Podcasts about surgical

https://ivdi.org/inv Ready to transform your dentistry skills? Request your invitation to the Veterinary Dental Practitioner Program now. ------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM  In this episode of The Vet Dental Show, Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM, tackles challenging dental scenarios, offering expert tips on large breed incisor extractions, managing root tips in the mandibular canal, and extracting specific teeth in small dogs. Plus, insights on effective periodontal treatments. What You'll Learn: ✅ Effective techniques for extracting maxillary lateral incisors in large breed dogs. ✅ How to manage cases where a root tip goes into the mandibular canal. ✅ Tips for extracting the apical root of 310 and 410 in small dogs. ✅ When to use envelope flaps versus releasing flaps in extractions. ✅ Best practices for removing lower canines in cats with minimal bone support. ✅ The efficacy of products like Clindoral and the benefits of using hyaluronic acid (PerioVive) in periodontal treatments. Key Takeaways: ✅ For difficult maxillary lateral incisor extractions, use a combination of luxators and elevators, progressing slowly and applying consistent pressure. ✅ If a root tip enters the mandibular canal, prioritize patient safety and refer the case unless you have advanced training. ✅ When extracting the apical root of 310 and 410 in small dogs, section the tooth and use gentle elevation techniques to avoid fractures. ✅ Hyaluronic acid (PerioVive) is highly effective for promoting reattachment in periodontal pockets after closed root planing. ✅ Surgical extraction times can vary, but with experience, a fractured maxillary canine extraction in a large dog can be completed efficiently. ------------------------------------------------------------------------- Don't miss the opportunity to enhance your veterinary dentistry skills! Request an invitation to the Veterinary Dental Practitioner Program: https://ivdi.org/inv Want to expand your skills even further? Explore Dr. Beckman's full selection of courses and resources designed specifically for veterinary professionals!  https://veterinarydentistry.net/ ------------------------------------------------------------------------- Questions? Leave your questions and comments below! We love hearing from you. ------------------------------------------------------------------------- Keyword Tags: Veterinary Dentistry, Dog Dental Extraction, Cat Dental Extraction, Veterinary Dental Practitioner Program, Brett Beckman, IVDI, Incisor Extraction, Mandibular Canal, Root Tip Removal, Periodontal Treatment, Hyaluronic Acid, PerioVive, Veterinary Education, Vet Dental Show, Large Breed Dogs, Small Breed Dogs, Dental Flaps, Tooth Resorption, Veterinary CE

When radiology meets surgery, endometriosis care becomes more precise, personalized, and proactive. In this BackTable OBGYN Brief, host Dr. Mark Hoffman is joined by Dr. Wendaline VanBuren, an associate professor of radiology at Mayo Clinic, and Dr. Tatnai Burnett, a minimally invasive GYN surgeon at Mayo Clinic, to discuss the complexities of diagnosing and managing endometriosis. The discussion covers the roles of advanced imaging techniques like MRI and ultrasound, the importance of pre-surgical planning, and the need for multidisciplinary collaboration. They share their approach to managing symptomatic and asymptomatic patients, the use of hormonal treatments, and the significance of monitoring potential malignant transformations in endometrioma cases. The episode underscores the critical role of imaging in planning effective surgical interventions for patients while highlighting the progression of endometriosis management protocols. TIMESTAMPS 00:00 - Introduction  01:07 - Discussing Endometriosis Management 02:18 - Imaging Techniques and Their Importance 04:24 - Interdisciplinary Collaboration 05:40 - Advanced Imaging Protocols 08:12 - Monitoring and Follow-Up Strategies 08:50 - Concerns About Malignancy 11:04 - Future Directions CHECK OUT THE FULL EPISODE OBGYN Ep. 69 https://www.backtable.com/shows/obgyn/podcasts/69/imaging-protocols-to-guide-endometriosis-treatment

Surgical Safety Technologies is pioneering the transformation of operating rooms from secretive environments into data-driven spaces that optimize patient outcomes. With their "Operating Black Box" platform now deployed in over 50 hospitals across the US, Canada, and Western Europe, the company has generated over 100 peer-reviewed publications demonstrating the ability to reduce patient morbidity and mortality by more than 30% while increasing hospital efficiency by $20 million annually for a typical 40-50 OR facility. In this episode, we sat down with Teodor Grantcharov, founder of Surgical Safety Technologies, to explore his 20-year journey from academic researcher to category-creating entrepreneur in the challenging world of healthcare innovation. Topics Discussed: The evolution from virtual reality surgical simulators in the late 1990s to comprehensive OR analytics platforms Breaking through the cultural resistance to measurement and transparency in surgical environments The strategic decision to target top-tier academic medical centers as early adopters Building a platform with four distinct modules: efficiency, compliance, quality/safety, and education The 10-year journey from research hypothesis to proven commercial success with measurable patient outcomes Creating the category of "data-driven healthcare" in traditionally dogma-driven medical environments GTM Lessons For B2B Founders: Use demanding customers as product validation engines: Teodor's team deliberately targeted top-tier academic medical centers as their initial customer base with a specific thesis: "If we can make the best in the world even better, then we can make anyone better." This wasn't just about prestige - these customers had "internal, very sophisticated systems" and "very knowledgeable professionals and leaders" who would stress-test the platform in ways that revealed product gaps early. The approach creates a competitive moat: once you can satisfy the most demanding buyers in your category, you possess capabilities that competitors serving easier customers lack. Build category credibility through academic validation at scale: Surgical Safety Technologies generated over 100 peer-reviewed publications before their sales process accelerated, creating what Teodor calls "irrefutable" evidence. This wasn't just marketing - the publications came from top hospitals proving 30% mortality reduction and $20 million annual efficiency gains per 40-50 OR facility. The strategy transforms sales conversations: instead of pitching features, they present peer-reviewed outcomes data that procurement committees and clinical leaders cannot dismiss. Category creators in regulated industries should consider academic validation as sales ammunition, not just credibility building. Structure modular platforms for multi-stakeholder enterprise sales: Rather than forcing binary adoption decisions, Surgical Safety Technologies created four distinct platform modules (efficiency, compliance, quality/safety, education) that can be sold individually or as a complete suite. This addresses the reality that "each of those have different stakeholders" within hospital systems. The modular approach enables two distinct sales motions: land-and-expand with single-module entry points for budget-constrained buyers, or comprehensive platform sales when "we usually upsell additional modules to the subscription." This architecture is particularly valuable in complex enterprise environments where different departments control separate budget lines. Leverage mission-driven culture as a competitive advantage: Teodor emphasizes that every hire must understand "what we do, why we do it" and that the company constantly reminds itself "this is not just a gadget or an application. We have a responsibility for improving performance and ultimately improving quality of care for patients." In industries where trust and outcomes matter more than features, a genuine mission-driven approach becomes a critical differentiator that influences everything from branding to employee retention. Time market entry with regulatory and cultural shifts: The company's success accelerated as healthcare systems became more willing to measure performance and embrace transparency. Teodor observes: "Now we see hospitals recognize that you can't improve what you can't measure." B2B founders should identify when broader industry trends create openings for previously resistant categories, and position themselves to capitalize on these inflection points.   //   Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe.  www.GlobalTalent.co   //   Don't Miss: New Podcast Series — How I Hire Senior GTM leaders share the tactical hiring frameworks they use to build winning revenue teams. Hosted by Andy Mowat, who scaled 4 unicorns from $10M to $100M+ ARR and launched Whispered to help executives find their next role. Subscribe here: https://open.spotify.com/show/53yCHlPfLSMFimtv0riPyM 

We have drunk lady wanting a Baconator and a scuba suit robbery to kick off the show today. We find out why Elton John gold plated his kneecaps, play Can’t Beat Cassiday and hear about Anthony’s wild night in Canada. We play a round of “We’re Talkin’”, crown a champion in the Cass and Anthony Pick ‘em Challenge, learn about tinter battles, and have a second Ill-Advised News with a bold bank robber and boning in the surgical suite. Support the show and follow us here Twitter, Insta, Apple, Amazon, Spotify and the Edge! See omnystudio.com/listener for privacy information.

A conversation with Dr. George Tolis. Find the video of this conversation at https://youtu.be/2PNf7EoS_2A

Welcome to the Celestial Insights Podcast, the show that brings the stars down to Earth! Each week, astrologer, coach, and intuitive Celeste Brooks of Astrology by Celeste will be your guide. Her website is astrologybyceleste.com.  

In this episode, Mark Mayo, CASC, Administrator at Associated Surgical Center, discusses the top challenges and opportunities for ASCs today. He shares insights on physician independence, regulatory changes, and how outpatient surgery centers can prepare for growth in a shifting healthcare landscape.

