Podcasts about urinary

Dr. Sujatha Kekada is the Head Physician and Co-Founder of AmrtaSiddhi Ayurvedic Clinic in Ubud, Bali. She chats with Colette about inflammatory disorders in the urinary system and they discuss the following: The Ayurvedic perspective on the urinary system and the doshas involved. The root cause of inflammation. Dr. Sujatha covers the following disorders: Burning urination Urinary tract infections Cystitis Kidney infections Kidney stones Common causes of urinary tract infections. How the emotion of fear can play a role in these disorders. Tips to prevent these disorders from manifesting * Check out Dr. Sujatha's website here.... amrtasiddhi.com * Click here to learn more about discounted group Digestive Reset Cleanse starting March 28th, 2025 * Visit Colette's website www.elementshealingandwellbeing.com  Online consultations & Gift Vouchers Private at-home Digestive Reset Cleanse tailored to you Educational programs - Daily Habits for Holistic Health Have questions before you book? Book a FREE 15 min online Services Enquiry Call * Join the Elements of Ayurveda Community! * Stay connected on the Elements Instagram and Facebook pages. * Enjoy discounts on your favourite Ayurvedic products: Banyan Botanicals - enter discount code ELEMENTSOFAYURVEDA at checkout for 15% off your first purchase.** Divya's  - enter discount code ELEMENTSOFAYURVEDA15 at checkout for 15% off your first purchase.** Kerala Ayurveda - enter discount code ELEMENTS15 to receive 15% off your first purchase.** **Shipping available within the U.S. only. * Thanks for listening!  

In this episode, Dr. Lewis discusses the difference between acute urinary retention and chronic urinary retention.Guest bio: Dr. Jennifer Lewis graduated from the DNP program at the University of Oklahoma in 2015. She received her MSN and FNP from Graceland University in 2011. Since that time, she has been practicing as a Nurse Practitioner in the Department of Urology at OU Health. Dr. Lewis transitioned as faculty from OU College of Medicine to OU College of Nursing in 2023 where she is currently an Assistant Professor in the undergraduate and graduate nursing programs. Before that, she worked as an RN in the PICU and the resident surgery specialty outpatient clinics. In 2022 she became a certified urologic nurse practitioner. In 2023, Dr. Lewis became a certified interprofessional educator. She presently serves as the research chairperson for SUNA (Society of Urologic Nurses & Associates) and with the AUA (American Urologic Association) on the APP education and membership committee. In 2024, she was selected as a Fellow of the Academy of Urologic Nurses Association. Most recently Dr. Lewis has returned to the student role, to obtain my Psychiatric Mental Health Nurse Practitioner Certificate with plans to carve a niche in the work of uropsychiatry for APPs.Visit https://www.coloplastprofessional.us/ for more offerings! 

Bladder cancer survivor Fran Curtis shares her powerful journey on Bladder Cancer Matters, discussing her experience with ADSTILADRIN® (nadofaragene firadenovec-vncg), the impact of early detection, and her advocacy work with BCAN. Diagnosed with non-muscle invasive bladder cancer after subtle urinary changes, Fran highlights the importance of listening to your body, seeking the best care, and finding hope through community support. Released during International Women's History Month, this episode underscores the need for gender equity in healthcare. Tune in to hear Fran's inspiring story and insights! IMPORTANT SAFETY INFORMATION Who should not receive ADSTILADRIN? Do not receive ADSTILADRIN if you have a sensitivity to interferon alfa or any of its components. What is the most important information I should know about ADSTILADRIN? Individuals who are immunosuppressed or immune-deficient should not prepare, administer, receive, or come into contact with ADSTILADRIN. What should I tell my healthcare provider? Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. What are the possible side effects of ADSTILADRIN? The most common side effects of ADSTILADRIN include: Urinary discharge, fatigue, bladder spasm, urgency to urinate, and blood in your urine. These are not all the possible side effects of ADSTILADRIN. Call your doctor for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to FDA. Visit www.FDA.gov/medwatch or call 1-800-332-1088. You may also contact Ferring Pharmaceuticals at 1-888-FERRING. What other information should I know about using ADSTILADRIN? For 2 days following treatment, voided urine should be disinfected for 15 minutes with an equal volume of bleach before flushing. For more important information, call 1-888-337-7464. Please see full Prescribing Information.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-422 Overview: Conflicting data on alcohol's health effects leave clinicians uncertain about patient guidance. In this episode, we review the PREDIMED trial's findings on wine and cardiovascular outcomes, explore objective biomarkers for intake, and examine the National Academy of Sciences' recent report to clarify the risks and benefits of moderate consumption, giving you confidence in counseling patients. Episode resource links: Inés Domínguez-López, Rosa M Lamuela-Raventós, Cristina Razquin, et al. Urinary tartaric acid as a biomarker of wine consumption and cardiovascular risk: the PREDIMED trial, European Heart Journal, 2024;, ehae804, https://doi.org/10.1093/eurheartj/ehae804     National Academies of Sciences, Engineering, and Medicine. 2025. Review of Evidence on Alcohol and Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/28582   Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-422 Overview: Conflicting data on alcohol's health effects leave clinicians uncertain about patient guidance. In this episode, we review the PREDIMED trial's findings on wine and cardiovascular outcomes, explore objective biomarkers for intake, and examine the National Academy of Sciences' recent report to clarify the risks and benefits of moderate consumption, giving you confidence in counseling patients. Episode resource links: Inés Domínguez-López, Rosa M Lamuela-Raventós, Cristina Razquin, et al. Urinary tartaric acid as a biomarker of wine consumption and cardiovascular risk: the PREDIMED trial, European Heart Journal, 2024;, ehae804, https://doi.org/10.1093/eurheartj/ehae804   National Academies of Sciences, Engineering, and Medicine. 2025. Review of Evidence on Alcohol and Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/28582   Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Urinary incontinence is one of the most common yet least talked about issues affecting women's health. More than 1 in 3 women will experience an overactive bladder in their lifetime, and by the age of 70, that number jumps significantly. But here's the real question—does aging have to mean bladder issues? Or have we been misled into believing this is just “part of getting older”? In this episode, Shelley Craft sits down with Dr. Kelly Casperson to debunk the myths, break down the science, and—most importantly—explore real, effective solutions to improve bladder health at any age. What You'll Learn in This Episode:

Join Alyssa Tait in an insightful conversation with Lisa Costa-Bir, where they dive deep into pelvic floor health and women's health. Alyssa, a pelvic physiotherapist, naturopath, and nutritionist, covers a wide range of topics, including pelvic pain, anorectal continence, urinary incontinence, and prolapse. Discover the "inverse circus tent" analogy and learn how to ask the right questions to encourage sharing without inducing shame or embarrassment. Alyssa highlights key risk factors for pelvic floor issues and the crucial role of nutrients like vitamin C & D, zinc, amino acids, and omega-3s. She also discusses assessing pelvic floor risk in women approaching perimenopause and the value of topical oestrogen in menopause. This podcast is a must-listen for healthcare professionals dedicated to supporting patients with pelvic floor disorders. Don't miss out! COVERED IN THIS EPISODE [00:59] Introducing Alyssa Tait [02:25] What is the pelvic floor? [07:33] Questions clinicians should be asking [12:49] Bowel issues [18:09] Urinary incontinence [28:51] Nutrients [40:15] Internal pelvic massage [46:45] Menopause [53:00] Pelvic weight training [56:27] Final thoughts Find today's transcript and show notes here: https://www.bioceuticals.com.au/education/podcasts/all-things-pelvic-floor-and-more Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: https://bit.ly/signupFX ***DISCLAIMER: The information provided on fx Medicine by BioCeuticals is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.***

This is not just about pregnancy! 1 in 3 women are affected by pelvic floor dysfunction. Urinary leakage, urgency and even lower back pain may be signs that your pelvic floor could use some help! Top pelvic health specialist, Emma Brockwell, shares exactly what we should be doing to improve our pelvic floor health - and it's surprisingly simple.  Pelvic floor issues can affect anyone, at any age, regardless of whether they've had children or not. Whether you're a recreational runner, an elite athlete, or somewhere in between, your pelvic floor plays a huge role in your performance, recovery, and overall well-being. It's a topic that should be on everyone's radar. Through Emma's incredible work with professional women's football teams and contributions to the FIFA Female Health Project, she is playing a leading role in providing education about pelvic floor health and de-stigmatising pelvic floor disorders to achieve just that.  Follow Emma on Instagram: @physiomumuk Follow us on instagram & YouTube: @5mileseasy

James Gallagher discusses the risk from H5N1 bird flu in the UK as a poultry worker in the West Midlands is infected and looks to the US where the disease is spreading in cattle. He's joined by virologist Dr Ed Hutchinson from the University of Glasgow to discuss how the virus is evolving, whether we are edging closer to bird flu becoming a pandemic and how it's being handled in the US as President Trump's government takes office.Also, you've been sending in your questions on embarrassing health problems and lots of you have asked about the problem of leaking urine, known as urinary incontinence. James puts your questions to Dr Vanessa Apea, a consultant physician in Genito-urinary and HIV medicine at Barts Health NHS Trust and an Honorary Senior Lecturer at Queen Mary University of London.Presenter: James Gallagher Producer: Tom Bonnett

