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Severe weather sparks flooding and travel chaos; Jamaica dealing with massive devastation from Hurricane Melissa; Prince Andrew stripped of royal titles amid mounting pressure; and more on tonight's broadcast. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Mike'l Severe fills in for Connor today, and we discuss which college football coaches you would want to drink with, Matt's tricky tummy, Mike'l educates us on the Louisiana accent, fruit reviews, Halloween candy, the names of of everyone we lost our virginity to, and more.
Get insights on chest injuries & emergencies from ER physician Dr. Dacia Ticas. Learn about red flags and vital info for athletic trainers. Q: What drew you to emergency medicine, particularly regarding chest injuries and emergencies? A: I liked everything and wasn't sure what to commit to. Emergency medicine allowed me to experience a bit of everything, including a wide range of chest injuries. Q: As an ER physician, what makes you nervous, especially concerning severe chest injuries in children? A: Pulseless children are concerning. Severe cases with children, such as swelling or edema of the airway where a cricothyrotomy might be necessary, are also very serious. Q: For athletic training, what are red flags indicating something is truly wrong with an athlete, beyond just being out of shape, regarding potential chest injuries? A: Being out of shape typically presents as shortness of breath without actual struggle or severe chest pain. Red flags for chest injuries include pale or cyanotic appearance, complaints of severe chest pain, and a visible struggle to breathe. Q: Is an on-field ultrasound something athletic trainers can perform, or is a physician required for assessing chest injuries? A: A physician would be required. While we wish it were seen more often, on-field ultrasound has tremendous value in clarifying life-threatening chest injuries. Q: As athletic trainers are the initial contact for chest injuries, what essential information do you need from us? A: We will conduct our routine workup regardless. Key information includes what actually happened—e.g., getting hit in the throat versus the chest—whether they collapsed or lost consciousness, and how the patient initially presented and communicated their complaints. Q: What kind of chest injuries might take a day or two to fully manifest or be definitively diagnosed? A: Cardiac and pulmonary contusions can take time to develop. Life-threatening issues are typically identified through labs on the day of the incident. Q: Can you explain Commotio cordis in the context of chest injuries? A: Commotio cordis involves the ventricles going out of whack due to a flux of ions being disrupted, which is a chemical issue. This happens in a fraction of a second, as highlighted by the Damar Hamlin incident, which brought athletic training to the forefront for chest injuries. Q: When an athlete experiences chest pain after a hard tackle, when is immediate removal necessary, and when can we "wait and see" for bigger issues related to chest injuries? A: Often, if you ask an athlete if they can return to play a few plays later, they might indicate they cannot or develop a specific spot of noticeable pain. Lingering pain for a few plays, rather than generalized pain, may be a sign for removal due to a bigger issue, particularly with chest injuries. Q: Could you share a surprising ER story related to chest injuries? A: There are many stories. Early in my career, seeing a 4x4 through a chest wall, yet the internal organs were intact, was shocking. As I progressed, medical mysteries became more enticing. DJ Harden's aortic injury after a chest hit, and assessing patient consciousness and bilateral pulse equality, are all crucial in emergency medicine for chest injuries.
Severe storms bring the best out of media - but climate change mentions raise hackles. Also: netball's top-brass keep exasperated media out of their internal business - while the Silver Ferns do the business on the court, and RNZ's new podcast 'Nark' uses AI to give voice to the dead. Go to this episode on rnz.co.nz for more details
Monster Category 5 Hurricane Melissa barrels towards Jamaica; Severe storms slam Florida with heavy rain and wind; FBI: Man offered $45,000 to kill Bondi in TikTok post; and more on tonight's broadcast. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
The headlines of the day by The Indian Express
This activity was supported by an educational grant from Bristol Myers Squibb. Please go to academiccme.com/ccrwestsle and complete the evaluation to receive your CE/CME Credit. Credit is available through September 19, 2025.
Our dear friend Mike'l joins The Grum to talk football and stuff!
This is one of the craziest client transformations to date! Katie broke her pelvis 13 years ago when she had her first baby. Ever since then she's been dealing with severe back pain, and bladder leaks bad enough to wear a pad all day. We started slow, but I had her lifting heavier with more intention, working on slowing down, and connecting back to her body and it shifted everything for her.If you feel like it's "too late" to fix pee leaks and back pain, you're wrong. It's never too late, you just need the right strategies in order to heal.If Katie's story hits home for you and you're ready to take the next step, click this link to get startedWork With Me:https://mailchi.mp/chloepufftraining/offers Connect with me on social media: Instagram: @chloepufftraining & @riseradiopod
Send us a textIdentifying optimal positive end-expiratory pressure with electrical impedance tomography guidance in severe bronchopulmonary dysplasia.Shui JE, LaVita CJ, Alcala GC, Nichols JH, Jassar RK, Turcu RM, Lerou PH, Cereda MF, Carroll RW, Ribeiro De Santis Santiago R, Berra L.J Perinatol. 2025 Sep 30. doi: 10.1038/s41372-025-02433-8. Online ahead of print.PMID: 41028823Support 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!
Severe goes over more stats from Raiola.
Severe critiques the Big Ten officiating crew from yesterday's game.
Nebraska's bowl eligible before Halloween! Severe is back to break down the Husker's victory against the Wildcats. We praise the special teams making a huge jump under Mike Ekeler.
Severe revisits his keys and previews USC. Talk to you next week!
Severe goes into further detail on the Husker's fourth down play calling.
Severe breaks down the players who bounced back against Northwestern after struggling last week in Minnesota.
New research reveals the secret to stronger social connections is knowing your social sweet spot; a must-know tip as the holiday party season begins. Plus, with Australia's social media ban for under-16s just over a month away, we look at how internet-famous family vloggers are scrambling to prepare for a major shake-up to their lives and livelihoods. And in headlines today, The United States has signed trade and critical minerals deals with Malaysia, Cambodia, Thailand, and Vietnam to strengthen supply chains and reduce reliance on China; Five Pakistani soldiers and 25 militants were killed in clashes near the Afghan border; Severe thunderstorms hit Victoria on Sunday, leaving more than 25,000 homes without power; Research shows that playing Dungeons & Dragons can boost mental health. THE END BITS Support independent women's media Check out The Quicky Instagram here GET IN TOUCHShare your story, feedback, or dilemma! Send us a voice note or email us at thequicky@mamamia.com.au CREDITS Hosts: Taylah Strano & Tahli Blackman Guest: Ailish Delaney, Mamamia news reporter Audio Producer: Lu HillBecome a Mamamia subscriber: https://www.mamamia.com.au/subscribeSee omnystudio.com/listener for privacy information.
