Podcasts about Surgery

Dr. Jenny Wong, Founder of SoCal Skin and Surgery (and Elise's dermatologist!), joins the pod to answer listener questions about skincare and busts some of the recent trending cosmetic procedure myths. She digs into why your skin suddenly rejects products you've used for years, how to deal with blackheads (aka sebaceous filaments), the not-so-secret to anti-aging, the legitimacy of exosomes, and so much more! To leave a voicemail or text for a future episode, reach Doree & Elise at 781-591-0390. You can also email the podcast at forever35podcast@gmail.com.Visit forever35podcast.com for links to everything they mention on the show or visit shopmyshelf.us/forever35.Follow the podcast on Instagram (@Forever35Podcast) and sign up for the newsletter at the free tier on Patreon! Hosted on Acast. See acast.com/privacy for more information.

In this episode of Behind the Knife, the minimally invasive surgery (MIS) team dives deep into the evolving field of common bile duct exploration (CBDE). From the historical context of laparoscopic approaches to the latest advances including robotic-assisted techniques, Drs. Shaina Eckhouse, James Jung, Zachary Weitzner, and Joey Lew discuss key evidence shaping modern practice. Listeners will learn about indications and anatomy guiding trans-cystic versus trans-choledochal approaches, practical tips for safe stone clearance, and critical considerations around learning curves and team coordination for robotic procedures. The episode also highlights important studies comparing single-stage laparoscopic CBDE with staged ERCP and cholecystectomy, emphasizing outcomes such as stone clearance, pancreatitis rates, and hospital length of stay. This comprehensive overview is a must-listen for MIS and acute care surgeons interested in optimizing the management of choledocholithiasis and streamlining patient care with minimally invasive techniques. Hosts:  - Shaina Eckhouse, MD, Bariatric Surgery Medical Director and Vice Chair of Clinical Operations, Department of Surgery, Duke University - James Jung, MD, PhD, Assistant Professor of Surgery, Duke University - Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD - Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actually Learning Goals:  By the end of this episode, listeners will be able to: -  Describe the historical approaches to managing choledocholithiasis, including staged interventions and the evolution toward single-stage laparoscopic common bile duct exploration (CBDE). -  Summarize key clinical evidence comparing CBDE and ERCP, including landmark studies and meta-analyses evaluating outcomes, complications, and trends over time.​ - Distinguish between transcystic and transcholedochal approaches to CBDE, explaining indications, contraindications, and technical nuances for each technique.​ -  Identify appropriate candidates for transcystic exploration based on cystic duct anatomy and stone characteristics.​ - Recognize the impact of newer surgical technologies—such as digital choledochoscopy, Spyglass, and robotic platforms—on CBDE practice, efficiency, and safety.​ - Discuss the importance of multidisciplinary teamwork, preparation, and perioperative planning for successful CBDE, particularly in complex or altered anatomy cases.​​ - Appraise the learning curve and quality of evidence for new CBDE procedures, outlining the need for mentorship, ongoing training, and knowing when to collaborate with GI or hepatopancreaticobiliary (HPB) surgery.​ - Outline approaches and bailout strategies for challenging cases, including patients with surgically altered anatomy and use of adjuncts such as intraoperative cholangiography (IOC), feeding tube placement, and Fanelli stents.​​ - Evaluate safety outcomes and limitations associated with robotic-assisted CBDE and single-stage management, incorporating recent data from population-based studies.​ -  Reflect on strategies for tailoring CBDE techniques to individual patient anatomy, surgeon experience, and available resources, advocating for evidence-based practice and continuous learning. References: -  Giurgiu DI, Margulies DR, Carroll BJ, et al. Laparoscopic Common Bile Duct Exploration: Long-term Outcome. Arch Surg. 1999;134(8):839-844. doi:10.1001/archsurg.134.8.839 https://pubmed.ncbi.nlm.nih.gov/10443806/ -  Lyu Y, Cheng Y, Li T, Cheng B, Jin X. Laparoscopic common bile duct exploration plus cholecystectomy versus endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for cholecystocholedocholithiasis: a meta-analysis. Surg Endosc. 2019;33(10):3275-3286. doi:10.1007/s00464-018-06613-w https://pubmed.ncbi.nlm.nih.gov/30511313/ - Bekheit M, Smith R, Ramsay G, Soggiu F, Ghazanfar M, Ahmed I. Meta‐analysis of laparoscopic transcystic versus transcholedochal common bile duct exploration for choledocholithiasis. BJS Open. 2019;3(3):242-251. doi:10.1002/bjs5.50132 https://pubmed.ncbi.nlm.nih.gov/31183439/ - Cironi K, Martin MJ. Reclaim the duct! Laparoscopic common bile duct exploration for the acute care surgeon. Trauma Surg Acute Care Open. 2025;10(Suppl 1). doi:10.1136/tsaco-2025-001821 https://pubmed.ncbi.nlm.nih.gov/40255986/ - Zhang C, Cheung DC, Johnson E, et al. Robotic Common Bile Duct Exploration for Choledocholithiasis. JSLS J Soc Laparosc Robot Surg. 2025;29(1):e2024.00075. doi:10.4293/JSLS.2024.00075 https://pubmed.ncbi.nlm.nih.gov/40144383/ - Kalata S, Thumma JR, Norton EC, Dimick JB, Sheetz KH. Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. JAMA Surg. 2023;158(12):1303-1310. doi:10.1001/jamasurg.2023.4389 https://pubmed.ncbi.nlm.nih.gov/37728932/ Ad Disclosure: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content. Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

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Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  In Part 2 of this powerful two-part series, Dr. Melissa Seibert sits back down with renowned oral and maxillofacial surgeon Dr. Scott Bolding, whose orthopedic-driven approach to TMJ diagnostics and surgery is reshaping how dentistry understands joint disease. If you've ever wondered why TMJ patients get "punted" from provider to provider, why MRI-based diagnosis never became mainstream, or how degenerative joint pathology silently derails orthodontic and restorative outcomes, this episode will fundamentally change the way you think. Dr. Bolding unpacks the historical missteps that led to dentistry's decades-long avoidance of TMJ surgery—from disastrous 1980s implant materials to insurance fallout and a profession-wide retreat from joint management. He explains how this cultural shift created clinical blind spots that we still see today, and why the message of "TMJ will get better if you leave it alone" has harmed diagnostic rigor for an entire generation of dentists. Together, Dr. Seibert and Dr. Bolding explore: How ligament injury leads to disc displacement—and when that displacement becomes surgically relevant Why MRI and CBCT are indispensable tools for modern diagnosis (and what specific radiographic findings clinicians should never overlook) How unaddressed joint pathology contributes to tooth wear, occlusal collapse, postoperative symptoms, and even failed orthognathic cases The truth about total joint prostheses today—far removed from the failed biomaterials of the past—and why custom joints offer dramatic predictability for patients with severe degeneration The critical need for comprehensive dentists to reclaim TMJ literacy and function as quarterbacks—not bystanders—in interdisciplinary care Dr. Bolding also describes the orthopedic model for surgical decision-making, clarifying when joints can be repaired, when they cannot, and how airway considerations should influence mandibular advancement in joint reconstruction. The conversation closes with a call to action for dentists everywhere: joint-aware dentistry isn't optional—it's foundational to predictable outcomes in restorative, orthodontic, and airway-driven treatment planning. This is a masterclass in the contemporary philosophy of TMJ management—equal parts clinical insight, historical context, and future-forward thinking.

