Podcasts about surgical

CardioNerds (Dr. Jenna Skowronski [Heart Failure Council Chair], Dr. Shazli Khan, and Dr. Josh Longinow) are joined by renowned leaders in the field of AHFTC (Advanced Heart Failure and Transplant Cardiology) and mechanical circulatory support, Dr. Jeff Teuteberg and Dr. Mani Daneshmand to continue the discussion of advanced heart failure therapies by taking a deep dive into the world of durable LVADs (Left Ventricular Assist Devices). In this episode, we will review the history of ventricular assist devices, the basics of LVAD function, selection criteria for LVAD therapy, and surgical nuances of LVAD implantation. Audio Editing by CardioNerds intern, Joshua Khorsandi. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls There have been significant advances in the field of MCS/LVAD therapy since the first implanted LVAD in the 1960s, to the first FDA approved device in the early 2000's, to now the HM3 LVAD, with the most important change being a centrifugal flow/magnetically levitated design that led to minimized hemocompatibility-related adverse events (HRAE's) (MOMENTUM 3 trial comparing HM2 and HM3).  The REMATCH trial in 2001 was a pivotal trial for LVAD therapy, demonstrating that in a population of patients with advanced HF (70% IV inotrope dependent), LVAD therapy significantly improved survival at both 1 and 2 years as compared to medical therapy alone.    MOMENTUM 3 trial was a landmark trial for the HM3 device, showing that in a population of end stage HF patients (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2.  There are both patient-specific factors and surgical considerations when it comes to candidacy for LVAD therapy.  RV function prior to LVAD is a key determinant for success post-LVAD  Many patients being considered for LVAD may not have robust RV function, however, predicting RV failure after LVAD is exceedingly difficult.   In general, it doesn’t matter how bad the RV may look on imaging; we care more about the pre-LVAD hemodynamics (look at the PAPi and RA/wedge ratio).   What happens in the OR may be the most important determinant of how the RV will do with the LVAD!  Notes Notes drafted by Dr. Josh Longinow.  1. Historical background of heart pumps and LVADs  LVAD Evolution   FDA approval year  2001  2008  2012  2017  Pump  HeartMate XVE   HeartMate II  Heartware HVAD  HeartMate III  Flow/Design Features  Pulsatile Technology   Continuous flow Axial design  Continuous flow  Centrifugal design  Continuous flow   Full MagLev + Centrifugal design  The 1960's ushered in the first ‘LVADs', when the first air-powered ‘LVAD' was implanted. It kept the patient alive for four days before the patient expired.   The first generation of LVADs were pulsatile pumps   The first nationally recognized, FDA approved LVAD was the HeartMate XVE (late 1990s to early 2000s, REMATCH trial). The XVE pump used compressed air (pneumatically driven) to power the pump.   Prior to the XVE, OHT was the standard of care for patients with advanced, end-stage heart failure.   The second and third generations of LVADs were non-pulsatile, continuous flow devices and included the HVAD, HM2, and HM3 devices.   MOMENTUM 3 was a landmark trial for the HM3 device, showing that in a population of sick patients with end stage HF (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2.   The only pump that is currently FDA approved for implant is the HM3, although other pumps are in clinical trials (BrioVAD system, INNOVATE Trial).  2. What are LVADs, and how do they work?   In simplest terms, the LVAD is a heart pump comprised of several key mechanistic components:   Inflow cannula  Mechanical pump   Outflow cannula  Driveline  Controller/Power source  The HM3 differs from its predecessors (HM2 and HVAD) in several key ways;   HM3 is placed intrapericardial whereas the HM2 was placed pre-peritoneal.   Perhaps most importantly, the HM3 is a fully magnetically levitated, centrifugal flow pump, whereas the HM2 is an axial flow device.  Axial flow pumps are not magnetically levitated, leading to more friction produced between the ruby bearing's contact with the pump rotors, and higher rates of hemocompatibility related adverse events (HRAEs, i.e. pump thrombosis) and the HM2 was ultimately discontinued in favor of the HM3 (MOMENTUM 3 trial).  3. What do the terms ‘Destination Therapy' (DT) or ‘Bridge to Transplant' (BTT) mean when it comes to LVADs?   When LVADs first came on the stage, EVERYONE was a BTT; these early pumps weren't designed for long term use (I.e. REMATCH Trial, Heartmate XVE)  Destination therapy means the LVAD was placed in leu of transplant because there are contraindications to transplant   REMATCH trial brought about the concept of “Destination therapy”, comparing outcomes in patients (with contraindications for transplant) who received an LVAD vs optimal medical therapy  Bridge to transplant means we are placing the LVAD in a patient who may not be a transplant candidate at this moment in time (is too sick, or conversely, not sick enough), but may be down the line   Bridge to recovery is another term used when the LVAD is being placed for a patient we think may have a recoverable cardiomyopathy  4. What are some factors we should consider when assessing a patient’s candidacy for LVAD, in general, and from a surgical perspective?   Patient factors   Older age might push us towards thinking LVAD rather than transplant  In general, age > 70 is the cutoff for transplant, but this is not a hard cut off and varies institution to institution    In general, think about things that help predict recovery after a major surgery; Frailty and Nutritional status are important, we try to optimize these prior to LVAD implant   Right ventricular function remains the Achilles heel of LV support  We know that needing temporary RV support post LVAD puts you on a different survival curve than patients who don’t need RVAD support  Studies have not been able to successfully predict who will develop RV failure after LVAD implantation  What happens in the time between when the patient goes to the OR and when they get back to the ICU is an important determinant who might develop RV failure post LVAD   Surgical techniques such as implanting the HM3 in the intra-thoracic cavity, rather than intra-pericardial may help maintain LV/RV geometry to help optimize the RV post LVAD   Surgical considerations for LVAD candidacy  Small, hypertrophied LV: HM3 inflow cannula is small, but small hypertrophied ventricles tend towards chamber collapse during systole causing suction, needing to run slower with lower flow rates  Chest size/diameter: pumps have gotten so small now, that for adults, these have become less of a consideration  BMI: low BMI used to be more of a concern with the older pumps due to where they were placed, and the relative size of the pump itself, not so much now with the smaller HM 3 pumps  Calcified LV apex: would increase risk of stroke, bleeding   Driveline tunneling becomes a concern in the super obese population, higher risk for driveline infections (might tunnel these driveline's shorter, and to a less fatty region of the abdomen, could even tunnel out the thoracic cavity in the super obese to limit skin motion)    5. Is there a role for MCS (i.e. temporary LVAD such as Impella) in pre-habilitation of patients prior to LVAD surgery?   The theory of being able to improve systemic perfusion, decongest the organs, and make the patient feel better prior to surgery makes sense, but becomes problematic due to the lack of a hard end point/time for prehabilitation which might risk delays in surgery   More likely that it can lead to delay in the surgery, with less-than-optimal benefit; you don't want to prolong the wait for surgery and increase the risk for complications prior to surgery    An Impella 5.5 is currently FDA approved for 2 weeks of support, not 2 months so timing is important to keep in mind  It’s unlikely that you will take a patient and convert them from a malnourished, cachectic person in 2 weeks’ time   6. Is there a role for LVAD therapy in the younger patient population? Should we be thinking of LVAD up front for these patients, with the goal of transplanting down the line?   Recovery may be more likely in certain populations, particularly younger females with smaller LV's; in those populations, perhaps bridge to recovery should be the focus, optimizing them on GDMT etc.   The replacement of transplant, with MCS (LVAD) in young patients has become a topic of discussion, because these pumps have become better and better, with the thinking that an LVAD could bridge a patient for 10 years or so, and they could get a transplant later   It is still a big unknown, but several concerns exist  Patients who get LVADs might end up with complications that become contraindication to transplant down the line (stroke, sensitization etc)   Patients and providers are more hesitant because of the more recent iteration for the UNOS criteria for OHT listing which no longer gives patients with an uncomplicated LVAD higher priority, and therefore they could end up waiting a longer time for a heart after undergoing LVAD  References Rose EA, Gelijns AC, Moskowitz AJ, et al. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med. 2001;345(20):1435-1443. doi:10.1056/NEJMoa012175  Mehra MR, Uriel N, Naka Y, et al. A Fully Magnetically Levitated Left Ventricular Assist Device – Final Report. N Engl J Med. 2019;380(17):1618-1627. doi:10.1056/NEJMoa1900486  Mancini D, Colombo PC. Left Ventricular Assist Devices: A Rapidly Evolving Alternative to Transplant. J Am Coll Cardiol. 2015;65(23):2542-2555. doi:10.1016/j.jacc.2015.04.039  Mehra MR, Goldstein DJ, Cleveland JC, et al. Five-Year Outcomes in Patients With Fully Magnetically Levitated vs Axial-Flow Left Ventricular Assist Devices in the MOMENTUM 3 Randomized Trial. JAMA. 2022;328(12):1233-1242. doi:10.1001/jama.2022.16197  Rose EA, Moskowitz AJ, Packer M, et al. The REMATCH trial: rationale, design, and end points. Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure. Ann Thorac Surg. 1999;67(3):723-730. doi:10.1016/s0003-4975(99)00042-9  Kittleson MM, Shah P, Lala A, et al. INTERMACS profiles and outcomes of ambulatory advanced heart failure patients: A report from the REVIVAL Registry. J Heart Lung Transplant. 2020;39(1):16-26. doi:10.1016/j.healun.2019.08.017  Mehra MR, Netuka I, Uriel N, et al. Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial. JAMA. 2023;330(22):2171-2181. doi:10.1001/jama.2023.23204  Mehra MR, Nayak A, Morris AA, et al. Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device. JACC Heart Fail. 2022;10(12):948-959. doi:10.1016/j.jchf.2022.08.002  Bhardwaj A, Salas de Armas IA, Bergeron A, et al. Prehabilitation Maximizing Functional Mobility in Patients With Cardiogenic Shock Supported on Axillary Impella. ASAIO J. 2024;70(8):661-666. doi:10.1097/MAT.0000000000002170 

This week we speak with Dr. John Brown who is the Harris B. Schumacker Professor Emeritus of Surgery at the University of Indiana. A congenital heart surgeon for over 45 years, Dr. Brown has performed more than 15,000 pediatric heart operations at Riley Hospital for Children and another 5000 heart operations in adults at IU and Methodist Hospitals. He performed the first pediatric heart transplant in Indiana and developed the first clinical use of the bovine jugular vein and valve for a pulmonary valve replacment in children. He also performed the only known twin to twin newborn heart transplant in the world. He has done and seen it all and has a unique perspective. How did he achieve so much and still have a succesful 56 year marriage to his wife Carol Ann? What is Dr. Brown most proud of in a career that is as prolific as his? What advice would he have have for the next generation? Prepare to be inspired by this master surgeon and friend and colleague of many in our field.

