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Cardiac arrest care hinges on high‑quality CPR, but pulse checks remain a stubborn source of interruptions — often longer than the recommended 10 seconds and repeated every two minutes. What if we could detect ROSC without ever pausing compressions? This diagnostic accuracy study evaluates whether femoral arterial Doppler waveforms obtained during active CPR can predict arterial line pulsatility at the next pulse check. Join Dr. Qin as she reviews how well Doppler‑detected pulsatility and anterograde flow signal true cardiac activity — and whether ultrasound could offer a future where pulse checks no longer slow us down.
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover pediatric intussusception.emDOCs.net Emergency Medicine (EM) Podcast To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle PlaySend us Fan Mail
The electrodiagnostics community diagnoses many entrapment neuropathies, but fixing them is a different story. In this episode, Shawn Jorgensen, MD will interview Berdale Colorado, DO, the lead author of a recent AANEM Expert Clinical Perspective about ultrasound-guided nerve hydrodissection, who will teach us about one non-surgical options for entrapment neuropathies.
The "gold-standard" treatments for Parkinson's Disease may be working against each other. Ultrasound isn't just for imaging. Should food companies pay the FDA? Sleep apnea may silently rewire the brain. Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode of Curing with Sound, we speak with Ashish Ranjan, PhD, a professor of radiation oncology and director of the Veterinary Research and Oncology Clinic at the University of Texas Southwestern. Dr. Ranjan discusses how emerging focused ultrasound applications, including histotripsy and sonodynamic therapy, are being used to treat solid tumors in companion animals. He explains how veterinary oncology research contributes to advances in human medicine, shares findings from ongoing clinical studies, and explores the potential of combining focused ultrasound with immunotherapy, radiation therapy, and other cancer treatments. Learn how comparative oncology is helping shape the future of personalized, noninvasive cancer care for both veterinary and human patients. Discussion highlights: The One Medicine Approach: Learn how studying naturally occurring diseases in companion animals can accelerate therapeutic development, providing a powerful bridge between veterinary and human medicine and helping researchers evaluate new treatments more efficiently. Veterinary Research and Oncology Clinic (VROC): Discover how VROC combines advanced clinical care with cutting-edge research to offer dogs and cats access to innovative cancer treatments. The clinic evaluates emerging technologies, such as focused ultrasound, and other novel therapies, and maintains a strong focus on patient comfort, quality of life, and individualized care. EPISODE TRANSCRIPT ---------------------------- QUESTIONS? Email podcast@fusfoundation.org if you have a question or comment about the show, or if you would you like to connect about future guest appearances. Email info@fusfoundation.org if you have questions about focused ultrasound or the Foundation. FUSF SOCIAL MEDIA LinkedIn X Facebook Instagram TikTok YouTube FUSF WEBSITE https://www.fusfoundation.org FOCUSED ULTRASOUND TREATMENT SITES https://www.fusfoundation.org/the-technology/treatment-sites/ SIGN UP FOR OUR FREE NEWSLETTER https://www.fusfoundation.org/newsletter-signup/ READ THE LATEST NEWSLETTER https://www.fusfoundation.org/the-foundation/news-media/newsletter/ DOWNLOAD "THE TUMOR" BY JOHN GRISHAM (FREE E-BOOK) https://www.fusfoundation.org/read-the-tumor-by-john-grisham/
Are we giving cats medications that don't actually help? Dr. Serge Chalhoub, a veterinary kidney and bladder specialist at the University of Calgary, joins the Purr Podcast to talk about the best ways to care for cats with urinary problems. He has a special interest in how cats' kidneys and bladders work, and in using bedside ultrasound -- think instant imaging right there in the exam room -- to get faster, clearer answers without putting cats through unnecessary procedures. Tune in to find out what really works -- and what might be nothing more than habit -- when your cat is having trouble in the litter box.
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, Aebhric O'Kelly speaks with three combat medics from Tactical Medicine North following a Tactical APUS instructor development programme in Malta. The discussion explores whether ultrasound can be taught to non-medical personnel operating in combat environments, including Combat Lifesavers (CLS) and Combat Medic Corpsmen (CMC), and how ultrasound may support prolonged casualty care, triage, and telemedicine in Ukraine. The conversation challenges traditional assumptions regarding ultrasound education, introduces the Tactical APUS concept, discusses modifications to the standard eFAST examination sequence, and reviews preliminary observations from a study comparing parasternal long-axis (PLAX) and subxiphoid cardiac views. Chapters00:00 – Introduction01:06 – Can Non-Medics Learn Ultrasound?03:00 – Lessons from the APUS Course05:30 – The Power of Home Points07:50 – What is Tactical APUS?10:00 – Adapting eFAST for Combat Operations12:30 – Hypothermia Prevention During Ultrasound15:20 – The Controversial Change: Heart Last20:00 – PLAX vs Subxiphoid Cardiac Views24:40 – Teaching Maltese Nurses29:10 – Should We Teach Ultrasound to Combat Lifesavers?32:20 – Ultrasound as a Triage Tool35:10 – Advice for Future Tactical Ultrasound Providers38:00 – Closing RemarksKey TakeawaysThe parasternal long-axis cardiac viewappears easier for novice learners than the traditional subxiphoid view.Overview of the APUS and Tactical APUS training programme conducted in Malta. Discussion on teaching eFAST ultrasound to Combat Lifesavers and Combat Medic Corpsmen.Comparison with early challenges teaching combat medicine to personnel without formal medical backgrounds. Importance of simple teaching techniques and instructor adaptability.Introduction of the "Home Point" concept for each eFAST window. How home points help students recover when they become disoriented during scanning.Development of a one-day ultrasoundcurriculum for tactical providers.Focus on eFAST as a trauma tool for prolonged field care and telemedicine support.Discussion of modifying the traditional eFAST sequence.Prioritising lung assessment over cardiac views.The dangers of exposing casualties during scanning.Importance of maintaining casualty insulation and minimising gel exposure.Why the Tactical APUS team moved cardiac assessment after lung assessment.Students consistently finding the parasternal long-axis view easier to obtain.Experience using Maltese nurses as pilot students.Differences between teaching healthcare professionals and non-medical personnel.Language barriers and instructional adaptations. Moving beyond "Can we?" to "Should we?"Ultrasound as a prolonged casualty care and telemedicine tool.Supporting decision-making during extended evacuations. Using eFAST to prioritise casualties during mass casualty situations.Early identification of internal bleedingand pneumothorax.Potential role of optic nerve sheath diameter (ONSD) assessment in blast-related head injuries. Importance of accessibility of handheld ultrasound devices.The role of deliberate practice and repetition in ultrasound mastery. Reflections on the success of the Tactical APUS pilot programme.Future collaboration between CoROM and Tactical Medicine North.Final thoughts from the Ukrainian instructors. Ultrasound can be successfully taught to Combat Lifesavers and Combat Medic Corpsmen when training is focused on pattern recognition and image acquisition rather than advanced interpretation."Home Points" provide a powerful cognitive aid for novice sonographers.Lung ultrasound may provide greater battlefield utility than cardiac ultrasound because interventions can be performed immediately.Hypothermia prevention must remainintegrated into all ultrasound training and operational use.