The United States and Venezuela are fighting with words, and some people think war could be next. Many say Trump wants Venezuela's oil, and this story has shocked the world.✅ Speak Better English With Me https://brentspeak.as.me/ Use Code SUMMER10 for 10% off your conversation1. Mess With – to bother or cause problems for someone.Don't mess with my little brother, or you'll regret it.2. Nicolás Maduro – the president of Venezuela.Nicolás Maduro gave a speech on television.3. Rare – not common; unusual.It is rare to see snow in the Caribbean.4. Buildup – an increase in something over time.There was a buildup of soldiers near the border.5. Caribbean – the islands and sea area between North and South America.Many tourists like to visit the Caribbean for vacation.6. Combat – fighting, usually in war.The soldiers were trained for combat.combat (verb): to fight against something.: We must combat pollution to keep the air clean.7. Extravagant – spending too much money or using too much.The party was extravagant, with gold decorations everywhere.8. Unjustifiable – something that cannot be defended or excused.The attack was unjustifiable, and many people were angry.9. Immoral – not right or good; against moral rules.It is immoral to steal from your friends.10. Bloody (British) – (slang) used to show anger or surprise.That was a bloody good game!11. Preparedness – being ready for something.The school practiced drills to improve their preparedness for emergencies.12. Senior Fellow – an expert or researcher with a high position in an organization.The senior fellow wrote an article about world politics.13. Flotilla – a small group of ships.A flotilla of boats sailed into the harbor.14. Drug Trafficking – the business of making and selling illegal drugs.The police arrested men for drug trafficking.15. Narco – short for “narcotics” or people who work in drug crime.The movie showed the life of a powerful narco.16. Unprecedented – something that has never happened before.The storm was unprecedented in its strength.17. Objectives – goals or things you want to achieve.The teacher explained the objectives for the project.18. Taking Out – removing or destroying something.The army was focused on taking out the enemy base.19. Invade – to enter a place by force, usually with an army.The soldiers planned to invade the city at night.20. Out of the Question – impossible; cannot happen.Skipping the final exam is out of the question.21. Surgical – related to surgery; also used to mean very precise, exact.The doctors performed a surgical operation.22. Conceivable – possible to imagine.It is conceivable that we will travel to Mars one day.23. Set Off – to start something (like an alarm or an event).The fireworks set off a loud noise.24. Peril – great danger.The hikers were in peril during the storm.

Psst… wanna hear some tea? Join Drs. Maya Hunt, John Woodward, and Cait Silvestri as they discuss gossip - what it is, what it means, and how it can impact the surgical training environment. Joined by authors of a recent paper deconstructing gossip in surgical residency, Dr. Bobbi Ann Adair White and former CoSEF leader Dr. Joseph L'Huillier, the team examines the ways gossip can be positive and negative, how we can mitigate the harms that come with it, and reflect on some of our own experiences with gossip as trainees. Episode Hosts: - Dr. Maya Hunt, Indiana University, mayahunt@iu.edu - Dr. John Woodward, University at Buffalo, @JohnWoodward76, jmwoodwa@buffalo.edu -  Dr. Cait Silvestri, Columbia University, @CaitSilvestri, cs4004@cumc.columbia.edu  -  CoSEF: @surgedfellows, cosef.org   Guests: -  Dr. Joseph L'Huillier, University of Buffalo, @JoeLHuillier101, josephlh@buffalo.edu -  Dr. Bobbi Ann Adair White, MGH Institute of Health Professions, @_BAAW_, bwhite2@mghihp.edu  Learning Objectives: -  Define gossip in the context of surgical education, distinguishing between its academic definition and common perceptions -  Identify how forms of gossip can be constructive, as well as destructive - Explore the process model of gossip in surgical residency programs, including what choices recipients have when receiving gossip -  Recognize environmental factors that contribute to gossip in surgical settings - Apply practical strategies to mitigate harmful gossip in training environments References: - L'Huillier JC, Silvestri C, Brian R, et al. The Anatomy of Gossip: Dissecting Dynamics and Impacts in Surgical Residency. Surgery. 2025;180:109126. doi:10.1016/j.surg.2024.109126 https://pubmed.ncbi.nlm.nih.gov/39862712/ - L'Huillier JC, Woodward JM, Lund S, et al. Is it gossip or feedback? Surgical attendings' perceptions of gossip within residency. J Surg Educ. 2024;81(10):1362-1373. doi:10.1016/j.jsurg.2024.07.004 https://pubmed.ncbi.nlm.nih.gov/39173427/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

“We've been working with NVIDIA for a number of years now and we integrated a medical grade, GPU in our commercial product”, CEO Anne Osdoit explains to Bloomberg Intelligence in her description about how AI is being incorporated into Moon Surgical’s surgical robot. In this Vanguards of Health Care podcast episode, Osdoit sits down with BI analyst Matt Henriksson for an in-depth interview on Moon Surgical, the benefits of its Maestro AI-powered surgical platform, and how Maestro can address the current barriers that have kept penetration rates of robotic surgery low.See omnystudio.com/listener for privacy information.

In this episode, host D. J. Thatcher chats with Dr. Bright McConnell III of Charleston Sports Medicine.

Join Dr. John Patrick Lavo, head and neck surgeon with Willis-Knighton ENT & Allergy, as he dives into common pediatric ENT issues like ear tubes, tonsil extractions, sleep apnea, and other surgical interventions. 

Ductal carcinoma in situ (DCIS) represents a clinical crossroads in breast surgery—balancing the risks of over-treatment with the need to prevent invasive cancer. With new data from active monitoring trials, the pressure is on for surgeons to personalize care. Tune in to this essential episode to stay ahead of the curve on DCIS management and to hear expert insights from two leading breast surgical oncologists. Hosts: - Rashmi Kumar, MD, PhD Resident, University of Michigan General Surgery Residency Program Twitter/X: @RashmiJKumar - Melissa Pilewskie, MD Attending Breast Surgical Oncologist, Co-Director of the Weiser Family Center for Breast Cancer, Michigan Medicine Twitter/X: @MPilewskie -  Stephanie Downs-Canner, MD Attending Breast Surgical Oncologist & Physician-Scientist, Memorial Sloan Kettering Cancer Center, Program Director of the Breast Surgical Oncology Fellowship Training Program Twitter/X: @SDownsCanner Learning Objectives: - Define DCIS and explain its significance as a precursor to invasive breast cancer. - Discuss challenges in diagnosing and risk-stratifying DCIS. - Review current standards for surgical and adjuvant management of DCIS. - Understand the implications of new research, including the COMET trial, for low-risk DCIS. - Evaluate patient-centered strategies for managing DCIS and preventing over-treatment. References: - Worni M, Akushevich I, Greenup R, et al. Trends in Treatment Patterns and Outcomes for Ductal Carcinoma In Situ. J Natl Cancer Inst. 2015;107(12):djv263. PubMed - Francis A, Thomas J, Fallowfield L, et al. Addressing overtreatment of screen detected DCIS; the LORIS trial. Eur J Cancer. 2015 Jan;51(16):2296-303. PubMed - Elshof LE, Tryfonidis K, Slaets L, et al. Feasibility of a non-surgical management strategy for low-grade DCIS: The LORD study. Eur J Cancer. 2015;51(12):1497–1510. PubMed - Toss MS, et al. Ductal carcinoma in situ (DCIS): current management and future directions. Cancer Treat Rev. 2020;90:102091. PubMed - Comparative Effectiveness of Surgery versus Active Monitoring for Low-Risk DCIS (COMET) Trial Results. Early COMET Results: King TA, et al. Surgical excision versus active monitoring for low-risk ductal carcinoma in situ (DCIS): 2-year results of the COMET randomized trial. J Clin Oncol. 2024; e2400110. PubMed Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Dr. Brigitte Rozenberg shares a story about a 26-year-old with a large disc herniation that is successfully treated with Non-Surgical Spinal Decompression. Founder, Spinatomy Spine & Disc Centers For over 30 years, Dr. Brigitte Rozenberg has been a trailblazer in the fields of spinal health, functional wellness, and non-surgical pain relief. As the Founder and CEO of Spinatomy Spine & Disc Centers, she has helped thousands of patients regain mobility, reduce chronic pain, and avoid surgery or long-term medication through advanced, non-invasive treatment protocols. With three state-of-the-art clinics in Culver City, Van Nuys, and Ontario, CA, Dr. Rozenberg leads a multidisciplinary team focused on restoring spinal health through evidence-based care. Her holistic approach integrates spinal decompression, neuropathy therapies, regenerative medicine, and chiropractic care to treat a wide range of conditions—including herniated discs, sciatica, degenerative disc disease, spinal stenosis, and post-injury recovery. Resources: spinatomycenters.com The Cox 8 Table by Haven Medical thebackdoctorspodcast.com

In this solo episode, Dr. Tom Walters breaks down thoracic outlet syndrome (TOS)—a condition caused by compression of the nerves and blood vessels as they pass from the neck into the arm. He begins with an introduction to the condition and explains the difference between neurogenic and vascular TOS, highlighting key symptoms that require urgent medical referral. Dr. Walters then discusses how to differentiate TOS from cervical radiculopathy, a common source of confusion in clinical practice, focusing on symptom distribution, aggravating positions, and relevant clinical tests. Finally, he outlines the most effective physical therapy interventions for neurogenic TOS, including postural retraining, mobility work, scapular strengthening, breathing strategies, and activity modification. This episode is ideal for anyone interested in learning more about the anatomy, diagnosis, and rehab management of TOS, from clinicians to patients dealing with upper extremity pain and dysfunction. Rehab Science Book YouTube video References Illig KA, Donahue D, Duncan A, et al. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. J Vasc Surg. 2016;64(3):e23-e35. doi:10.1016/j.jvs.2016.04.039 Povlsen B, Hansson T, Povlsen SD. Treatment for thoracic outlet syndrome. Cochrane Database Syst Rev. 2014;(11):CD007218. doi:10.1002/14651858.CD007218.pub3 Gillard J, Perez-Cousin M, Hachulla E, et al. Diagnosing thoracic outlet syndrome: contribution of provocative tests, ultrasonography, electrophysiology, and helical computed tomography in 48 patients. Joint Bone Spine. 2001;68(5):416-424. doi:10.1016/S1297-319X(01)00331-2 Balci AE, Balci TA, Cakir O, et al. Surgical treatment of thoracic outlet syndrome: effect and results of surgery. Ann Thorac Surg. 2003;75(4):1091-1096. doi:10.1016/S0003-4975(02)04603-0

In this episode, Mark Mayo, CASC, Administrator at Associated Surgical Center, discusses the top challenges and opportunities for ASCs today. He shares insights on physician independence, regulatory changes, and how outpatient surgery centers can prepare for growth in a shifting healthcare landscape.

