Human anatomical system consisting of the kidneys, ureters, urinary bladder, and the urethra
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Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Solifenacin is a bladder antimuscarinic medication most commonly used for overactive bladder (OAB) with symptoms of urinary frequency, urgency, and urge incontinence. Like other agents in its class, understanding the pharmacology can help anticipate potential side effects, drug interactions, and downstream prescribing problems. Mechanism of Action Solifenacin selectively blocks muscarinic M3 receptors in the bladder detrusor muscle. Inhibiting these receptors reduces involuntary bladder contractions, increases bladder capacity, and delays the urge to void. While M3 selectivity may theoretically reduce side effects compared to nonselective antimuscarinics, in clinical practice, many anticholinergic effects still occur. Adverse Effects Because muscarinic receptors are present throughout the body, solifenacin can lead to a range of anticholinergic adverse effects: Dry mouth – among the most common, can be significant enough to cause dental issues with long-term use. Constipation – especially problematic in older adults; severe cases may require hospitalization. Blurred vision – due to impaired accommodation. Cognitive impairment – increased risk in older adults, particularly with cumulative anticholinergic burden. Urinary retention – paradoxical worsening in patients with bladder outlet obstruction. Drug Interactions CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, ritonavir) can increase solifenacin plasma concentrations, raising the risk of side effects. Other anticholinergics (e.g., diphenhydramine, tricyclic antidepressants, other bladder antimuscarinics) can result in additive toxicity and higher anticholinergic burden. QT-prolonging drugs (e.g., amiodarone, certain fluoroquinolones) may have additive cardiac risk since solifenacin has been associated with QT prolongation in rare cases. Prescribing Cascade Examples Constipation → Laxative initiation – A patient starts solifenacin for OAB and develops severe constipation, leading to chronic use of stimulant laxatives like senna or bisacodyl. Dry mouth → Mouth rinse prescription – Dry mouth is treated with saliva substitutes or prescription rinses, instead of reassessing the anticholinergic therapy. Cognitive decline → Donepezil initiation – In older adults, cognitive impairment may be mistaken for dementia progression, leading to cholinesterase inhibitor prescribing—directly counteracting the anticholinergic effects of solifenacin. Solifenacin can be an effective treatment for OAB, but the risk of adverse effects and prescribing cascades—especially in older adults—cannot be ignored. Healthcare professionals should regularly review the indication, monitor for anticholinergic burden, and look for opportunities to deprescribe when appropriate.
In this episode Dr Sarah Howard discusses healthy ageing in dogs with Dr Matthew Muir. Topics discussed include: The reason ageing is currently a hot topic. What leads to an increased lifespan and better quality of life? Diet changes that can impact ageing in dogs. Dr Muir discusses what we should avoid in order to increase lifespan. Matthew goes into details of what dogs' diets should look like to prevent disease. How often should we be feeding our pets? What happens to the gut microbiome as dogs get older? Dr Muir delves into supplements that can be beneficial for ageing and emerging tools that are becoming available. The importance of preventative medicine - proactive vs reactive care. Accelerators of biological ageing. Additional resources: https://pubmed.ncbi.nlm.nih.gov/11991408/ https://pmc.ncbi.nlm.nih.gov/articles/PMC11675035/https://www.frontiersin.org/journals/veterinary-science/articles/10.3389/fvets.2024.1355560/full https://pmc.ncbi.nlm.nih.gov/articles/PMC11505706/ https://www.mdpi.com/1660-3397/18/11/564https://pmc.ncbi.nlm.nih.gov/articles/PMC4936929/ https://pubmed.ncbi.nlm.nih.gov/22216092/ Adams VJ, Watson P, Carmichael S, Gerry S, Penell J, Morgan DM. Exceptional longevity and potential determinants of successful ageing in a cohort of 39 Labrador retrievers: results of a prospective longitudinal study. Acta Vet Scand. 