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Can toxic exposure lead to secondary VA disability conditions years later?In this episode, we discuss how toxic exposures — including burn pits, airborne hazards, particulate matter, solvents, fuels, and other environmental exposures — may contribute not only to primary service-connected conditions, but also to secondary medical complications over time.We break down: What “secondary conditions” actually mean in VA disability claims How toxic exposure can create long-term systemic health effects The difference between direct service connection and secondary service connection Respiratory conditions linked to toxic exposure Sleep apnea, chronic inflammation, and secondary complications Mental health effects associated with chronic illness Medication side effects and downstream conditions Why medical evidence and chronology matter Common mistakes veterans make when trying to connect conditions We also discuss the importance of individualized medical analysis and why medically defensible nexus opinions are becoming increasingly important in complex toxic exposure claims.Topics Covered Toxic exposure VA claims Burn pit exposure TERA claims Secondary VA claims Airborne hazards and burn pits Chronic sinusitis Rhinitis and asthma Sleep apnea secondary claims Toxic exposure medical evidence Nexus letters VA disability claims Respiratory conditions Chronic inflammation Environmental exposure claims Independent medical opinions About the PodcastThe Veterans Disability Nexus Podcast discusses VA disability medical evidence, nexus letters, DBQs, and the intersection of medicine and veterans disability claims. Hosted by medical professionals experienced in reviewing complex VA disability cases and independent medical opinions.DisclaimerThis podcast is for educational and informational purposes only and does not constitute legal or medical advice. Listening to this episode does not create a provider-patient relationship. Veterans should consult accredited representatives or qualified professionals regarding their individual claims or appeals.
The World Health Organisation (WHO) has renewed calls to ban flavoured nicotine products, particularly sweet, fruity, and confectionery-style flavours, which it says drive addiction amongst young people. WHO has warned that tobacco and nicotine companies are deliberately creating products that are “more appealing, easier to use and harder to quit” for adolescents and young people. Thursday Wire Host Caeden caught up with Asthma and Respiratory Foundation New Zealand Chief Executive Letitia Harding about the calls for restrictions and how this applies in a New Zealand context.
The World Health Organisation (WHO) has renewed calls to ban flavoured nicotine products, particularly sweet, fruity, and confectionery-style flavours, which it says drive addiction amongst young people. WHO has warned that tobacco and nicotine companies are deliberately creating products that are “more appealing, easier to use and harder to quit” for adolescents and young people. Thursday Wire Host Caeden caught up with Asthma and Respiratory Foundation New Zealand Chief Executive Letitia Harding about the calls for restrictions and how this applies in a New Zealand context.
In this episode Liz and Jesse are joined by Courtney Jarrett. Courtney is a Respiratory and Sleep Scientist in Thoracic Medicine at RBWH. Courtney joins us for another episode that has critical information for staff (especially shift workers) and patients…Sleep. Courtney's Five Things: What IS sleep? Why is sleep so important? What are common sleep issues or disorders? Things that impact sleep. How to optimise sleep.
In this week's episode of the Xtalks Life Science Podcast, host Vera Kovacevic, Editor-in-Chief at Xtalks, spoke with Diego Ardigò, Executive Vice President, Global R&D at Chiesi, a biopharma company focused on respiratory health, rare diseases and specialty care. Respiratory medicine presents unique drug development challenges because successful therapies depend not only on the drug itself, but also on the formulation and delivery device. As innovation continues across asthma and chronic obstructive pulmonary disease (COPD), developers must balance performance, usability, sustainability and continuity of care. In this episode, Diego discusses how Chiesi approaches innovation in respiratory disease drug development and why developing inhaled therapies requires careful integration of drug formulation, device design and patient experience. The conversation also explores the growing focus on sustainability in respiratory care. Diego discusses how the industry can transition toward more environmentally sustainable inhaler options while maintaining treatment continuity for patients who are stable on their current therapies. In addition, Diego discusses the role of inhaler technique, patient behavior and long-term treatment adherence in shaping R&D decisions. Diego also explains why respiratory medicine offers valuable lessons for the broader pharmaceutical industry in balancing innovation, sustainability and patient-centered care. Tune in to learn more about the future of asthma and COPD drug development and how respiratory medicine is evolving to meet both patient and sustainability goals. For more life science and medical device content, visit the Xtalks Vitals homepage. https://xtalks.com/vitals/ Follow Us on Social Media Twitter: https://twitter.com/Xtalks Instagram: https://www.instagram.com/xtalks/ Facebook: https://www.facebook.com/Xtalks.Webinars/ LinkedIn: https://www.linkedin.com/company/xtalks-webconferences YouTube: https://www.youtube.com/c/XtalksWebinars/featured
“If the asthma is under good control but they are still having these episodes, then I do think that maybe they have a PVFMD component to their breathing issue.” Dr. R. Jun LinPatients come into clinic short of breath. It hits during exercise, it looks dramatic, and they may even describe noisy breathing or the feeling that they “can't get air in.” So we do what clinicians do: we think asthma. We try inhalers. But sometimes, no matter how many puffers are thrown at the problem, nothing changes.That's when it may be time to look higher, to the larynx.On this episode of The Allergist, Dr. Mariam Hanna is joined by Dr. R. Jun Lin, a fellowship-trained laryngologist and chief of the Division of Laryngology at the University of Toronto, for a practical discussion of vocal cord dysfunction, inducible laryngeal obstruction, and paradoxical vocal fold motion disorder. Dr. Lin walks through how these patients present, how to distinguish laryngeal obstruction from asthma, when both may be present, and why respiratory retraining therapy is often the cornerstone of care.Key PointsVCD, ILO, EILO, and PVFMD describe the same basic problem through different specialty lenses.The key clue: trouble breathing in, not out.In teens, it often shows up during warm-up or early competition.In adults, common triggers include perfume, bleach, gasoline, cooking fumes, cold air, humidity, speaking, or laughing.Asthma and PVFMD can coexist. If asthma is controlled but symptoms persist, think larynx.Laryngoscopy is often normal in PVFMD, but helps rule out structural causes.Respiratory retraining therapy is the cornerstone of treatment.Pursed-lip breathing can reduce the severity and duration of episodes, but patients need to practise it before symptoms peak.Food triggers, urticaria, tongue swelling, or rash point away from PVFMD.Botox is a last resort, not first-line treatment.For clinicians, this episode is a reminder that not every dramatic breathing episode starts in the lower airway. When the history points to trouble getting air in, especially with poor response to inhalers, PVFMD deserves a place on the differential.Have an idea for the show or a comment, send us a text!Visit the Canadian Society of Allergy and Clinical ImmunologyFind an allergist using our helpful toolFind Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_caThe Allergist is produced for CSACI by PodCraft Productions
Take the FREE Mental Game Assessment: app.joshnicholsgolf.com/assessment ----- Dr. Justin Ternes is a world expert on breathwork, physical therapy, and the connection of mind and body. I wanted to have Justin on because there's so much pseudoscience out there about breathwork, meditation, and emotional awareness. But Justin sets us straight and teaches us that what we've heard and learned might actually be doing us more harm than good. Allostasis Performance ----- Timestamps and Topics: 00:00 - Intro: Listen to this Episode Ad-Free! 2:21 - Good Stress: How to Find the Sweet Spot of Growth 8:40 - Pushing Yourself Physically to Train Psychologically 12:49 -
In this episode, Tracey Davidoff, MD, Joe Toscano, MD, and Evan Nelson, MD, discuss the May 2026 Evidence-Based Urgent Care article, Urgent Care Evaluation and Management of Acute Bronchitis.0:08 Introduction1:08 Topic & guest introduction2:14 Differential diagnosis4:03 Respiratory virus testing6:42 Positive viral diagnosis & antibiotic prescribing8:00 Duration of cough & post-infectious cough9:41 Antibiotic stewardship12:07 Cough & cold medicines14:44 Narcotics & corticosteroids16:05 Steroid stewardship17:24 Radiologic stewardship & chest X-rays20:46 Sputum color21:53 Albuterol24:21 Special populations25:37 Take-home points & patient education27:08 Wrap-up and outroSubscribes, take the CME test here!Not a subscriber? Join here!
