Podcasts about physiologic

In this episode of RetinaLIVE, Kourous Rezaei, MD is joined by Lejla Vajzovic, MD, FASRS and Aleksandra Rachitskaya, MD, FASRS to discuss their experiences with UNITY® VCS in vitreoretinal surgery. The conversation covers instrument design, workflow, training and the integration of new technology in clinical practice, offering perspectives on collaboration and adapting to evolving surgical tools.  For Important Product Information, visit unityvcs.com. Featured surgeons are paid Alcon consultants. The views expressed are their own. Disclaimers: 1:15, 19:31, 26:25: Compared to CONSTELLATION® Vision System. Based on bench data. 1:47, 2:15, 2:42, 3:19, 9:55: Compared to HYPERVIT 20K 2:15, 2:21, 7:24: Based on bench data. For both 25 Ga and 27 Ga vitrectomy probes. 7:24, 7:54, 18:46: Versus Alcon's Non-Dynamic Stiffener 27+ technology 9:55, 12:21: When the Dynamic Stiffener is fully retracted 16:20: MSLP(4) is 3 times faster than SSLP 23:58: Compared to CONSTELLATION® Vision System. Based on bench data. Mean fluctuation at flow vs. setpoint of 2.36 ± 2.13, 4.19 ± 1.97, 1.84 ± 2.82, and 2.13 ± 2.86 mmHg during phacoemulsification, irrigation/aspiration (IA), vitrectomy, and extrusion/fragmentation, respectively. †IOP setpoint as low as 16 mmHg (posterior) and 20 mmHg (anterior) without exceeding a mean fluctuation of 4.19 ± 1.97 mmHg.   References: Hypervit Directions for Use. TetraSpot Multi-spot Laser Probe Directions for Use. UNIFEYE Directions for Use. Alcon Data on File, 2024. [REF-24644] Alcon Data on file, 2024. [REF-24615] Alcon Data on File, 2024. [REF-24379] Alcon Data on File, 2024. [REF-24615] Alcon Data on File, 2024. [REF-24576] UNITY VCS and CS User Manual. Alcon Data on File, 2024. [REF-27800] Gerardo GS, Chow DR. Shovel and Cut Technique: Beveled Vitrectomy Probes to Address Diabetic Tractional Retinal Detachments. Retina. 2023. 1;43(7):1207-1208 Berrocal MH. All-probe vitrectomy dissection techniques for diabetic tractional retinal detachments: Lift and shave. Lift and Shave. Retina. 2018 Sep;38 Suppl 1:S2-S4. González-Saldivar G, Chow DR. The Shovel and cut technique: Beveled vitrectomy probes to address diabetic tractional retinal detachments. Retina. Published online ahead of print. doi:10.1097/IAE.0000000000002938. Po-Lin Chen, Yan-Ting Chen, San-Ni Chen, Comparison of 27-gauge and 25-gauge vitrectomy in the management of tractional retinal detachment secondary to proliferative diabetic retinopathy. Plos One. 2021:16(3) Kasi SK, Hsu J, Hariprasad SM. Making the Jump to 27-Gauge Vitrectomy: Perspectives. Ophthalmic Surgery, Lasers and Imaging Retina. 2017;48(6):450-456. doi:10.3928/23258160-20170601-02 James M. Lai, et all. Mechanical Property Comparison of 23-, 25- and 27-gauge Vitrectors Across Vitrectomy Systems. Ophthalmology Retina. 2022. Alcon Data on File, 2024. [REF-09694] Alcon Data on File, 2024. [REF-25374] Alcon Data on File, 2024. [REF-24899] Scarfone HA, Rodriguez EC, Rufiner MG, Riera JJ, Fanego SE, Charles M, Albano R. Vitreous-lens interface changes after cataract surgery using active fluidics and active sentry with high and low infusion pressure settings. J Cataract Refract Surg. 2024 Apr 1;50(4):333-338. doi: 10.1097/j.jcrs.0000000000001359. PMID: 37938025; PMCID: PMC10959530. Liu Y, Hong J, Chen X. Comparisons of the clinical outcomes of Centurion® active fluidics system with a low IOP setting and gravity fluidics system with a normal IOP setting for cataract patients with low corneal endothelial cell density. Front Med (Lausanne). 2023 Nov 23;10:1294808. doi: 10.3389/fmed.2023.1294808. PMID: 38076276; PMCID: PMC10704024. Taiki Kokubun, et al. Verification for the usefulness of normal tension cataract surgery. Hanga Beres, et al. Does low infusion pressure microinsision cataract surgery (LIPMiCS) reduce the frequency of post-occulsion breaks? 2022. 66(2) Rauen MP, Joiner H, Kohler RA, O'Connor S. Phacoemulsification using an Active Fluidics System at Physiologic versus High IOP: Impact on Anterior and Posterior Segment Physiology. J Cataract Refract Surg. 2024 Apr 8. doi: 10.1097/j.jcrs.0000000000001457. Epub ahead of print. PMID: 38595209.   © 2026 Alcon Inc.   04/26   US-UVC-2600054

CardioNerds (Drs. Rawan Amir, Tripti Gupta, and Alysha Joseph) discuss the fundamentals of adult congenital heart disease (ACHD) surgery with Dr. Elizabeth Stephens.  Audio editing by CardioNerds academy intern, Grace Qiu.  Using a case of a young adult undergoing a Ross procedure, the episode walks through what happens in the operating room—from induction and intraoperative transesophageal echocardiography (TEE) to cardiopulmonary bypass (CPB), myocardial protection, and surgical repair. The discussion highlights key concepts including cardioplegia, cross-clamp and bypass times, hypothermic circulatory arrest, and the complexity of redo sternotomy. This episode provides learners with a practical framework to interpret operative reports, anticipate postoperative physiology, and better collaborate with surgical teams. This episode was produced by the CardioNerds ACHD Council and planned by Dr. Rawan Amir.  CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode Page Pearls “LV distension kills patients.”Preventing left ventricular distension with appropriate venting and awareness of aortic insufficiency is critical to intraoperative safety.  TEE can change the surgical plan in real time.Findings such as underestimated aortic regurgitation, mitral pathology, or a PFO may directly alter cannulation and cardioplegia strategy.  Cross-clamp time = myocardial ischemic time; bypass time = systemic stress.Both are key predictors of postoperative complications including renal injury, bleeding, and ventricular dysfunction.  Redo sternotomy risk is driven by anatomy, not just number.Aorta adherent to the sternum, conduit position, and chamber pressurization define risk more than the number of prior surgeries.  Think longitudinally—ACHD surgery is lifetime planning.Surgical materials and strategies must account for future interventions, especially in younger patients. Notes: Notes drafted by Dr. Alysha Joseph, aided by generative artificial intelligence. What are the key steps in congenital cardiac surgery from incision to closure? Preoperative planning is multidisciplinary, involving surgeon, anesthesia, cardiology, and ICU teams; high-risk inductions (e.g., critical AS, Williams syndrome) are identified early TEE is performed immediately after induction to reassess anatomy and may reveal new findings (e.g., underestimated AI, mitral disease, PFO) Median sternotomy is performed, followed by creation of a pericardial well to optimize exposure Heparin is administered prior to cannulation; arterial and venous cannulas are placed for initiation of CPB Cross-clamp is applied and cardioplegia delivered to arrest the heart, allowing a still and protected operative field Surgical repair (e.g., Ross procedure) is performed, followed by de-airing, cross-clamp removal, and reperfusion Patient is weaned from bypass with TEE reassessment, hemostasis achieved, and chest closed What is cardioplegia and how is it delivered? Cardioplegia is a potassium-rich solution that arrests myocardial activity and reduces metabolic demand Most commonly used solution in the U.S. is Del Nido cardioplegia, originally developed for pediatric myocardium Delivery strategies include: Antegrade (via aortic root) – standard approach  Ostial (direct coronary delivery) – used when aortic root cannot be relied upon  Retrograde (via coronary sinus) – useful in severe AI or coronary disease NOTE: Severe aortic regurgitation can impair antegrade delivery and requires alternative strategies and LV venting  What do cross-clamp time and bypass time represent clinically? Cross-clamp time = duration of myocardial ischemia while the heart is arrested Bypass time = total duration on CPB, reflecting systemic exposure to non-physiologic circulation Prolonged cross-clamp time (>2–3 hours) increases risk of myocardial dysfunction, especially with poor baseline function Longer bypass time is associated with increased risk of renal injury, coagulopathy, and bleeding These metrics often reflect both case complexity and intraoperative challenges What is hypothermic circulatory arrest (HCA) and when is it used? HCA involves complete cessation of blood flow to allow a bloodless surgical field Typically used in complex aortic arch repairs Patients are cooled to ~18°C to reduce metabolic demand and protect organs Duration is ideally limited to

