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Mego and Turp react to a feature piece on new Celtics' owner Bill Chisholm. Jaylen Brown has said this season has been his favorite one yet, and it's easy to see why as he has been proving doubters wrong all season. Can the C's make a playoff run when Jayson Tatum returns? Maxx Crosby is not happy with the Raiders after they have shut him down for the rest of the year, could he be traded next offseason?
If you're a man in your 50s, 60s, or 70s waking up at night to pee, planning your day around bathroom access, or quietly worrying about erections and testosterone, this episode is for you. Dr. Geo sits down with Dr. Ravi Munver (Hackensack University Medical Center) to break down what's actually driving urinary symptoms, how to tell “prostate vs bladder,” when waiting too long can permanently weaken your bladder, and how today's BPH procedures compare—especially Aquablation (high-pressure, room-temperature waterjet therapy).What you'll learn in this episode• Why BPH symptoms can start earlier than most men think (and why more men are finally talking about it)• Why prostate size does NOT equal symptom severity (big prostate ≠ big problem… always)• How to distinguish “prostate obstruction” vs overactive bladder—and why you can't reliably do this without proper testing• The “danger zone”: when untreated obstruction can lead to a weakened/crippled bladder• Medication options: what each class does, who it's for, and the most common side effects• The full “toolbox” of procedures—from office-based options to the most durable surgical solutions• Why Aquablation is changing the conversation (symptom relief + low sexual side effects + broad size range)Episode chapters (timestamps)00:00:00 00:02:00 Why younger men are showing up with urinary symptoms Prostate growth patterns (growth early, pause, then growth again in the 40s); increased awareness, openness, and access to information.00:07:00 “Blame the organ you have” — prostate vs overactive bladder Why symptoms overlap; why only a clinician can truly differentiate causes.00:10:00 When should a man see a urologist? When symptoms interfere with life (work, travel, sleep). The real issue is often difficulty returning to sleep.00:13:00 The risk of waiting: bladder decompensation How long-term obstruction can lead to a weakened bladder and urinary retention.00:18:00 The holistic patient scenario + why objective testing matters Why symptoms can “seem better” while retention worsens; importance of measuring PVR and other tests.00:21:00 Medications for BPH—pros/cons• Alpha blockers: tamsulosin (Flomax), alfuzosin, silodosin (Rapaflo)• 5-alpha reductase inhibitors: finasteride, dutasteride• Tadalafil (Cialis) daily 5 mg: dual benefits for BPH + erectile function00:31:00 The modern BPH procedure toolbox TURP as the historical “gold standard,” plus lasers, robotic options, office-based procedures, and newer technologies.00:36:00 What men care about most when choosing a procedure Incontinence risk, erectile dysfunction risk, ejaculatory changes, irritative symptoms, and durability/retreatment rates.00:38:00 Robotic Simple Prostatectomy — what “simple” actually means Removing the obstructing inner tissue while leaving the capsule; major symptom relief for large prostates, with tradeoffs (especially ejaculation).00:43:00Aquablation explained (high-pressure water therapy) Image-guided treatment planning + robotic waterjet tissue removal with minimal thermal damage.00:48:00 Durability and size range Discussion of longer-term data vs TURP and why Aquablation can treat very large prostates.00:51:00 If Aquablation isn't available—what's next best? How options shift based on prostate size and the priority to preserve ejaculation vs maximize durability.00:54:00 Final guidance + where to find Dr. Munver Individualized care; find a urologist who can offer a broad set of options.___________________________________
Geo Espinosa, ND, LAc, CNS, a well-known naturopathic doctor specializing in urological health at NYU Langone Hospital, and host of the upcoming Prostate Cancer Summit 2.0, scheduled for December 13th-17th, a free online event designed to provide comprehensive information on prostate cancer diagnosis, treatment, and management.
Geo Espinosa, ND, LAc, CNS, a well-known naturopathic doctor specializing in urological health at NYU Langone Hospital, licensed acupuncturist, and certified Functional Medicine practitioner, discusses prostate health, including the latest advances in prostate cancer treatment and the importance of a balanced approach between natural and conventional medicine. Dr. Espinosa also highlights the upcoming Prostate Cancer Summit 2.0, scheduled for December 13th-17th, a free online event designed to provide comprehensive information on prostate cancer diagnosis, treatment, and management. The conversation covers PSA testing, new diagnostic tools, advanced treatment options like androgen deprivation therapy, and the benefits of exercise and diet in managing prostate health.
