POPULARITY
2 episodes with scrotal
2 episodes with scrotal
2 episodes with scrotal
2 episodes with scrotal
3 episodes with scrotal
Which of the following clinical scenarios is most consistent with an older adult presenting with acute bacterial prostatitis? A. A 65 year old male who presents with a 6 month history of urinary frequency, occasional difficulty initiating urine stream, without dysuria or fever. GU exam within normal limits with the exception of prostate enlargement. B. A 50-year-old male with a 4 day history of increased urinary frequency, end-void dysuria, and intermittent fever. GU exam reveals suprapubic tenderness, without prostatic enlargement or scrotal abnormalities. C. A 70 year old man with a 3-day history of perineal pain, intermittent fever, dysuria, and difficulty initiating urine stream. Scrotal exam WNL and digital rectal exam reveals a tender, enlarged prostate. D. A 78 year old man with a 3 month history of intermittent gross hematuria and urinary frequency without dysuria. GU exam is WNL with the exam of a nontender enlarged prostate with multiple nodular lesions. Visit fhea.com to learn more!
Scrotal pain is a condition that can affect many people and may be caused by a variety of factors, from minor injuries to more serious underlying issues. In this episode, Rachel shares her newly gained wisdom, exploring the different factors that can lead to scrotal pain, including infections, torsion, and hernias. Additionally, we discuss how physical therapy can help alleviate discomfort and promote healing.
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the October 2024 Pediatric Emergency Medicine Practice article, Elder Abuse and Neglect: Making the Diagnosis and Devising a Treatment Plan in the Emergency Department00:00 Welcome and Introduction 00:13 Free Subscription for Emergency Medicine Residents 01:05 Introduction to Pediatric Emergency Medicine Practice 01:37 Discussion on Acute Scrotal Pain 02:35 Testicular Torsion: Key Insights 09:50 Differential Diagnosis for Acute Scrotal Pain 17:21 Diagnostic Indicators of IgA Vasculitis 17:44 Pre-Hospital Care for Severe Pain 18:13 The Twist Score for Torsion 18:44 Emergency Department Evaluation 20:04 Ultrasound in Diagnosing Torsion 29:44 Operative Management and Other Conditions 31:41 Manual Detorsion Techniques 32:37 Risk Management and Key Takeaways 34:19 Conclusion and Final ThoughtsEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
I wish i was kidding with what I've endured this week re: title. Also talking meeting Robby's family, embarrassing moments, and astrology!! I also attached links for ways to help with hurricane relief. Have fun!!https://www.facebook.com/share/p/UZEiz4PGstki6f9f/?mibextid=oFDknkhttps://www.belovedasheville.com/https://www.fema.gov/press-release/20240928/how-help-after-hurricane-heleneSponsors:Fum: https://www.tryfum.com/GABBYWINDEY for a free gift with your journey pack!HeroBread: Get 10% off your order at hero.co and use code GABBY at checkout.Caraway: Visit Carawayhome.com/gabbywindey to see all of our favorite products AND take an additional 10% off your next purchase.ZocDoc: Stop putting off those doctors appointments and go to Zocdoc.com/GABBYWINDEY find and instantly book a top-rated doctor todayAcorns: head to acorns.com/gabbywindey or download the Acorns app to start saving and investing for your future todayPlease note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
When you read about M&A in the news, it usually comes across as very “spreadsheety.” Black and white. Hard numbers. Dollar signs. But the headlines only tell one side of the story. M&A is really about people—blending two separate organizations with distinct cultures, values, and goals into a one, unified team. It's a deeply human process, and one that triggers a lot of emotions. Between 2019 and 2022, Resultant acquired four companies. ConnectThink was the first; Teknion, the last. On this episode of Rezzer Rewind, you'll hear raw, human perspectives from both. Justin Bolles (ConnectThink) and Will Grey (Teknion) join Mark to share reflections and behind-the-scenes stories. You'll hear how the ConnectThink acquisition almost didn't happen, Resultant “accidental values” in action, and all the emotional ups and downs along the way. Find Justin and Will on LinkedIn: Will Grey, Resultant VP of Data Services: https://www.linkedin.com/in/willgrey/ Justin Bolles, Resultant Principal Architect: https://www.linkedin.com/in/justinbolles/ Jump In: [02:50 - 04:20] Meet Justin Bolles, principal architect and former partner at ConnectThink [04:43 - 06:17] Meet Will Grey, VP of data services and former Teknion client success managing director [07:54 - 09:19] How acquisitions can easily become unmitigated disasters [09:21 - 13:40] Why ConnectThink joined Resultant: Tech agnosticism alignment [14:05 - 20:47] Why Teknion joined Resultant: Deep values alignment [21:36 - 28:35] The human, emotional journey of getting acquired [29:08 - 34:00] Speed bumps, missteps, and challenges [34:01 - 37:27] The difficulties of a “verbal” culture; accidental values in action [37:27 - 40:16] How geography & remote work impacted acquisition transitions [40:16 - 41:47] Justin's favorite story: Scrotal circumference [41:48 - 42:30] Will's favorite story: Cowboy Christmas party [42:49 - 50:24] Mark & Kate's takes: The underappreciated, underrepresented aspects of M&A
A classic interview about the government spying on your emails, Stan discusses his ailment and the possible impending return of Junior from Europe (Haney is still out sick), Grab Bag, Local Beat, Roger's Entertainment Corner, a game of Stan's What's on the List, News Headlines, Fluffer, your emails, a classic bit with "Ray from the dealership", News, Music Legends' Offspring Week concludes, classic standup comedy, and more...