Send us a textDr. Brandon Crawford and Dr. Eric Ozansky discuss thyroid health, focusing on hyperthyroidism and Graves' disease. They stress the need for thorough testing and a holistic treatment approach that includes diet, stress management, and iodine supplementation. They also explore the links between thyroid health, halides, brain health, weight gain in hyperthyroid patients, and the effects of light exposure, providing tips for improving thyroid health.What You'll LearnThyroid disorders affect 12% of the U.S. population, with hyperthyroidism and Graves' disease often overlooked compared to hypothyroidism.Comprehensive testing is crucial for accurate diagnosis, as many patients may have both Graves' and Hashimoto's antibodies.Diet, lifestyle changes, and stress management play a significant role in maintaining thyroid health and managing autoimmune conditions.Iodine supplementation is controversial and should be approached with caution, especially in individuals with thyroid disorders.Thyroid hormones significantly influence brain health, mental well-being, and even contribute to unexpected issues like weight gain in hyperthyroid patients.Light exposure and gut health are critical factors that regulate thyroid function, emphasizing the importance of a holistic, functional medicine approach.ResourcesTests MentionedHAKALA labs testing (for halides testing)GI Map TestingDutch Test (for hormones and cortisol)Urinary iodine testingThyroid antibody testing (TSI, TPO, TG)Referenced Books/Authors“Natural Treatment Solutions for Hyperthyroidism and Graves' Disease” (now in its third edition, 2023)“Hashimoto's Triggers” (2018)“The Hyperthyroid Healing Diet” (2024)Dr. David Brownstein's book “Iodine: Why You Need It, Why You Can't Live Without It”Dr. Alan Christensen's “The Thyroid Reset Diet”Products 528 Innovations Lasers NeuroSolution Full Spectrum CBD NeuroSolution Broad Spectrum CBD NeuroSolution StimPod Learn MoreFor more information, resources, and podcast episodes, visit https://tinyurl.com/3ppwdfpm

In this solo episode of Spectrum of Health, Dr. Christine Schaffner unpacks the root causes of chronic bladder issues like interstitial cystitis, recurrent UTIs, and prostatitis. She explores the bladder microbiome, mast cell activation, mycotoxins, Lyme co-infections, and the autonomic nervous system's role in bladder health. Dr. Schaffner shares a comprehensive, terrain-based approach—including advanced testing, detox strategies, mast cell stabilization, ozone therapy, and biofilm disruption—to help patients find lasting relief and restore balance.

Interview with Thomas Gaziano, MD, author of Sodium Reduction Legislation and Urinary Sodium and Blood Pressure in South Africa, and Daniel W. Jones, MD, author of Dietary Sodium- and Potassium-Enriched Salt Substitutes—The Tipping Point? Hosted by Ann Marie Navar, MD, PhD. Related Content: Sodium Reduction Legislation and Urinary Sodium and Blood Pressure in South Africa Dietary Sodium- and Potassium-Enriched Salt Substitutes—The Tipping Point?

Interview with Thomas Gaziano, MD, author of Sodium Reduction Legislation and Urinary Sodium and Blood Pressure in South Africa, and Daniel W. Jones, MD, author of Dietary Sodium- and Potassium-Enriched Salt Substitutes—The Tipping Point? Hosted by Ann Marie Navar, MD, PhD. Related Content: Sodium Reduction Legislation and Urinary Sodium and Blood Pressure in South Africa Dietary Sodium- and Potassium-Enriched Salt Substitutes—The Tipping Point?

Send us a textThis week I have the pleasure of talking to Dr Nigel Brayer DC, Ph.C., FIAMA about urinary health.Very often we hear stories from women, either postpartum or not, who complain about bladder weakness and leakage.There are a lot of supplements on the market that promise the world but always seem to under deliver and quite often "just doing your kegel exercises" isn't enough.So I'm delighted that Nigel came onto the podcast to talk about urinary health, how common it is and to explain that a solution is usually actually available without surgery or drugs.We cover a tremendous amount of ground in this episode and you definitely don't want to miss it!As a little FreeBee you can download his Bladderhacks ebook for FREE here You can find him in all the usual places;His websiteFacebookInstagramAs always; HPNB still only has 5 billing cycles. So this means that you not only get 3 months FREE access, no obligation! BUT, if you decide you want to do the rest of the program, after only 5 months of paying $10/£8 a month you now get FREE LIFE TIME ACCESS! That's $50 max spend, in case you were wondering. Though I'm not terribly active on  Instagram and Facebook you can follow us there. I am however active on Threads so find me there! And, of course, you can always find us on our YouTube channel if you like your podcast in video form :) Visit healthypostnatalbody.com and get 3 months completely FREE access. No sales, no commitment, no BS. Email peter@healthypostnatalbody.com if you have any questions, comments or want to suggest a guest/topic           If you could rate the podcast on your favourite platform that would be a big help. Playing us out this week; "Irreplaceable" by Neon Beach

We would love to hear from you! Text us any feedback. Urinary incontinence is a challenge many women face but often shy away from discussing. As someone who has personally experienced the impact of this condition, I take you through my journey of trying various treatments to regain control over my life. From the initial frustration of leakage during everyday activities to discovering the role fascia plays in pelvic health, this episode shares my candid exploration of solutions—from Kegel exercises to pelvic floor therapy—that might resonate with many of you who are navigating similar paths.Our conversation takes a deep dive into the decision-making process behind considering surgical options. With the guidance of Abraham R. Shashoua, M.D., a renowned urogynecologist, I faced the tough choice of undergoing a traditional bladder sling procedure. This segment delves into the emotional and practical considerations of opting for surgery after non-invasive methods proved insufficient. The aim is to provide insight and support for those weighing similar medical interventions, highlighting both the challenges and potential outcomes.The journey to overcoming bladder incontinence does not end with surgery. As menopause introduced new factors into the equation, I share my transformative experience with a Bulkamid procedure. This episode underscores the importance of understanding hormonal changes and their impact on women's health. By recounting my positive results and the support I received, I hope to empower other women to seek solutions and foster a community where we can openly discuss and address these issues. Let's work together to spread awareness and share knowledge, making the journey for others a bit easier.You can find Dr. Shashoua here: https://www.chicagourogynecologist.com/about-our-doctors/abraham-r-shashoua-m-d/Learn more about Bulkamid: https://www.bulkamid.com/JOIN ME ON SOCIAL MEDIA:Follow Along @ - https://www.instagram.com/nikkicronksmith/

Nervous system is responsible for multiple functions of our body. It is divided into peripheral nervous system (PNS) & central nervous system (CNS). The PNS has motor and sensory component, while the motor system consists of Autonomic (Involuntary) and somatic (Voluntary). Autonomic Nervous System (ANS) controls our urinary bladder functioning, which if affected can cause reduction of urinary bladder contractibility causing post void retention of urine in bladder, increase frequency of urination & recurrent UTI. Water intake may need to be restricted in people with poor pumping capacity of heart or kidney failure or any having any other condition with fluid overload. To maintain overall health, focus on walking more, getting adequate sleep, and staying positive. A cheerful attitude and smiling can contribute to your well-being and that of your loved ones, ensuring a healthier future for everyone. Recorded on: 29.11.2024 Recorded at: Akashwani Nagpur

In this episode, MEDSURG Nursing Journal Editorial Board Member Dr. Barbara Potts talks with Karen Meade, an Oncology Clinical Nurse Specialist at the James Cancer Hospital and Solove Research Institute, at The Ohio State University Wexner Medical Center. They discuss the creation and development of a product—urinary drainage bags designed to be positioned below the bladder—to address a gap in patient care. Their conversation explores the entire innovation process, from generating the initial idea to creating the device and bringing the product to life.Karen Meade, MS, APRN-CNS, AGCNS-BC, OCN, is an Oncology Clinical Nurse Specialist at the James Cancer Hospital and Solove Research Institute, at The Ohio State University Wexner Medical Center.  Dr. Barbara Potts, DNP, M.Ed, RN, APRN-CNS, ACCNS-AG, MEDSURG-BC, is a Clinical Nurse Specialist at The Ohio State University Wexner Medical Center, and is a member of the MEDSURG Nursing Journal Editorial Board.Visit our new online journal platform at www.jannettipublications.comChoose what works best for you – purchase individual articles, or subscribe and access all MEDSURG Nursing articles, including archives from past years. Plus, NCPD assessments are FREE for individual subscribers or through the purchase of the NCPD article.For archived episodes of this podcast and to learn more about MEDSURG Nursing, visit the journal's website at www.medsurgnursing.net.© Jannetti Publications, Inc.Music selections by Scott Holmeshttp://www.scottholmesmusic.com