Surgical quality is a term that is often thrown around in surgical practice. We have multiple quality improvement projects, metrics and benchmarks that motivate us to do better, and of course the ever expanding patient reviews to possibly “reflect” the type of surgical care provided. But what does quality actually mean? What metrics can we use to understand the type of care being provided by ourselves, our colleagues, and the health system at large. Today, we delve into these questions to understand how quality is currently understood within surgery and how we hope it to evolve in the future. Joining BTK fellow Agnes Premkumar and ASGBI hosts Jared Wohlgemut and Gita Lingam are two fantastic guests - Dr. Mark Cheetham, joining us from the UK, has deep experience in national audits and system-level quality improvement. Dr. Cheetham is a colorectal surgeon and the National Clinical Lead for General Surgery at the Getting it Right First Time Programme in NHS England, or GIRFT. Dr. Alexander Perez is representing the US; he is a board-certified general surgeon and minimally invasive surgeon at Baylor St. Luke's Medical Center. He has worked extensively with institutional quality programs and is the current assistant Dean for patient safety, simulation, and process improvement at the Baylor College of Medicine. Resources: Institute for Healthcare Improvement: https://www.ihi.org/library/tools/quality-improvement-essentials-toolkit NSQIP: https://www.facs.org/quality-programs/data-and-registries/acs-nsqip/ Getting it right first time (UK): https://gettingitrightfirsttime.co.uk/ ***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please 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/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate 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-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Pain can quietly shrink your world—your sleep, your mood, even your sense of future. In Healthy Mind, Healthy Life, hosted by Yusuf, Dr. Christopher Lauria reframes pain as a signal worth listening to, not something to simply silence. This episode is for anyone living with chronic neck, back, or disc discomfort who feels stuck between “meds forever” and “surgery next.” You'll hear how a root-cause approach, patient education, and supportive technologies can help people explore options with more clarity and less fear. About the Guest: Dr. Christopher Lauria is the founder of Roanoke Disc Center and Lifestyle Chiropractic. He has spent nearly three decades helping people address chronic neck, back, and disc pain using non-surgical and integrative approaches. Episode Chapters: 05:20 — Pain as a warning sign, not the enemy 07:58 — Why people assume meds first, surgery last 09:27 — Chronic pain patterns: discs, degeneration, arthritis 11:29 — How pain impacts mood, energy, and relationships 13:02 — Spinal decompression: creating conditions to heal 14:05 — Class 4 laser therapy and tissue support 16:20 — Patience, plateaus, and trusting a longer healing arc Key Takeaways: Treat pain like a “check engine light”: investigate the cause before choosing a path. Ask your provider: “What's the diagnosis—and what's driving it?” Consider a plan that supports healing conditions, not just symptom relief. Expect recovery to take time; relief may come early, healing continues longer. Track mood/energy alongside pain—your nervous system is part of the story. How to Connect With the Guest: Website: https://roanokedisccenter.com/  Email: https://www.podmatch.com/hostdetailpreview/avik Disclaimer: This video is for educational and informational purposes only. The views expressed are the personal opinions of the guest and do not reflect the views of the host or Healthy Mind By Avik™️. We do not intend to harm, defame, or discredit any person, organization, brand, product, country, or profession mentioned. All third-party media used remain the property of their respective owners and are used under fair use for informational purposes. By watching, you acknowledge and accept this disclaimer. Healthy Mind By Avik™️ is a global platform redefining mental health as a necessity, not a luxury. Born during the pandemic, it's become a sanctuary for healing, growth, and mindful living. Hosted by Avik Chakraborty, storyteller, survivor, and wellness advocate. With over 6000+ episodes and 200K+ global listeners, we unite voices, break stigma, and build a world where every story matters.

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Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 years on Feedspot.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sonal's 17th Season starts up and Episode 4 features Newsworthy updates on the month's fraud, waste, and abuse cases. Sonal's Trusty Tip and compliance recommendations focus on surgical dressings.Spark inspires us all to reflect on beauty, abundance, and innovation based on the inspirational words of Vincent Van Gogh.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Paint The Medical Picture Podcast now on:Spotify:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id153044217⁠7⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Amazon Music: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcas⁠t⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Find Paint The Medical Picture Podcast on YouTube:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Find Sonal on LinkedIn:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/sonapate/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠And checkout the website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://paintthemedicalpicturepodcast.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PaintTheMedicalPicturePodcast@gmail.com

In this episode, Dr. Christian Péan, CEO and Co Founder of Revel Ai Health and practicing orthopedic trauma surgeon at Duke University School of Medicine, discusses how AI is redefining surgical readiness in ambulatory surgery centers. He explores scalable use cases in patient engagement, quality reporting, interoperability, and how ASC leaders can prepare their data, workflows, and culture for safe AI adoption. This episode is sponsored by Revel Ai.

In this episode, Dr. Christian Péan, CEO and Co Founder of Revel Ai Health and practicing orthopedic trauma surgeon at Duke University School of Medicine, discusses how AI is redefining surgical readiness in ambulatory surgery centers. He explores scalable use cases in patient engagement, quality reporting, interoperability, and how ASC leaders can prepare their data, workflows, and culture for safe AI adoption. This episode is sponsored by Revel Ai.

In this week's episode Ben Blecha and Ané discuss achilles tendinopathies and the role that bracing can play in the recovery from this injury. Ben shares the mechanics of the achilles brace, discussing how the lever arms and forces are applied with a brace, and what we need to look at to have a secure brace that does not slip down the hock. He discusses the role of the foot piece and how hero braces create an articulation with graduated increases in range of motion. We discuss the angle at which the hock is cast or braced during the initial healing phases of the injury, and much more. Learn more about Ben Blecha: https://goherogo.com/ Learn more about MediVet Products: https://medivetproducts.com/ Learn more about on Medivet's blogs: https://medivetproducts.com/blogs/news  Learn more about our free birthday webinars: https://onlinepethealth.com/gift/ Learn more about Paw Prosper's special offer: https://pawprosper.com/OPH Learn more about Paw Prosper: https://pawprosper.com/ To learn about Onlinepethealth, watch a free webinar, or join any of our Facebook groups, click here: https://onlinepethealth.com/podcast

In this episode, Drs. Jason Silverman and Jennifer Lee talk to Dr. Paul Wales all about the surgical management of short bowel syndrome, including decision-making based on initial presentation and important considerations for any autologous reconstruction procedure.Learning objectivesTo define intestinal failure, short bowel syndrome and ultrashort bowel syndrome as well as surgical subtypes of short bowel syndromeTo review surgical considerations in the staged management of short bowel syndromeTo discuss surgical approaches to autologous bowel reconstruction including their potential advantages and disadvantages LinksPapers mentioned:Surgical therapy for short bowel syndrome (review with images)Establishing norms for intestinal length in childrenPredicting Intestinal Adaptation in Pediatric Intestinal FailureAdvantages of the distal sigmoid colostomyDelayed primary STEP procedurePrevious episodes mentioned:Sue Protheroe - Enteral Nutrition in Intestinal FailureDanielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)Ruben Quiros-Tejeira - Multivisceral TransplantationSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

The Challenge of Accessing Courtroom VideoDespite the prevalence of video-equipped courtrooms, Rockind explains that obtaining these recordings has become increasingly difficult.FULL VIDEO: https://youtu.be/uZjpTFD7Kkk?si=m2XlnNJzCULPdhZU#neilrockind #crossexamination #killercrossexamination #legal #attorney #michigan A Shift in Access: In the past, lawyers could often order and pay for copies of courtroom videos for educational or promotional purposes.Current Restrictions: Many court systems now allow individuals to watch the videos at the courthouse but prohibit them from obtaining their own copies.A Rare Glimpse: Zoom Technology in the CourtroomRockind shares a specific instance where he was able to secure a video of his cross-examination due to the use of Zoom technology during the pandemic.The Case: The case involved a client accused of assault with a firearm in a district court.The Technology: The judge used Zoom technology to livestream and record the proceedings, providing multiple camera angles of the judge, witness, and lawyers.Public Access: These videos were subsequently published on YouTube, allowing for broader public viewing and analysis of the cross-examination.Acclaim for Rockind's SkillsThe episode features several positive comments from viewers who have witnessed Rockind's cross-examination techniques:"Surgical" and "Stellar": Viewers praised his precision and professionalism in eliciting necessary facts."Zealous Representation": Many appreciated his dedicated advocacy for his clients, with some even comparing his performance to the legendary Perry Mason.A "Beast" in the Courtroom: His name, Rockind, even garnered praise, with one viewer noting it sounds like a formidable presence in the legal arena.About Neil Rockind - Neil Rockind is a trial lawyer. Neil Rockind is often considered a bet the farm/company type of lawyer, taking on cases where the stakes are “all in.” Neil Rockind appears regularly on television and in the news, defends people in serious court cases, is a regular guest on the Law and Crime Network and also discusses popular trials and cases and current events with other top lawyers around the country. Neil Rockind has won just about every award imaginable, has represented athletes, celebrities, musicians, public figures and has obtained acquittals in all varieties of cases. His nickname is "The Rockweiler" and he's known for his cross examination style.Neil Rockind:Https://www.X.com/neilrockindlawHttps://www.instagram.com/rockindlaw https://www.rockindlaw.com/http://www.killercrossexamination.com/*************************************Subscribe to Killer Cross Examination® PodcastAPPLE: https://podcasts.apple.com/us/podcast...SPOTIFY: https://open.spotify.com/show/424RIys...GOOGLE PODCASTS: https://podcasts.google.com/feed/aHR0...AUDIBLE:https://www.audible.com/pd/Podcast/B0...******************************************Fair Use DoctrineThe contents are under fair use. It may contain copyrighted materials whose use has not been specifically authorized by the copyright owner. This, in our view, is fair use pursuant to section 107 of the US Copyright Law. Fair use allows limited use of copyrighted material without requiring permission from the rights holders, such as for commentary, criticism, news reporting, research, teaching or scholarship. We retain no rights to that material. To the extent the videos capture images or likenesses, we do not own the rights to those images, likenesses, etc and only use them pursuant to the fair use doctrine.All other rights are reserved.

On today's episode, Dr. Dan Brisky and Dr. Tom Pfau dive deep into real-world implant complications and the critical lessons that come with them. From a mispositioned anterior implant that required swallowing pride and starting over, to incision openings in full-arch cases that demanded creative solutions like Botox for excessive muscle activity, they break down what went wrong, how they fixed it, and how to prevent similar issues.  The conversation covers flapless pitfalls, the importance of tactile verification with a ball probe, suture technique nuances, managing tissue dehiscence, preventing bone loss, and even navigating high-stress moments like retrieving displaced root tips and broken burs from the sinus. This candid discussion emphasizes preparation, humility, surgical fundamentals, and having the confidence—and support system—to manage complications the right way. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.coloradosurgicalinstitute.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

On episode 152 of PSQH: The Podcast, Richard Parker, Associate Director of Physical Environment & Life Safety, Accreditation Commission for Health Care, talks about surgical fire prevention.

