Podcasts about tte

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Best podcasts about tte

Latest podcast episodes about tte

France Culture physique
Dans la tête de deux harceleurs

France Culture physique

Play Episode Listen Later May 8, 2025 31:15


durée : 00:31:15 - Les Pieds sur terre - par : Sonia Kronlund, Karine Le Loët - Damien subit pendant des années les moqueries de ses camarades. Au lycée, il intègre une bande d'amis et devient harceleur à son tour. Antoine appartient à un groupe de garçons soudés. Au collège, ils se moquent de Lucas puis de Nicolas, un garçon dans son monde. Jusqu'au jour où Nicolas se défend. - réalisation : Anne Depelchin

Les informés de France Info
Le RN en tête en 2027, début du conclave au Vatican et le nouveau président syrien reçu par Emmanuel Macron... Les informés de franceinfo du mardi 06 mai 2025

Les informés de France Info

Play Episode Listen Later May 6, 2025 54:44


durée : 00:54:44 - Les informés de franceinfo - Tous les jours, les informés débattent de l'actualité, ce mardi 6 mai, autour d'Agathe Lambret et de Jean-Rémi Baudot.

ABC Cardinal 730AM
05 05 2025 A LA GRAN 730 - Tte. Cnel. Germán Aguilera, Dir. de Comunicación de la FTC

ABC Cardinal 730AM

Play Episode Listen Later May 5, 2025 10:32


05 05 2025 A LA GRAN 730 - Tte. Cnel. Germán Aguilera, Dir. de Comunicación de la FTC by ABC Color

Interception
Quand le désordre mondial nous monte à la tête

Interception

Play Episode Listen Later May 3, 2025 45:41


durée : 00:45:41 - Interception - par : Antoine Giniaux - Les déclarations tonitruantes à l'Ouest de Donald Trump, à l'Est de Vladimir Poutine font basculer les certitudes des baby-boomers, mais inquiètent aussi les plus jeunes. A quelques jours des commémorations du 8 mai 1945, Interception prend le pouls les Français, face au nouveau désordre mondial.

Politique !
Antoine Pellion, ex-secrétaire général à la planification écologique : "L'écologie a une bonne tête de bouc émissaire"

Politique !

Play Episode Listen Later May 3, 2025 42:25


durée : 00:42:25 - Sens politique - par : Astrid de Villaines - Antoine Pellion est ancien secrétaire général à la planification écologique (2022-2025). Il prend position contre la suppression des agences environnementales (Ademe, Agence bio et OFB) au micro d'Astrid de Villaines. - réalisation : Peire Legras - invités : Antoine Pellion Secrétaire général à la planification écologique

Picardie Sport FB Picardie
Football - La folle ascension du SC Abbeville en tête de la Régionale 2 - Entretien avec le coach Mathieu Vallois

Picardie Sport FB Picardie

Play Episode Listen Later Apr 24, 2025 2:46


durée : 00:02:46 - Football - La folle ascension du SC Abbeville en tête de la Régionale 2 - Entretien avec le coach Mathieu Vallois

Le brief politique
Entre Bruno Retailleau et Laurent Wauquiez, le face à face s'intensifie à un mois de l'élection à la tête des LR

Le brief politique

Play Episode Listen Later Apr 23, 2025 2:22


durée : 00:02:22 - Le brief politique - L'entourage du ministre de l'Intérieur assure être en dynamique, quand les proches du patron des députés de droite misent sur un résultat serré.

Les informés de France Info
Visite de JD Vance en Italie, les États-Unis vont-il abandonner l'Ukraine, le congrès des écologistes et le duel Wauquiez-Retailleau à la tête de LR... Les informés de franceinfo du vendredi 18 avril 2025

Les informés de France Info

Play Episode Listen Later Apr 18, 2025 54:36


durée : 00:54:36 - franceinfo: Les informés - Tous les soirs, les informés débattent de l'actualité autour de Renaud Blanc.

Le téléphone sonne
Commotions cérébrales : le sport est tombé sur la tête

Le téléphone sonne

Play Episode Listen Later Apr 14, 2025 37:57


durée : 00:37:57 - Le 18/20 · Le téléphone sonne - Les confessions de Sébastien Chabal sur ses lourdes pertes de mémoires ont relancé le débat des commotions cérébrales dans le sport. Comment peut-on agir ?

Si j'osais France Bleu Béarn
Si j'osais : dans la tête qui est sous le beau casque qui brille

Si j'osais France Bleu Béarn

Play Episode Listen Later Apr 3, 2025 1:46


durée : 00:01:46 - Dans la tête qui est sous le casque qui brille - Réécoutez le si j'osais de ce jeudi où il est question des pompiers, de leurs beaux casques qui brillent et de ce qu'ils ont dans la tête.

Le 13/14
Dans la tête de Zelensky avec Ariane Chemin et Tetyana Ogarkova

Le 13/14

Play Episode Listen Later Mar 26, 2025 59:18


durée : 00:59:18 - Le 13/14 - par : Bruno Duvic - Qui veut la peau de Zelensky ? Celui qui a dit non à Poutine aux premières heures de l'invasion russe. Trois ans plus tard, comment le président ukrainien fait-il pour tenir ? Comment est-il conseillé ? Qui sont ces rivaux ? Réponses à 13h30 avec les journalistes Ariane Chemin et Tetyana Ogarkova.

Le 13/14
Dans la tête de Zelensky avec Ariane Chemin et Tetyana Ogarkova

Le 13/14

Play Episode Listen Later Mar 26, 2025 14:38


durée : 00:14:38 - L'invité du 13/14 - par : Jérôme CADET - Dans la tête de Zelensky avec Ariane Chemin et Tetyana Ogarkova

JACC Speciality Journals
Missed Kawasaki Disease Presenting as a Giant Coronary Aneurysm | JACC: Case Reports | ACC.25

JACC Speciality Journals

Play Episode Listen Later Mar 25, 2025 8:51


Julien Dreyfus, MD, PhD, JACC: Case Reports Associate Editor, is joined by author Khalid Shakfeh, MD, discussing this study from Shakfeh et al presented at ACC.25 and published in JACC: Case Reports. A 56 year old man with chronic chest pain syndrome presented with sudden onset of weakness. Evaluation for a stroke revealed a large mass in the right atrium measuring approximately 2.2 x 2.0 cm immediately above the tricuspid valve annulus and adjacent to the atrio-ventricular groove on TTE. Cardiac MRI ruled out intracardiac mass, but rather demonstrated an RCA fusiform aneurysm. Coronary CTA characterized this as two fusiform RCA aneurysms. A LHC confirmed this. Giant coronary aneurysms appearing as a large space-occupying intracavitary cardiac mass are rarely diagnosed. Escalating multimodal imaging is essential for accurate diagnosis and surgical planning. Kawasaki disease can have a late presentation and should be considered in the differential diagnosis of coronary aneurysms. A multimodal imaging approach is essential for accurate diagnosis and management of giant coronary aneurysms.

Le Cours de l'histoire
La tête dans les étoiles, une histoire du ciel 4/4 : Hawaï, quand la montagne sacrée accouche d'un observatoire

Le Cours de l'histoire

Play Episode Listen Later Mar 23, 2025 58:51


durée : 00:58:51 - Le Cours de l'histoire - par : Xavier Mauduit, Maïwenn Guiziou, Anne-Toscane Viudes - Tournée vers le ciel, l'astronomie est aussi bien ancrée dans la terre, notamment à travers ses observatoires. En quoi l'histoire coloniale et post-coloniale permettent-elles de mieux comprendre les relations humaines qui se nouent autour des points d'observation du ciel, en particulier à Hawaï ? - réalisation : Thomas Beau, Anna Holveck - invités : Pascal Marichalar Sociologue et historien, chercheur au CNRS

Les interviews d'Inter
Jean-Loup Chappelet : l'élection de la Zimbabwéenne Kirsty Coventry à la tête du CIO "est un tournant fondamental"

Les interviews d'Inter

Play Episode Listen Later Mar 21, 2025 4:59


durée : 00:04:59 - L'invité de 6h20 - Jean-Loup Chappelet, professeur émérite à l'université de Lausanne, était l'invité de France Inter ce vendredi, après l'élection de Kirsty Coventry à la présidence du Comité international olympique.

WALL STREET COLADA
Rebote en Wall Street, Oro en Récord Histórico y Lockheed Martin Asegura Contrato Millonario.

WALL STREET COLADA

Play Episode Listen Later Mar 14, 2025 4:29


En este episodio, analizamos los eventos clave que están impactando los mercados y sectores estratégicos: Wall Street intenta recuperarse: El $SPX y el Nasdaq rebotan tras caer en territorio de corrección, acumulando más del 10% de caída desde febrero. Evaluamos el impacto de las amenazas arancelarias de Trump y la incertidumbre sobre un posible cierre del gobierno. Oro alcanza un nuevo récord: $XAUUSD sube a $2,984.30/oz, impulsado por la incertidumbre comercial y la posibilidad de recortes de tasas de la Fed. La plata también avanza 1.7% y acumula una ganancia del 17.6% en 2025. ¿Seguirá esta tendencia alcista? EE.UU. aprueba préstamo de $5B para GNL en Mozambique: El Banco de Exportación e Importación financia el megaproyecto liderado por $TTE, tras mejoras en seguridad y la reactivación del financiamiento internacional. Analizamos el impacto en el mercado energético. Lockheed Martin expande su producción de misiles: $LMT recibe una modificación de contrato por $1.93B, elevando el total a $5.18B para producir los JASSM y LRASM. Evaluamos el impacto en la industria de defensa y el crecimiento del gasto militar en EE.UU. Acompáñanos para entender cómo estos eventos están moldeando los mercados, la política comercial y la seguridad global. ¡Un episodio cargado de análisis estratégico!

