Podcasts about surgical

How can high-stakes surgical cases be optimized for teaching while ensuring patient safety and trainee growth? On this episode of BackTable Urology, Dr. Ruchika Talwar interviews Dr. Kelvin Moses about intentional strategies for surgical education, especially during complex urologic oncology operations. They discuss workflows that prioritize preoperative planning, structured debriefs, and progressive autonomy for trainees, as well as the importance of psychological safety and open communication with patients and families. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:19 - Teaching In High Stakes Cases07:57 - Rethinking See One, Do One, Teach One10:24 - Assessing Trainee Readiness14:29 - Preop Preparation 16:06 - Teaching Cues in the OR 17:42 - Tips for Trainees21:40 - Intentional Teaching24:02 - Teaching Rare and Complex Cases26:40 - Anticipating Complications and Debrief After Disaster33:09 - Psychological Safety In the OR37:41 - Reflections on Past, Current, and Future Training Models43:56 - Patients And Trainees46:51 - Takeways --- More about this episode The conversation explores practical intraoperative teaching cues, tips for trainees such as visualization, recording cases, and repetition, and methods for relating rare cases to more common procedures. Dr. Moses reflects on the strengths and challenges of past, present, and future training models, including the debate over whether surgical education has gone “too soft.” The episode emphasizes the value of mentorship, transparency with patients, and the need to continually adapt surgical training for the next generation. --- BackTable Urology is the go-to podcast for urologists, urologic oncologists, and urogynecologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

When a climber was trapped under a boulder on Mount Hood over Memorial Day weekend, the field surgical team at Oregon Health & Science University responded. The team is trained to operate on patients outside of the hospital to free them from collapsed buildings, crashed cars and other emergency situations.   Justin Regner is the trauma medical director and division head of trauma, critical care and acute care surgery at OHSU. He oversees the field surgical team and joins us to share more about its work.  

Patient-matched technology is changing surgery by making the implant conform to the patient, not the patient to the implant. In this episode, I speak with Nancy Hairston, President and CEO of MedCAD, about her unique journey from sculpture and 3D animation to the development of customized surgical solutions. Nancy explains how MedCAD uses patient imaging to design precise surgical plans, guides, anatomical models, and implants for each individual. We also discuss how these systems can simplify procedures, reduce operating room time, and potentially combine two surgeries into one. Nancy shares how advances in 3D-printed metals have accelerated production and why she believes patient-matched technology has a bright future across healthcare. Tune in to discover how art, engineering, and 3D printing are making surgery more precise and personalized! Resources: Connect with and follow Nancy Hairston on LinkedIn. Follow MedCAD on LinkedIn and explore their website!

Jenifer Lockwood became a surgical nurse in Florida, grew up watching her mother struggle with addiction, developed her own health complications that introduced her to prescription pills, and eventually built a scheme at her job calling in fraudulent prescriptions to pharmacies to feed the addiction before law enforcement set her up at a pharmacy and arrested her — producing a 15 year Florida state prison sentence that she served 13 years of before sobriety, a paralegal career built inside those walls, and a complete life transformation gave everything that addiction cost her a completely different second chapter. _____________________________________________ #PrisonStories #PrisonLife #florida #nurse #truecrimestory _____________________________________________ Thank you to HUNGRYROOT, PRIZEPICKS & AG1 for sponsoring this episode: Hungryroot: Explore my Hungryroot Digital Cookbook "The Commissary Upgrade" at https://hungryroot.com/LOCKEDIN _____________________________________________  PrizePicks: Visit https://prizepicks.onelink.me/LME0/IANBICK and use code IANBICK and get $150 if you win your first $5 lineup! _____________________________________________ AG1: For a limited time, save 20% on your first subscription order of AG1 Next Gen or AG1 Pro at https://drinkag1.com/lockedin _____________________________________________ Connect with Jenifer Lockwood: Instagram: https://www.instagram.com/jeniferlockwood_postconviction/ Website:https://postconvictionalliance.org/?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAcGRvZgJleHRuA2FlbQIxMQBzcnRjBmFwcF9pZA85MzY2MTk3NDMzOTI0NTkAAadFH6OUvd0oYsZ49876ZgUNamkrtoguEvoHhTss8b8Eae0YjSpPFNXIEHSGUw_aem_zplLQ5f36CmzUcciKJ03Vw _____________________________________________ Hosted, Executive Produced & Edited By Ian Bick:  https://www.instagram.com/ian_bick/?hl=en https://ianbick.com/ _____________________________________________ Timestamps: 00:00 Surgical Nurse's Journey 00:28 Growing Up in Pensacola 02:22 Discovering Biological Father 05:52 Influence of Medical Family 09:15 Early Marriage and Nursing 12:04 Life as a Surgical Nurse 14:41 Sponsor Break 15:14 Traumatic OR Stories 20:36 Addiction Begins 24:47 Mother's Role in Addiction 27:20 Silent Struggles in Healthcare 30:40 Prescription Ends, Desperation 35:20 Arrested in Pharmacy 38:48 Drug Trafficking Charge 41:02 Pharmacy Verification Process 43:36 Bond and Legal Threats 48:39 Out on Bond, Terminated 50:05 Bond Revoked and Withdrawal 52:27 Firing Lawyer, Public Defender 55:00 County Jail Experience 57:38 Sponsor Break 58:47 Legal Process and Plea Deal 01:03:58 Understanding Gain Time 01:05:18 Marriage and New Relationship 01:09:10 Motherhood from Prison 01:13:26 First Day of Prison 01:19:29 Fitting in at Gatson 01:23:31 Becoming a Law Clerk 01:29:51 Prison Shows and Talents 01:31:04 Types of Cases Helped 01:32:32 Sobriety and Self-Discovery 01:35:35 Using Nursing Skills in Prison 01:38:49 Financial Support Inside 01:39:55 Mother's Sobriety 01:40:06 Questioning Sentencing Length 01:42:50 Refusing Cases and Prejudice 01:48:53 Comparing Sentences 01:50:15 Lessons from Encounters 01:53:42 Approaching Release Date 01:55:59 Release and Reuniting with Kids 02:03:36 Josh's Anger and Healing 02:05:30 Current Work and Advocacy 02:08:13 Feeling the Lost Years 02:09:25 Advice to Past Self _____________________________________________ To advertise on the show, contact sales@advertisecast.com or visit https://advertising.libsyn.com/LockedInWithIanBicka

Shannon Sharpe, Chad “Ochocinco” Johnson and Iso Joe Johnson react to Teofimo Lopez beating Rolly Romero, Joe Milton shines vs Cardinals and DeShaun Watson calls out Browns fans! Subscribe to Nightcap presented by PrizePicks so you don’t miss out on any new drops! Download the PrizePicks app today and use code SHANNON to get $50 in lineups after you play your first $5 lineup! Visit https://prizepicks.onelink.me/LME0/NI... 00:00 - Introduction04:50 - Teofimo Lopez beats Rolly Romero18:49 - Cowboys beat Cardinals29:15 - Bills beat Browns (Timestamps may vary based on advertisements.) #ClubSee omnystudio.com/listener for privacy information.

In this insightful session, experts break down how advances in genetic testing are transforming the way clinicians evaluate and manage both congenital and progressive hearing loss. Learn how genetic information can inform clinical care and guide surgical decision-making from leading specialists in otology, medical genetics, and pediatrics. Whether you're a medical professional or someone affected by hearing loss, this video offers valuable insights into the intersection of genetics and patient care. 

“Our approach is to miniaturize the robot, make it more economical and make it more seamless in terms of how it integrates into the operating room environment,” Think Surgical’s CEO Stuart Simpson tells Bloomberg Intelligence. In this Vanguards of Healthcare episode, Simpson sits down with BI analyst Matt Henriksson to discuss how the company developed the TMini robot based on understanding what the surgeon was trying to achieve and working backward. This resulted in a handheld robot that provides optionality over the large form factors of other robotic systems while giving surgeons the choice of knee implant. Both features are well suited for the shift of knee replacement procedures to the ambulatory surgical setting. We also dive into the planned launch of Think Surgical’s TMini 2.0 in the first quarter of 2027.See omnystudio.com/listener for privacy information.

For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course.  As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the complete course for $300 off before its official release. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- In this episode, Dr. Brett Beckman answers practical questions about fractured root tip retrieval, bone removal, surgical extraction technique, patient positioning, and extraction site closure. He explains why adequate bone removal can make root retrieval safer and more predictable, and why trying to move a root with excessive force can create unnecessary risk—particularly when extracting mandibular first molars in small dogs with significant periodontal bone loss. What You'll Learn in This Episode

In this surgical endoscopy episode, the BTK team introduces endoscopic surgical procedures that are perhaps less well known. They cover primary endoscopic treatments for gastroesophageal reflux, esophageal plication, intestinal resurfacing procedures, and magnet-assisted enteric anastomoses. Endoscopic options may be viable alternatives to surgical treatment, especially in case where the surgical alternatives may significantly increase morbidity. Video: https://behindtheknife.org/watch/surgical-endoscopy-series-ep-5-novel-endosurgical-techniquesHosts:·      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, The Surgical Clinic (Nashville, TN), @zmcallahan (Twitter)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: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral 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-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-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

Moderator: Natalie Hoesly, MD FACS Participants:  - Bobby Korn, MD PhD FACS  - Michael McCracken, MD FACS - Ivan Vrcek, MD FACS - Robert Schwarcz, MD FACS Podcast Description: Now on TOP: Join us for another Surgical Technique Battle, focusing on anterior lamella management strategies in lower blepharoplasty surgery  Dr. Natalie Hoesly hosts Dr. Bobby Korn, Dr. Micahel McCracken, Dr. Robert Schwarcz and Dr. Ivan Vrcek to a discussion of anterior lamella management strategies in lower blepharoplasty surgery, including chemical peel, laser resurfacing, skin pinch and skin/muscle suspension techniques. 