If you're thinking about replacing your hormones as they decline with age, it's important to really think through why you want to take hormones and how you want to take hormones.  So that you're a thinking woman making intelligent decisions about her future rather than an object being acted upon.  Standard practice is that the only reason to take hormones is to take the edge off your most bothersome perimenopausal symptoms and that how you take them is to take the lowest effective dose of estrogen and only to add progesterone if you still have your uterus.  But those aren't the only reasons or methods, and I think understanding alternative frameworks of thinking about hormone replacement will make your future better, whether you decide to keep having periods in your 60s and 70s or not.email me: healthcouragecollective@gmail.comAre you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!Join the Waitlist HereCome visit me: www.healthcouragecollective.comemail me: healthcouragecollective@gmail.com

Aging at an elite level requires acting strategically right now, while you're in your 40s and 50s to give your future self an advantage.  Not just biologically, but also mentally.  The way you choose the things you want to work toward affects whether you're going to be able to push the envelope in terms of what you're capable of becoming in your 70s 80s and beyond.come to my website: www.healthcouragecollective.comAre you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!Join the Waitlist HereCome visit me: www.healthcouragecollective.comemail me: healthcouragecollective@gmail.com

How confident are you in choosing the right dose and right form of melatonin to optimize your health in your 40s and 50s?  Our natural production of melatonin decreases with age and with declining sex hormone levels.  And it affects more than just your sleep.  So is it something you should be taking?  And how much should you take and how often should you take it?   www.healthcouragecollective.comAre you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!Join the Waitlist HereCome visit me: www.healthcouragecollective.comemail me: healthcouragecollective@gmail.com

In this episode, I talk about the Physiologic Flexibility Certification open from April 20 to April 27 and where to get all the details. At the core is physiologic flexibility, which is your body's ability to adapt, perform, and recover across different stressors, not just optimize one thing. I break down the four key systems that drive this: temperature, pH, fuels (carbs, fat, lactate, ketones), and breathing (O₂/CO₂), and how they all work together. We also get into why AI can miss the physiology, how a 30-second Wingate hits all four pillars, and how to apply this to real-world training with 40+ practical takeaways. Episode Sponsor: Physiologic Flexibility Certification: https://physiologic.miketnelson.com/sales Available now: Grab a copy of the Triphasic Training II book I co-wrote with Cal Deitz here. Episode Chapters: 00:19 Cert Enrollment Details 01:36 AI Pitfalls and Cold Plunge Example 04:05 Four Pillars Overview 05:26 Breathing Module Deep Dive 06:39 Homeostasis and Why It Matters 07:39 Basics First Then Add Stressors 08:51 Wingate Example All Systems Overlap 12:05 Time Efficient Programming 13:37 How to Join and Bonuses 14:48 Coach as Translator and Course Structure 16:22 Wrap Up and Medical Disclaimer Get In Touch with Dr Mike: Instagram: https://www.instagram.com/drmiketnelson/ YouTube: https://www.youtube.com/@flexdietcert Email: Miketnelson.com/contact-us

In this episode, we explore how REBOA can become an integrated tool for deliberate physiologic support in profound shock. REBOA is a word that immediately commands attention in pre-hospital care. For many teams, it represents the edge of capability, a high-stakes intervention reserved for catastrophic haemorrhage and profound shock.  Many clinicians still think of it primarily as a haemorrhage-control device: inflate fully, plug the leak, and hope for the best. But in profound shock, bleeding is only part of the problem. Coronary perfusion hinges on proximal aortic diastolic pressure, and if the heart isn't being perfused, everything else we do is on borrowed time. Today's guests, Dr Jon Barratt and Dr Halden Hutchinson-Bazely, sit at the cutting edge of this shift in thinking. Jon is a Consultant in Emergency Medicine and Pre-Hospital Emergency Medicine with the British Army and the NHS, serving as Clinical Lead for Research and Clinical Innovation at Yorkshire Air Ambulance and as a MERIT Consultant with West Midlands Ambulance Service. He is a Senior Lecturer with the Academic Department of Military Emergency Medicine and a founding force behind the SPEAR programme, a resuscitation training initiative that leverages ultrasound-guided arterial access and physiologic targets to support patients in deep shock. Jon was also principal investigator for the ERICA-ARREST trial, investigating the use of REBOA to augment coronary perfusion in out-of-hospital cardiac arrest. Hutch is a pre-hospital care doctor at London's Air Ambulance (LAA), specialising in exsanguination, and an intensive care doctor at St Bartholomew's Hospital, specialising in ECMO. He is practising in endovascular resuscitation across the spectrum of the medical and trauma fields. Together with Jon, he is a SPEAR and EVTM faculty member and was an investigator for ERICA-ARREST. He brings a thoughtful and clinically grounded perspective to trauma management, with a focus on practical decision-making in high-pressure environments. His work reflects a commitment to evidence-informed practice and continual learning within acute care systems.You can find more on SPEAR here: https://journals.sagepub.com/doi/10.1177/11297298241242157And here: https://www.eaaa.org.uk/what-we-do/research-and-education/clinical-education/spear 

In this episode, Dr. Sanda Moldovan and Dr. David Frey discuss the significant role of physiologic dentistry in treating chronic pain, particularly TMJ disorders. They explore the symptoms of TMJ, the importance of understanding bite alignment, and how advanced technologies like CT scans can enhance diagnosis and treatment. The conversation also delves into the holistic approach to dentistry, emphasizing the connection between oral health and overall wellness, as well as practical steps for patients seeking relief from jaw tension and grinding. Want to see more of The Holistic Dentistry Show? Watch our episodes on YouTube! Do you have a mouth- or body-related question for Dr. Sanda? Send her a message on Instagram! Remember, you're not healthy until your mouth is healthy. So take care of it in the most natural way.    Key Takeaways: (00:00) Introduction and Celebration of Milestones (00:29) Understanding Neuromuscular Dentistry (03:20) Identifying TMJ Symptoms and Patient Profiles (05:53) The Evolution of Physiologic Dentistry (08:42)Tools and Techniques in TMJ Diagnosis (11:30) Advanced Technologies in Dentistry (14:16) The Impact of Dental Work on TMJ Health (16:37) The Interconnectedness of Dentistry and Overall Health (19:16) Understanding Airway and Bite Positioning (21:58) The Art and Science of Smile Makeovers (26:14) The Impact of Bite on Facial Aesthetics (29:48) Oral Health's Role in Whole Body Wellness (31:10) Addressing Chronic Jaw Tension and Grinding Guest Info David Frey Connect With Us:  AskDrSanda | YouTube BeverlyHillsDentalHealth.com | Instagram  DrSandaMoldovan.com | Instagram  Orasana.com | Instagram  

