Podcasts about surgical

Send us a textPeaches and Trent break down the overnight U.S. operation in Venezuela that captured Nicolás Maduro and his wife—without calling it what the internet wants it to be. This wasn't a declaration of war. It wasn't large-scale combat operations. It was a surgical joint mission executed by Special Operations with air, naval, intelligence, and law-enforcement support. They unpack why Congress approval isn't required, why “invasion” is the wrong word, what assets were likely involved, and why people suddenly pretending to care about sovereignty are full of it. Agree or disagree politically, this episode is about precision, legality, and respect for the professionals who executed it flawlessly.⏱️ Timestamps: 00:00 Ones Ready intro and immediate reaction 01:55 What actually happened in Venezuela 03:45 This is not war—and why that matters 05:10 Surgical ops vs large-scale combat 07:30 Likely SOF and aviation assets involved 10:20 Capturing targets alive vs killing them 13:40 Joint ops, secrecy, and coordination 17:10 Why the outrage feels performative 20:45 Historical precedent (Noriega comparison) 24:30 What happens next and why details matter

Stop asking "where are you moving?" and start getting the truth. In this episode, we reveal exactly how to qualify seller leads so you stop wasting gas driving to appointments that never list. If you're tired of being shut down by defensive sellers, this surgical approach will fix your real estate cold calling and help you control the conversation from hello.The "Clear the Room" method replaces outdated, pushy tactics with a diagnostic framework. We break down the precise questions to ask home sellers to uncover their true motivation, financial situation, and timeline—before you ever step foot in the house.What We Cover:✅ The real estate script that disarms defensive sellers instantly.✅ How to qualify seller leads using the 6-step "Clear the Room" framework.✅ 8 powerful questions to ask home sellers that get deep answers fast.✅ The truth about how to handle real estate objections regarding price and timing.✅ Building the ultimate pre-listing package (Seller Net Sheet & Motivation Docs).✅ Why most seller scripts fail and how to use the "Surgical" approach instead.For the investor-agents, we don't just stop at retail. We show you how to pivot the conversation when there is no equity. We dive into subject to real estate deals explained simply, showing you how to transition from a retail listing appointment to a creative finance solution.Whether you are looking for better listing presentation tips or specific real estate cold calling creative financing strategies, this video delivers the blueprint. Stop being an order taker and start being a transaction engineer.Mastering creative finance real estate starts with asking the right questions. Watch now to learn how to qualify seller leads like a top 1% agent.

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

Introduction to a new comprehensive health care management course which is values-based

In this episode, Nathan A. Merriman, MD, MSCE, Interim Senior Medical Director of Surgical Specialties for the Digestive Health Clinical Program at Intermountain Medical Center, discusses how a patient-centered, team-based approach can improve access to care while enhancing the overall human experience. He shares insights on driving operational efficiency across surgical services and aligning clinical teams to deliver high-quality, coordinated care that meets patients where they are.

My first episode in Tamil to cover all my Tamil speaking students. Explain in a highly engaging audio podcast how my recent Advanced Online Surgery Masterclass helps the future surgeons.

Emma is joined by Professor Vik Veer, a leading ENT surgeon based in the UK, who serves as Head of Sleep Surgery at the Royal National Ear, Nose, and Throat Hospital in central London. He also practices at Queen's Hospital, Romford. Vik has a popular YouTube channel where he discusses sleep apnea/apnoea along with other ENT topics.In this episode:* Prof. Veer discusses how he began his YouTube channel during the pandemic.* When people with sleep apnea should see an ear, nose, and throat surgeon.* The drug-induced sleep endoscopy (DISE) procedure and why Vik finds it so helpful to find exactly how and why a patient's airway is collapsing or becoming blocked.* The challenge of finding a skilled ENT who specializes in sleep surgery.* Hypoglossal nerve stimulator implants and the differences between Inspire and Genio implant options. The new, smaller hypoglossal nerve stimulator implants being developed by Restera.* Vik discusses why he wanted to invent his new "Side Sleeping Pro" pillow - for people with positional obstructive sleep apnea.* The importance of working as part of a multi-disciplinary team with a range of specialists to work out the best treatment option/s for specific patients with obstructive sleep apnea.* The apnea-hypopnea index (AHI) and issues arising from putting too much emphasis on using one number to assess the severity of OSA.* Moving away from a one-size-fits-all treatment option and towards choosing the right treatment or combination of treatments for each individual patient.Connect with Vik Veer:https://www.consultant-surgeon.co.uk/Free Sleep Questionnaires⁠https://form.jotform.com/vikveer/sleep-questionnaires⁠Newsletter⁠https://cheerful-knitter-8774.kit.com/35648c37b6⁠Tonsillectomy book⁠https://cheerful-knitter-8774.kit.com/f629b09fa4⁠YouTube⁠https://www.youtube.com/c/VikVeerENTSurgeon⁠Side Sleeping Pro⁠https://www.iwantgreatsleep.com/⁠>>Download Project Sleep's PDF toolkit on Sleep Apnea Treatment Options: https://project-sleep.com/sleep-apnea-treatment-options/Join Project Sleep's Sleep Apnea Squad by signing up for e-updates here: https://project-sleep.com/sleep-apnea-squad/>>Connect with Emma:⁠⁠⁠Instagram⁠https://www.instagram.com/sleepapneastories⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Email Emma at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠sleepapneastories@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.sleepapneastories.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Disclaimer: This podcast episode includes people with sleep apnea discussing their experiences with medical procedures and devices.  This is for information purposes only and you should consult with your medical professionals before starting or stopping any medication or treatment.

Dive into decision support tools and management options for primary care mental health conditions that often stump the primary care clinician.

In this episode, Nathan A. Merriman, MD, MSCE, Interim Senior Medical Director of Surgical Specialties for the Digestive Health Clinical Program at Intermountain Medical Center, discusses how a patient-centered, team-based approach can improve access to care while enhancing the overall human experience. He shares insights on driving operational efficiency across surgical services and aligning clinical teams to deliver high-quality, coordinated care that meets patients where they are.

