Podcasts about recurrent

In this episode, I'm joined by Dr. Geoffrey Sher of Sher Fertility Solutions. He is an internationally renowned fertility expert. He trained under “The Fathers of IVF, ” Drs. Patrick Steptoe and Robert Edwards in the UK. In 1982 he established the 1st private (non-university based) IVF program in the US. Over a career spanning almost 40 years Dr. Sher has been influential in the births of over 17000 IVF babies and has helped fashion the entire field of ART. He is the author of “ In Vitro Fertilization, the A.R.T. of Making Babies” and (more recently), “Unexplained IVF failure and Recurrent pregnancy loss: The Immunologic Link”." Today he's joining me to talk about Immunologic Implantation Dysfunction (IID), which may be a factor in unexplained IVF failure and recurrent pregnancy loss (RPL). He will be talking about how the endometrial lining plays an important role in embryo implantation, because as he shares, "you can't put a good seed in bad soil, or a bad seed in good soil." Read all of the show notes on Dr. Aimee's websiteVist Dr. Sher's website here Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, July 14, 2023 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates  Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Sean Green joins us for Season 3, Episode 13. What's on the plate? – Meal Prep. Bibimbap. Korean Fried Chicken. Kimchi Pancakes. Curbing Dairy. Roasted Potatoes & Beet(root). Strategic Food Shopping. Fish Fingers & Tinned Spaghetti for Breakfast. Dumpling. Ackee & Saltfish. Saltfish Fritters. Plantain. Corned Beef & Rice with Macaroni. American Corned Beef Hash. Hidden Vegetables. Caribbean-Style Bolognese. Dairy Milk?! Dark Chocolate. Salmon Pasta with Creme Fraiche. Semmel Knödel. Brathähnchen. Schweinebraten. Rotkraut. German High-Quality Produce. Orange Zest. Sausage Casserole. Couscous. Tagine. Quorn Patties. Recurrent & Mint Glazed Lamb. Food Ethics & Responsibility. Sauces & Dressings From Scratch. Salad Cream. Disco Snacks. Chilli Caramel Chicken Wings. Media:Sean's Instagram: @seangreenonthekeysLick the Plate's Instagram and TikTok: @licktheplatepodcastCameron's Instagram and TikTok: @cbjartslicktheplatepodcast@gmail.comInstrumentals, mixing and mastering of the theme song "Lick the Plate" courtesy of Adam FarrellAdam's Instagram: @farrell33a Hosted on Acast. See acast.com/privacy for more information.

Dr Barry Scanlan, Consultant in General Paediatrics and practices primarily in CHI at Crumlin; and Dr. Aoife Brinkley, Principal Clinical Psychologist Children's Health Ireland at Connolly, on recurrent tummy pain.

***Trigger warning- this episode discusses miscarriage, Termination For Medical Reason and fertility trauma.***I am joined by the lovely fertility coach Yulia Osoyanu. Yulia shares her deeply personal journey through the challenges of infertility, IVF treatments, and the emotional toll of pregnancy loss. We discuss:How Yulia's journey into fertility coaching was inspired by her personal struggles with IVF.How IVF is a challenging emotional journey that can lead to feelings of being broken.How making decisions during pregnancy can be incredibly difficult, especially in the face of medical complications.Why we need better support and counseling for women after experiencing pregnancy loss.Why finding the right therapist is essential for healing after loss.Why taking time to grieve is important before trying to conceive again.How Julia's coaching focuses on practical steps and emotional support for women navigating infertility.For further support we will be running the event below in our Don't Tell Me To RELAX community:❤️ What Now? A Practical Guide After Pregnancy Loss with me Hannah Pearn July 15th at 7pm follow ⁠⁠⁠⁠⁠this link to join our community.⁠⁠⁠⁠⁠For further miscarriage support see:⁠⁠⁠⁠Worst Girl Gang Ever⁠⁠⁠⁠⁠⁠⁠⁠Tommys⁠⁠⁠⁠⁠⁠⁠⁠Miscarriage Association⁠⁠⁠⁠⁠⁠⁠⁠Held in Our Hearts⁠⁠⁠⁠Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

learn about superstitions related to low lighting in a residence, and wearing red in a zodiac recurrent year

Send us a textIn this podcast episode, we explore groundbreaking research presented at the ISTH 2025 in Washington. Dr. Vicky May, Institut Universitaire de Cardiologie et Pneumologie de Québec, shares insights into a new diagnostic algorithm for pulmonary embolism (PE) in patients with chronic obstructive pulmonary disease (COPD). Her work focuses on identifying specific predictors, integrating these with established testing methods, and addressing challenges in the validation process. The discussion also highlights a study on recurrent venous thromboembolism (VTE), emphasizing symptom patterns and recurrence likelihood. These findings aim to refine clinical diagnostics, offering physicians refined tools for better patient management in thrombosis-related conditions.Support the showhttps://thrombosiscanada.caTake a look at our healthcare professional and patient resources, videos and publications on thrombosis from the expert members of Thrombosis Canada

Recurrent pregnancy loss leaves couples searching for answers and hope in the face of repeated heartbreak. In this episode, Dr. Julianne Cameron explores the complex medical, genetic, and emotional factors that contribute to this devastating fertility challenge. Drawing from both her personal journey through recurrent loss and her clinical expertise, she unpacks the latest testing protocols, treatment options, and success rates that patients need to understand. At Genea Fertility Melbourne City, Dr. Cameron helps patients navigate the delicate balance between medical investigation and emotional support, addressing both the physiological and psychological aspects of pregnancy after loss. From unexplained losses to genetic factors, immunological treatments to lifestyle modifications, this episode offers evidence-based guidance for those facing one of fertility's most difficult journeys, with insights that only someone who has walked both sides of the patient-doctor divide can provide.This episode is proudly supported by Genea Fertility Melbourne City

This episode is brought to you by Go-To Skincare! Our code READYORNOT will get you 20% off your order over $AU85 at gotoskincare.com!Lu found Charley Vokoun on Instagram via her glorious Instagram account, Book Smut. It's a place where she shares all the books she's reading with her engaged, book loving followers, and as one of those followers, it was incredible to later learn that it was a psychologist that influenced her to start the page. She was navigating recurrent miscarriages, and sharing her poetic reviews and bookish adventures became a way to cope and navigate it all. Here, we talk about that very emotional rollercoaster and what it was like to meet her baby after such an intense period, the hardest part of navigating motherhood and career, her reflections on trying to let go of control, and how she's learned to advocate for herself in her male dominated industry. Plus, we get all her bookish tips!—This episode is brought to you by Go-To and their Very Luxe Face Cream. Clinically proven to increase skin firmness and elasticity, and strengthen the skin barrier function, this game changing cream is available to shop now at gotoskincare.com. Plus, enjoy 20% off all orders over $AUD85 made via gotoskincare.com with the exclusive promo code READYORNOT.—Thanks for listening! If you liked the show, please tell your friends, subscribe or write a review.You can also find us on Instagram:@readyornot.pod@laurentreweek_@lucindamckimm_— This podcast was recorded on the lands of the Boon Wurong people of the Kulin Nation. The land on which we're lucky enough to raise our sons and daughters always was and always will be Aboriginal land.We Pay The Rent and you can too.—Very Luxe Face Cream means business.*•Clinically proven to increase skin firmness by 39%.•Clinically proven to increase skin elasticity by 39%.•Clinically proven to increase skin smoothness by 15%.•Clinically proven to strengthen the skin barrier function by over 45%.*Based on a 12 week clinical trial of 30 participants.Serious business.**•Over 95% of participants said their skin felt smoother and tighter.•Over 90% of participants said their skin felt significantly firmer.•100% of participants said they noticed a more even skin tone.•100% of participants said their skin looked more youthful.**Based on a 12 week clinical study of 30 participants. Hosted on Acast. See acast.com/privacy for more information.

In the latest episode of the ACA Podcast, 'Subsequent and Recurrent Injuries (SRIs) in Football (Soccer)' with host Dr Kim Lie Jom sits down with Dr Alex Pucciarelli

In this deeply insightful episode of The Worst Girl Gang Ever, we welcome back Dr. Sami, Fertility Consultant at Plan Your Baby, to unpack a vital but often overlooked factor in recurrent miscarriage and pregnancy loss: blood clotting disorders, also known as thrombophilias. Dr. Sami explains: What inherited and acquired clotting disorders are How conditions like Factor V Leiden, Prothrombin mutations, and Antiphospholipid Syndrome (APS) dramatically increase the risk of miscarriage Why APS is one of the most treatable causes of miscarriage with aspirin and heparin therapy The shocking statistic: with proper treatment, miscarriage rates can drop from 80% to just 20% Why many women are told "everything is normal"—and why that may be far from the truth What you can and should ask for if you've had two or more miscarriages The difference in treatment approaches between NHS vs private fertility care In this episode, we discuss: Recurrent miscarriage causes and treatments Blood clotting and pregnancy loss APS and miscarriage Factor V Leiden miscarriage risk Miscarriage and low-dose aspirin Heparin in pregnancy Fertility consultant insights Blood thinning medication in pregnancy Safe treatments for preventing miscarriage Plan Your Baby fertility support Whether you've been through pregnancy loss or are supporting someone who has, this episode offers hope, science, and practical steps toward your next healthy pregnancy. About The Worst Girl Gang Ever The Worst Girl Gang Ever is a real, honest, and emotive podcast that covers the heartbreaking subject of miscarriage, infertility, and baby loss. Expect raw conversations about unspoken experiences, hosted by TWGGE founders Bex Gunn and Laura Buckingham. This show aims to break the silence and open dialogue around miscarriage and pregnancy loss. No more shame, no more taboo—let's change the narrative for future generations. Support and Resources: The Worst Girl Gang Ever Foundation - Live Brunch and Podcast Recording Come join us for a fun-filled morning at Big Creative Training Campus! We're hosting a live brunch and podcast recording where you can meet the hosts and be part of the action. Expect laughter, good food, and empowering conversations with a side of sass. Don't miss out on this unique opportunity to be part of The Worst Girl Gang Ever Foundation community in person. Grab your tickets now!https://www.eventbrite.com/e/the-worst-girl-gang-ever-foundation-live-brunch-and-podcast-recording-tickets-1299445058149?aff=oddtdtcreator Lunch Time Support Sessions  We are running FREE drop in sessions for ANYONE that needs them. The session will run from 12-1pm GMT you can just come drop in at any point during that time slot. https://docs.google.com/forms/d/e/1FAIpQLSfIHuqZMIAoL3_4e_HvjqlbNRKyypQEUfxon-9yJ5B3npD8Tw/viewform?fbclid=PAZXh0bgNhZW0CMTEAAaZ0INPJ1b6lBMfyh71mlZcZjKKjog7u2j3Qp9y6aacI5bUwn93aUVTxsLM_aem_LFb-GGo98awVY62Lt_7YEw Our book We are here to tell you that you are entitled to grieve, and that your grief is not disproportionate to your loss. We are here to oxapen up the dialogue around miscarriage, so we don't perpetuate the shame, judgement and isolation so many of us feel following pregnancy loss. We are here to equip you with knowledge, tools and guidance to support and help you in whatever way you need. https://www.amazon.co.uk/gp/aw/d/0008524998/ref=tmm_pap_swatch_0?ie=UTF8& Learn more about your ad choices. Visit megaphone.fm/adchoices

On this episode Lara and Vyanka talk to Professor Trine Mogensen from Aarhus University in Denmark all about inborn errors of immunity that predispose to recurrent or severe viral infections. This is ImmunoTea: Your Immunology Podcast, presented by Dr Lara Dungan and Dr Vyanka Redenbaugh. This is the show where we tell you all about the most exciting research going on in the world of immunology. So grab a cup of tea, sit down and relax and we'll fill you in. Contact us at ImmunoTeaPodcast@gmail.com or @ImmunoTea on twitter. Hosted on Acast. See acast.com/privacy for more information.