In this episode, Mark Mayo, CASC, Administrator at Associated Surgical Center, discusses the top challenges and opportunities for ASCs today. He shares insights on physician independence, regulatory changes, and how outpatient surgery centers can prepare for growth in a shifting healthcare landscape.

Mark Censoprano, Co-Chief Executive Officer of MAX Surgical Specialty Management, discusses the challenges of talent acquisition and the strategies to address them. He highlights the importance of creating a positive patient experience and shares success tips for leaders navigating the evolving dental support landscape in the coming years.

PeaceHealth Southwest Medical Center invites community members to sit at the controls of the Intuitive da Vinci 5 surgical robot during an open house Sept. 9–10 in the Firstenburg Tower Lobby (420 NE Mother Joseph Pl., Vancouver). The system offers a minimally invasive alternative to open surgery and laparoscopy, and is used in procedures such as hysterectomy, prostatectomy, gallbladder removal, appendectomy, and bariatric surgery. To reserve a specific time slot, email Alex Reid. https://www.clarkcountytoday.com/news/peacehealth-southwest-medical-center-invites-community-members-to-try-out-the-intuitive-da-vinci-5-surgical-robot/ #VancouverWA #PeaceHealth #RoboticSurgery #daVinci5 #MinimallyInvasive #MedicalTechnology #Healthcare #OpenHouse #CommunityEvent

In this important episode you will be listening about my upcoming Advanced Online Masterclass. Every future and present surgeon should listen to this podcast on my Online Masterclass and how it's going to change the way in which we are teaching surgery to our students.

Mark Censoprano, Co-Chief Executive Officer of MAX Surgical Specialty Management, discusses the challenges of talent acquisition and the strategies to address them. He highlights the importance of creating a positive patient experience and shares success tips for leaders navigating the evolving dental support landscape in the coming years.

With the new guidelines for health practitioners who advertise non-surgical cosmetic procedures coming into effect on the 2nd of September 2025, now is the perfect time to review and reflect upon some of the changes. In this episode of RiskBites Dr Simon Parsons and Dr Colm Harney, dentolegal consultants at Dental Protection discuss the key aspects of this guidance in addition to teasing out some of the important changes in store for practitioners. 

On today's episode, Dr. Mark Costes sits down with Dr. Taher Dhoon to introduce an exciting new addition to the Colorado Surgical Institute (CSI) lineup: a hands-on, live-patient cosmetic dentistry course focused on 10 over 10 veneer cases. The two discuss how this program differs from traditional full arch or surgical training, with an emphasis on preserving dentition while delivering life-changing aesthetic outcomes.   Dr. Dhoon explains the comprehensive approach to case selection, smile design, deprogramming, and lab communication. He also details how participants will prep, temporize, and later deliver their own patient's case over two weekends—mirroring the CSI philosophy of experiential, clinically immersive education. Whether you're experienced in cosmetics or new to aesthetic work, this course promises to level up your skill set, reduce complications, and drive high-value revenue into your practice. 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

The United States and Venezuela are fighting with words, and some people think war could be next. Many say Trump wants Venezuela's oil, and this story has shocked the world.✅ Speak Better English With Me https://brentspeak.as.me/ Use Code SUMMER10 for 10% off your conversation

Welcome to the Sterile Technique Podcast! It's the podcast about Surgical Technology. Whether you are a CST or CSFA, this podcast helps you earn CE credits and improve your surgery skills in the OR. This episode discusses an article in the June 2016 issue of The Surgical Technologist, the official journal of the Association of Surgical Technologists (AST). The article is titled, "Endoscopic Lumbar Laminotomy". "Scrub in" at steriletpodcast.com and on Twitter, @SterileTPodcast (twitter.com/SterileTPodcast). This podcast is a Dybas Media production. Sound effects adapted from GarageBand and sindhu.tms at https://freesound.org/people/sindhu.tms/sounds/169065/ and licensed courtesy of https://creativecommons.org/licenses/by-nc/3.0/.

In this conversational podcast you can learn very important Basic Surgical Skills like Suturing, ligating and Tissue Dissection. These are the foundational skills for any future surgeons.

We're live at IVECCS! For the next few days we'll be sharing some highlights from our favourite recordings with the fabulous IVECCS speakers, where we get to the best bits from their talks at IVECCS, the premier conference for emergency and critical care veterinarians, technicians, practice managers, and students. How much do you love intubating dogs with upper airway issues? You know that Frenchie or Pug needs an open airway - NOW - but you also know that intubating it is going to be hard. (And you REALLY would prefer not to do a tracheostomy!) We have good news…In today's highlight we hear from Dr Cassie Lux, Associate Professor of Surgery at University of Tennessee, to dig into her talk on upper airway emergencies. The conversation covers how to identify the likely location of airway obstructions, prepare for safe intubation, and apply temporary surgical techniques that stabilise patients without committing to high-risk interventions. From temporary palatopexies to laryngeal stents and novel uses for human piercing gear, Dr. Lux outlines tools and procedures that general practitioners and ECC clinicians can implement right away.Topics Covered:Why definitive airway surgery during crisis leads to poorer outcomesSound-based and visual cues to localise airway obstructionEquipment essentials for challenging intubations Palatopexy as a temporary airway interventionUse of laryngeal stents in laryngeal paralysis and collapseAlternative temporary tracheostomy sites and techniques Novel use of silicone “flesh tunnels” for airway accessManaging airway swelling When to delay tracheostomy and opt for prolonged intubationTips for extubation and airway support during recoveryClick here⁠ to access all of our clinical content  at IVECCS special rates.

In this episode, Dr. Sausha explores the complexities of implant surgical guides through in-depth case studies. Focusing on two challenging anterior cases, he shares firsthand experiences that underscore the obstacles and clinical decision-making involved in managing intricate dental scenarios. The discussion highlights the critical role of meticulous planning, patient-centered care, and the integration of advanced technologies in ensuring predictable and successful outcomes in implant dentistry.

Sweeney recently underwent a hysterectomy and requests to sit after ambulating a few feet. The patient reports dizziness and right lower extremity pain. On examination, her resting heart rate is 102 bpm, and she has significant swelling in her right lower leg. Which of the following should be assessed FIRST: A) Walking distance before stopping B) Pulse pressure C) Deep calf tenderness D) Dorsal pedal integrityDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/dvt-implications

Army neurosurgeon LTC Ryan Morton, MD, joins us for a compelling discussion on the high-stakes environment of combat neurosurgery. We delve into the strategies crucial for managing head trauma on the battlefield, where preventing hypoxia and hypotension is paramount for saving lives. Dr. Morton shares invaluable insights on how military medical teams maintain vigilance against these conditions despite the lack of advanced imaging capabilities. From arterial blood pressure monitoring to oxygen therapy, we cover the proactive measures used to manage intracranial pressure effectively, ensuring that even in the toughest settings, soldiers receive the best possible care.     Our conversation evolves into a detailed exploration of the surgical techniques employed in trauma response. We discuss the significance of patient positioning, the careful balancing of resuscitation efforts, and the pivotal role of Roll 3 hospitals with their advanced CT scanning capabilities. The episode also shines a light on the logistical aspects of performing complex procedures like spine surgeries and managing traumatic vasospasm in military environments. Dr. Morton touches on the challenges of treating severe injuries in combat zones and the thoughtful considerations involved in using endovascular techniques for managing carotid injuries. Join us for an episode packed with expert insights and real-world solutions for the unique challenges faced in military medical care.   Chapters:   (00:02) Combat Neurosurgery (11:14) Surgical Techniques in Trauma Response (17:18) Combat Medical Care and Consultation   Chapter Summaries:   (00:02) Combat Neurosurgery   Managing head trauma in combat zones requires vigilance against hypoxia and hypotension, with measures such as blood pressure monitoring and oxygen therapy.   (11:14) Surgical Techniques in Trauma Response    Maintaining brain health in trauma management through proper positioning, blood coagulation, and advanced capabilities of Roll 3 hospitals.   (17:18) Combat Medical Care and Consultation    Logistics of spine fusions, protocols for head trauma, challenges of treating vasospasm, and endovascular techniques for carotid injuries.   Take Home Messages: Combat neurosurgery requires a proactive approach to managing head trauma on the battlefield, emphasizing the prevention of hypoxia and hypotension. Despite the lack of advanced imaging capabilities, military medical teams can effectively monitor and manage intracranial pressure through vigilant use of arterial blood pressure monitoring and oxygen therapy.   Patient positioning, such as using the reverse Trendelenburg position, plays a crucial role in reducing intracranial pressure in trauma cases. Maintaining proper blood coagulation and sodium levels is essential to avoid complications, and the advanced capabilities of Roll 3 hospitals, like CT scanning, are vital for determining the appropriate neurosurgical interventions.   While immediate spine surgeries may be necessary in combat zones, complex procedures are often preferred to be performed in more sterile environments such as Landstuhl, Walter Reed, or BAMC. These facilities provide the necessary resources and expertise to manage severe injuries and offer comprehensive care.   The use of seizure prophylaxis, such as Keppra or Dilantin, should be carefully considered in cases of suspected head trauma. However, it is typically not an immediate priority unless the patient is actively seizing. If a severe traumatic brain injury is confirmed, seizure prophylaxis may be beneficial for a limited period.   Endovascular techniques for managing carotid injuries, such as deploying covered stents or performing balloon test occlusions, require careful consideration and are best performed in well-equipped facilities away from the battlefield. The treatment of traumatic vasospasm, which can occur days after the initial trauma, should be managed in specialized centers to ensure optimal patient outcomes.   Episode Keywords: combat neurosurgery, military head trauma, battlefield brain surgery, surgical techniques in combat, military medical care, head trauma management, Roll 3 hospitals, military neurosurgeon insights, intracranial pressure management, trauma care in austere settings, endovascular techniques in military, preventing hypoxia and hypotension, trauma surgery in military environments, Lieutenant Colonel Ryan Morton, War Docs podcast   Hashtags: #MilitaryMedicine #CombatNeurosurgery #BattlefieldTrauma #HeadTraumaCare #MilitarySurgery #NeurosurgeonInsights #CombatMedicalResponse #MilitaryHealthcare #WarDocsPodcast #TraumaSurgery   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, 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