In this powerful episode of DEAD Talks, Tricia shares her real near-death experience after being clinically dead during surgery following a devastating car accident. She describes leaving her body, watching doctors operate on her, encountering angels and divine light, traveling through space, and feeling the pull of prayers from her loved ones.Tricia reveals what she believes happens after death, how her experience reshaped her understanding of God, fear, love, and consciousness — and why she believes life continues beyond the body.This episode explores:Near-death experiences • The afterlife • Life after death • Reincarnation • Spiritual awakening • Soul purpose • Consciousness • Grief & healingIf you're looking for Grief Support check out our new ⁠Grief Journey App⁠⁠www.studio.com/griefjourney⁠Support the Show Join the ⁠DEAD Talks Patreon⁠ for just $2 to support the mission—and get episodes early & ad-free!Sign Up For E-Mail Updates Here > ⁠Submit Your Email⁠Hats, Shirts, Hoodies + More: ⁠Shop Here⁠ ⁠“Dead Dad Club” & “Dead Mom Club”⁠ – Wear your story, honor your people.Exclusive Discounts⁠10% off Neurogum⁠ – powered by natural caffeine, L-theanine, and vitamins B6 & B12 to boost focus and energy.About DEAD Talks DEAD Talks with David Ferrugio approaches death differently. Each guest shares raw stories of grief, loss, or unique perspectives that challenge the “don't talk about death” taboo. Grief doesn't end—it evolves. After losing his father on September 11th at just 12 years old, David discovered the power of conversation. Through laughter, tears, and honest dialogue, DEAD Talks helps make it a little easier to talk about death, mourning, trauma, and the life that continues beyond it.Connect with DEAD Talks⁠YouTube⁠ | ⁠Facebook⁠ | ⁠Instagram⁠ | ⁠TikTok⁠ | ⁠www.deadtalks.net

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Jeffrey Flynn, President of the New York State Association of Ambulatory Surgery Centers. He shares insights on market growth, the rising role of AI and robotics, and how partnerships with health systems are shaping patient care and operational efficiency in the ASC space.

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Jeffrey Flynn, President of the New York State Association of Ambulatory Surgery Centers. He shares insights on market growth, the rising role of AI and robotics, and how partnerships with health systems are shaping patient care and operational efficiency in the ASC space.

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Jeffrey Flynn, President of the New York State Association of Ambulatory Surgery Centers. He shares insights on market growth, the rising role of AI and robotics, and how partnerships with health systems are shaping patient care and operational efficiency in the ASC space.

    What could you do with more will power?  Increase your chances of getting something done with Verbal Surgery -1132- "The Will to Skill" and feel good, NOW!  We all need this one.

In this transformative conversation, Darin sits down with world-renowned regenerative medicine pioneer Dr. Christopher Rogers, a physician with over 25 years of experience, 80,000+ patients treated, and a global reputation for advancing non-surgical orthopedic healing. In this episode, Dr. Rogers breaks down the real science behind PRP, stem cells, cartilage regeneration, tendon repair, and why so many people are told to get unnecessary surgeries. This is a deep dive into the future of healing — and the intelligence already built into your own body.     What You'll Learn 00:00:00 Welcome to SuperLife: exploring sovereignty, healing & possibility 00:00:33 Sponsor: Energy Bits and Whole-Food Algae Nutrition as Dense as a Plate of Vegetables 00:01:51 Introducing Dr. Christopher Rogers: 25 Years, 80,000+ Patients, Regenerative Medicine Leader 00:03:28 Darin's Personal Stem Cell Treatment Experience & Early Results 00:04:17 Dr. Rogers' Journey from Sports Medicine to Regenerative Orthopedics 00:05:58 The Moment that Changed Everything: Discovering PRP as an Alternative to Surgery 00:06:45 The Dinner that Changed His Career: Meeting Dr. Arnold Kaplan, Discoverer of Mesenchymal Stem Cells 00:07:13 PRP: What it Actually Is, Why Dose Matters, and How to Use It Effectively 00:10:36 The Wild West of Stem Cell Therapy: Misinformation & The Need for Science 00:13:24 The Core Mechanism: Stem Cells Work by Signaling the Body to Heal 00:16:07 Exosomes, Nanotubes, and the Secret Communication of Stem Cells 00:17:45 Bone Marrow vs. Adipose vs. Culture Expansion: The Critical Dose Problem 00:22:28 Autologous vs. Donor Cells: Why Using Your Own is Safer and More Effective 00:24:51 Sponsor: Fatty15 and the Science of C15 for Mitochondrial & Cellular Health 00:28:32 The Path to Safety: FDA-Approved Trials and the Right to Try Law 00:35:44 The Next Step: Getting Regenerative Therapy Approved as Standard of Care 00:37:08 The Ultimate Excitement: Healing Rotator Cuffs and Alleviating Global Suffering 00:41:07 The Orthopedic Surgeon Who Treated Himself with Stem Cells 00:42:02 Four Rules to Avoid Falling Victim to Stem Cell Hype and Unproven Clinics 00:47:36 Sponsor: SuperLife Patreon 00:49:08 The Frustration of Unregulated Clinics Undercutting Real Science 00:51:36 The Future: What Stem Cell Therapy Will Look Like in 5-10 Years 00:56:25 Systemic Use: The Potential for IV Infusions to Modulate the Immune System 01:01:26 Stem Cells and Cancer: Is There an Increased Risk? (The Data Says No) 01:03:10 Unexpected Healing: A Full ACL Tear Healed with Regenerative Therapy 01:06:10 Chronic Pain and Lifestyle: Why Knees and Backs are the Biggest Challenges 01:09:32 Finding Quality Care: The Network of Trusted Regenerative Physicians 01:12:46 Closing Reflections: The Joy of Bringing Patients Back to an Active Life     Thank You to Our Sponsors: EnergyBits: Get 20% off your entire order by going to https://energybits.com/ and using code DARIN at checkout. Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout.     Find More from Dr. Christopher Rogers Website: San Diego Orthobiologics Medical Group Instagram: @sandiegoorthobiologics     Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Podcast Website: superlife.com Book: Fatal Conveniences     Key Takeaway "Your body was designed to heal — not just manage pain. When we stop suppressing symptoms and start supporting biology, we unlock the intelligence that's been there since the day we were born."  

Hi friends happy friday!! Thank you so much for being here and I hope you enjoy this episode!! :) Write In Style: https://docs.google.com/forms/d/1Po-xXACQPyiFYy4UP9ctxg7UAOh1bFoUnG65hAz5GRM/preview  Voice Memo Style: https://docs.google.com/forms/d/17Fh8kd1Ym2GopGdEQOTI2LcSycTo3wwPJinMZO8RuUs/edit  

Philadelphia Eagles DT Jalen Carter underwent surgery on BOTH SHOULDERS Monday, he will miss Monday Night's game against the Los Angeles Chargers. Jalen Hurts reflects on the season and his career ALL THE WAY BACK TO high school! Sixers WIN in WILD fashion! Tyrese Maxey and VJ Edgecombe coming up CLUTCH! Gametime Ticket Offer: $20 off with code "FARZY" at gametime.co The Farzy Show presented by MyBookie Promo: No-strings-attached cash bonus up to $200 Promo Codes: FARZY ..  https://mybookie.website/joinwithFARZYManscaped Offer: 20% off AND Free Shipping with code "Farzy20" at Manscaped.comCopyright Disclaimer under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education and research. Fair use is a use permitted by copyright statute that might otherwise be infringing.

Ottawa family physician Dr. Nili Kaplan-Myrth faced a long wait for surgery after post-menopausal bleeding, and has seen her patients endure the same. Dr. Nick Leyland, president-elect of the Society of Obstetricians and Gynecologists of Canada, explains that gynecologists have limited operating room access, fewer perform surgery, and ovaries are valued less than testicles in the surgery hierarchy. Also: what's being done to improve care for women nationwide.

