Podcasts about Saline

During lunch, Saline meets with Scarlet and receives ominous warnings about her role in the events happening around Chester's Chasm. Michael and Solomon discuss next steps with Saline while Sera approaches Crispin for a favor between peers.All Our Faults is a Tabletop Talespinners Network (TTN) ProductionThe TTN Director is Emma KocarThe AOF Producer is Mistress WinterThe cast includes:Abby Marie Carter ( @abby_marie_carter ) as SalineExtell ( @extriltheking ) as SolomonJuicy Garland ( @juicygarland ) as MichaelKat Kellie ( @katthedungeonmom ) as CrispinMistress Winter ( @gmistresswinter ) as the MCMusic Credits:Scott Buckley ( www.scottbuckley.com.au )Tabletop Audio ( www.tabletopaudio.com )Various Pixabay Artists ( www.pixabay.com ) ★ Support this podcast ★

Fleur de Sel, Siedesalz, Steinsalz: Die Qualitätsunterschiede sind groß. Genussexperte Helmut Gote hat sich mit der traditionellen Salzherstellung befasst und erschmeckt unterschiedlichste Nuancen. Moderator Uwe Schulz kommt an seine Grenzen. Von WDR 5.

In this episode, Michael has several strange run-ins with others. Saline receives a harrowing threat while Solomon is approached for a date. Crispin continues his fumbled attempts to stand up for Saline.All Our Faults is a Tabletop Talespinners Network (TTN) ProductionThe TTN Director is Emma KocarThe AOF Producer is Mistress WinterThe cast includes:Abby Marie Carter ( @abby_marie_carter ) as SalineExtell ( @extriltheking ) as SolomonJuicy Garland ( @juicygarland ) as MichaelKat Kellie ( @katthedungeonmom ) as CrispinMistress Winter ( @gmistresswinter ) as the MCMusic Credits:Scott Buckley ( www.scottbuckley.com.au )Tabletop Audio ( www.tabletopaudio.com )Various Pixaby Artists ( www.pixabay.com ) ★ Support this podcast ★

Show notes at pharmacyjoe.com/episode1006. In this episode, I'll discuss a review article on the safety of peripheral vasopressors and hypertonic saline. The post 1006: Any Port in a Storm (For a Little While At Least) – The Safety of Peripheral Vasopressors and Hypertonic Saline appeared first on Pharmacy Joe.

In this episode of the Saving Lives Podcast, we review a 2025 study from Critical Care Medicine comparing lactated Ringer's and normal saline for initial fluid resuscitation in sepsis-induced hypotension. The findings suggest that LR may improve survival and increase hospital-free days compared to NS, supporting current guidelines favoring balanced crystalloids. Tune in for a deep dive into the study's results and clinical implications!The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ⁠⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠⁠ (Affiliate Link)My Store: ⁠⁠⁠⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠⁠⁠⁠⁠ (Use "podcast" to save 10%)Citation: Gelbenegger G, Shapiro NI, Zeitlinger M, Jilma B, Douglas IS, Jorda A. Lactated Ringer's or Normal Saline for Initial Fluid Resuscitation in Sepsis-Induced Hypotension. Crit Care Med. 2025 Feb 19. doi: 10.1097/CCM.0000000000006601. Epub ahead of print. PMID: 39969246.

In this chapter, we return to find Solomon grappling with how his childhood friend, Elmira, is alive and working at the late night diner where Michael is caring for his drunk boyfriend. Saline is threatened by her sister Ella, and Crispin demands the truth from Dr. Miller, but is not ready for what is revealed.All Our Faults is a Tabletop Talespinners Network productionTTN Director is Emma KocarThe cast includesAbby Marie Carter ( @abby_marie_carter ) as SalineExtell ( @extrilltheking ) as SolomonJuicy Garland ( @juicygarland ) as MichaelKat Kellie ( @thedungeonmom ) as CrispinMistress Winter ( @gmistresswinter ) is MC and producer.Music CreditsScott Buckley ( www.scottbuckley.com.au )Pixabay ( www.pixabay.com )Tabletop Audio ( www.tabletopaudio.com )More Homie and the Dude 5e supplements and adventures can be found at www.homieandthedude.com ★ Support this podcast ★

Content Warnings: Blood (9:02 - 9:08, 17:15 - 17:47), mild violence (3:11 - 20:11), drug use (28:39 - 34:05)Crispin and Deacon throw Taylor's party into violent chaos, which Michael gladly joins in on. Saline goes looking for her sister and whatever trouble she's gotten into. Solomon runs into an old acquaintance. Tabletop Talespinners NetworkDirector - Emma KocarSocial Media - Juicy GarlandProducer - Mistress WinterCastMC - Mistress Winter ( @gmistresswinter)Crispin - Kat Kellie ( @katthedungeonmom )Michael - Juicy Garland ( @juicygarland )Saline - Abby Marie Carter ( @abby_marie_carter )Solomon - Extell ( @extrilltheking )Music CreditsScott Buckley ( www.scottbuckley.com.au )Find more information on how you can support TTN at linktr.ee/tabletoptalespinners ★ Support this podcast ★

Another packed issue of the journal this month, and a podcast to match. Starting off with the Editor's Choice paper, on the important topic of sex and gender disaggregation in emergency medicine trials. Sex and Gender Equity Reporting (SAGER) guidelines were introduced in 2016 but poor adherence is still found in current publications. Next is a paper with high seasonal relevance, addressing the sensitivity and specificity of multiplex lateral flow tests for Flu A, Flu B and COVID 19. There's also a randomised controlled trial on nebulised corticosteroids for asthma exacerbation, and to finish, a question few might think to ask - can intradermal injection of sterile water offer pain relief to renal colic patients?   Read the highlights: February 2025 Primary Survey   Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review Sex and gender reporting in scientific papers now strongly recommended by the Emergency Medicine Journal Multiplex lateral flow test sensitivity and specificity in detecting influenza A, B and SARS-CoV-2 in adult patients in a UK emergency department  Nebulised high-dose corticosteroids as add-on therapy for adults with asthma exacerbation: a randomised controlled trial Best evidence topic report: can intradermal sterile water injections provide effective pain relief in patients with renal colic?   The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

In this chapter, Saline and Michael debate the pros and cons of bringing Crispin into the fold while Solomon gets a promising invite. Tabletop Talespinners NetworkDirector - Emma KocarSocial Media - Juicy GarlandProducer - Mistress WinterCastMC - Mistress Winter ( @gmistresswinter)Crispin - Kat Kellie ( @katthedungeonmom )Michael - Juicy Garland ( @juicygarland )Saline - Abby Marie Carter ( @abby_marie_carter )Solomon - Extell ( @extrilltheking )Music CreditsScott Buckley ( www.scottbuckley.com.au )Tabletop Audio ( www.tabletopaudio.com )Sky Zephyrs and other TTRPG products by Homie and the Dude are available at www.homieandthedude.comFind more information on how you can support TTN at linktr.ee/tabletoptalespinners ★ Support this podcast ★