Watch this episode on YouTube here.We sit down with Dr. Mostafa Atri, whose career has focused on ultrasound: we discover the origins of modern ultrasound, how it has evolved over the years, why ultrasound is done so often in academic centres in Toronto, the future of this modality, the impact of AI and so much more!❗️❗️❗️The content provided in this episode is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician with any questions you may have regarding a medical condition.The content provided in this episode is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician with any questions you may have regarding a medical condition.Produced by The Levchuk Agency Inc.Thanks for listening! Watch Radiologists on YouTube hereFollow us on: XInstagramLinkedInVisit our website: imagingtoronto.com
Community-acquired pneumonia (CAP) accounts for 1.4 million emergency department visits and 740 000 hospitalizations annually in the US. Author Andre Kumar, MD, MEd, of Stanford University School of Medicine joins JAMA Deputy Editor Kristin Walter, MD, MS, to discuss the use of point-of-care ultrasound for diagnosis of CAP. Related Content: Point-of-Care Ultrasound for the Diagnosis of Pneumonia Bedside Lung Ultrasound in Emergency (BLUE) for Evaluation of Dyspnea
Contemporary OB-GYN Ultrasound 2026 - Hybrid Event, will be held in Gaylord Rockies Resort & Convention Center, Aurora, CO on September 18-20, 2026 World Class CME City: Charlotte Address: 6201 Fairview Rd. Website: https://worldclasscme.com/
In this episode of The Dairy Podcast Show, Dr. Laura Hernandez from the University of Wisconsin Madison explains how ultrasound technology may improve dry off management in dairy cows. She discusses mammary gland involution, milk secretion markers, AI based imaging, and strategies to reduce antibiotic use during the dry period. Dr. Hernandez also explores early colostrum formation and transition cow health. Listen now on all major platforms!“Researchers observed early mammary secretions and colostrum related structures forming several months before calving in pregnant heifers.”Meet the guest: Dr. Laura Hernandez is a Professor of Lactation Biology at the University of Wisconsin Madison, where research focuses on calcium homeostasis, mammary gland biology, lactation transitions, and dry period physiology in dairy cattle. Research efforts also explore ultrasound technology, milk secretion, and strategies to improve dairy cow health during dry off. Listen to Dr. Laura Hernandez on The Dairy Podcast Show, available on all major platforms!Liked this one? Don't stop now — Here's what we think you'll love!What you'll learn:(00:00) Highlight(01:46) Introduction(03:12) Ultrasound dry off(06:55) Gland structure findings(09:34) Milk secretion markers(11:17) AI ultrasound analysis(14:15) Dry off strategies(20:33) Final QuestionsThe Dairy Podcast Show is trusted and supported by innovative companies like:- AHV* Afimilk* Adisseo* Evonik* Agri-Comfort* CowManager* Priority IAC- Agrarian Solutions- DietForge- dsm-firmenich- BoviSync- Chemlock Nutrition- Natural Biologics- Protekta
Barbara shares her powerful journey from a breech caesarean to a surprise breech homebirth. In this episode, we explore breech birth, advocacy, informed choice and trusting yourself when birth takes unexpected turns.After her first baby was discovered to be breech during labour, Barbara faced changing plans, hospital policies and important decisions that ultimately led to a breech caesarean birth.But her second birth unfolded very differently.Preparing for homebirth with a private midwife and birth team, Barbara experienced an unexpected and empowering surprise breech homebirth.This conversation explores:✨ Breech birth and hospital policies✨ Advocacy and asking important questions✨ Breech caesarean birth✨ Ultrasound estimates and informed decision-making✨ Vaginal seeding and postpartum planning✨ Homebirth preparation✨ Surprise breech birth at home✨ Trusting yourself and exploring your optionsBarbara's story is a powerful reminder that birth doesn't always follow a straight line—and that informed choices, good support and trusting yourself matter.More from Ashley:Join us in: The VBAC VillageInsta: @ashleylwinningWebsite: www.ashleywinning.comJoin our VBAC Homebirth Support Group hereLove the podcast? Buy me a coffeeDisclaimer: The VBAC Homebirth Stories Podcast is for educational and inspirational purposes only. The stories and opinions shared are personal experiences and should not be considered medical advice. Every birth journey is unique, and we encourage you to research, trust your intuition, and consult with a qualified healthcare provider before making decisions about your pregnancy, birth, and postpartum care.
