Podcasts about toradol

Suspendu 25 matches sans salaire, Bobby Portis s'est trompé de médicament en confondant le Toradol et le Tramadol. Le premier étant autorisé, le second interdit. Son agent a parlé d'une « simple erreur commise en raison de la similitude des noms des médicaments et de leurs fonctions très similaires ». Il va donc falloir (quasiment) finir la saison régulière sans lui. Cette saison, Portis a une moyenne de 13,7 points par match avec les Bucks. Un coup dur pour les Bucks mais aussi une opportunité pour Kyle Kuzma, fraichement arrivé en échange de Khris Middleton et qui a là une opportunité de montrer son talent pour que Giannis Antetokounmpo et Damian Lillard leur accordent leur confiance en vue des échéances de fin de saison.Avec Jacques Monclar et Baptiste Denis.Jacques Monclar, Rémi Reverchon, Mary Patrux, Xavier Vaution, Fred Weis et Chris Singleton décryptent l'actualité de la NBA dans le Podcast NBA Extra. En complément de l'émission lancée en 2012, beIN SPORTS a créé, avec ce podcast, un nouveau format pour revenir en profondeur sur la ligue nord-américaine de basketball. Chaque semaine, les membres de l'émission débattent autour de trois thèmes majeurs, qui font l'actualité de la NBA.

What is the Rotten Tomatoes dividing line? Wemby out for season... what does it mean for Blazers? You sent your HUDL highlights where? Old NBA dudes with good hair. Is there a benefit to not playing a Spring Game? Worst Day on The Web: Is $30k worth crashing upside-down on the runway? Toradol or tramadol? Bad blood between Team USA & Canada? Skating is hard! What does success look like for the rest of the Blazers' season?

We discuss migraines with one of the authorities in the field. Hosts: Benjamin Friedman, MD of Montefiore Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Migraines.mp3 Download Leave a Comment Tags: Neurology Show Notes Initial Approach to Diagnosing Migraines: Differentiating between primary headaches (migraine, tension-type, cluster) and secondary causes (e.g., subarachnoid hemorrhage). The importance of patient history and reevaluation after initial treatment. Recognizing the unique presentation of cluster headaches and their management implications. Effective Acute Migraine Treatments: First-line treatments including anti-dopaminergic medications like metoclopramide (Reglan) and prochlorperazine (Compazine), and parenteral NSAIDs like ketorolac (Toradol). The limited role of triptans in the ED due to side effects and less efficacy compared to anti-dopaminergics. The use of nerve blocks (greater occipital nerve block and sphenopalatine ganglion block) as effective treatments without systemic side effects. Treatments to Avoid or Use with Caution: Diphenhydramine (Benadryl): Studies show it does not prevent akathisia from anti-dopaminergics nor improve migraine outcomes. IV Fluids: Routine use is not supported unless the patient shows signs of dehydration. Magnesium: Conflicting evidence with some studies showing no benefit or even harm. Managing Refractory Migraines: Second-line treatments including additional doses of metoclopramide combined with NSAIDs or dihydroergotamine (DHE). Considering opioids as a last resort when other treatments fail.

Today on the Holistic Dentistry Show, Dr. Sanda speaks with Dr. Mark Torbiner, an anesthesiologist at Beverly Hills Dental, to continue the conversation about IV sedation in dentistry and pain control after dental procedures.    Pain anticipation keeps a lot of people away from the dentist chair, so by understanding more about what's actually happening and options as a patient, we hope patients feel less anxious! Dr. Torbiner explains that a good portion of pain management is expecting pain, even if it doesn't come, instead of the opposite. His goal is always maximum pain control with minimum epinephrine, and he explains why.    Want to see more of The Holistic Dentistry Show? Watch our weekly episodes on YouTube!    Do you have a mouth- or body-related question for Dr. Sanda? Send her a message on Instagram! Remember, you're not healthy until your mouth is healthy. So take care of it in the most natural way.    Key Takeaways:   (1:19) Anticipating pain is more helpful than not (2:13) Reasons for minimal epinephrine and its side effects (6:00) Ditch Vicodin as post-surgery pain medication (10:58) Not all bodies can break down Vicodin (13:55) Toradol is not effective in dentistry (16:35) IV pain medication control and steroids (20:43) People under 19 should fully avoid narcotics (23:42) Young people recommended to carry Naloxone nasal spray Connect With Us:  BeverlyHillsDentalHealth.com |  Instagram  DrSandaMoldovan.com | Instagram  Orasana.com | Instagram  Contact us to learn more about IV sedation

No, not Taylor Swift's boyfriend. Taylor Swift's boyfriend's brother. Ha, it sounds like I'm explaining a soap opera. Don Argott's football documentary about veteran Philadelphia Eagles center Jason Kelce dropped last September on Amazon Prime. The movie recounts Kelce's whirlwind 2022-23 season, in which his team won 14 of 17 games, landing them a spot in the Super Bowl against the Kansas City Chiefs...where Taylor Swift's boyfriend (then-admirer) Travis plays. It was the first time two brothers went head-to-head in football's championship game. "Daniel, who fucking cares about football?" I do. But more than that, I care about what isn't on the field. I'm here to see Jason Kelce sing on the Eagles' Christmas album. I'm here for the eerieness that is to see the New Heights podcast (Jason and Travis shooting the shit while occasionally discussing the NFL season) from Jason's point of view - staring at a computer while sitting in his house. [Sounds dumb, but can you imagine how weird/cool it'd be to see something like the Jurassic Park chase scene from the T-Rex's POV? Idk, some images just feel charmingly cursed seen in any other fashion.] But more than anything, I'm here for Jason himself. Here's a guy at the top of his game (hehe) for more than a decade, contemplating retirement as his family looks to expand with the addition of a third daughter. He's 35, popping Toradol (mega-Aspirin) like Tic Tacs and worried about what the repeated acts of slamming his body into 300 lb motherfuckers will do to his body and brain over the next 35+ years of life. Every logical assessment says "Stop." And yet... --------- Follow Daniel on: Twitter - TheMovies_Pod Instagram & Threads - themoviespod Letterboxd - The Movies Music: "The Cape" - Guy Clark --- Send in a voice message: https://podcasters.spotify.com/pod/show/themoviespodcast/message

This is the 24th episode in my drug name pronunciation series.  Today, we're talking about ketorolac (Toradol®).  I have heard ketorolac pronounced three different ways.  How do you say it?   If you're new to my drug name pronunciation series, welcome! In this episode, I divide ketorolac and Toradol into syllables, explain which syllables you need to emphasize, and reveal the sources of my information.  Seeing the written pronunciations is helpful, so the written pronunciations are below and in the show notes on thepharmacistsvoice.com. Ke-TOR-a-LAC Emphasize TOR and LAC TOR gets the most emphasis TOR-a-DOL Emphasize TOR and DOL  TOR gets the most emphasis The purpose of my pronunciation episodes is to provide the intended pronunciations of drug names from reliable sources so you feel more confident saying them and less frustrated learning them. Thank you for listening to episode 259 of The Pharmacist's Voice ® Podcast! To read the FULL show notes, visit https://www.thepharmacistsvoice.com/podcast.  Select episode 259. Subscribe to or follow The Pharmacist's Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!   Apple Podcasts   https://apple.co/42yqXOG  Google Podcasts  https://bit.ly/3J19bws  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt Links from this episode USP Dictionary Online (aka “USAN”)  **Subscription-based resource USP Dictionary's (USAN) pronunciation guide (Free resource on the American Medical Association's website) The Pharmacist's Voice ® Podcast episode 254, pronunciation series episode 23 (Paxlovid) The Pharmacist's Voice ® Podcast episode 250, pronunciation series episode 22 (metformin/Glucophage) The Pharmacist's Voice Podcast ® episode 245, pronunciation series episode 21 (naltrexone/Vivitrol) The Pharmacist's Voice ® Podcast episode 240, pronunciation series episode 20 (levalbuterol) The Pharmacist's Voice ® Podcast episode 236, pronunciation series episode 19 (phentermine)  The Pharmacist's Voice ® Podcast episode 228, pronunciation series episode 18 (ezetimibe) The Pharmacist's Voice ® Podcast episode 219, pronunciation series episode 17 (semaglutide) The Pharmacist's Voice ® Podcast episode 215, pronunciation series episode 16 (mifepristone and misoprostol) The Pharmacist's Voice ® Podcast episode 211, pronunciation series episode 15 (Humira®) The Pharmacist's Voice ® Podcast episode 202, pronunciation series episode 14 (SMZ-TMP) The Pharmacist's Voice ® Podcast episode 198, pronunciation series episode 13 (carisoprodol) The Pharmacist's Voice ® Podcast episode 194, pronunciation series episode 12 (tianeptine) The Pharmacist's Voice ® Podcast episode 188, pronunciation series episode 11 (insulin icodec)  The Pharmacist's Voice ® Podcast episode 184, pronunciation series episode 10 (phenytoin and isotretinoin) The Pharmacist's Voice ® Podcast episode 180, pronunciation series episode 9 Apretude® (cabotegravir) The Pharmacist's Voice ® Podcast episode 177, pronunciation series episode 8 (metoprolol)  The Pharmacist's Voice ® Podcast episode 164, pronunciation series episode 7 (levetiracetam) The Pharmacist's Voice ® Podcast episode 159, pronunciation series episode 6 (talimogene laherparepvec or T-VEC)  The Pharmacist's Voice ® Podcast episode 155, pronunciation series episode 5 Trulicity® (dulaglutide)  The Pharmacist's Voice ® Podcast episode 148, pronunciation series episode 4 Besponsa® (inotuzumab ozogamicin) The Pharmacist's Voice ® Podcast episode 142, pronunciation series episode 3 Zolmitriptan and Zokinvy The Pharmacist's Voice ® Podcast episode 138, pronunciation series episode 2 Molnupiravir and Taltz The Pharmacist's Voice ® Podcast episode 134, pronunciation series episode 1 Eszopiclone and Qulipta

Ray, Scott, Caleb and Dr. Hill continue the discussion of analgesics, specifically Toradol, and then move on to the patient assessment considerations on administering pain control meds.

Elisabeth Stewart, MSN, MSNA, CRNA focused her Master of Science in Nurse Anesthesia project on the pharmacology of Toradol (ketorolac) and she's here today to tell us all about it. Elisabeth hails from Wisconsin, holds a BS in Mathematics with a pre-med concentration and engaged in HeLa cell cancer research prior to going to nursing […]

Today on 2 Pros and a Cup of Joe, the guys preview TNF between the Chiefs and Broncos. Taylor Swift heads to KC to cheer on Travis Kelce who will be hobbled vs Denver on Thursday Night Football. LaVar and Brady detail their experiences with Toradol and knee drains. Senior NFL Reporter, Albert Breer talks about who's looking at Quarterbacks in next year's Draft, coaching hot seats,  and much more!See omnystudio.com/listener for privacy information.

Taylor Swift heads to KC to cheer on Travis Kelce who will be hobbled vs Denver on Thursday Night Football. LaVar and Brady detail their experiences with Toradol and knee drains. Senior NFL Reporter, Albert Breer talks about who's looking at Quarterbacks in next year's Draft, coaching hot seats,  and much more! Plus, the daily edition of “You In or Out?”See omnystudio.com/listener for privacy information.

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name ketorolac Trade Name Toradol Indication pain Action pain relief due to prostaglandin inhibition by blocking of the enzyme cyclooxygenase (COX) Therapeutic Class nonsteroidal anti-inflammatory agents, nonopioid analgesics Pharmacologic Class pyrroziline carboxylic acid Nursing Considerations • may cause GI bleeding, Stevens-Johnson Syndrome, anaphylaxis, drowsiness • should not exceed 5 days of therapy • bleeding risk increased with garlic, ginger, and ginkgo • may decrease effectiveness of hypertensive medications and diuretics

In this episode, host Dr. Eric Keller interviews Dr. Sean Tutton about palliative care as an interventionalist, how he became interested in palliative care, and why he believes it is a crucial aspect of patient care in interventional radiology. --- CHECK OUT OUR SPONSOR RADPAD® Radiation Protection https://www.radpad.com/ --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/OYDxfn --- SHOW NOTES The role of palliative care is to talk with patients about their goals, make them comfortable, optimize medical management, help patients understand their diagnosis, and coordinate care. Though palliative care involvement does not mean a patient is close to death, many palliative care patients will enroll in hospice at some point. Once in hospice, life-prolonging therapies are no longer pursued. Hospice care is a benefit of Medicare. It has support such as home care, and it can be expensive but is covered by the government. Due to this, there are guidelines that need to be adhered to. Frequently, palliative interventional pain procedures such as a celiac plexus block or neurolysis may not be covered so patients may have to come off hospice to get the procedure, then go back on. Next, we talk about how an IR can start to incorporate these ideals and practices into their daily work. Dr. Tutton emphasizes that you don't need to do the fellowship. You can start rounding with palliative care, go to their conferences, and establish relationships. Having residents and fellows rotate with palliative care is a great way for future IRs to learn how to practice with a palliative care mindset, and also to educate palliative care on the minimally invasive options that IR can offer to patients such as nerve blocks and ablations. By adopting palliative care ideals as an interventionalist, you can help your patients achieve better pain control, improve their cognition and reduce narcotics use. Dr. Tutton recommends all IRs understand the medical management of post-op pain for any procedure they perform. He provides a standard medication regimen for a patient having an ablation. He uses Tylenol 1g pre-op and gabapentin 300-600mg 48-72hrs before the procedure and intraoperative steroids and NSAIDs such as Decadron 8-10mg and Toradol 10-30mg. All of these have level 1 data, help reduce narcotic requirements, and help with post-op nausea and pain. He discharges patients on a Medrol dose pack, ibuprofen, Tylenol, and gabapentin for a couple of days. Doing a nerve block can help as well, he frequently does ankle, digital, intercostal, and hypogastric blocks for his MSK and palliative interventions. --- RESOURCES Ep.199: Advanced Minimally Invasive Pain Interventions with Dr. Prologo https://www.backtable.com/shows/vi/podcasts/199/advanced-minimally-invasive-pain-interventions Ep. 68: RF Ablation for Bone Metastases with Dr. Levy and Dr. Bagla https://www.backtable.com/shows/vi/podcasts/68/rf-ablation-therapy-for-bone-metastases

Did the FDA destroy what could have been a non-addictive pain killer that might have staved off the opioid crisis before it ever stood a chance? Several decades ago, the agency approved the drug Toradol, the first non-addictive pain killer that had pain killing effects of morphine without the addictive potential. However, the FDA set the desired peak dosage, known as the loading dose, far higher than manufacturer Syntex desired. The company reluctantly complied. 97 people prescribed Toradol dies within the first few years as a result.  With their drug no longer used in it's original form, pharmaceutical company Syntex tried to introduce the drug in an oral form. However, the FDA overcompensated for their initial error, restricting dosage to levels not useful for medicinal applications  Today's guest, Charles L. Hooper worked at Syntex when Toradol was coming onto the market as a nonsteroidal anti-inflammatory drug. This was a time of excitement for the company says Hooper. They were eager to cooperate with the FDA for a successful launch. What went wrong? Hooper discusses how a decision on something like the “loading dose” can come down to a single person, and people are fallible. The FDA's position of final the final say had disastrous consequences, leading credence to the position that they should act as a “guiding agency. Even with all the FDA's power and authority, nothing is a certainty. On April 19, 2023, when asked about the opioid crisis, FDA Commissioner Robert Califf told the Senate Appropriations subcommittee it would help if pharma could develop a “non-addictive” pain medicine. “It is a tough job, but we are not successful in having nonaddictive pain medicines coming through the pipeline. We need to do everything we can do to push industry and make this happen.” Learn more here: FDA Commissioner Called Out for Remark on Non-Addictive PainkillersRead Charles Hooper's article in the Wall Street Journal for more: How the FDA Helped Fuel the Opioid Epidemic

Did the FDA destroy what could have been a non-addictive pain killer that might have staved off the opioid crisis before it ever stood a chance? Several decades ago, the agency approved the drug Toradol, the first non-addictive pain killer that had pain killing effects of morphine without the addictive potential. However, the FDA set the desired peak dosage, known as the loading dose, far higher than manufacturer Syntex desired. The company reluctantly complied. 97 people prescribed Toradol dies within the first few years as a result.  With their drug no longer used in it's original form, pharmaceutical company Syntex tried to introduce the drug in an oral form. However, the FDA overcompensated for their initial error, restricting dosage to levels not useful for medicinal applications  Today's guest, Charles L. Hooper worked at Syntex when Toradol was coming onto the market as a nonsteroidal anti-inflammatory drug. This was a time of excitement for the company says Hooper. They were eager to cooperate with the FDA for a successful launch. What went wrong? Hooper discusses how a decision on something like the “loading dose” can come down to a single person, and people are fallible. The FDA's position of final the final say had disastrous consequences, leading credence to the position that they should act as a “guiding agency. Even with all the FDA's power and authority, nothing is a certainty. On April 19, 2023, when asked about the opioid crisis, FDA Commissioner Robert Califf told the Senate Appropriations subcommittee it would help if pharma could develop a “non-addictive” pain medicine. “It is a tough job, but we are not successful in having nonaddictive pain medicines coming through the pipeline. We need to do everything we can do to push industry and make this happen.” Learn more here: FDA Commissioner Called Out for Remark on Non-Addictive PainkillersRead Charles Hooper's article in the Wall Street Journal for more: How the FDA Helped Fuel the Opioid Epidemic

Dr. Andrew Jenzer joins us today as we kick off our series focused on medicine by doing a deep dive into cardiology and some of the most important aspects that all levels of residents and practicing surgeons need to know about. This episode and the ones that follow in the same vein are designed to maximize learning, and as such, we explore some of the most useful terms on the subject, safety precautions for medication, and related conditions and concerns. We delve into managing hypertension, issues with blood pressure, EKG interpretation, atrial fibrillation, and more, with Dr. Jenzer taking the time to approach these areas in theory and in practice. Towards the end of today's chat, Dr. Jenzer also gives some attention to the important ideas of cardiac risk, congestive heart failure, and cardiomyopathy, so make sure to stay tuned right to the end to catch all of that too!Key Points From This Episode:Introducing the electric system of the heart.  Five important technical terms and becoming familiar enough with them to communicate effectively around cardiac medications. Tips and recommendations for the basics of EKG interpretation. Extra care that is required when prescribing Zofran. An explanation and a few vital notes on atrial fibrillation.Different degrees of heart blocks and reasons for their occurrence.Final comments on the electrical concerns of the heart.Dr. Jenzer's thoughts on how this subject figures into study plans. Unpacking the hormones involved in cardiology.Assessing hypertension and the steps that can be taken in response. Defining and explaining ischemic cardiac disease, acute coronary syndrome, and more.Weighing the benefits of the use of various opioids, morphine, and Toradol.  How to go about defining cardiac risk and using “major adverse cardiac events.”  Classifications of congestive heart failure. An understanding of the different types of cardiomyopathy and how they impair the heart. Links Mentioned in Today's Episode:KLS Martin — https://www.klsmartin.com/en/Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzerRapid Interpretation of EKG's — https://www.amazon.com/Rapid-Interpretation-EKGs-Sixth-Dubin/dp/0912912065MDCalc — https://www.mdcalc.com/MACE Calculator — https://www.mdcalc.com/calc/1752/heart-score-major-cardiac-eventsRCRI — https://www.mdcalc.com/calc/1739/revised-cardiac-risk-index-pre-operative-riskNSQIP — https://riskcalculator.facs.org/RiskCalculator/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