The interview with today's guest, Laura Shamas (Chickasaw Nation) on her world premiere play Four Women in Red happened several days before the Los Angeles Fires (i.e., Palisades Fire, Eaton Fire, Kenneth Fire, and the Hurst Fire). The play was originally scheduled to premiere on January 17th, 2025, at the Victory Theatre Center in Burbank, California where performances were supposed to continue through February 23. As of January 11th, 2025, the Victory Theater Center announced that “With members of the cast, creative team and audience impacted by the wildfires, The Victory Theatre Center has canceled the previously announced January 17 opening of Four Women in Red, a new play by Laura Shamas about the current crisis of Missing and Murdered Indigenous Women. A revised performance schedule will be announced at a later date.” Four Women in Red is about four resilient Native American women searching for missing friends and relatives in the face of apathetic sheriffs and dwindling clues. Touching on variety if critically important issues such as MMIW, settler colonial violence, and this moving new play celebrates the power of community as the women seek answers against all odds. While the interview references the January and February theater dates for the play, American Indian Airwaves is releasing the program because the fires are profoundly impacting all living relations (human and non-human), including Indigenous peoples involved with Four Women in Red and Indigenous throughout the region. The following are some support organizations providing relief and support for Indigenous peoples impacted by the fires. • UAII headquarters, 1453 W Temple St., Los Angeles, CA 90026, is asking for the following items to be donated: Water, diapers, Snacks, N95 masks, Zip ties, Gauze, Saline flushers & Syringes for insulin, Band aids, Sharps containers, Tampons & pads, batteries, flashlights, Pet food, Jackets & Blankets, Hygiene products, and First Aid Supplies. • Spoon Fed Company, owned by Jacob Spoonhunter, is “making small food care packages (on Friday, Jan. 10) to those who were effected [sic] by the fires as well as the first responders,” according to the company's Instagram. Spoonhunter is Northern Arapaho, Navajo, and Seminole. Go to the Instagram page for any donations or email: spoonfedco@gmail.com. • Chef Stephanie Pyet DeSpain, Prairie Band Potawatomi and winner of “Next Level Chef,” told her Instagram followers that she and other chefs will be doing a pop-up to feed community members. A plan will come out in the next few days, she said. Pyet announced on Jan. 10 on Instagram that she is teaming with Island Smoke N Grill through Go Fund Me to distribute meals for first responders and displaced families. If anyone wants to donate, volunteer, or needs some food to eat, direct message her on Instagram or email: info@pyetsplate.com. • Meal + Donations for Our Indian Firefighter Crews. Suggested Donation Items: Chapstick, Body Wipes, Tylenol, Liquid in Powers, Protein Shakes or Bars, Nutritional Bars, Meat Sticks, Nuts (Trail Mix), and other nutritional snack items easily portable. Contact: Tencha (626) 409-7895 or Cheryl (562) 229-2005. Guest: Laura Shamas (Chickasaw Nations), is an accomplished Native American author, essayist, poet, journalist, playwright, and the recent recipient of the Los Angeles New Play Project (LANPP) grant for the play Four Women in Red which was first developed by Native Voices, the only Actors' Equity theater company in the country dedicated to developing and producing new plays by Native artists. Archived programs can be heard on Soundcloud at: https://soundcloud.com/burntswamp American Indian Airwaves streams on over ten podcasting platforms such as Amazon Music, Apple Podcast, Audible, Backtracks.fm, Gaana, Google Podcast, Fyyd, iHeart Media, Mixcloud, Player.fm, Podbay.fm, Podcast Republic, SoundCloud, Spotify, Tunein, YouTube, and more.

Nathan Jones, the CEO of Xlear, global leader in creating natural, convenient, xylitol-based sinus and oral care products that support a healthy lifestyle.   Nathan was born in Kansas City and he spent his formative years in Idaho, in a small town where his father was the town doctor. Later, in a pursuit to provide needed support for the entire family of 14 kids, Nathan's parents made the decision to move to Michigan, and then Mexico City. When he was 16 years old, the family made another move, this time to Utah which is also where Nathan graduated from high school.   He attended college for a year, spent a year in active duty, and also went on a two-year mission with his church. Nathan moved back home in 1994 and started attending Utah Valley University. Later, he made a transition to Seattle where he attended school to become a commercial diver – he used skills from this education when he worked as a diver in oilfields in Louisiana between 1995 and 2000. Nathan then returned to Utah and founded Xlear in order to improve lives by spreading the message of Proactive Health.   Website: https://xlear.com/   Work With Me: Mineral Balancing HTMA Consultation: https://www.integrativethoughts.com/category/all-products  My Instagram: @integrativematt My Website: Integrativethoughts.com   Advertisements:   Viva Rays: Use Code ITP for a Discount https://vivarays.com/   Zeolite Labs Zeocharge: Use Code ITP for 10% off https://www.zeolitelabs.com/product-page/zeocharge?ref=ITP Magnesium Breakthrough: Use Code integrativethoughts10 for 10% OFF https://bioptimizers.com/shop/products/magnesium-breakthrough Just Thrive: Use Code ITP15 for 15% off https://justthrivehealth.com/discount/ITP15 Therasage: Use Code Coffman10 for 10% off https://www.therasage.com/discount/COFFMAN10?rfsn=6763480.4aed7f&utm_source=refersion&utm_medium=affiliate&utm_campaign=6763480.4aed7f   Chapters: 00:00 Introduction and Background 04:53 Understanding Xylitol and Its Origins 09:56 Fluoride vs. Xylitol: A Dental Debate 14:59 The Role of Xylitol in Oral Health 19:57 Nasal Hygiene and Mold Treatment 24:52 The Connection Between Oral Health and Systemic Illness 29:56 Xylitol's Impact on Maternal Health 34:59 Conclusion and Future Directions 37:06 Alternative Treatments and Protocols 39:28 The Role of Nasal Hygiene 43:11 Challenges with Regulatory Agencies 46:30 Historical Perspectives on Hygiene 54:58 Practical Applications of Nasal Hygiene Products   Takeaways: Xylitol is a natural sugar that helps prevent tooth decay. Fluoride's effectiveness in preventing tooth decay has significantly decreased over the years. Xylitol can reduce the incidence of respiratory infections. Maintaining a healthy oral microbiome is crucial for overall health. Nasal hygiene is important for preventing mold-related illnesses. Xylitol can help reduce preterm births by improving gut health. The dental industry often overlooks the bacterial causes of tooth decay. Xylitol can remineralize teeth when the mouth is at a neutral pH. Public health initiatives should promote xylitol for children's dental health. Xylitol's effectiveness is supported by numerous studies. The CDC had knowledge on how to treat COVID-19 early on. Saline irrigation was a recommended treatment for respiratory infections. Alternative treatments like xylitol and nasal hygiene can be effective. Regulatory agencies often hinder the sharing of beneficial health data. Historical figures in medicine faced ridicule for advocating hygiene practices. Nasal hygiene is crucial for preventing respiratory infections. Public health agencies need to improve their communication strategies. The effectiveness of treatments can be overshadowed by regulatory concerns. Education on hygiene practices is essential for public health. Innovative health solutions often face resistance from established institutions.   Summary: In this conversation, Matthew Coffman and Nate discuss the health benefits of xylitol, particularly in oral hygiene and nasal care. Nate shares his background in the health space, influenced by his father's research on xylitol's effectiveness against bacteria and viruses. They delve into the debate between fluoride and xylitol, highlighting the limitations of fluoride in addressing the root causes of tooth decay. The discussion also covers the importance of nasal hygiene, especially in relation to mold exposure, and the systemic health implications of oral health. They conclude with insights on xylitol's potential benefits for maternal health and the need for better public health initiatives. In this conversation, Matthew Coffman and Nate discuss the CDC's response to COVID-19, highlighting alternative treatments and the importance of nasal hygiene. They delve into the challenges posed by regulatory agencies like the FTC, and reflect on historical perspectives regarding hygiene practices in medicine. The discussion emphasizes practical applications of nasal hygiene products and the need for better public health communication.  