Digital surgery has morphed from buzzword into ubiquitous high-impact technology. In this episode, the BTK MIS team steps into the rapidly evolving ecosystem of cameras, sensors, robotics, and software that are turning surgical operations into structured, analyzable datasets. From AI segmentation to real-time telepresence, don't miss this opportunity to catch up on what's new and what's next, what's exciting and what's terrifying, just on the horizon of your surgical career. Hosts: ·      James Jung, MD, PhD, Assistant Professor of Surgery, Duke University·      Jacob Greenberg, MD, EdM, MIS Division Chief and Vice Chair for Education, Duke University·      Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD·      Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actuallyLearning Goals: By the end of this episode, listeners will be able to:·      Define “digital surgery” and describe its core components, including video capture, instrumentation, robotics, data analytics, and system connectivity. ·      Discuss current and emerging applications of digital surgery in surgical education, including video-based self-assessment, procedural segmentation, and structured feedback models. ·      Describe how digital tools can be used to improve OR efficiency and resource utilization, including instrumentation usage, operative time analysis, and workflow optimization. ·      Summarize current telepresence and teleproctoring technologies and their clinical use cases, including augmented reality–based collaboration across institutions and geographic boundaries. ·      Identify key ethical, legal, and operational challenges in digital and tele-surgery, including credentialing, cross-state licensure, liability, and trust in remote expertise. ·      Discuss how digital surgery may reshape surgical training and competency-based assessment, including implications for autonomy, deliberate practice, and feedback frequency. ·      Recognize future directions of digital surgery integration, including predictive analytics, simulation using patient-specific imaging, and AI-assisted intraoperative decision support.References:  Balvardi S, Semsar-Kazerooni K, Kaneva P, et al. Validity of video-based general and procedure-specific self-assessment tools for surgical trainees in laparoscopic cholecystectomy. Surg Endosc. 2023;37(3):2281-2289. doi:10.1007/s00464-022-09466-6 [https://pubmed.ncbi.nlm.nih.gov/36307525/] Hospital Utilizes Intraoperative Idle Time Metrics to Improve Surgical Safety and Efficiency. Theator | The Surgical Intelligence Company. Accessed March 20, 2026. https://theator.io/customer-story/hospital-utilizes-intraoperative-idle-time-metrics-to-improve-surgical-safety-and-efficiency/ Campbell KK, Abreu AA, Zeh HJ, et al. Using OR Black Box Technology to Determine Quality Improvement Outcomes for In-situ Timeout and Debrief Simulation. Ann Surg. 2026;283(1):122. doi:10.1097/SLA.0000000000006438 [https://pubmed.ncbi.nlm.nih.gov/38317208/] Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Surg Endosc. 2024;38(10):5613-5622. doi:10.1007/s00464-024-11064-7 [https://pubmed.ncbi.nlm.nih.gov/39069926/] Proximie's telepresence platform helps surgeons across the globe grow and exchange experience in real-time. World Health Expo Insights. Accessed March 20, 2026. https://www.worldhealthexpo.com/insights/telemedicine/proximie-s-telepresence-platform-helps-surgeons-across-the-globe-grow-and-exchange-experience-in-real-time Hassan AE, Desai SK, Georgiadis AL, Tekle WG. Augmented reality enhanced tele-proctoring platform to intraoperatively support a neuro-endovascular surgery fellow. Interv Neuroradiol. 2022;28(3):277-282. doi:10.1177/15910199211035304 [https://pubmed.ncbi.nlm.nih.gov/34538166/] SAGES Digital Surgery Working Group; Ali JT, Yang G, Green CA, Reed BL, Madani A, Ponsky TA, Hazey J, Rothenberg SS, Schlachta CM, Oleynikov D, Szoka N. Defining digital surgery: a SAGES white paper. Surg Endosc. 2024 Feb;38(2):475-487. doi: 10.1007/s00464-023-10551-7. Epub 2024 Jan 5. PMID: 38180541. [https://pubmed.ncbi.nlm.nih.gov/38180541/] 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: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral 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-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-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

Maximizing surgical safety takes more than a static checklist. UAB surgeons Melanie Morris, M.D., Helen Krontiras, M.D., and Adam Beck, M.D., discuss how they approach safety as a continuous improvement process spanning the patient experience. Learn how UAB standardizes care, empowers team members to speak up, and uses registry data to benchmark outcomes and target improvements. The panel also considers how emerging technologies could further advance surgical safety.

Weight-loss medications, bariatric surgery, and fad diets are dominating conversations—but where does Endoscopic Sleeve Gastroplasty (ESG) fit in?In this episode, we speak with Dr. Mohit Shetti, Consultant in Medical Gastroenterology, Hepatology, Therapeutic & Bariatric Endoscopy, to understand how ESG is transforming the treatment of obesity.Is ESG a safe procedure? Who is the right candidate? How does it compare with weight-loss medications? Is it a cosmetic treatment or a medically recommended intervention? Dr. Shetti answers these common questions while explaining the science behind ESG, its benefits, potential risks, recovery, and the lifestyle changes needed for long-term success.Whether you're exploring weight-loss options for yourself or simply want to better understand obesity as a chronic medical condition, this episode offers evidence-based insights to help you make informed decisions.

No guest this time. Just me, the mic, and a mid-summer catch-up on what's actually happening in aesthetic medicine right now.There is more noise than ever. TikTok, Instagram, Google, AI. Everyone has an opinion about what you should be doing, what you shouldn't be doing, what works and what's a waste of time.So I wanted to cut through some of that and get back to the basics.For me, there are three pillars of non-surgical rejuvenation:• Optimizing injectables without looking overdone• Laser resurfacing to improve the quality and health of your skin• Non-surgical skin tightening for the right patient, at the right timeI get into what each of these can realistically accomplish, where the limitations are, when surgery may actually be the better answer, and some of the biggest myths surrounding energy-based devices.There is no one machine, injectable or treatment that does everything. The art of aesthetic medicine is knowing what to use, when to use it, and when not to use it.And since it's summer, I'm also breaking down some of the treatments we can still safely do this time of year.For more from me on pro-aging, check out my book, The Pro-Aging Playbook.

Broadcast from KSQD, Santa Cruz on 8-06-2026: >ul> An emailer with persistent nine-month nerve damage in her right leg after a hysterectomy asks whether peptides could help. Dr. Dawn attributes the injury to lithotomy positioning during surgery, then reviews the main nerve-regeneration candidates in the FDA peptide review pipeline: BPC-157 (Body Protection Compound, strong rat data on sciatic nerve recovery with thicker myelin sheaths), intracellular sigma peptide (targets glial scar CSPGs blocking CNS regrowth), C3 peptide 156-181, GHK-Cu (copper peptide, upregulates nerve growth factor and neurotrophin-3), self-assembling hydrogel scaffolds for bridging nerve gaps, ARA-290/cibinetide (an erythropoietin fragment with early small fiber neuropathy trial data), and Semax (used internationally for stroke rehab). She adds standard functional-medicine adjuncts: alpha-lipoic acid, methylated B12, and methylfolate at high doses for six months. An emailer asks about safe features when buying an infrared sauna. Dr. Dawn covers three concerns: EMF exposure (look for shielded/grounded heaters testing under 1 milligauss at seat level, avoid unshielded Wi-Fi and Bluetooth panels); VOC off-gassing (avoid plywood, particle board, and MDF because of formaldehyde and benzene release, and avoid Western red cedar and pine because of high terpene emissions and instead choose poplar, basswood, or eucalyptus); and avoid built-in oxygen ionizers, which produce ozone as a coronal-discharge byproduct that irritates airways and generates secondary oxygenated VOCs. Dr. Dawn covers the surprisingly long list of medications that raise estrogen in middle-aged men—including nearly all antidepressants and antiepileptics, statins, NSAIDs (specifically naproxen and indomethacin but not ibuprofen), most blood pressure medications, PPIs, H2 blockers, Parkinson's drugs, antihistamines, and muscle relaxants. She recommends annual monitoring of the estrogen-to-testosterone ratio and offers rebalancing options: topical chrysin (blocks aromatization), indole-3-carbinol, calcium D-glucarate (blocks enterohepatic estrogen recirculation), soy (competitive receptor inhibition), and grape skin extract. The first mRNA-based flu vaccine was approved this week for adults 50 and over. Beyond the 27% improvement in seasonal efficacy over conventional shots, the strategic advantage is manufacturing speed. This will be critical when or if bird flu mutates to respiratory human transmission. Since mRNA vaccine can be reprogrammed from a new viral sequence in weeks versus the three-to-four-month growth cycle for conventional flu vaccines, rapid response can save lives. But mRNA vaccine side effects include more injection-site pain and fatigue - more like a tetanus shot than a traditional flu shot.. A Spanish prospective study of chemicals affected puberty in the young studied 500 girls followed from ages 7-10 and again at 14-16 used urine chemical measurements as objective exposure markers rather than food diaries. Ethylenethiourea, a metabolite of dithiocarbamate fungicides used heavily on strawberriess,was associated with earlier menarche, while a chlorpyrifos metabolite was associated with delayed menarche. this latter effect was more pronounced in overweight girls whose fat tissue concentrated the compound. Dr. Dawn recommends organic strawberries and keeping children away from fumigated fields. University of Pennsylvania School of Dental Medicine researchers developed a chewing gum from lablab beans containing the natural antiviral protein FRIL, which reduced oral HPV by up to 93% in samples from head and neck squamous cell carcinoma patients. The gum also suppressed Fusobacterium nucleatum and Porphyromonas gingivalis, oral bacteria that promote cancer recurrence. Michigan State University's Hamburger lab studying delphinium (larkspur) alkaloids joined forces with Tomáš Pluskal's Czech Academy of Sciences lab studying wolfsbane (monkshood) after meeting at a Barcelona conference. Together they mapped the biosynthetic assembly line for aconite—an alkaloid with valuable applications against malaria, pain, cancer, and agricultural pests but impossibly slow to extract from source plants—and cloned the pathway into tobacco, which grows aggressively and produces large quantities of the compound. An emailer named in the message asks about an incidentally-discovered enlarged aorta on CT. Dr. Dawn notes it officially becomes an aneurysm at 4 cm (annual monitoring) or 5 cm (six-month monitoring), with smoking cessation critical since tobacco directly weakens the aortic wall. She describes the "zipper of fire" back pain of dissection versus catastrophic rupture, and notes Medicare covers a one-time screening ultrasound for ever-smokers over 65.