Le brief politique
Boris Vallaud officialise sa candidature à la tête du PS malgré le risque de rupture avec Olivier Faure

Le brief politique

Play Episode Listen Later Mar 13, 2025 2:12


durée : 00:02:12 - Le brief politique - Après avoir été l'un de ses soutiens pendant plusieurs années, le chef des députés socialistes prend le risque de s'en éloigner pour exprimer ses ambitions qu'il mûrit depuis des mois. Boris Vallaud a annoncé jeudi sur France 2 qu'il sera candidat.

Dividend Talk
EP #233 | Dividend Growth Investing with Dividendology!

Dividend Talk

Play Episode Listen Later Feb 8, 2025 77:33


This week, we welcome Eli fromDividendology to the show! We will dive deep into dividend growth investing, discuss the latest dividend hikes, and gain insights into Eli's portfolio and strategy.

According To The Scripture
S2E46 The Adamic Singularity

According To The Scripture

Play Episode Listen Later Feb 7, 2025 61:38


Humanity May Reach Singularity By 2030 Darren Orf 11/30/2024 By one unique metric, we could approach technological singularity by the end of this decade, if not sooner.A translation company developed a metric, Time to Edit (TTE), to calculate the time it takes for professional human editors to fix AI-generated translations compared to human ones. This may help quantify the speed toward singularity.An AI that can translate speech as well as a human could change society. In the world of artificial intelligence, the idea of “singularity” looms large. This slippery concept describes the moment AI exceeds beyond human control and rapidly transforms society. The tricky thing about AI singularity (and why it borrows terminology from black hole physics) is that it's enormously difficult to predict where it begins and nearly impossible to know what's beyond this technological “event horizon.” However, some AI researchers are on the hunt for signs of reaching singularity measured by AI progress approaching the skills and ability comparable to a human. One such metric, defined by Translated, a Rome-based translation company, is an AI's ability to translate speech at the accuracy of a human. Language is one of the most difficult AI challenges, but a computer that could close that gap could theoretically show signs of Artificial General Intelligence (AGI). “That's because language is the most natural thing for humans,” Translated CEO Marco Trombetti said at a conference in Orlando, Florida, in December 2022. “Nonetheless, the data Translated collected clearly shows that machines are not that far from closing the gap.” The company tracked its AI's performance from 2014 to 2022 using a metric called “Time to Edit,” or TTE, which calculates the time it takes for professional human editors to fix AI-generated translations compared to human ones. Over that 8-year period and analyzing over 2 billion post-edits, Translated's AI showed a slow, but undeniable improvement as it slowly closed the gap toward human-level translation quality. On average, it takes a human translator roughly one second to edit each word of another human translator, according to Translated. In 2015, it took professional editors approximately 3.5 seconds per word to check a machine-translated (MT) suggestion—today, that number is just 2 seconds. If the trend continues, Translated's AI will be as good as human-produced translation by the end of the decade (or even sooner). “The change is so small that every single day you don't perceive it, but when you see progress … across 10 years, that is impressive,” Trombetti said on a podcast. “This is the first time ever that someone in the field of artificial intelligence did a prediction of the speed to singularity.” Although this is a novel approach to quantifying how close humanity is to approaching singularity, this definition of singularity runs into similar problems of identifying AGI more broadly. And while perfecting human speech is certainly a frontier in AI research, the impressive skill doesn't necessarily make a machine intelligent (not to mention how many researchers don't even agree on what “intelligence” is). Whether these hyper-accurate translators are harbingers of our technological doom or not, that doesn't lessen Translated's AI accomplishment. An AI capable of translating speech as well as a human could very well change society, even if the true “technological singularity” remains ever elusive. Darren lives in Portland, has a cat, and writes/edits about sci-fi and how our world works. You can find his previous stuff at Gizmodo and Paste if you look hard enough.

Culture en direct
Louis Chedid, chanteur & compositeur : "Quand on est artiste, on a un pied dans l'enfance et la tête dans les nuages"

Culture en direct

Play Episode Listen Later Feb 3, 2025 28:16


durée : 00:28:16 - Les Midis de Culture - par : Marie Labory - 18 albums plus tard, la voix de Louis Chedid semble ne pas avoir été éprouvée par le temps. En novembre 2024, il a fait paraître le dernier album de sa grande carrière, "Rêveur, rêveur" ; 12 titres aussi doux que solaires qui évoquent la beauté, le bonheur, l'amour et l'amitié. - réalisation : Laurence Malonda - invités : Louis Chedid Chanteur

Service Protestant
Adelaïde Hautval, La psychiatre qui a tenu tête aux médecins nazis

Service Protestant

Play Episode Listen Later Jan 19, 2025 29:10


durée : 00:29:10 - Solaé, le rendez-vous protestant - par : Jean-Luc Gadreau - Entretien avec Denis Labayle - réalisation : Thomas Jost

The Tilehurst End - A Reading FC Podcast
The Tilehurst End Podcast Episode 401: Episode 400.5 + 2024 TTE Awards

The Tilehurst End - A Reading FC Podcast

Play Episode Listen Later Dec 31, 2024 102:01


Ryan joins the boys to review Reading's win over Mansfield before diving into a 2024 review including the TTE awards and more! Plus, with it being the 400th(ish) episode of TTE podcast, Ross decides to quiz Ben and Ryan  on the 11.5 years of Reading FC that have coincided with the pod.  Thanks as always to our friends at ZCZ Films for sponsoring the pod.  Follow The Tilehurst End on Twitter @thetilehurstend  Follow Ben on Twitter @mrblthomas Follow Ross on Bluesky @webberross.bsky.social

The Tilehurst End - A Reading FC Podcast
TTE Pod Extra: Takeover latest & December updates

The Tilehurst End - A Reading FC Podcast

Play Episode Listen Later Dec 11, 2024 22:51


Wimb is joined by James Earnshaw from the Reading Chronicle to bring us right up to date with the latest off field shenanigans at Reading Football Club. James runs us through where the various bidders stand with their interest in the club, plus the current financial state of the football club as we head towards the January transfer window.  As always, thanks to our sponsors ZCZ Films and our exclusive Pod Extra Sponsor, FUTCoaching.com If you're interested in improving your EAFC 24 performance, then check them out. Our listeners can get 10% off using the code TTE, or why not check out the FREE FUT In Review Podcast. You can follow James on Twitter @james_e1871 You can follow Wimb on Twitter  @Wimby

The Tilehurst End - A Reading FC Podcast
The Tilehurst End Podcast Episode 399: Avengers Assemble, Selles Departs

The Tilehurst End - A Reading FC Podcast

Play Episode Listen Later Dec 10, 2024 89:51


With the 400th episode right around the corner and Reading in the playoff spots, the boys invite Tilehurst End royalty and pod extra host Dan Wimbush on to celebrate both the Royals and TTE in good measure.  The party is rather spoiled by the departure of Selles, but there's optimism for the future, with Noel Hunt's chances estimated after a good point on the road against Wycombe.  Thanks as always to our friends at ZCZ Films for sponsoring the pod. Follow The Tilehurst End on Twitter @thetilehurstend  Follow Ben on Twitter @mrblthomas Follow Ross on Bluesky @webberross.bsky.social

The Trance Empire
Adam Reece Guestmix

The Trance Empire

Play Episode Listen Later Dec 6, 2024 60:00


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome Adam Reece who will be performing at our Newcastle event.   Choose your player

The Trance Empire
James Cottle Guestmix

The Trance Empire

Play Episode Listen Later Dec 3, 2024 58:22


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome James Cottle who will be performing at our Newcastle event.   Choose your player

The Trance Empire
Jon Mangan Guestmix

The Trance Empire

Play Episode Listen Later Nov 29, 2024 55:46


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists performing at the shows.   For this guestmix we welcome Jon Mangan who will be performing at our Birmingham event.   Choose your player

The Trance Empire
Grant Trowbridge Guestmix

The Trance Empire

Play Episode Listen Later Nov 27, 2024 61:09


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists performing at the shows.   For this guestmix we welcome Grant Trowbridge who will be performing at our Birmingham event.   Choose your player

The Trance Empire
Rik Crofts Guestmix

The Trance Empire

Play Episode Listen Later Nov 22, 2024 60:05


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists performing at the shows.   For this guestmix we welcome Rik Crofts who will be performing at our Manchester event.   Choose your player

Grand bien vous fasse !
Dans la tête des ados 4/6 : Tristesse, honte, peur : comment aider les ados à surmonter ces émotions désagréables ?

Grand bien vous fasse !

