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Hibiscus is tart, cooling, beautiful—and so much more than just a refreshing summer drink.Hibiscus (Hibiscus sabdariffa) may be best known as the star ingredient in the tart, ruby-red beverage called jamaica or sorrel, but there is so much more to this beautiful plant! In this episode, Rebecca Fils-Aimé takes us beyond the familiar drink to explore hibiscus as food, medicine, and cultural tradition. Drawing on her Haitian heritage as well as her own herbal studies, Rebecca shares why she loves hibiscus for its cooling, soothing, mucilaginous qualities, how she works with it for cardiovascular and respiratory support, and so many ways to work with the flowers (well, the calyxes to be exact!) and leaves in both the kitchen and the apothecary.Rebecca also shares her recipe for Sorrel Cough Syrup, a simple combination of hibiscus and warming Caribbean spices designed to soothe that irritating, dry cough. (Or if you don't have a cough, just add it to sparkling water for a tasty, refreshing treat!) You can download your beautifully illustrated copy here.By the end of this episode, you'll know:► Why hibiscus is particularly beneficial for dry, irritated respiratory tissues► Several ways to weave hibiscus into your diet—both sweet and savory!► What makes hibiscus so supportive for the heart and cardiovascular system► How this gorgeous flower became such an integral part of Caribbean culture► Surprising ways to include hibiscus in your beauty routine► …and so many more ways to work with hibiscus beyond just a pretty pink drink!For those of you who don't know her, Rebecca Fils-Aimè is a community herbalist, public health practitioner, and health and wellness coach whose practice lies at the intersection of food, kitchen remedies for health, and Black culinary herbalism history. Through her herbalism practice and research, she shares traditions from Black and Indigenous Caribbean people to highlight their contributions to herbalism and food history. Her practice is also guided by the seasons, her Haitian culture, and her Southeastern upbringing. She has a passion for educating communities about herbs as preventative medicine, herbs as self-care, and herbs in food as an accessible way to engage in herbalism.Hibiscus is one of those plants that reminds us that food and medicine don't have to be separate. Sometimes the most nourishing herbal allies are the ones we already know and love—and sometimes, they're hiding in a tall glass of ruby-red refreshment, so perfect on a hot summer day.----Get full show notes, transcript, and more information at: herbswithrosaleepodcast.comWould you prefer watching this episode? If so, click here for the video.You can find Rebecca at TheHerbalDiaries.com.For more behind-the-scenes of this podcast, follow @rosaleedelaforet on Instagram!Working successfully with herbs requires three essential skills. Get introduced to them by taking my free herbal jumpstart course when you sign up for my newsletter.If you enjoy the Herbs with Rosalee podcast, we could use your support! Please consider leaving a 5-star rating and review and sharing the show with someone who needs to hear it!On the podcast, we explore the many ways plants heal, as food, as medicine, and through nature connection. Each week, I focus on a single seasonal plant and share trusted herbal knowledge so that you can get the best results when using herbs for your health.Learn more about Herbs with Rosalee at herbswithrosalee.com.----Rosalee is an herbalist and author of the bestselling book Alchemy of Herbs: Transform Everyday Ingredients Into Foods & Remedies That Heal and co-author of the bestselling book Wild Remedies: How to Forage Healing Foods and Craft Your Own Herbal Medicine. She's a registered herbalist with the American Herbalists Guild and teaches many popular online courses. Read about how Rosalee went from having a terminal illness to being a bestselling author in her full story here.
As the 2026–27 respiratory virus season approaches, state health departments are preparing communities for influenza, COVID-19, and RSV while working to strengthen vaccine confidence and access. On today's show, we'll hear excerpts from a briefing on Tuesday, August 18, where public health leaders from Connecticut, Alabama, New York, and Alaska discussed strategies for reaching people through trusted messengers, addressing vaccine hesitancy with empathy, and making vaccination easier to access. The leaders also share lessons from recent respiratory virus seasons, including the impact of flu, RSV, and COVID-19 on hospitalizations and children, and explain how coordination among state, local, federal, tribal, and community partners help health departments respond to emerging threats. From Alaska's vaccine procurement program and immunization information system to New York's community-based approach to vaccine outreach, the briefing highlights how preparation, communication, and strong public health partnerships can help protect communities.Building Resilient Immunization Programs: A 2026-2031 Roadmap for Public Health Leadership | ASTHOCOVID-19 | ASTHOInfluenza | ASTHO