Reference:  Perry DC, et al. Surgical fixation versus non-surgical care for children with a displaced medial epicondyle fracture of the elbow (the SCIENCE study): a multicentre, randomised controlled, superiority trial and economic evaluation. The Lancet 2026 Date: July 14, 2026 Guest Skeptics: Dr. Megan Terle is an orthopedic surgeon and Assistant Professor for Pediatrics and […] The post SGEM#517 : I Will Try to Fix You. Surgery or Not for Pediatric Displaced Medial Epicondyle Elbow Fractures first appeared on The Skeptics Guide to Emergency Medicine.

In this episode, Jennifer Venator, MSN, RN, CNS, CNOR, CRNFA, Executive Director, Surgical Services, Providence St. Jude Medical Center in Fullerton CA, shares how trusted, real-time data is improving surgical access, operational efficiency, and collaboration across care teams. She also discusses how automation and emerging AI capabilities can streamline perioperative workflows, reduce administrative burden, and help clinicians stay focused on patient care.

In this episode of Dean's Chat, Dr. Johanna Richey sits down with residents from the Kaiser San Francisco Bay Area Podiatric Surgery Residency Program for an inside look at one of the nation's premier residency programs. Third-year residents Airam Caldera and Elena Ion, second-year resident Noah Brennan, and first-year resident Manav Beniwal share their unique journeys to podiatric medicine while offering candid insight into what makes the Kaiser training experience distinctive. Throughout the conversation, the residents emphasize that choosing a residency extends far beyond case numbers or reputation—finding a culture that aligns with your learning style, values, and career goals is equally important.The discussion highlights the program's collaborative culture, where mentorship, teamwork, and psychological safety allow residents to progressively develop autonomy while always knowing support is available. The residents describe a structured "buddy call" system that pairs senior residents with interns, fostering confidence, real-time teaching, and peer mentorship during the critical transition from student to physician. As responsibilities increase each year, residents gain experience not only in clinical decision-making but also in leadership, communication, scheduling, and teaching, preparing them for independent practice.The group also explores the program's educational philosophy, emphasizing surgical principles over procedural memorization. With broad exposure to trauma, reconstructive surgery, diabetic limb salvage, total ankle replacement, pediatric pathology, clubfoot management, and elective foot and ankle procedures, residents develop a well-rounded foundation while learning to critically evaluate multiple treatment strategies. They discuss how progressive responsibility, increasing call experience, and exposure to diverse patient populations across multiple Kaiser facilities create confident, adaptable surgeons prepared for virtually any practice environment.Academic development remains a central focus of the residency. The residents describe a structured curriculum featuring monthly didactics, hands-on surgical labs, journal clubs, and required research projects that encourage lifelong learning and scholarly contribution. The conversation also explores the growing role of artificial intelligence in medical education, highlighting tools such as Open Evidence and Consensus as valuable resources for efficiently identifying literature and clinical guidelines while reinforcing the importance of critical appraisal and independent clinical judgment.Throughout the episode, recurring themes include growth mindset, resilience, communication, and earning trust through preparation, humility, and honesty. The residents reflect on how learning to become comfortable with uncertainty ultimately builds confidence, while mentorship from dedicated faculty creates an environment where mistakes become opportunities for growth. Whether discussing residency selection, research, leadership, or patient care, the conversation offers valuable insight for students considering residency and serves as a compelling example of how thoughtful training, strong culture, and collaborative learning prepare the next generation of podiatric surgeons.https://residency-ncal.kaiserpermanente.org/residency/podiatry/bayarea/

Daniel S. Eiferman, MD, MBA, FACS, Professor of Surgery at The Ohio State University in Columbus, joins us to discuss his new book, “Cut Open: A Surgeon's Stories of Loss, Resilience, and Growth,” and to explore some of the most important leadership skills in medicine you won't learn in formal training, this week on the Faculty Factory Podcast. Learn about the book: https://www.amazon.com/Cut-Open-Surgeons-Stories-Resilience-ebook/dp/B0GGZFD4HT  Dr. Eiferman shares the leadership skills medical training often leaves out: How to lead a team Navigating difficult conversations Building trust with patients and colleagues

Host Dr. Melanie Edwards is joined by guest Dr. Andrea Wolf, director of the New York Mesothelioma Program, professor of thoracic surgery at the Icahn School of Medicine at Mount Sinai, chair of the American Association for Thoracic Surgery Wellness Committee, and an accomplished marathoner. Dr. Wolf explores how the mindset and discipline of distance running can strengthen resilience, performance, and career longevity in surgery. Drawing from her own experiences with running and injury, Dr. Wolf discusses the value of focusing on process over outcomes, prioritizing recovery and strength training, and building sustainable habits that support both surgeon well-being and patient care. She also shares insights on workplace ergonomics, mentorship, and challenging the culture of pushing through physical limitations.

In this presentation, we take a deep dive into the 300-year history of mobile surgery supporting land campaigns — from Dominique Larrey's ambulance volantes through the Letterman system, Arnhem, the Falklands, Mali, and the current Russia-Ukraine war. Drawing on rare surgical memoirs, battle maps, and personal accounts, the discussion extracts the recurring problems that technology has never fully solved: logistics drag, extended timelines, signature management, and the tension between mobility and capability.We then turn to the horizon. In an era of mosaic warfare and large-scale combat operations, medicine cannot remain a drag factor. The talk explores contractile and expandable surgical systems, single-surgeon reach, austere armored resuscitation teams, underground and containerized facilities, emissions control, and how we expand the surgical workforce under resource constraints while still doing the most for the most.Whether you are preparing for LSCO, SOF support, or prolonged field care in denied environments, the hard-won lessons of the past remain the best preparation for the fight ahead.Key TakeawaysMobile surgery is not new — Larrey, Guthrie, Pirogov, and Letterman already solved (and documented) many of the mobility and triage problems we still face.Institutional memory fades fast. Rare single-edition war surgery texts must be digitized and pushed into training pipelines before the lessons are watered down.In mosaic warfare the linear Role 1–4 model is insufficient. Surgical capability must become a mesh: dispersed, diggable, low-signature, and able to expand or contract with the fight.Big fixed facilities and large tented Role 2/3s become high-value targets. Single-surgeon or small polyvalent teams, pre-dug containers, underground sites, and armored austere teams offer greater survivability and shorter wounding-to-surgery times.Blood, sterilizing capacity, anesthetic volume, and outflow remain the greatest logistic constraints. Expectation management and robust triage (including expectant) will be non-negotiable.Capability can be extended by bringing registrars, ODPs/CRNA-equivalents, and well-trained medics further forward earlier — but this requires deliberate peacetime training and wartime derogations.Command and control, decision-making loops, and the ability to cache or hand off casualties must be rehearsed now, not improvised under fire.Chapters00:00 – Introduction & Scope: 300 Years of Mobile Surgery02:00 – Institutional Memory, Rare Texts & the Risk of Forgetting05:25 – Dominique Larrey & the Birth of the Ambulance Volante07:00 – Guthrie, Napoleonic Lessons & Early British Mobility07:40 – Crimea, Pirogov's Forward Teams & Brunel's Prefabs08:15 – The Letterman System & the American Civil War08:50 – World War I: Auto-Chir, Operating Cars & the Limits of Static Warfare11:15 – Spanish Civil War: Civilian Surgeons & Fluid Fronts12:00 – World War II Desert, SAS & the Reality of Extreme Isolation13:40 – Arnhem, Market Garden & Improvised Care Under Fire16:00 – Varsity, Chindits & the Logistics Drag of Jungle Warfare18:00 – Falklands, Gulf War, Mali & Modern Mobility Challenges19:50 – Ukraine: Extended Timelines, Targeting of Medical Assets & Aged Injuries20:50 – Horizon Scan: Mosaic Warfare & Contractile Surgical Systems22:00 – Dispersion, Digging In, Underground Facilities & Signature Management24:00 – Capability Extenders, Team Composition & Decision-Making Under Constraint25:30 – Logistics, Blood, Sterilization & the Middle Ground Between Fixed and Tiny Teams27:00 – Closing Thoughts & QuestionsFollow @prolonged_field_care and visit prolongedfieldcare.org for more austere and prolonged field care education.