Stav, Abby & Matt Catch Up - hit105 Brisbane - Stav Davidson, Abby Coleman & Matty Acton
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Here is a real-world clinical case with a tricky differential: Our team recently readmitted a patient 6 days postpartum/post C-section (which was done for ICP and fetal macrosomia at close to 4500 grams, with A2GDM). She had elevated blood pressures, a frontal headache, some midepigastric pain/RUQ discomfort. Pretty clear picture right: sounds like preeclampsia (PreE) with severe features based on BP elevation and symptoms. So, we started her on mag-sulfate per protocol. Well, her transaminases were in the 400-600s, which was significantly higher than they were at delivery. They then peaked the next day at 900! OK, it still meets criteria for PreE with severe features. But could this also be postpartum Acute fatty Liver of Pregnancy (AFLP)? The clinical picture of these 2 conditions may overlap but there are distinct differences here. AFLP is potentially fatal, so we have to get that diagnosis correct. How can we distinguish AFLP from PreE with severe features or HELLP? Listen in for details.1. https://www.preeclampsia.org/the-news/health-information/acute-fatty-liver-of-pregnancy-can-be-confused-with-preeclampsia-and-hellp-syndrome2. Yemde A Jr, Kawathalkar A, Bhalerao A. Acute Fatty Liver of Pregnancy: A Diagnostic Challenge. Cureus. 2023 Mar 26;15(3):e36708. doi: 10.7759/cureus.36708. PMID: 37113350; PMCID: PMC10129069.3. Maalbi O, Elachhab N, Elkabbaj A, Arfaoui M, Hindi S, Lahbabi S, Oudghiri N, Tachinante R. Management of Acute Fatty Liver of Pregnancy: A Retrospective Study of 12 Cases Compared With Data in the Literature. Cureus. 2025 Jun 11;17(6):e85753. doi: 10.7759/cureus.85753. PMID: 40656400; PMCID: PMC12247011.4. Siwatch S, De A, Kaur B, et al. Safety and Efficacy of Plasmapheresis in Treatment of Acute Fatty Liver of Pregnancy-a Systematic Review and Meta-Analysis.Frontiers in Medicine. 2024;11:1433324. doi:10.3389/fmed.2024.1433324.5. Sarkar M, Brady CW, Fleckenstein J, et al.6. Reproductive Health and Liver Disease: Practice Guidance by the American Association for the Study of Liver Diseases.Hepatology (Baltimore, Md.). 2021;73(1):318-365. doi:10.1002/hep.31559.STRONG COFFEE PROMO: 20% Off Strong Coffee Company https://strongcoffeecompany.com/discount/CHAPANOSPINOBG
Episode:MIKE'L SEVERE has been in the Omaha media market fornearly a quarter century. He worked as a local TV news reporter (KETV) and a sports talk host (1620 the Zone.) He is now the Executive Director of the Jet Award Foundation, which raised money for students in community colleges who want to work in the technical trades. The foundation isnamed after Johnny “The Jet” Rodgers, a Heisman-trophy winning Nebraska football legend and Omaha native. In this conversation, John and Mike'l talk about the foundation's work, covering Nebraska sports, specifically football, the media market, and much more. Recorded October 23, 2025THE SHOW:Features interviews with sports media people from around the country, regionally and in Nebraska. John Shrader is an Emmy-award winning sports broadcaster and journalist who teaches Sports Media and Broadcasting at the University ofNebraska-Lincoln. His career includes more than 30 years in San Francisco, 15 years at KNBR Radio, the home of the Giants and the 49ers. He was the voice of the San Jose Earthquakes on radio and TV for 15 years; and spent about a decade as voice of San Jose State football and basketball. He was the primary 49ers reporter for KNBR for most of those 15 years. John is a free-lance writer for Soccer America and hosts and produces the weekly Soccer Media Podcast.For more information and inquiries about John's free lance work, go to www.ShraderMedia.com.
"Is it still a joke if half the internet doesn't laugh?"That's the question Ben Rogers, Jeff “Skin” Wade, Kevin “KT” Turner, and Krystina Ray wrestle with in this hilariously uncomfortable and wildly entertaining episode of The Ben and Skin Show. The crew dives into the bizarre world of celebrity cancel culture, triggered by Kristen Bell's eyebrow-raising anniversary post and a resurfaced 2012 interview with Dax Shepard.
Wild weather has battered parts of the country in both islands after rare red level wind warnings were issued. In the South, fire crews have had their hands full, combatting a large scrub fire in Hanmer Springs. Severe gusts have caused widespread damage across north Canterbury's Hurunui district. The West Coast is also cut off due to flooding. Christchurch reporter Adam Burns spoke to Lisa Owen.
EXCLUSIVE: K-Fed Says Ex Britney Spears Embellished Her Lack of Freedom Under Conservatorship - 'Controls… Weren't As Severe as She Made Them Out to Be'Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Germany's Merz Under Pressure Amid Economic and Political Crises Judy Dempsey, Carnegie Endowment for International Peace, with John Batchelor Dempsey reports German Chancellor candidate Merz is under severe pressure due to a stagnant economy heavily reliant on China and the rise of the far-right AfD. Merz is challenged by internal coalition disagreements, particularly with the SPD over welfare reform. Europe's overall support for Ukraine remains largely rhetorical; arguments over sanctions and frozen Russian assets delay crucial material support needed by Zelensky. 1870 SCHWEINFURT
Germany's Merz Under Pressure Amid Economic and Political Crises Judy Dempsey, Carnegie Endowment for International Peace, with John Batchelor Dempsey reports German Chancellor candidate Merz is under severe pressure due to a stagnant economy heavily reliant on China and the rise of the far-right AfD. Merz is challenged by internal coalition disagreements, particularly with the SPD over welfare reform. Europe's overall support for Ukraine remains largely rhetorical; arguments over sanctions and frozen Russian assets delay crucial material support needed by Zelensky. 1945 BERLIN
China's Military Purge Signals Deep Crisis of Confidence in Xi Jinping. Charles Burton and Gordon Chang discuss how China expelled eight senior generals, signaling a severe internal crisis and lack of confidence in Xi Jinping's leadership, potentially orchestrated by his adversaries. This turmoil suggests foreign governments should interact carefully with Xi. Economically, figures show industrial production outpacing consumption, and proposals for mandated municipal consumption goals reflect a state struggling to maintain prosperity, leading to pervasive gloom among the people. 1879
China's Military Purge Signals Deep Crisis of Confidence in Xi Jinping. Charles Burton and Gordon Chang discuss how China expelled eight senior generals, signaling a severe internal crisis and lack of confidence in Xi Jinping's leadership, potentially orchestrated by his adversaries. This turmoil suggests foreign governments should interact carefully with Xi. Economically, figures show industrial production outpacing consumption, and proposals for mandated municipal consumption goals reflect a state struggling to maintain prosperity, leading to pervasive gloom among the people. 1925
Today we're talking about the weather, with a pair of conversations from “Weather Realness,” a sister podcast produced by Illinois Public Media. Much of central Illinois is under severe or extreme drought. We'll hear from the Illinois State Climatologist about how little rain we've gotten, why that's happening, and why it's such a concern, for everyone from farmers to firefighters.
Mike'l joins us to discuss this last weekend!
