomes. --- TIMESTAMPS 00:00 - Introduction 10:58 - Approaching DVT & PE Patients 19:04 - Thrombectomy Advancements 24:02 - Iliofemoral Interventions & Standard Practices 26:32 - Accessing Tibial Veins & Clearing Clots 38:59 - Follow-Up & Data Collection 41:09 - Future of Venous Interventions --- RESOURCES The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II Endorsed by the Society of Interventional Radiology and the Society for Vascular Medicine: https://www.jvsvenous.org/article/S2213-333X(23)00322-0/fulltext
This episode highlights how the Viz.ai solution has improved the efficiency of a PERT team in Cincinnati. Tune in to hear how it started and how it's going!
Candace Pert discovered the opioid receptor, created a drug to stop AIDS in the brain, and identified stress as a cause of disease. She also inadvertently unleashed the overdose epidemic, got herself kicked out of the NIH, and was denied credit for much of her work. Pert was a trailblazing yet mercurial neuroscientist, a woman who made her male boss famous but has been largely forgotten herself. She was also a rebel, a workaholic... and a bit mad. In this episode, Pamela Ryckman, the author of a new biography of Pert, reveals some of the wilder tales about her and explains why she remains largely unknown even though her discoveries were truly life-changing. Plus... Other women in science who remain mostly hidden from history. For more information, transcripts, and all episodes, please visit https://thisisyourbrain.com For more about Weill Cornell Medicine Neurological Surgery, please visit https://neurosurgery.weillcornell.org
Candace Pert discovered the opioid receptor, created a drug to stop AIDS in the brain, and identified stress as a cause of disease. She also inadvertently unleashed the overdose epidemic, got herself kicked out of the NIH, and was denied credit for much of her work. Pert was a trailblazing yet mercurial neuroscientist, a woman who made her male boss famous but has been largely forgotten herself. She was also a rebel, a workaholic... and a bit mad. For more information, transcripts, and all episodes, please visit https://thisisyourbrain.com For more about Weill Cornell Medicine Neurological Surgery, please visit https://neurosurgery.weillcornell.org
In this episode, Dr. Sameh Sayfo discusses advanced techniques in radial to peripheral (R2P) interventions, the importance of having multiple techniques, the role of different devices, troubleshooting tips, and the evolving landscape of R2P interventions. Dr. Sayfo is an interventional cardiologist at the Baylor Heart Hospital, and serves as program director for the endovascular fellowship and pulmonary embolism response team (PERT) program. --- CHECK OUT OUR SPONSOR AngioDynamics Auryon System https://www.auryon-system.com/ --- SYNPOSIS Dr. Sayfo shares his experience and insights on using various devices, such as the new Auryon laser, for treating peripheral arterial disease (PAD).Additionally, the doctors address the benefits of radial access over traditional femoral approaches, patient selection, and procedural planning. Listeners are encouraged to adopt a flexible approach and learn from each other's experiences to improve patient outcomes. --- TIMESTAMPS 00:00 - Introduction 05:24 - Incorporating Radial into Peripheral Practice 11:19 - Right vs. Left Radial Access 20:01 - Room Setup and Procedure Planning 25:13 - Radial vs. Femoral Access 33:01 - Advancements in Laser Atherectomy 41:33 - Laser Atherectomy Tips 45:52 - Advantages of Radial Access in Specific Cases 51:33 - Post-Op Care and Best Practices --- RESOURCES BackTable VI Podcast Episode #30 - Transradial Access Basic to Advanced with Dr. Aaron Fischman: https://www.backtable.com/shows/vi/podcasts/30/transradial-access-basic-to-advanced BackTable VI Podcast Episode #148 - Radial vs. Femoral for Prostate Artery Embolization with Dr. Blake Parsons: https://www.backtable.com/shows/vi/podcasts/148/radial-vs-femoral-for-prostate-artery-embolization BackTable VI Podcast Episode #342 - Radial Access for PAD with Dr. Rami Tadros: https://www.backtable.com/shows/vi/podcasts/342/radial-access-for-pad BackTable VI Podcast Episode #395 - Radial to Peripheral Tools & Technique with Dr. Sameh Sayfo: https://www.backtable.com/shows/vi/podcasts/395/radial-to-peripheral-tools-technique BackTable VI Podcast Episode #443 - Innovative Approaches in Radial to Peripheral Interventions with Dr. Amit Srivastava: https://www.backtable.com/shows/vi/podcasts/443/innovative-approaches-in-radial-to-peripheral-interventions BackTable VI Podcast Episode #390 - Laser Atherectomy: An Overview of the Pathfinder Registry with Dr. Tony Das: https://www.backtable.com/shows/vi/podcasts/390/laser-atherectomy-an-overview-of-the-pathfinder-registry BackTable VI Podcast Episode #408 - Laser BTK Study Insights: Navigating Complex Lesions with Dr. Nicolas Shammas: https://www.backtable.com/shows/vi/podcasts/408/laser-btk-study-insights-navigating-complex-lesions Safety and efficacy of radial artery access for peripheral vascular intervention: a single center experience: https://www.ajconline.org/article/S0002-9149(24)00461-2/abstract Comparative Outcomes of Interventions for Femoropopliteal Chronic Total Occlusion Versus Non-Chronic Total Occlusion Lesions From the Multicenter XLPAD Registry: https://pubmed.ncbi.nlm.nih.gov/37318023/ Prospective, Multi-center, Single-Arm Study of the Auryon Laser System for Treatment of Below-the-Knee Arteries in Patients With Chronic Limb-Threatening Ischemia: 30-Day Results of the Auryon BTK: https://pubmed.ncbi.nlm.nih.gov/38458581/ Prospective, Multicenter Registry to Assess Safety and Efficacy of Radial Access for Peripheral Artery Interventions: https://www.jscai.org/article/S2772-9303(23)00813-X/fulltext Solid state, pulsed-wave 355 nm UV laser atherectomy debulking in the treatment of infrainguinal peripheral arterial disease: The Pathfinder Registry: https://pubmed.ncbi.nlm.nih.gov/38566525/ SCAI Expert Consensus Statement Update on Best Practices for Transradial Angiography and Intervention: https://scai.org/publications/clinical-documents/scai-expert-consensus-statement-update-best-practices-transradial
Drusilla discuss Ingmar Bergman's 1960 classic, The Virgin Spring. From wiki: “The Virgin Spring (Swedish: Jungfrukällan) is a 1960 Swedish film directed by Ingmar Bergman. Set in medieval Sweden, it is a tale about a father's merciless response to the rape and murder of his young daughter. The story was adapted by screenwriter Ulla Isaksson from a 13th-century Swedish ballad, "Töres döttrar i Wänge" ("Töre's daughters in Vänge"). Bergman researched the legend of Per Töre with an eye to an adaptation, considering an opera before deciding on a film version. Given criticism of the historical accuracy of his 1957 film The Seventh Seal, he also invited Isaksson to write the screenplay. Other influences included the 1950 Japanese film Rashomon. Max von Sydow played Töre.”But first! Interior design and antiques, Guy Ritchie's The Ministry of Ungentlemanly Warfare, Luca Guadagnino's Challengers, tarot, folk horror, paganism, r*pe revenge, Keanu Reeves and Bram Stoker's Dracula, and more! NEXT WEEK: Robert Altman's Images (1972) Follow them across the internet:Bloodhaus:https://www.bloodhauspod.com/https://twitter.com/BloodhausPodhttps://www.instagram.com/bloodhauspod/ Drusilla Adeline:https://www.sisterhydedesign.com/https://letterboxd.com/sisterhyde/ Joshua Conkelhttps://www.joshuaconkel.com/https://www.instagram.com/joshua_conkel/https://letterboxd.com/JoshuaConkel/
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