In this episode, Nathan A. Merriman, MD, MSCE, Interim Senior Medical Director of Surgical Specialties for the Digestive Health Clinical Program at Intermountain Medical Center, discusses how a patient-centered, team-based approach can improve access to care while enhancing the overall human experience. He shares insights on driving operational efficiency across surgical services and aligning clinical teams to deliver high-quality, coordinated care that meets patients where they are.

Listen here for your audio sneak peek of the November/December issue of MEDSURG Nursing! 4.9 NCPD contact hours are available in this issue.Holiday Special! Use code HOLIDAYS2025 to save 15% on your first 1-year MEDSURG Nursing subscription. Offer ends 12/31/25Visit www.medsurgnursing.net to subscribe or access individual articles. Don't forget to follow us on social media for more updates!For over 30 years, MEDSURG Nursing has been the trusted resource for advancing evidence-based practice, clinical research, and professional development in medical-surgical nursing.© Jannetti Publications, Inc.All rights reserved. No portion of this podcast may be used without written permission.To learn more about MEDSURG Nursing and subscribe, visit www.medsurgnursing.net or https://www.jannettipublications.com/journal/470987Music by Scott Holmes.http://www.scottholmesmusic.com

ASOPRS Website: Click Here   In this episode of the Oculofacial podcast, host Dr. Cat Burkat engages with Dr. Francois Codere, Dr. Peter Dolman, and Prof. Geoffrey Rose who are all experts in the field of DCR (Dacryocystorhinostomy) to explore the complexities of tear drainage, surgical techniques, and the evolving understanding of the lacrimal system. The conversation covers the physiological aspects of tear drainage, the importance of surgical nuances, the role of silicone intubation, and the challenges faced in DCR surgeries. The experts share their insights, experiences, and light bulb moments that have shaped their approaches to DCR, while also addressing unanswered questions in the field.

What is a call? How does a person know if God is calling them to mission service? Join in a discussion as these and other questions are addressed.

Botox Injections for Shaping the Nose You can't "nose job" with Botox, but you can fine-tune problems that bug you. In this episode, Dr. Undavia shows how targeted doses relax the muscle that pulls the tip down when you smile, soften bunny lines, reduce nostril flaring, and even micro-refine skin texture on select noses. Expect precise placement, realistic limits, and a quick guide to who's a good candidate versus who needs surgical correction. What you'll learn: When tip-droop Botox helps and what it can't fix  How to treat bunny lines and nostril flaring safely and conservatively  What to expect from micro-dosed texture improvements on nasal skin Not sure if nose Botox or surgery fits your goals? Schedule a focused consult to review precise options and expected results. https://njent.com/non-surgical-nose-refinement-with-botox/   

Surgery can be one of life's great thresholds — a moment where the body, spirit, and nervous system are all quietly asking for care.In this episode, I'm joined again by Amelia Vogler, Energy Medicine Specialist and surgical consultant, to explore how surgery can be supported not only physically, but energetically and on a soul level. We explore:• How energy medicine can prepare the body, mind, and spirit before surgery• Why spiritual preparation is as essential as physical readiness• Addressing surgical fear through trauma-informed and somatic care• Supporting smoother, faster post-operative recovery through intuitive energy work• Staying grounded and spiritually connected before, during, and after surgeryA softly powerful conversation for anyone approaching surgery, supporting a loved one, or sensing that healing reaches far beyond what we can see. You can listen to Amelia discuss the hara and our Soul's purpose in episode #38 The Architecture of Our Soul with Amelia Volger.About Amelia: For decades Amelia has helped thousands of individuals around the world reconnect with their wholeness through Hara-based energy medicine, grounding practices, and intuitive healing.She is one of the few energy medicine practitioners with specific training in Energy Medicine in Surgery. Surgical support merges medical intuition, advanced energy medicine, trauma support, clinical recovery, grounding practices, guided imagery, and Spiritual coaching.Links:https://www.ameliavogler.comhttps://www.energymedicineinsurgery.comThank you so much for listening, and thanks to my sponsors.This Episode is brought to you by: • The Sattva Collection - 10% off with code TheConsciousDiva• Birds & Beans Organic Coffee - 10% off with DIVA2025The Conscious Diva Podcast wouldn't be possible without your support! A massive THANK YOU for listening. If you'd like to further support my podcast, you can:• SUBSCRIBE in your favorite podcast player or YouTube.• FOLLOW me @The_Conscious_Diva on Instagram. • BOOK a session with Tatyanna.• SIGN-UP to receive emails at www.tatyannawright.com

In this episode, MEDSURG Nursing Journal Editorial Board Member Mary Schreiber talks with representatives Beth White, Heather Pagan, and Lisa Kejr from Lighthouse for Life, an organization in Columbia, SC, that fights to eradicate human trafficking by educating the community and empowering survivors. They discuss how traffickers exploit vulnerabilities, the subtle signs health care providers should watch for, and strategies to safely identify and support victims. Beth White is Chair of the Board of Directors for Lighthouse for Life in Columbia, SC.Heather Pagan is Survivor Support Director and Person of Lived Experience for Lighthouse for Life in Columbia, SC.Lisa Kejr is Chief Executive Officer for Lighthouse for Life in Columbia, SC.Mary L. Schreiber, MSN, RN, CMSRN, is a Nursing Education Consultant in Ehrhardt, SC, and a member of the MEDSURG Nursing Journal Editorial Board. Visit our new online journal platform at www.jannettipublications.comChoose what works best for you – purchase individual articles, or subscribe and access all MEDSURG Nursing articles, including archives from past years. Plus, NCPD assessments are FREE for individual subscribers or through the purchase of the NCPD article.For archived episodes of this podcast and to learn more about MEDSURG Nursing, visit the journal's website at www.medsurgnursing.net.© Jannetti Publications, Inc.Music selections by Scott Holmeshttp://www.scottholmesmusic.com

In this conversation, Dr. Tiwari and Dr. Saraswat delve into the concept of prehabilitation, discussing its significance in preparing patients for surgery. They explore various aspects such as diet, exercise, and innovative therapies like sauna and cold plunges, emphasizing the importance of optimizing health before surgical procedures to enhance recovery and outcomes.   Connect wirh Midwest Breast Website Instagram

How do we know when a retina fellow is truly ready for independent surgery? Nikisha Kothari, MD, moderates a discussion with Jesse Sengillo, MD, and Nicholas Farber, MD, about a new survey study comparing perspectives from fellowship program directors and recent graduates on surgical volumes, teaching tools, autonomy, and competency benchmarks. The group explores areas of agreement, gaps in current training, and the push for more systematic assessment models in retina training.