The Shocking Truth About "Unexplained" Pregnancy LossWhat if I told you that up to 20% of recurrent pregnancy losses aren't actually unexplained—they're just undiagnosed?In this episode, I share the heartbreaking story of my patient who endured FOUR consecutive miscarriages. Every single test came back "normal"—chromosomes, hormones, anatomy—everything. Then we discovered her immune system was literally attacking her pregnancies.Hi! This is Dr. Aumatma Simmons, a licensed Naturopathic Doctor for 18 years with additional board certification in Naturopathic Endocrinology. I'm the creator of The Restorative Fertility Method and host of Egg Meets Sperm Podcast (a Top 5% podcast). As a 2x best-selling author of "Fertility Secrets" and "(in)Fertility: Struggles, Secrets, & Successes," I've been recognized with awards including Best Naturopathic Medicine Doctor (2015, 2020), Top Women in Medicine Doctor (2020, 2021), and Berkeley Hall of Fame (2022).I've been interviewed on 100+ podcasts and featured as the Holistic Fertility Expert on ABC, FOX, CBS, KTLA, MindBodyGreen, and The Bump. I've trained hundreds of practitioners worldwide in holistic fertility approaches and certified top doctors in my Fertile Foundations™ system. I'm the founder of Madre Fertility and Medical Advisor for Mira Fertility, Element, and Feminade.The Game-Changing DiscoveryHere's what most doctors never tell you: Your immune system's job is to attack foreign invaders, but during pregnancy, it must learn to tolerate your baby (who is genetically half foreign to your body). When this delicate balance goes wrong, it can sabotage your pregnancies—not your ability to conceive, but your ability to maintain them.The 4 Hidden Immune SaboteursI reveal the four critical immune factors that could be destroying your pregnancies:Overactive Natural Killer Cells (found in 44% of "unexplained" losses)Autoimmune Antibodies (causing up to 90% loss rates when untreated)Immune System Imbalance (staying in "attack mode" instead of "protect mode")Gut-Immune Connection (70% of your immune system lives in your gut!)The Hope-Filled TruthHere's the incredible news: Women with immune-related pregnancy loss who receive proper treatment have a 70-80% live birth rate, compared to only 20% without treatment.My patient with four losses? After identifying her immune imbalances and treating them with targeted protocols, she went on to have TWO healthy pregnancies.What You'll LearnThe simple blood tests that could have caught this years earlierWhy standard pregnancy loss workups miss these factors entirelyBoth medical and natural treatment options that actually workThe exact questions to ask your doctor (don't leave empty-handed!)Red flags that suggest your immune system might be the culpritYour Next StepsIf you've experienced recurrent pregnancy loss—especially between 6-10 weeks with "normal" test results—this episode could change everything for you. Your immune system doesn't have to be your enemy; it can become your greatest ally in creating and maintaining a healthy pregnancy.Ready to get answers instead of more heartbreak? This episode gives you the roadmap to finally understand what might be happening and what you can do about it.Don't miss out on this in-depth episode filled with practical advice and inspiration to help you on your fertility journey.Let's chat! I want to hear from you! Send me a voice memo with:- what you...

In this episode of The Egg Whisperer Show, Dr. Jenna Turocy is joining me to talk about new treatment options for recurrent implantation failure. Recurrent implantation failure (RIF) is determined when embryos of good quality fail to implant following several in vitro fertilization (IVF) treatment cycles. The good news is that there is treatment for this, and Dr. Turocy has been researching it. The types of treatments that Dr. Jenna has studied include:

In this episode of The Tech Leader's Playbook, Adam Coffey, a seasoned private equity expert, shares his insights on the dynamics of private equity and its impact on entrepreneurs. He discusses the importance of understanding private equity, the role of company culture, and the significance of choosing the right business model. Adam also reflects on his experiences with successful and less successful exits, emphasizing the influence of macroeconomic conditions. He provides valuable advice for aspiring entrepreneurs, highlighting the opportunities presented by the current wealth transfer as baby boomers retire. The discussion culminates in a deeper understanding of private equity fund structures and how they affect business operations. In this conversation, Adam Coffey discusses the critical aspects of private equity, focusing on the importance of Internal Rate of Return (IRR), the differences between private equity and venture capital, and strategies for successful acquisitions. He emphasizes the significance of understanding unit economics and scaling businesses effectively. The discussion also touches on hiring practices and the importance of aligning talent with future company goals. Adam shares valuable insights and practical advice for entrepreneurs looking to navigate the complexities of business growth and investment.TakeawaysPrivate equity can be a force for good in company culture.Understanding private equity is crucial for entrepreneurs.The growth of private equity has significant implications for business owners.Successful exits often depend on macroeconomic conditions.Choosing the right business model is essential for resilience.Recurrent revenue models provide stability in tough times.Entrepreneurs should conduct due diligence on potential partners.The importance of understanding fund structures in private equity.There is a wealth transfer opportunity as baby boomers retire.Unsexy businesses can be highly profitable. IRR is a key metric in private equity.Private equity firms often sell early to showcase high IRR.Family offices prioritize multiple of money over IRR.Buyout funds focus on mature companies for consistent results.Venture capital involves higher risk with potential for high rewards.Thesis-based investing is crucial for successful acquisitions.Understanding unit economics is essential for profitability.Scaling a business requires a focus on gross profit margins.Hiring for future growth is more effective than hiring for current needs.Failing small and fast can lead to better long-term outcomes.Chapters00:00 Introduction to Private Equity and Adam Coffey02:59 Understanding Private Equity's Impact on Entrepreneurs05:52 The Role of Culture in Private Equity09:12 Success Stories and Lessons from Acquisitions12:10 Key Indicators of Successful Exits15:01 Navigating Economic Challenges in Business18:10 Choosing the Right Business Model20:57 Advice for Aspiring Entrepreneurs24:03 The Evolution of Business Models26:55 Understanding Private Equity Fund Structures28:43 Understanding IRR in Private Equity31:56 Comparing Private Equity and Venture Capital34:56 Strategic Acquisition: Finding the Right Industry40:00 The Importance of Unit Economics52:46 Scaling for Success: The 30-20-10 Rule54:09 Recommended Reads for EntrepreneursAdam Coffey's Social Media Links:https://www.linkedin.com/in/adamecoffey/https://www.instagram.com/adamecoffey_official/Adam Coffey's Website:https://adamecoffey.com/

In this deeply moving episode of The Worst Girl Gang Ever, we sit down with Laura, a courageous voice from a same-sex couple navigating the emotional and physical challenges of fertility treatment, IVF failure, and recurrent miscarriage. Laura shares her powerful story - from choosing a sperm donor and enduring invasive procedures, to experiencing three missed miscarriages, including a rare identical triplet loss. Whether you're undergoing IUI, considering IVF embryo transfer, or seeking solidarity after pregnancy loss, Laura's journey offers rare insights into the complexities of queer family planning. Her resilience through a harrowing four surgeries, the psychological weight of trying again, and the nuanced grief of fertility trauma will resonate with anyone who's felt isolated in their path to parenthood. In this episode, we discuss: Same-sex parenting and fertility planning decisions Choosing a sperm donor and accessing sperm banks in the UK The emotional and financial toll of IUI vs. IVF Subchorionic hematoma explained during early pregnancy Coping with miscarriage after IVF Genetic testing (PGTA) and low ovarian reserve concerns Recurrent pregnancy loss and retained products of conception (RPOC) Partner dynamics in LGBTQ+ fertility struggles Transitioning roles: from genetic parent to emotional support partner This conversation is essential listening for LGBTQ+ couples exploring fertility options, anyone navigating private fertility treatment in the UK, women experiencing recurrent miscarriage and IVF grief, supporters, partners, and healthcare professionals seeking insight into the mental toll of assisted conception You are not alone. If you're facing a similar battle, Laura's story will provide the compassion, community, and clarity you need. About The Worst Girl Gang Ever The Worst Girl Gang Ever is a real, honest, and emotive podcast that covers the heartbreaking subject of miscarriage, infertility, and baby loss. Expect raw conversations about unspoken experiences, hosted by TWGGE founders Bex Gunn and Laura Buckingham. This show aims to break the silence and open dialogue around miscarriage and pregnancy loss. No more shame, no more taboo—let's change the narrative for future generations. Support and Resources: The Worst Girl Gang Ever Foundation - Live Brunch and Podcast Recording Come join us for a fun-filled morning at Big Creative Training Campus! We're hosting a live brunch and podcast recording where you can meet the hosts and be part of the action. Expect laughter, good food, and empowering conversations with a side of sass. Don't miss out on this unique opportunity to be part of The Worst Girl Gang Ever Foundation community in person. Grab your tickets now! https://www.eventbrite.com/e/the-worst-girl-gang-ever-foundation-live-brunch-and-podcast-recording-tickets-1299445058149?aff=oddtdtcreator Lunch Time Support Sessions  We are running FREE drop in sessions for ANYONE that needs them. The session will run from 12-1pm GMT you can just come drop in at any point during that time slot. https://docs.google.com/forms/d/e/1FAIpQLSfIHuqZMIAoL3_4e_HvjqlbNRKyypQEUfxon-9yJ5B3npD8Tw/viewform?fbclid=PAZXh0bgNhZW0CMTEAAaZ0INPJ1b6lBMfyh71mlZcZjKKjog7u2j3Qp9y6aacI5bUwn93aUVTxsLM_aem_LFb-GGo98awVY62Lt_7YEw Our book We are here to tell you that you are entitled to grieve, and that your grief is not disproportionate to your loss. We are here to oxapen up the dialogue around miscarriage, so we don't perpetuate the shame, judgement and isolation so many of us feel following pregnancy loss. We are here to equip you with knowledge, tools and guidance to support and help you in whatever way you need. https://www.amazon.co.uk/gp/aw/d/0008524998/ref=tmm_pap_swatch_0?ie=UTF8&sr= Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode we are exploring the controversial connection between asthma and fertility. I'm going to share some of the research we have so far showing how asthma can impact pregnancy outcomes, particularly in relation to recurrent miscarriage. How the immune system plays a role in infertility and miscarriage is not talked about - but this is impacting so many couples worldwide! I cover we we need to care, what the testing looks like and how you can support your body if you come back with positive markers.   Want more support? Join me in my free 5-day Fertility Confidence Bootcamp starting June 2nd and get started on the next step of your fertility care plan with me. Register at ttc.kelseyduncan.com/bootcamp   Thank you to our amazing podcast sponsor, Needed. You can save 20% off your first order with code DRKELSEY at thisisneeded.com.   Want a step by step plan backed by science and based on your own unique fertility identifiers? Let's get to the root cause together and make a baby. Learn more about how Fertility Confidence Method can support you at downloads.kelseyduncan.com/results  

Dr. Emile Daoud, Deputy Editor of JACC Clinical Electrophysiology discusses Premature Ventricular Complexes after Ablation for Paroxysmal Atrial Fibrillation and Recurrent Atrial Arrhythmias: admIRE Subanalysis.