Robotic surgery has moved from novelty to norm, and in this episode of Behind the Knife, Drs. James Jung and Joey Lew sit down with urologic pioneer and Medtronic CMO Dr. Jim Porter to dissect how we got here, what the data really say about “the death of laparoscopy,” and where competing robotic platforms like Hugo may take the field next. From ergonomics and education to economics and global access, they tackle both the hype and the hard questions around robotics as the future of minimally invasive surgery.Hosts: ·      James Jung, MD, PhD, Assistant Professor of Surgery, Duke University·      Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actuallyLearning Goals: By the end of this episode, listeners will be able to:·      Describe key clinical, ergonomic, and educational drivers behind the rapid adoption of robotic surgery in the United States and globally.·      Summarize current evidence comparing robotic and laparoscopic approaches for common procedures, including where outcomes are equivalent, inferior, or clearly superior.·      Explain how surgeon ergonomics, trainee experience, and video-based learning influence practice patterns and learning curves in minimally invasive surgery.·      Discuss the role of cost, reimbursement structures, and market competition (e.g., Medtronic Hugo vs da Vinci) in shaping robotic adoption across different health systems.·      Anticipate how next-generation, task- or organ-specific robotic platforms may further change standards of care in minimally invasive surgery.References:·      Violante T, Ferrari D, Novelli M, Larson DW. The Death of Laparoscopy - Volume 2: A Revised Prognosis. A retrospective study. Ann Surg. 2025 Jun 16. doi: 10.1097/SLA.0000000000006792. Epub ahead of print. PMID: 40518997. https://pubmed.ncbi.nlm.nih.gov/40518997/·      Yu Yoshida, Yoshiro Itatani, Takehito Yamamoto, Ryosuke Okamura, Koya Hida, Kazutaka Obama, Single-incision plus one robot-assisted surgery (SIPORS) using the Hugo robotic-assisted surgery (RAS) system for rectal cancer, Annals of Coloproctology, 10.3393/ac.2025.00787.0112, 41, 6, (586-591), (2025). https://pubmed.ncbi.nlm.nih.gov/41486916/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/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate 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-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Fluent Fiction - Norwegian: Courage Under Pressure: A Surgical Story of Friendship and Trust Find the full episode transcript, vocabulary words, and more:fluentfiction.com/no/episode/2026-02-19-08-38-20-no Story Transcript:No: Utenfor Oslo Universitetssykehus blåser den kalde januarluften hardt mot vinduene.En: Outside Oslo Universitetssykehus, the cold January air blows hard against the windows.No: Inne på operasjonsstuen er det stille bortsett fra apparatenes svake pip.En: Inside the operating room, all is quiet except for the faint beeping of the machines.No: Sindre står over operasjonsbordet.En: Sindre stands over the operating table.No: Han snakker seg selv stille.En: He talks quietly to himself.No: "Du klarer dette, Sindre.En: "You can do this, Sindre."No: "Lars, hans nære venn, ligger under hvite laken.En: Lars, his close friend, lies under white sheets.No: En bilulykke har ført ham hit.En: A car accident has brought him here.No: Det haster.En: Time is of the essence.No: Hans liv avhenger av denne operasjonen.En: His life depends on this operation.No: Maren, Sindre sin mentor, står ved siden av.En: Maren, Sindre's mentor, stands beside him.No: Hun ser rolig ut, men øynene hennes følger nøye med på hver bevegelse.En: She looks calm, but her eyes attentively follow every movement.No: "Sindre," sier hun.En: "Sindre," she says.No: "Du kan dette.En: "You know this.No: Husk hva vi har øvd på.En: Remember what we've practiced."No: "Sindre nikker.En: Sindre nods.No: Kunnskapen hans er solid, men i dag er det annerledes.En: His knowledge is solid, but today is different.No: Pasienten betyr noe ekstra for ham.En: The patient means something extra to him.No: Han trekker pusten dypt.En: He takes a deep breath.No: "Jeg er klar," sier han lavt.En: "I'm ready," he says quietly.No: Operasjonen begynner.En: The operation begins.No: Maren gir instruksjoner, og Sindre følger dem nøye.En: Maren gives instructions, and Sindre follows them carefully.No: Han føler presset, tvilen sittende tungt på skuldrene hans.En: He feels the pressure, doubt weighing heavily on his shoulders.No: Tiden går, og alt ser ut til å gå bra.En: Time passes, and everything seems to be going well.No: Men så skjer det — en komplikasjon.En: But then it happens — a complication.No: Blodtrykket til Lars faller plutselig.En: Lars's blood pressure suddenly drops.No: Sindre fryser et øyeblikk.En: Sindre freezes for a moment.No: Øynene hans møter Marens.En: His eyes meet Maren's.No: Hun sier ikke noe, men hennes blikk sier alt.En: She says nothing, but her look says everything.No: Stol på deg selv.En: Trust yourself.No: Sindre fokuserer.En: Sindre focuses.No: Han vet hva han må gjøre.En: He knows what he has to do.No: Med ro til tross for den indre stormen, tar Sindre kontroll.En: With calm despite the internal storm, Sindre takes control.No: Han justerer utstyret, lar håndfuller av kunnskap guide ham.En: He adjusts the equipment, letting his handfuls of knowledge guide him.No: Minutter føles som timer.En: Minutes feel like hours.No: Endelig, blodtrykket stabiliserer seg.En: Finally, the blood pressure stabilizes.No: Et sukk går gjennom rommet.En: A sigh goes through the room.No: Sindre tørker panna, svette blandet med lettelse.En: Sindre wipes his forehead, sweat mixed with relief.No: Operasjonen er ferdig.En: The operation is over.No: Lars er trygg.En: Lars is safe.No: Maren ser på Sindre, et stolende smil over ansiktet hennes.En: Maren looks at Sindre, a proud smile across her face.No: "Godt jobba, Sindre," sier hun.En: "Well done, Sindre," she says.No: Sindre smiler svakt, men denne gangen er det ekte.En: Sindre smiles faintly, but this time it's genuine.No: Han føler lettelsen og stoltheten i brystet.En: He feels the relief and pride in his chest.No: Han har bevist det for seg selv.En: He has proven it to himself.No: Ikke bare har han reddet en venn, men han har også funnet styrken i seg selv.En: Not only has he saved a friend, but he has also found strength within himself.No: Vinden utenfor blåser fortsatt, men inne på operasjonsstuen er det varmt av mestringsfølelse.En: The wind outside still blows, but inside the operating room, it's warm with a sense of achievement. Vocabulary Words:faint: svakebeeping: pipsheets: lakenmentor: mentorcalm: roligattentively: nøyeessence: hasterknowledge: kunnskapencomplication: komplikasjondrops: fallerstabilizes: stabilisereroperation: operasjonenpride: stolthetsense: følelsenachievement: mestringrelief: lettelsedepend: avhengersolid: solidguidelines: instruksjonerpressure: pressetinternal: indrefreezes: fryserknowledge: kunnskapequipment: utstyretgenuine: ekteproven: beviststrength: styrkenstorm: stormenclose: næretrust: stol

Listener Alicia called in to share with Sue and Kendra that her office (which is a Veterinarians office) removed their surgical suite!

Today... Black Canyon Surgical Center is entering its 20th year after a major expansion that boosts capacity and supports rapid growth in staff, surgical volume, and advanced outpatient procedures like robotic-assisted knee replacement. And later... Local artists are hosting the "Art of the Canyon" show and online auction culminating February 28th to raise funds for Black Canyon wildfire restoration projects like re-seeding, invasive species removal, and rebuilding damaged infrastructure.Support the show: https://www.montrosepress.com/site/forms/subscription_services/See omnystudio.com/listener for privacy information.

Naga and the doctors are joined by Becca Rodker to talk about her experience of going through surgical menopause. It's what happens when both ovaries are removed during surgery before you've gone through a natural menopause. It causes the sudden loss of hormones, and it can be very overwhelming. The doctors talk through what happens and answer questions from callers. This episode was first broadcast on BBC 5 Live on 10 February 2026.

Have you longed to integrate your Christian faith into your patient care—on the mission field abroad, in your work in the US, and during your training? Are you not sure how to do this in a caring, ethical, sensitive, and relevant manner? This “working” session will explore the ethical basis for spiritual care and provide you with professional, timely, and proven practical methods to care for the whole person in the clinical setting. https://www.dropbox.com/scl/fi/qpah9kh1lttg6cm1jjop9/Bob-Mason-Ethics-of-Spiritual-Care-revised.pptx?rlkey=0emve2ja8282nv8xc4uinq1hg&st=9033htwx&dl=0

Dr. Vernon Sondak discusses alternatives for non-surgical candidates with skin cancer, including systemic therapy.

In this episode of Talking Innovation, I interview Michael Compton Jr. about the critical yet often overlooked field of sterile processing in healthcare. We discuss the revolutionary impact of AI on the industry, the importance of the decontamination process, and the challenges faced by sterile processing departments, including workforce shortages and communication failures. The conversation also touches on the potential for outsourcing sterile processing, the significance of water quality standards, and how data analysis can improve surgical outcomes. Michael emphasizes the need for greater recognition and support for sterile processing professionals, highlighting their role in infection prevention and patient safety. I hope you enjoy it!  

When the world's best surgeons spread a rib cage or clamp a blood vessel, they rely on instruments hammered and filed by skilled hands in a Sheffield workshop. On this week's The Factory Next Door we head to Platts & Nisbett, manufacturers of surgical instruments for almost half-a-century. Number 47 on our list of the greatest things we make here is The Surgical Clamp. Alyson Nisbett gives us a factory tour as we learn why machines can't make these instruments, we consider the responsibility that comes with hand-crafting life-saving equipment, and we ponder where a five-inch nail goes in the body. Say hello on Instagram @thefactorynextdoor The Factory Next Door is supported by AVEVA, a leader in industrial intelligence. Sign up to their bi-weekly newsletter about manufacturing here: www.aveva.com/factory Hosted on Acast. See acast.com/privacy for more information.

Desiree Chappell, Kate Leslie, and Mike Grocott welcome Harriet W. Hopf, a physician-scientist and professor of anesthesiology and adjunct professor of biomedical engineering at the University of Utah, UK. Dr Hopf is known for her leadership in academic governance, medical education, and healthcare research. She shares insights on her distinguished career focusing on surgical site infections and faculty development. We discuss pivotal research on the importance of oxygen in wound healing, mechanisms behind surgical site infections, and the significance of maintaining normothermia during surgery. The conversation also touches on the impact of thermoregulation, volume status, and the use of oxygen in improving patient outcomes. Dr. Hopf emphasizes the necessity of hand hygiene and proper surgical practices to mitigate infections. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

As part of IASLC's ongoing series of Lung Cancer Considered podcasts in world languages, Dr. Molly Li moderates a discussion in Cantonese with two expert cardiothoracic surgeons, Dr. Ben Li, Professor from The First Affiliated Hospital of Guangzhou Medical University and, and Dr. Calvin Ng, Professor from the Chinese University of Hong Kong. The discussion: reviews surgical management of early-stage NSCLC, including VATS, and lobar versus sublobar resection; and explores novel technologies including endobronchial therapy and tubeless anesthesia. Host: Molly Li, MD Clinical Assistant Professor Department of Clinical Oncology, CUHK, Hong Kong Guests: Shuben Li, MD, PhD Professor, Department of Thoracic Surgery National Center for Respiratory Medicine The First Affiliated Hospital of Guangzhou Medical University Calvin S.H. Ng, BSc MBBS, MD Environmental Foundation Professor of Thoracic Surgery Department of Surgery The Chinese University of Hong Kong (CUHK)

In this episode of Modern Chiropractic Mastery, host Dr. Kevin Christie welcomes Dr. Benjamin Fergus to discuss his innovative non-surgical joint replacement technique for knees, shoulders, and hips. Dr. Fergus shares the development of his evidence-based approach, which integrates advanced techniques, shockwave therapy, specific dietary protocols, and structured rehab exercises to address joint degeneration. The episode covers success rates, patient demographics, treatment frameworks, and the importance of combining clinical excellence with effective business practices.

In this episode of the PFC Podcast, Dr. Lee Cancio, a surgeon and director of the U.S. Army Institute of Surgical Research Burn Center, discusses the complexities of white phosphorus burns. He explains the mechanisms of injury, initial care, and the urgency of treatment for such injuries. The conversation delves into surgical interventions, wound management, and the importance of monitoring patients for complications like hypocalcemia. Dr. Cancio emphasizes the need for a thorough understanding of these injuries to provide effective care in combat and austere environments.TakeawaysWhite phosphorus is a significant concern in combat medicine.Understanding the mechanisms of injury is crucial for treatment.Immediate immersion in water is essential for managing burns.Hypocalcemia can occur rapidly and is life-threatening.Surgical intervention may be necessary for severe injuries.Monitoring for ongoing burning is critical in patient care.Whole blood is not ideal for burn shock resuscitation.Fluid resuscitation should be adjusted based on burn depth.Knowledge of injuries helps in making informed decisions.Prolonged field care requires constant assessment and monitoring.Chapters00:00 Introduction to White Phosphorus Burns02:48 Understanding White Phosphorus and Its Uses05:39 Mechanisms of Injury from White Phosphorus08:11 Initial Care and Management of White Phosphorus Injuries11:00 Urgency in Treatment and Evacuation13:53 Surgical Interventions and Wound Management16:51 Case Studies and Practical Applications19:49 Post-Injury Care and Monitoring22:15 Final Thoughts on White Phosphorus InjuriesFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Invité, fonction, était l'invité de François Sorel dans Tech & Co, la quotidienne, ce jeudi 24 septembre. Il/Elle [est revenu(e) / a abordé / s'est penché(e) sur] [SUJET] sur BFM Business. Retrouvez l'émission du lundi au jeudi et réécoutez la en podcast.