    What does it take to keep wounded Soldiers alive when the next war means hours — not minutes — to the operating table? In this special collaboration between WarDocs and OP MED TV, recorded at the Defense Strategies Institute OP MED Symposium, COL Shaun Brown, MD, Commander of the U.S. Army Institute of Surgical Research, lays out the research agenda that will decide whether the wounded of the next conflict survive. COL Brown's path into Army medicine began with a rejection. Poor eyesight closed the door on the U.S. Naval Academy, so he pursued pre-med as a civilian undergraduate. When 9/11 happened, it solidified both his commitment to medicine and his decision to serve, and he took an Army HPSP scholarship in medical school. He trained in general surgery at William Beaumont Army Medical Center — a program with a long, quiet relationship with the special operations community — where attendings would vanish overnight for operational requirements. He chose colorectal surgery as a fellowship to add technical range he could use in civilian practice and on the battlefield, then joined Joint Special Operations Command at Fort Bragg after a year on staff in El Paso. Now commanding the Army's premier combat casualty care research enterprise, COL Brown is candid about what excites him and what worries him. He is most energized by the Organ Support and Automated Technology department, and he uses a widely shared video of a Ukrainian amputee evacuated by unmanned ground system to make his point: autonomous evacuation without autonomous medical support only moves the walking wounded. Ventilators that read changing physiology and adjust themselves, autonomous IV pumps, and en-route support are the missing half of the capability. His concern is combat wounds. In large-scale combat operations with prolonged evacuation timelines, Dr. Brown expects most damage control surgery to be done for sepsis rather than hemorrhage — the patients who cannot be evacuated become septic extremities. He also walks through the blood problem: whole blood is the standard, low-titer O supply will not be sufficient at scale, and the answer is shelf-stable components, including freeze-dried and spray-dried plasma, freeze-dried platelets, and freeze-dried red cells. The conversation closes on people. Brown details how the Army sustains surgical readiness through a diversified platform of military treatment facilities, civilian partnerships, and untapped Veterans Affairs relationships; how he coordinates with the Reserve consultant to pair complementary skill sets on deploying teams; and why, quoting the Army War College, he still serves: you train for the known and you educate for the unknown. Chapters (00:50-02:16) From Naval Academy Dreams to Army Medicine (02:16-04:33) Colorectal Surgery and the Road to Joint Special Operations Command (04:33-08:06) Commanding the ISR: Autonomous En-Route Care and the Combat Wound Gap (08:06-11:59) Blood, Plasma, and the Shelf-Stable Future of Resuscitation (11:59-18:16) Burn Care, Surgical Readiness, and Partnerships Across Components (18:16-22:22) Forward Surgical Capability Gaps and Why He Still Serves Chapter Summaries (00:50-02:16) From Naval Academy Dreams to Army Medicine Brown describes how bad eyesight ended his plan to attend the U.S. Naval Academy and sent him to a civilian undergraduate program and pre-med coursework. September 11th solidified his decision to pursue both medicine and military service, and he applied for the HPSP scholarship in medical school, choosing the Army's four-year award over the Air Force's three-year option. (02:16-04:33) Colorectal Surgery and the Road to Joint Special Operations Command He explains why he chose colorectal surgery — additional technical skill he could use in civilian practice and on the battlefield — and how residency at William Beaumont Army Medical Center exposed him early to the special operations world. He recounts getting the recruiting call while loading a moving van in New Orleans, then completing assessment and selection before moving to Fort Bragg. (04:33-08:06) Commanding the ISR: Autonomous En-Route Care and the Combat Wound Gap COL Brown identifies the Organ Support and Automated Technology department as the work he is most excited about, using a Ukrainian unmanned-ground-system evacuation video to argue that autonomous platforms without autonomous medical support can only move the walking wounded. He then names his chief concern: combat wound research funding, and his expectation that in large-scale combat operations most damage control surgery will be done for sepsis rather than hemorrhage. (08:06-11:59) Blood, Plasma, and the Shelf-Stable Future of Resuscitation The discussion turns to the evolution from component therapy to 1:1:1 ratios to whole blood, and Dr. Brown's assessment that low-titer O will not be available in sufficient quantity for large-scale combat operations. He details work on freeze-dried and spray-dried plasma, freeze-dried platelets, and freeze-dried red cells, noting that spray-drying is faster, cheaper, and uses equipment roughly the size of two ATMs — a major advantage for distributed manufacturing. (11:59-18:16) Burn Care, Surgical Readiness, and Partnerships Across Components COL Brown addresses the burn casualty problem in a future fight: forward Class VIII resuscitation supply, scaling the Advanced Burn Life Support course for deploying units, and partnerships with civilian burn centers, including placing Army burn surgeons in MILCIV sites. He then lays out the diversified surgical platform — military treatment facilities, community hospitals, and underused VA partnerships — and how he works with the Reserve consultant to pair complementary skill sets on deploying units. (18:16-22:22) Forward Surgical Capability Gaps and Why He Still Serves Asked what a forward surgical team still needs, COL Brown points to an off-the-shelf, infection-resistant biologic vascular conduit as a potential game changer over shunts — with the training investment that would require. He closes with his why, quoting the Army War College maxim that you train for the known and educate for the unknown, and asking who will be left to educate the next generation if experienced leaders walk away during the interwar period. Take Home Messages Autonomous evacuation without autonomous care only moves the walking wounded: Unmanned ground and air systems can pull a casualty off the battlefield, but a platform alone does not sustain a patient who needs a ventilator, a pump, or a transfusion en route. The medical community must be in the ground-maneuver conversation early, because a small design change can turn a logistics platform into a casualty evacuation platform. Autonomous ventilators that read changing physiology and adjust themselves are the missing half of that capability. In the next war, sepsis may drive damage control surgery more than hemorrhage: Prolonged evacuation timelines change the casualty population that reaches a surgeon. Patients in uncontrolled hemorrhage far from a surgical team frequently do not survive the wait, while patients with survivable wounds that cannot be evacuated arrive septic days later. Combat wound research and combat wound solutions deserve renewed funding priority for large-scale combat operations. Shelf-stable blood components are the answer to a cold chain that will not hold: Warm whole blood remains the standard of care, but low-titer O will not be available in the quantities a large-scale conflict demands, and cold chain storage is a logistical vulnerability. Freeze-dried and spray-dried plasma, freeze-dried platelets, and freeze-dried red cells are all in the research pipeline. Spray-drying offers a particular advantage: it is faster, cheaper, and the equipment footprint is small enough to support distributed manufacturing forward. Burn readiness is a supply problem, a training problem, and a partnership problem: Thermal weapons, lasers, fuel, and explosions could produce burn casualty volumes the system has not seen in decades. Resuscitation depends on adequate crystalloid and plasma forward, on teams trained to calculate burn surface area correctly, and on scaling the Advanced Burn Life Support course to deploying units. Long-term capacity also depends on formal relationships with civilian burn centers and on placing military burn surgeons inside those partnerships. Surgical readiness comes from a diversified platform, not from one hospital: Military treatment facility volume alone will not sustain a surgeon's skills, so readiness now depends on layering community hospital partnerships and Veterans Affairs relationships on top of the military caseload. Functional VA hospitals near large installations without strong academic affiliations are ripe for preferred referral partnerships. What surgeons need most is not trauma volume but complexity, which older patients with more complex medical conditions reliably provide. Episode Keywords military medicine, combat casualty care, US Army Institute of Surgical Research, ISR, Shaun Brown, WarDocs, OP MED TV, Army surgeon, damage control surgery, LSCO, large-scale combat operations, whole blood, freeze dried plasma, spray dried plasma, blood products, burn care, Army Burn Center, prolonged casualty care, en route care, autonomous medical systems, trauma surgery, military health system, surgical readiness, Army medicine Hashtags #MilitaryMedicine, #WarDocs, #CombatCasualtyCare, #ArmyMedicine, #TraumaSurgery, #LSCO, #MilitaryHealth, #BurnCare Honoring the Legacy and Preserving the History of Military Medicine   The WarDocs Mission: WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.   WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called “Docs” as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.   Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the NEW Definitive Veterinary Extraction Protocol Online Course for $300 off before its official release on August 15. This special podcast listener pricing ends Sunday, so don't miss your chance to secure lifetime access to the course at its lowest available price. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- When should a periodontally compromised tooth be treated with open root planing instead of extraction? How much vertical bone loss is too much? Can furcation involvement ever be managed without removing the tooth? In this episode, Dr. Brett Beckman answers common questions from veterinarians following the release of The Definitive Veterinary Extraction Protocol, providing practical guidance on diagnosing and treating periodontal defects while preserving teeth whenever appropriate. Through real clinical examples, he explains how to evaluate periodontal pockets, identify healthy candidates for open root planing, and recognize when extraction remains the best treatment option. Dr. Beckman also discusses techniques for improving visualization during periodontal surgery, removing granulation tissue effectively, selecting cases for bone grafting versus blood clot healing, and understanding the role of attached gingiva, furcation involvement, and advanced periodontal disease in long-term treatment success. Whether you're looking to improve periodontal therapy or make more confident extraction decisions, this episode offers practical, evidence-based insights for everyday veterinary practice. What You'll Learn in This Episode

Are you: - Interested in mission and wondering what it really means for you and your family, and if you have what it takes? - Curious to know how one may start and sustain a ministry in resource-limited settings in a foreign country from scratch with no money, no team, and no knowledge about far too many things? - Looking for practical tools and resources to prepare for mission? Through the years, God has overwhelmed the Samoutou family with His tremendous grace, provision, and protection. Joyce will be the first to tell you how many humble pies she has eaten and lessons she has learnt along the way - from practicing medicine in a way that her training had not prepared her for, being far away from family and the world she knew, running a charity, leading a team, handling tricky and scary situations, raising a family, and getting over herself. She has also picked up several practical tips and tools along the way that can be helpful to those considering or having already embarked on overseas missions. In this session, participants will, through the firsthand experience of a missionary-medic- homeschooling parent who co-founded an international ministry: - Learn what is involved in starting, fundraising, and running an international non-profit medical organization in resource-limited settings, the challenges as well as useful practical suggestions in overcoming them. - Be encouraged and empowered to embark and thrive on long-term missions as health professionals, spouses, and parents with ageing parents back home. - Have an opportunity to ask questions that they have always wanted to ask a missionary who is happy to share with humor, candor, and vulnerability.