EPISODE SUMMARY In this episode, Arundhati Parmar interviews Shalin Shah, CEO of Marius Pharmaceuticals, about Testosterone Replacement Therapy (TRT) and the long-standing regulatory classification that places testosterone as a Schedule III controlled substance. Shah explains that testosterone was scheduled in 1990 following Olympic doping scandals — despite opposition at the time from the FDA, DEA, and the American Medical Association. More than 30 years later, he argues that the regulatory framework no longer reflects current clinical evidence and may be doing more harm than good. The conversation explores: The scientific evidence surrounding cardiovascular and prostate safety The differences between injectable and oral testosterone therapies The stigma and logistical barriers created by controlled substance status How GLP-1 drugs intersect with hormone health and muscle preservation The possibility of expanding testosterone therapy access to women Whether the current regulatory environment may revisit testosterone scheduling At its core, this episode examines whether testosterone is being regulated based on outdated controversy rather than modern clinical science — and what that means for patients navigating care today. Episode Resources Connect with Arundhati Parmar aparmar@medcitynews.com  https://twitter.com/aparmarbb?lang=en https://medcitynews.com/ KEYWORDS Testosterone Replacement Therapy TRT regulation Schedule III classification Controlled substances Hormone therapy stigma Men's health Women's hormone therapy TRAVERSE study Cardiovascular risk Prostate cancer risk Oral testosterone Injectable testosterone Hematocrit levels GLP-1 muscle loss Hypogonadism FDA regulation Healthcare policy Hormone optimization   EPISODE HIGHLIGHTS 00:00–01:40 - Why testosterone became a Schedule III controlled substance in 1990 01:40–02:30 - Political backlash after Olympic doping scandals 02:30–03:56 - Testosterone as the only controlled hormone 03:56–04:58 - The physiologic role of testosterone across multiple organ systems 04:58–06:19 - Cardiovascular and prostate cancer risk: What the TRAVERSE study showed 06:19–07:04 - Physiologic vs. supraphysiologic dosing 07:04–08:49 - How controlled status creates stigma and access barriers 08:49–10:10 - Provider tracking, pharmacy hurdles, and patient friction 10:10–11:48 - Would deregulation increase abuse or doping? 11:48–13:20 - GLP-1 drugs, rapid weight loss, and muscle preservation 13:20–15:08 - Testosterone in women: The overlooked half of the population 15:08–16:22 - Injectable vs oral TRT: Mimicking natural diurnal rhythms 16:22–17:40 - Hematocrit elevation differences between injections and oral therapy 17:40–19:07 - Side effect profiles and hormone signaling differences 19:07–20:32 - Go-to-market strategy: Cash pay vs insurance coverage 20:32–21:24 - Stigma among payers and barriers to reimbursement 21:24–22:43 - Expanding label indications and idiopathic hypogonadism 22:43–22:22 - Could the current administration reconsider testosterone scheduling?  

Why does T3 feel life-changing for some people — and destabilizing for others? In this episode of Thyroid Answers, Dr. Eric Balcavage explains why the answer isn't about the medication itself, but about the physiologic state of the person receiving it. You'll learn why T3 can support recovery in some cases and create symptom volatility in others, and why labeling T3 as "good" or "bad" misses the real issue entirely. This episode introduces a clear, state-based framework: Resiliency — regeneration and adaptive capacity Chronic strain — long-term repair and compensation Overload — defensive, survival-focused physiology Dr. Balcavage explains how T3 interacts differently in each state, why adding T3 can suppress TSH and reduce T4 reserves, and why labs can look better even as physiology becomes less stable. Topics Covered T3 medication benefits and risks Physiologic state and thyroid response Why T3 works for some but not others TSH suppression and T4 reserve depletion Adaptive vs forced thyroid output Why thyroid research produces mixed results This episode is essential for anyone taking T3, considering T3, or trying to understand why thyroid medication responses vary so dramatically.

In this episode, I discuss panic attacks and underlying vulnerabilities that can increase the sensitivity of our alarm system. * What is a panic attack and what does it feel like? * What neurotransmitters are involved?* What is panic disorder?* What nutritional, genetic, and hormonal factors can be at play?* What types of inflammation and toxicity can lead to panic attacks?* How do the immune, limbic and autonomic nervous system contribute?* How does insecure attachment, trauma and stress interact with these other vulnerabilities?Takeaways* Panic attacks occur when the brain's alarm system is overly sensitive.* Physical symptoms of panic attacks can be debilitating and terrifying.* Underlying physiological factors contribute to vulnerability to panic attacks.* Neurotransmitters like norepinephrine and GABA play crucial roles in panic disorders.* Hormonal imbalances, especially in women, can increase the likelihood of panic attacks.* Mast cells are involved in the immune response and can trigger panic symptoms.* Biotoxins, such as mold toxins, can contribute to mast cell activation, limbic system dysfunction and autonomic nervous system dysfunction* Limbic system dysfunction can lead to heightened anxiety and panic.* The autonomic nervous system regulates our fight or flight response.* Emotional stressors and trauma can contribute to panic attacks, but appear to be aligning with other physiologic vulnerabilitiesChapters00:00 Understanding Panic Attacks03:07 Physiological Factors Behind Panic Attacks06:00 Neurotransmitters, Nutrient Levels and Panic Disorder08:52 The Role of Genetic Variants & Hormones in Panic Attacks12:07 Inflammation and Panic Attacks14:53 Mast Cells - The Bridge Between the Immune & Central Nervous Systems18:06 Biotoxins and Their Impact on Panic21:00 Limbic System Dysfunction and Panic24:11 The Autonomic Nervous System's Role26:45 Emotional Stressors and Panic AttacksAs always, I welcome any comments and questions. Your interests and what you care about helps guide the information I share. Also, its really nice for me to be in conversation and learning from you.Until next time,CourtneyTo learn more about my discovery calls, non-patient consultations, or mentoring, please visit my website at:CourtneySnyderMD.comMedical Disclaimer:This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

Part 2 goes from definitions to implications.Bottom-up pain does not mean “it's in the tissues.”This episode is a recording of a live interview with pain researcher and clinician Asaf Weissman. If you haven't watched Part 1, start there—we laid the foundation: why pain semantics matter, how mixed messages harm patients, and why “nothing is wrong with your body” is an overreach.In Part 2, we dig into:What “always bottom up” actually means (and what it doesn't)Structural paradigm vs pathophysiology: why imaging often fails usWhy stress, fear, and emotions are usually modulators, not causesThreshold models: when trajectories may (and may not) be changeableThe case for neuroimmune mechanisms in chronic pain statesWhere diagnostics and biologics may take chronic pain care nextWhat role physios may play as case managers and guidesThis is the second half of a two-part series. Part 1 builds the framework. Part 2 challenges how we interpret evidence, scope, and clinical uncertainty—while staying anchored to what helps the patient in front of you.*********************************************************************