Those who hope to honor God and advance Jesus' Kingdom face powerful opposition from spiritual, physical, and psychological enemies. Successful launching and long term fruitfulness depends on recognizing and, in dependence on the Holy Spirit, waging war against those enemies.

Carolyn McMakin, MA, DC - contact(at)freqeuncyspecific.com      |      Kim Pittis, LCSP, (PHYS), MT - info@fsmsports365.com 02:33 Post-Op Shoulder Debrief: Labrum Tear, Hill-Sachs/Bankart, and Fast Healing 05:21 Building a Detailed FSM Post-Op Plan from the Operative Report 08:28 Rotator Cuff Strength, Tissue Health, and "Shoulder Support" Protocols 12:19 Patient Advocacy: Second Opinions, Surgeon Interviews, and PACU FSM Access 16:40 Nerve Blocks, PACU Basics, and Why Ice Isn't the Healing Tool People Think 20:12 Positive Language in Rehab + Course/Livestream Updates 24:18 Midbrain/Pons Case Study: Trigeminal Neuralgia, Microclots, and Cranial Nerves 32:14 Cranial + vagus release: dura scarring, Valsalva, and concussion protocols 33:30 Emotional frequency sequence: anger → resentment → fear/terror → grief → restoring joy 34:48 "How did we get here?" Clinical reasoning beyond diagnosis & inflammation 38:02 Why order matters: avoiding grief-first + mapping emotions to organ meridians 43:30 Depression, vitamin D, and the realities of tapering antidepressants 45:14 Case study: big toe pain, phantom limb signals, and nerve traction strategy 47:46 Netter saves the day: peroneus brevis, fibula attachments, and periosteum treatment 50:24 Q&A: Hypermobile/EDS dizziness after hip changes—vestibular screen & gait recalibration 52:41 Quick hits: decoding tissue numbers (46 muscle, 62 arteries) and course takeaways 01:00:07 Achilles/heel pain after downhill hiking: tendon sheath, fat pad, fascia & trigger points Patient Interaction and Choosing Medical Professionals  When selecting medical professionals for surgical procedures, it is crucial to consider not only their competence and technical skills but also their honesty, integrity, and communication style. Patients are encouraged to choose practitioners who make them feel comfortable, listen attentively, and explain procedures thoroughly. Additionally, it is vital for practitioners to act as patient educators and advocates, ensuring that patients are aware of their options and understand what to expect from surgical and post-operative care. Importance of Surgical Notes Accessing detailed surgical notes is essential for creating a customized and effective post-operative care plan. Surgical notes provide insights into the procedural steps taken during surgery, highlighting areas that may require focused rehabilitation or specific therapeutic interventions.  Customized Post-Operative Care  - Utilizing FSM to address specific post-operative complications such as inflammation and adhesions. - Developing tailored protocols that may involve restoring joint function, reducing pain, and improving muscle or tissue healing. - Implementing FSM for emotional support, addressing emotional stress or trauma that can accompany physical injuries and surgeries. Managing Emotional Aspects in Healing  FSM is also used to manage emotional components intertwined with physical healing. Addressing emotions such as anger, fear, and grief using specific frequencies is integral to comprehensive care. Understanding the psychology behind these emotions and treating them in a methodical sequence can significantly improve patient responses and recovery. Proprioception and Vestibular Considerations  In patients who have undergone significant anatomical changes post-surgery, proprioceptive recalibration is crucial. Changes in gait or balance may necessitate proprioceptive exercises and FSM treatment for vestibular injuries to restore equilibrium and prevent dizziness or disorientation.

Dr. Chris Stepien — founder of Barefoot Rehabilitation Clinic (Denville, NJ) and developer of Adhesion Release Methods.   Dr. Chris specializes in helping chronic pain sufferers, especially 30–60 year olds who've had pain for 6+ months and have already seen multiple doctors or therapists without real relief. He's also training high-level manual therapists and clinicians to diagnose and treat adhesion and nerve-entrapment patterns so more people can finally get their lives back.   Website: https://www.barefootrehab.com Find a provider: https://www.findanadhesionprovider.com Instagram: @barefootrehab | @adhesionreleasemethods YouTube: @drchrisstepienclips LinkedIn: Dr. Christopher M. Stepien   Become an elitefts channel member for early access to Dave Tate's Table Talk podcast and other perks. @eliteftsofficial   Support Dave Tate's Table Talk:   FULL Crew Access - https://www.elitefts.com/join-the-crew Limited Edition Apparel - https://www.elitefts.com/shop/apparel/limited-edition.html Programs & More - https://www.elitefts.com/shop/dave-tate-s-table-talk-crew.html TYAO Application - https://www.elitefts.com/dave-tate-s-tyao-application   Best-selling elitefts Products: Pro Resistance Training Bands: https://www.elitefts.com/shop/bands.html Specialty Barbells: https://www.elitefts.com/shop/bars-weights/specialty-bars.html Wraps, Straps, Sleeves: https://www.elitefts.com/shop/power-gear.html   Sponsors:   Get an extra 10% OFF at elitefts (CODE: TABLE TALK): https://www.elitefts.com/   Get 10% OFF Your Next Marek Health Labs (CODE: TABLETALK): https://marekhealth.com/tabletalk   Get a free 8-count Sample Pack of LMNT's most popular drink mix flavors: http://www.drinklmnt.com/tabletalk   Support Massenomics! https://www.massenomics.com   Save 20% on monthly, yearly, or lifetime - MASS Research Review (CODE ELITEFTS20): https://massresearchreview.com   RP Hypertrophy App (CODE: TABLE TALK) https://rpstrength.com/pages/hypertrophy-app