Dr. Colin Palmer, one of our reproductive specialist veterinarians from the Western College of Veterinary Medicine here at the University of Saskatchewan joins the podcast again this week to discuss the important topic of subfertility in beef bulls. Today we focus on the parts of the breeding soundness exam that greatly impact fertility - scrotal circumference and semen morphology. Dr. Palmer describes some of the most common sperm defects and why they occur.00:00 –Welcome and introductions01:05 – Importance of body condition score in bulls03:16 – Scrotal circumference and it's impact on fertility10:02 – Identifying testicular and scrotal problems16:05 – Accessory sex glands and seminal vesiculitis18:45 – Evaluating the semen sample21:55 – Abnormal sperm morphology – why does it occur?24:12 – Common sperm morphology abnormalities – Distal midpiece reflexes and proximal droplets32:00 – What does the term “Rusty load” mean in terms of sperm defects?35:05 – Genetic sperm abnormalities37:12 – Why is 70% normal sperm considered acceptable?40:21 – Summary and wrap up
*Check out EZ's morning radio show "The InZane Asylum Q100 Michigan with Eric Zane" Click here*Support the show and enjoy great products! Check out EZ on Vouch!*Get a FREE 7 day trial to Patreon to "try it out."*Watch the show live, daily at 8AM EST on Twitch! Please click here to follow the page.Email the show on the Shoreliners Striping inbox: eric@ericzaneshow.comTopics:*So EZ finally got some news from the doc about the state of affairs with his balls. A full, HIPA-approved breakdown commences.*Jeffery Ross somehow avoided any #MeToo backlash, despite claims he dated a 15 year-old girl.*The latest Hollywood pervert is revealed.*Kyle from a company that used to market on the EZSP.*Muff Tat Dog Bitch avoids jailtime somehow.*Giesele Bundchen has meltdown on police body cam over paparazzi.*Rap concert shows balcony swaying with beat.*Asshole of the Day BTYB TC PaintballSponsors:Berlin Raceway, Impact Powersports, Frank Fuss / My Policy Shop Insurance, Kings Room Barbershop, A&E Heating and Cooling, The Mario Flores Lakeshore Team of VanDyk Mortgage, Shoreliners Striping, Ervines Auto Repair Grand Rapids Hybrid & EV, TC PaintballInterested in advertising? Email eric@ericzaneshow.com and let me design a marketing plan for you.Contact: Shoreliners Striping inbox eric@ericzaneshow.comDiscord LinkEZSP TikTokSubscribe to my YouTube channelHire me on Cameo!Tshirts available herePlease subscribe, rate & write a review on Apple Podcastspatreon.com/ericzaneInstagram: ericzaneshowTwitterOur Sponsors:* Check out eufy: us.eufy.comSupport this podcast at — https://redcircle.com/the-eric-zane-show-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Apparently, everybody's doing it!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Are we the only ones who haven't had one???See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
On Today’s Show: Today’s Sideshow exclusive episode of DV is being released to everyone, Thanks to AdamEve.Com – Use PROMO Code FREAK for 50% Off, A Valentines Day Lovers Kit, 6 Free Movies, and FREE Shipping! 00:00:00 Promo Code FREAK @ AdamEve.Com 01:19:08 Introduction 04:19:05 Rejecting Dudes With The Pop Of A Balloon 12:02:19 Penis […] The post The Best Penis Mantras And Scrotal Meditations first appeared on Distorted View Daily.
Don't have time to listen to the entire Dave & Chuck the Freak podcast? Check out some of the tastiest bits of the day, including a guy who made a bomb threat to fight an eviction notice, the worst decision you made on a first date, scrotal horror stories and more!
You might be wondering what in the world a Scrotal Sherpa is, and to that I say "IYKYK" Tis the season! Storytime with Bryan Awkward times at the restaurant TJ & Amy's former spouses are now together Mark Bryan's words…Matt Lauer is going to try to make a comeback Dating someone in the same circle as someone else you dated Update on Bryan's balls Scrotum Sherpa The kids keep kicking Bryan in his “booboo” Bryan won't wear a cup because he doesnt want his kids to make fun of him Your secret is safe with me! Bryan, I definitely wanted to name this “Penis Boo Boo” but I'll settle…this time… Taking Christmas too far She's gingerbread obsessed! An 800 piece collection! The Gingerbread Lady She's out here smoking ginger?! It's a GJ, a ginger joint! LINKS: Send us show ideas, comments, questions or concerns by texting us at: 1.855.TCB.8383 Call 626.ASK.TCB3 and leave us a voicemail Speak to TCB LIVE by calling 775.TCB.LIVE (1.775.822.5483) Tuesday-Thursday 12pm-5pm EST Watch TCB on YouTube Creator: Bryan Green Co-Host: Bryan Green Co-Host: Krissy Hoadley Written By: Bryan Green Exec Producers: Bryan Green & Krissy Hoadley Content Production & Research: Tina Khano YouTube Producer & Editor: Morgan Please Producer & Audio Editor: Christina A. Executive Director: Astrid B. Associate Producer: Gustavo Episodic Contribution: Marianne, Diane, Natalie, Will The Champ, Will D**
August 11, 2023 Ray, Mark, and Scott discuss 2 questions that came into the Urology Coding and Reimbursement Group (see below for a link to sign up free):Good Evening Our office is looking into Chronic Care Management. We know that CCM requires the patient to have 2 chronic conditions. Most of these patients have prostate cancer and diabetes, and or hypertension. Which brings me to my question our providers will be treating and managing the cancer but as for as the diabetes goes they are not treating this or managing it in any way. Would we still be able to use this in out CCM billing?Hi, What CPT code set would you bill for Excision Scrotal Lesion(s)? (Path Report: Benign). Would you code with 11420-11426 or 11106-11107 or 54060 or something else? NOTE DETAILS: FINDING(s): Numerous scattered superficial skin lesions, In total 20cm skin removed. "We began by marking out the areas of concern with elliptical incisions. There were numerous lesions but they were spread out enough that we decided to do multiple separate incisions. After the lesions were marked the skin was anesthetized with 0.5% Macaine. Incisions were made sharply along the previous marked ellipse. The skin was then carefully dissected sharply from of the underlying dartos tissue. Hemostasis was achieved with bipolar cautery. This was repeated for all lesions."Urology Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Coders, Billers, and Admins (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Specialist Certification (DCB-SC)Documentation, Coding, and Billing Master Certification (DCB-MC)Urology Advanced Coding and Reimbursement SeminarClick Here to Register Now Las Vegas, December 1 & 2, 20238 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayNew Orleans, January 26 & 27, 20248 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayReserve your spot and save!As a Urology Coding and Reimbursement Podcast listener, you get access to a discount (limited-time offer).Use code: 24UACRS733Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes.The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com
VARICOCELE is dilatation of Pampiniform plexus of veins in scrotum having the classical Bag of worms appearance. Listen this episode to learn everything about Varicocele.
See omnystudio.com/listener for privacy information.