Episode 38 of the ESCRS Eye Journal Club with Artemis Matsou, Alfredo Borgia and Victoria Till was held on August 12th 2025 The guest experts are Michael Amon and Jascha Wendelstein who discuss the following paper: Refractive, Visual, and Safety Outcomes of Three Surgical Techniques for Aphakia Correction

How your body heals after plastic surgery or cosmetic treatments may be the most important factor in achieving beautiful, lasting results. In this solo episode, Dr. Steven Davis takes listeners behind the scenes to explain why healing is more than just the incision closing—it's about how your body generates collagen and rebuilds tissue from the inside out. Drawing from recent conversations with patients recovering from lasers, breast lifts, tummy tucks, and more, Dr. Davis breaks down the science of purposeful “damage” (like resurfacing or microneedling) and how your body repairs itself by producing collagen. He also shares why garments and support bras are so critical in the early months after surgery, and why even if you “feel healed,” your body may still be working hard beneath the surface. You'll learn: Why collagen production is the key to smooth, long-term healing How nutrition, supplements, and lifestyle choices influence your recovery The difference between taking collagen and stimulating collagen where it's needed Why smoking and poor habits can slow recovery and affect scar quality The importance of patience, support garments, and consistency during the healing process Whether you're considering a laser treatment, breast surgery, or a tummy tuck, this episode offers practical insights to help you heal better, faster, and enjoy your results for years to come.

On today's episode, Dr. Mark Costes is joined by Dr. Taher Dhoon for a Surgical Saturday deep dive into one of the most underrated clinical procedures in dentistry: frenectomies. As co-founder of the Colorado Surgical Institute, Dr. Dhoon outlines the powerful impact frenectomies can have on both pediatric and adult patients—improving airway, sleep, behavior, and overall development.   He shares details about CSI's upcoming hands-on frenectomy course, including patient selection, surgical technique (CO2 and scalpel-based), and the referral relationships it can unlock with myofunctional therapists, pediatricians, and speech pathologists. This episode also explores how frenectomies can open the door to long-term care like ortho, expansion, and even full-arch treatment. 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

Resources:  Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext  KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/    Venous Hypertension   Definition A functioning AV circuit delivers high volume arterial flow towards a stenotic venous segment, causing buildup in pressure and venous hypertension. If there are few or no branching veins between the access and stenosis, thrombosis could occur   Etiology The most common etiology is venous stenosis caused by a history of vessel wall trauma by centrally-inserted venous devices such as tunneled and non-tunneled dialysis catheters, central lines, pacemakers, or defibrillator. In a study performed at a large academic medical center1, new hemodynamically significant central venous stenosis was associated with the duration of catheter dependence (26% in patients with CVCs for more than 6 months, versus 11% in patients with CVCs for less than 6 months). PICC lines can directly damage cephalic and basilic veins Venous stenosis can often go undetected until AV access creation occurs   Patient Presentation Symptoms of venous insufficiency will be present– most commonly regional edema, in the area of venous stenosis. If there are patent venous branches between the AV anastomosis and the stenotic area, swelling can occur throughout the arm. Pigmentation, induration, dermatosclerosis, and ulceration may also be observed. An extensive collateral network of veins may be visible throughout anterior chest, shoulder, or flank SVC obstruction can result in swelling of the head, neck and shoulders, as well as a feeling of head and neck fullness, airway compromise, and visual problems Normal palpable thrill can be replaced by a strong pulse Dialysis can be complicated by difficulty with needle access, recirculation syndrome, and arm swelling after dialysis sessions. Workup  Central vein thrombosis can be hard to detect on ultrasound because clavicle and sternum can block transmission Venography is essential to determine the presence and severity of venous stenosis or occlusion.   Prevention The ideal scenario is to avoid central dialysis catheters completely, and this involves evaluating CKD patients and placing AVF or AVG before the need for dialysis arises.  If a patient presents placement of an AVF/AVG, it is important to perform venography if a patient has a history of a central venous catheter or clinical signs of venous hypertension. A history of SVC obstruction from any cause can preclude permanent AV access creation in both upper extremities Treatment Endovascular approaches to venous outflow stenosis can be first-line treatment options, due to their minimal risk. They can also be performed at the same time as a diagnostic venogram. Angioplasty alone or with stenting are the endovascular options. In a study by Bakken et al2 that compared primary high-pressure balloon angioplasty versus stenting, primary patency was equivalent between groups, with 30-day rates of 76% for both groups and 12-month rates of 29% for angioplasty and 21% for stenting. Assisted primary patency was also equivalent with a 30-day patency rate of 81% and 12-month rate of 73% for the angioplasty group,  84% at 30 days, and 46% at 12 months for the stenting group. This study, along with others, shows that the major downside of endovascular interventions, whether angioplasty or stenting, often require repeat intervention and have poor long-term patency. For subclavian vein stenosis, angioplasty alone is appropriate due to its anatomical location that can put a stent at risk for extrinsic compression from the first rib and clavicle. Surgical bypass can be performed Possible bypasses include axillary-axillary, axillary-jugular, axillary-right atrial, and axillary-femoral. In these bypasses, the preferred conduits are autogenous saphenous or femoral veins. In cases where the proximal subclavian vein is obstructed, a jugular vein turndown can be performed. In this procedure the distal jugular vein is transected, sewed end-to-side at the distal subclavian vein, effectively acting as a bypass route for that obstructed segment. The Hemoaccess Reliable Outflow (HeRO) Vascular Access Device can be used as a hybrid approach, combining endovascular and open surgical techniques to bypass a central venous occlusion  and provide a reliable outflow for dialysis.  This device has a PTFE inflow limb that is sewn end-to-side onto the brachial artery. This limb is tunneled subcutaneously and connected to a silicone-coated nitinol outflow catheter that is inserted into a central vein and tracked directly into the right atrium. This effectively bypasses central venous stenoses. In the largest study to date on HeRO access grafts placed in 167 patients,3 HeRO primary and secondary patency was 48.8% and 90.8%, respectively, at 12 months. Interventions to maintain or re-establish patency were required in 71.3% of patients resulting in an intervention rate of 1.5/year. Access-related infections were reported in 4.3% patients. The authors concluded that HeRO device had performed comparably to standard AVGs and had proven superior to tunneled dialysis catheters in terms of patency, intervention, and infection rates. If no treatment options for venous hypertension or outflow obstruction  are available, an alternate AV access site can be created, either in the contralateral arm if the SVC is uninvolved, or through placement of femoral AV access or a peritoneal dialysis catheter.   Bleeding Access Site   Etiology and Risk Factors Bleeding can be caused by high venous pressure after dialysis, pseudoaneurysm rupture, or trauma. Patients with end stage renal disease (ESRD) have a baseline elevated risk of bleeding due to uremia-induced platelet dysfunction and use of systemic anticoagulation within the hemodialysis circuit. Additional risk factors include dialysis through an AV graft, hypertension, longer duration of access use, and compromised integrity of the vascular access due to complications (clotting, infection) or invasive procedures. Dual antiplatelet therapy is also associated with overall bleeding events in ESRD patients. Dialysis patients could be on antiplatelet therapy for management of comorbid cardiovascular risk and/or patency of AV graft Patients with bleeding fistulas often present from their dialysis unit when standard digital pressure at the cannulation site fails to stop the bleeding. This is a very serious condition since most mature fistulas have high blood flow and the patients are at risk for hemorrhagic shock and death.    Initial Management  The first step of management is to obtain hemostasis. Elevate the limb above the level of the heart and apply firm and directed pressure at the site of bleeding using gauze for at least 30-40 minutes Milosevic et al4 reviewed non-operative management of bleeding fistulas and grafts and found that compared to standard dressings, the use of specialized hemostatic dressings decreased bleeding time at arterial and venous cannulation sites. These hemostatic materials included the IRIS compression bandage and cellulose-based, chitosan-based, poly-N-acetyl glucosamine-based, and thrombin-soaked dressings. There has been a “bottlecap method” described where the hollow side of a bottlecap is pressed on top of the puncture site. Maintaining pressure on the cap will cause the cap to fill with blood and clot, which tamponades the bleeding. The provider can also place a shallow figure-of-8 or purse string stitch just below the skin surface to aid in hemostasis. It is important to avoid placing the suture too deep as this can cause inadvertent fistula ligation. During this process, an assistant applies pressure just proximal and distal to the bleeding site to stop blood flow so the sutures can be placed. If these methods fail to achieve hemostasis, apply a tourniquet proximal to the fistula and tighten it until bleeding stops and the radial pulse is lost. This signifies complete occlusion of arterial inflow to the fistula. Tourniquet use should be limited to 3 hours or less, since limb ischemia beyond this timepoint is associated with permanent neuromuscular damage. Regardless of the method used for initial hemostasis, the patient is at risk for repeat hemorrhage, hematoma formation, vessel stenosis, and thrombosis. They should be evaluated by a vascular surgeon as soon as possible.  Definitive Management Definitive management depends on etiology of each case, and there are a variety of interventions that can be pursued (i.e. aneurysmorrhaphy for aneurysmal bleeding) If skin erosion over the conduit is present, it should be assumed that the AV access is infected and emergency intervention should be pursued. A jump graft can be placed through with healthy tissue.  A covered stent could be introduced through a separate percutaneous puncture site Finally, coagulopathy can be addressed by administering cryoprecipitate, DDAVP, erythropoietin, estrogen, tranexamic acid. Aneurysms and Pseudoaneurysms   Definition and Etiology Aneurysms involve all three layers of the vessel wall and they develop due to hemodynamic changes causing remodeling of the vein wall in an AV fistula. This is necessary for vein maturation, but becomes problematic if the post-anastomotic vein continues to dilate and becomes aneurysmal.  Aneurysms can also occur at anastomosis sites due to technical aspects of the surgery. Pseudoaneurysms only involve some layers of the vessel wall caused by repeated puncture for hemodialysis.  Both aneurysms and pseudoaneurysms can enlarge due to venous outflow stenosis causing increased intraluminal pressures. Both true aneurysms and pseudoaneurysms can lead to overlying skin erosion and subsequent hemorrhage, pain, AV access dysfunction, and cannulation difficulties.  Dialysis cannulation should be avoided at the aneurysmal sites to prevent bleeding complications. Diagnosis They can be diagnosed on ultrasound, which also provide information on flow rates, presence inflow/outflow/stenoses, and vessel diameters.  Indications for Treatment Treatment is indicated for aneurysms that are rapidly expanding or ulcerating through the skin surface. These are at high risk for rupture and hemorrhage, which is life-threatening. Treatment is also indicated when the aneurysm occurs at the anastomotic site of the AV fistula, the patient has a cosmetic concern, cannulation becomes difficult, there is concern for infection, or the patient has high-output heart failure that could be exacerbated by high flow through the fistula. Treatment is not indicated in asymptomatic aneurysms, regardless of their size. True  aneurysms and pseudoaneurysms are not prone to spontaneous rupture.   Treatment Options Aneurysmorrhaphy is the most common treatment. It involves the resection of the aneurysmal vein wall to restore a normal diameter and removal of excess skin. Anastomosis is performed along the lateral wall to prevent issues with cannulation along the suture line. Aneurysm resection with interposition grafting is also possible. If multiple aneurysmal segments require treatment, staging their repairs can allow for continuation of dialysis without needing to place a temporary dialysis catheter. AV access ligation is an appropriate alternative to AV access salvage in certain situations but usually requires excision of the aneurysm/pseudoaneurysm due to the potential to develop thrombophlebitis and the cosmetic appearance of the thrombosed segment. If there is concern for an infected pseudoaneurysm or aneurysm, surgery should include removal of all infected material. References   1. Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De Novo Central Vein Stenosis in Hemodialysis Patients Following Initial Tunneled Central Vein Catheter Placement. Kidney360. 2022;3(1):99-102. doi:10.34067/KID.0005202021 2. Bakken AM, Protack CD, Saad WE, Lee DE, Waldman DL, Davies MG. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007;45(4):776-783. doi:10.1016/j.jvs.2006.12.046 3. Gage SM, Katzman HE, Ross JR, et al. Multi-center Experience of 164 Consecutive Hemodialysis Reliable Outflow [HeRO] Graft Implants for Hemodialysis Treatment. Eur J Vasc Endovasc Surg. 2012;44(1):93-99. doi:10.1016/j.ejvs.2012.04.011 4. Milosevic E, Forster A, Moist L, Rehman F, Thomson B. Non-surgical interventions to control bleeding from arteriovenous fistulas and grafts inside and outside the hemodialysis unit: a scoping review. Clin Kidney J. 2024;17(5):sfae089. doi:10.1093/ckj/sfae089