Send us Fan MailThe full week of Journal Club in one place. Monday, the PLaNT trial of prophylactic CPAP for late preterm infants born by cesarean, with senior author Dr. Edgardo Szyld. Tuesday, whether parental holding during therapeutic hypothermia changes feeding and length of stay. Wednesday, the Connection Study, the first live biotherapeutic product tested under an IND, and what it means for probiotics returning to the NICU. Thursday, a handheld light probe that reads bowel through the skin to catch NEC before the X-ray does. Friday, Dr. Dinushan Kaluarachchi on the respiratory severity score and what its trajectory tells us.----First-in-human pilot study of broadband optical spectroscopy (BOS) as noninvasive surveillance for necrotizing enterocolitis (NEC). Dodd AC, Lehane AJ, Lee A, Hurlock A, Su Y, Ilahi I, Lautz TB, Backman V, Goldstein SD.J Pediatr Surg. 2026 May;61(5):162978. doi: 10.1016/j.jpedsurg.2026.162978. Epub 2026 Feb 3.PMID: 41643767Association of parental holding during therapeutic hypothermia and NICU outcomes for infants with hypoxic-ischemic encephalopathy. Nguyen TT, Glass HC, Chan N, Taketa E, Pineda R, Cornet MC, Miller MJ.J Perinatol. 2026 Jun 22. doi: 10.1038/s41372-026-02753-3. Online ahead of print.PMID: 42332041Live biotherapeutic product IBP-9414 (L. reuteri) in very low birth weight infants: the Connection Study. Neu J, Del Moral T, Guthrie SO, Hudak ML, Indrio F, Kim JH, Kronström A, Martin CR, Modi N, Rastad J, Schnitzer TJ, Singh R, Strömberg S, Szajewska H, Thuresson M, Caplan M.Pediatr Res. 2026 Feb 20. doi: 10.1038/s41390-026-04826-7. Online ahead of print.PMID: 41721054Prophylactic CPAP at Cesarean Birth in Late-Preterm Newborns: A Multicenter RCT. Shah BA, DeShea L, Schmölzer GM, Josephsen JB, Fabres J, Wetzel EA, Rykovich H, Thomas A, Law B, Garrido C, Szyld E.Pediatrics. 2026 Aug 1;158(2):e2025070998. doi: 10.1542/peds.2025-070998.PMID: 42457181 Clinical Trial.Association Between Delivery Room Continuous Positive Airway Pressure and Neonatal Outcomes in Late Preterm and Term Infants: A Systematic Review and Meta-Analysis. Chin Y, Hill M, Sett A, Thomas N, Razak A.J Paediatr Child Health. 2026 Jul 28. doi: 10.1111/jpc.70516. Online ahead of print.PMID: 42517258 Review.Bronchopulmonary Dysplasia Definition Based on Respiratory Severity Score. Kaluarachchi DC, Peebles PJ, Lasarev MR, Guthrie SO, Laughon MM.Pediatr Pulmonol. 2026 Jul;61(7):e71750. doi: 10.1002/ppul.71750.PMID: 42478108 Free PMC article. No abstract available.Respiratory severity score patterns by birth gestational age among a cohort of extremely preterm infants. Peebles PJ, Lasarev MR, Guthrie SO, Laughon MM, Keller RL, Kaluarachchi DC.J Perinatol. 2026 Jun 29. doi: 10.1038/s41372-026-02778-8. Online ahead of print.PMID: 42374145 No abstract available.Respiratory severity score as a predictor for need for tracheostomy in infants with severe bronchopulmonary dysplasia. Kaluarachchi NM, Afah Annah S, Lasarev MR, Peebles PJ, Kaluarachchi DC.J Perinatol. 2026 Jun 25. doi: 10.1038/s41372-026-02720-y. Online ahead of print.PMID: 42350618 No abstract available.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
Send us Fan MailThe respiratory severity score is one multiplication most of us already do in our heads, mean airway pressure times FiO2. This week Dr. Dinushan Kaluarachchi joins Journal Club to walk through three papers built on it, RSS trajectories across gestational age in the PROP cohort, an RSS based grading of BPD at 36 weeks, and RSS after 40 weeks as a predictor of tracheostomy. He also talks about writing that last paper with his son, a high school junior, and why a brief communication is a realistic on-ramp for students. Plus a preview of two upcoming trials, including surfactant given through a supraglottic airway.https://www.nature.com/collections/ejaffajdhi----Bronchopulmonary Dysplasia Definition Based on Respiratory Severity Score. Kaluarachchi DC, Peebles PJ, Lasarev MR, Guthrie SO, Laughon MM.Pediatr Pulmonol. 2026 Jul;61(7):e71750. doi: 10.1002/ppul.71750.PMID: 42478108 Free PMC article. No abstract available.Respiratory severity score patterns by birth gestational age among a cohort of extremely preterm infants. Peebles PJ, Lasarev MR, Guthrie SO, Laughon MM, Keller RL, Kaluarachchi DC.J Perinatol. 2026 Jun 29. doi: 10.1038/s41372-026-02778-8. Online ahead of print.PMID: 42374145 No abstract available.Respiratory severity score as a predictor for need for tracheostomy in infants with severe bronchopulmonary dysplasia. Kaluarachchi NM, Afah Annah S, Lasarev MR, Peebles PJ, Kaluarachchi DC.J Perinatol. 2026 Jun 25. doi: 10.1038/s41372-026-02720-y. Online ahead of print.PMID: 42350618 No abstract available.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
Today's guest is Lynette Byerly, BSN, RN, CCDS, CCS, CDI education specialist at ACDIS/HCPro. 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/listener-questions-pressure-ulcers-ai-respiratory-failure-denials-and-more) 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, August 16, 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. Today's sponsor: Today's show is brought to you by ACDIS PRO, CDI's trusted platform to navigate medical record reviews. Click here to learn more today! (https://bit.ly/4cHaWy5) ACDIS update: Apply to the 2026/2026 ACDIS CDI Leadership Council term by August 31! (https://www.surveymonkey.com/r/2026-2027-Council-app) Register for the ACDIS & JustCoding Virtual Summit, happening September 9! (https://bit.ly/4pR5Fcq)