We start with Kristin's ever-escalating sleep setup, my childhood bedtime prayer that explicitly included the possibility of dying in my sleep every night from ages zero to eighteen, and the fact that I then did actually die in my sleep, which, in retrospect, really should have been a tell. The midlife crisis hobby conversation covers mountain biking, beekeeping, Bob Ross-style painting, and acting class, which I have already signed up for and fully expect to enjoy. We also invent CampDash, a concierge service that sets up and takes down your campsite so that tent camping becomes something a normal family can do without spending an entire weekend in misery. Someone else needs to run it. The second half is a real one about surgeon personalities, specifically, the thing a TikTok surgeon pointed out that I think actually matters: what gets missed in all the characterizations of surgeon ego and God complex is the constant, pervasive worry that surrounds every case. The operating room is the only time all of that goes away, which is why surgeons "just want to operate", it's not arrogance, it's peace. I'm an ophthalmologist doing 12 cases a day, so I operate on a different scale than a neurosurgeon doing one eight-hour case, but I still have particular things I need exactly right: bed height, head position, the scrub tech anticipating my next move. I talk through how surgical complications require the kind of mentorship that nobody trains you for, and how one of the most humanizing videos I ever made came directly from that experience. Takeaways: Surgeon personalities aren't just ego. They're largely driven by pre- and post-op worry Surgical complications are inevitable and the mental recovery from them is something medicine barely addresses Ophthalmology surgery occupies a different psychological space than high-stakes surgical specialties Making adult friends in your 40s is legitimately hard Bedtime prayers that include the possibility of dying in your sleep probably shouldn't be a nightly ritual for children — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information. Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Joshua and T.K. talk about surgical decluttering, when more is better than minimalism, our favorite minimalist furniture brands, a new 14-minute decluttering rule, and much more. Discussed in this episode: Is expectation premeditated disappointment? (6:07) When does minimalism stop solving the problem and start becoming the problem? (9:51) When is more better than minimalism? (21:01) Right Here, Right Now: Zoom calls with The Minimalists and Tom Cat's em(body)ment sessions. (30:21) WWJO: What couch and dishes does Joshua own? (43:01) Listen to the full Maximal episode on Patreon: patreon.com/theminimalists Detailed show notes: minimalists.com/podcast

Advances in ACL reconstruction continue to push the field toward stronger fixation, improved graft protection, and more biologically friendly implants. In this special sponsored episode of The Sports Docs Podcast, recorded live at the 2026 AOSSM Annual Meeting in Seattle, Drs. Catherine Logan and Ashley Bassett welcome Dr. Seth Sherman to discuss the latest innovations in graft fixation and how they are changing the way surgeons approach ACL reconstruction.The conversation begins with one of the most important decisions in ACL surgery—graft selection. Dr. Sherman shares his approach to choosing between bone-patellar tendon-bone (BTB), quadriceps tendon, and hamstring autografts, emphasizing how patient age, sex, sport, anatomy, and activity level influence decision-making. He also discusses the growing body of evidence supporting quadriceps tendon autografts, particularly in young athletes and female patients.The discussion then shifts to the evolution of graft fixation, from interference screws to adjustable-loop suspensory fixation, and the advantages of modern cortical fixation systems. Dr. Sherman explains how the Arthrex TightRope SB represents an evolution in ACL fixation by combining an all-suture, low-profile design with familiar surgical workflow, radiopaque visualization, and secure adjustable-loop fixation.The hosts and Dr. Sherman also explore InternalBrace™ augmentation, reviewing the biomechanical rationale, surgical pearls, and emerging clinical evidence supporting graft protection during the vulnerable early phases of ligament healing. Together, they discuss how thoughtful implant design and biologic principles are helping surgeons optimize outcomes while preserving future surgical options.Whether you're an experienced sports medicine surgeon or a trainee learning modern ACL techniques, this episode provides practical insights into the latest advances in ACL reconstruction.In This Episode Factors that influence ACL graft selection, including age, sport, sex, and anatomy  The growing role of quadriceps tendon autografts in primary ACL reconstruction  How suspensory fixation has evolved over the past decade  Advantages of adjustable-loop cortical fixation systems  Features and clinical applications of the Arthrex TightRope SB all-suture fixation device  Benefits of preserving bone stock and eliminating permanent metallic hardware  Radiopaque implant visualization and its role during surgery  Technical considerations and learning curve for adopting all-suture fixation  Biomechanical principles and clinical evidence supporting InternalBrace™ augmentation  Surgical pearls for avoiding over-constraint during InternalBrace fixation  How TightRope SB integrates seamlessly with InternalBrace augmentation  The future of biologically friendly, low-profile implant technology in ACL reconstruction Key Takeaways ACL graft selection should be individualized based on patient-specific factors including sport, anatomy, age, and sex.  Quadriceps tendon autografts continue to gain popularity due to predictable graft size, excellent clinical outcomes, and lower donor-site morbidity.  Adjustable-loop suspensory fixation has become a reliable and versatile option for modern ACL reconstruction.  The Arthrex TightRope SB combines familiar surgical technique with an all-suture, low-profile design that preserves bone and eliminates permanent metallic hardware.  Radiopaque implant technology offers additional intraoperative confidence while maintaining the benefits of soft-tissue fixation.  InternalBrace™ augmentation functions as a load-sharing construct that may reduce graft strain during early healing while allowing normal rehabilitation when properly tensioned.  Modern ACL innovation continues to focus on preserving biology, minimizing hardware, and improving long-term patient outcomes without increasing surgical complexity. About Our GuestDr. Seth Sherman is a board-certified orthopaedic sports medicine surgeon specializing in arthroscopic and reconstructive surgery of the knee, shoulder, and elbow. He is widely recognized for his expertise in ACL reconstruction, cartilage restoration, and sports injury management, and is an active educator, researcher, and national lecturer dedicated to advancing evidence-based sports medicine.This episode is sponsored by Arthrex.Thank you to Arthrex for supporting continuing education and innovation in sports medicine.Follow The Sports Docs Podcast for conversations with leading surgeons, researchers, and innovators advancing orthopaedic sports medicine through evidence-based education, surgical innovation, and multidisciplinary collaboration.

[00:00] Introduction — what's new in rotator cuff research [00:39] Breaking down the new JAMA Internal Medicine paper: a Finnish population-based study of 600+ patients (ages 40–75) who received bilateral shoulder MRIs [01:00] Key finding: imaging findings were nearly identical between asymptomatic (96%) and symptomatic (98%) patients; full-thickness tears were the only finding more common in symptomatic patients (14% vs. 6%), and even that difference lost statistical significance after adjustment [01:32] What it means: most rotator cuff MRI findings are normal, age-related changes — and MRI may be overused when the clinical diagnosis is already clear [02:22] The "hair loss" analogy: a tear is often a normal part of aging, not automatically something that needs fixing [02:55] The "50-to-60-year-old house inspection" analogy for interpreting an MRI report [03:41] Can you just watch a rotator cuff tear? Reviewing natural history data out of Washington University (Yamaguchi, Keener) [04:02] Partial-thickness tears: roughly one-third progress over 5–7 years. Full-thickness tears: roughly half progress over 5 years [04:50] Bottom line: if a patient is asymptomatic and fully functional, there is no indication to intervene — annual reassessment is reasonable [05:27] Physical therapy as first-line treatment — does it actually work, and how? [05:47] The mechanism: rotator cuff strengthening counterbalances the deltoid, maintaining subacromial space during overhead motion [07:21] PT success rates by diagnosis: ~70% for full-thickness tears, ~95% for impingement/tendinopathy and partial-thickness tears [07:55] When is surgery the right answer? Distinguishing acute traumatic tears from degenerative tears [08:10] Acute traumatic tears (e.g., a fall) are generally treated surgically [08:26] Degenerative tears that fail 6–12 weeks of non-operative management are reasonable surgical candidates [08:53] Tear location matters — tears involving the "rotator cuff cable" carry more biomechanical load and may be more likely to fail non-operative treatment [09:07] Timing is rarely urgent — most degenerative tears can be addressed within 6 months to a year without changing outcomes [10:22] Acute traumatic tears in younger, active patients: counsel surgery within 2–3 months; short delays (including during COVID) didn't appear to change outcomes [10:59] Injections: is a steroid shot still a good first option? [11:15] How corticosteroid injections work — and why they're different from narcotics (reducing inflammation vs. masking the pain signal) [13:05] General guidance: one or two injections is reasonable; by the third without improvement, it's time to discuss surgery [14:00] The data linking 5+ injections to higher retear rates — and why confounding by sicker, more chronic patient populations makes this hard to interpret cleanly [15:15] PRP (platelet-rich plasma): does it actually work for the rotator cuff? [16:11] Referencing this month's American Journal of Sports Medicine review — PRP shows mixed, short-term pain relief for impingement and partial-thickness tears, roughly comparable to physical therapy [16:52] The cost consideration: PRP is cash-pay, often $3,000–$4,000, for benefits similar to physical therapy alone [17:48] Deciding on surgery: introducing the Rotator Cuff Healing Index (age, tear size, muscle quality, bone quality, and shoulder demand) as a clinical decision tool [19:22] Why not just jump straight to a reverse total shoulder replacement for everyone with a good repair success rate? [19:57] Repair vs. reverse: repair typically preserves better strength and function for younger, active patients; reverse offers excellent pain relief but carries bigger stakes if complications (dislocation, infection) occur [21:37] The mystery of imaging that shows a tendon hasn't fully healed — yet the patient feels great and the shoulder functions well [23:23] Tendon transfers as an option for irreparable tears in younger, active patients without arthritis [23:50] The lower trapezius transfer explained — how it works and its ~80% success rate [24:53] Wrap-up and where to subscribe Key Takeaways • A positive MRI finding does not automatically mean a rotator cuff tear needs to be fixed — most changes seen on imaging are normal, age-related findings, and imaging findings are similar in symptomatic and asymptomatic patients. • Natural history data suggests roughly one-third of partial-thickness tears and about half of full-thickness tears will progress over 5–7 years — most do not need urgent intervention. • Physical therapy — specifically targeted rotator cuff strengthening — is genuinely effective, not just a placeholder step, with especially strong success rates for impingement and partial-thickness tears. • Surgical timing is rarely an emergency for degenerative tears; acute traumatic tears in younger patients warrant a shorter window (2–3 months). • Corticosteroid injections are safe and effective for short-term relief when used judiciously (generally one to two); repeated injections (5+) are associated with higher retear rates, though this is confounded by patient population. • PRP is safe but not regenerative for the rotator cuff — its benefit is comparable to physical therapy, at a meaningfully higher out-of-pocket cost. • The Rotator Cuff Healing Index can help predict repair success and guide the choice between repair and reverse total shoulder replacement, particularly in older patients. • Lower trapezius tendon transfer is a strong option for younger, active patients with irreparable tears and no arthritis, with roughly 80% success in appropriately selected patients. 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Renuvion tightens skin from beneath using helium plasma and radiofrequency, while Morpheus8 works from the surface with microneedling. Learn which non-surgical facelift fits your anatomy, budget, and downtime - and why Seoul leads the aesthetic innovation race. Lydian Cosmetic Surgery Clinic City: Seoul Address: 836 Nonhyeon-ro, Sinsa-dong, Gangnam Website: https://www.lydianclinic.com/

