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What can you do before surgery to help your body recover better? From protein and strength training to supplements and prehabilitation, which strategies actually make a difference?This week, Dr. Rebecca Knackstedt joins me to break down the science behind surgical recovery, including protein, creatine, supplements, and nutritional deficiencies. We also discuss breast cancer screening, mammograms, MRIs, thermography, and QT imaging.
The "Egg Whisperer D.I.E.T." covers the four things you need to know about IVF, and you can apply them to whatever your situation may be. D: Diagnosis (get your TUSHY checked: Tubes, Ultrasound of Uterus, Sperm, Hormones, and Your genetic profile) I: IVF E: Endometrial Receptivity T: Transfer Read the full show notes on Dr. Aimee's website Do you have questions about IVF, and what to expect? Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, October 19 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org. Other ways to connect: Subscribe to my YouTube channel for more fertility tips Join Egg Whisperer School Subscribe to the newsletter to get updates
Modern technology is tricking your nervous system into fight-or-flight — and it's decently profitable to keep you there. Jon Hacker, CEO of NeurGear, explains how focused ultrasound vagus nerve stimulation can switch you back.In this episode of Health Longevity Secrets, Robert Lufkin MD sits down with Jon Hacker, biomedical engineer and CEO/co-founder of NeurGear, the company behind ZenBud — the first ultrasound-based vagus nerve stimulator. They cover how the vagus nerve governs your rest-and-digest state, why so many of us are stuck in survival mode, how ultrasound compares to electrical stimulators, what the clinical trial data shows, and where single-neuron interfaces could take medicine next.Chapters:00:00 — Introduction01:36 — From Anime Dream to Neurotech Startup: Jon Hacker's Story06:32 — How AI Supercharges a Small Hardware Team09:26 — Why Ultrasound Won: Two Pivots to the Vagus Nerve12:21 — Vagus Nerve 101: Rest-and-Digest vs Survival State14:59 — How Modern Technology Traps You in Fight-or-Flight16:02 — Measuring Vagal Tone: HRV, Resting Heart Rate & Reaction Time19:44 — How Focused Ultrasound Activates a Nerve21:07 — ZenBud vs Electrical Vagus Stimulators (Pulsetto, Truvaga)23:00 — Dosing ZenBud: 30-Minute Sessions, Sleep & Safety Limits26:05 — The Medical Industry's Incentive Problem30:16 — What to Track: Why Quality of Life Beats Biometrics32:34 — Side Effects & Overuse: Headache Warning Signs34:22 — Where VNS Fits: Sleep, Diet, Exercise & Breathwork36:57 — The Future: Single-Neuron Interfaces & Full-Dive VRKey takeaways:Your vagus nerve drives your "rest-and-digest" state — low vagal tone leaves you stuck in survival mode, and chronic survival-state activation feeds the chronic diseases we face todayZenBud uses low-intensity focused ultrasound (not electricity) to stimulate the auricular branch of the vagus nerve — no shocks, no gel pads, no app requiredIn a 4-week pilot trial, daily 5-minute sessions produced significant reductions in anxiety, depression, and PTSD symptom scoresReaction time, resting heart rate, and HRV can track nervous-system changes — but your quality of life is the gold standardStart with 5 minutes a day and scale up slowly; a mild reversible headache is the signal to dial backStudies & sources:Kohler I, Hacker J, Martin E — "Reduction of Anxiety-Related Symptoms Using Low-Intensity Focused Ultrasound Neuromodulation" (JMIR Neurotechnology, 2025) — https://neuro.jmir.org/2025/1/e69770Auricular Ultrasonic Vagus Nerve Stimulation (review, PMC) — https://pmc.ncbi.nlm.nih.gov/articles/PMC12468173/ZenBud device — https://zenbud.healthNeurGear — https://neurgear.com
Vision language models (VLMs) are receiving growing attention in radiology. Kathy Dai, MD, is joined by Dorothy Sippo, MD, MPH, to discuss the article by He et al. exploring the use of VLMs for axillary lymph node assessment in patients with breast cancer. Full article: Vision Language Models for Ultrasound Assessment of Suspicious Axillary Lymph Nodes in Breast Cancer Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social
Ultrasound-guided nerve blocks are no longer just a niche skill for fellowship-trained ultrasound specialists—they are a core component of modern multimodal pain management in the ED. Endorsed by ACEP, nerve blocks can offer rapid, targeted pain relief without relying solely on systemic opioids, making everything from rest to imaging and procedural workups significantly more comfortable for patients. Today, Dr. Carlos Mikell, UC Davis Emergency Ultrasound Faculty and nerve block expert, joins us to share why every emergency physician should adopt nerve blocks as part of their practice. We'll break down the top ED blocks, explore innovative indications like genicular nerve blocks for knee pain, and discuss essential safety protocols and how to get started – or become more comfortable – with blocks in your ED. Why Nerve Blocks Belongs in the ED Targeted Relief: Delivers effective, localized pain management as part of a multi-modal pain control approach, sparing patients some of the systemic side effects of opioids. Facilitates ED Workup: Relieves movement-related pain, making imaging, patient transport, and local procedures far easier and more comfortable for the patient. ACEP Endorsement: ACEP's policy statement formalizes ultrasound-guided nerve blocks as an essential skill for all emergency physicians—not just ultrasound fellowship graduates. Analgesia, Not Complete Anesthesia: The goal in the ED is regional analgesia (taking pain down to a manageable, functional level safely) rather than dense, surgical anesthesia. The Most Common ED Nerve Blocks According to data from the National Ultrasound Guided Nerve Block Registry: Fascia Iliaca Plane / Femoral Nerve Block (~36%): Indications: Hip fractures, mid-shaft/distal femur fractures, hip dislocations, and severe thigh trauma. Safety Profile: Highly safe; target plane is centimeters away from the main neurovascular bundle in a easily compressible site. Erector Spinae Plane (ESP) Block: Indications: Back pain, renal colic, shingles, and rib fractures. Forearm Blocks (Median, Ulnar, Radial): Indications: Distal forearm fractures, complex lacerations, and hand procedures. Serratus Anterior Plane (SAP) Block (~7%): Indications: Rib fractures, pre/post-chest tube insertion pain, and chest wall abscesses. Tip: Hydro-dissect with normal saline first to identify the fascial plane before injecting local anesthetic, and consider adding dexamethasone to extend duration. Innovative Block Spotlight: Genicular Nerve Block Target: Three of the primary sensory branches of the sciatic/femoral nerves supplying the anterior knee. Indications: Acute knee trauma/fractures, acute-on-chronic knee pain, and severe osteoarthritic flare-ups. Safety & Execution: Low-volume block (~10 mL total). Pearl: Omit the inferior-lateral genicular injection to avoid unintentional peroneal nerve block and foot drop. Streamlining Nerve Blocks in Your Department To move nerve blocks from a rare procedure to a routine clinical tool: ED Infrastructure: Build standardized EMR order sets, procedure note templates, and dedicated nerve block supply carts/kits. Departmental Support: Designate a point person to coordinate credentialing, interdisciplinary pathways (e.g., trauma, orthopedics), and physician/nurse/tech education. Hands-on Training: Utilize cadaver labs, simulation, and scanning shifts to build faculty and resident confidence. Non-Negotiable Safety Guidelines & LAST Prevention Nerve blocks are generally low-risk, but vigilance is critical to avoid complications like Local Anesthetic Systemic Toxicity (LAST) or direct nerve injury: Patient Selection: Avoid in uncommunicative patients (who cannot report paresthesias or tinnitus), areas at high risk for compartment syndrome, or pre-existing severe nerve deficits. Monitoring: Keep patients on cardiac telemetry for 30–60 minutes post-block for central or high-volume blocks (>10 mL or above the elbow/knee). Dosing Buffer: Calculate maximum weight-based local anesthetic doses every time; stay within 60–70% of the maximum dose to maintain a safety buffer. Intralipid Availability: Ensure 20% Intralipid is immediately accessible in the ED pharmacy or brought directly to the bedside. Injection Technique: Never point the needle directly at a nerve. Inject into the fascial plane, stop immediately if you encounter resistance, and perform frequent aspirations every 3–5 mL. What is your favorite ultrasound-guided nerve block? What barriers do you encounter to doing blocks in the ED? We'd love to hear form you! Connect with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Carlos Mikell, Assistant Professor of Emergency Medicine and Ultrasound Faculty at UC Davis Resources: ACEP Policy Satement: Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine, June 2016 ACEP Now: How To Build an Ultrasound-Guided Nerve Block Program By Arun Nagdev, MD; Kaitlen Howell, MD; Akash Desai, MD; David Martin, MD; and Daniel Mantuani, MD, MPH | on January 6, 2023 ACEP Sonoguide: Nerve Blocks NURVE Block Registry Brown J, Milgrim F, Driver L, et al. Efficacy and Safety of Adjunct Medications in ED Ultrasound-Guided Nerve Blocks: A National Ultrasound-Guided NeRVE (NURVE) Block Registry Study. Acad Emerg Med. 2025 Dec;32(12):1299-1308. doi: 10.1111/acem.70128. Epub 2025 Aug 27. PMID: 40873157. Goldsmith A, Driver L, Duggan NM, et al. Complication Rates After Ultrasonography-Guided Nerve Blocks Performed in the Emergency Department. JAMA Netw Open. 2024 Nov 4;7(11):e2444742. doi: 10.1001/jamanetworkopen.2024.44742. Erratum in: JAMA Netw Open. 2024 Dec 2;7(12):e2455847. doi: 10.1001/jamanetworkopen.2024.55847. PMID: 39535792; PMCID: PMC11561692. *** 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. Disclaimer: The opinions expressed on this podcast are those of the hosts or guests and do not necessarily reflect the views of UC Davis Department of Emergency Medicine, UC Davis Health, or their parent organizations.