JOIN US ON DISCORD! INTRO (1:50) Trailcasters at the dentist! Toradol isn't a painkiller LOVE, HUGS, & HATEMAIL (3:55) Chris found the final Teramana tequila Shaedon's dunks are ART. Should Sharpe start over Cam? Justise calling out the league Nassir should DEFINITELY be starting Let's talk about Officiating It's not a conspiracy, just a lack of consistency! THE GP2 DEBACLE (18:36) It's not ALL Golden State's fault Timeline Recap Thybulle better anyway Holdahl & Highkin holding it down for us locals Hart chimes in The return of NEIL??? How much blame is on GSW? How much blame on Blazers' staff? The REAL culprit: bad journalism Be accurate, not first ANOTHER rollercoaster metaphor?!? OUTTRO (37:16) JOIN US ON DISCORD! Hit us up on Discord, @trailcasters on Twitter & Reddit, or email trailcasters@gmail.com and if you can share opinions on the pod about what you like, dislike, or which directions we should expand in, we'll do our best to make it happen! For more of our music, you can find Odar's beats at https://soundcloud.com/odarbeats And if you have any need of their services, PLEASE support clearlyspeakingoregon.com like they've supported our podcast from the beginning! Enjoy the episode and GO BLAZERS!!! If you or someone you know has a gambling problem, crisis counseling and referral services can be accessed by calling 1-800- GAMBLER (1-800-426-2537) (IL/IN/LA/MI/NJ/TN/PA/WV/WY), 1-800- NEXT STEP (AZ), 1-800-522-4700 (CO/KS/NH), 888-789-7777/visit ccpg.org (CT), 1-800-BETS OFF (IA), 877-8-HOPENY/text HOPENY (467369) (NY), visit OPGR.org (OR), or 1-888-532-3500 (VA). 21+ (18+ NH/WY). Physically present in AZ/CO/CT/IL/IN/IA/KS/LA(select parishes)/MI/NH/NJ/ NY/OR/PA/TN/VA/WV/WY only. Void in ONT. $150 in Free bets: New customers only. Min. $5 deposit. Min $5 pregame moneyline bet. $150 issued as six (6) $25 free bets. Bet must win. Ends 12/31/22. Stepped Up SGP: 1 Token issued per eligible game. Opt in req. Min $1 bet. Max bet limits apply. Min. 3-leg. Each leg min. -300 odds, total bet +100 odds or longer. 10+ leg req. for 100% boost. Ends at start of final game of the 2022-2023 NBA Season. See eligibility & terms at sportsbook.draftkings.com/basketballterms. Learn more about your ad choices. Visit megaphone.fm/adchoices

After Sean tells his side of the GP2 story, Maddie tells her side of the story of what she heard about the GP2. Maddie goes into how excited the team seems with having Payton back with the Warriors. She mentions the reaction to the trade before both her and Sean go into the report of GP2 getting shot up with Toradol shots. To understand all the details of this situation. Listen to Sean and Maddie!  To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

After Sean tells his side of the GP2 story, Maddie tells her side of the story of what she heard about the GP2. Maddie goes into how excited the team seems with having Payton back with the Warriors. She mentions the reaction to the trade before both her and Sean go into the report of GP2 getting shot up with Toradol shots. To understand all the details of this situation. Listen to Sean and Maddie!  To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

We are all lifelong learners, aren't we? Blazers fans learned a lot about access journalism, pain killers and much more last weekend. On the latest episode of Sports by Northwest, Aaron Fentress and KOIN sports anchor/reporter Brenna Greene discuss Toradol, the Gary Payton II situation, the trade deadline and the Super Bowl. Subscribe to Sports by Northwest anywhere you get your podcasts to hear new episodes each week. Learn more about your ad choices. Visit megaphone.fm/adchoices

We are happy to announce that our Christmas merch is now available in our shop, so get you some Cup of Nurses tees, jackets, and sweaters for this holiday season. Or if you're looking for the best gifts for your nurse friends or family, these are perfect.! Check out our shop here https://cupofnurses.shop/

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/KetorolacToradolNursingConsiderations      Generic Name ketorolac Trade Name Toradol Indication pain Action pain relief due to prostaglandin inhibition by blocking of the enzyme cyclooxygenase (COX) Therapeutic Class nonsteroidal anti-inflammatory agents, nonopioid analgesics Pharmacologic Class pyrroziline carboxylic acid Nursing Considerations • may cause GI bleeding, Stevens-Johnson Syndrome, anaphylaxis, drowsiness • should not exceed 5 days of therapy • bleeding risk increased with garlic, ginger, and ginkgo • may decrease effectiveness of hypertensive medications and diuretics

On this week's Pro Football Doc Podcast, Doc sits down with former longsnapper for the then San Diego Chargers and 18-year NFL veteran David Binn! They reminisce on fun and interesting stories from their long NFL careers as well as touch on some of the stranger injuries going on in the MLB.  Timestamps: 00:27 - David Binn intro 1:33 - David's interesting life 4:45 - David's career 7:15 - Precision of an NFL longsnapper 11:33 - People Magazine/Pamela Anderson 13:09 - Bill Belichick Pro-Bowl Story 17:20 - Days as a firefighter 21:50 - Danny Woodhead at US Open Qualifier 26:20 - Strange MLB Injuries 30:00 - David's pick-up game injury story 34:25 - Tennis injuries: Rafael Nadal and Alexander Zverev 39:23 - David Binn's all-time Charger career 42:20 - Doc's Toradol story  45:00 - Beast of the Week: Cody Rhodes torn pec SUBSCRIBE for new videos! SUBSCRIBE for FREE to Sports Injury Central: http://www.SICScore.com  Follow ProFootballDoc on Twitter: https://twitter.com/ProFootballDoc  Follow ProFootballDoc on Instagram: https://www.instagram.com/profootballdoc/ Like ProFootballDoc on Facebook: https://www.facebook.com/Profootballdoc Learn more about your ad choices. Visit megaphone.fm/adchoices

Thanks for tuning in to the Armor Men's Health Hour Podcast today, where we bring you the latest and greatest in medical and urology care and the best urology humor out there.In this segment,  Dr. Mistry and Donna Lee answer a listener's question about treatment for kidney stones. As many people are painfully aware, passing a kidney stone can be a nasty business. The pain from kidney stones can be felt in the flank, the bladder, the testicle, or even in the abdomen. Typically, this pain is caused when the stone moves through the narrow tube from the kidney down to the bladder, NOT when it passes through the urethra during excretion. Furthermore, the size of the stone does not necessarily correlate with the pain it causes--even 1-2 millimeter stones can be very painful while some people pass much larger ones without difficulty. Anti-inflammatory medications like Toradol or ibuprofen can help patients cope with this pain. If you haven't passed your stone within two weeks, it is unlikely to pass on its own and will likely require surgical intervention.  Remember that your pain may abate BEFORE your stone has been passed--don't assume it is gone unless you've actually seen it! When in doubt, a follow-up X-ray or test for blood in the urine is always the safest way to ensure your kidney stone is gone for good. This episode was previously aired on 1.16.21. Don't forget to like, subscribe, and share us with a friend! As always, be well!Check our our award winning podcast!https://blog.feedspot.com/sex_therapy_podcasts/https://blog.feedspot.com/mens_health_podcasts/Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode!Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney Lane Suite 202Dripping Springs, TX 78620

THE NFL is more drug dependent then the public realizes & one drug of choice is Toradol getting rid of pain & inflammation it helps to get players "game day ready" but the opioid epidemic is one that's no where near over & the struggle is just as real among the NFL so an investment of upwards of 1M by the NFL into therapeutic pain relief has happened in order to reach a better medium. --- Send in a voice message: https://anchor.fm/ashlyruth-eckelsefzz-fcc/message

Today's show is anchored by two incredible conversations. First, Pat and the boys are joined by 2x Super Bowl Champion, #2 pick of the 2008 NFL Draft, 11 year NFL veteran, and host of the Green Light Pod, Chris Long to chat about his brother's injury, how he's enjoying life as a media member, what he likes about the daily media grind as opposed to the daily grind of the NFL, his thoughts on the Toradol situation and what other remedies he tried while playing in the league, and much more (20:00-48:49). Later, 13 year NFL RB, a man who holds nearly every Jacksonville Jaguars offensive record, future Hall of Famer, and co-host of the I Am Athlete Podcast, Fred Taylor joins the show to chat about his career, his thoughts about going into the Hall of Fame, his initial impressions of Urban Meyer, if the Tim Tebow legend is crazy down in Jacksonville, how he thought Ocho Cinco performed in his boxing match, and more (48:51-1:03:47). Pat and the boys also chat about the Madden 22 cover reveal, more drama in the Aaron Rodgers/Packers situation, Zion reportedly being unhappy in New Orleans, and more. Make sure you subscribe to youtube.com/thepatmcafeeshow and listen every day on Mad Dog Radio, Sirius XM Channel 82. We appreciate you all for listening. Come and laugh with us, cheers.

congratulations Greg Olsen family, essential quality wins the Belmont, Julio Jones trade , no Toradol in the NFL, NFL coaches don't want to take the vaccine, mental health in sports, baseball substance problem, NBA playoffs and coaching vacancies, Fantasy rankings quarterbacks, got to be more careful hi school coach is fired after making player eat pork for a punishment, Oklahoma player Sues school, --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

We talk Julio Jones to the Tennessee Titans with ESPN NFL Nation reporter Turron Davenport! We also talk Toradol, cannabis, medical marijuana and the NFL, with some quiet changes having huge implications for players safety and health. We also go long on the Saints and Bucs QB situations.

It's been a while since Beckles & Recher caught up with former Buccaneer Michael Clayton, and the boys figured why not have him on during Buccaneers' mini-camp? So, we did! Mike has been keeping himself busy with family duties and his business, but is keeping tabs on the Bucs. Mike explains what mini-camp was like between his first and last years in the league, and says the main thing is that the entire group is together for the first time since the end of last season. Michael says he never played a game without taking a Toradol shot, but never took any pills because he was afraid to do so because of his addictive personality. He also tells us what the biggest challenge for the Bucs will be as they defend their Super Bowl title. All that and MORE!

On today's show, Pat and the boys chat about Aaron Rodgers not being in Green Bay for mandatory OTA's, and what the next steps are. Joining the program is a coaching legend who has had stops at the U, the Baltimore Ravens, Cleveland Browns, Chicago Bears, and former Head Coach of the Indianapolis Colts, Chuck Pagano to chat about what he's been doing since he retired, he and Pat share some old stories, and Chuck gives his take on the Aaron Rodgers situation and what he would do to rectify things (25:07-48:08). Later, Bills OL Jon Feliciano joins Pat and AJ Hawk to chat about the fight he got into with AJ Epenesa at practice and what the environment is like in Buffalo, his tweet about wanting to fight Pat at the next Showtime boxing event for "taking away Toradol," and how it is actually AJ's fault, plus much more (48:10-1:02:42). Later, Pat and AJ shoot the breeze about everything else going on in the sports world, including what they think could potentially happen with Aaron, and more. Make sure you subscribe to youtube.com/thepatmcafeeshow and listen every day on Mad Dog Radio, Sirius XM Channel 82. We appreciate you all for listening, come and laugh with us, cheers.

The great Peter King of NBC Sports spent 75 minutes with Go Long subscribers on the most recent Happy Hour. Here's the replay for a sneak peak. Subscribe today for just $7/month or $70/year to hang out with people from around the league each week at GoLongTD.com. King takes questions from subscribers on the Rodgers/Packers stalemate, the vaccine, his thoughts on who should be in the Hall of Fame, old NFC East memories, the Buffalo Bills' direction and Toradol. Enjoy! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Jenny, Conor and Gary start things off with every conceivable take on the Julio Jones trade: The positives for the Titans, trying to figure out the Falcons' plan, one coach who is simultaneously thrilled and maybe a little terrified, and much, much more. And before we get into more serious topics, a conversation about the week's two silliest headlines, starting with Tua and the playbook. What does it mean when a second-year quarterback says on a Zoom call that he has a better grasp of the playbook? And how would opening locker rooms to (vaccinated) journalists be a step toward avoiding such silly controversies in the future? Then, the goings-on in Chicago, where apparently a promise made in March to Andy Dalton is being treated as an unbreakable contract in June. Why the Bears will absolutely not be starting Dalton when the season begins if he doesn't outplay Justin Fields this summer. Plus, a deeper look into the mess the league has made for itself when it comes to Toradol usage and race-norming in the concussion settlement. And why it's taking them far too long to do the right thing. Have a question for a future mailbag? Email themmqb@gmail.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today in the Cage: DT, Moises & Zinger • Mark Scheifele suspension • Trysten Dyce - BC Lions Offensive Assistant (20:00) • Luc Mullinder #Riders sign Nelson Lokombo, Patriots QB situation, #NFLPA news on Toradol (45:00) • #GoHabsGo vs. #GoJetsGo Game 2

On today's show, we'll have a fireside chat about the NFL's use of Toradol, Luther Kirk's fight to get to the NFL, and the things that drive Kellen Mond.Support Us By Supporting Our Sponsors!Built BarBuilt Bar is a protein bar that tastes like a candy bar. Go to builtbar.com and use promo code “LOCKED15,” and you'll get 15% off your next order.BetOnline AGThere is only 1 place that has you covered and 1 place we trust. Betonline.ag! Sign up today for a free account at betonline.ag and use that promocode: LOCKEDON for your 50% welcome bonus.Rock AutoAmazing selection. Reliably low prices. All the parts your car will ever need. Visit RockAuto.com and tell them Locked On sent you.Follow the show: @LockedOnVikingsFollow the host: @LukeBraunNFLJoin the discord community: https://linktr.ee/LukeBraunNFLSubmit Twitter Tuesday questions: https://docs.google.com/forms/d/e/1FAIpQLSc3mA_-Yke_oIwlZ5vOnIW_TK4d9gRwjmOB7YOLzeLLIz_-3w/viewform?usp=sf_linkNFLPA statement on Toradol: https://twitter.com/RapSheet/status/1400596779440259072/photo/1A lot of toradol: https://deadspin.com/the-amount-of-toradol-nfl-players-use-is-scary-as-fuck-1793173870Toradol effect on kidneys: https://www.rxlist.com/toradol-drug.htmLuther Kirk's game-changing pick 6: https://www.youtube.com/watch?v=LPAX7aNbcvkKellen Mond's fight to get the statue removed: https://www.usatoday.com/story/sports/ncaaf/2020/06/17/texas-a-m-qb-kellen-mond-advocates-removal-sully-statue/3204526001/ Learn more about your ad choices. Visit podcastchoices.com/adchoices

Todays episode Pat and the boys are joined in studio by former NFL DB, Pat’s former teammate and current host of The Man to Man Pod, Darius Butler. The boys are down in Tampa as Pat prepares for another episode of Friday Night Smack DAHN on Fox. Pat opens up today’s show with his reaction to LeBron James and the Lakers getting bounced AHT of the playoffs. The Hammer Dahn boys jump in and weigh in on what’s on their slates tonight. AJ Hawk joins the conversation to discuss the latest happenings around the NFL. Pat discusses the impact that Toradol had on himself and many of his teammates as new articles come out about its effects. To finish off this feel good Friday Jaguars current strength and Conditioning coach Anthony Schlegel (59:15:20-1:26:23)came on the show to discuss all all things from how big Tim Tebow is to the covid regulations for OTA’s. Make sure to subscribe to youtube.com/thepatmcafeeshow and listen every day on Mad Dog Radio, Sirius XM Channel 82. We appreciate you all for listening, come laugh with us, cheers. 

On today's show, we'll have a fireside chat about the NFL's use of Toradol, Luther Kirk's fight to get to the NFL, and the things that drive Kellen Mond. Support Us By Supporting Our Sponsors! Built Bar Built Bar is a protein bar that tastes like a candy bar. Go to builtbar.com and use promo code “LOCKED15,” and you’ll get 15% off your next order. BetOnline AG There is only 1 place that has you covered and 1 place we trust. Betonline.ag! Sign up today for a free account at betonline.ag and use that promocode: LOCKEDON for your 50% welcome bonus. Rock Auto Amazing selection. Reliably low prices. All the parts your car will ever need. Visit RockAuto.com and tell them Locked On sent you. Follow the show: @LockedOnVikings Follow the host: @LukeBraunNFL Join the discord community: https://linktr.ee/LukeBraunNFL Submit Twitter Tuesday questions: https://docs.google.com/forms/d/e/1FAIpQLSc3mA_-Yke_oIwlZ5vOnIW_TK4d9gRwjmOB7YOLzeLLIz_-3w/viewform?usp=sf_link NFLPA statement on Toradol: https://twitter.com/RapSheet/status/1400596779440259072/photo/1 A lot of toradol: https://deadspin.com/the-amount-of-toradol-nfl-players-use-is-scary-as-fuck-1793173870 Toradol effect on kidneys: https://www.rxlist.com/toradol-drug.htm Luther Kirk's game-changing pick 6: https://www.youtube.com/watch?v=LPAX7aNbcvk Kellen Mond's fight to get the statue removed: https://www.usatoday.com/story/sports/ncaaf/2020/06/17/texas-a-m-qb-kellen-mond-advocates-removal-sully-statue/3204526001/ Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this Episode we discuss Laine benched yet again, Ovechkin passing Phil Esposito and a Drug called Toradol in the NHL

Thanks for tuning in to the Armor Men's Health Hour Podcast today, where we bring you the latest and greatest in medical and urology care and the best urology humor out there.In this segment,  Dr. Mistry and Donna Lee answer a listener's question about treatment for kidney stones. As many people are painfully aware, passing a kidney stone can be a nasty business. The pain from kidney stones can be felt in the flank, the bladder, the testicle, or even in the abdomen. Typically, this pain is caused when the stone moves through the narrow tube from the kidney down to the bladder, NOT when it passes through the urethra during excretion. Furthermore, the size of the stone does not necessarily correlate with the pain it causes--even 1-2 millimeter stones can be very painful while some people pass much larger ones without difficulty. Anti-inflammatory medications like Toradol or ibuprofen can help patients cope with this pain. If you haven't passed your stone within two weeks, it is unlikely to pass on its own and will likely require surgical intervention.  Remember that your pain may abate BEFORE your stone has been passed--don't assume it is gone unless you've actually seen it! When in doubt, a follow-up X-ray or test for blood in the urine is always the safest way to ensure your kidney stone is gone for good. If you enjoyed today's episode, don't forget to like, subscribe, and share us with a friend! As always, be well!Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode!Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney Lane Suite 202Dripping Springs, TX 78620

Watch youtube channel for video. Thanks. 00:10 Stafford with left frontal abdomen or rib injury. Likely strain/sprain. Unlikely rib fracture. 01:30 Stafford actually plays the next play. 02:00 May have gone to locker room to get Toradol shot. 02:38 This might be 3rd straight year he has been injured with a crumple-type mechanism. May have had transverse process back fractures the past 2 years. 03:50 Positive news is he played next play and was able to stand on sidelines with good posture the rest of game. There is a decent chance he will play vs Titans. 05:05 Darryl Roberts with abdominal contusion 06:08 D'Andre Swift looked very healthy during game. 07:25 Amendola may have mildly aggravated hip but kept playing. 07:30 Da'shawn Hand looked healthy. Thumbnail Photo by Rey Del Rio/Getty Images Available as podcast anywhere: https://open.spotify.com/show/5XwG8bRz8LDMZBMWSbWPMw Twitter: https://twitter.com/jimmyliaomd -I'm Jimmy Liao and welcome to the Detroit Lions Morning Rounds podcast. I'm a lifelong Lions fan, graduate of U of Michigan medical school, and board certified in family medicine. This podcast will focus on the intersection of Detroit Lions, NFL, COVID, and other medical issues. -Thanks for watching and listening. I encourage thoughtful comments and questions. Please leave comments on the youtube channel or on twitter @JimmyLiaoMD. Likes, ratings, and subscribing are appreciated.