Low resource settings require much innovation and streamlining resources to meet set goals. With healthcare becoming more commercial and profit driven, missional healthcare in low resource settings faces many challenges. Sustainability is a big question with people finance , and equipment scarce and hard to come by. Missional models of healthcare often run into hurdles of sustainability, longevity and relevance even as healthcare slowly turns into business. In this setting of multifactorial challenges and increasing compliances how can missional healthcare be relevant and sustainable? Many saints of God have committed their lives to fulfil this great commission in some of the most underserved and unreached areas of the world. With the birth of Emmanuel Hospital Association (EHA) a different model of missional healthcare emerged in India. Over the last 55 years of its existence, EHA has shown that through all the challenges, this may be one of the ways to sustain missional healthcare in areas of need. With increasing divide between the rich and poor, overwhelmed government systems, a ruthless insurance system, and high end corporate healthcare, it is still possible for missional healthcare to provide low cost, high quality, technologically advanced care to people in need while remaining sustainable. We bring lessons from India and our experience with Emmanuel Hospital Association over the last 3 decades.

Sterile Processing Departments (SPDs) remain the backbone of safe surgical care, yet across the country, they're still routinely left out of early decision-making around products, construction, staffing, and case planning. As hospitals juggle tighter margins, higher patient acuity, and growing procedural demands, the consequences of excluding SPD voices become unmistakably real—showing up in daily workloads, rising stress, and risks to patient care. Misalignment between SPD and the OR has already led to inefficiencies, delays, and even high-dollar liability cases in recent years.How can healthcare organizations ensure SPD teams finally get the visibility, influence, and collaboration they need to support safer, more efficient surgical operations?That question sits at the center of this episode of ConCensis. Host Daniel Litwin, the Voice of B2B at MarketScale, speaks with healthcare writer and journalist Kara L. Nadeau to explore her recent reporting on why hospital leaders must give SPDs a meaningful seat at the table. Their discussion explores the root causes of SPD invisibility, the organizational risks of ignoring their expertise, and the practical steps hospitals can begin taking today to close communication gaps across departments.Top insights from the talk…Where SPDs are excluded—and why it matters: From supply chain purchasing to construction planning to surgical case scheduling, Nadeau details the systemic blind spots that keep SPDs out of essential conversations, often until it's too late.The role of data in SPD advocacy: SPD professionals widely report lacking the analytics needed to justify staffing, equipment upgrades, workflow changes, or operational needs to leadership—a gap that directly impacts patient safety and efficiency.How hospitals can build cross-department champions: Nadeau highlights examples of organizations where perioperative leaders, infection prevention teams, and executives proactively champion SPD involvement—and how simple actions, like executive walkthroughs, can transform understanding overnight.Kara L. Nadeau is a veteran healthcare writer and journalist with more than 20 years of experience translating complex clinical, operational, and financial topics into clear, impactful content for the healthcare industry. She serves as a senior contributing editor for Healthcare Purchasing News and Medical Laboratory Observer, specializing in sterile processing, supply chain, perioperative services, and clinical laboratory trends. As founder of KLN Communications, she partners with healthcare organizations—from medical device companies to health systems—to produce research-driven thought leadership, case studies, and executive-level storytelling.

Nearly 5000 children with rotten teeth from all around New Zealand are waiting for surgery to have them removed. 

In this tribute episode, we analyze the career of Raphaël Varane, the "Rolls-Royce" of defenders who redefined the center-back role through intelligence rather than aggression. We break down his "surgically precise" playing style—focusing on his elite anticipation and recovery speed that anchored four Champions League titles at Real Madrid—and discuss his stabilizing impact at Manchester United. From his World Cup triumph with France to his final chapter at Como, we explore the stats (521 club appearances) and the mental attributes that cemented his status as a defensive legend.Raphaël Varane playing style analysis, Real Madrid Champions League records, France World Cup defense, Manchester United tactical analysis, Raphaël Varane career stats.

https://www.lydianclinic.com/blog/stem-cell-hair-therapy-seoul/Discover how PRP therapy uses your body's own platelets to reactivate hair follicles, improve thickness, and reduce shedding, without surgery or downtime. Here's a break down of the science, success rates, ideal candidates, and the long-term maintenance needed to sustain real regrowth. Lydian Cosmetic Surgery Clinic City: Seoul Address: 836 Nonhyeon-ro, Sinsa-dong, Gangnam Website: https://www.lydianclinic.com/

Learn how Korean stem cell therapy provides medical tourists an affordable, non-surgical alternative to fix shoulder arthritis pain. Discover why Korea leads in regenerative medicine, what the treatment involves, and how it compares to traditional options.https://www.lydianclinic.com/stemcelleng/ Lydian Cosmetic Surgery Clinic City: Seoul Address: 836 Nonhyeon-ro, Sinsa-dong, Gangnam Website: https://www.lydianclinic.com/

Poster Title: The High Cost of Understaffing: A Case Study in Surgical Pathology Consequences   Authors: Emily Nangano, MS, PA(ASCP)cm; Gillian Bass; Rob Terranova Abstract: Laboratories are the diagnostic backbone of healthcare, yet staffing decisions are often driven by budget constraints rather than operational needs. This case study examines the real-world consequences of delayed staffing action within the anatomic pathology department at a large academic medical center. Faced with a predicted shortfall in grossing coverage due to reduced resident support and unchanged PA staffing levels, institutional leadership opted against proactive hiring. As a result, grossing FTEs fell from 6.5 to 3.5, and histology staffing experienced a drop to 3 technicians from the usual 9 due to attrition and burnout. This staffing collapse led to turnaround time delays of up to 6–8 weeks and forced the lab to outsource specimen processing. Over the following seven months, the institution spent nearly $4 million on reference lab services. Staff morale declined sharply, clinician trust eroded, and senior PAs and histotechs resigned. Even after additional staff were hired, it took more than a year to stabilize operations. This poster presents supporting data, including FTE changes, outsourcing costs, and turnaround time impacts. It also explores how temporary, qualified locum tenens staffing solutions—such as Pathologists' Assistants and histotechnologists, and cytologists—can help bridge coverage gaps and prevent costly disruptions. Ultimately, this case underscores the critical importance of timely, proactive staffing strategies. The hidden costs of under-resourcing the laboratory go beyond dollars—they affect staff well-being, institutional reputation, and patient care outcomes.