Geriatric Patients with Poor Dental Health Linked To Respiratory IssuesBy Today's RDH ResearchOriginal article published on Today's RDH: https://www.todaysrdh.com/geriatric-patients-with-poor-dental-health-linked-to-respiratory-issues/Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Maria: Hi, thank you for all you do. You're just an amazing person. My friend had a painful kidney stone in the Er , doctor said it was so close coming out per the images, gave him some morphine we went home next day no pain so at that point, we thought he passed it. A month later the same thing , after images they saw that it got stuck in a comfortable place, so they had to do a procedure to get it out. Meanwhile, he was having stomach issues, diarrhea, couldn't eat, and stomach hurt. Then his mind started racing then he had anxiety. They are giving them pills to take for the pain and then now they're giving him anxiety pills. He's never had stomach problems since the kidney stone happen. What can we do next? Thank you!!! Bryan: Hi Dr. Cabral. I'm assuming this is a question you've been asked before or least know the answer to but I wanted to ask you something on sugar. If you had to choose between added sugar or sugar alcohols (Erythritol etc) being the worse of two evils which one would you pick? I thought the answer would definitely be added sugar but I've heard a number of health "experts" in this field talk negatively about sugar alcohols. Just curious to get your take and clear up the issue once and for all. Bettina: Hi Dr. Cabral,I'd like your recommendation on what to do if someone is exposed to the hairs from the oak processionary caterpillar (Thaumetopoea processionea). This species has unfortunately spread to Denmark, where it normally doesn't exist.Contact can cause: Skin: Caterpillar dermatitis with intense itching, redness, and blisters. Eyes: Painful conjunctivitis. Respiratory system: Coughing, throat irritation, and in rare cases asthma‑like breathing issues.What would you suggest supporting or doing after exposure? Thank you so much. Richard: Hello Dr. Cabral, thank you so much for doing your daily podcasts. All the listeners including myself learn so much from them and the information you provide is invaluable for us to help ourselves and our loved ones. Over the years I've incorporated what I've learned from you & I can feel that I'm slowly getting better. I'm pretty sure that soon I will put my autoimmune disease into remission and finally heal for good! I just have a quick question. I will be taking the Vinco thyroid glandular again soon and I was wondering if it can be taken with things like florafilm, proteolytic enzymes & probiotics while maintaining its full effectiveness? I take the latter 2 daily and I would like to continue while adding the glandular. Is there anything that it can't be taken with? Thanks so much! Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3838 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
In this 340th episode I welcome Dr. Tym Kajstura back to the show for another ABA keyword episode. We discuss the high yield, much tested topic of Respiratory Physiology.Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS: https://wearfigs.com* Check out Factor and use my code factormeals.com/accrac50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/ACCRAC for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
An approach to dyspnea (shortness of breath), including the dyspnea pyramid to remember the differentials, as well as key investigations that help identify the cause, as well as common patterns in the history and physical examination. PDFs available here: https://rhesusmedicine.com/products/assessment-or-interpretationConsider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Dyspnea?0:19 The Dyspnea Pyramid2:50 Dyspnea History & Physical Exam Patterns4:43 Dyspnea InvestigationsLINK TO MNEMONICS:https://www.youtube.com/watch?v=p-XE7PiwGgE&list=PLGNSE_HvIV4t7a33bbHN1fq-j_tge0GmpLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/Please remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. ReferencesBMJ Best Practice (2025) Evaluation of dyspnoea in adults. BMJ Publishing Group.BMJ Best Practice (2025) Acute dyspnoea. BMJ Publishing Group.National Institute for Health and Care Excellence (2025) Breathlessness. Clinical Knowledge Summaries (CKS).MSD Manual Professional Edition (2025) Dyspnea. MSD Manual Professional Edition.StatPearls (2024) Dyspnea. In: StatPearls. Treasure Island (FL): StatPearls Publishing.Parshall, M.B., Schwartzstein, R.M., Adams, L., Banzett, R.B., Manning, H.L., Bourbeau, J., Calverley, P.M.A., Gift, A.G., Harver, A., Lareau, S.C., Mahler, D.A. and O'Donnell, D.E. (2012) An Official American Thoracic Society Statement: Update on the Mechanisms, Assessment, and Management of Dyspnea. American Journal of Respiratory and Critical Care Medicine, 185(4), pp.435–452.
