Podcasts about rectal

You have a patient with complicated diverticulitis s/p IR drain with colo-cutaneous fistula and colo-vaginal fistula. They are scheduled for surgery. How will you do it? What is the role for hand assist? How can hand assist help? Tune in to find out! Join Drs. Peter Marcello, Jonathan Abelson, and Tess Aulet as they discuss high yield papers discussing hand assist laparoscopy in Colon and Rectal surgery.  Learning Objectives 1. Describe the technical considerations and how to do hand assist laparoscopic surgery (HALS) 2. Discuss the indications for use of HALS 3. Review literature supporting use of HALS   References: Marcello PW, Fleshman JW, Milsom JW, Read TE, Arnell TD, Birnbaum EH, Feingold DL, Lee SW, Mutch MG, Sonoda T, Yan Y, Whelan RL. Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial. Dis Colon Rectum. 2008 Jun;51(6):818-26; discussion 826-8. doi: 10.1007/s10350-008-9269-5. Epub 2008 Apr 17. PMID: 18418653. https://pubmed.ncbi.nlm.nih.gov/18418653/ Jacobs C, Read TE. "Peek port": avoiding conversion during laparoscopic colectomy-an update. Surg Endosc. 2020 Sep;34(9):3944-3948. doi: 10.1007/s00464-019-07165-3. Epub 2019 Oct 4. PMID: 31586252. https://pubmed.ncbi.nlm.nih.gov/31586252/ Heneghan HM, Martin ST, Kiran RP, Khoury W, Stocchi L, Remzi FH, Vogel JD. Laparoscopic colorectal surgery for obese patients: decreased conversions with the hand-assisted technique. J Gastrointest Surg. 2013 Mar;17(3):548-54. doi: 10.1007/s11605-012-2089-x. Epub 2012 Nov 27. PMID: 23188222. https://pubmed.ncbi.nlm.nih.gov/23188222/ 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

You train for hours. You push your limits. But what if your long-distance running routine is quietly sending a life-threatening signal—and no one's listening?In this powerful episode of Accelerated Health with Sara Banta, we pull back the curtain on a topic most runners are too embarrassed—or too afraid—to talk about.

Vulvodynia is as non-specific as ‘low back pain.' So why are we treating it like one condition?In this Missing Piece episode from the Rising Vault, we're diving into one of the most overlooked areas when it comes to vulvodynia treatment:

T. rex's direct ancestor crossed from Asia to North America Mummy preserved with bizarre rectal embalming method discovered by archaeologists Capable of guiding nuclear weapons, the Russian satellite Cosmos 2553 has gone out of control, experts are sounding the alarm. Russian satellite linked to nuclear weapon program appears out of control, U.S. analysts say | Reuters Mount Pelée begins to erupt, burying Caribbean city Volcanoes, From Field to Lab Dynamics and Impacts of the May 8th, 1902 Pyroclastic Current at Mount Pelée (Martinique): New Insights From Numerical Modeling (VIDEO) They Thought They Were Safe Contact the Show: coolstuffcommute@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textWelcome to a bonus episode of the Cops and Writers Podcast, with me being interviewed on the Things Police See Podcast hosted by Steve Gould!We talk about everything from rectal hot sauce to a last-second murder confession. Check out the most awesome Steve Gould's Things Pollice See Podcast!Check out the new Cops and Writers YouTube channel!Check out my newest book, The Good Collar (Michael Quinn Vigilante Justice Series Book 1)!!!!!Enjoy the Cops and Writers book series.Please visit the Cops and Writers website.What would you do if you lost the one you loved the most? How far would you go to quench your thirst for vengeance?https://a.co/d/2UsJPbaSupport the show

The guys talk Masters, the Green Bay Applebee's chef shares what is on the menu there, Mr. Z talks filmsSee omnystudio.com/listener for privacy information.

The guys talk Masters, the Green Bay Applebee's chef shares what is on the menu there, Mr. Z talks films

The guys talk Masters, the Green Bay Applebee's chef shares what is on the menu there, Mr. Z talks films

The guys talk Masters, the Green Bay Applebee's chef shares what is on the menu there, Mr. Z talks filmsSee omnystudio.com/listener for privacy information.

Trauma Dumping, Golden Showers, Tossed Salads and Keek is Not Fine

Virginia Guiffre has been released from the hospital. The rectal realtor was seen pumping Jeffrey's gasoline. Groceries and brakes. See omnystudio.com/listener for privacy information.

Charlie has lost a lot in the stock market. Jeffrey and his wife have been sleeping in the same bed and will never eat chicken wings with bones in them. At a restaurant in Thailand the skinnier you are the more of a discount you get off your bill. Tariffs increasing the cost of goods. B2 wants to go see Shane Gillis. Woman suing American Airlines after a passenger next to her was masturbating on her flight. Krystle shamed a couple for giving oral sex in a car. JLR burps in Krystle's face. People are upset that a player in the Masters tournament, Angel Cabrera, served time in jail for assaulting women. Rover is trying to be less selfish. Virginia Guiffre has been released from the hospital. The rectal realtor was seen pumping Jeffrey's gasoline. Groceries and new brakes. Snitzer went to Binghamton for a comedy show. A woman suffers from a stinky bottom after her BBL surgery went wrong. Jaylen Wells broke his wrist during a mid-air collision mid game. Stephen A. Smith wants to run for office. See omnystudio.com/listener for privacy information.

Virginia Guiffre has been released from the hospital. The rectal realtor was seen pumping Jeffrey's gasoline. Groceries and brakes.

Charlie has lost a lot in the stock market. Jeffrey and his wife have been sleeping in the same bed and will never eat chicken wings with bones in them. At a restaurant in Thailand the skinnier you are the more of a discount you get off your bill. Tariffs increasing the cost of goods. B2 wants to go see Shane Gillis. Woman suing American Airlines after a passenger next to her was masturbating on her flight. Krystle shamed a couple for giving oral sex in a car. JLR burps in Krystle's face. People are upset that a player in the Masters tournament, Angel Cabrera, served time in jail for assaulting women. Rover is trying to be less selfish. Virginia Guiffre has been released from the hospital. The rectal realtor was seen pumping Jeffrey's gasoline. Groceries and new brakes. Snitzer went to Binghamton for a comedy show. A woman suffers from a stinky bottom after her BBL surgery went wrong. Jaylen Wells broke his wrist during a mid-air collision mid game. Stephen A. Smith wants to run for office.