Respiratory disease, muscle conditions, neurologic dysfunction, and metabolic disorders all warrant consideration when evaluating the underperforming Western sport horse. Read the full article, featuring expert advice from Dr. Ben Buchanan of Brazos Valley Equine Hospital: https://equimanagement.com/articles/multifactorial-considerations-for-poor-performance-in-western-sport-horses/Mentioned in this episode:EquiManagement on Audio All the articles you have come to love in EquiManagement Magazine are now available in this podcast for free. Each article is released as its own separate episode to make them quick and easy to listen to. EquiManagement always has the latest insights on equine health, veterinary practice management, and veterinarian wellness.
Vincent travels to Oregon State University in Corvallis to meet up with Hannah Rowe to talk about her career and her work demonstrating how the interaction of influenza A virus and Streptococcus pneumonia influences transmission. Hosts: Vincent Racaniello Guest: Hannah Rowe Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Support science education at MicrobeTV Positions in Rosenfeld Lab (email) Respiratory bacteria stabilize influenza A virus (mSystems) S. pneumoniae and influenza A virus binding (mSphere) Bacterial alteration of redox stressors and stability of influenza A virus (mSphere) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your virology questions and comments to twiv@microbe.tv Content in this podcast should not be construed as medical advice.
Hour 3 of the Bob Rose Show, on drops in fentanyl overdoses nationwide. Florida Sen. Ashley Moody continues the fight against drugs, and Pres. Trump's efforts are yielding remarkable results. But, the latest street-mixes mean playing Russian roulette. Plus, all of Wednesday morning's biggest news stories for 5-20-26
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Bethany Lussier, MD Patients often present with respiratory symptoms that don't quite align with typical pulmonary findings. So what clues should raise our suspicion that something beyond primary lung disease might be driving their condition? Joining Dr. Charles Turck to talk about the pulmonologist's role in identifying respiratory manifestations of thymidine kinase 2 deficiency (TK2d) is Dr. Bethany Lussier. She shares the hallmark features to look out for, like orthopnea and hypoventilation, as well as best practices for using pulmonary function testing and inspiratory pressure measures to distinguish muscle weakness from primary lung disease. Dr. Lussier is an Associate Professor of Internal Medicine at UT Southwestern Medical Center in Dallas, where she's also a member of the Division of Pulmonary and Critical Care Medicine.
While the gut microbiome often steals the spotlight, the microorganisms residing in our respiratory tract play a vital role in our health and immunity. In this episode, Dr. Sheena Fraser sits down with microbial ecologist Dr. Michael Cox to explore the fascinating, complex, and relatively uncharted territory of the lung microbiome.They discuss how the lung microbiome fundamentally differs from the gut, the daily flux of bacteria entering and leaving our airways, and the profound impacts of environmental factors like air pollution, smoking, vaping, and household cleaning products. Plus, Dr. Cox shares the massive challenges scientists face when studying these deep-tissue microbes and what the future of respiratory medicine might look like.What We Cover:From Seawater to Sputum: Using marine ecology techniques to decode human respiratory biology.Exploring the lungs' dynamic balance of microaspiration and mucociliary clearance.Meet the core lung bacteria (Streptococcus, Prevotella, Veillonella) and the puzzle of anaerobes in an oxygen-rich space.Environmental Disruptors: How pollution, smoking, and vaping inflame and alter the lung microbiome.Hidden Dangers of VOCs: The silent impact of everyday cleaning sprays and aerosols on respiratory health.Diet, Exercise, & Epigenetics: The systemic benefits of a high-fiber diet and fitness for chronic lung conditions like COPD and asthma.About Dr. Michael Cox is a microbial ecologist and the PGR Lead for the Institute of Microbiology and Infection at the University of Birmingham. His research focuses on the bacteria that reside in the respiratory tract in the context of respiratory diseases (such as COPD and Cystic Fibrosis). His lab works to understand the function of the respiratory microbiome, translate these findings for clinical benefit, and expand our understanding of the respiratory ecosystem beyond just bacteria.Connect with Dr Michael Cox:University of BirminghamScientific References & Further Reading:Cumming, K. J. (2018). "Long term effects of cleaning on the lungs." American Journal of Respiratory and Critical Care Medicine, 197(9):1099-1101.Hussain, S., et al. (2024). "Unlocking the secrets: VOCs and their devastating effects on lung cancer." Pathology - Research and Practice, 255:155157.Welsh, H. A., et al. (2026). "The effect of vaping on the human lung microbiota." Inhalation Toxicology, Vol 38, Iss 1.This podcast is brought to you in collaboration with the British Society of Lifestyle Medicine.Disclaimer:The content in this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on this podcast.
Arreaza: Welcome back tothe Rio Bravo qWeek Podcast! My name is Dr. Hector Arreaza, I am a family physician and faculty member in the Rio Bravo Family Medicine Residency Program. Today I am joined by two excellent medical students who will introduce themselves now, welcome, guys! Mehr: Thank you for the introduction! My name is Mehr Boparai, third year medical student at WesternU COMP-NW. Jeremy: And my name is Jeremy Pan, also a third-year medical student at WesternU COMP Pomona and we will be discussing a very prevalent topic today in the clinical world that is arguably becoming one of the biggest threats to modern medicine: antibiotic resistance. Mehr: That's right! Imagine this scenario: a routine infection, something we've treated easily for decades, suddenly becomes life-threatening because the drugs we always thought we could rely on just don't work anymore. You likely ran into this problem just last week with one of your patients! That's not science fiction. That's happening every day in hospitals across the world. Dr. Arreaza: I agree, antibiotic resistance must be taken seriously. I increased my awareness in 2023, when I attended a medical research conference in Carmel(which is a popular conference that takes place in that beautiful town). I heard Dr. David Gilbert, a famous and accomplished ID doctor who helped develop the Sanford Guide to Antimicrobial Therapy, he warned everyone about antibiotic resistance as one of the biggest threats for humanity, the other two were a nuclear bomb and an epidemic. Jeremy: Woah, comparing antibiotic resistance to a nuclear bomb is absolutely crazy, but likely very real!! Well today, we're going to be focusing on five of the most common infections or “bugs” you'll see in a hospital setting. We'll talk about what typically causes them, what antibiotics we used to rely on, and what happens when resistance decides to enter the picture. Mehr: If you are a medical student (or resident), you understand that dreaded feeling when an attending asks “what antibiotics should we start?” But don't worry, in this episode, we hope to address the decision-making process in a simple framework. What is Antibiotic Resistance? Dr. Arreaza: Before we jump into specific common infections and pathogens, let's cover our basics. Antibiotic resistance occurs when bacteria evolve to survive drugs designed to kill them. This can happen through genetic mutations or by getting resistance genes from other bacteria. Why does this matter? Jeremy: It matters because antibiotics play a huge role in modern medicine. Without them, surgeries, chemotherapy, organ transplants—even childbirth—become significantly more dangerous. Mehr: According to the CDC, in the U.S. alone, antibiotic-resistant infections affect over 2.8 million people each