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Real Life Pharmacology - Pharmacology Education for Health Care Professionals
In this section, I educate about the most common ICU sedation medications. You can find the full 16+ hour nursing pharmacology review course, including PDF handouts, cheat sheets, practice questions, and on-demand videos at meded101.com!
The Appalachian region, while always relatively poor, had strong families and institutions that held things together. In the aftermath of the expansion of the welfare state and the shrinking of the iron, steel, and coal industries, we have seen social breakdowns and increasing drug addiction.Original article: https://mises.org/mises-wire/sedation-appalachia
The Appalachian region, while always relatively poor, had strong families and institutions that held things together. In the aftermath of the expansion of the welfare state and the shrinking of the iron, steel, and coal industries, we have seen social breakdowns and increasing drug addiction.Original article: https://mises.org/mises-wire/sedation-appalachia
Is hyperarousal the missing link in your patient's major depressive disorder treatment? Credit available for this activity expires: 05/29/2027 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/beyond-sedation-reexamining-insomnia-core-symptom-mdd-role-2026a1000f65?ecd=bdc_podcast_libsyn_mscpedu
Most coaches think more insight leads to transformation.Kellan argues the opposite.In this brutally honest episode, Kellan exposes the dangerous new form of avoidance emerging in the age of AI: people becoming incredibly articulate about their wounds, patterns, trauma, and limitations… while remaining completely unchanged.AI can now explain your emotions, summarize your patterns, reflect your pain, and even make you feel deeply understood. But according to Kellan, explanation is not embodiment — and self-awareness without action is becoming the newest addiction in personal development.This episode is a wake-up call for coaches, leaders, creators, and growth-minded people who have mistaken language for transformation.If your life still looks the same after years of “doing the work,” this conversation will hit hard.Because the future of coaching will not belong to the people with the best frameworks.It will belong to the people who embody the truth they teach.Key Takeaways:Why AI is creating “articulate avoidance”The difference between insight and transformationWhy most coaches will struggle to survive the AI eraThe hidden addiction to self-awarenessWhy explanation can become emotional camouflageThe danger of “processing” without actionWhy embodiment matters more than frameworksThe real reason many coaches stay underpaidHow AI accelerates insight but cannot create changeWhy coaching still matters more than everThe difference between sounding healed and being transformedWhy courage matters more than clarityThe future of transformational coachingIdentity-level change vs behavioral struggleWhy “doing the work” for years may still leave you stuck
With such a wide range of presentations and severity, how do laryngologists approach the diagnosis and treatment of unilateral vocal fold paralysis? In this episode of the BackTable ENT and Allergy Podcast, Dr. Rebecca Howell, Laryngologist at the University of Cincinnati, joins Dr. Stephen Schoeff to discuss the evaluation and management of unilateral vocal fold paralysis. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:18 - Classic Symptoms of Vocal Fold Paralysis 04:15 - Etiology and Imaging Workup08:40 - Injection Timing and Materials23:20 - Permanent Options and Framework Surgery28:41 - Arytenoid Adduction Risks and When to Add Adduction30:56 - Awake Thyroplasty Technique compared to Sedation and OR Setup35:48 - Reinnervation and Bilateral Medialization Choices42:10 - Vocal Fold Long-term Injectables51:54 - Closing Remarks --- More about this episode Dr. Howell reviews the spectrum of patient presentations and common causes, including thoracic surgery, ACDF, thyroid surgery, intubation injuries, and idiopathic cases. She explains when to pursue imaging from brainstem to chest, how to set realistic recovery expectations, and the benefits of early intervention. The episode covers office-based injection augmentation, the pros and cons of injectable materials, and treatment durability, as well as risks like calcium hydroxylapatite. Long-term care options are discussed, including framework surgery, arytenoid adduction, bilateral approaches for vocal fold atrophy, reinnervation, and patient selection considerations. --- Resources Pathophysiology of Iatrogenic and idiopathic vocal fold paralysis may be distinct - Ted Mau: https://pubmed.ncbi.nlm.nih.gov/31498451/ Vocal Fold augmentation with injectable calcium hydroxylapatite - Clark Rosen: https://pubmed.ncbi.nlm.nih.gov/15331112/ Using High-Speed Videoendoscopy to Analyze Laryngeal closure parameters during normal swallow - Rebecca Howell: https://pubmed.ncbi.nlm.nih.gov/39659169/ Arytenoid abduction for bilateral vocal fold immobility - Gayle Woodson: https://pubmed.ncbi.nlm.nih.gov/22001662/ Laryngeal Reinnervation for Unilateral Vocal Fold Paralysis - Randal Paniello : https://profiles.wustl.edu/en/publications/laryngeal-reinnervation-for-unilateral-vocal-fold-paralysis/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
Let's talk about fear-free feline anesthesia! Feline anesthesia has changed dramatically, and so has our understanding of pain in cats. Our next Purr Podcast guest, Dr. Tamara Grubb, is a Diplomate of the American College of Veterinary Anesthesia and Analgesia and an internationally recognized expert in pain management. She shared the biggest mistakes that veterinarians make in feline anesthesia!Thanks for tuning in to the Purr Podcast with Dr. Susan and Dr. Jolle!If you enjoyed today's episode, don't forget to subscribe, rate, and leave us a review—it really helps other cat lovers and vet nerds find the show. Follow us on social media for behind-the-scenes stories, cat trivia, and the occasional bad pun. And remember: every day is better with cats, curiosity, and maybe just a little purring in the background. Until next time—stay curious, stay kind, and give your cats an extra chin scratch from us. The Purr Podcast – where feline medicine meets feline fun.
Bryce sits down with former Navy SEAL turned physician Dr. Kirk Parsley for a powerful conversation on sleep deprivation, nervous system overload, recovery, and the hidden cost of high performance culture.After serving as a SEAL operator, Kirk returned to the teams as a physician and discovered a growing problem inside Naval Special Warfare:Some of the toughest men on the planet couldn't sleep.This episode explores what chronic stress, hyper vigilance, deployments, cortisol overload, and sleep deprivation actually do to the brain and body. Bryce and Kirk dive deep into SEAL culture, hormone disruption, recovery, modern hustle culture, sleep optimization, and why so many entrepreneurs today are unknowingly living like overstressed operators.If you've been waking up exhausted, wired at night, dependent on caffeine, struggling to recover, or feeling disconnected from your body, this episode will hit home.Topics include:• Hell Week and sleep deprivation• SEAL culture and nervous system dysregulation• Cortisol, testosterone, and hormone health• Why sleep medications became common in operators• Sedation vs restorative sleep• Stress addiction and modern hustle culture• Sleep optimization protocols• Circadian rhythm, light exposure, and recovery• Why recovery is a performance tool, not a weaknessThis conversation is a reminder that performance without recovery eventually becomes survival.⸻Key Takeaways• Sleep deprivation impacts cognition, hormones, mood, and recovery• You cannot outwork poor sleep• High performers often struggle to down regulate their nervous systems• Deep sleep and REM sleep are essential for recovery and performance• Recovery is one of the most overlooked aspects of modern health⸻Quotes From The Episode“The mission ended, but their nervous systems never got the message.”“You can override biology for a while. Eventually biology wins.”“Most people are not underperforming because they lack motivation. They're under recovered.”“Sedation is not the same thing as sleep.”⸻Timestamps00:00 Intro03:14 Kirk's journey from SEAL operator to physician09:02 Hell Week and sleep deprivation17:48 Why Navy SEALs struggle with sleep26:33 Cortisol, testosterone, and hormone disruption35:40 Sleep medications and nervous system overload44:12 Sedation vs restorative sleep52:27 Modern hustle culture and burnout1:01:16 Simple sleep optimization protocols1:11:04 Recovery, longevity, and sustainable performance⸻Connect with Dr. Kirk ParsleyInstagram: https://www.instagram.com/kirkparsley/Website: https://docparsley.com/⸻Connect with ALLSMITHInstagram: https://www.instagram.com/allsmithco/Bryce: https://www.instagram.com/therealbrycesmith/Website: https://www.allsmith.coSubscribe to ALLSMITH on YouTube, Spotify, and Apple Podcasts for weekly conversations exploring mindset, fitness, wellness, recovery, and the pursuit of a deeply aligned life.Thank you for Listening! Learn more below.ALLSMITH IG ALLSMITH YouTubeBryce Smith IG
In this episode of The Cardiac Recovery Room, moderator Amanda Rea, a nurse practitioner and Lead of Advanced Practice and Clinical Program Manager in the Division of Cardiac Surgery at the University of Maryland St. Joseph Medical Center in Townson, MD, USA, spoke with Kali Dayton, a critical care nurse practitioner, host of the Walking Home From the ICU and Walking You Through the ICU podcasts, and CEO of Dayton ICU Consulting, about early mobility, verticalization, and delirium. Chapters 00:00 Intro 01:04 Patient Philosophy 02:45 Early Sedation-Delirium Relationship 05:23 RASS Scale, Sedation 07:06 Cardiac ICU Patients 08:35 Lack of Delirium Tracking or Data 10:56 ROI from Good Care & Data 14:44 Preventative Approach 16:16 Convincing Hesitant Adopters 18:59 Patient Case Study 21:19 Cultural Paradigm 24:48 Mobilization 27:07 Verticalization Beds 30:03 Gravity on Patient Health 32:14 Mobility Screening 33:14 Defining Walking 34:47 Mobility Responsibility 36:55 Standardization & Predictability 38:23 Key Points They discussed what an awake and walking intensive care unit (ICU) is, how early mobility and sedation tie in with delirium, and the history of critical care medicine. The conversation also covered the Richmond Agitation-Sedation Scale (RASS) and deep sedation, as well as risk factors for delirium, outdated sedation practices and mobility management, and the importance of having a high reliability environment. Additionally, they explored the ABCDEF bundle and a case study of a patient experiencing delirium. The episode further addressed verticalization beds, walking pads for verticalization, nurse screening tools, and ambulation. The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode1121 In this episode, I’ll discuss what if it is not the sedative class that causes delirium – just the depth of sedation?