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Discover how groundbreaking advancements in bladder cancer care are transforming lives in our latest Bladder Cancer Matters podcast episode! Host Rick Bangs kicks off BCAN's 20th anniversary "Partners in Progress" series with Karishma Parikh of Ferring Pharmaceuticals. Learn about Adstiladrin, an innovative gene therapy offering hope and bladder preservation for some patients with high-risk, BCG-unresponsive bladder cancer. With a 96% success rate in preventing progression to muscle-invasive cancer and life-changing patient stories, this episode is packed with insights into how Ferring is driving innovation, supporting patient needs, and reshaping the future of bladder cancer care. Tune in now and be inspired! ===== About Adstiladrin: INDICATION ADSTILADRIN is a treatment for adults who have all the following: High-risk non–muscle-invasive bladder cancer (NMIBC) Cancer that is not responding to Bacillus Calmette-Guérin (BCG) therapy Carcinoma in situ (CIS) with or without other high-grade tumors IMPORTANT SAFETY INFORMATION Who should not receive ADSTILADRIN? Do not receive ADSTILADRIN if you have a sensitivity to interferon alfa or any of its components. What is the most important information I should know about ADSTILADRIN? Individuals who are immunosuppressed or immune-deficient should not prepare, administer, receive or come into contact with ADSTILADRIN. What should I tell my healthcare provider? Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. What are the possible side effects of ADSTILADRIN? The most common side effects of ADSTILADRIN include: Urinary discharge, fatigue, bladder spasm, urgency to urinate, and blood in your urine. These are not all the possible side effects of ADSTILADRIN. Call your doctor for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-332-1088. You may also contact Ferring Pharmaceuticals at 1-888-FERRING. What other information should I know about using ADSTILADRIN? For two days following treatment, voided urine should be disinfected for 15 minutes with an equal volume of bleach before flushing. For more important information, call 1-888-337-7464. Please see full Prescribing Information.

The urinary channel or mutra vaha srotas is responsible for the production of urine, storage and elimination of excess liquids and toxins, regulation of body temperature and maintenance of the water-electrolyte balance. In this episode Colette looks at the imbalances and disorders which can occur in this channel and she covers the following: Signs and Symptoms of aggravation of mutra vaha srotas. Disorders which can manifest in this channel including urinary tract infections, urinary retention, incontinence and various problems with urination. Possible causes of aggravation in the urinary channel. The holistic Ayurvedic approach to managing disorders and preventative tips. * Thanks to Kerala Ayurveda Academy for sponsoring this episode. Use code ELEMENTS100 for $100 off tuition and begin your journey today. Learn more at keralaayurveda.us/courses  * Give the gift of health this holiday seasopn with a Elements Gift Voucher! * Visit Colette's website www.elementshealingandwellbeing.com  Online consultations & Gift Vouchers Private at-home Digestive Reset Cleanse tailored to you - choose your own dates Educational programs - Daily Habits for Holistic Health Have questions before you book? Book a FREE 15 min online Services Enquiry Call * Join the Elements of Ayurveda Community! * Stay connected on the Elements Instagram and Facebook pages. * Thanks for listening!

Visit NurseStudy.net for more FREENursing Diagnosis, Care Plans, Study Guides.Download my Audiobook Version for FREE If you love listening to audiobooks on-the-go, you can download the audiobook version of our NCLEX Prep book for FREE (Regularly $19.95) just by signing up for a FREE 30-day audible trial! Get this book for FREE when you sign up for a 30-day free-trial with Audible Audible US: https://bit.ly/42j6grx Audible UK: https://bit.ly/3Sp7SLN Audible FR : https://bit.ly/3UnJeOb Audible Canada : https://bit.ly/4bxh7T1 ___________________________________________See all of our FREE Nursing Exams onlineGet a FREE Copy of Pass The NCLEXVisit NurseStudy.Net we have over 800 Nursing care plans available.Nursing ResourcesRecommended NCLEX Nursing School Review ProgramNCLEX Review ProgramRecommended BooksLab Values for Nurses Over 160 Test QuestionsFundamentals of Nursing Review 110 Test QuestionsFluids and Electrolytes 100 Test QuestionsNursing Diagnosis HandbookNursing Care Plans HandbookMedical Surgical NursingComprehensive NCLEX Review*Social*Web: https://nursestudy.net/Shop: https://amzn.to/36jrZCNInstagramFacebookPinterestTikTokThe description contains affiliate links and I may be compensated a small amount if you make a purchase after clicking on my links.DisclaimerThis lesson is not intended to provide medical advice. The articles on this website are intended for entertainment or educational value only. While we strive to offer 100% accuracy, we cannot guarantee the validity or accuracy of any content. Medical procedures are rapidly changing, and laws vary greatly from location.  #NCLEX #Nursing #NursingStudent

In this week's episode of The BraveHearted Woman Podcast, I'll be answering some common questions about being a midlife woman. We'll be diving into the big three topics: sex drive, urinary incontinence, and menopause — these issues many women face but don't talk about enough.Today, I'll share valuable insights on each of these topics, offering guidance and support.If you've been struggling with any of these challenges, or simply want to understand how they impact midlife, know that you're not alone. Tune in as we explore these subjects, debunk myths, and provide you with the tools to feel empowered, vibrant, and in control during this transformative stage of life.Timestamps:0:00 - Intro1:52 - How to normalize physical changes in midlife?4:50 - Lower sex drive in midlife and what you can do about it.10:59 - The importance of checking your mental health15:58 - Urinary incontinence: and what you can do about it.20:21 - Menopause: the physical & emotional impact and what you can do about it.23:29 - How to embrace the beauty of midlife?Quotations:"Don't be held back by menopause.”"Sex is not just about the act, it's about an attitude. Sexy is confidence.""The most beautiful season of your life is still ahead of you, even when you hit menopause.""Midlife changes are common, but they're not a sentence. You don't have to fear or accept them as final. This season can be beautiful, empowering, and full of wisdom.""Aging doesn't mean giving up on your health or desires. Normalize what's happening, find what works for you, and don't shy away from seeking support.""Sexuality in midlife isn't about giving up. It's about discovering a new normal and keeping intimacy alive in ways that work for you and your relationship.""Take initiative for your waning sexuality—this aspect is important not just for your partner, but for you too. God created intimacy to be beautiful, unique, and private to marriage.""Menopause doesn't mean the end; it's a new chapter. The wisdom, authenticity, and strength you gain make this one of the most incredible seasons of your life.""Remember, it's not about what you're losing but what you're gaining: peace in who you are, confidence in your choices, and the joy of truly living."Resources:

Urinary tract infections (UTIs) are a leading cause of health care visits in the USA and around the world. In the US, they have a cost burden of $3.5 billion annually. Half of women experience at least one UTI in their lifetime, and approximately 25% of these women develop recurrent UTIs! On October 31, 2024, a study was published in Obstetrics Gynecology (the Green Journal) looking at UTI treatment trends in nonpregnant women. With the increased use of tele-visits, there is now a conundrum between allowing easier access to care (tele-visit) and treatment of UTIs online balanced against contributing to antibiotic resistance. Is urine culture recommended prior to antibiotic use for uncomplicated UTI? That depends on who you read! We will discuss this issue in this episode. PLUS, we will briefly discuss a NEW oral antibiotic for uncomplicated UTI in women; this was just FDA approved on October 25, 2024.

Take a sneak peek at this month's Fertility & Sterility! Articles discussed this month are:   02:17 In vitro fertilization practice in patients with absolute uterine factor undergoing uterus transplant in the United States 21:22 Classification and treatment of vaginal strictures at the donor-recipient anastomosis after uterus transplant 31:18 Impact of time interval from cesarean delivery to frozen embryo transfer on reproductive and neonatal outcomes 37:37 Multiplexed serum biomarkers to discriminate nonviable and ectopic pregnancy 50:20 Urinary benzophenone-3 concentrations and ovarian reserve in a cohort of subfertile women 53:38 Assessment of pregnancy outcomes in donor oocyte thaw cycles comparing fresh embryo transfer to cryopreserved-thawed embryo transfer: a sibling oocyte study View Fertility and Sterility September 2024, Volume 122, Issue 3:https://www.fertstert.org/issue/S0015-0282(24)X0009-6 View Fertility and Sterility at https://www.fertstert.org/  

In this VETgirl veterinary continuing education podcast, we interview Dr. Erik Zager, DACVECC on all things feline urethral obstruction related! Tune in to learn what factors predispose a cat to urethral obstruction (UO), what the analgesia plan should be, how important fluid therapy's role is, and what we should do nutrition-wise when it comes to blocked cats.Sponsored By: Blue Buffalo

A lot of the changes that happen during midlife and menopause are widely discussed online and on social media - weight struggles, bone density issues, nutritional needs, hot flashes, belly fat, and hormonal shifts to name a few. But what about the challenges nobody talks about? Many women in midlife begin dealing with a bunch of “somewhat embarrassing” issues that can make them feel like their body is just not working properly anymore. Urinary tract infections, prolapse, low libido and other challenges with intimacy, can be really discouraging and impact quality of life. And they just aren't talked about, so how do you know what to do? That's where Dr. Kelly Casperson comes in! She's a urologic surgeon and the author “You Are Not Broken”, as well as the host of the podcast by the same name. In this conversation, we'll discuss: the pervasive feeling of 'brokenness' women often feel regarding their sexual and pelvic health the impact of societal norms on women's sexuality the significance of pelvic health in midlife the role of hormones in women's health and the often-overlooked condition of Genitourinary Syndrome of Menopause (GSM). If you're needing encouragement to seek help and advocate for your pelvic health, this is it! More Resources & Links Grab Dr. Kelly Casperson's Book “You Are Not Broken” Listen to Dr. Kelly Casperson on the “You Are Not Broken” podcast here Let's Talk Menopause - Learn more about “Unboxing the Label” Interlude - Telehealth & Rx resources for peri-/menopause and beyond (try the code ‘notbroken') Follow Megan on Instagram Follow Megan on YouTube Sign up for the free Weekly Jumpstart newsletter - Master your midlife health in 3 minutes a week!

