Podcasts about Tetralogy

Tres producciones discográficas del sello catalán Seed Music: del año 2023, 'Caravana', del Martín Leiton Quartet ('Upstairs', 'Friendship', 'Tuareg', 'Su vida'); del 2022, 'Traces of memory', del Lucas Martínez Project ('Unsettling peace of mind', 'The gardener', 'Declarations of solitude'); de 2021, 'Tetralogy', de Nestor Giménez Pocket Orchestra (L´arca de l´aliança', 'Les líneas de Nazca, ''Negociutat'). Escuchar audio

Hosts Mitsuaki Sawano, MD, and Nobuhiro Ikemura, MD, welcome Yoshitaka Kimura, MD, PhD, of Leiden University Medical Center, to discuss proactive ablation strategies in patients with repaired Tetralogy of Fallot (rTOF). Dr. Kimura presents data from a long-term, single-center study evaluating electroanatomical mapping and preventive ablation of slow-conducting anatomical isthmuses (SCAI) in rTOF patients without prior ventricular tachycardia (VT). The findings show that identifying and successfully ablating SCAI significantly reduced VT incidence, with all VT events occurring in patients where ablation failed. Moreover, this approach reduced the proportion of patients qualifying for ICD implantation from 25–51% under current guidelines to just 11%. Dr. Kimura underscores a paradigm shift in congenital heart disease management—from treating VT reactively to preventing it proactively—highlighting the value of data-driven, tailored care strategies that avoid unnecessary device implantation and better target high-risk individuals.

The Blasters & Blades PodcastJust two Army boys made good, chatting about this and that! Today we had fantasy author Jason P. Crawford on to get nerdy with us. We talked about our love of science fiction and fantasy. We chatted about the overlap of our service and fiction. Oh, and we talked about dragons! Then we dove deep into the worlds of the Dragon Monarch Tetralogy Series. This was a fun interview, so go check out this episode. Lend us your eyes and ears, you won't be sorry!! Join us for a fun show! We're just a couple of nerdy Army veterans geeking out on things that go "abracadabra," "pew," "zoom," "boop-beep" and rhyme with Science Fiction & Fantasy. Co-Hosts: JR Handley (Author) (Grunt)Nick Garber (Comic Book Artist) (Super Grunt)Madam Stabby Stab (Uber Fan) (Horror Nerd)We work for free, so if you wanna throw a few pennies our way there is a linked Buy Me A Coffee site where you can do so. Just mention the podcast in the comments when you donate, and I'll keep the sacred bean water boiling!Support the Show: https://www.buymeacoffee.com/AuthorJRHandley Our LinkTree: https://linktr.ee/blastersandbladespodcast Today's SponsorThe Shamans Bones by Hunter Kay Wallace: https://www.amazon.com/Shamans-Bones-Migratory-Farmers-Book-ebook/dp/B0CX5JNQZY Coffee Brand Coffee Affiliate Support the Show: https://coffeebrandcoffee.com/?ref=y4GWASiVorJZDb Discount Code: PodcastGrunts Coupon Code Gets you 10% off Dragon Monarch Tetralogy by Jason P. Crawford: https://www.amazon.com/dp/B09WM6S8KB Follow Jason Crawford on social mediaJason's Amazon: https://www.amazon.com/stores/author/B00VTV918G Jason's Website: https://www.jasonpatrickcrawford.com/ Jason's Twitter: https://x.com/jnewmanwriting Jason's Facebook: https://www.facebook.com/JasonPatrickCrawford Jason's Facebook Group: https://www.facebook.com/groups/1679625849653631 Jason's Newsletter: https://dl.bookfunnel.com/698aeckdq3 #scifishenanigans #scifishenaniganspodcast #bbp #blastersandblades #blastersandbladespodcast #podcast #scifipodcast #fantasypodcast #scifi #fantasy #books #rpg #comics #fandom #literature #comedy #veteran #army #armyranger #ranger #scififan #redshirts #scifiworld #sciencefiction #scifidaily #scificoncept #podcastersofinstagram #scificons #podcastlife #podcastsofinstagram #scifibooks #awardwinningscifi #newepisode #podcastersofinstagram #podcastaddict #podcast #scifigeek #scifibook #sfv #scifivisionaries #firesidechat #chat #panel #fireside #religionquestion #coffee #tea #coffeeortea #CoffeeBrandCoffee #JasonPCrawford #starwars #jedi #georgelucas #lucasfilms #startrek #trekkie #firefly #serenity #browncoat #wheeloftime #wot #robertjordan #brandonsanderson #gameofthrones #got #grrm #georgerrmartin #ChroniclesofNarnia #CSLewis #Deinonychus #Archaeopteris #BridgeToTerabithia #WereTheRedFernGrows #OldYeller #DavidEddings #Fallout #D&D #DnD #DungeonsAndDragons #Pathfinder #ArsMagica #AtlasGames #Belgariad #Belgarion #Malloreon

This special electrophysiology-themed issue of JACC, summarized by Dr. Valentin Fuster, dives into cutting-edge research on atrial fibrillation, pulsed field ablation, sudden cardiac arrest in athletes, and preventive strategies in congenital heart disease. From new therapies like finerenone to breakthrough mapping techniques, this episode captures the evolving sophistication and promise of arrhythmia management in modern cardiology.

Today I interview Jo Figueras. Jo is a Consciousness Expansion Educator, Facilitator, and Mentor with an international client base, offering elevated guidance and quantum embodiment through her unique multi-modality system, Spiritual Tetralogy. In this episode we discuss numerology, the Akashic Records, Human Design, Astrology, and how Jo brings all these systems together in her own unique modality.  

Designed specifically for busy leaders, this free 10-minute audit delivers impactful insights without demanding significant time - https://www.brendawinkle.com/audit In this episode of "Your Yes Filled Life," host Brenda Winkle and guest Jo Figueras dive into the transformative power of personal growth and spirituality. Jo, a metaphysical educator, shares her journey of moving to Portland during the pandemic, emphasizing the importance of community and authentic connections. They explore topics like soul contracts, human design, and the Akashic records, highlighting the significance of self-trust and the courage to embrace change. Brenda and Jo inspire listeners to say "Yes" to their true selves, offering tools and insights for navigating life's challenges with joy, hope, and empowerment. Tune in to hear... Personal growth and self-discovery Spirituality and metaphysical practices Importance of energetic hygiene and healthy boundaries Navigating fear of change and embracing transformation Understanding soul contracts and agreements The role of free will in shaping one's life Exploring human design and its impact on personal identity The significance of community and connection Balancing spiritual concepts with scientific perspectives Empowerment through self-acceptance and authenticity About Jo Figeuras Jo Figueras is a metaphysical and consciousness educator with an international client base, facilitating workshops and intuitive consultations using the multi-modality system of Spiritual Tetralogy®. She is the co-host of The Esoterix Podcast, a platform to discuss metaphysical & spiritual topics with a never-too-serious style. She also co-facilitates workshops and retreats in beautiful parts of the United States. To feed her creative soul, she is an Intuitive Jewelry Designer and Silversmith using her intuitive abilities to design custom commissioned pieces, based on her customer's Tetralogy. She lives and loves in the beautiful Pacific Northwest and is available for podcast guest appearances, speaking engagements and facilitation opportunities. FREE GIFT: Soul Agreements & Contracts: https://www.jofigueras.com/freebies Connect with Jo... Website: https://www.jofigueras.com/ Podcast: https://www.esoterixpodcast.com/ Instagram: https://www.instagram.com/spiritual_tetralogy/ Facebook: https://www.facebook.com/jfigueras1 Places studying paranormal psychology https://med.virginia.edu/perceptual-studies/resources/links-to-other-sites-of-interest/ https://library.duke.edu/exhibits/2020/parapsychology __________________________________________ Read the blog about this episode here Discover what's draining your energy and unlock clarity with this free, 10-minute Energy Audit tool: https://www.brendawinkle.com/audit Curious about a 1:1 with Brenda? Learn more about POWER Sessions https://www.brendawinkle.com/powersession Learn about healing and coaching with Brenda https://www.brendawinkle.com/healing Feel Better Fast Customizable PDF Guide - https://www.brendawinkle.com/feelbetterfast Contact Brenda Website: https://www.brendawinkle.com/ Instagram: https://www.instagram.com/brendawinkle/ Facebook: https://www.facebook.com/brenda.winkle111 TikTok: https://www.tiktok.com/@brendawinkle111 LinkedIn: https://www.linkedin.com/in/brendawinkle/ Keywords: Brenda Winkle, Joe Figueras, Your Yes Filled Life, personal growth, spirituality, metaphysical practices, energetic hygiene, healing the nervous system, healthy boundaries, empowerment, self-discovery, energy audit, spiritual tetralogy, Akashic readings, human design, soul contracts, free will, choice, community, connection, beginner's mind, science and spirituality, empathic abilities, highly sensitive people, intuitive consultations, metaphysical education, authenticity, transformation, quantum shift, inspired action, soul blueprints, past lives, boundaries with spirit, channeling, spiritual journey, Pluto in Aquarius, life path number, soul agreements, intuitive jewelry, workshops, personal agency, joy, ease, freedom, self-acceptance, courage, passion, connection with like-minded individuals, overcoming fear of change, navigating challenges, spiritual evolution.