BadGuys are back another week after Thanksgiving and nothing like Tryptophan and Hennessy to get you ready to pod.

Brady is joined by retired NHL D man Kyle Quincey. Quincey is originally from Kitchener Ontario and broke into the OHL with the storied London Knights. Quincey was drafted in the 4th round by the Detroit Red Wings in 2003 before being traded to the Mississauga Ice Dogs. He rounded out his OHL career in 2005 and moved on to the AHL with the Grand Rapid Griffins. He spent parts of 3 season in the "A" before becoming a full time NHLer. Quincey played over 500 games in the show before moving onto Helsinki Finland for one season. Following his season over seas Quincey hung up the skates. Recently, he was featured on TSN's "The Problem With Pain" special that detailed some disturbing news. Kyle and several others reported the high spread use and abuse of the pain killer Toradol. With misinformation he was one the many who is now living with consequences of over using a pain killer they were told was safe.Kyles son Axel has fought off brain cancer. Suppport Hockey Fight Cancer and teamaxfoundation.org This is going to be a good one. Quincey is a class act and he has spoken up because he wants to see change.Follow us on Instagram:@hockey2hell @hockey2heroin @pucksupport @pucksupportwarriors www.hockey2heroin.compucksupport.com

 The sun rises over the San Joaquin Valley, California, today is October 9, 2020. About one year ago, the American Thoracic Society and Infectious Diseases Society of America issued an official clinical practice guideline regarding the diagnosis and treatment of adults with community acquired pneumonia (CAP). There you can find the answer to 16 common questions about CAP in adults. For example, question 8 refers to the antibiotics recommended for empiric treatment of CAP in adults as outpatients. For healthy outpatient adults without comorbidities (chronic heart, lung, liver, or renal disease; diabetes mellitus; alcoholism; malignancy; or asplenia) or risk factors for antibiotic resistant pathogens (prior respiratory isolation of MRSA or Pseudomonas, or recent hospitalization AND receipt of parenteral antibiotics in the last 90 d), It is recommended monotherapy with amoxicillin or doxycycline or a macrolide.For outpatient adults with comorbidities, the antibiotics recommended (without specific order) are 1. Combination of amoxicillin/clavulanate or cephalosporin (such as Cefuroxime) PLUS Macrolide (such as azithromycin) or doxycycline or2. Monotherapy with respiratory fluoroquinolone (such as levofloxacin).CAP with no comorbidities in adult: Monotherapy with amoxicillin, doxy or a macrolide. CAP with comorbidities: Combined Augmentin or cephalosporin PLUS a macrolide or doxycycline. It’s a tongue twister, may it’s better if you take a look at the official recommendation.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program, from Bakersfield, California. Sponsored by Clinica Sierra Vista, Providing compassionate and affordable care since 1971. “Courage isn’t having the strength to go on – it is going on when you don’t have strength. – Napoleon Bonaparte.Dr. Arreaza: Courage means to keep going even when you don’t have strength. Feeling discouraged is not uncommon during residency. You may feel inadequate at times, you may feel like “you don’t know enough,” but don’t worry, it is not easy, but the extra work is worth it. Get the courage to keep going. Dr. Patel: Hi listeners, I’d like to introduce myself, name is Ravi Patel, I’m a non-practicing MD who recently moved to Bakersfield and just met Dr. Arreaza, and his quote resonates with me because my journey to practicing medicine has been quite long and I definitely feel the importance in not giving up in the face of discouragement. Dr. Arreaza: Can you tell us a little bit of your background on working with pain management and opioids?Dr. Patel: I have several years of experience working in pain management and primary care with the Vegas metro population, huge indigent population which faces unique challenges especially in regards to opiate therapy. I’m here to discuss with Dr. Arreaza issues involving opiate usage, when it is appropriate, when it is not appropriate, and the importance of limiting usage, and in what cases long term usage is appropriate.Dr. Arreaza: That’s going to be our first topic – opiate therapy. When is it appropriate? How do you screen patients for therapy?Dr. Patel: It’s important to follow CDC guidelines, great place to begin, in screening patients it is inevitable due to the nature of opiates, to have drug-seeking patients. I like to begin with CDC guidelines. It’s important to stay under 90 MMEs per day, just in terms of efficacy and of course legal reasons, and most importantly patient safety. I like to follow the rule of 3 and 7, meaning acute patients, acute care in acute care settings, more so ED settings rather than urgent care, where 3-day courses of opiates are more suitable. Of course, there are other reasons as well, such as peri-surgical pain, 1-2 weeks may be appropriate, and then going case by case basis for chronic opiate therapy. Dr. Arreaza: Acute pain is an indication for opiates, like a fracture, so do you say 2 weeks would be enough?Dr. Patel: Every patient is different, look at it on case by case basis. More so than the number of days it’s the MMEs and the strength of the medication being prescribed. We want to start with longer acting medications; short-term, short acting medications tend to produce that feeling of euphoria, that instant rush that has a psychological addiction factor. I have seen many patients that go in for something as simple as a fracture and come out with an addiction to opiates. It can happen very quickly, in less than a week, in a matter of few days, opiate addiction takes place.Dr. Arreaza: So, we can start an addiction by just prescribing one week of opiates.Dr. Patel: Correct.Dr. Arreaza: Well the symptoms you mentioned, the patients who get this energy bust or euphoria, those are the patients who are more at risk of being addicted, and of course there is a genetic and biological component to it as well. I can tell you by experience that my patients usually say they feel sleepy; it has a sedative effect. Those are usually the lower addiction risk, right? Dr. Patel: Correct.Dr. Arreaza: Well I’m glad to say that one day I took opioids, I had a cornea transplant, I had horrible pain, a leaky eye, and every time I took opioids I fell asleep, it was the only way to mitigate my pain, and it also gave me empathy for patients. I know that there is a big component of genetics, so when they have this euphoria because of opioids and become addicted to opioids, sometimes it’s out of their control, sometimes opioids is something they need to live. It’s described as needing water when you are thirsty. That is the addiction; we had an episode on suboxone with the residents and they explained it very well. So, let’s discuss ways and importance of incorporating multi modal treatment in therapy.Dr. Patel: I find in my experience that is important to limit patient’s expectations of how much pain can be relieved from the get-go. Develop an onboarding plan and discuss what the therapy will entail. Many patients go in with the expectation that opiates are a magic pill that will remove all their pain, which is true, which is responsible for a lot of this addiction as well, but it is important to have an end date, let them know what the maximum you will prescribe, because it is extremely difficult once the patient is in therapy one or two weeks, because they are not often dependent on the opiate, and suddenly you want to take away this magic pill that is making them feel better than they ever have – patients can become aggressive. It’s hard, and plus with this addiction now you have to wean the patient off the medication as well. It’s important to incorporate other treatment modalities as well. I personally think physical therapy is extremely important, and, depending on the nature of the pathology, the nature of the injury, things like epidural injections, steroid injections, things to address the source of the pain over the long term rather than just giving an opiate. An opiate is a blanket you put over the pain, and any kind of pain, it brings it down. But we as providers, we need to focus on the source of the pain, to eliminate or reduce the source of this pain so we can then wean the patient off opiates and they are not dependent on them for the long term.Dr. Arreaza: I had the opportunity to work in a clinic with a patient population who was using a lot of opioids. The provider had prescribed a lot of opioids, and he had left the clinic, so when the patients came to me, they wanted refills, so there was some friction and arguments because I was always concerned about the opioid epidemic. But now that you mention the multi-modal approach, it is probably something I applied without realizing it, incorporating things like gabapentinoids or physical therapy, and then referring a lot of those patients to pain management to get the proper treatment, etc. The way I explained it to my patients is that the opioid will mask the pain, but the pain will always be there, we must address the root of the pain to cure it (if possible).Dr. Patel: As primary care providers, we always see patients who are following up with us, so if they have an acute injury, they go to Urgent Care, they go to the Emergency Room, there are many providers unfortunately who will provide strong opiates to patients. Just as Dr. Arreaza mentioned, like a blanket to reduce all their pain. To get the patient out of the door, especially in larger cities, busier emergency rooms, many times I have seen patients go to the Emergency Room, then see their primary care and they now have an addiction, they want their refill.Dr. Arreaza: So how can we set realistic pain management levels? How can we have that discussion with the patients? Do we agree to a pain level? “Your pain level won't be a 0 it may be a 2”? How do you address that with the patient?Dr. Patel: I think it's important to start a discussion like that by helping the patient realize that pain is a part of life. Most people have some sort of aches and pains, as we get older, part of the aging process, it’s common to have aches and pains and no medication is going to remove 100% of that pain permanently. Having that conversation, make sure the patient understands that the therapy won't be permanent, it won't be chronic. Get the patient used to the idea that they may have to deal with some level of pain in the long term. The patient needs to realize that yes, the opiates will make the pain go away, but when we take you off of it, the pain may come back.Dr. Arreaza: They have to develop some coping mechanisms to deal with pain. There is a lot of evidence that if you practice yoga, you can reduce chronic pain. I have a great experience, I don’t know if it is evidence-based or not, hydrotherapy/water therapy - aquatics, so my patients with fibromyalgia they get a lot of relief with that therapy, and it’s part of that multi modal approach you are suggesting, so think of all different options for patients on opioids, to work on different receptors, different areas, to improve their quality of life.Dr. Patel: Patients with chronic pain will almost always have associated psychiatric issues, so bringing in social workers, psychiatrists, psychologists, someone the patient can speak with. In Vegas like Bakersfield there is a large indigent population, and in my experience, I find more drug seeking behavior in that population. We can help by providing them more resources, allowing their concerns to be heard. They have multiple issues which we may not be aware of, that are causing them to seek these medications, because the whole picture of the patient should be considered.Dr. Arreaza: I'm just thinking right now, even financial reasons, the problem with diversion, the patients could be using the opioid as a way to get some income, so there is a lot of factors implicated in the opioid usage of patients. How do you identify addiction to opioids?Dr. Patel: Well there are the typical signs like you mentioned earlier. The aggressive patient coming in for a follow-up in a primary care clinic looking for a refill on a medication that some doctor somewhere gave them. I think that’s important to be aware of one tool I used where pharmacies report to a central agency so we know if patients are doctor hopping. I’ve caught many patients myself who would visit more than one physician in the same day, and physicians who don’t pay attention to these databases, would refill their prescriptions, and some mentions would get 2-3 different prescriptions in one day and then go around filling them. But in terms of identifying behaviors that are indicative of addiction, patients will have vague complaints, patients who want to come see you once or twice a week, every week attempting to get the medication. Many patients employ different strategies. Patients try to play to your emotions. I would talk about primary care issues, general checkups, blood work, and you'll find that these patients are not interested in anything but getting their medication. Behavior definitely plays a role in identifying addiction patients.Dr. Arreaza: I was looking for the right term, Prescription Drug Monitoring Programs, PDMP. In California, it’s called CURES. We can check CURES for every patient, and now it is required by the DEA, it’s a good tool to have. Also for the residents, you can do a urine drug screening randomly for the patient to see if they are positive for any other illegal drugs or if they are being compliant with the opioids. Dr. Patel: Very important, because there's a lot of comorbid drug use as well. Patients will use opiates as currency to buy other medications, to get illicit drugs, random screening is very important. We would give patients 24 hours to show up, we randomly call them, they have 24 hours to show up with their pills in their pill bottle, we would count them, to verify that they are taking them as prescribed. And anytime you are prescribing any controlled substance, you want to check that database.Dr. Arreaza: People with addiction are not necessarily bad people, some people are regular people addicted to a substance. That’s why we have these programs to help people get those addictions under control. We have some replacements like buprenorphine and suboxone. We will probably have an opportunity to talk about that more in depth later. Let’s talk about the frequent flyers, we have patients who come all the time so what strategies can we use to assist these patients?Dr. Patel: That’s a bit more difficult to deal with because you cannot disregard patients like that. There are patients who have valid concerns that need to be seen frequently, but you develop a sense of judgment about these patients in the sense that, like I mentioned earlier, patient is not concerned about any other issues. They may have an infection or may be limping, but they don’t care at all, they are not interested in multi-modal therapy they just want their prescription and that’s it. It’s an obvious sign of addiction and drug-seeking behavior. Due to laws like ENTALA for example, patients cannot be turned away from the Emergency Room. I have friends in the ED who see the same patient 3 times a week, they come in regularly seeking some kind of medication whether it’s a Toradol shot, or even 1-2 doses of a narcotics. You can’t avoid that, sooner or later we will end up running into those patients, but with patients like that, I always get psychiatry on board to see if there's any underlying factors. Why are they seeking medication attention repeatedly? Is it just drug seeking or are there any other underlying issues? What's going on?Dr. Arreaza: Treating addictions is important but I think we can learn a lot on how to treat pain, as it is the root of the problem here. If you learn how to treat pain we will able to help in this opioid epidemic we are in right now. A reminder to residents; opioid use is linked to obesity as mentioned in a previous episode.Dr. Patel: Another note, as we see more geriatric patients especially in primary care it is a growing problem, opiate usage amongst the elderly because now you have this wonderful drug that makes them feel 20-30 years younger, because who would not want to take that? It’s a tough conversation to have because the elderly patients have valid concerns, growing old is painful, right? At some point, we have to draw a line in the sand, especially with the U.S. using upwards of 80% of the world’s opiate supply, it is unfortunately part of our culture that when something is wrong, something is hurting, we want a pill for that. It is hard to combat, but it is something we have to do every day with our patients.Dr. Arreaza: Maybe next time we can discuss the use of opioids in palliative care.Dr. Patel: Of course, that is a completely valid use Dr. Arreaza: Yea, different topic. Thanks Dr. PatelDr. Patel: Thanks for the opportunity.____________________________Speaking Medical: Hematospermiaby Dr Steven SaitoIn honor of Halloween, we are going to talk blood.  Blood in your ejaculate. Hematospermia is having blood in your semen.  I understand seeing red shoot from your snek is scary, but there are things that the doctor can evaluate you for.  Causes can include: Recent instrumentation. That means events like prostate surgery or a traumatic Foley placement.Infections: both sexual and nonsexual variety Excessive ejaculation particularly if you have been at home during a pandemic with nothing else to do. Cancer: particularly in men over 40 And sporadic: caused by nothing, totally benign.  And it usually resolves with time. After working it up, most commonly reassurance is all that is required for your patients.  So, tell them to suck it up, walk it off, and rub some dirt in it. Remember the medical word of this week, hematospermia. ____________________________Espanish Por Favor: Hongosby Dr Hector ArreazaThe letter H is usually silent in Spanish. So, my name “Hector” is actually pronounced “ek-tor” in English. Among our Spanish’speaking patients is common to hear the word “OS-pit-al” for hospital. Today, I want to teach you the word hongos. Hongos in medical terms refers to fungus or fungal infection. You can add a body part to the words hongos de and get, for example, hongos de las uñas for nail fungus or onychomycosis, hongos de los pies for tinea pedis… they are all hongos. Strangely, hongos is also the word commonly used in Latin America for mushrooms. So, remember the word of this week, hongos, which means fungus.   ____________________________For your Sanity: 789by Dr Tana ParkerWhat do you call a drug addiction counselor addicted to prescription opiates? An Oxymoron.Do you know what 50 did when he got hungry? 58.Have you noticed we don’t have an iPhone 9? Yes, it’s because 789.Of all the inventions in the last 100 years, the whiteboard must be the most remarkable.Conclusion: Now we conclude our episode number 31 “Opioids in Bako.” Talking about opioids is always educational and pertinent. Dr Patel explained the importance of multi-modal treatment of pain, and we discussed different strategies to decrease the use of opioids in our community. Dr Saito explained that hematospermia is the proper way to say bloody semen, a feared symptom in men with a low probability of malignancy, think of infections or trauma before getting into a complicated workup for hematospermia. Dr Arreaza then taught us the Spanish word hongos (pronounced ON-goes, do not pronounce the h) which means fungus. Did you get the joke about 789? You may ask Dr Parker for an explanation.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Ravi Patel, Steven Saito, and Tana Parker. Audio edition: Suraj Amrutia. See you next week! _____________________References:American Journal of Respiratory and Critical Care Medicine, Volume 200, Issue 7, 1 October 2019, Pages e45-e67, https://www.atsjournals.org/doi/full/10.1164/rccm.201908-1581STPublished: 01 October 2019. Download PDF: https://www.atsjournals.org/doi/pdf/10.1164/rccm.201908-1581STCDC Guideline for Prescribing Opioids for Chronic Pain, United States, 2016. https://www.cdc.gov/mmwr/volumes/65/rr/pdfs/rr6501e1.pdf

Ryan Kesler, the guy you might not like if he's on the other side. He's in your face, talks shit, and scores. Who can't appreciate that? This guy had a great career, a former Selke Trophy winner, Kesler had a reputation as one of the best two way players of his era. He also put his body through hell and back again. He openly talks about his toradol use and how it led to serious side effects and consequences. With that said, Kesler said he'd do it all over again. Recently the subject of the seriousness of Toradol usage, Kesler describes what he went through as a player and the impact it's had on his ability to try and live a normal life post career. We also get into plenty of hockey talk and his time playing in Vancouver. From the Sedins to Luongo to John Tortarella, we dive deep on this edition of the Cam and Strick Podcast.

In today's show, Dr. Aubrey Green clarifies some statements he made on Toradol. Then he and Mike DiStefano discuss COVID affecting the sports world and bring back the injury reports to discuss some major injuries sweeping the NFL and NBA.

Christiane Ayotte, de l'Agence mondiale anti-dopage, commente le documentaire « The problem of pain ». « La gestion de la douleur est un problème dans le sport depuis toujours », dit-elle, en suggérant aux joueurs de toujours demander une deuxième opinion et l'avis de médecins indépendants.