Most people think of metabolic health as just managing blood sugar or burning fat efficiently but the ability to adapt to stress, perform under pressure, and recover from it all… that's the true definition of a resilient body.On this episode of THE CHASING CLARITY HEALTH & FITNESS PODCAST, I'm joined once again by Dr. Mike T. Nelson to break down metabolic flexibility, physiologic flexibility, and how building adaptability across multiple systems of the body creates a healthier, more responsive physique.HERE IS WHAT WE COVER️ WHAT METABOLIC FLEXIBILITY ACTUALLY MEANS & WHY IT'S CRITICAL FOR PERFORMANCE, RECOVERY & BODY COMP️ HOW TO IMPROVE FUEL ADAPTABILITY THROUGH NUTRITION, TRAINING, MOVEMENT, ETC.WHAT PHYSIOLOGIC FLEXIBILITY IS THE 4 SYSTEMS OF PHYSIOLOGIC FLEXIBILITY THAT DETERMINE STRESS RESILIENCE • TEMPERATURE REGULATION • OXYGEN & CO₂ TOLERANCE • FUEL USAGE • ACID-BASE BALANCE️ HOW TO USE COLD, HEAT, BREATHWORK, HIIT & NUTRITION TO BUILD A BODY THAT'S HARDER TO DERAILIf this episode gives you a new lens on health & performance, share it with a friend, post it on your stories, and tag us with your biggest takeaway.A HEALTHY BODY IS A RESPONSIVE BODY.A FLEXIBLE BODY IS A RESILIENT BODY.WHERE TO CONNECT WITH ME:Follow Brandon on IG: https://www.instagram.com/brandondacruz_/Email: Bdacruzfitness@gmail.comFor Info on Brandon's Coaching, Consultation & Mentorship Services: https://form.jotform.com/bdacruzfitness/coachinginquiryBrandon's Website: https://www.brandondacruzfit.com

This episode is part of a three-part series on titled “The Pressure is on: Enhancing Anesthesia Care for Parturients with Hypertensive Disorders of Pregnancy.” In this first installment, Joe Navarrete, a third-year student registered nurse anesthetist (SRNA) at the Yale New Haven Hospital School of Nurse Anesthesia, delivers a high-yield, system-by-system breakdown of the expected […]

Contributor: Taylor Lynch, MD Educational Pearls: A recent study published in a pediatric journal in April 2025 compared temporal and oral thermometers Paired temperature measurements (temporal and oral temperature within 30 minutes) were obtained from 1,412 pediatric patients 26% of patients had statistically different temporal and oral temperatures The temporal reading was always lower than the oral reading Children less than 12 years old were 2-3x more likely to actually have that statistical difference in temperatures The study also evaluated 1,000 adult patients 36% had a temporal temperature that was 0.5 degrees Celsius lower than the oral temperature Reasons for the statistical difference between the two types of thermometers: Environment: temporal thermometers are affected by ambient room temperature, diaphoresis, and inaccuracy in measuring temperature at the site of the temporal artery Physiologic: a patient with inadequate perfusion will not have an accurate temporal reading Impact: Obtaining an accurate temperature is crucial in patient care For example, in the setting of sepsis, temperature is a necessary component to identifying when a patient meets SIRS criteria References Salhi RA, Meeker MA, Williams C, Iwashyna TJ, Samuels-Kalow ME. Inaccuracy of Temporal Thermometer Measurement by Age and Race. Acad Pediatr. 2025 Apr;25(3):102620. doi: 10.1016/j.acap.2024.102620. Epub 2024 Dec 15. PMID: 39681266. Summarized by Meg Joyce, MS2 | Edited by Meg Joyce & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

In this episode, I'm sharing a special rebroadcast of my chat with Dr. Mikki Williden all about physiologic flexibility, including how to train your body to handle stress and adapt better. We cover metabolic flexibility, heat and cold exposure, sauna and cold therapy, lactate and buffering systems, plus CO₂ and O₂ tolerance. You'll learn how these systems connect to boost performance, recovery, and body composition in a healthy, sustainable way.Sponsor:Physiologic Flexibility Certification Course open Monday, Oct. 13 to Monday, Oct. 20: https://miketnelsons.samcart.com/products/physflex/Triphasic 2 book now available!Go to https://triphasic2.com/Episode Chapters:01:39 Introduction by Dr. Mikki Williden02:43 Dr. Mike T. Nelson's Background06:53 Discussion on Metabolic and Physiologic Flexibility15:09 Personal Experiences and Experiments16:28 Cold Exposure and Its Effects25:28 Heat Exposure and Adaptation31:36 Psychological Benefits of Cold Exposure34:31 Practical Recommendations for Cold and Heat Exposure39:52 Understanding pH Balance and Acid Tolerance41:52 Understanding Lactate and Its Role in Exercise43:19 Buffering Systems and Supplements49:11 High-Intensity Interval Training (HIIT) Insights53:02 Breathing Techniques and CO2 Tolerance57:44 Altitude Training and Oxygen Regulation01:06:34 Metabolic Flexibility and Ketones01:14:39 Conclusion and Final ThoughtsGet In Touch with Dr Mike:Instagram: https://www.instagram.com/drmiketnelson/YouTube: https://www.youtube.com/channel/UCn1aTbQqHglfNrENPm0GTpgEmail: https://miketnelson.com/contact-us/

In this episode of the Flex Diet Podcast, I chat with Dr. Blaine Lints, a former Navy SEAL and performance physiologist, about boosting performance, muscle, and resilience through flexible strategies. We dig into his research on ketones, caffeine, and theacrine, plus his work using Ibogaine for TBI recovery. I also break down how physiologic flexibility ties it all together for next-level performance and recovery.If you're into cutting-edge performance science, brain optimization, or just want to hear two nerds talk physiology and Navy SEAL mental toughness, this one's for you.Sponsors:Beyond Power Voltra 1: https://www.beyond-power.com/michael13Tecton Ketone Esters: https://tectonketones.comAvailable now:Grab a copy of the Triphasic Training II book I co-wrote with Cal Deitz here.Episode Chapters:07:30 Interview with Dr. Blaine Lints Begins08:20 Research on Caffeine and Theacrine22:12 Dr. Lints' Ironman Journey34:23 Exploring Ketones and Heat Stress52:56 Exploring Ketone Esters and Their Benefits53:52 Personal Experiences with Ketone Dosages55:28 Research Insights on Ketone Mono Esters57:34 Ibogaine Study for Special Operators01:00:12 Personal Journey with Ibogaine Treatment01:04:23 Potential of Psychedelic Medicines01:10:26 Safety and Legality of Psychedelic Treatments01:18:56 Future of Psychedelic Research and Applications01:26:32 Conclusion and Final ThoughtsFlex Diet Podcasts You May Enjoy: Episode 311: Maximizing Athletic Performance with Neurology: Insights from Dr. Dylan SeeleyYouTube: https://youtu.be/bnuYQ-GJ6to. Episode 167: The Physiologic and Psychologic Benefit of Doing Hard Things: Akshay Nanavati of Fearvana with Dr Mike T NelsonYouTube: https://youtu.be/G_iFVGHZSEsConnect with Blaine:Instagram: https://www.instagram.com/blaineketsGet In Touch with Dr Mike:Instagram: DrmiketnelsonYouTube: @flexdietcertEmail: Miketnelson.com/contact-us

Dr. Chelsie Huseman from Texas A&M University shares some tips and information about the physiologic changes that horses, ponies, donkeys, and mules undergo as they age.My Senior Horse - Episode 29 Guests and Links:Guest: Chelsie HusemanConnect with Host: Kimberly S. Brown of Editorial Director of My Senior Horse | Email Kim (kbrown@equinenetwork.com) | Follow Kim on LinkedIn (@kimberlylsbrown)