Episode three of four on Paediatric ENT. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Epistaxis in Children. We discuss important differentials, including a rare condition that can present in predominantly teenage boys not to be missed, before moving on to discuss options for management and why the vast majority of these patients can often be safely managed in the community. We discuss cases that would be useful to be seen by the ENT team. Short and sweet, full of useful resources.   You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Resources: Success Rates of Naseptin (Chlorhexidine dihydrochloride and neomycin sulfate) in reducing Epistaxis: Garry S, Wauchope J, Hintze J, Ryan E, O'Cathain E, Heffernan C. Factors affecting Naseptin treatment success – A prospective cohort study. International Journal of Pediatric Otorhinolaryngology. Volume 171. 2023: https://www.sciencedirect.com/science/article/abs/pii/S0165587623001878#:~:text=80.8%25%20(n%20%3D%20101),effects%20(skin%20irritation%20etc.) ENT UK: How to use a Nasal Spray: https://www.entuk.org/patients/conditions/79/how_to_use_nasal_sprays/ Asthma and Lung UK, How to use a Nasal Spray useful Video for patients: https://www.youtube.com/watch?v=S31maomo1xQ Alder Hey Children's Hospital Patient leaflet: Nosebleeds: https://www.alderhey.nhs.uk/conditions/symptoms-checker/nosebleeds/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Henry Blodget built Business Insider into one of the few breakout successes of the traffic era. Now, with his new project Regenerator, he's taking a different path—one that reflects the broader shifts in digital media. We talk about the collapse of platform-driven distribution, why subscriptions are a more durable model, how venture capital never quite fit the media business, and what it takes to build in the current environment of fragmented attention and AI disruption.Check out The Rebooting's recent research report about AI and personalizationAttend The Rebooting's Online Forum with Recurrent and WordPress VIP on how Recurrent migrated its tech stack

I spoke with Anonymous Banker, an M&A advisor with a front-row view into the market for buying and selling digital media companies. Needless to say, it's a buyer's market.AB breaks down the market for digital publishing assets – broadly those with page-based models – into three types of buyers:HarvestersCAC jockeysVanity projects/rich person playthings“If you're a publisher with a mostly ad-supported site, odds are your business will be worth less next year than it is now,” he said. Deals are still getting done, but the buyers are different. These are no-name PE firms above ice cream shops in the outskirts of Miami. We go through the list, which ranges from Valnet to Static Media to Savage Ventures to Regent. The playbook is to buy undervalued media properties, slash costs, and milk the programmatic revenue with hyper-lean models that rudely dispense with the nostalgia of “when the going was good.”“Any content they invest in has to be ROI positive within 30 days,” AB said. “You'll never see them spend $20 million hoping advertisers show up. Those days are done.”Other topics we covered:How AI uncertainty is creating overhang that depresses valuations and makes long-term modeling nearly impossibleWhy the most resilient media businesses are lead-generation machines or conversion front-endsWe debate whether the Chernin Group content-to-commerce thesis was wrongHow Substack's recommendation engine is the most efficient user acquisition channel in mediaWhat kinds of content investors still believe in (hint: high-intent verticals, not general news)Check out The Rebooting's new media product research reportSign up for The Rebooting's Online Forum on May 21 at 1pmET featuring a case study on how Recurrent migrated its CMS across a portfolio of sites without disruption

Shoot us a Text.Episode #1037: Today we break down Ford's Q1 fallout as tariffs cast a $1.5B shadow, electrified vehicles surge to nearly 25% of new-car sales led by hybrids and non-Tesla EVs, and Waymo revs up its driverless ambitions with a new Arizona mega-factory and major city expansion plans.Show Notes with links:Ford is bracing for a bumpy ride in 2025 after revealing a steep Q1 net income drop and pulling its full-year earnings forecast. Mounting tariff costs and factory downtime from SUV redesigns weighed heavily on the automaker's performance, with more uncertainty ahead.Net income fell 65% to $471M.Ford expects 2025 tariffs to cut profits by $1.5B, despite $1B in planned offsets.CFO says Q1 tariffs cost $200M, mitigated partly by bonded carrier routes through Canada.Ford Pro earned $1.3B (down 56%); Model e lost $849M despite a 15% EV sales bump.CEO Jim Farley: “We are strengthening our underlying business with significantly better quality and our third straight quarter of year-over-year cost improvement, excluding the impact of tariffs.”Electrified vehicles accounted for nearly one in four new-car sales in Q1 2025, as hybrids led the growth and Tesla's dominance continued to wane. Buyers are moving fast—whether driven by rebates, tariffs, or just better options.EV sales hit 750,698 in Q1, up 29.6% YoY, with total electrified market share reaching 24.4%.Hybrids surged 44.1%, capturing 13.3% of all new-car sales, thanks largely to Toyota, Honda, Hyundai, Ford, Lexus, and Kia—who together own 97% of the segment.Tesla's BEV share dipped to 44.2%, while non-Tesla BEVs jumped 47%.Florida EV sales rose 42.5%, while Texas surged 37.1%, outpacing growth in traditional EV strongholds.“A significant part of it is due to automakers tapping into what drivers want. The 2025 lineup offers 71 unique models (up from 54 in 2025) with improved specs and options for every lifestyle." said Recurrent's Liz Najman. Waymo is transitioning from test phase to mass production, expanding its ride-hailing footprint while anchoring its future with a high-capacity, AV-focused factory in Arizona.Waymo One now handles 250,000 weekly rides across Phoenix, LA, SF, and Austin with expansions into Atlanta, Miami, and Washington, D.C. planned in 2026A 239,000-square-foot factory in Mesa, AZ will build thousands of autonomous Jaguars annually, in partnership with Magna.The facility will feature a fully automated line and produce vehicles with Waymo's latest sixth-gen Driver tech.“The Waymo Driver integration plant in Mesa is the epicenter of our future growth plans,” said Ryan McNamara, Waymo's VP of operations.Join Paul J Daly and Kyle Mountsier every morning for the Automotive State of the Union podcast as they connect the dots across car dealerships, retail trends, emerging tech like AI, and cultural shifts—bringing clarity, speed, and people-first insight to automotive leaders navigating a rapidly changing industry.Get the Daily Push Back email at https://www.asotu.com/ JOIN the conversation on LinkedIn at: https://www.linkedin.com/company/asotu/

Recurrent uveitis [you-vee-EYE-tus] is a leading cause of blindness in horses. It involves repeated…

Recurrent uveitis [you-vee-EYE-tus] is a leading cause of blindness in horses. It involves repeated inflammation of the uvea [YOU-vee-uh], the pigmented layer of the eye. In cases of equine autoimmune...

Join us for part 2 of our informative discussion with Dr. David Vitale, a pediatric pancreatologist at Cincinnati Children's Hospital. In this episode, we dive deep into acute recurrent and chronic pancreatitis, distinguishing the two, and exploring the causes, genetic predispositions, and available treatments. Whether you're a budding pancreatologist or a PCP, this episode offers valuable insights into managing and treating this challenging condition.

Episode two of four on Paediatric ENT conditions. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Tonsillitis in Children. We go through the definition of tonsillitis and what ENT class as recurrent Tonsillitis that would hit the criteria for Tonsillectomy in our region. We use a case and discuss why referral criteria are so strict, as well as some exceptions to the criteria.    Resources: ENT UK Recurrent Tonsillitis Decision Making Tool for Tonsillectomies (for parents): https://www.entuk.org/patients/conditions/63/helping_you_decide_about_tonsil_surgery_for_your_child NHS England ENT UK Recurrent Tonsillitis Decision Making Tool for Tonsillectomies (for adults and Children): https://www.england.nhs.uk/publication/decision-support-tool-making-a-decision-about-recurrent-tonsillitis-in-children-and-adults/   You can use these podcasts as part of your CPD - we don't do certificates but they still count :) ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

In this solo episode, Cara reveals why chasing creative whims might be capping your income and why committing to a signature offer—backed by solid systems and data, not just passion—is crucial for reliable, recurrent revenue. She guides you to embrace the resilience needed to scale ethically, address the mindset blocks keeping you stuck, and build a business where liberation and impact pave the way to getting paid well for your sacred work.   Radical and Resourced:The class to give you the tools, tips, and resources you need to scale your service-based business in our current dystopian reality in a way that aligns with your values. Live on Zoom on May 6th and 7th  from 10 a.m. to 11.30 a.m. PST / 1 p.m. - 2.30 p.m. EST⁠Sign up here.⁠Business Witch The Course: This episode is brought to you by⁠⁠ Business Witch The Course⁠⁠Additional Resources:- ⁠⁠Learn about working with me and subscribe for business tips.⁠⁠- ⁠⁠Apply to be a 1:1 client.⁠⁠- ⁠⁠Follow me on Instagram!⁠

Our next poster is titled Sleep in Orthopaedic Surgeons: A Prospective Longitudinal Study of the Effect of Home Call on Orthopedic Attending and Resident Sleep. Recurrent episodes of partial sleep deprivation resulting from call schedules are commonly seen in physicians. This has been shown to cause decreased mental effectiveness while at work, which corresponds with a blood alcohol level of 0.08%. Sleep deprivation has been associated with adverse personal health events, with an increased risk of diabetes, heart disease, stroke and risk of death. Additionally, sleep deprivation has been demonstrated to have a negative clinical impact, including decreased surgical performance, increased errors, and greater risks of accidents.Despite the known negative impacts of poor sleep, the effect of home orthopedic call on surgeon sleep has not been well quantified.  The purpose of the study was to quantify the impact of resident and attending physician home call on sleep performance – specifically total sleep, slow-wave sleep and rapid eye movement sleep – as well as heart rate variability. Sixteen orthopedic residents and 14 attendings at a level 1 academic trauma hospital wore WHOOP 3.0 straps for a period of 1 year. The WHOOP strap is wearable device that tracks all 4 stages of sleep and monitors wake events, efficiency and respiratory rate. The authors recorded total sleep, slow-wave sleep and REM sleep.  Slow-wave sleep is considered to be the most restorative sleep stage and plays an important role in growth, memory and immune function.This study showed that overall, attendings slept significantly less than residents, at 6 hours compared to 6.7 hours.  When on home call, resident total sleep decreased by 20%, REM sleep decreased by 12%, and slow-wave sleep decreased by 12%.  For attendings, total sleep on-call decreased by 10%, REM sleep decreased by 7% and slow-wave sleep decreased by 4%.The authors concluded that orthopedic surgery residents and attendings exhibit low baseline sleep, and taking home call reduces this even further.  On home call nights, Residents and Attendings experienced a significant decrease in total sleep, REM sleep and short wake sleep.  The authors suggested that further research is required in order to determine how to ensure excellent patient care, maximize educational environments and develop strategies for resilience.