In this episode discussing one of the important surgical emergencies and a cause for Scrotal Swellings namely Torsion Testis.
Join The Kernels as they dissect Leos Carax's 2012 oddball odyssey: 'Holy Motors'.Criticising the choices of Carax, cinematic surrealism, and menacing man-hoods - The Kernels share their likes, dislikes, ratings, & even treat you to both an original song, AND a unique game where they create a movie trailer.Enjoy you flourishing flowers!Thanks for popping by. We hope you enjoy The Podcorn Kernel Podcast. Please get in touch with any praise, criticism, feedback or advice.Compliments will be greeted with kindness. Criticism will be catered to with carnage. Contact us at : thepodcornkernels@gmail.com or find us on us on the following social platforms:Instagram: thepodcornkernelsThreads: thepodcornkernelsTwitter: @podcornkernelsWebsite: thepodcornkernels.co.ukTikTok: @thepodcornkernels
In this episode discussing about the commonest cause for scrotal swellings - hydrocele. Also mention other causes for scrotal swellings. Discussed epidemiology, Etiopathogenesis, clinical features, investigations, treatment and post op complications of Hydrocele.
This week: A man called Dick Testicles, a bunch of funky flowers, and peasants being overrun by hazelnoots!
Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Bradley C. Liebovich, M.D. Testicular cancer accounts for only around 1% of all cancers in men and is most common in males from age 15 to 35. Around 10,000 new cases are diagnosed per year resulting in about 400 deaths. While testicular cancer is relatively uncommon, other abnormalities occur in the scrotum which are quite common and fortunately, relatively benign. Most of these conditions present as a scrotal mass and can be quite frightening to the patient if they discover them. In today's podcast, we'll discuss scrotal masses including testicular cancer with our guest, Bradley C. Liebovich, M.D., from the Department of Urology at the Mayo Clinic. Connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Highly medicated... Katie still doesn't get foot fetishes... Katie manages not to hork anything up while describing her favorite bucake video... Katie's deep tease... Question from a listener, married couples VS single couples being polly... Going off track again... Katie's aggression against hot women... Pots kettles and glass houses... The story of the Hooters waitress that was arrested for dipping customer wings in her pussy... It always comes back to taking mushrooms in Sweden with a murderous sex cult and loving every minute of it... Katie goes deep on building a pussy when growing up with a dick... DYK there are 3 different types of bottom surgery you can get when transitioning from a male to a female... PayMoneyWubby's shaker design has a phat pussy!!! Scrotal reduction... Making your testicles smaller to make your dick look bigger... Who really likes big balls??? Episode of "Rule 34"... Corny Corny Corny... Someone describing the first time having sex with her new genitals... Healing your new snatch... Female to male sex surgeries - Add A Dictomy... Does Katie like to get her face fucked??? Is it bad that he likes to watch his wife get gang banged??? The football coach that likes to put his tongue in stripper's asses... Just another ass eater... Is there anything you absolutely would never do with your partner... SC explains Katie's sexual wants to her... Set the mob after me!
scrotal masses --- Send in a voice message: https://podcasters.spotify.com/pod/show/just-the-tip-america/message
We did a deep dive into the science behind SC EPDs and their value, and found some interesting answers. An interesting interview with Cooper from New Stockyard Group about their Cattle ID app and how it can make data collection and decision making easier. Sponsored by: Crazy R Ranch Brennan Reeder crazyrblackherefords.com PLC Farms Philip Carpenter 660-646-4794 --- Send in a voice message: https://anchor.fm/burnindaylight/message
We did a deep dive into the science behind SC EPDs and their value, and found some interesting answers. An interesting interview with Cooper from New Stockyard Group about their Cattle ID app and how it can make data collection and decision making easier. Sponsored by: Crazy R Ranch Brennan Reeder crazyrblackherefords.com PLC Farms Philip Carpenter 660-646-4794 --- Send in a voice message: https://anchor.fm/burnindaylight/message Learn more about your ad choices. Visit megaphone.fm/adchoices
Throwing it waaaaay back to May of 2018. Retired Captain Jim Engen shares some of the crazy stories from his career. I really enjoyed this interview. Jim is a pro when it comes to interviews and his personality and good nature really come through when he speaks. This is the first of two interviews I did with Jim, the second being the cold case murder of Annie Ross. Both times he came on the show I got notes from listeners stating how much they liked Jim and his approach to police work. Support the show by joining the Patreon community today! https://www.patreon.com/user?u=27353055 -Video of the interviews -Vinyl TPS logo sticker -Patron Shoutout -Exclusive posts and direct messaging to Steve Shop Merch / Subscribe / be a guest / Contact www.thingspolicesee.com Join the FB community! https://www.facebook.com/thingspolicesee/ Background consultation - Ken@policebackground.net
It’s been long enough, right? I mean we should have our own religion by now. I’m not saying it would be popular or that this is something we are fit to do. However, what I am saying is that I am done not trying. Also Nic is gone again. #DisneyDrunk Plugs and Amazing Folks Check […] The post Geek Cast Live 8.383 : Scrotal Meat Face appeared first on Geek Cast Live.
It’s been long enough, right? I mean we should have our own religion by now. I’m not saying it would be popular or that this is something we are fit to do. However, what I am saying is that I am done not trying. Also Nic is gone again. #DisneyDrunk Plugs and Amazing Folks Check […]
In this episode we discuss testicular and scrotal pain. Most guys have had pain in their testicles and scrotum at some point. This pain is usually short lived and goes away on its own. But for some men, the pain does not go away. It persists and begins to affect their day to day lives, limiting their activities, destroying their sex lives, and impacting their mental health. What causes this chronic pain in the scrotum? How should it be evaluated? And what treatment options are available? In order to answer these questions, we spoke with Dr Petar Bajic. Dr Bajic is a urologist in the Center for Men's Health at the Glickman Urological and Kidney Institute in Cleveland, Ohio, and Assistant Professor of Urology at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. He specializes in men's health and sexual medicine. Dr. Bajic earned his medical degree from the University of Toledo College of Medicine. He then completed his residency training in urology at Loyola University Medical and a fellowship in Andrology and Genitourinary Reconstructive Surgery at Rush University Medical Center. Dr. Bajic is an avid researcher and physician-scientist. Dr. Bajic is Associate Editor for the medical journal Urology and is a regular reviewer for multiple other medical journals.