year and cause more than 35,000 deaths! So, when we talk about resistance, we're not just talking about inconvenience for treatments. We're talking about a fundamental threat to healthcare. Staph aureus Dr. Arreaza: So, if you have a patient who comes in with a skin infection or is maybe showing signs of pneumonia or bacteremia, what is one of the most common bugs that you should think about? Jeremy: Staph aureus! Typically to treat methicillin-sensitive strains (MSSA), we would utilize antibiotics like nafcillin, oxacillin, or cefazolin. But there is one strain in particular that is worrisome, Mehr? Mehr: yeap, that would have to be MRSA, one of the most well-known resistant organisms. MRSA is resistant to all beta-lactam antibiotics, which means we can say goodbye to all penicillin and most cephalosporins. Dr. Arreaza: And what is the first antibiotic that comes to mind if we see MRSA on a culture in the hospital? Mehr: Vancomycin! Alternative treatments include linezolid and daptomycin depending on the type of infection. But what is the problem that we are starting to see? Jeremy: You guessed it, cases of resistance to vancomycin are starting to appear—VRSA. These cases are still uncommon today, but these findings show a worrying trend, that we will eventually start running out of reliable options. Dr. Arreaza: Fortunately, VRSA infections are extremely rare, with only 14-16 documented cases in the United States. As of 2019, 52 VRSA strains have been identified in the United States, India, Iran, Pakistan, Brazil, and Portugal. Let's keep an eye on VRSA in the future. E. coli Dr. Arreaza: Alright, so let's say you have a patient with dysuria, urinary frequency, maybe even a catheter in place. What's the most common bug you're thinking of? Mehr: That one's a classic, we are thinking E. coli. Jeremy: Exactly. E. coli is the leading cause of urinary tract infections, especially in both community and hospital settings. Dr. Arreaza: So Jeremy, what are we using for uncomplicated UTIs? Jeremy: We usually think of trimethoprim-sulfamethoxazole, nitrofurantoin, or sometimes fosfomycin. And in more complicated cases, we might consider fluoroquinolones like ciprofloxacin. Mehr: But here's where things get tricky. Resistance to TMP-SMX and fluoroquinolones has been increasing significantly. In some areas, resistance rates are over 20–30%, which really changes your empiric choices. Conclusion: Dr. Arreaza: So we've talked about five major organisms today: Staph aureus, E. coli, Klebsiella, Pseudomonas, and C. diff. What's the overarching takeaway of the discussion? Jeremy: The main takeway is that antibiotic resistance is already here, and it's affecting some of the most common infections we see in clinical practice on a day-to-day basis. Mehr: And as students and future physicians, it's important to not just memorize antibiotics, but understand why we're choosing them. Dr. Arreaza: Exactly. Always think: What organism am I targeting? What are the local resistance patterns? And can I narrow therapy once I have cultures? Jeremy: And maybe most importantly—don't overuse antibiotics, especially in cases when they're not needed. Mehr: Because the more we use them, the faster we lose them. Dr. Arreaza: I'd like to share the story I listed to in a RadioLab episode about Dr Steffanie A. Strathdee, one of the most influential ID doctors in the world and Co-Director at the Center for Innovative Phage Applications and Therapeutics (IPATH). She shared that her husband got infected by Acinetobacter baumannii, an opportunistic infection that can cause severe infection. After trying many antibiotics, he was treated with “phages”, “bacteriophages”. So, that's part of “thinking out of the box”. Jeremy: Thank you all for tuning in to the Rio Bravo qWeek podcast series and thank you Dr. Arreaza for having Mehr and me on the podcast today! Stay informed, stay curious—and we'll see you next time Mehr: Guys! I had so much fun! We hope this episode helped simplify antibiotic selection for the most common infections and bugs seen in a hospital setting and gave you a framework you can for initial treatments and cases of antibiotic resistance. Thanks for hanging out with us! Dr. Arreaza: And remember, antibiotics are one of the most powerful tools we have in medicine. Let's use them wisely. This is Dr. Arreaza, signing off. _____________________ References: Radiolab. (2026, March 27). Antibiotic apocalypse. WNYC Studios. https://radiolab.org/podcast/antibiotic-apocalypse Metlay, J. P., Waterer, G. W., Long, A. C., et al. (2019). Diagnosis and treatment of adults with community-acquired pneumonia: An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. American Journal of Respiratory and Critical Care Medicine, 200(7), e45–e67. https://www.idsociety.org/practice-guideline/community-acquired-pneumonia-cap-in-adults/ Gilbert, D. N., Chambers, H. F., Saag, M. S., et al. (2026). The Sanford Guide to Antimicrobial Therapy (56th ed.). Antimicrobial Therapy, Inc. Centers for Disease Control and Prevention. (2025, September 17). Antibiotic stewardship resource bundles. https://www.cdc.gov/antibiotic-use/hcp/educational-resources/stewardship/index.html Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!
In this episode, I sit down with respiratory and sleep scientist Martin McPhilimey to take a deep dive into breathing, CO₂ regulation, and how they actually impact performance, stress, and sleep. We get into why respiratory physiology is way more complex than most people think, how his clinical and research background shaped his approach, and why breathwork exploded during COVID with names like Wim Hof and James Nestor. From there, we dig into allostatic load and why piling on high-stress practices—like aggressive hyperventilation or cold exposure—can backfire if you're already running hot. We also talk about the difference between actually relaxing your system versus just dissociating from it. We cover how inspiratory muscle training can improve performance and recovery, why respiratory rate is one of the most sensitive markers of stress, and question some common ideas, such as “CO₂ tolerance.” We also touch on the risks and limited data around inhaled CO₂ therapies and what actually makes sense to apply in the real world. Sponsors: Daily Fitness Insider Newsletter: https://flex-diet.kit.com/bfa1510fa8 Available now: Grab a copy of the Triphasic Training II book I co-wrote with Cal Deitz here. Episode Chapters: 04:22 Why Breathing Is Complex 07:52 Martin's Origin Story 11:20 From Clinics to Online 14:57 Breathwork Goes Mainstream 20:13 Wim Hof Risks and Load 24:06 When Intense Breathwork Fits 29:18 Relaxation vs Dissociation 31:30 Respiratory Muscle Training 35:12 Who Should Train Breathing 36:35 Simple Device Protocol 37:35 Why Teams Ignore Breathing 38:27 Respiratory Rate as Stress 39:52 Feedforward Breathing Control 42:22 Rethinking CO2 Tolerance 46:03 Nasal Breathing Tradeoffs 48:28 Testing Limits and HRV 50:48 Overnight Rate and Calm 54:07 CO2 Inhalation and Risks 56:45 State Encoding and Fear 01:00:35 Wrap Up and Disclaimers Flex Diet Podcasts you may enjoy: Episode 326: Row Hard, Breathe Easy: Boosting Aerobic Capacity with Dr. Kenneth Jay YouTube: https://youtu.be/hpvKokMBRv4 Episode 215: Breathing, Heart Rate, and HRV: An Interview with Dr. Scotty Butcher, The Strength Jedi YouTube: https://www.youtube.com/watch?v=nyVEmi7VHbg Connect with Martin: Instagram: https://www.instagram.com/martinmcphilimey/ Website: https://martinmcphilimey.com/ Get In Touch with Dr Mike: Instagram: Drmiketnelson YouTube: @flexdietcert Email: Miketnelson.com/contact-us
U.S. President Donald Trump says Israel and Lebanon have agreed to a ceasefire. And he says the leaders of the two countries will meet face-to-face for the first time in more than 40 years.And: The Artemis II crew reflects on their historic mission around the moon.Also: The darkest days of the COVID-19 pandemic may be over, but the disease is still having a big impact on hospitals.Plus: Housing report, demands for action over RCMP spying on First Nations leadership, and more.