Dr. Marc Salzberg, President, CEO, and Chief Medical Officer at Airway Therapeutics, is developing a drug AT-100 to prevent bronchopulmonary dysplasia (BPD) in preterm infants, a severe condition with no existing treatment. These infants are at high risk for BPD because of a low level of a protective protein that reduces inflammation and clears infections from their underdeveloped lungs. The drug's mechanism of action suggests it has potential for treating other inflammatory conditions such as asthma, COPD, and severe pneumonia. Marc explains, "We're focusing on developing drugs or interventions for severe respiratory conditions for prevention or treatment of severe respiratory conditions. And our first project is focusing on the respiratory condition that preterm neonates have, which is called bronchopulmonary dysplasia, and cannot be treated or prevented yet. It's a very severe condition. And that really triggered my interest in getting engaged because it's going to be a paradigm shift if we manage to bring this drug to market." "The protein that we're developing is an endogenous protein that we all have. In the past years or decade, it has been discovered that this protein has a very essential function in fighting inflammation and infection on a daily basis. Now, there are certain conditions or instances where the protein is low-functioning. For instance, in preterm-born babies, but also in adults with severe respiratory inflammation, with pneumonias, with asthma, or COPD. In all those cases where protein is low, those are the instances where you actually need it most. So, replacing it in those instances is a kind of logical rationale for the concept for the treatment that we're developing." #AirwayTherapeutics #BPD #InflammatoryDiseases #Zelpultidealfa #PrematureBabies #PretermBabies airwaytherapeutics.com Download the transcript here
Dr. Marc Salzberg, President, CEO, and Chief Medical Officer at Airway Therapeutics, is developing a drug AT-100 to prevent bronchopulmonary dysplasia (BPD) in preterm infants, a severe condition with no existing treatment. These infants are at high risk for BPD because of a low level of a protective protein that reduces inflammation and clears infections from their underdeveloped lungs. The drug's mechanism of action suggests it has potential for treating other inflammatory conditions such as asthma, COPD, and severe pneumonia. Marc explains, "We're focusing on developing drugs or interventions for severe respiratory conditions for prevention or treatment of severe respiratory conditions. And our first project is focusing on the respiratory condition that preterm neonates have, which is called bronchopulmonary dysplasia, and cannot be treated or prevented yet. It's a very severe condition. And that really triggered my interest in getting engaged because it's going to be a paradigm shift if we manage to bring this drug to market." "The protein that we're developing is an endogenous protein that we all have. In the past years or decade, it has been discovered that this protein has a very essential function in fighting inflammation and infection on a daily basis. Now, there are certain conditions or instances where the protein is low-functioning. For instance, in preterm-born babies, but also in adults with severe respiratory inflammation, with pneumonias, with asthma, or COPD. In all those cases where protein is low, those are the instances where you actually need it most. So, replacing it in those instances is a kind of logical rationale for the concept for the treatment that we're developing." #AirwayTherapeutics #BPD #InflammatoryDiseases #Zelpultidealfa #PrematureBabies #PretermBabies airwaytherapeutics.com Listen to the podcast here
Aubrey Masango hosts Dr Bulumko Poswayo, a dentist, to discuss the difference between gingivitis and periodontitis, and how they can affect your oral health and your overall health. Tags: 702, Aubrey Masango show, Aubrey Masango, Gingivitis, Periodontitis, Gum disease, Oral health, Dentist The Aubrey Masango Show is presented by late night radio broadcaster Aubrey Masango. Aubrey hosts in-depth interviews on controversial political issues and chats to experts offering life advice and guidance in areas of psychology, personal finance and more. All Aubrey’s interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from The Aubrey Masango Show. Listen live on weekdays between 20:00 and 24:00 (SA Time) to The Aubrey Masango Show broadcast on 702 https://buff.ly/gk3y0Kj and on CapeTalk between 20:00 and 21:00 (SA Time) https://buff.ly/NnFM3Nk Find out more about the show here https://buff.ly/lzyKCv0 and get all the catch-up podcasts https://buff.ly/rT6znsn Subscribe to the 702 and CapeTalk Daily and Weekly Newsletters https://buff.ly/v5mfet Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
There's no polite way to say Nebraska was absolutely and utterly embarrassed on Friday night, so Mike Schaefer and Mike'l Severe don't even try on this week's Sunday Side Session. What happened against Minnesota? Why does it always seem to happen against Minnesota? What does this tell us about Nebraska's season? Furthermore can Nebraska find ways to work around its issues? Finally how does Nebraska pick itself up after this kind of loss and what's next for Nebraska following a thoroughly embarrassing performance? To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
Yes, we all love the backup QBs, but they're not the solution for this offense. Also, is Rhule and Penn State relationship becoming a distraction? Severe shares his thoughts on the topics.
Breaking down the O-line performance and pocket awareness by Raiola. Severe breaks down why the O-line isn't the only problem with the Husker offense.
Well that was a frustrating experience. Mike'l Severe is back to break down everything that went wrong for the Huskers in Minneapolis.
Matthew 24:15-35 (morning service) Intro Follow-Up Issues: Mania, Wrath, and Differences... #1 The Destruction of the Temple (15-20)... #2 Severe Birth Pangs Return (21-31)... #3 "These Things" Signs Fulfilled (32-35)... *Audio has some odd cut outs in the beginning but you can get the gist of it... You can watch the YouTube video for a version without the audio issues. Preacher: Daniel Pelichowski
Replaceable You: Skin Grafts, Bioprinting Organs, and the Science of Replacement Anatomy. Mary Roach discusses how third-degree burns destroy regenerative cells, causing severe disfigurement unless patched with allografts (temporary substitutes like cadaver or cod skin). Researchers are attempting to 3D print organs, currently in the "Wright Brothers stage," using specialized bio-ink and support gel. Xenotransplantation involves genetically editing pigs to grow human organs (chimerism) that the body would accept without rejection. 1954
Replaceable You: Skin Grafts, Bioprinting Organs, and the Science of Replacement Anatomy. Mary Roach discusses how third-degree burns destroy regenerative cells, causing severe disfigurement unless patched with allografts (temporary substitutes like cadaver or cod skin). Researchers are attempting to 3D print organs, currently in the "Wright Brothers stage," using specialized bio-ink and support gel. Xenotransplantation involves genetically editing pigs to grow human organs (chimerism) that the body would accept without rejection. 1952
Replaceable You: Skin Grafts, Bioprinting Organs, and the Science of Replacement Anatomy. Mary Roach discusses how third-degree burns destroy regenerative cells, causing severe disfigurement unless patched with allografts (temporary substitutes like cadaver or cod skin). Researchers are attempting to 3D print organs, currently in the "Wright Brothers stage," using specialized bio-ink and support gel. Xenotransplantation involves genetically editing pigs to grow human organs (chimerism) that the body would accept without rejection. 1959
Replaceable You: Skin Grafts, Bioprinting Organs, and the Science of Replacement Anatomy. Mary Roach discusses how third-degree burns destroy regenerative cells, causing severe disfigurement unless patched with allografts (temporary substitutes like cadaver or cod skin). Researchers are attempting to 3D print organs, currently in the "Wright Brothers stage," using specialized bio-ink and support gel. Xenotransplantation involves genetically editing pigs to grow human organs (chimerism) that the body would accept without rejection. 1956
r. Francisco Nahoe, OFM Conv., has served the Church and the Franciscan Order in Catholic education, campus ministry, parochial ministry, and catechesis. He is a chaplain at Thomas Aquinas College in Santa Paula, California, and focuses his scholarly efforts on Renaissance rhetoric and Polynesian ethnohistory. In Today's Show: What do we make of cathedrals being supposedly built by slaves? Should we use a capital G in godfather/mother? If God's Love Is Infinite, Why Is Hell So Severe? What is the best way to offer our suffering to God? How do I discern my priesthood? What is the Church's stance on legal name changes? Is it a detraction to share others' sins? How do we approach figures who grift off the Catholic faith? How to get over difficulties in confession? Visit the show page at thestationofthecross.com/askapriest to listen live, check out the weekly lineup, listen to podcasts of past episodes, watch live video, find show resources, sign up for our mailing list of upcoming shows, and submit your question for Father!