Recorded live at SOMA 26In a near-peer MASCAL, one medic and one junior medic may face twenty penetrating torso casualties, one unit of blood, and no time to empirically needle or finger-decompress every chest. This SOMA presentation argues that formal triage algorithms are already giving way to intuitive, intervention-first decisions—and that point-of-care ultrasound can make that second pass objective. The proposed two-pass model keeps MARCH as a fast first pass (urgent vs non-urgent), then uses a three-view POCUS exam—parasternal or subxiphoid cardiac motion, pericardial effusion, and bilateral lung apices—completed in under 30 seconds to decide who gets blood, who needs targeted decompression, who needs a surgical airway to thoracotomy or pericardiocentesis, and who is unsurvivable cardiac standstill. Speakers review trauma-arrest survival data, needle-decompression overuse, SOF medic training at Henry Ford (RUSH exam and the abbreviated 30-second protocol), and civilian paramedic programs showing that short courses can produce usable scans that change management. Sponsored by the Special Operations Medical Association.Key TakeawaysEmpiric bilateral chest decompression and “treat everybody” TCCC habits will not scale in large MASCALs when blood, time, and procedural capacity are scarce.Formal algorithms are often unused in real events; medics already default to intuitive triage. The missing piece is an objective tool that separates salvageable from unsurvivable casualties.Published decompression data show low response rates, high practice variation, and procedures performed on patients who did not meet criteria—driven by subjective breath sounds.Cardiac motion on ultrasound is the strongest practical field marker of salvageability in pulseless trauma; standstill without tamponade is associated with essentially no survival and should conserve blood and procedures.A three-view exam (cardiac motion, pericardial effusion, pneumothorax) can be completed in ~25–30 seconds. SOF medics approached expert performance after focused training; civilian paramedics have shown usable accuracy after 4–8 hour courses.Positive findings should drive action: motion → consider blood; effusion + access to thoracotomy/pericardiocentesis → prioritize evacuation/intervention; no lung slide → targeted decompression rather than bilateral empiric procedures.Chapters00:00 – Introduction, disclosures, and the MASCAL problem01:00 – Case: 20 casualties, one unit of blood, empiric procedures02:40 – Intuitive triage vs formal algorithms03:20 – Why empiric needle/finger decompression falls short05:10 – Scarce blood and the need for a modified LSCO triage approach05:50 – Two-pass model: MARCH first, POCUS second07:20 – Three-view exam: motion, tamponade, pneumothorax08:00 – Pulseless trauma survival: civilian and military data11:00 – Cardiac views and what “salvageable” looks like15:20 – Field case: ultrasound guiding thoracotomy and blood use16:00 – Can medics do this? SOF RUSH pathway since 201717:30 – Abbreviated 30-second protocol: retrospective and prospective times19:30 – Civilian 4-hour training and New Orleans scan performance22:40 – Putting it together in MASCAL: salvage the survivable24:00 – Resource rules: motion vs standstill vs tamponade25:30 – Questions and closeListen / follow: podcast → prolongedfieldcare.org → @prolonged_field_care
In this episode of Curing with Sound, we speak with Tonya Cherukuri, PhD, Director of the Foundation's Claudine and Fritz Kundrun Veterinary Program. The program funds clinical trials investigating focused ultrasound for naturally occurring diseases in companion animals to advance veterinary care and also generate insights that may inform applications in human medicine. To date, it has supported nearly 30 trials across 14 conditions, including osteosarcoma, lymphoma, oral tumors, and urinary stones. Dr. Cherukuri discusses the potential advantages of focused ultrasound for veterinary patients, including its noninvasive nature, shorter recovery times, and reduced risk of infection. She highlights promising areas of research, examines the barriers to translating focused ultrasound from veterinary studies into clinical practice, and outlines what will be needed to make the technology more widely available. Dr. Cherukuri also reflects on the generous gift from Claudine and Fritz Kundrun that anchors the program, and the Foundation's ongoing fundraising efforts to sustain veterinary focused ultrasound research in the years ahead. Learn more about the Claudine and Fritz Kundrun Veterinary Program: https://www.fusfoundation.org/the-foundation/initiatives/veterinary-medicine Donate to support focused ultrasound veterinary research: https://www.fusfoundation.org/the-foundation/initiatives/veterinary-medicine/#support Discussion highlights: Advancing Veterinary and Human Medicine: Companion animals naturally develop many of the same diseases that affect people. Studying focused ultrasound in veterinary patients can improve care for animals while generating valuable insights that may help advance the technology for human patients. Moving Research into Clinical Practice: Dr. Cherukuri discusses barriers, including device availability, training, and awareness, as well as the importance of multi-site clinical research in moving focused ultrasound closer to routine veterinary use. 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 Orthopedic Surgeon, Gordon Maclellan, chewing the fat on several issues, not least environmental factors implicating many health conditions, like hip dysplasia and undescended testicles. We discuss the benefits of Ultrasound over X-rays, and why Ultrasound in the Veterinary profession arguably could be optimised more in line with the use of Ultrasound in human medicine. We also discuss aspects of epi-genetics and how the environment from the water we drink and the food we eat can influence individual DNA expression and why products often used in the home like air fresheners contribute to an indoor environment often considered over three times more toxic than outdoors. We talk about testing before treating not only with Titre Tests and why ultra sounds are gradually more commonly being used for diagnosis. Find out more about Gordon's Pupscan Project hereFor more about Zooomy and Naturaw, including A Dog's Life discounts you can use, go to the 'Anna Recommends' page at annawebb.co.ukMusic and production by Mike Hanson for Pod People ProductionsCover art by JaijoCover photo by Rhian Ap Gruffydd at Gruff Pawtraits
Stephanie reflects on finishing her surgery rotation—from rediscovering the joy of hands-on learning to performing procedures and balancing hospital time with studying. She and Dr. Davis also discuss bedside ultrasounds, the legal weight of medical notes, and why clinical decisions can look very different in hindsight.
Gladys Reyes, may ghost singer?Sarah Geronimo, nagpa-ultrasound? Buntis na?Celeste Legaspi at Lea Salonga, bunot ng mga basher! Bakit?
Labor Live is your chance to practice navigating labor before you're actually in it. This interactive birth simulation delivers real-life labor scenarios straight to your phone, letting you make decisions, explore your options, and learn what questions to ask your provider along the way. Labor Live starts September 1. Head to https://joinlaborlive.com/ to save your spot! Low amniotic fluid can be one of those pregnancy diagnoses that sends you straight into a Google rabbit hole. So in this episode, HeHe sits down with board-certified OBGYN Dr. Lawren Honken to break down oligohydramnios, what it actually means, how it's diagnosed, and when low fluid may or may not mean it's time to induce. Dr. Lawren explains how providers measure amniotic fluid, including the difference between the single deepest pocket and AFI, and why one measurement may give us a more useful picture than the other. They also dig into what can contribute to low fluid, from dehydration and placental function to hypertension, preeclampsia, fetal growth restriction, ruptured membranes, and other pregnancy complications. And then we get into the big question: Does low amniotic fluid automatically mean you need an induction? Spoiler: it's more nuanced than that. HeHe and Dr. Lawren talk through hydration and repeat ultrasounds, fetal monitoring, the risks associated with truly low fluid, ACOG guidance for isolated oligohydramnios, and what happens when you're trying to decide whether to continue the pregnancy or move toward delivery. They also have a really important conversation about informed consent, trauma-informed care, provider communication, and why a diagnosis shouldn't automatically mean you're rushed into a decision without understanding your options. Because sometimes the most empowering thing your provider can give you isn't another intervention. It's information, context, and the space to make an informed decision about your own body and baby. If you've been told you have low amniotic fluid, you're being monitored for oligohydramnios, or you're trying to understand when an induction is actually medically indicated, this is one you want in your back pocket. Chapters 00:00 Induction Shockwave 01:12 Pregnancy Diagnosis Minefield 03:42 Meet Dr. Lawren Honken 07:52 What Is Low Amniotic Fluid? 10:55 Hydration, Placenta & Clues 14:34 What Causes Low Fluid? 19:20 Amnioinfusion Explained 22:25 When Does Induction Make Sense? 29:08 Individualized & Trauma-Informed Care 33:31 HeHe Shares a Personal Birth Story 36:41 When Your Water Breaks Without Contractions 39:13 How Accurate Is an Ultrasound? 41:00 The Risks of Low Amniotic Fluid 46:49 Advocating for Your Options 51:27 The Triage Reassurance Algorithm 54:20 Provider Compassion & Burnout 01:00:26 Questions to Ask Your Provider 01:02:03 Where to Follow Dr. Lawren 01:03:17 Final Wrap & Subscribe Guest Bio: Dr. Lawren Honken is a board-certified OB/GYN, Certified Menopause Practitioner, surgeon, mother of four, and creator of Your Friend the OB/GYN. She is passionate about helping women understand their options through evidence-based education so they can make informed decisions that align with their values, goals, and unique circumstances. Her approach emphasizes patient autonomy, shared decision-making, and compassionate, individualized care. Connect with Dr. Honken here: YourFriendTheOBGYN.com SOCIAL MEDIA: Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/ Connect with Dr. Honken on IG: https://www.instagram.com/yourfriendtheobgyn/ LINKS MENTIONED: IG account measure the placenta: https://www.instagram.com/measuretheplacenta/ Listen to our episode with Dr. Florescue here: https://www.youtube.com/watch?v=VEex1HJId2o BIRTH EDUCATION: Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what's really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy And if you haven't grabbed it yet… Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/ Want prep delivered straight to your phone? Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app