Lung cancer remains the leading cause of cancer death in Virginia, and some communities in Hampton Roads — including nearby rural areas — face persistent challenges in diagnosis and access to specialty care.

In this episode of Behind the Knife, the minimally invasive surgery (MIS) team dives deep into the evolving field of common bile duct exploration (CBDE). From the historical context of laparoscopic approaches to the latest advances including robotic-assisted techniques, Drs. Shaina Eckhouse, James Jung, Zachary Weitzner, and Joey Lew discuss key evidence shaping modern practice. Listeners will learn about indications and anatomy guiding trans-cystic versus trans-choledochal approaches, practical tips for safe stone clearance, and critical considerations around learning curves and team coordination for robotic procedures. The episode also highlights important studies comparing single-stage laparoscopic CBDE with staged ERCP and cholecystectomy, emphasizing outcomes such as stone clearance, pancreatitis rates, and hospital length of stay. This comprehensive overview is a must-listen for MIS and acute care surgeons interested in optimizing the management of choledocholithiasis and streamlining patient care with minimally invasive techniques. Hosts:  - Shaina Eckhouse, MD, Bariatric Surgery Medical Director and Vice Chair of Clinical Operations, Department of Surgery, Duke University - James Jung, MD, PhD, Assistant Professor of Surgery, Duke University - Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD - Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actually Learning Goals:  By the end of this episode, listeners will be able to: -  Describe the historical approaches to managing choledocholithiasis, including staged interventions and the evolution toward single-stage laparoscopic common bile duct exploration (CBDE). -  Summarize key clinical evidence comparing CBDE and ERCP, including landmark studies and meta-analyses evaluating outcomes, complications, and trends over time.​ - Distinguish between transcystic and transcholedochal approaches to CBDE, explaining indications, contraindications, and technical nuances for each technique.​ -  Identify appropriate candidates for transcystic exploration based on cystic duct anatomy and stone characteristics.​ - Recognize the impact of newer surgical technologies—such as digital choledochoscopy, Spyglass, and robotic platforms—on CBDE practice, efficiency, and safety.​ - Discuss the importance of multidisciplinary teamwork, preparation, and perioperative planning for successful CBDE, particularly in complex or altered anatomy cases.​​ - Appraise the learning curve and quality of evidence for new CBDE procedures, outlining the need for mentorship, ongoing training, and knowing when to collaborate with GI or hepatopancreaticobiliary (HPB) surgery.​ - Outline approaches and bailout strategies for challenging cases, including patients with surgically altered anatomy and use of adjuncts such as intraoperative cholangiography (IOC), feeding tube placement, and Fanelli stents.​​ - Evaluate safety outcomes and limitations associated with robotic-assisted CBDE and single-stage management, incorporating recent data from population-based studies.​ -  Reflect on strategies for tailoring CBDE techniques to individual patient anatomy, surgeon experience, and available resources, advocating for evidence-based practice and continuous learning. References: -  Giurgiu DI, Margulies DR, Carroll BJ, et al. Laparoscopic Common Bile Duct Exploration: Long-term Outcome. Arch Surg. 1999;134(8):839-844. doi:10.1001/archsurg.134.8.839 https://pubmed.ncbi.nlm.nih.gov/10443806/ -  Lyu Y, Cheng Y, Li T, Cheng B, Jin X. Laparoscopic common bile duct exploration plus cholecystectomy versus endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for cholecystocholedocholithiasis: a meta-analysis. Surg Endosc. 2019;33(10):3275-3286. doi:10.1007/s00464-018-06613-w https://pubmed.ncbi.nlm.nih.gov/30511313/ - Bekheit M, Smith R, Ramsay G, Soggiu F, Ghazanfar M, Ahmed I. Meta‐analysis of laparoscopic transcystic versus transcholedochal common bile duct exploration for choledocholithiasis. BJS Open. 2019;3(3):242-251. doi:10.1002/bjs5.50132 https://pubmed.ncbi.nlm.nih.gov/31183439/ - Cironi K, Martin MJ. Reclaim the duct! Laparoscopic common bile duct exploration for the acute care surgeon. Trauma Surg Acute Care Open. 2025;10(Suppl 1). doi:10.1136/tsaco-2025-001821 https://pubmed.ncbi.nlm.nih.gov/40255986/ - Zhang C, Cheung DC, Johnson E, et al. Robotic Common Bile Duct Exploration for Choledocholithiasis. JSLS J Soc Laparosc Robot Surg. 2025;29(1):e2024.00075. doi:10.4293/JSLS.2024.00075 https://pubmed.ncbi.nlm.nih.gov/40144383/ - Kalata S, Thumma JR, Norton EC, Dimick JB, Sheetz KH. Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. JAMA Surg. 2023;158(12):1303-1310. doi:10.1001/jamasurg.2023.4389 https://pubmed.ncbi.nlm.nih.gov/37728932/ Ad Disclosure: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content. Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

