Podcasts about surgical

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

Medical missionaries are often called upon to provide care that is beyond the scope of their training and previous experience. This interactive case presentation looks at the realities of clinical decision-making in a critically ill snakebitten patient, and offers suggestions on how to navigate similar challenging situations.

This week, I reviewed the latest on my Lyme treatment, which is not too bad, some antibiotics, herbs, and probiotics. Then we talked about the great vitamin K2, whose job is to direct calcium to your bones and away from places you don’t want it, like in your knees, kidneys, and arteries. Then on to […]

Read the article here: https://journals.sagepub.com/doi/full/10.1177/30494826261424812

Here is the MIST study Courtney referenced; ⁠⁠Intranasal Treatments for Children With Sleep-Disordered Breathing: The MIST+ Randomized Clinical Trial | Trials | JAMA Pediatrics | JAMA Network⁠⁠The MIST (Medical vs Interventional Steroid for Sleep-Disordered Breathing) and MIST+ studies, conducted by researchers at the Murdoch Children's Research Institute (MCRI) and Monash University in Australia, investigated simple saline (salt water) nasal sprays as a first-line treatment for children with obstructive sleep-disordered breathing. Key FindingsSurgery-Sparing Solution: The trials found that nearly one in three (29.5%) children aged 3–12 improved with a saline spray alone, with their snoring and breathing symptoms completely resolving. Saline vs Steroids: The MIST studies discovered that a simple 0.9% saline nasal spray was just as effective as an anti-inflammatory steroid nasal spray in reducing symptoms. Reduced Need for Surgery: After 12 weeks of use, symptoms had resolved in half (50%) of the study cohort, potentially halving the number of children needing tonsil or adenoid removal surgery. Safe for Daily Use: Saline sprays and rinses are a safe, low-cost, and non-pharmacological treatment.Water Safety: If you or your child are preparing your own saline rinses at home (using a Neti pot or squeeze bottle), always use distilled, sterile, or previously boiled and cooled tap water to prevent dangerous infections.How They WorkSaline nasal sprays and rinses alleviate nasal congestion by mechanically flushing out allergens, irritants, and excess mucus. They also help to reduce inflammation in the nasal passages and improve the function of the respiratory mucosa. Safety & RecommendationsLink to T&A Natural Solutions Toolkit: ⁠⁠Tonsil & Adenoid Toolkit – Natural Relief & Airway Support⁠⁠Facebook Group for Parents: ⁠⁠https://www.facebook.com/share/g/1LScNKt1V1/⁠⁠Courtney's practice ⁠⁠https://www.functionalfaceomt.com⁠⁠Courtney's Facebook ⁠⁠https://www.facebook.com/functionalface.omt/⁠⁠Courtney's Instagram ⁠⁠https://www.instagram.com/functionalface/⁠⁠Dr Mahony's practice⁠⁠ https://www.fullfaceorthodontics.com.au⁠⁠Dr Mahony's Instagram ⁠⁠https://www.instagram.com/fullfaceorthodontics/⁠⁠Dr Mahony's Book ⁠⁠https://amzn.asia/d/04fBdCQM⁠⁠Dr Mahony's Australian Tour, where he is speaking to patrents, teachers, allied health professionals and doctors, on how to recognise early sign of sleep disorders in children, as well as how and when to intervene ⁠⁠https://www.derekmahony.com/events⁠⁠