A glioblastoma diagnosis changes a family's life in an instant—especially when a tumor's location makes surgery too risky. For patients facing this aggressive form of brain cancer, treatment often involves difficult decisions, profound uncertainty, and the challenge of continuing to live fully amid a life-altering diagnosis. In this episode of Curing with Sound, we speak with Keith Merker, a husband and father from London, Ontario, who was diagnosed with glioblastoma in 2025. Keith enrolled in a clinical trial at Sunnybrook Health Sciences Centre, investigating focused ultrasound combined with microbubbles to temporarily open the blood-brain barrier, with the goal of enabling more chemotherapy to reach the tumor. Early clinical research has recently shown a potential survival benefit from this approach, though larger studies are needed to confirm the findings. Keith shares a candid patient perspective on undergoing focused ultrasound treatment, navigating the emotional realities of glioblastoma, and finding meaning through family, music, and a commitment to “choosing joy.” His story also highlights the important role patients play in advancing research. By participating in clinical trials, patients like Keith help researchers build the evidence needed to evaluate emerging treatment approaches and move the field forward. Discussion highlights: Experiencing Focused Ultrasound as a Patient: Keith shares a firsthand account of undergoing focused ultrasound to temporarily open the blood-brain barrier and what the treatment experience was like for him. Importance of Clinical Trials: Clinical trial participants help researchers evaluate focused ultrasound in patients, generate critical evidence, and move promising applications closer to broader clinical use. Choosing Joy Through Uncertainty: Discover how Keith responded to one of the most difficult periods of his life by creating Team Christmas, a music-driven initiative rooted in family, hope, and community. 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. Team Christmas website Listen to "Everyday is Just Like Christmas" on YouTube Explore Sunnybrook Research Institute's Clinical Trials Explore FUS Foundation's Treatment Sites/Clinical Trials for Glioblastoma 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/
In Scotland at St Andrews, TopMedTalk AI hosts Andy Cumpstey and James Bowness discuss AI in regional anaesthesia with Bernard Victor Delvaux, staff anesthesiologist at the Centre Hospitalier Privé Claude Galien in Quincy-sous-Sénart, France. Bowness describes a regional anaesthesia course using AI-augmented ultrasound imaging, augmented reality simulated needling, and cadaveric ultrasound with real needle insertion. Delvaux discusses his research in AI-assisted nerve recognition, explains supervised model development through large-scale ultrasound image annotation for GE Healthcare's C-NERF, and they explore how to evaluate AI beyond pixel-based metrics toward clinically oriented utility and safety, including differences in usefulness for trainees versus experts. They discuss model design across anatomical sites, the need for diverse training and external validation data, risks from poor image acquisition, and barriers such as trust and autonomy. Delvaux outlines priorities for ESRA's AI working group, focusing on AI literacy and faster, reliable evaluation guidance. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org
Episode 186 – Dada Part 6, Dada Expanded Universe Progressive Palaver is back with a fascinating exploration of Dada's extended musical landscape. The group unpack the solo and side ventures of band members—from Butterfly Jones to 7Horse to Michael Gurley's solo albums. The episode reveals compelling discoveries: 7Horse's breakthrough moment when their track landed in *The Wolf of Wall Street*, Phil's candid hour-long interview on the Geoff Antonio show discussing producer Ken Scott and Miles Copeland's influence, and the rare 2001 Butterfly Jones album that remains largely unavailable on streaming platforms. The hosts candidly assess how these projects, while musically solid, lack the magical chemistry of the original three-piece dynamic. They celebrate Michael Gurley's psychedelic production on *Ultrasound* and his storytelling prowess—particularly "Laika," which captures the tragic Soviet space dog's orbit with haunting precision. The takeaway? These side projects deepen appreciation for Dada's core work, though nothing quite matches the original trio performing together. What draws you to artist side projects? Share your thoughts on social media or email us. BlueSky: @progpala.bsky.social X: @progpala Instagram: www.instagram.com/progressivepalaver/ Facebook: www.facebook.com/ProgPala YouTube: www.youtube.com/channel/UCw_Xxit3…cJ_7Z__w/featured Theme music provided by: Dave DeWhitt
Coach Kerri and Cathy step into this deep and needed discussion with this Board Certified OBGyn and recognized expert in the field of OBGyn Care. Dr. Lile walks listeners through the difference in RU486 (Mifepristone), Plan B (Ella, Morning After Pill), and the pill that will reverse RU486, including stories of the 8000 babies saved with this treatment. Dr. Lile highlights medical advances in prenatal surgery that clearly establish the preborn as a separate and valued patient in addition to the mother. Discussion wraps up recognizing the spiritual battle taking place in our nation and the hope and light scripture provides to those who are struggling.
Ethereum wants to slash staking yields toward zero. Gitcoin's Kevin Owocki, DV Labs' Oisín Kyne, and Ethereum-France's Jérôme de Tychey debate whether that breaks DeFi. ======================================================== Thank you to our sponsor! Visit 1inch.com to swap tokenized securities, crypto and more. Simple. Secure. Self-custodial. Whatever asset you're buying - swap it at 1inch.com ======================================================== Ethereum's core developers are considering a decision that could cut ETH's staking yield toward zero, and DeFi's biggest names are furious about it. Jérôme de Tychey, President of Ethereum-France and a co-author of EIP-8363, joins Kevin Owocki, founder of Gitcoin, and Oisín Kyne, CEO of DV Labs, to argue through the proposal's tradeoffs. Aave's Stani Kulechov, Ether.fi's Mike Silagadze, and Joseph Chalom have all pushed back, warning the change guts DeFi's biggest source of yield. They cover the Nakamoto coefficient and why a 51% staking cartel could censor blocks for free, why solo stakers could see after-tax income collapse, and why Oisín is skeptical of an enshrined liquid staking token. Jérôme defends why Ethereum can pay stakers less and still be more secure than rivals boasting 7% yields. All Core Devs meets Thursday, August 20, and the real deadline lands October 26, when the network decides if EIP-8363 is mature enough to move forward. Host: Laura Shin, Host / Unchained Guests: Kevin Owocki - Founder of Gitcoin Oisín Kyne - CEO and Co-founder of DV Labs Jérôme de Tychey - President of Ethereum-France Timestamps
Bleeding is what kills people after injury. In this companion conversation to their earlier episode, host and vascular surgeon Dr. Wayne Causey asks Dr. John Pavlus, Chief of Interventional Radiology at Brooke Army Medical Center, to do the thing most medical conversations skip. He walks step by step through exactly how a bleeding trauma patient is treated without major surgery. The tools are small. A needle, a short hollow tube called a sheath placed in the artery at the groin, wires thinner than a strand of spaghetti, and catheters steered by live X-ray to the one vessel that is leaking. The patient leaves with a bandage instead of an incision. The decisions behind those tools are what make the difference. It starts with the CT scan. Contrast is injected and images are captured at three different moments, and the timing of those pictures decides what the doctor believes he is looking at. A scan done for a different purpose at an outside hospital can make a patient look like an arterial bleeder when the bleeding is coming from a vein instead, and veins are not something a catheter can easily fix. Getting the timing right is the difference between the right treatment and the wrong one. From there the conversation turns to the system. At Brooke Army Medical Center, a trauma activation commits the interventional team to having a needle in the artery within sixty minutes of the call, at any hour. That standard was not bought with equipment. It was built on years of trust with the trauma surgeons, to the point that when a trauma surgeon calls a bleed, nobody argues about the pictures. Everyone moves, including anesthesia. Then come the organs. The liver is complicated because it carries two separate blood supplies, and one of them cannot be reached easily from the inside. The spleen is the favorite, shut down with a metal coil placed at a precise landmark, sometimes in fifteen minutes. And the conversation closes on thrombin, a clotting agent injected through the skin under ultrasound, no X-ray required. It is cheap, it is simple, and it is the one tool a military interventional radiologist would want in his pack if told to deploy tomorrow. The thread running through all of it is not equipment. It is repetition. Do the same thing the same way every time, and the mind is free to solve the problem that actually matters. Chapters (01:12-07:15) What Endovascular Care Actually Is and What the CT Scan Shows (07:15-12:23) The Sixty-Minute Clock and Activating the Trauma Interventional Radiology Pathway (12:23-20:49) A Bleeding Liver with Two Blood Supplies and Why Access Comes First (20:49-28:59) A Bleeding Spleen with Microcatheters Coils and Knowing When Good Enough Is Enough (28:59-35:51) Thrombin and the Simple Tool Worth Carrying Far Forward Chapter Summaries (01:12-07:15) What Endovascular Care Actually Is and What the CT Scan Shows Dr. Pavlus defines his specialty in the plain language he uses with patients. Minimally invasive, image guided procedures done through pinholes in the skin, either plugging up an artery that is bleeding or lining the inside of an injured one with a small tube. The discussion then turns to the CT scan, where contrast dye is imaged at three separate moments, and how the timing of those pictures determines whether the bleeding is arterial, venous, or a contained pocket of blood called a pseudoaneurysm. (07:15-12:23) The Sixty Minute Clock and Activating the Trauma Interventional Radiology Pathway A trauma surgeon standing at the scanner calls a bleed and the pathway fires. A single alert reaches the interventional radiologist, the nurse, the technologist, and the resident at the same time, and everyone drives in. The standard is a needle in the artery within sixty minutes of the call, and the guest is direct that the only way to hold that standard is to remove every point of debate from the process. Anesthesia is activated at the same moment, because these patients are rarely stable enough for anything less. (12:23-20:49) A Bleeding Liver with Two Blood Supplies and Why Access Comes First The liver is harder than most people assume because it carries two separate incoming blood supplies, and the second one cannot be reached quickly from inside a catheter. That is why a certain grade of liver injury belongs in the operating