On each of these mini episodes, Catherine and I chat about a new article or new surgical technique in the field of sports medicine. We'll give you our quick take on the most recent data and how this data will impact our practice. Today, we're discussing a brand-new paper hot off the press titled: “Predictors of Tunnel Widening After Anterior Cruciate Ligament Reconstruction” published in the November 2025 issue of AJSM. This study digs into why femoral and tibial tunnels enlarge after ACL reconstruction with hamstring grafts – and what anatomic and surgical factors might be driving it.Tunnel widening matters: it impacts revision surgery, graft stability, and in some cases early failures. So, this is a clinically meaningful topic. We will start with some background. Tunnel widening after ACL reconstruction is not new…but why it happens is debated. There are a few proposed mechanisms:·       Biologic factors: synovial fluid ingress, cytokines, graft necrosis, remodeling.·       Mechanical factors: graft motion (“windshield wiper” / “bungee effect”), repetitive shear.·       Anatomic factors: posterior tibial slope increasing anterior tibial translation forces.·       Surgical factors: fixation method, tunnel position, graft choice (hamstring vs BTB or Quad). This study asked three key questions:1.     Does posterior tibial slope (PTS) predict tunnel widening?2.     Do meniscus root tears contribute?3.     Does adding a lateral extra-articular tenodesis (LET) influence tunnel change? ·       This is the first large cohort looking at all these together over 2 years, with both tibial and femoral tunnel measurements. ·       The study included 307 patients who underwent primary ACL reconstruction using hamstring autograft. The femoral and tibial tunnels were measured immediately postop and again at 2 years.  Medial and lateral posterior tibial slope was measured on long-leg lateral radiographs.  The authors also looked at the incidence of additional LET, meniscus root injury and BMI.·       They used univariate and multivariate regression to determine independent predictors.So, what did they find? Tune in and enjoy the episode!

In this Complex Care Journal Club podcast episode, Dr. Jody Lin discusses a qualitative study of shared decision-making for neuromuscular scoliosis surgery in children with medical complexity. She describes a broad range of family values and preferences that may guide decision-making, implications for clinical practice, and next steps from this work.‌ SPEAKER Jody Lin, MD, MS Pediatric Hospitalist Assistant Professor of Pediatrics Division of Inpatient Medicine University of Utah HOST Kathleen Huth, MD, MMSc Pediatrician, Complex Care Service, Division of General Pediatrics Boston Children's Hospital Assistant Professor of Pediatrics Harvard Medical School DATE Initial publication date: December 8, 2025. JOURNAL CLUB ARTICLE Lin JL, Devereaux T, Simon TD, Kaphingst KA, Zhu A, Narayanan U, Berry ABL, Eppich KG, Stoddard G, Smith JT, Andras L, Heflin J, Keenan HT, Asch SM, Fagerlin A. Caregiver Values and Preferences Related to Surgical Decision-Making for Children with Medical Complexity. J Pediatr. 2025 Jan;276:114366. doi: 10.1016/j.jpeds.2024.114366. Epub 2024 Oct 19. PMID: 39428089; PMCID: PMC11645212. OTHER ARTICLES REFERENCED Courageous Parents Network. Scoliosis and spine / spinal surgery: facts and decision-making. https://courageousparentsnetwork.org/guides/decision-making-around-spinal-fusion-surgery/. Accessed November 14, 2025. Lin JL, Clark CL, Halpern-Felsher B, Bennett PN, Assis-Hassid S, Amir O, Nunez YC, Cleary NM, Gehrmann S, Grosz BJ, Sanders LM. Parent Perspectives in Shared Decision-Making for Children With Medical Complexity. Acad Pediatr. 2020 Nov-Dec;20(8):1101-1108. doi: 10.1016/j.acap.2020.06.008. Epub 2020 Jun 12. PMID: 32540424; PMCID: PMC7655593. Lin JL, Cohen E, Sanders LM. Shared Decision Making among Children with Medical Complexity: Results from a Population-Based Survey. J Pediatr. 2018 Jan;192:216-222. doi: 10.1016/j.jpeds.2017.09.001. Epub 2017 Nov 6. PMID: 29102046; PMCID: PMC5732902. Lin JL, Tawfik DS, Gupta R, Imrie M, Bendavid E, Owens DK. Health and Economic Outcomes of Posterior Spinal Fusion for Children With Neuromuscular Scoliosis. Hosp Pediatr. 2020 Mar;10(3):257-265. doi: 10.1542/hpeds.2019-0153. PMID: 32079619; PMCID: PMC7041549.‌ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/xcz7qm4n2b9rn636rrnq/Jody_Lin_Final_transcript_12-4-25.pdf. Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Lin JL, Huth K. Exploring What Matters: What Families Value in Complex Surgical Decision-Making. 12/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/exploring-what-matters-what-families-value-in-complex-surgical-decision-making.

Chuck and Chris discuss tips for an efficient clinic and review a surgical approach for radial tunnel syndrome and pronator syndrome treatment.We are in need of a podcast intern!  We would appreciate any referrals!See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.As always, thanks to @iampetermartin for the amazing introduction and concluding music.For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

In this episode of the PFC Podcast, Dr. Van Wyk discusses the latest updates in traumatic brain injury (TBI) management, focusing on insights from the CRASH-3 trial, the use of TXA, hypertonic saline, and sodium bicarbonate. He emphasizes the importance of monitoring intracranial pressure and the potential for surgical interventions in austere environments. The conversation also touches on the controversial topic of seizure prophylaxis and end-of-life considerations in TBI care.TakeawaysDr. Van Wyk is a neurologist with extensive experience in TBI management.The CRASH-3 trial provides insights into TXA's effectiveness in TBI patients.Moderate TBI patients may benefit more from TXA than severe cases.Dosing protocols for TXA are still under discussion, with traditional methods being preferred.Hypertonic saline is recommended for TBI management, but higher concentrations may be beneficial.Sodium bicarbonate can be an effective alternative for managing ICP.Prophylactic use of hypertonic saline is debated but may be reasonable in certain cases.Seizure prophylaxis is not universally recommended but can prevent complications in TBI patients.Monitoring ICP through optic nerve sheath diameter is evolving, with trends being more useful than absolute values.Surgical interventions for TBI may be necessary in austere environments, but should be approached with caution.Chapters00:00 Introduction to Traumatic Brain Injury Management02:00 Insights from the CRASH-3 Trial06:43 Dosing Protocols for TXA in TBI11:28 Hypertonic Saline: Concentration and Administration17:21 Alternative Treatments for Increased ICP22:58 Prophylactic Sodium Management in TBI25:17 Seizure Prophylaxis in Traumatic Brain Injury30:04 Monitoring Intracranial Pressure Non-Invasively35:17 Surgical Interventions for Elevated ICP42:10 End-of-Life Decisions in Severe TBIFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

How do the lures of self-preservation and self-reliance block Kingdom work? A panel of providers, and a student minister share ways they live out the gospel through healthcare among those experiencing poverty. Though the world defines success by our bank account and possessions, living for Jesus looks different and requires sacrifice that Westerners find difficult to pursue.