Dr. Geo and Dr. Robert Caruso dive deep into what really causes urinary symptoms in men—and why prostate size alone doesn't tell the full story. Dr. Caruso shares how his “blue zone” Italian upbringing, his 98-year-old mother, and even a family story involving a bear shaped his holistic view of urology, where diet, movement, spine health, constipation, and sleep apnea all matter. From there, they walk through medications (alpha-blockers, 5-alpha-reductase inhibitors, daily tadalafil) and when each actually makes sense, including surprising cardiovascular and nocturia benefits of PDE5 inhibitors. The conversation then shifts to procedures: bipolar TURP vs classic TURP, and in-office options like UroLift, Rezūm steam therapy, and the newer iTind device—who they're for, how they're done, and what to expect for recovery, ejaculation, and long-term results. By the end, you'll know what questions to bring to your urologist, how to think beyond “just the prostate,” and when vapor therapy or other minimally invasive treatments may be the right next step for your BPH.Time-Stamped Highlights00:00 – Why surgery isn't the only answer for BPH-Dr. Geo introduces Dr. Caruso and frames the episode around minimally invasive, real-world solutions for urinary symptoms.05:00 – Blue-zone lifestyle, Italian roots, and holistic urology-Dr. Caruso's upbringing, his 98-year-old mother, and how growing food, movement, and nature shape his approach to men's health.15:00 – It's not “just the prostate”: spine, sleep, and metabolism-How back and neck issues, constipation, diabetes, and sleep apnea can drive frequency and nocturia just as much as gland size.25:00 – Meds that do more: tadalafil, alpha-blockers, and 5-ARIs-When daily tadalafil can help erections, BPH, and nocturia; who might benefit from alpha-blockers or finasteride/dutasteride—and who probably shouldn't.35:00 – From TURP to in-office options: choosing the right procedure-Bipolar TURP for large prostates and median lobes vs. office-based UroLift, Rezūm steam therapy, and iTind—what they are, how long they last, and what to ask your urologist about ejaculation, catheters, and recovery.________________________
WEEI Celtics Insider Turp joins on opening day! Says they need to win early, eyes Tatum return this season
More on Brad Marchand's return to Boston/Bruins lose 4-3 to the Panthers // How respected are the Patriots and Drake Maye? // Previewing Sunday's Patriots matchup against the Cleveland Browns //
La Plataforma vecinal 'Murcia Lab' anuncia que el 29 de noviembre realizarán una concentración con diferentes asociaciones vecinales ante la sede del Gobierno regional para solicitar que el ejecutivo asuma las competencias del transporte el en área metropolitana.Los integrantes de 'Murcia Lab' son vecinos y vecinas del municipio de Murcia que se han asociado con el objetivo de promover la participación de la ciudadanía en el desarrollo sostenible de Murcia y su área metropolitana.Jesús Turpín, integrante de la Plataforma, ha anunciado en 'Tarde Abierta' que diversos colectivos vecinales del municipio han organizado una concentración para el 29 de noviembre con el fin de instar al Gobierno regional a que asuma las competencias de transporte público en el área metropolitana, va integra a Murcia, Molina, Alcantarilla y Santomera.Desde 'Murcia Lab' aseguran que el transporte público en Murcia va más allá del propio municipio, y que ha de asegurar la cohesión social y la eficiencia de estos servicios, "hecho, que hasta el momento no se da".
Can the Panthers make the playoffs? What player from the Panthers would you most want on the Patriots? Justin Turpin joins Jones and Keefe to discuss new Celtics owner Bill Chisholm's introductory press conference. Turp thinks Chisholm continues to say all the right things.