room with a surgeon rather than in the radiology suite. The guest then walks through his access routine in detail, from ultrasound guided puncture of the artery at the groin to the specific wire and catheter he uses every single time, and explains why keeping the hole in the artery as small as possible matters in a patient who may receive thirty units of blood. (20:49-28:59) A Bleeding Spleen with Microcatheters Coils and Knowing When Good Enough Is Enough Splenic bleeding can be shut down with a metal coil placed at a precise landmark between two small pancreatic arteries. Dr. Pavlus explains why he abandoned one widely used technique after it tore an artery early in his career, and why he now threads a much smaller catheter inside his working catheter to reach the target safely. He is also candid that in an unstable patient at two in the morning, the goal is not a perfect result. It is a live patient who can be handed back to the trauma team. (28:59-35:51) Thrombin and the Simple Tool Worth Carrying Far Forward Thrombin is a clotting agent injected directly through the skin with a needle, guided by ultrasound rather than X-ray. It is the standard repair for a pseudoaneurysm in the groin, but the guest has extended it to bleeding inside solid organs and small vessels in soft tissue that would be difficult or impossible to reach with a catheter. Because it requires no X-ray suite and almost no equipment, he names it as the single technique he would most want available in a far forward combat setting. The episode closes on consistency, repetition, and adapting a fixed base technique to whatever the patient in front of you presents. Take Home Messages Timing of the Contrast Changes the Answer: A CT scan is not one picture. Contrast dye is imaged before it arrives, as it fills the arteries, and again after it has spread, and comparing those three moments is what separates arterial bleeding from venous bleeding from an old finding that was never bleeding at all. A scan ordered for a different purpose at an outside hospital can point a team toward the wrong treatment entirely. Trust Is Built Long Before the Emergency: The sixty minute standard from phone call to needle in the artery is not achieved with faster equipment. It is achieved by removing every point of debate from the pathway, which only happens after years of a trauma service and a radiology service learning to rely on each other. When the trauma surgeon calls a bleed, nobody re-argues the pictures. Everyone moves. Access Is the Whole Game: You can perform the most elegant procedure in the world inside a patient, and if the puncture in the artery is mishandled, that is the only part anyone will remember. Ultrasound guidance takes no meaningful extra time, and keeping the opening as small as possible protects a patient who may go on to receive massive amounts of blood. Perfect Is the Enemy of Alive: In a stable patient with a low grade injury there is time to chase an ideal result. In a crashing patient at two in the morning there is not. Placing a coil in a good enough position and stopping high flow bleeding so the trauma team can move on is a legitimate and often correct decision, and knowing which situation you are in is a clinical skill of its own. The Simplest Tool May Be the Most Deployable: Thrombin injection needs a needle, an ultrasound probe, and a vial. No X-ray suite, no power injector, no shelf of catheters. That is exactly why it stands out as the technique most likely to work far forward, where the equipment, the imaging, and the logistics that a modern hospital takes for granted simply are not there. Episode Keywords interventional radiology, military medicine, trauma interventional radiology, embolization, splenic artery embolization, liver embolization, solid organ injury, thrombin injection, pseudoaneurysm repair, endovascular hemorrhage control, non compressible torso hemorrhage, angiography, microcatheter, coil embolization, Brooke Army Medical Center, combat casualty care, far forward surgical care, vascular surgery, WarDocs podcast, military trauma care, hemorrhage control, John Pavlus, Wayne Causey Hashtags #MilitaryMedicine, #InterventionalRadiology, #TraumaCare, #HemorrhageControl, #CombatCasualtyCare, #VascularSurgery, #WarDocs, #MilitaryHealth Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission- WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called “Docs” as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast
Forever Young Radio Show with America's Natural Doctor Podcast
Joining us today is Jane Jansen, a Natural & Holistic Practitioner at The Tree of Life Wellness Center in Massachusetts. Jane has the unique perspective as a medical professional who, prior to becoming a natural & holistic practitioner, spent years in Radiology and Ultrasound doing research and performing tests on patients with varying types of health problems. Jane is passionate about providing health information for everyone's personal journey “to get well and live well”. Jane joins us today to discuss “What Makes Dr. Ohhira's Probiotics Different”.As you know, not all probiotics are created equal. Whether you are trying to improve your digestion, immune system, brain health or overall wellness, choosing the right probiotic can make a real difference. Dr. Ohhira's Probiotics has decades of research that Essential Formulas had done to develop their unique formulas.Dr. Ohhira's Probiotics were created by renowned microbiologist Dr. Iichiroh Ohhira and then validated by over 35 years of clinical and scientific research. Multiple peer-reviewed clinical studies have confirmed Dr. Ohhira's Probiotics wide-range benefits.Numerous people taking Dr. Ohhira's Probiotics often report having a reduction in fatigue and increased energy, stamina and endurance. This has been reported in a study with healthy adults and in another study with trained athletes. Another thing that many people experience is an improvement in their digestion and elimination. In one study, a group of college-age women with a history of poor bowel habits and irregular elimination took 3 capsules of Dr. Ohhira's Probiotics daily for two weeks. By the end of the 2-week test period, ALL the women were having normal, healthy, daily bowel movements.Typically, after 3-4 weeks, sometimes sooner, many people report reduced bloating, less gas, and regular predictable bowel movements.Dr. Ohhira's Probiotics are available at Natural Grocers, Sprouts, and other natural health retailers across the U.S. Also available online. Learn more at Essentialformulas.com
This week, I’ll be joined by Rosana Moreno Rodriguez with We Care Ultrasounds. She will tell us about her mobile ultrasound company and the types of ultrasounds they provide. Rosana Moreno Rodriguez, We Care Ultrasounds
Discover why The Best of the Big Apple OB-GYN Ultrasound conference has been New York City's premier continuing education event for over 30 years, featuring world-class faculty and practical skills you can use immediately. World Class CME City: Charlotte Address: 6201 Fairview Rd. Website: https://worldclasscme.com/
Point-of-care ultrasound (POCUS) is rapidly transforming emergency medical services, stepping up as the modern equivalent of the 12-lead ECG for today's paramedics, according to Dr. Ross Prager. While portable ultrasound technology was initially developed to miniaturize heavy hospital equipment for field use, widespread adoption faced friction due to complex training demands and accuracy drop-offs in fast-paced environments. AI integration directly tackles these scaling bottlenecks by guiding real-time image acquisition and providing high-level diagnostic interpretation. By automatically identifying critical structures like the pleural line or organ interfaces, AI helps paramedics capture crisp, reliable views—even under chaotic field conditions with severe glare, heat, or noise. For trauma and undifferentiated dyspnea calls, prehospital ultrasound delivers vital objective data. Detecting free abdominal fluid or absent lung sliding allows EMS teams to notify receiving trauma centers immediately. This clinical head start mobilizes blood banks, surgical staff, and operating rooms before the ambulance even arrives, cutting down critical time to definitive care.
Learn how AI, 3D imaging, and expert-led education are transforming maternal-fetal medicine. Discover what's new in diagnosing fetal malformations, placental disorders, and complicated twin pregnancies - plus the latest on O-RADS and hybrid CME opportunities. World Class CME City: Charlotte Address: 6201 Fairview Rd. Website: https://worldclasscme.com/
In this episode of Curing with Sound, we speak with Nikolaos Dervisis, DVM, PhD, DACVIM, an associate professor of veterinary oncology at Purdue University and Senior Advisor for Veterinary Initiatives at the Focused Ultrasound Foundation.Dr. Dervisis discusses the growing role of focused ultrasound in veterinary medicine and its potential to advance cancer care. He also explores how studying naturally occurring cancers in animals can provide valuable insights into disease biology and treatment response, with implications for both veterinary and human medicine. He also shares updates on two new canine clinical trials investigating focused ultrasound for osteosarcoma and lymphoma, explores the challenges of expanding access to the technology in veterinary medicine, and reflects on the vital contributions of pet owners and their animals to advancing this research. Discussion highlights: The One Medicine Concept: Explore how the biological, clinical, and immunological similarities between cancers in humans and animals create opportunities for focused ultrasound research to advance treatment across species. Innovative Clinical Trials: Learn about two new trials at Purdue University investigating focused ultrasound for osteosarcoma and lymphoma, including its potential to influence tumor behavior and immune response. Overcoming Infrastructure Barriers: Hear about the current challenges in veterinary oncology, including the need for species-specific devices, funding limitations, and the importance of training and awareness within the veterinary community. 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/
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"Making ultrasound as widespread and as used as the stethoscope... that's the big challenge going forwards" The latest ERS Monograph podcast focuses on an area that is evolving into a cornerstone of respiratory practice: thoracic ultrasound. Guido Marchi (Monograph Early Career Member representative) talks to Guest Editors of the Thoracic Ultrasound Monograph, Vineeth George and Christian B. Laursen. Their discussion covers key milestones and advances in the field, effective training, maintaining skills, research priorities and future opportunities. It is a conversation and, indeed, a book that truly reflects a challenging and inspiring research agenda.
Erectile dysfunction isn't always a testosterone problem, especially when symptoms begin early. Discover the underlying causes of erectile dysfunction and how addressing the root cause may help improve the problem.