Dale tells a story about the time he snorted too much powdered ecstasy on a Ruidoso ski lift and bled all over his white ski jacket. Chuy debuts his hip new segment Chuy's Trends. The guys also learn about a testicular snake bite. And there's breaking news regarding the JFK assassination. We also celebrate the great songwriter, Lowell George. Finally, the gang argues over the top 10 rock vocalists of all time. Support the show: https://www.klbjfm.com/dudley-and-bob-with-matt-show/ See omnystudio.com/listener for privacy information.
Sex On The Beach Is Bad For The Beach? | The Latest | Scrotal Necrosis | Paul Rudd Is Sexy | The LRT Is Back Tomorrow | What Is Jason Barr Thinking? | DUGY The Brave | Instant Answer Question Time
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Rachel shares the story of the first ever broad-leafed tree (that is still with us today), Victoria digs on the Tasmanian Tiger and Kirk does a deep dive on these strange molecules called Carotenoids.
This episode covers scrotal lumps, specifically hydroceles, varicoceles and epididymal cysts.Written notes can be found at https://zerotofinals.com/surgery/urology/scrotallumps/ or in the urology section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.
Back for episode 99! I discuss warm weather, audience heckles and how WAZAA was the best greeting ever! Enjoy! For early access to all podcasts visit www.patreon.com/woodstalk
May 3, 2021Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group FAQs [40 Seconds] Our patients bring in there own testosterone and we bill out the administration code 96372.. Is the NDC # required to be documented? (We do document j code, dx , patient provided,amount given, Lot# and expiration.)[8 minutes and 57 Seconds] One of my physicians completed a TURBT of multiple bladder tumors but he never listed any size. Instead, he says "aggregate greater than 5cm." My understanding was that we cannot use this and he would need to note the largest tumor resected. Could you please provide some clarification and education so I can let the provider know how to proceed or if using the aggregate size is sufficient for billing? [11 minutes and 15 Seconds] One of our providers is using a vacuum device called Calyxo when they do cysto/litho procedures that remove the stone fragments after being lasered. Is this something we would bill for? 52352 maybe? As always, thanks for help. [14 minutes and 40 Seconds] What is the correct code for excision of scrotal cyst.?_____________________________________________________________________Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom._____________________________________________________________________ Click Here to Start Your Free Trial of AUACodingToday.com _____________________________________________________________________
Your patient presents with severe scrotal pain. What is the most likely diagnosis? What is the next best step? For a free 100+ page excerpt of our best-selling residency match book, please visit us at www.TheSuccessfulMatch.com.
Episode 43: Testicular Cancer. Testicular cancer screening and diagnosis (basics), chlorthalidone vs hydrochlorothiazide, and jokes.Today is March 8, 2021. For many years, we have heard about the superiority of chlorthalidone over hydrochlorothiazide to control hypertension, but in clinical practice, hydrochlorothiazide is prescribed more often as the initial therapy for most patients with hypertension as compared to chlorthalidone. As a matter of fact, the Microsoft Word automatic corrector detects hydrochlorothiazide as a correct word, but flags chlorthalidone as misspelled. Also, we know how to abbreviate hydrochlorothiazide (HCTZ), but did you know that chlorthalidone has an abbreviation as CTD?We have been neglecting chlorthalidone regardless its apparent effectivity. In January 2006, the American Heart Association published on its journal Hypertension, a comparison between chlorthalidone and hydrochlorothiazide to control hyperension[1]. A randomized, single-blinded, 8-week active treatment, crossover study compared 12.5mg/day chlorthalidone (force-titrated to 25 mg/day at week 4) and HCTZ 25mg/day (force-titrated to 50mg/day at week 4) in untreated hypertensive patients. 24-hour BP monitoring was assessed at baseline and week 8 plus standard office BP readings every 2 weeks. 30 patients completed the active treatment period. At week 8 there was a greater reduction in baseline systolic blood pressure with chlorthalidone 25mg vs HCTZ 50mg. The effectiveness of chlorthalidone was evidenced by ambulatory blood pressure measurement (ABPM) although this difference was not apparent with office BP measurements. It was a short duration study with a small sample size.More recently, in January 2021, the Journal of Hypertension, which is the official journal of the International Society of Hypertension and the European Society of Hypertension[2], published on PDF a more comprehensive review of these long-time rivals. According to the short version of this article, there is no difference in the short-term net clinical benefit between CTD and HCTZ, BUT long-term available data suggests that CTD is better at reducing major adverse cardiovascular events (MACE) over HCTZ. Stay tuned for the final version of this study.Way to go chlorthalidone!______________________________This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it’s sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. Page BreakQuestion of the Month: Polyarthralgiaby Claudia Carranza A 49-year-old female comes to clinic reporting bilateral wrist and ankle pain for 1 month. The pain is worse with movement and responds well to ibuprofen. She denies joint swelling, warmth, or morning stiffness. She reports feeling more fatigued than usual this past month. You note on her chart that she was diagnosed with COVID-19 approximately 6 weeks ago for which she did not need to be hospitalized. She denies history of diabetes, thyroid disease, lupus, rheumatoid arthritis, trauma, or anemia. She denies fecal, urinary, or vaginal bleeding, no headaches, chest pain, SOB or dizziness. Exam is remarkable for a “tired look” and tenderness to palpation at bilateral wrist and ankles. No signs of inflammation on joints is noted. What do you think is the etiology of this patient’s symptoms and what workup would you order (if any)? Let’s repeat the question: What do you think is the etiology of the symptoms in a 49-year-old female who complains of symmetrical POLYARTHRALGIA and fatigue for 1 month, and what workup would you order (if any)? Clue: Listen carefully to the history of the patient. Send us your answer to rbresidency@clinicasierravista.org before March 22, 2021. The winner will receive a prize.