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In this chapter, Solomon tries to sniff out Saline's hunter. William confronts Michael about his nightly activities, while Crispin confronts Diana about her motives.Tabletop Talespinners NetworkDirector - Emma KocarSocial Media - Juicy GarlandProducer - Mistress WinterCastMC - Mistress Winter ( @gmistresswinter)Crispin - Kat Kellie ( @katthedungeonmom )Michael - Juicy Garland ( @juicygarland )Saline - Abby Marie Carter ( @abby_marie_carter )Solomon - Extell ( @extrilltheking )Music CreditsScott Buckley ( www.scottbuckley.com.au )Tabletop Audio ( www.tabletopaudio.com )Find more information on how you can support TTN at linktr.ee/tabletoptalespinners ★ Support this podcast ★

Listen here! Former HIVE member, Geneffa Jahan, returns to offer this salient conversation with beloved local poet and SC Poet Laureate Emeritus, David Sullivan, and his equally lauded friend, the Illinois poet and teacher, Ignatius Valentine Aloysius. They discuss their recently released collaborative poetry collection, Salt Pruning, as they reflect upon the unlikely parallels of their lives and their evolving friendship. "Salt pruning references the process by which saline mists and seawater shape and shear foliage and rocks along coasts. Meanwhile, the poems in Salt Pruning are a thoughtful conversation using the language of poetry and invented forms to explore how grief and love, immigrant trauma, and friendship have sculpted" these two fine poets (Luisa A. Igloria). Saline winds, whether on the West Coast of Santa Cruz or Mumbai, prune the landscape, offering a ready trope for how truthful language, flowing between friends, shapes both craft and connection. As Lee Herrick aptly notes about this collection, the long final poem says it well: 'Men weep everywhere / They can hardly see to steer.' This book is vulnerable and revelatory, a collaborative delight." This one-hour conversation will leave you touched by something sacred and salient--something to steer you forward and inward.

On this week's episode of CMDA Matters, Dr. Mike Chupp and Dr. Bill Griffin sit down with Dr. Mark Topazian and Dr. Gábor Győri to talk about the new opportunities to participate in the Saline Process Witness Training.  RESOURCES FOR THIS EPISODE:  Give to CMDA Email CMDA Matters CMDA Bookstore Faith Prescriptions 2025 CMDA National Convention Saline Process Witness Training – IHS Global Email Dr. Bill Griffin Whispers in the Wind by Dr. Al Weir

Speaker: Pastor Matthew Walker Series: The Beatitudes

Content Warning: Pretend Underage Sex Work (13:45 - 20:01)In this chapter, the teens find themselves stalked by their own individual fears and demons. Michael goes on the hunt for food, Crispin seeks out Scarlet's companionship, and Solomon helps Saline find a possible way home.Tabletop Talespinners NetworkDirector - Emma KocarSocial Media - Juicy GarlandProducer - Mistress WinterCastMC - Mistress Winter ( @gmistresswinter)Crispin - Kat Kellie ( @katthedungeonmom )Michael - Juicy Garland ( @juicygarland )Saline - Abby Marie Carter ( @abby_marie_carter )Solomon - Extell ( @extrilltheking )Music CreditsScott Buckley ( www.scottbuckley.com.au )Tabletop Audio ( www.tabletopaudio.com )Pixabay.comFind more information on how you can support TTN at linktr.ee/tabletoptalespinners ★ Support this podcast ★

Commentary by Dr. Jian'an Wang.

In this episode, Emma Case, Planning and Advocacy Specialist at The Senior Alliance, talks to Jim Mangi, Founder, and Director of Dementia Friendly Saline, an advocacy group in Saline, Michigan. Jim is also a Care Partner to his wife. They talk about how his personal situation inspired him to create Dementia Friendly Saline, which advocates for people living with dementia to help make their lives easier. We hear how a city or a community can become dementia-friendly, the programs and initiatives they implemented, and how to work with businesses, service providers, and residents to become more accommodating to those living with dementia. Great information!  www.thesenioralliance.org. Produced by The Senior Alliance and Blazing Kiss Media. The post Inside The Senior Alliance: Dementia Friendly Saline (Ep 50) appeared first on The Senior Alliance.

The final week of the regular season is here, feat. Grand Saline coach Joe Drennon

Solomon settles into his new life among the students of Chesterfield High while Crispin explores a new life of freedom...and power. Saline gets some simple advice that makes her rethink her on-going feuds.Tabletop Talespinners NetworkDirector - Emma KocarSocial Media - Juicy GarlandProducer - Mistress WinterCastMC - Mistress Winter ( @gmistresswinter)Crispin - Kat Kellie ( @katthedungeonmom )Michael - Juicy Garland ( @juicygarland )Saline - Abby Marie Carter ( @abby_marie_carter )Solomon - Extell ( @extrilltheking )Find more information on how you can support TTN at linktr.ee/tabletoptalespinners ★ Support this podcast ★

Send us a textIn this episode of Tatter-a-Fact, I will dive deep into the current state of the PMU industry, addressing the slowdown many artists are facing and the misconceptions surrounding bad microblading and saline removal. Inspired by a recent online post, I will share my insights on why the industry is struggling, how poor training plays a role, and why both saline removal and laser removal are essential tools for PMU artists. I also emphasizes the importance of versatility in offering services beyond brows, like eyeliner, and the impact of emergency removal in the industry. Whether you're a seasoned PMU artist or just starting, this episode offers valuable lessons and strategies to navigate these challenging times. 