Dense breasts change how screening works and make early detection even more critical. Lynn Dozier shares how a free mammogram at Texas Southern led to follow up care at The Rose, ongoing monitoring of calcifications, and a new level of ownership over her breast health. Along the way, she talks about Skate Church, community, and staying mentally strong while friends faced breast cancer. Support The Rose HERE. Subscribe to Let’s Talk About Your Breasts on Apple Podcasts, Spotify, iHeart, and wherever you get your podcasts. Key Questions Answered 1. How did Lynn’s free screening mammogram lead her to follow up care at The Rose?2. What does it mean to have dense breasts, and why does that matter for breast cancer detection?3. How do mammograms and ultrasounds work together to give clearer images for women with dense breast tissue?4. What did Lynn’s calcifications mean, and why are six month monitoring visits important.5. How common are dense breasts, particularly among African American women, and what extra vigilance is needed?6. How did friends’ breast cancer diagnoses, caught through regular mammograms, affect Lynn’s view on early detection?7. In what ways does her father’s cancer journey reinforce the need for timely testing and treatment.8. How does Lynn describe the emotional and mental support she offers friends going through breast cancer?9. What role does Skate Church and outdoor skating play in Lynn’s community and mental health?10. How can women without insurance find places like The Rose to access screening mammograms?See omnystudio.com/listener for privacy information.
Did you know that hundreds of life-saving ultrasound machines are currently sitting unused in closets while rural clinics struggle to provide essential medical care? In this episode of the Prolife Team podcast, host Jacob sits down with Karla Sutter to discuss the incredible mission of Flutter and how recycling technology is saving lives around the globe.Karla shares the moving story behind Flutter, an organization that has placed over 260 ultrasound machines in ten years, reaching from small towns in Montana to medical clinics in Kenya and the Dominican Republic. You will learn about the critical need for rural pregnancy centers to go medical, the dangers women face without access to local scans, and how simple handheld technology is making bonding more accessible than ever before.Throughout the conversation, Karla emphasizes that going medical does not require a massive budget or a giant staff, it just requires a heart for life and a willingness to innovate. From her personal journey of finding hope in Genesis 50:20 to practical advice on nurse training and state coalitions, this episode is a call to action for anyone passionate about the pro-life movement.Chapters0:00 Opening Worship and Music4:45 Meet Karla Sutter and the Flutter Mission7:15 The First Machine: A Dominican Republic Miracle9:45 Addressing the Crisis in Rural Communities12:30 Success Story: Going Medical in Minnesota16:00 Essential Steps for Rural Pregnancy Centers19:15 The Importance of Medical Accessibility21:45 How to Donate Your Unused Ultrasound23:30 Karlas Story and the Power of Genesis 50:2026:45 Handheld Ultrasound Demo: Connecting Moms and Babies30:15 Cost-Effective Technology for Modern Clinics33:45 Innovation: Empowering 700 Non-Medical Centers37:15 Overcoming Fear and Board Hesitation41:00 Keeping Nursing Skills Sharp in Rural Areas44:30 The Medical Benefits of Frequent Scanning48:15 Virtual Training and Education Resources51:45 State Coalitions and Adopting Sister Clinics53:45 Closing Prayer and MusicIf you are part of a pregnancy center with an unused machine or a rural clinic looking to expand your services, don't wait. Reach out to Karla Sutter and the Flutter team today to see how you can get involved in this life-saving work. Make sure to like this video and subscribe to stay updated on how innovation is changing the pro-life landscape.#prolife #ultrasound #flutter #karlasutter #medicalmissionsSend us Fan MailSupport the show
A methods-focused episode about how muscle and body-composition measurements can mislead you when reading the research. The main event is a new Balshaw and colleagues paper concluding that ultrasound muscle thickness is a poor index of MRI-measured muscle growth. Trexler and Helms argue this shouldn't be read as "throw out all ultrasound research" — the real culprit is that muscle thickness is a crude one-dimensional snapshot with measurement error large enough to swamp the small changes seen in typical short studies, whereas MRI captures growth in more dimensions with better fidelity. They walk through why comparing across different dimensions and different devices matters, what researchers can do about it (bigger doses, larger samples, multiple measurements), and use the famous "sleep restriction kills your gains by 60%" study as an example of over-reading a tiny difference in ten people. The second half turns to DEXA. Prompted by someone confused that DEXA fat mass didn't line up with the 3,500-calorie rule, they explain DEXA's three-compartment model, why it measures fat mass rather than adipose tissue, and why lean soft tissue readings are so sensitive to hydration. The practical upshot: don't build your worldview on a kilogram of day-to-day DEXA noise, be cautious using DEXA to estimate energy status, and understand that flattening a three-dimensional body into a two-dimensional scan introduces real limits. They close with an extended, tongue-in-cheek bit about trademarking "muscle journey" dimensions. Iron Culture is proudly presented by the MASS Research Review. Mostly because Helms and Trex are co-owners. massresearchreview.com If you're in the market for some new (ultra-high-quality) gym gear or apparel, be sure to use code "MRR10" for a 10% discount over at elitefts.com If you'd like to submit a question for a future episode, head over to: massresearchreview.com/ironculture Chapters 0:00 Intro 5:57 The paper: is ultrasound a poor muscle-growth measure? 18:04 What muscle thickness actually captures 25:38 Measurement error vs. a tiny signal 31:16 Different dimensions, different devices 37:52 What researchers should do about it 39:26 Case study: does sleep loss "kill gains"? 47:28 On to DEXA: where this started 53:26 How DEXA works & why fat mass ≠ adipose tissue 1:02:15 Why methods don't always agree 1:11:06 Water weight & the whooshing scale 1:16:43 Estimating energy status from DEXA 1:19:36 Wrap-up
Three years after his first appearance, Butterfly Network CEO Joe DeVivo returns to catch Harry up on the roadmap. Butterfly's ultrasound-on-a-chip has evolved from a single handheld device into a foundational semiconductor platform that third parties can build on. The most dramatic example: Midjourney's full-body scanner, which rings 40 Butterfly chips around the body for whole-body tomographic imaging. Joe and Harry dig into what's real today versus what's coming, the physics of ultrasound, the path from demo to FDA clearance, and the business logic of "multiple shots on goal." In this episode: The chip as a platform: opening Butterfly's technology to third-party developers (the "Nvidia moment"). Midjourney's full-body scanner: tomography, 400 teraflops of data, and a roadmap toward a one-minute scan with the Apollo chip. Real-world impact: 1,500 midwives trained in Kenya and South Africa, plus a new FDA-cleared gestational-age AI tool. Partners beyond Midjourney: vascular robotics, fatty liver diagnosis, and brain-computer interfaces (including "silent speech"). Physics Q&A: why 360-degree imaging solves ultrasound's problems with air and bone. The hospital shift: capturing "ghost" scans, Compass AI, and at-risk skilled-nursing deployments. The 10-year vision: imaging that comes to the patient instead of the patient going to imaging. Chapters: (00:01) A roadmap from three years ago (00:31) Midjourney unveils a full-body scanner (01:31) Joe DeVivo returns (02:59) What shipped: the chip becomes foundational (04:52) Opening the platform to third parties (06:34) Kenya and South Africa: midwives and the FDA-cleared gestational-age app (11:11) FDA rigor and validating AI (14:52) Butterfly Garden, Butterfly Embedded, and the nine partners (16:53) Brain-computer interfaces and silent speech (22:00) The Midjourney deal: origin and reaction (24:03) Tomography explained (28:12) What 40 chips can see and the data challenge (29:33) The roadmap to a one-minute scan; the Apollo chip (32:43) AI looking for a physical carrier (34:31) Prototype to product: milestones to clearance (38:28) Wellness first, then regulatory clearances (39:03) The physics of air and bone (41:45) The investment thesis: multiple shots on goal (46:26) The business today: Compass AI and health-system deployments (49:54) Heart-failure monitoring and at-risk skilled nursing (53:49) The 10-year view: imaging comes to the patient (57:18) Why early detection matters (59:50) Closing About the guest: Joe DeVivo is CEO of Butterfly Network and has spent 35 years in medical devices. Also mentioned: Harry's book, The Invisible Interface: How AI Turns Intentions into Actions and Who Wins (foreword by Don Norman), available in print and ebook.
In this episode of Curing with Sound, we speak with Jim Rorie, a licensed private investigator from North Carolina whose career and daily life were profoundly affected by chronic low back pain following a multi-vehicle collision. After months of physical therapy and painful nerve block injections, Jim became one of the first patients in the United States to be commercially treated with noninvasive focused ultrasound for his back pain. He shares what led him to the procedure, what the treatment experience was like, and how it has transformed his pain, his work, and his quality of life. Discussion highlights: First-of-its-Kind Device Receives FDA Clearance: In November 2025, the FUSMobile Neurolyser XR system received De Novo clearance from the US Food and Drug Administration (FDA) for the treatment of chronic low back pain. The device, which uses focused ultrasound to ablate sensory nerves in the spinal facet joints, is also approved in Europe, Canada, and the UK. Renewed Hope and Quality of Life: Jim reflects on the difference focused ultrasound has made in his recovery, allowing him to return to his career as a private investigator and regain activities that chronic pain had previously limited. 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/
There's nothing new under the sun. In this evergreen audio essay, host John Gerardi traces a startling line from the child sacrifice of the ancient world to the abortion debate in modern California. Reading through Samuel, Kings, and Chronicles, John unpacks why the Israelites were tempted to worship pagan gods like Baal, Asherah, and Molech, and how those religions divorced worship from morality (think Julius Caesar as both high priest and war criminal) in ways that made discarding inconvenient children disturbingly ordinary, from Roman infant exposure to Spartan eugenics. Then John turns to the revolution: how Judaism and Christianity reshaped Western civilization by insisting that women, slaves, the poor, and the unborn all bear the image of God, and how the earliest Christians stood apart precisely because they refused to abandon their children. Finally, he tackles the question every pro-lifer wrestles with: if the science is settled, why is abortion more popular than ever? His answer is a challenge to rethink compassion itself, from moral imagination and the difference between empathy and sympathy, to the cold economics of Medi-Cal that pay for abortion while maternity wards like Madera Community Hospital shut their doors. Right to Life Radio is a production of Right to Life of Central California, heard on KMJ. Support our summer matching drive (every gift doubled through August) at rtlcc.org. Want John to speak at your church, school, or youth group? Call 559-229-2229 or email info@righttolifeca.org.