Play Episode Listen Later Nov 20, 2024 37:22


durée : 00:37:22 - Grand bien vous fasse ! - par : Ali Rebeihi - Comment mieux comprendre les risques de dépression et de troubles chez les adolescents ? Que faire quand ils ressentent durablement la mutlitude d'émotions négatives et où se situe la frontière entre le normal et le pathologique ? - réalisé par : Claire DESTACAMP

Cardionerds
404. Case Report: A Stressful Case of Cardiogenic Shock – Tufts Medical Center

Cardionerds

Play Episode Listen Later Nov 18, 2024 25:56


CardioNerds (Dr. Yoav Karpenshif – Chair of the CardioNerds Critical Care Cardiology Council) join Dr. Munim Khan, Dr. Shravani Gangidi, and Dr. Rachel Goodman from Tufts Medical Center's general cardiology fellowship program for hot pot in China Town in Boston. They discuss a case involving a patient who presented with stress cardiomyopathy leading to cardiogenic shock. Expert commentary is provided by Dr. Michael Faulx from the Cleveland Clinic. Notes were drafted by Dr. Rachel Goodman. A young woman presents with de novo heart-failure cardiogenic shock requiring temporary mechanical circulatory support who is found to have basal variant takotsubo cardiomyopathy.  We review the definition and natural history of takotsubo cardiomyopathy, discuss initial evaluation and echocardiographic findings, and review theories regarding pathophysiology of the clinical syndrome. We also highlight complications of takotsubo cardiomyopathy, with a focus on left ventricular outflow obstruction, cardiogenic shock, and arrythmias. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Takotsubo cardiomyopathy is defined as a reversible systolic dysfunction with wall motion abnormalities that do not follow a coronary vascular distribution. Takotsubo cardiomyopathy is a diagnosis of exclusion; patients often undergo coronary angiography to rule out epicardial coronary artery disease given an overlap in presentation and symptoms with acute myocardial infarction. There are multiple echocardiographic variants of takotsubo. Apical ballooning is the classic finding, but mid-ventricular, basal, and biventricular variants exist as well. Patients with takotsubo cardiomyopathy generally recover, but there are important complications to be aware of.  These include arrhythmia, left ventricular outflow tract (LVOT) obstruction related to a hyperdynamic base in the context of apical ballooning, and cardiogenic shock. Patients with Impella devices are at risk of clot formation and stroke. Assessing the motor current can be a clue to what is happening at the level of the motor or screw. Notes What is Takotsubo Syndrome (TTS)? TTS is a syndrome characterized by acute heart failure without epicardial CAD with regional wall motion abnormalities seen on echocardiography that do not correspond to a coronary artery territory (see below).1 TTS classically develops following an acute stressor—this can be an emotional or physical stressor.1 An important feature of TTS is that the systolic dysfunction is reversible.  The time frame of reversibility is variable, though generally hours to weeks.2 Epidemiologically, TTS has a predilection for post-menopausal women, however anyone can develop this syndrome.1 TTS is a diagnosis of exclusion. Coronary artery disease (acute coronary syndrome, spontaneous coronary artery dissection, coronary embolus, etc) should be excluded when considering TTS. Myocarditis is on the differential diagnosis. What are the echocardiographic findings of takotsubo cardiomyopathy? The classic echocardiographic findings of TTS is “apical ballooning,” which is a way of descripting basal hyperkinesis with mid- and apical hypokinesis, akinesis, or dyskinesis.3 There are multiple variants of TTS. The four most common are listed below:3(1) Apical ballooning (classic TTS)(2) Mid-ventricular variant(3) Basal variant (4) Focal variant Less common variants include the biventricular variant and the isolated right ventricular  variant.3 Do patients with TTS generally have EKG changes or biomarker elevation? Patients often have elevated troponin, though the severity wall motion abnormalities seen on TTE i...

The Trance Empire
South of the Stars Guestmix

The Trance Empire

Play Episode Listen Later Nov 14, 2024 59:13


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome South of the Stars who will be performing at our London and Newcastle events.   Choose your player

The Trance Empire
Heart & Hawk Guestmix

The Trance Empire

Play Episode Listen Later Nov 7, 2024 61:27


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome Heart & Hawk who will be performing at our London event.   Choose your player

Fertility Wellness with The Wholesome Fertility Podcast
EP 310 Spirit Babies and the Circle of Life & Death | Ylette Luis