Test your knowledge of respiratory failure with this quick set of audio flashcards. Dive right in or brush up on your nursing knowledge of respiratory failure first, in episode #503: Respiratory Failure. These mini-reviews are a great way to study on the go, and they give you a taste of what it's like inside Study Sesh, my audio study tool for busy nursing students.
Respiratory failure occurs when the respiratory system can no longer adequately meet the oxygen demands of the body, remove carbon dioxide effectively, or both. In this episode you'll learn: - Types and causes of respiratory failure - Signs & symptoms of respiratory failure - Tests used to evaluate respiratory failure - Treatments for hypoxemic respiratory failure and hypercapnic respiratory failure. Read the article "A Quick Guide to Respiratory Failure for Nursing Students" here. Review how to conduct a respiratory assessment in episode #237. Nursing School Survival Blueprint - Feeling overwhelmed or unsure how to approach nursing school? Download this free Blueprint to understand exactly what's working against you — and what to do instead.
In this episode of Industry Matters, Respiratory Edition, host Boone Lockard, VP of HME, Respiratory, & Wellness with VGM & Associates, sits down with Steve Palmer, General Manager of Kinney Home Care Equipment and Supplies, to discuss their journey transitioning from a traditional oxygen tank model to portable oxygen concentrators (POCs). Steve shares the operational challenges that drove the decision — from emergency tank deliveries to rising costs — and how Kinney used VGM's ROI calculator to build confidence in the financial case. He also talks about the critical role their respiratory clinicians played in gaining referral source buy-in, the efficiency gains they've seen in delivery routes, and what led them to choose Rhythm and the Rhythm Resolve as their POC partner. If you're a DMEPOS provider weighing the tank-to-POC transition, Steve's real-world experience and practical advice make this a must-listen.Watch on YouTube: https://youtu.be/YfGe1M0Ql6s
What if some of the most powerful ways to improve your health didn't require expensive gadgets, complicated routines, or the latest supplement trend? In this rapid-fire solo episode, Darin shares 15 unusual, science-backed habits that can dramatically improve longevity, mobility, brain function, nervous system regulation, digestion, and overall vitality. From dead hangs and deep squats to humming, sunlight, boredom, and chewing your food more thoroughly, each practice is grounded in published research, not internet biohacking hype. These are simple, practical habits you can start today that may have an outsized impact on your health over time. If you're looking for evidence-based ways to optimize your body without spending a fortune, this episode is packed with actionable takeaways. What You'll Learn Why grip strength may be one of the strongest predictors of longevity How deep squats improve mobility and joint health The surprising connection between balance and lifespan Why humming boosts nitric oxide production The science behind mouth taping and nasal breathing How cold water can instantly calm your nervous system Why boredom fuels creativity and brain function The health benefits of intentional silence How awe can reduce inflammation Why soil microbes strengthen your immune system The importance of chewing for nutrient absorption Why sunlight is one of the most powerful daily health tools Chapters 00:00:00 – Welcome to SuperLife 00:00:32 – Sponsor: Tru Niagen 00:02:35 – 15 science-backed health habits you probably aren't doing 00:04:18 – #1 Grip strength and longevity 00:06:40 – #2 The deep squat rest 00:08:16 – #3 Single-leg balance 00:09:36 – #4 Why humming boosts nitric oxide 00:11:01 – #5 Mouth taping and nasal breathing 00:12:41 – #6 Cold water face immersion 00:14:05 – #7 Ice on the back of your neck 00:14:59 – Sponsor: Manna Vitality 00:16:55 – #8 Getting bored on purpose 00:18:34 – #9 Scheduling daily silence 00:20:01 – #10 Chasing awe instead of scrolling 00:21:20 – #11 Why getting your hands dirty boosts immunity 00:23:00 – #12 Chewing your food more thoroughly 00:24:20 – #13 Squatting while using the bathroom 00:25:41 – #14 Get sunlight before your phone 00:26:59 – #15 Sunlight on your skin 00:28:28 – The complete 15-step daily protocol 00:29:05 – Start with one habit today 00:29:26 – Final thoughts and closing message Thank You to Our Sponsors Tru Niagen: Boost NAD+ levels for cellular health and longevity. Get 20% off with code DARINOLIEN20 at truniagen.com. Manna Vitality: Go to mannavitality.com/ and use code DARIN for 20% off your order. Join the SuperLife Community Get Darin's deeper wellness breakdowns — beyond social media restrictions: Weekly voice notes Ingredient deep dives Wellness challenges Energy + consciousness tools Community accountability Extended episodes Join for $7.49/month → https://patreon.com/darinolien Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "Better health doesn't always come from doing more—it often comes from returning to the simple things humans have done for thousands of years. Move your body naturally. Breathe through your nose. Spend time in silence. Get into the sun. Touch the earth. Challenge your balance. Strengthen your grip. These aren't expensive biohacks—they're timeless biological signals that remind your body how to thrive. Small daily actions, repeated consistently, can create extraordinary long-term health." Bibliography/Sources Physical Function & Biomechanics Araujo, C. G., et al. (2022). Successful 10-second one-legged stance performance predicts survival in middle-aged and older individuals. British Journal of Sports Medicine https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2022.1066913/full Deep squat / ankle dorsiflexion as clinical mobility assessment. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC7276781/ https://pmc.ncbi.nlm.nih.gov/articles/PMC12358486/ Leong, D. P., et al. (2015). Prognostic value of grip strength: Findings from the Prospective Urban Rural Epidemiology (PURE) study. The Lancet, 386(9990), 266–273. https://doi.org/10.1016/S0140-6736(14)62000-6 Sikirov, D. (2003). Comparison of straining during defecation in three positions: Results and implications for human health. Digestive Diseases and Sciences, 48(7), 1201–1205. https://doi.org/10.1023/A:1024180319005 Respiratory & Nervous System Effects of cold stimulation on cardiac-vagal activation in healthy participants: A randomized controlled trial. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC6334714/ Systematic review of mouth taping for sleep-disordered breathing. (2024). PLOS One. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0323643 Trigeminocardiac / mammalian dive reflex response to cold facial immersion. (2023). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC10295257/ Weitzberg, E., & Lundberg, J. O. N. (2002). Humming greatly increases nasal nitric oxide. American Journal of Respiratory and Critical Care Medicine, 166(2), 144–145. https://pubmed.ncbi.nlm.nih.gov/12119224/ Brain, Silence & Emotion Bartoli, E., et al. (2024). Default mode network electrical stimulation effects on creativity. Brain, 147(10), 3409+. Bernardi, L., Porta, C., & Sleight, P. (2006). Cardiovascular, cerebrovascular, and respiratory changes induced by different types of music in musicians and non-musicians: The importance of silence. Heart, 92, 445–452. https://pubmed.ncbi.nlm.nih.gov/16199412/ Mann, S., & Cadman, R. (2014). Does being bored make us more creative? Creativity Research Journal, 26(2), 165–173. https://doi.org/10.1080/10400419.2014.901073 Münzel, T., et al. (2024). Noise causes cardiovascular disease: It's time to act. Journal of Exposure Science & Environmental Epidemiology. https://pmc.ncbi.nlm.nih.gov/articles/PMC11876066/ Stellar, J. E., John-Henderson, N., Anderson, C. L., Gordon, A. M., McNeil, G. D., & Keltner, D. (2015). Positive affect and markers of inflammation: Discrete positive emotions predict lower levels of inflammatory cytokines. Emotion, 15(2), 129–133. Immune, Digestion & Environmental Light Cassady, B. A., Hollis, J. H., Fulford, A. D., Considine, R. V., & Mattes, R. D. (2009). Mastication of almonds: Effects of lipid bioaccessibility, appetite, and hormone response. The American Journal of Clinical Nutrition, 89(3), 794–800. https://pubmed.ncbi.nlm.nih.gov/19144727/ Liu, D., Fernandez, B. O., Hamilton, A., et al. (2014). Isolated UVA irradiation of human skin generates dermal nitric oxide and lowers blood pressure independent of vitamin D. Journal of Investigative Dermatology, 134(7), 1839–1846. https://pubmed.ncbi.nlm.nih.gov/24445737/ Morning light exposure and circadian phase-shifting / dim-light melatonin onset. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC10594521/ Rook, G. A. W., et al. (2023). The old friends hypothesis: Evolution, immunoregulation and essential microbial inputs. Frontiers in Allergy. https://pmc.ncbi.nlm.nih.gov/articles/PMC10524266/ Strachan, D. P. (1989). Hay fever, hygiene, and household size. BMJ, 299(6710), 1259–1260. https://doi.org/10.1136/bmj.299.6710.1259
Your Nervous System Is the Vital Sign Nobody Is Checking Blood pressure. Heart rate. Respiratory rate. These are the numbers medicine has built its entire screening system around. But what if the thing driving all of those numbers, the autonomic nervous system, is never actually assessed? Dr. Terri sits down with returning guest Jim LaValle — internationally recognized clinical pharmacist, board-certified clinical nutritionist, and founder of the Metabolic Code platform — for a conversation that connects dots most clinicians never connect. The nervous system as a root driver of cardiovascular disease, thyroid dysfunction, gut permeability, autoimmune disease, blood sugar dysregulation, and sleep failure. If you're doing all the right things and still not getting results, this episode may be the missing piece. They cover heart rate variability, what your wearable data is actually telling you, why 60% of people who die of a heart attack have no arterial disease present, and the specific supplements, adaptogens, theanine, holy basil, phospholipids, aged garlic extract, that can begin to calm a chronically activated sympathetic nervous system while you work on the root