The diagnosis of cancer is rising in young adults (

Started week with the dismembered Mexican students, and then talked about the civilian execution videos from Syria. Plus those South Korea fighter jets that dropped 8 bombs by accident, Fort Moore back to Benning, South Sudan meltdown, SpaceX failed launch, and a guy in India murdered a special needs man by using a sugarcane stalk up rectum. Music: Gucci Mane/“Shirt Off”

Retired Milwaukee Sergeant Patrick O'Donnell returns to unleash one of the wildest stories I've heard on the show! Patrick's new book, The Good Collar, is out now and is getting great reviews.  Pick up a copy below. Support The Sponsors That Support TPS! Black Box Safety - Instagram @blackboxsafety www.blackboxsafety.com sourcewell@blackboxsafety.com   ProForce Law Enforcement - Instagram @proforcelawenforcement 1-800-367-5855 Special Discount Link for TPS listeners!       tps.proforceonline.com   The Good Collar - Patrick O'Donnell https://a.co/d/hlxfVgL Check out Patrick's Podcast - Cops And Writers https://copsandwriters.com/podcast/   Support the show by joining the Patreon community today! https://www.patreon.com/user?u=27353055 www.thingspolicesee.com Contact Steve - steve@thingspolicesee.com  

Episode 183: Colorectal Cancer in Young AdultsFuture Dr. Avila and Dr. Arreaza present evidence-based information about the screening and diagnosis of colorectal cancer and explain the increasing incidence among young adult and the importance to screen early in high risk groups.  Written by Jessica Avila, MS4, American University of the Caribbean School of Medicine. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.IntroductionJessica: Although traditionally considered a disease only affecting older adults, colorectal cancer (CRC) has increasingly impacted younger adults (defined as those under 50) at an alarming rate. According to the American Cancer Society, CRC is now the leading cause of cancer-related death in men under 50 and the second leading cause in women under 50 (American Cancer Society, 2024). Arreaza: Why were you motivated to talk about CRC in younger patients?Jessica: Because despite advancements in early detection and treatment, younger patients are often diagnosed at later stages, resulting in poorer outcomes. We will discuss possible causes, risk factors, common symptoms, and why early screening and prevention are important. Arreaza: This will be a good reminder for everyone to screen for colorectal cancer because 1 out of every 5 cases of colorectal cancer occur in adults between the ages of 20 and 54. The Case of Chadwick BosemanJessica: Many people know Chadwick Boseman from his role as T'Challa in Black Panther. His story highlights the worrying trend of increasing CRC in young adults. He was diagnosed with stage III colorectal cancer at age 39. This diagnosis was not widely known until he passed away at 43. His case shows how silent and aggressive young-onset CRC can be. Like many young adults with CRC, his symptoms may have been missed or thought to be less serious issues. His death drew widespread attention to the rising burden of CRC among young adults and emphasized the critical need for increased awareness and early screening efforts.Arreaza: Black Panther became a hero not only in the movie, but also in real life, because he raised awareness of the problem in young AND in Black adults. EpidemiologyJessica: While rates of CRC in older populations have decreased since the 1990s, adults under 50 have seen an increase in CRC rates of nearly 50%. (Siegel et al., 2023). Currently, one in five new CRC diagnoses occurs in individuals younger than 55 (American Cancer Society, 2024).Arreaza: What did you learn about the incidence by ethnic groups? Are there any trends? Jessica: Yes, certain ethnic groups are shown to have higher rates of CRC. Black Americans, Native Americans, and Alaskan Natives have the highest incidence and mortality rates from CRC (American Cancer Society, 2024). Black Americans have a 20% higher incidence and a 40% higher mortality rate from CRC compared to White Americans, primarily due to disparities in access to screening, healthcare resources, and early diagnosis. Hispanic and Asian American populations are also experiencing increasing CRC rates, though to a lesser extent.Arreaza: It is important to highlight that Black Americans have the highest rate of both diagnoses and deaths of all groups in the United States. Who gets colorectal cancer?Risk FactorsJessica: Anyone can get colorectal cancer, but some are at higher risk. In most cases, environmental and lifestyle factors are to blame, but early-onset CRC are linked to hereditary conditions. Arreaza: There is so much to learn about colorectal cancer risk factors. Tell us more.Jessica: The following are key risk factors:Modifiable risk factors:Diet and processed foods: A diet high in processed meats, red meat, refined sugars, and low fiber is strongly associated with an increased risk of CRC. Fiber is essential for gut health, and its deficiency has been linked to increased colorectal cancer risk (Dekker et al., 2023).Obesity and sedentary lifestyle: Obesity and physical inactivity contribute to CRC risk by promoting chronic inflammation, insulin resistance, and metabolic disturbances that promote tumor growth (Stoffel & Murphy, 2023).Gut microbiome imbalance: Disruptions in gut microbiota, especially an overgrowth of Fusobacterium nucleatum, have been noted in CRC pathogenesis, potentially causing tumor development and progression (Brennan & Garrett, 2023).Arreaza: As a recap, processed foods, obesity, sedentarism, and gut microbiome. We also have to mention smoking and high alcohol consumption as major risks factors, but the strongest risk factor is a family history of the disease.Non-modifiable risk factors:Genetic predisposition: Although only 20% of early-onset CRC cases are linked to hereditary syndromes such as Lynch syndrome and familial adenomatous polyposis (FAP), individuals with a first-degree relative with CRC are at a significantly higher risk and should undergo earlier and more frequent screening (Stoffel & Murphy, 2023).Arreaza: Also, there is a difference in incidence per gender assigned at birth, which is also not modifiable. The rate in the US was 33% higher in men (41.5 per 100,000) than in women (31.2 per 100,000) during 2015-2019. So, if you are a man, your risk for CRC is slightly higher. Protective factors, according to the ACS, are physical activity (no specification about how much and how often) and dairy consumption (400g/day). Jessica, let's talk about how colon cancer presents in our younger patients.Clinical Presentation and Challenges in DiagnosisJessica: Young-onset CRC is often diagnosed at advanced stages due to delayed recognition of symptoms. Common symptoms include:Rectal bleeding (often mistaken for hemorrhoids)Young individuals may ignore it, believe they do not have time to address it, or lack insurance to cover a comprehensive evaluation.Unexplained weight lossFatigue or weaknessChanges in bowel habits (persistent diarrhea or constipation)This may also be rationalized by dietary habits.Abdominal pain or bloatingIron deficiency anemia.Arreaza: All those symptoms can also be explained by benign conditions, and colorectal cancer can often be present without clear symptoms in its early stages. Jessica: Yes, in young adults, symptoms may be dismissed by healthcare providers as benign conditions such as irritable bowel syndrome (IBS), hemorrhoids, or dietary intolerance, leading to significant diagnostic delays. Arreaza: We must keep a low threshold for ordering a colonoscopy, especially in patients with the risks we mentioned previously. Jessica: We may also be concerned about the risk/benefit of colonoscopy or diagnostic methods in younger adults, given the traditional low likelihood of CRC. Approximately 58% of young CRC patients are diagnosed at stage III or IV, compared to 43% of older adults (American Gastroenterological Association, 2024). Early recognition and prompt evaluation of persistent symptoms are crucial for improving outcomes. Empowering and informing young adults about concerning symptoms is the first step in better recognition and better outcomes for these individuals.Arreaza: This is when the word “follow up” becomes relevant. I recommend you leave the door open for patients to return if their common symptoms worsen or persist. Let's talk about screening. Screening and PreventionJessica: Due to the trend of CRC being identified in younger populations, the U.S. Preventive Services Task Force (USPSTF) lowered the recommended screening age for CRC from 50 to 45 in 2021 (USPSTF, 2021). Off the record, some Gastroenterologists also foresee the USPSTF lowering the age to 40. Arreaza: That is correct, it seems like everyone agrees now that the age to start screening for average-risk adults is 45. It took a while until everyone came to an agreement, but since 2017, the US Multi-Society Task Force had recommended screening at age 45, the American Cancer Society recommended the same age (45) in 2018, and the USPSTF recommended the same age in 2021. This podcast is a reminder that the age of onset has been decreased from 50 to 45, for average-risk patients, according to major medical associations.Jessica: For individuals with additional risk factors, including a family history of CRC or chronic gastrointestinal symptoms, screening starts at age 40 or 10 years before the diagnosis of colon cancer in a first-degree relative. Dr. Arreaza, who has the lowest and the highest rate of screening for CRC in the US? Arreaza: The best rate is in Massachusetts (70%) and the lowest is California (53%). Let's review how to screen:Jessica: Recommended Screening Methods:Colonoscopy: Considered the gold standard for CRC detection and prevention, colonoscopy allows for identifying and removing precancerous polyps.Fecal Immunochemical Test (FIT): A non-invasive stool test that detects hidden blood, recommended annually.Stool DNA Testing (e.g., Cologuard): This test detects genetic mutations associated with CRC and is recommended every three years.Arreaza: Computed tomographic colonography (CTC) is another option, it is less common because it is not covered by all insurance plans, it examines the whole colon, it is quick, with no complications. Conclusion:Colorectal cancer is rapidly emerging as a serious health threat for young adults. The increase in cases over the past three decades highlights the urgent need for increased awareness, early symptom detection, and proactive screening. While healthcare providers must weigh the risk/benefit of testing for CRC in younger adults, patients must also be equipped with knowledge of concerning signs so that they may also advocate for themselves. Early detection remains the most effective tool in preventing and treating CRC, emphasizing the importance of screening and risk factor modification.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Cancer Society. (2024). Colorectal Cancer Statistics, 2024. Retrieved fromhttps://www.cancer.orgAmerican Gastroenterological Association. (2024). Delays in Diagnosis of Young-Onset Colorectal Cancer: A Systemic Issue. Gastroenterology Today.Brennan, C. A., & Garrett, W. S. (2023). Gut Microbiota and Colorectal Cancer: Advances and Future Directions. Gastroenterology.Dekker, E., et al. (2023). Colorectal Cancer in Adolescents and Young Adults: A Growing Concern. The Lancet Gastroenterology & Hepatology.Siegel, R. L., et al. (2023). Colorectal Cancer Statistics, 2023. CA: A Cancer Journal for Clinicians.Stoffel, E. M., & Murphy, C. C. (2023). Genetic and Environmental Risk Factors in Young-Onset Colorectal Cancer. JAMA Oncology.U.S. Preventive Services Task Force. (2021). Colorectal Cancer Screening Guidelines.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Step into the world of trends, technology, and market insights with Howard Lindzon, Phil Pearlman, JC Parets, Michael Parekh, and special guest Packy McCormick! From Fart Coin to Nvidia's groundbreaking AI advancements, this episode dives into the intersection of innovation, humor, and strategy as we explore the opportunities and chaos shaping 2025.