Fertility Wellness with The Wholesome Fertility Podcast

Play Episode Listen Later Nov 5, 2024 48:01


In our conversation, Ylette shares her unique journey through motherhood, her connection with spirit babies, and the importance of intuition in the process of conception. She discusses her experiences with pregnancy, loss, and healing, emphasizing that these moments can also offer sacred element. Ylette also highlights the significance of community and support for women navigating their own journeys, encouraging them to trust their intuition and embrace their power.   Takeaways   Intuition plays a crucial role in understanding and connecting with spirit babies. Healing from past trauma is essential for creating a nurturing environment for new life. The experience of loss can be both painful and sacred, offering profound lessons. Surrendering to the process of conception can lead to unexpected outcomes. Building a supportive community is vital for women on their fertility journey. Trusting one's intuition is key to navigating the complexities of trying to conceive. Healing is a layered process that requires ongoing self-reflection and care. Nurturing oneself is essential for preparing to nurture a child.   Guest Bio:   Ylette is the visionary behind Xio by Ylette, a jewelry business that draws inspiration from her Latin roots and the enchanting magic of the cosmos. As an intuitive guide, she empowers women to reclaim their voices and rediscover their inner magic, allowing their light to shine brightly and illuminate the world. Ylette holds a heartfelt belief that when we do what sets our soul on fire & let that light sparkle, we inspire the entire world to glow in harmony.   Passionate about motherhood, Ylette is devoted to helping mothers become their best selves, fostering love and nurturing for their children who will become the shining legacy of the future. Through her Mystic Mama Collective membership, Ylette holds space for mothers and women committed to walking the path, emphasizing the importance of balancing our human and soul aspects. This balance, she believes, helps us find the magic in the mundane and better navigate the journey with purpose. Through her whimsical approach and profound wisdom, Ylette weaves a tapestry of light, love, and magic, touching the lives of women and children alike.   Social Media: Instagram: @ylette_   Check out Michelle's latest book here: https://www.michelleoravitz.com/thewayoffertility   For more information about Michelle, visit: www.michelleoravitz.com   The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/   Instagram: @thewholesomelotusfertility   Facebook: https://www.facebook.com/thewholesomelotus/     Transcript:   Michelle (00:00) Welcome to the podcast, Ylette   Ylette (00:02) Hi, hello, I am so excited to be here. Thank you for inviting me and having me on.   Michelle (00:07) Yes. So I have, we follow each other on Instagram. I watch your Instagram and I really love it. I loved your energy. And I was like, I really liked this girl. Like I got to have her come on. And you also, I knew that you were like working with spirit babies and I was like, my gosh, I really, really jive with her energy. So I'm so happy to have you on here. And I would love for you to introduce yourself and give us a little bit of a background and how you got inspired to do the work that you do.   Ylette (00:37) Hi, so my name is Ile   I got pregnant at 24 years old, had my daughter at 24, then turned 25. And I want to talk a little bit about that story because it is a big part of what shaped me into who I am today and connecting with spirit babies along the way. But I currently channel spirit babies. I am an intuitive. I study astrology, something that came very easy to me. I feel like when I went to school, I was that kid that barely retained anything. I mean, I could memorize something and throw it on a paper. So I always had good grades.   but I feel like none of it really made sense to me and I didn't retain much. I did get a master's in psychology. I am currently by day a school counselor. And then I say a school counselor by day, I read the stars and connect with the cosmic energies by night and juggling mom life. But it wasn't until I found astrology that I felt like, whoa, I am home because it came so easy to me. And it was so intuitive that the chart, I just opened it up and I feel like I was being led.   So I always say that I open someone's chart and the chart speaks to me. I don't do, your son is in this, your rising is in that. I'm like, we're gonna open up. We're gonna go wherever the chart leads me because I feel like astrology is so vast that if you start with just the surface level things, you can be there for hours. So I'm like, we're gonna go deep, Mercury and Scorpio, Scorpio, and we're gonna go deep right away. So that astrology really opens me up and strengthen my intuitive gifts.   Michelle (01:36) That's cool.   Mm -hmm.   Ylette (02:05) So that's what I'm doing now. I'm kind of like balancing both being a school and connecting with spirit babies and doing astrology readings on the side. But what started this whole journey is when I was 24   I got pregnant with my first daughter, Sophia, really young. I mean, I think young for me. And while I was pregnant with her, I had had before, because I did suffer when I was younger, some sexual trauma and abuse, and you know, the body holds on to all of that. And so I had, I remember I had gone in for a pap smear maybe like two years before I conceived my daughter, and I had some cancerous cells on my cervix.   Michelle (02:33) Mm -hmm. Yeah.   Ylette (02:44) So I had the procedure to get a leap and do and have, you know, a piece of my cervix removed and all of that. And so when I told the doctor, when I had gotten pregnant with Sophia, that I had that procedure, they were like, now all of a sudden he was a new doctor. You're high risk. We have to do a bunch of ultrasounds just to make sure that your cervix is okay and it's not opening. And so I was having a lot of ultrasounds. And when I went in for my, I believe 16 week ultrasound, there was a tech that measured the cervix and I was having different techs measure it and   What I found out later is that when different techs measure the cervix, they can get different numbers, so it's not really super accurate. So the tech was like, your cervix is super sure, and the doctor came in and he's all concerned, he's like, we're gonna have to do a cerclodge. So I imagine I was 24 years old at the time, I was so nervous, I wasn't confident, not in my power, I'm like, okay, you're the doctor, you know best.   Michelle (03:33) So for people who aren't hearing this, when the cervix is really short, it could be considered like an which can cause miscarriage. And a cerclage is a way to keep it in place   Ylette (03:43) Yes.   Right. So the stitching. So I was like, okay, let's do this. And even my mom had freaked me out because she's like, that happened to your grandma in Cuba. She lost a bunch of pregnancies because her cervix would open and they had to end up sewing her up. And that's how she had me. And then, you know, my brother and I was like, okay, well, I guess this is it. And my partner at that time was like, are you sure you don't want to think about this? And I was like, no, the doctor knows best. So let's just go. So I went in for the procedure.   I had it done the minute that I got out of surgery. I felt they had given me Tylenol coating. Now I know that it makes me throw up. So I don't take that anymore. But they had given it to me and I threw up. And when I threw up, guess I from the epidural, I urinated on myself and they thought that my water broke. So they were like, I was 18 weeks and they're like, your water, your water broke. We're going to do the like I think it's called the Fern test. They do to check if there's amniotic fluid.   Michelle (04:41) Hmm?   Ylette (04:44) until they did the test and it came back positive and they're like, for sure your water broke. Later I found out those can get false positives. So they were like, your water broke, we're gonna have to take the baby out right now. And I was like, what? And they're like, yeah, I'm so sorry. Like they didn't even hold me, they didn't allow any space for me to grieve or have all of these feelings. And I'm 24 years old just sitting there in the recovery room. My mom is next to me.   Michelle (05:00) Wow, that's so crazy.   Ylette (05:10) We get the news we're both freaked out. My mom instantly pulls out her Bible. She starts the up praying and I'm freaking out, but I was like, well, I mean, I guess, I guess if you're telling me that this is what's going to happen, this is what's going to happen. So they take me upstairs. They start that same day. They removed the sirclage that they had just put in. So talk about trauma. It went back in there. I was raw and just, and they removed it. And then they started putting servadil.   Michelle (05:31) my God.   Ylette (05:39) to start trying to soften my cervix. like, well, you you have no water, you're gonna keep leaking. Baby can't grow without amniotic fluid. So we're just gonna have to remove the baby. And the whole time I was freaking out, they put the cerclage, nothing was working. I think they put it three, I mean the cervidil, they put three different rounds of cervidil. Nothing was working, my cervix was tight. And all the while I could feel my baby moving. It's like whenever a doctor would come in, my baby was like, boom, Sophia, like, mom, pay attention.   Michelle (06:02) my god.   wow.   Ylette (06:09) elbow me, she would move around and I would tell my mom, I'm like, mom, I feel her moving. I feel her kicking. It's almost like she's trying to tell me something. So this is where it gets really crazy. And I'm just like, wow, divine intervention. So we have a nurse come in and my daughter, my due date with my daughter Sophia was July 10th, 2010.   And the nurse comes in and I see that she's wearing, because I'm big into jewelry. I didn't mention I also have like a jewelry company named after my grandmother, which I do a lot of Zodiac jewelry. So the nurse comes in and the first thing that I notice, of course, is that she's wearing a necklace and she has a cancer Zodiac on it. And I go to her, my God, my daughter was supposed to be a cancer. She's supposed to be born July 10th. And the nurse was like, what? My birthday is July 10th.   Michelle (06:47) Hmm.   Wow.   Ylette (06:59) And I was like, my God, like what a coincidence her name was Gloria. And at the time I was going to name my daughter Sophia Bella. And I was like, wow. And the nurse, she did like the little doctor. She's like, listen, honey, I hear the baby moving around in there. There's water in there. You don't continue to leak. You need to get up out of this hospital and go because your baby is fine. And if you continue to stay here, they're going to end up doing something that is going to cause you to abort this child. And I feel like she's fine.   in came another nurse right after her name Sophia. And she was like, the same thing happened to me. I had a little tear in my sack and it kind of sealed over. I was on bed rest and my son is here, born healthy. And I was like, you know what? I talked to my mom, was like, we need to go. When the doctor found out that I needed, that I was going to get up and go and like sign myself out, they came in, a specialist came in and was like, your baby can be born with this and this and this and it's not going to develop.   Michelle (07:42) Yeah.   Ylette (07:54) all of these things to scare me. And in that moment, I just felt so confident and so secure after talking to Gloria and that, you know, her coming in, which I feel like she was my earth angel with the little cancer zodiac necklace. I was like, no, I'm going to get up and I'm going to go and my baby keeps kicking me. And I trust that this is the right decision. I ended up leaving, found another doctor. The doctor's like, your cervix is fine. There's no issue with your cervix.   Michelle (08:20) my God.   Ylette (08:22) You don't even have to be on bed rest. Like, get up, do whatever you need to do. And my daughter Sophia was born July 10th, 2010, and I named her Sophia Gloria after the nurse.   Michelle (08:32) my God, that is crazy. Yes, that is insane. just, my God, you have to listen to your intuition. think that that's like the, the of the story.   Ylette (08:34) Isn't that insane?   Yep. Yep. And it's so hard to do, with all of the fear and they just instill so much fear. And if you don't do this and if you don't do that, and it took so much within me to be like, you know what? I'm not, I'm going to go. And I remember my mom and I went to church every Sunday and we would pray and I was like, it makes sense that my daughter's name is Sophia. Sophia Christ consciousness, divine wisdom. And even in her astrology chart, she has so much   old soul energy. She's a cancer rising cancer son, almost a cancer moon in the 12 house in Gemini. And I was like, this is just you came in to really activate me and really put me in touch with my intuition. And ever since then, I completely changed. can ask anyone and they will tell you pre Sophia and post Sophia, you were a completely different person.   And I had a friend who, she actually went on a fertility journey and she was having a lot of miscarriages and she heard, I think she went to a fertility specialist and they gave her the book. What's that book called? The Spirit Baby book by Walter. Yeah. And.   Michelle (09:53) Spirit Baby? Yeah.   Ylette (09:58) She gave it to me and I was just so interested in it I started reading it and that book activated me. It was almost like a remembering. So when I started reading that book and I was like, wait a minute, it makes so much sense that we can connect to the souls of the babies that are going to come in because we are souls. And at 18 years old, I had read many lives, many masters. And when I learned about past lives, I was like, it was another like remembering. was like, I knew it. I know I've lived many lives. So when I read spirit babies, I'm like,   Michelle (10:18) Hmm?   Ylette (10:27) course, this makes so much sense. So I started connecting. I started doing the meditations in the book and I started connecting with my before I got pregnant, actually this happened. Now that I'm remembering reminding what, cause my husband and I wanted her and I was like, okay, if you're listening to me, if you're close, send me yellow butterflies. Every time that I would go out, three little yellow butterflies would flow around me.   Michelle (10:44) Mm -hmm.   wow.   Ylette (10:50) Even my husband would play golf and he'd send me a picture. said, look, a yellow butterfly would land on his golf ball. And I was like, this is so legit. I ended up getting pregnant and it was the most connected that I have felt to any   I would call in the guides. I would call in my ancestors. It was just such a spiritual experience.   So fast forward, I think a lot of us went through a lot in 2020 and it's almost like if our world got turned upside down. I know for us, even like with our business, we went through these highs, these lows and a lot of transformation. And so fast forward, we moved from Miami to Orlando. And so fast forward to this year in March,   I started seeing some yellow butterflies Like I was just seeing them randomly. was like, well, maybe, you know, I'm just seeing yellow butterflies because we live in a very lush neighborhood. We have a lot of trees. Okay. Yellow butterflies. The eclipse hits. Surprise. I ended up finding out that I'm pregnant. We weren't expecting it.   but I feel like this is the thing the one that kind of transformed me because Prior to that I had channeled. I think it was in 2021 a message about mothers needing to really Cleanse and clear any trauma that is held in the womb to be able to hold the vibration of the new children   So a lot of things that I've been channeling is that these new babies that are coming in, they're really high vibe. Like their vibration is different. Even the way that we are experiencing karma, their experiencing karma is going to be different because these new souls really come to anchor the light. These are awakened souls. These are, you know, children from the stars. And I started channeling that information, but I didn't fully understand it. And I kept channeling things about the mother wound and   Michelle (12:28) Okay.   Ylette (12:41) clearing the womb and how much trauma we may be holding in our womb. But again, I was like, I've kind of dealt with that. I I went through my trauma. had the whole thing with the sirclage, but I've dealt with that. But healing is very layered. And when we think that we've healed something, another thing kind of comes up for clearing and healing. Exactly. We're peeling back the onion. And so I thought, okay, well, you know, I've healed all of that. So   Michelle (12:54) Mm   Mm Yeah. It's like an onion.   