TWiP solves the case of the 3 yo child, who recently immigrated to the US from Central America, in the ER with acute right lower quadrant abdominal pain and a rather active serpiginous wormlike 'thing' wiggling away in the child's appendix. Hosts: Vincent Racaniello, Daniel Griffin, and Christina Naula Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Links for this episode Join the MicrobeTV Discord server Hero: Rudolf Ludwig Carl Virchow (1821-1902) Letters read on TWiP 280 TWiP study – information and survey New Case 3 yo child who recently immigrated to the US from Central America is brought in to the ER with acute right lower quadrant abdominal pain. The mother is concerned about the pain as well as nausea and vomiting. This is acute and the ER provider is concerned that this might be an acute surgical emergency. They order an US in this child and they are surprised to see a rather active serpiginous wormlike 'thing' wiggling away in the child's appendix. I was sent the Ultrasound video which I really enjoyed. What to do? Become a patron of TWiP Send your questions and comments to twip@microbe.tv Music by Ronald Jenkees
North Carolina Baptists have been a longtime partner in advocating for the lives of our smallest neighbors, pre-born children. They have generously donated nearly 10% of the ultrasound machines that the ERLC'S Psalm 139 Project has placed in pregnancy resource centers. On today's episode, ERLC President-Elect, Dr. Evan Lenow speaks with Todd Unzicker about this ongoing partnership to save lives. On May 8, North Carolina Baptists joined the ERLC in a milestone dedication by placing the Psalm 139 Project's 100th ultrasound machine at Mercy House Pregnancy Resource Center in Elizabethtown, North Carolina. Listen to more episodes of The ERLC Podcast at erlc.com/podcast.
A physical therapist is mentoring a student physical therapist during an outpatient orthopedic clinical rotation. The therapist plans to administer therapeutic ultrasound using the following parameters:* 3 MHz frequency* 20% pulsed duty cycle* 0.5 W/cm² intensity* 6-minute treatment durationWhich of the following patients should NOT receive this treatment?A) A 14-year-old basketball player with Osgood-Schlatter disease over an open tibial epiphyseal plateB) A 72-year-old patient status post cemented total knee arthroplasty 8 months agoC) A 68-year-old male with benign prostatic hyperplasia receiving treatment to the lumbar paraspinalsD) A 59-year-old patient with diabetic neuropathy and absent protective sensation over the treatment regionLooking for a quick way to learn important info about Therapeutic Ultrasound?Download my free cheatsheet here: www.nptecheatsheet.com/therapeutic-usJoin the FREE Facebook Group: www.nptegroup.com
Handheld Ultrasound and Detection of Valve and Other Structural Heart Disease Guest: Jared Bird, M.D. Host: Paul Friedman, M.D. Handheld ultrasound is rapidly changing cardiovascular structural heart disease assessment by allowing clinicians and researchers to detect valvular and structural heart disease earlier and more accurately. Advances in AI imaging guidance and interpretation further bridge the gap between physical exam and formal comprehensive echocardiography. It is important to realize how complimentary handheld ultrasound can be in the early detection of structural heat disease but does not replace diagnostic echocardiography. Topics Discussed: How does handheld ultrasound improve upon the traditional physical exam when it comes to identifying valvular or structural heart disease? What are the most common valve or structural abnormalities that clinicians can reliably detect using handheld ultrasound today? How are we using handheld ultrasound to screen patients for structural heart disease in a research setting? How do AI-ECG and handheld ultrasound intersect to provide optimal screening of asymptomatic patients with structural heart disease? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 30-December-2025
The switch to El Niño is coming.An information service can help farmers in the Texas High Plains as they face challenges with insect pressure.U.S. beef demand continues to be strong around the world.House Ag Committee Chairman Glenn “GT” Thompson gives us an update on ag labor legislation. Ultrasounds are now being used to help in the diagnosis of pneumonia in calves.
Stephen Yates from Heritage joins us to discuss the fears about data centers in the U.S. driven by some sort of Chinese op/propaganda. Trump announces he is terminating Biden-era environmental regulations to lower costs for consumers.Thank you for supporting our sponsors that make The Dana Show possible…Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana Don't wait for certainty that may never come. Download your free investor kit. No Pressure, No Obligation, Just the Information. Fast Growing Treeshttp://fastgrowingtrees.com/Dana Get an additional 20% Percent Off Better Plants and Better Growing by using code DANA at checkout. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
The fallout from Thomas Massie's political defeat has transformed into a national conversation. Tucker Carlson calls it the end of MAGA and the Republican Party. Tucker Carlson makes a false claim that people voted against Massie over “Islamic jihad”. More shocking details are revealed about the San Diego Islamic Center attackers. The BBC frames a story about dads in Afghanistan selling off their children with a sympathetic angle. Quinta Brunson will be starring in a “Betty Boop” remake. Rep. Chip Roy joins us to explain his new bill calling for an immigration ban for radical religious leaders, to react to Thomas Massie's loss and whether he would investigate Ken Paxton as AG of Texas. Plus, more commentary.Thank you for supporting our sponsors that make The Dana Show possible…Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana Don't wait for certainty that may never come. Download your free investor kit. No Pressure, No Obligation, Just the Information. Fast Growing Treeshttp://fastgrowingtrees.com/Dana Get an additional 20% Percent Off Better Plants and Better Growing by using code DANA at checkout. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Join Dr. Corey Hawes as the discussion explores the reliability of interprofessional raters in peripheral muscle ultrasonography and highlights its growing role in advancing assessment and collaborative care in pediatric oncology. Business Corporate by Alex Menco | alexmenco.net Music promoted by www.free-stock-music.com Creative Commons Attribution 3.0 Unported License creativecommons.org/licenses/by/3.0/deed.en_US June 2026