Started 2025 by looking at that mass shooting in Montenegro, and then talked about the Ivory Coast wanting the French army gone. Plus New Orleans truck terror, Green Beret blows up cybertruck at Trump hotel Vegas, South Korea prez drama, Iraqi terrorist fights extradition to Iraq, and a Japanese guy was sitting in a chair when it collapsed; metal shard penetrates his rectum. Music: Nirvana/“I hate myself and want to die.” ‘

Merry Christmas! Started with crazy car attack in Germany, then talked about the dozen deaths at a Georgia ski resort. Also multiple new species discovered in Peru, Russia general assassinated with car bomb, weirdo sprays groceries with poison big killer, China panda influence scheme, and an India cop dies after falling and impaling his rectum with a 30-inch iron bar. Music: Nightcrawl/“Night Time”

Creepy MAGA choade Pete Hegseth will fit right into Trump's cabinet of horrors. Poor Elmo, AKA Elon, didn't get his big stupid pay package from Tesla. A mansion ceased to exist after an extensive turkey fryer fail. Biden pardoned Hunter and an idiot strategist working for DINO Joe Mansion cried foul. Rectal carbuncle Cash Patel is Trump's pic to head up the FBI. Christian Nationalist Joel Webbon blathered a bunch of moronic anti-Semitic mouth drivel. Animals escalated the war upon humans with a tiger mauling in India, and a nasty shark attack in Australia. In Africa, a dude trying to educate people about the deadly black mamba snake died and you will never guess how!