Welcome to the Sterile Technique Podcast! It's the podcast about Surgical Technology. Whether you are a CST or CSFA, this podcast helps you earn CE credits and improve your surgery skills in the OR. This episode discusses an article in the August 2025 issue of The Surgical Technologist, the official journal of the Association of Surgical Technologists (AST). The article is titled, "The Ross Procedure: Cardiac Autograft and Allograft, Part 2". "Scrub in" at steriletpodcast.com and on Twitter, @SterileTPodcast (twitter.com/SterileTPodcast). This podcast is a Dybas Media production. Sound effects adapted from GarageBand and sindhu.tms at https://freesound.org/people/sindhu.tms/sounds/169065/ and licensed courtesy of https://creativecommons.org/licenses/by-nc/3.0/.

Superpowers for Good should not be considered investment advice. Seek counsel before making investment decisions. When you purchase an item, launch a campaign or create an investment account after clicking a link here, we may earn a fee. Engage to support our work.Watch the show on television by downloading the e360tv channel app to your Roku, LG or AmazonFireTV. You can also see it on YouTube.Devin: What is your superpower?Dr. Stephen: Courage and tenacityIn today's world, access to affordable, effective healthcare remains a persistent challenge. Dr. Stephen Steinberg, Co-founder and Chief Medical Officer of EndoSound, is tackling this problem head-on with an innovative approach to endoscopic ultrasound (EUS) technology. By dramatically lowering costs, EndoSound is helping more hospitals and surgical centers provide this life-saving diagnostic and therapeutic modality to millions of patients.Endoscopic ultrasound has been a medical mainstay for over 25 years, offering real-time imaging and diagnostic capabilities for conditions like pancreatic cancer. However, the prohibitive cost of traditional EUS systems—up to half a million dollars—has kept the technology out of reach for many facilities. Stephen and his team at EndoSound have developed a system that reduces these costs by 90%, making it accessible to smaller hospitals, surgical centers, and even under-resourced regions globally.“What became apparent was that my backlog of cases and waiting times were getting longer and longer,” Stephen explained, citing the lack of local access to EUS technology. “We adapt the scopes that [medical centers] already have with ultrasound technology, providing a much more cost-effective, much more accessible opportunity.”EndoSound's innovation doesn't just lower costs. By enabling earlier diagnoses of conditions like pancreatic cancer, which currently has a five-year survival rate of just 12%, the technology has the potential to save thousands of lives. Stephen described the transformative impact: “Our technology has the ability to impact that curve…to make it so that patients' tumors are caught earlier.”Beyond patient care, the technology offers financial benefits to facilities. Surgical centers that adopt EndoSound's system can generate revenue from procedures while improving patient outcomes. With millions of diagnostic procedures performed annually, the market opportunity for EndoSound's affordable solution is substantial.For those interested in supporting this groundbreaking work, EndoSound is currently raising capital through a regulated investment crowdfunding campaign on WeFunder. This presents a chance for investors to back a company that is not only disrupting the healthcare industry but also saving lives.Stephen's vision is clear: to democratize access to critical diagnostic tools and improve outcomes for patients worldwide. His work exemplifies the spirit of innovation and purpose that drives meaningful progress in healthcare.tl;dr:Dr. Stephen Steinberg discusses EndoSound's affordable endoscopic ultrasound technology that improves healthcare access and outcomes.By reducing costs by 90%, EndoSound enables earlier diagnoses, especially for conditions like pancreatic cancer.Stephen highlights the global potential of EndoSound to bring life-saving care to under-resourced regions.His superpower, courage and tenacity, stems from personal experiences navigating his children's life-threatening illnesses.EndoSound is raising capital via crowdfunding, empowering investors to support its transformative healthcare mission.How to Develop Courage and Tenacity As a SuperpowerStephen's superpower is a combination of courage and tenacity. He explains that courage isn't about choosing to be heroic but rather about responding to terrifying circumstances. Recalling his experience as a young parent facing life-threatening heart defects in his children, Stephen shared, “You discover courage not because you choose to but because circumstances require you to push through.” From these challenges, he also developed tenacity—the determination to persist even when exhausted or overwhelmed. These qualities have shaped his approach to both medicine and entrepreneurship.One story that demonstrates Stephen's superpower is his family's journey with his two children, both born with life-threatening heart defects. Despite the overwhelming fear and challenges, he and his wife relied on their courage and tenacity to support their children through cutting-edge medical care. Both children are now thriving adults, with families of their own. Stephen's personal experiences instilled in him a deep commitment to improving access to life-saving technologies like EndoSound.Stephen's advice for developing courage and tenacity includes:Define Your Mission: Identify a purpose that inspires you to push through obstacles.Stay Focused on the Goal: Visualize your desired outcome to maintain determination.Draw Strength from Others: Lean on your support network during difficult times.Take It Step by Step: Break overwhelming challenges into smaller, manageable tasks.By following Stephen's example and advice, you can make courage and tenacity a skill. With practice and effort, you could make it a superpower that enables you to do more good in the world.Remember, however, that research into success suggests that building on your own superpowers is more important than creating new ones or overcoming weaknesses. You do you!Guest ProfileDr. Stephen Steinberg (he/him):Co-founder and Chief Medical Officer, EndoSound, IncAbout EndoSound: EndoSound® has developed a breakthrough approach to delivering high-quality gastrointestinal diagnostics—without the prohibitive cost that has kept this technology out of reach for most patients. The EndoSound Vision System™ (EVS™) merges video-guided endoscopy and ultrasound into a single, real-time diagnostic view, enabling more accurate, minimally invasive exams that can be performed in outpatient and ambulatory settings.Its portable, compact design makes it equally at home in hospitals, Ambulatory Surgery Centers (ASCs), and rural or resource-limited care environments—dramatically expanding where advanced GI imaging can be performed. The EVS is FDA cleared and retrofits to the standard endoscopes already in use worldwide, eliminating the need for proprietary scopes. This integration creates an exceptionally affordable path for providers to offer cutting-edge diagnostics where they're needed most, including in under-resourced healthcare systems across the globe.Website: endosound.comX/Twitter Handle: @EndoSoundEVSOther URL: wefunder.com/endosoundBiographical Information: Dr. Steinberg is the co-inventor of a medical device with the potential to change the trajectory of GI care globally. A graduate of Cornell University and Johns Hopkins Medical School, Dr. Steinberg has devoted a 40-year career to advancing diagnostic and therapeutic gastrointestinal endoscopy.Among these procedures, endoscopic ultrasound (EUS) stands out as one of the most transformative—offering