President Trump breaks his silence on the Texas Senate race after endorsing Ken Paxton over John Cornyn. Dana reveals the intra-party drama between Paxton and Cornyn and shares what she thinks Paxton must do to win.The Senate advances a resolution to require Congressional approval for continued strikes in Iran.Thank you for supporting our sponsors that make The Dana Show possible…Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana Don't wait for certainty that may never come. Download your free investor kit. No Pressure, No Obligation, Just the Information. Fast Growing Treeshttp://fastgrowingtrees.com/Dana Get an additional 20% Percent Off Better Plants and Better Growing by using code DANA at checkout. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Thomas Massie loses the most expensive Congressional Primary in American history. Dana explains how Woke Reich podcasts haven't won a single election and doesn't move the needle. Dana fact-checks the Woke Reich's claims about AIPAC and how much influence they actually have. Texas Democratic Candidate Maureen Galindo says she will convert the ICE detention center in Karnes County into an internment camp for "American Zionists."Thank you for supporting our sponsors that make The Dana Show possible…Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana Don't wait for certainty that may never come. Download your free investor kit. No Pressure, No Obligation, Just the Information. Fast Growing Treeshttp://fastgrowingtrees.com/Dana Get an additional 20% Percent Off Better Plants and Better Growing by using code DANA at checkout. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Dana explains how Thomas Massie's political career went sideways as soon as he started blaming Israel and AIPAC for everything and mimicking Woke Reich talking points. Dana shares more commentary on the Islamic Center of San Diego tragedy involving two juveniles. Credentialed members of the NYC Press Corps at Luigi Mangione's hearing yell “Fck Brian Thompson” and “his children are better off without him”. Comedian Arynne Wexler joins us to discuss her viral offensive jabs, takedown of progressive hecklers, and her problems with the Woke Reich.Thank you for supporting our sponsors that make The Dana Show possible…Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana Don't wait for certainty that may never come. Download your free investor kit. No Pressure, No Obligation, Just the Information. Fast Growing Treeshttp://fastgrowingtrees.com/Dana Get an additional 20% Percent Off Better Plants and Better Growing by using code DANA at checkout. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Two teenagers attack the Islamic Center of San Diego, killing three. President Trump calls off another round of Iran attacks. Deputy FBI Director Andrew Bailey joins us to explain how the FBI is addressing juvenile crime, why the homicide rate is plummeting, and how they are restoring public trust to make America safe again.Thank you for supporting our sponsors that make The Dana Show possible…Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana Don't wait for certainty that may never come. Download your free investor kit. No Pressure, No Obligation, Just the Information. Fast Growing Treeshttp://fastgrowingtrees.com/Dana Get an additional 20% Percent Off Better Plants and Better Growing by using code DANA at checkout. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Pediatric thyroid nodules are rare, but their risk of malignancy is significantly higher than in adults, raising the stakes for accurate diagnosis and multidisciplinary management. In this episode of the BackTable ENT Podcast Dr. Gopi Shah and co-host Dr. Jeff Hyzer interview Dr. Wen Jiang, pediatric otolaryngologist at Rady Children's Hospital in San Diego, for an in-depth discussion on the evaluation and management of thyroid nodules in children. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:27 - Thyroid Nodule Risks and Care Team 06:47 - Age-related Differences in Nodule Presentation and Outcomes08:50 - Initial workup 13:42 - Ultrasound Interpretation16:07 - Lymph Node Mapping and CT19:58 - Incidental Findings24:14 - Role of FNA, Molecular Testing, and Radiofrequency Ablation32:40 - Molecular Testing Results and Counseling 38:04 - Neck Dissection Strategy40:44 - Hypocalcemia Protocol Considerations44:01 - Parathyroid and Recurrent Laryngeal Nerve Dissection Tips 47:33 - Postop Care and Follow-up 51:25 - Using Radioactive Iodine and Targeted Therapy 54:55 - AI's and Ultrasound and Final Thoughts --- More about this episode Dr. Jiang highlights the key differences between pediatric and adult thyroid nodules. She describes her multidisciplinary approach including collaboration with radiology, pathology, endocrinology and nuclear medicine. The discussion reviews the initial workup for pediatric thyroid nodules and why ultrasound remains the primary diagnostic tool. She also discusses situations where CT with contrast can be helpful for surgical planning. This episode explores the growing role of reflex molecular testing in guiding management decisions and outlines the impacts of molecular testing results. Dr. Jiang shares her approach to patient counseling along with management of calcium and PTH after surgery. The conversation concludes with emerging applications of molecular diagnostics and AI models for improving thyroid ultrasound interpretation. --- Resources Dr. Jiang's Research on Pediatric Thyroid Nodule Management - https://pubmed.ncbi.nlm.nih.gov/26770219/ Bethesda System for Thyroid Cytopathology - https://pmc.ncbi.nlm.nih.gov/articles/PMC7182964/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
Targeted drug delivery to the brain has long been hindered by the blood-brain barrier, a protective layer that prevents many therapeutic agents from reaching their intended targets. For patients with serious neurological disorders, this challenge can significantly reduce access to potentially effective treatments and limit therapeutic outcomes. In this episode of Curing with Sound, we speak with Sasha Klibanov, PhD, Associate Professor in the Division of Cardiovascular Medicine at the University of Virginia and a pioneering researcher in microbubble technology. Dr. Klibanov discusses the evolution of microbubbles from imaging contrast agents to sophisticated tools for drug delivery. He also explains how focused ultrasound, combined with microbubbles, can safely and temporarily open the blood-brain barrier, creating new opportunities for precision therapies and advancing the potential of immunotherapy. Discussion highlights: Microbubble Technology Explained: Explore how microbubbles evolved from diagnostic imaging tools into powerful agents for precise drug delivery when combined with focused ultrasound. Advancing Immunotherapy: Learn about Dr. Klibanov's collaborative research on using size-sorted microbubbles to optimize the opening of the blood-brain barrier, potentially revolutionizing how we treat complex diseases by enabling targeted immune responses. EPISODE TRANSCRIPT ---------------------------- QUESTIONS? Email podcast@fusfoundation.org if you have a question or comment about the show, or if you would you like to connect about future guest appearances. Email info@fusfoundation.org if you have questions about focused ultrasound or the Foundation. FUSF SOCIAL MEDIA LinkedIn X Facebook Instagram TikTok YouTube FUSF WEBSITE https://www.fusfoundation.org FOCUSED ULTRASOUND TREATMENT SITES https://www.fusfoundation.org/the-technology/treatment-sites/ SIGN UP FOR OUR FREE NEWSLETTER https://www.fusfoundation.org/newsletter-signup/ READ THE LATEST NEWSLETTER https://www.fusfoundation.org/the-foundation/news-media/newsletter/ DOWNLOAD "THE TUMOR" BY JOHN GRISHAM (FREE E-BOOK) https://www.fusfoundation.org/read-the-tumor-by-john-grisham/
We're joined by Tonja Rainey, artistic director of Christian Youth Theater and actor, Calvin Carline, will talk about their upcoming productions. Bethany Kline Founder of the 365 Catholic Singles Community, talks about dating apps and tips for Catholic singles. Casey Talbot, RN, for Woman's New Life Clinic, New Orleans updates us.