This recording features audio versions of October 2024 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Outcomes Analysis of Yttrium-90 Radioembolization for Tumors Other Than Metastatic Colorectal Cancer from the Radiation-Emitting SIR-Spheres in Nonresectable (RESiN) Registry ReadOpen access: Using Voxel-Based Dosimetry to Evaluate Sphere Concentration and Tumor Dose in Hepatocellular Carcinoma Treated with Yttrium-90 Radiation Segmentectomy with Glass Microspheres ReadClinical Effectiveness of Drug-Eluting Microsphere Transcatheter Arterial Chemoembolization Combined with First-Line Chemotherapy as the Initial Treatment for Patients with Unresectable Intrahepatic Cholangiocarcinoma ReadComparison of Small-Sized (70–150 μm) and Intermediate-Sized (100–300 μm) Drug-Eluting Embolics for Transarterial Chemoembolization of Small Hepatocellular Carcinomas (≤3 cm) ReadOpen access: Technical Feasibility and Outcome of Cryoablation of Aneurysmal Bone Cysts in Pediatric Patients ReadPrimary Limb-Based Patency for Chronic Limb-Threatening Ischemia Treated with Endovascular Therapy Based on the Global Limb Anatomic Staging System ReadOpen access: Initial Outcomes of Embolization for Type II Endoleak: Comparison of n-Butyl Cyanoacrylate–Ethiodized Oil Mixture with n-Butyl Cyanoacrylate– Ethiodized Oil–Ethanol Mixture ReadTrack Sealing in CT-Guided Lung Biopsy Using Gelatin Sponge Slurry versus Saline in Reducing Postbiopsy Pneumothorax: A Prospective Randomized Study ReadJVIR and SIR thank all those who helped record this episode:Host:Manbir Singh Sandhu, University of California Riverside School of MedicineAudio editor:Hannah Curtis, Loma Linda University School of MedicineAbstract readers:Maximillion Hayama, Duke University School of MedicineLana Kamel, University of Minnesota Medical SchoolJessalyn Yam, University of Illinois College of Medicine at ChicagoSiddak Dhaliwal, University of Missouri School of MedicineJason Hoang, The Ohio State University College of MedicineAkumbir Singh Grewal, St. George University School of MedicineMillennie Chen, University of California Riverside School of MedicineDaniel Roh, Loma Linda University School of Medicine Support the showSupport the show

Saline reaches out to Michael to return his car while Crispin and Solomon forge a loose bond over a mutual love of food. Crispin sneaks a peek at some information that hints at the forces moving behind the scenes.Tabletop Talespinners NetworkDirector - Emma KocarSocial Media - Juicy GarlandProducer - Mistress WinterCastMC - Mistress Winter ( @gmistresswinter)Crispin - Kat Kellie ( @katthedungeonmom )Michael - Juicy Garland ( @juicygarland )Saline - Abby Marie Carter ( @abby_marie_carter )Solomon - Extell ( @extrilltheking )Find more information on how you can support TTN at linktr.ee/tabletoptalespinners ★ Support this podcast ★

In this episode, Dr. Sergio Zanotti discuss the management of critically ill patients undergoing hyperglycemic emergencies. He is joined by Dr. George Willis, a practicing emergency medicine physician. Dr. Willis is an Associate Professor and Associate Program Director for Emergency Medicine at the University of Texas Health Science Center in San Antonio, where he also serves as Vice Chair of Faculty Affairs. A recognized clinical educator, he holds a particular interest in endocrine emergencies, vascular emergencies, procedural education, and medical education. Additional resources: Hyperglycemic Crises in Adults with Diabetes: A Consensus Report. GE Umpierez, et al. Diabetes Care 2024: https://diabetesjournals.org/care/article/47/8/1257/156808/Hyperglycemic-Crises-in-Adults-With-Diabetes-A Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis. WH Self, et al. JAMA 2020: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7670314/ Evaluation and Management of the Critically Ill Adult with Diabetic Ketoacidosis. B Long, GC Willis, S Lentz, et al. J Emerg Med 2020: https://pubmed.ncbi.nlm.nih.gov/32763063/ The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis) Impacts on ED operational Metrics. Acad Emerg Med 2023: https://pubmed.ncbi.nlm.nih.gov/36775281/ Books mentioned in this episode: Kintsugi: Finding Strength in Imperfection. By Celine Santini: https://bit.ly/3NCdAYB

Don't despair, Kamala Harris is still on track to win. Boeing lays off workers after all those stock buybacks. The shortage of medical saline bags is the result of capitalism. Subscribe to our Newsletter: https://politicsdoneright.com/newsletter Purchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make America Utopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And Be Fit Now: https://amzn.to/3xiQK3K Tribulations of an Afro-Latino Caribbean man: https://amzn.to/4c09rbE

In this chapter, Solomon is discovered by Dr. Miller and after a tense standoff, accepts her invitation into a life in town. William nurses Michael back to health after his brush with death. Crispin has to adjust to a new home and a new roommate. Still infuriated after the events at the Cascade, Saline requests a meet with Michael and discovers a gruesome gift on the steps of Powerline Tattoo.Cast:MC - Mistress Winter (@gmistresswinter)Crispin - Kat Kellie (@katthedungeonmom)Michael - Juicy Garland (@juicygarland)Saline - Abby Marie Carter (@abby_marie_carter)Solomon - Extell (@extrilltheking)Production Team:Parent Group - Tabletop Talespinners NetworkCreative Director - Emma KocarProducer - Mistress WinterSocial Media - Juicy GarlandMusic Credits: Scott Buckley (www.scottbuckley.com.au)Tabletop Audio (www.tabletopaudio.com)Pixabay (www.pixabay.com)Discover more content for All Our Faults and the Tabletop Talespinners Network at linktr.ee/tabletoptalespinners ★ Support this podcast ★

Rep. Ralph Norman blows the whistle on a severe saline shortage that is plaguing the United States right now not only to hurricane damage to a main plant in North Carolina, which accounts for 60% of the nation's supply, but also because of shipments of the critical medical solution were sent instead to Ukraine. Norman confirms that he received confirmation “from a pharmaceutical group that saline is a severe shortage," "Saline operations are going to be limited all over the country. Why? A lot of the medicine has been sent overseas, namely Ukraine, which we're trying to get to the bottom of, but it's an assault on our way of life.“ Additional interview with Ambassador John Bolton mulling over writing in Ronald Reagan for 2024 Presidential Election.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

C dans l'air, l'invitée du 1er octobre : Elena Volochine, grand reporter, ancienne correspondante en Russie et auteure de "Propagande - L'arme de guerre de Vladimir Poutine".Dans une vidéo publiée hier, Vladimir Poutine a assuré que "tous les objectifs fixés seront atteints" en Ukraine, estimant que "la vérité est de notre côté". Il s'est d'ailleurs félicité de l'annexion de 4 régions ukrainiennes et a salué un "événement fatidique" qui s'est imposé il y a 2 ans pour protéger, selon lui, les habitants russophones de ces régions ukrainiennes contre une "dictature néonazie" et un "nationalisme radical".Elena Volochine s'est penchée sur cette "Propagande - L'arme de guerre de Vladimir Poutine”, dans son nouvel ouvrage publié aux éditions Autrement. Grand reporter, vidéaste et réalisatrice, elle a été, entre 2012 et 2022, correspondante en Russie et revient justement aux origines de cette propagande qui imprègne aujourd'hui l'espace public et infiltre tous les domaines de la société. Elle évoque la propagande à l'école, comment Vladimir Poutine réécrit l'histoire de la Russie et réhabilite Saline pour en faire aux yeux des Russes non pas le tyran mais un héros. À l'école, on apprend à la jeunesse que la Russie serait victime d'un complot de l'Occident dans le but de valoriser le sentiment patriotique et d'empêcher toute contestation interne. Elena Volochine, grand reporter, ancienne correspondante en Russie et auteure de "Propagande - L'arme de guerre de Vladimir Poutine", publié aux éditions Autrement, reviendra sur cette propagande, à la fois l'une des causes du conflit et son arme la plus efficace.