Mm   Ylette (13:11) When I got pregnant this last time, it ended in a miscarriage. And I almost knew because I had been living so, you know, when you get into a stage where you just feel like numb and you're disconnected and I felt very disconnected from my creativity, very disconnected from my heart, just kind of going through the motions of, you know, work And I didn't feel like myself. I didn't have any passion.   And so when I went to the doctor, I remember I was like eight weeks pregnant and I went to the doctor and they couldn't find a heartbeat. It's almost like I knew I was like, I'm disconnected from my heart. And the most powerful, I will say now experience that I have had has been experiencing a miscarriage.   Michelle (13:49) Mm   Ylette (13:58) because I was able to hold the pain and the joy and almost like life inside me, but then a death as well. And when I passed the baby, I passed the baby And I woke up and I was in my kitchen.   And I felt this one big contraction and I thought, the baby's coming. And I passed the baby and when I look, it was like the full baby in the sack, in the water. Yeah, I even have, I mean, it's kind of intense graphic, but I do have a picture of it because I wanted to keep that. And it was, I remember just looking down and holding her because I think it was a girl. And in that moment,   Michelle (14:26) wow.   Ylette (14:44) I looked down and I was like, wow, this, this little tiny thing in the water, just perfect, this little embryo. And I cried. And I, at that moment, I held both joy and sadness. It was like they both coexisted at the same time for me. And it's almost like this peace, the sense of peace washed over me. And I felt like this   this clearing, this cleansing, almost as if this soul, this baby, this experience came to me to help me release all of that trauma that still lingered in my womb, anything that I still hadn't dealt with, anything that was still stored in there. And it was just so beautiful and so magical. I just, I took her and I buried her. have this huge grandmother oak tree in the front and I did a whole little ritual and I just felt   like this purity come over me, like this cleansing. And I finally understood what I had channeled in that message of cleansing and clearing the womb. And sometimes it's through our grief that we learn the biggest lessons and we can hold, like if we really surrender to it, because I remember coming back from the hospital and asking God, I was like, I'm not going to ask for a miracle. I'm not going to ask. I'm just going to ask that whatever needs to be done right now.   Michelle (15:59) Mm   Mm   Ylette (16:08) I give it to you, I can't hold this, I can't carry this, I trust in you and I trust that I'm gonna be led through this process for my highest and best good. And it was a level of surrender that I feel like I hadn't reached before. And when I finally let go and I let this process just crack me open, it was this unfolding that really my heart just blasted open in a different way. And...   Michelle (16:21) Mm   Mm   Ylette (16:34) even though it was painful, it was so magical. It was so magical. And I think that sometimes it's hard to really surrender and lean into that when we are going through something so difficult, right? Because it's hard, pain hurts. And when we long for something so much or when we want something so bad, it's so hard. Because everyone's like, surrender. trust. It's easy to say, but it's so hard to do.   Michelle (16:46) Mm   Yeah.   Yeah, it really is. But I think about it. I think about so many things. mean, I think about Eckhart Tolle's teachings. I've always been really into his teachings. And he told a story about Buddha and that he had, a disciple or one of his disciples after Buddha died. He cried and cried and cried and cried. I mean, I think it was like he cried all night long, just couldn't stop crying, just like allowed himself to feel the depth of the pain and woke up the next day enlightened.   Because he allowed himself to walk through that darkness, like fully unimpeded. And how often do we do that? We try to stop it. It's almost like we're going through it. We try to stop it. We're trying to protect ourselves. And what do we do? We actually hold it in our tissues. Yeah.   Ylette (17:31) The darkness.   We stuff it. I tell my students that actually, I'm like, gotta allow yourself to cry and let the emotions just move through you. Feel it, go there, be vulnerable. Even if you do it by yourself and just let it crack you open and cry and release. And we feel so much better usually after, but it was a huge lesson for me this year in that experience in surrender. it's like an initiation process.   Michelle (18:01) Yeah.   Ylette (18:13) Right? That you're going to...   Michelle (18:13) I get that. I get that. my father passed away. I watched him go through the motions and I literally saw it was so crazy. I've never had an experience like this before because I never had someone so close to me, like naturally die. So they have what's crazy to me that I never knew before, that there are signs almost like you see it with babies, but they have different levels of growth.   They start crawling, they start walking, start teething. The same thing happens when people die. They start to have, they call it the rattle. And it sounds horrible to talk about, but it's not. I think that that's our own human judgments on things. Yes, it's sacred. It's sacred. And so I was like, okay, look, this is crazy because I was at the hospice and...   Ylette (18:46) Mm   Because there's beauty in that process too. That's what I've learned. Yeah, that's what is so sacred.   Michelle (19:06) you read these books and they tell you there are signs to death. Like you can certain behaviors, certain expressions, certain things, And I saw my dad looking up at one point and he was looking at something and I'm like that to me reminds me of either a newborn or a cat that zones out into seeing something that I don't see. And I'm like, this is crazy.   Ylette (19:11) Yes.   Michelle (19:29) It was almost sacred and sad all at the same time. I remember thinking like, if you just allow yourself, we like to judge and we like to label, just as it's the human condition, if you just allow yourself to move out of that for a second, just for a split second, move out of the judgment of the meaning that you're placing on this moment and what it is and the label of it.   Ylette (19:32) Yeah.   Michelle (19:54) If for one second you move out of that and you really open up to whatever that experience is, it's insane, but you can find a gift in that.   Ylette (20:03) Yes, a thousand percent. I think that, because I went through the hospice experience too with my grandfather and my grandmother, and it almost felt like it's that feeling of when you're just dancing between worlds. It's almost like being in a hospital waiting for someone to give birth and then for someone to just cross over. It's that liminal space where it's sacred and you get to hold it. And I feel like it is true what you're saying that   Michelle (20:24) Mm   Ylette (20:31) know, birth, we're always celebrating it, but death is sad and scary, but it's also very sacred. And I think it's important to also hold space for that and to honor how magical that transition can also be when we've, you know, completed this cycle and we're ready to go. And they are in tune with that space that is magical. Cause I remember my grandfather would say that he was seeing his mom and he was seeing friends of his that crossed over.   Michelle (20:37) you   Yeah, they do. They see.   Ylette (20:57) And in that moment when I was talking to him, even though I know that he was going and it was very sad, was also, wow, you're so, you're dancing with the magic, with the divine, with those moments. Yes.   Michelle (21:10) It's that connection, the portal opens. And so what I found actually, had a patient, she was trying to conceive for years and her grandfather had just passed away and she felt was just in her bones. Like she just knew that he was gonna open a portal for her and shortly after she conceived. And then she was even like after her first baby, she was on the birth control pills and regardless.   she got pregnant, which is really, I don't even know how that happened. But it was just like that. It was like something opened up and it was just like, boom, it was this connection of like death and birth and that cycle and that opening. It was really crazy.   Ylette (21:43) opened up.   Yes. Yes, that's exactly what I, yes, I I love it. And think that's exactly what I went through with this but wow, how sacred is this moment as well of loss and death and returning to the earth. And it's like, we come in, we go out and, but our souls are.   immortal, they're eternal. And I think that there is much work to be done for us to be able to hold space and really honor how sacred something like that can also be. And I think as women too, it's so important to hold space for it all. I even think that, you know, that something that has come up for me a lot now too, with this fear of like, you know, announcing like, I'm pregnant now is just what if I use it? What if   and not wanting to say anything, but I'm like, it's so important too to have community and have a community of women that know that you are pregnant and that you can share if something does go wrong with so that you don't have to go through it alone so that they can hold space for you so that whatever it is that you're going through, you have that community of friends and people that are like, my experience may be different from your experience, but I feel you, I got you, I'm holding space for you. I think as women, that is so important for us to have.   Michelle (22:56) Yeah.   Yeah.   Ylette (23:02) because the journey is personal, but it's also collective. And I have a lot of friends who are currently struggling to conceive. And I have one, you know, she's a little bit older and she's struggling to conceive. And I gave her this book. I don't know if you've heard of it. It's called, what is it called? Something Choice. I'll have to get you the name. Mary, is it Mary's, Rosa's Choice?   But the minute that I started reading it, it talks a lot about the mother wounds and things that we haven't explored. And I'm like, wow, there's so many things that when we're on the trying to conceive journey come up for us or when we're pregnant come up for us. it's an initiation within itself, that journey of trying and struggling and learning to surrender and learning about your power and learning how to hold your grief, letting others support you.   Michelle (23:57) Mm -hmm. Yeah.   Ylette (23:57) really having that community and trusting in a bigger plan, even though it's so hard. It's so hard when you're in the moment, because we want what we want.   Michelle (24:06) It could feel, you know, for some people they've expressed, You're like stuck in this place and you just want to move on. You want to start your family and you're like, when is this ever going to happen? And then you can kind of get into this whole mindset there where you're like, what's happening, the doubt and the fear. And it could be really tough.   Ylette (24:10) Yes.   It's, yeah, I had a friend who, and you know what's been something that I've noticed and obviously everyone's story is different, but, and the friends that I have had is when they have reached that point of surrender, where I had a friend who was, think she was trying for almost two years and she was like, you know what, like I'm okay with whether it doesn't happen or not. I've come to a point where, you know, I'm happy, my husband and I, and I have my nieces and nephews and I'm okay and I'm good.   She ended up getting pregnant the month after. She's like, I feel like when I turned it over and I was just like, like, you know what, God, like I'm okay. If it doesn't happen, she ended up getting pregnant. I've heard a lot of stories where women, they make a decision where it's, know, we'll adopt or we're, and then something shifts and something happens. And again, everybody's story is so different because we don't know what one.   woman is going through versus another, whether baby is thinking, Hey mom, I really need you to, you know, move to this new house when this happens, then I'll come through. Cause babies remember spirit babies, they know and they see what we don't. So what we're trying to force something or push something or think we want it now, sometimes babies are wait, wait.   Michelle (25:33) Mm   Ylette (25:39) Hold on, I'm coming, but wait, because there's little pieces that need to be moved. Maybe there's something like, want you and daddy to get closer. There's something in the relationship where I want to bring you guys closer. it's hard for us to let go because we don't see the big picture. But in working with the spirit babies, something that I have found is that they see big picture. And when we work with them and something as simple as,   Michelle (26:00) Mm   Ylette (26:04) It doesn't have to be complicated, just journaling to them, pretend that you're, you know, write them a letter, connect to them. Hey baby, this is my lie. If I am your mom, tell them about you. Start a specific journal where you go just to talk to them and ask for signs. I'm like, usually the first thing that comes to your mind is a sign. You start creating that connection where even if you're struggling to conceive, I feel like just knowing that   you have this bond and you have this connection is so healing and so comforting because even if it takes longer, even if baby isn't meant to incarnate in this lifetime, if you're, I am a big believer, if you have that desire in your heart to have a child, you feel connected to a child, your child is there. Sometimes they're not always meant to incarnate.   Michelle (26:53) I say the same thing all the time. It's so funny. A lot of what you're saying are things that I feel deeply. Yeah.   Ylette (26:59) Yeah, because it's sometimes they're not meant to incarnate, but they're meant to serve as our guide. They're meant to work with us. So I always say if you feel that desire, if you're trying to get your baby is there and you can connect with them, whether it's through journaling, through meditation, through asking for signs and then surrendering and allowing yourself to receive synchronicities, numbers. And you start building that connection, which a lot of babies, they   Often I've heard from other women that I've talked to too is like the baby wants that. They want to start building that connection before and then they'll end up getting pregnant or it'll be a little bit easier for them to get pregnant. But babies are like, no, I want to connect with you now. I want you to get to know me now. I want to guide you. Because even working with them, they can help guide us to, if I'm waiting for my mom to get a better job, mom, hey, I'm over here. Connect with me, work with me. And then once you start   Michelle (27:40) Mm -hmm. Yeah.   Mm   Ylette (27:52) Surrendering to that opening up to that you see how little things start shifting and things start moving But if you have a desire Let go of the how you got to let go of the how and just allow You know God spirit to deliver because it can look so different from the way that you thought it was gonna look like if you have something in your mind where you're like I'm gonna get pregnant by this agent. This is gonna happen by this agent. This is what and it's like no, no Let's surrender to that connect with your baby and be like, know what baby   I surrender to you. I surrender to how you want to be conceived, how you want to be born, how it's going to look. Like maybe it can even be through adoption or we just don't really know. But I do believe that if you have the desire, baby's there.   Michelle (28:35) Well, there has always been that saying, If there's a desire within you, there's also possibility in the, ethers. And that's why, that's where the desire is born, actually. It's like from that possibility, it's like landed as a seed. And so that is something that I definitely don't think we should ignore. And we should also give it the merit that it deserves. And I have...   Ylette (28:42) Yes.   Michelle (28:59) one of my patients just recently, she was starting to ask for signs. We talked about that. And she's like starting to ask for signs. And then she started asking for specific signs and the signs that she got were insane. Because she would even say a name that she always wanted for her daughter. So she knew it was going to be a daughter and she described exactly what it was and all this stuff. Like she was struggling to conceive for about a year and half before she came to me. She saw me for a whole year. So I'm giving you kind of this background so you can see that she really struggled.   Ylette (29:04) Mm   Yeah.   Michelle (29:29) but the signs were so insanely accurate. Like she would see this name on a wine bottle that she received. She would see this when she would go on a treadmill. It was like the last person's like name that they input there. It was crazy. and it wasn't like a common name. So it was really, really crazy.   Ylette (29:42) What?   Michelle (29:52) that and then other signs she said, okay, let me give you a specific sign that's different. And she would start seeing that. I mean, so she would come and tell me the stories. I'd get chills every time. And I was like, my God, this is crazy. So then finally she gave herself like a certain timeline. She said, if I'm not pregnant by this time, I'm going to go to do IVF. She went and did IVF and she was all excited. She like just felt like she really knew. She knew, she knew she did IVF. Unfortunately, completely couldn't even get an embryo.   So it was really, really sad. was devastating to watch. I felt like I was already failing her because she's been coming to me for a year and I'm like, my God, I really, I really want to see this for her. Like it was just, I can see the tears and, then she said, okay, let me just do this other one. She got a loan and everything. Let me try this other retrieval. Again, a second time, she just out of nowhere gets pregnant naturally. It just comes out of nowhere. And I was like, it was like that. And she's like, I know it's going to be a girl.   Ylette (30:42) you   Michelle (30:48) We don't know yet. I mean, she's still in her first trimester. We're going to find out soon. But she's like, I know it's a girl. Yeah. And it was just crazy. the signs, 100%. I always tell people, ask for those signs. They will come to you. I mean, the stories I heard, I can write a book just on the signs, just on the signs themselves.   Ylette (30:49) huh.   Yeah.   How exciting, you know?   Yes.   And I think that it's also important to share those stories and to listen to those stories because it also gives you hope when you're on that trying to conceive journey. And I am big on listening to other stories and I love stories of hope and everything is so different for everyone. And some babies do prefer like, okay, I want to be born through IVF. That could just be part of your journey because there's something there for you. Right. Yes.   Michelle (31:35) or a surrogate or even an egg donor. I've had one where I had a guest, she's a fertility coach. She had two embryo donors, like complete embryo adoptions. And she knew that she wanted to do it and she felt connected. It was just crazy. mean, she had a crazy story herself, but very, very interesting how that happened.   Ylette (31:49) Well.   that you feel the call and that's where that surrender piece comes in where it's like, just let go of the how. Forget of how you imagined you want it to look. Just focus on what is it that you want. You want to bring in a baby closer, start connecting to the baby and let go of the how and then just allow it to be delivered to you. Whether it's surrogate, IVF, adoption, just let go.   Michelle (32:03) Yeah.   Yes, 100%. Yeah.   Right, the how, because it's a conversation, it's a dance. And if we're just talking, it's not a conversation. If we're just telling it how to be, it's not a conversation. We have to, yes, we could talk, but also receive and kind of go back and forth and allow that.   Ylette (32:22) Mm   Exactly.   And that's that feminine, right? Because that's the most feminine thing that we can do is just being in that surrender, in that flow state. you have to be so vulnerable, which I think is why it's so hard for so many of us to really just be open and just be fully surrendered and open because we have to feel safe in order to be able to.   Michelle (32:54) It's scary. That's scary. Like it's a scary thing. I always kind of like look at even the chakras and I learned that when I was studying Ayurveda, mean, the chakras are literally vortexes in our bodies. And what's interesting is cause when I studied acupuncture, I started seeing that there are points that correlate and correspond and even have the same indication for that specific chakra location. So that to me is almost like confirmation cause it's two different sciences, but then.   What's interesting to me is that you have the root chakra, that's the first one, and that pretty much holds up everything else. It begins there, it begins with feeling safe. Once you have that rooted establishment, that's established and you feel safe and you're grounded, then you can create. That's a second chakra. You cannot create without a feeling of safety. And so it's all about feeling safe. And then,   Ylette (33:30) Thank   Yes.   Michelle (33:52) The nervous system we know, it plays a huge role on your body and also your reproductive health. And right now, the way we're living, and I'm talking about the collective, it is such an assault to our nervous system. I can't even tell you, like in so many ways. So it's important to kind of get ahead of that, not to side direct the conversation, but it's just so important.   Ylette (34:04) Yeah.   Yes.   Yeah. Yeah. And I think you're doing wonderful work in the world, which is so, so important and being able to, it makes sense why you feel that strong Kwan Yin energy, being able to hold space because you're holding space in order for women to feel safe and feel surrendered. Right? So they come to you and they're   playing in that feminine energy where it's like, this is me, I'm vulnerable. You're meeting people at their most raw, their most vulnerable moments, you know, even from a point of desperation and to feel safe with you. I'm sure like it's so important because then they can fully surrender into the process and go through it with someone that they feel safe with. Because at the end of the day, it all goes back to that, that safety and intimate relationships. see it too. When I, even when I do counseling sessions, it's like if   the person doesn't feel safe, they're not gonna open up and they're not gonna be able to receive anything. So the growth comes from first the safety, the surrender, the vulnerability and then allowing yourself to be able to receive. But that's, it's so feminine, right? Cause even when we're having sex, it's like you have to feel safe to open, to surrender and then to be, to be penetrated, to receive. And it's, it's, it's hard. It's hard.   Michelle (35:06) Yeah.   Mm   Mm   Yes, it could be very hard for sure. so for people like, cause I think that a lot of people will ask like, what's the difference between my thoughts and my intuition? what, like if the spirit baby is speaking to me, how do I know that it's the spirit baby? How do I know that it's not just me thinking or making it like a thing? So what would you say to that? Cause I think that that's a very big question for people who want to get into the intuition, want to connect.   directly with your spirit baby.   Ylette (36:02) I think that when it comes to, like everyone receives intuitive hits differently. But for me, it's always that knowing, that inner knowing, that feeling. I think that you'll just know and it'll be specific to you. And you have to trust that, I call it the little heart string, like when your heart goes, and you kind of just know, you need to trust that feeling because thoughts are more fearful and they're gonna be, no, that's not real, that's not.   Michelle (36:06) Mm   Ylette (36:30) But when you get an intuitive hit and you see something and it takes you back, like you have to trust like that wow factor, like that feeling of where we can be walking down the street, right? And I'm trying to conceive, I'm trying to get pregnant and I know that my sign is a yellow butterfly and I see the yellow butterfly and it's gonna hit me, it's gonna stop me, it's gonna go, Whereas my friend would be like, cool, a yellow butterfly. So you have to trust that feeling that you get, that gut feeling and that feeling in your heart where you're   just going to know. And your thoughts are anxiety versus intuition is it's going to sound fearful. that doesn't exist. That's scary. But you have to kind of drown it out because it's really hard to silence the mind. And the logical mind always gets in the way. But intuition isn't logical. And the more we allow ourselves to really play in that realm of imagination. And I say be a little delulu because you got to be a little delulu in order to really start testing that intuition.   Michelle (37:13) Mm   I like that.   Ylette (37:30) Is when things are going to open up and it you don't need anyone else to validate it for you There's no convincing because you're just gonna know and I always tell people that I love pointing people back to themselves because a lot of Women because I have this membership circle that I actually just reopened It's called the mystic mama collective And what I love to do is I love to point women back to themselves because I don't want you to come to me for validation I need you to trust what you are getting   and know that it is for you. Because like I said, the yellow butterfly may be mine, but yours is gonna be something different and it's gonna make sense to you. And you're just gonna know it in your heart. And the more that you start to trust that and put aside the logical mind that tells you, that's not real. Because society tells us that so many things aren't real, right? And it's this conditioning and you have to kind of just silence that and trust, continue to trust. And the more that you trust...   Michelle (38:22) Mm   Ylette (38:24) the louder that it gets and the easier that it gets to start following that intuition. Because if you're, let's say you and I are both walking down the road and I'm meant to go right and you're meant to go left, you're gonna be like, I think left. And I'm like, no, I think right. But if you start convincing me to go left and I'm like, I'm really feeling like I gotta go right, but you said I should go left. Maybe I should go left. That's when we start getting into trouble. So sometimes we have to realize that what may be true for you is great, but it's not true for me. And I gotta,   Michelle (38:44) Yeah.   Yes.   Ylette (38:54) start learning to really trust myself. The more that we do that, the louder and clearer it's gonna be and the easier it's gonna get to start following our intuition. Because we know even like we know as women like you know when it's time to end the relationship, you know when it's time to leave that job, you know when things are no longer in alignment but what keeps us there longer than we need to be?   Michelle (39:09) Mm -hmm. Yep.   Yeah, right. We'll convince ourselves out of it. You know, everything that you're saying could be applied to creativity. And that's why I think that like the single most greatest thing you can do actually to impact fertility is become creative. Start to do creative things. Even if you're not considering yourself as a creative person, you are creative. We're born creative. Our decisions of how we're going to drive somewhere is using your creativity. You're always using your creativity. It may not be an art per se.   Ylette (39:30) Yes.   Michelle (39:45) But you're always creating anyway, because you have to, because that's how we think. That's how we pivot.   Ylette (39:47) You're something.   And another thing too that I was told to is find something, like, fair babies, let me know, find something that you can nurture, whether it's a garden, a pet, a plant, a project, get into that energy of nurturing something. Just practice nurturing. It puts you in that feminine energy of taking care of something, nurturing yourself, which is a huge one. A lot of times it's like, what are you doing for yourself?   Michelle (40:03) I love that.   Yeah.   Ylette (40:21) in order to create this space. Because if you're constantly go, go, go, go, go, well, then how are you going to then bring in a child who's going to need so much attention and space and nurturing? So practicing nurturing yourself to taking a bubble bath, getting your nails done, getting your hair done, even, you know, putting on some jewelry, putting on some makeup. It's a way of you honoring that divine feminine and being able to nurture yourself. Everything is connected, even though it seems like, what does this have to do with that? It's all connected.   Michelle (40:45) Yes. 100%. Yes. It's the big picture. It's the big picture perspective. my God, I love this. I could talk to you for hours, by the way. So for people who want to reach out for you, you do readings. Do you astrological readings? And could you like, yeah.   Ylette (40:51) Yes.   I know!   Yeah, so right now I'm about to open my books again. I would do like spirit baby readings, card readings. I have I do astrology readings as well and I have my membership circle. So right now I have the free community space which women can just join and we do updates in there. I am going to open up the paid membership now which we're going to be doing like moon circles and just a space to go deeper for those who really want to do the work to get in tune with their intuition and learn.   And I'm also working on a spirit baby course on how to communicate with your spirit babies. So that is coming with meditations. We're also going to look into some of the things that may be blocking like mother wounds and things like that, because that's what has really been coming up for a lot of women that I talk to is a lot of mother wounds and fear around mothering, mothering themselves, mothering others, issues with their own mothers or how they were mothered, because we don't even realize, but   Michelle (41:35) I love that.   Ylette (42:01) all of that programming or the experiences that we went through.   Yep, it's in there and that fear that we carry of, am I gonna be a good mother? That's a huge one. Am I gonna fail at this? Am I gonna? So I think the work is just bringing women back to themselves and having them just trust themselves. I'm really big on trust yourself. Don't come to me for validation. I can hold space for you, but you have the power. It's all within you. You gotta trust yourself.   Michelle (42:29) Love that. That's awesome. So how can people find you?   Ylette (42:34) So you can find me on my Instagram it's at let's while eat TTE underscore and then I have links and bio there to everything I've kind of been a little MIA from that because I've been feeling so sick Honestly, this is the first Pregnancy that I was feeling so sick and I think I kind of manifested that too because of the fear of the miscarriage from the other one So it was kind of like that   Michelle (42:46) Mm   Ylette (42:59) little thing where it's like, cause you know how everyone tells you, if you're nauseous, then it's a good sign. If you're nauseous, means things are going well. And I think I've manifested that, I swear to kind of keep me like, yeah, like, no, no, it's okay. It's okay. Cause I'm gonna get something wrong. this, you know, cause when you go through something like it is traumatic, you go through an experience like that and, it's hard to kind of lean into that joy. Cause you're just holding your breath. It's almost like,   Michelle (43:04) Mm   Yeah.   In check like to calm you down.   Yeah.   Yes.   Ylette (43:27) I just feel like I've been holding my breath, of like, you know, even talking about it now.   Michelle (43:31) I see this all the time. It happens with like almost all my patients. mean, I would say all of them. Yeah.   Ylette (43:38) Yeah, it's hard. hard to feel that joy, which is kind of sad because then you look back and like, I wish I would have been more. But it's just telling yourself if something is meant to happen, it's going to happen. Kind of let it go. But I still dance with the... It's a dance, right? No one's perfect. I dance with the fear and the surrender and the joy.   Michelle (43:50) Yeah.   Absolutely. Yes. a good thing for people to hear because like, even though you and I, teach a lot, we talk a lot, you know, we go, we're human too. Like we still, even though I'll teach something, I still sometimes have my own struggles walking the talk and you are experiencing that too. And that's kind of like that human aspect of it that we are all practicing and going through it.   Ylette (44:06) Mm -hmm.   Michelle (44:22) even though we know, we know it, we never get to this kind of like this place of perfection, everything working out like all the time exactly how we teach it, you know? Yeah.   Ylette (44:31) Exactly. That's the thing too is, and I think that it's important too, and it's powerful for us to as teachers also be walking the walk and going through our own experiences because it does show those that we work with. Like I'm here with you. I'm human too. I don't really like like people. I'm like, don't place me above. I bleed. You you cut me. I bleed. I'm human. have anxiety, so much anxiety. The difference is that I do the work because I say that the work that we do   Michelle (44:46) Yeah, totally.   Yes.   Yeah.   Ylette (44:59) helps us get through these moments, but it doesn't mean we're exempt from them. We're gonna go through them.   Michelle (45:03) No, no, no, no. Yeah. We're not exempt. As long as we're humans, we're not exempt. no doubt. Wow. So, Ylette this is a great conversation. you so much for coming on today.   Ylette (45:09) not exam but the work just kind of helps out it kind of helps out but yeah.   Thank you for inviting me, I feel so honored.  