During this session Dr. Daniel Yung-Ho Sze dives deep into conversation with Dr. Amy Deipolyi about how she expanded the role of ketamine sedation in everyday IR practice, focusing on how ketamine fills the growing gap between traditional fentanyl and midazolam sedation and general anesthesia. The talk reviews why ketamine is uniquely suited to IR by offering reliable dissociative sedation with hemodynamic stability and preserved airway reflexes, while addressing the practical barriers of privileging, nursing scope of practice, and institutional policy. Results from a randomized trial are presented alongside real-world workflow, dosing, contraindications, and patient experience. The session concludes by outlining how ketamine can safely expand access, reduce anesthesia bottlenecks, and keep IR teams in control when it is administered within clear safety and governance frameworks.
In this episode, we chat with podcast regular and peds EM champion, Dr. Marianne Gausche-Hill, about her topics and leadership within the ACEP Pediatric Emergency Medicine Assembly as a part of Accelerate. We get the best nuggets of each talk and then wrap with a plug for the Pediatric Readiness Project.
In this episode, Rosie Moss speaks with Natalie Dodds.Natalie is a mum of two who lost her partner, Dave, following a workplace crane collapse. She speaks with clear eyed honesty about parenting through shock, bureaucracy and the long tail of grief, while still finding ways to keep Dave's humour and presence alive at the family dinner table.We begin with life before. How Natalie and Dave met, built a home and became parents. Alongside that joy came an earlier rupture, the stillbirth of their daughter, Emily Daisy, at just over 38 weeks. Natalie shares the visceral reality of delivering on a main ward while hearing other babies cry, and the complex coexistence of grief and love that followed. In time, she volunteered with SANDS and welcomed two more children, carrying both loss and hope.At the heart of this conversation is the day of the accident. The unexpected paramedic call. The 126 mile drive. The 7pm news report confirming a crane collapse in Crewe. The moment “alive” became the only word that mattered.What followed was five weeks of ICU limbo. Sedation, ventilation, internal bleeding and sepsis. Dark humour. Small kindnesses from staff. Impossible choices about protecting children from trauma. Then the call no one survives hearing. There is absolutely nothing we can do. The kindest thing is to switch the machines off and let him die.Natalie speaks about what comes after the headline moment. The secondary losses that keep arriving. Mortgage threats. Next of kin complications. Institutions insisting on speaking to the person who has died. An 8.5 year wait for an inquest. The exhaustion of fighting systems that do not bend.She shares how she chose not to take her children into ICU, how she refused false promises, and how she found the words to tell them their dad was not coming home, while still getting them up for school the next morning.Eight and a half years later, the inquest brought answers about training failures and a wrong method statement, followed by the additional blow of hearing “not guilty.” Natalie reflects on the strange mixture of validation and devastation that comes with official findings that change nothing.This is a conversation about compounded grief. About loving someone who has died without freezing them in sainthood. About keeping Dave the man present through stories, laughter and everyday references. About maintaining a close bond with his family. About integrating a new partner into a home where Dave is still spoken about with love.It is also about resilience that does not look shiny. About coping strategies that sound small but keep you upright. Work routines. Blood pressure bingo. Cherries to stay awake on the motorway.Above all, it is about a woman doing the unthinkable and still showing up for her children.A powerful, unfiltered episode about loss, responsibility, anger, love and the long road towards something that resembles stability.
The Culture of Sedation — And the Loss of Human ResponsivenessYou're not just tired. You're being trained to shut down.Modern life pushes your nervous system from stimulation straight into suppression — scroll, overload, collapse. Your brain learns the pattern. When shutdown repeats, responsiveness changes.Sedation feels like relief because arousal drops fast. But that isn't regulation — it's suppression. When REM timing is disrupted, emotional range flattens, motivation drifts, and your body doesn't respond the same way.Nothing is wrong with you. Your system adapted. The solution isn't more intensity. It's restoration. When rhythm stabilizes, responsiveness returns automatically.Learn how to restore your brain's timing at https://drtrishleigh.com/ — You deserve to feel fully online again.Send a textSupport the showHi. I am Dr. Trish Leigh, a Cognitive Neuroscientist, and Sex Addiction Recovery Coach. I am on a mission to help people heal their brains from porn use.My podcasts are designed to help you learn that:
In this episode of the Profitable Christian Business Podcast, Doug Greathouse interviews applied neuroscience expert Mike "Ox" Ochsner about brain optimization for Christian entrepreneurs. If you've struggled with ADHD, racing thoughts, sleep challenges, stress management, or maintaining peak performance without compromising your faith, this episode delivers practical, faith-compatible neurological strategies. You'll discover: • Why ADHD may be a superpower • How sleep impacts focus, decision-making, and stress • The neurological mistakes entrepreneurs make under pressure • How sedation differs from restorative sleep • Why self-care is biblical stewardship This conversation bridges neuroscience, performance optimization, and Christian leadership — equipping high-capacity believers to steward their brain the way it was designed to work. Reboot Your Brain in 10 Minutes or Less— Without Meds, Meditation, or Apps https://peakbrainreboot.com Takeaways ADHD can be reframed as a superpower rather than a disorder. Sleep is crucial for brain function and overall performance. Mindset requires conscious effort, while neurology can facilitate it. Writing down racing thoughts can help clear the mind before sleep. Sedation is not the same as restorative sleep; true sleep has active benefits. Praying can help calm the mind and enhance focus on God. Understanding brain optimization is essential for fulfilling one's purpose. Self-care is not selfish; it's necessary for effective stewardship. Each brain is unique, and solutions should be tailored to individual needs. Taking care of the brain can lead to improved performance and reduced overwhelm. Sound bites "Your brain isn't broken!" "Sleep mimics being drunk." "ADHD can be a superpower." Chapters 00:00 Introduction to Brain Optimization and ADHD 01:41 Understanding ADHD as a Superpower 10:21 Concussions and Personal Experience 17:18 Overcoming Overwhelm and Racing Thoughts 19:34 The Struggle of Self-Improvement for Christian Entrepreneurs 27:09 Understanding Stress and the Importance of Rest 29:44 Neurological Mistakes Entrepreneurs Make 32:50 Stewardship and Brain Optimization 38:33 Sedation vs. Relaxation: Understanding the Difference 41:56 Practical Steps for Overcoming Burnout 44:27 How to Reach Out for Help 49:11 Parting Words of Wisdom 50:16 Podcast Insert - logo.mp4