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

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

In this episode of Taboo To Truth, I sit down with Stacey Roberts, PT, RN, MSN — a physical therapist and holistic nurse with over 30 years of experience in pelvic health, and one of the country's leading experts in shockwave therapy for pelvic pain and sexual dysfunction. Stacey breaks down why up to 30% of women may experience vulvodynia (and why that number is likely underreported), how chronic low back pain can actually be rooted in a tight, "upregulated" pelvic floor, and why men are even less likely than women to get evaluated for pelvic floor issues. We dig into the emotional and physical toll of being told "it's all in your head," the fascia's role in referred pain, and how shockwave — a completely external, non-invasive technology originally developed to break up kidney stones — is now accelerating healing for incontinence, painful intercourse, erectile dysfunction, and vaginismus. Stacey also shares an eyebrow-raising pilot finding on shockwave and testosterone. This is part one of a two-part conversation — part two is coming soon.In this episode: 00:00 Shockwave Therapy?!00:45 Welcome to Taboo to Truth01:15 Meet Stacey Roberts: 30+ Years in Pelvic & Sexual Health01:45 How Common Is Pelvic Pain & Sexual Dysfunction, Really?03:00 Low Back Pain: Foam Roller Fix or Something Deeper?06:00 Men vs. Women: Why Pelvic Pain Shows Up Differently09:00 Surgery, "It's All in Your Head," and the Repressed Emotion Connection12:30 Pelvic Floor & Sexual Dysfunction: Shoutout to Dr. Lance Frank14:15 The Pudendal Nerve: How Internal Treatment Improves External Sensation16:30 Non-Surgical Treatment Options: Pelvic Floor Therapy, Fascia & Botox19:00 From Kidney Stones to Muscles: The History of Shockwave Therapy20:30 What Shockwave Actually Feels Like (and the Vaginismus Case Study)22:15 Shockwave, Testosterone & Treating Testicular Health23:45 Wrap-Up: Part Two Is Coming — Subscribe & FollowWant a deeper look? Watch the full episode on YouTube for a more visual experience of today's discussion. This episode is best enjoyed on video—don't miss out!

Andy Burnham is more than likely to become our next Prime Minister, whilst Welsh Labour look set to announce Ken Skates as their permanent leader. Wales Online's Ruth Mosalski has all the details. As Farage triggers a byelection in Clacton, we look at how we got here with the Guardian's Anna Isaac. Up to ten surgical hubs are planned for Wales. Professor Jon Barry from the Royal College of Surgeons explains how the elective care expert group intends to make them happen. Climate charity the Size of Wales turned 15 this week. Their deputy director Barbara Davies-Quy joins us to talk about their work. And we'll hear about lesser known historical figures who feature in Professor David Turner's new book 'Disability: A history of resistance'We continue with our series meeting new Senedd members. This week it's the turn of Reform's Benjamin Hodge-McKenna, one of their two MSs for Afan Ogwr Rhondda.

More on case of the fetus -- when does the principle of "majority" apply to limbs emerging? Or does it ever? When is it considered as if it was born? What if half of the fetus has emerged, but a majority of a particular limb? A nuanced, and likely boundary-pushing case. Also, what if the fetus were wrapped while it was still internal? Is that a barrier to the sanctity of the first-born? What about its amniotic sac? What about shenanigans by a weasel that removes and replaces the fetus? Also - a new mishnah about whether the fetus is pure or impure, as per the parent, or (as the main view in the mishnah stipulates), the fetus is inherently pure and won't convey impurity. The Gemara probes this rationale. Plus, an important distinction between animals' feet - when they are paws as compared to cloven hooves.

In this episode of SurgOnc Today, we will discuss the critical infrastructure and institutional support needed to successfully conduct surgical clinical trials. Host Dr. Christina Angeles, surgical oncologist at the University of Michigan and Chair of the SSO Research Committee, is joined by Dr. Hop Tran Cao, HPB surgeon at MD Anderson Cancer Center, and Dr. Melissa Pilewskie, breast cancer surgeon at the University of Michigan – both actively engaged in clinical trials at their respective institutions. Together, they explore the unique challenges surgeons face when initiating and executing clinical trials, how institutional culture and resources shape the research environment, and what it takes to build the infrastructure needed to support high-quality surgical research. From dedicated surgical trials centers and multidisciplinary collaboration to investigator training and fellowship education, this conversation offers practical insights for surgeons at every stage of their career – whether you're just starting out or looking to strengthen your institution's research program.

This lecture will serve to enlighten/empower non-dentists with some basic diagnostic & treatment skills to manage dental emergencies in a non-dental setting.