Welcome to Season 2 of the Orthobullets Podcast. Today's show is Coinflips, where expert speakers discuss grey zone decisions in orthopedic surgery. This episode will feature doctors John Tokish, Derek Papp, Joseph Abboud, & Desmond J. Bokor. They will discuss the case titled "⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Recurrent Shoulder Dislocation s/p Latarjet in 20M.⁠⁠⁠⁠" Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Linkedln⁠

In this episode of Dr. C in the D, Dr. Carol Kowalczyk and Dr. Nicole Budrys dive into some of the most exciting advancements in the world of male fertility—shedding light on new testing options and lab techniques that are helping couples find answers and improve outcomes. With so many people turning to Facebook groups, online forums, and podcasts for fertility guidance, this conversation is all about clearing the air and explaining what's truly worth your time (and money) when navigating fertility treatments. From gene expression in sperm to cutting-edge lab tools, they unpack how these innovations support smarter, more personalized fertility care. What You'll Learn in This Episode: Sperm QT Test: A groundbreaking test that analyzes sperm gene expression to determine how well sperm can fertilize an egg. Ideal for: Unexplained infertility, long-standing TTC journeys, and deciding between IUI vs. IVF Key takeaway: A normal semen analysis doesn't always tell the whole story—Sperm QT can fast-track you to the treatment that's right for you. DFI (DNA Fragmentation Index): A test that measures DNA damage in sperm, which can impact embryo development and miscarriage risk. Often used in: Recurrent pregnancy loss evaluations Treatment options: Lifestyle changes, antioxidants, frequent ejaculation, or surgical evaluation for varicoceles. ZyMot for IVF: A lab technology that sorts and activates the healthiest sperm by mimicking the body's natural selection process. Why it matters: ZyMot has been linked to more and better-quality embryos, increasing chances of pregnancy while reducing the need for multiple IVF cycles. Why This Matters: Historically, fertility testing has focused heavily on women. But male factors can play just as crucial a role. These new tools give couples better answers, save time and money, and help create stronger embryos for today—and for future family planning. Whether you're at the beginning of your journey or have been trying for years, these tests offer clarity and direction for the path ahead. Mentioned in This Episode: Michigan Center for Fertility & Women's Health mifertility.com — For appointments, information, and resources Comprehensive fertility testing and IVF support Embryology lab implementing cutting-edge tools like ZyMot ✨ Next Episode Teaser: Stay tuned as Dr. Carol Kowalczyk and Dr. Nicole Budrys return to explore advancements in female fertility, from new treatment options to ways to enhance implantation success.

Episode one of four on Paediatric ENT conditions. Doctors Lisa and Sara are joined by Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Acute Otitis Media (AOM) in Children. A common problem, we take a classic presentation and work through getting the diagnosis right, red flags and differentials before discussing management and which children may need referrals. We then discuss the limited options of what might be done in an ENT clinic and helpful resources for families.   You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful Resources: NICE Clinical Knowledge Summaries on Acute Otitis Media (including initial presentation, persistent infections and recurrent infections (updated August 2024): https://cks.nice.org.uk/topics/otitis-media-acute/ Hoberman et al. 2021 NEJM Tympanostomy tube placement or medical management for recurrent acute otitis media: https://www.nejm.org/doi/full/10.1056/NEJMoa2027278 Resource for Patients: https://www.nhs.uk/conditions/ear-infections/ https://www.hopkinsmedicine.org/health/conditions-and-diseases/ear-infections-in-babies-and-toddlers ENT UK: Decision making aid for parents re Grommets: https://www.entuk.org/patients/conditions/5/grommets_a_decisionmaking_aid_for_parents ENT UK: Explainer leaflets, How to use ear drops or sprays: https://www.entuk.org/patients/conditions/74/how_to_use_ear_drops_or_sprays The Royal Children's Hospital Melbourne. Clinical Paediatric Guideline (good algorithm, pictures of erythematous Tympanic Membranes versus Acute Otitis Media with bulging/effusion): https://www.rch.org.au/clinicalguide/guideline_index/acute_otitis_media/ ENT Guidelines for Derbyshire (includes details of Topical Drops in specific cases: https://www.derbyshiremedicinesmanagement.nhs.uk/assets/Clinical_Guidelines/Formulary_by_BNF_chapter_prescribing_guidelines/BNF_chapter_12/Chapter_12_Ear_nose_and_oropharynx.pdf ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Alon Altman, MD, FRCSC, CCPE - It Takes Two: Integrating Immunotherapy in Combination With Chemotherapy Into Recurrent or Primary Advanced Endometrial Cancer Care

In this new installment for the How I Rehab Podcast, 'Clinical Cases' we chat with senior men's Rehabilitation Physiotherapist for the Sydny Swans Football Club, […] The post Clinical Cases - Recurrent Soleus Strain first appeared on The Sports MAP Network.

Part of the BJUI/BURST podcast series In this BJUI/BURST podcast, Saad Masood, who is an SHO in urology department in York Hospital, discusses the BJUI Compass paper " Efficacy of direct visual internal urethrotomy versus balloon dilation to treat recurrent urethral stricture following failed urethroplasty" BJUI Compass is the fully open access sister title to BJU International. You can read the paper discussed in this podcast here https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.458

In this episode of the How I Rehab podcast by Sports MAP we chat with Fearghal Kerin, hamstring injury consultant at Kerin Performance. Fearghal holds […] The post #42 How I Rehab: Recurrent & T-Junction Hamstring Injuries first appeared on The Sports MAP Network.

We talk with Recurrent founder and CEO Scott about how it helps owners manage electric vehicle battery health, as well as give you insight into the battery health of an EV you're considering buying. And more!

"Quality of life means something different for everybody. It's about how we can get patients to that place where they feel like they have a life again." - Melissa Kramer Melissa Kramer is a pioneering entrepreneur and leading patient advocate dedicated to enhancing women's health research, particularly in the domain of pelvic health. Melissa is the founder of Live UTI Free, an influential online community and education platform that connects patients, clinicians, and researchers with a focus on integrating the patient perspective into clinical studies. Her mission centers around addressing the gender gap in health research and improving the understanding and treatment of urinary tract infections (UTIs) in women. With over eight years of experience, Melissa continues to impact the field through engagement with scientific communities worldwide and pioneering patient-focused research initiatives. Episode Summary: Jana Short hosts another insightful episode of "Oh My Health, There Is Hope," featuring Melissa Kramer, an advocate spearheading the transformation of women's health research. Melissa shares her personal health journey that inspired her to found Live UTI Free, a platform dedicated to connecting UTI sufferers with the research and clinical support they need for better health outcomes. Her experience with recurrent UTIs and inadequate medical advice opened a path to empowering others through collective patient advocacy and improved healthcare research. In this insightful discussion, the conversation focuses on the alarming inaccuracies in current UTI testing methods, which Melissa reveals can miss up to 50% of infections. The episode delves into groundbreaking research about the urinary microbiome and the critical need for reform in diagnosing and treating UTIs. Melissa emphasizes the necessity for patients, particularly women, to take charge of their health by demanding thorough investigations and advocating for better testing. As the dialogue unfolds, Melissa shares the dynamic resources available through Live UTI Free, designed to enhance patient knowledge and advocacy while fostering a supportive community driven by scientific advancement and personal empowerment. Key Takeaways: Standard UTI tests can be inaccurate, missing up to 50% of infections, and Melissa's work aims to advance better testing methods. The urinary microbiome, discovered in 2014, holds the key to understanding UTIs, offering new avenues for diagnosis and treatment. Hormonal factors, particularly around menopause, significantly impact the recurrence of UTIs—an area receiving increased attention in Melissa's research. Live UTI Free provides essential resources, including a patient checklist and educational materials for clinicians, to better advocate for patient health. Melissa emphasizes the vital importance of creating a community where UTI sufferers feel less isolated and more empowered in their health journeys. Get in touch for free resources and information about clinicians who specialize in recurrent and chronic UTI: https://liveutifree.com/contact Resources https://liveutifree.com https://www.youtube.com/@liveutifree https://www.instagram.com/liveutifree/ https://www.facebook.com/liveUTIfree https://www.linkedin.com/company/live-uti-free/ Get in touch with Jana and listen to more podcasts: https://www.janashort.com/ Show Music ‘Hold On' by Amy Gerhartz: https://www.amygerhartz.com/music. Get the Best Holistic Life Magazine Subscription! One of the fastest-growing independent magazines centered around holistic living. https://bestholisticlife.info/Subscription Grab your gift today: https://www.janashort.com/becoming-the-next-influencers-download-offer/ Connect with Jana Short: https://www.janashort.com/contact/

This new installment for the How I Rehab Podcast, 'Clinical Chats' sees the Sports MAP team discussing some of the latest content they have accessed […] The post The Recurrent Hamstring - Clinical Chats first appeared on The Sports MAP Network.

In this episode, Dr. Carolyn Moyers dives into groundbreaking research published in The New England Journal of Medicine (March 6, 2025), shedding new light on bacterial vaginosis (BV) management. A randomized controlled trial from Australia, involving 164 couples, found that treating male partners significantly reduced BV recurrence rates by half over 12 weeks.This study challenges conventional treatment approaches and suggests BV may function more like a sexually transmitted infection (STI) than previously thought. Dr. Moyers discusses the implications for clinical practice, the ongoing challenges in managing persistent and recurrent BV, and the broader health risks associated with bacterial vaginosis.