“I am not my body. My body is nothing without me.” Tom Stoppard____________________________Testicular Cancer Testicular cancer is the most common solid tumor among males 15 to 34 years of age, with an estimated 8,850 new cases and 410 deaths in the past years. The good news is that with effective treatment, the overall five-year survival rate is 97%[3]. Risk factors. Cryptorchidism: The relative risk of developing testicular cancer ranges from 2.9 to 6.3; the risk is increased in both testes, although the risk is much higher in the ipsilateral testis (6.3 vs. 1.7). Among these patients, the risk of cancer increases when orchiopexy is delayed until after puberty or never performed compared with early orchiopexy. Even after early orchiopexy, the risk of testicular cancer remains elevated compared with the general population. Personal or family history of testicular cancer: Patients with a personal history of testicular cancer have a 12-times greater risk of developing a contralateral testicular cancer than the general population. However, the greatest risk is in the first five years after diagnosis. Patients with a father or brother with testicular cancer have a 3.8- and 8.6-times greater risk, respectively. Infertility: Men with infertility have an increased risk of testicular cancer, with a standardized incidence ratio of 1.6 to 2.8, although the underlying mechanism is unclear. HIV: Human immunodeficiency virus infection/AIDS increases the risk of seminoma, but this is negated with highly active antiretroviral treatment. Inconclusive risk: Associations between testicular cancer and marijuana use, inguinal hernia, diet, maternal smoking, and body size are inconclusive. Not a risk factor: Testicular microlithiasis, vasectomy, and scrotal trauma are not risk factors for testicular cancer. Screening for testicular cancer. The U.S. Preventive Services Task Force, National Cancer Institute, and American Academy of Family Physicians recommend against screening for testicular cancer (by a clinician or through self-examination) in asymptomatic adolescents and adults because of its low incidence and high survival rate. The American Cancer Society states that a testicular examination should be part of a routine cancer-related checkup but does not include a recommendation on regular testicular self-examinations for all men.Assessment of suspected testicular cancer patient.History and physical exam are the foundation for the diagnosis. Men with symptoms should receive a complete history and physical examination. Scrotal ultrasonography is the preferred initial imaging study. Testicular cancer may present as a painless scrotal mass, an incidental radiologic finding, posttraumatic symptom, or scrotal pain. Less commonly, presenting symptoms may indicate metastatic disease. Symptoms of testicular cancer include scrotal symptoms such as acute pain in the testis or scrotum, scrotum or abdomen discomfort or aches, painless mass of the testis, scrotal heaviness and swelling. Symptoms related to metastasis are non-specific and depend on the location of metastasis, including dyspepsia, abdominal pain or discomfort, gynecomastia, headaches, low back pain, neck mass, chest pain, cough, dyspnea, and hemoptysis.Testicular changes may be detected by the patient or by a sex partner. Epididymitis is an important part of the differential diagnosis of a scrotal mass.The normal testis is 3.5 to 5 cm in length, smooth, homogenous, movable, and detached from the epididymis. Hard, firm, or fixed areas within or adjacent to the testes are abnormal and warrant further evaluation. Physical examination should also include evaluation of the inguinal and supra-clavicular lymph nodes, the abdomen, and the chest for gynecomastia (related to tumor secretion of beta human chorionic gonadotropin). If a solid intratesticular mass is discovered, orchiectomy is both diagnostic and therapeutic. Imaging.Scrotal ultrasonography is the preferred initial imaging study for evaluating a testicular mass.Ultrasonography has a sensitivity of 92% to 98% and specificity of 95% to 99.8%. A solid intratesticular mass on ultrasonography warrants rapid referral for radical inguinal orchiectomy because this procedure provides pathologic diagnosis and is the cornerstone of treatment.Staging. Staging through chest radiography, chemistry panel, liver function tests, and tumor markers guides treatment. Active surveillance, chemotherapy, retroperitoneal lymph node dissection, and radiation therapy are treatment options following orchiectomy. For patients desiring future fertility, sperm banking should be discussed early in the course of treatment. Treatment. Radical inguinal orchiectomy, including removal of the spermatic cord to the internal inguinal ring, is the primary treatment for any malignant tumor found on surgical exploration of a testicular mass. Testis-sparing surgery is generally not recommended but may be performed for a small tumor in one testis or for small bilateral tumors. Orchiectomy may be delayed if life-threatening metastases require more urgent attention. The risk of testicular cancer recurrence is greatest within two to three years of primary treatment, and surveillance is continued for up to five years.Classification of Testicular Tumors: Germ cell tumors (95% of all testicular cancers)Derived from germ cell neoplasia in situSeminomaNonseminoma (nonseminomatous germ cell tumors)Embryonal carcinomaYolk sac tumor (postpubertal)Trophoblastic tumors (e.g., choriocarcinoma, placental site trophoblastic tumor)Teratoma (postpubertal) with or without malignant transformationMixed and unclassified germ cell tumorsNot derived from germ cell neoplasia in situSpermatocytic tumorTeratoma (prepubertal)Yolk sac tumor (prepubertal)Sex cord–stromal tumors (< 5% of all testicular cancers)Leydig cell tumorSertoli cell tumorGranulosa cell tumorMixed and unclassified sex cord–stromal tumorsMixed germ cell and stromal tumors (proportion of all testicular cancers not well defined) GonadoblastomaMiscellaneous tumors (proportion of all testicular cancers not well defined) Ovarian epithelial-type tumors Hemangioma Hematolymphoid tumors Tumors of the collecting duct and rete testis (adenocarcinoma)Differential diagnosis of testicular cancer.Tip 1: Testicular torsion is one of the most important differential diagnosis of testicular cancer. Testicular torsion is an emergency, and the presentation is quite different than cancer as it presents with acute, sudden, severe, unilateral testicular pain. Patients are very apprehensive to the exam. The scrotum may appear discolored and swollen; and the affected testicle is typically horizontal and at a higher position than expected in the scrotum. The treatment is surgical. In isolated areas, where surgery cannot be performed in a 2-hour period, a manual testicular detorsion can be attempted with appropriate analgesia and/or sedation. Try to rotate the affected testicle twice, 360 degrees, from medial to lateral. A “drop” of the testicle in the scrotum is felt with relief of pain. One-third of patients need detorsion to the opposite direction, from lateral to medial instead. Tip 2: Epididymitis presents as a pain for about 1-2 weeks. Tenderness is located behind the testicle and patient may complain of dysuria as well. Perform a urine test or urethral swab for gonorrhea and chlamydia. In patients younger than 35, consider empiric treatment while you wait for the results with ceftriaxone PLUS doxycycline or azithromycin. In patients older than 