In Blue 42 with Michael Bumpus, we ask three important football questions, including why Brian Schottenheimer's move to the booth is a good thing for the Seahawks. The 49ers sign Ziggy Ansah and Dion Jordan. Will that make a significant impact following the injuries to their defensive line? Russell Wilson has been celebrated, but not exalted as the best in the league. After two weeks, we're ready to declare him the best. How did he get to this point? There's been a steady progression of his confidence. We learn what happened with Tyrod Taylor on Sunday. Adam Schefter reports the team's own doctor punctured his lung while administering a Toradol shot. This is not a risk players should have to take. See omnystudio.com/listener for privacy information.

In hour two of Leafs Lunch, Andi Petrillo and TSN hockey analyst Dave Poulin talk to TSN Senior Correspondent Rick Westhead about his latest TSN Original investigative feature, "The Problem of Pain" and the widespread use of Toradol in the NHL and its consequences. Then Andi and Poulin play another edition of "Good Call, Bad Call".

TSN Correspondent Rick Westhead joins the show to discuss his segment on SportsCentre "Problem of Pain", the use of painkillers across the league and more.

In this episode of Five @ Five, Dr. Rogers answers YOUR questions! This week's questions: 1. What are some safe alternatives to Aderrall for adult ADHD? 2. If you have chronic pain, how often can you take a Toradol shot? Is there a protocol? 3. You mentioned in this week's Doctor's Note that you can take 1 Tylenol with an NSAID to make the NSAID work better. How often should you do this if the pain persists? 4. What's the safest way to take Oxycontin post surgery and when you're in a lot of pain? How much and how often so you don't become addicted. 5. As an integrative medical doctor, how do you balance putting your patients on medications like Toradol, NSAIDS, etc. with more natural alternatives like CBD Oil? When do you decide to use medications versus the natural alternatives? 6. You talk a lot about how great Metformin is. Are there any downsides to taking it? Can males and females take it? What did you think of this episode of the podcast? Let us know by leaving a review! Connect with Performance Medicine! Sign up for our weekly newsletter: https://performancemedicine.net/doctors-note-sign-up/ Facebook: @PMedicine Instagram: @PerformancemedicineTN YouTube: Performance Medicine Audio

This is reposted from the original distribution back in July 2020 right before we added Toradol.Obtain 0.75 hours of ALS continuing education by taking this quiz.Click here to view completed podcost con ed.

This week we recap Pain part . Briefly reviewing terminology and the importance of MAP in pain management. Our main topic focuses on OPIOID alternative treatments by using Ketamine and Toradol.Toradol is an NSAID with great results in the normotensive patient without hypertension or signs of bleeding.Ketamine is the king for analgesia am I right? Well listen in and see if you still think so at the end of the episode. As always listen to the Fly by Medics podcast on your favorite streaming platform and let me know what you want to hear! Please Like share and review.

Today is the debut episode of The Pod, a show about nothing with all the familiar faces from Pat McAfee Inc.. On today’s show Pat, Digs, Nick Ty, Zito, Connor, and Foxy welcome in Super Bowl Champion, Restaurant owner, businessman, and all around great guy, Gary Brackett. The guys split into two teams and get into some heated debates, converse about the greatness of Toradol, each of the guys give their Stooge or Sellaht of the week, Digs gives his favorite history fact of the day, and they get to know Gary Brackett on a more personal level on the inaugural episode of The Pod. Rate, review, and subscribe to the show and send any video questions you have to be featured on the show @ThePodPMI. Welcome to the family, and enjoy the show.

Sandy and Anthony Perez kept telling doctors their daughter Jordan was very sick. Their concerns were dismissed and Jordan’s pain minimized. They were ping-ponged between specialists, dealing with ongoing misdiagnosis, and doctors who refused to listen to Jordan and her parents and threatened to remove medical care. When Jordan died in the hospital, Sandy and Anthony thought it was due to a yet to be diagnosed illness. Only later would they find out Jordan had been poisoned to death by the hospital and they were covering it up.  Wanting justice for Jordan, Sandy and Anthony sought legal support - over 100 lawyers told them the same thing: California has a law that effectively makes hiring a lawyer for medical malpractice suits a non-starter: the law puts a cap on how much lawyers can be paid and how much victims can be awarded. Suing is a money losing proposition. As Sandy and Anthony learned, the legal system is set up to deny justice to medical victims, and the medical system is set up to deny accountability of doctors. A de facto license to kill. Jordan shouldn’t have died.  Sandy and Anthony shouldn’t have to fight to find out how the hospital killed their daughter. Jordan's drawing, titled: Will you remember me? SHOW NOTES:   Interviewing Sandy and Anthony Perez about their daughter Jordan 0:05:30 Sandy was born outside of Chicago, but raised in California since she was 7 - had a normal childhood with 3 sisters - went to college - met Anthony in 1994 0:06:30 Anthony was born and raised in California - good childhood with great mom and dad - their daughter Jordan was born April 5th, 2000 - she was a cranky baby, didn't want to sleep unless being held, always wanted to sleep with them 0:07:30 She was a one-off child, liked to do things her way - she liked to dress herself, there was no arguing with her - she played soft ball since age 4 and made the city's all-star team for 2 years - and her Dad (Anthony) coached her - when they moved to the high desert, they put Jordan in 'travel ball' - a more intense game softball league 0:08:30 The league had better quality coaches and was geared to show to colleges - it is called 'travel ball' because they traveled to and played in different cities - Jordan was the kid who would befriend others - at Jordan's memorial service, several of her friends spoke of how they were alone but Jordan invited them to play 0:09:30 It was very important to Jordan that others felt included and were not left out - in May 2014 Jordan started to complain of headaches - Jordan had allergies, including grass, but benadryul helped - then her neck started to hurt - in December 2014 she went to the doctor with neck and head pain 0:10:30 Jordan was suspected to have mastoiditis (infection in the masto bone behind the ear) and sent her to the ER - they didn't find anything, didn't run any blood tests, suggested it was migraines and sent Jordan home - a couple of weeks later Jordan had symptoms of the flu, couldn't keep fluid or food down, so they took her to the ER - they told the ER doc about the previous mastioditis diagnosis, so they ran more tests and found blood clots in Jordan's brain 0:11:30 They sent them to another trauma centre and that is where Jordan was treated for the next 3.5 years - they were frightened and wondering how it could've been missed - blood clots don't usually show up on CAT scans, but they did in Jordan 0:12:30 They were told the blood clots were a rare complication from the infection in the masto bones - Sandy and Anthony asked how Jordan could've gotten mastoiditis, and were told via infection of the sinus or ear - but Jordan didn't have those infections, so how could that be? But nobody could answer that - the hospital put Jordan on a hepadrin drip for a day and then changed to lovonox injections - both are blood thinners to more blood clots, but wouldn't treat Jordan's current blood clots 0:13:30 They also put Jordan on antibiotics for 6 weeks to fight the infection - Jordan started to perk up a bit, her headaches would coma and go, and she was treated with Toradol, which Sandy understands is a super Motrin, and that seemed to be Jordan's 'wonder drug' - she would be much better for 24 - 36 hours on one dose - it appeared Jordan was getting better - what they didn't know was that Jordan wasn't getting better 0:14:30 During Dec 2014 while getting treatment at the hospital, Jordan appeared to have a stroke and they sent her to ICU - ultimately they sent Jordan home saying she was improving and to continue the antibiotics - Sandy and Anthony were told Jordan had a stroke, and told she did not have a stroke - Jordan was sent home early January 2015 but Jordan was in the local ER a few days later with uncontrolled chest pain - the local hospital called Jordan's trauma hospital to transfer her, but they refused 0:15:30 The local hospital treated her and sent her home - the very next day they ended up at the trauma hospital with chest pain, increased headache, blurry vision, and a reaction to the antibiotic medication - they admitted Jordan for a couple of days, adjusted her antibiotic and sent her home again - about a week later, the eye doctor suggested a lumbar puncture because of Jordan's blurry vision and swelling of the optic nerve - this showed Jordan's cerebral pressure was severely elevated 0:16:30 A lumbar puncture extracts spinal fluid, during the process they monitor the pressure level and check spinal fluid for infections - Jordan's pressure was elevated, nearly twice normal - and it can affect vision 0:17:30 The following year they did another lumbar puncture, but the day after Jordan would vomit just from being touched - they put in a lumbar drain, to drain cerebral spinal fluid and monitored her for 5 weeks and make a decision how to proceed - in Feb 2015 they made a decision to internalize the drain, making it a lumbar shunt, and sent Jordan home - her headaches seemed to be improving, but she was taking Motrin daily 0:18:30 Jordan started developing a lump where she had shunt surgery, the doctors said it was filling with cerebral fluid, so they had to do a revision surgery - Jordan had to lay flat after the surgeries, she couldn't get up to go to the bathroom, so was very uncomfortable - she had a surgical scar on her abdomen as well as her back, and she was in pain - March 2015 was the revision surgery 0:19:30 Jordan needed another revision surgery in May because cerebral spinal fluid kept leaking of her back surgical scar - in June 2015 they went to Jordan's softball team's banquet because they recognized that Jordan had been on the team, but too sick to play - they had to leave the banquet early because Jordan started leaking spinal fluid, and they went to the hospital - they took the shunt out, and reverted back to the lumbar drain - a few days later they implanted a VP shunt, going from Jordan's head to her abdomen 0:20:30 The tubing was in the ventricles of her right side, and drainig the cerebral fluid into her abdomen - they put a hole in her skull, and the shunt ran down her head, behind her ear, and over her shoulder and down her back - and that was very uncomfortable for Jordan - Jordan's diagnosis never changed: infection causing mastoiditis, with rare complication of blood clots, causing increased intracranial hypertension 0:21:30 In January 2015 they learned from an infectious disease specialist suggested cancer could be a cause a differential diagnosis - oncology did ask about cancer in the family, and Sandy and Anthony said there was cancer on both sides, but the doctors never followed up for the entire 3.5 years 0:22:30 But June 2015 Jordan had daily headaches, impaired memory and vision, and still too sick for school - she was on the hospital home bound program to do some school work - Sandy had to write down Jordan's words because Jordan had IVs in her hand - she finished her freshman year about a week before her sophomore year started - the family went on vacation in August 2015, but Jordan stayed in the condo rental, she wasn't well enough to leave 0:23:30 So Jordan was still exhibiting the same symptoms from the start, in spite of the treatments, in spite of the surgeries - Jordan was back in the hospital a few times for head and chest pain, but the hospital couldn't find anything wrong and would send her home - in Feb 2016, Jordan's eye doctor say that Jordan's optic nerve was swelling again and recommended opening up the drain further to reduce pressure and help her vision and so she wouldn't go blind, but it was not to help her headaches 0:24:30 Feb 2016 the neurosurgeon opend the shunt all the way, but Jordan still got sick and was in and out of the hosptial - in June 2016 she saw a new pedeatric neurologist at the same hospital, and he started suggesting it was migraines because of a family history - Sandy told him it wasn't migraines because Motrin doesn't work on migraines, and Motrin worked for Jordan, she didn't need anything stronger - he then suggested Jordan was abusing Motrin - they pointed out she was only taking 400mg a day, and that is not excessive 0:25:30 The doctor also suggested they go back to hematology, and they took her off the blood thinning medication in June 2016 - but Jordan still battled with headaches, blurry vision, and kept getting sicker - Jordan's health would be up and down, so Sandy and Anthony tried to enjoy life with her 0:26:30 But Sandy was frustrated the hospital kept saying it was migraines and she knew it wasn't - when Jordan complained of jaw pain, they sent her to a dentist who couldn't find anything wrong - Jordan's joints would ache, but rheumatology would say there was nothing wrong with her - Sandy got more frustrated so took Jordan to another hospital for assessment, they too suggested migraines - Sandy was still working, when Jordan was in the hospital, Sandy would work from her bedside - do her job around doctors, testing, etc 0:27:30 Anthony says it was hard, they didn't know what they were dealing with - sometimes Jordan would grab her neck and Anthony thought it was maybe muscle spasms - when she'd come into the living room to get something to eat, she'd be doubled over, holding her stomach, saying how much pain she was in 0:28:30 To be experiencing that much pain without a proper diagnosis is ridiculous - Jordan missed her sophomore school year, and was on the home study program, but they had to fight to get her proper courses and support to keep Jordan in her honour classes 0:29:30 Jordan missed her friends, and it was hard on her - in July 2017 Jordan was getting increased headaches and had a new lumbar puncture 0:30:30 Sandy told the hematologist that Jordan seemed to be having blood clots in her toes, the doctor dismissed that and said Jordan must have dropped something on her toes to cause the trauma - Sandy explained that was not possible because Jordan was mostly bed ridden - the hospital said that Jordan needed to be taken off Motrin, she was using and abusing it - that night Jordan was vomiting because of the pain 0:31:30 She was admitted to the hospital that same doctor said that Jordan had migraines and needed to be detoxed from Motrin - he told Sandy and Anthony that if they didn't accept his diagnosis of migraines, he would refuse to treat Jordan - meanwhile Jordan is very sick with a forced diagnosis that didn't fit - Sandy told the head nurse that if they are saying it is migraines, then they might as well discharge Jordan - then a neurosurgeon came in and said he reviewed all Jordan's MRIs of the past year and a half and saw that she had enlarged veins since spring 2016 0:32:30 He wanted to angiograms to see if that was causing issues in her brain - an angiogram is a catheter like needle into the body to see what is going on in the venous structure using contrast to show up on images 0:33:30 The neurologist who pushed a migraine diagnosis came in and wanted Jordan's complete history, so they told him about everything from 2014 up to that point - he said he would get a 2nd opinion hematology consult - but he never recorded it in her records and never requested it - he said he would give her a lumbar puncture but if it was a certain number they would have to concede he was right with the migraine diagnosis - Sandy told him what he wanted to hear to get testing and treatment for Jordan 0:34:30 When the numbers came back, Sandy maintained that it was not migraines, something else was making her sick - they discharged Jordan and gave her Motrin - they had one follow up appointment with the neurologist and he suggested it was psychiatric - he referred them to another neurologist and refused to treat Jordan - he followed through on his threat and refused to treat Jordan - they saw the new neurologist in September 2017, at first he mentioned psuedo tumor cerebri, this is alos intracranial hypertension when the brain thinks it has a tumor but it doesn't - he said he'd do some research and talk to them at Jordan's next appointment 0:35:30 Jordan was sicker and ended up back in the ER - they said it was migraines and copy and pasted previous notes that said Jordan was abusing Motrin - they put her on a detox protocol called DHE, a medication to help people withdraw from medications that are harming them - Jordan got sicker, not from the DHE, but from the pain - they also gave her Toradol (like super Motrin), so while they are detoxing her from Motrin, they give her high dose Motrin 0:36:30 The attending doctor said 'it looks like the DHE protocol is working' - Sandy said 'no, you approved Toradol, that's what's helping her, not the DHE protocol' - that doctor said they'll send Toradol home with Jordan - Jordan would be less sick with the Toradol, but after it wore off after 24 hours, she'd get sicker - Jordan had been taking the Motrin as directed 0:37:30 They went back to the neurologist who diagnosed intracranial hypertension, but he changed his diagnosis to migraines and attempted to treat her with migraine meds - they told him that Jordan did not have migraines - he suggested treatment with Botox - Jordan got sick during the appointment and they went across the street to the ER - again they said migraines, again Sandy and Anthony said it wasn't migraines, they gave her Toradol 0:38:30 The attending physician didn't examine Jordan, but asked if anybody had told them that Jordan had an enlarged spleen - Sandy said it had never been mentioned, what does it mean, what's the impact on Jordan - the doctor said 'its probably nothing' and they discharge Jordan with migraines - they went to Jordan's primary care doctor and said the hospital must be missing something - he order more testing, but it was to be done at the hospital, that's where all of Jordan's records were 0:39:30 On February 14, 2018 Jordan had abdominal imaging, ultrasound done - they wouldn't let Jordan leave at first - they asked about Jordan's history of blood clots and the shunts - they said Jordan had to follow up with her primary care right away - Sandy asked if they had to go to the ER, and they said 'no' - on the way home, Sandy called primary to make an appointment - Jordan was to come to primary care in the morning of Feb 16th - at the appointment they told the family that Jordan had 'portal vein thrombosis' which is blood clots leading into the liver 0:40:30 He sent them back to the hospital, they ended up in the ER - at the time they did not know that the person who introduced themselves as a doctor, was actually an unlicensed medical student, with no authority to examine, treat or discharge Jordan - his attending physician supervisor did signed saying she examined Jordan but never did - the 'doctor' said he didn't accept testing not from the hospital, and ordered all the same tests - they confirmed portal vein thrombosis - the 'doctor' said it was a GI issue and referred them to a GI department - Sandy called the GI department, but they refused to do anything while Jordan was in the ER 0:41:30 The GI department said Jordan needed to book a consult - Sandy told them they had previously requested a consult - regardless, they refused to set an appointment - Sandy asked the ER 'doctor' to bring in a GI doc to the ER for Jordan, but he said it wasn't necessary - they also asked that hematology be notified because this was the 3rd appearance of blood clots - again the ER 'doctor' said it was a GI issue and Jordan needed to be seen only as an outpatient - they discharged Jordan and told her parents it was not a life threatening condition 0:42:30 The following Tuesday Sandy called the GI department to make an appointment - they said they would review Jordan's file and call back in 24 - 48 hours with an appointment - but they didn't call until March 2nd - Sandy also called hematology to make sure they been told Jordan had more blood clots - they called back and said they were not told, and to take Jordan to the ER and they would admit her - Jordan was admitted on Feb 20, 2018 to Feb 23 -- on the 21st they wanted to send her home to be an outpatient, but Sandy demanded the GI come see Jordan will she was inpatient 0:43:30 The GI said that wanted to do an endoscopy to see inside her abdomen - they said the results were mild reflux, but nobody could explain the blood clots - Sandy asked 3 different hematologists about cancer testing - one said they could do that test, another indicated he would order them, but never did - the 3rd said cancer testing was unnecessary because her blood tests were normal 0:44:30 This 3rd hematologist is the same one who in 2015 was told to do a cancer differential diagnosis, which he never did - but Jordan's blood work was not normal - they sent Jordan home - on Feb 26th they were back in the ER, Jordan was doubled over in pain - she was seen by a resident doctor who insisted Jordan was constipated and gave Jordan an enema - Jordan felt completely humiliated - and still in pain 0:45:30 The attending physician signed off said she had examined Jordan, but she never came in, they never saw her - she was sent home with constipation medication - on the Feb 27th they called oncology, they advised managing Jordan's pain at home because they had an appointment on the 28th with hematologist and he would admit her to the hospital - on Feb 28th they had their appointment with the hematologist - Sandy begged him to help her - he said it was a GI issue, he could refer her to pain management, and sent her home 0:46:30 He never put that in Jordan's medical notes - that night they called oncology to let them know they were bringing Jordan to the ER and listed her symptoms - when they got to the ER just before midnight - they made Jordan wait for 4 - 5 hours -- Sandy kept letting them know Jordan's pain was very high, but other patients were prioritized, including somebody walking out on crutches from a sprained ankle 0:47:30 Jordan was admitted to the hospital on March 1st - the hospital staff said Jordan was quite sick - Sandy said 'yes, we've been trying to tell you that for 3 years' - on March 4th a new hematologist asked about the cancer testing - she suggested Jordan may have lymphoma and they needed to do further testing - Jordan was being monitored in the ICU 0:48:30 On March 5th Jordan was moved back to onclology and they did a bone marrow biopsy for cancer - on March 6th they were waiting for test results - Jordan was heavily agitated, kept trying to get out of bed - the last words she said to Sandy were "Mom, I just want to go home" - Jordan layed back down and fell asleep - later that night Sandy went to Ronald McDonald house to get some rest 0:49:30 About 30 minutes later the hospital called Sandy to say Jordan was non-responsive and they had administered Narcan - Sandy got back to the hospital and over heard the doctor arguing for the last bed in the ICU - they told Sandy again they had given Jordan Narcan, it is given to someone to reverse an overdose - On March 6th they moved Jordan back to the ICU and said they needed to put Jordan into a medically induced coma to allow time for her to heal 0:50:30 The resident doctor told them that Jordan's ammonia levels were very elevated - Sandy asked how they missed that? - his answer was 'not to focus on placing blame, but to focus on Jordan getting better' - early March 7th they placed a drain in Jordan's abdomen - Instead of draining normally, it was draining into Jordan's abdomen - a couple of hours later the same doctor that was arguing for an ICU bed, told Sandy and Anthony that they were life-lining Jordan to another facility because she needed a liver transplant 0:51:30 So they started to prepare for that - Anthony went home to grab some sleep and Sandy stayed at the hospital with Jordan - at about 8am the ER attending doctor said Jordan was very sick, Sandy said we've been trying to tell you that - during morning rounds, the GI doctor who saw Jordan in Feb, came running in and told the attending hematologist she failed to read Jordan's lab work from weeks prior when Jordan was in the hospital and had alpha one anti trypsin deficiency disorder, and it affects the liver and lungs 0:52:30 The doctor than told Sandy she'd provide more info once Jordan was stable and transferred to another facility - Sandy and Anthony thought the worse was probably over, and the staff never said Jordan was dying - around 8:30 neurosurgery came in and said they needed to remove the shunt tubing from her abdomen because she had an infection and they didn't want it to spread to her brain - so Sandy and Anthony permitted that surgical procedure 0:53:30 Sandy was waiting in the family room right outside the ICU while they performed the procedure - at about 10:40 am while Jordan was still in surgery, a social worker came into the family room and told Sandy that Jordan had 'coded' during the procedure - Sandy remembers running to Jordan and yelling 'you killed my daughter, you killed her' - the social worker asked Sandy what she meant - she said that they'd been bringing Jordan for help and they kept saying migraines 0:54:30 They did CPR for about an hour until Anthony could get to the hospital - they gave Jordan blood products - but they stopped at about 11:40 am - that day they asked Sandy and Anthony if there was anything they needed - Sandy and Anthony asked for the lab reports and testing as they had other children and wanted to know if there was anything they needed to worry about - the hospital said they would get those results to Sandy / Anthony, but they never did - about 2 weeks later, they went to the hospital's patient relations and requested the information again - and filed a complaint 0:55:30 State law says they have to turn over medical records within 15 days, but they didn't hand them over until about 40 days later - when Sandy was going through the records over the next few months, in July 2018 she realized the records were missing a huge chunk of data - so they requested again, and it took another 45 days to get more records - to this day, Sandy and Anthony still don't have all Jordan's medical records - that info was either withheld, or never recorded 0:56:30 In Feb 2019, Sandy and Anthony went to Washington DC for rare disease week - they went because of the rare blood disease Jordan was diagnosed with 6 weeks after her death, called 'primary myelofibrosis', an extremely rare form of leukemia, less then 50 children in the US diagnosed with it - less then 20,000 nationally - someone at rare disease week said something sounded fishy - they were advised to ask if Jordan's death had been reported to any agency 0:57:30 Sandy contacted the California Department of Public Health to see if Jordan's death had been reported - they told Sandy they had no record of Jordan's death - Sandy asked if the hospital was required to report Jordan's death - Sandy was put on hold - she was then recommended to file a complaint - so she did file a complaint - even though Sandy and Anthony have had several conversations with the investigator, they still don't have any info and its been 10 months 0:58:30 It is a state investigation, so red tape, bureaucracy, limited personnel - those things have caused delay - they hope to get more records soon 0:59:30 They had Jordan's GP look at the records, and paid a professional to review and confirm Jordan's eventual diagnsosis of 'primary myelofibrosis' - the hematologist who had suggested lymphoma called Sandy and Anthony on April 23, 2019 and asked if any one had spoken to them about what was going on? - Sandy asked if Jordan's diagnosis had of been caught earlier if Jordan would still be alive, and the hematologist said 'yes' - but never heard from the hematologist again, but knows she left the hospital in April 2019 1:00:30 Sandy researched 'primary myelofibrosis' and life expectancy is up to 10 years after diagnosis - but she could have been cured with stem cell transplants or been in remission and lived a full life - in April the hematologist said she'd written a report and what happened to Jordan - in Sept 2019, Sandy and Anthony found out that the hospital had overdosed Jordan causing her death - and they were not monitoring her as they should have been 1:01:30 Sandy and Anthony think the hematologist report covers an adverse event, and by state law that must be reported, but the hospital chose to cover it up instead of reporting it - in California they have laws that put a low cap on medical malpractice settlements making getting a lawyer impossible because they won't earn any money 1:02:30 So the system is set up so patients can't get justice, and doctors are not held accountable either by the justice system or the state medical board - Sandy and Anthony have not heard from the medical board since they filed their 9 complaints against the providers 1:03:30 Sandy and Anthony asked, in January 2019, the investigator to include another 257 providers associated with hospital or Jordan's care, but they have not heard any thing - Sandy and Anthony have been advocating for reform of the MICRA Act (medical injury compensation reform act of 1975) 1:04:30 MICRA limits compensation to $250,000 due to medical injury or death by medical injury - it also limits how much an attorney can be paid to about $75,000 - but in Jordan's case it would cost about $200,000 to litigate, making it economically infeasible, and that patients can't get justice - there is a current ballot proposal called the Fairness for Injured Patients Act (FIPA) that they want on the November election ballot to overturn MICRA 1:05:30 Sandy and Anthony filed a medical malpractice case in May 2019, naming 22 defendants - they are expecting the defense counsel to do a 'demure', and that is saying the case is unwarranted and why - then Sandy and Anthony will have an opportunity to respond to the 'demure' 1:06:30 Then the case will be heard by a judge who will decide if the case has merit or not - Sandy and Anthony don't have a lawyer, but have consulted with attorneys, but Sandy and Anthony are writing the legal briefs 1:07:30 There are thousands of Californians who've been medically injured who have no recourse - that what the FIPA will remedy - and that is why families are speaking publicly - under the current law, children and the elderly are most vulnerable - Sandy has cashed in all her savings to help pay for things 1:08:30 They have started a GoFundMe page to help with legal bills they will occur 1:09:30 Sandy is up and down emotionally - she has a lot of work today in addition to her day time job - reviewing files, preparing legal documents, being a wife and mother - but Sandy doesn't feel like she's had a chance to grieve the loss of her daughter - Sandy and Athony are making meaning through advocacy in Jordan's name - they want to make sure the hospital doesn't kill more people -- they use #JordansStory on twitter and Facebook 1:10:30 Sandy says if you're sick, or a caregiver, and you don't believe the doctors, push back, seek 2nd, 3rd or 10th opinions if you have to -- the doctors told Sandy and Anthony that there is so much info about diseases, they don't even know 1/ 10th of it - so don't let them discourage you, and ask them to have conversations about your own research - don't let them disparage you, don't let them chide you, don't let them discourage you from doing your own research and asking your own questions    CONNECT WITH SANDY AND ANTHONY ABOUT JORDAN'S STORY   Twitter @alpslp98Facebook: www.facebook.com/jordansstory Fairness for Injured Patients act: www.fairnessact.org GoFundMe - Justice for Jordan Be a podcast patron Support Medical Error Interviews on Patreon by becoming a Patron for $2 / month for audio versions.  Premium Patrons get access to video versions of podcasts for $5 / month.   Be my Guest I am always looking for guests to share their medical error experiences so we help bring awareness and make patients safer. If you are a survivor, a victim’s surviving family member, a health care worker, advocate, researcher or policy maker and you would like to share your experiences, please send me an email with a brief description:  RemediesPodcast@gmail.com  Need a Counsellor? Like me, many of my clients at Remedies Counseling have experienced the often devastating effects of medical error. If you need a counsellor for your experience with medical error, or living with a chronic illness(es), I offer online video counseling appointments. **For my health and life balance, I limit my number of counseling clients.**  Email me to learn more or book an appointment:  RemediesOnlineCounseling@gmail.com Scott Simpson:  Counsellor + Patient Advocate + (former) Triathlete I am a counsellor, patient advocate, and - before I became sick and disabled - a passionate triathlete. Work hard. Train hard. Rest hard. I have been living with HIV since 1998. I was the first person living with HIV to compete at the triathlon world championships. Thanks to research and access to medications, HIV is not a problem in my life. I have been living with ME (myalgic encephalomyelitis) since 2012, and thanks in part to medical error, it is a big problem in my life. Counseling / Research I first became aware of the ubiquitousness of medical error during a decade of community based research working with the HIV Prevention Lab at Ryerson University, where I co-authored two research papers on a counseling intervention for people living with HIV, here and here.  Patient participants would often report varying degrees of medical neglect, error and harms as part of their counseling sessions. Patient Advocacy I am co-founder of the ME patient advocacy non-profit Millions Missing Canada, and on the Executive Committee of the Interdisciplinary Canadian Collaborative Myalgic Encephalomyelitis Research Network. I am also a patient advisor for Health Quality Ontario’s Patient and Family Advisory Council, and member of Patients for Patient Safety Canada. Medical Error Interviews podcast and vidcast emerged to give voice to victims, witnesses and participants in this hidden epidemic so we can create change toward a safer health care system. My golden retriever Gladys is a constant source of love and joy. I hope to be well enough again one day to race triathlons again. Or even shovel the snow off the sidewalk.  