Julie E, MPH, RD, is an accomplished nutritionist and functional medicine expert with both a passion and  years of experience in helping people improve their health.  Julie's experience as a Registered Dietician and passion for simple solutions led her to write “The No Diet Diet”. This book is designed to help anyone put together healthy, great-tasting meals in five minutes or less, with foods that need little or no preparation.  JULIE E, MPH, RD, QRA is a functional medicine and holistic health expert with 40 years of clinical practice. Founder of Julie E Health, she has guided thousands, including athletes and Hollywood elites, through protocols that integrate detox, biohacking, and energy medicine. Known for reversing her own cellular age by more than 30 years on lab tests, she is a pioneer in making advanced healing tools practical and accessible.     Topic: MUD THERAPY: Reverse Pain and Support Cellular Rejuvenation Julie E Reveals the Overlooked Root of Chronic Health Issues is Scar Tissue For many, pain, fatigue, or hormonal imbalances persist despite maintaining a healthy lifestyle. Julie E, MPH, RD, QRA, says the missing piece could be scars. Surgical marks, C-sections, injuries, and even childhood traumas often act as interference fields, blocking energy flow, stressing organs, and creating problems that surface years later. Her solution? Mud therapy is an ancient healing method now validated by modern science.   Contact:   https://julieehealth.com/

Family planning and fertility preservation can pose challenges for trainees and new surgical oncology attendings. The SSO Fellows and Young Attendings Committee tackles these topics within a three-part podcast. In this episode of SurgOnc Today, Julia Chandler, MD is joined by Dr. Helene Sterbling and Dr. Devon Freudenberger to discuss pregnancy and parenthood while in surgical training.

Surgical robotics is changing the landscape in healthcare. Stereotaxis is hoping to carve out its niche in the massive space, which is home to Intuitive Surgical, Johnson & Johnson, and Medtronic.David Fischel, the St. Louis, MO-based company's chairman and CEO, is featured in this episode of Let's Talk Medtech to discuss Stereotaxis' journey from surviving to thriving. The firm recently secured $50 million in funding and has had strong collaborations with NVIDIA.Fischel talks about the company's game plan and his thoughts on the future of surgical robotics.

Full Show Notes: BenGreenfieldlife.com/cam2025 Dr. Cameron Chesnut is an internationally recognized facial plastic surgeon in Spokane known for delivering minimally invasive cosmetic surgery results that are both natural and transformative. Sought after by high-performers from around the world, he combines innovative surgical artistry with a progressive focus on regenerative medicine and advanced recovery techniques. His approach goes beyond the operating room: Dr. Chesnut prepares like a professional athlete, entering each procedure in a neurocognitively optimized flow state to achieve subtle yet powerful outcomes. Episode Sponsors: The Medicin: Immune Intel AHCC is a clinically studied shiitake mushroom extract that enhances immune cell communication through a patented fermentation process creating highly bioavailable alpha glucans. Backed by 30+ human studies and used in over 1,000 clinics worldwide, AHCC supports immune function for everyday wellness and chronic health challenges—learn more at TheMedicin.com and use code BEN for 10% off. Our Place: Upgrade to Our Place today and say goodbye to forever chemicals in your kitchen. Go to fromourplace.com and enter my code BEN at checkout to receive 10% off sitewide. Muse: Muse S Athena combines clinical-grade EEG and fNIRS technology to train your brain in real time while tracking sleep with 86% expert-level accuracy. Get 15% off at choosemuse.com/BENGREENFIELD or use code BENGREENFIELD at checkout. IM8: Ditch the cabinet full of supplements—IM8 packs 92 powerhouse ingredients into one delicious scoop for all-day energy, gut health, and cellular support. Go to IM8Health.com and use code BEN for an exclusive gift—fuel your body the right way! Manukora: You haven’t tasted or seen honey like this before - so indulge and try some honey with superpowers from Manukora. If you head to manukora.com/ben or use code BEN, you’ll automatically get $25 off your Starter Kit.See omnystudio.com/listener for privacy information.

This episode provides a new perspective on how modern surgical practice has been shaped by military surgical history and how history can provide surgeons with a deepened appreciation for the events that have transformed patient care. Colonel (Ret.) Jeremy W. Cannon, MD, SM, FACS, leads the discussion that includes a medical student, junior faculty member, and senior surgeon/historian. Dr. Cannon's guests are Gordon L. Telford, MD, FACS, Justin Barr, MD, PhD, and Karina Hiroshige.   HOST Colonel (Ret.) Jeremy W. Cannon, MD, SM, FACS, USAF Reserve, MC, trauma surgeon at Penn Medicine in Philadelphia and Past President of the Excelsior Surgical Society   GUESTS Gordon L. Telford, MD, FACS, retired general surgeon from the Medical College of Wisconsin, in Milwaukee   Justin Barr, MD, PhD, transplant and hepatobiliary surgeon at the Ochsner Clinic in New Orleans, LA   Karina Hiroshige, MD/MBA Candidate at the University of Rochester School of Medicine & Dentistry, NY, and Research Fellow in Trauma, Surgical Critical Care & Emergency Surgery at the University of Pennsylvania, Philadelphia   Talk about the podcast on social media using the hashtag #HouseofSurgery    