Send us Fan MailIn this episode of Never Been Sicker, Michael Rubino sits down with Dr. Richard Wallace, MD, a longtime urgent care physician, to talk about what he's seeing on the front lines of modern illness. Richard shares why urgent care appealed to him, how medicine is really detective work, and why post-2020 illness patterns have become far less predictable than they used to be.The conversation dives into root-cause medicine, chronic illness, allergies, mold exposure, and why so many people are stuck in symptom management instead of actually solving the problem. Dr. Wallace explains how basic foundations like sleep, movement, hydration, food, and clean air play a major role in long-term health, and why he believes many common issues are more reversible than people are told.The episode also covers environmental triggers, blood pressure, cholesterol, sleep quality, and the way insurance and conventional systems can sometimes get in the way of better care. It is a practical, wide-ranging conversation about what is really making people sick and what people can start doing differently.Timestamps00:00 Intro + meet Dr. Rich Wallace00:33 Why he chose urgent care01:45 Medicine as detective work02:19 Illness vs. injury trends03:02 Why winter brings more illness03:34 Indoor air + HVAC discussion04:42 Why being indoors impacts health05:17 Common summer injuries06:16 Are we getting sicker?07:04 Why illness is less predictable now09:31 Immune system discussion10:16 Urgent care becoming primary care11:17 How to be proactive with health12:16 Importance of annual labs13:14 Catching issues early14:12 Real patient example15:16 Why root cause matters16:02 Problems with current care models17:08 Insurance limitations18:52 Chronic illness + hidden triggers19:49 Mold + migraine case21:16 Why mold is often missed22:03 Why we feel sicker today22:42 The body's ideal range23:33 Weight + chronic illness24:05 Sleep importance25:03 Phone use + sleep disruption25:54 Lack of movement26:52 Dehydration27:35 Nutrition habits28:19 Air quality added29:06 Sedentary lifestyle30:06 Morning routines31:07 Clean air + breathing31:40 Respiratory system priority32:02 Exercise + hydration link32:57 Daily routine + diet35:35 Sleep improvements37:45 Temperature + sleep40:06 Staying updated in medicine41:29 Lymphatic + glymphatic systems43:22 Sleep + brain health44:51 Biggest lie: hypertension45:25 Weight + blood pressure47:13 Solving root causes48:18 Cholesterol debate49:34 “Water vs. milkshake” analogy50:32 Diet misconceptions51:57 Simple nutrition approach53:12 Where to find Dr. Wallace54:02 Outro-----------------------------------------------------------------------------------------------
Host: Sarah Gray Guest: Will Rausch Air date: Apr 02, 2026
Join us for On the Mission: Earth Day with Amy Cadora as we explore how Norwex is making a difference for the planet through sustainable solutions. Amy shares how the Safe Haven 5 can help reduce chemicals and waste in your home while making everyday cleaning safer. Tune in for practical tips on creating a healthier home and a greener future with Norwex! Stats Shared in Podcast: • Using just the 5 products in our Safe Haven 5 Set and water helps eliminate 80+ chemicals in your home. (Based on a comparison of Norwex Safe Haven 5 to 18 retail brand cleaning products, 2020.) • Regular use of chemical sprays has long-term impact on lung function decline, equivalent to smoking a pack of cigarettes a day. (American Journal of Respiratory and Critical Care Medicine | bit.ly/36XHLEo ) • 45 different chemicals have been identified in household dust. (Natural Resources Defense Council on.nrdc.org/3BBSm67) • Up to 85% of contaminants are brought indoors in the first 4 steps. The floors of your home can harbor pollutants, chemicals, dust and bacteria. (University of Georgia College of Family and Consumer Sciences | bit.ly/3i6hDO9) • The Superior Mop Starter System physically removes up to 99% of bacteria from a surface with only water when following proper care and use instructions. (https://nrwx.info/Mop)
We’re excited today to launch our first episode in collaboration with the Irish Thoracic Society and their podcast series. The Irish Thoracic Society represents respiratory professionals throughout Ireland and is dedicated to championing excellence in the prevention, diagnosis, and clinical care of respiratory disease through its work in advocacy, education and research. In today’s episode, we explore the complex and often overlooked world of refractory chronic cough — a condition that can significantly impact patients' quality of life but is frequently misunderstood or underdiagnosed. With insights from leading respiratory specialists in Ireland and the United States, we discuss the latest thinking on diagnosis, management, and emerging treatments aimed at improving outcomes for patients and helping clinicians navigate this challenging area of respiratory medicine. Joining us are renowned experts Professor Lorcan McGarvey and Professor Brendan Canning, both internationally recognised leaders in respiratory medicine and cough research. Together, they share their perspectives on the neurobiology of chronic cough, the considerable morbidity experienced by patients, and how clinicians can approach diagnostic investigations more effectively. We also explore current treatment strategies and promising new therapies on the horizon as chronic cough increasingly gains recognition as a disease in its own right — rather than simply a symptom. Whether you’re a clinician, researcher, or simply interested in advances in respiratory medicine, this episode offers valuable insights into a condition that is finally receiving the attention it deserves. Meet Our Co-Hosts Marissa O'Callaghan is an Irish trained Respiratory fellow currently undertaking a post-doc fellow working in Erasmus MC Rotterdam in the Netherlands. She finished her Irish respiratory and Internal medicine training and Phd in 2025. Her areas of interest are interstitial and rare lung diseases. She enjoys clinical research, Med Ed, and dreaming up new medical innovations. Together with cohost Sandra Green, she founded the ITS podcast series in June 2024. Marissa O’Callaghan –LinkedIn Sandra Green is an Irish-trained respiratory fellow with a strong track record in climate advocacy and multidisciplinary sustainable initiatives, as co-founder of Irish Doctors for the Environment. She has an MSc in Leadership and Innovation in Healthcare at the Royal College of Surgeons Ireland (2023–2025). With Marisssa, she co-founded the Irish Thoracic Society Podcast Productions, launching the platform in 2024 to share knowledge, insights, and innovations in respiratory care. Sandra Green – LinkedIn Meet Our Guests Lorcan McGarvey is a professor of respiratory medicine at the University of Belfast, with a focus on the neurobiology of cough. His research has significantly contributed to the understanding of cough hypersensitivity syndrome and the development of new therapeutic strategies. Lorcan is a respected voice in the field, known for his collaborative work and dedication to advancing respiratory health. Brendan Canning is a distinguished researcher at Johns Hopkins University, specializing in the mechanisms of cough and airway diseases. His pioneering studies on neural pathways and receptor targets have paved the way for novel treatments in refractory chronic cough. Brendan’s expertise and innovative approach make him a key figure in the ongoing efforts to redefine chronic cough management. In This Episode The definitions and classifications of chronic cough, including unexplained, refractory, and unexplained refractory cough The importance of a thorough clinical history and focused diagnostics over exhaustive testing Common causes of chronic cough The role of personalized, multidisciplinary management—combining pharmacologic, speech therapy, and psychological support—to improve quality of life for even the most challenging patients. The concept of cough hypersensitivity syndrome and its role in refractory cases Evidence-based approach to treatment, including pharmacologic and non-pharmacologic options Emerging therapies on the horizon, including novel receptor modulators and neuromodulatory agents and ongoing clinical trials in this rapidly evolving field The impact of chronic cough on mental health, social life, and overall quality of life The importance of reframing chronic cough as a disease entity in its own right References and Further Reading Chung KF, Pavord ID. Prevalence, pathogenesis, and causes of chronic cough. Lancet. 2008;371(9621):1364-1374. Gibson PG, Vertigan AE. Management of chronic refractory cough. BMJ. 2015;351:h5590. Matsumoto H, Kanemitsu Y, Ohe M, Tanaka H, Terada K, Nishi K, et al. Real-world usage and response to gefapixant in refractory chronic cough. ERJ Open Res. 2025;11(4):01037-2024. doi:10.1183/23120541.01037-2024. McGarvey LP, Birring SS. Cough hypersensitivity syndrome: a novel paradigm for understanding cough. Lancet Respir Med. 2014;2(8):647-656. Morice AH, Millqvist E, Bieksiene K, Birring SS, Dicpinigaitis P, Ribas CD, et al. ERS guidelines on the diagnosis and treatment of chronic cough in adults and children. Eur Respir J. 2020;55(1):1901136. Parker SM, Smith JA, Birring SS, Chamberlain-Mitchell S, Gruffydd-Jones K, Haines J, et al. British Thoracic Society clinical statement on chronic cough in adults. Thorax. 2023;78(Suppl 1):S3-S19. Smith JA, Woodcock A. Chronic cough. N Engl J Med. 2006;354(2):136-144. Song WJ, Dupont L, Birring SS, Chung KF, Dąbrowska M, Dicpinigaitis P, et al. Consensus goals and standards for specialist cough clinics: the NEUROCOUGH international Delphi study. ERJ Open Res. 2023;9(6):00618-2023. doi:10.1183/23120541.00618-2023. Song WJ, McGarvey L, Cho PSP, Mazzone SB, Chung KF, editors. Chronic cough. Sheffield: European Respiratory Society; 2025.