Contributor: Don Stader, MD Educational Pearls: The classic migraine cocktail includes: Reglan (or other dopamine antagonist), Benadryl, Toradol, Decadron, and IV fluids.  The most effective agent in the cocktail is a dopaminergic agent  Routine IV fluids have not shown efficacy  There is no evidence for pre-treatment of akathisia with diphenhydramine (Benadryl) Decadron reduces rebound headache  Consider trigger point injections for those with migraine attributable to cervical neck pain.  References Jones CW, Remboski LB, Freeze B, Braz VA, Gaughan JP, McLean SA..Intravenous Fluid for the Treatment of Emergency Department Patients With Migraine Headache: A Randomized Controlled Trial.  Ann Emerg Med. 2019 Feb;73(2):150-156. doi: 10.1016/j.annemergmed.2018.09.004. Epub 2018 Oct 26. Friedman BW, Cabral L, Adewunmi V, et al. Diphenhydramine as Adjuvant Therapy for Acute Migraine: An Emergency Department-Based Randomized Clinical Trial. Ann Emerg Med. 2016;67(1):32–39.e3. doi:10.1016/j.annemergmed.2015.07.495 Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD

Drs. Morse & Patel discuss tons of injuries heading into Week 8. The BEST EPISODE of the SEASON. Don't MISS it!!! QBs: (1:23) Patrick Mahomes - high-ankle sprain, patellar dislocation Matt Ryan - high-ankle sprain Drew Brees - UCL thumb, s/p surgery Baker Mayfield - hip Sam Darnold - toe (toenail removed) Case Keenum - concussion Cam Newton - mid-foot (Lisfranc) sprain   RBs: (9:04) Kerryon Johnson - knee (MCL?) David Johnson - back (flared up), ankle Alvin Kamara - high-ankle sprain, MCL James Conner - quad Josh Jacobs - shoulder (16:44) TORADOL (17:18) Jets Crazy Situation (18:59) Jalen Richard - ankle  Malcolm Brown - ankle Rex Burkhead - foot  Matt Breida - poked in eye Ito Smith - concussion   WRs: (22:28) Adam Thielen  Will Fuller  Keenan Allen - hamstring Marquise Goodwin   Davante Adams - turf toe Sammy Watkins - hamstring Dede Westbrook   Christian Kirk - mild high-ankle sprain Jamison Crowder - knee Josh Gordon - high-ankle sprain, MCL sprain A.J. Green -   Duke Williams - shoulder Marquez Valdez-Scantling - knee, ankle Marquise 'Hollywood' Brown - foot/ankle DeSean Jackson - sports hernia Tyrell Williams - plantar fasciitis Parris Campbell  Sterling Shepard Dante Pettis - knee Deebo Samuel - groin    TEs: (35:22) Delanie Walker - ankle O.J. Howard - hamstring Jared Cook - ankle   www.TheFantasyDoctors.com  www.Patreon.com/TheFantasyDRS @TheFantasyDRS?

Drs. Morse & Patel discuss tons of injuries heading into Week 8. The BEST EPISODE of the SEASON. With controversial discussions about Toradol, the Jets craziness, and trading a player for a bag of peanuts. Don't MISS it!!! Patrick Mahomes - high-ankle sprain, patellar dislocation Matt Ryan - high-ankle sprain Drew Brees - UCL thumb, s/p surgery Baker Mayfield - hip Sam Darnold - toe (toenail removed) Case Keenum - concussion Cam Newton - mid-foot (Lisfranc) sprain Kerryon Johnson - knee (MCL?) David Johnson - back (flared up), ankle Alvin Kamara - high-ankle sprain, MCL James Conner - quad Josh Jacobs - shoulder Jalen Richard - ankle Malcolm Brown - ankle Adrian Peterson - high-ankle sprain, low ankle sprain Chris Thompson - turf toe Rex Burkhead - foot Matt Breida - poked in eye Ito Smith - concussion Adam Thielen - hamstring Will Fuller - hamstring Keenan Allen - hamstring Marquise Goodwin - concussion? Davante Adams - turf toe Sammy Watkins - shoulder, hamstring Dede Westbrook - shoulder Christian Kirk - mild high-ankle sprain. Jamison Crowder - knee Josh Gordon - high-ankle sprain, MCL sprain A.J. Green - foot, surgery Duke Williams - shoulder Marquez Valdez-Scantling - knee, ankle Marquise 'Hollywood' Brown - foot/ankle DeSean Jackson - sports hernia Tyrell Williams - plantar fasciitis Parris Campbell - abdominal, hernia? Sterling Shepard - concussion Dante Pettis - knee Deebo Samuel - groin Tre'Quan Smith - high-ankle sprain Delanie Walker - ankle O.J. Howard - hamstring Jared Cook - ankle www.TheFantasyDoctors.com www.Patreon.com/TheFantasyDRS @DrJesseMorse @TheFantasyDRS

In this week's episode of Handle Your Business, I take a look at the case of Kelechi Osemele, who is dealing with a severe shoulder injury and a disagreement with the New York Jets over it. Reports are that Osemele was fined and may file a grievance against the Jets. You will also hear about a drug Osemele's been taking to play through the pain called Toradol. Will Kelechi Osemele and the Jets come to a possible agreement, or is a grievance looming? There will also be a discussion of the latest news on Antonio Brown's grievance, A.J. Green's availability and possible trade value, and the bounty the Eagles offered the Jacksonville Jaguars for Jalen Ramsey. With Ramsey getting a win during his first game as a Los Angeles Ram, did he give the Rams the boost that they desperately needed?

We investigate the claim that administering ketorolac (Toradol) increases bleeding and should be avoided in surgeries for which there is concern for bleeding.  Claim 1. Administration of intraoperative ketorolac increases the bleeding time due to platelet inhibition Claim 2. Increased bleeding time translates to higher rate of surgical bleeding Claim 3. The magnitude of bleeding propensity attributable to ketorolac is clinically relevant Our guest today is Dr. Jamie Sparling of the Critical Care Division of the Massachusetts General Hospital.  Full show notes available at depthofanesthesia.com.  Connect with us @DepthAnesthesia on Twitter or depthofanesthesia@gmail.com. Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen Campbell, MD.  -- References Bailey R, Sinha C, Burgess LP. Ketorolac tromethamine and hemorrhage in tonsillectomy: A prospective, randomized, double-blind study. Laryngoscope 1997;107:166–169. Cassinelli EH, Dean CL, Garcia RM, Furey CG, Bohlman HH. Ketorolac use for postoperative pain management fol- lowing lumbar decompression surgery: A prospective, ran- domized, double-blinded, placebo-controlled trial. Spine (Phila Pa 1976) 2008;33:1313–1317. Gobble RM, Hoang HL, Kachniarz B, Orgill DP. Ketorolac does not increase perioperative bleeding: a meta-analysis of randomized controlled trials. Plastic and Reconstructive Surgery 2014; 133(3): 741-755 Singer AJ, Mynster CJ, McMahon BJ. The effect of IM ketoro- lac tromethamine on bleeding time: A prospective, interven- tional, controlled study. Am J Emerg Med. 2003;21:441–443. Strom BL, Berlin JA, Kinman JL, et al. Parenteral ketoro- lac and risk of gastrointestinal and operative site bleed- ing: A postmarketing surveillance study. JAMA 1996;275: 376–382.   --