For a woman facing an unplanned pregnancy, one appointment can open the door to practical support, renewed hope, and the life-changing message of the gospel. Dan Steiner, Founder and President of PreBorn!, joined the show today to explain how the ministry partners with pregnancy clinics across the country to serve women in crisis, protect unborn children, and introduce families to the hope found in Jesus Christ. A Calling Rooted in Christ Steiner's involvement in the pregnancy center movement began during his personal time with the Lord. As he prayed about how his life could reflect gratitude for what Christ had done for him, he became increasingly burdened by abortion and the lives affected by it. That conviction eventually led him to serve at a pregnancy center in the Midwest and later establish PreBorn!. From the beginning, Steiner says the ministry has been grounded in a simple conviction: Christ must remain at the center. Women facing unplanned pregnancies often need medical services, practical resources, and compassionate guidance. But their deepest need, like ours, is the hope and restoration found in Jesus. Today, PreBorn! works with nearly 300 pregnancy clinics, particularly in cities with high abortion rates. The ministry helps establish clinics, provides ultrasound equipment, covers the cost of ultrasound appointments, trains leaders, supports medical personnel, and connects women searching online for abortion information with nearby pregnancy clinics. Why Ultrasounds Matter Ultrasound technology is central to PreBorn!'s work because it allows a mother to see her child, often for the first time. According to PreBorn!, women who receive an ultrasound are significantly more likely to continue their pregnancies. The image on the screen can transform an abstract and frightening situation into a deeply personal encounter. Steiner shared the story of a pregnant 13-year-old who arrived at one of the ministry's partner clinics intending to have an abortion. She believed she was too young to become a mother and had not told her own mother about the pregnancy. But when she saw her child on the ultrasound screen, she began to weep. She chose life, and an adoption plan was later arranged for her baby. The ultrasound did not remove every difficulty she faced. It did, however, give her the opportunity to better understand the life developing inside her and to consider a different path. Caring for Women Beyond the Appointment Choosing life is often only the beginning of a woman's journey. Many women considering abortion are confronting financial pressure, unstable relationships, housing challenges, or uncertainty about how they will care for a child. That is why PreBorn's partner clinics seek to provide more than a single appointment. Depending on the clinic and the woman's needs, support may include maternity clothing, diapers, cribs, car seats, parenting resources, counseling, and ongoing care for several years. This compassionate approach recognizes that caring for an unborn child also means caring for the mother. Christians should never treat a woman facing an unplanned pregnancy as a political symbol or a problem to be solved. She is a person made in the image of God who deserves patience, dignity, truth, and practical help. “Let us not love in word or talk but in deed and in truth” (1 John 3:18). Sharing the Hope of Christ PreBorn! describes its mission as saving lives for both earth and eternity. Protecting unborn children is an essential part of its work, but the ministry also wants every woman and family it serves to hear the gospel. Romans 1:16 is central to that mission: “For I am not ashamed of the gospel, for it is the power of God for salvation to everyone who believes.” Steiner recalled one young couple who entered a clinic divided over what to do. The father was pressuring his girlfriend to have an abortion because he feared repeating the destructive patterns he had witnessed in his own family. A counselor placed a fetal model representing the approximate size of their baby in his hand. As he looked at it, he began to cry. He knew abortion was not the answer, but he also felt powerless to become the father his child needed. The counselor then shared the hope of the gospel and explained that Jesus could redeem his past and begin transforming his future. According to Steiner, both parents placed their faith in Christ and chose life for their child. PreBorn! reports that more than 100,000 people have committed their lives to Christ through its ministry over the past two decades. These decisions are not produced by an ultrasound or a counseling technique. Salvation belongs to the Lord. Yet God often works through faithful people who combine truth, compassion, and practical care. Responding to a Changing Landscape Although the legal landscape surrounding abortion has changed significantly in recent years, the need for pregnancy care has not disappeared. The growing availability of abortion pills online means many women may never enter a traditional abortion facility. Instead, they can locate providers, schedule telehealth appointments, and receive medication through the mail. PreBorn! is responding by using digital outreach to connect with women as they search online. Trained team members can speak with them, answer questions, and help schedule appointments with partner clinics where they can receive medical services, an ultrasound, and compassionate support. This changing environment requires pregnancy ministries to pair unwavering biblical convictions with wisdom, innovation, and sensitivity. Behind every online search is a woman who may be frightened, isolated, or unsure where to turn. The goal is not merely to win an argument. It is to reach her with truth and love before she makes a decision she cannot reverse. Using God's Resources to Defend Life Faithful stewardship involves asking how the resources God has entrusted to us can be used to serve our neighbors and advance gospel-centered work. A gift of $28 to PreBorn helps provide an ultrasound for a woman facing an unplanned pregnancy. Donors may also fund an ultrasound machine for $15,000. According to Steiner, a single machine may remain in service for approximately 10 years and produce hundreds of scans each year. Of course, Christians will not all support the same organizations or participate in this work in the same way. Some may give financially. Others may volunteer, foster, adopt, mentor young parents, provide meals, or support a local pregnancy center. What matters is that our concern for life takes visible form. When God's people respond with generosity, women receive compassionate care, families find practical support, unborn children are given an opportunity for life, and doors open for the hope of Christ to be shared. To help provide an ultrasound for a woman in crisis, visit FaithFi.com/PreBorn or dial #250 and use the keyword “BABY.” On Today's Program, Rob Answers Listener Questions: I'm wondering about the new Trump accounts for children and whether they're a better option than a 529 plan for my grandson. If his parents open either type of account and I contribute, would I receive any tax benefit, and how would that work? I'm semi-retired, turning 65 in November, and currently have health, dental, and vision insurance through my school job, including an HSA that helps cover medical expenses. Do I still need to sign up for Medicare at 65, even if I keep my current coverage? And if so, how should I go about it? Resources Mentioned: Faithful Steward: FaithFi's Quarterly Magazine (Become a FaithFi Partner) PreBorn! Our Ultimate Treasure: A 21-Day Journey to Faithful Stewardship by Rob West Wisdom Over Wealth: 12 Lessons from Ecclesiastes on Money Look At The Sparrows: A 21-Day Devotional on Financial Fear and Anxiety Rich Toward God: A Study on the Parable of the Rich Fool Find a Certified Kingdom Advisor® (CKA) FaithFi App Remember, you can call in to ask your questions every weekday at (800) 525-7000. Faith & Finance is also available on Moody Radio Network and American Family Radio. You can also visit FaithFi.com to connect with our online community and partner with us as we help more people live as faithful stewards of God's resources. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
For a woman facing an unplanned pregnancy, fear and uncertainty can overwhelm. But through the ministry of Preborn!, individuals at pregnancy centers across the country meet women with compassion, practical help, and the hope of Christ. On the next Faith & Finance Live, Rob West and Dan Steiner share how God uses this ministry to save babies and souls. Then, it’s on to calls. That’s Faith & Finance Live— biblical wisdom for your financial decisions—weekdays at 4pm Eastern/3pm Central on Moody Radio. Faith & Finance Live is a listener supported program on Moody Radio. To join our team of supporters, click here.To support the ministry of FaithFi, click here.To learn more about Rob West, click here.To learn more about Faith & Finance Live, click here.See omnystudio.com/listener for privacy information.
For this episode Mike is back in one of his favorite cities: London. On this trip to London, Mike found an amazing comic shop called Gosh! Comics, near the famous Piccadilly Circle in London's West End. Most shops in the UK are fairly small in physical size, but However, Gosh! Comics was quite large in size, especially considering both floors of the shop. The main floor is largely dedicated to graphic novels (which they specialize in) and the basement level contains a large back issue stock. Mike had the pleasure of interviewing Gregg, the co-manager specializing in Indy press books at Gosh! Comics, as you will be able to tell by his book recommendation. Now, there is another story to tell, but I will leave that until the next Pitstop episode, which is also connected to this store. Described as an “Industrial-chic shop for comics and graphic novels, from mainstream to manga and cutting edge”, this is an awesome shop to visit, so be sure to check it out when you're visiting London Town! Then, Mike is joined by podcast fellow podcaster, George Hanna, to cover Ultrasound, a 2022 psychological thriller graphic novel by Conor Stechschulte and published by Fantagraphics Books. It is a book that will leave you unsettled but completely enthralled — the kind of book that rewards rereading. The story was adapted into a feature film (2021), directed by Robert Schroeder and starring Vincent Kartheiser (Mad Men), premiered at Tribeca Film Festival to strong reviews and later streamed on Hulu. George is one of the hosts of Meanwhile at the Podcast, a show that covers it all...pop culture, entertainment, fandom, you name it. Connect with George at https://meanwhileatthepodcast.libsyn.com/ and follow the show on Facebook and the site formerly known as Twitter. Meanwhile at the Podcast can be found on Apple, Spotify or wherever you find your podcasts, so be sure to check it out. Find and follow Gosh! Comics at https://goshlondon.com/, on Facebook at https://www.facebook.com/GoshComicsLondon/ and Instagram @goshcomics. And if you are fortunate enough to visit London, please stop by at 1 Berwick St, London, W1F 0DR, UK. You won't be disappointed! Many thanks to George for joining me for the great discussion and to Gregg for his super recommendation of Ultrasound!