From anesthesia decisions to ablation strategy, what really separates a good outcome from a great one in bone tumor ablation? This BackTable MSK Brief features an enlightening conversation between host Kavi Krishnasamy and bone ablation pioneer Dr. Damian Dupuy. They cover anesthesia choices for different patient scenarios, optimal procedural techniques and agent selection for bone ablations, and the combination of local and systemic therapies for oligometastatic and oligo-progressive diseases. The doctors also tackle myths and realities around thermal and cryoablation, examining both clinical trial data and real-world experiences. Episode Outline 00:00 - Introduction 00:40 - Selecting General Anesthesia vs. MAC 03:30 - Approach to Multiple Bony Lesions in Metastatic Disease 07:27 - Ablation Confirmation and Techniques Utilized in Bone Ablation 09:00 - Research Insights Surrounding RFA in Bone 12:16 - Sclerotic vs. Lytic Lesions: Techniques and Considerations 14:47 - Skin Protection During Superficial Lesion Treatments 16:38 - Analyzing Clinical Trials: Motion and OPuS One 20:51 - Conclusion Resources Dr. Damian E. Dupuy, MD, FACR https://www.linkedin.com/in/damian-e-dupuy-md-facr-6b080b1b/ Radiofrequency Ablation Provides Rapid and Durable Pain Relief for the Palliative Treatment of Lytic Bone Metastases Independent of Radiation Therapy: Final Results from the OsteoCool Tumor Ablation Post-Market Study https://pmc.ncbi.nlm.nih.gov/articles/PMC10156864/ Cryoablation for Palliation of Painful Bone Metastases: The MOTION Multicenter Study https://pmc.ncbi.nlm.nih.gov/articles/PMC8011449/
Happy Monday, Beautiful Soul ✨This week's Soul Shift episode has been stirring something deep in me — and it's a message the spiritual world needs to hear right now. If your spiritual practices are making you comfortable with injustice rather than equipped to fight it, that's not healing. That's sedation.Today, I dive into the intense energy of the current eclipse portal, what the Akashic Records guides say about how to navigate it, and why now more than ever, we can't afford to check out. I'm also sharing a practical toolkit of practices — from nervous system regulation and emotional processing to community building and meaning-making — to help you stay sane, stay present, and show up for what matters.The quote from today's episode is from Michell C. Clark:“I don't want wellness practices that teach me to be at peace with an inequitable world. I need practices that help me to stay sane while doing my part to fight against it. If it makes you compliant to injustice, it's not healing - it's sedation.”Because you were built for these times! And the world needs you in it. Special 300th-episode Gift: My self-study course, Access the Akashic Records, is 50% off with code EPISODE300 through the end of February (regular $111). Get it TODAY!I'd love to hear how this episode resonates with you!Don't forget, “When you invest in yourself, the world benefits!”CONNECT ONLINEInstagram https://www.instagram.com/ahnahendrixYouTube https://www.youtube.com/channel/UC5fsN8oqu8Ib8IcvpYZA4jQFEBRUARY Events & Offerings* Access the Akashic Records: Self Study Course: https://ahnahendrix.com/access-the-akashic-records-self-study-course/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit souldrivencollective.substack.com
In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton talk about what happens when first responders are physically exhausted but mentally unable to sleep (Amazon Affiliate). Not the occasional restless night, but the chronic state of being wired, alert, and unable to fully shut down even in safe, quiet environments. This is the kind of sleep disruption that develops from years of hypervigilance, rotating shifts, and repeated exposure to critical incidents. The body may be in bed, but the brain is still scanning, replaying calls, running scenarios, and staying prepared for threat long after the shift has ended.
In this final episode of the Progesterone Promise series, Dr. Brendan McCarthy, Chief Medical Officer of Protea Medical Center, breaks down one of the most misunderstood hormones in women's health: progesterone. Progesterone is not “good” or “bad.” It's contextual. In today's world of quick sound bites and social media medicine, hormones are often reduced to oversimplified claims like “progesterone fixes anxiety” or “progesterone causes breast cancer.” The truth? It depends on your body, your stress levels, your liver health, your inflammation, your delivery method, and whether you're using bioidentical progesterone or synthetic progestins. Citations: 1. Oral Progesterone → First-Pass Metabolism & Allopregnanolone Claim: Oral micronized progesterone undergoes significant hepatic first-pass metabolism, increasing neuroactive metabolites (especially allopregnanolone), which positively modulate GABA-A receptors and produce sedative/anxiolytic effects. Core Evidence: Simon et al., 1993; de Lignières et al., 1995; Freeman et al., 1990 — Oral progesterone produces measurable neuroactive metabolites. Paul & Purdy, 1992; Rupprecht et al., 2001 — Allopregnanolone enhances GABA-A receptor activity. Supports: Sedation variability by route • Neurosteroid generation • GABA-A modulation 2. Sulfation vs 5α-Reduction → Opposing Neurologic Effects Claim: Progesterone metabolites can produce calming (5α-reduced) or excitatory (sulfated) neurologic effects depending on enzyme routing. Core Evidence: Majewska et al., 1990 — Pregnenolone sulfate negatively modulates GABA-A. Wu et al., 1991 — Sulfated neurosteroids enhance NMDA signaling. Schumacher et al., 2007; Reddy, 2010 — Pathway reviews of sulfation vs 5α-reduction. Supports: Reverse responding hypothesis • Divergent neurologic experiences • Enzyme-dependent effects 3. Stress & Enzyme Modulation Claim: Chronic stress alters HPA axis tone and hepatic enzyme expression, influencing steroid metabolism balance. Core Evidence: McEwen, 1998 — Allostatic load model. Charmandari et al., 2005 — Cortisol's systemic regulatory effects. Zanger & Schwab, 2013; Gibson & Skett, 2001 — Stress alters cytochrome P450 expression. Supports: Stress-biased metabolism • Context-dependent hormone response 4. Breast Tissue Signaling & Context Claim: Progesterone influences mammary differentiation and interacts with estrogen signaling in context-dependent ways. Core Evidence: Brisken & O'Malley, 2010 — Progesterone receptor biology in breast tissue. Beleut et al., 2010 — RANKL mediates progesterone-driven proliferation. Hofseth et al., 1999 — PR-ER signaling interaction. Stanczyk & Bhavnani, 2014 — Natural vs synthetic differences in breast effects. Supports: Lobuloalveolar differentiation • RANKL pathway • Context-dependent proliferation 5. Synthetic Progestins vs Bioidentical Progesterone Claim: Synthetic progestins differ structurally and bind off-target receptors, producing distinct tissue effects. Core Evidence: Stanczyk et al., 2013 — Receptor binding differences. Sitruk-Ware, 2004 — Biologic comparisons. Chlebowski et al., 2003 (WHI) — Breast cancer signal with CEE + MPA. Supports: Structural divergence • Receptor-level differences • WHI clarification 6. Route of Delivery Differences Claim: Oral, vaginal, transdermal, and sublingual progesterone produce distinct pharmacokinetic profiles and tissue targeting. Core Evidence: Simon, 1995 — Oral vs vaginal PK comparison. Cicinelli et al., 2000 — “First uterine pass effect.” Wren et al., 2003 — Route-dependent systemic levels. Supports: Uterine targeting • Neurosteroid variability • Sedation differences 7. Progesterone, PMS & Migraine Claim: Neurosteroid fluctuations influence GABAergic tone and may contribute to PMS and migraine susceptibility. Core Evidence: Backstrom et al., 2011 — Allopregnanolone fluctuations in PMS. Reddy & Rogawski, 2002 — Neurosteroids and seizure threshold. Martin & Behbehani, 2001 — Hormonal fluctuations and migraine. Supports: Luteal neurosteroid shifts • GABA instability • Migraine association Dr. Brendan McCarthy is the founder and Chief Medical Officer of Protea Medical Center in Arizona. With over two decades of experience, he's helped thousands of patients navigate hormonal imbalances using bioidentical HRT, nutrition, and root-cause medicine. He's also taught and mentored other physicians on integrative approaches to hormone therapy, weight loss, fertility, and more. If you're ready to take your health seriously, this podcast is a great place to start.
Dr. Adam Striker speaks with Dr. Jason Chi, editor for Summaries of Emerging Evidence (SEE), about two topics featured in SEE Volume 42A: the relationship between sedation type and the rate of precancerous polyp detection in colonoscopies, and rates of respiratory and acute cardiovascular complications, as well as 30-day mortality in patients with chronic kidney disease who received neuromuscular blocking agents (NMBAs). Recorded January 2026.
Nearly half of adults avoid the dentist due to fear, letting cavities become root canals and gum issues turn into infections. Sedation dentistry offers three distinct solutions that remove anxiety entirely while delivering unexpected physical benefits beyond calm nerves.Learn more: https://benagedentalcare.com/ Benage Dental Care of Cleburne City: Cleburne Address: 302 N Ridgeway Dr Website: https://benagedentalcare.com/ Phone: +1 817 641 6261 Email: benagedentalcare@gmail.com
FOLLOW RICHARD Website: https://www.strangeplanet.ca YouTube: @strangeplanetradio Instagram: @richardsyrettstrangeplanet TikTok: @therealstrangeplanet EP. #1313 Murdered by Protocol: COVID and the NHS Death Machine For years, we were told the greatest threat to humanity was a virus. But what if the real danger wasn't the pathogen—it was the protocol? Tonight on Strange Planet, Richard Syrett ventures into one of the darkest, least examined chapters of the COVID era. Drawing on firsthand testimony, medical records, and hard data, this episode investigates allegations that thousands of vulnerable patients in the UK's National Health Service may not have died from COVID, but because of policy-driven medical decisions. Sedation. Isolation. Denial of treatment—carried out under emergency authority and bureaucratic language. GUESTS: Jacqui Deevoy is an investigative journalist and filmmaker who spent decades writing for Britain's mainstream press before becoming persona non grata for asking forbidden questions. During the COVID era, she uncovered alarming patterns inside UK hospitals and care homes—blanket DNR orders, family exclusion, and the widespread use of end-of-life drugs on non-terminal patients. After the sudden death of her own father, Deevoy compiled testimonies from 42 families into Murdered by the State, a chilling civilian record of alleged involuntary euthanasia carried out under emergency powers. Richard Cox is an author, researcher, and host of The Deep State Consciousness Podcast. As co-editor of Murdered by the State, Cox provides the book's analytical backbone, examining excess mortality data, NHS protocols, drug procurement records, and historical precedents like the Liverpool Care Pathway. His work frames the COVID death surge not as medical chaos, but as systemic compliance—raising disturbing questions about how policy, not pathology, may have driven outcomes, and why those powers never fully disappeared. WEBSITES/LINKS: https://substack.com/@jacquideevoy https://www.deepstateconsciousness.com BOOK: Murdered by the State: Involuntary Euthanasia in Plain Sight SUPPORT OUR SPONSORS!!! QUINCE Luxury, European linen that gets softer with every wash! Turn up the luxury when you turn in with Quince. Go to Quince dot com slash RSSP for free shipping on your order and 365-day returns. Now available in Canada, too. BECOME A PREMIUM SUBSCRIBER!!! https://strangeplanet.supportingcast.fm Three monthly subscriptions to choose from. Commercial Free Listening, Bonus Episodes and a Subscription to my monthly newsletter, InnerSanctum. Visit https://strangeplanet.supportingcast.fm Use the discount code "Planet" to receive $5 OFF off any subscription. We and our partners use cookies to personalize your experience, to show you ads based on your interests, and for measurement and analytics purposes. By using our website and services, you agree to our use of cookies as described in our Cookie Policy. Learn more about your ad choices. Visit megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://strangeplanet.supportingcast.fm/
Guest: Jason Auerbach (Bloody Tooth Guy) https://bloodytoothguy.com/ Host: Serv Wahan https://www.drwahan.com/ keywords oral surgery, social media, dentistry, patient care, dental education, sedation techniques, corporate dentistry, private practice, dental instruments, dental technology, bloody tooth guy, Jason Auerbach, Dr. Wahan, Serv Wahan, Max surgical specialty management, riverside oral surgery, om3surgery, Seattle oral surgeon, new jersey oral surgeon summary In this engaging conversation, Serv Wahan MD, DMD, and Jason Auerbach, known as Bloody Tooth Guy, delve into the evolution of social media in dentistry, the challenges posed by algorithms and censorship, and the importance of documentation for dental professionals. They discuss teaching methodologies, ergonomics in practice, and the role of technology in modern dentistry. Auerbach shares his journey to becoming a dentist, the shift from private practice to corporate dentistry, and the evolution of sedation techniques. The conversation concludes with personal insights and reflections on the future of dentistry. takeaways Social media has transformed how dental professionals share knowledge. Documentation is crucial for self-assessment and improvement in dentistry. Teaching is a vital part of the dental profession, enhancing learning for all. Ergonomics and patient positioning are essential for long-term health in practice. The right instruments can significantly impact surgical outcomes. Technology, like CBCT, has revolutionized dental procedures. The journey to becoming a dentist is often influenced by key individuals. Corporate dentistry is on the rise, affecting private practices. Sedation techniques have evolved, improving patient care. Oral maxillofacial surgery is a rewarding specialty that can inspire future generations. titles The Rise of Bloody Tooth Guy Navigating Social Media in Dentistry Sound Bites "I started Bloody Tooth Guy February 20th." "People love to see it, so I'm happy to do it." "A bite block is 101." Chapters 00:00 Introduction to Bloody Tooth Guy 03:03 The Evolution of Social Media in Dentistry 06:00 The Importance of Documentation in Dental Practice 09:04 Teaching and Learning in Dentistry 12:00 Ergonomics and Patient Positioning 15:03 Instruments and Techniques for Extractions 17:53 Personal Journey to Dentistry 28:55 Early Days in Dentistry 34:41 Advancements in Imaging Technology 39:50 Evolution of Sedation Practices 46:45 The Shift Towards Corporate Dentistry 52:25 The Future of Private Practice 56:24 Reflections on Oral Surgery and Music
Top 5 Topics:- 2 Years Of High Unmatched 6-Year OMFS Program Numbers, & the Future of Oral Surgery Training- Periodontists vs Oral Surgeons: The Silent Battle for Implants, Sedation & Dental School Influence- Is Office Anesthesia in Danger? The Fight to Save OMFS Sedation from CRNAs, Hospital Politics, And Misleading Data- The Economics of Becoming an Oral Surgeon: $750,000 Debt, Low Reimbursement & the New Reality- How Oral Surgery Can Survive: Marketing, Value, Full-Arch Implants, and Reclaiming the Specialty In The Dental SchoolQuotes & Wisdom:04:07 – “Oral surgery is the great bridge between dentistry and medicine.”05:37–06:56 – “You have to know when to step back… I think 25 years is a good run. I'll always be motivated to teach and motivated to share knowledge. That's been my passion from the beginning.”09:49–10:31 – “Along the way I grabbed my MBA as well… taking night school for three years every Monday night for four hours… Now, having the MBA has allowed me to kind of see the errors that I made early on in my own practice.”14:55–15:26 – “Our students are the consumer of the programs… If you look at the dynamics and the history of the specialty and what the specialty wanted to do 30 years ago, it may not be what the product of the specialty wants to do now.”18:56–19:44 – “You have to market. You've got to market to the consumer what the value is. And if that perceived value makes sense to the person, then you've got a win-win.”29:21–30:40 – “You think back to your own personal experience with the specialty… There is that one experience that really hits you in the heart, and you hold onto that experience and that's why you chose this field… You have to derive the value of the specialty for you, and it's going to be different for every individual.”38:17–39:06 – “I love this specialty. You want it to flourish. I want it to be there many years beyond my own existence, and that we're at the cutting edge… We want to expand without losing anything.”55:14–55:41 – “I think the data is going to be our defense… How many fewer patients would actually receive care if they didn't have access to our ability to give them anesthesia in dentistry? How can you argue with numbers?”Questions:05:23 - “Why this step back? To private practice at this point and step away from the director role?”13:23 – “Don't think all those years and rotations are necessary—how many rectal exams do you really need to do as an oral surgery resident, you know what I mean?”17:38 - “I get this question all the time: why the 6-year versus the 4-year OMS program? What did the 6-year track benefit for you, and what do you recommend for others to pursue with the MD?”21:11 – “If periodontists are filling the gap at the dental schools—doing implants, sedations, managing complications—what does that mean for oral surgery's foothold and for who gets called when something goes wrong?”32:32 – “If we don't make full-arch ‘all-on-X' a real requirement in OMFS training, is one of the other professions going to step in and own that space instead of us?”41:13 – “What drove you, during residency at Case Western, to go into the cosmetics direction? Did any other people from your program graduate and take that same path?”43:59 – “Do you have any residents rotate through your practice right now, or is it very separate from the residency?”