In this episode, we speak with Dr. Kayte Susse about overcoming breast implant illness, sharing her personal journey and expertise on the topic. Dr. Kayte dives into the dangers associated with various types of breast implants, shedding light on the concerns surrounding heavy metals and how they may impact the body. She also explains how to determine if breast implants are causing health issues and introduces her Silicone Support Formula, designed to help those with implants. Finally, she discusses her exciting upcoming event, Biohack Your Beauty, aimed at helping individuals optimize their health and beauty through biohacking techniques.Dr. Kayte Susse is a chiropractor and television host in Los Angeles, CA, whose research is focused on recovery from chronic illness, breast implant safety, medical device safety advocacy, strategies for regeneration after chemical exposures, informed consent legislation for device safety, plastic surgery reform, metabolism of heavy metals, and underlying causes of skin laxity and premature aging. She formulated this product after suffering from chronic mystery illness which greatly improved after breast implant removal in an effort to help others manage their own silicone concerns. Her flagship formula, Silicone Implant Support, is designed to provide solutions to people who want to support overall health with implants.SHOW NOTES:1:03 Welcome to the show!4:34 Dr. Kayte Susse's Bio5:29 Welcome Dr Kayte to the podcast!6:58 Her story about breast implant illness7:52 Renee's experience10:14 Spiritual-Emotional Hierarchy11:45 Lauren's Experience13:25 Scar Tissue & Capsule formation15:10 Addressing detox pathways16:09 Saline implants18:30 Heavy Metal Toxicities20:42 Diagnosing ruptures & gel bleeds23:39 Explant surgeons & surgery24:17 *Cycle Care Ad*26:55 EnBloc vs Total Capsulectomy29:36 Renee's dental history30:20 Cost of surgery & explants35:27 “Save the Boobies”37:29 How to know if implants are a problem43:15 Dr. Kayte's Silicone Formula45:49 Autoimmune process49:22 Renee's affirmations52:01 Understanding personal risks56:55 Botox alternatives1:01:43 Biohack Your Beauty event1:02:31 Her final piece of advice1:02:21 Where to find her1:03:09 Thanks for tuning in!RESOURCES:Dr. Kayte's Silicone Support Formula - Discount code: SUPPORT20Instagram: DrKayteBiohack Your Beauty EventBiOptimizers Cycle Care - Discount code: biohackerbabes10Our Sponsors:* Check out Puori and use my code BIOHACKERBABES for a great deal: puori.com/biohackerbabes* Check out Timeline and use my code BABES20 for a great deal: www.timeline.comSupport this podcast at — https://redcircle.com/biohacker-babes-podcast/donationsAdvertising Inquiries: https://redcircle.com/brands

AP correspondent Julie Walker reports women settle lawsuits after a Yale fertility nurse switched painkillers for saline.

In this episode of the Saving Lives Podcast, Eddy Joe delves into the latest research comparing balanced electrolyte solutions to 0.9% saline for treating diabetic ketoacidosis (DKA). Discover how BES could potentially revolutionize DKA management by speeding up recovery and reducing complications. Tune in for an in-depth analysis of the study and its implications for clinical practice. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. If you're in the US, you can order A SIGNED & PERSONALIZED COPY for $29.99 or via AMAZON for $32.99 (for orders in or outside the US). Ebook versions are available via AMAZON KINDLE for $9.99, APPLE BOOKS, and GOOGLE PLAY. ¡Excelentes noticias! Mi libro ha sido traducido al español y está disponible a traves de AMAZON. Las versiones electrónicas están disponibles para su compra for solo $9.99 en AMAZON KINDLE, APPLE BOOKS y GOOGLE PLAY. Citation: Szabó GV, Szigetváry C, Turan C, Engh MA, Terebessy T, Fazekas A, Farkas N, Hegyi P, Molnár Z. Fluid resuscitation with balanced electrolyte solutions results in faster resolution of diabetic ketoacidosis than with 0.9% saline in adults - A systematic review and meta-analysis. Diabetes Metab Res Rev. 2024 Jul;40(5):e3831. doi: 10.1002/dmrr.3831. PMID: 38925619. --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

In this episode, Dr. Rob Whitfield, a board-certified plastic surgeon specializing in breast implant illness, converses with his patient, Jacqui Nelson, about her journey with breast implants. Jacqui shares her initial motivations for getting implants, her experiences with both saline and silicone implants, and the various health challenges she faced, including brain fog, chronic fatigue, and systemic inflammation. She discusses her decision to undergo explant surgery and the subsequent improvements in her health. The episode emphasizes the importance of awareness, informed decision-making, and a supportive community for those dealing with breast implant illness. Show Highlights: First Implants Experience (00:03:16) She describes her initial experience with saline implants, noting discomfort and visible rippling. Switching to Silicone (00:03:32) After four years, Jacqui opts for silicone implants, seeking a more natural feel and appearance. Comfort Issues with Saline (00:08:12) Jacqui describes the discomfort and unnatural feeling of saline implants during physical activities. Initial Symptoms (00:10:19) Jacqui reveals experiencing severe brain fog and other symptoms soon after getting her implants. Mental Health Struggles (00:12:10) Jacqui shares how anxiety and depression worsened over time, linking it to her experiences with implants. Chronic Fatigue Onset (00:13:20) In 2021, Jacqui experienced debilitating chronic fatigue, impacting her career and daily life. Heavy Metal and Mold Toxicity (00:17:27) Jacqui reveals severe heavy metal and mold toxicity levels found in her testing, linking them to her symptoms. Dr. Whitfield's Insights on Toxicity (00:19:50) Dr. Whitfield discusses the implications of heavy metals and toxins related to breast implants and health. Importance of Detoxification (00:27:01) Dr. Whitfield emphasizes the need for a comprehensive detox approach post-breast implant illness. Understanding Mycotoxins (00:29:08) Discussion on the prevalence of mycotoxin exposure and its impact on gut health. Elimination Diets Explained (00:31:23) Dr. Whitfield explains the concept of elimination diets for gut healing and health improvement. Long-Term Wellness Approach (00:42:16) Dr. Whitfield emphasizes the importance of a long-term mindset in recovery and informed decision-making. Importance of Emotional Support (00:48:27) Dr. Whitfield explains how a supportive environment can ease the recovery process for patients. Connect with Dr. Whitfield: Podcast (https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554) Spotify (https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667) TikTok (https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1) IG (https://www.instagram.com/breastimplantillnessexpert/) FB (https://www.facebook.com/DrRobertWhitfield) Linkedin (https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/) X.com (https://x.com/rjwhitfield?lang=en) Read this article (https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness) Shop Dr. Whitfield's Solutions (https://drrobssolutions.com) SHARP (https://www.harp.health) NVISN Labs (https://nvisnlabs.com/) Get access to Dr. Rob's Favorite Products below: Danger Coffee (https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg) - Use our link for mold-free coffee. JASPR Air Purifier (https://jaspr.co/)- Use code DRROB for the Jaspr Air Purifier. Echo Water (https://echowater.com/)- Get high-quality water with our code DRROB10. BallancerPro (https://ballancerpro.com) - Use code DRROBVIP for the world's leader in lymphatic drainage technology. Ultrahuman (https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield)- Use code WHITFIELD10 for the most accurate wearable.