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.In this video, Leah,  discusses urinary frequency and voiding dysfunctions in the context of VA disability claims and Compensation & Pension (C&P) exams. She explains that urinary frequency is often a symptom of underlying conditions such as benign prostatic hyperplasia, cancer, or stress incontinence. Veterans may receive service connection for urinary frequency either on a primary or secondary basis, depending on when the condition developed. Leah outlines what happens during a C&P exam, including the use of the Disability Benefits Questionnaire (DBQ) to evaluate the veteran's condition and determine the severity of symptoms, such as the need for absorbent materials or the frequency of bathroom visits. She also touches on how urinary frequency impacts VA disability ratings, which range from 10% to 40% based on the frequency of urination.

Shifting levels of hormones during the transition into menopause cause changes in a woman's body which can affect the vagina, vulva and bowels. Studies have shown that approximately 50% of post-menopausal women experience vaginal dryness - yet only 25% seek treatment and women with incontinence issues will wait for 6 years before they seek help.   Despite the high number of women experiencing problems, many feel too embarrassed to talk to their partners, friends and even health care professionals. But today that is exactly what we are going to do by talking to consultant gynaecologist and obstetrician Elaine Palmer and consultant colorectal surgeon Sarah Mills. In this episode they discuss:  Urinary incontinence and what to do about it  How to properly look after your vulva How to talk to a doctor about bottom issues Taking care of your pelvic floor  If you have been experiencing symptoms that are impacting on your quality of life and have been feeling embarrassed about asking a doctor about them then this show is a must listen.  https://onewelbeck.com/consultants/elaine-louise-palmer/ https://onewelbeck.com/consultants/ms-sarah-mills/ Are you interested in the menopause screening package or have other women's health concerns? Look no further than OneWelbeck Women's Health. This leading one-stop shop brings together London's top gynaecologists, obstetricians, and breast specialists to provide comprehensive care. Designed like a peaceful urban garden, the clinic offers a comfortable and private environment. To learn more or book an appointment, visit their website at:  https://onewelbeck.com/womens-health/?utm_source=self_care_club&utm_medium=postcast&utm_campaign=oct_2024  or call: 0208 015 3766  If you liked this episode and want to be part of the club, come follow us on all our socials:  To Listen To Our Brand New Podcast 40ISH - https://podcasts.apple.com/gb/podcast/40ish/id1757876983 To order our book “HAVE YOU TRIED THIS?” click here  https://www.amazon.co.uk/Have-You-Tried-This-Only/dp/1801293139/ref=sr_1_2?crid=1O7EA4ZF1O5CS&keywords=have+you+tried+this&qid=1699449028&sprefix=have+you+tried+%2Caps%2C125&sr=8-2 For Our Exclusive Merch - https://self-care-club.myspreadshop.co.uk/ Join Our Private Facebook Group https://www.facebook.com/groups/1115099072702743/?ref=share_group_link Instagram  https://www.instagram.com/selfcareclubpod/ YouTube https://youtube.com/c/SelfCareClub TikTok https://vm.tiktok.com/ZMLnXyS1S/ Email hello@theselfcareclub.co.uk  Website www.theselfcareclub.co.uk Studio production by @launchpodstudios Music by purpleplanet.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, Dr. Valentin Fuster discusses a groundbreaking study linking urinary metal levels, particularly non-essential metals like cadmium and uranium, to coronary artery calcification, highlighting their potential role in cardiovascular disease. The findings underscore the urgent need for public health initiatives to address environmental metal exposure, as they could significantly mitigate cardiovascular risks and health disparities.

Urinary tract infections, or UTIs, are common infections, but they're much more common among women than men. What causes a UTI? What should you do if you think you have one? How can you prevent them? Guests for this episode are Melissa Sanford, M.D., Texas Tech Physicians urologist, and Kristen Sharma, Texas Tech Physicians urology family nurse practitioner. They clear up myths about UTIs and explain proper treatment, if necessary, and stress that this is not a condition that should cause shame or embarrassment. 

Free book is here at https://www.memorizingpharm.com/books In this episode we return to turning the open educational nursing resource for nursing pharmacology into audio, we'll start with the 1st edition antimicrobials then move on to the new second edition with the next topic.  Summary and Quiz 3.9 Sulfonamides  Chapter 3.9 discusses sulfonamides, a class of broad-spectrum antibiotics. They inhibit bacterial growth by interfering with metabolic processes and treat conditions like UTIs and bronchitis. Side effects include hypersensitivity, crystalluria, and increased photosensitivity. Patients should be advised to stay hydrated, avoid direct sunlight, and complete their prescribed doses. Multiple Choice Questions Sulfonamides work by: a) Inhibiting protein synthesis b) Blocking folic acid synthesis c) Preventing DNA replication d) Disrupting cell wall synthesis Which condition are sulfonamides commonly used to treat? a) High blood pressure b) Urinary tract infections c) Diabetes d) Migraine headaches Patients taking sulfonamides should: a) Avoid dairy products b) Drink plenty of water c) Avoid exercise d) Increase salt intake A common side effect of sulfonamides is: a) Insomnia b) Photosensitivity c) Hair loss d) Weight gain What should patients report to their healthcare provider while on sulfonamides? a) Increased appetite b) Sore throat and rash c) Increased thirst d) Mild headaches Answer Key b) Blocking folic acid synthesis b) Urinary tract infections b) Drink plenty of water b) Photosensitivity b) Sore throat and rash ```

Urinary incontinence, bladder, vaginal and pelvic floor issues are common in women of all ages and having children isn't a prerequisite. Pelvic floor therapy awareness is on the rise but it's not the only thing you can do to support your bladder, vaginal area and pelvic floor. My podcast guests today are nurse practitioner pals of mine from Tacoma, Washington. Shannon Keenan and Kara Scanlan from Empowered Med Spa are all about helping women thrive at any age. In this episode of The Health Fix Podcast I interview Shannon and Kara on the InMode radio frequency devices they are using to transform bladder, vaginal and pelvic floor health for women of all ages. What You'll Learn In This Episode: How radio frequency devices are helping women reduce bathroom visits, incontinence and prolapse Why using Forma V and V Tone postpartum can prevent pelvic and bladder issues How my back pain and stress incontinence vanished after 2 sessions with Forma V and V Tone Why less bathroom visits, less urgency, sleeping through the night, reduced pain and improved orgasms are a few of the things InMode radio frequence device clients are raving about Resources From The Show: Empowered Med Spa InMode Devices and Practitioner Listing

Dr. Kaitlyn McGraw discusses her study on the relationship between urinary trace metal levels and coronary artery calcification, highlighting the role of environmental exposures in cardiovascular disease risk. The research reveals significant associations between elevated levels of metals like cadmium, tungsten, and uranium with the progression of calcification, comparable to traditional risk factors such as smoking and diabetes. Dr. McGraw emphasizes the need for integrating environmental factors into cardiovascular risk assessments and suggests policy changes to better regulate metal exposure in the population. Moderated by Khurram Nasir, MBBS, FACC.