Level up your veterinary dental skills today — save $100 on any online course with code START26! Explore expert-led webinars and courses designed to take your practice to the next level: https://internationalveterinarydentistryinstitute.org/veterinary-dental-online-webinars-courses-discount/?utm_source=podcast&utm_medium=podcastlink&utm_campaign=start26 —------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM In this episode of The Vet Dental Show, Dr. Victoria Lukasik, DVM, DACVAA, delves into the art of combining drugs for effective sedation and induction. They discuss the use of heavy sedatives like Acepromazine and Dexmedetomidine, multi-drug induction protocols, and the unique properties of Alfaxalone. Learn how to tailor drug combinations to individual patient needs, minimize side effects, and optimize anesthetic outcomes. What You'll Learn: ✅ Understand the peak effects of Acepromazine and how it influences anesthetic planning. ✅ Discover strategies for minimizing cardiovascular effects with Dexmedetomidine. ✅ Simplify multi-drug induction protocols for balanced anesthesia. ✅ Apply best practices for Ketamine administration to increase heart rate. ✅ Master the use of Alfaxalone, including its unique properties and versatility. ✅ Recognize the importance of pre-oxygenation and monitoring during induction. Key Takeaways: ✅ Acepromazine's peak effects occur 30-60 minutes post-administration; adjust vaporizer settings accordingly. ✅ Combining Dexmedetomidine with other drugs allows for lower doses and reduced cardiopulmonary side effects. ✅ Pre-oxygenate and initiate monitoring before administering induction drugs to address potential complications proactively. ✅ Ketamine can be used as an IV bolus to increase heart rate by 10-20 beats per minute. ✅ Alfaxalone is a cardiac and respiratory stable induction drug suitable for unstable and critical patients. Questions This Episode Answers: ❓ When should you choose moderate vs. heavy sedation in veterinary dental patients? ❓ How can you safely combine Acepromazine or Dexmedetomidine with other drugs to reduce side effects? ❓ Why don't Acepromazine's sedative effects peak immediately—and how should that change your anesthetic plan? ❓ How do you adjust vaporizer settings when sedatives are still peaking during induction? ❓ When is a single-drug induction appropriate versus a multi-drug induction protocol? ❓ How can Ketamine be strategically used to increase heart rate during anesthesia? ❓ Why is pre-oxygenation and monitoring before induction critical for patient safety? ❓ How does Alfaxalone compare to Propofol in fragile, unstable, or critical patients? ❓ Can Alfaxalone be safely used IM, IV, or as a CRI—and in which species? ❓ How do you minimize cardiovascular, respiratory, and thermoregulatory compromise during anesthesia? —------------------------------------------------------------------- Explore Dr. Beckman's complete library of veterinary dentistry courses and CE resources! Save $100 on any online course with code START26! https://internationalveterinarydentistryinstitute.org/veterinary-dental-online-webinars-courses-discount/?utm_source=podcast&utm_medium=podcastlink&utm_campaign=start26 —------------------------------------------------------------------- Questions? Leave a comment below with your thoughts, experiences, or cases related to veterinary dentistry! —------------------------------------------------------------------- KEYWORDS: Veterinary Dentistry, IVDI, Brett Beckman, Dog Dental Care, Cat Dental Care, VetTech Tips, Animal Health, Veterinary Education, Veterinary Dental Practitioner Program, Vet Dental Show, Sedation, Anesthesia, Induction Protocols, Acepromazine, Dexmedetomidine, Ketamine, Alfaxalone, Drug Combinations, Pre-oxygenation, Patient Monitoring
Take your veterinary dental expertise to the next level — save $100 on any online course with code START26! Access our full library of live and on-demand courses today: https://internationalveterinarydentistryinstitute.org/veterinary-dental-online-webinars-courses-discount/?utm_source=podcast&utm_medium=podcastlink&utm_campaign=start26 —------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM In this episode of The Vet Dental Show, Dr. Victoria Lukasik, DVM, DACVAA, discusses strategies for optimizing pre-anesthetic medication protocols. They discuss how drug choices, administration sites, and dosages impact sedation quality, patient experience, and potential side effects. Gain insights into selecting appropriate tranquilizers, analgesics, and anticholinergics to enhance patient comfort and safety during dental procedures. What You'll Learn: ✅ Understand the impact of premedication administration sites on drug efficacy. ✅ Discover the benefits of intranasal Dexmedetomidine for sedation. ✅ Simplify the selection of appropriate tranquilizers and analgesics. ✅ Apply strategies to minimize opioid-induced side effects in cats. ✅ Master the use of anticholinergics and preventative eye care. ✅ Recognize the importance of considering non-anesthetic drugs. Key Takeaways: ✅ Intramuscular injections into the semimembranosus muscle provide higher quality sedation with more predictable onset times. ✅ Intranasal Dexmedetomidine offers comparable sedation to IM administration with reduced cardiovascular effects. ✅ Diphenhydramine (Benadryl) can lower blood pressure; monitor patients accordingly. ✅ Tailor opioid selection based on patient-specific needs, considering chronic pain and potential psychological effects. ✅ Cats with dilated pupils may be sensitive to bright light; minimize light exposure to reduce stress. Questions This Episode Answers:
Certified veterinary pain practitioner Tasha McNerney talks about the importance of managing pain in dogs after surgery. She goes over common concerns pet parents have about pain meds, the risks of skipping them, and practical tips for ensuring a smooth recovery. From understanding how pain signals affect the brain to the benefits of preemptive pain control, this episode is packed with actionable advice. Key Topics Covered: Why pain control is crucial for dogs post-surgery The risks of stopping pain medications too early How chronic pain can alter a dog's behavior Preemptive pain management: Why it matters Recognizing signs of pain in your dog The role of nutrition in recovery Additional therapies like massage, acupuncture, and supplements Your Voice Matters! If you have a question for our team, or if you want to share your own hopeful dog cancer story, we want to hear from you! Go to https://www.dogcancer.com/ask to submit your question or story, or call our Listener Line at +1 808-868-3200 to leave a question. Related Videos: https://www.youtube.com/watch?v=s2w5AyaLqrw https://www.youtube.com/watch?v=ZvA7W9XlciM Related Links: Pain management overview article: https://www.dogcancer.com/articles/side-effects/pain-management-for-dogs/ Cerenia article: https://www.dogcancer.com/articles/drugs/cerenia-for-dogs/ Chapters: 00:00 Introduction 01:00 Meet Tasha McNerney 02:15 Acute vs. Chronic Pain 04:00 Why Pain Meds 06:30 Untreated Pain 09:15 Sedation 11:45 Preventing Pain 14:00 Recognizing Pain 16:15 Behavioral Changes 18:45 Dogs with Cancer 20:15 Nutrition's Healing Role 23:00 Eating Again 24:45 Acupuncture and Massage 25:30 Closing Thoughts and Resources Get to know Tasha McNerney: https://www.dogcancer.com/people/tasha-mcnerney-bs-cvt-cvpp-vts-anesthesia/ For more details, articles, podcast episodes, and quality education, go to the episode page: https://www.dogcancer.com/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Elizabeth H. Mack, MD, MS, FCCM, speaks with Rebecca Mitting, MD, MRCPCH, consultant pediatric intensivist and clinical lead for the PICU at Imperial College Healthcare NHS Trust in London. They discuss Dr. Mitting's article, “Sedation and Ventilator Weaning Bundle and Time to Extubation in Infants With Bronchiolitis: Secondary Analysis of the Sedation AND Weaning in Children (SANDWICH) Trial,” published in the April 2025 issue of Pediatric Critical Care Medicine. The SANDWICH trial, conducted in the United Kingdom, evaluated a nurse-led intervention of sedation scoring, goal-based sedation weaning, and protocolized extubation readiness testing. While the original trial demonstrated only a modest reduction in ventilation duration, Dr. Mitting's subgroup analysis of infants with bronchiolitis found a reduction of median time to successful extubation by approximately 16 to 17 hours. Dr. Mitting highlights the importance of these findings during the winter season when bronchiolitis drives up PICU occupancy and strain. The critical trade-off between minimizing ventilator days and avoiding extubation failure is discussed, as well as implementation challenges after the COVID-19 pandemic, the importance of protocolized care under resource strain, and future directions for predictive models and personalized strategies to optimize extubation timing. Listeners will gain practical insights into evidence-based approaches for improving outcomes in infants with bronchiolitis and the broader implications for PICU workflow and patient safety. Resources referenced in this episode: Sedation and Ventilator Weaning Bundle and Time to Extubation in Infants With Bronchiolitis: Secondary Analysis of the Sedation AND Weaning in Children (SANDWICH) Trial (Mitting RB, et al. Pediatr Crit Care Med. 2025;26:e423-e431). Effect of a Sedation and Ventilator Liberation Protocol vs Usual Care on Duration of Invasive Mechanical Ventilation in Pediatric Intensive Care Units: A Randomized Clinical Trial (Blackwood B, et al. JAMA. 2021;326:401-410).