Dr. Sharon Saline, a licensed clinical psychologist who specializes in working with children, adolescents, and families who are dealing with ADHD and other learning disabilities, talks about a child's emotional journey as they come to understand and accept the way their brain is wired. Learn more about your ad choices. Visit megaphone.fm/adchoices

Saline soils are part of the natural landscape of Western Canada. “They were here when we broke the land, they are part of the soil cycle and they’re here to stay,” says Nutrien Premium Fertilizer Technologies senior agronomist Lyle Cowell. Salt can move down through the soil profile and outside the root system, but high... Read More

Sharon Saline, Psy.D., clinical psychologist and author of the award-winning book, “What your ADHD child wishes you knew: Working together to empower kids for success in school and life and The ADHD solution card deck” specializes in working with children, teens, adults and families living with ADHD, learning disabilities, twice exceptionality and mental health issues. She lectures and facilitates workshops internationally on topics such as ADHD and neurodivergence, executive functioning, the anxiety spectrum, motivation, perfectionism and working with different kinds of learners. Dr. Saline is on the advisory panel, serves as a contributing editor at ADDitudemag.com and hosts their weekly YouTube Live sessions. She also blogs for PsychologyToday.com, appears as a featured expert on MASS Appeal on WWLP-TV and is a part-time lecturer at the Smith School for Social Work. She has been featured in numerous online and print publications including The New York Times, MSN, The Washington Post, The Psychotherapy Networker, Smith College Studies in Social Work, Attention Magazine, ADDitude Magazine and more.Find Sharon:@DrSharonSalineDrSharonSaline.comClick Here To Find Your People and Join The ADHD Moms Club!MOTHER PLUS INSTAGRAM: https://www.instagram.com/mother_plus_podcast/MOTHER PLUS FACEBOOK: https://www.facebook.com/motherpluspodcastMOTHER PLUS PERMISSION SLIP: https://www.motherplusser.com/Permission-SlipMOTHER PLUS NEWSLETTER: https://www.motherplusser.com/signup-pageMOTHER PLUS BLOG: https://www.motherplusser.com/blog

This is A Fan Favorite Rerun EpisodeIn this episode, I welcome Dr. Sharon Saline, a clinical psychologist with over 30 years of experience and a top expert on ADHD, anxiety, learning differences, and mental health challenges. Dr. Saline shares her personal experience with ADHD and anxiety and provides insights into the relationship between these two conditions. She also offers strategies for managing anxiety and ADHD, emphasizing the importance of understanding triggers and developing proactive strategies.Episode Highlights:[0:43] Introduction of Dr. Sharon Saline[3:11] Dr. Sharon Saline's story of an ADHD Diagnosis[8:37] Research on Generalized Anxiety Disorder in kids and teens[8:55] Connecting ADHD and Generalized Anxiety Disorder[13:03] Triggers of anxiety and ADHD[15:02] Signs of anxiety[17:57] How ADHD impacts people dealing with their anxiety[20:28] Making a list of choices for when triggered[22:19] Thinking about what could go right instead of focusing on negativity[24:02] The importance of distraction[25:59] Why we need connection[28:05] Blending cognitive behavioral therapy, insight-oriented psychotherapy, and mindfulness positive psychology[30:30] Number one pro tipResources Mentioned:Dr. Saline's website: https://drsharonsaline.com/ Dr. Saline's Facebook: https://www.facebook.com/DrSharonSaline/ Dr. Saline's Instagram: https://www.instagram.com/drsharonsaline/ Dr. Saline's LinkedIn: https://www.linkedin.com/in/sharon-saline-psy-d-b2a18770/ Dr. Sharon Saline's book: What Your ADHD Child Wishes You Knew: Working Together to Empower Kids for Success in School and LifeThank you for tuning into "SuccessFULL with ADHD." If this episode has impacted you, remember to rate, follow, share, and review our podcast. Your support helps us reach and help more individuals navigating their journeys with ADHD.

Episode 80 - Nightmares & NeilMed Sinus Rinse with Xylitol In this episode, we discuss the benefits and uses of NeilMed Sinus Rinse with Xylitol for nasal breathing and congestion. We also dive deep into nightmares, exploring what causes them, how they affect us, and how to manage them effectively with imagery rehearsal therapy and other non-medicinal approaches. Introduction NeilMed Sinus Rinse with Xylitol Discussing Nightmares What is a Nightmare? Imagery Rehearsal Therapy True or False: Nightmare Myths & Facts Conclusion & Listener EngagementTheme music "Happy Days by FSM Team" courtesy of https://www.free-stock-music.com Support the Show.Please go to the following page to support the show: https://www.buzzsprout.com/1692604/support www.danielbaughn.comwww.dosleep.comsleeptakeout@gmail.com

In our conversation with Dr. Sharon Saline, she talks about the origin of the sense of failure so many people with ADHD experience, and how it can be traced back to harmful messaging we've endured since childhood about how we are defective in some way or not okay. Dr. Sharon challenges us to change our inner dialogue and talk to ourselves with compassion, the way we would a close friend or a child in need.Dr. Sharon breaks down what emotional dysregulation looks like and how it shows up for women with ADHD in terms of overwhelm, time management challenges, working memory, and self-evaluation, aka, the way we perceive and speak to ourselves. People with ADHD tend to have "big feelings." Dr. Sharon explains why people with poor working memory also struggle with emotional control. Dr. Sharon guides us through the biology of ADHD and how brain structure as well as neurotransmitter function both play a role in emotional regulation. Dr. Sharon shares with us the mind-blowing concept of the "Takeback of the Day." She walks us through the protocol and "rules" and how transformative it can be in relationship repair. We talk about what it looks like when an ADHD mom "loses it," how terrible it feels, what's often at the root of it, and how to make it right. Dr. Sharon walks us through "do-overs" and repair when children are involved. In order to avoid the "Boy who cried wolf" cycle of damage and repair, Dr. Sharon encourages us to notice the signals that we are about to lose it so we can course correct before we go over the edge—she shares her STAR method which can be revolutionary for stopping the cycle of losing it. Sharon Saline, Psy.D., clinical psychologist and author of the award-winning book, “What your ADHD child wishes you knew: Working together to empower kids for success in school and life and The ADHD solution card deck” specializes in working with children, teens, adults and families living with ADHD, learning disabilities, twice exceptionality and mental health issues. She lectures and facilitates workshops internationally on topics such as ADHD and neurodivergence, executive functioning, the anxiety spectrum, motivation, perfectionism and working with different kinds of learners. Dr. Saline is on the advisory panel, serves as a contributing editor at ADDitudemag.com and hosts their weekly YouTube Live sessions. She also blogs for PsychologyToday.com, appears as a featured expert on MASS Appeal on WWLP-TV and is a part-time lecturer at the Smith School for Social Work. She has been featured in numerous online and print publications including The New York Times, MSN, The Washington Post, The Psychotherapy Networker, Smith College Studies in Social Work, Attention Magazine, ADDitude Magazine and more.Find Sharon:@DrSharonSalineDrSharonSaline.comClick Here To Find Your People and Join The ADHD Moms Club!MOTHER PLUS INSTAGRAM: https://www.instagram.com/mother_plus_podcast/MOTHER PLUS FACEBOOK: https://www.facebook.com/motherpluspodcastMOTHER PLUS PERMISSION SLIP: https://www.motherplusser.com/Permission-SlipMOTHER PLUS NEWSLETTER: https://www.motherplusser.com/signup-pageMOTHER PLUS BLOG: https://www.motherplusser.com/blog