2016;58:29. doi:10.1186/s13028-016-0204-8 Cupp CJ, Jean-Philippe C, Kerr WW, Patil AR. Effect of nutritional interventions on longevity of senior cats. Int J Appl Res Vet Med. 2007;5(3):133–149 Bermingham EN, Patterson KA, Shoveller AK, Fraser K, Butowski CF, Thomas DG. Nutritional needs and health outcomes of ageing cats and dogs: is it time for updated nutrient guidelines? Anim Front. 2024;14(3):5–16. doi:10.1093/af/vfae008 Jackson J, Radford AD, Belshaw Z, Wallis LJ, Kubinyi E, German AJ, Westgarth C. Using veterinary health records at scale to investigate ageing dogs and their common issues in primary care. J Small Anim Pract. 2025;66(2):81–91. doi:10.1111/jsap.13809 Creevy KE, O'Neill DG, Promislow DEL. Morbidity and mortality in elderly dogs – a model for human aging. BMC Vet Res. 2022;18(1):456. doi:10.1186/s12917-022-03518-8 Lewis TW, Wiles BM, Llewellyn-Zaidi AM, Evans KM, O’Neill DG. Longevity and mortality in Kennel Club registered dog breeds in the UK in 2014. Canine Genet Epidemiol. 2018;5:10. doi:10.1186/s40575-018-0066-8 Kealy RD, Lawler DF, Ballam JM, Mantz SL, Biery DN, Greeley EH, Lust G, Segre M, Smith GK, Stowe HD. Effects of diet restriction on life span and age-related changes in dogs. J Am Vet Med Assoc. 2002;220(9):1315–1320. doi:10.2460/javma.2002.220.1315 Guelfi G, Capaccia C, Tedeschi M, Bufalari A, Leonardi L, Cenci-Goga B, Maranesi M. Dog aging: a comprehensive review of molecular, cellular, and physiological processes. Cells. 2024;13(24):2101. doi:10.3390/cells13242101 Laflamme DP. Nutritional care for aging cats and dogs. Vet Clin North Am Small Anim Pract. 2012;42(4):769–791. doi:10.1016/j.cvsm.2012.04.002 Hall JA, Jewell DE. Feeding healthy beagles medium-chain triglycerides, fish oil, and L-carnitine offsets age-related changes in serum fatty acids and carnitine metabolites. PLoS One. 2012;7(11):e49510. doi:10.1371/journal.pone.0049510 Bermingham EN, Patterson KA, Shoveller AK, Fraser K, Butowski CF, Thomas DG. Nutritional needs and health outcomes of ageing cats and dogs: is it time for updated nutrient guidelines? Anim Front. 2024;14(3):5–16. doi:10.1093/af/vfae008 Bray EE, Zheng Z, Tolbert MK, McCoy BM, Kaeberlein M, Kerr KF; Dog Aging Project Consortium. Once-daily feeding is associated with better health in companion dogs: results from the Dog Aging Project. GeroScience. 2022;44(3):1779–1790. doi:10.1007/s11357-022-00575-7 Palaseweenun P, Hagen‐Plantinga EA, Schonewille JT, Koop G, Butre C, Jonathan M, Wierenga PA, Hendriks WH. Urinary excretion of advanced glycation end products in dogs and cats. J Anim Physiol Anim Nutr (Berl). 2021;105(1):149–156. doi:10.1111/jpn.13347 Yang L, Yang L, Cai Y, Luo Y, Wang H, Wang L, Chen J, Liu X, Wu Y, Qin Y, Wu Z, Liu N. Natural mycotoxin contamination in dog food: a review on toxicity and detoxification methods. Ecotoxicol Environ Saf. 2023;257:114948. doi:10.1016/j.ecoenv.2023.114948 Bridglalsingh S, Archer-Hartmann S, Azadi P, Barbier de La Serre C, Remillard RL, Sunvold GD, Bartges JW. Association of four differently processed diets with plasma and urine advanced glycation end products and serum soluble receptor for advanced glycation end products concentration in healthy dogs. J Anim Physiol Anim Nutr (Berl). 2024;108(3):735–751. doi:10.1111/jpn.13927 Marchi PH, Vendramini THA, Perini MP, Zafalon RVA, Amaral AR, Ochamotto VA, Da Silveira JC, Dagli MLZ, Brunetto MA. Obesity, inflammation, and cancer in dogs: review and perspectives. Front Vet Sci. 2022;9:1004122. doi:10.3389/fvets.2022.1004122 Schmid SM, Hoffman JM, Prescott J, Ernst H, Promislow DEL, Creevy KE; Dog Aging Project Consortium. The companion dog as a model for inflammaging: a cross-sectional pilot study. GeroScience. 