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Rachel Knutton, founder and CEO of Alluvia Studio, shares how a 30-year healthcare journey—from hospital marketing and public relations (PR) at HCA Healthcare to medical device commercialization, product launches, and sales—shaped her belief that everything in MedTech ultimately comes down to storytelling. Rachel explains how her “been there” experience in hospitals, cases, and value analysis environments helps her create messaging that's compelling, compliant, and built to endure. She also opens up about becoming an “accidental entrepreneur,” discovering unexpected fulfillment in leading people, and building an agency culture grounded in authenticity, humor, and joy.    Guest links: www.alluviastudio.com | www.linkedin.com/rachelknutton | www.linkedin.com/alluviastudio  Charity supported: Sleep in Heavenly Peace Interested in being a guest on the show or have feedback to share? Email us at theleadingdifference@velentium.com.  PRODUCTION CREDITS Host & Editor: Lindsey Dinneen Producer: Velentium Medical   EPISODE TRANSCRIPT Episode 073 - Rachel Knutton [00:00:00] Lindsey Dinneen: Hi, I'm Lindsey and I'm talking with MedTech industry leaders on how they change lives for a better world. [00:00:09] Diane Bouis: The inventions and technologies are fascinating and so are the people who work with them. [00:00:15] Frank Jaskulke: There was a period of time where I realized, fundamentally, my job was to go hang out with really smart people that are saving lives and then do work that would help them save more lives. [00:00:28] Diane Bouis: I got into the business to save lives and it is incredibly motivating to work with people who are in that same business, saving or improving lives. [00:00:38] Duane Mancini: What better industry than where I get to wake up every day and just save people's lives. [00:00:42] Lindsey Dinneen: These are extraordinary people doing extraordinary work, and this is The Leading Difference. Hello, and welcome back to another episode of The Leading Difference podcast. I'm your host, Lindsey, and today I'm delighted to welcome Rachel Knutton. Rachel is founder and CEO of Alluvia Studio, a strategic medtech marketing agency based in Tennessee that supports some of the largest medtech brands in the world. Her experience in healthcare spans 30 years, including hospital marketing and PR for HCA Healthcare, as well as various roles in medical device commercialization, sales and marketing. Right. Well, welcome to the show, Rachel. It's so nice to you for having me. Of course. I would love if you would start off by just, uh, telling us a little bit about yourself, your background and what led you to medtech. [00:01:36] Rachel Knutton: Yeah, so I actually have a pretty interesting background and I bet I'll cover a little bit more of it as we go through the discussion, but currently I have an MedTech marketing agency. We have 16 employees. been in business technically since 2011, so 14 years. And just really focused on this industry. My path to getting into MedTech actually came through HCA Healthcare. I started working in hospital world back in 1996. And actually it was accidental. I, you know, I was pretty new outta school, a couple years outta school and I'd answered an ad and I dove right into a really exciting world. It's, you know, of course headquartered here in Nashville. Learned all about hospitals. I supported I think eight different hospitals at that time that were in region, the Nashville region, doing marketing and public relations, walked into my first open heart surgery case, helped feed employees at midnight, handled all kinds of interesting PR events because we're hearing Nashville, a lot of country music stars might get hospitalized. And I did that for about 10 years. And then I ended up moving into devices a recruiter, and it's when Kimberly Clark Healthcare had gone into the medical devices arena through the purchase of Ballard. so honestly I really didn't know much about it. But I had, you know, I did have my MBA, I had been working in healthcare, which sort of met the qualifications at that time. And I got a early start in marcom. Learned so much, got back into the hospital through that role from the other side of the coin and I had the chance to do product management, launch a product, and then I moved into sales and sold the product a whole bag and then got back into the hospital, you know, working through the whole value EIS ecosystem and working with physicians and being in cases. So it's been a very interesting path for sure. [00:03:37] Lindsey Dinneen: Yeah. Yeah. Thank you for sharing that. And so I'm curious about a lot of things, but I'll start with this. So what do you find are some of the differences and similarities between marketing and PR for the hospital side of things versus the device side of things? [00:03:55] Rachel Knutton: I mean, certainly I think PR piece is a much bigger aspect, the community aspect. Um. Every hospital is such an important part of the community. So there's a heavy weight there on that. And then of course, the regional aspect of it. So whereas in the device world, you know, all targeting like very large geographies, maybe either the US or outside of the US. And so in the hospital world, that tends to be more regionalized. I would say. That's like one of the big differences for sure. And then honestly, hospital world, it's more business to consumer. is a lot of physician related marketing as you're trying to drive preference to, you know, using your hospital for surgeries or trying to recruit physicians, but it's a lot more B2C in the, medtech world. world. [00:04:44] Lindsey Dinneen: Yeah. Yeah. So, okay, so you mentioned know, you responded to an an ad and that led you to was sort of like, well, a say, um, synergy, whatever you wanna say. that was was marketing and communications something that you always had a passion for or what led you to kind of pursue that? [00:05:05] Rachel Knutton: Yeah. Well actually I was a little bit more of a writer. would say telling stories is origin story. So I wanted to work in magazines. This is back when we still did print and newspapers and things like that. And always wanted to work in the magazine um, industry and I, and it started out writing for a business magazine. Started working for an agency for Ford, doing writing for a sales focused magazine. And so it just sort of morphed into that. I would say in the marketing and PR world, we were telling stories about patient stories, pitching those to newspapers. We were telling stories about physicians doing new types of procedures employees, you know, trying to promote them within the hospital world. That's also important to that ecosystem. And so I think that's kind of where that transition happened. And I would say that's still what I do today. So it's taken a lot of different forms and product management and working in Excel files and figuring out demand forecast isn't really about telling stories what it is, right? Everything is about telling a story in the end. [00:06:06] Lindsey Dinneen: Yeah. Yeah. So it sounds like you have the strategist side, the analytical side, and the creative side, which doesn't always, you know, align. And so tell us a little bit about your approach maybe to, say, there's a client of yours that is interested in bringing a product to market, and story tell to help them achieve their goals, and within compliance, because obviously that's a component. [00:06:35] Rachel Knutton: yeah, I mean, that's certainly in our industry, you know, figuring out are the guardrails. course in marketing, I always think, you know, we, know the rules. But we're also going to make sure that we're not self-limiting within those rules. So I let the regulatory people and the legal people push back. But I know what not to risk, right? So I think one of the things that's very helpful is having sold devices, having launched devices myself, having worked in the hospital system, I spent a lot of time on the floors watching how devices are used. I spent time in ICU collecting data. I think really having been part of that environment helps feed the story building process. It's almost like a natural part of what goes into building that story. So because of that experience, because I've walked those halls, I've been in those shoes, I kind of know what some of those limitations are and that just automatically configures into the storytelling process. I know what the product managers are up against when they're trying to launch a product. And theoretically, I should know the right questions to ask and how they got to the product that they have today and how they've, you know, customer feedback has fed into that. And then how do we take that and make sure that the messaging meets the same requirements? Like you have a, you know, you have design requirements, well, your messaging should have the same requirements and achieve a goal. So I think that's the analytical side is making sure, does the message achieve the goal? Are we being very committed to what's the business objective? How is the marketing objective supporting that? And then is the, how is the messaging fitting into that? I think that's a very important part of the discipline. We also are very familiar with, you know, claims matrices and the importance of having, you know, data and research to support claims. And so kind of knowing that framework, I think is helpful when you're building messaging because helps you think through like, okay, here's how the client is going to need to organize the messaging. Here's how they're gonna have to reuse the messaging. You know, how can we be very consistent in how we roll that out so they're not having to go back through and through their approval process every time. It's really important part of the discipline in the medtech world that we have to deal with that industries as well, of course, but it's certainly very important in ours. [00:09:01] Lindsey Dinneen: Yeah. Yeah. I, I really appreciate that insight and I think, you know, it's so interesting to see-- you're totally speaking my language about the consistency of, it's something I've, I've preached so much is you have to be consistent with your messaging and your branding. And it's not like everyone has to have the same cookie cutter language, but when you're aligned, that really translates. [00:09:25] Rachel Knutton: And it works. this is, you know, I, think this is a little bit of a, it's not a pet peeve, it's a passion project rather of mine is to get people to be consistent because I think what happens is internally, people get tired very quickly of their messaging or their creative. And I do think you need creative variability. We know with AI you need some of that, like that's gonna be important. But probably your customer, your target audience isn't tired of it and they might not have even seen it yet. And it's that very old, like nine times someone has to hear a message. And so my favorite clients are the ones that work very hard to get the messaging right in the first place. They go through the discipline process of doing it, knowing why we're doing it, getting full buy-in from an extended team, and then just keep with it, with some obviously refinement and tweaking when you get customer feedback. But you know, sadly, I'm sure we've all had this instance where it's like, "Oh, Dr. like this ad. We need a new ad campaign." And it's like, "Well, that's okay. I'm really glad he noticed it." You know? That's all right. That, might be okay. So, it, I think that the best companies are consistent and, you know, one of our clients is um, intuitive Surgical, and one of the things that we see is like, of course there's fresh creative. Of course there's brand evolution, but the overall message is very consistent and that's, it's fun to see how fruitful that consistency has been for them. [00:11:06] Lindsey Dinneen: Yeah, absolutely. Love that. So you worked for other companies and then you took a leap and became an entrepreneur and a leader of your business. What was that like? Were you prepared, so to speak? I'm not sure anyone's actually prepared to be an entrepreneur, but you know, how did that go for you? [00:11:24] Rachel Knutton: Yeah. was certainly an accidental entrepreneur. Some lifestyle choices, particularly marrying someone in the military at the time when we didn't do Zoom calls forced me to look at my career path and go, you know what? I'm not gonna climb the corporate career ladder moving. At that time, it wasn't a thing. And I thought, you know, I'm gonna need to do consulting in order to, you know, support family and then keep my business going. So I had lifestyle reasons that I became an entrepreneur and wasn't really sure how it was gonna work out, to be perfectly honest with you. And, you know, felt like a lot of people say, "Well, I'm consulting," which just means they don't have a job right now. And I, I know, you know, nothing bad about saying that, that can be very true, but for me, I was like, this is actually something I'm gonna need to do. And I did it as a as a solo consultant for several years, and then when I, we finally settled down and stopped moving said, "Well, it's time for me to get some help." The thing that was really interesting to me is I never really wanted to manage people even when I was in the corporate world, I just wanted to do great work. I wanted to, you know, I, felt like people slowed me down. You know, I just, I'm like, "Just let me go. I'm a star player." And it was really nothing that I was interested in at all. And now I have, you know, all these employees and I spend a very large portion of my time managing people. And the thing that has been so surprising is how gratifying that is, how fulfilling it is. One, to, you know, go beyond your comfort zone and find, I've learned so much. I've made a lot of mistakes. I've thought about other leaders that I've been lucky to work with in the past and follow what they do. And maybe some people who had some tendencies that I try not to do or I'll check myself and go, "Oh, am I, you know, am I doing that?" But I think managing team, developing people is the most exciting piece of it. always loved helping clients, so as I started out in this venture, I had a couple of offers to go work full time for those clients, but at that point I had been helping a few people and I was like, "Well, I can't say no to to the guy at this company, I can't say no to her because she needs my help. And if I have a full-time job, I'm not gonna be able to do that." So I really just wanted to help as many people as possible and I felt like owning my own business will allow me to do that. Now that I have a team, we are able to help so many more people and that is really gratifying. The other thing is. Where I am, my community is outside of Nashville and we're a micropolitan, which means we're kind of just far away for our commute to Nashville to be impractical. We have a local university here, and so one of the things I wanna do early on was work with the local university talent for people who wanna stay in this upper Cumberland area and have a great profession. And it's somewhat limited still. It is growing, but there's not a lot of big corporate jobs. So what I love to do is I bring that corporate experience into my small business in terms of professional development, evaluations, how we coach people. And then I try to get rid of all this stuff that I didn't really care about working in the corporate land, you know, and increased flexibility. Let's not have politics and things like that, and so that people can just grow and flourish. And so it is, I'm very passionate about it. I love helping clients and I love helping my team, and so it's really like the best of both worlds for me. [00:14:58] Lindsey Dinneen: Yeah. Excellent. So you have an interesting name for your company and I would love if you would share a little bit what led to that? [00:15:07] Rachel Knutton: Yeah. Thank you for asking about that, actually. So when I was the first name for my company was called Good Day Marketing, and when I realized I was really going to stay in medtech, at that time when I launched it, I was like, well, maybe I won't do medtech. Maybe I'll just do other marketing. I was like, "Well, medtech is where people want me. This is what I know. I have expertise. This is where I need to be." It made a lot of sense. I was like, okay, I need to rebrand, and I had gone through a period of testing. And so I'm a Christian and I'm familiar with scripture. You know, where you're like, you get refined in the fire, you're refined like silver and like gold. And I was like, "Okay, I need to have something about gold." And I discovered there's a type of gold called alluvial gold. And it's the kind of gold that you find in riverbeds. And soil in uh, riverbed is very, very rich because you have so much, you know, marine life and you know, plant life flowing over it, but then there's gold deposited there, and I was like, "That's we do, right?" Like when we're working with medtech companies, there's so much rich content, there's so much intelligence and innovation baked into what they're doing. Our job though, is to find the pieces of gold that will really help them tell that story and distill that, right? And like purify it. And it goes through a refining process to make sure the message is really clear. leave the extra behind. And then once we get it into a good spot, we shine it and we just like make the best part of that messaging, pull that forward. So it just made a lot of sense for the agency to be called Alluvia Studio. [00:16:42] Lindsey Dinneen: That's, that's perfect. That's such a great story too. I love the intentionality behind it and the thought process of it. Um. So yeah, so you have some core values with the company, and I'm assuming this also derives from yourself, and three me were the values of authenticity, joy, and humor. Can you speak to those and how you came up with that? [00:17:06] Rachel Knutton: Sure. Well, authenticity is, I, I just can't not be authentic. So one of the things you and I had talked about before is, I have a hard time talking about myself. just am naturally a little bit humble and I have to ask other people to tell me what I'm good at, right? And they're like, "Well, such a thought leader. You know what this industry so well, you're so great at telling this story." And I think just being able to say, "Hey, I don't know how to frame myself is something that's just innate to me." [00:17:40] Lindsey Dinneen: Hmm. [00:17:42] Rachel Knutton: I think I wanna work that way with people. It means that if you need to have a tough conversation with a client, you can have it. something doesn't feel right, I wanna pick up the phone and say, "Hey, this didn't feel right to me. I don't like how this conversation went. I don't like how this project's going 'cause I don't, I sense that you're dissatisfied, I wanna talk about it, I wanna understand it." from the client side, that's how authenticity works. And then with my team as well. So, for me, their personal lives are very important. I know we all bring our personal life into our work. If we say that we don't, we're lying. And so I ask that, you know, if someone's having a rough day or going through something as much as they're comfortable, at least just let us know so that other people aren't impacted by maybe, you know, a down day or, or take it personally because you know how we all do that, right? We read into it, go, "Oh, did I do something to upset them?" "No, I'm just, I'm not here today." And so I just think it's really important one, and I want people to feel comfortable with them, to feel themselves. And I think it helps with like diverse perspectives well. And then fun. So like humor, fun to me are lumped together and I just think when you have fun at work, you do your best work. And reminded of a couple of stories with our clients. So a lot of times we think in medtech, like everything's so serious. Everything, you know, and it is, it's a serious business. We're doing important things. There's nothing flip about what we do. However, we're all human beings. And we all need to have fun while we're working together. So we like our clients to have fun working with us, and I like sharing things that are fun about me. I had someone just this week who is from a very high level financial position in a big company comment that he loved that I had a roller skater in my LinkedIn profile. Now, I never would've thought that, right? I never thought that person would have really appreciated that, but that just goes to show that we all need to have fun. And even if we're working hard, we just like work hard, play hard, like let's just, and when we're stressed, let's just laugh it off and keep going. [00:19:58] Lindsey Dinneen: Yeah, and the joy aspect, just curious because that is, uh, the huge core value of mine, and so I would just love to hear your take on it. [00:20:06] Rachel Knutton: It is my purpose life. I have identified that. I got go through a leadership development class about 20 years ago with Kimberly Clark, and we identified our purpose, and bringing joy into other people's lives was mine and what that means for me-- it is funny, early on in my career I, didn't think I was gonna work in medtech. I thought it was more in like hospitality, tourism, something, you know, that's fun, you know, obvious fun. But what I really realized is that joy, um, joy comes from completing a project, feeling very good about what you do. We are often a very important part when people are presenting about themselves. So they do a lot of presentations. They're presenting to their boss or to a board. We wanna make them look good. We wanna make them feel very confident and relieving that stress is a joyful experience for them. So for me it's very personal. know, as much as we can, we want to help them feel that and experience that, and that comes down to how we communicate with them. You know, let's laugh a little bit. Our job is to look good. We, this business is not about Alluvia. This business is about you, and we are here to be a partner with you in that process. [00:21:29] Lindsey Dinneen: Yeah. Oh my goodness. Yes. That resonates very much. Um, yeah, so, you know, you've you've had an amazing career and you've worked, like you said, on the hospital side, you have had the device side and now your own business. Are there any moments along your journey that really stand out as affirming to you that "Yes, I'm in the right place at the right time?" [00:21:52] Rachel Knutton: Definitely. When I started my consulting business, I wasn't sure that I was going to be in medtech. So I had been in the hospital world for about 10 years and I had been in medtech for about 10 years, and I thought, "Well, am I supposed to be doing something different?" You know, that's that's a nice time to like, and my relationships and my reputation drew me back in. So it was almost one of those like. I'm meant to be here because I do have the experience that people value and I do have a way of thinking that's very helpful for people and it's a unique perspective that help. And so through my consulting business, I ended up launching two more products through very large publicly traded companies. And I thought, "Well, okay, obviously I'm supposed to be doing this." [00:22:48] Lindsey Dinneen: Yeah. Yeah. Excellent. Yes, and I think makes sense too because it's, it's also rather niche, you know? So, so having the skill sets really play a good part into-- it's, it's-- basically what I'm trying to get at is it's not an necessarily an easy path. So it's helpful to have had that background to, you know, you've got the communications and the marketing, but also the nitty gritty of, you know, I remember when I first joined, you know, somebody would say a sentence and it was like, half of it was acronyms and it was, it's just such a steep learning curve, [00:23:21] Rachel Knutton: Yeah. Mm-hmm. [00:23:21] Lindsey Dinneen: Yeah. [00:23:22] Rachel Knutton: It's, it really, and it still is. I mean, there's no way to know about every specialty in the world or all of the, you know, technical or clinical issues that our clients customers need to deal with. But being able to figure out which parts you need to understand and which you don't, I think is good. Like, what do you need to filter? do you really need to go in order to help them communicate their message is. Is helpful. And I think having that experience does provide that filter. And you know, it's funny because I was thinking about your podcast and I love what you're doing with it. Like I love that you're trying to shine a light on our community and it is about so many people trying to help people and save lives. And yes, I mean, I work so heavily with the investor community and startup community that sometimes it starts to feel a lot like it's about money. think money follows great ideas, right? Because there's an economic value to an innovation that's gonna save our healthcare system money, save lives and outcomes and, things like that. So I think it's all important. One of the things that I've thought about though is. Our unique position is we help people that help people save lives. So, you know, we are not on the frontline innovating new devices. We are not really on the frontline working with the patients. But if they don't tell their story, if there's not awareness of their solution, if it's not implemented correctly-- we think, I think a lot about that at the at the sales level, having been in, in those shoes-- if those things aren't done correctly, then the patient's not gonna be helped and making sure that we make that as easy as possible. people don't really wanna think about marketing, right? Like they wanna think about the clinical aspect. They wanna think about the innovation and the know, technical issues that they need to solve. And new product development, but the marketing piece is really important. All [00:25:28] Lindsey Dinneen: Yeah. Yeah, and it's just a fun, well, it's really a special role to play, I think. And I've always felt really grateful for that because, right, if somebody doesn't know that it exists, then they can't buy it. And so even though my role is small in comparison to maybe the scientists and the engineers and everything like that, I still get to play a part, and I think that's just delightful. Yeah. [00:25:55] Rachel Knutton: Yeah. Yeah, it really is. And it's really helpful too. So, you know, running an agency, I have a lot of creative people. Well, in our industry, we don't get to be quite as creative as other industries, right? Because as you mentioned, you know, we have regulatory reasons and it's a slightly more conservative industry for sure and should be. We're always looking to figure out how do we inject that joy? How do we inject that fun and authenticity into something that still feels as professional, as innovative, and as buttoned up the product is, as the quality process has been, as the clinical study has been, but still, how do we have a unique voice within that? And so that's really helpful with my creative team too, to say, right, like our guy boundaries are a little bit different, but what we're doing is so much more important than selling a consumer product. Maybe like a luxury item or jewelry or marketing a, I don't know, something sexier, you know, like a vacation. I don't know. To me that'd be like the ultimate, send me around the world and have me market a travel. That'd be very good. [00:27:05] Lindsey Dinneen: You go. [00:27:06] Rachel Knutton: But at the end of the day, like it, it's making a really big impact and I think that's really helpful to help people in that. We're always looking for ways to try to get that experience. Like I'm always looking for ways to get experience from my team to be able to do that. I think that's probably my next big goal is like, how do I get them into the hospital? How do I expose them to what the day-to-day life is of a sales rep? You know? think that's really important in our industry to have some sort of exposure to feed on the streets in the hospital setting, how it works, what the sales rep has to go through to get the product implemented, how long it takes for it to actually succeed, right? Because it's not just one sale, it is a long process, a long journey, and an ongoing journey to make sure that that it sticks and that people understand how to use it. And I think having that like empathy or at least point of view can be really helpful to anyone marketing in our industry. [00:28:10] Lindsey Dinneen: Yeah. Yeah. I I really like that. That's, that would be a really helpful thing for anyone, especially if they're newer to the industry, to have that sort of boots on the ground, this is what it's actually like, kind of experience. [00:28:24] Rachel Knutton: Yeah. [00:28:25] Lindsey Dinneen: So, okay, so pivoting the conversation just for fun. Imagine that you were to be offered a million dollars to teach a masterclass on anything you want. It could be within your industry, doesn't have to be, what would you choose to teach? [00:28:39] Rachel Knutton: I think it would really be about this, like how to find joy. Like how to find joy in everything. You know, how do you cultivate a joyful outlook on life so that even when you're sitting in traffic or doing something you don't really love to do, how can you integrate that? You know, I think that one thing that's really important to me is my faith. So my values, I'm, Christian, and I really believe the only true joy that we have is when we have a relationship with Jesus Christ. And so that's not part of my business, that's part of my life mantra, but like if I could help people get to the real joy, that would be like the ultimate goal, right? If I can't get them there, if I can get them to, you know, experience joy in the day to day or experience joy in their trials, think that would be something worth, I'd do it for free. I don't even need a million dollars. a million dollars would be great. [00:29:34] Lindsey Dinneen: Yeah. Right. Excellent. Excellent. Yes. Okay. And then how do you wish to be remembered after you leave this world? [00:29:43] Rachel Knutton: I think it's that point I just made there, right, is that, maybe, I mean, it's so cliche, but I left things better than I found them. I left people better than I found them. And, you know, and ultimately, you know, if I lead them to Jesus, that is like the ultimate goal for me as a Christian. So for me, that would be a metric that if it was, you know, one person, if it was 1 million people, it doesn't matter. That's the goal. [00:30:13] Lindsey Dinneen: Yeah. Yeah. And then final question, what is one thing that makes you smile every time you see or think about it? [00:30:22] Rachel Knutton: It is my business. It really is. I mean, okay, obviously my family and my pets and things like that, but I really love coming to the office. This, we have our own building. Every time I come here, my spirits are lifted. I love seeing my team members and I love working with the clients and just hearing from them and building those relationships. Everything about this is so deeply personal to me that the money piece of it is like the very last thing that I think about. It's the last way that I run my business. It's the last way that I measure success. It's the last way I hire. It is really just follows that, that positive feeling of making an impact and having fun. I, it's just, I know it sounds crazy. We keep saying that, but I think it's really fun to do what I do. I'm [00:31:18] Lindsey Dinneen: Yeah. I love that answer. That's that's wonderful. And it, I think that's one of those affirmations that yeah, you are in the right place at the right time because you're having fun and you're joyful. I love that. [00:31:30] Rachel Knutton: Sometimes it's temping to work from home, and then I work from home, and then I come to the office. I'm like, "Why did I wanna work from home? It's so much lighter here. We have a disco ball here and I don't have a disco ball at home." [00:31:40] Lindsey Dinneen: Oh. Brilliant. I love it. Oh my goodness. Well, this has been such a fantastic conversation, Rachel. I so appreciate you and your time today, and I love the way that you bring joy and fun into medtech and into the lives of the people that you touch. And we're excited to be making a donation on your behalf, as a thank you for your time today, to Sleep in Heavenly Peace, which provides beds for children who don't have any in the United States. So thank you for choosing that charity to support. Again, thank you so much for everything you're doing to change lives for a better world. [00:32:18] Rachel Knutton: Thank you. This is a great interview, so I appreciate it. You made it easy. [00:32:23] Lindsey Dinneen: So glad to hear that. Alright, well thank you so much again, and thank you also to our listeners for tuning in and if you're feeling as inspired as I am right now, I'd love it if you'd share this episode with a colleague or two and we'll catch you next time. [00:32:40] Dan Purvis: The Leading Difference is brought to you by Velentium Medical. Velentium Medical is a full service CDMO, serving medtech clients worldwide to securely design, manufacture, and test class two and class three medical devices. Velentium Medical's four units include research and development-- pairing electronic and mechanical design, embedded firmware, mobile app development, and cloud systems with the human factor studies and systems engineering necessary to streamline medical device regulatory approval; contract manufacturing-- building medical products at the prototype, clinical, and commercial levels in the US, as well as in low cost regions in 1345 certified and FDA registered Class VII clean rooms; cybersecurity-- generating the 12 cybersecurity design artifacts required for FDA submission; and automated test systems, assuring that every device produced is exactly the same as the device that was approved. Visit VelentiumMedical.com to explore how we can work together to change lives for a better world.