Cette méthode pour arrêter le hoquet peut sembler surprenante, mais elle a une base physiologique. Le hoquet est causé par des spasmes involontaires du diaphragme, souvent accompagnés d'une fermeture soudaine des cordes vocales qui produit le son caractéristique. Le toucher rectal agit sur le nerf vague, un nerf crânien qui joue un rôle clé dans la régulation du diaphragme et de nombreuses autres fonctions autonomes du corps. Lorsqu'un toucher rectal est effectué, cela stimule ce nerf, ce qui peut conduire à une relaxation du diaphragme et à l'arrêt du hoquet. Cela peut également avoir un effet sur le système nerveux parasympathique, favorisant une relaxation générale. Cette méthode, bien qu'inhabituelle, est parfois pratiquée en milieu médical pour des cas de hoquet persistants qui ne répondent pas aux méthodes classiques. Cependant, il est important de noter que cette technique est utilisée principalement par des professionnels de santé, car elle n'est pas sans risque et nécessite des connaissances anatomiques appropriées pour être réalisée correctement. A noter qu'en 2006, une équipe de chercheurs composée de Francis M. Fesmire, de l'Université du Tennessee (États-Unis), et de deux chercheurs israéliens, Majed Odeh, Harry Bassan et Arie Oliven, a remporté un prix Ig Nobel pour leurs recherches sur l'arrêt du hoquet à l'aide d'un toucher rectal. Le Ig Nobel est un prix humoristique décerné chaque année pour des recherches scientifiques qui « font d'abord rire, puis réfléchir ».Les Ig Nobel sont décernés pour attirer l'attention sur des recherches qui pourraient sembler absurdes ou décalées, mais qui ont une base scientifique réelle et peuvent, dans certains cas, avoir des applications pratiques. Parmi les autres méthodes efficaces, voici les les plus reconnues scientifiquement : 1. Retenir sa respiration : Cela augmente le niveau de dioxyde de carbone dans le sang, ce qui peut calmer les contractions du diaphragme et réduire l'irritation du nerf vague. 2. Boire un verre d'eau froide rapidement : La déglutition et la sensation de froid aident à stimuler le nerf vague, ce qui peut interrompre le hoquet. 3. Avaler une cuillère de sucre : Les grains de sucre stimulent le nerf vague et peuvent permettre de détendre le diaphragme. 4. Stimuler le palais : En tirant doucement sur la langue ou en chatouillant le fond de la gorge avec un coton-tige, on peut déclencher une stimulation du nerf vague. 5. Manœuvre de Valsalva : C'est une technique qui consiste à essayer d'expirer fortement tout en se pinçant le nez et en gardant la bouche fermée. Elle augmente la pression thoracique et peut interrompre le hoquet. 6. Compression douce du diaphragme : S'appuyer légèrement sur la région entre l'abdomen et les côtes permet de réduire la fréquence des contractions.En résumé, les méthodes visant à stimuler ou interrompre les signaux nerveux sont considérées comme les plus efficaces pour arrêter le hoquet. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Episode Resources:Ostomy Care Management (OCM) ProgramThe Wound, Ostomy, and Continence Nurses Society™ (WOCN®) SocietyThe American Society of Colon and Rectal Surgeons (ASCRS) About the Guests:Jan Colwell, APRN, CWOCN, FAAN, is an advanced practice nurse certified in wound ostomy and continence care. She most recently practiced at the University of Chicago Medicine providing care to patients with ostomies. She is a past president of the WOCN Society and Friends of Ostomates Worldwide USA, and has contributed to ostomy patient care by editing several ostomy care text books, participated in ostomy research projects, authored multiple ostomy based articles and is the co-section editor of the ostomy section of the Journal of Wound, Ostomy, and Continence Nursing (JWOCN®).Bethany Malone, MD, is a board-certified colon and rectal surgeon based in Fort Worth, TX. She practices broad-based colorectal surgery including screening colonoscopies and treats benign anorectal conditions, hemorrhoids, fecal incontinence, colon cancer, rectal cancer, and inflammatory bowel disease. Dr. Malone is an active member of the American Board of Colon and Rectal Surgeons, the American College of Surgeons, and the International Society of University Colon and Rectal Surgeons.Jenny Speranza, MD, attended the Rochester Institute of Technology, graduating in 1994 with her B.S. degree, Magna Cum Laude. She earned her M.D. from the School of Medicine, State University of New York at Buffalo (1999). Dr Speranza finished her surgical residency in 2004 from the State University of New York at Buffalo Consortium. In 2005, she completed a Colon and Rectal fellowship at the University of Miami. Prior to arriving at the University of Rochester, Dr. Speranza was on staff at the Cleveland Clinic Florida where she was an attending surgeon in the department of Colon and Rectal Surgery. Dr. Speranza is a member of American College of Surgeons, the American Society of Colon and Rectal Surgeons, and serves on two committees of the Society of American Gastrointestinal and Endoscopic surgeons.

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo delves into the common yet often misunderstood issue of rectal bleeding. Rectal bleeding is a frequent cause for visits to healthcare providers and can affect individuals of any age. Dr. Gandolfo uses a real patient case to highlight the importance of understanding and evaluating rectal bleeding, emphasizing the need for proper testing and diagnosis. Topics covered in this episode: Understanding rectal bleeding and its prevalence across different age groups. The importance of distinguishing between different types of gastrointestinal bleeding, such as melena and hematochezia. Common causes of rectal bleeding, including hemorrhoids and more serious conditions like rectal cancer. Evaluating the symptoms and risk factors associated with rectal bleeding. Diagnostic tools and procedures, including endoscopy, colonoscopy, and capsule endoscopy. The significance of not attributing rectal bleeding to hemorrhoids without proper investigation. The importance of routine screenings, especially for individuals over the age of 45. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