2024;46(6):5395–5407. doi:10.1007/s11357-024-01217-w Ren J, Li H, Zeng G, Pang B, Wang Q, Wei J. Gut microbiome-mediated mechanisms in aging-related diseases: are probiotics ready for prime time? Front Pharmacol. 2023;14:1178596. doi:10.3389/fphar.2023.1178596 Parker A, Romano S, Ansorge R, Aboelnour A, Le Gall G, Savva GM, Pontifex MG, Telatin A, Baker D, Jones E, Vauzour D, Rudder S, Blackshaw LA, Jeffery G, Carding SR. Fecal microbiota transfer between young and aged mice reverses hallmarks of the aging gut, eye, and brain. Microbiome. 2022;10:68. doi:10.1186/s40168-022-01262-3 Ulluwishewa D, Anderson RC, McNabb WC, et al. Regulation of tight junction permeability by intestinal bacteria and dietary components. J Nutr. 2011;141(5):769–76. doi:10.3945/jn.110.135657 Cao L, Lee SG, Lim KT, Kim HR. Potential anti-aging substances derived from seaweeds. Mar Drugs. 2020;18(11):564. doi:10.3390/md18110564 Grzeczka A, Graczyk S, Kordowitzki P. Pleiotropic effects of resveratrol on aging-related cardiovascular diseases—what can we learn from research in dogs? Cells. 2024;13(20):1732. doi:10.3390/cells13201732 Kusaba A, Arai T. Shiitake mushroom powder supplementation increases antioxidative activity in dogs. Front Vet Sci. 2024;11:1355560. doi:10.3389/fvets.2024.1355560 Cho HW, Choi S, Seo K, Kim KH, Jeon JH, Kim CH, Lim S, Jeong S, Chun JL. Gut microbiota profiling in aged dogs after feeding pet food contained Hericium erinaceus. J Anim Sci Technol. 2022 Sep;64(5):937-949. Kaur J, Seshadri S, Golla KH, Sampara P. Efficacy and safety of standardized ashwagandha (Withania somnifera) root extract on reducing stress and anxiety in domestic dogs: A randomized controlled trial. J Vet Behav. 2022;51:8–15. Bharani KK, Devarasetti AK, Carey L, Khurana A, Kollipaka R, Hanuman DDV, Chetla VS, Banothu AK. Effects of ashwagandha (Withania somnifera) root extract on aging-related changes in healthy geriatric dogs: A randomized, double-blinded placebo-controlled study. Vet Med Sci. 2024 Sep;10(5):e1556 Sacoor C, Marugg JD, Lima NR, Empadinhas N, Montezinho L. Gut-brain axis impact on canine anxiety disorders: new challenges for behavioral veterinary medicine. Vet Med Int. 2024;2024:2856759. doi:10.1155/2024/2856759 Lee E, Carreras-Gallo N, Lopez L, Turner L, Lin A, Mendez TL, Went H, Tomusiak A, Verdin E, Corley M, Ndhlovu L, Smith R, Dwaraka VB. Exploring the effects of Dasatinib, Quercetin, and Fisetin on DNA methylation clocks: a longitudinal study on senolytic interventions. Aging (Albany NY). 2024;16(4):3088–3106. doi:10.18632/aging.205581 Bitto A, Ito TK, Pineda VV, LeTexier NJ, Huang HZ, Sutlief E, Tung H, Vizzini N, Chen B, Smith K, Meza D, Yajima M, Beyer RP, Kerr KF, Davis DJ, Gillespie CH, Snyder JM, Treuting PM, Kaeberlein M. Transient rapamycin treatment can increase lifespan and healthspan in middle-aged mice. eLife. 2016;5:e16351. doi:10.7554/eLife.16351 Urfer SR, Kaeberlein TL, Mailheau S, Bergman PJ, Creevy KE, Promislow DEL, Kaeberlein M. A randomized controlled trial to establish effects of short-term rapamycin treatment in 24 middle-aged companion dogs. GeroScience. 2017;39(2):117–127. doi:10.1007/s11357-017-9972-z Kaeberlein M, Creevy KE, Promislow DEL. The Dog Aging Project: translational geroscience in companion animals. Mamm Genome. 