Interview with David J. Seiffge, MD, author of Location and Timing of Recurrent, Nontraumatic Intracerebral Hemorrhage. Hosted by Cynthia E. Armand, MD. Related Content: Location and Timing of Recurrent, Nontraumatic Intracerebral Hemorrhage

Interview with David J. Seiffge, MD, author of Location and Timing of Recurrent, Nontraumatic Intracerebral Hemorrhage. Hosted by Cynthia E. Armand, MD. Related Content: Location and Timing of Recurrent, Nontraumatic Intracerebral Hemorrhage

Welcome to Season 2 of the Orthobullets Podcast. Today's show is Coinflips, where expert speakers discuss grey zone decisions in orthopedic surgery. This episode will feature doctors Bryan Springer, Michael Taunton, William Long, & Anna Cohen-Rosenblum. They will discuss the case titled "⁠⁠⁠⁠Painful TKA with Recurrent Tibial Loosening in 62F." Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Linkedln⁠

Send a one-way text message. Ask a Question or message me your feedback. Be sure to leave your name too if you'd like a shoutout on the Podcast.If you've ever suffered from a urinary tract infection (UTI), you know how painful and frustrating it can be. But did you know that UTIs can sometimes be linked to celiac disease and accidental gluten exposure?In this episode, I dive into why this happens, how gluten triggers inflammation that may lead to UTIs, and what you can do to prevent them. I also share natural remedies that can help ease symptoms and support healing, alongside medical treatment.If you're experiencing frequent UTIs and can't figure out why, this episode could be the missing piece of the puzzle. Tune in to learn how to protect your bladder health while staying committed to your gluten free lifestyle!Find out how Ultimate Celiac System can support your Celiac journey here  https://belindawhelantraining.com/ultimate-celiac-systemWish you could get gluten free meals on the table fast that the whole family will love? Check out Meal Plans Made Easyhttps://belindawhelantraining.com/gluten-free-meal-plans-made-easyJoin my free community and grab your copy of 11 Mistakes People Make Living Gluten Free here https://www.belindawhelan.myflodesk.com/11mistakesCheck out my Daily Health Tracker herehttps://www.belindawhelan.com/dailyhealthtrackerAnd I would love to connect with you on Instagram thehealthyceliac If you have a spare moment, please pop over to Apple Podcasts and leave me a review. Thank you!  Music Credit bensound.com

Dr Carley Akehurst is a dedicated naturopathic doctor and clinic founder with a passion for integrating traditional and modern medical practices to provide holistic care. Her approach to patient care emphasizes education and empowerment, allowing individuals to achieve balance in their lives through personalized treatment plans. With 13 years of clinical practice experience, Dr. Akehurst now focuses almost entirely on helping patients end the cycle of chronic and recurrent UTIs. In 2022, she opened the clinic she always wanted to work in. Though Dr. Akehurst opened my doors on my own and was the only patient care provider at the start, she now runs a dynamic and diverse team of twelve exceptional practitioners. Outside of the practice, Dr. Akehurst is a mother of three young children and often found in the forest, at the beach, or on the ski hill.https://doctorakehurst.com/https://www.facebook.com/doctorakehurst/https://www.instagram.com/drcarleyakehurst/?hl=en____________________________________________________________________________________Moisturize Your Vaginahttps://www.feel-amazing.com/?ref=vaginacoachJoin The Buff Method and get the 28 day challenge for free https://go.buffmuff.com/method?utm_source=cf-redirect&utm_medium=organic&utm_campaign=organicThank you so much for listening! I use fitness and movement to help women prevent and overcome pelvic floor challenges like incontinence and organ prolapse. There is help for women in all life stages! Every Woman Needs A Vagina Coach! Please make sure to LEAVE A REVIEW and SUBSCRIBE to the show for the best fitness and wellness advice south of your belly button. *******************I recommend checking out my comprehensive pelvic health education and fitness programs on my Buff Muff AppYou can also join my next 28 Day Buff Muff Challenge https://www.vaginacoach.com/buffmuffIf you are feeling social you can connect with me… On Facebook https://www.facebook.com/VagCoachOn Instagram https://www.instagram.com/vaginacoach/On Twitter https://twitter.com/VaginaCoachOn The Web www.vaginacoach.comGet your Feel Amazing Vaginal Moisturizer Here

2024 was another amazing year in human origins research. In this episode, three Leakey Foundation grantees (and one podcast host) share their picks for the most exciting discoveries of the year. Support this show and the science we talk about. Your tax-deductible gift to The Leakey Foundation will be quadruple-matched through midnight on December 31! Click here to donate.  Want more science between podcast episodes? Join our monthly newsletter for human origins news and updates from Origin Stories and The Leakey Foundation. Links to learn more All research articles are open-access and free to read On the genetic basis of tail-loss evolution in humans and apes Why don't humans have tails? Scientists find answers in an unlikely place Long genetic and social isolation in Neanderthals before their extinction Meet Thorin: A cave-dwelling population of Neanderthals isolated for 50,000 years Recurrent evolution and selection shape structural diversity at the amylase locus How early humans evolved to eat starch Footprint evidence for locomotor diversity and shared habitats among early Pleistocene hominins Fossilized footprints reveal two extinct hominin species living side by side 1.5 million years ago  

Who doesn’t love supporting products that are based on a heart-based purpose and mission? This is why I invited Caryn Johnson, Founder and CEO of BOND on to the podcast. Having lived her own fertility journey, Caryn, former CMO of Vital Proteins is passionate about helping women support their health by balancing their hormones and […] The post A Fearlessly Fertile Special: Unexplained Infertility Isn’t A Diagnosis: Getting to the Root Cause of Fertility Issues and Recurrent Miscarriage, A Conversation with Caryn Johnson, CEO of BOND appeared first on Rosanne Austin.

Is a dream really a wish your heart makes? Or is it just that your brain is an organ that never really turns off? What do your dreams even mean??? These are just some of the perplexing questions this episode posed to us and our special return guest, Trace Dominguez!SciShow Tangents is on YouTube! Go to www.youtube.com/scishowtangents to check out this episode with the added bonus of seeing our faces! Head to www.patreon.com/SciShowTangents to find out how you can help support SciShow Tangents, and see all the cool perks you'll get in return, like bonus episodes and a monthly newsletter! A big thank you to Patreon subscriber Garth Riley for helping to make the show possible!And go to https://store.dftba.com/collections/scishow-tangents to buy some great Tangents merch!Follow us on Twitter @SciShowTangents, where we'll tweet out topics for upcoming episodes and you can ask the science couch questions! While you're at it, check out the Tangents crew on Twitter: Ceri: @ceriley Sam: @im_sam_schultz Hank: @hankgreen[Definition]https://pmc.ncbi.nlm.nih.gov/articles/PMC2814941/https://www.scientificamerican.com/article/how-to-control-dreams/  [The Scientific Definition]Dreambookshttps://www.cabinetmagazine.org/issues/67/vandegrift.php#:~:text=Popular%20in%20Europe%20since%20antiquity,game%20then%20sweeping%20Northeastern%20cities.https://web.archive.org/web/20151222092158/http://www.eastm.org/index.php/journal/article/viewFile/146/134https://www.obafemio.com/uploads/5/1/4/2/5142021/dream_interpretation_in_ancient_china.pdfIncubationhttps://publishing.cdlib.org/ucpressebooks/view?docId=ft5j49p06s&chunk.id=d0e2624&toc.id=&brand=ucpress#:~:text=Common%20throughout%20all%20antiquity%2C%20the,some%20divinely%20inspired%20dream%20vision.https://www.britannica.com/topic/dream-sleep-experience/Dreams-as-a-source-of-divination#ref984709https://www.dreamscience.ca/en/documents/New%20content/incubation/Incubation%20overview%20for%20website%20updated.pdfOminous-Vapor Watcherhttps://www.obafemio.com/uploads/5/1/4/2/5142021/dream_interpretation_in_ancient_china.pdfhttps://www.britannica.com/topic/Zhouli[Trivia Question]Rapid eye movement (REM) saccade speedhttps://www.sciencedirect.com/science/article/abs/pii/B9780080450469010895https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1469-8986.1985.tb01551.xhttps://onlinelibrary.wiley.com/doi/abs/10.1111/j.1469-8986.1983.tb03008.xhttps://pubmed.ncbi.nlm.nih.gov/9406327/[Fact Off]Approximating dreams with generative AIhttps://www.sciencefocus.com/the-human-body/heres-how-ai-could-soon-decode-your-dreamsLucid dreaming and the effects of video games on dreamshttps://academic.oup.com/nc/article/2017/1/nix009/3859602https://theconversation.com/im-a-lucid-dream-researcher-heres-how-to-train-your-brain-to-do-it-118901https://psycnet.apa.org/record/2014-00817-001https://psycnet.apa.org/doiLanding?doi=10.1037%2F1053-0797.16.2.96https://psycnet.apa.org/record/2014-00817-001https://psycnet.apa.org/record/2008-19013-002https://www.theverge.com/2014/1/21/5330636/video-games-effect-on-dreams[Ask the Science Couch]Neuroscience of fever dreams https://pmc.ncbi.nlm.nih.gov/articles/PMC3830719/https://journals.ub.uni-heidelberg.de/index.php/IJoDR/article/view/28492https://pmc.ncbi.nlm.nih.gov/articles/PMC6997236/https://www.sciencedirect.com/science/article/pii/S0033318268718077?via%3Dihubhttps://www.accjournal.org/journal/view.php?number=1528 Patreon bonus: Recurring dream content and possible psychologyhttps://psycnet.apa.org/record/2010-23497-001https://www.researchgate.net/profile/Antonio-Zadra/publication/232509978_Recurrent_dreams_Their_relation_to_life_events/links/53d673f10cf220632f3da1f7/Recurrent-dreams-Their-relation-to-life-events.pdf  https://www.sciencedirect.com/science/article/pii/S1053810005000772?casa_token=Dofy4I_w2PsAAAAA:DdZ6qAtKJiS6OEE3Iu8pETHldBs5n1SH3lvSQl6WuCNVv9Xi8v09wuR9bWki5YROcyKWXAZ3CcN3https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2018.01812/fullhttps://psychiatryonline.org/doi/10.1176/ajp.134.12.1335[Butt One More Thing]Psychoanalyst Hans Thorner documenting a patient who dreamed of butt spidershttps://bgsp.edu/app/uploads/2014/12/Blechner-M-Patients-dreams-and-the-countertransference.pdfhttps://www.taylorfrancis.com/chapters/edit/10.4324/9780429477546-12/three-defences-inner-persecution-hans-thorner