The Trance Empire
Amos & Riot Night Guestmix

The Trance Empire

Play Episode Listen Later Oct 31, 2024 57:04


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome Amos & Riot Night who will be performing at our Liverpool event.   Choose your player

The Trance Empire
Angelus Guestmix

The Trance Empire

Play Episode Listen Later Oct 24, 2024 57:46


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome Angelus who will be performing at our Manchester event.   Choose your player

The Tilehurst End - A Reading FC Podcast
The Tilehurst End Podcast Episode 393: Football Never Sleeps (And Neither Do We)

The Tilehurst End - A Reading FC Podcast

Play Episode Listen Later Oct 24, 2024 55:51


Reading win two on the spin to leave themselves sitting just outside of the playoff spots: firmly in nosebleed territory.  Ben and Ross are up late to review some of the key contributors to the victories, and discuss who should start against Bristol Rovers. Ross is in England for a few matches after a brief stop at Shamrock Rovers (Noel Hunt's old stomping grounds), and Ben learns midway through the pod that the show is now available in video format on TTE's Youtube channel. Thanks as always to our friends at ZCZ Films for sponsoring the pod! Follow The Tilehurst End on Twitter @thetilehurstend  Follow Ben on Twitter @mrblthomas Follow Ross on Twitter @WebberRoss

The Trance Empire
Connor Woodford Guestmix

The Trance Empire

Play Episode Listen Later Oct 16, 2024 58:01


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome Connor Woodford who will be performing at our Manchester event.   Choose your player

The Trance Empire
Dan Cooper Guestmix

The Trance Empire

Play Episode Listen Later Oct 10, 2024 58:51


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome Dan Cooper who will be performing at our London and Bristol events.   Choose your player

Par Jupiter !
La Ve République cul par-dessus tête

Par Jupiter !

Play Episode Listen Later Oct 9, 2024 3:07


durée : 00:03:07 - Charline explose les faits - par : Charline Vanhoenacker - La motion de censure, c'était paraît-il le baptême du feu pour Michel Barnier. Je sais pas pour le feu, mais s'il y a eu baptême, visiblement c'est Marine Le Pen la marraine.

Le Billet de Charline
La Ve République cul par-dessus tête

Le Billet de Charline

Play Episode Listen Later Oct 9, 2024 3:07


durée : 00:03:07 - Charline explose les faits - par : Charline Vanhoenacker - La motion de censure, c'était paraît-il le baptême du feu pour Michel Barnier. Je sais pas pour le feu, mais s'il y a eu baptême, visiblement c'est Marine Le Pen la marraine.

Les journaux de France Culture
Kaïs Saïed est pratiquement assuré d'un second mandat à la tête de la Tunisie

Les journaux de France Culture

Play Episode Listen Later Oct 6, 2024 10:45


durée : 00:10:45 - Journal de 9h - Le président tunisien Kaïs Saïed, qui a progressivement fait basculer son pays dans l'autoritarisme, a toute les chances de gagner la présidentielle organisée ce dimanche en Tunisie. Parce qu'il n'a pas vraiment d'opposant face à lui, le seul enjeu du scrutin demeure le taux de participation.

The Trance Empire
Danny Eaton Guestmix

The Trance Empire

Play Episode Listen Later Sep 25, 2024 64:32


As we approach our series of live events in the UK we are showcasing a selection of exclusive guestmixes from artists who will be performing at the shows.   For this guestmix we welcome Danny Eaton who will be performing at our Nottingham and Birmingham events.   Choose your player

EVOQ.BIKE Cycling Podcast
What To Do Before Base Training

EVOQ.BIKE Cycling Podcast

Play Episode Listen Later Sep 17, 2024 10:15


In this conversation, Brendan Housler discusses strategies for cyclists to maintain and enhance their fitness during the off-season. He emphasizes the importance of varied training methods, including VO2 max workouts and rest reduction intervals, to prepare for the upcoming race season. Brendan also highlights the significance of enjoying the process of cycling and training, encouraging athletes to reconnect with their passion for the sport as they approach base training.