For this episode Mike is back in one of his favorite cities: London. On this trip to London, Mike found an amazing comic shop called Gosh! Comics, near the famous Piccadilly Circle in London's West End. Most shops in the UK are fairly small in physical size, but However, Gosh! Comics was quite large in size, especially considering both floors of the shop. The main floor is largely dedicated to graphic novels (which they specialize in) and the basement level contains a large back issue stock. Mike had the pleasure of interviewing Gregg, the co-manager specializing in Indy press books at Gosh! Comics, as you will be able to tell by his book recommendation. Now, there is another story to tell, but I will leave that until the next Pitstop episode, which is also connected to this store. Described as an “Industrial-chic shop for comics and graphic novels, from mainstream to manga and cutting edge”, this is an awesome shop to visit, so be sure to check it out when you're visiting London Town! Then, Mike is joined by podcast fellow podcaster, George Hanna, to cover Ultrasound, a 2022 psychological thriller graphic novel by Conor Stechschulte and published by Fantagraphics Books. It is a book that will leave you unsettled but completely enthralled — the kind of book that rewards rereading. The story was adapted into a feature film (2021), directed by Robert Schroeder and starring Vincent Kartheiser (Mad Men), premiered at Tribeca Film Festival to strong reviews and later streamed on Hulu. George is one of the hosts of Meanwhile at the Podcast, a show that covers it all...pop culture, entertainment, fandom, you name it. Connect with George at https://meanwhileatthepodcast.libsyn.com/ and follow the show on Facebook and the site formerly known as Twitter. Meanwhile at the Podcast can be found on Apple, Spotify or wherever you find your podcasts, so be sure to check it out. Find and follow Gosh! Comics at https://goshlondon.com/, on Facebook at https://www.facebook.com/GoshComicsLondon/ and Instagram @goshcomics. And if you are fortunate enough to visit London, please stop by at 1 Berwick St, London, W1F 0DR, UK. You won't be disappointed! Many thanks to George for joining me for the great discussion and to Gregg for his super recommendation of Ultrasound!
Aaron Timm, CEO of Openwater, is driving the shift from single-purpose, room-sized equipment to multi-purpose, portable, light-weight medical devices designed on an open-source platform. Some tools use infrared light to measure blood flow in real time for applications such as stroke detection. Another device uses focused ultrasound to modulate tissue in the brain for treating neurodegenerative diseases and psychiatric conditions. The platform is designed so that a single hardware device can run multiple applications, allowing researchers to adapt and develop applications specific to their work, bringing innovation into the marketplace similar to the smartphone app environment. Aaron explains, "So we have two primary devices. One uses infrared light to measure blood flow and blood volume in real time. So that one is being used, for example, to measure blood flow to the brain to help determine whether someone is having a stroke. At the University of Pennsylvania, there was a study done using that device, where our device outperformed the existing stroke scales. The other device that we have is a focused ultrasound device. And what that device does is it uses sound waves or focused ultrasound to target and modulate tissue in the brain and elsewhere in the body. That's being used in research today for all sorts of neurodegenerative diseases, psychiatric diseases. And there's just a lot going on in the world of focused ultrasound, including using our devices." "So this focused ultrasound device and the science behind it eliminates the need for drugs or surgery and just uses focused ultrasounds to modulate or stimulate things within the brain, for example. It's used for everything from depression, anxiety, Alzheimer's disease, and addiction. Many different indications are being addressed in research using these kinds of devices, including ours." #OpenwaterHealth #MedTech, #NonInvasiveCare, #PortableHealthcare, #PatientAccess, #HealthcareInnovation #FocusedUltrasound #LIFU #Hemodynamics #Openwater #OpenLIFU #OpenMotion #DigitalHealth #Neurotechnology #StrokeCare #AIinHealthcare #OpenSourceMedicine #ClinicalResearch #WearableMedicalDevices #HealthcareInnovation openwater.health Download the transcript here
Aaron Timm, CEO of Openwater, is driving the shift from single-purpose, room-sized equipment to multi-purpose, portable, light-weight medical devices designed on an open-source platform. Some tools use infrared light to measure blood flow in real time for applications such as stroke detection. Another device uses focused ultrasound to modulate tissue in the brain for treating neurodegenerative diseases and psychiatric conditions. The platform is designed so that a single hardware device can run multiple applications, allowing researchers to adapt and develop applications specific to their work, bringing innovation into the marketplace similar to the smartphone app environment. Aaron explains, "So we have two primary devices. One uses infrared light to measure blood flow and blood volume in real time. So that one is being used, for example, to measure blood flow to the brain to help determine whether someone is having a stroke. At the University of Pennsylvania, there was a study done using that device, where our device outperformed the existing stroke scales. The other device that we have is a focused ultrasound device. And what that device does is it uses sound waves or focused ultrasound to target and modulate tissue in the brain and elsewhere in the body. That's being used in research today for all sorts of neurodegenerative diseases, psychiatric diseases. And there's just a lot going on in the world of focused ultrasound, including using our devices." "So this focused ultrasound device and the science behind it eliminates the need for drugs or surgery and just uses focused ultrasounds to modulate or stimulate things within the brain, for example. It's used for everything from depression, anxiety, Alzheimer's disease, and addiction. Many different indications are being addressed in research using these kinds of devices, including ours." #OpenwaterHealth #MedTech, #NonInvasiveCare, #PortableHealthcare, #PatientAccess, #HealthcareInnovation #FocusedUltrasound #LIFU #Hemodynamics #Openwater #OpenLIFU #OpenMotion #DigitalHealth #Neurotechnology #StrokeCare #AIinHealthcare #OpenSourceMedicine #ClinicalResearch #WearableMedicalDevices #HealthcareInnovation openwater.health Listen to the podcast here
What if the pain your child carries began not at their birth, but at yours?Josh Trent welcomes Eyla Cuenca, Birth Trauma Alchemist and Doula, to the Wellness + Wisdom Podcast, episode 825, to explore why birth trauma lives in the body for decades, how unprocessed grief silently passes from mother to child across generations, and why the moment a woman stops making someone else the villain in her birth story is the moment real healing finally begins.In This Episode, Eyla Cuenca Uncovers:(03:50) How Generational Baggage Shapes Birth(09:25) Unconscious Agreements in Child Birth(14:20) Men's Role in Child Birth(20:45) The Dogma Of Free Birth(27:00) The Alchemy of Birth and Trauma Healing(30:00) From Trauma to Peace, Power, and Wisdom(36:15) Readiness Is the Signal(41:40) Pain Shouldn't Be Part of The Body(48:55) The Dangers of Ultrasound(57:35) Receiving Is the Lesson(01:01:55) The Man's Daily Death and Rebirth(01:08:15) The Third Entity within a Sacred Union(01:13:10) Learning from Your Children
Send us Fan MailDr. Elazar Sonnenschein, Founder and CEO of Pulsenmore Ltd. (Nasdaq and Tel Aviv: PLSM), joins host Tim Gerdeman and WTR equity research analyst James Kisner on this episode of the WTR Small-Cap Spotlight Podcast. Pulsenmore has built the first FDA De Novo–authorized, prescription home-use prenatal ultrasound, allowing expectant mothers to capture images on a handheld device for remote physician review.Sonnenschein walks through the company's journey from concept to creating an entirely new regulatory category, what it takes to deliver a home scan clinicians can trust, and how years of real-world use shaped the platform. The conversation explores Pulsenmore's U.S. commercial launch, its proving ground in Israel, and a broader women's health strategy that now extends into fertility and IVF monitoring. He also shares his perspective on scaling the business and what investors should be watching over the year ahead.
In this episode of the Beautifully Broken Podcast, Freddie Kimmel talks with Jon Hacker, co-founder of Zenbud, about the broken incentive structures inside MedTech and academia — from the unnecessary gatekeeping around credentials and funding, to an insurance system that rewards defensibility over efficacy. Jon shares his personal path from an eleven-year-old fascinated by the nervous system to building a company focused on non-invasive, science-backed nervous system technology, and the two explore what it really means to "meet people where they are" instead of demanding a total lifestyle overhaul. The conversation then turns to Zenbud itself: how the device uses ultrasound (not electrical stimulation) to support the vagus nerve, the history and research behind vagus nerve stimulation, early tolerability and reaction-time data, and why Jon is skeptical of HRV as a standalone metric. They close out with a candid look at frictionless, daily-life-compatible wellness tech, Zenbud's 90-day guarantee, and where the product is headed next — including future plans for real-time brain activity feedback. Episode Highlights 00:01 Welcome to the Beautifully Broken Podcast and introduction of Jon Hacker 01:55 What drew Jon into health, wellness, and integrative technology 03:29 Why Jon believes MedTech is broken 06:14 Barriers to innovation in MedTech and academia 09:20 Insurance, reimbursement, and misaligned incentives 12:04 Freddie's perspective on the longevity and health optimization space 14:18 Meeting people where they are and building for real life 20:12 Introduction to Zenbud 23:36 How Zenbud works and why it uses ultrasound 27:00 The history of vagus nerve stimulation 32:58 Early results, tolerability, and reaction time data 36:07 Why HRV is a limited metric 39:50 Passive, frictionless use in daily life 42:43 The 90-day guarantee 49:52 Future vision for Zenbud 52:45 Where to find Zenbud and closing thoughts Get Zenbud: https://zenbud.health/beautifullybroken Use code BEAUTIFULLYBROKEN Upgrade Your Health LightPathLED: https://lightpathled.pxf.io/c/3438432/2059835/25794 Code: beautifullybroken Silver Biotics Wound Healing Gel: https://bit.ly/3JnxyDD 30% off with Code: BEAUTIFULLYBROKEN MaxGen Labs: https://maxgenlabs.com/BEAUTIFULLYBROKEN CONNECT WITH FREDDIEWork with Me: https://www.beautifullybroken.world/biological-blueprintWebsite and Store: (http://www.beautifullybroken.world) Instagram: (https://www.instagram.com/freddie.kimmelYouTube: https://www.youtube.com/@beautifullybrokenworld Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
SPONSORED BY NURP Nurp is algorithmic trading designed specifically for busy professionals who don't have time to watch markets. Check out start.nurp.com/doctors to learn more. --- Happy Independence Day—and Canada Day!