Episode Overview: In this episode, Dr. Tony Nalda explores the potential connection between scoliosis and urinary issues. He delves into how spinal curvature can influence the body's internal organs, particularly focusing on the urinary system. The discussion includes: Scoliosis and Organ Function: Explanation of how scoliosis, depending on the severity and location of the curve, can impact organ function, including the bladder. Common Urinary Symptoms: Identifying symptoms like frequent urination, difficulty urinating, and incontinence that may be linked to scoliosis. Mechanisms of Impact: Understanding the anatomical changes in severe scoliosis that could lead to urinary issues. Treatment and Management: Approaches to treating scoliosis and managing associated urinary symptoms, including physical therapy, chiropractic care, and, in severe cases, surgery. Key Takeaways: While uncommon, scoliosis can contribute to urinary issues, particularly in cases where the curvature is severe or affects the lower spine. Early detection and appropriate treatment of scoliosis can help prevent or alleviate these symptoms. Patients experiencing urinary symptoms should seek medical advice to determine if scoliosis or another condition is the cause. Artlist.io 847544

Episode 177: Urinary Incontinence in Older AdultsFuture Dr. Nguyen explains the evaluation and treatment of older adults with urinary incontinence.  Dr. Arreaza adds insights into the conservative management of urinary incontinence.Written by Vy Nguyen, MSIV, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific-Northwest. Editing and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Definition of urinary incontinence. The International Continence Society (ICS) defines it as any involuntary urine leakage. Epidemiology of urinary incontinence. Data analysis from the National Health and Nutrition Examination Survey (NHANES) from 2015 to 2018 shows that more than 60% of adult women which is equivalent to around 78,000,000 females living in the United States experience urinary incontinence with 32.4% reporting symptoms monthly. More data analysis shows the strongest association with urinary incontinence include age greater than 70, prior vaginal delivery, and BMI of 40 or greater. Despite urinary incontinence commonly affecting the senior population, this medical condition can also affect the quality of life of younger adult females and males. On top of that, urinary incontinence is often underestimated due to the low report level for various reasons and the obtained data might not accurately reflect the true prevalent rate. Types and etiology.Urinary incontinence is divided into 5 categories: stress, urge, mixed, overflow, and functional. Stress urinary incontinence has the highest prevalence of 37.5% followed by mixed urinary incontinence at 31.3%, urgency at 22%, and unspecified urinary incontinence at 9.2%. Due to time constraints, we will discuss the most prevalent type which is stress urinary incontinence.In females, stress urinary incontinence is often due to urethral sphincter hypermobility caused by weakened pelvic floor muscles. It can also be caused by dysfunction of the sphincter muscle that is exacerbated by increased intraabdominal pressure from coughing, sneezing, or physical exertion. This type of incontinence is commonly seen in pregnant women, those who experienced childbirth, and young women active in sports. In males, the most common etiology for stress urinary incontinence in males is prostate surgery such as radical prostatectomy which can damage the external urethral sphincter. Another cause is spinal cord injury or disease that can interfere with sphincter function. Evaluation. Urinary incontinence is first evaluated by a thorough history taking that includes inquiries about the type, severity, burden, and duration of incontinence. The initial evaluation includes a voiding diary that can provide clarity and help distinguish between the different types of incontinence or identify the dominating type in the case of mixed incontinence. Examples of voiding diary can be found on the websites of International Urogynecological Association (IUGA). Medical conditions such as COPD and asthma can induce cough; heart failure can cause volume overload; neurological disorders and musculoskeletal conditions can interfere with bladder emptying and urinary retention and thus should also be investigated. It is also helpful to ask about medication and substance use as the adverse effects can directly or indirectly contribute to urinary incontinence. For our female-identifying patients, a gynecological and obstetrical history such as birth history (vaginal versus c-section), current pregnancy as well as low estrogen (menopause) can contribute to reversible urinary incontinence. Management. There are various treatment modalities for stress urinary incontinence ranging from conservative to more invasive surgical management. Conservative treatment: -Initial treatment includes pelvic floor strengthening exercises and bladder training with scheduled void. -Pelvic floor muscle training (PFMT) is very effective, and it is proven to help achieve cure and improve the quality of life in women with ALL types of urinary incontinence. -For stress urinary incontinence, the median cure rate is around 58.8% for women after 12 months and 78.8% for men at 6 months of supervised pelvic floor muscle training (PFMT). -Certain behavioral modifications such as fluid intake management (

For more information, visit https://thecirsgroup.com CIRS, or Chronic Inflammatory Response Syndrome, is an expensive illness to treat - so why get unnecessary tests? Friggin don't do it! Save your money. Today we tackle a very very popular, but very very pointless one: The Urinary Mycotoxin Test that supposedly tests you for mold. We will tell you why it's pointless and feel free to send this to any doctor or practitioner that says otherwise. :)  For more information, support, and resources in your own CIRS healing journey, visit TheCIRSGroup.com   TIME STAMPS: 0:00 Intro and disclaimer 1:40 The only thing Urinary Mycotoxin Tests can tell you 2:44 No difference between healthy and chronically ill results 3:53 The danger of getting tested with others in your household 4:39 Bloodwork is also needed, making this urine test redundant at best 6:30 Urine tests do not indicate treatment: all mycotoxins need the same binder 7:40 The dangers of anti-fungals (-azoles) 8:47 Urine tests will not show progress in treatment accurately 9:34 The one saving grace of the urinary mycotoxin test 10:09 Barbara's conspiracy theory on urine tests 11:35 Tell us if you took the urinary mycotoxin test and how it went for you HELPFUL LINKS: https://www.survivingmold.com/Publications/Urinary_mycotoxins_10_8_19_RS_published.pdf   The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Pre-order Jacie's book! https://a.co/d/8ZKCqz0 Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara   Jacie is a 4 year carnivore, certified nutrition coach, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a coach, facilitator, speaker, 3 year carnivore, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

Welcome to the Success NP Podcast. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. This week Dr. Sandra Pagenta continues her case study to help NPs and NP students prepare for clinicals through storytelling and breaking down the diagnosis, assessment, treatment, and management of urinary retention. Thanks for hanging out with us! Enjoy the episode. 
 This story is completely fictional. 
 Success NP Links: Stan Store for Clinical Booklets: ⁠https://stan.store/thesuccessnps⁠ Success NP Etsy Shop: ⁠https://www.etsy.com/shop/successnps/?etsrc=sdt⁠ Success NP Podcast on YouTube: ⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCYQYlS9d6m7HyMK7Z1BI5DA⁠ Success NP IG: ⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thesuccessnps/⁠ Success NP Podcast Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠successnps.com⁠ Success NP Podcast Email: ⁠⁠⁠⁠⁠⁠⁠⁠successnpspodcast@gmail.com⁠ 
 We also have a NEW FREE MINI COURSE!! "Presenting A Patient Case" is our free Mini-Course to help NPs do the most challenging part of NP clinicals!! Check out the link ⁠here⁠ to get this FREE resource. Also, sign up for our NP Bootcamp we are launching, the first 50 people will get the course at a special price when it launches soon! 
 We are partnered with Collaborating Docs to help NPs start their practices!! Our discount code will get you $500 off the onboarding fees to work with their great company. We had Dr. Annie on our podcast earlier so check out the episode ⁠here⁠ to learn more about what she does to help connect NPs with collaborating MDs for running their practices! Use code SuccessNPs to save yourself a TON of cash. We are always working to empower your NP Journey!⁠Click here to learn more!⁠ 
 
 
 
 


Urinary tract infections, low sex drive, incontinence… Bring it on. Learn how to make a challenging story more palatable and approachable. #ThePitch #INICIVOX #VirtualMentorship

Urinary tract infections (UTIs) are common, uncomfortable, and embarrassing. They can also be deadly. These infections of the kidneys, bladder, or urethra affect about 1 in 10 men in their lifetimes and more than half of women. Untreated UTIs can cause a body-wide infection known as sepsis. An estimated 236,000 people globally die every year from UTIs.  Most UTIs are fairly easy to treat with antibiotics. However, a quarter to a third of urinary tract infections (UTIs) are caused by drug-resistant bacteria. That makes them much more difficult to treat. There's no easy test to tell medical professionals whether an infection will be easy to treat with readily available antibiotics, so they often have to make their best guess. Using the wrong antibiotic to treat any infection can delay recovery and help germs evolve drug resistance. Sweden-based Sysmex Astrego developed a test that works in 45 minutes to help determine what type of germ is causing a UTI and which antibiotic should be used to treat it.  Challenge Works, which awards prizes to encourage solutions to hard problems in global health, climate, technology, and other areas, has awarded Sysmex Astrego the Longitude Prize to help the company develop and commercialize the test. “The winning test will be transformational for infection diagnosis and treatment, providing accurate antibiotic susceptibility results in 45 minutes – compared to the 2-3 day wait patients currently face,” Challenge Works says. In this episode of One World, One Health, Jasmin Major of Challenge Works explains why diagnostic innovations like this are so important. Read more about the One Health Trust's work on antimicrobial resistance here. 

Welcome to the Success NP Podcast. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. This week Dr. Sandra Pagenta tries something new to help NPs and NP students prepare for clinicals through storytelling and breaking down the diagnosis, assessment, treatment and management of primary care. Thanks for hanging out with us! Enjoy the episode. 
This story is completely fictional. 
Success NP Links: Stan Store for Clinical Booklets: ⁠https://stan.store/thesuccessnps⁠Success NP Etsy Shop: ⁠https://www.etsy.com/shop/successnps/?etsrc=sdt⁠Success NP Podcast on YouTube: ⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCYQYlS9d6m7HyMK7Z1BI5DA⁠Success NP IG: ⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thesuccessnps/⁠Success NP Podcast Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠successnps.com⁠Success NP Podcast Email: ⁠⁠⁠⁠⁠⁠⁠⁠successnpspodcast@gmail.com⁠
We also have a NEW FREE MINI COURSE!! "Presenting A Patient Case" is our free Mini-Course to help NPs do the most challenging part of NP clinicals!! Check out the link ⁠here⁠ to get this FREE resource. Also, sign up for our NP Bootcamp we are launching, the first 50 people will get the course at a special price when it launches soon! 
We are partnered with Collaborating Docs to help NPs start their practices!! Our discount code will get you $500 off the onboarding fees to work with their great company. We had Dr. Annie on our podcast earlier so check out the episode ⁠here⁠ to learn more about what she does to help connect NPs with collaborating MDs for running their practices! Use code SuccessNPs to save yourself a TON of cash. We are always working to empower your NP Journey!⁠Click here to learn more!⁠






Welcome to Vet Tales with Dr. Natalie Keith and Dr. Josiah Dame! In this episode, we delve into a common yet often overlooked issue in cats - Feline Lower Urinary Tract Disease (FLUTD). Our goal is to educate pet caretakers on the intricacies of this condition and its impact on feline health. We discuss the symptoms of FLUTD, which include bloody urine, straining to urinate, urinating in unusual places, and excessive grooming. The conversation covers the importance of diagnostics such as ultrasound and urinalysis to differentiate between conditions like cystitis, urinary blockages, and bladder stones. We also explore various treatment options, from dietary changes to stress management techniques, and even surgical interventions for severe cases. Join us as we share insights and practical advice to help improve the quality of life for cats suffering from urinary issues. Tune in to learn more about how to identify, diagnose, and manage FLUTD in your feline friends. Your questions and topic suggestions are always welcome!

Kennedy Dunn and Terinney Haley, 3rd year medical students at Howard U, explore soil and how we nourish those around us and what it means to be human in the fourth episode of Stranger Fruit Vol I.   Chapters: 0:00 Understanding Soil and Self-Care: Foundations for Growth 11:39 The Journey of Medical Education and Personal Development 40:36 Authenticity and Growth: Embracing Heritage and Personal Identity 51:37 Navigating Adversity: Cultivating Resilience and Authenticity 58:15 Mental Health and Motivation: Harnessing Anxiety for Success   Guest Host Socials! TikTok: goldendocther Instagram: goldendocther Works Cited: Prevalence of Incontinence Among Older Americans. Vital & Health Statistics, Series 3, Number 36, US Department of Health And Human Services. June, 2014 : https://www.cdc.gov/nchs/data/series/sr_03/sr03_036.pdf Nygaard I et al. Urinary incontinence and depression in middle-aged United States women. Obstet Gynecol 2003; 101: 149-156 Bogner HR et al. Anxiety disorders and disability secondary to urinary incontinence among adults over age 50. Int J Psychiatry Med 2002; 32: 141-154. Sutherst J, Brown M: Sexual dysfunction associated with urinary incontinence. Urol Int 35: 414, 1980 Intro Music: Bosch's Garden - by Kjartan Abel. This work is licensed under the following: CC BY-SA 4.0 Attribution-ShareAlike 4.0 International.    

The affected organs of our patients determine the route of administration for an ASO, as certain routes can better target specific organs and offer the best potency. The central nervous system (CNS) is the most common target we encounter, and for this, we dose intrathecally. Let's dive into how this is done and the particulars of why this approach is used. The Human Body and Barriers The Four Tubes – Enteral, Respiratory, Urinary, and the Central Nervous System (CNS) tube How The Body Constructs Barriers What is Cerebrospinal Fluid (CSF) The Blood-Brain Barrier (BBB) The Types of Molecules That Are Admitted to and Excluded From the CNS Intrathecal Administration of Drugs Outwitting the Blood-Brain Barrier Survey Link – Patient Empowerment Program Podcast: https://forms.office.com/r/1ik9WNs7QB Register for the 2024 Nano-rare Patient Colloquium: https://www.nlorem.org/nano-rare-patient-colloquium-2024/

Can you pee in the ocean?  Hot Take It Away.  Ask Alex.  Donate to Matt Okine's "fun" run here.  VOTE FOR MATT OKINE, DENISE SCOTT AND MOTHER & SON IN THE 2024 TV WEEK LOGIE AWARDS HERE  If you've got something to add to the show, slide into our dm's @Matt.and.AlexSee omnystudio.com/listener for privacy information.