On today's episode, Dr. Mark Costes is joined by Dr. Dan Briskie and Dr. Thomas Fow for a practical conversation on surgical, prosthetic, and patient management complications in implant dentistry. Together, they discuss what to do when an atraumatic extraction does not go as planned, including how to manage a fractured buccal plate during immediate implant placement.  They also break down common prosthetic challenges like stripped or broken implant screws, when to stop troubleshooting, and why having the right tools and protocols matters. The conversation also dives into managing patient expectations, de-escalating difficult aesthetic concerns, identifying red flags during case selection, and knowing when to slow down, listen, and guide patients with confidence. 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

Trail runner, writer, and BRCA1 gene carrier Sara Aranda grew up watching breast and ovarian cancer devastate the women in her family and ultimately lose her mom while she was in college. This week, she brings us her story–what it was like choosing prophylactic mastectomy and bilateral salpingo‑oophorectomy in her mid‑30s, going from FKT‑strong to surgical menopause overnight, and the collision of relief and grief that follows. Sara shares how she used a massive “lowest to highest” FKT and a prayer run for missing and murdered Indigenous women as both metaphor and preparation, how she's navigating hormone therapy, sleep, body composition, bone worries, and shin splints, and why she wants other medically and/or surgically menopausal athletes to know they are not alone.Sara Aranda is a creative writer, trail runner, and coach who is passionate about craft, community, and challenging perceived notions of language and body, notably what it now means for her to be an athlete in surgical menopause. From adventure storytelling to posting too much on Strava to sweeping run club runs to attempting FKTs, she is both young and menopausal, and still very much full of dreams. Past accomplishments include receiving a Notable Mention in the Best American Essays 2019 anthology, placing 1st Female at the Colossal Vail 50/50 55K, setting 22 FKTs, and receiving the Spirit of No Man's Land Award at No Man's Land Film Festival for her 2025 film, Ofrenda.Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code:  HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr

Surgical menopause can happen in a single day—but its physical and emotional impact may last far beyond the recovery from surgery. In this personal Tea & Truth episode, Lynne shares her experience of having a hysterectomy at 39 while retaining her ovaries, followed years later by surgery to remove them after extensive adhesions caused them to become wrapped around her small intestine. She explains why a hysterectomy doesn't always cause immediate menopause, what makes surgical menopause different from natural menopause, and why women deserve much more preparation and follow-up support than a brief warning about hot flashes. In This Episode Lynne discusses: The difference between a hysterectomy and surgical menopause What happened after her hysterectomy at 39 Why her ovaries later had to be removed Why surgical menopause can feel so sudden and intense Physical, cognitive, sexual, and emotional symptoms women may experience The grief and identity changes that can accompany surgery Why the age at which the ovaries are removed matters Hormonal and nonhormonal options to discuss with a provider Bone, heart, muscle, vaginal, urinary, and emotional health Practical lifestyle foundations that support long-term wellness Questions to ask before and after ovary-removal surgery Why advocating for informed, individualized care matters Surgical menopause isn't simply natural menopause arriving a little early. When both ovaries are removed, hormone levels can change abruptly, leaving some women to recover from major surgery while simultaneously adjusting to significant physical and emotional changes. Whether your surgery is approaching, happened years ago, or you're supporting someone you love, this episode will help you better understand the experience—and remind you that you deserve information, choices, and compassionate support. Grab Your Companion Guide to This Episode: This practical, printable guide is designed for women who are preparing for ovary-removal surgery, newly navigating surgical menopause, or still searching for answers years later. Inside, you'll find: Questions to ask before and after surgery A simple surgical menopause symptom tracker Space to record medications, supplements, and health history Appointment notes and a personalized next-step plan Gentle reminders to help you advocate for informed, individualized care You don't need to ask every question or have everything figured out. This guide simply helps you organize what matters most and walk into your appointment feeling more prepared.

In this episode of the AAOS Now Podcast, host Ahmed Emara, MD, speaks with Nathan Mesko, MD, FAAOS, to explore the limits of orthopaedic surgery and the difficult decisions surrounding “heroic” measures.  Dr. Mesko draws on 13 years of experience in orthopaedic oncology and joint reconstruction to unpack what "heroic" really means in surgery. He argues that heroism has less to do with technical difficulty – ”can I perform this procedure” – and more to do with what a patient is being asked to endure to reach a surgeon's envisioned outcome. Throughout the conversation, Dr. Mesko returns to a central idea: Surgical capability should always be outpaced by wisdom. He walks through how to recognize when the push toward a heroic operation is being driven by the surgeon rather than the patient, and he offers concrete techniques for having honest, humane conversations with patients around amputation, cancer diagnoses, and end of life. He also discusses the emotional toll of these decisions, including guilt, escalation of commitment, and how surgeons can build the humility and self-forgiveness needed for a sustainable career. The episode closes with a personal story that illustrates why staying present with a patient and not turning away from them, even after a frustrating conversation, can matter even more than the surgery itself. Key topics covered: Defining "heroic" measures in orthopaedic surgery and how that threshold shifts over a surgeon's career as the surgeon matures, including the evolution from saying "yes" to every procedure to knowing when to say "no” The challenges of actually getting informed consent for maiming or life-altering procedures, such as sacral resections and proximal femoral replacements, given the challenge of explaining to patients how much the procedure will impact their daily life Recognizing when surgical momentum is being driven by the surgeon rather than the patient, including escalation of commitment and the sunken cost fallacy in surgical decision-making The value of physically equalizing the conversation, such as pulling up a chair and sitting down rather than towering over the patient, to build trust and openness The importance of listening to patients before recommending treatment options to ensure that the treatment aligns with the patient's goals and personal wishes Strategies for guarding against unnecessary repeat interventions, including peer consultation and pausing after setbacks Rethinking success in orthopaedics beyond X-rays and implant longevity, including patient-reported outcomes Managing surgeon guilt, self-forgiveness, and separating outcomes from the integrity of the decision-making process The importance of never leaving a patient without a clear next step or follow-up plan Listeners are encouraged to reflect not only on how they operate, but on how and why they decide to operate at all. Host: Ahmed Emara, MD, member, AAOS Now Editorial BoardGuest: Nathan Mesko, MD, FAAOS, Vice Chair of Global Clinical Operations, Center Director for Orthopaedic Oncology, and Associate Professor, departments of Orthopaedics (Integrated Surgical Institute) and Hematology/Oncology, Cleveland Clinic

Episode 388 Two extraordinary breakthroughs have been made in transplant surgery. First, scientists have found a way of keeping human eyes alive for up to 10 hours after death, opening up the possibility of eye transplants in the future.  And in a second controversial surgery, another team has managed to restore severed spinal cords in pigs, allowing them to walk again after being paralysed. While it's hoped this will eventually allow people with spinal injuries to walk again, one of the scientists involved is a proponent of human head transplants - or body transplants as they should really be known. Is that the ultimate goal? Find out how the scientists achieved these feats - and what's required to take both surgeries to the next level. Rowan Hooper and Penny Sarchet are joined by Alexandra Thompson. To read more about these stories, visit https://www.newscientist.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Coronoid & Radial Head Fractures: Tips, Pitfalls, and Surgical Pearls with Dr. Niloofar Dehghan Watch on Youtube: https://youtu.be/UtVdaEMrm_c  In this episode, I sit down with Dr. Niloofar Dehghan, a fellowship-trained orthopaedic trauma and upper extremity surgeon, to take a deep dive into the evaluation and management of coronoid fractures, radial head fractures, and complex elbow instability. Dr. Dehghan completed her orthopaedic surgery residency at the University of Toronto, followed by fellowship training in Orthopaedic Trauma and Upper Extremity Reconstruction at St. Michael's Hospital in Toronto and Lower Extremity Reconstruction. She also earned a Master of Science in Clinical Epidemiology and Health Care Research from the University of Toronto and currently serves as an Associate Clinical Professor at the University of Arizona. During our conversation, we discuss: How to evaluate coronoid and radial head fractures When a fracture can be treated nonoperatively versus when surgery is indicated The role of fracture morphology in treatment planning Terrible triad injuries and strategies to restore elbow stability Surgical pearls for fixation and reconstruction Common mistakes surgeons make—and how to avoid them Postoperative rehabilitation and preventing stiffness Clinical cases and practical take-home points applicable to everyday practice Whether you're an orthopaedic resident, fellow, practicing surgeon, physician assistant, or simply interested in elbow trauma, this episode is packed with evidence-based insights and real-world surgical experience that you can apply immediately. Connect with Dr. Niloofar Dehghan LinkedIn: linkedin.com/in/niloofar-dehghan Instagram: @dr_niloofar_dehghan Threads: @dr_niloofar_dehghan on Threads If you enjoyed this episode, please subscribe, leave a review, and share it with your colleagues. Your support helps us continue bringing leading experts in orthopaedic surgery to the podcast.