FreshEd
FreshEd #366 - Schools Infinitum or the Jorge Luis Borges School of Inclusion (Jordan Corson)

FreshEd

Play Episode Listen Later Sep 1, 2024 29:32


Today we launch a new project at FreshEd called The Thinking Ear. The Thinking Ear is a collection of episodes produced by you, offering a sonic space to share ideas on education worldwide. Think of it as an audio journal. If you're interested in developing your own podcast episode about your research, please get in touch. The Thinking Ear is open for submissions. We will offer support to develop your idea into a podcast before airing it on the FreshEd platform. We think a space for anyone to contribute a podcast episode is important because sonic productions expand our understanding. Research is no longer confined to niche journal articles or shared in half-empty conference rooms. Podcasts encourage us to think both analytically and creatively about research and increase our public impact. We want to democratize podcast creation by offering our listeners opportunities to make their voices heard. So welcome to The Thinking Ear and I hope many of you will consider making your own episodes in the future. To kick things off Jordan Corson tells a short story about a particular understanding of the idea of universal education, composed in the style of writer Jorge Luis Borges. Jordan Corson is an Assistant Professor of education at Stockton University. freshedpodcast.com/TTE-corson/ -- Get in touch! Twitter: @FreshEdpodcast Twitter: @TheThinkingEar Facebook: FreshEd Email: info@freshedpodcast.com Support FreshEd: www.freshedpodcast.com/support/ --

Cardionerds
386. Beyond the Boards: Cardiomyopathies with Dr. Steve Ommen

Cardionerds

Play Episode Listen Later Aug 16, 2024 37:30


CardioNerds (Drs. Teodora Donisan, Jenna Skowronski, and Johnny Hourmozdi) discuss Cardiomyopathies with Dr. Steve Ommen. Through a case-based discussion, we review the diagnostic evaluation of suspected restrictive cardiomyopathy, and Dr. Ommen shares his expertise in the nuances of caring for patients with hypertrophic cardiomyopathy, from counseling to pharmacologic, device, and septal reduction therapies. We cover the foundations of diagnosis and management that will be helpful to CardioNerds preparing to encounter hypertrophic cardiomyopathy on the boards or on the wards. Dr. Johnny Hourmozdi drafted notes. The audio was engineered by Dr. Atefeh Ghorbanzadeh. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Cardiomyopathies The presence of an S4 and a rapid y-descent in the jugular venous pulsation on exam should clue you to the presence of a restrictive filling pattern. Restrictive filling doesn't necessarily mean restrictive cardiomyopathy and is more commonly due to dilated or ischemic cardiomyopathy. The five main topics of counseling that every hypertrophic cardiomyopathy (HCM) patient should understand: (1) Prognosis, (2) Family Screening, (3) Risk of Sudden Death, (4) Treatments, and (5) Physical Activity. Remember 1/3: In clinical trials of cardiac myosin inhibitors for HCM (mavacamten), about a third of patients had a tremendous improvement in symptoms, another third had some improvement, and the final third had no improvement or had to discontinue the drug due to negative inotropy. When counseling patients about septal reduction therapy, consider the patient's age. For younger patients, surgical myectomy at an experienced center offers a higher success rate and greater durability with lower rates of pacemaker placement when compared to alcohol septal ablation. Historically, the conclusion that it was higher risk to be an athlete with HCM was unfortunately generalized to mean that it was high risk to exercise for patients with HCM. “And we turned a generation of HCM patients into HCM cardiometabolic syndrome patients, which is actually a worse combination.” Notes - Cardiomyopathies What is the initial approach to evaluating a patient with new or suspected cardiomyopathy, including hypertrophic cardiomyopathy (HCM)? A history and physical exam, including a thorough past medical and family history, is always the first step and helps determine the patient's risk for potential underlying etiologies, including genetic cardiomyopathies, hypertrophic cardiomyopathy, or those related to treatments of previous cancer. In terms of ECG findings, pay attention to QRS voltage (high or low) and the presence of any arrhythmias. TTE should be obtained in all patients and is often sufficient to diagnose many underlying cardiomyopathies, including HCM. Cardiac MRI (CMR) is helpful as an adjunct when TTE alone is inconclusive or imaging quality is poor. CMR can help provide a better idea of chamber sizes and wall thickness, and late gadolinium contrast enhancement (LGE) can also be helpful if present in a specific pattern, though often HCM patients may have non-specific patterns of LGE. Invasive hemodynamics assessment is reserved for patients with discordance between non-invasive testing and the clinical impression. It can also be useful to guide the management of heart failure, especially in advanced disease. How do you treat patients with hypertrophic obstructive cardiomyopathy (HOCM)? In patients with HCM and LVOT obstruction (defined a...

Empirical Cycling Podcast
Ten Minute TIps #41: How To Try New Training Methods

Empirical Cycling Podcast

Play Episode Listen Later Aug 5, 2024 91:38


We discuss the dos and don'ts of trying new training methods. Whether or not you should try something new, setting a baseline, going all in on one thing, variables to adjust, finding a minimum dose, incorporating rest and fun, diets, vo2max and TTE blocks, and more, including your listener questions.

The Hairpreneur Show
From He-Man to Haircuts: Life's Full Circle (w/ Kelly Cardenas)

The Hairpreneur Show

Play Episode Play 30 sec Highlight Listen Later Jul 2, 2024 35:19 Transcription Available


Send us a Text Message.Remember the thrill of tearing open a new He-Man figure or the joy of transforming your latest Transformer toy? This episode takes you on a nostalgic ride back to childhood, recalling those magical moments at Toys "R" Us and the gut-wrenching disappointment of off-brand alternatives like Zybots. We'll share personal stories from our own childhood and explore the full circle moment of striving to give our children what we didn't have. We also ponder the phenomena of young YouTube stars like A for Adley and how their early careers might influence their appreciation for life's simpler joys.Balancing personal ambition and relationship dynamics is no small feat, especially in today's fast-paced world. We'll talk about the significant role of partners and employers in supporting successful women, drawing from our own family dynamics to illustrate how upbringing shapes one's outlook on life. From fostering a positive attitude to the impact of spiritual beliefs and family support, we dive into how these factors contribute to resilience and a mindset geared towards joy and possibility, even in tough times.In the professional beauty industry, there's more than meets the eye. We'll discuss the importance of giving clients their time back through efficient, high-quality service and the power of TTE—timing, technique, and entertainment. You'll learn the value of asking detailed questions, setting aside ego, and truly listening to clients to ensure their satisfaction. We wrap up by celebrating the meaningful relationships built in the hairstyling profession, emphasizing that success is deeply personal and goes beyond material wealth. Ready to elevate your hairstyling career? Tune in for invaluable tips and heartfelt stories. Be Bold, be Brave, be YOU.Thanks for you listening.-RyanFollow us on Instagram:Masters of Balayage - www.instagram.com/mastersofbalayageRyan Weeden - www.instagram.com/ryan.weedenFor Live Classes:www.mastersofbalayage.comFor Professional Products:www.mobprofessional.comFor Online Classes and Certification Programs:www.mobmastersacademy.com

Cardionerds
371. Case Report: The Curious Case of Obstructive Cardiogenic Shock – Maine Medical Center

Cardionerds

Play Episode Listen Later May 14, 2024 50:56


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

Cardionerds
369. Case Report: Apical Obliteration with Biventricular Thrombus – West Virginia University

Cardionerds

Play Episode Listen Later May 7, 2024 47:02


CardioNerds, Dr. Richard Ferraro and Dr. Dan ambinder join Dr. Li Pang, Dr. Emily Hendricks, and Dr. Bei Jiang from West Virginia University to discuss the following case that features apical obliteration with biventricular thrombus. Dr. Christopher Bianco provides the Expert CardioNerd Perspectives & Review (E-CPR) for this episode. Audio editing by CardioNerds Academy Intern, student doctor Tina Reddy. A 37-year-old Caucasian man with a history of tobacco smoking and hypertension who presented with chest pain and elevated troponin was admitted for non-ST elevation myocardial infarction (NSTEMI). Ischemic evaluation with an invasive coronary angiogram was negative. He was treated as NSTEMI and scheduled for outpatient cardiac MRI (CMR). The patient came back 2 months later with right arm weakness and confusion and was found to have an embolic stroke. Labs showed positive troponin with a flat trend and hypereosinophilia. Transthoracic echocardiogram (TTE) showed obliteration of LV and RV apex with thrombus and reduced LV systolic function. CMR was consistent with myocarditis with biventricular thrombus. The patient was started on corticosteroids and warfarin. Hypereosinophilia workup was positive for PDGFRA alpha rearrangement. He was diagnosed with primary hypereosinophila syndrome. Imatinib was initiated. The patient was followed up with the hematology clinic, achieved a complete hematologic response with normalized cell count, and remained free from any cardiovascular event at the 8-month follow-up. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media Pearls - Apical Obliteration with Biventricular Thrombus Cardiac MRI is a valuable test for patients presenting with myocardial infarction with non-obstructive coronary arteries (MINOCA). Obliterated apex with apical thrombus on TTE with hypereosinophilia should raise high suspicion for eosinophilic myocarditis. Initiation of corticosteroids is the first-line treatment for eosinophilic myocarditis, which is associated with lower mortality in patients with myocarditis. For other potential complications, such as heart failure, intracardiac thrombus, arrhythmia, and pericardial effusion, the standard of care for each disorder is recommended. Hypereosinophilia can be seen in parasitic infections, vasculitis, asthma, allergy, hematological malignancies, and as a primary disorder. Show Notes - Apical Obliteration with Biventricular Thrombus What is the differential diagnosis for patients with elevated troponin and nonobstructive CAD? The occurrence of acute myocardial infarction (AMI) without significant CAD was reported 80 years ago. However, the term MINOCA (myocardial infarction with non-obstructive coronary arteries) has only been used recently to describe these patients. It involves ischemic and nonischemic etiologies. First, overlooked ischemic etiologies need to be ruled out by reconciling the angiogram images such as spontaneous coronary artery dissection (SCAD) and plaque disruption. Intracoronary imaging, such as intravascular ultrasound (IVUS) or optical coherence tomography (OCT), may be applied to evaluate for SCAD and subtypes of plaque disruption when indicated.  The investigation continues with nonischemic causes such as stress cardiomyopathy, myocarditis, pulmonary embolism, demand ischemia from sepsis, anemia, chest trauma, heart failure exacerbation, arrhythmia, and stroke. The diagnosis of MINOCA is established when it fulfills the following criteria: First, it is AMI by the Fourth Universal Definition; Second, less than 50% of stenotic lesion on angiogram; Third, there is no alternate diagnosis.