Dr. April Dominick // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, #ICEPelvic faculty member April Dominick shares how YOU can make a huge impact on the quality of life of a client with an upcoming prostatectomy simply through education on pelvic floor muscle retraining, lifestyle changes and physical activity AND learn the ESSENTIAL clinical pearls to include in a pre-operative physical therapy session when working with this population. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION APRIL DOMINICK This is Dr. April Dominick. I am on faculty with the ICE Pelvic Division. Today we are chatting about prehab for a prostatectomy surgery. Why is prehab important and what should be included in your PT session with that pre prostatectomy client? This topic, it is so near and dear to my heart. it's because these humans just don't have the treatment or education that they deserve prior to going into these surgeries and afterwards when they come out. And if I can convince you why it is so important to be able to connect with these humans and to even just educate them on, hey, there is Help for you. There's pelvic floor muscle training that can be done education about behaviors whether that is you actually doing the PT session or you referring them to someone else it can have incredible outcomes for them post-op just because they are aware of pelvic floor physical therapy for their surgery the prostatectomy so Let's dive into what a prostatectomy surgery actually is. It is something to treat prostate cancer, and that's going to be by removing part or the full gland of the prostate. They're also going to remove surrounding tissues and seminal vesicles. The gold standard for surgery is a radical prostatectomy where they remove the entire prostate gland. I didn't have a walnut, so here's what we're working with. This fig represents the prostate. So let's run through some real estate of where everything is situated in someone with a prostate in terms of the pelvic floor and the organs. So we have our bladder here and then we have the bladder neck with the urethra that goes through our prostate. and this is going to be representative of the urethra itself. So the urethra goes from the bladder neck through this fig or the prostate and then down into the penis and that is how everything is set up. With a prostatectomy, after the prostate is removed, that extra support around the urethra is now lost, and the remaining bit of that urethra now needs to be reconnected back to the bladder. This reconnection, we can think about it like a bridge, or a fancy term is the anastomosis, and that anastomosis needs time to heal. So a Foley catheter is placed in for about five to ten days. That means that the bladder is or the urine is emptying passively. The bladder is not doing its job. It's off on vacation. And then once the catheter is removed, the bladder acts like it forgot how to start or how to store urine. It doesn't know what to do with it. And so we have a lot of urinary leakage. So among other things, this is why urinary incontinence or urinary leakage is a major side effect with these prostatectomy surgeries. post-op, the external urethral sphincter is relied on for maintaining continence. So good news for us, the pelvic floor muscles help to close that sphincter and keep pee in until it's appropriate to release it. And that's why pelvic floor muscle training with physical therapy can be so important pre-op and post-op, at least from the bladder side of things. So who does the prostatectomy surgery affect? Well, obviously those diagnosed with prostate cancer. It is the second leading cause of death from cancer in males. It's going to affect our individuals who are older than 50 years old and who are African-American. So if you think about who you are treating currently, if you're treating individuals who have prostates who are older than 50, one in eight of them are probably gonna have some run-in with prostate cancer, whether that's treated with a surgery or not. That's where you come in. You could have such a profound effect with these individuals just by educating them that pelvic floor muscle training exists And whether you're again, whether you're doing the treatment or you're referring out to someone else, you can have such an incredible impact on their post-op outcomes potentially. So, We talked about with a post-prostatectomy, we talked about that surgery can result in urinary incontinence or leakage. It can also affect sexual function. There can be reduced physical function. Think about it. If you're leaking all the time, is that really going to convince or motivate you to go work out? For some, no. And then it'll also affect the overall health-related quality of life. Take 65 year old Phil. You've got a Phil in your clinic. You're already treating him for low back pain, um, with his hikes and his weightlifting, say. And he went in for his annual physical, and then he walked out with a date for a surgery for radical prostatectomy. Besides being in shock that he now has this potentially life threatening diagnosis, Phil comes in and is like, this happened. He's like, am I, am I ever going to be able to hike with my hiking group and not be the person that smells like pee? Am I going to be able to be cool with being in the changing room in the, in the locker room after my weightlifting session, like removing this soggy pair of underwear, or am I going to be able to enjoy sexy times with his partner? Well, since you're here and you intently are listening to this podcast, You, your first line of question is, hey, Phil, did they recommend any sort of physical therapy for you? Um, whether it's pre-op or post-op. And of course, Phil's like, no. So you teach him that pelvic floor muscle training can be so effective and helpful, um, and play a huge role in those side effects that he's worried about. Y'all, what if we could have an incredibly bigger impact, building the foundation, setting the stage for what to expect post-surgery, just with PT sessions? Clinically, I've been treating this population, hopefully you can hear my passion behind it, for about seven years. I've interacted with so many fills that come in, if they even get to me, right? and they are just slapped with that surgery date, and the side effects are kind of breezed through during their appointment, it seems like. And their concerns aren't really heard, their well-being and their questions, they're just kind of like not given a lot of attention. I didn't always do pre-op sessions, but once I started, hoo-wee, I was just blown away by how different the clinical outcomes were in terms of improving, whether that was decreasing the volume of urinary leakage for some or having them return back to their ADLs exercise a little bit sooner. The biggest thing, which was so powerful for me, is these people came in extremely uncertain, having no idea even why, if their doctor did send them to PT, why they were there. And they were just uncertain about these really scary side effects, about how maybe for the first time they were going to experience some sort of losing control of their bodies, from peeing unexpectedly to changes in their erections. And they walked out of that first session feeling a little more confident, a little more certain. And that is the power, I believe, of these pre-op sessions. And then from a research side of things, what's shaking out in the few RCTs that we have for these pre-op sessions and their effects on prostatectomy, some may be helpful in improving quality of life. they may affect a shorter hospital stay. They may reduce post-op urinary leakage in the short term. So some studies find around month one, three, or six, that the individual is leaking less, meaning they're drier faster. Now, when you compare someone who had some pre-op PT to someone who did not around 12 months, they are about the same with their rate. But I would argue that I bet folks are going to be a lot more satisfied if they did that prehab and they are drier sooner, right? So let's go into what a prostatectomy PT session entails before that surgery. We've got these sessions already in place. for folks who are going in for surgery for their ACL repair, for their hip replacement. But just like we're fighting with our pregnant and postpartum population, we are somehow having to fight for someone to have a pre-obsession for something like a prostatectomy, and that impacts so many daily functions. Let's outline what is involved in that pre-op PT session. Again, you can educate someone on what to expect if you're referring them to someone to do this. So we'll go over subjective, objective, and the treatment. From an assessment side of things, from that subjective piece, what you can be talking to your patient about is what are their current bladder and sexual habits? How many voids do they have during the day? How many times do they go pee? Do they have an urge? Do they have urinary leakage or hesitancy? And there are some outcome measures that go over these things. The International Prostate Symptom Score goes over those things. Plus they ask about nocturia or nighttime urination. And then the NIH Chronic Prostatitis Symptom Index is another outcome measure. And I love it because it asks about the impact of these symptoms. How is it affecting your quality of life? Then you want to also ask about their sexual function. How would they rate their erection strength or their satisfaction with their sexual life? From an outcome measure standpoint, you can give them the International Index of Erectile Function. This is something that asks them to rate qualities of their erection from the past four weeks. Then you want to also get a good idea of their current physical activity regimen. What a wonderful time to, if they're already a little physically inactive, hey, let's like plug in for, here's why it would be really great if you could up that physical activity. Not just for that immediate post-op surgical outcome, but also, hey, we can lower all cause mortality. And then from an objective side of things, so we went over the subjective, objectively speaking, we want to get a pelvic assessment. Whether that is over the clothes, external, near that midline, or it is a visual or tactile palpation, or an internal rectal assessment, if that's what you're trained in. So we're looking for, what's their awareness? Do they even know that they have this group of muscles that they can control? called the pelvic floor. We want to be looking at their coordination, timing of the pelvic floor, and then also getting an idea of what is their breathing and bracing strategies for things that increase interabdominal pressure, like fitness activities or functional lifting of the groceries, coughing, running, weightlifting. Typically, this population tends to be a breath holder. So we're gonna spend some time, there's just so much that we can do to help them in this area, to help them have improvements in their methods with that. And then we also wanna be doing some sort of general orthoscreen because what if their hips are cranky? Obviously that's gonna affect pelvic floor, low back, and all those surgical outcomes. From a treatment side of things, so we went over subjective, objective, highlights from the treatment side of things. where we'll talk about education, what to expect post-op, and some homework for them to work on. Education. I cannot stress this enough. The education piece here is vital for affecting their outcomes and well-being. Let's educate them on the pelvic floor. Here's what it is. Here's the anatomy and physiology. Here's how it affects your penis. whether that's for sexual health or for the urethra for urination. Here is what happens during the surgery. Get to know the surgeons in your area and which methods they use. What are their outcomes, right? And then you want to be explaining the risk factors for these side effects like urinary leakage and sexual function. dysfunction. Non-modifiable factors. If you're older, it's not going to help you as much. And if you already have some reductions in urinary function, like you're already leaking, that is not going to help you on the backside. Modifiable factors, tons. So things like smoking, poor nutrition, That is gonna delay healing post-op. Can we identify some current bladder irritants and reduce those immediately post-op? What about poor mental health? Things like low self-efficacy or if they're experiencing anxiety or depression, helping them ID these things and finding them some psychosocial support to have upcoming for the surgery and post-op, so key. and then reduced physical activity. Hard health is heart health. What do I mean by that? Erections, ejaculation, is related to vascular health. Hard health is heart health. So what affects our vascular system? Aerobic and resistance training exercise. If we can have them and talk to them about how it's important and how increasing that physical activity is going to improve their physiologic resilience to the surgery itself and any complications that come up, that is gonna be having such a huge impact on their quality of life. Regarding physical activity, in a 2014 RCT by Mina et al, they found that men who were meeting physical activity guidelines prior to surgery had greater health-related quality of life at six and 26 weeks post-op compared to men who were not meeting those physical activity guidelines. So, from a post-op perspective, we want to tell them what to expect. Urinary incontinence and sexual dysfunction. From the urinary incontinence side of things, they will have a Foley catheter in for five to 10 days. Remember, the bladder doesn't work during this time. Once that catheter is removed, we gotta retrain that neural pathway to help control the bladder so that they know, oh, my bladder is filling, or this is how I'm gonna stop that leakage from coming out, and how to fully empty the bladder. Another huge tip, have them bring a hygiene product, whether that's a pad or a diaper or something, with them to the hospital so that when they are discharged, they have something to help protect them on their way home or on their way to the store to grab their meds. And then urinary incontinence could be present from a couple of months to a year post-op. We see a significant improvement in that three to six month range, but it could be affected by things like, hey, it gets worse at the end of the day because the pelvic floor muscles are tired, or with transitional movements like sitting to stand. So working on these movements with them is gonna be super helpful pre-op. And then maybe talking to them about how, if you're not going to see them for 10 days or so post-op, we may be using the pad weight or the number of pads in a 24-hour period as a marker for our progress. So just having that in the back of their mind. When it comes to what to expect from a sexual function standpoint post-op, it can take up to two years to recover to baseline function from an erection standpoint. We want to set these expectations from an ejaculation standpoint. Dry ejaculate is going to happen now because those seminal vesicles were removed, and that's what helps produce that ejaculate. There may be some changes in their orgasm sensation. Erections, it could be dependent on surgery outcomes. How much nerve sparing was there in that procedure? They have the potential to get better with this, especially with pelvic floor muscle training or things like pumps. And then loss of penile length. This is something that we want to let them know can happen so they don't get a little surprise. Homework wise, we want to address any of those pelvic floor deficits we found from that objective piece, especially that breathing and bracing strategy. We can do that with biofeedback, whether that's with a mirror, with a palpation from the therapist or from them, and just to really improve their awareness and coordination there. And then giving them cues that connect them to the pelvic floor. Evidence supports, hey, pelvic floor contractions with the following cues, like shortening the penis, though I've been told nobody wants to have that. So something like nuts to guts or stopping the flow of urine is great for that. One side of the range of motion, the contraction side of the range of motion of the pelvic floor, and then something for the relaxation side, like let the testicles or base of penis hang loose. I did an Instagram post recently, so you can check that out on the ICE or Revitalize Pelvic Physio page. And then we wanna be, for homework, modifying their poor lifestyle habits. Can we reduce those bladder irritants, process sugar? Can we increase your physical activity and mental health? And then finally, we want to be scheduling their followup visits on the calendar. So whether that's for pre-op, a couple more sessions, or as early as 10 days, once that catheter is removed, they can pop back in to your office. SUMMARY So, I hope you found that information helpful. We reviewed how prevalent prostate cancer is, especially for those who are 50 plus. We know that radical prostatectomy is the gold standard for treatment. Two major things that are affected post-op are urinary incontinence and erectile dysfunction. Pre-op PT sessions are fairly new, but we have some evidence that says, hey, those who partake in pre-op sessions are drier sooner than their counterparts. And then from a PT session standpoint, thinking about asking what their current bladder and sexual function is, asking them about physical activity, mental health, objectively getting a measurement of the pelvic area, and helping them connect with that area a little bit more. Treatment-wise, we want to really harp on that education. about what the pelvic floor is, how it can help with their function, and also what to expect, possible side effects, modifiable risk factors, and then giving them homework to work on those deficits, and then finally scheduling that additional follow-up before surgery and then getting their post-op session on the calendar. My next podcast, I'm going to go into detail on what a post-op session post prostatectomy looks like. So tune in for that. And then if you want to learn more about pelvic floor examination, join us live. We have our next two courses. One is July 20th, 21st in Cincinnati, Ohio. And then July 27th and 28th, we are gonna be in Laramie, Wyoming. If you're wanting more of a virtual option, we have our two different courses that are eight weeks, L1 and L2. And in L2, we go over the male pelvic health conditions as well. Thank y'all so much for tuning in from my prostate slash walnut. Happy Monday, and I'll see you next time. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. 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This episode is meant to follow Episode #96, Erectile dysfunction, premature ejaculation, urinary issues, pain and the prostate with Urologist, Dr. Matthew Ho. In this episode with fellow physiotherapist, Corinne Wade, we discuss the physiotherapy approach to addressing some of the most common pelvic floor related symptoms that men experience. Erectile dysfunctionPremature ejaculationUrinary issues Genital and pelvic pain Prostate related issues Corinne Wade is a registered physiotherapist with 25 years' experience in pelvic floor physiotherapy.  She has worked in both the USA and Canada.  She is the proud owner of her own Pelvic Health clinic in Kelowna, BC called Kare Physiotherapy,   She treats conditions such as urinary/fecal incontinence, pelvic organ prolapse, pelvic pain and sexual health issues for all genders.  Corinne is passionate about mythbusting and breaking the taboos around topics such as poo, pee and sex!How to Contact Corinnewww.karephysio.com InstagramThanks for joining me! Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/Support the Show.