unparalleled insight into pancreatic, biliary, and submucosal disease. As co-inventor of the patented technologies behind EndoSound, he has married deep clinical expertise with engineering innovation to dismantle the access barriers that have kept EUS confined to a select few institutions. His vision extends far beyond U.S. borders—toward making this life-saving diagnostic accessible in regions where the absence of early detection leads to preventable deaths.Linkedin: linkedin.com/company/endosoundSupport Our SponsorsOur generous sponsors make our work possible, serving impact investors, social entrepreneurs, community builders and diverse founders. Today's advertisers include FundingHope, Rancho Affordable Housing (Proactive), and Flower Turbines. Learn more about advertising with us here.Max-Impact MembersThe following Max-Impact Members provide valuable financial support:Carol Fineagan, Independent Consultant | Hiten Sonpal, RISE Robotics | Lory Moore, Lory Moore Law | Marcia Brinton, High Desert Gear | Mark Grimes, Networked Enterprise Development | Matthew Mead, Hempitecture |  Michael Pratt, Qnetic | Dr. Nicole Paulk, Siren Biotechnology | Paul Lovejoy, Stakeholder Enterprise | Pearl Wright, Global Changemaker | Ralf Mandt, Next Pitch | Scott Thorpe, Philanthropist | Sharon Samjitsingh, Health Care Originals | Add Your Name HereUpcoming SuperCrowd Event CalendarIf a location is not noted, the events below are virtual.Impact Cherub Club Meeting hosted by The Super Crowd, Inc., a public benefit corporation, on September 16, 2025, at 1:30 PM Eastern. Each month, the Club meets to review new offerings for investment consideration and to conduct due diligence on previously screened deals. To join the Impact Cherub Club, become an Impact Member of the SuperCrowd.SuperCrowdHour, September 17, 2025, at 12:00 PM Eastern. Devin Thorpe, CEO and Founder of The Super Crowd, Inc., will lead a session on "What's the Difference Between Gambling and Investing? Diversification." When it comes to money, too many people confuse speculation with true investing. In this session, Devin will explore what separates gambling from responsible investment practices—and why diversification is one of the most important tools for reducing risk and improving outcomes. Drawing on real-world examples and practical strategies, he'll help you understand how to evaluate opportunities, spread risk wisely, and think long-term about your portfolio. Whether you're new to investing, considering your first community round, or looking to refine your approach as a seasoned investor, this SuperCrowdHour will give you actionable insights to strengthen your decision-making. Don't miss this chance to sharpen your perspective and invest with greater confidence.Community Event CalendarSuccessful Funding with Karl Dakin, Tuesdays at 10:00 AM ET - Click on Events.NEIGHBR Live Webinar, in partnership with FundingHope, will share NEIGHBR's story with a wider audience — September 3 at 11 AM EST. Reserve your spot today!Earthstock Festival & Summit (Oct 2–5, 2025, Santa Monica & Venice, CA) unites music, arts, ecology, health, and green innovation for four days of learning, networking, and celebration. Register now at EarthstockFestival.com.Regulated Investment Crowdfunding Summit 2025, Crowdfunding Professional Association, Washington DC, October 21-22, 2025.Impact Accelerator Summit is a live in-person event taking place in Austin, Texas, from October 23–25, 2025. This exclusive gathering brings together 100 heart-centered, conscious entrepreneurs generating $1M+ in revenue with 20–30 family offices and venture funds actively seeking to invest in world-changing businesses. Referred by Michael Dash, participants can expect an inspiring, high-impact experience focused on capital connection, growth, and global impact.If you would like to submit an event for us to share with the 9,000+ changemakers, investors and entrepreneurs who are members of the SuperCrowd, click here.We use AI to help us write compelling recaps of each episode. Get full access to Superpowers for Good at www.superpowers4good.com/subscribe

Did you know that your body really regrow a fingertip after it's been amputated—without surgery or stitches?In this eye-opening episode, Coach JPMD shares a little-known medical fact that challenges conventional wound care practices. Whether you're a physician, medical student, or just fascinated by the body's healing potential, you'll discover why sometimes the best treatment… is no treatment at all.Discover how and why fingertip regrowth is possible with minimal interventionUnderstand how traditional wound care might be slowing your body's natural recoveryHit play to uncover the surprising truth about fingertip regeneration and what it could mean for your practice or recovery approach.TEXT HERE to suggest a future episode topic Discover how medical graduates, junior doctors, and young physicians can navigate residency training programs, surgical residency, and locum tenens to increase income, enjoy independent practice, decrease stress, achieve financial freedom, and retire early, while maintaining patient satisfaction and exploring physician side gigs to tackle medical school loans.

Cameron is joined by Portland Face Doctor, Dr. Peter Vila, and they discuss Dr. Vila's journey of acquiring and rebuilding a practice. Despite initial challenges, including a team exodus and negotiation complexities, he successfully rebuilt the team and expanded services. Dr. Vila emphasizes the importance of transparency, education, and trust in patient interactions. He highlights the financial nuances between surgical and non-surgical services, noting that younger patients often opt for financing.Cameron and Dr. Vila emphasize the importance of transitioning from a technician mindset to a business-oriented one, highlighting the value of attending conferences, networking, and continuous learning in the field of facial plastic surgery. They discuss the benefits of collaboration among plastic surgeons and the necessity of understanding business aspects, which are often overlooked in medical education. They also share business knowledge and the challenges of balancing innovation with practical business decisions, stressing the significance of networking, attending conferences, and maintaining a strong online presence to grow a practice.Listen In!Thank you for listening to this episode of Medical Millionaire!Unlock the Secrets to Success in Medical Aesthetics & Wellness with "Medical Millionaire"Welcome to "Medical Millionaire," the essential podcast for owners and entrepreneurs inMedspas, Plastic Surgery, Dermatology, Cosmetic Dental, and Elective Wellness Practices! Dive deep into marketing strategies, scaling your medical practice, attracting high-end clients, and staying ahead with the latest industry trends. Our episodes are packed with insights from industry leaders to boost revenue, enhance patient satisfaction, and master marketing techniques.Our Host, Cameron Hemphill, has been in Aesthetics for over 10 years and has supported over 1,000 Practices, including 2,300 providers. He has worked with some of the industry's most well-recognized brands, practice owners, and key opinion leaders.Tune in every week to transform your practice into a thriving, profitable venture with expert guidance on the following categories...-Marketing-CRM-Patient Bookings-Industry Trends Backed By Data-EMR's-Finance-Sales-Mindset-Workflow Automation-Technology-Tech Stack-Patient RetentionLearn how to take your Medical Aesthetics Practice from the following stages....-Startup-Growth-Optimize-Exit Inquire Here:http://get.growth99.com/mm/

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Shock Stages in Cardiac Surgical Patients: Implications for Post-Cardiotomy Shock and Mortality.