Join the Johns Hopkins Thoracic Surgery Subspecialty team on this rapid research review revealing how investigative efforts have changed the way we view and use Veno-venous (VV) ECMO therapy in the pre-lung transplant patient population working to avoid ventilator dependence and the associated morbidity while facilitating continued ambulation and preoperative optimization. Hosts:- Dr. Alfred J. Casillan, MD, PhDAttending Thoracic Surgeon Johns Hopkins Hospital - Kyla Rakoczy, MD Johns Hopkins General Surgery ResidentReferences:Awake ECMO as Bridge to Lung Transplantation Fuehner T, Kuehn C, Hadem J, Wiesner O, Gottlieb J, Tudorache I, et al. Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation. American Journal of Respiratory and Critical Care Medicine. 2012;185(7):763–768. PMID: 22268135 Link: https://pubmed.ncbi.nlm.nih.gov/22268135/Predictors of Successful ECMO Bridging Tipograf Y, Salna M, Minko E, Grogan EL, Sonett JR, Bacchetta MD. Outcomes of extracorporeal membrane oxygenation as a bridge to lung transplantation. Annals of Thoracic Surgery. 2019;107(5):1456–1463. PMID: 30790550 Link: https://pubmed.ncbi.nlm.nih.gov/30790550/Intubation Status and ECMO Bridging Outcomes Zhou AL, Jennings MR, Akbar AF, et al. Utilization and outcomes of nonintubated extracorporeal membrane oxygenation as a bridge to lung transplant. Journal of Heart and Lung Transplantation. 2025;44(4):661–669. PMID: 39486773 Link: https://pubmed.ncbi.nlm.nih.gov/39486773/ECMO Duration and Waitlist Mortality Shou BL, Kalra A, Zhou AL, et al. Impact of extracorporeal membrane oxygenation bridging duration on lung transplant outcomes. Annals of Thoracic Surgery. 2024;118(2):496–503. PMID: 38740080 Link: https://pubmed.ncbi.nlm.nih.gov/38740080/Mechanical Ventilation as a Risk Marker Mason DP, Thuita L, Alster JM, Murthy SC, Budev MM, Mehta AC, et al. Lung transplantation in recipients requiring mechanical ventilation: outcomes and risk factors. Journal of Thoracic and Cardiovascular Surgery. 2010;139(1):114–119. PMID: 19931096 Link: https://pubmed.ncbi.nlm.nih.gov/19931096/***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please 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://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewOral Board Simulator: https://app.behindtheknife.org/oral-board-simulatorTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
In this episode, we review the high-yield topic of Lung Abscess from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Cryptogenic Organizing Pneumonia from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Lung Volumes and Capacities from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Respiratory failure is a serious clinical condition that nurses frequently encounter in critical care, emergency, and acute care settings. While supportive therapies such as oxygen and mechanical ventilation are often required, medications also play an important role in stabilizing patients and addressing the underlying causes. In this episode, we'll review the general pharmacologic strategies used in the management of respiratory failure and highlight key considerations for nursing practice. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE!
Researchers investigated the role of exercise in detecting selected respiratory pathogens, using nose wipes collected from healthy performance horses before and after exercise.Read the full article at: https://equimanagement.com/research-medical/disease/exercises-effects-on-respiratory-pathogen-detection-in-healthy-horses/This magazine article has been transformed for your listening pleasure using AI resources.Mentioned in this episode:EquiManagement on Audio All the articles you have come to love in EquiManagement Magazine are now available in this podcast for free. Each article is released as its own separate episode to make them quick and easy to listen to. EquiManagement always has the latest insights on equine health, veterinary practice management, and veterinarian wellness.
In this episode, we review the high-yield topic of Fat Embolus Syndrome from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
A large 2024 study found that a comprehensive respiratory allergen profile captured more than 98% of seasonal sensitizations, highlighting a major challenge in respiratory allergy care: testing with single allergens can miss the full picture. In this episode, we explore the most optimized regional respiratory profiles and how they improve diagnostic yield, reduce duplicate testing, and help clinicians identify polysensitization across trees, weeds, molds, and indoor allergens. We also discuss how symptom patterns, geographic prevalence, cross-reactivity, and reflex testing with allergen components can sharpen interpretation and guide more personalized management. For primary care providers managing recurrent spring allergy symptoms, this episode offers practical insights into diagnostic strategy, exposure reduction, and when to consider referral for advanced care. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/regional-respiratory-profiles-spring-allergy-diagnostics.html?cid=0ct_3pc_05032024_9SGOV4
In this episode, we review the high-yield topic of Pulmonary Edema from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Croup from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Carbon Dioxide Transport from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Respiratory crises in the field rarely fit textbook categories. JEMS Development Editor Mike Brown talks with Hamilton Medical's Jesse Carroll to separate Type 1 (hypoxemic) from Type 2 (hypercapnic) respiratory failure and recognize the mixed presentations clinicians actually see. They walk through practical cues (SpO2 trends vs end‑tidal CO2), common causes (CHF, COPD, obesity, neuromuscular weakness), and epidemiology: roughly 360,000 prehospital respiratory calls annually with 41% involving COPD and obesity rates rising from 32% to about 60% since 1988. Jesse explains why pressure, flow and volume, not oxygen alone, drive meaningful physiologic change, how device limitations (disposable CPAP, pneumatic and turbine systems) affect flow delivery, and when early noninvasive strategies can buy time or prevent intubation.
We are unbelievably excited this week to be reviewing the hot-off-the-presses 2026 Multi-Society (AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN) Pulmonary Embolism Guidelines with lead author Dr. Mark A. Creager. We will talk about key updates in these guidelines compared to prior practice, including the new risk classification model, and provide an overview from diagnosis to follow-up. Given the clinical importance and prevalence of pulmonary embolism, these guidelines are certainly going to shape practice going forward, so this episode is a can’t miss! Watch the full video of this episode with graphics and helpful teaching visuals on our YouTube channel: https://www.youtube.com/@pulmpeeps Meet Our Guest Dr. Mark Creager is a Professor of Medicine at Dartmouth Hitchcock Medical Center where he specializes in Cardiovascular Medicine with an emphasis on venous thromboembolic disease. He served as the lead author of the 2026 Pulmonary Embolism Guidelines. Article and Reference Creager MA, Barnes GD, Giri J, Mukherjee D, Jones WS, Burnett AE, Carman T, Casanegra AI, Castellucci LA, Clark SM, Cushman M, de Wit K, Eaves JM, Fang MC, Goldberg JB, Henkin S, Johnston-Cox H, Kadavath S, Kadian-Dodov D, Keeling WB, Klein AJP, Li J, McDaniel MC, Moores LK, Piazza G, Prenger KS, Pugliese SC, Ranade M, Rosovsky RP, Russo F, Secemsky EA, Sista AK, Tefera L, Weinberg I, Westafer LM, Young MN. 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2026 Feb 19:S0735-1097(25)10161-7. doi: 10.1016/j.jacc.2025.11.005. Epub ahead of print. PMID: 41712898. Key Learning Points Why these guidelines matter: This is the first joint AHA/ACC clinical practice guideline specifically on acute PE, bringing together a truly multidisciplinary writing committee (cardiology, pulmonology, hematology, emergency medicine, interventional radiology, surgery, and others). Prior guidelines existed from individual societies, but nothing this comprehensive had been updated in roughly five to six years. New PE clinical categories (A through E): One of the most impactful changes is replacing the old “massive/submassive” and “low/intermediate/high risk” labels with five categories that form a severity continuum. Category A is subclinical (incidental PE found on imaging in asymptomatic patients). Category B covers symptomatic but low-severity patients. Category C is where much of the clinical complexity lives — symptomatic, hemodynamically stable patients subdivided into C1, C2, and C3 based on RV function and biomarkers. Category D represents incipient cardiopulmonary failure (transient hypotension, normotensive shock with end-organ dysfunction). Category E is frank cardiopulmonary failure, with E2 being the sickest — refractory or recurrent cardiac arrest. Respiratory modifiers (hypoxia requiring supplemental oxygen) layer onto C, D, and E. Diagnostic approach: Clinical evaluation comes first — history, exam, and validated decision tools (Wells score, revised Geneva, PERC). If clinical probability is low and D-dimer is normal, imaging can be safely avoided. If either is concerning, imaging is warranted. CTPA remains the preferred imaging modality due to superior sensitivity, specificity, wide availability, and ability to assess clot burden and alternative diagnoses. VQ scanning is still appropriate when CTPA is contraindicated, and VQ SPECT offers better reproducibility and specificity than traditional planar VQ if available. Echocardiography is not a diagnostic test for PE but is important for risk stratification — RV size, TAPSE, and tissue Doppler measures all contribute prognostic information. Anticoagulation updates: Anticoagulation remains the cornerstone of treatment. For patients potentially needing advanced therapies (C3, D, E), parenteral anticoagulation is started first. A notable recommendation: low molecular weight heparin is generally preferred over unfractionated heparin, based on evidence showing more effective VTE risk reduction, more predictable pharmacokinetics, no need for routine monitoring, lower rates of heparin-induced thrombocytopenia, and no increase in major bleeding. The committee acknowledged this may create discomfort for clinicians accustomed to unfractionated heparin’s easy reversibility, but the difficulty of achieving and maintaining therapeutic levels with UFH was a significant concern. Advanced therapies: Catheter-based thrombolysis, mechanical thrombectomy, systemic thrombolysis, and surgical embolectomy all received mostly class 2B recommendations (“can consider”) for C3 and D categories, reflecting that current evidence shows improvement in short-term surrogate measures (RV/LV ratio, hemodynamics) but lacks definitive hard outcome data on mortality. For category E1 patients, recommendations are stronger (class 2A). Multiple trials are expected soon — HI-PEITHO, PEERLESS-2, PE-TRACT, PERSEVERE, TORPEDO, and PROG — that should substantially inform future updates. PERT teams: Pulmonary embolism response teams are encouraged, particularly for C3, D, and E patients. They’ve been shown to reduce length of stay. For institutions without PERT capability, establishing consultation networks with larger centers is recommended. Post-PE follow-up: Patients shouldn’t be “left in the wilderness” after discharge. The guidelines recommend communication within the first week to ensure understanding of diagnosis and treatment, an in-person visit at or before three months to assess for persistent symptoms and discuss anticoagulation duration, ongoing surveillance for chronic thromboembolic pulmonary disease, and periodic reassessment for those on extended anticoagulation. Infographics
In this episode Dr's J and Santhosh perform their bimonthly roundup of whats new in the medical world, with an emphasis on the upper respiratory system! Along the way they cover pediatrician immunity conferring blood, innate v acquired immunity, universal vaccinations, mouse healthcare, the sneeze reducing effects of matcha, photic sneezes, strep throat detection methods, scientific lollipops, svt nasal spray and more! so sit back and relax as we once again explore whats new in the world of medicine!Further Readinghttps://www.science.org/doi/10.1126/scitranslmed.adz4170https://www.science.org/doi/10.1126/science.aea1260https://www.nature.com/articles/s41538-026-00777-9https://clinicaltrials.gov/study/NCT05175196Support Us spiritually, emotionally or financially here! or on ACAST+travelmedicinepodcast.comBlueSky/Mastodon/X/Instagram: @doctorjcomedy @toshyfroTikotok: DrjtoksmedicineGmail: travelmedicinepodcast@gmail.comSpotify: https://open.spotify.com/show/28uQe3cYGrTLhP6X0zyEhTPatreon: https://www.patreon.com/travelmedicinepodcast Hosted on Acast. See acast.com/privacy for more information.
Need a natural way to boost your energy, support digestion, and breathe easier? In this episode, we're diving into all the powerful and practical ways to use Peppermint essential oil in your everyday routine. How many of you lean on peppermint for just digestive support? Or maybe use it for when you have an elevated temp? After this episode you will walk away with such a bigger understanding you will want to share this will all your essential oil loving family and friends. Also..... Get this Book! Link for Essential Emotions book. You need it. https://aromatools.com/collections/frontpage/products/essential-emotions-14th-edition The Essential Life book here https://essentiallife.com/product/essential-life-10th-edition/ Are you ready to release emotions that have been weighing you down? Book a session today! Book with Vicki: https://vickilebrilla.com/coaching Book with Sarah: https://sarahsepos.com/coaching Scoop of the Day Helps support digestive when one may over indulge in adult beverages Diffuser Blend 3 Peppermint 3 Wild Orange #PeppermintOil #EssentialOilBenefits #NaturalEnergy #GutHealth #RespiratorySupport #HolisticWellness #CoolingEffect #EssentialOils Welcome into our little essential oil world where we talk about the physical and emotional support of our essential oils. Hi friends, don't forget to leave us a review, your feedback is always welcome, and helps this podcast reach more ears. Join us in our New Facebook Community! Connect on Instagram We upload a brand new episode every Tuesday and Thursday! Want to learn more about us? theessentialoilscoop.com Remember to like, share, and subscribe to our podcast so you will be notified every time we upload a brand new episode. Leave us a review as well, your feedback is always welcome. Also opt-in to our newsletter at https://theessentialoilscoop.com/newsletter If you have any questions or have subject ideas you would like us to cover please email us at theessentialoilscoop@gmail.com Tag us on socials using #theessentialoilscoop #essentialoilpodcast #oilpodcast Disclaimer: Welcome to The Essential Oil Scoop Podcast. We want to remind our listeners that the information provided in this podcast is for educational purposes only and should not be considered as a substitute for professional medical advice, diagnosis, or treatment. The use of essential oils is a personal choice and should be done at your own risk. We are not medical professionals and cannot diagnose, treat, or prescribe any medical condition. Please consult with a qualified healthcare provider before using any essential oils or making changes to your healthcare routine. Any information or opinions expressed in this podcast are those of the hosts and guests and do not necessarily reflect the views of any particular organization. Thank you for listening.
Tonight's WeatherBrains episode is all about marine weather! We discuss wave forecasting, marine hazards, and the many products issued for mariners. Guest WeatherBrain for tonight's episode is Chris Landsea. He was formerly the Science and Operations Officer for 11 years at NHC, and he's now the Chief of TAFB (Tropical Analysis and Forecast Branch) at the NHC. He has served in this role since 2019. Chris, it's great to have you on tonight's episode. Guest WeatherBrain and meteorologist Brian Lamarre was formerly the Warning Coordination Meteorologist (WCM) at the Lubbock TX NWS office. He then served 17 years as the MIC (Meteorologist in Charge) at the Tampa FL NWS. The panel discusses the various commonly seen marine alerts, including freezing spray forecasts, Special Marine Warnings, and hazardous sea warnings. Brian, welcome to the show! Our email officer Jen is continuing to handle the incoming messages from our listeners. Reach us here: email@weatherbrains.com. Looking back at WeatherBrains Episode 46 featuring Dr. William Gray (Fall 2006) - Link incoming! (13:00) What is the NWS Marine Program? (14:30) Small Craft Advisories (18:00) Gale Warnings and why are these necessary? (21:00) What are rip currents and why is this a hazard? (23:30) Respiratory hazards and other entry level hazards (28:00) Coastal flood advisories/warnings (31:30) Special Marine Warnings and what conditions are needed to require one (34:00) Waterspouts and the call to action for the general public (36:30) Forecasting wave heights and the main 2 types of waves that are commonly produced (44:30) Deep dive into rogue waves and significant wave height (47:30) NHC TAFB (Tropical Analysis and Forecast Branch): Who is it and what do they do? (55:00) Increasing traffic in polar regions and the ice/open ocean transition (01:05:00) Great Lakes Environmental Research Lab (GLERL) (01:08:00) Unique relationship between US Coast Guard and National Weather Service (01:12:00) Special Marine Warnings and metrics applied to POD/FAR similar to on-land severe warnings (01:17:00) Special Marine Warnings and Call to Action (01:19:00) The Astronomy Outlook with Tony Rice (01:25:00) This Week in Tornado History With Jen (No segment this week - stay tuned!) E-Mail Segment (01:27:30) and more! Web Sites from Episode 1052: MarineTraffic EverythingWeather: Your Ultimate Weather Mobile App WeatherFront Mobile Weather App Alabama Weather Network Picks of the Week: Chris Landsea - NHC Graphical Marine Wind Warnings Brian Lamarre - Haboob satellite photo James Aydelott - Okie J on Facebook: Severe storms stretch from Chicago to Houston Jen Narramore - Out Rick Smith - Out Troy Kimmel - Hazcams Kim Klockow-McClain - UCAR statement on lawsuit filed against federal administrative agencies John Gordon - Windy.com Bill Murray - Out James Spann - 3/15/26 Bonnertown, TN tornado damage The WeatherBrains crew includes your host, James Spann, plus other notable geeks like Troy Kimmel, Bill Murray, Rick Smith, James Aydelott, Jen Narramore, John Gordon, and Dr. Kim Klockow-McClain. They bring together a wealth of weather knowledge and experience for another fascinating podcast about weather.
Date: March 11, 2026 Reference: RENOVATE Investigators and the BRICNet Authors; High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure: The RENOVATE Randomized Clinical Trial. JAMA March 2025 Guest Skeptic: Dr. Rory Spiegel is an emergency medicine and critical care physician known for his work in evidence-based medicine and critical care. He […] The post SGEM#505: Close Enough for (ARF) Acute Respiratory Failure (HFNO vs NIV) first appeared on The Skeptics Guide to Emergency Medicine.
We hear from a former CapRadio producer now living in Saudi Arabia who has been stuck in Dubai since the start of the Iran War. Plus, more information about illness making rounds. Finally, 916 Ink declares month-long celebration of youth literacy.
In this episode of the PFC podcast, Dennis and Doug discuss the critical importance of analog monitoring in intensive care settings. They explore how healthcare professionals can effectively assess patients without relying solely on digital tools, emphasizing the need for hands-on skills and clinical judgment. The conversation covers various aspects of patient assessment, including hemodynamic stability, the impact of pharmacological agents, and the value of traditional tools like the stethoscope. Doug shares insights from his experience in the ICU, highlighting the significance of recognizing trends and treating patients based on their clinical presentation rather than just numerical data. The episode serves as a reminder of the essential skills that healthcare providers must maintain, especially in challenging environments where technology may fail.TakeawaysAnalog assessment is crucial in critical care settings.Visual assessment often provides more insight than numbers.Mental status is the most important vital sign.Pharmacological effects can complicate patient assessments.Guiding therapy requires clinical judgment, not just numbers.Stethoscopes remain valuable despite advanced technology.Respiratory rate and work of breathing are key indicators of lung issues.Blood pressure measurements can vary; mean arterial pressure is critical.Trends in patient data are more important than isolated numbers.Practicing analog skills is essential for all healthcare providers.Chapters00:00 The Importance of Analog Monitoring in Critical Care04:12 Assessing Hemodynamic Stability10:25 Navigating Pharmacological Effects on Patient Assessment15:25 Guiding Therapy Without Digital Tools21:16 The Role of the Stethoscope in Modern Medicine27:10 Recognizing and Responding to Respiratory Distress34:09 Manual Blood Pressure Measurement and Its Relevance37:10 The Value of Analog Skills in Rugged EnvironmentsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Listen to an interview with the Indianapolis-based composer, performer, and instrument builder Rob Funkhouser. His music explores ideas of place, memory, and pattern, often working in the spaces between established musical genres. He's collaborated with ensembles including the Los Angeles Percussion Quartet, So Percussion, and Forward Motion, and he currently serves as Education Manager at the Rhythm! Discovery Center. His latest album, “Respiratory Cycle”, features two immersive, long-form suites “Exhale” and “Inhale.” WFYI's Kyle Long spoke with Rob Funkhouser about the project.
Listen to an interview with the Indianapolis-based composer, performer, and instrument builder Rob Funkhouser. His latest album, “Respiratory Cycle”, features two immersive, long-form suites, “Exhale” and “Inhale.”
Severe vitamin D deficiency is linked to a sharply higher risk of hospitalization for respiratory infections such as bronchitis and pneumonia, turning common illnesses into serious medical events Adults with the lowest vitamin D levels face worse outcomes after pneumonia, including a much higher risk of dying months after hospital discharge, even when initial illness appears mild Higher vitamin D levels are associated with fewer everyday respiratory infections like colds and flu, reducing how often illness disrupts work, sleep, and daily life Vitamin D deficiency is widespread, often silent, and driven by limited sunlight exposure and modern indoor lifestyles, making it a correctable risk factor rather than an unavoidable one Combining systemic immune support from vitamin D with early, localized airway defenses helps stop respiratory infections from gaining momentum before they escalate
A new vaccine introduced two years ago may be reducing childhood respiratory illnesses in Wisconsin. Health officials say they're optimistic. A new poll shows the Democratic primary for governor is wide open. And, a new state rule would ban people from adopting wild reptiles.
Get ready to breathe easy with this lively Cribsiders episode on non-invasive respiratory support in pediatrics! We're joined by the incredible Dr. Michelle Perez from Montefiore, who breaks down the fundamentals of CPAP, BiPAP and HFNC. From choosing the right modality to knowing when it's time to escalate, this episode will help you support little lungs without jumping straight to the tube.
On this episode, Jared takes a deep dive into Biocidin, a practitioner-trusted botanical formula long used in functional and integrative wellness settings. Learn what makes this multi-herb blend unique and why it's often included in protocols designed to support oral health, gut health, immune resilience, and overall microbial balance. Jared explains biofilms in simple terms, why they matter for long-term wellness, and how botanical formulas like Biocidin are used to help maintain a balanced microbiome throughout the body. From the mouth and throat to the digestive tract and beyond, this episode explores real-world applications, research insights, and practical considerations for using multi-botanical support as part of a comprehensive wellness strategy. Part one focuses on education and understanding, while part two will cover how practitioners typically structure supportive protocols.Products:Biocidin and Dentalcidin ProductsVitality Radio POW! Product of the Week: Utzy Naturals Magnositol and Utzy Naturals Coll-U-Gen Get 35% off one bag or 45% off two or more bags (mix and match OK!) No Code Needed! (while supplies last)Additional Information:#555: From Gut to Gums: Mastering Microbial Balance Using Biocidin with Dr. Shawn Manske#617: Microbiome Balance from Mouth to Gut: Protocols for Clearing and Rebuilding with Biocidin – Part 2Visit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
Today's guests are Jordan Trafan, BSN, MSN-Ed, RN, TCRN, clinical documentation education and compliance consultant for the Banner Health CDI team, and Marcie Johnson, RN, CCDS, the associate director of the senior review team at Banner Health in Arizona. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first four days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/clinical-deep-dive-respiratory-failure) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Sunday, March 1, at 11:00 p.m. Eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. ACDIS update: Respond to the 2026 ACDIS Community Survey by March 6 and be entered to win a free ACDIS membership! (https://www.surveymonkey.com/r/2026-ACDIS-community-survey) Register for the 2026 ACDIS Conference, happening April 20‒23, in Chicago by March 3 to get $100 off! (https://bit.ly/4qeFWdh) Register for the CCDS Exam Prep Preconference, happening April 19‒20, in Chicago! (https://bit.ly/3OifK3p) Register for the ACDIS Symposium: Outpatient CDI, happening April 19‒20, in Chicago! (https://bit.ly/4aI519R) Register for the ACDIS Physician Advisor Forum, happening April 19‒20, in Chicago! (https://bit.ly/4tIrRH2)
In this episode of Swallow Your Pride, Theresa sits down with Dr. Rabab Rangwala, PhD, CCC-SLP, to explore the science behind respiratory–swallow coordination in Parkinson's disease and what it means for clinical practice. They dive into how breathing patterns can influence swallowing safety, why patients with Parkinson's may not fully perceive their swallowing impairments, and what recent research reveals about the relationship between patient-reported symptoms and instrumental findings. Dr. Rangwala also shares how her clinical experience shaped her research questions and why instrumental assessment plays a critical role, while still recognizing real-world access barriers. This conversation bridges neuroscience and bedside care, offering practical insights to help medical SLPs strengthen their clinical clarity and better serve individuals with neurologic disease. Get the references and special links to articles mentioned here: https://syppodcast.com/389 Dr. Rabab Rangwala is a speech-language pathologist and postdoctoral scholar at University of California, San Francisco. Her research focuses on the neural and behavioral control of swallowing and speech across healthy and clinical populations. Her work in dysphagia examines respiratory–swallow coordination, and objective assessment of swallowing impairments using wearable sensors, particularly in individuals with Parkinson's disease and other neurologic conditions. In parallel, she conducts speech neuroscience research using neuroimaging, psychophysics, and computational modeling to understand how the brain supports complex motor behaviors such as speech production. By integrating clinical insight with neuroscience and quantitative methods, Dr. Rangwala's work seeks to improve our understanding of speech and swallowing disorders, with the goal of informing healthcare delivery, guiding treatment decisions, and ultimately improving patient quality of life. The post 389 – Respiratory–Swallow Coordination in Parkinson's: What the Research Actually Shows appeared first on Swallow Your Pride Podcast.