35, consider gram negative coverage with levofloxacin or trimethoprim-sulfamethoxazole. Tip 3: Consider other causes of infection in testis or scrotum, including viruses such as mumps (in unvaccinated populations) and even tuberculosis. If you are curious, read my article about it in PubMed titled “A Case of Testicular Granulomatous Inflammation Mistaken for Malignancy: Tuberculosis Identified Post Orchiectomy”[4]. Tip 4: Epidydimal cyst, spermatocele, and hydrocele are asymptomatic or minimally symptomatic, they are not located in the testis, but you can palpate a distinctive mass posterior or higher than the testis. You can try transillumination of these masses, and they should be translucent. Confirm with testicular ultrasound if in doubt. Tip 5: A testicular hematoma can happen after blunt trauma, but don’t be fooled by the history of traumas as up to 10% of testicular cancers may be discovered after trauma. Perform ultrasound and tumor markers to establish a diagnosis. Tip 6: A scrotal hernia may cause concerns in a patient. Clinically, the inguinal canal appears full and the mass in the scrotum is reported to improve with rest. If the mass is exquisitely tender and not reducible, emergent evaluation by surgery is warranted to rule out hernia strangulation, especially if scrotal pain is accompanied by abdominal distension, abdominal pain, nausea, and vomiting. ____________________________For your Sanity: Jokesby Anonymous Medical AssistantsHow does a deaf gynecologist communicate? They read lips!How do you get a squirrel to like you? Act like a nut.Why did the math book look so sad? It had a lot of problems.Why can’t a nose be 12 inches long? Because then it’d be a foot.What’s brown and sticky? A stick.Why did the rope go to the doctor? Because it had a knot on the stomach.Why did the mattress go to the doctor? Because it had Spring fever. Now we conclude our episode number 43 “Testicular cancer”, marking our podcasts one year anniversary!. Dr. RAVA covered the recommendations given by USPSTF and the American Cancer Society regarding screening for testicular cancer. Screening in asymptomatic adults is mostly not recommended but it can be a part of a cancer-related checkup. As part of our introduction today, we mentioned effective chlorthalidone is in preventing major adverse cardiovascular events. Our question of the month is still on, and we look forward to reading your answers. The question is: What is the etiology of polyarthralgia in a 49-year-old woman with pain on wrists and ankles for 1 month, and what work up would you order (if any)? The listener who sends the best answer will win a prize! Remember, even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Valerie Civelli, Sapna Patel, Manjinder Samra, Dr. RAVA, and voluntarily-unidentified medical assistants. Audio edition: Suraj Amrutia. See you next week! _____________________References:Roush, George C.a; Messerli, Franz H. Chlorthalidone versus hydrochlorothiazide, Journal of Hypertension: January 19, 2021 - Volume Publish Ahead of Print - Issue - doi: 10.1097/HJH.0000000000002771. https://journals.lww.com/jhypertension/Abstract/9000/Chlorthalidone_versus_hydrochlorothiazide__major.96738.aspx Ernst, Michael E., Barry L. Carter, Chris J. Goerdt et al., American Heart Association, Hypertension, Volume 47, Issue 3, 1 March 2006, Pages 352-358, https://doi.org/10.1161/01.HYP.0000203309.07140.d3 Baird DC, Meyers GJ, Hu JS. Testicular Cancer: Diagnosis and Treatment. Am Fam Physician. 2018 Feb 15;97(4):261-268. PMID: 29671528. https://www.aafp.org/afp/2018/0215/p261.html Civelli VF, Heidari A, Valdez MC, Narang VK, Johnson RH. A Case of Testicular Granulomatous Inflammation Mistaken for Malignancy: Tuberculosis Identified Post Orchiectomy. J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620938947. doi: 10.1177/2324709620938947. PMID: 32618206; PMCID: PMC7493239. https://pubmed.ncbi.nlm.nih.gov/32618206/
Hello and Welcome to the Urology COViD Lecture Series Podcast! Brought to you by the UCSF Department of Urology. In today's episode, we have Dr. Matt Ziegelmann from Mayo Clinic talking about Acute and Chronic Scrotal Content Pain: Infection, Inflammation and Beyond. Learn more by visiting our website! urologycovid.ucsf.edu.
Thanks for tuning in to the Armor Men's Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.In this segment, Dr. Mistry and Donna Lee answer two patient questions. The first question is regarding abscesses on the scrotum. Dr. Mistry explains what may have caused this listener's skin infection and how it would be treated at NAU Urology Specialists. The second question is from a listener who developed a buried penis following an adult circumcision. Dr. Mistry explains why there may be other causes of this condition and describes the surgical procedure that will likely be necessary for him to regain normalcy. If you enjoyed today's episode, don't forget to like, subscribe, and share us with a friend! As always, be well!Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode!Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney Lane Suite 202Dripping Springs, TX 78620
Episode description Reza and Rabih talk through a case RLR #3 – Scrotal pain A 75-year-old man with a history of Alzheimers dementia presented with 2 weeks of bilateral scrotal pain. Genital exam was unremarkable. Chest radiography revealed a right lower lobe opacity and computed tomography of the abdomen was notable for diffuse retroperitoneal lymphadenopathy. Biopsy… Read More »Episode 87 – RLR – Scrotal Pain
In This Episode We Cover: Fan Mail: Scrotums + Hobbying? Want That or Not: Inquisitor Kyria Real Talk: Warhammer is Better Than Heroclix Links to them as promised: davesgames.net combatstorm.com tommy gun https://onedrive.live.com/?cid=5C08D02D0B309F29&id=5C08D02D0B309F29!429 https://imperiuswargaming.wordpress.com/painting-and-board-log/making-paper-terrain/ http://archive.wizards.com/default.asp?x=dnd/fpm/archive The podcast is not kid-friendly, and speaking of children, most of what I say is silly jokes, even if they involve my children who are perfectly safe and well-loved. Contact my at pimpcron@gmail.com Or call in at (419) 972-1811 to leave a voicemail! Join our Brutality group on Facebook at www.facebook.com/groups/brutalityskirmishwargame Join me on Patreon! https://www.patreon.com/pimpcron Direct Link To Podcast www.pimpcron.net RATE US ON STITCHER! https://www.stitcher.com/podcast/pimpcron-warhammer-podcast
Quarantime continues with 2003’s Bringing Down the House! Paul and Erika are venturing into the aughts for the first time at your request and talking about the Steve Martin and Queen Latifah vehicle that wanted to take on race in America. Along the way they’ll get into what’s always funny (shots to the ‘nads and poop jokes) and what isn’t (mostly all the racist stuff). Download and enjoy! -Paul felt Missi Pyle was underserved in the film and recommends everyone watch Another Period on Comedy Central. -Erika refused to limit herself to only one palate cleanser and suggested a watch of Chicago starring Queen Latifah and/or Shopgirl starring Steve Martin.