In this episode, Dr. Howland sits down with Tiffany Pritchett, the owner of Prichétt Bridal. Tiffany shares her incredible story of building a business, raising a family, and struggling with a faith transition. All while finding herself and standing in her own power. This one is amazing!

Editor's Summary by Preeti Malani, MD, MSJ, and Christopher C. Muth, MD, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from November 22 - December 5, 2025.

Join us for an “In The Know” special edition where our experts discuss the Oral Maxillofacial Program and how it's providing advanced care for children with facial and jaw conditions. Learn more about our program.

Sara wants to help her friend after surgery but worries she won't know how to handle her friend's temperamental daughter. Call 1-800-DR-LAURA / 1-800-375-2872 or make an appointment at DrLaura.comFollow me on social media:Facebook.com/DrLauraInstagram.com/DrLauraProgramYouTube.com/DrLauraJoin My Family!!Receive my Weekly Newsletter + 20% off my Marriage 101 course & 25% off Merch! Sign up now, it's FREE!Each week you'll get new articles, featured emails from listeners, special event invitations, early access to my Dr. Laura Designs Store benefiting Children of Fallen Patriots, and MORE! Sign up at DrLaura.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode, we break down one of the most underrated, yet most influential parts of ACL rehab: step count. While most athletes focus on rehab, graft types, or protocol milestones, the real day-to-day needle-mover early on is often the simplest: how much time you spend on your feet. I share the exact step-count framework I use with athletes, including how to set realistic baselines, manage swelling, avoid early setbacks, and apply the “dimmer switch” principle to rebuild tolerance week by week. From crutch progressions to real-life examples of how "short walks" and trips can derail an early-phase knee, this episode gives ACLers and clinicians a practical blueprint for keeping the knee quiet, happy, and ready for the bigger work ahead. If you're in the first 6–12 weeks after injury or surgery, this might be the most important episode you listen to.Ways we can connect:My IG: www.instagram.com/ravipatel.dptOur website: www.theaclathlete.comEmail: ravi@theaclathlete.com_________________Submit a topic or a question you'd like me to answer.Check out our website and tons of free ACL resourcesSign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

Dr. Angela Sturm joins Dorothy to share how her work as a facial plastic surgeon centers on empowering women and building self-confidence. With a blend of surgical skill and empathy, Dr. Sturm guides patients through life-changing procedures, always focusing on the person behind the procedure. Her leadership in medicine and advocacy for cancer survivors remind us all that self-care is a powerful statement of strength. Learn more about Dr. Sturm HERE. Subscribe to Beauty Unveiled on Apple, Spotify, and YouTube. Support The Rose HERE. Subscribe to Let’s Talk About Your Breasts on Apple Podcasts, Spotify, iHeart, and wherever you get your podcasts. Key Questions Answered 1. What is facial plastic surgery and what does it encompass?2. What type of conversations take place during consultations about cosmetic procedures?3. Why is it important for patients seeking facial plastic surgery to have support from family or friends?4. How does Dr. Angela Sturm prepare a patient’s supporters for the process of surgery and recovery?5. Has Dr. Angela Sturm ever turned down a patient, and why?6. Why is feeling better about yourself (self-confidence) important after cosmetic procedures?7. Is there still stigma attached to plastic surgery, and has it changed over time?8. What hair restoration options are available, especially for women who’ve experienced hair loss after chemotherapy? Timestamped Overview 00:00 Facial Plastics and Self-Identity 04:57 Collaborative Consultation for Best Outcomes 08:16 Discovering Passion for Surgery 11:07 Evolving Views on Plastic Surgery 16:40 Gender Disparities in Medicine 25:44 Friendships, Careers, and Collaboration 28:13 Empowering Personal DecisionsSee omnystudio.com/listener for privacy information.

Moderator:  Dr. Nicole Brouyette, DPM, FACFAS Panelists: Amber Shane, DPM, FACFAS  Ellianne Nasser, DPM, FACFAS Johanna Richey, DPM, FACFAS

In this episode, editor in chief Joseph E. Safdieh, MD, FAAN, highlights articles about medical school acceptance rates after the ending of affirmative action, minimally invasive surgery for hemorrhagic stroke, and the increased risk of brain tumors after traumatic brain injury.

Folks if you came here for a discussion on infant kangaroos, you'll have to wait for next week. It's Joey week! The Matt Leblanc led spin off of the beloved Joey Tribianni character from Friends. Heard of it?!Joey starts right from his flight from NYC to his new home of Los Angeles. The cast features his family, Drea de Matteo, Paulo Constanzo, his agent Jennifer Coolidge, and his neighbor Andrea Anders.HostsGeoff KerbisMax SingerRich Inman

Duane Kuiper joins the show to discuss his Thanksgiving, potential inductees into the Baseball Hall of Fame, Casey Schmitt's wrist surgery, & more!See omnystudio.com/listener for privacy information.

Founder / NBA Skills and Performance Trainer at Accelerate Basketball, Brandon Payne, joins Papa & Silver to react to Seth Curry's fit within the Warriors' offense and how De'Anthony Melton will reintegrate to the rotation off his ACL surgerySee omnystudio.com/listener for privacy information.

Duane Kuiper joins the show to discuss his Thanksgiving, potential inductees into the Baseball Hall of Fame, Casey Schmitt's wrist surgery, & more!See omnystudio.com/listener for privacy information.

In this episode, Gregory J. Tiesi, MD, FACS, FSSO, hosted a discussion about innovations in regional cancer therapies. Dr Tiesi is the medical director of Hepatobiliary Surgery at the Hackensack Meridian Jersey Shore University Medical Center in Toms River and Brick, New Jersey. He was joined by: Anthony Scholer, MD, FACS, FSSO, a surgical oncologist specializing in hepatobiliary surgery, at Hackensack Meridian Medical Group and Jersey Shore University Medical Center in Neptune, New Jersey Benjamin Jon Golas, MD, FACS, regional chief of Surgical Oncology for Hackensack Meridian Health's Central Region, surgical director of Oncology Services at Jersey Shore University Medical Center, vice chair of Surgery at Jersey Shore University Medical Center Cancer Surgery, and an associate professor of surgery at the Hackensack Meridian School of Medicine in Neptune and Edison, New Jersey Eric Pletcher, MD, a surgeon specializing in Complex General Surgical Oncology at Hackensack Meridian JFK University Medical Center in Edison Drs Tiesi, Scholer, Golas, and Pletcher chatted about the use of pressurized intraperitoneal aerosolized chemotherapy (PIPAC), a minimally invasive regional cancer therapy designed for patients with peritoneal metastases or primary peritoneal cancers. The experts explained that this laparoscopic approach overcomes several limitations of traditional systemic treatments by delivering aerosolized chemotherapy in fine droplets under high pressure into the peritoneal cavity. This process ensures uniform drug distribution and enhanced tissue penetration, allowing for efficacy with lower systemic drug concentrations, they noted.  PIPAC candidates typically present with unresectable or recurrent disease, or symptomatic malignant ascites, and should have an ECOG performance status between 0 and 2, they elaborated. The procedure, which is repeatable every 4 to 6 weeks, includes diagnostic laparoscopy, quantification of the peritoneal carcinomatosis index, and serial biopsies to assess treatment response. They emphasized that PIPAC has a favorable safety profile, with low 30-day mortality rates and minimal grade 3/4 adverse effects reported in clinical trials. Additionally, they stated that clinical data indicate high pathologic response rates and the potential for disease downstaging, enabling some patients who were initially deemed unresectable to become eligible for subsequent cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Of note, the experts reported that PIPAC is designed to be integrated seamlessly with concurrent systemic therapy.