A Game-Changing Shift in MiningGreat Atlantic Resources (TSXV: GR) is preparing to launch one of the most significant technological shifts in modern mining: the world's first AI-powered Surgical Mining™ initiative. At its Golden Promise Gold Property in Newfoundland, the company will begin a 2,700-tonne bulk sample extraction this September, testing a system designed to maximize ore recovery while drastically reducing environmental disruption.This marks a breakthrough moment for both the company and the mining industry at large. If successful, the project could redefine how small, high-grade deposits are developed, cutting costs to a fraction of conventional mining methods.How Surgical Mining™ WorksDeveloped in partnership with Novamera Inc. and backed by Canada's Digital Supercluster, the Surgical Mining™ system uses AI-guided drilling to precisely follow underground gold-bearing veins. Instead of blasting wide tunnels, a bore drill with a directional head tracks the vein in real time, extracting only the gold-rich ore while leaving surrounding rock untouched.Key features include:Directional Drilling Technology: Adapts drilling trajectory to follow veins with accuracy.Minimal Environmental Footprint: Non-invasive and water-inclusive design reduces land disturbance.Cost Efficiency: Expected to operate at 20–25% of traditional mining costs.Third-Party Validation: Endorsed by academic institutions (UBC, Memorial University) and supported with $6.6 million in grants.This innovation could prove especially transformative for Newfoundland's high-grade, narrow-vein gold systems.Golden Promise: A High-Grade Asset in a Prime LocationThe Golden Promise property already boasts a 43-101 inferred resource of 119,900 ounces of gold at 10.4 g/t. The Jaclyn Main Zone, where the bulk sampling will take place, has delivered drill intercepts exceeding 29 g/t and surface samples as high as 332 g/t.What makes Golden Promise even more attractive is its neighborhood. The project is in proximity to Calibre Mining's Valentine Gold Mine, a $2.6 billion development in the same Exploits Subzone of Newfoundland's Victoria Lake Super Belt. This district has rapidly become one of Canada's most dynamic gold camps.Potential Impact and Next StepsThe upcoming 2,700-tonne bulk sample is designed to achieve three key objectives:Validate the Surgical Mining™ Technology: Prove that AI-guided drilling can follow veins effectively and minimize waste rock.Demonstrate Economics: Confirm cost reductions and high recoveries (with neighbor recoveries near 94%).Generate Data for Expansion: Support the path toward operating under Newfoundland's Small Mines Act, which allows up to 50,000 tonnes of production annually.If results are positive, Great Atlantic could move quickly from bulk sampling into limited production — a potential game-changer for a junior explorer with a modest market cap.Beyond Gold: A Broader PortfolioWhile gold is the company's flagship focus, Great Atlantic also owns 100% of multiple mineral assets across Atlantic Canada. These include projects targeting antimony, tungsten, copper, and even a surprising recent discovery of emeralds in Newfoundland. This diversified portfolio strengthens its positioning as governments worldwide prioritize critical mineral supply chains.Conclusion: A Bold Step Into Mining's FutureGreat Atlantic Resources is at a pivotal moment. By combining high-grade gold assets with AI-driven mining innovation, the company is positioned not only to unlock significant shareholder value but also to pioneer a model of mining that is more efficient, sustainable, and scalable.With bulk sampling set to begin in September, all eyes will be on Great Atlantic as it attempts what could be a landmark achievement in the evolution of the mining industry.

On this episode of The Medical Alley Podcast, Dr. Cornelius Thiels (Associate Chair of Innovation) and Dr. Kyle Ettinger (Director of Innovation) from the Mayo Clinic Department of Surgery preview the upcoming Beahrs Surgical Innovation Summit.Gain behind-the-scenes insight into the department's pioneering work, including how they're leveraging AI, robotics, data-driven decision-making, and immersive simulation to transform surgical care.Send us a message! Follow Medical Alley on social media on LinkedIn, Facebook, X and Instagram.

For most of us, workplace engagement isn't a solo sport—it's a team one. The ADP (yes, the payroll people) Research Institute's study across 19 countries found that most of us, regardless of company size, are immersed in team life. In companies of 150 or more employees, 82% of employees work on teams, and nearly 3/4ths juggle more than one team. Even if your employer has fewer than 20 people, 2/3rds of us are teaming up on one, two or even three teams. This matters: team membership doubles our odds of scoring high on Gallup's engagement metrics, with this research concluding that the sweet spot belonging is being on five distinct teams. It is not just the number of teams, but whether we trust the team leader that can make us 12 times more likely to be fully engaged. Let's go back to the holy grail of Google's Project Aristotle, which took team-obsession to a new level.  Google spent twp years studying 180 teams to crack the high-performing team code. They discovered that talent and resources aren't the magic ingredients—they're just the gravy. The meat and potatoes or tofu and rice for the team? Psychological safety—the freedom to speak up, take risks, and make mistakes without fear of public humiliation. It turns out, when people feel safe to contribute, they get bold, creative, and collaborative.  Leaders create psychological safety with dependability, structure and clarity, meaning, and impact.  McKinsey's research builds on this, showing that effective teams come in different “archetypes.” A cycling team is like a NASCAR pit crew—specialized, coordinated, but with independent metrics. Agile software teams are more like relay squads—high interdependence and shared outcomes, where dropped balls ripple through the race. Surgical teams? Think rowing crew—total synchronicity, clearly defined roles, and an unshakable sense of belonging.   To truly hum, teams need to tend to their “health drivers,” grouped into four areas. Configuration means having the right roles and perspectives. Alignment is clarity on purpose and shared commitment. Execution covers collaboration, communication, decision making, and feedback. Renewal—the often-overlooked one—ensures long-term sustainability through belonging, psychological safety, recognition, and trust. Not every team needs to nail all of the team health drivers - of the 17 identified health drivers even top performing teams are only “very good” at about 11, which is like a C-! Four health drivers stand out as the performance heavyweights: trust, communication, innovative thinking, and decision making.  Much of this is what we know - what is surprising is that just getting some of the elements that create healthy and effective teams right is a game-changer in the workplace.

In 1988, one of the most Disturbing and Mysterious cases of Human Mutilation occurred. A body was discovered near a reservoir with Surgical-like precision Mutilations that defied natural explanation. Investigators were baffled. Rumors of Government Cover-ups, Extraterrestrial involvement, and the Darkest Edges of Human Experimentation. To watch the podcast on YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/TheoriesOfTheThirdKindYT⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - Get instant access to 200+ bonus Audio episodes - Sign up here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://theoriesofthethirdkind.supercast.com⁠⁠⁠⁠⁠⁠ To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

with host Jeremy Gibson-Roark, co-host Ronnell Myburghand guest Michelle Coalson, MBA, MSN, RN, HACP, CPHQProgram Manager, ASC Program, Healthcare Accreditation Services, Supply Chain & Product Assurance, DNVHealthcare USA Inc.,michelle.coalson@dnv.comand also guest Crystal Green, MSMAmbulatory Surgical Sales Manager, BEN Board Co-ChairDNV Healthcare Accreditation and Certification Services, crystal.green@dnv.com, , Mobile 626-297-0431   DNVhealthcare.com

Surgical removal has long been the standard for dealing with pre-cancerous skin lesions—but what if there were a less invasive alternative?     On today's show, I'm introducing a little-known option called Electron Beam Therapy (EBT) that's gaining traction for treating early-stage skin cancers like basal cell and squamous cell carcinoma.     We'll cover how EBT works, what types of skin lesions it targets, and who it may be best suited for.     So join me on today's Cabral Concept 3478 to find out if Electron Beam Therapy (EBT) is right for you.     Enjoy the show, and let me know your thoughts!   - - - For Everything Mentioned In Today's Show: StephenCabral.com/3478 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Manuscript Link:https://pubmed.ncbi.nlm.nih.gov/39153715/

When the gallbladder turns hostile, sometimes you must do more than just pause—you have to call in a senior partner for help. Join the Behind the Knife EGS team at Mizzou as we dive into the art and grit of open cholecystectomy. From fundus-first dissection to navigating the “barrier to happiness,” this episode is packed with surgical pearls, tough love, and the kind of wisdom only scars can teach. Participants: Dr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve  Dr. Jeffery Coughenour FACS (Surgical Attending) – Professor of Surgery and Emergency Medicine, Trauma Medical Director at the University of Missouri SOM Dr. Christopher Nelson FACS (Surgical Attending) – Associate Professor of Surgery, Medical Director of Emergency General Surgery at the University of Missouri SOM Dr. Micah Ancheta (ACS Fellow) – Major, United States Airforce  Dr. Desra Fletcher (3rd year general surgery resident) Learning Objectives:  ·      Recognize Indications for Conversion Identify clinical and intraoperative factors that necessitate conversion from laparoscopic to open cholecystectomy. ·      Apply Risk Stratification Tools Utilize grading systems (e.g., Parkland, Tokyo, AAST) to assess cholecystitis severity and predict surgical difficulty. ·      Implement Safe Cholecystectomy Techniques Describe the six steps of the SAGES Safe Cholecystectomy Program to minimize bile duct injury. ·      Understand Bailout Strategies Differentiate between fenestrating and reconstituting subtotal cholecystectomy techniques and their respective risks. ·      Master Key Operative Steps Outline the essential components of open cholecystectomy: positioning, incision, exposure, and dissection. ·      Navigate High-Risk Anatomy Recognize “zones of danger” and use the B-SAFE mnemonic to reorient and ensure safe progression. ·      Develop Intraoperative Judgment Demonstrate when to proceed with subtotal techniques, convert to open, or call for assistance. ·      Perform Technical Nuances Safely Identify proper dissection planes, manage gallbladder bed inflammation, and secure cystic structures with confidence. ·      Prevent and Manage Complications Understand the risks of bile leaks, bilomas, and subcostal hernias—and how to mitigate them through technique and closure. ·      Foster Surgical Maturity Emphasize humility, collaboration, and mentorship in difficult operations—knowing when to ask for help is a skill. References: 1.     Dhanasekara, C. S., Shrestha, K., Grossman, H., Garcia, L. M., Maqbool, B., Luppens, C., ... & Dissanaike, S. (2024). A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study. Surgery, 176(5), 605–613. https://doi.org/10.1016/j.surg.2024.03.057 2.     Motter, S. B., de Figueiredo, S. M. P., Marcolin, P., Trindade, B. O., Brandao, G. R., & Moffett, J. M. (2024). Fenestrating vs reconstituting laparoscopic subtotal cholecystectomy: A systematic review and meta-analysis. Surgical Endoscopy, 38, 7475–7485. https://doi.org/10.1007/s00464-024-11225-8 3.     Brunt, L. M., Deziel, D. J., Telem, D. A., Strasberg, S. M., Aggarwal, R., Asbun, H., ... & Stefanidis, D. (2020). Safe cholecystectomy multi-society practice guideline and state of the art consensus conference on prevention of bile duct injury during cholecystectomy. Surgical Endoscopy.https://www.sages.org/publications/guidelines/safe-cholecystectomy-multi-society-practice-guideline/ 4.     Elshaer, M., Gravante, G., Thomas, K., Sorge, R., Al-Hamali, S., & Ebdewi, H. (2015). Subtotal cholecystectomy for “difficult gallbladders”: Systematic review and meta-analysis. JAMA Surgery, 150(2), 159–168. https://doi.org/10.1001/jamasurg.2014.1219 5.     Koo, S. S. J., Krishnan, R. J., Ishikawa, K., Matsunaga, M., Ahn, H. J., Murayama, K. M., & Kitamura, R. K. (2024). Subtotal vs total cholecystectomy for difficult gallbladders: A systematic review and meta-analysis. The American Journal of Surgery, 229(1), 145–150. https://doi.org/10.1016/j.amjsurg.2023.12.022 6.     Strasberg, S. M., Pucci, M. J., Brunt, L. M., & Deziel, D. J. (2016). Subtotal cholecystectomy—“Fenestrating” vs “reconstituting” subtypes and the prevention of bile duct injury: Definition of the optimal procedure in difficult operative conditions. Journal of the American College of Surgeons, 222(1), 89–96. https://doi.org/10.1016/j.jamcollsurg.2015.09.019 7.     Ahmed, O., & Walsh, T. N. (2020). Surgical trainee experience with open cholecystectomy and the Dunning-Kruger effect. Journal of Surgical Education.https://doi.org/10.1016/j.jsurg.2020.03.025 8.     Seshadri, A., & Peitzman, A. B. (2024). The difficult cholecystectomy: What you need to know. The Journal of Trauma and Acute Care Surgery, 97(3), 325–336. https://doi.org/10.1097/TA.0000000000004156 9.     Invited commentary on “A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study”. (2024). Surgery, 176(5), 614–615. https://doi.org/10.1016/j.surg.2024.05.003 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://app.behindtheknife.org/listen