Check out the WebsiteFollow us on The InstaFollow us on FacebookSubscribe on YouTubeYAAAAAAAAAAAAAAAAAAAAS, we are back in it with a fresh piece of hot fire for you listeners. Started it out the right with the Quarantine Shotgun Challenge, check it out on the Facebook page. We got the OG crew up in here making that fire you have been waiting so patiently for. We bring to you the trademarked idea of glittering your balls to lead to the best possible night at the bar you could have. Ladies you also can do this challenge #Vagazzle.Links03' RupeeTake that carpet rideBedazzle for your dogsChiiiina
Scrotal update + living in the days of Rona. https://onlyfans.com/sacredsadism
Much like the state of the world, it's a bit of a strange one this week, folks. We're practicing social distancing and therefore are recording remotely, so we apologize for the audio quality. We're taking steps to improve the clarity in the coming weeks for as long as we have to continue to self-isolate. We hope you're all keeping safe and staying healthy, we love you. Topics include COVID-19, self-isolation long distance relationships, a tempting booty call, stop eating ass, a best friend boner, and a quarantine decision.
This week....Scrotal ventilation, Flat pack furniture, Lego, Kinder eggs, Power tools and the pressure to be good at DIY, Finding you Christmas presents, Kids lying, Words for farts, Words for genitalia, Finding porn magazines in bushes, Kids behaviour in restaurants,
Jay Campbell discusses his 20 year history of personal experience with Testosterone Optimization, and how a basketball injury trauma to the testes lead him to be one of the main go-to figures in the Health Optimization community for Men & Women today. This is the podcast you must not miss for 2020! Topics discussed: - Testosterone Injections vs. Transdermal Cream.- Testosterone Optimization Therapy & why men need to not pay attention to the sickcare lab values. - LabCorp's latest drop in the total Testosterone range for men - hint: it's lower than what it was in 2017!- What are the optimal Free Testosterone lab values for Men! - What compounded prescription peptide therapies are a waste of your time & money! - The best compounded prescription peptides for body composition. - The newest TOP SECRET Hair Loss formulation that works!- And much more! More about Jay Campbell: A former champion men's physique competitor and current 4x international best selling author in the optimized health care space, Jay Campbell is a global thought leader on hormones, biohacking, fat loss, and higher consciousness. Jay is a NO-nonsense, authentic, and fully transparent guy (in a day and age when being hyper masculine is frowned on), and FEARLESS in his servant mission of leading humanity towards full spectrum optimization of the body-mind, heart and soul.Where to find Jay Campbell online & social media links:TOTRevolution.com (soon to be JayCCampbell.com)FabFitOver40.comGetFullyOptimized.comGuaranteedShredded.com Social Media: IG: https://www.instagram.com/jaycampbell333/YT:https://www.youtube.com/TOTRevolution (This URL will also change)FB: (This Link will be provided once it updates from old TOT Revolution URLT: https://twitter.com/JayCampbell333
A Scrotal Stabbing occurred. by Ken Evans & The Aftermath Podcast
Scrotal calcifications, bioenergy fields (such as they are), the carnivore diet (such as it is), irritable bowel syndrome, and more! PLEASE VISIT: stuff.doctorsteve.com premium.doctorsteve.com (offer code FLUID) simplyherbals.net Learn more about your ad choices. Visit megaphone.fm/adchoices
Last night's live trial provided plenty for Jamie and comedian Jake Yapp to go through in today's podcast. Plus after your requests we finally get round to doing a trial ourselves, except this one has a bit of a twist.Make sure you tweet using the #JungleVIP to get your thoughts on the podcast and be sure to subscribe to the podcast so it's ready and waiting each morning during this series! And if you're feeling generous, please rate and leave us a nice review! See acast.com/privacy for privacy and opt-out information.
Here is the 66th installment of the Dreams of Consciousness podcast, featuring an interview with Extreme Post Op Power Grind band, Scrotal Vice. True story: I spent more than 20 minutes staring at Scrotal Vice's logo before I managed to decipher the band's name. [Blame warm weather and a lot of loose skin.] Their logo isn't the only thing baffling about the band; though originating from Sydney, Australia, the band has members living in Asia who are fluent enough in Mandarin and Japanese to cut promos. In an interview reminiscent of the one I conducted with thrashing cannibals Ghoul, I sat down with Scrotal Vice at the very end of their South East Asian tour to discuss their history, their reasons for wearing masks, and what it's like to tour China. Their set that night at Rumah Api was wild - possibly the craziest one I've ever seen. Wary that local authorities may be reading this, all I'll say is that the band let it all hang out and leave it at that. My thanks to the members of Scrotal Vice for speaking to me with their masks off and pants on, and to you for listening. TRACKLISTING: Tipsy taken from the album A List of Some of the Things I Have Touched In the Past Couple of Days βιαιοθανασία 目 taken from the EP Scrot Rot Another Year in the Mating Season Cleer Skull Shampeeling taken from the compilation TENTACLES - Grind and Other Punk from East Asia and Australia Humanimal Meatswine Flu Open Mouth - Part ii taken from the EP Humanimal
Jesus & Sammy discuss the case of a man with a ~100lb scrotal tumor, social decay via the Kardashians and Catholics, MakeUp tutorials, & a host of other nonsense all while completely sober.
Jason Cammisa is back to answer questions via Instagram on a Thursday edition of the DWA! Podcast.Thanks for listening!Please rate and review the show on iTunes.