In this episode, we break down the upcoming CMS policy that will reduce work RVUs for nearly all non–time-based surgical CPT codes beginning January 1st. Dr. Chris Childers, surgical oncologist and health-policy expert, and Christian Shaughnessy, ACS Senior VP for Advocacy, join us to explain what these cuts mean for surgeons in both private practice and employed models. We explore why CMS believes surgeons are becoming “more efficient,” and why newly published data suggest the opposite may be true. Our guests outline the downstream financial, workforce, and patient-access implications of this unprecedented policy shift. Finally, we discuss how every surgeon can—and should—take action now to help prevent these cuts from taking effect. Hosts: Patrick Georgoff, MD, @georgoff Christopher Childers, MD, PhD, @cchildersmd Christian Shalgian, ACS Division of Advocacy and Health Policy Senior Vice President Take action: https://www.facs.org/advocacy/regulatory-issues/fight-back-against-cuts-to-work-relative-value-units/ Longitudinal Trends in Efficiency and Complexity of Surgical Procedures: Analysis of 1.7 Million Operations Between 2019 and 2023: https://pubmed.ncbi.nlm.nih.gov/40801398/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Medical education has a potentially powerful role in global health. This breakout will explore some ways that medical education can not only support patient care but also augment research capacity building to better care for critically ill patients in resource-limited countries.

Contributor: Megan Hurley, MD Educational Pearls: Assess first: confirm the hook isn't near vital structures. Automatic subspecialty consult for eye involvement or proximity to carotid artery, radial artery, peritoneum, testicle, or urethra Barbed hook: cannot be pulled back through the entry without disengaging the barb Removal Techniques String-Pull: best for superficial, single-barbed hooks Depress shank and eye of hook to disengage barb and then pull string taut and jerk suddenly along the long axis Can only be used when the hook is in a body part that can be firmly secured so it won't move during the procedure Little or no anesthesia needed Push-Through & Snip: best choice when barb is near the skin surface Anesthetize first and advance the hook forward until the barb emerges. Cut off the barb and then back hook out Small exit wound, no sutures needed Needle Cover: for larger hooks that are superficial Anesthetize first and then slide an 18 or 20-gauge needle along the hook until the bevel covers the barb. Then back out the needle and hook together Cut-it-out: last resort Make an incision along the body of hook to barb and then remove hook Adjuncts: Hydrodissection with lidocaine along the tract can ease removal Post-Procedure Irrigate thoroughly and apply antibiotic ointment Routine prophylaxis not needed because complications are rare Consider prophylactic antibiotics if hook is deeply embedded in high-risk area or contaminated by fresh water or salt water References Aiello LP, Iwamoto M, Guyer DR. Penetrating ocular fish-hook injuries. Surgical management and long-term visual outcome. Ophthalmology. 1992 Jun;99(6):862-6. doi: 10.1016/s0161-6420(92)31881-0. PMID: 1630774. Malitz DI. Fish-hook injuries. Ophthalmology. 1993 Jan;100(1):3-4. doi: 10.1016/s0161-6420(93)31700-8. PMID: 8433823. Summarized by Meg Joyce, MS2 | Edited by Meg Joyce & Jorge Chalit, OMS4

Can natural herbs aid recovery from anorexia? What an analysis of Hitler's DNA tells us about how genes shaped his personality; Can surgical anesthesia accelerate memory loss?  Bananas could be interfering with your smoothie's health benefits; Not just sun, but pesticides and herbicides increase risk for melanoma; Chemical residues on produce impair male fertility; Proliferation of fast-paced social media videos are dumbing us down; Doctors aren't less resilient, the demands of medicine are just fostering unprecedented levels of physician burnout.

On this episode, Janet L. Carlson, MSN, BSN, RN, NE-BC, FACHE, Vice President of ASC Operations at Commonwealth Pain & Spine | Advanced Surgical Institute, joins the podcast to discuss advancements with AI, the growth of the ASC space over the next year including the rise of multi-specialty centers, and how her team continues to prioritize patient satisfaction.

On this episode, Janet L. Carlson, MSN, BSN, RN, NE-BC, FACHE, Vice President of ASC Operations at Commonwealth Pain & Spine | Advanced Surgical Institute, joins the podcast to discuss advancements with AI, the growth of the ASC space over the next year including the rise of multi-specialty centers, and how her team continues to prioritize patient satisfaction.

On this episode, Janet L. Carlson, MSN, BSN, RN, NE-BC, FACHE, Vice President of ASC Operations at Commonwealth Pain & Spine | Advanced Surgical Institute, joins the podcast to discuss advancements with AI, the growth of the ASC space over the next year including the rise of multi-specialty centers, and how her team continues to prioritize patient satisfaction.