Sterile processing departments are dealing with persistent operational pressures. Surgical case volumes are rising, instruments are more complex, and staffing shortages remain across many health systems. Accuracy and documentation requirements continue to tighten, leaving little room for error. In busy hospitals, sterile processing teams may handle 10,000 to 30,000 surgical instruments per day, with performance tightly linked to patient risk given the persistent burden of surgical site infections in inpatient care. These conditions are shaping how hospitals evaluate AI in sterile processing as a practical way to support frontline teams without adding disruption or risk.As health systems reassess where technology can provide real operational support, what does effective adoption look like inside day-to-day SPD workflows?In Part 1 of this two-part ConCensis podcast series by Censis Technologies, host Daniel Litwin sits down with Chief Technology Officer Harshil Goradia and Senior Director of Product Development Seamus Johnson for a grounded, practical discussion on how AI is being applied in sterile processing today. The conversation centers on where AI delivers measurable value in SPD workflows, why some use cases succeed while others fall short, and how technology can reinforce technician performance without disrupting established processes.Key points :AI is most valuable where traditional software breaks down: Rule-based tools struggle with visual, variable, real-world conditions such as lighting, positioning, and tray variability. AI in sterile processing, particularly computer vision, can interpret this complexity without hard-coding every possible scenario.Consistency is the core challenge across SPD workflows: Decontamination, assembly, and sterilization remain the highest-risk steps. Volume growth, case complexity, and staffing strain increase the likelihood of errors, making consistency a primary focus for AI in sterile processing initiatives.Final check use cases can have an outsized impact: In customer environments referenced in the episode, missing integrators dropped from dozens per month to zero after implementation. These results show how targeted AI in sterile processing applications can improve accuracy while strengthening documentation and accountability.Harshil Goradia is a technology executive specializing in AI, SaaS, and large-scale digital transformation across healthcare and enterprise software. As CTO and VP of IT at Censis Technologies, he leads global engineering and AI initiatives that drive product innovation, operational efficiency, and revenue growth. His career spans senior leadership roles at Fortive, Arrow Electronics, and Oracle, delivering high-impact technology platforms and scalable modernization programs.Seamus Johnson is a senior software developer with more than two decades of experience building technology solutions for the healthcare industry. At Censis Technologies, he leads application development across software architecture, cloud systems, databases, and security, with a focus on supporting hospital and sterile processing workflows. His background includes enterprise software development roles at Censis and Northrop Grumman, grounded in a technical foundation in physics and agile engineering practices.