Dana Loesch reacts to some of Thomas Massie's recent behavior including the political funding he is receiving from questionable sources. Spencer Pratt puts out another banger ad, appealing to Gen X voters. Chelsea Handler ironically slams Pratt. Dana shares commentary about why Trump should hesitate before endorsing Pratt. The media is covering up Islamist terrorist attacks by blaming an attack in Italy on “mental illness”. Eight historic shrines and temples have been burned down in Japan so far in 2026. Did people not know Rosa Parks was staged? Celebrities at the Cannes Film Festival didn't waste any time trashing Trump, his foreign policy and free America. The AP attempts to emphasize the threats of muskets from 1776.Thank you for supporting our sponsors that make The Dana Show possible…Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana Don't wait for certainty that may never come. Download your free investor kit. No Pressure, No Obligation, Just the Information. Fast Growing Treeshttp://fastgrowingtrees.com/Dana Get an additional 20% Percent Off Better Plants and Better Growing by using code DANA at checkout. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
China's economy is collapsing as Iran weakens. Indigenous leaders say that Trump's border wall is “desecrating” sacred Native American places and cultural sites. An Islamist driver ploughs through an Italian city, injuring 8. London's Nova exhibition to commemorate the Jewish kids massacred on October 7th was removed “per police request”. H1D Zohran Mamdani trashes Ronald Reagan's famous words about big government.Thank you for supporting our sponsors that make The Dana Show possible…Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana Don't wait for certainty that may never come. Download your free investor kit. No Pressure, No Obligation, Just the Information. Fast Growing Treeshttp://fastgrowingtrees.com/Dana Get an additional 20% Percent Off Better Plants and Better Growing by using code DANA at checkout. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
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The details of Trump's China negotiations are emerging. The Daily Wire reports that Marco Rubio's name was purposefully misspelled in order to dodge China's sanctions. Texas AG Ken Paxton joins us to share his settlement with Texas Children's Hospital for $10 million for illegally performing gender-based surgical and chemical castrations, pausing illegal tax hikes, his Netflix lawsuit, the investigation into welfare fraud and much more.Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Israel and Jews are targeted worldwide as well-funded leftist, Islamist groups join together for the ‘Nakba 78' protests. Author and Judge Roy Altman examines the history of Israel and to fact-check the false narratives and anti-Semitic propaganda perpetrated by the Woke Reich. China Expert Steve Yates from Heritage shares his commentary on the takeaways from Trump's China visit, what was achieved and what opportunities were fumbled. Gavin Newsom and Democrats revert to threats and fearmongering after courts' redistricting rulings. Kamala Harris says there are “no bad ideas”. Lawsuits are coming for Virginia's “assault weapons” ban.Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
President Trump's first full day in China was a success. False reports circulate of the CIA “raiding” Tulsi Gabbard's office seizing documents like the JFK Files and MK Ultra Files. Rep. Brandon Gill joins us on his new task force to investigate health care fraud, whether Americans will get a return on their tax dollars, and to expose the root cause of government spending.Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Dana Loesch responds after being directly attacked by Marjorie Taylor Greene over her clear insider trading. Sen. Rand Paul's son drunkenly accosted and hurled anti-Semitic insults at Catholic Rep. Mike Lawler. Dana breaks down the political strategy behind Trump's pomp and circumstance in China. A publicly funded Louisville museum is putting shackles on its visitors to emulate being a slave. The Wall Street Journal is warning about the era of the “Beta Mom”. Malls are in a difficult spot over needing young people for business while dealing with theft and burglary. What is a MAGA-coded outfit? Plus, more commentary.Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Israel PM Bibi Netanyahu announces he plans to END Israel's reliance on US foreign aid. Dana shares commentary about what this means. Zohran Mamdani claims he balanced the New York City budget, but there's a MASSIVE political catch. The New York Times uncovers audio of California Gubernatorial Candidate Xavier Becerra urging the Biden HHS staff to process migrant children like an assembly line. TMZ tries to get a “gotcha” at Spencer Pratt living in a hotel room, but fails to mention his house burning down by Karen Bass. Did a World of Warcraft glitch predict the COVID-19 Pandemic?Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Senate Democrats try to destroy Kash Patel over being an alcoholic. President Trump is greeted by a formal state welcome and massive fanfare in Beijing. Fortune 100 CEOs tag along Air Force One for this high stakes meeting. The swamp Texas House Speaker who kills and waters down all the Republican priorities is endorsing Chip Roy's opponent for Texas AG as Roy goes on Steve Bannon's show.Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Visit Crossmap.com — your trusted source for inspiration and life-changing stories from people of faith.Top headlines for Wednesday, May 13, 2026Mark Driscoll faces backlash over a Mother's Day post about Mary and Planned Parenthood, America prepares for its 250th birthday with faith-infused national celebrations, and the Southern Baptist Convention's ERLC delivers its 100th ultrasound machine through the Psalm 139 Project. Plus, a Mississippi church asks for help rebuilding after a tornado, the White House unveils a new counterterrorism strategy targeting anti-American extremist threats, Louisville agrees to pay $800,000 in attorneys' fees in a major Christian free speech case, and “American Idol” winner Hannah Harper opens up about faith, motherhood and postpartum depression.00:11 Mark Driscoll takes shot at Planned Parenthood on Mother's Day00:59 America 250: 5 major events celebrating nation's birthday01:57 ERLC gifts 100th ultrasound machine to pro-life pregnancy centers02:52 Mississippi church seeks help rebuilding after tornado04:33 Trump counterterrorism strategy warns of 'transgender ideologies'05:30 Christian photographer refuses to back down, wins big battle06:18 Hannah Harper wins ‘American Idol'Subscribe to this PodcastApple PodcastsSpotifyGoogle PodcastsOvercastFollow Us on Social Media@ChristianPost on TwitterChristian Post on Facebook@ChristianPostIntl on InstagramSubscribe on YouTubeGet the Edifi AppDownload for iPhoneDownload for AndroidSubscribe to Our NewsletterSubscribe to the Freedom Post, delivered every Monday and ThursdayClick here to get the top headlines delivered to your inbox every morning!Links to the NewsMark Driscoll takes shot at Planned Parenthood on Mother's Day | U.S.America 250: 5 major events celebrating nation's birthday | U.S.ERLC gifts 100th ultrasound machine to pro-life pregnancy centers | Church & MinistriesMississippi church seeks help rebuilding after tornado | U.S.Trump counterterrorism strategy warns of 'transgender ideologies' | PoliticsChristian photographer refuses to back down, wins big battle Hannah Harper wins ‘American Idol' | Entertainment
President Trump polls the White House crowd in real time whether they prefer Marco Rubio or JD Vance for President in 2028. Dana explains why she doesn't prefer a Rubio/Vance ticket. DEI comes for Hollywood as Lupita Nyong'o will play both Helen of Troy and her sister, Clytemnestra in Christopher Nolan's woke version. The organizers of the “Muslims-Only” water park event in Texas SLAMS Greg Abbott after he rightfully shut down this illegal event at a public venue. Face-covered anti-Israel radicals marched through Jewish neighborhoods of Brooklyn to intimidate the residents. Magic Johnson endorses Karen Bass for re-election as LA Mayor, but there's only one problem: he doesn't live there. A liberal couple fled Texas due to "climate change” but they woke up one day in Maine to find someone had slept and pooped on their porch.Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
The media tries to stoke hysteria with the Hantavirus. The full Hamas October 7th depravity is revealed for the first time as the New York Times shares propaganda about IDF dogs being trained to r*pe. A man charged with murder in the fatal shoving of a 76-year-old man at a NYC subway station was released from a psychiatric hold mere HOURS earlier. Liberals are losing THEIR MINDS after President Trump posted how beautiful the new USA flag blue Lincoln Memorial Reflecting Pool will lookThank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Trump gives the Democrats a new nickname as he suggests that his McDonald's diet may actually be HEALTHIER than what the health nuts eat. AOC claims the American Revolution was a fight against 'billionaires' as critics school her on actual political history. Scott Jennings dismantles a liberal CNN commentator that only Democrats can represent blacks. The White House Correspondents' Dinner attacker pleads not guilty. Democrats melt down after the Supreme Court tosses out their gerrymandered districts. CNN exploded over the threat of Spencer Pratt as LA's mayor. Trump floats suspending the gas tax. Sen. John Fetterman and Bill Maher are straight up annihilating the Democrats on being communists. Plus, more commentary.Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Craig Collins sits in for Dana. President Trump reveals he rejected the latest Iranian proposal for a ceasefire. CNN's Scott Jennings Thunder Dome has another explosion debate.Thank you for supporting our sponsors that make The Dana Show possible…HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! GhostBedhttps://GhostBed.com/DanaTake Advantage of GhostBed's Memorial Day Sale plus an extra 10% off for my audience with promo code DANA.Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee.Fresh Pressed Olive Oilhttps://DanaLovesOliveOil.comTry it now and get a full-sized $49 bottle of Fresh Pressed Olive Oil for FREE just pay $1 shipping with no commitment—Claim yours today.Relief Factorhttps://www.ReliefFactor.comDeclare your independence from pain with Relief Factor—start the 3-Week QuickStart for just $19.95. PreBornhttps://PreBorn.com/Dana or #250 AND SAY “BABY”Help Preborn Fund 1,000 ultrasounds and protect mothers and babies in crisis. We are 600 Ultrasounds away. Help us reach our goal!Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttp://PatriotMobile.com/DANAVisit online or call 972-PATRIOT and use promo code DANA for a free month of service.Noble Goldhttps://NobleGoldInvestments.com/Dana If you want to see how physical gold and silver could fit into your portfolio, download Noble Gold Investments FREE Wealth Protection Kit. Laundry Saucehttps://LaundrySauce.com/DanaUpgrade your laundry game with 20% off your entire order when you use code DANA. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Can arterial closure devices transform your OBL workflow and get patients moving sooner? In this episode of the BackTable Podcast, Dr. Mike Barraza sits down with Interventional Radiologist Dr. Dave Johnson to discuss the ins and outs of launching and running an office-based lab (OBL) in Florida. While covering startup logistics, staffing, regulatory requirements, and cost-saving strategies, the conversation centers on how the use of arterial closure devices can streamline workflow, speed post-procedure recovery, and enhance both efficiency and patient care in the OBL setting. --- Get the BackTable apphttps://www.backtable.com/app --- Terumohttps://www.terumo.com/ --- Timestamps 00:00 - Introduction01:31- Launching The OBL04:41- Logistics And Staffing07:14 - Standardizing Supplies11:57 - OBL vs. Hospital Cases15:30 - Patient Experience Benefits17:41 - Efficiency And Throughput20:49 - Closure Devices For Flow23:28 - Early Ambulation With AngioSeal26:14 - Anticoagulation Decisions28:31 - AngioSeal Access Technique30:20 - Avoiding Hostile CFA Access32:19 - Choosing SFA or Radial34:04 - Do You Need Groin Runs36:14 - Closure Device Fundamentals38:53 - Ultrasound Guided