Bryan Bradford is a certified health coach and nutritionist. He is also an owner of the Sunflower Shoppe. Sunflower Shoppe is a long tested pioneer of healthy grocery and supplement stores located in Tarrant County (Fort Worth) Texas. A US Army and Gulf War veteran, Bryan found inspiration to serve his fellow citizens by helping his family business become a stronger resource for health. Bryan joins the GCP to discuss the process of vetting quality products, the importance of certifications and COAs, the dangers of misinformation, bad labels and chemicals.The Sunflower Shoppe serves Tarrant and surrounding counties by having well trained staff, fully screened high quality products, and frequent open forum lectures to educate all of heir customers.https://sunflowershoppe.comhttps://podcasts.apple.com/us/podcast/the-healthy-approach/id1444435104https://lovemytummy.com/spoonyhttps://gutcheckproject.comhttps://kbmdhealth.comAnd now an ad from dad save money on car insurance when you bundle home and auto with progressive what is this where did you get this I'm talking to you with the hair yeah where did you get this good stuff so that's another nearly solid stuff progressive can't save you from becoming your parents but we can save you money when you bundle home and auto progress casually intrinsically affiliates and other insurers discuss not available in all stricter situations all right it is August 1, 2019 this is episode 19 the gap check project with your host Dr. Ken Brown I'm Eric Greer what's up can August 1 August 1 does it give a final become summer here in Texas because it's been really mild it's amazing we haven't I don't think it officially which I think official temp records in our area By DFW airport I don't think they've officially recorded 100° day in all July which is amazing if you're not from Texas that does not happen often I was listening to a Jim Gaffigan set on the way over here we talked about living in the Midwest spring just it sometimes it did vanish like louts it's April it's 30° the next days like 90 music well there was spring on every thrill hot pocket juggling hey so it is it is August 1 and for all of the several hundred of you that wrote in to let us know that you have liked and shared get your project back to the month of July for the contest for the signature package from Dr. Brown being a month supply about trying to heal and keeping the CBD thank you thank you thank you so much for the help the growth the the spreading of the word all of the winners will receive an email by the end of this week we were advised not to read off your names here because we need to have your permission which kinda stinks but I really didn't think that that's being new to to podcast and that's why we have a producer to make sure that we don't step on her on her feet that way Ron is like now you gotta get that kind of in writing so you will be notified the good thing is is after all of the success of the present especially in the art inside we don't have five winners of six winners six winter so it's awesome that's over $600 worth of giveaways right there that you make available to everybody so thank you again to everyone we will have more contests and more chance to share more opportunities and incentives on the good stuff coming forward but what a great way to to roll into the summer so absolutely so you have is our guest today guest today is the great Brian Bradford from sunflower shop and some flower shop if you don't know you live here nor Texas you are missing out basically they are they are the pioneers especially here in Tarrant County so it started to bleed by his grandmother run by his father down in Fort Worth they've expanded now they get a gigantic store appear in Colleyville right off of the 121 and you've given to records – on a super impressed is super smart guys certified health Coach got his own podcast called the healthy approach former military veteran really knowledgeable and I've given two lectures at his store with great turnout like standing remotely like people really enjoy going to stores and hanging out little lecture I does the first time that I've had a differing age population right and you know we always hand out cards to see how people react to its first time I got like didn't understand a word like oh I need to remember not talking to healthcare professionals all the bad I want to like redo it for her to drag her house and be like when he does redo this or catch maybe a little science as well but was also pretty funny and some of those responses were great lecture and they circled one so they just backwards on the net on the numeric scale which I thought was funny that all the time whatever doing those online, root reviews through Keith world somebody will sit there and say you amazing that it save my life and the one you calm up joke hey kid you change that formula, ruining the curve yeah it's not first place any five stars is that's funny stuff well out Brian in his store there was so much more than store which is why were having him here they their pioneer in the community what does it mean to choose healthy foods to have supplements that mean something to have someone guide you to something that it's going to actually benefit you that's why they have such a good turnout whenever you went there to get those lectures these people the customers and the clients that they have their date they don't shop there just because it's convenient place to go to they go there because he getting information on how to live better yeah I can't wait to bring about article with him also trying to was NSF certified I do and the polyphenols have been shown to augment athletic performance correct by increasing nitric oxide an article just came out that's Asada warned athletes about rise in ligand role use so the Australian sports anti-doping Authority warned athletes less than a year ago the ligand role was appearing regularly in random supplements so people are putting this in ligand role is a storm a storm is a selective androgen receptor modulator it's a class of compounds that have very similar products or similar properties to anabolic agents have less androgenic properties and so athletes were using this started in the bodybuilding world and now it's ending up in all these supplements and people to realize it so you have these pro athletes that are being stripped of their titles and stuff like for instance Joaquin Noah tested positive for was suspended for 20 games the best ballplayer emits mixed martial arts athletes that have been find money and had to sit out for six months or so and they swear that they were taking it on purpose and it just shows I can't wait to talk to him about how he vets the different products ago in his in his store and how many NSF certified products he has and so on so because that is exactly why we go to the trouble doing NSF I think really be going to what's the nutrition oh were going to fencing and that that is at the house but on my dates incredibly that is the last week of October or the lastregardless it's a gigantic nutrition conference for our registered dietitians coming there they're basically the front line of how we are reaching so many people 100% not sure that Brian will talk little bit about that because I pretty sure they have registered dietitians startled yeah I know that he is a clinical health coach and not Kunkel nutritionist himself so so this is why it's so important that when you have a product that you can not only to help with bloating not only do we help with the note G.I. distress different things like that bacterial overgrowth SEBO but you know we can show that it's NSF certified you knew the polyphenols as a benefit for your athletic performance yet that is so important to somebody who's a nutritionist dealing with clients could be athletes college athletes Olympic athletes professional athletes even right now Lucas is up in Kalamazoo and he's playing at high level you start applying IETF's and they have banned substances that are actually listed there so just that it happens even a really early age so NSF certified optional until go to love my Tommy.com/spoony SP 00 NY and you get a really big discount on this in a minute challenge everybody to commit to do this because we want to get a little bit of a pusher and make sure that we start promoting the NSF certification the polyphenols and the overall digestive relief on your safety and your confidence is critically important you start whenever we started the company you made no bones about you want to make certain that you had a product that worked to make sure that she had a product was healthy it featured polyphenols but at the same time he didn't want cost to be an issue you wanted to be in excess or I'm sorry a barrier to accessing you also didn't want anybody to not be confident what they were choosing was it safe that's funny because eventually have to write a book about the whole process because like when I look back there are some really funny moments like for instance when we were trying to figure out how to get the we knew that Cabral chose you to be our main ingredient type so we contacted a company that we now work with regularly in the fantastic company but I got some terrazzo in the because I'm worried about everything so I better make sure that this is exactly exactly what it is so I called around if you want to hear something funny stay tuned so I called around and asking labs and the like now as it turns out there's only really one major deconstruction lab it's in Kansas I got hold of the owner and I was like hey I need you to freeze I was like no problem send me some of the bar can all do it I would send you some of the bark is a gas chromatograph on if we get one major spike reducing that's that but I can only do that to a comparison just you watch way too much CSI several white bags that tell us what that is but he comes back it is just like out goes actually we have to compare to get something no gas chromatograph it's it's a fingerprint of the molecule right and we did that episode on food pairing to remember that all yeah that was a gas chromatograph you look at different foods with similar gas chromatograph's and the aromas augment each other and as a way to do food pairing we do that we shut Patrick early on but this is this is an example so I send it to them and I'm like I got a flat on Argentina get some tree bark just go to chop it off and send it so that we went through a lot of trouble to make sure that it was everything was pure but I was the funniest thing you watch too much CSI well and and then beyond that whenever you and Brandy or step in interest to try it out because every single thing you've ever turned out the all of always put yourself through the test first and we learned that through without even knowing that but we learned that through Dr. Dryden right out of Kentucky he's a fantastic guesser neurologist full bird colonel I believe he's an obscure himself and we got to talking that there is a Helsinki rule that if the researcher is willing to do it to himself and it's not questionable or anything then essentially you're saying no I believe this is safe and here's my data with that so yeah everything that we've done it's always been on me and Brandy first so so did you have a brainy phone call one time we were at the time this two different types Toronto Roger Blanco and abrazo Colorado which one is in 20 oh Colorado so the blanket was much easier want to get that act as a molecule in the cold your Hindi which can be a stimulant and it's been reported to have different effects including improved sexual function and things like that but that's one that nobody can find in fact that was well when I did Melanie Avalon's intermittent fasting podcast is check that out right the first one I did it twice with over the first one I found her in website that she tried to make out trying to at home and it did work and work and we actually had a long discussion as well it's because it's a totally different type of molecules because it says Toronto doesn't mean that it's it's this dongle easy to get Colorado not not and so we got the Blanco we will try to dose it out what what we thought it would be to state that Brady had to go to a meeting and I dumped the rest on the sink night and then one of the employees came back say the sink stopped up like what I realize that did say it'll just congeal in water and I went so I called up I'm suggest our children water coke out of the once you have a bowel obstruction to have explained that but virtually nothing happened but I member when we first launched also so we called up with some abdominal pain and I worried I mean I took a bunch so I just ate a whole bottle just make sure wouldn't cause like an obstruction or anything patient call back on fine and hassle – it's going well I got time 60 capsules sit in my stomach let's see what happens you like a Kobayashi of the eating contest but that being said we did understand this is it that reckless we do understand the science of this the cool thing about these polyphenols is that they are poorly absorbed so they stay primarily in the small intestine and there have been studies that have shown that the blood levels are essentially negligible but then when they try and find it imprudent find less than 1% of the original molecule which means it's doing exactly what we needed to do goes through goes to the colon where your bacteria break it down into all these beneficial molecules like euro with and things like that which help with overall my coffee G cell turnover carrying a very antiaging then your Litton is if you done any research and you really try to figure out molecularly what you should be interested in your lesson should be of a good trigger word I think over time it's can be more ubiquitous or more prevalent as people begin to talk about what you can do to be as someone is actively antiaging I totally agree the only thing we were talking about this people become O'Brien the only thing that I don't like is that when this research happens everybody's trying to find their angle and so when Morgana was in town talking about this she's a PhD that we work with he we got to talk about the different metabolites in how people try to figure out how to make these metabolites and turn them into drugs or turn them into a new supplement and it just doesn't work that way mother nature knows how to do it just can't completely manipulated like that now you mother nature works in its whole form I made it we've seen that time and time again we we reference that with that even even marketed drugs that are trying to compete with over-the-counter supplements specifically melatonin we go back to the days of Rozerem when they tried to isolate and make this basically Roseann was post to be a super melatonin that was going to be 14 times the binding affinity of of endogenous or regular melatonin turns out it didn't do much anything you just separated a lot of bills that your wallet didn't sleep anymore it's me that's a bit that's frustrating to see this when we have a lot most pharmaceutical start from a plant-based something she made a Mormon weldment form and the agent Jacoby reductase inhibitors the cholesterol medications aspirin and most of them start or what GW is trying to do now with spinning down that CBD specifically doesn't work nearly as well they can charge you how much do we hear that someone is being charged I don't know exactly but it is tens of thousands is what I was told because it's such a rare orphan goes in orphan drug status duvet syndrome and Lenox Gestalt which is unfortunately a severe form of epilepsy in children small gripe and happened to notice that I didn't read this before did you know okay so upfront for those you who may not know whenever you have something it is prescriptive that may have addictive traits then the FDA technically awarded what they call a scheduled class and schedule class I they basically say highly addictive but has no medicinal purpose there's a handful of things that fall in their people usually a default say heroin etc. and you got to which is most of your potent opioid stent nail cocaine etc. have some medicinal use but could be highly abused or had abuse potential as always down to schedule control five I saw on the label for GW's new release that they have a C5 on there which it really hates schedule it's not addicted it's the most ridiculous FDA's allowed to call schedule five which is like drinking water right and then they had all that coming due or just talking six months ago were people being arrested and saying you can't do this it's addictive in all kinds are so much misinformation out there about CBD is think about that they're trying to trying to pair this this connotation it that there's a little bit of fear and if you understand scheduled medications are trying to say that there is an element of addiction associated with and I spun down CBD isolate its insane it is so now now they are there quite worried about anybody even coming close to pairing up a disease claim with the with CVD and this is from the same institution which has allowed the food products that you eat to be sprayed with with Roundup doesn't it does not there's just so there's so many things were heading and a lot of wrong directions which is why we like having just like Brian on we can talk about how shop like some Photoshop can really help out guide you in your food choices guide your supplement choices I mean just look at CB dealing one of the reasons why we teamed up KPMG health CBD we got that certificate of analysis we really want to make sure that you get what you're doing so CBD my wife she owns a wellness studio called body body balance wellness and its indicator and she has all kinds of different people to come to ask questions and she gets asked about CBD also just yesterday she came across an article where yet another celebrities endorsing the use of it so this is it coming for mazes and coming from my Dr. Brown but Michael J Fox is apparently become part of one of the CBD companies and specifically because of the effect that CBD is having the positive effect it's having on his Parkinson's which I found interesting but not surprising knowing how we think that the Indo cannabinoid system strikes a balance between our nervous and immune systems it does make sense knowing the Parkinson's has some elements of inflammation and a course you have the uncontrolled twitches and whatnot would ask which of course would be the your neurologic complex of our bodies, running out of control he's found some elements of improvement in his life by making CBD a daily part of it so basically treating CBD for him and in his words is a micronutrient oh really isn't what I was really really yeah me last week show we did brief we covered three articles but one of the articles we did cover was on the micro biome affects people with Lou Gehrig's disease and how the micro biome has anti-inflammatory markers which which does this order talk a little bit later about how complex these and a cannabinoid system really is and how a lot of things can be affected but that makes total sense and I want to see at some point that were having CBD catered to in you right have ready so scared to say diseases but CBD catered to something with a different terpene compound turbines are the essential oils in it or different flava noise component because we considered okay what are you looking for this for what I have I have a neurologic process I got MS I've got Parkinson's like the circuit we need something to cross the blood brain barrier more so let's try this particular one with a higher content that's right think the sciences had yeah and it's it's put the cart for the horse because you can't make your disease claims or if you like that but at least we can sit there and go okay this makes sense why that's actually happening you know if I was in Norway we can pull that off you what I'm say was that debt Texas oh yeah so today I learned on Reddit sounds good yeah that Norway people use the term Texas as slaying for crazy it doesn't hurt a person but a chaotic atmosphere or state of mind so saying a party was totally crazy in Norwegian would be debts of our help Texas which literally means it was Texas and I'm looking at the comments of those people from Norway going up we do say that is awesome I I think it is also the green to that point it would be that would be pretty pretty amazing what you know what Holly what what movie was that I think it was Independence Day when the aliens were coming down and they showed how different people were panicked but they paint over to Los Angeles and they were all going crazy and welcoming the aliens I could wait to be abducted it's almost like if you want to join us have like a weird connotation Los Angeles is kind of said yeah that's that you could say it's it's only Los Angeles or Texas is now apparently just wild crazy and wild about Israel so I'm not sure helping the families we have in no way right now but the now that forgot his name but my dancing partner when we are rude to the bathwater 000 she's Norwegian yes yes it is pretty nasty yeah he took control of the as a live band and had them play what he wanted them to play those Norwegians there so Texan yeah and I he was he was great he's hilarious so we now with Brian coming on here in our next half-hour old and have a good 90 minutes this guy this guy's got incredible experience long before he decided to get into running the DSM flower shop which he has your which we referenced in locations in Fort Worth often can't buoy your location appear in Colleyville and got another one it's a smaller version over on heritage trace the cool thing that I liked about it is as they've grown they just simply found that people looking for a local answer that has real guidance to get people into the store so what what you think it takes for a community that may be somewhat isolated to began to find out that they may have better access to this type of nutrition and where they don't to turn to just the Internet over the Internet away because if you look at like the span of where a lot of the healthy shots are its economy migrates from the west and Canada tapers down almost a a diagonal line into Texas and as you go to the southeast until you hit some some populate your supply. Parts of Florida you really don't see you don't see a lot of sunflower shops and stuff like that why is I've never really thought about him for when I imagine the West yes because that becomes her but Texas is really embracing it right now sure and a lot of people they want to go to their doctor and they want to talk nutrition and the doctor is busy doesn't have time doesn't maybe doesn't know a lot I freely admit that I'm continually learning more and more about nutrition little account locale even just think in your life how you changed your thought about what the importance of food is any outside of of medical school the growing up in Nebraska me going up in Texas at first I read anything much about us came home and ate and I have a lecture change my pocket I go to the convenience store and buy something but it's not like that it all for me anymore and then nowadays when we think of you'll you'll hear okay this year so-and-so is released the most obese states of the most obese cities are the least healthy whatever unfortunately this statement immediately comes to mind is first Mississippi or something like that and then it is quickly followed by Alabama Louisiana is a great topic to go over with Brian is a social economic is an education thing is it possible to eat healthy on a budget is it possible to to do all these things the highly processed foods that mean we talked about this all the time I think Netflix just has a new thing called fat something I'm seeing it and I'm assuming that either I was scrolling around with Carla try forgot something to watch and it does get into the fact that 30 years Gordon 1970 I think there's a 1.5 million Americans with diabetes I would like 30 million only some crazy jump that just happened under our noses and we didn't even notice it so that is really a lot to talk about the Bronx on policy bills I don't see the business side to see him as a healthcare provider how do we merge the two where would you go with it it's really really cool that's an unacceptable level and rate of growth is just not enough time for many people to have her since we said Carlsbad I'm sorry fat bad maple starter really double down on the carbs and you know the ass oil started taking place watch watch less which episode I really appreciate all the emails about Amsoil where you can guided some of those comments are pretty pretty funny white liquid and be back in just a moment with Brian Bradford of sunflower shop and that of course the healthy approach podcast we will see you here in just a expenses blue yellow pills to charge your sex life are you thinking about what we can promise you the same results for three paying $20 a pair for the other path you're getting taken to the cleaners same results for less than three dollars and $16 account for the same results right now for blue or yellow pills 23 and keeping more than hundred dollars our pharmacy prices right now your 40 4 PM and qualify for free setting over pain, right now 186 473-800-2186 473-800-1864 73 800-218-6473 fast-track student loans can get your student loans out of the vault stop any wage garnishments stop collection calls and stop seizure of your tax refund give yourself a break to stop the stress and get your student loan payments down to as little as $25 a month based on what you can afford to pay 800-709-4395 800-709-4395 800-709-4395 800-709-4395 now you can fly anywhere in the world and paid discount prices on your airline tickets flight to date alignment harassment to read or anywhere else you want to go and pay a lot less guarantee quality international travel department right now low-cost airlines grade 452-107-5800 452-1075 that's 800-452-1075 although we are back in his 19 year with Dr. Brown your host and I met Eric Rieger today we have a special guest this is Brian Bradford of the sunflower shop here in North Texas Brian how you doing I'm doing well thanks for having me on today thank you for coming down and make time with us of course you are now the host of your I guess somewhat recently launched the healthy approach podcast have a healthy approach but because we distorted that your recently to sober try to get kick started to get into this environment this much you guys are that is awesome I know that when can I were talking last half-hour about whenever he came to do the two lectures up at some flower shop now a course your shop is necessary close to him because he's on the other side of the Metroplex right off shop there for years I was not surprised to turn out the first think and said it was that was amazing the engagement was real direct the room yeah well I think that is what's really cool so you actually have on the second floor a full lecture room old 80% 80 people comfortable 80 people I was just shocked both times I went completely packed and I what I like is the sense of community how a lot of people make this the regular outing they want to learn and you you help them learn and you were asking last half-hour how do we go about getting people to become healthier will it all everything comes on education but it does and that's what we pride yourself and as stump our shop is really trying to give people all the education and let people know who's in their backyard having a lot of people don't notice people like yourself who are open-minded to both medical and alternative nutrition and that's huge because people are seeking this information and people like you got Brown coming in and doing your speaking engagement such a blessing for a lot of people both certainly an honor in your you get out the community and you get to hear little bit what people are saying and after the Q&A is so long because people are questioning oh boy yeah and do that and then you start realizing oh my gosh there's some there's a little mismanagement going on out there know my doctor wanted you X, Y, and Z them like why we try to quit doing that in the 70s that's weird yeah it's about keeping up with the research and I know you're someone is a pioneer in that well the one thing that I'm like very open to I watched a Kimber what podcast it was a Freakonomics Freakonomics podcast had a whole episode on medical reversals and you realize I fully expect that what I'm doing today should be somewhat tweaked and could be a little wrong and may be misinformed just like retirement when white low-fat hi card we became sicker that's right and that was that will spread like crazy you know where people do this I was there is a podcast a listen to this morning holds all bones and it's the doctor that that kinda talks about medical misinformation possibly in her husband it's kind of funny and they were talking about alkaline water about how people want to drink alkaline water and she would just go back over the science of it they do a whole episode on medical reversals also and it's not necessarily that your doctor doesn't know what's going on because most of the time the doctors figured it out for instance when Eric was a drug rep for Xenical when they said that you could block fat and lose weight it didn't take long for the medical community to learn something yes they were introduced to add soil so as it turns out he created a lot of in a leakage of oil could you can digest your fats and yeah the warning was to wear white pants with that right warning on the bus that was at that was the corporate response type hands you're not sick it's completely natural that we can all just realize were losing weight is it's only then he is really only 20 years ago I mean that Danielle Ally still would like still out there as far as I know has everyone Walt Walmart had pallets about stuff like crazy has a fat blocker and that's not that's not the source of your problem it's it's it's it's it's unfortunate I did that start out with potato chips or something this night it did when Xenical was like will board this is not going to around let's just sell the which is still being treated so that both Frito-Lay and all the big giant companies they got it they called olestra olestra and everything in San Antonio was in medical school and a DJ on the edge I was driving and he was like Joe not eat these Doritos is horrified euro detailed graphic incidents about how it just he had no control the student realize was happening and is through upward summary stories about that yet people just started with potato chips on their people come in and say hey these things really upset me big time you know I need something else my bowels back in order again crazy what's crazy how fast they pass the buck to because it did start start off is the generic name orlistat and then they just barely tweak the name and called it olestra and move it into large consumables we just want warm at all now that is going down a surprise attack what you know with some flower shop I find it to be an incredibly awesome store and it was refreshing to me when I first did I discovered I was doing we had Dr. J. Anna was doing anesthesia with him that get here Bedford and then I drove along I saw some flower shop looks like a place I like to go to so did you think it was a floral shop though the very first time I didn't honestly I didn't really know I think this is right when the iPhone pretty much had made its way to me and I was googling a place to find a healthy snack and I was it down in Bedford and it came up with some flour shot you can with some flower shop and when I just sawed off in the distance a light I guess at that I'm headed now it's right but a course I yell or not that far from ignorant traditional big chain grocery storages setback behind you so I walked in and immediately I could say okay this place is different and and there's a reason why it exists and it's a lot because of what you talked about with the change in fat content and how people moved over eating different foods it forced people to have to find a different answer and so your grandmother and your dad started this several years ago in 1970 there was a reason they that long ago get into something like this and that is the aspect that it was considered broody right hours herbs and supplements go but no my grandmother started because her sister was dying