Episode 201: AKI Roadmap. Future Dr. Ayyagari describes the different types of acute kidney injury and shares some elements of management for each category. Dr. Arreaza shares some input about statistics and the importance of drinking water during summer.Written by Tejasvi Ayyagari, MSIV, Ross University School of Medicine. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.INTRODUCTION:Dr. Arreaza: Hello everyone, and welcome back to Rio Bravo qWeek — your weekly dose of knowledge. I'm Dr. Arreaza, I am a faculty member and associate program director of the Rio Bravo FM residency program. In Episode 126, we briefly introduced the topic of Acute Kidney Injury (AKI), but today, we're taking a deep dive into the matter. I have here alongside my cohost, future Dr. Ayyagari, AKA TJ. Please, TJ, introduce yourself.TJ: Hey everyone, good to be back on the podcast. My name is TJ Ayyagari, and I am currently finishing my last rotation of medical school with Rio Bravo CSV outpatient. I hope everyone is doing well and staying safe.Dr. Arreaza: So, TJ prepared this discussion about acute kidney injury, also known as AKI. This is a critical topic for our Kern community, especially during the summer months when the risk of AKI increases. You will face many patients with AKI on the wards, in the clinic, and especially on your future board exam. Hopefully, by the end of this episode, you all will have more information on AKI, but also the three different types: prerenal, intrinsic, and postrenal. TJ: Without further ado, let's get started, Dr. Arreaza.SECTION 1 – What is AKI?Dr Arreaza: Let's start with the definition. Let's explain what AKI is. TJ: Absolutely. So, an AKI is not just a bump in the patient's creatinine. According to the Kidney Disease Improving Global Outcomes (KDIGO) definition, an AKI embodies any of the following criteria:Increase in serum creatinine by ≥0.3 mg/dL within 48 hours, ORIncrease in serum creatinine to ≥1.5 times baseline within the prior 7 days, ORUrine volume 20:1). There is also a lab value called the Fractional excretion of sodium, otherwise known as FeNa, which will appear as 20:1 — looks like prerenal.FeNa 500 mOsm/kg.In the later phase (after prolonged obstruction → tubular injury):BUN: Cr ratio ~10–15:1 — now looks intrinsic.FeNa >2%.Urine osmolality ~300 mOsm/kg.Dr. Arreaza: BUN:Cr ratio and FeNa are not reliable to diagnose postrenal AKI, so we must rely more in imaging and clinical presentation. Let´s talk about the management of postrenal AKI.TJ: Absolutely! The main way to treat a post-renal AKI is to relieve the obstruction causing it in the first place, whether it be through surgery, TURP, lithotripsy, etc.Dr. Arreaza: I think the favorite treatment done by urology to relieve obstruction is a ureteral stent, which, remember, needs to be removed later. Typically, 1-2 weeks is sufficient to treat kidney stones. The risk of encrustation and infection increases significantly after 4–6 weeks, and stents should ideally be exchanged within 3 months to minimize complications. SECTION 5 – ClosingDr. Arreaza: I know you've spent a decent amount of time explaining the details of the AKI types with us, TJ, but could you give us a summary?TJ: Viewers, if there's anything to take away from this, remember:Prerenal: Poor perfusion, fix the flow.Intrinsic: Structural damage inside the kidney — think ATN, AIN, GN.Postrenal: Obstruction — relieve the blockage.When you see AKI, think: Before the kidney, in the kidney, or after the kidney? That simple framework can help you move fast and help your patient recover kidney function.Dr. Arreaza, any advice you want to give to the viewers?Dr. Arreaza: Yes,weare in the middle of summer, and we treat a large amount of farm workers, construction workers and people who spend time outdoors, in general, remind your patients to drink water. Water is life, especially for the kidneys, there is no substitute. That's it for today's episode of Rio Bravo qWeek. If you enjoyed this review, share it with a colleague or medical student who could use a quick AKI refresher. And remember — the kidneys may be small, but they're mighty… and they hold grudges when you ignore them. I'm Dr. Arreaza, signing off.TJ: Thank you for tuning in, everyone. Have a nice day!Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney International Supplements. 2012;2:1–13. https://kdigo.org/guidelines/acute-kidney-injury/.Kaur A, Sharma GS, Kumbala DR. Acute kidney injury in diabetic patients: A narrative review. Medicine (Baltimore). 2023 May 26;102(21):e33888. doi: 10.1097/MD.0000000000033888. PMID: 37233407; PMCID: PMC10219694. https://pmc.ncbi.nlm.nih.gov/articles/PMC10219694/Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
HR4 - Keefe is joined by Turp for the final hour of today's show! The guys discuss whether or not there will be any surprise cuts from the Patriots ahead of the 4pm deadline to trim the roster to 53. They are interuppted by the breaking news that Taylor Swift and Travis Kelce are engaged. In today's Grab Bag Keefe and Turp preview tonight's Red Sox game in Baltimore, the Big Dumper launched his 50th bomb of the night, and finally reaction to the host of NFL moves got announced during the show.
SEGMENT - In today's Grab Bag Keefe and Turp preview tonight's Red Sox game in Baltimore, the Big Dumper launched his 50th bomb of the night, and a host of NFL moves got announced during the show, the guys react.
SEGMENT - Keefe is joined by Turp for the final hour of today's show and is immediately met with the breaking news that Travis Kelce and Taylor Swift are engaged
HR1 - Keefe is joined by WEEI.com's Justin Turpin to recap the Red Sox series win over the Yankees to reclaim the top Wild Card spot. Mike Vrabel called out a rat in the Patriots locker room, Keefe and Turp put on their investigator glasses and seek out the rat. With cutdown day looming the guys take a look at the Patriots' 2024 Draft Class as most of the class finds themselves firmly on the cutline.