This episode covers Tetralogy of Fallot.Written notes can be found at https://zerotofinals.com/paediatrics/cardiology/tetralogyoffallot/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

We've finally started one of the famous works of the ancient world! In this instalment, Achilles and Agamemnon have a falling out because of a slave girl, Aphrodite proves herself the worst and the war is nearly settled right there and then after a siege of nine years... Sources for this episode: Homer (2021), The Iliad & The Odyssey. Translated by S. Butler. Oviedo: Entreacacias, S. L. Frazer, J. G. (1921), Apollodorus: The Library (Volume I). London: William Heinemann. Graves, R. (1981), Greek Myths: Illustrated Edition. London: Cassell Ltd. Ovid (1955), Metamorphoses. Translated with an introduction by M. M. Innes. London: Penguin Books. Author unknown, Wikipedia (date unknown), Pentalogy (online) (Accessed 18/08/2024). Author unknown, Wikipedia (date unknown), Tetralogy (online) (Accessed 18/08/2024).

Scripture Text: Jer. 31:7-14; Luke 2:22-40 The Rev. Lane Cowin

Scripture Text: Isa. 61:10-62:5; John 1:1-18 The Rev. Dan Marotta

Scripture Text: Isaiah 9:1-7; Luke 2:1-20 The Rev. Dan Marotta

Scripture Text: Festival of Lessons & Carols; Luke 2:1-7 The Rev. Dan Marotta

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances discusses a recently published original research paper on technique and outcomes of intracardiac echocardiography to assist anatomical isthmus ablation in repaired Tetralogy of Fallot patients with ventricular tachycardia.

Send us a textEver thought you could lead an exhilarating life despite a congenital heart defect? Meet Ben Johnson, a formidable heart warrior born with tetralogy of Fallot. Tune in as Ben, now 45, recounts his spirited childhood and how his heart condition didn't stop him from being a vibrant, active child. From hospital memories to a loving family and supportive teachers, Ben's story is a testament to resilience and the power of a strong support system. He takes us through his childhood escapades, proving that with the right mindset and community, a heart defect doesn't have to define your limits.Our conversation with Ben reveals the intricate journey of living with congenital heart defects, focusing on the visible reminders, including his scars and tattoos, and their role in shaping his life narrative. Delve into Ben's fitness journey where he embraces an active lifestyle with weightlifting, debunking common myths about limitations for heart patients. With the guidance of a personal trainer and self-monitoring, Ben exemplifies how managing health proactively can lead to a robust and fulfilling life, inspiring others with heart conditions to pursue their ambitions confidently.The episode doesn't just stop at physical well-being. We explore the significant link between exercise and mental health, sharing personal triumphs over post-surgical discomfort and the incredible benefits of targeted workouts. From stretching and strengthening exercises to the profound impact of endorphins, discover how maintaining an active routine can elevate mood and reduce anxiety. Encouraging inclusivity in physical activities, we stress that everyone, irrespective of physical limitations, can find joy and freedom in movement. Join us in fostering a community of heart warriors, advocating for empowerment, and cherishing each milestone along our shared journeys.Ben Johnson's contact information: https://tinyurl.com/y9yw53njThanks to our newest HUG Patron, Ayrton Beatty and long-standing Patrons: Laura Redfern, Pam Davis, Michael Liben, Nancy Jensen, Alicia Lynch, Deena Barber, Carlee McGuire, Carter & Faye Mayberry, and Frank Jaworski. We appreciate you!Support the showAnna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite

On this week's Dads with Daughters podcast, we spoke with Kevin Baker, a certified life coach and father of three. Known affectionately as "Coach Kevin," he offers unique insights into parenting through his personal and professional experiences. This episode delved into various aspects of fatherhood, particularly focusing on raising resilient daughters amidst challenges. Whether you're a new dad or a seasoned parent, the lessons and strategies discussed provide valuable takeaways for all. The Initial Joy and Unexpected Challenges The Joy of Fatherhood Kevin Baker's journey into fatherhood was initially marked by joy and excitement—emotions that many of us can relate to. Upon learning that he would be having a daughter, his initial thoughts mirrored those of countless new dads: excitement quickly followed by planning. From due dates to potential weather conditions, Kevin and his wife wanted to be prepared for every scenario. Navigating Health Challenges However, their plans changed dramatically when their daughter was diagnosed with Tetralogy of Fallot, a congenital heart condition. This unexpected news threw Kevin and his wife into a whirlwind of medical appointments and surgeries. Through three open-heart surgeries, they learned an invaluable lesson about the unpredictability of life: planning is essential, but flexibility and emotional resilience are paramount. Facing Parenthood Fears Head-On Common Fears Like many fathers, Kevin faced immense fears, particularly concerning his daughter's future independence given her medical challenges. His fear extended into other areas, such as her social and emotional well-being. These fears initially overshadowed his joy but evolved over time. Kevin's story is a testament to the fact that all parents, regardless of their child's health, share common anxieties about their child's future. Overcoming Fear Kevin emphasized the importance of addressing these fears constructively. He learned to channel his anxiety into positive, actionable steps. "Letting go of expectations," he said, allowed him to focus on being present, loving, and patient. This mindset not only alleviated his fears but also enabled his daughter to thrive despite her challenges. Reprogramming the Parental and Child Scripts Resetting as Parents Resetting parental expectations begins with a broad perspective on life. Kevin and his wife realized that life's journey is long and unpredictable. They practiced zooming out to see the bigger picture, understanding that daily worries shouldn't overshadow long-term happiness and success. This perspective shift provided them with emotional stability and resilience, enabling them to navigate their daughter's health issues with greater ease. Empowering Their Daughter For their daughter, reprogramming her mindset involved instilling tools for self-empowerment. Kevin shared how they focused on open communication, consistent encouragement, and helping her develop critical life skills. A significant part of this was educating her about the reality of social media, debunking the myths of perfection that it often portrays. They reinforced her self-worth and capabilities, allowing her to combat negative thoughts effectively. Coaching Tweens and Teens: A Broader Perspective Understanding Teen Angst Working with teens and tweens, both professionally and as a father, has given Kevin unique insights into the adolescent mind. He emphasizes the importance of understanding the thoughts and feelings that teens experience daily. Many teens struggle with feelings of inadequacy, anxiety, and a lack of direction, often exacerbated by societal pressures. Strategies for Parents Kevin's primary advice for parents is to focus on connection and communication. Instead of pressing for immediate answers, he advises listening attentively—considering both words and body language—before responding thoughtfully. He acknowledges that parents might not always be the best confidants for their teens, suggesting the involvement of other trusted adults, like extended family members or professional coaches. Resources and Final Thoughts Kevin's experiences and advice emphasize the importance of patience, understanding, and clear communication in parenting. One resource he recommends is Tara Brach's book, "Radical Acceptance," which advises parents to pause and breathe before reacting. This practice empowers both parent and child to make better decisions. Closing Insights To summarize, Kevin Baker's journey offers invaluable lessons for all parents. His emphasis on patience, flexibility, and emotional resilience can guide us all in raising strong, independent children. Resources like "Radical Acceptance" and coaching can also provide valuable support as we navigate the challenges of parenthood. For those looking to explore more about Kevin's perspectives or seek personalized guidance, he is available through his website, lifecoachkevin.com, and various social media channels. Fatherhood is an ever-evolving role, and by embracing lessons from leaders like Kevin Baker, we can strive to be the best dads we can be.   TRANSCRIPT (Unedited transcript created with CASTMAGIC) Dr. Christopher Lewis [00:00:05]: Welcome to dads with daughters. In this show, we spotlight dads, resources, and more to help you be the best dad you can be. Dr. Christopher Lewis [00:00:16]: Welcome back to the Dads with Daughters podcast where we bring you guests to be active participants in your daughters' lives, raising them to be strong, independent women. Really excited to have you back again this week. I love being able to sit down, talk to you, work with you as we are working to be the best dads that we can be and to be able to raise those strong independent women that we all want our daughters to become. And that being said, as I've said in the past, and I'll say it again, I know it is so important that you're here today because that means that you're willing to learn, you're willing to listen, and you're willing to do what it takes to be able to get to that endpoint that you want for yourself and for your family. And to do that, you have to be willing to be open to listening, to learning, and to take it all in, and to figure out what works, and to figure out what works best for you and your family. Everything that you're gonna be hearing today may not work exactly for your family. And that's okay. Because each of us is going to father in different ways. Dr. Christopher Lewis [00:01:15]: There's not one right way to father, and there's no one playbook to follow to be able to know how best to be a father to your kids. There are so many different ways that you can do that. And what's most important though, is that you're willing to know and you're willing to learn and find some of those other tools that you can add to your own toolbox to put into place and to be able to try some of those out. Because you know what? You might learn something new about yourself and something new that you can put into place to help you be that dad that you wanna be. And that's why in every episode, I love being able to bring you different guests, different people with different experiences, different dads coming from different walks of life, and as well as other experts, other people that can help you to be that father that you wanna be. And this week, we have another great guest with us. This week, we have Kevin Baker joining us or otherwise known as coach Kevin. And coach Kevin's gonna be talking with us about his own experience as a father of 3, as well as Kevin is a certified life coach who works with families and teams and helps individuals to be able to build the best version of themselves. Dr. Christopher Lewis [00:02:26]: We're gonna be talking about that as well. So I'm really excited to have him here. Kevin, thanks so much for joining us today. Kevin Baker [00:02:32]: Oh, thanks for having me, Chris. It's a pleasure to be here. And I look forward to getting some insights from you too. This is great. Dr. Christopher Lewis [00:02:37]: I really appreciate you being here today. And one of the things that I love to do, 1st and foremost, is turn the clock back in time. And I know you've got 3 kids, 1 daughter, and 2 sons. And I wanna turn the clock all the way back. I know you've got a 14 year old daughter, so let's go back. Maybe it's 13 years, maybe it's 14 years, you never know. But talk to me about that first moment, that first reaction that you had when you found out that you were going to be a father to a daughter? Kevin Baker [00:03:02]: Oh, pure excitement and just so much joy. Overwhelming amount actually of excitement. And it quickly turned into, okay, what do I have to do next? What's the next step? What do we do? So a little bit of anxiety being a plan. We started to make arrangements, figure out this is the due date. Kevin Baker [00:03:18]: What's it going to be like? What's the weather going to be like? Where are we going to go? What are we going to do? How are we going to do it? And so we had this great plan. And then fast forward 8 months, final checkup at the doc, they said, We're seeing something with a heart and we want to get you guys over to the hospital to check it out. And 4 days later, our daughter was born and she was diagnosed in utero with a heart condition called Tetralogy of Fallot that would require intervention at some point, which was like a total shock to us. We did not expect this. We had these plans, but what about our plans? And so we very quickly learned that it's great to have plans, but you could pretty much throw those out the window. And that has been the MO for my daughter ever since for the last 14 years. And it's been great. What a great learning experience. Kevin Baker [00:04:01]: What a great way to what a great introduction into parenting is that it's great to have expectations and it's great to have plans, but really it's all out of your control. So don't stress too much about it when things deviate from what your perfect plan was. But fast forward 14 years, she's had 3 open heart surgeries. She had 2, her 1st year of life where they corrected the ASD and the VSD in the heart and fixed one of her valves and also fixed the bundle of tissue that was sort of in the way of things. But she just recently on May 2nd, had her 3rd open heart surgery and is fully recovered from that. And she's been swimming in the lake all summer. So it's been fantastic. And we live right outside of Boston, which is probably one of the best places in the world to have that sort of thing happen. Kevin Baker [00:04:38]: So we're grateful and we're blessed that we've been through it. And it's been a rollercoaster of feelings, ups and downs and but we know life is a long journey and we are giving her all the tools we possibly can for her toolbox to be strong and happy and successful whatever that means to her moving forward in life. So that is the short version of becoming a parent for me. Dr. Christopher Lewis [00:04:59]: Now, every father that I've talked to talks about fear, and your fears may be very different than some other dads, especially with some of these surgeries that your daughter has had to have in her first 14 years of life. But I'm gonna ask you the question anyways. As you entered into fatherhood, and as you've gone through these 14 years, what's been the biggest fear that you've had in raising a daughter? Kevin Baker [00:05:23]: You know, that's a great question. The biggest fear that I've had, just because my daughter has had so many challenges I would say that she's had to overcome and she still does. She's got some communication issues, you know, some social emotional stuff happening, you know, which a lot of kiddos do. But I think my biggest fear is that she wouldn't be prepared for life outside of the house when it's time for her to be independent. And that was a fear of mine. However, it's not a fear of mine anymore. And I have been able to take all those thoughts and all those fears that I've had and let them go and sort of let go of all my expectations about what she's going to do when she gets older, who she's going to be when she grows up and just know in my heart and in my soul that we're are doing the best job that we possibly can to help this kiddo figure out who she wants to be on her own. And she's learning and she's doing great. Kevin Baker [00:06:12]: And that all gets reinforced to us through parent teacher conferences or speaking with other adults that help out along the way to raise our family and when I'm able to let go of the fears and let go of the expectations and just know that everything's going to be okay because we have the tools to deal with it, then we're all a lot happier for it. And so, I try to not be afraid of anything because that doesn't serve anyone. Dr. Christopher Lewis [00:06:39]: You're not the only father that has had to have those fears and has not had a child that has had to have all of those challenges within her life and that they've had to deal with in their life. But not every father has had to also deal with those. And sometimes things can change. Things can get thrown through a loop, and you've definitely had to deal with that. I guess as I think about that and what you just said, I've got 2 questions. 1st, tell me about what you and your significant other had to do to be able to reset that mindset. I'm gonna say maybe programming. Reset the script that you had in your brain about how things were going to be versus how they were? And then, 2, how have you had to work to help your own daughter to reset her script about the way in which she had to see this for herself? Kevin Baker [00:07:34]: The first an the answer to the first question is that, you know, we really in order to reset the script as parents, we had to zoom way out on life and realize that, you know, life is a long journey. And, you know, everybody goes through stuff day to day that gets you emotional. It gives you different thoughts that you have to work through and overcome. There's a lot of worry. The world is a busy, hectic and anxiety inducing place when you think about all the things that could happen in life. But being able to zoom out and know that, yeah, some days are really, really hard. But if you think about it the right way and you know that tomorrow's another day and it's all going to be fine and we have the tools and we have the for instance, the greatest medical professionals, some of the greatest medical professionals in the world here to help us deal with some of this stuff and know that we are smart and capable adults that can work through any problem that presents itself to us. All we have to do is breathe and reason and have the resources that we were taught to use growing up, that we're going to get through it and it's going to be okay. Kevin Baker [00:08:33]: And yeah, there are a lot of nights where there's anxiety about what's going to happen. Is she going to be okay? Is she going to be able to play on the playground? Is she going to have restrictions? Is she going to be able to get a job one day? Is she going to be able to drive? All these things that us as parents we worry about. But really, if we just focus on being present and showing love and having patience, then we have everything we need to be the best parents we can be and taking the anxiety and the worry about the future out of it and just focus on the present and do the best we can. That's how we get by day to day. And yes, some days are hard, but we get through it. We keep our positive mindset and we get through it and you know it gets better. And once you know it the next day when you tell yourself it's all going to be fine, it actually is. And how has my daughter been able to reset? We've given her a lot of tools and she's developed a lot of tools to be able to keep up with her classmates and her peers and to be able to communicate as effectively as possible with her teachers and her other trusted adults. Kevin Baker [00:09:32]: And we tell her that she's doing a great job and we congratulate her and we're her cheerleader and we keep an open and transparent relationship so we can communicate and try and figure out what thoughts are you having and how can we help you with whatever you're dealing with? And just to keep that open dialogue and communication and let her know that everything's going to be okay. And now that she's 14, a lot of the reset is trying to impress upon her that what some of the stuff she might see online or on social media isn't really the whole truth. And some of these folks may be just showing you the top 1%, all the good stuff that's happening in their life. And maybe you don't have the fear of missing out on that because that might not be a 100% real. So bringing that all back down to reality, is a really important aspect of keeping that reset in play. Dr. Christopher Lewis [00:10:15]: It is such an important thing. I've seen it in my own daughters, and I know that so many parents do, especially in those tween and teen years. And I mentioned the fact that you had a lot of opportunity over your career to be able to work with teens and tweens, to be able to really look at who they want to be, but also how they want to get there, and helping people and helping teens in that way. Kevin Baker [00:10:42]: You know, the number one thing that I hear from kiddos all the time, and one of the things that we work through, because I think it's the most important thing to work through with them, is what is going on in their mind, and what thoughts are they having when they're put in certain situations that are causing the feelings and emotions that they're having that are causing the actions or non action that they're taking, which is leading to results that are either what they're looking for or not what they're looking for. So digging into what issue are they having? Is it an issue about friends? Is it academic performance? Is it something happened to do with anxiety? Or is it a lack of motivation? All these things that the parents see as red flags for instance, when they are, you know, spending too much time on the computer or not getting good grades or not socializing with too many friends or not finding interest in things that are happening in and around their life. And so, what we talk about right off the bat is what are the thoughts that you're having? And a lot of them are having thoughts that they're not good enough or they're never going to make it or, you know, they'll never be, you know, rich and famous or they don't know what they want to do with their life or they're wasting time or, you know, all these negative, deconstructive, limiting beliefs that they've had through inputs from parents, teachers and you know, there's a saying, it's parents, teachers, and preachers that really influence the belief systems that we have and parents influence their kiddos with beliefs without even knowing that they're actually programming the mind of their child. So digging into really what are those beliefs? What are those thoughts you're having? And why are you having that thought that you're not good enough? And how did that come to be? And then dissecting it. And then giving them an opposite, more empowering, constructive thought like actually, you know, with practice, I will be good enough and I could actually be one of the best or I am going to make it. You know, with hard work and persistence, I am going to make it and I'm going to be one of the best. And give them that mindset that when they have one of those negative thoughts and they have a thought that they know is not a fact to analyze that, and they come up with a new thought that empowers them. And when they have the ability to change that, to recognize that they are not their thoughts and the thoughts are just an internal narrative that's happening, everybody has it. Kevin Baker [00:12:53]: It's a voice in their head and everybody has it, but when you can control it so that it tells you so that it doesn't hold you back and it actually pushes you forward so you can get through whatever's holding you back without talking yourself out of it, that's where we want to be with the kiddos. You know, we want to give them the ability to empower themselves when a situation arises so that when they start to feel negative or they have an experience and, you know, they think they're not good enough, that they tell themselves like, hold up, you are good enough, you got this, Just do it. Dr. Christopher Lewis [00:13:22]: And one of the things that can get really challenging in those teen and tween years is that your your children are going to are going through this transition, are going through this transition that all of us went through as kids, where they begin to test the waters even more and test the values and the family mores that have been put into place and that they've been growing up with to try to identify who do they, who are they, who do they wanna be, who are they, to try to identify who they are and who they want to be. And that can be really challenging for parents in many different ways. So I guess I'd love to have you talk to me a little bit about the work that you've done with tweens and teens. And as you're working with them as individuals from their perspective, what are you hearing from them? What are some of the things that they're saying to you? And I know you're trying to work with the parents as well because sometimes parents just don't understand as they're trying to parent these kids through what they're going through. So are there things that they can do to be able to reconnect and be able to understand their kids in a different way? Kevin Baker [00:14:28]: Well, that's a great question, and and it's it's almost a trick question because when you're a parent asking those questions and trying to understand your kiddo, they don't always respond, and it doesn't work. Parents, it doesn't work when you're trying to do that with your kiddo. That's why it takes a village, and you need to have other trusted people in your circle that can work with you and your kiddo to get to the bottom of it because they're not gonna be as open with you no matter what. You could be the you could have the closest relationship. Like this kind of stuff doesn't work with my kids. It works great with everybody else's but, you know, there's a thing. We have a limit on what we can do. So and it's just because they see us 20 hours a day or whatever it is. Kevin Baker [00:15:07]: You know, it's because we're there. We have all these other roles and responsibilities that sometimes prevents us from cracking the code with our own kiddos. But I would say that letting your kiddo know that, Hey, I'm here for you if you need anything, like if you want to talk. And really the first thing to do is connect. Like find the one thing that you can do to really connect with your child because it might be sitting down and watching them play a video game and asking them questions about it and then see what conversation comes from that. But showing them that you're there and you care, and then making that judgment as a parent, it's like, Is there something going on? And what can we do to help you get through some of this stuff? And they might have an aunt or uncle that they respect that's not the parent that can come in and open them up a little bit and get into that conversation. Or before you go to therapy, I always say triage with coaching because, you know, a lot of the stuff can be talked through. And when we focus on the positive with coaching, sometimes people don't need to go to therapy. Kevin Baker [00:16:08]: Sometimes they do need to go to therapy. But parents start with connection and communicating and letting them know that you're there and you care is the number one thing. Dr. Christopher Lewis [00:16:15]: So listening to what you just said, one question that still comes to my mind is if your child is having those thoughts, if you're noticing it, where's the best place to start in having these conversations with them, to engage with them, and to try to help them understanding that we may not understand completely what's going on as well? Doctor. Robert Whitfield Kevin Baker [00:16:33]: (zero forty five:fifty four): And people change along the way. Parents change along the way. I've had 3 kids, and I think that they each have sort of had a different version of me as their father, as I've become a better dad or not, depending on which kid you ask. But we learn, and we get new tools, And I have become a better father. Over the 14 years, you know, you learn as you go, and the kiddos change drastically. Dr. Christopher Lewis [00:16:53]: I love that concept because I think that sometimes parents get themselves into a situation where they're racking their brains, and they're trying to figure out how can I connect with them better? How can I do something to be able to reconnect? And it doesn't always happen. Now, I am making a generalization because every child is different. And as you inevitably probably either have heard or will hear, older people are always saying to newer parents, oh, you know, just wait until those teenage years. Well, the teenage years are not always going to be challenging. They may be, but they're not always going to be. So you have to realize that every child is different. And when you have multiple kids, each of your children may be different when it comes to how they go through their tween and teenage year experiences for themselves. So as you're going through this with your kids and you're realizing that each of your children are going to be different, sometimes you have kids that are going through this at the same time, and you have to have a different approach. Dr. Christopher Lewis [00:17:53]: And you have to have a different approach to working with your children. It's not always a rinse, wash, and repeat. What do you say to parents when it comes to parenting multiple tween or teens during the same period? Because we know that each of them are not going to be able to go through the same process together. Kevin Baker [00:18:12]: Yeah. I think it's important to know that all kids are different. And, yes, they all come from you, but they are all very, very much different. And they all have their own vision. They all have their own vision, their own subconscious, and, and they all need to be treated similarly, but they're all gonna have different needs. And so trying to identify, I guess, what each kiddo needs that's different from one another is something you have to really be aware of. And that comes from listening. And when your child's talking to you, not racking your brain, thinking about what you're gonna say back to them, but to actually just listen, like to all the words and how they're saying it and what their body language is telling you while they say it. Kevin Baker [00:18:52]: And then take all that information in and determine what your response is going to be. And to not react right away, but to give it time and pause and let everything they're saying go through the emotional part of processing and give it a minute and then reply with a reasoned response is the best way to try and figure out who each one of your kiddos is individually. And then let them know that they have such special characteristics and, you know, they have this unique identifier that is them and their personality and what you love about it to help foster that sense of individuality and to build up their self confidence and their self esteem and their self-concept because they all need to have, they all need to know their important qualities and their characteristics and their values. Like you might have a kiddo who's very sensitive and empathetic and caring and loving and really cherishes family and friendships. And you might have another kiddo who is a little bit, I don't know, more outgoing. Maybe they're a jokester. You know, maybe they are the life of the party. You know, maybe they were always the ones doing magic tricks growing up, trying to be the center of attention. Kevin Baker [00:20:00]: You know, so all kids are different, and they all have their different qualities in trying to foster that so that your kiddos grow up with their own sense of self-concept which will carry them through life. And that's the thing that on the hard days when they get faced with an issue with friends or something academically that they can say like, You know what? I'm really smart and I can do this. Or, I am super friendly and no matter what that person says, like, I know I'm me and I am a great person and I can do this and I can make these friends or whatever the case may be, but giving them that sense of self. Dr. Christopher Lewis [00:20:30]: Now, I know that you've worked with a lot of not only tweens and teens but also parents. And as you work with these individuals, are there any resources that you encourage parents or fathers to refer to as they're going through this period of time with their teen and tweens? Kevin Baker [00:20:45]: I mean, there are some great podcasts out there, this being one of them. There's so many different resources for parents to dig in and to really spend time paying attention to. I think one of the authors that I think is really hitting the nail on the head is her name is Tara Brach. Tara Brach wrote and really the essence of it is to when you are faced with a situation with your kiddo and you don't know what to do, and maybe you're having an argument, maybe you want them to do some chores that they are procrastinating on. Maybe there's something you need them to do that they're not doing it and you're about to get really with them, but to pause and breathe. The book is called Radical Acceptance. And in essence, it is, you know, accept that your kiddo is their own person and they know the right answers in their subconscious. They know what to do and they want to please their parents. Kevin Baker [00:21:36]: And if we pause and we breathe and we give them a chance to do that without intervening, kids will make the right decisions. And to be able to practice that and then actually see it happen, like right before you knock on your kiddo's door, after you've asked them to come down for dinner half a dozen times and they're still up there playing Fortnite or whatever it is, just walk away and don't nag them anymore and let them make the decision and let them make the choice and have the consequence because it's all a learning experience. And reading that book, Radical Acceptance, was a game changer for me in parenting and I'm happy to share that resource with whoever's interested. Dr. Christopher Lewis [00:22:10]: Now, we always finish our interviews with what I like to call our fatherhood 5, where I ask you 5 more questions to delve deeper into you as a dad. Are you ready? Kevin Baker [00:22:18]: Yep. Ready. Dr. Christopher Lewis [00:22:18]: In one word, what is fatherhood? Kevin Baker [00:22:20]: Patience. Dr. Christopher Lewis [00:22:21]: When was the time that you finally felt that you succeeded at being a father to a daughter? Kevin Baker [00:22:25]: When she made the honor roll. Dr. Christopher Lewis [00:22:26]: Now, if I was to talk to your 3 kids, how would they describe you as a dad? Kevin Baker [00:22:30]: Maybe cringey. A little bit cringe. It's a new term that when I tell my dad jokes, they don't sometimes they don't find them funny, they find them cringey. But I'd say fun, most of the time. Dr. Christopher Lewis [00:22:38]: Who inspires you to be a better dad? Kevin Baker [00:22:40]: Let's say my father. Dr. Christopher Lewis [00:22:41]: Now, you've given a lot of piece of advice today, things that every dad can think about. What's one piece of advice you'd wanna give to every dad? Kevin Baker [00:22:47]: I would say breathe. Breathe. When it gets tough, just breathe and let the emotion pass because emotions change. You might have an emotion of anger or being overwhelmed or being anxious about a certain situation your kid may or may not be faced with. But I think breathing is the most important thing we can do. Dr. Christopher Lewis [00:23:03]: Well, Kevin, I just wanna say thank you for helping teens and tweens, and thank you for being here today for sharing your wisdom on working with those teens and tweens, and for telling us more about your experience as a father. If people wanna find out more about you, where should they go? Kevin Baker [00:23:17]: Sure. They can go to life coach Kevin.com. So on Instagram at life coach Kevin and on Facebook at teen life coach. Happy to have consultation calls with anyone that's seen some red flags. If you're frustrated or confused with what's going on with your kiddo, feel free to sign up for a call, and we can chat through it and see if working together might be the right fit. Dr. Christopher Lewis [00:23:33]: I really appreciate you being here today, and I wish you all the best. Kevin Baker [00:23:37]: Same here, Chris. Thanks a lot. Dr. Christopher Lewis [00:23:38]: If you've enjoyed today's episode of the Dads with Daughters podcast, we invite you to check out the fatherhood insider. The fatherhood insider is the essential resource for any dad that wants to be the best dad that he can be. We know that no child comes with an instruction manual and most dads are figuring it out as they go along, and the fatherhood insider is full of resources and information that will up your game on fatherhood. Through our extensive course library, interactive forum, step by step road maps, and more, you will engage and learn with experts, but more importantly, dads like you. So check it out at fathering together dot org. If you are a father of a daughter and have not yet joined the dads with daughters Facebook community, there's a link in the notes today. Dads with Daughters is a program of fathering together. We look forward to having you back for another great guest next week, all geared to helping you raise strong empowered daughters and be the best dad that you can be. We're all in the same boat, and it's full of tiny screaming passengers. We spend the time, We give the lessons. We make the meals. We buy them presents and bring your a game. Because those kids are growing fast. The time goes by just like a dynamite blast. Calling astronauts and firemen, carpenters, and muscle men, get out and be the world to them. Be the best dad you can be.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on cumulative radiation exposure and lifetime cancer risk in patients with Tetralogy of Fallot requiring early intervention.