cause. This is a masterclass in practical nervous system medicine. Bring a pen. What you'll discover: Why heart rate variability is as important as blood pressure — and what it tells you about your cardiovascular risk [20:21] The shocking stat: 60% of people who die of a heart attack have no arterial disease present. What is actually killing them [22:22] How chronic sympathetic dominance suppresses T3, causes gut permeability, triggers autoimmune thyroiditis, and disrupts sleep — all from the same root cause [44:45] How to use your wearable data practically: what to look at in the morning, how to read your sleep data, and why your sleep score may be lying to you [50:32] Box breathing vs. meditation: why they are two different tools that work best together — and how to know when you've actually arrived in that meditative state [35:12] Why 5am boot camp may be the worst thing you can do for your nervous system — and what to do instead [59:15] The supplement protocol for calming sympathetic dominance: theanine, loric acid, holy basil, kava, phospholipids, magnesium threonate, and Kyolic aged garlic extract [1:12:24] How blood sugar directly drives sympathetic tone — and why people with diabetes almost always end up with heart disease [1:01:58] Why childhood stress and prenatal maternal stress can hardwire sympathetic dominance into the nervous system before a child is even born [1:06:13] You cannot optimize what you have not calmed. The Dr. Terri Show is presented by EVEXIAS Health Solutions.Learn more and find a provider near you at evexias.com Connect with Dr. Terri:
In this episode, we discuss the SOHO trial, a large multicentre randomised controlled trial comparing high-flow nasal oxygen with conventional oxygen therapy in patients with acute hypoxaemic respiratory failure. We cover the trial methodology, the key findings on 28-day mortality and intubation rates, and what the results mean for practice in both ICU and ward settings.
Respiratory therapists in Kansas earn a solid mid-tier salary compared to other allied health professions. How do they stack up against physical therapists, sonographers, and nurses? We break down the numbers and explore strategies to maximize your earning potential. Newman University City: Wichita Address: 3100 McCormick Website: https://newmanu.edu/
We recently made some cervical spine immobilization protocol changes here at MCHD. Dr. Patrick and Dr. DePasquale discuss the history and literature that provide the foundation for rigid cervical collar use, along with the new MCHD protocol implementation. This has been a collaborative process with our local hospital partners, which has definitely involved give-and-take on both sides. REFERENCES 1. Davies G, Deakin C, Wilson A. The effect of a rigid collar on intracranial pressure. Injury. 1996 Nov;27(9):647-9. 2. Mobbs RJ, Stoodley MA, Fuller J. Effect of cervical hard collar on intracranial pressure after head injury. ANZ J Surg. 2002 Jun;72(6):389-91. 3. Hunt K, Hallworth S, Smith M. The effects of rigid collar placement on intracranial and cerebral perfusion pressures. Anaesthesia. 2001 Jun;56(6):511-3. 4. Lerner EB, Billittier AJ 4th, Moscati RM. The effects of neutral positioning with and without padding on spinal immobilization of healthy subjects. Prehosp Emerg Care. 1998 Apr-Jun;2(2):112-6. 5. Totten VY, Sugarman DB. Respiratory effects of spinal immobilization. Prehosp Emerg Care. 1999 Oct-Dec;3(4):347-52 6. Mitra B, Bernard S, Yankoff C, Somesh A, Stewart C, Koolstra C, Talarico C, Nehme Z, Fitzgerald MC, Cameron PA. Change from semi-rigid to soft collars for prehospital management of trauma patients: An observational study. J Am Coll Emerg Physicians Open. 2024 Jul 17;5(4):e13239. 7. Sundstrøm T, Asbjørnsen H, Habiba S, Sunde GA, Wester K. Prehospital use of cervical collars in trauma patients: a critical review. J Neurotrauma. 2014 Mar 15;31(6):531-40. 8. Millin MG, Innes JC, King GD, Abo BN, Kelly SM, Knoles CL, Vezzetti R, White CC 4th, Yee A, Gallagher JM. Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries - A NAEMSP Comprehensive Review and Analysis of the Literature. Prehosp Emerg Care. 2025 Aug 7:1-13. 9. Ramasamy A. Advanced trauma life support 2025: A brief review of updates. Injury. 2026 Apr;57(4):113079. doi: 10.1016/j.injury.2026.
Program notes:0:40 Online prescribing of GLP1s1:44 Physician asks a number of questions2:44 Interaction to approval about five minutes3:30 Respiratory outbreak mitigation in nursing homes4:30 Using PCR-based test in the nursing home5:30 No difference in outbreak number or size6:35 Avoid 64,000 ED transfers in U.S.7:32 Residents reap many benefits8:00 Inhalation treatment for pulmonary fibrosis9:00 Clinical worsening in fewer patients10:01 Dual-mobility total hip replacement11:04 Substantially reduced risk of dislocation12:05 Substantial number require revision previously13:15 End
Respiratory syncytial virus (RSV) is an infection in a baby's lungs that most often occurs in the winter and spring months. It usually affects children 2 and under. Find out which babies may be at higher risk and what you can do to help protect them. Learn more at yourpregnancyweekbyweek.com.