In this episode of The Wholesome Fertility Podcast, I sit down with Dr. Marc Sklar to delve into evolving perspectives on fertility, especially for women over 40. We discuss the need to shift our focus from quantity to quality in fertility treatments, and the empowering impact this has on women navigating their fertility journeys. We cover the realities of IVF, the importance of patience, self-advocacy, and creating space for personal growth and healing. Marc and I also explore complex factors such as genetics, autoimmune issues, and male-related factors in recurrent pregnancy loss. This conversation is full of valuable insights for anyone on their fertility journey, promoting a holistic approach to healing and growth.   Takeaways   A shift in mindset is crucial for couples seeking fertility care after 40. Quality of eggs and embryos becomes more important than quantity as women age. Understanding hormones is important, but shouldn't be the sole focus. Regular ovulation is a key indicator of fertility, regardless of age. Real-life success stories provide hope and perspective for those trying to conceive. Patients should feel empowered to advocate for themselves in medical settings. IVF is not a guaranteed solution and should not be the first option considered. Donor eggs can be a valuable option, but should not be the first recommendation based solely on age. The energetics of fertility are crucial for healing. Recurrent pregnancy loss can stem from various factors, including genetics and autoimmune issues. Male factors contribute to 50% of miscarriages, often overlooked. The importance of the uterine environment in fertility cannot be ignored. Quick fixes are a societal conditioning that impacts health decisions. Understanding the microbiome can enhance fertility treatments. Emotional states can significantly affect physical health and fertility.   Be sure to check out our Fertility Empowerment Holiday Bundle here https://www.michelleoravitz.com/fertilityempowermentbundle before it's gone!   Guest Bio:   Dr. Marc Sklar — a.k.a The Fertility Expert — is a natural fertility specialist helping couples get pregnant for 21 years. He's mission is to help you feel HOPEFUL and CONFIDENT about your fertility journey again.    In addition to his Doctor of Acupuncture and Oriental Medicine, Dr. Sklar trained at the Harvard Medical School, Mind/Body Medical Institute. He is the creator of Fertility TV, MarcSklar.com and ReproductiveWellness.com, and a Fellow of the American Board of Oriental Reproductive Medicine and Medical Advisor for Symphony Natural Health.   As well as his online program, he also supports his community via his highly popular YouTube channel: FertilityTV where he shares information packed videos to educate his followers on all things fertility.    The Fertility Expert lives in San Diego, with his wife and two sons, where he has his clinic Reproductive Wellness. He also works with couples all over the world through his fertility online coaching - the Hope Fertility Program.   FERTILITY TV WEEKLY EPISODE - http://bit.ly/thefertilityexpert FACEBOOK - https://www.facebook.com/thefertilityexpert INSTAGRAM - https://www.instagram.com/the_fertility_expert/     For more information about Michelle, visit: www.michelleoravitz.com   Be sure to check out our Fertility Empowerment Holiday Bundle here https://www.michelleoravitz.com/fertilityempowermentbundle before it's gone!   Click here to get free access to the first chapter in The Way of Fertility Book! https://www.michelleoravitz.com/thewayoffertility   The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/   Instagram: @thewholesomelotusfertility   Facebook: https://www.facebook.com/thewholesomelotus/     Transcript:   Michelle (00:00) Welcome back to the podcast, Dr. Scalari.   Marc Sklar (00:03) Welcome, well, thank you for having me. It's automatic. But no, it's awesome to reconnect. It's been a while and I'm excited to have a conversation that we both are passionate about, which is everything fertility.   Michelle (00:07) I know it's automatic. Yes.   For sure. We're like, you could say we're a little obsessed, right? With fertility. It's like, live it, we breathe it, So awesome. actually today we're going to talk about a couple of different topics, but I wanted to talk to you about pregnancy after 40. Cause I know that a lot of what we hear out there, even about,   Marc Sklar (00:25) 100%. Yeah, absolutely. Yeah.   Michelle (00:46) how even after 35, it's considered a geriatric pregnancy, which I don't know about you. just don't love that term at all. It's icky. yeah, because I'm sure you see most people like closer to the age of 40 and doing really well. So I'd love for you to talk about it, your experience with that, and also some really cool examples of how it can work despite all of the naysayers.   Marc Sklar (00:55) Yeah, not a fan of it.   Mm-hmm   Yeah, so I think, I so many things I want to talk about when you say this that I need to prioritize it in a good way. here's a couple of things that I think are really important. One is, I think our perspective about fertility, and when I say our, not ours as practitioners and doctors and providers, but more like ours as in like,   the couple who is seeking care during this time and wanting to get pregnant in their 40s, I think a mind shift has to happen. And I think that they need to think about their fertility in a slightly different way. If we are thinking about our fertility and reading everything that is really focused on   couples that are 30 or 35 or whatever age in their 30s, then we're going to be skewed differently about our own fertility and our approach needs to be different. And so I say that in the sense that, you know, we have to have a different reality of what is okay and what we're trying to achieve. A woman who's in her 30s is trying to get as many eggs as possible.   Michelle (02:43) Mm-hmm.   Marc Sklar (02:43) So they have as many options when they have their embryos created and they are, you know, it's usually more about in general and this is a making a generalization, but it's more about quantity versus quality. We're like, let's have as many as we have so that we can choose the best quality of those and then we can move forward, you know, with our pregnancy. And...   the approach may or may not be in those situations about egg quality, because there might be other variables that are impacting their ability to conceive. Whereas I think when we are 40 and older, my approach really shifts. I don't care about quantity. I'm really, really focused on quality. And I think that mindset has to be different as a couple.   because then we were not as disappointed like, I didn't get that many follicles and they didn't retrieve as many eggs as I would have hoped. But because that's all we hear about. We hear about, look, we need all these eggs, we need all these embryos. But the reality is, is when we get older, I don't need 20 eggs or 20 embryos, I need a couple good ones. That's really what I'm looking for is a couple good embryos.   to work with and to transfer. So I think really a mind shift needs to happen and our perspective on fertility needs to change. And so for reading and understanding things as if we were 30 versus 40 or older, then we're gonna have, I believe, skewed perspective on our fertility journey. So that to me is number one. Number two is we do all get caught up in our hormones and some of that is appropriate and some of that is not appropriate.   Is it appropriate to understand where our hormones are at when we're at any age? 100%. Is it important to understand what our estrogen is doing and what our progesterone and FSH are doing? Absolutely. Is it important to know what our AMH is? Yes. Should we get caught up in AMH and make our whole focus about AMH? No.   The research doesn't promote, doesn't support these variables. Even FSH, AMH are not good indicators for a couple's ability to conceive and have a healthy pregnancy. Are they important for us to just have a baseline and understand? Yes. Will they potentially or can they potentially influence your IVF protocol? Yes.   But that doesn't mean we as couples need to get wrapped up in those numbers and make our fertility all about that because it shouldn't be. My rule of thumb is are you having a regular cycle? Check. Are you ovulating regularly? Check. Is your bleed healthy? Check. You can conceive.   Michelle (05:40) Mm-hmm.   Marc Sklar (06:00) Do we have to look at these other variables? Do we need to check your thyroid? Do we need to work on your adrenal glands and stress? Do we need to make sure your gut is healthy? Do we need to make sure all the systems are functioning properly? Seem analysis is good. Fallopian tubes are open. All of those things are still important. But the main thing that as long as you're ovulating, you can get.   And I think that's a really important piece. Now, we're not talking about IVF or not IVF right now. It's just like conception at 40, right? And or older. And so I think if we just focus on the right things and don't get bogged down by these little details of someone who might approach things a little differently if they were 30, then our approach will be better. It will be healthier.   Michelle (06:37) Mm-hmm.   Marc Sklar (06:57) you'll be more grounded in your approach. And we could focus on the areas that really need attention and support. And so I think that piece is really important as we are in our 40s, approaching fertility, still wanting to conceive. If we're always comparing ourselves to other women and other circumstances, we're gonna lose sight of what we need to do and always be trying to like catch up or do what they're doing. And I think that is...   That can really push us down the wrong road. I say this because truly I work with so many women who are over 40. And I see this time and time again. So it's coming from a lot of experience working with women over 40. And I have a wonderful story to share of a woman who is, and everyone will gasp when they hear, okay, when she conceived she was 48.   Michelle (07:55) That's awesome. I love that.   Marc Sklar (07:55) She is, I just spoke to her two days ago. When she delivers, she will be 49. Okay? And I'm not saying she didn't have a long journey.   Michelle (08:08) Was this natural or was it IVF?   Marc Sklar (08:11) This time was natural, but I'm not saying she didn't have a long journey. She did. I'm not saying it was easy. It was not. It was a long journey. It was difficult. Miscarriages, conceiving naturally, conceiving through IVF, long IVF protocols, multiple clinics, like all these things. So it wasn't easy. It was long, but she's 32 weeks pregnant right now.   Michelle (08:40) Wow, amazing.   Marc Sklar (08:41) And I say that because it's possible. It can happen. And these are the sorts of things we see on a regular basis. I'm not saying it's easy at 48, not at all. But I say that for some perspective on the process. Okay. And I think that, you know, do I think everyone could last for seven plus years trying? No, I don't think that's for everybody. She was never going to give up.   Michelle (08:51) Mm-hmm.   Marc Sklar (09:11) Like regardless, like she was never going to stop and never give up until she was pregnant. And that's what she told me. She's like, I'm not going to stop and I'm determined. I was like, okay, I'll support you. Right. That, that, that process is not for everybody. Some people will be on it for a year or just have one or two IVF transfers. And they're like, this is too much. I'm done. I'm going to move on. And I respect everybody's path in that process, but   Michelle (09:21) Wow, amazing. Yeah.   Right.   Marc Sklar (09:39) I want everyone to know it's possible and that's why I share that story. I think it's possible regardless of age with the right support and the right process and the right focus of our attention.   Michelle (09:51) I love that. I really do. And I love the stories because I think that there's so many people that can benefit and you have that sign hope in the background. And it's true. Like those are, but stories, real life stories, there's nothing like real life stories to provide real hope. Cause you can hear, you know, there's a chance of this or a chance of that. But when you actually see an example of somebody going through those challenges that you are and having a successful pregnancy,   Marc Sklar (10:00) Yeah.   Michelle (10:21) I think that there's nothing that compares to that.   Marc Sklar (10:24) Yeah, absolutely. And I love to bring in stories wherever possible. And she was just at top of mind because I just booked her two days ago. So yeah.   Michelle (10:33) That's awesome. You know what I find really cool is the Guinness Book of World Records, the oldest pregnancy is 58 and it was natural. And it was a woman in England who, you know, in England, they don't have a lot of sunlight and, know, and vitamin D access naturally. So I thought that was really cool. But it's, it could be done. It's possible. Just like you said, and I love that you said   Marc Sklar (10:45) Wow. No.   Michelle (10:58) as long as you're ovulating, there is a possibility that you can get pregnant.   Marc Sklar (11:02) Yeah, yeah, we see this, we do see this all the time. Look, as soon as you hit 35 and 38 and certainly 40 and older, you're going to read things and hear things that say, you can't, it's not possible, you won't, you need donor, you need IVF, whatever it is that you're gonna hear, you're gonna hear it all.   I think the hardest time is when you hear it from the person on the other side of the desk in a white coat that says to you, your only option is donor, just give up. And we all hear variations of those words, whether it's not possible, just use donor, whatever variation of that, of what I just said, when you go into an office, whether that's your OB,   Michelle (11:46) True.   Marc Sklar (12:01) or your REI or whoever it might be, and you're sitting down talking to them and they see your age, they assume certain things and they make certain judgments. And they express those verbally to you. And you hear that and that registers in your brain that embeds into your brain. And you start to believe it. Well, yeah, right.   Michelle (12:22) It's nocebo.   True.   Marc Sklar (12:28) I've never heard it, say it. really like that phrase. Yeah.   Michelle (12:31) You're never going to be able to get it out of your head now. Every time a woman comes in and tells you the story.   Marc Sklar (12:36) Yeah. And so look, they said this to you, it and our our brains are really strong and we imprint with these negative things very easily. It's much harder to imprint with all the positive, it takes more effort. And so it imprints into our brain. And now we start to believe it. Well, Dr. So and so said, it's not possible, I'm not going to do it, I can't. And then we repeat that to ourselves so often that   Michelle (12:49) Right. It's true.   Marc Sklar (13:05) Now our body and our brains believe that to be true. so if someone says something negative to you, you have to work double or triple as hard on yourself to get that out. And you need to express to them, I didn't come here to hear negativity. I didn't come here for you to tell me that I can't. I'm determined to get pregnant.   Michelle (13:09) 100%.   Marc Sklar (13:33) And it's fine if you're not able or willing to help me, I'll go someplace else, but I don't need you to tell me that I can't do it, because I know that I can. And you have to do it in that moment. You have to say that in that moment to them, because what you're saying to them is repeating it back to yourself to retrain yourself and get rid very quickly, get rid of that negative comment so it doesn't embed into your brain, into your conscious.   Michelle (13:52) Yeah.   Marc Sklar (14:00) But it also allows them, they need to be woken up. One, they need to be told this is not okay. And two, you have to have the power and the strength to verbalize that truth to them. Okay. You might not be getting pregnant in the conventional way that you thought or they thought. You might not get pregnant in the way that they would like you to. It doesn't mean that you cannot get pregnant. It means that it might take longer. It might be a different path. It might be...   whatever. And so I think it's really important in those moments to stand up for yourself and verbalize that and let them know they might not like it. It's okay. Yeah, you didn't like what they said to you. So it's fine.   Michelle (14:41) Yeah, exactly.   Totally, totally. And that's like really taking your power back regardless, ultimately it's your journey. You're not there to make the doctor feel better.   Marc Sklar (14:53) Right, listen, I think that's such an important piece. Unlike most other medical visits and specialties, you are a consumer buying their service. Just because they're wearing a white coat and they have MD after their name does not mean   that they get the say in everything. It's your journey, it's your process. You're paying them a lot of money for their service. And even if you have insurance coverage, by the way, it's still insurance coverage that can go someplace else to pay for somebody else. So it doesn't have to go to them. And so...   You have the power, like they make it feel like they have the power and they control the situation. I want you to know you have the power. You control the situation and your outcome. It's your dollars that you're spending. You are and should be an equal participant in this process with them. And they don't have to dictate everything. Now, I'm not saying, you you're telling them the protocols to use all the time, but   It needs to be a joint effort in this process. It's totally different than going into a different medical environment and a different provider for different services. They're not charging you $20,000, those other people, for a service that's elective. So stand up for yourself. Have that empowerment to do so.   Michelle (16:34) Yeah.   Right.   Yeah. And another point that I want to make is, you know, when you're working with a doctor, it doesn't matter how qualified, like, I feel like they should believe in your outcome. If they're doubting your outcome, find another person.   Marc Sklar (16:57) Yeah, right now, 100%, 100%. Look, I am not opposed to donor egg. I think that donor egg is something that is super valuable and has its place. What I don't like is that just because of your age, someone is telling you, need to use donor egg. What they're really saying,   And there is certainly a place for donor egg. have lots of women that I work with that use donor egg very successfully and I'm a big proponent of it. But what, why they are telling you just based on your age to use donor egg is because their success rates are impacted by your age and the challenge, the potential challenge of getting pregnant at your age.   Michelle (17:51) Right.   Marc Sklar (17:55) And so for them and their success rates, they have higher chances with using donor egg and they would just prefer, it's an easier process, they would prefer that you use donor egg for that purpose. Okay, now again, does it mean that it's not the right decision for some? It just means that I think if they're just making that decision based on age, I think there's a lot of other pieces that need to be looked at before that decision is made.   Michelle (18:24) What you just said is so important because it's the reality. Really if the system, it's the reality because their ability to really stay on top of their game is for their statistics to make them look really good. And it's human nature. They're going to be thinking about that when they're talking to you, regardless if they're, you know, they can be great doctors, the two can coexist, but   They're also in a business. So it's important to keep that in mind in the realistic aspect of it is that it's going to make them look better. They don't want to take a risk. They see it as a risk, but that doesn't mean that just because they see it that way, that that's really the case for you.   Marc Sklar (18:54) 100%.   Right, yeah. Look, absolutely. I say this also from, so everyone knows who's listening, 50 % of the couples that I work with, 50 % of them are doing IVF. I could group IUI into that as well, so IUI or IVF, some form of assistive technique. Of that number, about 15%, use donor egg.   Michelle (19:33) Mm-hmm.   