I have to start with the song.  On our last podcast about urinary incontinence the song request was, “Let it go.”  This time around several suggestions were raised.  Eric suggested, “Even Flow,” by Pearl Jam.  Someone else suggested, “Under Pressure,” but we've done it already.  We settled on, “Oops…I did it again,” by Britney Spears. In some ways the song title captures part of the issue with urinary incontinence.  If only we lived in a world in which much of urinary incontinence was viewed as a natural part of aging, the normal response wasn't embarrassment and shame, but rather an ordinary, “Oops…I did it again.”  And if only we lived in a world in which this issue, which affects half of older women and a third of older men, received the research and attention it deserves. We shouldn't have therapeutic nihilism about those who seek treatment, yet urinary incontinence is woefully understudied relative to its frequency and impact, and as we talk about on the podcast, basic questions about urinary incontinence have yet to be addressed. I don't see those perspectives as incompatible. Today we talk with George Kuchel and Alison Huang about: Urinary incontinence as a geriatric syndrome and relationship to frailty, disability, and cognitive decline Assessment of incontinence: the importance of a 48 hour voiding diary, when to send a UA (only for acute changes) How the assessment leads naturally to therapeutic approaches Non-pharmacologic approaches including distraction, scheduled voiding, and pelvic floor therapy “Last ditch” pharmacologic treatments.  Landmark studies by Neil Resnick and Joe Ouslander.   Enjoy! -@AlexSmithMD   

✨ Urinary incontinence may not be a common conversation topic, but it profoundly impacts quality of life. Even small leaks can lead to reduced fitness, low self-esteem, relationship struggles, and even anxiety and depression. It's time to take control! ✨This week on @thrivingthrumenopause, we're thrilled to welcome urogynecologist Dr. Sarah Boyles to discuss urinary incontinence and pelvic health. Here's what you'll learn:

This week's episode is brought to you by the following:  Pique: For a limited time, get 15% off Nandaka + a free rechargeable frother and cup with my link at https://www.piquelife.com/VALERIA  Bird & Be: Try it out today and save an extra 15% off your first purchase with code NOTALONE15 on https://www.birdandbe.com.  LMNT: Exciting news, LMNT has a fantastic offer just for Not Alone listeners. Just go to https://www.DrinkLMNT.com/Notalone to get a free sample pack with any drink mix purchase! This week, Valeria is joined by Dr. Sara Reardon, a pelvic health physical therapist, for an enlightening conversation on the often overlooked but vital topic of pelvic health. In this episode, Dr. Sara, known affectionately as the "Vagina Whisperer," dives into the importance of pelvic floor health, debunking common myths, discussing postpartum challenges, and providing empowering knowledge for women at all life stages. From discussing the implications of pelvic health on mental wellbeing, to dispelling postpartum sex misinformation, to actionable advice on advocating for better medical care, this podcast is a must-listen for anyone interested in reclaiming and understanding their body, learning how to advocate for yourself, and learning the critical aspects of pelvic wellness. Dr. Sara Reardon PT, DPT, WCS is a doctor of physical therapy and board-certified pelvic floor physical therapist with over 17 years of experience helping women with bowel and bladder issues, painful intercourse, pregnancy, postpartum recovery, and staying dry and pain-free in the later years of life. She is known on social media as The Vagina Whisperer with collectively over 600,000 followers on Instagram and TikTok.  Sara is the Founder and Chief Vagina Officer of The Vagina Whisperer, an online platform with pelvic floor education and exercises for pregnancy, postpartum, menopause, painful sex and pelvic floor strengthening. She is currently writing her first book, FLOORED: A Complete Guide to Women's Pelvic Floor Health at Every Age and Stage.  Sara is on: https://www.instagram.com/the.vagina.whisperer  https://www.tiktok.com/@thevagwhisperer  Get 7 days of free pelvic floor and core workouts: https://thevagwhisperer.com/ Not sure if your pelvic floor needs therapy? Take Sara's one-minute quiz that will let you know where to start: https://thevagwhisperer.com/quiz/ Books mentioned: https://liketk.it/4FOVU  Shop my look from this episode: https://www.shopltk.com/explore/valerialipovetsky/posts/522942f1-9846-11ee-ba2b-0242ac110004  Valeria is on: https://www.instagram.com/valerialipovetsky/  https://www.youtube.com/channel/UCWkDFq1pO7YNzifE3A4UsMA  https://www.tiktok.com/@valeria.lipovetsky  Not Alone Podcast What We Talked About: 00:00 Intro 00:49 Pelvic health physical therapist 02:12 Specializing in pelvic floor health 03:39 The pelvic floor physiology 05:33 Normalize talk about pelvic floor 08:11 How to become the driver of your own healthcare  11:28 Women are still struggling with pelvic care 14:26 Common postpartum care issues 17:04 Marital troubles and painful intercourse 19:20 Connection between painful sex and pelvic floor 23:11 Urinary leakage after childbirth 24:58 Workout for the pelvic floor 26:27 How do you educate young girls about pelvic floor health 29:59 Physical changes after giving birth 35:51 Less traumatic postpartum recovery   37:37 How to prepare for afterbirth care 41:43 Better options for better healthcare for women 43:56 Resources to learn more about birthing and postpartum Learn more about your ad choices. Visit megaphone.fm/adchoices

Did you know that 2 in 5 menopausal or postmenopausal women are affected by stress urinary incontinence? Today on The Girlfriend Doctor, I delve into a crucial yet often overlooked topic: urinary incontinence. Learn about the different types of incontinence, what causes them, and most importantly, discover actionable solutions. In this episode, you'll gain insights into the role of bioidentical hormones and pelvic floor exercises in improving incontinence symptoms. Hear how real individuals heal incontinence with holistic approaches to women's health and see how it might relate to your own experiences. Discover the benefits of hormonal therapy, including DHEA and testosterone, in managing and potentially reversing urinary incontinence. If you or someone you know is struggling with this issue, don't miss out on this informative and empowering discussion. And don't forget to check out my product, Balance: a Wild Yam Progesterone Cream. With natural ingredients and potent hormonal support, it's the dream cream for hormonal balance and anti-aging benefits. Visit drannacabeca.com/balance to experience the effects of this dream cream firsthand.   Key Takeaways: [00:02:25] Urinary incontinence in menopause. [00:05:13] Urinary incontinence treatments. [00:11:49] Mixed urinary incontinence. [00:15:37] Pelvic floor physical therapy. [00:17:24] Hormones and urinary incontinence. [00:20:37] Incontinence in women's health. Memorable Quotes: "We don't want to live that way, right? We want to be able to do what we want to do when we want to do it, with no fear of shame or embarrassment at all." [00:06:31] – Dr. Anna Cabeca "It's estimated that approximately 70% of women associate their incontinent symptoms with the onset of menopause. This is important to know, but you don't have to just live with it." [00:13:52] – Dr. Anna Cabeca Links Mentioned:  Balance, Wild Yam Progesterone Cream: https://drannacabeca.com/products/pura-balance-ppr-cream   Connect with Dr. Anna Cabeca: Website: https://drannacabeca.com/pages/show Instagram: https://www.instagram.com/thegirlfrienddoctor/ Personal Instagram: https://www.instagram.com/dranna__c