New NEJM insights on asymptomatic carotid stenosis

CardioNerds (Dr. Kelly Arps, Dr. Naima Maqsood, and Dr. Elizabeth Davis) discuss chronic AF management with Dr. Edmond Cronin. This episode seeks to explore the chronic management of atrial fibrillation (AF) as described by the 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. The discussion covers the different AF classifications, symptomatology, and management including medications and invasive therapies. Importantly, the episode explores current gaps in knowledge and where there is indecision regarding proper treatment course, as in those with heart failure and AF. Our expert, Dr. Cronin, helps elucidate these gaps and apply guideline knowledge to patient scenarios. Audio editing for this episode was performed by CardioNerds intern Dr. Bhavya Shah. 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 Review the guidelines- Catheter ablation is a Class I recommendation for select patient groups  Appropriately recognize AF stages- preAF conditions, symptomatology, classification system (paroxysmal, persistent, long-standing persistent, permanent)  Be familiar with the EAST-AFNET4 trial, as it changed the approach of rate vs rhythm control  Understand treatment approaches- lifestyle modifications, management of comorbidities, rate vs rhythm control medications, cardioversion, ablation, pulmonary vein isolation, surgical MAZE  Sympathize with patients- understand their treatment goals  Notes Notes: Notes drafted by Dr. Davis.    What are the stages of atrial fibrillation?   The stages of AF were redefined in the 2023 guidelines to better recognize AF as a progressive disease that requires different strategies at the different therapies  Stage 1 At Risk for AF: presence of modifiable (obesity, lack of fitness, HTN, sleep apnea, alcohol, diabetes) and nonmodifiable (genetics, male sex, age) risk factors associated with AF  Stage 2 Pre-AF: presence of structural (atrial enlargement) or electrical (frequent atrial ectopy, short bursts of atrial tachycardia, atrial flutter) findings further pre-disposing a patient to AF  Stage 3 AF: patient may transition between these stages  Paroxysmal AF (3A): intermittent and terminates within ≤ 7 days of onset  Persistent AF (3B): continuous and sustained for > 7 days and requires intervention  Long-standing persistent AF (3C): continuous for > 12 months   Successful AF ablation (3D): freedom from AF after percutaneous or surgical intervention  Stage 4 Permanent AF: no further attempts at rhythm control after discussion between patient and clinician   The term chronic AF is considered obsolete and such terminology should be abandoned   What are common symptoms of AF?   Symptoms vary with ventricular rate, functional status, duration, and patient perception  May present as an embolic complication or heart failure exacerbation  Most commonly patients report palpitations, chest pain, dyspnea, fatigue, or lightheadedness. Vague exertional intolerance is common  Some patients also have polyuria due to increased production of atrial natriuretic peptide  Less commonly can present as tachycardia-associated cardiomyopathy or syncope  Cardioversion into sinus rhythm may be diagnostic to help determine if a given set of symptoms are from atrial fibrillation to help guide the expected utility of more aggressive rhythm control strategies.   What are the current guidelines regarding rhythm control and available options?  COR-LOE 1B: In patients with reduced LV function and persistent (or high burden) AF, a trial of rhythm control should be recommended to evaluate whether AF is contributing to the reduced LV function   COR-LOE 2a-B: In patients with reduced LV function and persistent (or high burden) AF, a trial of rhythm control should be recommended to evaluate whether AF is contributing to the reduced LV function. In patients with a recent diagnosis of AF (

About this episode: Robotic telesurgery allows providers to conduct minimally invasive surgeries across long distances, reaching remote communities. In this episode: Binita Ashar, a surgeon with a background in policy, discusses the revolutionary role this technology can play in medicine and what issues need to be addressed—from cost to cybersecurity—in order to greenlight more procedures in the United States. Guests: Binita Ashar, MD, MBA, is a general surgeon who previously served as the Director of the FDA's Office of Surgical and Infection Control Devices. She also serves on the board of the Society of Robotic Surgery. 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: Exclusive look at groundbreaking remote robotic surgery: Patient was in Africa; doctor was in Florida—ABC News WHO and Society of Robotic Surgery launch health innovation initiative to expand access to virtual care and telesurgery—WHO 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 @‌JohnsHopkinsSPH 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.

In this episode, Kathleen Hickman, RN, BSN, MS, CASC, Administrator and Clinical Director of Dutchess Ambulatory Surgical Center, shares insights on ASC growth through higher acuity cases, the impact of new CMS codes, and how innovation and culture are shaping the future of surgical care.

From my perspective as a plastic surgeon, a surgical facelift provides the most definitive and long-lasting results.  After all, it is a surgical procedure that involves a physical re-positioning of the tissues of the face and neck, more commonly on a fascial level or deeper, on a periosteal or bony plane. This episode looks at a new technology that promises a facelift effect without undergoing the knife. Keywords:   Beauty Facelift Non-surgical Beauty tech Innovation Collagen Elastin    About The Host:   Dr. Shirley Madhere is a NYC-based plastic surgeon and Founder of Holistic Plastic Surgery.  This philosophy is based on a whole-body, mind, and spirit approach to beauty and incorporates wellness, integrative nutrition, functional aesthetics, and complementary medicine.   Dr. Madhere's approach to optimal outcomes in plastic surgery is through a lens of wellness, and is grounded in science and backed by ivy league medical study, research, and extensive surgical training.  View her menu of services at ElementsandGraces.com.  Consultations are available in-office, virtually, and online via Click-lift.com.   Coming soon: Dr. Madhere offers beauty on call services through Jet Set Beauty Rx, a mobile medical aesthetics unit delivering beauty in the privacy of your own home.  Reserve at JetSetBeautyRx.com.   About This Podcast:   As a creative outlet and means to broaden the perspective on the “spectrum of beauty,”  Dr. Madhere created Forever F.A.B., a podcast dedicated to Fashion, the Art of living well (i.e., wellness), and all things Beauty.  Visit ForeverFABpodcast.com for past and new episodes: https://www.foreverfabpodcast.com/ .    If you enjoy listening to the Forever F.A.B. podcast, get more audio and visuals with a membership through Patreon.  Choose the Gold, Platinum, or Diamond tier for premium added content, special co-hosts, lifestyle videos, branded merchandise, and private access to Dr. Shirley's Clubhouse by visiting patreon.com/ForeverFAB.   Catch the latest episode of the Forever F.A.B. podcast on Apple podcasts, Spotify, YouTube, iheartradio, Podbean, Amazon podcasts, and wherever you listen to your favorite podcasts.  For past episodes featuring guest star interviews, beauty product reviews and innovations in plastic surgery, visit ForeverFABpodcast.com.   Call to Action:   Did you learn something today?  Did this episode make you feel something today?  Share positively on social what resonated with you most using one word and tag the FFAB Podcast.   If you liked this episode of the Fifteen Minutes of FAB on the Forever FAB podcast, please share it and subscribe to the feed.   Listen to past episodes or check out who's coming up next on foreverfabpodcast.com

Send us a textIn this episode Dr. Murali Premkumar (Texas Children's) presents an Explore/CHNC analysis of stricture formation after surgical NEC using 2010–2024 CHND data (2,411 surgical NEC infants). Overall CHNC stricture incidence ≈31% with marked inter-center variability (adjusted center rates ~24–38%). Multivariable analysis identified lower gestational age and stoma/laparotomy as associated with higher stricture risk, while initial peritoneal drainage associated with lower risk; Hispanic ethnicity showed lower unadjusted risk. A predictive model yielded AUC 0.67, highlighting missing variables (antibiotic duration, feeding practices). Practical implications: use these benchmarks to counsel families, generate hypotheses, and target QI by studying low-risk centers.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!