Lori Myers, shares her experience living with VSD and Tetralogy of Fallot, which caused her to be born as a "blue baby" and have various health issues throughout her life. After multiple surgeries and diagnoses, she was eventually told she had pulmonary arterial hypertension (PAH). Despite the prognosis, Lori is now in her tenth year since the diagnosis. She emphasizes the importance of listening to one's own body and following medical advice. Lori finds strength in her family, particularly her grandchildren. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Follow us on social @phaware  Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com

This week we listen in on a debate from the PICS 2024 Symposium that occurred two weeks ago in San Diego. Today's debate is between master surgeon, Professor of Surgery at UCLA, Dr. Glen S. Van Arsdell taking the position of superiority of primary TOF repair and going up against Dr. Van Arsdell is noted master interventional cardiology expert, Professor of Pediatrics at Baylor College of Medicine, Dr. Athar M. Qureshi. Prepare for a spirited 'debate' between these two experts in their field. Apologies in advance for some sound deficiencies but the orators can be heard clearly enough to allow for an engaging back and forth and learning experience. Has either speaker swayed you? Take a listen!

Riata shares her story of her baby Riana and the diagnosis of Tetralogy of Fallot and Atrioventricular septal defect (AVSD, a heart defect) and T21. Riata was 29 at the time of this first pregnancy. She had to travel for care, due to living in a very rural part of Wyoming. Riata wishes to share her story to remind those opposed to abortion that abortion bans affect more than their propaganda "poster child" of abortion. It doesn't discriminate by demographics, religious affiliation, political party, or social status - because it is healthcare! Riata has also shared her story in an advocacy manner in other publications: https://www.nytimes.com/.../27/us/abortion-women-tfmr.html https://www.cbsnews.com/amp/news/roe-v-wade-reversal-brings-uncertainty-in-states-with-trigger-laws/ Resources mentioned:1.“Releasing a Wanted Pregnancy” TFMR support & resources pamphlet. Free download here: https://www.thetfmrdoula.com/pamphlet 2.The TFMR Support Circle, our free Facebook group for termination for medical reasons (TFMR) parents. Apply to join here: https://www.thetfmrdoula.com/facebookgroup And if you would like to share your TFMR Story on "Our TFMR Stories," email me here to find out more: sabrina at theTFMRdoula dot com Music clip:Pamgaea by Kevin MacLeodLink: https://incompetech.filmmusic.io/song/4193-pamgaeaLicense: https://creativecommons.org/licenses/by/4.0/

Season 5 is here and we have SO MANY GUESTS in store for you! But first, we wanted to start the season off with a simple convo about what we've been up to this summer and talk about rando topics like astrology, a few events we have coming up in Portland and Riverside.. and politics (Um Hello Madame President!). So pop in your ear-buds, and lets catch-up like the old friends we are! We are SO HAPPY to be back! 

Season 5 is here and we have SO MANY GUESTS in store for you! But first, we wanted to start the season off with a simple convo about what we've been up to this summer and talk about rando topics like astrology, a few events we have coming up in Portland and Riverside.. and politics (Um Hello Madame President!). So pop in your ear-buds, and lets catch-up like the old friends we are! We are SO HAPPY to be back! 

This week we review a novel multivariable model used to predict mortality in the repaired tetralogy of Fallot patient. Can this model identify who amongst the repaired TOF patients is at risk for death in the coming years? What are the most important inputs to this model? Why does the use of a validation cohort provide greater strength to this model and is there still room for improvement in the model? Can the data in this work help inform decisions regarding pulmonary valve replacement timing? These are amongst the questions posed to the senior author of this work, Cardiologist-in-Chief at Boston Children's Hospital and Professor of Pediatrics at Harvard University, Dr. Tal Geva. Novel risk calculator: https://github.com/rTOF-INDICATOR/MORTALITY-RISK-Scoredoi: 10.1161/JAHA.123.034871. Epub 2024 Jun 11.

CardioNerds Dr. Josh Saef and Dr. Tommy Das join Dr. Omkar Betageri, Dr. Andrew Geissler, Dr. Philip Lacombe, and Dr. Cashel O'Brien from the Maine Medical Center in Portland, Maine to enjoy an afternoon by the famous Portland headlight. They discuss a case of a patient who presents with obstructive cardiogenic shock. Dr. Bram Geller and Dr. Jon Donnelly provide the Expert CardioNerd Perspectives & Review segment for this episode. Dr. Maxwell Afari, the Maine Medical Center cardiology fellowship program director highlights the fellowship program. Audio editing by CardioNerds Academy Intern, student doctor Tina Reddy. This is the case of a 42 year-old woman born with complicated Tetralogy of Fallot repair culminating in a 29mm Edwards Sapiens (ES) S3 valve placement within a pulmonary homograft for graft failure who was admitted to the cardiac ICU for progressive cardiogenic shock requiring vasopressors and inotropic support. Initial workup showed lactic acidosis, acute kidney injury, elevated NT-proBNP, and negative blood cultures. TTE showed at least moderate biventricular systolic dysfunction. She was placed on furosemide infusion, blood cultures were drawn and empiric antibiotics initiated. Right heart catheterization demonstrated elevated right sided filling pressures, blunted PA pressures with low PCWP, low cardiac index, and low pulmonary artery pulsatility index. Intracardiac echocardiography (ICE) showed a large mass within the ES valve apparatus causing restrictive valve motion with a low gradient across the pulmonic valve in the setting of poor RV function. Angiography revealed a large filling defect and balloon valvuloplasty was performed with immediate hemodynamic improvement. Blood cultures remained negative, she was gradually weaned off of inotropic and vasopressor support, and discharged. Despite empiric treatment for culture negative endocarditis and ongoing anticoagulation, she was readmitted for recurrent shock one month later at which time the pulmonic mass was revisualized on ICE. A valve-in-valve transcatheter pulmonary valve (29mm ES S3) was placed to compress what was likely pannus, with an excellent hemodynamic result and no visible mass on ICE. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media Pearls - Obstructive Cardiogenic ShocK Tetralogy of Fallot is the most common cyanotic defect and can lead to long term complications after surgical repair including chronic pulmonary insufficiency, RV dysfunction, residual RVOT obstruction and branch pulmonary artery stenoses. Chronic RV failure may be more indicative of a structural defect and therefore require interventional or surgical management. Valve thrombosis, infective endocarditis and obstructive pannus formation should be considered in the differential of a patient with obstructive shock with a prosthetic valve. Bioprosthetic pulmonic valve obstruction may be effectively managed with balloon valvuloplasty in patients who present in acute extremis but TCPV will likely provide a more lasting result. While valvular gradients are typically assessed via echocardiography, invasive hemodynamics can serve as a critical adjunctive tool in its characterization. Show Notes - Obstructive Cardiogenic ShocK Notes were drafted by Drs. Omkar Betageri, Philip Lacombe, Cashel O'Brien, and Andrew Geissler. What are the common therapies and management for Tetralogy of Fallot? Tetralogy of Fallot is the most common cyanotic defect in children beyond the age of one year Anatomic Abnormalities: Anterior and Superior deviation of the conal septum creating a SubAo VSD and encroachment on the RVOT.