Vasu Kakarlapudi helps physicians achieve holistic wellness and financial freedom, investing alongside them through Apta. With surgical precision and 20 plus years of real estate success, he leads by example beyond medicine. Top 3 Value Bombs 1. Wealth is a percentage, not a number. True wealth is how much of your week you spend doing what you love, not your net worth. 2. Real estate is a freedom strategy. Time-starved professionals can use real estate not as a side hustle, but as a methodical path to reclaim time and reduce dependency on traditional income. 3. Avoid rookie mistakes. The biggest pitfalls for high-income professionals investing in real estate? Lack of basic education, fear-based inaction, and trusting unqualified people. Visit Vasu's website to dive into free resources and get on the waitlist for his upcoming book The Surgical Investor - Apta Investment Group Sponsors High Level - The ultimate all-in-one platform for Entrepreneurs, marketers, coaches, and agencies. Learn more at HighLevelFire.com. Airbnb - Your home might be worth more than you think. Find out how much at Airbnb.com/host. ZipRecruiter - Streamline your hiring with ZipRecruiter. See why 4 out of 5 employers who post on ZipRecruiter get a quality candidate within the first day. Just go to ZipRecruiter.com/fire to try it for free.

In this episode of the Optimal Body Podcast, physical therapists Doc Jen and Dr Dom discuss trigger finger (stenosing tenosynovitis), covering its causes, symptoms, and risk factors—especially in people with diabetes or repetitive hand use. They outline conservative treatments like splinting, corticosteroid injections, and targeted exercises to improve tendon gliding and finger mobility. Surgical options for trigger finger are reviewed for persistent cases. The hosts emphasize starting with therapy and activity modification before invasive treatments, and they share practical exercises for hand and wrist health.LMNT Electrolytes: Free Gift with Purchase!Stay hydrated and energized with LMNT electrolytes—sodium, potassium, and magnesium for brain and body. Get a free gift with every purchase and try new flavors! Get your Free Gift now!Movement Rx Course - Last Call!!We have already gotten started with a group of over 1000 in this program focused on Longevity! Come join us and get the early-bird price (even though it is already gone) using code OPTIMAL at checkout! Join Movement Rx today!We think you'll love:Get A Free Week on Jen Health!Jen's InstagramDom's InstagramYouTube ChannelWhat You'll Learn:02:52 Introduction to Trigger Finger04:17 Causes and Contributing Factors06:32 Conservative Treatment: Finger Splinting & Corticosteroid Injection09:18 Surgical Intervention10:55 Role of Physical Therapy & Occupational Therapy12:53 Tendon Gliding Exercises15:07 Finger and Wrist Stretching16:43 Active Wrist and Finger Movements17:44 Finger Taps and Control Exercises19:26 Adding Resistance and Rice Bucket Exercises20:03 Importance of Ongoing Exercise and Prevention For full show notes and resources visit: https://jen.health/podcast/420

Today, we're diving into a condition that's as fascinating as it is complex: Achalasia—where the esophagus stops playing nice, and swallowing becomes a daily challenge. We're breaking down the latest evidence, comparing POEM, pneumatic dilation, and Heller myotomy, and digging into what actually matters when deciding how to treat each achalasia subtype. Join show hosts Drs. Jake Greenberg, Dana Portenier, Zach Weitzner, and Joey Lew as they discuss the past, present, and future of Achalasia management. Whether you're a medical student or a seasoned attending, this episode will arm you with the tools to think critically about diagnosis, tailor your treatment strategy, and stay ahead of the curve on the future of achalasia care. Hosts:  ·      Jacob Greenberg, MD, EdM, MIS Division Chief and Vice Chair for Education, Duke University ·      Dana Portenier, MD, MIS Fellowship Director, Duke University ·      Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD ·      Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actually Learning Goals:  By the end of this episode, listeners will be able to: ·      Describe the pathophysiology and key diagnostic criteria for achalasia, including the role of manometry, EGD, and esophagram. ·      Differentiate between the three subtypes of achalasia based on the Chicago Classification and understand the clinical significance of each. ·      Compare treatment options for achalasia—pneumatic dilation, Lap Heller myotomy, and POEM—including indications, efficacy, and long-term outcomes. ·      Interpret landmark studies (e.g., European Achalasia Trial, JAMA POEM trial) and their impact on treatment decision-making. ·      Recognize patient-specific factors (age, comorbidities, achalasia subtype) that influence the choice of therapy. ·      Discuss evolving technologies and future directions in achalasia management, including endoluminal robotics, ARMS, and combined anti-reflux strategies. ·      Outline a basic treatment algorithm for newly diagnosed achalasia, incorporating diagnostic steps and tailored interventions. ·      Appreciate the multidisciplinary approach to achalasia care, including the roles of MIS surgeons, gastroenterologists, and emerging procedural skillsets. References: ·      Boeckxstaens G, Elsen S, Belmans A, Annese V, Bredenoord AJ, Busch OR, Costantini M, Fumagalli U, Smout AJPM, Tack J, Vanuytsel T, Zaninotto G, Salvador R; European Achalasia Trial Investigators. 10‑year follow-up results of the European Achalasia Trial: a multicentre randomised controlled trial comparing pneumatic dilation with laparoscopic Heller myotomy. Gut. 2024 Mar;73(4):582‑589. doi: 10.1136/gutjnl‑2023‑331374. PMID: 38050085 https://pubmed.ncbi.nlm.nih.gov/38050085/ ·      He J, Yin Y, Tang W, Jiang J, Gu L, Yi J, Yan L, Chen S, Wu Y, Liu X. Objective Outcomes of an Extended Anti‑reflux Mucosectomy in the Treatment of PPI‑Dependent Gastroesophageal Reflux Disease (with Video). J Gastrointest Surg. 2022 Aug;26(8):1566–1574. doi:10.1007/s11605‑022‑05396‑9. PMID: 35776296 https://pubmed.ncbi.nlm.nih.gov/35776296/ ·      Modayil RJ, Zhang X, Rothberg B, et al. Peroral endoscopic myotomy: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment. Gastrointest Endosc. 2021;94(5):930-942. doi:10.1016/j.gie.2021.05.014. PMID: 33989646. https://pubmed.ncbi.nlm.nih.gov/33989646/ ·      Ponds FA, Fockens P, Lei A, Neuhaus H, Beyna T, Kandler J, Frieling T, Chiu PWY, Wu JCY, Wong VWY, Costamagna G, Familiari P, Kahrilas PJ, Pandolfino JE, Smout AJPM, Bredenoord AJ. Effect of peroral endoscopic myotomy vs pneumatic dilation on symptom severity and treatment outcomes among treatment-naive patients with achalasia: a randomized clinical trial. JAMA. 2019 Jul 9;322(2):134–144. doi:10.1001/jama.2019.8859. PMID: 31287522. https://pubmed.ncbi.nlm.nih.gov/31287522/ ·      Vaezi MF, Pandolfino JE, Yadlapati RH, Greer KB, Kavitt RT; ACG Clinical Guidelines Committee. ACG clinical guidelines: Diagnosis and management of achalasia. Am J Gastroenterol. 2020 Sep;115(9):1393–1411. doi:10.14309/ajg.0000000000000731. PMID: 32773454; PMCID: PMC9896940 https://pubmed.ncbi.nlm.nih.gov/32773454/ ·      West RL, Hirsch DP, Bartelsman JF, de Borst J, Ferwerda G, Tytgat GN, Boeckxstaens GE. Long term results of pneumatic dilation in achalasia followed for more than 5 years. Am J Gastroenterol. 2002;97(6):1346-1351. doi:10.1111/j.1572-0241.2002.05771.x. PMID:12094848. https://pubmed.ncbi.nlm.nih.gov/12094848/ 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://app.behindtheknife.org/listen