In this episode, the host welcomes Dr. Ellie, a seasoned dentist with over 50 years of experience in holistic health. Dr. Ellie shares her journey from adopting holistic practices at a young age to becoming a pioneer in integrative dental care. She discusses her extensive background, including early adoption of probiotics, interval training, and natural health practices that were once considered unconventional. The conversation touches on the evolution of dental health knowledge, particularly with respect to the Human Microbiome Project, and its implications for modern dentistry. Dr. Ellie emphasizes the importance of understanding the role of bacteria in oral health and offers insights into effective dental care for children, including the drawbacks of traditional practices like fluoride supplements. The episode is filled with practical advice and testimonials from people who have benefited from Dr. Ellie's methodologies, making it a valuable resource for anyone interested in holistic dental care.About Dr. Ellie:Dr. Ellie Phillips, DDS, is a preventive dentist and oral health educator dedicated to helping people stop cavities and gum disease naturally—without unnecessary dental procedures. With over four decades of experience, she created the Complete Mouth Care System, a science-based, affordable daily routine designed to restore and protect oral health at home. Through her books, online bootcamps, and Zellie's oral care products, Dr. Ellie empowers individuals to take control of their dental health, heal naturally, and “kiss their dentist goodbye"Connect with Courtney: https://www.instagram.com/drelliephillips/Website: https://drellie.com/_________Sponsored By:→ Troscriptions | There's a completely new way to optimize your health. Give it a try at http://troscriptions.com/SARAHK, or enter SARAHK at checkout for 10% off your first order.→ Bon Charge| Go to https://us.boncharge.com/products/red-light-face-mask?rfsn=8108115.26608d & use code for SARAHKLEINER for 15% off storewide._________Timestamps00:00 The Power of Xylitol: A Revolutionary Study01:37 Challenging Natural Health Norms02:49 Introduction to the Evolving Wellness Podcast04:02 Welcoming Dr. Ellie Phillips04:23 Dr. Ellie's Journey in Holistic Health08:20 The Importance of Oral Microbiome14:59 Xylitol's Impact on Oral Health18:31 Methylene Blue and Other Health Tips58:35 The Importance of Preventive Dentistry59:21 Tragic Consequences of Sedation in Pediatric Dentistry01:00:21 Alternative Approaches to Pediatric Dental Care01:02:13 Understanding Dental Plaque and Calculus01:06:24 The Role of Probiotics in Oral Health01:11:44 Fluoride: Benefits and Risks01:35:45 The Debate on Root Canals and Implants01:40:22 Final Thoughts and Resources________________________________________This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) - https://www.sarahkleinerwellness.com/coursesSign up for my newsletter to get special offers in the future! -https://www.sarahkleinerwellness.com/contactFree Guide to Building your perfect quantum day (start here) -https://www.sarahkleinerwellness.com/opt-in-9d5f6918-77a8-40d7-bedf-93ca2ec8387fMy free product guide with all product recommendations and discount codes:https://www.sarahkleinerwellness.com/resource_redirect/downloads/file-uploads/sites/2147573344/themes/2150788813/downloads/eac4820-016-b500-7db-ba106ed8583_2024_SKW_Affiliate_Guide_6_.pdf
"Regional Anesthesia and Conscious Sedation." From ASRA Pain Medicine News, November 2025. See the original article at www.asra.com/november25news for figures and references. This material is copyrighted. Support the show
Ablate before you radiate. Success with bone tumor ablation may have as much to do with your procedure technique as it does with your ability to collaborate. In this episode of BackTable MSK, interventional oncologist Dr. Damian Dupuy shares his approach to bone tumor ablation with host Dr. Kavi Krishnasamy, and offers practical advice on how to partner with your cancer care team to make ablation a viable treatment option. --- This podcast is supported by: Medtronic Osteocool https://www.medtronic.com/en-us/healthcare-professionals/products/surgical-energy/ablation/radiofrequency-ablation/systems/osteocool-2-0-bone-tumor-ablation-system.html --- SYNPOSIS The doctors review the history of bone ablation techniques, including radiofrequency and cryoablation modalities. They discuss the significance of targeting the bone-tumor interface for pain palliation and highlight several case studies to illustrate various techniques and successful outcomes. The conversation also touches upon the synergistic benefits of combining ablation with radiation therapy and emphasizes the importance of multidisciplinary collaboration in treating cancer patients. --- TIMESTAMPS 00:00 - Introduction02:07 - Dr. Dupuy's Start in Bone Ablation06:29 - Cryo vs. Microwave Therapies08:25 - Dr. Dupuy's Clinical Trial and Research Involvement 12:49 - Patient Selection and Treatment Strategies25:54 - Sedation and Anesthesia Practices in Bone Ablation28:46 - Treatment Approach: Oligometastases vs. Progressive Disease36:22 - Microwave Ablation in Bone: Future Prospects37:30 - Techniques for Treating Sclerotic and Lytic Lesions40:01 - Skin Protection Methods in Superficial Lesion Treatments41:49 - Reviewing Recent Clinical Trials: MOTION, OPuS One, and More52:35 - Case Studies: Achieving Effective Ablation Techniques01:08:08 - Final Thoughts and Recommendations --- RESOURCES Dr. Damian E. Dupuy, MD, FACRhttps://www.linkedin.com/in/damian-e-dupuy-md-facr-6b080b1b/ Solitary painful osseous metastases: correlation of imaging features with pain palliation after radiofrequency ablation--a multicenter american college of radiology imaging network studyhttps://pubmed.ncbi.nlm.nih.gov/23657892/ Radiofrequency Ablation Provides Rapid and Durable Pain Relief for the Palliative Treatment of Lytic Bone Metastases Independent of Radiation Therapy: Final Results from the OsteoCool Tumor Ablation Post-Market Studyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC10156864/ Cryoablation for Palliation of Painful Bone Metastases: The MOTION Multicenter Studyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC8011449/ A Multi-Center Observational Trial of Symptomatic, High-Risk Bone Metastases Treated with Percutaneous Ablation and Palliative Radiation Therapy (TRIBUTE)https://clinicaltrials.gov/study/NCT06859801
In this VETgirl veterinary continuing education podcast, we interview Drs. Erica Thiel, Director of Clinical Excellence at IndeVets, and Jennifer Merlo, CVBMC, Elite FFCP-V. VP, Veterinary Affairs, Fear Free LLC about the use of the game-changing pre-visit pharmaceuticals to enhance emotional safety for pets and veterinary professionals. We often feel guilty about sedating animals. Let's reframe it: compassionate care starts with reducing fear, not fighting through it.Sponsored By: IndeVets
In this VETgirl veterinary continuing education podcast, we interview Drs. Erica Thiel, Director of Clinical Excellence at IndeVets, and Jennifer Merlo, CVBMC, Elite FFCP-V. VP, Veterinary Affairs, Fear Free LLC about the use of the game-changing pre-visit pharmaceuticals to enhance emotional safety for pets and veterinary professionals. We often feel guilty about sedating animals. Let's reframe it: compassionate care starts with reducing fear, not fighting through it.Sponsored By: IndeVets