CardioNerds co-chairs Dr. Dinu Balanescu and Dr. Billy Joe Mullinax, along with FIT lead Dr. Shiavax Rao, discuss the evolving landscape of randomized controlled trials in pulmonary embolism with Dr. Jay Giri, interventional cardiologist, Associate Professor of Medicine, and Director of the Cardiovascular Catheterization Laboratories at the Hospital of the University of Pennsylvania. This episode examines the historical evidence behind systemic thrombolysis, the emergence of catheter-directed therapies and mechanical thrombectomy, and the landmark RCTs – STORM-PE, PEERLESS, HI-PEITHO, and PEERLESS II – that are reshaping intermediate-risk PE management. The discussion highlights challenges in PE trial design, the critical importance of clinical deterioration as an endpoint, and why this era represents an unprecedented wave of evidence generation in PE. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls: Systemic thrombolysis in intermediate-risk PE reduces hemodynamic decompensation but at the cost of ~1.5–2% intracranial hemorrhage risk – a near-zero net benefit that has driven the search for safer catheter-based alternatives. “Focus on clinical deterioration, not mortality” – Due to crossover design in contemporary PE RCTs, control-arm patients who decompensate are rescued with advanced therapies, biasing mortality toward the null. Clinical deterioration is the most informative endpoint to watch in HI-PEITHO, PRAGUE-26, and PEERLESS II. HI-PEITHO is the first large RCT to demonstrate that catheter-directed fibrinolysis plus anticoagulation significantly reduces the composite of PE-related death, cardiorespiratory decompensation, or PE recurrence versus anticoagulation alone (RR 0.39; 95% CI 0.20–0.77; P=0.005), with no intracranial hemorrhage in either arm. The four major upcoming/recently reported PE RCTs (HI-PEITHO, PRAGUE-26, PEERLESS II, PE-TRACT) enroll progressively different risk populations – from the most enriched (HI-PEITHO) to the most permissive (PE-TRACT, which includes intermediate-low risk patients) – enabling a nuanced understanding of which patients benefit most from intervention. PE device clearance follows a fundamentally different FDA pathway than structural heart devices (single-arm safety/efficacy studies vs. mandated RCTs), yet market forces and clinical need have ultimately driven industry and government to sponsor large-scale RCTs – a lesson in how evidence development can evolve organically alongside regulatory frameworks. Notes: Notes drafted by Dr. Shiavax Rao. Question #1: What is the current evidence behind advanced PE therapies? Systemic thrombolysis: Sixteen RCTs over 40 years (1972–2014) enrolling nearly 2,000 patients have studied systemic thrombolysis in intermediate-risk PE. The landmark PEITHO trial (n=1,006) showed that tenecteplase reduced the composite of death or hemodynamic collapse (2.6% vs. 5.6%; P=0.015), driven primarily by reduced hemodynamic decompensation (1.6% vs. 5.0%; P=0.002). However, this came at the cost of increased major bleeding (6.3% vs. 1.5%; P
In this episode of the Purr Podcast, Dr. Serge Chalhoub joins Dr. Susan and Dr. Jolle to talk about something that is quietly changing how veterinarians work up feline urinary disease: point-of-care ultrasound. Rather than sending a cat off for specialist imaging or guessing at what is happening in the bladder, point-of-care ultrasound puts answers right there in the exam room, in real time, without the wait and without the stress of extra procedures. Dr. Chalhoub, a board-certified internal medicine specialist at the University of Calgary whose clinical interests center on nephrology, urology, and minimally invasive diagnostics, walks through what bedside ultrasound actually shows, when it changes the clinical picture, and why it is becoming an essential skill for practitioners.Thanks for tuning in to the Purr Podcast with Dr. Susan and Dr. Jolle!If you enjoyed today's episode, don't forget to subscribe, rate, and leave us a review—it really helps other cat lovers and vet nerds find the show. Follow us on social media for behind-the-scenes stories, cat trivia, and the occasional bad pun. And remember: every day is better with cats, curiosity, and maybe just a little purring in the background. Until next time—stay curious, stay kind, and give your cats an extra chin scratch from us. The Purr Podcast – where feline medicine meets feline fun.
Luke Andrea, MD, and Patrick J. Coppler, PA-C, join CHEST® Journal Podcast Moderator Matt Siuba, DO, MS, to discuss their research into the use of CT and point-of-care ultrasound imaging to identify acute pathologic features that change postarrest management after in-hospital cardiac arrest. DOI: 10.1016/j.chest.2026.02.023 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine.
Vanessa completed her first Funner Summer challenge when she accompanied Ally to Wild Rivers and got drunk. At one point she accosted people in the lazy river trying to steal their inner tubes. Good times! Ally shared the results of her first ultrasound. Does she have more than one baby in there? Listen to find out the big reveal! World's #1 Competitive Eater Joey Chestnut joined us in preparation for his most important event of the year: The Nathan's Hot Dog Eating Championship. He talked about how he prepares to eat 75 hot dogs in 10 minutes, whether he'll let scientists study his stomach after he dies, and what the best drunk meal in the world is. We also discussed the biggest dick at a Barbecue in Don't Be A Dick and brought back your dog's favorite 4th of July game: Gunshot or Firework!
Review of high-yield concepts and updates from the BIRADS version 2025 atlas for breast ultrasound. Download the free study guide and check out the discount code section where you can currently get a 20% off discount for many Board Vitals subscriptions (subject to change). Prepare to succeed!Mentioned in this episode:Board VitalsRadiology residents—get ready for the ABR CORE Exam with BoardVitals! Access over 1,300 high-yield questions, detailed explanations, and adaptive learning. Study anytime with the mobile app, customize by subject, and track progress. Plus, a 100% pass guarantee! Start your free trial at BoardVitals.com and use code RADREVIEW for 10% off Radiology question banks.
In today's episode we reference the following resources:Should I be induced? Evidence on the ARRIVE TrialPlanning Your Successful VBAC**********Welcome to the June Q&A! In today's episode, we begin with a listener who has some things to say about the term VBAC. Our questions begin with one from a new mother whose enthusiastic in-laws are eager to babysit her exclusively breastfed baby. The conversation is less about breastfeeding and more about expectations, trust and boundaries.Next, we answer one we've never been asked: "What do contractions actually feel like?" How's it possible this hasn't come up before?!Then, we discuss a common late-pregnancy scenario: a routine ultrasound that leads to concerns about a "big baby." When a healthy 38-week pregnant woman is told her baby's abdomen is measuring large, how much weight should she give to that information? As always, we finish with Quickies, covering cervical lips, high-lipase milk, pacifiers, coffee during pregnancy, milk blebs, antidepressants, swaddling, wake windows, dates, sex, retained placenta, induction, creatine, and a few personal questions about coffee preferences and family size.Have a question for a future Q&A? We'd love to hear from you. Leave us a voicemail and join the conversation! Call us 24/7 at 802-GET-DOWN! That's 802-438-3696.**********Choosing Induction: When it Might be NeededSend us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded
Dr.Lindsay Waechter-Mead highlights the value of ultrasound as pregnancy diagnosis tool, the information it can provide and keys to timing of use.
Focused ultrasound is rapidly expanding the boundaries of what is possible in functional neurosurgery. From movement disorders to epilepsy, researchers are exploring how this noninvasive technology can precisely target and treat an expanding range of neurological conditions. In this episode of Curing with Sound, Vibhor Krishna, MD, Associate Professor and Vice Chair of Inpatient Operations in the Department of Neurosurgery at the University of North Carolina, discusses the latest advances in focused ultrasound for neurological disorders. Dr. Krishna shares moving patient stories, reviews newly approved bilateral treatment for Parkinson's disease, and shares encouraging early findings from a Phase I clinical trial for treatment-resistant epilepsy. The conversation also explores the broader therapeutic landscape for epilepsy and the opportunities ahead as focused ultrasound research continues to advance. Discussion highlights: Incisionless Tremor Relief: Discover how focused ultrasound offers a life-changing, noninvasive option for patients with essential tremor who wish to avoid invasive surgery and implanted hardware. Bilateral Parkinson's Treatment: Learn about the recent FDA approval for ablating the palatothalamic tract (PTT) bilaterally, a staged approach that addresses fluctuating symptoms like stiffness and slowness while potentially reducing medication dependence. Pioneering Epilepsy Trials: Hear promising early results of a Phase I clinical trial using focused ultrasound to reduce seizure frequency in patients with treatment-resistant epilepsy. 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/