In this Ask Dr. Tony episode, Dr. Tony Ebel shares his personal journey with his son Oliver, who was born premature with PPHN and told he would be chronically sick his entire life. Dr. Tony explains the often-overlooked connection between the nervous system and respiratory health, revealing why so many children struggle with RSV, croup, and other respiratory infections. He breaks down the science behind neuro-immune system dysregulation and offers parents a proactive, natural approach to building their child's immune system resilience through Neurologically-Focused Chiropractic Care. This episode empowers parents to move beyond the wait-and-medicate cycle and take action to help their children build stronger, healthier respiratory and immune systems.-----Links & ResourcesSign up for the FREE & LIVE March 5th Kick the Sick Webinar: www.thepxdocs.com/kick-the-sick-----Key Topics & Timestamps02:00 Oliver's story: From premature birth with PPHN to winning cross country races05:00 The nervous system connection: How stress suppresses immunity and breathing08:00 The Perfect Storm: How birth trauma shifts the nervous system into fight-or-flight09:00 The game-changer: Neurologically-Focused Chiropractic Care for respiratory health12:00 Taking a proactive approach: Building resilience instead of waiting for crisis-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click Here
On this episode of Vitality Radio, Jared sits down with returning guest Jamie Cotter, national educator for WishGarden Herbs, to break down immunity in a way that actually makes sense. Instead of treating the immune system as a one-size-fits-all problem, Jamie explains the four distinct phases of immunity—daily immune maintenance, early onset, active illness, and recovery—and why each phase benefits from a different herbal strategy. You'll learn how tonic herbs support baseline immune resilience, why timing and dosing matter when symptoms first appear, and how targeted herbal formulas can support the body during active immune challenges and lingering recovery phases. This episode empowers listeners to better understand their own immune responses and make informed choices about herbal support, seasonal wellness routines, and immune preparedness—without fear, hype, or guesswork.Products Discussed:Daily ImmuneKick-Ass ImmuneSerious V-FighterDeep LungKick-Ass BioticGet Over It!Buy 4 or more Wishgarden products from HERE and get 25% off through March 7, 2026!Visit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
🧭 REBEL Rundown 📌 Key Points 💨 HFNC met criteria for non-inferiority to BPAP for preventing intubation or death within 7 days in four of the five ARF subgroups.🧪 Bayesian dynamic borrowing increased power across subgroups but created variable certainty, especially in smaller groups such as COPD.🫁 The immunocompromised hypoxemia subgroup did not meet non-inferiority, leading to early trial stopping for futility.️ Rescue BPAP use, subgroup-specific exclusion criteria, and non-standardized BPAP delivery are important contextual factors that influence how subgroup results should be interpreted. Click here for Direct Download of the Podcast. 📝 Introduction Bilevel Positive Airway Pressure (BPAP) has long been a foundational modality in the management of acute respiratory failure (ARF), particularly in COPD exacerbations and cardiogenic pulmonary edema, where it can rapidly reduce work of breathing and improve gas exchange. It remains a core tool in our respiratory support arsenal.High-flow nasal cannula (HFNC), however, has expanded what we can offer patients by delivering many of the same physiologic benefits through a far more comfortable interface. With high flows, modest PEEP, and effective dead-space washout, HFNC can improve oxygenation and decrease work of breathing while preserving the ability to talk, cough, eat, and interact with staff and family. This combination of physiologic support and tolerability makes HFNC especially attractive in patients where comfort, anxiety, or cardiovascular stability are key considerations, and in settings where prolonged noninvasive support may be needed. Rather than competing with BPAP, HFNC broadens our options in ARF and allows us to better match the modality to the patient and their underlying disease process.The RENOVATE trial set out to answer a high-impact question across five distinct etiologic groups: Is HFNC non-inferior to BPAP (NIV) for preventing intubation or death in acute respiratory failure? 🧾 Paper Azoulay É, et al. High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure: The RENOVATE Randomized Clinical Trial. JAMA. 2025 PMID: 39657981 🔙Previously Covered On REBEL: HFNC: Part 1 – How It WorksHFNC: Part 2 – Adult and Pediatric IndicationsFLORALI and AVOID TrialFLORALI-2: NIV vs HFNC as Pre-Oxygenation Prior to IntubationThe Pre-AeRATE Trial – HFNC vs NC for RSI ️ What They Did CLINICAL QUESTION Is HFNC non-inferior to BPAP for rate of endotracheal intubation or death at 7 days in patients with acute respiratory failure due to a variety of causes? STUDY DESIGN Multicenter, randomized non-inferiority trial33 Brazilian hospitalsNov 2019 – Nov 2023Adaptive Bayesian hierarchical modeling with dynamic borrowingOpen label, outcome adjudicators blindedPatients were classified into 5 subgroups SUBGROUPS 1. Non-immunocompromised hypoxemiaSpO₂ < 90% on room air orPaO₂ < 60 mm Hg on room air plusIncreased respiratory effort (accessory muscle use, paradoxical breathing, thoracoabdominal asynchrony) orRespiratory rate > 25 breaths/min2. Immunocompromised hypoxemiaDefined as:Use of immunosuppressive drugs for >3 monthsOR high-dose steroids >0.5 mg/kg/dayOR solid organ transplantOR solid tumors or hematologic malignancies (past 5 years)OR HIV with AIDS / primary immunodeficiency3. COPD exacerbation with acidosisHigh clinical suspicion of COPD as primary diagnosisRR >25 with accessory muscle use, paradoxical breathing, and/or thoracoabdominal asynchronyABG: pH 454. Acute cardiogenic pulmonary edema (ACPE)Sudden onset dyspnea and rales± S3 heart soundNo evidence of aspiration, infection, or pulmonary fibrosisCXR consistent with pulmonary edema5. Hypoxemic COVID-19 (added June 2023)Added due to deviations between expected and observed outcome proportionsAny patient across the other 4 groups with PCR-confirmed SARS-CoV-2 infection in any of the above groups POPULATION Inclusion Criteria:≥18 yrs with ARF* in one of 5 pre-defined subgroups excluding COPD was defined by the following:Hypoxemia with SpO₂