Top 5 Topics:- 2 Years Of High Unmatched 6-Year OMFS Program Numbers, & the Future of Oral Surgery Training- Periodontists vs Oral Surgeons: The Silent Battle for Implants, Sedation & Dental School Influence- Is Office Anesthesia in Danger? The Fight to Save OMFS Sedation from CRNAs, Hospital Politics, And Misleading Data- The Economics of Becoming an Oral Surgeon: $750,000 Debt, Low Reimbursement & the New Reality- How Oral Surgery Can Survive: Marketing, Value, Full-Arch Implants, and Reclaiming the Specialty In The Dental SchoolQuotes & Wisdom:04:07 – “Oral surgery is the great bridge between dentistry and medicine.”05:37–06:56 – “You have to know when to step back… I think 25 years is a good run. I'll always be motivated to teach and motivated to share knowledge. That's been my passion from the beginning.”09:49–10:31 – “Along the way I grabbed my MBA as well… taking night school for three years every Monday night for four hours… Now, having the MBA has allowed me to kind of see the errors that I made early on in my own practice.”14:55–15:26 – “Our students are the consumer of the programs… If you look at the dynamics and the history of the specialty and what the specialty wanted to do 30 years ago, it may not be what the product of the specialty wants to do now.”18:56–19:44 – “You have to market. You've got to market to the consumer what the value is. And if that perceived value makes sense to the person, then you've got a win-win.”29:21–30:40 – “You think back to your own personal experience with the specialty… There is that one experience that really hits you in the heart, and you hold onto that experience and that's why you chose this field… You have to derive the value of the specialty for you, and it's going to be different for every individual.”38:17–39:06 – “I love this specialty. You want it to flourish. I want it to be there many years beyond my own existence, and that we're at the cutting edge… We want to expand without losing anything.”55:14–55:41 – “I think the data is going to be our defense… How many fewer patients would actually receive care if they didn't have access to our ability to give them anesthesia in dentistry? How can you argue with numbers?”Questions:05:23 - “Why this step back? To private practice at this point and step away from the director role?”13:23 – “Don't think all those years and rotations are necessary—how many rectal exams do you really need to do as an oral surgery resident, you know what I mean?”17:38 - “I get this question all the time: why the 6-year versus the 4-year OMS program? What did the 6-year track benefit for you, and what do you recommend for others to pursue with the MD?”21:11 – “If periodontists are filling the gap at the dental schools—doing implants, sedations, managing complications—what does that mean for oral surgery's foothold and for who gets called when something goes wrong?”32:32 – “If we don't make full-arch ‘all-on-X' a real requirement in OMFS training, is one of the other professions going to step in and own that space instead of us?”41:13 – “What drove you, during residency at Case Western, to go into the cosmetics direction? Did any other people from your program graduate and take that same path?”43:59 – “Do you have any residents rotate through your practice right now, or is it very separate from the residency?”Now available on:- Dr. Gallagher's Podcast & YouTube Channel- Dose of Dental Podcast #197- 11.2025
In this episode I sit down with renowned holistic facialist and dermal therapist April Brodie, fresh from her deep plane facelift in Seoul, to talk about what really sits behind the global obsession with K Beauty. We compare our recent trips to South Korea, from elite multi level clinics with corridors full of devices, to the chaos and delight of Olive Young and the clinical world of Korea Derma and regenerative medicine. April shares the story behind her signature Korean inspired facial, why technique can rival technology, and what she learnt from her own surgical journey. We talk Rejuran and salmon DNA biostimulation, the difference between PDRN in skincare and injectable DOT technology, why “glass skin” is a fantasy, and the categories that Koreans are quietly leading in, from scalp care to intimate care, sun care and beauty tools. There is also a healthy dose of reality about consent, safety, cultural expectations and what Australian women need to consider before chasing Korean level transformation. This is a candid, nuanced and very practical conversation about K Beauty, ageing, and how to edit all that innovation into a routine and treatment path that actually serves your skin. Chapters:00:29 How a buccal massage in London changed April’s career01:34 The origins of her Korean inspired facial and “bone therapy” techniques06:09 Why K Beauty is not a fad and how Korea became the epicentre06:54 The reality of Korean clinics, from “Taj Mahal” to takeaway07:47 My experience at the Rejuran global symposium09:59 Salmon DNA, DOT technology and how it differs from PDRN skincare10:13 Olive Young, sheet masks and the Rejuran skincare range11:18 How April shops K Beauty and where quality really matters14:41 Korean pharmacies, medical PDRN and cult ointments15:29 Consumer awareness, marketplaces and buying from the right storefronts20:24 Sedation, consent and where the line is for Australian patients22:32 Why April chose to have her deep plane facelift in Korea24:44 Risk, safety and the realities of surgery overseas30:59 Meeting her surgeon, the leap of faith and recovery fatigue32:10 Hyperbaric, LED and the intensity of Korean post-operative care36:49 The wild world of K Beauty gifting and niche products38:28 Scalp care, sunscreens and why Korea is ahead on texture40:59 Breath, intimate care and the “Y zone”42:49 LEDs for everywhere, and what might come next44:58 My problem with glass skin and why it is a harmful ideal46:53 Spicules, bio needling marketing and why they can wreck your barrier49:11 Lotions, essences and where multi step routines can go wrong51:06 The missing K Beauty category that surprised both of us55:09 April’s ideal edited routine for real life Highlights How a single buccal facial in London turned April from laser heavy protocols to hands on sculpting techniques. The story behind her Korean influenced facial that uses bone therapy principles, Eastern European methods and Korean cleansing rituals. What we both observed inside ultra elite Korean clinics, from the sheer number of devices to the culture of sedation and intensive treatment stacking. The difference between Rejuran’s salmon DNA DOT technology and PDRN in topical skincare, and why that distinction matters. How to shop K Beauty in Olive Young without destroying your barrier or being distracted by trends. The categories where Korea is genuinely ahead, including sunscreens, scalp care, breath care, intimate care and tools. Why “glass skin” is a Western marketing idea, not a Korean standard, and how chasing it can damage both barrier and self esteem. A realistic, edited K Beauty inspired routine for busy women who want results without a ten step ritual. Watch the full episode here: https://youtu.be/6k48mXCHCcYSee omnystudio.com/listener for privacy information.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode1077. In this episode, I'll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest. The post 1077: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.
Emily, hater of small spaces and feeling cramped, tells her nightmare tale of getting an MRI and how she got through it the second try. The difference? Sedation.
Emily, hater of small spaces and feeling cramped, tells her nightmare tale of getting an MRI and how she got through it the second try. The difference? Sedation.
Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast
Dr. Stefanie Meek is a pediatric dentist and partner at a large group practice in Little Rock, Arkansas. She is currently on maternity leave with a new baby, so we took the opportunity to have a discussion about all things pediatric dentistry. We talk about how much time to take off after having a baby, what her oral sedation cocktail consists of, and how her partnership buy-in was structured prior to COVID hitting. This is a great episode for anybody wanting to hear a partnership story and the benefits of working in a large group-practice setting.
Sedation emergencies may be rare, but when they happen, the consequences can be catastrophic. In this episode, anesthesiologist Dr. Richard Marn shares a practical framework to help oral surgeons prepare for high-stress, low-frequency events that can jeopardize patient safety and derail a practice. Drawing on his work with multiple oral surgeons and his extensive simulation training experience, Dr. Marn walks through four key pillars of readiness: Infrastructure, Competency, Culture, and Habit. He offers real-world strategies for building team alignment, from five-minute huddles and tabletop drills to equipment checks and fostering psychological safety. Along the way, he underscores how leadership and communication can transform a group of individuals into a high-performing team. This episode is a must-listen for anyone looking to embed a culture of calm, confident emergency response.Key Points From This Episode:Dr. Richard Marn's journey from surgery intern to pediatric anesthesiologist.The importance of stress testing your staff for an emergency event.Four pillars of emergency readiness: Infrastructure, Competency, Culture, and Habit.The definition of Halo events (High Acuity Low Occurrence) and their potentially devastating impact.Why preparation is critical to protect your practice during Halo events.How Dr. Marn conducts five-minute emergency drills to build team alignment.Sedation as a high-risk activity and how to prepare for it.Why soft skills and teamwork are as important as CPR or airway management.Simulation training: how they reveal common gaps in emergency preparedness.Little details that matter, like knowing how to turn on an oxygen tank.The importance of regular huddles: to build habits and uncover weak spots before an emergency hits.How to make sure your emergency equipment is in working order: assign liaisons to keep emergency kits, meds, and devices ready for use.What you can do to help your team practice emergency skills during real-life, low-stakes cases.How culture and psychological safety can affect a team's emergency response.Why culture shifts start with leadership and clear communication of expectations.How to access a free online assessment to evaluate team readiness.Links Mentioned in Today's Episode:Dr. Richard Marn — https://www.drrichardmarn.com/ Dr. Richard Marn on LinkedIn — https://www.linkedin.com/in/richardmarn/ Online Sedation Risk Assessment — https://emergency.scoreapp.comCenter for Medical Simulation — https://harvardmedsim.org/ Online Sedation Risk Assessment — https://emergency.scoreapp.com Blue Pacific Medical Simulation — https://bpmedsim.com/ New York Medical Anesthesia — https://nymedicalanesthesia.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Send us a textImpact of Sedation on Ventilator-Induced Diaphragmatic Dysfunction in Extremely Preterm Infants.Hoshino Y, Arai J, Hirono K, Maruo K, Miura-Fuchino R, Yukitake Y, Kajikawa D, Kamakura T, Hinata A, Okada Y, Sato Y.Pediatr Pulmonol. 2025 May;60(5):e71126. doi: 10.1002/ppul.71126.PMID: 40365938Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Nurses Out Loud – A young woman with Down syndrome enters a hospital for COVID—and never returns home. Her family is silenced, a DNR is placed without consent, and powerful sedatives are given with no disclosure. I expose nursing breaches, ignored advocacy, and a legal system that failed to protect patient rights. This is the story of Grace Schara's fight for dignity...
Nurses Out Loud – A young woman with Down syndrome enters a hospital for COVID—and never returns home. Her family is silenced, a DNR is placed without consent, and powerful sedatives are given with no disclosure. I expose nursing breaches, ignored advocacy, and a legal system that failed to protect patient rights. This is the story of Grace Schara's fight for dignity...
On this episode of Stinchfield, we expose a horrifying truth that’s been swept under the rug for far too long. Robert F. Kennedy Jr.'s Health and Human Services team has dropped a bombshell report uncovering major flaws—and potential criminality—within America’s organ donation system. Whistleblowers and researchers allege that in some cases, organs may be harvested before the donor is fully dead. That’s right—alive. It’s a gruesome betrayal of medical ethics and human rights, and it raises the question: who’s really benefiting from this multi-billion dollar industry? Plus, Tulsi Gabbard continues to lead the charge for truth and justice, laying out a damning case against the architects of the Russian Collusion hoax. The Dept. of Justice has announced a strike force has been created to explore the next legal steps to be taken against the culprits. And in a strange new twist, Gabbard confirmed that Hillary Clinton was medicated with tranquilizers during most of her political career, raising new concerns about her fitness, her judgment, and just how much of her public image was a pharmaceutical illusion. The truth is coming out. The elites are scrambling. Go to http://freegoldguide.com/grant or call 800 458 7356 for your free Colonial Metals Group retirement protection kit – created specifically for our listeners where you can get up to $7500 in free Silver. www.EnergizedHealth.com/Grant www.PatriotMobile.com/Grantwww.Get20Now.comTWC.Health/Grant Use "Grant" for 10% Off See omnystudio.com/listener for privacy information.
David Waldman and Greg Dworkin wish you all a joyous and/or contemplative Pioneer Day this year, along with the other 364. (Coincidentally, Jeffery Epstein's motto was “Bring ‘em young!”) Many questions remain unanswered following Epstein's untimely demise, but one thing is certain: Donald FN Trump's name is all over the Epstein files, and he knows it. Gops sneak out the back door and hope no one notices. Democrats follow them out and hope everyone notices. Thus, we are only about a week away from Ghislaine Maxwell's mysterious death in, or miraculous release from, prison. Sedation, stat! Donald's meds need to be upped. Tulsi Gabbard makes the US take one for Team Trump. Why supply evidence when the boss says you have proof? Is Trump's treason accusation a confession? Ya figure? Trump pulls a reverse-Jesus and sins so that his followers may live to sin. Gop Mike Lawler will hide in the House, barking, rather than challenge Governor Kathy Hochul. Donald K. Trump is… unpopular, especially among independents, but generally with everyone.
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Loxapine is a first-generation (typical) antipsychotic with dopamine D2 receptor antagonism as its primary mechanism, though it also has affinity for serotonin 5-HT2A receptors, making its pharmacology somewhat atypical. Loxapine is available in multiple formulations, including oral capsules and an inhalation powder, the latter approved specifically for acute agitation in patients with schizophrenia or bipolar I disorder. Sedation and extrapyramidal symptoms (EPS), including dystonia, akathisia, and parkinsonism, are common adverse effects due to its potent dopamine blockade in the nigrostriatal pathway. Orthostatic hypotension can occur with loxapine due to its alpha-1 adrenergic blockade, requiring monitoring in elderly patients or those on antihypertensives.
In this episode of Equine Innovators, host Stephanie Church talks with Dr. Lori Bidwell—board-certified veterinary anesthesiologist and co-founder of East West Equine Sports Medicine—about how veterinarians use sedation to keep horses and handlers safe during procedures. Bidwell explains the difference between sedation and general anesthesia, offers examples of standing surgeries that once required full anesthesia, and shares how Dormosedan Gel has changed how owners manage stressful situations such as clipping or fireworks. She also offers practical tips on safety, storage, and monitoring, and describes recent innovations and where sedation practices are headed in the years to come.GUESTS AND LINKS – EPISODE 21:Host: Stephanie L. Church, editorial director at The Horse: Your Guide to Equine Health Care/TheHorse.com | @stephlchurch on Instagram | Email Stephanie (schurch@thehorse.com)Links: (Stories on sedation from TheHorse.com) Sedation for Standing Procedures | Open Up and Say Zzz: Why Horse Dental Exams Require Sedation | Horse Sedation with an Oral Gel (AAEP 2010–when The Horse reported the presented research on Dormosedan)Guest: Lori Bidwell, DVM, Dipl. ACVA, co-founder of East West Equine Sports Medicine | Facebook (@EastWestEquineVet) | Instagram (@EastWestEquineSportsMedicine)Link: Register for free newsletters from TheHorse.comPlease visit our sponsor, who makes this podcast possible: Zoetis Equine | @zoetisequine on Instagram and Facebook