In this episode, we review the high-yield topic ⁠Physiologic Changes in Pregnancy ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Obstetrics section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

Interview with Margaret Infeld, MD, MS, author of Clinical Outcomes With Personalized Accelerated Physiologic Pacing in Heart Failure With Preserved Ejection Fraction: Follow-Up of the myPACE Trial. Hosted by Robert Bonow, MD. Related Content: Clinical Outcomes With Personalized Accelerated Physiologic Pacing in Heart Failure With Preserved Ejection Fraction

Interview with Margaret Infeld, MD, MS, author of Clinical Outcomes With Personalized Accelerated Physiologic Pacing in Heart Failure With Preserved Ejection Fraction: Follow-Up of the myPACE Trial. Hosted by Robert Bonow, MD. Related Content: Clinical Outcomes With Personalized Accelerated Physiologic Pacing in Heart Failure With Preserved Ejection Fraction

A 17 yo male presents for follow up on a “fainting” episode that occurred during football practice at the end of a running exercise. He states, “I do not know what happened. We finished a set of running sprints and next thing I knew, I was on the ground.” He denies injury from the event and history of prior episodes. His physical examination reveals a crescendo-decrescendo systolic murmur heart best at the apex, increasing in intensity with position change from supine to standing position.  This most likely represents: A. Mitral regurgitation B. Physiologic murmur C. Hypertrophic cardiomyopathyD. Aortic stenosis Visit fhea.com to learn more!

Send us a textDoulas play a critical role in supporting women through childbirth—but their work is anything but easy, and their work isn't for the faint of heart. Many face disrespect from providers and routinely witness coercion, misinformation, and violations of informed consent. Even with their deep commitment to the women they serve, doulas often feel powerless in the face of hospital systems driven by profit and control. Still, many doulas are called to this work—and despite everything, they continue with resilience, purpose, and unwavering commitment.Doulas are indispensable. The evidence is clear: When a doula is present, C-section rates drop -- as do all other routine interventions. Physiologic birth is more likely. Breastfeeding is more successful. And most important, mothers walk away feeling more satisfied and supported. Doulas are, and always have been, the original birth keepers. Their presence makes birth safer, more humane, and more aligned with what women actually want and need.In today's episode, we hear directly from doulas about what they're up against—and why, despite it all, they keep showing up. We also share our reflections on what it means to support doulas as they continue this vital work.**********Our sponsors:Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample packConnect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWNWatch the full videos of all our episodes on YouTube Primally Pure: From soil to skin, Primally Pure products are made with down-to-earth ingredients that feel and smell like heaven for the skin. Promo code: DOWNTOBIRTH for 10% off. ENERGYBits: Get the superfood Algae every mother needs for pregnancy, postpartum, and breastfeeding. Promo code: DOWNTOBIRTH for 20% off. Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Watch the full videos of all our episodes on YouTube! Work with Cynthia: HypnoBirthingCT.com Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

Welcome to the Mind Muscle Connection Podcast!In this episode, I'm joined by Dr. Mike T. Nelson to talk about Cardio For Lifters, Physiologic Flexibility & Stress Resilience, D9 Caffeine and more.We cover how much cardio you really need if your goal is muscle, ways to improve VO2 max without burning out, how to train around big life stressors, and Dr. Mike's concept of “Physiologic Flexibility” for building long-term resilience.This is a very informative episode, so don't miss out!Let's talk about:Dr Mike T. NelsonAerobic trainingCardio for liftersD9 CaffeinePhysiologic FlexibilityStress ResilienceHeat adaptationsCold exposureDr. Mike's Newslettter: https://miketnelson.com/ Follow me on Instagram for more information and education:  jeffhoehn_FREE 30 Min Strategy Call: HEREBody Recomp Masterclass: HERENutrition Periodization Masterclass: HEREHow You Can Work With Me?: HERECoaching application: HEREBody Recomp Checklist 2.0: https://chipper-producer-6244.kit.com/26b5c9f94a

Rock talks with Performance Coach, Ricardo Urbina about training NFL players, big waves surfers, and endurance athletes. Give a listen and click subscribe.TIME STAMPS2:15 Who is Ricardo Urbina?5:30 Life after Ironman triathlons9:00 Free dive training12:00 Big wave surfing and breath hold training18:00 Breath training for the NFL Combine23:00 Too much noise27:00 Variety of breath work31:30 Physiologic changes due to breath training35:00 Oxygen depletion and fatigue38:00 Safety protocols for breath training40:30 Integrating breathing into normal training44:00 Daily routine50:00 Lion breath for focus and sharpness53:00 Apex Peak PerformanceGET TO KNOW RICARDO URBINALINKEDIN: https://www.linkedin.com/in/ricardourbina/INSTA: https://www.instagram.com/rwurbina/APEX WEBSITE: https://www.apexapneappc.com/GET TO KNOW ROCKY SNYDERMEET: Visit the Rocky's online headquarters: RockySnyder.comREAD: Grab a copy of his new "Return to Center" book: www.rockysnyder.comINSTA: Instagram fan, check him out at https://www.instagram.com/rocky_snyder/FACEBOOK: https://www.facebook.com/rocky.snyder.77LINKEDIN: https://www.linkedin.com/in/rocky-snyder-cscs-cafs-nsca-cpt-a77a091/TRAIN WITH ROCKY WORKOUT: Want to meet Rocky and get a private workout: https://rfcsantacruz.com/INSTA: https://www.instagram.com/rockysfitnesssc/FACEBOOK: Facebook.com/RockysFitnessCenter

In this episode of the Rena Malik, M.D. podcast, Dr. Rena Malik talks with Dr. Nicole Prause about the complexities of orgasm and sexual response in the brain. Dr. Prause discusses her research on the changes that happen as individuals near climax, suggesting a possible undocumented phase in the sexual response cycle. They explore the role of cognitive control in achieving orgasm and examine the practice of semen retention, noting that its purported benefits lack scientific support. The conversation also highlights the challenges researchers face in the field of sexual health. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Introduction 00:11 Brain activity during orgasm 01:27 Sexual response cycle theory 03:20 Orgasms and cognitive control 05:02 Edging and brain states 06:21 Semen retention discussion 08:52 Physiologic basis of focus 15:30 Online forum dangers 19:23 Pornography and pair bonding 21:26 Oxytocin and relationships Stay connected with Dr. Prause on social media for daily insights and updates. Don't miss out—follow her now and check out these links! X - https://x.com/NicoleRPrause Facebook - https://www.facebook.com/LiberosCenter LinkedIn - https://www.linkedin.com/in/nprause/ ResearchGate - https://www.researchgate.net/profile/Nicole-Prause https://bsky.app/profile/nicolerprause.bsky.social www.liberoscenter.com Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome back to the Flex Diet Podcast. I'm your host, Dr. Mike T. Nelson. In this episode, I'm excited to announce that the Physiologic Flexibility Certification will be open from March 17th to March 24th, 2025.I'll also be heading to Parker University Talks in Las Vegas, where I'll be speaking alongside some incredible experts in the field.Today, we're diving deep into Physiologic Flexibility—the key to upgrading your performance by targeting homeostatic regulators like temperature, pH balance, expanded fuel sources, and oxygen/CO₂ regulation. These elements are critical for adapting to stress and pushing your resilience to the next level.I'll discuss practical applications for exercise, nutrition, and sleep and how to strategically apply stress to become more antifragile. Whether you're into high-tech solutions or prefer simple, low-tech methods, this episode has actionable insights to help you maximize your recovery and performance.Tecton Life Ketone drink! https://tectonlife.com/ DRMIKE to save 20%LMNT electrolyte drink mix: miketnelsonlmnt.comPhysiologic Flexibility Certification Course open Monday, March 17 to Monday, March 24: https://miketnelsons.samcart.com/products/physflex/Triphasic 2 book now available!Go to https://triphasic2.com/Episode Chapters:00:18 Physiologic Flexibility Certification Announcement00:43 Upcoming Events and Speakers01:57 Key Concepts of Physiologic Flexibility05:46 Understanding Antifragility10:52 Practical Applications and Interventions16:08 Conclusion and Contact InformationGet In Touch with Dr Mike:Instagram: https://www.instagram.com/drmiketnelson/YouTube: https://www.youtube.com/channel/UCn1aTbQqHglfNrENPm0GTpgEmail: https://miketnelson.com/contact-us/