How Jimmy builds a brand, GGR, Coolabah, Steve Woodham, Locksley, Broken Hill Mines, Adherium, Waratah, Sky metals, Mithril, Megaport, Tungsten eggs benedicts, footy tips and more.Some absolute crackers in these.Market overview and recent market movementsMining exploration updates and company highlightsInvestment opportunities in gold, copper, tungsten, and healthcare techUS economic indicators and market forecastsImpact of geopolitical events on oil and resource marketsGeneral advice only, if at all. Please seek your own advice or drop us a line for more information.Support this show http://supporter.acast.com/the-bip-show. Hosted on Acast. See acast.com/privacy for more information.
In this episode, we review the high-yield topic of Sinusitis 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 of the Industry Matters Respiratory Edition, recorded live at VGM Heartland 2026, host Boone Lockard, VP of HME, Respiratory, and Wellness at VGM, sits down with Dr. Colleen Lance, Chief Medical Officer at React Health, and Bill Shoop, CEO of React Health, to unpack the seismic shifts in the NIV and ventilation market following the release of the new National Coverage Determination (NCD) for COPD. They discuss what changed in policy, how providers have adapted (or struggled), the role of CO2 requirements and adherence monitoring, best practices for patient care, and what the future of NIV looks like across the full spectrum of chronic respiratory disease. Whether you're an HME provider, prescriber, or manufacturer, this conversation offers practical insights on partnership, education, and navigating change in a rapidly evolving regulatory landscape.Watch the video version on YouTube: https://www.youtube.com/watch?v=1sKodXo-J5k
In this episode, we review the high-yield topic of Diffusion-Limited and Perfusion-Limited Oxygen Transport from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Propofol remains a cornerstone sedative for mechanically ventilated critically ill patients and is supported by PADIS guidelines and favored for its rapid onset, titratability, and limited side effects. However, its use in hemodynamically unstable patients remains a persistent clinical dilemma. In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Kyle Enfield, MD, is joined by Scott Benken, PharmD, MHPE, BCCCP, and Nathan Smischney, MD, MS, to explore the risks, benefits, and evolving evidence surrounding propofol use in this high-risk population. The discussion examines the physiologic basis of propofol-associated hypotension and how that can manifest in different patients, such as those with sepsis and septic shock. Patient selection and real-time assessment of hemodynamic trends are essential. Additional considerations include the recognition of and monitoring for propofol infusion syndrome, a rare but life-threatening complication. The episode also explores alternative drugs such as dexmedetomidine and ketamine, highlighting the benefits and risks of each. Emerging strategies are discussed, including a ketamine-propofol combination called ketafol and its utility in balancing sedation and hemodynamic stability. Listeners will gain expert insights into propofol use in the ICU and a deeper understanding of patient-centered approaches to sedation. Resources referenced in this episode: Lewis K, Balas MC, Stollings JL, et al. A focused update to the clinical practice guidelines for the prevention and management of pain, anxiety, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med. 2025;53(3):e711-e727. Russotto V, Myatra SN, Laffey JG, et al. Intubation practices and adverse peri-intubation events in critically ill patients from 29 countries. JAMA. 2021;325(12):1164-1172. Boncyk C, Devlin JW, Faisal H, et al. INhaled Sedation versus Propofol in REspiratory failure in the Intensive Care Unit (INSPiRE-ICU1): protocol for a randomised, controlled trial. BMJ Open. 2024;14(10):e086946. O'Gara B, Serra AL, Englert JA, et al. Inhaled sedation versus propofol in respiratory failure in the ICU (INSPiRE-ICU2): study protocol for a multicenter randomized controlled trial. Trials. 2025;26(1):114.
This episode is a teaser for RACP LIFT 2026, a series of in-person events to promote Learning, Innovation and Forward Thinking. Coming up on the 1st of August in Melbourne there will be a Rapid Fire Clinical Update on Respiratory medicine, infectious diseases and critical illness. And on the 20th In Brisbane another one themed around Palliative medicine and also population health. In March, the Sydney RACP offices hosed a meeting on cardiometabolic and vascular health, and the talk shared here covers everything a generalist needs to know about metabolic dysfunction-associated fatty liver disease. The seminar was presented by Professor Jacob George, Director of the Storr Liver Centre at the Westmead Institute for Medical Research, and author of over 1300 peer-reviewed papers. He explains why fatty liver disease is a "canary in the coal mine" for metabolic health more generally, how to diagnose using scans and bloods, and the use of the FIB-4 index. Professor George also describes how patients can be stratified and managed for risk of more complex liver disease and reviews outcomes from the latest pharmacological interventions. GuestsProfessor Jacob George FRACP PhD FAASLD (The Westmead Institute for Medical Research, Centre Director; University of Sydney)Chapters 3:09 MAFLD is a positive definition 4:29 How common are MAFLD and MASH? 5:58 How do you define metabolic health? 9:02 Mortality and cardiovascular outcomes in patients with T2D 10:07 MAFLD in primary care guideline 12:40 Current and future therapies for MAFLD / MASH 15:24 Management algorithm for MAFLD 16:50 Test your knowledgeProductionRapid Fire Clinical Update developed by LIFT advisory group and hosted/recorded by RACP Events team and. Podcast production by Mic Cavazzini DPhil. Music licenced from Epidemic Sound includes ‘Kryptonite' by Blue Steel and ‘Simmering Anxiety' by Christian Andersen and ‘Little Liberty' by Paisely Pink. Visit the Pomegranate Health web page for a transcript and supporting references. Add educational activity to MyCPD. Subscribe through any podcasting app or our email alerts list.