This week we will discuss the most common type of Ehlers-Danlos syndrome – the hypermobile type (hEDS, formerly also described as EDS type III or joint hypermobility syndrome), this is the type that most commonly presents to gastroenterology services.   ​ As connective tissue is present throughout the body, many different structures around the body including the digestive tract can be affected by EDS. Connective tissue is present in the digestive tract and is essential to the passive mechanical movements needed to complete digestion. It has been suggested that any abnormalities in the connective tissues in the digestive tract are likely to alter the way in which it moves, which could contribute to the range of symptoms experienced by people with hEDS. Connective tissue is also present around the nerves of the digestive tract and abnormalities of this can potentially make the gut more sensitive. It is important to remember that whilst differences in the digestive tract function are likely to be present in hEDS, as yet diagnostic biomarkers have not been identified and more research is needed to better understand the nature and impact of connective tissue within the digestive system, particularly in the other subtypes of EDS. ​ The digestive tract starts at the mouth, and ends at the anus. Many aspects of the digestive tract can potentially be affected, including both the upper digestive tract (oesophagus, stomach and duodenum) as well as the lower digestive tract (small intestine, large intestine, colon and rectum). We frequently see patients who mainly have symptoms related to either the upper or the lower digestive tract only, and some research studies have found that a significant proportion of people with hEDS experience some kind of gastrointestinal symptoms. ​ What sort of gut problems can occur? ​ The type, frequency and severity of digestive symptoms can vary greatly from person to person as everyone with hEDS is different. The most frequently reported problems affecting the upper digestive tract are acid reflux and chronic/recurrent indigestion with pain or discomfort and early fullness after meals. The lower digestive tract can present problems such as constipation, abdominal pain, bloating, diarrhoea and a feeling of general abdominal discomfort.  Nausea and vomiting can occur alongside any of the symptoms described above.   Delayed gastric emptying / dysmotility The term dysmotility is often used to describe abnormal movements (e.g. sluggish movements or spasm) of the gut. Some hEDS sufferers can have a sluggish stomach, which means that there is a delay in the emptying of stomach contents into the small bowel, and this is often referred to as delayed gastric emptying. Delayed gastric emptying can range in severity from mild to severe, with the most severe form called gastroparesis (paresis = paralysis). A portion of hEDS sufferers do have delayed gastric emptying, however only a few will be severe enough to be diagnosed with gastroparesis. Patients with a lot of bloating and/or fullness after meals or nausea and vomiting can be tested for delayed gastric emptying, but it is important to note that so far a link between hEDS and gastroparesis has not been categorically established. ​ In other patients increased sensitivity of the stomach may be a more common problem. Both dysmotility and increased sensitivity of the stomach can be associated with symptoms such as acid or bile reflux, bloating, early fullness during meals/extended fullness after meals and nausea.   Heartburn / reflux There is some preliminary research that suggests that people with hEDS are slightly more likely to have a small hiatus hernia at the lower end of the oesophagus. This means that the upper end of the stomach slips into the chest cavity through a small hole (hiatus) in the diaphragm (the large muscle that separates the chest cavity from the abdominal cavity). This is quite a common finding and is usually not dangerous, but it can mean that the muscle that closes to stop food or liquid contents of the stomach from escaping back up into the oesophagus is somewhat inefficient, resulting in the acid reflux and/or heartburn symptoms, and this is called gastroesophageal reflux disease (GERD or GORD). However, it is also possible to experience reflux and/or heartburn symptoms without having a hiatus hernia. These symptoms can be associated with dysmotility, increased sensitivity of the oesophagus, or be experienced in isolation with none of these underlying causes.   Bloating Abdominal bloating is a common symptom in people with hEDS, and although the underlying causes are not fully understood, it is thought that dysmotility may be a contributing factor. Overgrowth of bacteria of the small bowel can occur if there is stagnation within the bowel (i.e. constipation) and this can lead to excessive fermentation of food leading to production of gas, which can also be associated with bloating. A link between hEDS and bacterial overgrowth has not been categorically established and further research is required.   Constipation Chronic constipation in adults is a common and debilitating problem and it is estimated that around 12 to 19% of the general population experience this, with females and the older population being more prone. Constipation is also common in patients with EDS and it is thought that a sluggish colon and difficulty with evacuation of the bowel are key causes. However there are often many factors inter-linked which can contribute to constipation such as diet, metabolic (hormone) or neurological (nerve) conditions, side effects of prescription medications, particularly opioid-based painkillers, or physical disorders such as prolapse of the bowel. ​ Rectal and genital prolapse are recognised as potential problems for some people with hEDS, and can be a factor contributing to constipation. Prolapse of the rectum means that the lining (mucosa) of the rectum (called a partial prolapse) or the entire rectal wall (called a complete prolapse) protrudes into the rectum, which interferes with the ability for a stool to be passed. Prolapses of the rectum usually occur during bowel movements, and then recede, but more advanced rectal prolapses can occur upon standing as well. However, in most cases prolapses tend to be small and do not require any active interventions. If a significant prolapse is diagnosed upon testing, and it is thought to be contributing to your gastrointestinal problems, your physician will refer you to a surgeon.   Functional gastrointestinal disorders Sometimes people with hEDS who have symptoms such as reflux, heartburn, constipation or nausea may not have an identifiable cause of their symptoms on any medical testing and these patients are then given a diagnosis of functional gastrointestinal disorder (FGID). Patients who have symptoms with no underlying cause found account for more than a third of new referrals to gastrointestinal specialists, and so this is a common occurrence. A preliminary study amongst patients who were referred to a specialist because no cause of their symptoms could be found, demonstrated that over a third of those patients met the criteria for joint hypermobility and many of them had previously received a diagnosis of irritable bowel syndrome (IBS) or functional dyspepsia. IBS is the most common example of a FGID, and is characterized by recurrent abdominal pain and frequent changes in bowel habits. Functional dyspepsia is another type of FGID and relates to symptoms of upper abdominal pain, fullness, nausea and bloating, frequently following meals. (Credits: Ehlers Danlos . Org)

This week we will discuss the most common type of Ehlers-Danlos syndrome – the hypermobile type (hEDS, formerly also described as EDS type III or joint hypermobility syndrome), this is the type that most commonly presents to gastroenterology services.   ​ As connective tissue is present throughout the body, many different structures around the body including the digestive tract can be affected by EDS. Connective tissue is present in the digestive tract and is essential to the passive mechanical movements needed to complete digestion. It has been suggested that any abnormalities in the connective tissues in the digestive tract are likely to alter the way in which it moves, which could contribute to the range of symptoms experienced by people with hEDS. Connective tissue is also present around the nerves of the digestive tract and abnormalities of this can potentially make the gut more sensitive. It is important to remember that whilst differences in the digestive tract function are likely to be present in hEDS, as yet diagnostic biomarkers have not been identified and more research is needed to better understand the nature and impact of connective tissue within the digestive system, particularly in the other subtypes of EDS. ​ The digestive tract starts at the mouth, and ends at the anus. Many aspects of the digestive tract can potentially be affected, including both the upper digestive tract (oesophagus, stomach and duodenum) as well as the lower digestive tract (small intestine, large intestine, colon and rectum). We frequently see patients who mainly have symptoms related to either the upper or the lower digestive tract only, and some research studies have found that a significant proportion of people with hEDS experience some kind of gastrointestinal symptoms. ​ What sort of gut problems can occur? ​ The type, frequency and severity of digestive symptoms can vary greatly from person to person as everyone with hEDS is different. The most frequently reported problems affecting the upper digestive tract are acid reflux and chronic/recurrent indigestion with pain or discomfort and early fullness after meals. The lower digestive tract can present problems such as constipation, abdominal pain, bloating, diarrhoea and a feeling of general abdominal discomfort.  Nausea and vomiting can occur alongside any of the symptoms described above.   Delayed gastric emptying / dysmotility The term dysmotility is often used to describe abnormal movements (e.g. sluggish movements or spasm) of the gut. Some hEDS sufferers can have a sluggish stomach, which means that there is a delay in the emptying of stomach contents into the small bowel, and this is often referred to as delayed gastric emptying. Delayed gastric emptying can range in severity from mild to severe, with the most severe form called gastroparesis (paresis = paralysis). A portion of hEDS sufferers do have delayed gastric emptying, however only a few will be severe enough to be diagnosed with gastroparesis. Patients with a lot of bloating and/or fullness after meals or nausea and vomiting can be tested for delayed gastric emptying, but it is important to note that so far a link between hEDS and gastroparesis has not been categorically established. ​ In other patients increased sensitivity of the stomach may be a more common problem. Both dysmotility and increased sensitivity of the stomach can be associated with symptoms such as acid or bile reflux, bloating, early fullness during meals/extended fullness after meals and nausea.   Heartburn / reflux There is some preliminary research that suggests that people with hEDS are slightly more likely to have a small hiatus hernia at the lower end of the oesophagus. This means that the upper end of the stomach slips into the chest cavity through a small hole (hiatus) in the diaphragm (the large muscle that separates the chest cavity from the abdominal cavity). This is quite a common finding and is usually not dangerous, but it can mean that the muscle that closes to stop food or liquid contents of the stomach from escaping back up into the oesophagus is somewhat inefficient, resulting in the acid reflux and/or heartburn symptoms, and this is called gastroesophageal reflux disease (GERD or GORD). However, it is also possible to experience reflux and/or heartburn symptoms without having a hiatus hernia. These symptoms can be associated with dysmotility, increased sensitivity of the oesophagus, or be experienced in isolation with none of these underlying causes.   Bloating Abdominal bloating is a common symptom in people with hEDS, and although the underlying causes are not fully understood, it is thought that dysmotility may be a contributing factor. Overgrowth of bacteria of the small bowel can occur if there is stagnation within the bowel (i.e. constipation) and this can lead to excessive fermentation of food leading to production of gas, which can also be associated with bloating. A link between hEDS and bacterial overgrowth has not been categorically established and further research is required.   Constipation Chronic constipation in adults is a common and debilitating problem and it is estimated that around 12 to 19% of the general population experience this, with females and the older population being more prone. Constipation is also common in patients with EDS and it is thought that a sluggish colon and difficulty with evacuation of the bowel are key causes. However there are often many factors inter-linked which can contribute to constipation such as diet, metabolic (hormone) or neurological (nerve) conditions, side effects of prescription medications, particularly opioid-based painkillers, or physical disorders such as prolapse of the bowel. ​ Rectal and genital prolapse are recognised as potential problems for some people with hEDS, and can be a factor contributing to constipation. Prolapse of the rectum means that the lining (mucosa) of the rectum (called a partial prolapse) or the entire rectal wall (called a complete prolapse) protrudes into the rectum, which interferes with the ability for a stool to be passed. Prolapses of the rectum usually occur during bowel movements, and then recede, but more advanced rectal prolapses can occur upon standing as well. However, in most cases prolapses tend to be small and do not require any active interventions. If a significant prolapse is diagnosed upon testing, and it is thought to be contributing to your gastrointestinal problems, your physician will refer you to a surgeon.   Functional gastrointestinal disorders Sometimes people with hEDS who have symptoms such as reflux, heartburn, constipation or nausea may not have an identifiable cause of their symptoms on any medical testing and these patients are then given a diagnosis of functional gastrointestinal disorder (FGID). Patients who have symptoms with no underlying cause found account for more than a third of new referrals to gastrointestinal specialists, and so this is a common occurrence. A preliminary study amongst patients who were referred to a specialist because no cause of their symptoms could be found, demonstrated that over a third of those patients met the criteria for joint hypermobility and many of them had previously received a diagnosis of irritable bowel syndrome (IBS) or functional dyspepsia. IBS is the most common example of a FGID, and is characterized by recurrent abdominal pain and frequent changes in bowel habits. Functional dyspepsia is another type of FGID and relates to symptoms of upper abdominal pain, fullness, nausea and bloating, frequently following meals. (Credits: Ehlers Danlos . Org)