In this episode, we dive deep into surgical support for cancer patients and share all the insider intel you might be missing out on. From what not to take before surgery (blood clotting is essential!) to the importance of inflammation in the healing process (yes, inflammation is actually your friend after surgery!), we cover it all. Discover key nutrients, physical and occupational therapy recommendations, and even some mind-body strategies to boost your recovery. We're talking macronutrients, micronutrients, supplements, and the best foods to eat before and after surgery. Also, we reveal a common supplement that we're told to skip that might actually help with healing! This episode is packed with practical, easy-to-implement advice that you won't want to miss.Past episodes we mentioned:Omega-3 Fatty Acids: Supplements 101Vitamin D: Supplements 101Calcium: The Low Down and the High PointsVitamin C: Supplements 101Magnesium: the Goldilocks Nutrient?Flax and Chia Seeds: Foods FirstLink to nutrient absorption chart of gutFind clinical trials on exercise as cancer supportive therapyProducts we mentioned (we may earn a small commission at no cost to you):Juven Ginger People Tummy Drops Support the showBecome a member of The Cancer Pod Community! Gain access to live Q&As, exclusive content, and so much more! Join us today! Check out our website! Looking for more information? We have blogs, merch, and all of our episodes listed by season and category. Shop our favorite reads! We've joined with Bookshop.org to offer some of our fave books! Buy our merch! Whether it's a cozy hoody or a handy water bottle, we have something for everybody. Have a comment or suggestion? Email us at thecancerpod@gmail.com Follow us wherever you browse. We're always @TheCancerPod: Instagram Bluesky Facebook LinkedIn YouTube THANK YOU!!

Medical missionaries often feel powerful emotional burden from moral injury, and it is a leading cause of departure from the mission field. But we have learned proven methods of preventing and dealing with moral injury. Use God’s powerful methods to protect yourself and your team, and to grow in wisdom and spirit!

This week Payman chats with Payvand Menhadji, a newly qualified specialist periodontist who's navigating the delicate balance between clinical excellence and impending motherhood. At 30 weeks pregnant, Payvand reflects on her journey from general dentist to specialist—driven by a competitive streak and a love for surgical challenge that emerged during her VT year. The conversation weaves through everything from the realities of private practice economics to why she'd rather perfect her surgical skills than chase Instagram fame, touching on mentorship, imposter syndrome, and the art of staying humble when success comes knocking.In This Episode00:01:00 - Finishing specialist training whilst pregnant00:04:20 - Why four days feels necessary00:05:10 - The moment surgery clicked00:07:10 - Competitive from birth00:08:20 - Hospital jobs and surgical confidence00:11:45 - Decision to specialise00:14:50 - Choosing between ortho and perio00:18:30 - Training structure and challenges00:22:15 - Learning from the best00:26:40 - Private practice reality00:30:20 - What patients actually pay00:34:45 - Imposter syndrome00:38:20 - Building a reputation00:42:15 - Surgical complications00:46:30 - Blackbox thinking00:51:45 - Treatment planning philosophy00:56:20 - Working with implantologists01:00:15 - Referral relationships01:04:30 - Social media approach01:08:45 - Learning from Instagram01:13:35 - Fantasy dinner party01:15:20 - Last days and legacyAbout Payvand MenhadjiPayvand Menhadji is a specialist periodontist who completed her training in September 2024. She works across multiple specialist practices focusing on periodontal surgery and implantology, having developed her surgical interest during VT under the mentorship of implantologist Victor Keyhani.

In this episode, host Rick Greene, MD, FACS, talks with Samuel A. Gold, MD, from the urology service in the Department of Surgery at Memorial Sloan Cancer Center in New York, New York, about using intraoperative fluorescence to illuminate nerve structures during robotic-assisted prostatectomy. Dr. Gold's phase-1 study, published in JAMA Surgery (Rizedisben in Minimally Invasive Surgery), found that the fluorophore was generally well tolerated and clinically effective, which could revolutionize prostatic surgery and lead to wider applicability.   Talk about the podcast on social media using the hashtag #SurgicalReadings

In today's episode, our discussion features Eric Whitman, MD; and Vishal Patel, MD, FAAD, FACMS. Dr Whitman is medical director of the oncology service line with Atlantic Health System in Morristown, New Jersey. Dr Patel is an associate professor of dermatology and medicine at the GW School of Medicine & Health Sciences, as well as the director of the Cutaneous Oncology Program at the GW Cancer Center in Washington, DC. In our exclusive interview, Drs Whitman and Patel discussed the evolving treatment paradigm for patients with cutaneous squamous cell carcinoma (CSCC), emphasizing the role of neoadjuvant and adjuvant immunotherapies like cemiplimab and pembrolizumab. They noted that key factors for surgical candidacy include tumor size, location, and patient factors like age and comorbidities. They also emphasized that multidisciplinary collaboration is crucial for optimal outcomes. Furthermore, they highlighted future directions for CSCC management, including personalized medicine, genetic testing for recurrence risk, and expanding immunotherapy use to immunosuppressed patients. They also noted that ongoing trials aim to optimize treatment doses and explore new immunotherapy combinations.  

In this episode my guest, Amelia Vogler and I will be talking about a profound and often overlooked dimension of healing — the energetic and spiritual journey that surrounds surgery. AMELIA VOGLER, MS, HTP, SEM is an Energy Medicine Specialist, internationally respected teacher of energy medicine, and surgical consultant. In 2021, she founded the Vogler Institute as a transformational online training center. Using the ancient system of the hara; her goal is to help individuals who don't feel whole, reclaim the parts of themselves that have felt lost – in life and in their life's work. In addition to her teaching and surgical work, she has an international private practice. In her 20-year career, she has helped over 7,000 individuals re-pattern or transform self-limiting negative beliefs through grounding practices, intuitive insight, and advanced energy medicine. Her practice expands around the globe, serving clients in Asia, Europe, Australia, New Zealand, South America, Canada, and the United States. Learning Points: The Integrative Role of Energy Medicine in Surgical Healing How to Reclaim Lost Parts of the Self Practical Tools for Grounding, Alignment & Daily Integration Social Media: https://www.ameliavogler.com https://www.voglerinstitute.com https://www.energymedicineinsurgery.com https://www.instagram.com/ameliavogler_healing https://www.facebook.com/thehealingspacellc https://x.com/HealingSpaceNC https://www.linkedin.com/in/ameliavogler/

Menopause symptoms can hit harder than most women expect: sleep problems, night sweats, mood changes, brain fog, low libido, and weight gain can suddenly feel out of your control. If you've tried creams or patches and still don't feel like yourself, it may be time to learn why some patients explore hormone pellet therapy for women as another option. At Allure Medical, we focus on personalized care, because hormone needs are not “one-size-fits-all.” Our team evaluates symptoms and history to help determine whether a customized plan may support your goals, including energy, steady mood, more restorative sleep, and more comfortable intimacy. Unlike daily pills or topical products, pellet therapy is designed to deliver a steady release over time (with ongoing monitoring and adjustments when needed). This conversation also highlights why so many women were left confused about hormone therapy for years, and why the discussion around safety, dosing, and individualized care matters. If you're researching hormone pellet therapy for women, start with the right questions: What symptoms are you treating? What delivery method fits your lifestyle? What does proper monitoring look like? Timestamps: 00:00 - Surgical menopause & the symptoms nobody prepared you for 01:30 - Why many women still feel awful on patches/creams 04:20 - When HRT finally “clicks” for symptom relief 05:25 - Menopause + weight gain + libido: why it's all connected 07:10 - Why absorption and dosing can vary (and why it matters) 09:20 - Where the fear around hormone therapy came from 13:20 - Why the HRT conversation is shifting again 16:20 - Pellet therapy explained: what it is + what to expect 17:25 - Why some women don't feel the first pellet right awayLearn More: https://www.alluremedical.com/Books & Research: https://www.alluremedical.com/books/Follow Dr. Charles Mok & Allure Medical: LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedicalAmazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQInner Circle Membership: https://www.alluremedic#insidethecure

You're in the middle of surgical residency, and you realize you need more than a few weeks away from clinical responsibilities. Maybe you need more time to be a parent, recover from an illness, care for family, learn a new skill, or simply create space to reflect and reset. What if you could complete five years of training over six calendar years by spreading that time out in a way that fits your life?  Join Dr. Kara Button with Dr. Joe Buyske, and Dr. Bridget Olson as they break down the 5-in-6 pathway including how it works, who it's for, and the real-world logistics that matter.Hosts:Kara Button, DO — General Surgery Resident, Maine Medical Center; Behind the Knife Surgical Education FellowJo Buyske, MD — President & CEO, American Board of SurgeryDr. Bridget Olsen, MD — General Surgery Resident, Maine Medical CenterReferences: Bamdad MC, Hughes DT, Englesbe M. Safe and supported pregnancy: A call to action for surgery chairs and program directors: A call to action for surgery chairs and program directors. Ann Surg. 2022;275(1):e1-e2. doi:10.1097/SLA.0000000000005181 https://pubmed.ncbi.nlm.nih.gov/34433187/Castillo-Angeles M, Atkinson RB, Easter SR, et al. Pregnancy during surgical training: Are residency programs truly supporting their trainees? J Surg Educ. 2022;79(6):e92-e102. doi:10.1016/j.jsurg.2022.06.011 https://pubmed.ncbi.nlm.nih.gov/35842402/Castillo-Angeles M, Smink DS, Rangel EL. Perspectives of general surgery program directors on paternity leave during surgical training. JAMA Surg. 2022;157(2):105-111. doi:10.1001/jamasurg.2021.6223 https://pubmed.ncbi.nlm.nih.gov/34851404/Kanters AE, Shubeck SP. The importance of parental leave and lactation support for surgeons. Clin Colon Rectal Surg. 2023;36(5):333-337. doi:10.1055/s-0043-1764288 https://pubmed.ncbi.nlm.nih.gov/37564351/Kling SM, Slashinski MJ, Green RL, Taylor GA, Dunham P, Kuo LE. Parental leave experiences for the non-childbearing general surgery resident parent: A qualitative analysis. Surgery. 2024;176(5):1320-1326. doi:10.1016/j.surg.2024.04.035 https://pubmed.ncbi.nlm.nih.gov/38910045/Mann H, Glazer T. Current state of safe pregnancy policies for the US surgical trainee. OTO Open. 2024;8(3):e172. doi:10.1002/oto2.172 https://pubmed.ncbi.nlm.nih.gov/39036338/Rangel EL, Smink DS, Castillo-Angeles M, et al. Pregnancy and motherhood during surgical training. JAMA Surg. 2018;153(7):644-652. doi:10.1001/jamasurg.2018.0153 https://pubmed.ncbi.nlm.nih.gov/29562068/Rangel EL, Castillo-Angeles M, Easter SR, et al. Incidence of infertility and pregnancy complications in US female surgeons. JAMA Surg. 2021;156(10):905-915. doi:10.1001/jamasurg.2021.3301 https://pubmed.ncbi.nlm.nih.gov/34319353/https://www.nytimes.com/2019/12/20/science/doctors-surgery-motherhood-medical-school.htmlhttps://behindtheknife.org/podcast/family-leave-during-surgical-training-a-discussion-with-abs-president-dr-jo-buyskePlease 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/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate 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-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