Happy New Year! We jump into the Wordhole with Tetralogy, and we devolve quickly thanks to Skrewball Peanut Butter Whiskey. In this episode: We discuss how late is too late to wish someone a happy new year, or a happy other holiday we get our 2024 predictions out into the universe it's the first trip to the sports desk with D-Low We find the origin story of “giving him the business” Did we encourage Nabisco to finally right the wrong with Oreogate? Unfortunately, we didn't have the time to dedicate to slang terms in the episode since it ran too long. Maybe we'll give it out as a special edition later. Like us, love us, or hate us…we are proof that there is a better podcast!

Welcome twin sister Regina and her husband Shane In this episode of "Pushing Forward with Alycia | A Disability Podcast," Alycia Anderson invites her twin sister, Regina Weinstein, and brother-in-law, Shane, to share their poignant journey with their daughter Ella, who was born with Congenital Heart Defect (CHD). As we observe American Heart Month and Congenital Heart Defect Awareness Week (CHD), their story serves as an offering of hope, boundless strength, and the unbreakable love of family in the face of life's challenges. Through Ella's journey, Alycia and Regina reflect on their twin connection, as if the shared strength flows through her. Key Highlights:

Download for FREE today -  special Mnemonics Cheatsheet - so you can be SURE that you have that Must Know information down:  bit.ly/nursing-memory   Outline The 4 T's T-Tetralogy of Fallot T-Truncus Arteriosus T-Transposition of the Great Vessels T-Tricuspid Atresia Description Cyanotic heart defects are a group of congenital heart defects that result from deoxygenated blood by-passing the lungs and going into systemic circulation. Tetralogy of Fallot includes 4 anatomical abnormalities that are pictured below. Truncus Arteriosus is a condition where the pulmonary trunk and aorta don't properly divide in development. This results in one large vessel carrying mixed blood to the heart, lungs, and systemic circulation. Transportation of the Great Vessels is a condition where vessels are swapped or may be in abnormal positions. Tricuspid Atresia is a condition where there is no tricuspid valve, which leads to an undersized or absent right ventricle.

We have a great show for you this Saturday which will provide all of the answers you have come to expect from The Word on Medicine. This week's program discusses Congenital Heart Disease. Congenital heart surgeons, Dr. Michael Mitchell and Dr. Tracy Geoffrion, along with a patient and her mother, discuss an overview of congenital heart disease, reasons for surgery, and Tetralogy of Fallot. Tetralogy of Fallot is a group of four congenital heart defects that babies can be born with that make it difficult for them to get oxygen, and requires surgery to repair. Listen to this inspiring story of a thriving 8-year-old girl born with Tetralogy of Fallot and the amazing lifesaving work being done at Children's Wisconsin.

A look at the main forms of congenital heart disease including Left to Right Shunts (VSD,ASD, Patent Ductus Arteriosus, Anomalous Pulmonary Vein Connections) and Right to Left Shunts (Tetralogy of Fallot, Transposition of the Great Arteries, Ebsteins Anomaly). Heart Sounds by:Easy Auscultation https://www.easyauscultation.com/heart-soundsLicense https://drive.google.com/file/d/1alTtvcl4sXTwPLhTYIxRps-deCVbGQRz/view?usp=drive_linkVolumes altered - no other changes made. Consider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Congenital Heart Disease?0:20 Types of Congenital Heart Disease Overview1:07 Normal Anatomy & Physiology 1:43 Left to Right Shunting Pathophysiology (Eisenmenger's Syndrome)3:04 Ventricular Septal Defect (VSD)5:25 Atrial Septal Defect (ASD)7:35 Patent Ductus Arteriosus (PDA)11:16 Anomalous Pulmonary Venous Connections (APVC)13:53 Tetralogy of Fallot (TOF)14:49 Transposition of the Great Arteries (TGA) 16:02 Ebstein's Anomaly17:45 Aortic Coarctation References:BMJ Best Practice (2023) Congenital Heart Disease. Available at https://bestpractice.bmj.com/topics/en-gb/1308/detailsArvanitaki, A (2020) Eisenmenger syndrome: diagnosis, prognosis and clinical management. Available at **https://heart.bmj.com/content/106/21/1638Remien, K & Majmunda, S.H (2023) Physiology, Fetal Circulation. Available at https://www.ncbi.nlm.nih.gov/books/NBK539710/MSD Manuals Pro. Congenital Cardiovascular Anomalies. Available at https://www.msdmanuals.com/en-gb/professional/pediatrics/congenital-cardiovascular-anomaliesPlease remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. 

CardioNerds (Amit Goyal and Daniel Ambider) ACHD series co-chair Dr. Daniel Clark (Vanderbilt University), cardiology FIT lead Dr. Stephanie Fuentes (Houston Methodist Hospital), and Dr. Frank Fish, a Pediatric Electrophysiologist and the Director of the Pediatric Electrophysiology (EP) Lab at Monroe Carrell Jr Children's Hospital at Vanderbilt University. He is a board certified Adult Congenital Heart Disease (ACHD) physician and has a wealth of experience performing EP procedures in adults living with congenital heart disease. Audio editing was performed by student Dr. Shivani Reddy. In this episode, we discuss key concepts and management of electrophysiologic issues that we can encounter when caring for adults with congenital heart disease.  Arrythmias in adults with congenital heart disease can be intrinsic due to the defect itself or as a consequence of the interventions that they have undergone to palliate and/or repair these defects. The complex anatomy of these patients and the years of pressure and volume load make them not only exquisitely hemodynamically sensitive to arrhythmias (that may otherwise not be of much consequence to the general population) but they also make interventions (catheter ablation or device implant) complex. We therefore embark in a case-based discussion of patients with ACHD (Fontan circulation, Ebstein's anomaly and Tetralogy of Fallot) in an effort to highlight the presentation of arrythmias and the management strategy in this very important group of patients. The CardioNerds Adult Congenital Heart Disease (ACHD) series provides a comprehensive curriculum to dive deep into the labyrinthine world of congenital heart disease with the aim of empowering every CardioNerd to help improve the lives of people living with congenital heart disease. This series is multi-institutional collaborative project made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Josh Saef, Dr. Agnes Koczo, and Dr. Dan Clark. The CardioNerds Adult Congenital Heart Disease Series is developed in collaboration with the Adult Congenital Heart Association, The CHiP Network, and Heart University. See more CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Electrophysiology in ACHD Patients with Fontan circulation have a high risk of developing atrial (and ventricular) arrhythmias and they are highly sensitive to the hemodynamic consequences that these arrythmias ensue.  The goal of therapy then should be to achieve sinus or atrial paced rhythm. Rate control should NOT the goal. Patients with Ebstein's anomaly have high arrhythmic potential. They can have multiple accessory pathways (especially right sided) which can in turn be associated with sudden cardiac death. We should have low threshold for EPS +/- catheter ablation in patients with WPW pattern. Patients with Tetralogy of Fallot have a unique risk for SCD that warrant ICD implant apart from the standard criteria (LVEF 180 ms) and surgical repair approach. Patient's anatomy is the major consideration when implanting devices (PPM/ICD). We ought to assess for residual intracardiac shunt at the atrial level and consider closing if feasible prior to placing a device. CRT has merit in systemic LV but less so in systemic RV. Notes- Electrophysiology in ACHD What should we know about atrial arrhythmias in a Fontan patient? Intraatrial re-entrant tachycardia (IART) is slower than typical atrial flutter with atrial rates generally

Alex and Jamie finish off the York Tetralogy with four adaptations of Richard III. We discuss how vastly different the play reads in isolation compared to being the fourth chapter of a Tetralogy. Listen to discussion of Return of the Jedi, Oliver's camp, the Hobbit movies, and the Abdication Crisis.