Started the week with with at least 400 villagers and army personnel getting massacred by militants in Burkina Faso, and then talked about Namibia's plan to kill hundred of elephants and hippos for food. Plus the big Kamal Harris interview, Cruise ship hidden camera perv gets 30 years in prison, Gaza polio outbreak, China spy plan breaches Japan's airspace, and a bike thief in India gets caught by a vigilante mob who force chili powder into his rectum. Music: Mobb Deep/"Shook Ones part 1"

In this episode of SurgOnc Today®, Dr. Patrick Sullivan is joined by Dr. Nicole Lopez and Dr. César Reátegui to discuss diverting ostomy. Current practice guidelines suggest that diverting ostomy is the standard of care in surgical management of rectal cancer after neoadjuvant therapy to minimize the risk of clinically significant leak which can then result in permanent colostomy. However, the risk of anastomotic leak after neoadjuvant chemoradiation ranges from 4-12% suggesting that most patients have unnecessary ostomy and additional surgery. With improvement of surgical techniques, utilization of robotic surgery and recent adoption of more TNT approaches, selective use of diverting ostomy will lead to improvement in QOL and decrease in health care costs with minimal impact on incidence of permanent colostomy.

Episode 116.1: Olympic Finale, Rectal Circumference, Breakdancing, SNL Skits, Woke Comedians, Bowman Bros Small Batch, and Subscriptions

Rectal cancer is on the rise and it's high time we shine a light on it.  Because let's face it, our health — and even our bathroom habits, deserve our attention. Yes, we're talking about poop! But before you hit pause or start squirming in your seat, let me tell you why you need to stick around.  Joining us today is Marisa Peters, a true warrior who battled and survived rectal cancer. Not only is she a survivor, but she's also a passionate advocate of women's health. Motivated by her triumphant battle against late-stage cancer, Marisa founded Be Seen, a movement dedicated to emphasizing the significance of self-advocacy during pivotal moments in our lives. Marisa is a mother to three boys and previously had a career on Broadway as a vocalist.  Today, she's not here just to share her story but to shed light on this topic that's often shrouded in silence. We're delving into the signs and symptoms of rectal cancer, and all those little red flags that might be waving when your digestive system isn't quite on its A-game. And most importantly: regular screenings.  Get ready to laugh, learn, and maybe even cringe a little as we discuss all things related to rectal health. Trust me, you won't want to miss this! Visit whydidigetcancer.com for full show notes. --- This episode is sponsored in part by ButcherBox. I LOVE HIGH-QUALITY PROTEIN. I have a houseful at least once a week in the summer. I keep frozen protein ready for last-minute dinners. That's why I'm loving the offer from ButcherBox. They offer $30 off your first box and then FREE chicken thighs, salmon, or top sirloin FOR A YEAR IN EVERY BOX! Yup, you're getting paid to eat grass-fed and sustainable harvest protein.   ButcherBox: Meat Delivery Subscription   --- GUM Let's talk about a dental company that's making waves - GUM! First off, their Summit Toothbrush helps kick plaque to the curb.  And their unwaxed dental floss is PFAS-free! Why does that matter? PFAS are those pesky "forever chemicals" you don't want hanging out in your dental floss.  So, whether you're tackling plaque with their Summit toothbrush or keeping your floss game strong with their PFAS-free floss, GUM has you covered.  Find them at your nearest Costco, major retailers, or pharmacies, and let's keep those smiles shining bright! Happy brushing!   This podcast is for informational purposes only and none of the information should be construed as medical advice. Listeners should seek guidance from their own medical team before making any medical or lifestyle changes.