Here's the latest Fox Weather forecast with Britta Merwin. Learn more about your ad choices. Visit podcastchoices.com/adchoices
President Trump hails the Israel-Hamas hostage deal as a “new beginning for the Middle East,” as over 20 world leaders meet in Egypt to celebrate the landmark peace agreement. In Virginia, Democrat Abigail Spanberger's once-comfortable lead in the governor's race shrinks after a halting debate performance and fallout from a fellow Democrat's texting scandal. Severe storms batter both Alaska and the East Coast as rescuers search for the missing after record floods in Alaska, while a deadly nor'easter brings wind, rain, and destruction across 10 states. Riverbend Ranch: Visit https://riverbendranch.com/ | Use promo code MEGYN for $20 off your first order. Herald Group: Learn more at https://GuardYourCard.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
HEADLINE: China's Desperate Rare Earth Export Curbs and Economic Collapse GUEST NAMES: Alan Tonelson, Gordon Chang SUMMARY: China's sweeping curbs on rare earth exports are described as a desperate "hail mary" heave, risking severe economic damage, particularly given the collapse of its property bubble and external pressures. Experts agree China is undergoing a major deflationary spiral, and this move ironically contradicts the globalization from which it prospered. 1960
In the 09/1/2018 Society for Academic Specialists in General Obstetrics and Gynecology's (SASGOG's) Pearls of Exxcellence publication, “Management of Preeclampsia at Term”, it states: “If hypertension management requires acute IV treatment, it is often prudent to initiate oral labetalol or EXTENDED-release nifedipine to maintain blood pressures below the severe range. Intrapartum blood pressure management and consultation should not delay progress towards delivery. Fetal monitoring should be continuous.” In the original ACOG CO 692 from 2017, oral nifedipine was first referenced as an alternative to IV meds GIVEN INTRAPARTUM, stating, “Although relatively less information currently exists for the use of calcium channel blockers for this clinical indication, the available evidence suggests that immediate release oral nifedipine also may be considered as a first-line therapy, particularly when intravenous access is not available.” This may be given orally as 10mg, 20mg, and 20 mg separated in time by 20 minutes per dose. Notice it says “immediate release oral nifedipine”. But what about EXTENDED release nifedipine intrapartum as stated by the SASGOG? Is that an option after immediate attentive and therapy has been given with IV anti-hypertensives? Listen in for details.1. Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period: Committee Opinion, Number 692. Obstetrics & Gynecology 129(4):p e90-e95, April 2017. | DOI: 10.1097/AOG.00000000000020192. Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. Obstet Gynecol. 2020 Jun;135(6):e237-e260. doi: 10.1097/AOG.0000000000003891. PMID: 32443079.3. Cleary EM, Racchi NW, Patton KG, Kudrimoti M, Costantine MM, Rood KM. Trial of Intrapartum Extended-Release Nifedipine to Prevent Severe Hypertension Among Pregnant Individuals With Preeclampsia With Severe Features. Hypertension. 2023 Feb;80(2):335-342. doi: 10.1161/HYPERTENSIONAHA.122.19751. Epub 2022 Oct 3. PMID: 36189646.STRONG COFFEE PROMO: 20% Off Strong Coffee Company https://strongcoffeecompany.com/discount/CHAPANOSPINOBG
Dane Key does it again. Dylan Raiola still has blood in his eyes. Kenneth Williams gets a scholarship. Do you smell 10-2? Matt Rhule to Penn State? Pat Kraft calling Matt Rhule. Dana Altman loves Matt more than Nick. Hilarious moment from a Husker football broadcast. Crooks vs Coody. Damon vs math. Sipple channels his inner Bilas. Sipple's inappropriate Cracker Barrel order. Severe references the pod on Big Red Wrap-Up. A Vegas Aces pun. Gronkowski can't pronounce a player's name. Kohll's Polls. Connect with us! SchickandNick.com Facebook, Twitter, or email We would hate it if you missed an episode! So PLEASE subscribe, rate the pod, and throw us a review. It helps us out so much! We'd likey that. This is another Hurrdat Media Production. Hurrdat Media is a podcast network and digital media production company based in Omaha, NE. Find more podcasts on the Hurrdat Media Network by going to HurrdatMedia.com or Hurrdat Media YouTube channel! Learn more about your ad choices. Visit megaphone.fm/adchoices
Last time we spoke about the Battle of Taierzhuang. Following the fall of Nanjing in December 1937, the Second Sino-Japanese War entered a brutal phase of attrition as Japan sought to consolidate control and press toward central China. Chinese defense prioritized key rail corridors and urban strongholds, with Xuzhou, the JinPu and Longhai lines, and the Huai River system forming crucial lifelines. By early 1938, Japanese offensives aimed to link with forces around Beijing and Nanjing and encircle Chinese positions in the Central Yangtze region, threatening Wuhan. In response, Chiang Kai-shek fortified Xuzhou and expanded defenses to deter a pincer move, eventually amassing roughly 300,000 troops along strategic lines. Taierzhuang became a focal point when Japanese divisions attempted to press south and link with northern elements. Chinese commanders Li Zongren, Bai Chongxi, Tang Enbo, and Sun Lianzhong coordinated to complicate Japanese plans through offensive-defensive actions, counterattacks, and encirclement efforts. The victory, though numerically costly, thwarted immediate Japanese objectives and foreshadowed further attritional struggles ahead. #171 The Flooding of the Yellow River Welcome to the Fall and Rise of China Podcast, I am your dutiful host Craig Watson. But, before we start I want to also remind you this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Perhaps you want to learn more about the history of Asia? Kings and Generals have an assortment of episodes on history of asia and much more so go give them a look over on Youtube. So please subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry for some more history related content, over on my channel, the Pacific War Channel where I cover the history of China and Japan from the 19th century until the end of the Pacific War. We last left off with a significant event during the Xuzhou campaign. Three Japanese divisions under General Itagaki Seishiro moved south to attack Taierzhuang and were met by forces commanded by Li Zongren, Sun Lianzhong, and Tang Enbo, whose units possessed a decent amount of artillery. In a two-week engagement from March 22 to April 7, the battle devolved into a costly urban warfare. Fighting was vicious, often conducted in close quarters and at night. The urban environment negated Japanese advantages in armor and artillery, allowing Chinese forces to contend on equal terms. The Chinese also disrupted Japanese logistics by resupplying their own troops and severing rear supply lines, draining Japanese ammunition, supplies, and reinforcements. By April 7, the Japanese were compelled to retreat, marking the first Chinese victory of the war. However both sides suffered heavy losses, with around 20,000 casualties on each side. In the aftermath of this rare victory, Chiang Kai-Shek pushed Tang Enbo and Li Zongren to capitalize on their success and increased deployments in the Taierzhuang theater to about 450,000 troops. Yet the Chinese Army remained hampered by fundamental problems. The parochialism that had crippled Chiang's forces over the preceding months resurfaced. Although the generals had agreed to coordinate in a war of resistance, each still prioritized the safety of his own troops, wary of Chiang's bid to consolidate power. Li Zongren, for example, did not deploy his top Guangxi provincial troops at Taierzhuang and sought to shift most of the fighting onto Tang Enbo's forces. Chiang's colleagues were mindful of the fates of Han Fuju of Shandong and Zhang Xueliang of Manchuria: Han was executed for refusing to fight, while Zhang, after allowing Chiang to reduce the size of his northeastern army, ended up under house arrest. They were right to distrust Chiang. He believed, after all, that provincial armies should come under a unified national command, which he would lead. From a national-unity perspective, his aspiration was not unreasonable. But it fed suspicion among other military leaders that participation in the anti-Japanese war would dilute their power. The divided nature of the command also hindered logistics, making ammunition and food supplies to the front unreliable and easy to cut off. By late April the Chinese had reinforced the Xuzhou area to between 450,000-600,000 to capitalize on their victory. However these armies were plagued with command and control issues. Likewise the Japanese licked their wounds and reinforced the area to roughly 400,000, with fresh troops and supplies flowing in from Tianjin and Nanjing. The Japanese continued with their objective of encircling Chinese forces. The North China Area Army comprised four divisions and two infantry brigades drawn from the Kwantung Army, while the Central China Expeditionary Army consisted of three divisions and the 1st and 2nd Tank Battalions along with motorized support units. The 5th Tank Battalion supported the 3rd Infantry Division as it advanced north along the railway toward Xuzhou. Fighting to the west, east, and north of Xuzhou was intense, resulting in heavy casualties on both sides. On 18 April, the Japanese advanced southward toward Pizhou. Tang Enbo's 20th Army Corps, together with the 2nd, 22nd, 46th, and 59th corps, resisted fiercely, culminating in a stalemate by the end of April. The 60th Corps of the Yunnan Army engaged the Japanese 10th Division at Yuwang Mountain for nearly a month, repelling multiple assaults. By the time it ceded its position to the Guizhou 140th Division and withdrew on 15 May, the corps had sustained losses exceeding half of its forces. Simultaneously, the Japanese conducted offensives along both banks of the Huai River, where Chinese defenders held out for several weeks. Nevertheless, Japanese artillery and aerial bombardment gradually tilted the balance, allowing the attackers to seize Mengcheng on 9 May and Hefei on 14 May. From there, the southern flank split into two parts: one force moved west and then north to cut off the Longhai Railway escape route from Xuzhou, while another division moved directly north along the railway toward Suxian, just outside Xuzhou. Simultaneously, to the north, Japanese units from north China massed at Jining and began moving south beyond Tengxian. Along the coast, an amphibious landing was made at Lianyungang to reinforce troops attacking from the east. The remaining portions of Taierzhuang were captured in May, a development symbolically significant to Tokyo. On 17 May, Japanese artillery further tightened the noose around Xuzhou, striking targets inside the city. To preserve its strength, the Nationalist government ordered the abandonment of Xuzhou and directed its main forces to break out toward northern Jiangsu, northern Anhui, and eastern Henan. To deter the Japanese army's rapid westward advance and penetration into northern Henan and western Shandong, many leading military and political figures within the Nationalist government proposed breaching dams over the Yellow River to delay the offensive, a strategy that would have been highly advantageous to the Nationalist forces at the time. Chiang Kai-shek vetoed the proposal outright, insisting that the Nationalist army could still resist. He understood that with tens of millions of Chinese lives at stake and a sliver of hope remaining, the levee plan must not be undertaken. Then a significant battle broke out at Lanfeng. Chiang also recognized that defeat could allow the elite Japanese mechanized divisions, the 14th, 16th, and 10th, to advance directly toward Zhengzhou. If Zhengzhou fell, the Japanese mechanized forces on the plains could advance unimpeded toward Tongguan. Their southward push would threaten Xi'an, Xiangfan, and Nanyang, directly jeopardizing the southwest's rear defenses. Concurrently, the Japanese would advance along the Huai River north of the Dabie Mountains toward Wuhan, creating a pincer with operations along the Yangtze River. Now what followed was arguably the most important and skillful Chinese maneuver of the Xuzhou campaign: a brilliantly executed strategic retreat to the south and west across the Jinpu railway line. On May 15, Li Zongren, in consultation with Chiang Kai-shek, decided to withdraw from Xuzhou and focus on an escape plan. The evacuation of civilians and military personnel began that day. Li ordered troops to melt into the countryside and move south and west at night, crossing the Jinpu Railway and splitting into four groups that would head west. The plan was to regroup in the rugged Dabie Mountains region to the south and prepare for the defense of Wuhan. Li's generals departed reluctantly, having held out for so long; Tang Enbo was said to have wept. Under cover of night, about forty divisions, over 200,000 men, marched out of Japanese reach in less than a week. A critical moment occurred on May 18, when fog and a sandstorm obscured the retreating troops as they crossed the Jinpu Railway. By May 21, Li wired Chiang Kai-shek to report that the withdrawal was complete. He mobilized nearly all of the Kuomintang Central Army's elite units, such as the 74th Army, withdrawn from Xuzhou and transferred directly to Lanfeng, with a resolute intent to “burn their boats.” The force engaged the Japanese in a decisive battle at Lanfeng, aiming to secure the last line of defense for the Yellow River, a position carrying the lives of millions of Chinese civilians. Yet Chiang Kai-shek's strategy was not universally understood by all participating generals, who regarded it as akin to striking a rock with an egg. For the battle of Lanfeng the Chinese mobilized nearly all of the Kuomintang Central Army's elite forces, comprising 14 divisions totaling over 150,000 men. Among these, the 46th Division of the 27th Army, formerly the Central Training Brigade and the 36th, 88th, and 87th Divisions of the 71st Army were German-equipped. Additionally, the 8th Army, the Tax Police Corps having been reorganized into the Ministry of Finance's Anti-Smuggling Corps, the 74th Army, and Hu Zongnan's 17th Corps, the new 1st Army, equipped with the 8th Division were elite Nationalist troops that had demonstrated strong performance in the battle of Shanghai and the battle of Nanjing, and were outfitted with advanced matériel. However, these so-called “elite” forces were heavily degraded during the campaigns in Shanghai and Nanjing. The 46th Division and Hu Zongnan's 17th Corps sustained casualties above 85% in Nanjing, while the 88th and 87th Divisions suffered losses of up to 90%. The 74th Army and the 36th Division also endured losses exceeding 75%. Their German-made equipment incurred substantial losses; although replenishment occurred, inventories resembled roughly a half-German and half-Chinese mix. With very limited heavy weapons and a severe shortage of anti-tank artillery, they could not effectively match the elite Japanese regiments. Hu Zongnan's 17th Corps maintained its national equipment via a close relationship with Chiang Kai-shek. In contrast, the 74th Army, after fighting in Shanghai, Nanjing, and Xuzhou, suffered heavy casualties, and the few German weapons it had were largely destroyed at Nanjing, leaving it to rely on a mix of domestically produced and Hanyang-made armaments. The new recruits added to each unit largely lacked combat experience, with nearly half of the intake having received basic training. The hardest hit was Li Hanhun's 64th Army, established less than a year prior and already unpopular within the Guangdong Army. Although classified as one of the three Type A divisions, the 155th, 156th, and 187th Divisions, it was equipped entirely with Hanyang-made firearms. Its direct artillery battalion possessed only about 20 older mortars and three Type 92 infantry guns, limiting its heavy firepower to roughly that of a Japanese battalion. The 195th Division and several miscellaneous units were even less prominent, reorganized from local militias and lacking Hanyang rifles. Additionally, three batches of artillery purchased from the Soviet Union arrived in Lanzhou via Xinjiang between March and June 1938. Except for the 52nd Artillery Regiment assigned to the 200th Division, the other artillery regiments had recently received their weapons and were still undergoing training. The 200th Division, had been fighting awhile for in the Xuzhou area and incurred heavy casualties, was still in training and could only deploy its remaining tank battalion and armored vehicle company. The tank battalion was equipped with T-26 light tanks and a small number of remaining British Vickers tanks, while the armored vehicle company consisted entirely of Italian Fiat CV33 armored cars. The disparity in numbers was substantial, and this tank unit did not participate in the battle. As for the Japanese, the 14th Division was an elite Type A formation. Originally organized with four regiments totaling over 30,000 men, the division's strength was later augmented. Doihara's 14th Division received supplements, a full infantry regiment and three artillery regiments, to prevent it from being surrounded and annihilated, effectively transforming the unit into a mobile reinforced division. Consequently, the division's mounted strength expanded to more than 40,000 personnel, comprising five infantry regiments and four artillery regiments. The four artillery regiments, the 24th Artillery Regiment, the 3rd Independence Mountain Artillery Regiment, the 5th Field Heavy Artillery Regiment, and the 6th Field Heavy Artillery Regiment, possessed substantial heavy firepower, including 150mm heavy howitzers and 105mm long-range field cannons, placing them far in excess of the Nationalist forces at Lanfeng. In addition, both the 14th and later the 16th Divisions commanded tank regiments with nearly 200 light and medium tanks each, while Nationalist forces were markedly short of anti-tank artillery. At the same time, the Nationalist Air Force, though it had procured more than 200 aircraft of various types from the Soviet Union, remained heavily reliant on Soviet aid-to-China aircraft, amounting to over 100 machines, and could defend only a few cities such as Wuhan, Nanchang, and Chongqing. In this context, Japanese forces effectively dominated the Battle of Lanfeng. Moreover, reports indicate that the Japanese employed poison gas on the battlefield, while elite Nationalist troops possessed only a limited number of gas masks, creating a stark disparity in chemical warfare preparedness. Despite these disparities, Chiang Kai-shek and the Nationalist government were initially unaware of the updated strength and composition of the Doihara Division. Faced with constrained options, Chiang chose to press ahead with combat operations. On May 12, 1939, after crossing the Yellow River, the IJA 14th Division continued its southward advance toward Lanfeng. The division's objective was to sever the Longhai Railway, disrupt the main Nationalist retreat toward Zhengzhou, and seize Zhengzhou itself. By May 15, the division split into two columns at Caoxian and moved toward key nodes on the Longhai Line. Major General Toyotomi Fusatarou led two infantry regiments, one cavalry regiment, and one artillery regiment in the main assault toward Kaocheng with the aim of directly capturing Lanfeng. Doihara led three infantry regiments and three artillery regiments toward Neihuang and Minquan, threatening Guide. In response, the Nationalist forces concentrated along the railway from Lanfeng to Guide, uniting Song Xilian's 71st Army, Gui Yongqing's 27th Army, Yu Jishi's 74th Army, Li Hanhun's 64th Army, and Huang Jie's 8th Army. From May 15 to 17, the Fengjiu Brigade, advancing toward Lanfeng, met stubborn resistance near Kaocheng from roughly five divisions under Song Xilian and was forced to shift its effort toward Yejigang and Neihuang. The defense near Neihuang, including Shen Ke's 106th Division and Liang Kai's 195th Division, ultimately faltered, allowing Doihara's division to seize Neihuang, Yejigang, Mazhuangzhai, and Renheji. Nevertheless, the Nationalist forces managed to contain the Japanese advance east and west of the area, preventing a complete encirclement. Chiang Kai-shek ordered Cheng Qian, commander-in-chief of the 1st War Zone, to encircle and annihilate the Japanese 14th Division. The deployment plan mapped three routes: the Eastern Route Army, under Li Hanhun, would include the 74th Army, the 155th Division of the 64th Army, a brigade of the 88th Division, and a regiment of the 87th Division, advancing westward from Guide); the Western Route Army, commanded by Gui Yongqing, would comprise the 27th Army, the 71st Army, the 61st Division, and the 78th Division, advancing eastward from Lanfeng; and the Northern Route Army, formed by Sun Tongxuan's 3rd Army and Shang Zhen's 20th Army, was to cut off the enemy's retreat to the north bank of the Yellow River near Dingtao, Heze, Dongming, and Kaocheng, while attacking the Doihara Division from the east, west, and north to annihilate it in a single decisive operation. On May 21, the Nationalist Army mounted a full-scale offensive. Yu Jishi's 74th Army, commanded by Wang Yaowu's 51st Division, joined a brigade of Song Xilian's 71st Army, led by the 88th Division, and drove the Japanese forces at Mazhuangzhai into retreat, capturing Neihuang and Renheji. The main Japanese force, more than 6,000 strong, withdrew southwest to Yangjiji and Shuangtaji. Song Xilian, commanding Shen Fazao's 87th Division, launched a sharp assault on Yejigang (Yifeng). The Japanese abandoned the stronghold, but their main body continued advancing toward Yangjiji, with some units retreating to Donggangtou and Maoguzhai. On May 23, Song Xilian's 71st Army and Yu Jishi's 74th Army enveloped and annihilated enemy forces at Donggangtou and Maoguzhai. That evening they seized Ximaoguzhai, Yangzhuang, and Helou, eliminating more than a thousand Japanese troops. The Japanese troops at Donggangtou fled toward Lanfeng. Meanwhile, Gui Yongqing's forces were retreating through Lanfeng. His superior strength, Jiang Fusheng's 36th Division, Li Liangrong's 46th Division, Zhong Song's 61st Division, Li Wen's 78th Division, Long Muhan's 88th Division, and Shen Ke's 106th Division—had held defensive positions along the Lanfeng–Yangji line. Equipped with a tank battalion and armored vehicle company commanded by Qiu Qingquan, they blocked the enemy's westward advance and awaited Japanese exhaustion. However, under the Japanese offensive, Gui Yongqing's poor command led to the loss of Maji and Mengjiaoji, forcing the 27th Army to retreat across its entire front. Its main force fled toward Qixian and Kaifeng. The Japanese seized the opportunity to capture Quxingji, Luowangzhai, and Luowang Railway Station west of Lanfeng. Before retreating, Gui Yongqing ordered Long Muhan to dispatch a brigade to replace the 106th Division in defending Lanfeng, while he directed the 106th Division to fall back to Shiyuan. Frightened by the enemy, Long Muhan unilaterally withdrew his troops on the night of the 23rd, leaving Lanfeng undefended. On the 24th, Japanese troops advancing westward from Donggangtou entered Lanfeng unopposed and, relying on well-fortified fortifications, held their ground until reinforcements arrived. In the initial four days, the Nationalist offensive failed to overwhelm the Japanese, who escaped encirclement and annihilation. The four infantry and artillery regiments and one cavalry regiment on the Japanese side managed to hold the line along Lanfeng, Luowangzhai, Sanyizhai, Lanfengkou, Quxingji, Yang'erzhai, and Chenliukou on the south bank of the Yellow River, offering stubborn resistance. The Longhai Railway was completely cut off. Chiang Kai-shek, furious upon hearing the news while stationed in Zhengzhou, ordered the execution of Long Muhan, commander of the 88th Division, to restore military morale. He also decided to consolidate Hu Zongnan's, Li Hanhun's, Yu Jishi's, Song Xilian's, and Gui Yongqing's troops into the 1st Corps, with Xue Yue as commander-in-chief. On the morning of May 25, they launched a determined counterattack on Doihara's 14th Division. Song Xilian personally led the front lines on May 24 to rally the defeated 88th Division. Starting on May 25, after three days of intense combat, Li Hanhun's 64th Army advanced to seize Luowang Station and Luowangzhai, while Song Xilian's 71st Army retook Lanfeng City, temporarily reopening the Longhai Line to traffic. At Sanyi Village, Gui Yongqing's 27th Army and Yu Jishi's 74th Army captured a series of outlying positions, including Yang'eyao, Chailou, Cailou, Hezhai, Xuelou, and Baowangsi. Despite these gains, more than 6,000 Japanese troops offered stubborn resistance. During the fighting, Ji Hongru, commander of the 302nd Regiment, was seriously wounded but continued to fight, shouting, “Don't worry about my death! Brothers, fight on!” He ultimately died a heroic death from his wounds. By May 27, Chiang Kai-shek, concerned that the forces had not yet delivered a decisive victory at Lanfeng, personally reprimanded the participating generals and ordered them to completely encircle and annihilate the enemy west of Lanfeng by the following day. He warned that if the opportunity was missed and Japanese reinforcements arrived, the position could be endangered. The next day, Chiang Kai-shek issued another telegram, urging Cheng Qian's First War Zone and all participating units to press the offensive. The telegram allegedly had this in it “It will forever be a laughingstock in the history of warfare.” Meanwhile on the other side, to prevent the annihilation of Doihara's 14th Division, the elite Japanese 16th Division and the 3rd Mixed Brigade, totaling over 40,000 men, launched a westward assault from Dangshan, capturing Yucheng on May 26. They then began probing the outskirts of Guide. Huang Jie's Eighth Army, responsible for the defense, withdrew to the outskirts of Guide that evening. On May 28, Huang Jie again led his troops on his own initiative, retreating to Liuhe and Kaifeng, leaving only the 187th Division to defend Zhuji Station and Guide City. At dawn on May 29, Peng Linsheng, commander of the 187th Division, also withdrew his troops, leaving Guide a deserted city. The Japanese occupied Guide without a fight. The loss of Guide dramatically shifted the tide of the war. Threatened on the flanks by the Japanese 16th Division, the Nationalist forces were forced onto the defensive. On May 28, the Japanese 14th Division concentrated its forces to counterattack Gui Yongqing's troops, but they were defeated again, allowing the Japanese to stabilize their position. At the same time, the fall of Shangqiu compelled Xue Yue's corps to withdraw five divisions to block the enemy in Shangqiu, and the Nationalist Army shifted to a defensive posture with the 14th Division holding Sanyizhai and Quxingji. To the north of the battlefield, the Japanese 4th Mixed Brigade, numbering over 10,000 men, was preparing to force a crossing of the Yellow River in order to join with the nearby 14th Division. More seriously, the 10th Division, together with its 13th Mixed Brigade and totaling more than 40,000 men, had captured Woyang and Bozhou on the Henan-Anhui border and was rapidly encircling eastern Henan. By the time of the Battle of Lanfeng, Japanese forces had deployed more than 100,000 troops, effectively surrounding the Nationalist army. On May 31, the First War Zone decided to withdraw completely, and the Battle of Lanfeng ended in defeat for the Nationalists, forcing Chiang Kai-shek to authorize diverting the Yellow River embankment to relieve pressure. The consequence was a deteriorating strategic situation, as encirclement tightened and reinforcement options dwindled, driving a retreat from the Lanfeng front. The National Army suffered more than 67,000 casualties, killed and wounded more than 10,000 Japanese soldiers, Lanfeng was lost, and Zhengzhou was in danger. As in Nanjing, this Chinese army might have lived to fight another day, but the effect on Xuzhou itself was horrific. The city had endured Japanese bombardment since August 1937, and the population's mood swung between cautious hope and utter despair. In March, Du Zhongyuan visited Xuzhou. Before he left Wuhan, friends told him that “the city was desolate and the people were terrified, all the inhabitants of Xuzhou were quietly getting on with their business … sometimes it was even calmer than Wuhan.” The Australian journalist Rhodes Farmer recalled a similar image in a book published at war's end, noting the “ordinary townsfolk who became wardens, fire-fighters and first-aid workers during the raid and then went back to their civil jobs.” Yet the mid-May departure of Nationalist troops left the city and its outskirts at the mercy of an angry Imperial Army. Bombing continued through the final days of battle, and a single raid on May 14, 1938 killed 700 people. Around Xuzhou, buildings and bridges were destroyed—some by retreating Chinese forces, some by advancing Japanese troops. Taierzhuang, the scene of the earlier iconic defense, was utterly destroyed. Canadian Jesuits who remained in Xuzhou after its fall recorded that more than a third of the houses were razed, and most of the local population had fled in terror. In rural areas around the city, massacres were repeatedly reported, many witnessed by missionaries. Beyond the atrocities of the Japanese, locals faced banditry in the absence of law enforcement, and vital agricultural work such as planting seed ground to a halt. The loss of Xuzhou was both strategic and symbolic. It dealt a severe blow to Chiang's attempt to hold central China and to control regional troop movements. Morale, which Taierzhuang had briefly boosted, was battered again though not extinguished. The fall signaled that the war would be long, and that swift victory against Japan was no longer likely. Mao Zedong's Yan'an base, far to the northwest, grasped the meaning of defeat there. In May 1938 he delivered one of his most celebrated lectures, “On Protracted War,” chiding those who had over-optimistically claimed the Xuzhou campaign could be a quasi-decisive victory and arguing that, after Taierzhuang, some had become “giddy.” Mao insisted that China would ultimately prevail, yet he warned that it could not be won quickly, and that the War of Resistance would be protracted. In the meantime, the development of guerrilla warfare remained an essential piece of the long-term strategy that the Communist armies would pursue in north China. Yet the loss of Xuzhou did not necessarily portend a long war; it could, instead, presage a war that would be terrifyingly short. By spring 1938 the Chinese defenders were desperate. There was a real danger that the entire war effort could collapse, and the Nationalist governments' notable success as protectors of a shrinking “Free China” lay in avoiding total disaster. Government propaganda had successfully portrayed a plan beyond retreat to foreign observers, yet had Tokyo captured Wuhan in the spring, the Chinese Army would have had to withdraw at speed, reinforcing perceptions of disintegration. Western governments were unlikely to intervene unless convinced it was in their interests. Within the Nationalist leadership, competing instincts persisted. The government pursued welfare measures for the people in the midst of a massive refugee relief effort, the state and local organizations, aided by the International Red Cross, housed large numbers of refugees in 1937–1938. Yet there was a harsher strain within policy circles, with some officials willing to sacrifice individual lives for strategic or political ends as the Japanese threat intensified. Throughout central China, the Yellow River, China's “Sorrow”, loomed as the dominant geographic force shaping history. The loess-laden river, notorious for floods and shifting channels, was banked by massive dikes near Zhengzhou, exactly along the line the Japanese would traverse toward Wuhan. Using the river as a military instrument was discussed as a drastic option: Chiang and Cheng Qian's First War Zone contemplated diverting or breaching the dikes to halt or slow the Japanese advance, a measure that could buy time but would unleash enormous civilian suffering. The idea dated back to 1887 floods that cost hundreds of thousands of lives, and even in 1935 Alexander von Falkenhausen had warned that the Yellow River could become the final line of defense. In 1938 Chiang, recognizing the futility of defeating the Japanese by conventional means at Zhengzhou, considered unleashing the river's force if necessary to impede the invaders. The political and strategic calculus was stark: protect central China and Wuhan, even if it required drastic and morally fraught measures. A more humane leader might have hesitated to break the dikes and spare the dams, allowing the Japanese to take Wuhan. But Chiang Kai-shek believed that if the dikes were not breached and Wuhan fell within days, the Nationalist government might be unable to relocate to Chongqing in time and would likely surrender, leaving Japan in control of almost all of China. Some have compared the choice to France's surrender in June 1940, underscoring that Chiang's decision came during the country's most terrifying assault, with Chinese forces much weaker and less trained than their European counterparts. The dilemma over whether to break the Yellow River dikes grew out of desperation. Chiang ultimately ordered General Wei Rulin to blow the dike that held the Yellow River in central Henan. There was no doubt about the consequences: floods would inundate vast areas of central China, creating a waterlogged barrier that would halt the Japanese advance. Yet for the plan to succeed, it had to be carried out quickly, and the government could offer no public warning in case the Japanese detected it and accelerated their movement. Xiong Xianyu, chief of staff in the 8th Division at the time, recorded the urgency of those hours in his diary. The Japanese were already on the north bank of the Yellow River, briefly delayed when the Chinese army blew up the railway bridge across the river. The destruction of the dikes was the next step: if the area became a sea of mud, there would be no way the Japanese could even attempt to reconstruct the bridge. Blasting the dikes proved easier in theory than in practice. Holding back such a massive body of water required substantial engineering, dams thick and well fortified. The army made its first attempts to blow the dike at the small town of Zhaokou between June 4 and 6, 1938, but the structure proved too durable; another nearby attempt failed as well. Hour by hour, the Japanese moved closer. Division commander Jiang Zaizhen asked Xiong Xianyu for his opinion on where they might breach the dams. Xiong wrote “I discussed the topography, and said that two places, Madukou and Huayuankou, were both possible.” But Madukou was too close to Zhaokou, where the breach had already failed, presenting a danger that the Japanese might reach it very soon. The village of Huayuankou, however, lay farther away and on a bend in the river: “To give ourselves enough time, Huayuankou would be best.” At first, the soldiers treated the task as a military engineering assignment, an “exciting” one in Xiong's words. Xiong and Wei Rulin conducted their first site inspection after dark, late on June 6. The surroundings offered a deceptive calm: Xiong recounted “The wind blew softly, and the river water trickled pleasantly.” Yet gauging the water level proved difficult, hampered by murky moonlight and burned-out flashlights. They spent the night in their car to determine precisely where to break the dike as soon as day broke. But daylight seemed to bring home the consequences of what they planned to do, and the soldiers grew increasingly anxious. Wang Songmei, commander of the 2nd Regiment, addressed the workers about to breach the dike: “My brothers, this plan will be of benefit to our country and our nation, and will lessen the harm that is being done to the people.In the future, you'll find good wives and have plenty of children.” Wang's words were meant to reassure the men of the political necessity of their actions and that fate would not, in the traditional Chinese sense, deny them a family because of the enormity of their deeds. General Wei confirmed that Huayuankou was the right spot, and on June 8 the work began, with about 2,000 men taking part. The Nationalist government was eager to ensure rapid progress. Xiong recorded that the “highest authorities”,, kept making telephone calls from Wuhan to check on progress. In addition, the party sent performers to sing and play music to bolster the workers' spirits. Senior General Shang Zhen announced to the laborers that if they breached the dam by midnight on June 8, each would receive 2,000 yuan; if they achieved it by six the next morning, they would still be paid 1,000 yuan. They needed encouragement, for the diggers had no artificial assistance. After the initial failures at Zhaokou, Wei's troops relied entirely on manual labor, with no explosives used. Yet the workers earned their payments, and the dike was breached in just a few hours. On the morning of June 9, Xiong recorded a rapid shift in mood: the atmosphere became tense and solemn. Initially, the river flow was modest, but by about 1:00 p.m. the water surged “fiercely,” flowing “like 10,000 horses.” Looking toward the distance, Xiong felt as though a sea had appeared before him. “My heart ached,” he wrote. The force of the water widened the breach, and a deadly stream hundreds of feet wide comprising about three-quarters of the river's volume—rushed southeast across the central Chinese plains. “We did this to stop the enemy,” Xiong reflected, “so we didn't regret the huge sacrifice, as it was for a greater victory.” Yet he and the other soldiers also saw a grim reality: the troops who had taken on the task of destroying the railway bridge and the dikes could not bear the flood's consequences alone. It would be up to the government and the people of the nation to provide relief for the countless households uprooted by the flood. In fact, the previous evening Commander Jiang had telephoned to request assistance for those flooded out of their homes. Wei, Xiong, and their troops managed to escape by wooden boats. Hundreds of thousands of farmers trapped in the floods were far less fortunate. Time magazine's correspondent Theodore White reported on the devastation a few days later “Last week “The Ungovernable” [i.e. the Yellow River] lashed out with a flood which promised to change not only its own course but also the course of the whole Sino-Japanese War. Severe breaks in the dikes near Kaifeng sent a five-foot wall of water fanning out over a 500-squaremile area, spreading death. Toll from Yellow River floods is not so much from quick drowning as from gradual disease and starvation. The river's filth settles ankle-deep on the fields, mothering germs, smothering crops. Last week, about 500,000 peasants were driven from 2,000 communities to await rescue or death on whatever dry ground they could find”. Chiang's government had committed one of the grossest acts of violence against its own people, and he knew that the publicity could be a damaging blow to its reputation. He decided to divert blame by announcing that the dike had been broken, but blaming the breach on Japanese aerial bombing. The Japanese, in turn, fiercely denied having bombed the dikes. White's reporting reflected the immediate response of most foreigners; having heard about the atrocities at Nanjing and Xuzhou, he was disinclined to give the Japanese the benefit of the doubt. Furthermore, at the very time that the Yellow River was flooding central China, the Japanese were heavily bombing Guangzhou, causing thousands of casualties. To White, the Japanese counterargument—that the Chinese themselves were responsible, seemed unthinkable: “These accusations, foreign observers thought, were absurd. For the Chinese to check the Japanese advance at possible sacrifice of half a million lives would be a monstrous pyrrhic victory. Besides, dike-cutting is the blackest of Chinese crimes, and the Chinese Army would hardly risk universal censure for slight tactical gains.” But, of course, that is exactly what they had done. During the war the Nationalists never admitted that they, not the Japanese, had breached the dikes. But the truth quickly became widely known. Just a month later, on July 19, US Ambassador Johnson noted, in private communication, that the “Chinese blocked the advance on Chengchow [Zhengzhou] by breaching the Yellow River dikes.” Eventually some 54,000 square kilometers of central China were inundated by the floods. If the Japanese had committed such an act, it would have been remembered as the prime atrocity of the war, dwarfing even the Nanjing Massacre or the Chongqing air raids in terms of the number of people who suffered. Accurate statistics were impossible to obtain in the midst of wartime chaos and disaster, but in 1948 figures issued by the Nationalists themselves suggested enormous casualties: for the three affected provinces of Henan, Anhui, and Jiangsu, the number of dead was put at 844,489, with some 4.8 million becoming refugees. More recent studies place the numbers lower, but still estimate the dead at around 500,000, and 3–5 million refugees. In contrast, the devastating May 1939 air raids on Chongqing killed some thousands. Xiong reflected in his diary that the breaching of the Yellow River dikes was a sacrifice for a greater victory. Even to some Japanese it seemed that the tactic had been successful in the short term: the first secretary at the US Embassy in Wuhan reported that the flood had “completely checked the Japanese advance on Chengchow” and had prevented them taking Wuhan by rail. Instead, he predicted, the attack was likely to come by water and along the north shore of the Yangtze. Supporters of the dike breaches could argue that these acts saved central China and Chiang's headquarters in Wuhan for another five months. The Japanese were indeed prevented from advancing along the Long–Hai railway toward Wuhan. In the short term the floods did what the Nationalists wanted. But the flooding was a tactic, a breathing space, and did not solve the fundamental problem: China's armies needed strong leadership and rapid reform. Some historians suggest that Chiang's decision was pointless anyway, since it merely delayed the inevitable. Theodore White was right: no strategic advantage could make the deaths of 500,000 of China's own people a worthwhile price to pay. However, Chiang Kai-shek's decision can be partly explained, though not excused, by the context. We can now look back at the actions of the Nationalists and argue that they should not have held on to Wuhan, or that their actions in breaching the dam were unjustifiable in the extreme. But for Chiang, in the hot summer of 1938, it seemed his only hope was to deny Japan as much of China for as long as possible and create the best possible circumstances for a long war from China's interior, while keeping the world's attention on what Japan was doing. The short delay won by the flooding was itself part of the strategy. In the struggle raging within the soul of the Nationalist Party, the callous, calculating streak had won, for the time being. The breaking of the dikes marked a turning point as the Nationalists committed an act whose terrible consequences they would eventually have to expiate. I would like to take this time to remind you all that this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Please go subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry after that, give my personal channel a look over at The Pacific War Channel at Youtube, it would mean a lot to me. In late 1937, China's frontline trembled as Japanese forces closed in on Wuhan. Chiang Kai-shek faced a brutal choice: endure costly defenses or unleash a desperate gamble. Chiangs' radical plan emerged: breach the Yellow River dikes at Huayuankou to flood central China, buying time. The flood roared, washing villages and futures away, yet slowing the enemy. The battlefield paused, while a nation weighed courage against civilian suffering, victory against devastating costs.
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