Do you want to become a confident advocate for your child's medical needs? Are you searching for a solution to navigate the complex world of medical care for children with conditions? Join us as we welcome Kayleigh Koehler, a Child Life Specialist who has transformed into a medical parent. She will be sharing valuable insights and strategies on how you can achieve the ultimate goal of becoming a knowledgeable and effective advocate for your child's medical journey. Get ready to embark on a transformative journey towards becoming the empowered advocate your child needs. Kayleigh Koehler is a remarkable and multifaceted individual who navigates through life wearing various hats. As a wife to her high school sweetheart Mitch and a mother to their charming four-year-old son, Hudson, Kayleigh's world is filled with love and profound resilience. Professionally, she is a dedicated child life specialist working tirelessly in a cardiac ICU. Her firsthand expertise and personal connection to her job started to take a unique and powerful perspective when her unborn son was diagnosed with a heart condition. Kayleigh's courage, wisdom, and gutsy perseverance inscribed an unforgettable chapter in her life story where her professional and personal world astoundingly intertwined. Because of this experience, I am a better child life specialist. Because I understand the world in a different way that I simply could not understand when I wasn't a mom. - Kayleigh Koehler    The key moments in this episode are: 00:00:00 - Introduction, 00:01:42 - Reflections on Trauma and Mental Health, 00:09:47 - Advocacy and Empathy in Child Life, 00:13:21 - Permission to Coexist with Messiness, 00:13:56 - Conclusion, 00:16:17 - Introducing a New Course for Parents, 00:17:25 - The Importance of Advocacy, 00:21:05 - Speaking Up for Change, 00:24:35 - The Pressure of Being a Parent Advocate, 00:27:08 - Differentiating Between Healthy and Unhealthy Advocacy, 00:30:45 - The Importance of Support and Self-Care, 00:31:38 - Utilizing Social Media for Connection, 00:32:03 - Prioritizing Mental Health, 00:33:08 - Dreams and Future Aspirations, 00:33:28 - Resources and Support Whether you are a parent or professional, we want you to join our community. Sign up for our newsletter here. Parents, download our free parent starter kit. When you download our starter kit, you'll learn how to: Give medicine to your child without it becoming a wrestling match Prepare your child (and yourself) for a shot so they can feel less anxious Create and use a coping plan for any medical appointment or procedure The first sign of sniffles, or worse, shouldn't send you into a tailspin. Feel confident in your role as a parent and advocate, no matter what medical situation you're facing. Child life specialists, get affordable PDUs on-demand here. Shop for your CLOC gear here. Feel empowered with Child Life On Call's Mastering Immunizations: Expert Tips to Prepare, support and respond like a Child Life Specialist  Course for Parents, Child Life Specialists and Clinicians!

In today´s episode we speak to British pro wheelchair tennis player Alfie Hewett.Alfie is 25 and already a 25-time Grand Slam Champion, winning 7 singles and 18 doubles titles with fellow Brit Gordon Reid. Born with the congenital heart defect Tetralogy of Fallot, Alfie was diagnosed with Perthes Disease at the age of six. He chats to CTC Host Dan Kiernan about his journey from being told he was wheelchair-bound at just 7-years-old , to becoming the youngest men´s singles world number 1, aged 20.Alfie´s story is one of perseverance, resilience and the power of family. Enjoy listening to this inspirational chat with an inspirational young man.Read full show-notes here.

Welcome to the ChildLife On Call podcast, where I, Katie Taylor, sit down with Kayleigh Koehler, a certified child life specialist, to discuss her journey as a medical mom and a child life specialist in a cardiac ICU. Join us as we dive into Kayleigh's personal story, from her gut intuition during pregnancy to her son's diagnosis, and the emotional challenges she faced along the way. We explore the importance of trusting gut intuition, the complexities of navigating the healthcare system as a parent, and the impact of personal experiences on professional practice. Whether you're a child life specialist, nurse, doctor, or any healthcare professional working with pediatric patients, this episode will provide you with valuable insights and a deeper understanding of the emotional journey of becoming a medical mom. Get ready to be inspired and gain a new perspective on supporting families through challenging medical experiences. In this episode, you will be able to: Delve into the empathetic journey of a child life specialist turned medical mom and the untold lessons it brings. Learn the underrated power of trusting gut instincts during pregnancy for improved health decisions. Acknowledge the challenges and rewards of juggling roles as a child life specialist and a parent to a child with a cardiac defect. Dissect the fight for children's rights in healthcare and the persistence it requires to make a change. Unpack the emotional turmoil in parenting and its impact on one's personal identity in exigent situations. My special guest is Kayleigh Koehler Our guest today, Kayleigh Koehler, paints a picture of resilience and determination in her unique personal and professional journey. From her early days being a carefree high school lover with her husband, Mitch, to becoming a mother to their vibrant son, Hudson - she personifies strength. Alongside the joys and challenges of parenting, Kayleigh also stars as a certified child life specialist working passionately in a cardiac ICU. When they discovered Hudson's heart condition, her professional and personal life merged in an unprecedented way. This transformative experience endowed Kayleigh with a profound understanding of patient care, advocacy, and resilience. Her story is a testament to her unbreakable spirit. The key moments in this episode are: 00:00:00 - Introduction, 00:03:59 - Colliding Worlds, 00:06:20 - Identity Shift, 00:08:55 - Gut Intuition, 00:12:11 - Anatomy Scan, 00:14:57 - The Moment of Knowing, 00:18:08 - Feeling Angry and Resentful, 00:19:36 - Coming to Terms with the Diagnosis, 00:21:42 - Living in the Messiness, 00:28:22 - Giving Permission for Imperfection, Whether you are a parent or professional, we want you to join our community. Sign up for our newsletter here. Parents, download our free parent starter kit. When you download our starter kit, you'll learn how to: Give medicine to your child without it becoming a wrestling match Prepare your child (and yourself) for a shot so they can feel less anxious Create and use a coping plan for any medical appointment or procedure The first sign of sniffles, or worse, shouldn't send you into a tailspin. Feel confident in your role as a parent and advocate, no matter what medical situation you're facing. Child life specialists, get affordable PDUs on-demand here. Shop for your CLOC gear here. Feel empowered with Child Life On Call's Mastering Immunizations: Expert Tips to Prepare, support and respond like a Child Life Specialist  Course for Parents, Child Life Specialists and Clinicians!

In this episode, we review the high-yield topic of Tetralogy of Fallot⁠ ⁠⁠from the Cardiovascular section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

Commentary by Dr. Valentin Fuster

This week we delve into the world of ACHD when we review a recent important work from the multicenter INDICATOR study group assessing the impact on overall outcomes in TOF patients who have their pulmonary valve replaced. Are survival rates improved by replacement of the pulmonary valve in the TOF patient? What about the effect on ventricular tachycardia? What are the proposed mechanisms by which PVR can positively affect this critical outcomes? Are there differences between transcatheter PVR and surgical in this regard? Is there an RV volume that is the 'sweet spot' for PVR? These are amongst the many questions posed to Professor of Pediatrics and Medicine at Harvard University, Dr. Anne Marie Valente. https://doi.org/10.1016/j.jacc.2023.02.052

On today's episode of the podcast, Katie interviews Rylee Neal who decided to become a Child Life Specialist from her past experiences being hospitalized with a heart condition called tetralogy of fallot.  An experience with a Child Life Specialist during one of her hospital stays lead her to pursue the field of Child Life. Katie and Rylee have some great conversation about scars, our feelings and how as Child Life Specialists or parents we constantly are looking to better ourselves. You will leave this episode with a heartfelt perspective from Rylee as she shares pieces of her journey as patient and clinician. [3:23] Rylee introduces herself [4:41] First memory of her diagnosis [5:45] Realizing her diagnosis was serious at age 13 [6:45] Aversion to medical care [8:01] Reading consent forms at a young age [10:00] How preparing ahead would have helped Rylee [12:07] Wanting to know more the Child Life Specialist who helped her [14:30] How she fell in love with the Child Life field [16:50] How her parents get sappy hearing about her work [19:00] Rylee shares about her scars [21:18] Kids say what they feel [22:26] Being able to relate with the children [24:07] Not letting worse case scenarios creep into personal thoughts [26:33] Feeling your feelings and decompressing [28:42] Continual betterment [30:35] Creating a virtual diversion wall [33:01] Getting patients out of bed Connect with Rylee by sending her a message here! Whether you are a parent or professional, we want you to join our community. Sign up for our newsletter here. Parents, download our free parent starter kit. When you download our starter kit, you'll learn how to: Give medicine to your child without it becoming a wrestling match Prepare your child (and yourself) for a shot so they can feel less anxious Create and use a coping plan for any medical appointment or procedure The first sign of sniffles, or worse, shouldn't send you into a tailspin. Feel confident in your role as a parent and advocate, no matter what medical situation you're facing. Child life specialists, get affordable PDUs on-demand here. Shop for your CLOC gear here.

Commentary by Dr. Valentin Fuster

Micky Foos has been beating the odds her entire life. At age 25, she has already endured ten different heart surgeries. We hear what it's like living with a chronic illness — especially one you can't see. 