Episode Summary With sub-internship (away rotation) season approaching, the hosts pull back the curtain on what orthopaedic faculty and residents are actually evaluating when a visiting medical student rotates through their program — and how to make the most of a high-stakes, high-anxiety few weeks that can shape where a student matches. Timestamps 00:00 — Intro Welcome and standard disclaimer: discussion is for informational purposes only, not professional medical advice. Setup for the episode topic — sub-internships and the residency match process. 00:30 — What sub-internships are and why they're stressful Framing the away rotation as an audition: students are trying to show programs who they are in a compressed, high-pressure window, often while living out of a temporary apartment in an unfamiliar city. 03:00 — What "being a good fit" actually means Programs are evaluating who they'll want to work closely with for 5 years — not just intelligence, but genuine likability and motivation. Surgical skill and knowledge can be taught; character is harder to change. 06:00 — Knowing your patients cold Being over-prepared on rounds — knowing the patient's history as well as or better than the intern — is one of the clearest signals of a strong sub-intern. Also covers outpatient/clinic prep and being a true team player, not just to faculty but to residents and staff alike. 09:00 — It's not about what you know — it's how you think Faculty don't expect med students to have read every paper. What stands out is how a student approaches an unfamiliar problem, reasons through it, and engages honestly rather than performing. Also: don't fake being busy or "look like you're learning" for show — it's noticeable. 12:00 — Phones, timing, and letters of recommendation Being visibly on your phone reads badly, even if you're doing legitimate reading between cases. Advice to request letters of recommendation about a week in advance so faculty can ask a few thoughtful questions about motivation and goals, rather than being asked last-minute. 15:00 — Flip the script: evaluating the program Sub-internships are a two-way evaluation. What to watch for: whether junior residents are progressing appropriately (a junior who already "knows everything" like a senior isn't actually a good sign — it may mean the program lacks structured teaching), how happy residents seem, and practical factors like hospital type (county vs. academic vs. hybrid) and commute/travel time. 18:00 — Talking about research in interviews Advice on discussing research authentically rather than treating it as a checklist. How to "spin" even offbeat research topics into a genuine, engaging conversation — with personal examples from silk moth cocoon biology to heart transplant genetics. 21:00 — Electives worth adding: psychiatry and emergency medicine A case for adding a real psychiatry rotation to build empathy and understanding of how depression, anxiety, and chronic pain intersect with orthopaedic care — plus a recommendation for an emergency medicine rotation to build consult and acute-care skills. 24:00 — Recommended resources and final advice A recommended online video resource for students transitioning from med student to resident, covering surgical basics and interview prep. Reflection on how important — and exciting — the sub-internship and match process is. 26:00 — Closing story and outro The hosts trade "craziest sub-I moment" stories, including a memorable case involving a corrective surgical procedure and a valet-parking mishap with a very expensive sports car. Standard sign-off and where to find the show on social media. Key Takeaways -Sub-internships are as much a character evaluation as a skills evaluation — programs are choosing a colleague for the next 5 years, not just a technically skilled trainee. -Being over-prepared on your patients and being genuinely kind to residents, faculty, and staff are among the strongest signals a program looks for. -Avoid "performing" for evaluators — faking productivity (phone use, fake studying) is more noticeable than students think. -Request letters of recommendation early — about a week ahead — to give faculty time for a thoughtful conversation. -Students should also be evaluating the program: resident happiness, teaching structure, and practical logistics all matter. -Consider adding psychiatry and emergency medicine electives for skills directly relevant to orthopaedic practice. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Surgical Strike at Midnight by Modi - Sonam Wangchuk Ends Hunger Strike | Rahul - Kejriwal SHOCKED

In this episode, Lillian Erdahl, MD, FACS, is joined by Morgan Pettigrew, MD, from UT Southwestern. They discuss Dr Pettigrew's recent article, “Artificial Intelligence Simplification of English and Spanish Surgical Consent Forms: 1-Size Does Not Fit All,” which found that while ChatGPT-4.0 improved the readability of English surgical consent forms, it did not improve readability of Spanish forms. To address this disparity, the authors developed a custom-trained GPT that improved readability of English and Spanish consent forms.   Disclosure Information: All relevant conflicts have been mitigated and Drs Erdahl and Pettigrew, moderators, have no relevant financial conflicts to disclose.   To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Pettigrew, Morgan F MD; Nunez-Rocha, Ricardo E MD; Govindu, Sai R BS; Castillo, Samy MD; Heslin, Ryan T MD; Bain, Andrew P MD; Abreu, Andres A MD; Fatimah, Nafeesah MD; Polanco, Patricio M MD, FACS; Wang, Sam C MD, FACS. Artificial Intelligence Simplification of English and Spanish Surgical Consent Forms: 1-Size Does Not Fit All. Journal of the American College of Surgeons 243(1):p 202-214, July 2026. | DOI: 10.1097/XCS.0000000000001890   Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.   #JACSOperativeWord

Dr. Daraius Shroff joins the podcast to discuss several topics including differences between the US and India in training for retinal surgeons, AMT for management of recalcitrant macular holes, and PEHCR treatment.

This seesion will give a brief overview the current state of surgical needs and care on the Navajo reservation. It will also discuss spiritual needs and opportunities.

Many people are concerned with robots replacing human jobs, but what about robots enhancing existing jobs?The Cleveland Clinic recently completed a robotic surgery in a single-lung transplant—the first to take place in the U.S.Surgical robots are allowing surgeons to accomplish non-invasive surgeries that otherwise would have called for giant incisions, delaying recovery time.Phone usage is changing how parents and their kids interact. Kids are learning behaviors from their first role models. This includes screen time.But how exactly does a parent's relationship with their phone change their relationship to their kid?Apple has sued Open AI, claiming that the company was illegally accessing information about unannounced products.We're talking about all of these topics on this week's edition of Tech Tuesday.Guests:Dr. Gregory Jones, staff thoracic surgeon, Cleveland ClinicDr. Don Grant, media psychologist/national advisor of healthy device management for Newport HealthcareRussell Holly, director of commerce content, CNET

Many people are concerned with robots replacing human jobs, but what about robots enhancing existing jobs?The Cleveland Clinic recently completed a robotic surgery in a single-lung transplant—the first to take place in the U.S.Surgical robots are allowing surgeons to accomplish non-invasive surgeries that otherwise would have called for giant incisions, delaying recovery time.Phone usage is changing how parents and their kids interact. Kids are learning behaviors from their first role models. This includes screen time.But how exactly does a parent's relationship with their phone change their relationship to their kid?Apple has sued Open AI, claiming that the company was illegally accessing information about unannounced products.We're talking about all of these topics on this week's edition of Tech Tuesday.Guests:Dr. Gregory Jones, staff thoracic surgeon, Cleveland ClinicDr. Don Grant, media psychologist/national advisor of healthy device management for Newport HealthcareRussell Holly, director of commerce content, CNET

(00:00) — First spark for medicine: Medical kit, microscope, and a fascination with how life works.(03:01) — Surgical tech discovery: How a quarter-life crisis and financial strain led Karen to a trade-school OR program during a UCLA gap year.(06:58) — Working and studying simultaneously: Managing OR swing shifts and on-call hours while finishing the last two years at UCLA.(12:35) — The seven-year gap explained: Graduating in 2019, pandemic disruptions, and repeated delays to the application timeline.(14:25) — Weighing other healthcare careers: Why nursing and PA didn't fit, and what finally locked in the MD decision.(17:39) — Turning down the first acceptance: The financial reality of a new DO school without federal loan eligibility and a 12.5% private loan rate.(23:53) — Rebuilding the application: Retaking the MCAT, rewriting the personal statement, and changing the entire strategy.(28:31) — Early decision to one school: Why Karen applied to a single out-of-state program and what happened when the early decision answer was no.(34:28) — The acceptance call in Hawaii: What it felt like to hear yes after years of setbacks.(38:09) — Medical school so far: The scope of what an MD degree actually opens up.(42:10) — Final words for struggling premeds: What persistence looks like in practice.Karen path to medical school did not follow a straight line. She left UCLA after financial pressure began dragging her GPA down, spent a year and a half earning a surgical technology certification, worked in hospital operating rooms on swing shifts and on-call hours, and completed a medical mission abroad — all before finishing her undergraduate degree. When she finally applied to medical school, she got in. Then she said no, because the school's private loan interest rate was 12.5% and it was not yet eligible for federal financial aid. She spent the next cycle rebuilding her application from scratch, retaking the MCAT, rewriting her personal statement, and applying via early decision to a single out-of-state school. The acceptance call came while she was standing in an airport in Hawaii. In this conversation, Karen talks candidly about the self-doubt that stretched her timeline, the financial realities that shaped her decisions at every stage, and what finally made the difference in her second application cycle.What You'll Learn:- How a surgical technology program can provide deep clinical experience that strengthens a premed application- Why new medical schools may not qualify for federal student loans and what that means for applicants- How to decide whether retaking the MCAT is worth it when your existing score is already competitive- What changes Karen made to her personal statement the second time that she believes made the difference- Why applying to fewer schools with stronger fit can be a more effective strategy than applying broadly