What if the symptoms you have been told are “just part of hormonal changes and perimenopause” are actually a misdiagnosed medical condition that's progressively getting worse without being properly addressed?In this episode of Maximizing Hormones, Physique, and Running Through Perimenopause, Louise Valentine, one of the world's leading integrative health practitioners and exercise physiologists, sits down with Dr. Ryan Armstrong to break down fibroids, chronic pain, and vascular issues in a way that finally makes sense. Together, they explore why heavy bleeding, chronic fatigue, knee pain, plantar fasciitis, and leg cramping are so common in active women and why they should never be ignored or normalized.Dr. Ryan explains minimally invasive treatments like uterine fibroid embolization that preserve the uterus while dramatically improving quality of life, often with faster recovery and fewer long-term risks than traditional surgery. Louise adds critical context around hormone balance, nutrition, and strength training, showing how medical care, targeted fitness and lifestyle strategies work best together.Listeners will walk away with clarity around symptoms to watch for, questions to ask their doctors, and reassurance that there are modern, effective options that do not require extreme or life-altering procedures. This episode is empowering, practical, and especially valuable for women who want to stay active, strong, and pain-free through perimenopause and beyond.Learn more about Dr. Armstrong's practice Texas Endovascular at https://texaseva.com/ Learn & level up with my free nutrition guide and award-winning Badass Breakthrough Academy to thrive through perimenopause with less stress: https://www.breakingthroughwellness.com/Link to our FullScript where you can see curated best supplement picks & save 20%: https://us.fullscript.com/welcome/breakingthroughwellness/store-start Take advantage of our podcast listener discount and save 20% off all of Kion's science-backed clean products. Code "LOUISE" saves on all future orders: https://www.getkion.com/pages/maximizing Episode Highlights:(0:00) Intro and natural hormone balance for long-term relief(3:00) Fibroids explained in simple terms(6:10) Hormones, inflammation, and injury risk(12:50) Uterine fibroid embolization explained(18:11) Risks of hysterectomy and why alternatives matter(20:38) Innovative treatments for knee pain and plantar fasciitis(23:29) Venous insufficiency, cramping, and varicose veins(30:20) Heavy bleeding, anemia, and athletic performance(32:29) Ablation vs embolization for fibroid care(36:06) OutroTune in weekly to "Maximizing Hormones, Physique, and Running Through Perimenopause" for our simple female-specific science-based revolution. Let's unlock our best with less stress!I'd love to connect! Email

One of the most daunting clinical challenges: tropical fever

Dr. Mark Lawrence Zukowski, MD, FACS is a board-certified plastic surgeon with decades of experience in aesthetic, reconstructive, and craniofacial surgery. A former U.S. Navy Commander and Chief of Plastic Surgery at the Naval Medical Center in Portsmouth, Virginia, Dr. Zukowski has held academic appointments at Northwestern University and Eastern Virginia Medical School and has published and lectured extensively on facial anatomy, surgical technique, and aesthetic outcomes. Dr. Zukowski is widely recognized for his work in facial feminization surgery (FFS) and gender-affirming care, with a deep, anatomy-driven approach to helping transgender patients align their external appearance with their gender identity. His background in facial fat compartments, fascial planes, and craniofacial structure informs a highly individualized surgical philosophy focused on balance, harmony, and long-term results. In this two-part conversation, Dr. Zukowski discusses the evolution of facial feminization surgery, the surgical techniques involved, patient selection, outcomes, and the ethical, emotional, and medical considerations of gender-affirming care. This episode is brought to you by Olipop, a new healthy brand of soda. Go to https://drinkolipop.com/ and use code Marcela15 at checkout to get 15% off your first order. This episode is brought to you by Shopify. Shopify can help you take your business to the next level. Click HERE to set up your Shopify shop today and watch your business soar! This episode is brought to you by BranditScan, the best defese you have against social media fraud. Click HERE to get started with BranditScan today and get your first month for free. There is no better service to protect your social media accounts and your name and likeness. . This episode is brought to you by Skillshare. Click HERE to start exploring all the courses Skillshare has to offer, from drawing and music, to graphic design and marketing, start expanding your knowledge today. This episode is brought to you by Fiverr. Click HERE to start hiring professionals to help you in various areas and take your business to the next level. This episode is brought to you by PodMatch. Click HERE to bring your podcasting journey to the next level by getting set up's Only Fans  VIP Membership HERE Free Membership HERE  Learn more about your ad choices. Visit megaphone.fm/adchoices

Guest: Dan Brady DDS https://om3surgery.com/   Host: Serv Wahan MD DMD https://www.drwahan.com/   Keywords impacted teeth, oral surgery, dental techniques, canine extraction, dental education, surgery tips, patient care, orthodontics, dental practice, dental referrals, mesiodens, orthodontist, pedodontist, dental crowding, om3 oral surgery, mill creek wisdom teeth, Snohomish dental implants, wisdom teeth, Dan Brady DDS, Seattle oral surgery, Serv Wahan MD DMD, braces, orthodontic treatment Takeaways OM3 oral surgery has been around for over 50 years, focusing on full-scope oral surgery. Impacted teeth can include canines, laterals, premolars, and molars, not just wisdom teeth. The journey to dentistry can be influenced by various experiences, including humanitarian trips. Oral surgery often requires a balance between patient care and surgical techniques. Timing is crucial for managing impacted teeth, especially in adolescents. Open exposure techniques can help in the eruption of impacted canines. Adult patients present unique challenges in managing impacted teeth. Long-term implications of untreated impacted teeth can lead to more complex surgeries later. Surgical techniques vary based on the position of the impacted tooth and surrounding structures. Safety measures, such as using protective shields during procedures, are essential. Summary In this conversation, Dr. Serv Wahan and Dr. Dan Brady discuss the complexities of managing impacted teeth, including the various types of impacted teeth, surgical techniques, and the importance of timing in treatment. They share personal journeys into dentistry, the challenges of treating adult patients, and the long-term implications of untreated impacted teeth. The discussion also emphasizes safety measures in oral surgery and the referral process for managing these cases effectively. Titles Navigating the World of Impacted Teeth Oral Surgery Insights with Dr. Dan Brady Sound bites "The practice has been around for almost 50 years." "Timing is crucial for managing impacted teeth." "Safety measures in oral surgery are essential." Chapters 00:00 Introduction to the Practice and Partners 01:58 Understanding Impacted Teeth 05:51 Journey into Dentistry 12:01 Surgical Techniques and Tools 17:56 The Importance of Timing in Treatment 23:50 Approaches to Exposing Impacted Canines 27:53 Understanding Tooth Eruption Dynamics 30:24 Challenges of Treating Adult Patients 33:09 The Importance of Timing in Referrals 35:31 Surgical Approaches to Tooth Extraction 39:32 Managing Impacted Canines 44:14 Surgical Techniques for Complex Cases 50:20 Safety Protocols in Dental Procedures

Episode 52: Recorded December 28, 2025 “We take these dogs out of pain. They’re miserable. We get them back to normal happy dogs.” Dr. Mike Guilliard on the impact of Greyhound corn surgery Show Notes If your Greyhound has every suddenly and mysteriously gone lame — unable to walk or lifting a paw — there's a good chance it's due to a corn in their one of their pads. These keratinous growths are often misdiagnosed, leaving a Greyhound or other sighthound breed in pain and discomfort when walking on a firm surface. Enter English veterinary surgeon and Greyhound corn specialist, Dr. Mike Guilliard. Since earning his veterinary degree from the University of Cambridge Veterinary School in 1972, Dr. Guilliard has spent over 50 years in surgical practice and consultation. Early in his career, his senior partner owned a Greyhound, and Dr. Guilliard found himself studying the anatomy and orthopedics of the Greyhound. He has authored research papers and developed orthopedic treatments for many athletic dog ailments, but none may be more beneficial to Greyhounds and sighthounds than his surgical techniques for treating corns. In this episode, host John Parker sits down with Dr. Guilliard to discuss the tendonectomy or tenotomy and its impact on Greyhound and sighthound health and happiness over the years. Dr. Guilliard shares his 2025 Greyhounds in Gettysburg presentation on the topic, offering viewers and listeners a deep dive into the development of a welcome solution for lameness and discomfort for so many breeds. Links Dr. Mike Guilliard Orthopaedics Ltd (Website) Veterinary Practice News, Canada (Article) 2025 Greyhounds in Gettysburg Presentation (PDF)

In this episode we asked Drs. Justin and Brandon Haghverdian about surgical and non-surgical management of Achilles tendon rupture, the role ATs play in the care of an Achilles tendon repair, and return to play criteria post-achilles tendon repair.Timestamps(8:40) Who would be a good fit for non-operative treatment for Achilles tendon rupture?(11:48) Typical recovery timeline for Achilles repair(14:55) Surgical techniques to repair the Achilles tendon(18:21) How does a history of Achilles tendonopathy affect the repair of the tendon?(21:14) Patient education prior to surgery(24:15) How can an AT prepare their patient for Achilles repair?(26:24) Immobilization techniques(27:55) How quickly should surgery be done?(29:20) What should patients avoid during rehabilitation?(31:27) What should ATs focus on during rehabilitation?(35:16) How does re-rupture change future management?(36:44) Tendon augmentation techniques(42:45) Return to Play CriteriaAction Item: What advice would you give an AT that is rehabilitating an achilles repair for the first time?--AT CORNER FACEBOOK GROUP: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/atcornerpodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram, Website, YouTube, and other links: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠atcornerds.wixsite.com/home/links⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠EMAIL US: atcornerds@gmail.comSAVE on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbridge⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠: Use code ATCORNER to get $101 off your subscriptionWant to host a podcast like ours? Use our link to sign up for Zencastr, the service we use to record our interviews: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://zencastr.com/?via=atcorner⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Music: Jahzzar (betterwithmusic.com) CC BY-SA---Sandy & Randy

In their fourth episode, the BTK Surgical Endoscopy team delves into the endoscopic management of the dreaded and unexpected. They review how to take care of high-risk surgical complications and introduce the use of a number of endoscopic tools including suturing, stent placement, clips, and the EndoVac. Following a review of a variety of endoscopic techniques, they present case-based scenarios that allow the listeners to understand the application of the endoscopic interventions in everyday practice. Becoming facile with endoscopic interventions may give surgeons the ability to nonoperatively take care of the most complex patients. Hosts:-  Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgeon, Dell Medical School, University of Texas at Austin (Austin, TX), @SAyusoMD (Twitter)- Dr. H. Mason Hedberg, Minimally Invasive Surgeon, Endeavor Health (Evanston, IL)-  Dr. Trevor Crafts, Minimally Invasive Surgeon, Rocky Mountain VA Medical Center (Denver, CO), @CraftsTrevor (Twitter) -  Dr. Zachary Callahan, Minimally Invasive Surgeon, Nashville Surgical Associates (Nashville, TN), @zmcallahan (Twitter)Video Link: https://app.behindtheknife.org/video/surgical-endoscopy-series-ep-4-endoscopic-management-of-complicationsPlease 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/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate 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-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

A midnight shift in an old hospital is never quiet — even when it's supposed to be. Working overnight as an orderly in Akron, Ohio, his job regularly sent him deep into parts of the building most people never saw after dark. Long hallways. Locked doors. Surgical bays meant to stay empty until morning. It was routine work… until it wasn't. At first, it was small things. Notes left behind. Accusations that didn't make sense. Rules he knew he followed being quietly broken after he'd already walked away. The kind of details that make you question your memory — and your sanity. Then came a moment in a hallway that shouldn't have been accessible at all. A figure he recognized… and then didn't. A place where no one should've been — and nowhere for anyone to go. Sometimes the scariest part isn't what appears — it's being told you left the lights on when you're certain you turned them off. #HauntedHospital #NightShift #TrueGhostStories #StThomasHospital #AkronOhio #HospitalHaunting #ParanormalActivity #EVP #ShadowPerson #3AM #Poltergeist #RealGhostStoriesOnline Love real ghost stories? Don't just listen—join us on YouTube and be part of the largest community of real paranormal encounters anywhere. Subscribe now and never miss a chilling new story: