Podcasts about surgical

In this episode, we use the recent SAGES guidelines to tackle one of the most common and controversial questions in general surgery. Through a case-based discussion, our experts review the evidence for intraoperative biliary imaging, discuss strategies for difficult anatomy, and compare IOC with other imaging modalities. Join us as we translate the latest recommendations into practical lessons that can be applied in the operating room.Take Home Points:  Routine IOC is supported; however, this remains a conditional recommendation that should be individualized based on anatomy, surgeon experience, and available resources. Use a selective approach to IOC in special populations, including pediatric and pregnant patients, where risks and benefits may differ. Alternative imaging modalities including ICG fluorescence and laparoscopic ultrasound have complementary roles.  Routine IOC may help maintain surgeon and team proficiency, and trainees should learn both IOC performance and interpretation  Hosts:  Jason Bingham, MD – General and Bariatric Surgeon  Nicole L. Petcka, MD, MHPE – General Surgery Resident at Emory University Guests:  Emily Miraflor, MD – General and Colorectal Surgeon at UCSF East Bay, Senior Author on the SAGES Guidelines  Kevin El-Hayek, MD - HPB and Foregut Surgeon at MetroHealth and Professor of Surgery at Case Western Reserve School of Medicine, Chair of the SAGES HPB/Solid Organ Committee  Dena Shehata, MD - SAGES Guideline Fellow, Co-first author on the SAGES Guidelines  Resources: Kumar, S. K., Shehata, D. G., Cetrulo, L. N., Ignacio, R., Chiu, J., Davis, B. R., McDonald, M., Bloom, M. B., Ayloo, S., Kchaou, A., Orthopoulos, G., Pucher, P. H., Oliphant, U., Hallowell, P. T., Serrot, F., Overby, D., Moreno-Paquentin, E., Slater, B. J., & Miraflor, E. (2025). SAGES guidelines for the use of intraoperative imaging of the common bile duct. Surgical endoscopy, 39(11), 7091–7102. https://doi.org/10.1007/s00464-025-12142-0 SAGES Safe Cholecystectomy Program - https://www.sages.org/safe-cholecystectomy-program/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

AD Schoeman joins Clarence Ford to chat about The Surgical Assistant: a platform connecting private-sector surgeons who need theatre assistants with early-career doctors looking for meaningful surgical experience. Views and News with Clarence Ford is the mid-morning show on CapeTalk. This 3-hour long programme shares and reflects a broad array of perspectives. It is inspirational, passionate and positive. Host Clarence Ford’s gentle curiosity and dapper demeanour leave listeners feeling motivated and empowered. Known for his love of jazz and golf, Clarrie covers a range of themes including relationships, heritage and philosophy. Popular segments include Barbs’ Wire at 9:30am (Mon-Thurs) and The Naked Scientist at 9:30 on Fridays. Thank you for listening to a podcast from Views & News with Clarence Ford Listen live on Primedia+ weekdays between 09:00 and 12:00 (SA Time) to Views and News with Clarence Ford broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/erjiQj2 or find all the catch-up podcasts here https://buff.ly/BdpaXRn Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.

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

In this episode of SurgOnc Today's Surgical Oncology Insight series, Dr. Adam Yopp discusses with Dr. Marina Baretti her paper: "Propensity score–weighted analysis of neoadjuvant therapy versus upfront surgical resection in patients with biliary tract cancers."

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 both your surgical knowledge and skills in the OR. This episode discusses the cover article of the June 2026 issue of The Surgical Technologist, the official journal of the Association of Surgical Technologists (AST). The article is titled, "Effective Communication in Surgical Technology and Surgical Assisting". "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/.

Send us Fan MailDr. Mike Fugaro and Dr. Singen Elliot, both equine surgeons in New Jersey discuss how osteochondrosis develops, and how it can be relatively straightforward to address.   Not just a young racehorse problem, OCs can lie undetected and asymptomatic for years. 

“It’s designed to be simple in a way, even though it’s an incredibly complex device”, Distalmotion CEO Greg Roche explains to Bloomberg Intelligence. In this Vanguards of Health Care podcast episode, Roche sits down with BI analyst Matt Henriksson for an in-depth interview on the company, how its Dexter Robotic Surgery System and single-use instrument platform differentiates itself from others in the robotic market and how it can shorten the learning curve that can increase adoption of robots in ambulatory surgical centers.See omnystudio.com/listener for privacy information.

Interview with Sherry M. Wren, MD, and Baylee F. Bakkila, MD, authors of As-Needed Treatment of Postoperative Hypertension for Inpatient Surgical Patients: A Review. Hosted by Jamie Coleman, MD. Related Content: As-Needed Treatment of Postoperative Hypertension for Inpatient Surgical Patients

Dr. Monasebian is a board-certified plastic surgeon, and the man Margarita personally trusts with her own face.A Forest Hills native, Brandeis graduate, and proud half-Sephardic, half-Ashkenazi Jew, Dr. Monasebian has built a reputation not just for exceptional results, but for telling patients the truth. In an industry full of hype, he's refreshingly candid about what procedures are worth considering, which ones are overhyped, and why credentials matter more than ever.In this conversation, we discuss everything from the evolution of rhinoplasty among Jewish patients to the rise of non-surgical treatments, body dysmorphia, aging gracefully, and the biggest misconceptions about plastic surgery. We also explore how he approaches these conversations with his own children—and the procedures he'd never recommend.Follow Dr. Monasebian on Instagram: @parkaveplasticsurgeryListeners get a complimentary consultation — just mention People Jew Wanna Know.Support our work: buymeacoffee.com/peoplejewwannaknowWhat We Discuss:00:00 Intro & Episode Agenda03:00 Dr. Monasebian's Jewish upbringing09:30 Why credentials matter (and what can go wrong)14:00 How rhinoplasty culture has shifted for Jewish patients17:30 Surgical vs. non-surgical: how to choose24:00 Aging well after a procedure29:00 Talking to his own kids about cosmetic work33:00 Saying no: unrealistic requests and body dysmorphia38:00 Lightning round — most underrated, most overrated, biggest pet peeves46:30 CoolSculpting, Kybella, etc.50:00 A message to Jewish New Yorkers53:00 Closing Remarks & Guest Nomination

Interview with Sherry M. Wren, MD, and Baylee F. Bakkila, MD, authors of As-Needed Treatment of Postoperative Hypertension for Inpatient Surgical Patients: A Review. Hosted by Jamie Coleman, MD. Related Content: As-Needed Treatment of Postoperative Hypertension for Inpatient Surgical Patients

Conflicting evidence exists regarding the ability of surgical helmet systems (SHSs) to reduce rates of infection after joint replacement. The purpose of this study was to investigate the use of SHS in total ankle arthroplasty (TAA) and their effect on postoperative infection rates. In conclusion, Although SHS may provide additional protection for the surgeon from being contaminated during the surgery, the use of surgical hoods was not associated with a protective effect against surgical site infection. Considering the disadvantages and added costs of SHS, the decision to wear hoods during TAA is therefore left to the individual surgeon's discretion and personal preference. Click here to read the article  

Peter Huessy discusses US plans to deploy nuclear-capable F-35s in Europe to counter Russian threats. He explains Russia's "escalate to win" doctrine involving low-yield battlefield nukes for "surgical" strikes. Huessy warns that Russiapossesses thousands of non-strategic weapons, far exceeding current NATO theater capabilities and its lack of transparent weaponry numbers. (15)1953 ATOMIC CANNON

CardioNerds (Drs. Rawan Amir, Tripti Gupta, and Alysha Joseph) discuss the fundamentals of adult congenital heart disease (ACHD) surgery with Dr. Elizabeth Stephens.  Audio editing by CardioNerds academy intern, Grace Qiu.  Using a case of a young adult undergoing a Ross procedure, the episode walks through what happens in the operating room—from induction and intraoperative transesophageal echocardiography (TEE) to cardiopulmonary bypass (CPB), myocardial protection, and surgical repair. The discussion highlights key concepts including cardioplegia, cross-clamp and bypass times, hypothermic circulatory arrest, and the complexity of redo sternotomy. This episode provides learners with a practical framework to interpret operative reports, anticipate postoperative physiology, and better collaborate with surgical teams. This episode was produced by the CardioNerds ACHD Council and planned by Dr. Rawan Amir.  CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode Page Pearls “LV distension kills patients.”Preventing left ventricular distension with appropriate venting and awareness of aortic insufficiency is critical to intraoperative safety.  TEE can change the surgical plan in real time.Findings such as underestimated aortic regurgitation, mitral pathology, or a PFO may directly alter cannulation and cardioplegia strategy.  Cross-clamp time = myocardial ischemic time; bypass time = systemic stress.Both are key predictors of postoperative complications including renal injury, bleeding, and ventricular dysfunction.  Redo sternotomy risk is driven by anatomy, not just number.Aorta adherent to the sternum, conduit position, and chamber pressurization define risk more than the number of prior surgeries.  Think longitudinally—ACHD surgery is lifetime planning.Surgical materials and strategies must account for future interventions, especially in younger patients. Notes: Notes drafted by Dr. Alysha Joseph, aided by generative artificial intelligence. What are the key steps in congenital cardiac surgery from incision to closure? Preoperative planning is multidisciplinary, involving surgeon, anesthesia, cardiology, and ICU teams; high-risk inductions (e.g., critical AS, Williams syndrome) are identified early TEE is performed immediately after induction to reassess anatomy and may reveal new findings (e.g., underestimated AI, mitral disease, PFO) Median sternotomy is performed, followed by creation of a pericardial well to optimize exposure Heparin is administered prior to cannulation; arterial and venous cannulas are placed for initiation of CPB Cross-clamp is applied and cardioplegia delivered to arrest the heart, allowing a still and protected operative field Surgical repair (e.g., Ross procedure) is performed, followed by de-airing, cross-clamp removal, and reperfusion Patient is weaned from bypass with TEE reassessment, hemostasis achieved, and chest closed What is cardioplegia and how is it delivered? Cardioplegia is a potassium-rich solution that arrests myocardial activity and reduces metabolic demand Most commonly used solution in the U.S. is Del Nido cardioplegia, originally developed for pediatric myocardium Delivery strategies include: Antegrade (via aortic root) – standard approach  Ostial (direct coronary delivery) – used when aortic root cannot be relied upon  Retrograde (via coronary sinus) – useful in severe AI or coronary disease NOTE: Severe aortic regurgitation can impair antegrade delivery and requires alternative strategies and LV venting  What do cross-clamp time and bypass time represent clinically? Cross-clamp time = duration of myocardial ischemia while the heart is arrested Bypass time = total duration on CPB, reflecting systemic exposure to non-physiologic circulation Prolonged cross-clamp time (>2–3 hours) increases risk of myocardial dysfunction, especially with poor baseline function Longer bypass time is associated with increased risk of renal injury, coagulopathy, and bleeding These metrics often reflect both case complexity and intraoperative challenges What is hypothermic circulatory arrest (HCA) and when is it used? HCA involves complete cessation of blood flow to allow a bloodless surgical field Typically used in complex aortic arch repairs Patients are cooled to ~18°C to reduce metabolic demand and protect organs Duration is ideally limited to

A mobile surgical unit that tours the length and breadth of the country reached a significant milestone this week, treating patient number 2000 at its Hawera stop. Taranaki Whanganui reporter Robin Martin reports.

Dr. Malcolm DeBaun hosts a conversation with Dr. John Munz focused on Calcaneal Fracture Diagnosis and Treatment in this high yield case series. Dr. DeBaun references the article entitled "Medial external fixation for staged treatment of closed calcaneus fractures: Surgical technique and case series" for further learning opportunities. For additional educational resources visit OTA.org

Moderator: Cat Burkat, MD FACS (Professor at Univ of Wisconsin-Madison) Guests · Dr. Elizabeth Bradley, Associate Professor at the Mayo Clinic, Rochester · Dr. François Codère Associate Professor from the Université de Montréal in Canada · Dr. Richard Allen, Professor at Baylor in Texas   In this Surgical Spotlight TOP podcast episode: "Myogenic Ptosis: Is It Really Any Different?", we are diving into a topic that most oculoplastic surgeons encounter—but rarely explore in depth: the surgical management of myogenic ptosis in progressive conditions such as Oculopharyngeal Muscular Dystrophy and Chronic Progressive External Ophthalmoplegia. We'll explore how the natural history of myogenic ptosis may change surgical decision-making. Should timing and the selected procedure be driven not just by the exam—but by disease trajectory? Does earlier onset signal a more aggressive course, pushing us toward more proactive surgery rather than a traditional stepwise approach? And how should we rethink concepts like recurrence, failure, and even surgical success when progression is expected? Tune in as we discuss the challenge of correcting myogenic ptosis—for today, and where the patient will be years from now.

What happens to bariatric surgery when GLP-1 medications like Ozempic, Wegovy, and Zepbound change the entire weight loss landscape?In this episode, Dr. Matthew Weiner and registered dietitian Zoe unpack what they saw at the 2026 ASMBS annual conference - a meeting that felt very different from prior years. Surgical volumes are down, many bariatric surgeons are wrestling with what GLP-1s mean for their practices, and patients are left trying to figure out whether medication, nutrition, surgery, or some combination makes the most sense.Dr. Weiner explains why bariatric surgery still matters, but no longer belongs in the same place in the treatment sequence. For many patients, a GLP-1 trial should come first. For others, especially non-responders, patients with severe diabetes, or people losing mobility, surgery may be the safest and most effective next step.They also discuss why low-dose GLP-1s may be more sustainable than high-dose treatment, how to recognize a medication non-response, and why the best obesity care in 2026 combines nutrition, medication, surgery, and long-term support instead of forcing patients into one silo.

Silvia Stacchiotti, MD / Michiel van de Sande, MD, PhD - Surgical Interventions and Systemic Innovations: Collaborative Approaches to Tenosynovial Giant Cell Tumour as Pharmacological Advances Emerge

On episode 160 of PSQH: The Podcast, Kate Ulrich, Senior Vice President of Perioperative Services at Tampa General Hospital, talks about using technology to prevent surgical delays.

Silvia Stacchiotti, MD / Michiel van de Sande, MD, PhD - Surgical Interventions and Systemic Innovations: Collaborative Approaches to Tenosynovial Giant Cell Tumour as Pharmacological Advances Emerge

Silvia Stacchiotti, MD / Michiel van de Sande, MD, PhD - Surgical Interventions and Systemic Innovations: Collaborative Approaches to Tenosynovial Giant Cell Tumour as Pharmacological Advances Emerge

Ambulatory Surgical Centers (ASCs) have been around in concept for the past fifty years, but their recent explosion has caught the attention of healthcare systems and, frankly, patients. Why? Today's guest, Adnan Qureshi, is a Managing Director with the Mergers and Acquisitions practice at Kaufman Hall. He provides strategic advisory services for healthcare providers and investors around the merger or acquisition of ASCs. The benefit he's seen in partnership with his clients perhaps explains the answer to this question. The “DNA”, as Adnan puts it, of the ASC is rooted in independent physicians who, as an extension of their practice, saw the benefit of doing lower acuity surgeries in an outpatient setting. As pain management and technology improved over time, the use case also evolved to the point where there are now few specialty areas where uncomplicated surgeries cannot be performed in an ASC. Without the overhead and operating costs of a hospital, ASCs allow for far more transparent pricing, lower costs, greater efficiency, and often better outcomes, all driving towards higher patient satisfaction. And that's a win we should all be paying attention to. Adnan Qureshi has over fifteen years of healthcare transaction experience. Prior to joining Kaufman Hall, he was a Director of Development at SCA Health, a subsidiary of Optum/UnitedHealth Group. In that role, Mr. Qureshi led market entry strategy across several geographies, and sourced, structured, and executed ambulatory surgery center acquisitions.

LBCT: Health Status Outcomes Seven Years After Transcatheter or Surgical Aortic Valve Replacement in Low Surgical Risk Patients with Severe Aortic Stenosis

In this episode, Moises Googe, DO interviews Victor Chang, MD and Matthew Karek, MD, about the challenges of mid-career burnout among spine surgeons. They discuss how administrative pressures, shifting career milestones, and competing personal and professional responsibilities can affect fulfillment during this stage of practice. The conversation highlights strategies such as reconnecting with meaningful aspects of patient care, setting new professional goals, and prioritizing personal well-being to sustain a long and satisfying career.

From the cervix to the vulva, so much of female anatomy has been understudied, misunderstood, and underserved — until now. In this episode, Dr. Kelly Casperson sits down with Dr. Andrew Goldstein, one of the world's foremost experts in vulvovaginal and cervical health, for a deep dive into the cutting edge of women's sexual medicine. We're talking new research, new treatments, and a whole lot of "why didn't anyone tell us this sooner?" energy. If you or someone you love has ever dealt with vulvar pain, lichen sclerosis, arousal difficulties, or just wants to understand their anatomy better — this one is unmissable. About Dr. Andrew Goldstein Dr. Andrew Goldstein is a board-certified OB/GYN and one of the world's leading specialists in vulvovaginal disorders, cervical health, and female sexual medicine. He is the founder of the Centers for Vulvovaginal Disorders, co-author of Reclaiming Desire, and a tireless advocate for research funding and clinical advancement in women's health. He has dedicated his career to conditions that medicine has long dismissed — and he is actively changing that.

In this episode, Amrit Kirpalani, CEO & Board Chair at NectarOM and CEO at NovaNav, shares how a personal family healthcare experience inspired the creation of NovaNav's AI-enabled surgical navigation platform. He discusses how multimodal patient engagement, predictive analytics, and real-time care team insights are helping providers improve surgical preparedness, streamline recovery, and reduce administrative burden across healthcare organizations.

Part of my work as Founder/Director of DiepCFoundation is traveling to medical conferences. In April of this year, at the ARSA Summit, Advanced Reconstructive Surgery Alliance 2026, I met Alina and Carolyn who both work in cancer rehabilitation. Their booth at the conference intrigued me and we started a robust conversation on the value of their work especially as it relates to breast cancer and breast reconstruction surgery. This episode of the DiepCJourney® podcast is on the topic of Breast Cancer Rehabilitation Therapy at ReVital Cancer Foundation. It will be available on the DiepCFoundation YouTube channel when published. Alina Hedaya, PT, DPT, OCS, Cert MDT is a Doctor of Physical Therapy. Her current focus is bringing rehabilitation to the forefront of cancer care. Alina is actively involved in training clinicians all around the nation so that cancer rehabilitation services are available for people right in their own communities. She serves on the board of the International Cancer Rehabilitation Foundation. Carolyn Kalpas, PT, MSPT, is a cancer rehabilitation advocate and Specialist & Director for ReVital Cancer Rehabilitation at NovaCare Rehabilitation. She works as the liaison to healthcare in the oncology world. Carolyn believes that cancer rehab is an amazing part of what can be done for patients in supporting them throughout their cancer care and beyond. We begin by discussing some of the most common physical challenges for breast cancer patients. Alina describes a few of the challenges. ·       Pain ·       Fatigue ·       Limited shoulder mobility ·       Scar tissue issues ·       Lymphedema ·       Being able to be independent after surgery. We discussed the different considerations for rehabilitation following breast reconstruction and breast surgery. They emphasized the importance of looking at each patient on an individual basis, assessing their needs, and meeting them where they are in the recovery process. Surgical precautions are taken depending on what type of surgery a patient has. Alina shares an important statement that summarizes the value of a rehabilitation specialist. "You have someone by your side understanding what's safe." We discuss lymphedema awareness, the importance of movement and its benefits in lymphedema treatment, and how they communicate with patient providers to maximize patient outcomes. They both share lifestyle modifications including aerobic activity, strength training for major muscle groups, skin care, getting proper fluid intake, aligning with surgical protocols during recovery, and we mention the value of a food diary to track optimal nutrition for patients. I want to announce that June is Cancer Rehabilitation Month. As part of our efforts in working with the International Cancer Rehabilitation Foundation this interview is DiepCFoundation's program contribution for the community to learn more. To learn more about their work follow the following links to find out more. Website: Selectmedical.com/ReVital LinkedIn – Carolyn Kalpas: https://www.linkedin.com/in/carolyn-kalpas-pt-mspt-0bb6a5172/ LinkedIn – Alina Hedaya: https://www.linkedin.com/in/alina-hedaya-pt-dpt-ocs-603856/ Instagram – Kessler Rehab: https://www.instagram.com/kesslerrehabilitationcenter/ Instagram – International Cancer Rehab Foundation: https://www.instagram.com/intcancerrehabfoundation/  

Don't miss out on your RACE-approved CE—completely free. Strengthen your veterinary dentistry skills with practical, case-based training you can apply immediately in practice. https://ivdi.org/free --------------------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM --------------------------------------------------------------------------------------- This week's episode answers some of the most common surgical extraction questions submitted during recent veterinary dentistry trainings. Dr. Brett Beckman shares practical guidance for improving extraction technique in general practice, with a focus on flap elevation, bone removal, luxation technique, fractured root tip retrieval, and surgical decision-making during difficult extractions. The conversation centers around real-world challenges veterinarians encounter during canine and maxillary tooth extractions—including managing soft tissue attached during flap creation, how deep to remove bone around roots, preventing root fractures, and approaching difficult maxillary fourth premolar and molar extractions safely and efficiently. --------------------------------------------------------------------------------------- What You'll Learn in This Episode

Probiotics: A Promising Adjunct to Non-surgical Periodontal Therapy?By Today's RDH ResearchOriginal article published on Today's RDH: https://www.todaysrdh.com/probiotics-a-promising-adjunct-to-non-surgical-periodontal-therapy/Need CE? Start earning CE credits today at ⁠⁠⁠https://rdh.tv/ce⁠⁠⁠ Get daily dental hygiene articles at ⁠⁠⁠https://www.todaysrdh.com⁠⁠⁠ Follow Today's RDH on Facebook: ⁠⁠⁠https://www.facebook.com/TodaysRDH/⁠⁠⁠Follow Kara RDH on Facebook: ⁠⁠⁠https://www.facebook.com/DentalHygieneKaraRDH/⁠⁠⁠Follow Kara RDH on Instagram: ⁠⁠⁠https://www.instagram.com/kara_rdh/⁠

In Episode 5, “AI in surgical navigation” of the series “AI in urology: From principles to practice”, Dr. Enrico Checcucci (IT) and Dr. Pieter De Backer (BE) discuss how artificial intelligence is changing the way urological surgery is planned and performed.The episode explores how AI can assist with analysing CT and MRI imaging, automatically segment anatomical structures, and create patient-specific 3D models. The speakers explain how these digital models can support surgical planning, improve navigation during procedures and help surgeons better understand complex anatomy. They also discuss the importance of validating AI-generated models and maintaining clinical oversight.In addition, their conversation looks at future developments such as digital twins, augmented reality, and more personalised approaches to surgery. Overall, the episode provides a practical overview of how AI may enhance precision and decision-making in the operating room.For more EAU podcasts, please go to your favourite podcast app and subscribe to our podcast channel for regular updates: Apple Podcasts, Spotify, EAU YouTube channel.

Dr. Sardesai reveals how non-surgical facelifts using hyaluronic acid fillers deliver immediate volume restoration, wrinkle smoothing, and natural-looking facial contouring—without the downtime of surgery. Discover what's really possible with dermal fillers. Balwin Aesthetics City: Edmonton Address: 8103 127 Avenue Northwest Website: https://www.balwinaesthetics.com Email: info@balwinaesthetics.com

In this episode, CardioNerds Dr. Colin Blumenthal, Dr. Kelly Arps, and Dr. Yong Hao Yeo are joined by electrophysiology expert Dr. Bradley Knight to discuss atrial fibrillation (AF) management in challenging clinical scenarios. We explore arrhythmias in patients with pre-excitation syndromes, particularly Wolff-Parkinson-White (WPW) syndrome, and strategies for rhythm control. We also discuss AF management in pregnancy, adult congenital heart disease, and patients with tachycardia-bradycardia (tach-brady) syndrome. This episode provides essential insights into nuanced decision-making for the care of patients with complex arrhythmia profiles. Audio editing by CardioNerds academy intern, Grace Qiu. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! PEARLS AF in WPW is a true emergency—AV nodal blocking agents can be deadly. In patients with WPW syndrome, AF can rapidly conduct through the accessory pathway, risking ventricular fibrillation and sudden death. Avoid AV nodal blockers like beta-blockers and calcium channel blockers. Catheter ablation is the first-line rhythm control strategy in WPW. Catheter ablation carries a Class I recommendation and offers >90% success. If antiarrhythmic drugs are needed, sodium channel blockers like flecainide or propafenone are preferred in patients without structural heart disease. In pregnancy, protecting the mother is protecting the fetus. An unstable mother means an unstable fetus. Rate control is the first step in AF with rapid ventricular responses and electrical cardioversion is safe when needed. Multidisciplinary care is essential. AF in congenital heart disease is often outside the pulmonary veins. Surgical scars and chamber remodeling in ACHD patients often lead to AF from non-pulmonary vein foci. Electrogram-based mapping and targeted ablation strategies are essential to increase success rate of durable rhythm control. Tachy-brady syndrome may require pacing to unlock therapy. AF may cause atrial myopathy and sinus node dysfunction. These patients often require permanent pacing to allow safe use of rate-controlling medications like beta-blockers and to prevent syncope or chronotropic incompetence. Notes: Notes drafted by Dr. Yong Hao Yeo Why is atrial tachycardia in patients with WPW syndrome dangerous? Patients with WPW commonly present with supraventricular tachycardia (SVT) due to atrioventricular reentrant circuits, either orthodromic or antidromic. This SVT can degenerate into AF. In the absence of AV nodal as the governor between the atrium and ventricles, the accessory pathway may conduct impulses rapidly and frequently. This can lead to dangerously high ventricular rates, predisposing patients to ventricular fibrillation and sudden cardiac arrest. What are some strategies for rhythm control in patients with WPW and atrial tachycardia? Catheter ablation is the first-line therapy (Class I recommendation), with a success rate of over 90%. Ablation reduces the risk of sudden cardiac arrest, though some patients may remain prone to AF. If ablation is not feasible/ contraindicated, sodium channel blockers such as flecainide and propafenone are good options in patients without ischemia or structural heart disease (Class IIa recommendation). Amiodarone should be avoided because it has a long half-life, can accumulate in the system, and may delay definitive treatment with catheter ablation. AV nodal blocking agents like beta blockers and calcium channel blockers should be avoided, as they are less effective at controlling ventricular rate in WPW and can increase conduction over the accessory pathway. These agents can also exacerbate the risk of rapid ventricular rates during AF and worsen left ventricular function. What are some special considerations in managing AF in pregnant patients? The primary goal in managing cardiovascular disease during pregnancy is to protect the mother, as fetal outcomes depend on maternal well-being. Therefore, while caution is necessary, we should avoid undertreating pregnant patients with AF. In cases of AF with rapid ventricular response (RVR), rate control is usually the first-line strategy, with beta blockers preferred over digoxin or non-dihydropyridine calcium channel blockers. It is then reasonable to initially observe for spontaneous conversion in stable patients. Antiarrhythmic drugs (AADs) are generally avoided during the first trimester, but clinical judgment on a case-by-case basis is essential. Evidence for the safety of AADs in pregnancy is limited, often derived from their use in other conditions such as fetal SVT. Flecainide and sotalol are reasonable options for rhythm control (Class IIa recommendation). Electrical cardioversion is considered safe in pregnancy and should be utilized when indicated (Do not forget!). There is no pregnancy-specific thromboembolic risk stratification tool. CHA₂DS₂-VASc scoring and the presence of risk factors like mitral stenosis can help guide anticoagulation decisions, though the magnitude of thromboembolic risk during pregnancy remains unclear. Rate control agents are typically continued during delivery due to the increased physiologic stress of labor and delivery. Multidisciplinary care is crucial and should involve obstetrics, maternal-fetal medicine, cardiology, and electrophysiology specialists. What are some key considerations for AF management in patients with adult congenital heart disease (ACHD)? Patients with repaired congenital heart disease are at increased risk for arrhythmias due to two main factors: surgical scars that create arrhythmogenic foci and mechanical remodeling of the atria or ventricles resulting from the underlying disease. In these patients with structural heart disease, sodium channel blockers may not be ideal antiarrhythmic options. When selecting an antiarrhythmic drug, clinicians must consider the nature of structural or surgical impairments, such as right bundle branch block or prolonged QT interval. It is also essential to assess renal and hepatic function (often impaired in patients with ACHD) to ensure appropriate metabolism and clearance of antiarrhythmic medications. Electrogram-based ablation strategies (those leveraging artificial intelligence are developing!) may help identify effective ablation targets, which are often outside the pulmonary veins in patients with ACHD. These individualized approaches can improve ablation success rates in this complex patient population. What makes tachycardia-bradycardia (tach-brady) syndrome a unique challenge in arrhythmia management? Patients who present with both AF and bradycardia, especially with syncope, require a thoughtful diagnostic approach to identify the underlying rhythm disturbance. Extended cardiac monitoring, including event monitors or implantable loop recorders, can help capture intermittent arrhythmias and correlate them with symptoms. AF may lead to atrial myopathy, and since the sinus node resides within the atrium, this can result in sinus node dysfunction—a hallmark of tachy-brady syndrome. Following spontaneous conversion from AF to sinus rhythm, sinus node dysfunction may persist, leading to prolonged pauses or chronotropic incompetence. Management becomes more complex when beta-blockers are needed for AF with RVR, as they can exacerbate bradycardia. Permanent pacemaker implantation is often the next step to consider. Permanent pacemaker implantation is often considered to facilitate safe rate control in these cases. In younger patients, aggressive AF burden reduction may prevent atrial remodeling and the development of true atrial myopathy, potentially avoiding pacemaker implantation. References Joglar JA, Chung MK, Armbruster AL, et al. 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2023;149(1). doi:https://doi.org/10.1161/CIR.0000000000001193 ‌ Van IC, Rienstra M, Bunting KV, et al. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). European Heart Journal. 2024;45(36). doi:https://doi.org/10.1093/eurheartj/ehae176 ‌ Joglar JA, Kapa S, Saarel EV, et al. 2023 HRS expert consensus statement on the management of arrhythmias during pregnancy. Heart Rhythm. Published online May 1, 2023. doi:https://doi.org/10.1016/j.hrthm.2023.05.017 ‌ Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary. Journal of the American College of Cardiology. 2019;73(12):1494-1563. doi:https://doi.org/10.1016/j.jacc.2018.08.1028 ‌

At the 2025 AAHKS Annual Meeting, our hosts William B. Kurtz, MD and Pier Francesco Indelli, MD, PhD had the opportunity to sit with Charles Gusho, MD and Wayne T. Hoskins, FRACS, PhD, the winners of AAHKS' 2025 Surgical Techniques & Technologies Award to discuss their study on “What Is the Ideal Technique and Construct in Aseptic Revision Total Knee Arthroplasty?” Drs. Gusho and Hoskins' main objective was to explore the various techniques, constructs and fixation strategies for a revision TKA (RTKA). This study assessed re-revision outcomes based on what components were revised, implant choice and construct fixation. Ultimately, they discovered superior results occured when there was a complete revision – when femur and tibia components were removed, new femur and tibias were put in with stems and the use of a cone or sleeve on the tibia or femur.  Listen to the full  episode for more on how Drs. Gusho and Hoskins conducted this national registery-based retrospective cohort study and the results they discovered. Be sure to subscribe and thanks for listening to AAHKS Amplified! In This Episode:Charles Gusho, MDWayne T. Hoskins, FRACS, PhDPier Francesco Indelli, MD, PhDWilliam B. Kurtz, MD The post 2025 Surgical Techniques & Technologies Award Winner first appeared on AAHKS.

Transforming healthcare delivery in resource-limited contexts around the world calls for compassionate, innovative solutions. Learn how The Luke Commission is bringing healthcare to the most isolated and underserved in Eswatini through a scalable model for advancing health equity.

Get Dr. Vonda's insights Want to understand what's happening in your body — and what to do next? Each week, Dr. Vonda shares science-backed guidance on strength, bone health, muscle, and longevity — the same way she speaks to her patients. Clear. Practical. No noise. Join the newsletter: https://manage.kmail-lists.com/subscriptions/subscribe?a=YqJKtR&g=Ww3gx3& She found the lump herself at 28. Was misdiagnosed. Found out seven months later it was cancer. And she started chemo dancing. Justine Morris is one of the most joyful people I know, and her joy is not accidental. It is a decision she makes every single day. In this conversation we talk about what it really means to live through breast cancer at 29, survive surgical menopause overnight, and then figure out how to actually live in your body after treatment ends. What We Explore: - Why the misdiagnosis happened and what every woman needs to know about advocating for her own breast health. - What overnight surgical menopause feels like at 29 when no one around you has any frame of reference. - Why the year after treatment ends is often the hardest part nobody talks about. - How to push back on your doctor, your insurance company, and anyone who tells you no without a written record. - Why knowing your baseline labs, bone density, and imaging before anything goes wrong may be the most important health move you make. - What choosing to live fully actually looks like in practice, not just as a phrase. About Justine Morris Justine Morris is a content creator and breast cancer advocate who shares honest, compassionate conversations about life during and after cancer. Diagnosed in her late 20s, she uses her platform to speak openly about survivorship, health, and the emotional realities that often go unspoken. With a background in influencer marketing and communications, Justine brings both heart and clarity to the content she creates, helping women feel informed, supported, and less alone. Her work centers on trust, transparency, and making complex health experiences feel more approachable. Across Instagram, TikTok, and Substack, Justine blends education with real life, partnering with brands and organizations that align with her values. She is passionate about advocating for patient awareness, thoughtful healthcare, and finding moments of joy and connection, even in uncertainty. Connect with Justine Morris: Instagram: https:/ /www.instagram.com/justinesmorris/ LinkedIn: https://www.linkedin.com/in/justinemorris29/ Facebook: https://www.facebook.com/justinesbooklist/ TikTok: https://www.tiktok.com/@justinesmorris Timestamps 00:00 Intro 02:20 Diagnosed at 28: Finding the Lump and Doing Everything Right 05:30 Starting Chemo with a Smile 10:40 Chemo Brain vs Menopause Brain 13:50 Young Adult Cancer Is Rising. 18:00 Ignoring the Internet's Opinion 20:05 How to Advocate for Yourself 26:00 Why Every Woman Needs a Baseline Before Something Goes Wrong 28:45 Insurance Denials, AI Appeals, and How to Keep Pushing 33:20 Women Advocate for Everyone Except Themselves 36:40 The Year After Treatment Is the Hardest Part 43:00 What Living Fully Means 46:20 Non-Negotiable Habits After Cancer Start your Unbreakable journey Most women are never given a clear plan for how to stay strong as they age. The Unbreakable Lifestyle is where that changes. This is the home of Dr. Vonda's method — built from 20+ years of clinical work and designed for real life. Inside: - Unbreakable Assessment — know exactly where you stand - Training plans — build muscle, protect bone, improve performance - AI Dr. Vonda — get answers and guidance anytime - Community — women committed to staying strong and engaged - Exclusive education — what actually works, all in one place This is not another program. This is how you build strength — with direction. Join the Unbreakable Lifestyle: https://www.theunbreakablelifestyle.com/ Build stronger bones Bone loss starts earlier than you think — and speeds up in midlife. Dr. Vonda's Unbreakable Bone Health formula supports bone density, strength, and long-term skeletal health with clinically researched ingredients. Foundational. Not optional. Shop now: https://shop.drvondawright.com/?utm_s   Read the book Unbreakable: A Woman's Guide to Aging with Power A clear, science-backed roadmap to building strength, supporting your body, and taking control of how you age. Get your copy: https://theunbreakablebook.com?utm_so    About Dr. Vonda Wright Dr. Vonda Wright is an orthopedic sports surgeon and leading expert in women's health and longevity. For over 20 years, she has helped women build muscle, strengthen bone, and extend their health span — with science, not guesswork. Her mission is simple: help women age with power.   Connect with Dr. Vonda Instagram: https://www.instagram.com/drvondawright Substack: https://drvondawright.substack.com/ TikTok: https://www.tiktok.com/@drvondawright LinkedIn: https://www.linkedin.com/in/vonda-wright-md-ms-2803374 Website: http://www.drvondawright.com

In this episode, host Alyssa Watson, DVM, welcomes back Kate Boatright, VMD, to talk about her recent Clinician's Brief article, “Developing Confidence in Surgical Skills.” Dr. Boatright discusses surgical confidence in general veterinary practice, exploring skill development, client communication, equipment access, and the importance of mentorship. She also shares her insights on maintaining surgical skills, navigating economic and emotional challenges, and fostering collaboration among veterinarians. Resources: https://cliniciansbrief.com/article/building-surgical-confidence-veterinarians https://www.zoetisus.com/petcare/care-is-your-calling/ Contact: podcast@instinct.vet Where To Find Us: Website: CliniciansBrief.com/Podcasts YouTube: Youtube.com/@clinicians_brief Facebook: Facebook.com/CliniciansBrief LinkedIn: LinkedIn.com/showcase/CliniciansBrief/ Instagram: @Clinicians.Brief X: @CliniciansBrief The Team: Alyssa Watson, DVM - Host Alexis Ussery - Producer & Multimedia Specialist

“Step into the crucible of a 1970s surgical residency, where dreams are forged, and the human spirit is tested to its absolute limits.” Michael M. Meguid MD takes a deep dive into identity, multiculturalism, and the steadfast chase of a lifelong purpose in Part 4 of Michael Meguid's A Surgeon's Tale!

“Step into the crucible of a 1970s surgical residency, where dreams are forged, and the human spirit is tested to its absolute limits.” Michael M. Meguid MD takes a deep dive into identity, multiculturalism, and the steadfast chase of a lifelong purpose in Part 4 of Michael Meguid's A Surgeon's Tale!

What happens when a healthcare professional goes through surgical menopause at 42 and is handed nothing but a message in her patient portal that says "you are post-menopausal"? No education. No discussion. No next steps. Just a diagnosis and silence.That is exactly what happened to Julie Parana. And even as an occupational therapist who spent her days supporting patients through major health challenges, she found herself doing what so many women do — minimizing her symptoms, pushing through the pain, and waiting far too long to ask for help.Julie Parana, MS, OTR/L, CWHS, is an Occupational Therapist, Certified Women's Health Specialist, Menopause Coach, and founder of The Menopause OT - Menopause Coaching, a virtual practice empowering women to feel informed, supported, and in control through perimenopause and menopause. She works with women at every stage of this transition, including early, surgical, or treatment-induced changesTogether, we talk about: ✨ What adenomyosis is and why it goes undiagnosed for so long✨ How surgical menopause differs from natural menopause✨ The five lifestyle pillars that help women feel like themselves again✨ Why affirmations feel awkward at first and why they work anyway ✨ How to start small, build slowly, and actually stick to midlife wellness habitsJulie spent years dismissing her own symptoms because she was too busy caring for everyone else. What she learned on the other side of that is something every woman in this community needs to hear: menopause does not have to mean years of needless suffering. There is so much available to you. But you have to prioritize yourself first. No one is coming to do that for you. If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.CONNECT WITH JULIE PARANA:WebsiteInstagramCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella!  Full episodes on YouTube.The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

What is cultural distress? It is a negative response rooted in a cultural conflict where the patient lacks control over their situation. It results in more physiologic effects on the body resulting in allostatic overload. To prevent this, healthcare practitioners must use strategies such as cultural humility to help patients navigate healthcare. Come find the best ways to deliver culturally sensitive care in any setting.

In this episode, Comron Saifi, MD & Neel Patel, MD, Co-Founders of ClinicFlow, share insights into how their AI voice platform is streamlining patient access, automating workflows, and resolving the majority of inbound calls for surgical specialty clinics. They also discuss scaling innovation, improving referrals and prior authorizations, and lessons from building a physician-led startup.

Our coverage of The World Congress of Anesthesiologists (WCA) in Marrakesh continues. Andy Cumpstey and Kate Leslie discuss high-risk surgical patients with anesthesiologists Debra Leung (The Peter MacCallum Cancer Centre, Melbourne) and Duminda Wijeysundera (St. Michael's Hospital, Toronto). They explore how "high risk" extends beyond mortality (noting ~2% elective major surgery mortality in middle/high-income countries) to complications, medical morbidity, cognitive and functional decline, return to independence, and psychosocial factors such as social support. They describe a structured shared decision-making clinic: triage and preparation before visits, explaining surgery as an explicit choice, eliciting patient values and goals, and matching them to clinical information; she notes training needs and barriers, especially surgical engagement, overcome via surgical champions and formalizing "corridor conversations."They outline practical risk communication (natural frequencies, meaningful language, focusing on major events, ranking vs average, and what's modifiable) and highlights evidence that patients may refuse interventions sooner for functional/cognitive decline than for mortality risk. The conversation emphasizes linking risk prediction to actionable care pathways, prehabilitation/posthabilitation, and frameworks for both modifiable and non-modifiable risk amid aging, increasingly complex surgical populations. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

Petey is 4 weeks status post ACL reconstruction with a semitendinosus autograft and partial meniscectomy. Which of the following interventions is LEAST appropriate at this time?A) Quad sets held in knee extensionB) Mini squats to 45 degreesC) Resisted knee flexion with a 3-lb ankle weight in proneD) Sidelying straight leg raisesJoin the FREE Facebook Group: www.nptegroup.comUse PTH020 to get 20% off the 90-day Truelearn Subscription: www.truelearn.com

Syringomyelia in Cavaliers and Beyond: What Every Breeder Needs to Know Dr. Marty Greer joins Laura Reeves to answer a listener question and break down one of the most serious and underdiagnosed neurological conditions affecting small breed dogs. If you've never heard of syringomyelia, you're not alone — but if you breed Cavalier King Charles Spaniels, Brussels Griffons, Pomeranians or other small brachycephalic breeds, this episode could change how you think about your breeding program. Dr. Marty Greer walks Laura through the difference between Chiari-like malformation and syringomyelia (SM), two conditions that often get lumped together but aren't quite the same thing. The short version: when the skull is too small for the cerebellum, fluid circulation gets disrupted and painful pockets of fluid can form along the spinal cord. The result is a dog in chronic, often invisible pain. The symptoms are easy to miss. Phantom scratching near the neck, sleeping with the head elevated, flinching when picked up or eating from a floor-level bowl — all of these can look like something minor. In Cavaliers especially, an ear condition with overlapping symptoms makes diagnosis even trickier. Only an MRI gives you a definitive answer, and that's where things get complicated fast. MRIs run anywhere from $1,500 to $3,000. Dogs need to be fully anesthetized. Cavaliers aren't the easiest anesthetic candidates for a variety of reasons. And even after all that investment, the genetics are multifactorial and polygenetic, meaning two "clear" dogs can still produce affected offspring. The numbers are sobering. When screening efforts launched in the U.S., the breed incidence was estimated at 60 to 80 percent. Careful screening cut that roughly in half — but that still leaves the breed sitting around 35 to 40 percent affected, and only a fraction of dogs are ever screened. Treatment options exist but aren't encouraging. Surgical intervention has a relapse rate of over 50 percent. Long-term management means gabapentin, steroids and other medications for the life of the dog. It's a heavy burden for dogs and owners alike. So what can breeders actually do right now? Marty and Laura make the case for breeding normal to normal as consistently as possible, tracking health outcomes across generations and pushing for group MRI clinics to bring costs down through volume. One breeder they profile used to pack 8 to 10 dogs into a vehicle and drive to Canada just to get affordable scans. That's dedication — but it shouldn't be the only option. If you have access to an underutilized MRI machine or you're actively doing DNA research on this condition, Laura wants to hear from you. This is exactly the kind of problem the Pure Dog Talk community wants to tackle. Email: Laura@puredogtalk.com Find more detailed information about syringomyelia HERE.

She survived the Haiti earthquake. Battled suicide three times. Got diagnosed with ovarian cancer at 46. And she will tell you — every single shaking was for her good. Aahmes Kubicki's story is not about what she went through. It is about who met her there.The divine appointment that set Dr. Tabatha free from a spirit of depressionAahmes's story: three suicide attempts, an affair, a double life — and the woman God sent to find herThe text message that arrived at the exact moment she had her antidepressants in her handHaiti 2010 — how the earthquake that killed 300,000 people became her turning pointStage one ovarian cancer at 46 — and how she chose faith over fearHer mom's stage four kidney cancer diagnosis five days laterWhat it means to be shaken to a place of surrenderThe bus ride that changed everything — and what Dr. Tabatha's progesterone did for herWhy community is not optional — it is how God designed us to surviveAahmes's upcoming book: Shaken to SurrenderAahmes Kubicki → @aahmes_kubicki"A friend loves at all times, and a brother is born for a time of adversity." — Proverbs 17:17TIMESTAMPS00:00 — The text message that saved her life 00:31 — Welcome to Fast to Faith 01:00 — Dr. Tabatha at Focal Studios — a divine friendship 03:32 — How Dr. Tabatha met Aahmes — and what happened next 04:46 — "Krabby Tabby" — the childhood lie that became a spirit of depression 05:36 — Aahmes's side of the story — divine appointment 07:12 — Hormone Tame: the multivitamin that fills every gap 09:24 — Growing up in the church without knowing Jesus 10:45 — Her dad's cancer at 42 — and how she ran from God 12:17 — From angry at God to escorting — a double life 13:03 — The power of a praying mom 13:39 — The woman at the party — the text that saved her life 15:31 — Haiti 2010 — the missions trip that changed everything 16:27 — The earthquake that killed 300,000 — and spared her 17:38 — When your faith gets tested right after it's renewed 18:55 — The next earthquake: stage one ovarian cancer at 46 19:52 — Her mom diagnosed with stage four cancer five days later 21:20 — Fear or faith — there is always a moment to choose 22:10 — Allowing yourself a moment of humanity before choosing faith 24:04 — Why community is not optional — iron sharpens iron 26:06 — "We were never created to do this alone" 26:46 — The bus ride — Aahmes after surgery, Dr. Tabatha beside her 28:19 — Surgical menopause and what nobody prepared her for 29:17 — The progesterone on the bus — and the sleep that followed 32:06 — Shaken to Surrender: the book 35:04 — Panning for gold — the beautiful picture of surrender 36:51 — Closing: Proverbs 17:17Most programs give you content. Fast to Faith gives you Dr. Tabatha — personally mentoring you through your healing, your hormones, and your faith.Ready to start?

Washington Wednesday on the Federal Reserve nomination and redistricting vote in Virginia, World Tour on the surgical backlog in Ethiopia, and working at the Grand Canyon. Plus, Janie B. Cheaney on the courage to move forward, men disqualified in a women's half-marathon, and the Wednesday morning newsSupport The World and Everything in It today at wng.org/donateAdditional support comes from Pensacola Christian College. Academic excellence, biblical worldview, affordable cost. go.pcci.edu/worldFrom Dordt University, host of the upcoming At Work in the Garden conference, celebrating God's good design of work. Dordt.edu/gardenAnd from the Lockman Foundation, translator of the New American Standard Bible, a translation true to the original Scriptures. nasbible.com

In response to increasing surgeon burnout, unsustainable clinical demands, and ongoing loss of surgeon autonomy in the setting of employee-based models, the American College of Surgeons is speaking out. In this episode, hosts Dr. Steven Thornton and Dr. Emma Burke sit down with Dr. Douglas Wood, Chair of Surgery at the University of Washington and Dr. Thomas Varghese, Editor-in-Chief of the Journal of the American College of Surgeons, to discuss the new ACS Workplace Standards Framework. The conversation covers how this initiative grew out of discussions around unionization, what domains the framework addresses — from call intensity and OR block access to administrative burden and inpatient census limits — and how specialty-specific guidelines can be developed and implemented at the local level. Dr. Wood and Dr. Varghese also reflect on the culture of "unlimited endurance" that has long defined surgery, why meaningful systems-level change is both necessary and achievable, and how improving workplace sustainability could transform the pipeline of future surgeons for generations to come.Hosts: Emma Burke and Steven ThorntonGuests: Dr. Douglas Wood & Dr. Thomas Varghese Jr.Papers Discussed:1. Wood DE, Wolinsky PR, Dodgion CM, et al. Developing Specialty-Specific Workplace Standards for Surgeons: A Framework to Support Sustainable Surgical Careers. Journal of the American College of Surgeons, 2026. DOI: 10.1097/XCS.0000000000001880 https://pubmed.ncbi.nlm.nih.gov/41773743/2. Varghese TK Jr. Toward Sustainable Surgical Practice: Defining Workplace Standards for the Modern Era. J Am Coll Surg. 2026 Mar 3. doi: 10.1097/XCS.0000000000001888. Epub ahead of print. PMID: 41773737. https://pubmed.ncbi.nlm.nih.gov/41773737/***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewOral Board Simulator: https://app.behindtheknife.org/oral-board-simulatorTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US