Marc Sklar (19:34) So I'm fine with it. I'm happy to support you with it. I just often think that choice is made prematurely or that push in that direction is done prematurely without really giving you a fair chance, really looking at your case as a whole versus just looking at you as an age, as a number.   Michelle (19:56) Same thing with IVF. I also find that with IVF that people will start out maybe three months and they're young and they're like, you know, I just want a baby now. So I'm going to go to IVF. And a lot of people have a preconceived notion just because you're paying a huge amount of money and that there's technology involved that doesn't give a guarantee. in fact, I've seen people get more successful naturally, even at an older age than going through IVF.   Marc Sklar (20:05) Easy.   Well, the success rates for IVF for those who are listening and aren't aware are relatively low. You know, in your, from 30 to 35, those success rates are around 35 to 40 % ish. You know, depending on the clinic, some clinics might have a little higher, some a little bit lower, but roughly, you know, in the United States, that's an accurate statistic. It only goes down as you get older. And if you look, because most clinics,   Michelle (20:50) you   Marc Sklar (20:56) Don't have to report, but most clinics do report their statistics. If you look at statistics for IVF in their 40s without donor egg, those statistics are very, very low. So then you have to ask yourself, is this worth the money or can I get the same or better statistics and results trying naturally by addressing the root issues, by focusing on the things that I need to focus on, by getting healthy.   are those better for me? Are those odds better? One of the beautiful things you mentioned it with, you work with younger women and after three months they move forward with IVF. One of the beautiful things that's happened over the last 20 years is that fertility treatments and the fertility journey has become something that is more accepted and people are more willing to talk about it. And as a result of that,   marketing towards those communities has increased dramatically. And as a result, IBF has been spoken about more frequently because of that marketing. And so it's become so much more commonplace that couples who want to get pregnant, young, try for three months or six months, hey, it's not working.   you know, so and so did IVF and got pregnant or so, you know, we should just go do IVF. And they don't know the real statistics. They believe that it's a hundred percent successful. And as a result, it becomes the first line of treatment versus, you know, what used to be the third or fourth or fifth line of treatment, right? Well, I used to go to my OB and they used to do that. And then I would try other things. Now it's like, I'm not pregnant. Let's just go do IVF. Right. And so so many couples end up doing IVF.   thinking it's faster or more convenient without really working on themselves. And in turn, then they realized later on, I really shouldn't have started this way because it's not a guarantee. I haven't been successful. So they go there very prematurely. My preference would be is to see couples have patience. Take a step back. What's not working for me?   Michelle (23:03) Mm-hmm.   Yeah.   Marc Sklar (23:17) What do I need to improve and correct? And let's work on the root issues so that way you can be successful moving forward. And I had a conversation two weeks ago with a woman. I talked about it briefly this week on my Instagram stories because I think we were both frustrated with each other during this conversation. She has a history of repeated chemical pregnancies.   And she is frustrated with the lack of results and I've just started working with her. And so I asked her, know, she, and as we just started working together, she had another chemical and I asked her to stop trying for a little bit. I'm like, you're just having these ongoing chemicals and we're really not able to make progress. I just wrote out this plan for you. I want to give it some opportunity. You know, it's the end of the, it's close to the end of the year.   How about we just take off right now through the end of the year? Let's just take a break. Let's enjoy life and let's work on ourselves. And she felt like she was wasting time and she was feeling, I could feel her as soon as I said it, like getting anxious about like just the time of giving, creating this time to, and she's in her early forties. And she said, you know, I don't think I'm gonna do that. I can't do that. I'm gonna.   Michelle (24:19) Mm-hmm.   Marc Sklar (24:44) I'm going to keep trying because I feel like I'm wasting time. We had this back and forth, this long conversation back and forth. I'm going to totally support her and respect her decision about how she wants to move forward. I just don't agree. Sometimes taking a step back and working on ourselves and creating space is progress towards our ultimate goal. I know that we think that if we're not actively having intercourse and trying to conceive at ovulation every month, that we're wasting time.   Michelle (24:57) Yeah.   yeah.   Marc Sklar (25:15) Well, in a situation like this, we're just spinning our wheels. If all we do is continue to do the same thing every month, expecting a different result, I don't know how that's gonna change. So we need to give ourselves a little bit of opportunity. And she's so worked up about it and anxious about it, she's trying to control every aspect and she's scared. She's making this decision out of fear.   Michelle (25:19) Totally.   Mm-hmm.   Marc Sklar (25:43) So one, the decision's being made out of fear, and two, she's trying to strangle, like, I'm gonna control all of this. It's not, we are typically not successful if we make decisions out of fear, number one, okay? And number two, the more we try to strangle something, the more you strangle it and you don't allow it to be successful.   We need to create some space, some room for things to occur. Okay? And I'm a big proponent of this, like, let's just take a step back. Let's take a deep breath. Let's understand, let's give ourselves some space and not have to be so stressed about this. Most things, if you think about it, are created in space, in a little bit of a vacuum. Sorry, not a vacuum, in a little bit of a space. If we have this vacuum, we're constantly trying to control it. There's no space for creation.   Michelle (26:19) Yep. Yeah.   Marc Sklar (26:39) There's no place for an opportunity for something to be created in. So I think it's, know, painting a beautiful painting is created from a blank canvas. It's created from space. And the same thing with our life. We need to create an opportunity for life to be created. And so that means not straining, not holding on so tight, not trying to control every little thing.   Michelle (26:52) Mm-hmm. Yep.   Marc Sklar (27:08) Let's take a step back. I'm not saying you don't like do the right things. I'm saying we don't try to control all of those things so closely. And I think this is really such an important lesson for all of us because our tendency when we're told is I'm gonna do it differently. I'm gonna add this in like, right? And you're just like more and more and more more and more. So that's like this stranglehold that happens.   Michelle (27:29) Mm-hmm.   Marc Sklar (27:35) And I want us all to just let go a little bit more. It doesn't mean you're giving up. It doesn't mean you're taking a break. It doesn't have to be. It means you're just not holding on so tight to the outcome and the process. And I think this is so, so valuable for us. Difficult to do. I'm not saying it's easy, but it's so valuable. you know, I know her and I, were both...   kind of frustrated by the conversation because it didn't feel like she was listening to me and she didn't feel like she wanted to move on with my recommendations. She felt frustrated by me asking her to take a break. But I say it out of all love, like that is what I feel like is going to be the most beneficial for her in that situation. And I've had these conversations with others in the past and I'm just saying this from experience. So for all of you listening, sometimes we just gotta let go a little bit.   We've got to just ease up just a little bit.   Michelle (28:31) love this.   Yeah, no, I love this so much. you have no idea. Cause it, think that like you just said, you've had so much experience, you've seen this. And when you do something over and over again for many years, what happens is you start to get a feeling for it. You know, my husband works in the ER. He's starting to have a feel. He gets a sense when somebody's really sick or somebody saying they're sick, you start to get a sixth sense. You know, maybe we can't measure that, but it's a real thing. And I love that you talk about that. Cause to me that's   Marc Sklar (28:37) Yeah.   Michelle (29:04) being in a state of flow, being in a state of flow is the same exact thing that happens in our body when our chi flows and our vitality is able to feed all of our organs. cannot happen when it's constricted. And then going inward. Yeah, that's just going into the yin. You can't be constantly yang. You have to go back into the yin as well. And yin is incredibly productive.   Marc Sklar (29:25) Yeah.   Michelle (29:28) Like what happens when we're sleeping? We're in a state of yin. It's the most productive thing your body can do. You can't possibly have so much going on without that kind of like inert state. know, so it's, yeah, it's totally important, but also I don't know if you ever follow Dr. Joe Dispenza. I'm obsessed with his teachings. And have you ever done his meditations? So his meditations, he actually takes you through a form of induction, which   Marc Sklar (29:48) Mm-hmm. Yeah.   No.   Michelle (29:58) It's not hypnosis, but he gets you into a state of space, of becoming aware of space. Because when you become aware of space and everything that he does is based on science. actually has a whole research team on this. And this idea of kind of allowing this state of space, as they learn in quantum physics, you know, getting to this place where we're not locked in to the material world. We're not locked in.   We're kind of like moving back so we can allow this divine intelligence to take over. And then, and then it fixes things. It takes care of your body. does what it needs to do. Cause that's not our job. Our job is yet to direct and to intend, but our job is not to fix every single thing. When we try to do that, all we're doing is getting in the way of this divine intelligence. So I love that you're saying this because it totally like, it totally speaks the language that I'm feeling when it comes to.   fertility health and overall health like every way really.   Marc Sklar (31:00) Yeah, I agree. it's something I talk about. I have to do it, I feel like, repeatedly to the same person to get them to hear the message. And it's not intuitive. Like, personality-wise and for many of us, our goal is like, just want to fix it. I want to solve it. I want to do it. That creates this stranglehold. And so it's not intuitive for them to kind   Michelle (31:08) Yeah, because it's not common knowledge. It's not common.   Mm-hmm.   Marc Sklar (31:30) pull back a little bit and feel like that's moving forward. But it is.   Michelle (31:34) Yeah. Yeah, totally. Cause I mean, we have, we're conditioned to, you know, to first of all, get quick fixes. I mean, this is, we've been conditioned for years and this is all marketing for quick fixes, like quicker, faster, better, you know, and we also are conditioned to no pain, no gain. You know, you have to work for it. You have to get it. You have to be on top and   Marc Sklar (31:46) Mm-hmm.   Michelle (31:59) So over time, this is just a habit. That's going to be our knee jerk reaction or response to pretty much anything, but it's not necessarily the response your body needs.   Marc Sklar (32:10) Yeah, no, absolutely. And it's actually with the younger generation, that's only getting worse. Maybe not the no pain, no gain part, but the quick fix. That's our generation. Yeah. The younger generation is like, I don't want any pain, but I want all the gain. Yeah. And the quick fix, you know, part of it is because of the phone.   Michelle (32:20) Yeah, that might be more our generation. This is true. It's true. Yeah. I just want to be on my phone.   Dopamine.   Marc Sklar (32:39) the dopamine, but also like this, as much as Amazon has been a great service to so many people, it's a huge disservice. We, and especially the younger generation, expect everything now in a day. Right? That's the quick fix. That's like immediate gratification. Free delivery, two days. Now everyone expects free delivery and they want it there in two days. And it doesn't work like,   Michelle (32:55) Mm-hmm. Yeah.   Marc Sklar (33:09) The world doesn't typically work that way, but they've preconditioned us to this. And that's to our detriment, right? Because that gets translated across the board to all aspects of our life. Now we want things faster. We more immediate gratification. it should have been fixed. Why didn't they get back to me, right? Like all of these things, I think that's a problem. Yeah.   Michelle (33:32) I'm like, we're on the same page. 100%. Yeah. And I think that, yeah, it just, these are mental patterns that we're constantly repeating. And I'll be honest. I mean, ever since I had my phone, I just don't feel as sharp. I don't remember as much. My attention can't stay on one thing. And even me, I'm aware of this and it's impacting me.   Marc Sklar (33:41) Mm-hmm.   Right, yeah, yeah, yeah. One of my favorite things to do both to bother my children and because it's beneficial to them is if we need to order something from Amazon, I put it on the longest shipping option as possible. Like if it says one week or two weeks, that's what I pick. Every time. I mean, unless I like immediately need something, whatever. But like.   Michelle (34:08) that's smart.   That's actually really smart.   You need it. You'll use it when you need it.   Marc Sklar (34:18) Yeah, but like in general, I use the longer shipping option because I'm trying to retrain their minds to be like, it's not here yet. Okay, we'll come. It's not, it's not the end of the world, right? It will arrive. and usually Amazon gives you a little benefit for that delay, by the way. Yeah.   Michelle (34:36) Yeah, yeah, yeah, right. It's a little cheaper. That's really smart. That is actually really, really smart. And then you can put things in one box. So it also is good for the environment. So when it comes to recurrent pregnancy loss, because you'd mentioned you're talking about chemical pregnancies and what are some of the common factors that you've seen clinically?   Marc Sklar (34:46) Yeah, and good for the environment.   Yeah.   Yeah, so chemical pregnancy could be a little bit different, but if we're talking about, you know, reoccurring pregnancy laws or, you know, multiple miscarriages, then the, there are four buckets that I put things into. The first bucket is one we have to look at and analyze, but one we potentially can't do much about, which is genetics, right? Is there some sort of genetic abnormality that's occurring potentially?   Michelle (35:24) Mm-hmm.   Marc Sklar (35:30) due to my genetics or the combination of mine with my partners and what's that going on. I might end up with five causes actually now that I think about it. The next one is autoimmune issues. I find this is a huge reason for reoccurring pregnancy loss. will say also I find this is a big reason for secondary fertility issues.   Michelle (35:41) Hey, good.   Marc Sklar (35:59) with recurrent pregnancy loss. So secondary meaning you've been successful with the pregnancy one time or multiple times, and then at some point you're trying again and you're not successful, but in this case you've had, let's just say a loss. And so I would say I find that autoimmune issues are much more common in that situation because something happened in one of the previous pregnancies or postpartum that caused some sort of autoimmune issue that has triggered this outcome or contributed to this outcome.   Michelle (36:26) Mm-hmm.   Marc Sklar (36:28) Another one is blood clotting factors, that there is some sort of, you know, some issue, whether that's genetic or not, because it doesn't have to be genetic, that is contributing to more clotting factors that doesn't allow for that embryo to implant properly, and you could have a miscarriage. So that's three. Four, uterine issues.   That could be wide, that could be like a bigger bubble that doesn't get talked about as frequently. So what's going on in implantation that might be contributing to that? Is there an infection, a virus, a bacteria? Is there inflammation? Is there endometriosis? What is going on inside the uterine cavity and with the endometrium that could be causing this pregnancy or multiple pregnancies to not be able to be held?   And then the last one, which is male factor. So 50 % of all miscarriages are male factor related. Most typically in those, it's going to be some sort of DNA fragmentation issue. So the DNA of the sperm has been compromised in some way and that's contributing to that loss. That's the one that unfortunately we don't talk about as much because, like why would a male...   Michelle (37:43) Mm-hmm.   Marc Sklar (37:57) contribute to the miscarriage, you know, and they're not carrying. So that one gets ignored, but something that needs to be ruled out. So those are the, I said four, but really five, those are the five reasons that, you we should look at.   Michelle (38:10) Yeah, for sure. And also the microbiome, know vaginal microbiome can impact a lot.   Marc Sklar (38:14) Yeah, so that I look at that in that fourth one with the uterine environment. So to me, that microbiome is a piece that I look at when I'm evaluating that. Yeah.   Michelle (38:23) Yeah. And I feel like, I feel like they should always look at that, like before transfers. mean, cause people are paying so much money. And I know in Spain, it's more commonplace for them to give vaginal, suppositories for, probiotics. And I feel like it would really be very helpful for a lot of people.   Marc Sklar (38:33) Yep.   Great.   Yeah, I've started running that test much more frequently in the last year. And I can't say I run it for everybody because at some point I'm just balancing cost of things, right? Like we could run every test under the sun. It's just like, it's a matter of cost. But certainly if I see implantation failure, if I see chemical pregnancies, you know, these are the sorts of things that for sure I'll start to look at.   Michelle (38:48) Yeah.   Mm-hmm.   Yeah.   Chris. Yeah.   Yeah, for sure. I mean, we could talk for hours, I love that we talked about, first of all, it's really interesting just to get your take on things and to hear from another person who's doing the same thing, But also, you know, I love the fact that you were talking about the energetics of it, because I think that when you do this long enough, you start to see patterns and you could start to see how emotions can really constrict the chi, you know, from our perspective.   Marc Sklar (39:38) Yeah, sure.   Michelle (39:39) So I think that that is really important because yes, we could look at all the little details and the numbers and the stats, but the energetics aspect, we can get so kind of like focused on the small parts. And then sometimes it's good to kind of go zoom back and see the bigger picture. So I thought what you said about that to me was very, very powerful.   Marc Sklar (40:01) Yeah, all of these things, like everything we talked about today is so valuable for those individuals who need that specific message, right? Like we're all in a different place and we all have our own journey, but hopefully, you know, the messages we shared today and the information we shared today really resonated with those who are listening.   Michelle (40:10) Yeah.   I'm sure they did for sure. mean, was a really valuable information. So it's been great having you back, Dr. Sklar. It's been too long and we should do this every so often because I feel like we're never going to really run out of things to talk about. Thank you so much for coming on.   Marc Sklar (40:34) I agree. I'm happy to be on any time. Yeah,   Yeah, I appreciate it and wishing everyone success on their journeys.