Welcome to the Mind Muscle Connection Podcast!In this episode, we're thrilled to welcome back Dr. Mike T. Nelson for his third visit to discuss how to support cognitive function, physiological flexibility, and more!We dive into practical steps you can take to enhance your daily movement, break free from sedentary habits, and integrate more physical activity into your life—leading to significant improvements in both body composition and mental clarity. Plus, Dr. Mike shares valuable tips on supporting cognitive function, the importance of recovery, and the concept of metabolic versus physiological flexibility.This episode is packed with actionable advice, so be sure to tune in!Let's talk about:IntroductionUpdate on Dr. Mike T. NelsonWalking and daily movementExercise energy expenditureCognitive functionPhysiologic flexibility vs. Metabolic flexibilityBody temperatureWhere to find Dr. MikeDr. Mike's Newslettter: HEREFollow me on Instagram for more information and education:  @jeffhoehn_FREE 30 Min Strategy Call: HEREBody Recomp Masterclass: HERENutrition Periodization Masterclass: HEREHow You Can Work With Me?: HERECoaching application: HERE

In this podcast, Dr. Valentin Fuster discusses a study on the long-term outcomes of two surgical approaches—anatomic and physiologic repair—for congenitally corrected transposition of the great arteries. The findings suggest that while the complex anatomic repair offers better survival and reintervention-free outcomes, patient selection is crucial, with careful consideration needed, especially for asymptomatic infants or those with preoperative pulmonary artery banding.

Send us a textAnnouncement: Between now and year-end, we will be releasing a 50/50 mixture of new episodes interspersed with old-favorites, due to the sudden loss of Cynthia's husband in November. We have a new episode coming next week, and will be back to our usual production schedule by New Year's. If you'd like to donate a gift to the GoFundMe that was set up for Cynthia and her family, you may do so here. Thank you to everyone for your beautiful messages, gifts and prayers.Please keep an eye out for new content and an expanded Down to Birth platform on Patreon, including a new Community feature where listeners can post questions for us and each other. To join and gain instant access to our entire library of video content, go to our Patreon and sign up.Onto the show:In this episode, we have Barbara Harper on the podcast with us. Barbara is a midwife, author, and the founder of WaterBirth International, which she founded exactly 40 years ago. She is a world-expert in birthing and to this day travels the globe educating obstetricians, nurses and midwives on physiologic birth.Few mothers are given the opportunity to birth their placentas in the water, but is it really necessary to move women post-birth into a bed to complete the third stage (placental birth) of labor?  In order to explain whether this is the right choice for any mother and baby, Barbara walks us through the most common causes of postpartum hemorrhage, how to prevent it, and the critical understanding of newborn transitional physiology: what she says is literally the most important moment in any human being's life.Is fundal massage necessary? When is the optimal time to cut the cord? What is the case for keeping the cord attached until the placenta is fully birthed? Is manual extraction of the placenta ever justified? These are some of the questions we answer in today's episode with Barbara.Barbara HarperWaterbirth International#100 | The Benefits of Water Birth: Interview With Barbara Harper of Waterbirth International#122 | Provider Green Lights: Interview with Barbara Harper on Holistic, Respectful & Supportive Birth Providers**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all sponsors.Support Cynthia's family here: https://www.gofundme.com/f/support-cynthia-overgards-family-after-tragic-loss Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

In this episode of Happy Hour with Bundle Birth Nurses, Sarah Lavonne dives into the journey behind the creation of the Physiologic Birth Class. From working in a highly medicalized L&D unit to later experiencing a contrasting approach in a more affluent hospital, Sarah's nursing career shaped her vision for promoting physiologic birth. Driven by a desire to empower nurses, she designed this class to equip them with the knowledge and hands-on skills essential for supporting physiologic labor and birth. Thousands of nurses have since been trained and seen the impact on their practice while enhancing birth outcomes, decreasing cesarean rates, reducing trauma, and reshaping the culture of obstetric care. Sarah underscores the power of a nurse's deep understanding of birth physiology to provide truly patient-centered care. Helpful Links:Sign up for our most popular Physiologic Birth ClassMotion takes all the concepts taught in class and practically applies them to your practiceWe train hospitals! Drop your manager's info hereSign up for our monthly newsletter for news & free educationCheck out our physical products that you can use to apply to your physiologic birth practice

On this episode of Marni on The Move' series, Road To The Race: NYC Marathon 2024, Hosts Marnii Salup and Dave Mendelsohn Chat with Physiologist, Sydney Brackett of NYC Performance Lab in NYC. Syncing up about key physiologic tests you can do to level up your performance and dial up your fitness VO2 Max, Lactate Threshold, BMR and 3D Body Composition Analysis and more. Chapters 0:00 Intro 3:13 Understanding V02 Max Testing 6:05 The Imp Of Regular Testing For Athletes 8:53 Comprehensive Testing Service at NYC Performance Lab 11:49 The Role of Grip Strength in Longevity 15:08 Movement Analysis and Injury Prevention 18:02 Lactate Threshold Testing Explained 21:01 The Benefits of Data Driven Training 23:49 Recommended Tests For Athletes 26:57 Conclusion and Final Thoughts

Join me, Dr. Mike T. Nelson, on this episode of the Flex Diet Podcast as I introduce the Physiologic Flexibility Certification, a comprehensive course designed to enhance recovery and resilience. I summarize the 4 pillars of the course: temperature regulation, pH balance, energy sources and breathing. I also discuss the importance of integrating these systems to improve performance and resilience and address common misconceptions. The course is available from October 14th to October 21st, 2024. Tune in for insights into advanced aspects of nutrition, exercise, and recovery and how these can be applied to improve stress management and overall health.Sponsors:Tecton Life Ketone drink! https://tectonlife.com/ DRMIKE to save 20%Dr. Mike's Fitness Insider Newsletter: Sign up for free at https://miketnelson.com/.Episode Chapters:00:23 Physiologic Flexibility Certification Announcement01:08 Course Design and Overlapping Systems03:54 Four Pillars of Physiologic Flexibility05:18 Importance of Systems in Physiology08:20 Practical Applications and Examples13:09 Course Details and ConclusionGet In Touch:Instagram: https://www.instagram.com/drmiketnelson/YouTube: https://www.youtube.com/channel/UCn1aTbQqHglfNrENPm0GTpgEmail: https://miketnelson.com/contact-us/

In my experience hospital staff tend to be more supporting of a natural, hands off birth in the first stage of labor. They may still push for pitocin or cervical checks, but they still tend to leave you to labor on your own. And all that changes once a mom hits transition or starts to feel pushy, then even the most hans off birth may turn intervention heavy. You'll learn: What it means to support physiology and how walking into the hospital disrupts natural labor. The stages of labor and the difference between interventions from beginning to end. The three things you must know to support physiology at any stage or birth. ---- Join the unmedicated girlies and get informed with Unmedicated Academy

Let's get informed on postpartum hemorrhage, so you can make the best decision in the third stage of your birth. Bleeding is a completely normal part of the birth process, but how much is too much?? Hospital providers are terrified of PPH and are treating every single woman preventatively, even when she just had a physiologic birth and there is no reason to assume this stage of birth needs help as well. In this episode I discuss: The current definition of PPH versus the older definition that labels a normal amount of blood loss as concerning. How PPH is assessed and what can cause a hemorrhage in postpartum. If you birth in the hospital, you will have PPH actively managed. Know the difference between active vs expectant management. All of your options and how to avoid PPH ---- Start the 5 Day Empowerment Challenge Get informed on all the stages of hospital birth (and how to support physiology instead) inside Unmedicated Academy

This fascinating interview is with Dr. Eva Selhub who worked at Harvard with Herb Benson developing and understanding about the mind body connection to health. Dr. Selhub is an internationally recognized resiliency expert who has worked as a physician, author, executive coach, keynote speaker, and spiritual advisor. She has written many books, including Burnout for Dummies, Resilience for Dummies, Your Health Destiny, The Stress Management Handbook, The Love Response, and co-authored Your Brain on Nature. Life is filled with opportunities to practice new techniques for resilience, and many in the medical field have had ample chances to refine their skills in this area from personal challenges. This lived experience with investigations into problem-focused solutions is then commonly shared through science-based pursuits and practices. These mixed techniques increase what we know as personal or societal health through medicine. We all benefit from a more mentally and physically flourishing self and society. Dr. Eva Selhub, M.D. has fostered this idea throughout her career, culminating in a resilience strategy for modern times. Learn more about your ad choices. Visit megaphone.fm/adchoices

Rémi Coudroy, PhD, joins journal CHEST Podcast Moderator Alice Gallo De Moraes, MD, to discuss the results of a study into the physiologic effects of reconnection to the ventilator for 1 hour following a successful spontaneous breathing trial.

How is each release of the TAR contributing to the final tension on the anterior and posterior fascia? Join Drs. Michael Rosen, Benjamin T. Miller, Sara Maskal, and Ryan C. Ellis as they discuss their group's recent cohort study of tensiometry in 100 TARs.  Hosts:  - Michael Rosen, Cleveland Clinic - Benjamin T. Miller, Cleveland Clinic - Sara Maskal, Cleveland Clinic - Ryan C. Ellis, Cleveland Clinic, @ryanellismd Learning objectives:  - Review the steps of a TAR - Understand the changes in tension on the anterior and posterior fascia with each step of the TAR - Think about the application this data has to similar operations References:  Miller BT, Ellis RC, Petro CC, Krpata DM, Prabhu AS, Beffa LRA, Huang LC, Tu C, Rosen MJ. Quantitative Tension on the Abdominal Wall in Posterior Components Separation With Transversus Abdominis Release. JAMA Surg. 2023 Dec 1;158(12):1321-1326. doi: 10.1001/jamasurg.2023.4847. PMID: 37792324; PMCID: PMC10551814. https://pubmed.ncbi.nlm.nih.gov/37792324/ Miller BT, Ellis RC, Walsh RM, Joyce D, Simon R, Almassi N, Lee B, DeBernardo R, Steele S, Haywood S, Beffa L, Tu C, Rosen MJ. Physiologic tension of the abdominal wall. Surg Endosc. 2023 Dec;37(12):9347-9350. doi: 10.1007/s00464-023-10346-w. Epub 2023 Aug 28. PMID: 37640951. https://pubmed.ncbi.nlm.nih.gov/37640951/ Ramirez OM, Ruas E, Dellon AL. "Components separation" method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990 Sep;86(3):519-26. doi: 10.1097/00006534-199009000-00023. PMID: 2143588. https://pubmed.ncbi.nlm.nih.gov/2143588/ Hope WW, Williams ZF, Rawles JW 3rd, Hooks WB 3rd, Clancy TV, Eckhauser FE. Rationale and Technique for Measuring Abdominal Wall Tension in Hernia Repair. Am Surg. 2018 Sep 1;84(9):1446-1449. PMID: 30268173. https://pubmed.ncbi.nlm.nih.gov/30268173/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

The best way to avoid unnecessary interventions in labor is to optimize the conditions for physiologic birth to progress. How do we do that? In this episode, we are covering the 5 key practices that have been proven by research to support your body's natural blueprint for birth and reduce the risk of unnecessary interventions.Don't forget to check out the blog postResources mentioned:>>  Clear Your Birth Fears Guide>>  A Path to A Powerful Birth Class>>  FREE Birth Plan Template***If these topics light you up, please rate and review the show on Apple Podcasts, Spotify, or wherever you're listening.After you review the show - snap a pic and upload it here - and I'll send you a little surprise as a thank you.Your feedback helps this podcast grow, and I am so grateful for your support!Disclaimer: The information provided in this podcast is for educational and informational purposes only. Consult with a qualified healthcare professional for personalized advice.

Ever wonder how to make your body bounce back and strengthen? That's where the power of physiologic flexibility comes in. Diving headfirst into the Physiologic Flexibility Certification, you'll get a front-row seat to the intricate ballet of CO2 and oxygen in your body and learn why context is, without a doubt, the ruler of fitness protocols, along with the other key markers of physiologic flexibility I cover in the certification.Enrollment opens today, March 18, 20204 and closes at midnight, March 25, 2024: https://miket.me/PFC-podSponsors:Enroll in the Physiological Flexibility Certification March 18 - March 25: https://miket.me/PFC-podSee discounts for all the products I use and recommend: https://miketnelson.com/faves/Get a Free Sample Pack of all LMNT Flavours with your first box at  http://drinklmnt.com/mikenelson (automatically applied at checkout)Friends of Mike, create an account and get 25% off your first order of Tecton: https://blog.tectonlife.com/ambassador/dr-mike-t-nelson/Episode Chapters:(0:00:00) - Physiologic Flexibility Certification and Core Concepts(0:15:36) - Physiologic Flexibility Certification OverviewGet In Touch:Instagram: https://www.instagram.com/drmiketnelson/YouTube: https://www.youtube.com/channel/UCn1aTbQqHglfNrENPm0GTpgEmail: https://miketnelson.com/contact-us/ 