State Reps. Kurtis Gregory (R-Marshall) and Doug Richey (R-Excelsior Springs) are seeking the August GOP nomination to replace term-limited State Sen. Denny Hoskins (R-Warrensburg). The massive district includes Cooper, Howard and Saline counties in the 939 the Eagle mid-Missouri listening area, but also includes three western Missouri counties: Lafayette, Ray and Clay. The winner of the Gregory/Richey primary will face Liberty Democrat Jim Bates in November. Representative Gregory joined us live on 939 the Eagle's "Wake Up Mid-Missouri", telling listeners that he had a good fundraiser last night in Columbia. Gregory is a former Mizzou football captain who helped lead the successful passage of bipartisan NIL legislation. NIL stands for name, image and likeness. Representative Gregory tells listeners that Mizzou's 10-2 season in 2023 that included a Cotton Bowl victory over Ohio State will have a "Flutie effect", similar to enrollment increasing at Boston College during the Flutie years. Gregory says the bill is an amazing opportunity for student-athletes in Missouri, and not just at Mizzou. Representative Gregory also supports House Speaker Dean Plocher's (R-Des Peres) creation of a new House Special Committee on Illegal Immigrant Crimes. Speaker Plocher will be holding a press conference shortly at the Statehouse. Representative Gregory also discussed agriculture and rural towns in his district, including Blackburn and Alma:

Dr. Jay Calvert & Dr. Millicent Rovelo discuss Breast Augmentation 101! Everything you need to know if you're considering a breast aug! From implant type - Silicone vs Saline, Implant placement - sub-muscular(under the muscle), sub-glandular(over the muscle), or sub-fascial, incision pattern, profile, creating cleavage, how to find the right surgeon for you, implant complications, common misconceptions, cost, and what you NEED to know BEFORE you show up for your consultation.--Dr. Jay Calvert & Dr. Millicent Rovelo are Board Certified Plastic Surgeons located in Beverly Hills, California!Dr. Jay Calvert - drcalvert.com@DrJayCalvertDr. Millicent Rovelo - roveloplasticsurgery.com@RoveloPlasticSurgeryFollow the Podcast on Instagram - @BeverlyHillsPlasticSurgeryPodLISTEN on Spotify! https://open.spotify.com/show/6rwIdK6oUptZV0X55Dvn76

A private school in Saline, Michigan (Saline School) "Executive Director of Learning", Kara Davis sends email to staff notifying them that they can no longer use the terms "boys or girls" to describe students because it can be offensive to trans students and because gender language can be harmful.

Did you know there's such a thing as productive anxiety and toxic anxiety? One can give you a boost, while the other can drag you down. Managing ADHD, anxiety, time management, and social expectations can be tricky, but they also open doors to self-discovery and growth. Dr. Saline, with over 30 years of experience and a strengths-based approach, offers down-to-earth advice to help you tackle social anxiety, emotional regulation, and time management, especially during life transitions like menopause. Her personal and professional insights help smart women manage their busy brains and use their intelligence as a tool, not a mask.In this episode, Dr. Saline breaks down how to understand and handle anxiety. She helps women tell the difference between productive anxiety, which can be a helpful motivator, and toxic anxiety, which can feel overwhelming. Her tips include being self-aware and using practical strategies like setting realistic time goals and trying out visual meditation techniques to stay emotionally balanced.Dr. Saline, author of the award-winning book What Your ADHD Child Wishes You Knew, specializes in working with ADHD and neurodivergent individuals of all ages, helping them improve cognitive and social skills, resilience, self-confidence, and personal relationships. She consults internationally with schools, clinics, and businesses, runs a private practice, and is a part-time lecturer at the Smith College School for Social Work. Additionally, she is a blogger for Psychology Today, a contributing expert on MASS Live, and hosts a bi-weekly Facebook Live event for ADDitude Magazine. Her writing has appeared in numerous publications, including MSN.com, The Psychotherapy Networker, Smith College Studies in Social Work, and Attention Magazine.Resources:Website - https://www.drsharonsaline.comInstagram - https://www.instagram.com/drsharonsaline/Facebook - https://www.facebook.com/DrSharonSaline/YouTube - https://www.youtube.com/@DrSharonSaline------Are You Ready to Discover Your Brilliance? Order Now: https://adhdforsmartwomen.com/bookJoin Your ADHD Brain is A-OK: https://adhdforsmartwomen.com/aokVisit our website: https://adhdforsmartwomen.comJoin our community of ADHD For Smart Ass Women: https://www.facebook.com/groups/tracyotsukaSend us a Text Message. Are you feeling uncertain about your life's direction? Join Tracy Otsuka's free "What Do I Do With My Life Masterclass" to discover how to make better, more confident decisions and realize your full potential. Become an expert on yourself and choose the right path forward. Register now at spyhappy.me/class. Hi there, Tracy here. There are many misconceptions about ADHD, particularly that it equates to laziness or lack of motivation. In "ADHD for Smart Ass Women," I offer strategies tailored for ADHD minds to help leverage strengths and overcome challenges. Support the community by purchasing the book and sharing a review, helping spread crucial information and empower others.

Dr. Shuba Iyengar discusses allergies and their impact on individuals. She explains the body's response to allergens and the role of the immune system. Dr. Iyengar also delves into the concept of allergy shots and how they train the immune system to become less reactive. The conversation explores why some people develop allergies and the importance of early introduction to allergens. Additionally, Dr. Iyengar explains the purpose of allergy testing and the various treatment options available for allergies. In this conversation, we discuss various topics related to allergies and nasal symptoms. She explains the effect of azolastene, an antihistamine, in blocking histamine receptors and preventing allergy symptoms. Dr. Iyengar emphasizes the importance of combining different ingredients in nasal sprays to address multiple symptoms and achieve longer-lasting effects. She also highlights the need to start treatment early and use nasal sprays regularly to prevent worsening symptoms. The limitations of over-the-counter medications and the benefits of saline rinses and air filters are discussed. Dr. Iyengar provides strategies for managing allergies throughout the year, including maintaining a clean bedroom environment and considering a low-inflammatory diet for individuals with autoimmune issues. Finally, she introduces Allermi, a company that offers personalized nasal sprays based on individual symptoms.TakeawaysCombining different ingredients in nasal sprays can address multiple allergy symptoms and provide longer-lasting relief.Starting treatment early and using nasal sprays regularly can prevent worsening symptoms.Over-the-counter medications may provide temporary relief but do not address the underlying problem in the nose.Saline rinses and air filters can help remove allergens from the nasal passages and improve symptoms.Maintaining a clean bedroom environment and considering a low-inflammatory diet can help manage allergies throughout the year.Links:DERRICKTikTok: https://www.tiktok.com/@drderrick Instagram: https://www.instagram.com/derrickbhines/ Youtube: https://www.youtube.com/@DrDerrickDr. Shuba Iyengar Website:https://www.allermi.com/Linkedin:https://www.linkedin.com/in/shuba-iyengar-79a8694/Linkedin Allermi: https://www.linkedin.com/company/allermi