We already miss Tim. Marshy Marsh is here and he's donning a lil cuck hat. Fun with time zones. Iggy takes a break 8 minutes in to go get coffee. Smuggling coffee back rectally. Marsh is a real puckhead. Jackson conjured up a little exit poll. Jackson wasn't recruited out of high school (because of politics). Jamie Rivers enjoys a good speedo. Redbirds got the win at Rickwood Field last night. Fox knocked it out the park with the broadcast last night. Audio of Brendan Donovan talking about the experience of playing in that special game. Barry Bonds says he'd take Satchel Paige deep. Pitching stats from back in the day. Banty managers. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

We already miss Tim. Marshy Marsh is here and he's donning a lil cuck hat. Fun with time zones. Iggy takes a break 8 minutes in to go get coffee. Smuggling coffee back rectally. Marsh is a real puckhead. Jackson conjured up a little exit poll. Jackson wasn't recruited out of high school (because of politics). Jamie Rivers enjoys a good speedo. Redbirds got the win at Rickwood Field last night. Fox knocked it out the park with the broadcast last night. Audio of Brendan Donovan talking about the experience of playing in that special game. Barry Bonds says he'd take Satchel Paige deep. Pitching stats from back in the day. Banty managers. Learn more about your ad choices. Visit megaphone.fm/adchoices

rob get his rectal glands squeezed

May 17, 2024Mark, Ray, and Scott discuss FAQs that came into the PRS Network Community.Are there payers not paying for 99459?Hello, the max units for J2704 is 80.  I have searched and searched and can't figure out how to bill additional units if more than 80 units is administered.  I have tried modifier 59 and my claim was still denied. Any help would be greatly appreciated.Can we bill 13 units for 87798 for UTI PCR and Rectal swab PCR?Would charging 87801 be better for rectal swab PCR? VS 87798Urology Advanced Coding and Reimbursement VIRTUAL SEMINARRegister Now for the Urology Advanced Codingand Reimbursement Virtual SeminarJoin us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement with ease.Special Early Bird Discount Code: 24UACRVE7Click Here for Information and RegistrationPRS Billing and Other ServicesClick Here to Get More Information and Request a Quote   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/    Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com

Best Of Show: Prin. Di, Rectal exam,Pope-in-Cuba, golfing, OJ, BS Boys, Al Goldstein

If a substance is a part of nature then it is very unlikely to become a part of mainstream medicine. If it can't be patented, if it can't be turned into a highly profitable product, then it's not going to see the light of day. Such is the fate of ozone! Remarkably healing, incredibly safe, capable of killing bacteria, fungi, viruses and mold, regenerative to joints and stimulating to cellular energy, there's much to love about ozone. Medical grade ozone gas is an important part of antiaging medicine. We use it to rejuvenate joints. Intravenous ozone can stimulate the immune system and support tissue oxygenation. Gently applied Rectal ozone can support patients fighting Crohn's, ulcerative colitis, diverticulitis and other chronic inflammatory bowel conditions. Ozone helps the body to heal itself and can spare you the trauma of surgery, or the toxicity of drugs.

I C*NT EVEN!!! is BACK and a menagerie of mesmerizing topics are explored with RPDR All Stars winner, iconista and legend: Alaska Thunderfuck 5,000. Maureen and Alaska discuss the perils of singing live in gay dives, the challenges of finding genuine connection in a sea of Drag Race fans and who Alaska thinks is the best actress to emerge from RPDR. This is a JAM PACKED episode that will have you gooped and gagged beyond belief! Please click that notification bell and give us some 5 star ratings on Spotify and Apple Podcasts! And as always... thank you for listening C*nties! XoXoMaureen SanDiego

Today, you'll learn about hurricanes so powerful they need a new category, bacteria linked to young-onset colo-rectal cancer, and ancient treasures made out of meteorites. Category 6 “In a warming world, climate scientists consider category 6 hurricanes.” EurekAlert! 2024. “How do hurricanes form?” NOAA. 2023. “AMCR's Wehner Explores Impact of ‘Extreme Event Attribution' on Climate Science Research.” by Kathy Kincade. 2023. “Saffir-Simpson Hurricane Scale.” NOAA. n.d. Colo-Rectal Bacteria “Cleveland Clinic Research reveals unique tumor-related bacteria tied to young-onset colorectal cancer.” EurekAlert! 2024. “Colorectal (Colon) Cancer.” Cleveland Clinic. 2022. “Distinct intratumoral microbiome of young-onset and average-onset colorectal cancer.” by Shimoli V. Barot, et al. 2024. “The microbiome and human cancer.” by Gregory D. Sepich-Poore, et al. 2022. Meteorite Loot “These 3,000-Year-Old Treasures Were Forged From Meteoritic Iron.” by Sonja Anderson. 2024. “Bronze Age artifacts used meteoric iron.” Science Daily. 2017. “Treasure of Villena and Jose Maria Soler Archaeological Museum.” Turismo Villena. N.d. “Bronze Age ‘treasure' was crafted with extraterrestrial metal.” by Jennifer Nalewicki. 2024. Hosted on Acast. See acast.com/privacy for more information.

Interview with Laura Koskenvuo, MD, PhD, and Ville Sallinen, MD, PhD, authors Morbidity After Mechanical Bowel Preparation and Oral Antibiotics Prior to Rectal Resection: The MOBILE2 Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Morbidity After Mechanical Bowel Preparation and Oral Antibiotics Prior to Rectal Resection

Esophageal versus Rectal Temperature Monitoring during Whole-body Therapeutic Hypothermia for Hypoxic-ischemic Encephalopathy: Association with Short and Long-term Outcomes. Wu TW, Schmicker R, Wood TR, Mietzsch U, Comstock B, Heagerty PJ, Rao R, Gonzalez F, Juul S, Wu YW.J Pediatr. 2024 Feb 1:113933. doi: 10.1016/j.jpeds.2024.113933. Online ahead of print.PMID: 38309524 Free article. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Passionate Health Coach and Functional Medicine Coordinator, Hally Brooke, explains how a Power Partnership works and the different benefits this type of partnership can bring to your business model.  You can benefit financially and bring more value to your clients/patients by using this model with ZERO time spent on your part.To connect with Hally and learn more about Live Nourished Coaching, visit...Email: hally@livenourishedcoaching.comWebsite: www.livenourishedcoaching.comInstagram: @livenourishedcoachingTo learn more about Dr. Jeff, his Pay it Forward mission,  and coaching, visit www.mybigfishenterprises.com or email mybigfishinfo@gmail.com. For more nuggets of entrepreneurialism and motivation, follow us on Instagram @bigfish.enterprises and Facebook @BigFishEnterprises!