Join me, Dr. Mike T Nelson, as I embark on a journey through the heart of one of the most extreme environments on Earth with the awe-inspiring Akshay Nanavati, who's gearing up for a solo ski crossing of Antarctica. Together with performance nutrition experts Mike Chesney and UJ from Tecton, we unravel the intricate tapestry of mental and physical preparation required for such an endeavor. Akshay shares his riveting story of overcoming PTSD and transforming into an ultra-runner and explorer, all while we dissect the importance of ketones in fueling such monumental feats of endurance.Episode Chapters:(0:00:01) - Expedition Preparation With Ketones(0:11:16) - Antarctica Expedition and Key Tones(0:19:26) - Preparing for Solo Antarctica Expedition(0:27:58) - Benefits of Ketones for Endurance Expeditions(0:41:00) - Navigating the Pain Cave(0:52:34) - Monitoring and Improving Performance in Endurance(1:01:35) - Importance of Sleep and Expedition PreparationSponsors:See discounts for all the products I use and recommend: https://miketnelson.com/faves/Get a Free Sample Pack of all LMNT Flavours with your first box at  http://drinklmnt.com/mikenelson (automatically applied at checkout)Friends of Mike, create an account and get 25% off your first order of Tecton: https://blog.tectonlife.com/ambassador/dr-mike-t-nelson/Phys Flex Cert opens March 18: http://www.physiologicflexibility.comAkshay:  https://bliss.fearvana.com/greatsoulcrossing?r_done=1Episodes You Might Enjoy:Episode 167: The Physiologic and Psychologic Benefit of Doing Hard Things: Akshay Nanavati of Fearvana with Dr Mike T Nelson: https://miketnelson.com/the-physiologic-and-psychologic-benefit-of-doing-hard-things-akshay-nanvati-of-fearvana/Episode 226: A Deep Dive into Ketones, Astaxanthin, and Cognitive Enhancement with Dr. Hunter Waldman: https://miketnelson.com/deep-dive-into-ketones-astaxanthin-and-cognitive-enhancement-dr-hunter-waldman/Flex Diet Podcast: Dr. Dom D'Agostino on Red Light, Ketones, Fasting, Zapping Monkeys and More: https://miketnelson.com/dr-dom-dagostino-on-red-light-ketones-and-more/Get In Touch:Instagram: https://www.instagram.com/drmiketnelson/YouTube: https://www.youtube.com/channel/UCn1aTbQqHglfNrENPm0GTpgEmail: https://miketnelson.com/contact-us/ 

In today's episode, Cynthia and Trisha break down some of the current guidelines published by ACOG (the American College of Obstetricians & Gynecologists). You'll see many of these guidelines favor physiological birth and stand for minimal medical intervention in exactly the ways we recommend, which makes it  all the more perplexing why so many of today's obstetricians don't follow along. By understanding ACOG's position on common concerns in pregnancy and birth, you can feel more empowered to advocate for what you know is best for you and your baby.  Did you know that ACOG clearly and strongly states that the use of medical coercion is harmful and should never be practiced or that delivery of a baby is not warranted for suspected fetal macrosomia (big baby)? Or that ACOG knows that routine amniotomy (breaking the bag of water) is not necessary and suggests its use does not improve outcomes? Furthermore, ACOG states that ultrasound performed in late pregnancy is associated with an increase in cesarean section, with no evidence of neonatal benefit (yet how many OBs recommend third-trimester ultrasound)? Tune in to hear what this revered medical authority has to say, and stand tall in defense of your physiological birth plan. You'll see ACOG is on your side more than you might have believed, particularly in light of how today's American obstetricians tend to practice.**********Down to Birth is sponsored by:Needed -- Optimal nutritional products to nourish yourself before, during, and after pregnancyDrinkLMNT -- Purchase LMNT with this link today and receive a free sample kit.Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort. Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

Hosts:Pradip Kamat, Children's Healthcare of Atlanta/Emory University School of MedicineRahul Damania, Cleveland Clinic Children's HospitalCase Introduction:6-year-old patient admitted to PICU with severe pneumonia complicated by pediatric Acute Respiratory Distress Syndrome (pARDS).Presented with respiratory distress, hypoxemia, and significant respiratory acidosis.Required intubation and mechanical ventilation.Despite initial interventions, condition remained precarious with persistent hypercapnia.Physiology Concept: Dead SpaceDefined as the volume of air that does not participate in gas exchange.Consists of anatomic dead space (large airways) and physiologic dead space (alveoli).Physiologic dead space reflects ventilation-perfusion mismatch.Pathological Dead Space:Occurs due to conditions disrupting pulmonary blood flow or ventilation.Common in conditions like pulmonary embolism, severe pneumonia, or ARDS.Clinical Implications:Increased dead space fraction (DSF) in PARDS is a prognostic factor linked to severity and mortality.Elevated DSF indicates worse lung injury and inefficient gas exchange.DSF can be calculated using the formula: DSF = (PaCO2 – PetCO2) / PaCO2.Practical Management:Optimize Mechanical VentilationEnhance PerfusionConsider Positioning (e.g., prone positioning)Summary of Physiology Concepts:Bohr equation for physiologic dead space.Importance of lung-protective ventilation strategies.Monitoring and trending dead space fraction.Strategies to improve airway patency and mucociliary clearance.Connect with us!PICU Doc on Call provides concise explanations of critical concepts in pediatric intensive care.Feedback, subscriptions, and reviews are encouraged.Visit picudoconcall.org for episodes and Doc on Call infographics.

Many unmedicated birth moms report having orgasmic birth, but not all moms share the same sentiment. Physiologic birth can be both painful AND orgasmic but there are several reasons why you may have had an unmedicated birth without that orgasm at the end. In this episode I discuss: -How the definition of natural birth has become a lie -The differences and similarities between natural, physiologic, undisturbed, and unmedicated birth -What an orgasmic birth feels like -How orgasms and birth are similar -What to do to support and encourage an orgasmic birth Enter the Season 3 Giveaway and win a box of Frownies 1. Leave a rating and review of the podcast OR share about the podcast on social media and tag me @unapolgoeticallyunmedicated 2. Follow @Frownies, @UnapolgoeticallyUnmedicated on IG 3. Comment on the giveaway post your thoughts on the episode 4. Tag friends in separate comments for extra entries Want to order Frownies? use the code LIZZIE for a discount Next steps... Have questions? Birth Options Workshop: Get clarity on your next step, whether that is choosing a provider, deciding on a birth place or where to start with birth education. RSVP now. Ready to start your birth prep? Birth Prep Class: This 30 minute class will teach you what you can do now to help prepare your mind and body for an unmedicated birth. It's FREE ️ Want to work with me? Unmedicated Academy: The signature program for moms who want to be the boss of their unmedicated birth and be educated, informed and empowered. We will chat each week and you'll be blown away by how much support is inside. Join the empowered mom club Submit a question or testimonial for the show: Leave me a voice message

Women everywhere are talking about the Mrs World Pageant. This is the most attention this pageant has received in years all thanks to Ballerina Farms and her 8 Million followers. But is competing in a pageant at 12 days postpartum really truly empowering? In this episode I discuss: The empowering vs irresponsible debate on glamorizing the early postpartum days. How the homestead community feels deceived by Ballerina Farms and how all Instagram homesteaders are also boss babes. Mom shaming does effect those who are confident and secure in their decisions and know they are doing their best. What is normal? Physiologies normal is different than American's normal. Mentioned on the show: Farm House on Boone - No Knead Bread Farm House on Boone - Birth Video Ballerina Farms - the photo Start the EMPOWERED MOM CHALLENGE, 5 days of episodes and resources for you to take control of your birth now. xo, Lizzie

Additional content and educational resources at ICUedu.org

On July 30, 2023 we released an episode describing the hypertensive “rule of 55” otherwise known as the physiologic approach to hypertension management. The rule of 55 breaks down hypertension into either hyperdynamic/high cardiac output in origin, or systemic vascular resistance in origin. There is plenty of evidence to support this management approach. Late this evening, on November 30, 2023, Obstetrics and Gynecology released a new research letter ahead of print, providing more insights on the physiologic approach to hypertension management. In this episode, we will briefly cover this brand new publication, released just 2 hours ago, and provide clinical application perspectives.

Nick and Fei are on their respective parental leaves (not planned, but we're having babies at the same time!)  In the meantime, we hope you enjoy some re-runs of our most loved episodes.  Check out the website for the Rosh Review question of the week.  Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com

Nick and Fei are on their respective parental leaves (not planned, but we're having babies at the same time!)  In the meantime, we hope you enjoy some re-runs of our most loved episodes.  Check out the website for the Rosh Review question of the week.  Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com