Episode 17 - Scrotal Hematoma/Massages by The Worthless Podcast
In this episode Dr. Rourke, a Urologist at the University of Alberta, discusses Scrotal Swelling. After listening to this podcast you should be able to: Construct a classification system for scrotal swelling Discuss the conditions of varicocele, hydrocele, spermatocele, and testicular cancar Describe the distinguishing features of a malignant versus a benign mass
Scrotal numbers, shitting into buckets and WE BUMBLE F**K OUR WAY THROUGH MALE & WHITE PRIVILEGE...spoiler alert we don't know shit but we mean well. https://www.facebook.com/ShittingWithTheDoorOpen/ https://www.instagram.com/shitting_with_the_door_open/ Don't forget to like, share & subscribe!
happy july 4th. trading parade teams. ball cutting. countdown to ballgown. the filthiest gutters in chester county. the fall of the zion curtain. mediocre secret origins. future: producer at large. five o clock head shadow. taco technology. and many, many voicemails. please keep them coming. get yourself a keychain now! thank you for the continued support. thank you to all the new and old scorpions. www.mediocreshow.com voicemail line: 484.381.0666 twitter: @themediocreshow @erictomorrow @ladytomorrow @seeyounexttroy @theworkfrank subscribe to the scorpions of support to help the show continue. mediocre show PO box 1303 west chester pa 19380
#StupidAssStuff: A ranting #Christian mom is appalled and angry at the #rap song #NorfNorf by #VinceStaples & #KatieCouric gets called #monkeyscrotum cuz she's been #tanning too much. #leathery #rapmusic
The Spy Who Loved Me - “Scrotal Imprint” Summary: Welcome to SPECTRE etc. This is the James Bond podcast where we discuss the ins and the outs of each film. In this Egyptian episode, we join Bond on his XXX-rated mission to retrieve microfilm from the Jaws of defeat. Ignore that floating Lotus - let us wet-bike you to Atlantis and beyond as we strive to find an original premise in The Spy Who Loved Me. * The pre-titles sequence introduces Agent XXX before we’re off to the Austrian Alps to watch Bond pull out. Some nice skiing stunts show us the strength that can be found in silence (no slide-whistles here!). Then we ignore Carly Simon’s sleepy song to focus once more on what those silhouettes are up to. * Some subs are missing, so Bond is brought in to chase up a lead in Egypt. Bond rides a camel across the desert before dismounting at a friend’s tent. Fear not though - more humps are in Bond’s future as some 70s sex-slavery convinces Bond to pitch his own tent for the night. * Bond’s visit to Cairo involves some unconvincing fighting on a rooftop and the obligatory Pyramids trip. Here we get to see Jaws kill a man who - apparently - was already completely drained of blood. * Microchip negotiations begin, but this is interrupted when Kolba is killed in phone booth. Bond and Anya join forces to follow Jaws - who kidnaps them and heads off into the desert. * Bond and Agent Anya are forced to work together to retrieve the microchip and escape Jaws. On the boat back to Cairo, Bond tries to get his leg over - but Anya honeypots herself out of harm’s way. She is sent right back into harm’s way when Russian M demands the agents officially work together to chase the next lead at Stromberg Laboratories. * For some reason, Bond and Anya catch a train from Egypt to Sardinia. This leaves them open to an ambush by Jaws - who is hiding in Anya’s closet! Despite the astounding hand:face ratio in the ensuing fight, Bond manages a shocking victory. * Bond and Anya pose as Marine Biologists to visit Stromberg. The brief (and seemingly pointless) meeting gives us our first real look at Atlantis, and then our Marine Biologists are abruptly sent back to the mainland. * A really exciting chase sequence builds from a motorcycle to a car to a helicopter, and climaxes with a submarine-Lotus. Elon Musk - if you are listening and would like to licence our “Float-us” idea, get in touch! * Once Bond and Anya actually infiltrate Atlantis, the film takes a turn for the worse by becoming little more than a drawn-out imitation of You Only Live Twice (huge vessel swallowing another vessel, control room behind the shutters, one army storming the lair of another army, evil plan is to start a war between two nations…). Come on, Lewis Gilbert - no wonder the Revenge of the Nerds protagonists were able to usurp your name! * With nameless nobodies dying all around him, Bond finds a copy of “Nuclear Subs for Dummies” and uses the easy-to-follow instructions to reprogram the launch coordinates for both submarines * Bond tracks down Stromberg for an anticlimactic showdown, before running into Jaws for the real final battle. Despite the odds being against him, Bond is rewarded for all those childhood years playing Skilltester at the arcade. * Once Jaws has eaten his daily intake of Omega-3 acids, we finish the film with Bond throwing out a quintessential “Double 0-ntendre”, followed by curtains and the most mind-boggling musical miscue imaginable. And of course, keep checking back for a link to our petition to expose and immortalize this film’s lazy rehashing of a previous Bond adventure by re-naming it “You Only Live Thrice”!
Kevin gives details in his latest self-inflicted moronic injury, Geoff's bitchy gets the attention of a major comedian and we discuss which TV shows we'd like to see return.
French security forces killed 3 terrorists in Paris last night, we have chilling live audio from the raid; no one is using female viagra - we discuss why; have wheelchair athletes been cheating by sitting on their most intimate piece of many apparatus - the International Paralympic Committee thinks so; Funkhouser has a joke which we probably can't use.
French security forces killed 3 terrorists in Paris last night, we have chilling live audio from the raid; no one is using female viagra - we discuss why; have wheelchair athletes been cheating by sitting on their most intimate piece of many apparatus - the International Paralympic Committee thinks so; Funkhouser has a joke which we probably can't use.
Men’s health has been a neglected area. Both their general health and their sexual health impact on morbidity and mortality. To improve this situation we need to educate men to attend their doctor and discuss their concerns. But, we also need medical professionals who are both competent and confident in initiating discussions and dealing with men’s concerns. Editor in Chief Steve Trumble, discusses this training need with the author Christine Fairbank, about her paper in the June 2011 issue of The Clinical Teacher: Men’s health: it is imperative to teach scrotal and rectal examination. Read the paper: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-498X.2010.00424.x/abstract
Men’s health: it is imperative to teach scrotal and rectal examination
Men’s health has been a neglected area. Both their general health and their sexual health impact on morbidity and mortality. To improve this situation we need to educate men to attend their doctor and discuss their concerns. But, we also need medical professionals who are both competent and confident in initiating discussions and dealing with men’s concerns. Editor in Chief Steve Trumble, discusses this training need with the author Christine Fairbank, about her paper in the June 2011 issue of The Clinical Teacher: Men’s health: it is imperative to teach scrotal and rectal examination. Read the paper: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-498X.2010.00424.x/abstract
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