AngioSeal45:11 - Post Op Monitoring Checklist --- More about this episode Dr. Johnson explains that some procedures, such as Prostate Artery Embolization (PAE), may still require a hospital setting due to insurance coverage, patient preference, or unique clinical needs. He compares patient experiences in OBLs versus hospitals, emphasizing the advantages of privacy, convenience, and personalized communication in the OBL environment. A major challenge discussed is managing post-procedure recovery and patient throughput with limited holding beds, where femoral arterial closure devices like Angio-Seal are essential for early ambulation and efficient turnover. The discussion highlights best practices for access site selection, ultrasound guidance, and post-closure assessment, providing actionable insights for IR physicians aiming to optimize office-based procedures. --- Resources Cost Comparison of Prostatic Artery Embolization Between In-Hospital and Outpatient-Based Lab Settingshttps://pubmed.ncbi.nlm.nih.gov/39310461/ Prostate Artery Embolization: Indication, Technique and Clinical Resultshttps://pubmed.ncbi.nlm.nih.gov/29975976/ Ultrasound-guided angio-seal deploymenthttps://pubmed.ncbi.nlm.nih.gov/25735527/ --- BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
Indiana was the first state to sign, pass, and enforce an abortion ban after the Dobbs v. Jackson Women's Health Organization Supreme Court decision, which went into effect in 2023 (Missouri saw immediate enforcement via a trigger ban). Now, almost everyone must leave the state to access an abortion. Forest Beely, Program Director for All Options, which runs Indiana's singular abortion fund, sits down to talk with us about Indiana's current sexual and reproductive health and rights landscape.Reproductive healthcare and abortion in Indiana face an uphill battle. Title X clinics in the state of Indiana face increased limitations on what information they can provide, but they are there to see patients, nonetheless. The state has a Planned Parenthood affiliate, but two centers in Indianapolis are currently closing due to federal Medicaid cuts. Crisis pregnancy centers, (CPCs) or fake clinics, are extremely common in Indiana and across the U.S. Ultrasounds are performed by non-medical personnel, they are not bound by HIPPA, and abortion is often not offered as an option for care. Abortion funds need your support to continue providing on-the-ground services and resources to those seeking an abortion and to steer clear of harmful CPCs. For more information, check out: https://www.cbc.ca/listen/cbc-podcasts/2058-two-blocks-from-the-white-houseSupport the showFollow Us on Social: Twitter: @rePROsFightBack Instagram: @reprosfbFacebook: rePROs Fight Back Bluesky: @reprosfightback.bsky.socialBuy rePROs Merch: Bonfire store Email us: jennie@reprosfightback.comRate and Review on Apple PodcastThanks for listening & keep fighting back!
Essential tremor is a progressive neurological condition that causes involuntary shaking, often significantly impairing everyday tasks. For many, the loss of fine motor control means giving up lifelong passions and careers. Even simple actions, like buttoning a shirt, eating, or writing, can become overwhelming, leading to frustration, embarrassment, and a diminished quality of life. In this episode of Curing with Sound, we speak with Howard Faber, a Michigan-based magician who spent decades entertaining audiences before essential tremor forced him to step away from the stage. Howard discusses his experience with focused ultrasound, a noninvasive treatment that ultimately transformed his condition. He reflects on his journey with progressively worsening tremors, the turning point when Medicare approved focused ultrasound treatment, and his life-changing experience undergoing the procedure. Today, Howard has returned to performing, having regained complete control of his hands and his life. Discussion highlights: The Impact of Essential Tremor: Discover how Howard's progressive tremors interfered with his daily life and his beloved magic career, leading to moments of embarrassment and the difficult decision to stop performing. A Life-Changing Procedure: Follow Howard's experience undergoing focused ultrasound treatment at the Cleveland Clinic, from the preparation process to the emotional moment he realized his tremor was completely gone. All patient stories featured on the Curing with Sound podcast are personal accounts of an individual's experience with focused ultrasound treatment. Please be aware that each patient's situation is unique, and outcomes may vary. The information provided in this story should not be considered as medical advice or a guarantee of specific results. It is important to consult with a qualified healthcare provider to discuss your condition and determine the best treatment options for you. The Focused Ultrasound Foundation does not endorse any specific treatment or medical procedure and encourages all patients to seek professional medical guidance tailored to their individual needs. EPISODE TRANSCRIPT ---------------------------- QUESTIONS? Email podcast@fusfoundation.org if you have a question or comment about the show, or if you would you like to connect about future guest appearances. Email info@fusfoundation.org if you have questions about focused ultrasound or the Foundation. FUSF SOCIAL MEDIA LinkedIn X Facebook Instagram TikTok YouTube FUSF WEBSITE https://www.fusfoundation.org FOCUSED ULTRASOUND TREATMENT SITES https://www.fusfoundation.org/the-technology/treatment-sites/ SIGN UP FOR OUR FREE NEWSLETTER https://www.fusfoundation.org/newsletter-signup/ READ THE LATEST NEWSLETTER https://www.fusfoundation.org/the-foundation/news-media/newsletter/ DOWNLOAD "THE TUMOR" BY JOHN GRISHAM (FREE E-BOOK) https://www.fusfoundation.org/read-the-tumor-by-john-grisham/