of leukemia and just all the horror of course you know what treatments were like back in the 60s for the top of this you know Jesus was looking for better ways and she came across some of the pioneers like Adele Davis and Linus Pauling and so forth and said hey baby or something to this we need investigative mordant so that's really what she sold her moving company with that a moving company at the time sold but gamble everything on a subpar shop now why the name I can't tell you why the name all we know is that you love some flowers so is probably where it started out there but that's really work began in 1970 in Wedgewood Texas you know in Fort Worth area and then it grew to now where were at three locations three generations later my brother and two sisters now run the all three locations man it's in its awesome is something one of the things he jumped at me right away when I very first went in there so it was it was probably not inoculation into a store the sky like that and where you go to a big chain they have to identify if they identify the foods that are there okay and or and or non-GMO and rare we don't have to worry about that because everything and there's been vetted they're not going to put a crappy product in the store so first like the wonders of Abel that's okay this fits what I'm after so what what you think led her to decide you know what I don't like what's offered everywhere else and not only my going to open up my own I'm probably gonna carry a lot of things it really is not comfortable with or doesn't know how a lot about how did she decide and then you fallen your dad fall into the idea I like educating people want to know about the selection comes out that's where it really started was really based all centered around education okay no course we didn't know was much we do down today but it started with the education of just saying hey let's learn more about the body and how you know certain plants and herbs can interact with body the best we do back in the 70s is where she started but she wanted everything is clean as possible she didn't want anything to do with chemicals and in anything that's foreign to the body and spirit that way she was really want to keep things clean as possible now today health is relative to the person she notes that we got something with it for everybody what's good for one doesn't mean it's good for the next person and that's where what we pride herself and in consumer like yourself walks into the store we ask a bunch of questions we want to know little bit who you are where you're coming from what your mission goals are and so were gonna do our best to try to isolate you know even though we may have 20 different vitamin C's on the shelf which one is best for you everybody's a little different for each reason summary very first launched trying to heal and we were talking about where all that we wanted to take it just ideas how do we how do we let people here know I gained a whole new respect or what it takes to get into a repeatable store because we talked about trying to let some flower shop on the first longitude and yellow light well we need to see why you think it works what's the story behind it we had to submit all of our ingredients yell called back ask questions the exchanged information that way it was an easy and it was worth it so basically it filtered it keeps out the noise and it put innocently woke on this we think so but puts in the solid product that's available to your well beyond customers or clients well it's a reputation you know we we want make sure that when you're pick up a product simpler shot but it's a good quality product to the best that we can bet it yeah that's that keyword that because that's what ends up happening with that these big box when we we always reference the Wall Street Journal article that described how when they did DNA analysis then we show that 70 over 70% of the products that I have what was on the label a new study just came out on melatonin were the range from nothing to 500% of what was on the label and so it's still happening all the time all the thing it is it's all the time and here we get hit which all these companies are always want to come into the store and it's like you said it becomes low noise and you gotta be old have some kind of system to filter that down and figure out what what in the product is a good for you no good for you it's got her chip is attested for heavy metals in bold pollutants and all the toxins we get to know those things it's important to try to get the best quality product to the consumer and that's I mean what were talking about that I did want to hit on something so when somebody maybe doesn't have the will to say really air water like a really expensive so were an arrow on in LA ditto like celebrities like to go there and it's note similar to what you have but I think it's probably little pricier jurisdiction only mild horse so how do you that like this put this much work into it and still make it affordable so the people become in our system we got some great people the store really do know exactly what to look for what to ask for the questions that we need to know from manufacturers now on my side of things all even fly out to the manufacturing plants I want to see what whether sources are coming from how the processing is much as we can make sure that the bathtub is clean going to make sure the colloquy was possible Eric always there always places drugs and put one of my patients asleep that he just made that propofol this morning's bathtub the flash works real good you don't know you boys your insurance is bad little humor takes away the head to bad food helps everybody but it is it is it really boils down to the best quality get good there's a lot of junk out there there isn't special I know you're big on the CBD side I mean look how many CBD companies are just popping up left and right we get stores popping up all around us you know how are they now they really betting what their carrion and make sure it's good quality product is an unfortunate since this is just the just another thing that just cannot come in around in it we just have to do a lot of educated speaking of educating Brian whatever we do the show I was trying pull an article and now that you brought up CBD limits I about this article that is really interesting because it it hits home with me so dear have anybody comes and complains of the belly issues got issues that is not complaining about soil probably about 3040 times a day so in the this just got published in the Journal of pharmacologic sciences this looks at the role notes can be a really fancy title all eventually get to the point where it's like this is really what this means but it's exciting for me because it's in my world the role of cannabinoid signaling in the brain over Rex and grown induced visceral anti-nociception in rats fancy title basically what what's going on here is that if anybody's ever had abdominal discomfort you been labeled with irritable bowel syndrome then you know that you have what's called visceral hypersensitivity meaning what they have shown is that when people have got issues like bacterial overgrowth see Bo IBS irritable bowel syndrome that they can inflate a balloon in a normal person and this is been proven in humans and animals that one person at the same when one person like yeah there's a balloon in my rectum I can feel it at the other persons come off the table in pain because the direct correlation of the brought date of the gut brain access actually get that person to feel the pain more we call that visceral hypersensitivity so what they're looking at here is that these guys were looking at two hormones correction which is a fasting hormone and sodas hypo cretin to neuropeptide regulates arousal wakefulness and appetite Eric and I were doing a five day fast one time and basically I made my whole company do it in almost all of us like middle the night on day four day three I don't remember what it was but we were all up just run around wired wired yeah and that the old Rex and is this neuronal peptide which is kicking in man and it's because if you go a certain period of time an evolutionary standpoint it's time to go until something in feed go feed the village that's right and so this all wrecks and does that and what it also does which I was unaware of in this is it actually decreases your abdominal perception of pain very fascinating to me and then growling is the hunger hormone we always badmouth it but it actually also decreases the perception of abdominal pain as well so they were citing prior studies with this where this was new to me but we've got these two direction and grown which do this so now it's well known that CBD cannabidiol has been shown to also help with bowel hypersensitivity and it was I don't my practice as he does benefit all the time I put everybody on trying to in CBD and we just get overall benefit for whatever is going on does your belly feel that yes it does what we've always kind of thought will maybe it was an interaction with the receptor CD1 receptor is in anticholinergic the end of cannabinoid system is so complex would really, learning that attract what this article did is it really it was really cool it theorized that CBD had a direct effect on erection and growl and so they set up an animal an animal model to try and prove what they did is they took various rats and they had these pain perception techniques which were too cruel but not very nice either but everything I remember our animal study it's like doesn't sound Nido sound good to know they used a CD one and CD two agonist meaning they were able to give a molecule to turn on CD wanted CD to which are our Endo cannabinoid receptors then they used synthetic correction and growling to actually kick those out finally they had CB one CB two erection and relevant antagonists or blockers so what they did is they could turn your enter cannabinoid system on that you turn it off they could turn on your grill and anorexia and they can turn it off so first what they did is they blocked the CB one receptors and then they gave the hormones of erection and drilling next they gave a CB agonist with no hormones and then third they just gave the CB blocker less ICBM in the undercabinet system blocker and checked central rocks and Negron levels so what I thought is pretty interesting when the end of cannabinoid system of the CB receptors were stimulated this actually induced improved pain perception from colonic stretch so we have a mechanism of action we can't make disease claims but now we've got a study that proves that when you stimulate BCB receptors then they can tolerate more colonic stretch then the hormone effects were severely blunted when the CB receptors were blocked okay so when they gave Grell and Anil Rex and it didn't work unless you have proper CBD levels so basically we can say that that ECC has health is paramount to all Rex and a growl and performing their job absolutely this is the first time it's ever been associated that this would suggest that that the CB receptor CB wanted to be to they can actually mediate the correction induced effects on paint okay we have a mechanism of action that now says oh it's modulating this hormone that helps out a first time somebody's going to this depth what was interesting is growing was also blocked by CB to but not by CB one so it's just really complex okay they go down some rabbit holes I'm trying to really supply this but it is geeky geeky geeky science so what to suggest is that CBD is involved in the hormone benefits of pain relief in the bowel super interesting because many people believe that CB to is in the periphery but there were showing is it's also the brain affecting drilling that is amazing I know it's amazing because we we don't do complex but you don't want to simplify it too much ego this is all that we know so they're saying no there's a lot of CBT receptors in the brain and its regulating other peptides and hormones so this shows a very intricate interplay of the under cannabinoid system and how it can mediate central hormone effects so in layperson terms if you have hypersensitivity got it if you expect if you want these people that when you bloat it hurts really bad because we don't have pain receptors with stretch receptors so if you have bloating due to bacterial overgrowth or irritable bowel syndrome then you may notice an improvement through couple ways you can check the erection up by fasting so that was something else think about Mike that we should do more long fast right or prolonged style fast if you're low on your own endogenous Endo cannabinoids then taking CBD may increase these hormones get you back to balance and finally if you're not in balance than these other complex processes are knocking work as well so just really complex but I thought this was really interesting that I can say oh I have a reason why you feel better and you don't hurt as much when you're taking a good quality city Sony really I think the take away here is nothing in the body is is in a vacuum they long ago you use all connected everything's connect that's right and it's like whenever you take an ad and anti-inflammatory doesn't just go to where you heard it circulates everywhere you just notice that it's helping you or taking away the pain that Harry with the same thing is for the E CSR Indo cannabinoids system it all needs to be healthy and so balanced yeah it's all this really says is you have to have a healthy ECS if you don't want to have too much pain that's not what you're benefiting from you benefit from extra pain so Brian when I deal with doctors and I'm talking them especially traditionally trained doctors guess what neurologists intro medicine will be like how there's no science on Mike there is so much science I will ship every day there's so much but you gotta like knuckle down and read articles like that okay there's no science that says this cures this disease right but there is science it says on a cellular level this is happening which is probably why it might help or may help or could help or whatever term you want to use because unfortunately I think in traditional medicine which is why they go to sunflower shop to get some advice to get some education most of the doctors or just the busy the referring to either what was the last conference I went to which if you're been on its drug rep sponsored to the hilt and they're just kinda being detailed on what the last person can explain to them or their doing things out of habit so a lot of this there's not a lot of time to get really passionate about this one thing I will learn deep into it and then you start realizing I've got I've said this before but anytime you want any articles I've teamed up with a graduate student and we share this Mengele account we can love it me and I got we got over 10,000 downloaded articles I had to laugh because it's like you know I will never get through that now without talking like 1930 that's right I'm up to date stuff. He published all the time and people say unless it makes it to its sensationalized on good morning America or something most people don't ever hear about a lot of this cool stuff I'll call up some of the scientists and elders before that I read their article on like fascinated everywhere you go with it now oh they lost their NIH funding and they had to close the lab or whatever that but yet the research is just amazing and you know some far sharper lease we personally for sure we try to network with a lot of doctors because we know they don't get time to do those things and that's why were always trying say hey send them over here will educate him or not there to try to sell them something is not were not commissioned were not trying to push supplements on you were to try to educate you when the doctors don't have time to do that is like you said it's your busy the busy so it's important to really get as much education can that's what we pride yourself on our whole steps that way yeah it's the you know it's the frustrating thing to see somebody come in with a whole bag of supplements and it's all from Sam you know I worst enemy Dr. Alden Oprah every time they speak about a supplement we get a flood of people that come in the store and 90% of the time we got a tell of this is it for you this is they think it's a one-size-fits-all just because they said it and so it's a love-hate relationship is for sure but we have to really we turn people away more on supplements that are being touted or marketed from certain celebrities especially sure you know because it's not is not for everybody and that's what we want to make sure that was really one of the problems that we run into when we lots are trying to lose it is so different than the mechanism so unique very similar to the amount of knowledge people have a CBD that when we go to like we go to the IFN conference you know there's a lot of really good functional medicine manufacturers but they're just kind of moving around similar ingredients into whatever fancy name you have if you want a white label that's right so one of the big hurdles is to first educate will know this is the problem you have we can fix it because of this this is doing in a completely unique way and then know the answers I Marta I Marty on a probiotic I just spent 20 minutes explaining about it but I have a searcher to think about the early days of auction deal whenever we number the sum of the first marketing material was explaining what type of bloating because people didn't even understand say people several people didn't understand what we meant by this you true bloating and in and being mediated by methane production or whenever people thought that John Teal would cure all constipation we found that when none and it's actually permitting induced constipation it has actually nothing to do with opioid induced constipation so I think even so Dr. Oz had to go in front of Senate committee yeah yeah, taken to taking the task of blood very well they sure did mean it's sometimes they just talk I don't I really don't know how show operates you know how the elbows products get on the shows but well it's I think all of us in this room realize that like if you're a mean just talk about something so anybody is regular and I'm pretty sure I'm not wake up over the night before I sit with my kids on the bottom are then this morning going over articles which was about on the Reddit looking at the euro Denmark: brings Texas you know Dr. Rogers shows up and he's got people just himself in a dry Teleprompter so there poor guy I mean I know it's not like he has the time either to be reviewing all this literature and stuff that's true but you know it that's what sorta gives our industry a bad rap sometimes because now you got 50 people who were never taken are now taken something that they may really not need and that's technical subissues I get it so well so it's an educational issue I know exactly when Oprah or Dr. Oz says something because that'll be the first to be the 10th question I get that degree and I'm like okay Mike you have to watch the summer have to watch these episodes just so I know what that's what we have to do to get by customers in a day in the Nelson were on the watch Dr. Oz at night to figure out what he was saying and why you saying that word that information is coming from that's exactly right yet I am this celebrity status that will bring something that did to the taillight to the forefront and it happens in all industries all details before Michael Jackson had his issue with propofol I didn't have any patients who ever knew what in the world I was talking about but probably what would you say 25% 50% of the people that we have before I put them to sleep for the four procedure they say oh the Michael Jackson sauce every every day and it's not their fault but that's that's the impression that they got inserted that celebrity influence is real well they and it's not just that I mean there they sell advertising all the stuff so they don't just stop at the show me that he's got his magazine's gesture so this is a big massive machine I was talking to Eric before the sergeants I was in the middle of watching this Netflix special boot the big hacker something like that were chasing well it's it's all about how Cambridge America manipulative Facebook does is why Zuckerberg had to go in front of the Senate committee and all that right you just like oh my gosh we are just little ponds me to manipulate us in that so many different ways so many ways that's so true and that's why it really boils down we start our level is that our main goal is gotta be to educate the client you know as much as possible and you in the end of 5 to 30 minutes that we got spent time with them on the floors try to give as much that's really that's really what I want to get into is how the sunflower shop and stores like it because you we are just here in Tarrant County drink with the sunflower shop but we were talking in the last half-hour why is it that tell you he almost see from the West Coast and almost in a diagonal line down to Texas the proliferation of stores similar to yours and then we move over to the East a few states and just don't see them quite as much and it kinda correlates with where we say some of the worst health is found whenever we do no an analysis of which states unfortunates have the highest rates of obesity etc. there's there's a service that you're providing and a couple other industries are providing that are born out of the lack of good information in there trying to find good places to get good products on talk about whenever we get back your Brian I got to where he got what sunflower shop is doing to fill those holes in the community and foreclose out don't forget like and share a gut check project go to get check project.com you will go and connect us there let us know that you have liked and shared in course you can be entered into the next contest don't forget if you want this last month will be emailing you by the end of the week seen on this is the only 24 hour take anywhere platforms dedicated to food and fun clear spoony this hour from Townhall.com, the best way forward on healthcare Democratic presidential candidate Joe Biden says it's not the plan being offered by rival Pamela Harris there will your paycheck during last night's debate Harris criticized Biden healthcare blueprint for everyone in America you are in your own people people's access to healthcare in America running for president cover send candidates on the CNN stage last night 10 others debated Tuesday night Heritage foundation's Genevieve Boyd says there's one big issue working against any Democrat hoping to unseat Pres. from Mary Ron when people are feeling good about where they are what variables one. Building background want to be able to deepen their family the son of Osama bin Laden said to have followed in his late father's terrorist footsteps is reportedly dead I'm so bin Laden apparently killed sometime in the past two years one person was killed five others hospitalized following a massive explosion and fire in Lincoln County Kentucky overnight natural gas pipeline blew up a Navy pilot still missing after jet crashed during a training mission yesterday over death Valley search for the pilot continues on Wall Street to shower the Dow is off about 72 points the S&P ahead 11 NASDAQ up 66 more on the stories@townhall.com I never forgotten apparel is more than just a premium women's and men's clothing line it's a movement to remind us to where American-made and serve those who serve us our heroes never forgotten apparel gives 20% of their total sales to nonprofits that support homeless veterans and off-duty firefighters and 50% to individual veterans and firefighters in need nationwide checkout never forgotten apparel.com use promo code Matt and ATT and get 15% off your purchase why have thousands of aspiring authors teamed up with Christian faith publishing to publish their blog because Christian faith publishing is an author friendly publisher who understands that your labor is more than just a book we provide authors freedom and flexibility throughout the publishing process professional book editing award-winning design and some of the highest royalty structures in the publishing industry and is always you will retain 100% of the rights to your book I was looking to find a company that I could trust one that assisted in the editing process completely Christian faith publishing will publish market and sell your books in all major bookstores and online booksellers as well especially Christian bookstores call for your free author submission kit 800-978-4812 800-978-4812 800-978-4812 that's 800-978-4812 Dr. Kim Brown here a host of project with my cohost Eric Rieger I've seen in my practice that I'm trying to is a whole lot more than just a floating product yes it is a whole lot more than just exploding because of the polyphenols that you find in Alicante what are some of these polyphenols do these polyphenols help you have more energy and polyphenols are great sounds like it's helping a lot more people than just loading go to let my family.com/I start the second hour at episode 19 get a project with host Dr. Ken Brown Amir Krieger and we are doing today with Brian Bradford of sunflower shop real quick before you get too far don't forget love my Tammy.com/spooning pickup your own the 20 or you go to branch shop similar shop I challenge everyone to this challenging storm to shop and commit to go into some flower shop to go about trying to forgo to let my tummy.com/spoony is exactly right discount we got a little low show special get you can also like and share the program the podcast got check project.com and you can also find us at YouTube search get to project and you can go to the page and liking look it does look at Dr. Brown in the video you can even see that Brian showed up and much nicer clothes and waited for a coat restart episode wanted tuxedos and we've just gone downhill that's where your body right now – we got a costume shop three warrants and they came in just as a hot dog one time to find the episode that is now it is elegiac well I'm quite sure I hate to break this to we did a whole show and silicide and that he thought he was dressed as a hotdog the whole time flow show I was like you. It's it's about suicide yeah oh yeah I didn't know know know know like I could hear sound like and I could that could you not get I wait to hear Seneca to sound even when I'm still there which is which before we get into a lot of questions I have for you about how your journey with this and some Photoshop and how you help your community you know there's there's a lot of stuff there's a really good chance that psilocybin will be either a therapeutic drug or even over-the-counter product and not too long really things early oh there's some really cool research coming out mainly on depression opioids that comes thing for his part for your project we should hook him up with the Dennis even he would mean the applicable science from Hector Institute would be interesting I think in the chemical what was cool about you is that you're also a grocery store teacher so you do a whole show on sulci than the go does this habit you like jet Philip taken the lens billet portobello have a behind-the-scenes GMO products yet what we had we had a mushroom expert on cold Cooper read and he was describing how you can grab the and he was using the different terms of the mushroom and you can tell the silicide and content based on how it turns purple fastening really that is fascinating that I'm so into mushrooms right now not just the trippy mushrooms but how complex have been massive of a kingdom this is it so interesting he forages for mushrooms and he can say which ones are edible which ones are also all the so they don't become an oncologist or at least one professional trading the mycology acumen of exec with a yellow you're barely what he's referring to Dennis McKenna's a few years ago where pale you effectively showed up with microphones and just put them up in the air B&B that we are at just happen to be that the Godfather of psilocybin mushrooms who is a PhD in mycology really the him and his brother wrote a book on how to grow magic mushrooms when they were in college and it's like the Bible still so he hung out with us for like two hours we just did just geek out on mushrooms and fastening the therapeutic side of it that O'Brien was what is what really got my attention and before he came on to tell us even some of the cool stuff was just the data they had some hindrance to the blaze and is in Idaho and they had people smoking cessation for instance one but six months and 91% success rate what was even more astounding was it five years it's well over 60% smoking cessation 60% got really sick 64 – 16 change massive like that is massive like when we talk about the what's the drug that people take to get off that 00 Chantix Chantix that's like 35% at six months really that's what their standard is right now and this is studies are coming well that's the study of the half-truth Institute new studies are coming out of Johns Hopkins looking in the getting very similar results while it's just it just shows that there's a lot of things that we have left uncovered that's for sure and mother nature that probably could help with disease states and their doing the research on the witches are super exciting that it's very exciting survive for you to get where we are at some flower shop today you let us know you were born in Oklahoma they did what town and not a true okay those are unders six months I think you go to because by six so I can still consider myself to be a Texan guy yeah Dr. Tinker Air Force Base my guy was in the Air Force at the time house I was born there in Oklahoma think is $4.36 is what I cost him so to achieve better cost them a lot more later on their dad to remove the text structure that and gosh my background you want to know RB I got the military back in the know 89 to 93 is when I served as holes in the purse go for French Army nice Army yard mighty preservice appreciated the what got me interested I guess really in health of my first duty station was actually military intelligence duty station knew that from 89 to 93 9380 993 so a friend of Rich Hagedorn patriot leaders liquor with eight anyway they started a veterans organizations that are doing pure whiskey vodka held as we have heard okay I were just about hundred first airborne at that exact same time that really is I was and I was in college he was the was doing that one yeah well yeah you do the exact same thing that you did he was paratrooper that's awesome and I was a paratrooper I dumped more radio operator but I got to be stationed in the military told units not love the detective work oh I was there me all the information coming in trying to sorted and disseminate that to the higher command so forth that's what got me interested in going a I wouldn't mind being in the FBI one day guess what I really wanted to educate I think I've always want to be in law enforcement we are not but my second duty station was a medical and so actually when we went to the Gulf War I was in a medical unit we sort of picked up no bodies and things as we went through the way and love the medical side and soft like me don't want to do this so I set soon as I get the military I went through EMT school I went to the police academy and that's I was just driving that way to really be BBB FBI agent one day is my ultimate goal and then that God had other plans for me I guess in the your 9093 my dad was building the store in Colleyville and need some help putting up shelves and so what wells waiting to get on the four Police Department I went over there to help them out and I met my now wife at that point time to and so I had to make a decision on do I want to pursue the law enforcement career or stay with the store in that I actually stayed with the store and the way I look at though is that what drove me in the military of the military intelligence in the medical side it really shake need to become what I now call myself the body detective in the sense of saying instead of trying to catch criminals and investigate the criminal side investigating the body and that's where I turned that attention focused to so I'm in nerdy but hard to as well too I met you I guess you're the bigger nerd I get out I thought I was a pretty big nerd but other data