SEGMENT - With cutdown day looming Keefe and Turp take a look at the Patriots 2024 Draft Class as many of the Pats draftees find themselves on the cutline.
HR4 - Keefe and Turp discuss expectations for the Patriots WR group ahead of Week One against the Raiders. Is the group as improved as people may think? In Grab Bag: Is Kyle Dugger going to get cut? a Michael Jordan / Kobe Bryant card setting the record for most expensive sports card sale ever, Phillies Ace Zack Wheeler missing the rest of the season with a blood clot, and more.
SEGMENT - Keefe and Turp discuss a Michael Jordan / Kobe Bryant card setting the record for most expensive sports card sale ever, Phillies Ace Zack Wheeler missing the rest of the season with a blood clot, and more.
SEGMENT - Keefe and Turp discuss Mike Vrabel's comments after the Patriots preseason loss at the hands of the Giants and put their investigative glasses on. Who are the rats in the Patriots locker room that keeps leaking information to the media.
Çdo gjë që ndodh rreth e qark nesh, drejtëpërdrejtë nga kryeqyteti. Revista ditore e ndodhive brenda dhe jashtë vendit vjen e trajtuar 360 gradë nga Top Albania Radio me të ftuar në studio, lidhje direkte dhe komunikim direkt me dëgjuesit përmes rrjeteve sociale.
Çdo gjë që ndodh rreth e qark nesh, drejtëpërdrejtë nga kryeqyteti. Revista ditore e ndodhive brenda dhe jashtë vendit vjen e trajtuar 360 gradë nga Top Albania Radio me të ftuar në studio, lidhje direkte dhe komunikim direkt me dëgjuesit përmes rrjeteve sociale.
Turp and Keefe build their quarter century teams
In hour 3 we talk Boston Celtics all hour. From Jaylen Brown to the summer league
Dr. Rena Malik, urologist and pelvic surgeon, provides an in-depth, evidence-based discussion on the wide range of surgical options for benign prostatic hyperplasia (BPH), or enlarged prostate. The episode covers minimally invasive procedures like Rezum, Urolift, iTind, Optilume, and Aquaablation, as well as traditional surgeries including TURP, laser therapies, enucleation techniques, and robotic simple prostatectomy. Dr. Malik examines the benefits and risks of each treatment, addresses the impact on sexual function and recovery, and shares guidance on how to choose the right option based on prostate size, anatomy, overall health, and personal preferences. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Introduction 00:35 BPH Overview 01:15 Symptoms of Enlarged Prostate 01:41 Why Consider Surgery 03:02 Factors to Consider Before Surgery 06:09 Minimally Invasive Surgical Therapies 06:51 Rezum (Water Vapor Therapy) 10:09 Urolift and Other MIST Options 16:25 Aquablation Procedure 18:20 Prostate Artery Embolization 20:32 Traditional Surgical Options (TURP, Laser, Robotic) 30:33 Deciding the Best Option Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices
Celtics main goal is to get a healthy Tatum. Celtics are not looking to make a whole lot of new moves.
Justin Turpin joins to talk about possible moves for the Celtics.
Dan is joined by WEEI's Justin Turpin to analyze the Kevin Durant trade. Turp thinks the trade is a big win for the Rockets, and one that shakes up the playoff race next year. Rafael Devers seems to be loving life in San Francisco, where did it go wrong in Boston?
SEGMENT - The guys are joined by WEEI.com's Justin Turpin to discuss where it all went wrong for the Celtics and what's next in an offseason full of uncertainty.
The full edition of Meghan "Mego" Ottolini and Justin "Turp" Turpin filling in on The Christian Arcand Show for Thursday, May 15th, 2025.
After overcoming the emotions and shockwaves of losing Jayson Tatum, the Celtics put forth a great effort in Game 5 and Turp explains that the Celtics now are the team playing with house money; which makes a win in Game 6 more likely.
HR 2 - Mego and Turp continue their Celtics conversation and now turn their attention to Game 6 in New York tomorrow night. Have the chances of the Celtics forcing Game 7 increased and what do they have to do to make it happen? Then, lots of people have increased their expectations for the Patriots after their 2025 schedule was released, but nothing really should be changed regardless. And, the hype and lust for schedule release videos around the NFL seems to have worn off.