Commentary by Dr. Valentin Fuster

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#9 In this episode, Kathryn and Boots share stories of how they manage other people's reactions to their heart journeys. Kathryn also shares her journey with Ehlers-danlos syndrome, POTS, Tetralogy of Fallot and Fibryomyalgia. If you have been wondering how to talk to someone dealing with a life changing illness or if you are afraid to share your story, this episode is for you.Website: The Heart Chamber (theheartchamberpodcast.com)Transcript: Joyful Beat | The Heart Chamber (theheartchamberpodcast.com)The Heart Chamber (@theheartchamberpodcast)Thanks to Michael Moeri for being my right hand man. Michael Moeri - Audio Editor, Podcast Producer and Marketing Director0:00 intro 2:00 Welcome Kathryn! How Boots found Kathryn via social media 3:00 About Kathryn and her Tetralogy of Fallot and craniosynotosis journey 4:20 She thought her medical journey would be over early in life but she continued to struggle with touch and cyclic vomiting syndrome 5:00 Diagnosed with fibromyalgia and arthritis 5:40 and then a friend mentioned Ehlers-Danlos syndrome to Kathryn which she took to her doctor. The doctor immediately agreed and diagnosed her on the spot at age 22. It all made sense. She was struggling with POTS as well as hypermobility. Covid 6:40 Kathryn contracted Covid which negatively affected her medication, Midodrine, from treating her POTS 8:50 Ehlers-Danlos syndrome diagnosis 10:30 Fibromyalgia diagnosis 12:00 Kathryn's biggest shift with the medical community happened this past year after having both hips reconstructed due to collagen malfunction. 14:15 A heart MRI is ordered at UCLA and her life takes a turn 15:50 She learns she has pectus excavatum at age 25 which impacted her right ventricle 20:00 surgery is not possible to correct the pectus excavatum 22:00 Her struggle with endometriosis 24:00 The opportunity to practice radical acceptance over and over again 26:00 finding her specialist at UCLA 28:00 “but you look so young and healthy” 30:00 advocating for mental health therapy 31:00 confronting our mortality 32:00 What do you need to hear instead? 35:00 “I don't know what to say but I am here with you.” 37:00 Boots shares her experience with meeting others where they are in their own journeys 39:00 Kathryn shares her struggle with working with others older than her. 42:00 “I'm no longer threatening. Now I am an inspiration.” 43:00 “I can't control other people's perceptions of me.” 44:00 Why Kathryn “came out” about her medical journey 46:30 Her life as a horse rider and how her condition affects her riding. 48:00 The power of sharing our stories 49:00 Boots talks about the power of grace

February is the month we celebrate and bring awareness to all the beautiful babies out there with congenital heart defects. My baby, Meadow, was born with a congenital heart defect called Tetralogy of Fallot, and I felt called to talk about not only Meadow's story, but what it's been like as a heart mom and a Nurse Practitioner. In this episode, I'm sharing how I've navigated these two roles, where I've found synergy in both, and where I've had to separate being Meadow's mom and a Nurse Practitioner.   Get full show notes and more information here: http://www.stressfreenp.com/81

TSRA Podcast: Congenital - Tetralogy of Fallot (Michael Cain & Matthew Stone) by TSRA

1.12 Tetralogy of Fallot   Cardiovascular system review for the USMLE Step 1 exam.

After listening to this episode on Tetralogy of Fallot with Pulmonary Stenosis, learners should be able to:Recognize the relevant preoperative anatomy that influences operative plan and postoperative care in the cardiac intensive care unit (CICU).Recall the goals and general steps of operative repair.Recognize the key information provided in surgical and anesthesia handover that will affect postoperative management.Recognize the common and important postoperative complications and develop an approach to their management.Develop a mental framework of the expected postoperative CICU course with a focus on common or important barriers to ICU discharge.About our guest:Dr. Laura Ortmann is an Associate Professor in the Department of Pediatrics at the University of Nebraska College of Medicine. She serves as the Medical Director of the Cardiovascular Intensive Care Unit at Children's Hospital and Medical Center in Omaha, Nebraska. She a CPR researcher and a great medical educator. She is a host on the Healing Hearts Podcast featuring her ongoing cardiac lesions series and produces MedEd videos on YouTube at DrOrtmannCICU. References:Ortmann LA, Keshary M, Bisselou KS, Kutty S, Affolter JT. Association Between Postoperative Dexmedetomidine Use and Arrhythmias in Infants After Cardiac Surgery. World J Pediatr Congenit Heart Surg. 2019 Jul;10(4):440-445. doi: 10.1177/2150135119842873. PMID: 31307294.How to support PedsCrit:Please rate and review on Spotify or Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Support the show

"It's not a time to say I'm sorry, It's a time to acknowledge that, yes in fact you had something you did not plan for, a traumatic event. But also you did have a baby and to step into that joy and gratitude and not lose sight of those things.-Jamie Cline Jamie shares how her daughter Callie has persevered with tetralogy of fallot and later on a limb loss.She learned about her daughter's tetralogy of fallot just hours after having her 7 weeks premature. When Callie turned one, she shares how they came to the decision to do a lower leg amputation. Jamie shares Callie's journey of learning to walk with a prosthetic as well as the emotional journey she embarked on as a mother. [3:00] Jamie shares about their family and hobbies [4:50] Close monitoring during Jamie's pregnancy due to her pre-existing type 1 diabetes [5:37] Callie was born 7 weeks early via c-section [6:43] Learning of Callie's heart condition, Tetralogy of fallot [8:30] The grief and anger to follow the initial diagnosis [10:35] Feeling cheated of hopes and dreams she had [11:40] Sharing the emotional challenges of others saying they are sorry rather than celebration [13:12] Callie had to be transferred to a different hospital for the surgery [15:00] How their community rallied around supported their family [17:18] Callie went between the NICU and PICU for close to 3 months [20:40] The best Christmas gift- Callie got to come home for Christmas [21:40] Noticing Callie's limb difference shortly after birth [26:05] At 19 months old, Callie had her amputation surgery [27:30] Decision making process [30:08] How grief was a big part of Jamie's journey to healing [32:00] Jamie shares how she took care of her self during this difficult time [36:00] How Callie has changed their lives and the positive things she has gleaned from being her mother Connect with Jaime:  Instagram Website Whether you are a parent or professional, we want you to join our community. Sign up for our newsletter here. Parents, download our free parent starter kit. When you download our starter kit, you'll learn how to: Give medicine to your child without it becoming a wrestling match Prepare your child (and yourself) for a shot so they can feel less anxious Create and use a coping plan for any medical appointment or procedure The first sign of sniffles, or worse, shouldn't send you into a tailspin. Feel confident in your role as a parent and advocate, no matter what medical situation you're facing. Child life specialists, get affordable PDUs on-demand here. Shop for your CLOC gear here. Catch up with CLOC on Instagram, Facebook and meet Katie for a Q+A every Monday at 10 AM CST.

This week we review a landmark paper reviewing the very large experience of Dr. Hanley and his team at Stanford University in managing VSD/PA with MAPCA's. What advantages are seen with the 'midline unifocalization' approach popularized by this team over the past 20+ years? Is this an approach that can be broadly applied or are the technical operative skills too challenging for most? Why are these operations so difficult? How does the Stanford team decide who is a candidate for a single operation and who is not? We explore many of these topics and others with Surgery Professor Richard Mainwaring of Stanford University who is the first author of this important paper published recently in JTCVS. You will not want to miss Dr. Mainwaring's insightful commentary on the challenges and potential benefits of this very complex and painstaking approach. doi: 10.1016/j.jtcvs.2018.03.153.

This week we delve again into the controversy regarding optimal newborn management of the symptomatic newborn with tetralogy of Fallot. Does palliation offer a cost savings versus primary repair for the symptomatic TOF patient? What impact does the advent of transcatheter palliative approaches have upon cost? We speak with the first author of this week's work, Assistant Professor of Pediatrics at University of Pennsylvania, Dr. Michael O'Byrne. doi: 10.1016/j.jacc.2021.12.036

Tetralogy of Fallot (ToF) is a cyanotic congenital heart disease characterized by four key defects - pulmonary stenosis, right ventricular hypertrophy, ventricular septal defect and overriding aorta. In this episode we'll talk through the physiological consequences of these defects, the complications of this condition, and then we'll go through it from top to bottom using the Straight A Nursing LATTE Method.   Are you starting nursing school soon? I'd love to see you in my free class. Register here.   Want to maximize your learning by reading this information, too? Check out the article and references here.       RATE, REVIEW AND FOLLOW! If this episode helped you, please take a moment to rate and review the show! This helps others find the podcast, which helps me help even more people :-) Click here, scroll to the bottom, then simply tap to rate with 5 stars and select, "write a review." I'd love to hear how the podcast has helped you! If you're not following yet, what are you waiting for? It takes just a quick moment and the episodes show up like magic every Thursday. And, when I release a bonus episode, those show up, too! You'll never miss a thing! In Apple Podcasts, just click on the three little dots in the upper right corner here. Know someone who would also love to study with me? Share the show or share specific episodes with your classmates...when we all work together, we all succeed! On Apple Podcasts, the SHARE link is in the same drop-down as the follow link. Spread the love! Thanks for studying with me! Nurse Mo