In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest Amy Hackmann, adult cardiac surgeon at Brigham and Women's Hospital, Boston, MA, USA. Together, they explore extracorporeal membrane oxygenation (ECMO) vs emergency resternotomy for cardiac surgical arrest. Chapters  00:00 Intro  01:36 Resuscitation Algorithm  02:14 Current State of ECMO  04:25 Speed, Quality Assurance  08:28 ECMO Concerns  12:16 Performance Metrics, Decision-Makers  15:08 Prime Circuits  15:24 Non-Surgical Arrest Training  17:42 MCS Devices  18:41 Instances to Avoid ECMO  20:16 Time Targets  21:58 Avoiding Complications, VIS Score  25:09 Key Points  The discussion covers quality assurance metrics, patient-specific decisions regarding ECMO vs resternotomy, and chest compressions. The experts also review the importance of advanced preparation, common causes of cardiac arrest following cardiac surgery, and small-incision surgeries, including the use of surgical saws. Furthermore, the discussion emphasizes the importance of mock drills and team training, as well as the use of ECMO on patients who have not experienced cardiac arrest. Finally, they explore scenarios where ECMO would not be used, vasoactive-inotropic score (VIS), and lactate levels. Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode!   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Two years into the EPA era — are we actually training surgeons differently, or just checking new boxes? In this episode, Behind the Knife co-director and Duke Trauma Surgeon Dr. Patrick Georgoff and Behind the Knife surgical education fellows Dr. Agnes Premkumar and Dr. Emma Burke sit down with Dr. Ruchi Thanawala, thoracic surgeon at OHSU, informatician, and founder of Firefly Labs, to get an honest look at the state of competency-based surgical education. We dig into why surgery is uniquely hard to assess, what the data are actually showing (spoiler: significant skewing, and we're not ready to make promotion decisions off it yet), and why collecting assessments is only 25% of the work. If you've ever wondered whether EPAs are moving the needle or just adding noise, this one's for you***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Drs. Safa Rahmani and Kat Talcott join to preview the July 2026 of Retinal Physician found online at http://www.retinalphysician.com. Topics covered include intraocular tamponades and elevation impact on surgical decision making.

Understanding how values and communication styles differ across cultures is key to succeeding internationally. That’s why training in cross-cultural communication has become commonplace in the international business world. In this session, we’ll look at 6 dimensions of cross-cultural communication and their application to medical scenarios.

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

About this episode:   Individuals awaiting organ transplants are often encouraged to reach out to family, friends, neighbors, and colleagues to ask if they will consider becoming a living organ donor. As social media expands our reach beyond our immediate communities, it could become a powerful tool in connecting recipients with donors. In this episode: Macey Levan, a kidney donor and researcher, explains why social media can be so useful in forging life-saving connections and what to consider when making the ask of an online community.  Guest:  Macey Levan, PhD, JD, is an associate professor of surgery and population health at NYU Grossman School of Medicine. She also serves as director of policy and external affairs for the Transplant Institute and director of the qualitative core in the Center for Surgical and Transplant Applied Research.  Host:  Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs.  Show links and related content:  Social Media in the Identification of Living Kidney Donors: Platforms, Tools, and Strategies—Current Transplantation Reports  Social media and organ donation: Ethically navigating the next frontier—American Journal of Transplantation  Kidney Donation: How to Make the Ask—National Kidney Foundation  Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

Is surgery the only answer for arthritis and joint pain? Not always.In this special interview with Dr. Mallinath, Consultant Orthopedic and Arthroscopic Surgeon at Manipal Hospitals, discusses the latest advancements in orthopedic care, including robotic knee replacement, keyhole surgeries, and effective non-surgical treatments. He also shares how obesity, lifestyle, and aging affect joint health, explains the early signs of arthritis that shouldn't be ignored, and clears up common misconceptions about joint pain and vitamin D.Expert: Dr Mallinath G -Consultant - Orthopaedic & Robotic Joint Replacement SurgeryHost/ Producer: Archita Puranik Sound: Mahesh R.

The truth about abortion is heart-piercing. Every baby who is aborted is a human being who never had the opportunity to live out their calling. For Denisha Workizer, this chilling truth rings true: her mother attempted to abort her twice, but despite these attempts, she was born full-term in July of 1976. Denisha didn't find out about her mother's attempted abortions until she was 42 years old, and the truth shocked her. She felt hurt, betrayed, and traumatized. But now, thanks to God's grace and His healing spirit, Denisha is a national speaker and the founder of Reclaimed Story. She shares her unique and life-changing perspective as a survivor of abortion and a participant in the Faces of Choice campaign, which aims to humanize babies in the womb by putting a face to each person who survived an abortion attempt. “Culture begins to shift when hearts shift first,” Denisha says. TAKEAWAYS Abortion survivors often struggle with feelings of rejection or feeling unlovable The Bible says that all humans were created in God's image, or Imago Dei Denisha's mother tried to terminate her pregnancy with both chemical and surgical abortion methods, but God had bigger plans Denisha helps women heal from their past - to harness it as their source of strength, not their source of pain

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.

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.

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.

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 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.

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

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