Send us Fan MailDr. Indrani Bhattacharjee, neonatologist and POCUS program director at Tufts Medical Center in Boston, joins Ben to discuss a fascinating and largely unexplored frontier — intestinal ultrasound in healthy preterm infants. Rather than waiting for NEC to appear, her team has been systematically scanning babies born under 32 weeks every week from one week of age until eight weeks or discharge, building what may be the first normative dataset for bowel wall thickness in this population. Early findings are already challenging the standard radiological definitions, showing that extremely preterm babies have thinner bowel walls than current benchmarks would classify as normal — raising the question of whether definitions derived from term or older patients have ever been appropriate for our tiniest babies. The publication is forthcoming in the European Journal of Pediatrics.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
Menopause is not just “hot flashes”—it is a systemic hormonal shift that affects almost every organ system. For the emergency clinician, recognizing the symptoms of perimenopause and menopause is crucial for expanding the differential diagnosis once life-threatening conditions are ruled out. Dr. Pam Dyne joins us for a crash course on evaluating menopausal and perimenopausal patients in the ED. The “Why”: Why Menopause Matters in the ED The Mimic: Menopausal symptoms can mimic emergencies, including cardiac events, neurologic issues, and acute musculoskeletal injuries. The “Nothing Bad” Trap: After a negative workup (e.g., for chest pain or abdominal pain), telling a patient “everything is normal” often leaves them without answers. Identifying menopause as a potential etiology provides patient-centered closure and a path to treatment. Empowerment: Many medical providers are insufficiently trained when it come to menopause – ED clinicians can help patients advocate for themselves. Physiology Refresher: When the Ovaries Retire The Signal: Prior to menopause, the brain sends FSH/LH to the ovaries, and the ovaries answer with estrogen. The Shift: In menopause, the ovaries “retire.” The brain keeps shouting (higher FSH levels), but the ovaries don't respond. Perimenopause: Hormones fluctuate wildly, cycles become irregular, and symptoms are often at their peak due to inconsistency. Hormone Therapy (MHT): Debunking the Myths A major barrier to treatment is the “mass hysteria” caused by the 2002 Women's Health Initiative (WHI) study. The Correction: Modern re-analysis shows that for healthy females under 60 and within 10 years of menopause, hormone therapy is extremely safe. (There are some exceptions, including females at high risk for certain cancers) The Benefits: It has been shown to reduce all-cause mortality by 30% and has many potential health benefits, including lower the risk of Alzheimer’s, Parkinson’s, and osteoporotic fractures. The Difficult Pelvic Exam: ED “Hacks” Examining older female patients can be challenging for myriad reasons, including physical limitations and lack of proper ED pelvic exam gurneys. The Upside-Down Speculum: If you can’t use stirrups, keep the patient flat on the bed. Turn the speculum upside down (handle facing up) so it doesn’t hit the gurney. Tip: Push down on the handle; don’t pull up like a laryngoscope. Lateral Decubitus: Perform the exam with the patient on their side (top leg held up) if they cannot flex their hips. Comfort: Use liberal lubrication and consider topical lidocaine gel. The “Hidden” Problem: Always check for old/forgotten pessaries or fecal impaction in cases of pelvic pain or recurrent UTIs. Clinical Pearls: Specific Presentations 1. Post-Menopausal Bleeding Rule: Cancer until proven otherwise. Workup: Speculum exam (confirm source) + Ultrasound (measure endometrial thickness) + Endometrial biopsy (usually outpatient). 2. Genitourinary Syndrome of Menopause (GSM) Symptoms: Vaginal dryness, thinning tissue, pH changes, and recurrent UTIs (≥3 culture-proven UTIs in 12 months or ≥2 in 6 months). ED Treatment: ED docs can and should prescribe vaginal estrogen cream. It is not absorbed systemically and is highly effective at preventing future UTIs. 3. Pelvic Organ Prolapse Types: Cystocele (bladder), Rectocele (rectum), or Uterine prolapse. Exam Tip: Symptoms are often gravity-dependent. If you don’t see the bulge while the patient is supine, ask them to bear down. 4. Musculoskeletal (MSK) Syndrome of Menopause Presentation: atraumatic joint pain, tendinopathies. Cause: Estrogen receptors are located throughout the MSK system; loss of estrogen leads to inflammation and ligamentous changes. Key Takeaways for the ED Clinician Keep menopause on your differential: Don't dismiss vague aches, mood changes, or urinary issues in women aged 45–60 as “just stress.” Look at the Problem: If a patient has pelvic pain or bleeding, do the exam. You might find a simple fix, like a forgotten pessary or local atrophy. Connect to Care: If you suspect menopause is the culprit, point them toward menopause.org to find a certified practitioner. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. Pamela Dyne, Professor of Clinical Emergency Medicine and Chief Physician Wellness Officer at Olive View UCLA Medical Center Resources: North Americal Menopause Society (NAMS) – Menopause.org UTIs and Estrogen: the Overlooked Link, By Ashley Winter, MD; Rachel Rubin, MD; and Howie Mell, MD, MPH. ACEP Now, February 16, 2022 American College of Obstetricians and Gynecologists (ACOG): Menopause *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
TWiP solves the case of the male in his 20s from Hokkaido, Japan, who developed fatigue and rash, followed by fever and myalgia 6 days later, after eating a raw bear eyeball. Hosts: Vincent Racaniello, Daniel Griffin, and Christina Naula Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Links for this episode Join the MicrobeTV Discord server Hero: Sir Nicholas White (1951 – 2026) (Guardian, Lancet) Letters read on TWiP 278 TWiP study – information and survey New Case 3 yo child who recently immigrated to the US from Central America is brought in to the ER with acute right lower quadrant abdominal pain. The mother is concerned about the pain as well as nausea and vomiting. This is acute and the ER provider is concerned that this might be an acute surgical emergency. They order an US in this child and they are surprised to see a rather active serpiginous wormlike 'thing' wiggling away in the child's appendix. I was sent the Ultrasound video which I really enjoyed. What to do? Become a patron of TWiP Send your questions and comments to twip@microbe.tv Music by Ronald Jenkees