Weighing the possible side effects of prostate cancer treatments while considering various treatment options can be a daunting challenge for men and their loved ones. We are excited to partner with BioProtect for this episode, with our distinguished guest, Dr. Jonathan Tward, a Radiation Oncologist and tenured professor in the Department of Radiation Oncology at the University of Utah Health. Dr. Tward will fill us in on a progressive new technology that aims to minimize both short and long-term side effects of radiation therapy for prostate cancer. Dr. Tward is a highly regarded authority and key opinion leader in the management of prostate cancer. He earned a Ph.D. in biochemistry at UCLA, a Medical Degree at Tufts University in Boston, and he completed his radiation oncology residency training at the University of Utah. He holds the Vincent P. and Janet Manzini Presidential Endowed Chair at Huntsman Cancer Institute in genitourinary malignancies. Dr. Tward specializes in delivering precisely targeted radiation therapy for numerous genitourinary malignancies, including prostate cancer. He utilizes various advanced technologies, including intensity-modulated radiotherapy, image-guided radiotherapy, stereotactic body radiotherapy, and low and high-dose-rate brachytherapy. Dr. Tward has contributed to over 100 published peer-reviewed journal articles. He also actively serves on the National Comprehensive Cancer Network clinical practice guidelines committees for prostate, bladder, and penile cancers. Disclaimer: The Prostate Health Podcast is for informational purposes only. Nothing in this podcast should be construed as medical advice. By listening to the podcast, no physician-patient relationship has been formed. For more information and counseling, you must contact your personal physician or urologist with questions about your unique situation. Links: Follow Dr. Pohlman on Twitter and Instagram - @gpohlmanmd  Get your free What To Expect Guide (or find the link on our podcast website)   Join our Facebook group  Follow Dr. Pohlman on Twitter and Instagram  Go to the Prostate Health Academy to sign up.  You can access Dr. Pohlman's free mini webinar, where he discusses his top three tips to promote men's prostate health, longevity, and quality of life here. Connect with Dr. Tward Dr. Jonathan D. Tward BioProtect BioTech Balloon Spacer Procedure Video Symmetry, Visibility, and Control: The Advantages of the BioProtect Balloon in Prostate Cancer Treatment - Edward Soffen VideoAvailable Rectal Spacer Options for Patients With Prostate Cancer Undergoing Radiation Therapy Video Urology Times Video  

How do our bodies experience, metabolize and alchemize the energetics of war? We share a conversation with Rachel Leibovich, community member in The Womb Room, and founder of Esperanza's Acres where she practices as a jewish priestess, ritualist and dream weaver in service to community healing and justice.  Rachel came to us in our "matriarchal health care" section of The Womb Room with curiosity about an acute expression of symptoms. She shares the story of how the phsyical healing has been a piece of her alchemical process of navigating identity, community, expression and work as a Jewish woman, amdist the ongoing genocide in Palestine. We share this as an example of how by working our internal landscape, by honoring the expression of the body, we shift the world around us, through accessing our true expression. Deep gratitude. Notes on rectal bleeding: In the GHK paradigm, rectal bleeding can arise in the healing phase of a couple different conflicts. In an identity conflict where on feels they do not have place,community, belonging, the body will attempt to establish "territory" as mammals do, through defecation. During the conflict active phase, the lining of the rectum ulcerates, so as to make more space to mark the territory. In the resolution of the conflict, there is swelling, cell proliferation, and there can be hemorrhoids and rectal bleeding Alternatively, a feces or "shit conflict" is an expression of a "shitty situation," where cells in the colon and/or rectum proliferate in the conflict active phase, in order to better "digest" the situation. Rectal bleeding can occur in the resolution phase.  *I am a lay woman on the internet. These are stories, and not intended as medical information nor advice. Proceed in your sovereignty!* JOIN THE WOMB ROOM MEMBERSHIP  https://join.thewombroom.co/community Find Rachel on IG https://www.instagram.com/ralgal/ Esperanza's Acres https://www.rachelleibovich.com/      

PARAcast 399 "Rectal Lead Removal" Robert dot his M&P 2.0 and loves it, Jared let you know a Staccato won't save you, and Tom has to get a new car!   https://practiscore.com/not-a-cop-2024/register   Show Sponsors: Rune Tactical Dominate Defense Precision Holsters W-74 Guide Rods Youtube Channel: https://www.youtube.com/@paracastfirearmspodcast905 Telegram: https://t.me/paracastpodcast Patreon: patreon.com/user?u=16370931

This week Charlamagne Tha God and Andrew Schulz discuss Jo Koy hosting of the Golden Globes and the backlash he received, particularly from Taylor Swift fans. The hosts discuss the importance of making people uncomfortable and the role of comedians in award shows. They also touch on the feud between Jimmy Kimmel and Aaron Rodgers, Noah Knigga's last name and its pronunciation. They also debate the assault charges against Jonathan Majors. The conversation then shifts to personal stories about vasectomy consultations and prostate exams, The Miami alien incident and the segregation of comedy. Chapters: 00:00 Jo Koy Golden Globes Hosting 03:00 The Backlash and Taylor Swift 06:00 The Importance of Making People Uncomfortable 13:30 Comedians and Award Shows 21:30 Jimmy Kimmel and Aaron Rodgers 32:00 Noah Kaniga's Last Name 38:00 Sponsors 42:00 Church Announcements 42:36 Upcoming Shows and Podcast Partnerships 44:00 Introduction to Sarah Jakes Roberts and the Woman Evolved Podcast 46:30 Discussion on Jonathan Majors 50:46 Discussion on Courtroom Incident and Judge Judy 52:59 Personal Stories: Vasectomy Consultation 01:05:53 Sponsors 01:11:37 #AskAnIdiot 01:12:01 Why is Comedy Segregated? 01:25:10 Jokes stolen by other comedians 01:28:39 Speculations about Biden 01:29:10 Trump and Biden's future 01:29:38 Protests and inconveniencing 01:31:50 Disapproval of Democratic Party 01:33:15 Barack Obama's charisma ************************************ Check out Andrew Schulz www.theandrewschulz.com Check out all the podcast on Charlamagne's "Black Effect Network" www.blackeffect.com/ TaylorMade-It Production Contact: Taylormadeitprod@gmail.com Check Out "Summer Of 85" on Audible www.audible.com/pd/Summer-of-85-A…areTest=TestShare

Yeah, sure. You "fell" on it.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Susan and Erica welcome Kelly McClain to the podcast to discuss a very complex client with pelvic health, orthopedic, and neurological issues.  Follow along as the client case is presented and we pursue a rich discussion of tying together the systems involved as well as the red flags. Digging deeper into the client's story is key here to help with obvious referrals and also to recognize other systems and issues deeper into the client's history to gain insight.   A glance at this episode: [3:05] Pelvic health issues and treatment [12:28] Patient's symptoms and medical history [20:20] Current medical issues and imaging recommendations [26:14] Clinical reasoning and potential diagnoses [31:08] Manual therapy for perineal pain [33:24] Rectal pain and paraesthesia during squatting [38:44] Treating patients with complex symptoms   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

Podcast#371: Spain riots, Portugal PM quits, India rectal air compressor death (again) by BK