In this episode of the NCS Podcast Hot Topics series, host Rich Choi, DO, is joined by Eric Rosenthal, MD, to discuss the article "Surgical Intervention for Super-Refractory Status Epilepticus," a systematic review published in Neurocritical Care. Their conversation explores why super-refractory status epilepticus can become increasingly difficult to control, the limited evidence guiding treatment after standard medical therapies have failed and how surgical approaches may fit into care for selected patients. They also discuss the review's findings across 114 reported cases, including high rates of status epilepticus termination after surgical intervention, the distinction between terminating status and achieving long-term freedom from disabling seizures and the potential role of earlier multidisciplinary collaboration with epilepsy and neurosurgery teams. Dr. Rosenthal also emphasizes the importance of matching the intervention to the patient's underlying etiology, seizure localization and goals of care. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

Hard tissue robotics may be ready for a major leap forward, but only if the industry stops treating surgical robots as single-purpose robotic arms. In this episode, Yossi Bar, CEO and Founder of LEM Surgical, explores the next evolution of surgical robotics and why hard tissue innovation is just getting started. Drawing on nearly two decades in medical devices, he explains why hard tissue robotics has trailed soft tissue robotics and why system architecture matters more than hardware alone. Yossi breaks down the difference between a robotic arm and a true surgical humanoid, highlighting the roles of vision, proprioception, and multi-tool operation. He also shares how AI and humanoid-inspired, general-purpose robotic platforms could expand clinical capabilities and shape the future of surgery. Tune in to hear why the best part of surgical robotics may still be ahead! Resources: Connect with and follow Yossi Bar on LinkedIn. Follow LEM Surgical AG on LinkedIn and explore their website.

SummarySummaryIn this episode, Dr. James Anderson shares groundbreaking insights into treating restless legs syndrome through nerve surgery, offering hope for those suffering from sleep deprivation and nerve pain. Discover how a shift in medical approach can transform lives and improve sleep quality.Key TopicsRestless Legs Syndrome and its symptomsSurgical treatment of nerve tunnelsMetabolic factors influencing nerve healthImpact of sleep deprivation on healthNew research and case success storiesDisclaimer: This podcast is for general information and entertainment purposes only and does not constitute medical or dental advice. Any mention of products, services, tests, or supplements is not an endorsement and may include affiliate links. Guest views are their own and may not reflect the views of Dr. Debbie Ozment or this podcast. Always consult a qualified healthcare professional for advice specific to your situation.Visit my website DrDebbieOzment.com for valuable free downloads.  Additionally,  you will find shopping links which I have curated on the website.  Please follow me on instagram at drdebbieozment.

Two years into the EPA era — are we actually training surgeons differently, or just checking new boxes? In this episode, Behind the Knife co-director and Duke Trauma Surgeon Dr. Patrick Georgoff and Behind the Knife surgical education fellows Dr. Agnes Premkumar and Dr. Emma Burke sit down with Dr. Ruchi Thanawala, thoracic surgeon at OHSU, informatician, and founder of Firefly Labs, to get an honest look at the state of competency-based surgical education. We dig into why surgery is uniquely hard to assess, what the data are actually showing (spoiler: significant skewing, and we're not ready to make promotion decisions off it yet), and why collecting assessments is only 25% of the work. If you've ever wondered whether EPAs are moving the needle or just adding noise, this one's for you***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.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: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral 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-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-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

In this episode, we use the recent SAGES guidelines to tackle one of the most common and controversial questions in general surgery. Through a case-based discussion, our experts review the evidence for intraoperative biliary imaging, discuss strategies for difficult anatomy, and compare IOC with other imaging modalities. Join us as we translate the latest recommendations into practical lessons that can be applied in the operating room.Take Home Points:  Routine IOC is supported; however, this remains a conditional recommendation that should be individualized based on anatomy, surgeon experience, and available resources. Use a selective approach to IOC in special populations, including pediatric and pregnant patients, where risks and benefits may differ. Alternative imaging modalities including ICG fluorescence and laparoscopic ultrasound have complementary roles.  Routine IOC may help maintain surgeon and team proficiency, and trainees should learn both IOC performance and interpretation  Hosts:  Jason Bingham, MD – General and Bariatric Surgeon  Nicole L. Petcka, MD, MHPE – General Surgery Resident at Emory University Guests:  Emily Miraflor, MD – General and Colorectal Surgeon at UCSF East Bay, Senior Author on the SAGES Guidelines  Kevin El-Hayek, MD - HPB and Foregut Surgeon at MetroHealth and Professor of Surgery at Case Western Reserve School of Medicine, Chair of the SAGES HPB/Solid Organ Committee  Dena Shehata, MD - SAGES Guideline Fellow, Co-first author on the SAGES Guidelines  Resources: Kumar, S. K., Shehata, D. G., Cetrulo, L. N., Ignacio, R., Chiu, J., Davis, B. R., McDonald, M., Bloom, M. B., Ayloo, S., Kchaou, A., Orthopoulos, G., Pucher, P. H., Oliphant, U., Hallowell, P. T., Serrot, F., Overby, D., Moreno-Paquentin, E., Slater, B. J., & Miraflor, E. (2025). SAGES guidelines for the use of intraoperative imaging of the common bile duct. Surgical endoscopy, 39(11), 7091–7102. https://doi.org/10.1007/s00464-025-12142-0 SAGES Safe Cholecystectomy Program - https://www.sages.org/safe-cholecystectomy-program/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: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral 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-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-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

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter View our full terms of use Renato Tomioka is a leading expert in reproductive medicine and gynecologic surgery whose unique skills allow him to diagnose and treat some of the most impactful yet frequently overlooked conditions affecting women's health. In this episode, Renato explores endometriosis and adenomyosis, explaining what these conditions are, why they often go undiagnosed for years despite affecting millions of women worldwide, and how advances in MRI and specialized ultrasound are transforming diagnosis beyond traditional surgical laparoscopy. He discusses the decision-making process behind hormonal therapy versus surgery, how treatment strategies change when fertility preservation is a priority, and where IVF fits into the care pathway for women with endometriosis, adenomyosis, or age-related fertility decline. Renato also examines the profound effects of female age on egg quality and quantity, including the accelerating rise in chromosomal abnormalities after age 35, highlights common mistakes in both surgical and fertility management, and shares promising developments on the horizon for treating these conditions and preserving fertility. Follow Dr. Tomioka's work: Instagram: @dr.renatotomioka; Website: Renato Tomioka, M.D., Ph.D. We discuss: 0:00:00 - Intro 0:00:11 - Endometriosis: definition, prevalence, infertility risk, and theories of disease development 0:09:03 - The biology of endometriosis: estrogen dependence, progesterone resistance, and tumor-like growth mechanisms 0:13:25 - Adenomyosis explained: how it differs from endometriosis, why it develops, and its impact on reproductive health 0:18:52 - Recognizing endometriosis and adenomyosis: the "6 Ds" of endometriosis and key differences in clinical presentation 0:22:09 - Uterine fibroids: classification, symptoms, and the importance of fibroid location for bleeding and fertility 0:24:09 - Understanding endometriosis pain: lesion-driven pain, nerve involvement, central sensitization, and the importance of early treatment 0:28:26 - Endometriosis in young women: rising prevalence, delayed diagnosis, and barriers to care 0:33:11 - Modern diagnosis of endometriosis: specialized ultrasound, MRI, and the decline of diagnostic laparoscopy 0:45:52 - Clinical case example #1: Managing endometriosis in a young woman seeking pain relief while preserving future fertility 0:54:10 - Clinical case example #2: Comparing treatment strategies for symptom control versus fertility 1:01:24 - Endometriosis and fertility: the roles of age, embryo quality, IVF, and surgery 1:11:50 - Clinical case example #3: Managing adenomyosis after failed IVF transfers to improve implantation and pregnancy outcomes 1:20:51 - The funding gap in endometriosis research: disease burden, economic impact, and growing awareness 1:22:01 - Clinical case example #4: Surgical decision-making in endometriosis—balancing pain relief, fertility preservation, and common treatment pitfalls 1:27:43 - Common misconceptions about fertility: maternal age, embryo aneuploidy, the inefficiency of human reproduction, and the limits of IVF 1:34:23 - Elective egg freezing: timing, success rates, the fertility funnel, and the tradeoffs of fertility preservation 1:45:49 - Emerging fertility technologies: mitochondrial replacement, ovarian tissue preservation, stem-cell-derived eggs, and current limitations 1:55:10 - The future of endometriosis treatment: new guidelines, biologic therapies, and unanswered questions about IVF 1:58:30 - Why earlier diagnosis matters: reducing years of suffering from endometriosis and adenomyosis Connect With Peter on Twitter, Instagram, Facebook and YouTube