Founder / NBA Skills and Performance Trainer at Accelerate Basketball, Brandon Payne, joins Papa & Silver to react to Seth Curry's fit within the Warriors' offense and how De'Anthony Melton will reintegrate to the rotation off his ACL surgerySee omnystudio.com/listener for privacy information.

(2:10) – Pat and Denny try to make sense of Younghoe Koo's botched FG attempt(6:45) – Giants at Patriots Takeaways: Drake Maye moves into MVP frontrunner, latest TreVeyon Henderson vs Rhamondre Stevenson splits, prioritizing Patriots receivers, Jaxson Dart impressions, Tyrone Tracey Jr. injures hip(24:30) – More News & Notes: Justin Herbert undergoes left hand surgery, Marvin Harrison Jr. vs Michael Wilson usage(33:30) – Other Items of Intrigue: Jordan Mason's role with Aaron Jones banged up, who wins the AFC North?(42:00) – Cowboys at Lions: Amon-Ra St. Brown unlikely to play, Detroit receiving pecking order behind Jameson Williams, latest on the 1-2 punch of CeeDee Lamb and George Pickens**Audio Courtesy of Sports USA Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Most people are stuck in a healthcare system designed to manage symptoms, not create real healing. Today, Dr. InJun Chong joins Josh Kosnick to expose why so many patients end up on painkillers, unnecessary surgeries, and endless treatment plans that never address the root cause.Dr. Chong is the founder of Reveal Wellness and a leading practitioner in regenerative medicine, specializing in human cellular tissue products, shockwave therapy, and non-invasive recovery methods. His approach challenges the traditional medical model by prioritizing the body's natural ability to heal.In this episode, Josh and Dr. Chong break down:• Why the medical system prioritizes pharmaceuticals over long-term healing• The truth about regenerative therapies and who they actually help• The misconceptions around chiropractic care• What people can do at home to reduce pain and improve mobility• The leadership crisis inside the healthcare industry• Why most people wait too long to address pain• How Dr. Chong is integrating high-performance leadership through the Bridge Builder MastermindIf you've been frustrated with the medical system, are looking for alternatives to surgery or NSAIDs, or want to understand how to take ownership of your long-term health, this conversation will give you the clarity and direction you need.Learn more about Dr. InJun Chong and Reveal Wellness:https://www.revealwellness.life/For coaching, events, and leadership development:https://www.joshkosnick.com/00:00 – Introduction and Personal Responsibility02:00 – Dr. Chong's Backstory and Path to Regenerative Medicine07:00 – Chiropractic vs. Medical Industry11:00 – Stem Cell Therapy: Misconceptions and Real Results15:00 – How the Body Heals: Cells, Pain, and Dysfunction19:00 – Insurance, Incentives, and Healthcare System Failures23:00 – Lifestyle, Habits, and Personal Accountability30:00 – Media Influence and Health Confusion32:00 – Regenerative Medicine, Shockwave, and Peptides40:00 – Personalized Treatment and Ozone UV46:00 – Mindfulness, Thought Work, and Emotional Health53:00 – Risks of Surgery, NSAIDs, and Inflammation58:00 – Gut-Brain Connection01:06:00 – Building a Sustainable Healthy LifestyleSpartan Valor Foundation is dedicated to empowering veterans, military families, and survivors of child trafficking. Through strategic partnerships, we provide critical resources, advocacy, and hope for those who have sacrificed so much. Join us in making a difference—because no hero should stand alone.

How economically viable is gynecologic surgery today, and what happens if the system keeps pushing the limits? In this episode of BackTable OBGYN, Dr. Marisa Dahlman from Virginia Mason in Seattle sits down with hosts Mark Hoffman and Dr. Amy Park to discuss the evolving landscape of this field and the pressures surrounding reimbursement. --- SYNPOSIS Dr. Dahlman begins by sharing her career path and fellowship experience before the conversation expands to explore the shift from MIGS (Minimally Invasive Gynecologic Surgery) to CBG (Complex Benign Gynecology), current reimbursement challenges, the difficulty of balancing obstetric and gynecological practice, and how these forces influence training and clinical life. They also discuss the stressors new graduates face while building viable practices, broader healthcare system challenges, resource allocation, and potential solutions to improve practice sustainability and patient care. --- TIMESTAMPS 00:00 - Introduction 03:06 - Fellowship Training and Career Pathways11:43 - Impact of Reimbursement on Fellowship Applications15:20 - Workforce Issues and Future of GYN Surgery28:02 - Advocacy and Leadership in Healthcare29:27 - Understanding Hospital Revenue and Efficiency31:54 - The Role of Physician Leadership in Healthcare35:35 - Navigating Healthcare System Mergers36:47 - The Future of Healthcare Amidst Financial Cuts41:40 - Addressing Healthcare Costs and Reimbursement45:11 - The Importance of Women's Health Services47:37 - Strategies for Improving Healthcare Systems53:48 - Concluding Thoughts --- RESOURCES Trends in gynecologic surgery reimbursement and physician payhttps://pubmed.ncbi.nlm.nih.gov/40305043/

Don't forget to Like & Subscribe to GET SIMPLIFIED!Trish Ryan is back at Simple Man HQ in Austin, TX! In this episode, the guys catch up with Trish and hear more stories from Nicky's childhood.Find us on Instagram:@thesimplemanpodcast @simplemanmartialarts@bjjdamien@nickyrod247@ethan.crelinsten@nickyryanbjj@trishthedish170_@allywolskiMerchwww.simplemanma.myshopify.comMarek Health:

New Zealand's operating theatres are severely under pressure, but a big blue articulated truck has been travelling up and down the country helping out with day surgery for 23 years.

PodChatLive 207: Nike being sued by an athlete for injuring her, and minimally invasive bunion surgery in military personnelContact us: getinvolved@podchatlive.comLinks from this episode:Nike Sued By Former NCAA Division I Runner, Claims Foot Fractures Caused by Carbon ShoesFunctional Recovery and Return to Duty Following Minimally Invasive Surgery for Hallux ValgusWeight-loss jab users are being left with debilitating new side-effect, one of the UK's leading orthopaedic surgeons warns

Bobby talks about a mom who is putting out a desperate plea for help with breast reduction surgery. Bobby also talks about a dusty garage painting that could now be worth $900K and how another woman was scammed after thinking they were talking to a celebrity online. A new study found there are five major stages of life, and your brain doesn't fully shift into "adult mode" until age 32. Amy makes a big mistake in her 'around the room' story and must face the jury. Eddie talked about a woman who was delighted to learn she had two sisters after doing a DNA test... but things got ugly when she learned they were heiresses to a $28m fortune. We all scoffed at Lunchbox, but it turns out he might be right about something for once. Bobby talked about going to Brett Eldredge’s Christmas show last night and how he had an emotional breakthrough thinking about the holiday once he is a dad. We all shared our ‘I know ball’ things that people would be surprised that we know a lot about.See omnystudio.com/listener for privacy information.

Does soot in the airway always mean an immediate intubation? Join our Burn Team as they debunk common myths surrounding inhalation injury and distinguish true airway threats from superficial flash burns. We break down critical management strategies, from the 'HAM' protocol to ventilator management, and explain why these patients require massive fluid resuscitation. Tune in to master these high-stakes clinical decisions and ensure you are ready for your next burn patient. Hosts: - Kathleen Romanowski – University of California Davis Hospital, Shriners Hospital Sacramento - Laura Johnson – Grady Memorial Hospital - Lauren Nosanov – Grady Memorial Hospital - Victoria Miles – Louisiana State University Health Science Center, University Medical Center New Orleans Learning Objectives: - Recognize the clinical features and diagnostic challenges of inhalation injury in burn patients, including differentiation from thermal airway injury and flash burns. - Apply evidence-based criteria to guide intubation and ventilatory management, including the avoidance of unnecessary intubation. - Implement key principles of supportive care and complication prevention, including fluid resuscitation, pharmacologic therapies, and long-term airway considerations. References: - Hope E Werenski, Anju Saraswat, James H Holmes, John K Bailey, Is Burn Center Admission Necessary After Home Oxygen Ignition Injury?, Journal of Burn Care & Research, 2025;, iraf189, https://doi.org/10.1093/jbcr/iraf189 - Kathleen S. Romanowski, Tina L. Palmieri, Soman Sen, David G. Greenhalgh, More Than One Third of Intubations in Patients Transferred to Burn Centers are Unnecessary: Proposed Guidelines for Appropriate Intubation of the Burn Patient, Journal of Burn Care & Research, Volume 37, Issue 5, September-October 2016, Pages e409–e414, https://doi.org/10.1097/BCR.0000000000000288 https://pubmed.ncbi.nlm.nih.gov/26284640/ - Walker PF, Buehner MF, Wood LA, Boyer NL, Driscoll IR, Lundy JB, Cancio LC, Chung KK. Diagnosis and management of inhalation injury: an updated review. Crit Care. 2015 Oct 28;19:351. doi: 10.1186/s13054-015-1077-4. PMID: 26507130; PMCID: PMC4624587. https://pubmed.ncbi.nlm.nih.gov/26507130/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Rich weighs in on the Denver Broncos' overtime win over the Washington Commanders on Sunday Night Football, how Justin Herbert's surgery on his non-throwing hand could impact the Los Angeles Chargers' playoff hopes, and if we're likely to see the Kansas City Chiefs on the outside looking in when the postseason rolls around. Michigan alum Rich reacts to the end of the Wolverines' 4-game winning streak to Ohio State and offers up a Mea Culpa to Buckeyes head coach Ryan Day. Rich and the guys debate what's more insufferable: Mike Del Tufo trolling “insufferable” Michigan Fans or Del Tufo being insufferable. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Summary This episode of the Boss Business of Surgery Series (episode 208) continues the discussion on expanding emotional capacity, specifically focusing on how other people can help surgeons expand their emotional capacity. The host discusses how surgeons traditionally focus on improving skills and knowledge throughout their careers, but emotional capacity is equally important yet often overlooked. The host explains that emotional capacity refers to one's ability to handle the emotional ups and downs of being a surgeon, particularly the negative emotions that arise from complications or difficult cases. When emotional capacity diminishes, surgeons may compensate by overworking, checking charts repeatedly, or spending excessive time with patients, which reduces efficiency and effectiveness. The speaker outlines several ways that other people can help expand a surgeon's emotional capacity: Finding a community of supportive individuals who provide a grounded, safe presence where surgeons can explore their emotions without judgment. These could be mentors, colleagues, spouses, coaches, or therapists. Looking for role models who demonstrate effective emotional management in similar circumstances, and learning from their approaches. Finding safe spaces to be authentic and vulnerable, which allows surgeons to understand themselves better, including how their weaknesses are often the flip side of their strengths. Seeking people who will appropriately challenge and stretch them, recognizing that expanding capacity for positive emotions also expands capacity for negative ones. Learning when to take breaks and how to properly recover from emotional strain, while addressing underlying thoughts and feelings rather than just removing stressors. Connecting with others who help identify meaning in their work and celebrate wins together through practices like "positivity rounds." Developing self-compassion through mindfulness, recognizing common humanity, and speaking kindly to oneself. The host emphasizes that expanding emotional capacity allows surgeons to feel more deeply, recover faster from setbacks, and stay grounded during intense situations. The episode concludes with an invitation to join the Boss Surgery community, which provides a safe space for surgeons to develop these relationships and expand their emotional capacity. Chapters Introduction to Expanding Emotional Capacity ‎ 00:00:00 The host introduces episode 208 of the Boss Business of Surgery Series, continuing the discussion on expanding emotional capacity with a focus on how other people can help. The host invites listeners to find their community and mentions the opportunity to join bosssurgery.com for 2026 while starting immediately. Skills, Knowledge, and Emotional Capacity in Surgery ‎ 00:01:01 The host explains how surgeons traditionally focus on improving skills (techniques practiced repeatedly) and knowledge (gained through experience and reading). While these improve over time, emotional capacity can diminish, especially after complications that bring up negative feelings like worry, insecurity, guilt, and shame. When emotional capacity diminishes, surgeons often compensate by overworking, checking charts excessively, or spending more time with patients, which reduces efficiency and effectiveness. The Value of Expanded Emotional Capacity ‎ 00:03:36 The host discusses why emotional capacity is important for surgeons, allowing them to manage the big feelings that come with both saving lives and sometimes harming patients. Expanded emotional capacity enables surgeons to feel more deeply (both positive and negative emotions), recover faster from setbacks, and stay grounded during intense situations. The host references previous episodes on lion taming, explaining how staying calm and grounded allows surgeons to provide stable, unhurried, non-judgmental energy to others. Finding People Who Help Expand Emotional Capacity ‎ 00:06:34 The host describes how surgeons can find people who make them feel grounded and safe - mentors, colleagues, spouses, coaches, or therapists. These individuals allow surgeons to explore their emotions without judgment and help them work through difficult thoughts. The host also suggests looking for role models who handle stress and uncertainty with grace, and learning from their approaches. Even online communities can sometimes provide support, though they require sufficient emotional capacity to navigate. Learning from Role Models and Past Self ‎ 00:08:18 The host recommends identifying people who model desired behaviors and emotional management, then learning from their approaches. The host notes that surgeons can also look to their past selves as models, reflecting on what motivated them to become surgeons in the first place (referencing episode 2, "Why We Became Surgeons"). This helps surgeons reconnect with their authentic selves in safe environments where they don't feel defensive or competitive. Understanding Strengths and Weaknesses ‎ 00:10:53 The host explains how coaches help surgeons understand their motivations, strengths, and weaknesses. Importantly, weaknesses are often the flip side of strengths - understanding this connection helps surgeons learn about themselves during times of insecurity or threat. Finding people who help surgeons understand themselves more deeply makes them more individually capable. The Challenge of Stretching Emotional Capacity ‎ 00:12:08 The host discusses how high-achieving surgeons want to feel challenged and be at the leading edge of their capabilities. Using a bell curve analogy, the host explains that expanding capacity for positive emotions (thrilled, challenged, stretched) also expands capacity for negative emotions (shame, intimidation, worry). As surgeons push boundaries, they must develop strategies to recover from discomfort and remember why they chose this challenging path. Managing Breaks and Avoiding Burnout ‎ 00:16:23 The host addresses how to manage when feeling overwhelmed or "fried." Rather than simply quitting or taking a break without addressing underlying issues, surgeons should understand the thoughts and feelings behind their diminished emotional capacity. The host recommends finding moments of control and agency, even small ones, rather than withdrawing from stressors entirely. This might involve seeking perspective from others and creating literal space in one's emotional capacity. Balancing Achievement with Relationships ‎ 00:20:00 The host warns against the "addiction" of trying to be everything for everybody, which prevents surgeons from developing relationships that expand emotional capacity. These relationships form a safety net that catches surgeons when they fall. Without developing relationships with others and with oneself, surgeons chase highs without protection from the inevitable lows. Finding Meaning and Sharing Wins ‎ 00:22:06 The host discusses how others help identify meaning in surgeons' work through supportive conversations and sharing wins. The host recommends "positivity rounds" - actively listening to and recording positive things patients and colleagues say. Many surgeons miss these affirmations because they're caught up in their thoughts, missing opportunities to be reminded of their impact. Self-Compassion and Support Networks ‎ 00:24:03 The host references Krista Neff's concept of "Fierce Self-Compassion," which includes mindfulness (being present with suffering), common humanity (recognizing others feel similarly), and self-kindness. The host describes an advanced concept of using past and future versions of oneself as guides. The episode concludes with encouragement to connect with others, try positivity rounds, reach out for help, and consider joining the Boss Surgery community or seeking coaching. Action Items Host recommends finding a community that helps expand emotional capacity. ‎ 00:00:12 Host suggests visiting bosssurgery.com to join their supportive community. ‎ 00:00:27 Host recommends looking back at previous episodes on overworking as compensation, emotional capacity, prolonged stress cycle, and lion taming. ‎ 00:02:59 Host suggests identifying people who model desired emotional management and asking them about their approach. ‎ 00:08:18 Host recommends practicing "positivity rounds" by writing down positive things people say about you. ‎ 00:28:32 Host suggests reaching out for help when struggling by asking if others feel the same way. ‎ 00:28:49 Host encourages finding someone outside your relationships (like a coach or therapist) who can ask difficult questions without fear of risking the relationship. ‎ 00:29:02 Host invites listeners to reach out directly or visit bosssurgery.com for group or one-on-one coaching. ‎ 00:30:30

As aesthetic medicine continues to evolve, patients are confronted with an overwhelming number of options—each promising facial rejuvenation, contouring, or collagen stimulation. In The Ultimate Face Fix Guide, we methodically rank 12 of the most commonly requested treatments, from traditional Gua Sha and LED light therapy to evidence-based in-office procedures including Botox® for dynamic lines, dermal fillers for volume restoration, PDO thread lifts for structural support, and surgical facelifts for comprehensive anatomical repositioning. This breakdown examines how each modality works, its mechanism of action, expected longevity, ideal candidate profile, downtime, and the level of transformation it provides. If you've ever wondered which treatments deliver measurable results—and which are better suited as supplemental therapies—this guide offers a clear, medically grounded roadmap to informed decision-making and long-term facial harmony.

    Do you really need a push to get you going?  Do you resist that?  Then get with Verbal Surgery "Nudge" and make really progress, NOW!  

In this episode, Paul Andrews tackles a common challenge faced by many guitarists: how to keep developing as a musician when an injury or surgery keeps you away from the guitar. Inspired by a question from student Jim Fochs (recovering from left shoulder surgery), Paul Andrews shares practical ways to stay motivated, continue progressing, and set up for a strong comeback—even if you physically can't play.Key Topics Covered1. Mindset ShiftYour identity as a guitarist doesn't pause just because you're injured.Shift focus from physical playing to musical development.Maintain your regular practice times and fill them with musical activities that don't require the guitar.2. Skills to Train Without the GuitarEar Training: Use apps like EarMaster or music theory resources. Train intervals, chords, rhythms, and overall aural skills.Music Theory: Take advantage of recovery time to learn theory in bite-sized pieces—chord families, key signatures, scales, and how theory influences songs.Song Studies: Analyze songs you want to play when you're back. Break down their structure, chords, rhythm, and get familiar through intense listening.Visualization: Imagine playing. Visualize chord shapes, riffs, picking patterns, and finger placements—high-level athletes use this technique to rehearse mentally.Intentional Listening: Listen purposefully to music, live recordings, interviews, and documentaries. Focus on tone, timing, and technique.3. Practicing with Limited MobilityIf medically safe, work on right-hand only skills like muted strumming, rhythm drills, or picking.Practice rhythm by tapping, clapping, or counting along with music, even without holding the guitar.Try gentle mobility exercises for your recovering hand—only with professional clearance.4. Planning Your ComebackStart slow: aim for 50% of your previous practice load, focusing on basics like chords and slow strumming.Gradually reintroduce technical work, prioritizing quality over quantity.Trust that your progress will come back—and may even be accelerated by your musical development during recovery.News & UpdatesMember Q&A: This month's Q&A recording is now available in the Beginner Guitar Academy dashboard and the members-only podcast.Guitar Gear: New designs and a range of hats, mugs, and stickers added to the Guitarshirts.Shop.Gift Subscriptions: Now available for Beginner Guitar Academy—give the gift of guitar to a friend!One-to-One Lessons: Book private sessions withPaul Andrewsto get personal help or build a recovery/practice plan.Final ThoughtsIf you're currently injured or recovering from surgery, you're not alone, and your time away from the fretboard can STILL be productive. Focus on the musical side of learning, strengthen often-overlooked skills, and know that you'll return to the guitar with a stronger foundation.If you'd like help building a recovery plan, need motivation, or want to share your own experience, join the Beginner Guitar Academy community at beginnerguitaracademy.com.

Episode 166.2: Veterans Day, Narco Boat Bombing, Drones, Presidential Libraries, Fake Internet Stories, Jordan Stoltz Music, Hardin's Creek Bourbon, and Paul's Surgery

Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   Description: In this episode, Dr. Scott Bolding — leading oral and maxillofacial surgeon and airway reconstruction expert — dismantles the outdated belief that sleep apnea is primarily a soft-tissue problem. He explains why the bone dictates the obstruction, why skeletal repositioning is the true driver of airway patency, and how maxillary advancement, mandibular rotation, and hyoid biomechanics can radically transform patient physiology. You'll also hear how CBCT, DICE, and joint-first diagnostics reshape treatment planning for sleep apnea and complex cases. A must-listen for clinicians who want to move beyond superficial airway conversations and into evidence-based surgical frameworks.

Prepare to rethink surgery, healing, anesthesia, and recovery. This episode gives you a complete, high-performance playbook for surgical preparation and accelerated healing, built on biohacking, functional medicine, neuroprotection, and mitochondrial resilience. You will learn how to recover up to three times faster, protect your brain from anesthesia related inflammation, and enter any procedure with the stability and metabolic readiness of an elite performer. Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey talks with Dr. Cameron Chesnut, a facial plastic surgeon trusted by the world's high performers. Patients travel from every corner of the globe for his minimally invasive results that look natural, rejuvenated, and untouched. He is known for progressive regenerative medicine techniques, brain safe anesthesia protocols, advanced postoperative recovery strategies, and a personal commitment to performance readiness that mirrors the mindset of elite athletes. His methods bridge functional medicine, metabolism, supplements, sleep optimization, nootropics, and regenerative science to transform the entire surgical experience. Together, they reveal how to avoid the hidden pitfalls that create postoperative brain fog, inflammation, mitochondrial dysfunction, and slow recovery. You learn how to work with your anesthesiologist, avoid harmful drug combinations, and stack ketones, fasting, NAD, glutathione, stem cell rich fat grafts, IV therapy, and hyperbarics for rapid healing. Dr. Chesnut explains why fillers migrate, why general anesthesia often disrupts cognition, how exogenous ketones stabilize neurons, and how regenerative peptides, ketosis, circadian timing, and nutritional density shift the biology of recovery. You'll Learn: • How Host Dave Asprey prepares his brain and mitochondria before anesthesia • Why standard anesthesia protocols increase neuroinflammation and cognitive dysfunction • How to use ketamine and dexmedetomidine instead of benzos, opiates, and amnesia drugs • Why fillers migrate and how regenerative fat grafting outperforms traditional filler • How exogenous ketones enhance neuronal stability during anesthesia • Why hyperbarics, red light, PEMF, and IV therapy shorten recovery time • How peptides like BPC, GHK copper, and TB4 support tissue repair • Why metabolic health, carnivore leaning nutrition, and real protein accelerate healing• How nicotine influences angiogenesis and when it can help • The real difference between healing fast and healing well • How to structure your recovery environment for sleep optimization and better outcomes • Why elite performers treat surgery like an athletic event and prepare the same way • How to talk to your surgical team so your biology stays protected and optimized Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Regenerative surgery optimization, anesthesia brain protection, postoperative cognitive dysfunction, accelerated surgical healing, functional medicine surgery prep, ketamine conscious sedation, dexmedetomidine anesthesia protocol, mitochondrial recovery support, stem cell rich fat grafting, surgical hyperbaric therapy, exogenous ketone neuroprotection, fasting preparation, nootropic assisted recovery, peptide tissue repair, filler migration correction, angiogenesis enhancement, circadian prep, sleep optimized anesthesia, metabolic healing strategy, nicotine angiogenesis Thank you to our sponsors! -Essentia | Go to https://myessentia.com/dave and use code DAVE for $100 off The Dave Asprey Upgrade. -ECHO Water | Go to http://echowater.com/dave and use code DAVE10 for 10% off your ECHO Flask. -ARMRA | Go to https://tryarmra.com/ and use the code DAVE to get 15% off your first order. -Caldera + Lab | Go to https://calderalab.com/DAVE and use code DAVE at checkout for 20% off your first order. Resources: • Cameron's Clinic: https://www.clinic5c.com/• Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Upgrade Collective: https://www.ourupgradecollective.com • Upgrade Labs: https://upgradelabs.com • 40 Years of Zen: https://40yearsofzen.com Timestamps: 0:00 - Trailer 2:05 - Pre-Surgery Optimization 5:41 - Stem Cells and Fat Transfer 9:28 - Brain Safe Anesthesia 15:43 - Propofol Alternatives 21:06 - Non-Opioid Pain Control 27:22 - Recovery Protocols 29:11 - Xenon Gas Insights 31:02 - Racetams and Brain Protection 33:18 - IV Glutathione 43:24 - Ketones for Surgery 44:06 - Growth Hormone and Peptides 55:57 - Nicotine and Healing 58:37 - Surgical Lighting 1:05:23 - Filler Migration 1:15:18 - Final Takeaways See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

We would love to pray for you! Please send us your requests here. --------This Christmas, you can shine the light of Christ into places of darkness and pain with a purchase from the Joni and Friends Christmas catalog. You are sending hope and practical care to people with disabilities, all in the name of Jesus! Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org. Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

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It's my 48th birthday, and Lori and I are getting really honest about what actually matters as you get older. I share what I've shed this past year, how coming back from a stroke and a torn shoulder changed the way I look at my health, business, and time, and why your friendships and business community are either your greatest asset or your biggest liability. We talk about structuring your circle in thirds, why happiness comes from pursuit, and how to get yourself into rooms that match the size of your goals. Tune in and build your next chapter on purpose.   HIGHLIGHTS My reflections on turning 48. How a stroke changed my brain and behavior for the better. What getting older actually gives you (hint: it's better than youth). Two pieces of advice for anyone feeling lost in their late 30s or 40s. How I intentionally build and maintain deep friendships. What I am proudest of this year and what almost broke me. The "Rule of Thirds" for curating the right business community.   RESOURCES Black Friday Sale: 80% off Strategy Sessions + 50% off MCM – DM us the word DEAL on Instagram Try the new Glōci Glow & Debloat flavors HERE Apply for our Elite Entrepreneur Mastermind HERE Get on the waitlist for MCM Mastermind HERE Make More Sales in the next 90 days - GET THE BLUEPRINT HERE! Check out upcoming events + Masterminds: chrisharder.me Text DAILY to 310-421-0416 to get daily Money Mantras to boost your day.   FOLLOW Chris: @chriswharder Lori: @loriharder Frello: @frello_app

It's Chris's birthday, and this episode gets deep and surprisingly emotional. We talk about the lessons that only your 30s and 40s can teach you, what you shed, what you tolerate less, and what finally becomes clear. Chris shares what last year taught him (including what his stroke changed for the better), why expectations are the #1 thing that keep us unhappy, and how wisdom, community, and clarity shift with age. We dive into what people in their late 30s or 40s need to know if they feel “behind,” how to curate a healthy community, why friendships are a part-time job, and why happiness is always found in pursuit.  Check out our Sponsors: SKIMS - I finally tried SKIMS and I get all the hype. Shop SKIMS Fits Everybody collection at SKIMS.com and let them know we sent you in the dropdown after checkout. Brevo - the all-in-one marketing and CRM platform designed to help you connect with customers and grow your business. Get started for free today - go to www.brevo.com/happy Blinds.com - Blinds.com makes it easy to get the designer look without the showroom markups. Get an exclusive $50 off when you spend $500 or more with code EARN at checkout. Shopify - Try the ecommerce platform I trust for Glōci, Sign up for your $1/month trial period at Shopify.com/happy Northwest Registered Agent - protect your privacy, build your brand and get your complete business identity in just 10 clicks and 10 minutes! Visit https://www.northwestregisteredagent.com/earnfree Headway - the #1 daily growth app that delivers key insights from the world's best non fiction books in bite sized 15 minute reads and audio. Save 25% off when you go to  makeheadway.com/happy. HIGHLIGHTS Chris's reflections on turning 48. How a stroke changed Chris's brain and his behavior for the better. What getting older actually gives you (hint: it's better than youth). Two pieces of advice for anyone feeling lost in their late 30s or 40s. How Chris intentionally builds and maintains deep friendships. What Chris is proudest of this year and what almost broke him. The “Rule of Thirds” for curating the right business community. RESOURCES Black Friday Sale: 80% off Strategy Sessions + 50% off MCM – DM us the word DEAL on Instagram Try the new Glōci Glow & Debloat flavors HERE Apply for our Elite Entrepreneur Mastermind HERE Get on the waitlist for MCM Mastermind HERE Join the Audacity Challenge HERE! Check out our FREE 90-Day Business Blueprint HERE! Listen to my free SECRET PODCASTS SERIES - Operation: Rekindle This B*tch Get glōci HERE Use code: HAPPY at checkout for 25% off! FOLLOW Follow me: @loriharder Follow glōci: @getgloci Follow Chris: @chriswharder

My guest is Dr. Thaïs Aliabadi, MD, board-certified OB/GYN, surgeon and leading expert in women's health. We discuss polycystic ovary syndrome (PCOS) and endometriosis, two very common yet frequently undiagnosed causes of female infertility. Dr. Aliabadi explains the symptoms, underlying causes and evidence-based treatments for both conditions, including supplement and lifestyle interventions. We also discuss breast cancer risk and screening, pregnancy, perimenopause and menopause, and the hormone tests that women should request. This conversation offers empowering, potentially life-changing information for women of all ages to take control of their hormone, reproductive and overall health. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AGZ by AG1: https://drinkagz.com/huberman Lingo: https://hellolingo.com/huberman Our Place: https://fromourplace.com/huberman Joovv: https://joovv.com/huberman LMNT: https://drinklmnt.com/huberman Function: https://functionhealth.com/huberman Timestamps 00:00 Thaïs Aliabadi 02:56 Why Endometriosis & Polycystic Ovary Syndrome (PCOS) Go Undiagnosed 08:16 Infertility, Tool: Early Screening 10:54 Sponsors: Lingo & Our Place 14:07 Women's Health Education Gap 15:24 PCOS Overview: Symptoms, Diagnosis, AMH, Disordered Eating 21:28 Irregular Periods, Teenage PCOS Diagnosis 24:36 Diagnosis, Pelvic Ultrasound; PCOS Naming 27:49 Thinning Hair & Acne; 4 PCOS Phenotypes; Mood & Treatment 35:54 Underlying Pillars of PCOS; HPA Axis, Androgens, Menstruation & Ovulation 40:30 Insulin Resistance & PCOS, Visceral Fat & Inflammation 46:30 Sponsors: AGZ by AG1 & Joovv 49:10 PCOS, Chronic Inflammation, Genetics & Lifestyle; Mood 52:31 PCOS, Fertility, Freezing Eggs, Tool: Egg Count & AMH Range By Age 58:34 Women's Health Education, AI, Clinicians; Cataracts Analogy 1:01:20 Stress; PCOS Treatment, Birth Control, Insulin Resistance & Metformin 1:06:44 PCOS Risk Calculator, Supplements, Lifestyle Factors; GLP-1s 1:12:32 Berberine, Metformin; GLP-1s, Food Anxiety & Alcohol 1:19:13 PCOS Prescriptions & Fertility; PCOS Co-Occurrence with Endometriosis 1:21:56 Sponsor: LMNT 1:23:16 PCOS Treatment, Freezing Eggs, Egg Quality; Advocate For Your Health 1:32:02 PCOS Key Takeaways: Symptoms, Tests, Supplements & Lifestyle 1:36:03 Undiagnosed Endometriosis, Fertility 1:39:26 Endometriosis: Symptoms, Diagnosis, Painful Periods, Infertility 1:42:30 Male vs Female Health Issues, Undiagnosed Endometriosis 1:47:01 Inflammation, Ectopic Implants, Chronic Pelvic Pain; Adenomyosis 1:50:36 Egg Quality, Endometriosis, Tools: Egg Counts; Pelvic Ultrasound 1:54:29 Sponsor: Function 1:56:13 Pain & Health Testing, Tool: Endometriosis Symptoms, Screening & Tests 2:01:32 Treatment, Surgery, Different Types of Endometriosis 2:05:22 Endometriosis Causes, Inflammation; Incidence, PCOS 2:11:58 Obstetrics & Gynecology Separation, Surgery 2:16:00 Endometriosis Key Takeaways: Symptoms, Treatment & Diagnosis 2:17:04 Treatment, Estrogen & Progesterone, Birth Control, GnRH Antagonists 2:22:39 Endometriosis Stage & Pain, Endometriosis Types 2:23:49 Pregnancy; Postpartum Depression, Menopause; Frustration for Patients 2:29:55 Fibroids, Surgery, Uterine Septum, Tool: Pelvic Ultrasound 2:34:05 Tool: Assessing Your & Partner's Fertility; Autoimmune Conditions 2:37:51 Breast Cancer, Tool: Lifetime Risk Calculator & Breast Imaging; Mastectomy 2:49:47 Endometriosis Tests, Autoimmune Disease; Brain Fog & Menopause; Inositol 2:53:06 Undiagnosed Infertility; PMDD Treatment; Fasting & Low-Carbohydrate Diets 2:57:21 Hair Loss & Perimenopause; Egg Quality; Endometriosis & Menopause 3:00:40 Increase Progesterone; Diet, Hormone & Menopause; Prolong Fertility 3:04:54 Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

Last Decades, Persistent Pain, and Final Rest — Ronald White — In his later years, the severity of Chamberlain's Civil War wound, which he largely concealed, became public through a newspaper account of his surgery. He attempted business ventures without success, realizing his true calling lay in service to others. Remaining active into his 80s, he traveled extensively, impressively reading the Quran in Arabic and the Bible in Greek. Chamberlain died in 1914, essentially becoming the last casualty of the Civil War due to his Petersburgwound. Share

The treatment for locally advanced rectal cancer has undergone numerous changes and is now used routinely in clinical practice. Please join us in a thorough discussion of current evidence and ongoing research of total neoadjuvant therapy in locally advanced rectal cancer with leaders in the field including Drs J. Joshua Smith, Julio Garcia-Aguilar, Emmanouil Fokas, and Benjamin Schlechter Hosts:  ·      Dr. Janet Alvarez - General Surgery Resident at New York Medical College/Metropolitan Hospital Center ·      Dr. Wini Zambare – General Surgery Resident at Weill Cornell Medical Center/New York Presbyterian ·      Dr. Phil Bauer, Graduating Colorectal Surgical Oncology Fellow at Memorial Sloan Kettering Cancer Center  ·      Dr. J. Joshua Smith MD, PhD, Chair, Department of Colon and Rectal Surgery at MD Anderson Cancer Center Guests: 1.     Julio Garcia-Aguilar, MD, PhD Benno C. Schmidt Chair in Surgical Oncology Chief, Colorectal Service, Department of Surgery Director, Colorectal Cancer Research Center, Memorial Sloan Kettering Cancer Center Professor of Surgery, Weill Cornell Medical College 2.     Benjamin Schlechter, MD Senior Physician in the Gastrointestinal Cancer Center at the Dana-Farber Cancer Institute Assistant Professor of Medicine, Medicine, Harvard Medical School 3.     Emmanouil Fokas, MD, DPhil Professor and Chairman | Department of Radiation Oncology, Cyberknife and Radiotherapy | Faculty of Medicine, University Hospital Cologne Learning objectives:  ·      Define locally advanced rectal cancer (LARC) and describe the clinical staging that qualifies patients for total neoadjuvant therapy (TNT). ·      Explain the rationale for transitioning from traditional chemoradiotherapy (CRT) plus surgery to total neoadjuvant therapy in rectal cancer management. ·      Compare the designs, treatment regimens, and long-term outcomes of major TNT trials including RAPIDO, PRODIGE-23, OPRA, and CAO/ARO/AIO-12/16. ·      Evaluate organ preservation strategies—such as the watch-and-wait approach—after TNT and identify which patients are appropriate candidates based on clinical or near-complete response. ·       Summarize emerging research directions including: ·      Integration of circulating tumor DNA (ctDNA) in surveillance and response prediction. ·      The role of immunotherapy in mismatch repair proficient (MSS) and deficient (dMMR) tumors. References:  1.     Garcia-Aguilar, J. et al. Organ Preservation in Patients With Rectal Adenocarcinoma Treated With Total Neoadjuvant Therapy. JCO 40, 2546–2556 (2022). https://pubmed.ncbi.nlm.nih.gov/35483010/ 2.     Verheij, F. S. et al.Long-Term Results of Organ Preservation in Patients With Rectal Adenocarcinoma Treated With Total Neoadjuvant Therapy: The Randomized Phase II OPRA Trial. JCO 42, 500–506 (2024). https://pubmed.ncbi.nlm.nih.gov/37883738/ 3.     Fokas, E. et al. Randomized Phase II Trial of Chemoradiotherapy Plus Induction or Consolidation Chemotherapy as Total Neoadjuvant Therapy for Locally Advanced Rectal Cancer: CAO/ARO/AIO-12. JCO 37, 3212–3222 (2019). https://pubmed.ncbi.nlm.nih.gov/31150315/ 4.     Fokas, E. et al. Chemoradiotherapy Plus Induction or Consolidation Chemotherapy as Total Neoadjuvant Therapy for Patients With Locally Advanced Rectal Cancer: Long-term Results of the CAO/ARO/AIO-12 Randomized Clinical Trial. JAMA Oncol 8, e215445–e215445 (2022). https://pubmed.ncbi.nlm.nih.gov/34792531/ 5.     Williams H*, Fokas E*, et al. Survival among patients treated with total mesorectal excision or selective watch-and-wait after total neoadjuvant therapy: a pooled analysis of the CAO/ARO/AIO-12 and OPRA randomized phase II trials. Ann Oncol 2025 May;36(5):543-547. https://pubmed.ncbi.nlm.nih.gov/39848335/ 6.     Gani, C. et al. Organ preservation after total neoadjuvant therapy for locally advanced rectal cancer (CAO/ARO/AIO-16): an open-label, multicentre, single-arm, phase 2 trial. The Lancet Gastroenterology & Hepatology 10, 562–572 (2025). https://pubmed.ncbi.nlm.nih.gov/40347958/  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US