You have a patient with another episode of acute uncomplicated diverticulitis. This is the third episode. Do they need antibiotics? Is surgery the next step? What is their risk of recurrence with or without surgery? Tune in to find out! Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Jason Hall MD, MPH as they discuss high yield papers discussing diverticulitis.  Learning Objectives: 1. Describe the impact on quality of life for patients who undergo surgery or non-operative management of diverticulitis 2. Discuss the indications for surgery in patients with diverticulitis 3. Describe ongoing clinical trials in management of diverticulitis  References: Santos A, Mentula P, Pinta T, et al. Quality-of-Life and Recurrence Outcomes Following Laparoscopic Elective Sigmoid Resection vs Conservative Treatment Following Diverticulitis: Prespecified 2-Year Analysis of the LASER Randomized Clinical Trial. JAMA Surg. 2023;158(6):593–601. doi:10.1001/jamasurg.2023.0466 https://pubmed.ncbi.nlm.nih.gov/37074706/ Bolkenstein HE, Consten ECJ, van der Palen J, van de Wall BJM, Broeders IAMJ, Bemelman WA, Lange JF, Boermeester MA, Draaisma WA; Dutch Diverticular Disease (3D) Collaborative Study Group. Long-term Outcome of Surgery Versus Conservative Management for Recurrent and Ongoing Complaints After an Episode of Diverticulitis: 5-year Follow-up Results of a Multicenter Randomized Controlled Trial (DIRECT-Trial). Ann Surg. 2019 Apr;269(4):612-620. doi: 10.1097/SLA.0000000000003033. PMID: 30247329. https://pubmed.ncbi.nlm.nih.gov/30247329/ Hall J, Hardiman K, Lee S, Lightner A, Stocchi L, Paquette IM, Steele SR, Feingold DL; Prepared on behalf of the Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis. Dis Colon Rectum. 2020 Jun;63(6):728-747. doi: 10.1097/DCR.0000000000001679. PMID: 32384404. https://pubmed.ncbi.nlm.nih.gov/32384404/ Hall JF, Roberts PL, Ricciardi R, Read T, Scheirey C, Wald C, Marcello PW, Schoetz DJ. Long-term follow-up after an initial episode of diverticulitis: what are the predictors of recurrence? Dis Colon Rectum. 2011 Mar;54(3):283-8. doi: 10.1007/DCR.0b013e3182028576. PMID: 21304297. https://pubmed.ncbi.nlm.nih.gov/21304297/ 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