In this episode, we review the high-yield topic of Important Lung Products 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 Restrictive Lung Disease Overview 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 Oxygen Hemoglobin Dissociation Curve 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 Relationships 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 Bronchiectasis from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
What if one of the most helpful herbs for the lungs is one you've never heard of?Rabbit tobacco (Pseudognaphalium obtusifolium) may not be the most well-known herb, but according to herbalist Karen Lynn Burr, it deserves a place in every herbal toolkit.In this episode, Karen shares how this native North American plant became one of her most trusted allies after a serious respiratory health crisis—so much that she credits it for saving her life! Along the way, we explore rabbit tobacco's long history of traditional use for supporting the lungs, soothing irritated tissues, and helping the body recover after illness.Karen also shares her broader philosophy of restorative herbalism, making connections between healthy ecosystems, healthy bodies, wild foods, and community care. From foraging and folk medicine to rewilding ourselves through plants, this conversation is packed with practical insights, inspiring stories, and contagious enthusiasm for the healing power of the natural world.Karen has also brought us her Respiratory Support Nebulizing Formula, an incredibly versatile herbal preparation that can be used to calm and soothe inflammation during or after a respiratory illness. You can download your beautifully illustrated recipe card here!By the end of this episode, you'll know:► Why Karen is so passionate about wild foods (and how to harness their gifts to benefit your health!)► How rabbit tobacco can help to rebuild thinning tissues—from the lungs, to the skin, to vaginal tissues, and more► Plants that partner well with rabbit tobacco to support different health conditions► Five herbal preparations for rabbit tobacco► Tips for sourcing, harvesting, and drying rabbit tobacco to ensure you're making the most potent medicine► What disturbed ecosystems can teach us about resilience and recovery► and so much more…For those of you who don't know her, Karen Lynn Burr, owner and clinical herbalist at Materia Medica Restorative Herbalism Center, brings over 20 years of holistic health experience. Her training includes integrative nutrition, vitalist herbalism specializing in acute skin conditions, medical botany focused on hormonal aging, and clinical herbal formulations for internal and topical use. She also has deep knowledge of folk medicine, wild food education, and herbal remedies for autoimmune support and environmental toxins.In 2024, Karen founded the Restorative Herbalism Center to champion wild food and regenerative healing for mind, body, and spirit. Their mission is to restore health naturally, avoiding costly supplements and overused pharmaceuticals.From respiratory health to ecological restoration, rabbit tobacco reminds us that some of the most powerful allies are hiding in plain sight. I can't wait for you to meet this fascinating plant!----Get full show notes, transcript, and more information at: herbswithrosaleepodcast.comWould you prefer watching this episode? If so, click here for the video.You can find Karen at MM-RestorativeHerbalismCenter.com.For more behind-the-scenes of this podcast, follow @rosaleedelaforet on Instagram!Working successfully with herbs requires three essential skills. Get introduced to them by taking my free herbal jumpstart course when you sign up for my newsletter.If you enjoy the Herbs with Rosalee podcast, we could use your support! Please consider leaving a 5-star rating and review and sharing the show with someone who needs to hear it!On the podcast, we explore the many ways plants heal, as food, as medicine, and through nature connection. Each week, I focus on a single seasonal plant and share trusted herbal knowledge so that you can get the best results when using herbs for your health.Learn more about Herbs with Rosalee at herbswithrosalee.com.----Rosalee is an herbalist and author of the bestselling book Alchemy of Herbs: Transform Everyday Ingredients Into Foods & Remedies That Heal and co-author of the bestselling book Wild Remedies: How to Forage Healing Foods and Craft Your Own Herbal Medicine. She's a registered herbalist with the American Herbalists Guild and teaches many popular online courses. Read about how Rosalee went from having a terminal illness to being a bestselling author in her full story here.
RSV stands for Respiratory Syncytial Virus, which is a highly contagious respiratory virus that infects the respiratory tract and lungs. Is it dangerous? - RSV adalah singkatan dari Respiratory Syncytial Virus, yaitu virus pernapasan yang sangat menular yang menginfeksi saluran pernapasan dan paru-paru. Apakah berbahaya?
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.
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.
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.
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
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
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.
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
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.
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