Contributor: Ricky Dhaliwal, MD Educational Pearls: What are DKA and HHS? DKA (Diabetic Ketoacidosis) and HHS (Hyperosmolar Hyperglycemic State) are both acute hyperglycemic states. DKA More common in type 1 diabetes. Triggered by decreased circulating insulin. The body needs energy but cannot use glucose because it can't get it into the cells. This leads to increased metabolism of free fatty acids and the increased production of ketones. The buildup of ketones causes acidosis. The kidneys attempt to compensate for the acidosis by increasing diuresis. These patients present as dry and altered, with sweet-smelling breath and Kussmaul (fast and deep) respirations. HSS More common in type 2 diabetes. In this condition there is still enough circulating insulin to avoid the breakdown of fats for energy but not enough insulin to prevent hyperglycemia. Serum glucose levels are very high – around 600 to 1200 mg/dl. Also presents similarly to DKA with the patient being dry and altered. Important labs to monitor Serum glucose Potassium Phosphorus Magnesium Anion gap (Na - Cl - HCO3) Renal function (Creatinine and BUN) ABG/VBG for pH Urinalysis and urine ketones by dipstick Treatment Identify the cause, i.e. Has the patient stopped taking their insulin? Aggressive hydration with isotonic fluids. Normal Saline (NS) vs Lactated Ringers (LR)? LR might resolve the DKA/HHS faster with less risk of hypernatremia. Should you bolus with insulin? No, just start a drip. 0.1-0.14 units per kg of insulin. Make sure you have your potassium back before starting insulin as the insulin can shift the potassium into the cells and lead to dangerous hypokalemia. Should you treat hyponatremia? Make sure to correct for hyperglycemia before treating. This artificially depresses the sodium. Should you give bicarb? Replace if the pH < 6.9. Otherwise, it won't do anything to help. Don't intubate, if the patient is breathing fast it is because they are compensating for their acidosis. References Andrade-Castellanos, C. A., Colunga-Lozano, L. E., Delgado-Figueroa, N., & Gonzalez-Padilla, D. A. (2016). Subcutaneous rapid-acting insulin analogues for diabetic ketoacidosis. The Cochrane database of systematic reviews, 2016(1), CD011281. https://doi.org/10.1002/14651858.CD011281.pub2 Chaithongdi, N., Subauste, J. S., Koch, C. A., & Geraci, S. A. (2011). Diagnosis and management of hyperglycemic emergencies. Hormones (Athens, Greece), 10(4), 250–260. https://doi.org/10.14310/horm.2002.1316 Dhatariya, K. K., Glaser, N. S., Codner, E., & Umpierrez, G. E. (2020). Diabetic ketoacidosis. Nature reviews. Disease primers, 6(1), 40. https://doi.org/10.1038/s41572-020-0165-1 Duhon, B., Attridge, R. L., Franco-Martinez, A. C., Maxwell, P. R., & Hughes, D. W. (2013). Intravenous sodium bicarbonate therapy in severely acidotic diabetic ketoacidosis. The Annals of pharmacotherapy, 47(7-8), 970–975. https://doi.org/10.1345/aph.1S014 Modi, A., Agrawal, A., & Morgan, F. (2017). Euglycemic Diabetic Ketoacidosis: A Review. Current diabetes reviews, 13(3), 315–321. https://doi.org/10.2174/1573399812666160421121307 Self, W. H., Evans, C. S., Jenkins, C. A., Brown, R. M., Casey, J. D., Collins, S. P., Coston, T. D., Felbinger, M., Flemmons, L. N., Hellervik, S. M., Lindsell, C. J., Liu, D., McCoin, N. S., Niswender, K. D., Slovis, C. M., Stollings, J. L., Wang, L., Rice, T. W., Semler, M. W., & Pragmatic Critical Care Research Group (2020). Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials. JAMA network open, 3(11), e2024596. https://doi.org/10.1001/jamanetworkopen.2020.24596 Summarized by Jeffrey Olson MS2 | Edited by Meg Joyce & Jorge Chalit, OMSII

You may have heard about the “lost generation of autistic women,” which refers to those women whose diagnoses were missed when they were younger because of the male gender bias in the diagnostic criteria. But that phenomenon doesn't just apply to autism – the same thing goes for girls and ADHD. There's actually been a lot written about this in recent years, including a popular 2020 article in The Guardian called The Lost Girls: Chaotic and Curious, Women with ADHD All Have Missed Red Flags That Haunt Us. It's true that the stereotype of a kid with ADHD is that energetic, impulsive, disorganized boy. But in girls especially it can also look like perfectionism and having a hard time receiving feedback, forgetfulness, misreading social cues and struggling with friendships, drifting off, and inconsistency in schoolwork.  In this episode, you'll hear about why ADHD in girls often goes undiagnosed or misdiagnosed, what kind of ineffective coping strategies girls with ADHD may to hide their struggles, and what some of the early symptoms are and how to recognize them. We also talked about the challenges of how rejection sensitive dysphoria, which co-occurs in many people with ADHD, may impact girls, and ADHD burnout.   About Dr. Sharon Saline Sharon Saline, Psy.D., clinical psychologist and author of the award-winning book, What Your ADHD Child Wishes You Knew: Working Together to Empower Kids for Success in School and Life and The ADHD solution card deck specializes in working with children, teens, adults and families living with ADHD, learning disabilities, twice exceptionality and mental health issues. With decades of experience as a clinical psychologist and educator/clinician consultant, she guides educators, clinicians, families and adults towards effective communication, closer connections and greater understanding. She lectures and facilitates workshops internationally on topics such as ADHD and neurodivergence, executive functioning, the anxiety spectrum, motivation, perfectionism and working with different kinds of learners.    Things you'll learn: Why ADHD in girls often goes undiagnosed or misdiagnosed due to the different ways it presents compared to boys How girls with ADHD may exhibit symptoms such as anxiety, depression, forgetfulness, difficulty listening, and problems with social interactions Why girls with ADHD may develop ineffective coping strategies to hide their struggles, leading to challenges in school, relationships, and emotional regulation Why early diagnosis and support is crucial for girls with ADHD to help them succeed academically, socially, and emotionally The ways in which RSD (rejection sensitive dysphoria) can complicated social struggles for ADHD girls   Resources mentioned: Dr. Sharon Saline's website Sharon's YouTube Channel Sharon on Instagram Sharon Facebook What Your ADHD Child Wishes You Knew: Working Together to Empower Kids in School and Life by Dr. Sharon Saline The ADHD Solution Card Deck: 50 Strategies to Help Kids Learn, Reduce Stress & Improve Family Connections (created by Dr. Sharon Saline) Sharon Saline on What Our ADHD Kids Wish We Knew (Tilt Parenting Podcast) Dr. Megan Anna Neff on RSD (Neurodivergent Insights) Sharon Saline on RSD (Additude Today) Dr. Donna Henderson and Dr. Sarah Wayland on Their Book Is This Autism? (Tilt Parenting Podcast) Is This Autism? A Guide for Clinicians and Everyone Else by Dr. Donna Henderson and Dr. Sarah Wayland The Lost Girls: Chaotic and Curious, Women with ADHD All Have Missed Red Flags That Haunt Us (The Guardian) Learn more about your ad choices. Visit megaphone.fm/adchoices