Dare we say this is one of the most fun episodes the boys have ever recorded? Yeah, we dare. In hilarious fashion, the crew covers a litany of topics including bootleg movies, cocaine, heroin, crack, meth, smoke breaks, bird attacks, Chinese buffets, fortune cookies, Toradol, drive-thru windows, motorcycles, washing your feet in the shower, hangover I.V.'s, TSA pre-check, loose change, sex tapes, evil lunch ladies, parking tickets, seat belts, and window breaking tools. It's a fun one, come and have a good time with us. This episode features @toddmccomas, @PatMcAfeeShow, @Digz, @nickmaraldo, @tyschmit, @HeyGorman, @VivalaZito, and @evanfoxy. Episode sponsors and discount codes: SeatGeek - download the app and enter the promo code HEARTLAND for $10 off your first purchase. ShadyRays - go to shadyrays.com and use promo code HEARTLAND for 50% off 2 or more pairs. You can get two pairs for $45. Deal of a lifetime! LeesaMattress - get 15% off any mattress and get 2 FREE PILLOWS if you use the URL leesa.com/HEARTLAND and enter the promo code HEARTLAND at checkout.

The Three T's for Pain (Toradol, Tramadol, Tapentadol)(March 2014) by Oregon 1-800-222-1222

This week I chat about a robot that performs oral cancer surgery, new and improved intra oral sensors for digital xrays, Custom Healing abutments pre manufactured, the Dry Shield, Sprix, an intranasal toradol helping patients avoid opioid prescriptions and way to avoid bad production months.  There is also an interesting discussion about GERD and dentistry.

Photo from Howard Stern.com I remember being a junior in high school and my buddy on the football team had some of us over to hang out one night in the off-season.  After eating some dinner and probably playing some Halo on Xbox, we went to one of his neighbor’s houses to meet up with some other friends.  When we got there I remember a few of the kids bringing out some marijuana to smoke. This was the first time I had ever even seen marijuana or a bong.  After a pretty successful junior campaign, my dream of playing college football was at an all-time high (no pun intended) and I was about as straight-edged as they come.  I was so laser focused and obsessed with this goal that I refused to be put in any situation that might jeopardize the achievement of that goal. So naturally, I called my mom to pick me up.  To my friends credit, they waited to smoke until after I left.  People often ask the question, “where do you think you’ll be in ten years?”  If you told me in the car-ride home from that gathering that I would be attending the World Medical Cannabis Conference (pictures below) in ten years I would have said, “are you f***ing high?!” (Pun intended).  I was significantly influenced by the stigma associated with cannabis from a young age, particularly because of the D.A.R.E. program at school which told us our brain’s were going to turn to mush if we ever smoked marijuana and the only thing we would be great at in life would be collecting Dorito dust on our parent’s couch.  To this day, I have never consumed even an ounce of cannabis (well…maybe some second-hand).  It’s funny how worried I was about what a plant would do to deteriorate my brain and not about what smashing my skull into everything with a different colored jersey was doing to it.  I certainly learned the hard way that running people over and making big hits probably isn’t the best way to conserve brain cells. To be honest, I worry about my brain health as I get older and so are a lot of other former football players and NFLers.  Believe it or not, the very plant that we have been told was going to ruin our lives might be the remedy for preserving brain health and saving the game of football and this week’s guest Eben Britton teaches us why. Eben Speaking at the World Cannabis Conference on the Athlete Panel Street art of one of my favorite players to play the game, Troy Polamalu View from the Convention Center Bong Making Post Interview Photo Op Photo from jaguars.com Eben Britton spent 6 seasons (2009-2016) in the NFL on the offensive line.  The first four seasons were with the Jacksonville Jaguars and the last two with the Chicago Bears.  Prior to the NFL, Eben was an All American at the University of Arizona where he studied creative writing. I drove out to Pittsburgh to meet Eben where he was speaking at the World Medical Cannabis Conference (as mentioned earlier in this post) where he and three other retired NFL players (Todd Herremans, Marvin Washington and Nate Jackson) spoke on behalf of an organization called Athletes For Care. Athletes For Care is a non-profit organization founded by a group of pro athletes who are uniting as one voice to advocate for research, education, and compassion when addressing important health issues facing athletes and the public at large. In the steel city, Eben and the rest of the Athletes For Care team were advocating for the removal of cannabis from the list of banned substances in the NFL.  Each athlete spoke about the ways they have been able to use marijuana to alleviate the pain that inevitably comes when playing football both during and after their career’s.  Many NFL players become addicted to the opiate pain killers they are prescribed when in the league (like previous guest David Vobora) and after attending the conference and listening to Eben’s story, I am a true believer in this cause.  I was blown away by the countless benefits cannabis offers to the world.  After speaking on the Athlete Panel during the conference, Eben generously took time to share his story and teach us about the benefits of cannabis on the podcast. Photo Courtesy of Eben Britton Eben was raised in a family that was holistically minded.  Natural remedies were always the first go-to medicines and he frequently went to yoga classes as a kid.  He didn’t start playing football until he was a freshman in high school and that was after a lot of convincing to his mom who was always terrified he was going to get hurt.  Even before he suited up and walked out on to the field for the first time, he was focused and determined to be the best football player he could possibly be and everything he did went towards achieving that mission. Fortunately, Eben didn’t deal with a lot of injuries in high school or college besides a chronically subluxating shoulder.  However, while playing the Chiefs during his 2nd season in league, his shoulder fully dislocated for the first time. He was also dealing with a herniated disc in his back and was on a handful of medications including Adderall, Toradol and Vicodin. Eben says that he and most of his teammates would get a shot of Toradol before each game, which is extremely destructive on the human body considering an NFL football season can last up to 6 months.  Standard recommendations for Toradol are as follows: “Toradol should not be used for longer than 5 days, including both injection plus tablets. Long-term use of this medicine can damage your kidneys or cause bleeding.”  Eben described how these opiates mask your pain through the central nervous system by basically telling your brain you're not in pain.  However, Eben believes this isn't necessarily a beneficial quality of the drugs because pain serves a purpose.  In addition, Eben talked about some other negative effects of the drugs most frequently prescribed for NFL players which includes an increased frequency of the negative and dark thoughts that would pop up while on injured reserved, along with the mood swings that caused him to be angry and irrational. Not to mention waking up at 3am with the withdrawal symptoms of chills and cold sweats. Juxtapose this experience with the effects of cannabis and the differences are glaring.  During the interview, Eben discusses the science behind the medicinal herb, cannabis, and how it affects the body naturally. Fortunately, Eben stayed relatively injury free in high school or college so he didn't need to take a whole lot of pain killers.  The first time Eben tried marijuana he was in high school after football season and had an intense experience, but because of that he didn’t use it again until he got to the NFL.  You might be saying to yourself, "but isn't that illegal?" Eben talks about the structure of drug testing in the NFL and how to not got caught.  Cannabis is considered a street drug in the NFL and these drugs are only tested once a year.  The testing for street drugs occurs anytime between the start of OTA’s to the end of training camp. Performance enhancing drug tests are conducted at random throughout the whole year. As mentioned earlier, I have never used cannabis, so I asked Eben what cannabis does to the pain football players and athletes deal with on a regular basis. Eben said that cannabis doesn't kill your pain, it just reframes it. He went on to describe cannabis as a comfort blanket.  Eben said that every football player is so overly adrenalized because they spend all day everyday in a super extreme environment and constantly running on adrenaline and cortisol.  In other words, they are in a constant state of fight or flight.  Cannabis, according to Eben, fosters an environment of healing in your body. Eben also went on the drop some knowledge bombs on some of Dr. Mechoulam's research who is considered the godfather of cannabinoid.  Specifically, mice studies have shown when someone or something gets a concussion, receptors in the brain initiate the healing process by releasing the neurotransmitter glutamate, which is toxic to the brain over a period of time, especially in football players who are constantly knocking heads. Glutamate starts to destroy brain matter over an extended period of time and is thought to be one of the causes of chronic traumatic encephalopathy, CTE. Cannabinoids cross the blood brain barrier and are able to shut off the receptors pumping glutamate, neutralize the glutamate and actually trigger neurogenesis to form new brain cells. Eben also went on to tell me that cannabis is actually a bronchodilator, which means that it actually improves lung function. We finished the episode by talking about Eben's transition to life after football and debunking the stigma associated with cannabis.  NFL is often thought to stand for "Not For Long" by many of the athletes who played in the league, but while you're in it, no one is thinking about their inevitable demise.  Guys who reach the upper echelons of the sport have had to sacrifice a lot to get to that point.  Eben says that his transition to life after football has been one of the biggest struggles of his life, but also one of the most rewarding. He advises that athletes need to be gentle to themselves during their transitions, appreciate the work you have done and have gratitude for that experience. Eben's advice for current athletes is to give yourself some distance from your sport at times.  He believes all athletes have an element of creativity inherently inside them and it is important for them to have an outlet outside of the game.  For Eben, that outlet has often been writing.  Some of his articles have been linked up at the bottom of this post.  Eben is passionate about helping other athletes during their transition to life after sports and has helped start The Athletes Afterlife program through Athletes For Care. This program is intended to serve as a support group for athletes to share their struggle and help translate sports skills to other areas. These groups are for athletes of any level and sport.  I was a guy who fed into the stigma associated with cannabis my whole life.  To be completely honest, I judged guys who used it.  The judgement stemmed from my lack of knowledge about the plant and from living in a society that demonizes it.  Eben says that we need to shift the paradigm of our thinking when it comes to cannabis.  We need to think of the pills that are made in a laboratory as the stuff that we want to stay away from and view the medicine that grows from the earth and is naturally occurring in our bodies as the stuff that will help us.  I hope this episode will help de-stigmatize the drug and prevent athletes from becoming addicted to pain killers in the future. Eben's Articles  First Times: Balancing Football and Cannabis with ex-NFL Lineman Eben Britton What Does It Take To Stay In The NFL? You Don’t Want To Know WHERE CAN YOU FIND Athletes for care? WEBSITE | INSTAGRAM | FACEBOOK | TWITTER  WHERE CAn you find Eben britton? INSTAGRAM | TWITTER | FACEBOOK Download Episode 75 : iTunes | Stitcher | SoundCloud   Permalink

Author: Rachel Duncan, PharmD BCPS Educational Pearls: Toradol (Ketorolac) is an NSAID used for its anti-inflammatory properties In practice, the common dosages are 30mg IV or 60mg IM. Clinical concerns arise in patients with renal insufficiency or bleeding, but the risks are small (

Peter King talks to NBC Sunday Night Football analyst Cris Collinsworth and Washington Post reporter Rick Maese. Collinsworth talks about replacing John Madden (twice) and why felt he had to get a law degree in the middle of his career. He explains why the Patriots are so good, and discusses the future of his new venture Pro Football Focus. Washington Post reporter Rick Maese talks about his story on the unchecked explosion of painkiller use in the NFL and why Toradol is the painkiller of choice for current players. He also discusses the future of the NFL’s effort to control painkiller usage.

Generic Name ketorolac Trade Name Toradol Indication pain Action pain relief due to prostaglandin inhibition by blocking of the enzyme cyclooxygenase (COX) Therapeutic Class nonsteroidal anti-inflammatory agents, nonopioid analgesics Pharmacologic Class pyrroziline carboxylic acid Nursing Considerations may cause GI bleeding,… The post Ketorolac: Toradol (nonsteroidal anti-inflammatory agents, nonopioid analgesics) appeared first on NURSING.com.

we cannot stop ourselves Toradol (Oruborous Mix) by plurgidI started this beat back when I was in the hospital recovering from some "serious biznizz". That was almost 3 years ago, now. It's hard to believe it's been that long; the whole episode has cast such a long shadow.I'd brought my laptop and a tiny little midi controller and I was doodling around trying to keep my mind off the "biznizz" at hand.I was on some industrial strength pain medication.Several, actually, but eventually the one that worked the best settled out of the mix and that was "Toradol". When they came in with a syringe of that, I was headed down to la-la land for sure. It was down there in that deep medicated fog that I came up with the little sinusodial arp line. That was about all I was capable of at the time, but I did remember to hit record. Of course, that's where the beat got it's name.We live within a bottomless ocean of loops. Repeating patterns echoing through our history; ebbs and surges, crashing against the beach of the present like waves originating from the dawn of time. The end is the beginning is the end of the next beginning. We can look outside ourselves, and we can perceive the shape and form of our reality, but in so many ways, we're helpless to even perceive the immensity of the system we're inside, let alone effect changes.It's been one hell of a week, and one hell of a long weekend."Drama", I suppose is the word the kids use these days to describe it. I'm tryin' to hold onto my sanity, and I suppose in some small way, seeing things from this point of view helps to make peace with the brokenness of the whole situation.