Mego and Turp take over the New England Nightly News with a good shark conversation after a man plans to swim around Martha's Vineyard to show that sharks mean no harm.
HR 3 - Mego and Turp take their Celtics conversation to another angle about the future of the roster. Even if they pull off a miracle and win a second straight championship, can the Celtics retain the majority of their roster? Then, a big shark conversation in the New England Nightly News after a man plans to swim around Martha's Vineyard to raise shark awareness. And, the Red Sox continue to lose close games and the best solution appears to be staring them right in the face down in Worcester.
Mego and Turp react to the recent developments in the NBA and NHL playoffs and some new comments made from Caleb Williams BEFORE he was drafted by the Chicago Bears in Arcand Fire.
Meghan Ottolini and Justin Turpin fill-in for Arcand reacting to the others' reactions about the Celtics Game 5 win over the Knicks and "looking better" without Jayson Tatum. Mego and Turp have had it with what they call more disrespect towards a guy who just tore his Achilles.
On the heels of Luke Kornet's monster Game 5 and Joe Mazzulla saying Kristaps Porzingis couldn't breathe, Mego and Turp agree that Luke Kornet is going to have to have more minutes over The Unicorn even if he can't duplicate his sensational performance.
HR 1 - Meghan Ottolini and Justin Turpin are filling in for Arcand to give all their reactions from last night's huge Game 5 win from the Celtics. The issue Mego has though is everyone writing off Jayson Tatum again which we thought after the torn Achilles injury was over. Then, from the actual game, Jaylen Brown stepped up into the role everyone expected from him and the offense looked extremely energized. And, Luke Kornet was the surprise star and with Kristaps Porzingis unable to breathe as Joe Mazzulla stated, Kornet will likely be getting an even bigger role in Game 6.
WEEI's Justin Turpin joins Jones and Keefe to discuss what's next for the Celtics. Turp thinks Pritchard should start in Tatum's absence. It is only a matter of time before the team starts selling off assets, but it makes sense to keep Porzingis without Tatum.
Hart, Fitzy, and Ted are joined by Turp and Scal. Turp thinks the Celtics need to get creative tonight, but Brown has proven he can lead the charge. Scal wants to see the C's play motivated tonight.
WEEI's Justin Turpin joins Hart, Fitzy, and Ted to preview Celtics vs. Knicks game 5. Turp says the Celtics will need to get creative tonight, but Jaylen Brown has proven he can lead the charge.
Turp previews game four between the Celtics and Knicks from NYC. Should we be worried? What are the updates on Hauser and Porzingis?
During this hour of Jones and Keefe the guys reset on all their Celtics topics. Including calls from Turp in NYC and Aztec Gino.
Here is how the show looked today HR 1 - Celtics path to finals will be challenging, but we believe HR 2 - DH Devers steps up | JordOn third loser in Maine | Summer movie previews HR 3 - Turp discusses Celtics chances in game four | Aztec Gino calls back HR 4 - Resetting on Devers' meeting | Grab Bag | Crossover
KJ dives deep into the Celtics with Turp, goes over JordOn Hudson situation, and discusses who is five eleven and who is lying.
Jones and Keefe are joined by WEEI.com's Justin Turpin for Pure Hoops. Turp previews the Celtics/Knicks Game 2 at the Garden tonight. Are they ripe for an upset? Is the high volume of 3s an issue? All that and more. In an emergency Keefer Madness you've heard of Cocaine Bear, what about a meth raccoon?
WEEI's Justin Turpin joins Jones and Keefe to recap the Celtics vs. Magic series. Turp thinks the Magic's tough defense was a great early challenge for the C's. Jayson Tatum is playing at an MVP level.
WEEI's Justin Turpin joins Arcand to recap the latest games in the Celtics vs. Magic series. Turp says that Al Horford's physicality and defense are winning games. Why did Mel Kiper Jr. get so upset over Shedeur Sanders' NFL Draft freefall?
The guys sit down with Turp and discuss Jayson Tatum and the Celtics' series against the Magic.
SEGMENT - The guys are joined by WEEI.com's Justin Turpin on a Celtics Wednesday for Pure Hoops! Can the Celtics win another title without a healthy Porzingis? How healthy is Jaylen Brown heading into the playoffs? and more
Jones and Keefe are joined by Turp for Pure Hoops, can the Celtics win the Finals without a healthy Porzingis? The Celtics are a force to be reckoned with on the road, are they officially playoffs ready? Finally, is the fourth overall pick all about Drake Maye?
Turp goes through the Celtics win streak and determines where the team falls heading into the playoffs. Also, the docuseries '80s episode was amazing.