2016;27(7–8):279–288. doi:10.1007/s00335-016-9638- Mulder IE, Schmidt B, Lewis M, Delday M, Stokes CR, Bailey M, Aminov RI, Gill BP, Pluske JR, Mayer CD, Kelly D. Restricting microbial exposure in early life negates the immune benefits associated with gut colonization in environments of high microbial diversity. PLoS One. 2011;6(12):e28279. doi:10.1371/journal.pone.0028279 Hemida M, Vuori KA, Moore R, Anturaniemi J, Hielm-Björkman A. Early life modifiable exposures and their association with owner-reported inflammatory bowel disease symptoms in adult dogs. Front Vet Sci. 2021;8:552350. doi:10.3389/fvets.2021.552350 McMahon JE, Graves JL, Tovar AP, Peloquin M, Greenwood K, Chen FL, Nelson M, McCandless EE, Halioua-Haubold CL, Juarez-Salinas D. Translational immune and metabolic markers of aging in dogs. Sci Rep. 2025;15:14460. doi:10.1038/s41598-025-51976-3 Urfer SR, Kaeberlein M. Desexing dogs: a review of the current literature. Animals (Basel). 2019;9(12):1086. doi:10.3390/ani9121086 Santos JDP, Cunha E, Nunes T, Tavares L, Oliveira M. Relation between periodontal disease and systemic diseases in dogs. Res Vet Sci. 2019;125:136–140. doi:10.1016/j.rvsc.2019.05.011 Selting KA, Ringold R, Husbands B, Pithua PO. Thymidine kinase type 1 and C-reactive protein concentrations in dogs with spontaneously occurring cancer. J Vet Intern Med. 2016;30(4):1159–1166. doi:10.1111/jvim.13954 Urfer SR, Kaeberlein M. Desexing dogs: a review of the current literature. Animals (Basel). 2019;9(12):1086. doi:10.3390/ani9121086 Clark JD, Rager DR, Crowell-Davis S, Evans DL. Housing and exercise of dogs: effects on behaviour, immune function and cortisol concentration. Lab Anim Sci. 1997;47(5):500–510 See omnystudio.com/listener for privacy information.
Dr. John sits down with nurse practitioner Ruth Kriz to talk about her personal and professional journey with interstitial cystitis (IC). After years of misdiagnoses and living with chronic pain, Ruth uncovered what traditional medicine often misses — hidden infections, biofilms, and genetic factors that make healing harder. She explains how advanced testing, targeted treatments, and even vitamin D play a role in getting to the root of IC and other chronic urinary issues. Ruth also shares how to find practitioners who really understand these complex conditions and can help guide the healing process. Key Takeaways To Tune In For: (03:31) – What finally worked: finding answers and hope (04:58) – The hidden pathogens most tests don't catch (09:10) – Why traditional urine tests fall short (17:34) – How your genes can make infections stick around (19:40) – Ruth's personalized, targeted treatment approach (23:02) – Why vitamin D matters more than you think (29:20) – How to find practitioners who actually get it Resources talked about in this episode: Website: www.ruthkriz.com
Have you ever experienced going to the bathroom and after relieving, a little bit just dribbles out as you close your zipper? Even I can tell that that's incredibly annoying for men! So here is what we know about post void Dribble or better known as urinary Dribble! Be sure to watch until the end to learn how you can minimize or even prevent this! Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more. Subscribe: https://www.youtube.com/c/RenaMalikMD/?sub_confirmation=1 Share this video with a friend: https://youtu.be/k9Uoniw9Byk DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death. Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us a textWelcome back guys, the explorations continue. This week's MINI PREP SERIES episode brings you insight into UTI's, diuretics, peak weeks and plenty more!If you have been tuning in, you'll know Romana and I are on a mission to talk about every area of prep, including the ones you may not have heard about.If you have any suggestions for us, be sure to let us know.All the love to you, our tribe.S & R xWatch it here: https://youtu.be/KGZ-gIsSjDITHE ULTIMATE SHOW DAY GUIDE E-BOOK: Purchase here Beyond Condition Coaching Application: Click here Find Sarah on Instagram: @sarahparker_bb
VetFolio - Veterinary Practice Management and Continuing Education Podcasts
Diet plays a role in feline kidney disease, urinary problems such as stones and crystals, feline lower urinary tract disease and gastrointestinal problems such as inflammatory bowel disease. Tune in to this CE episode of the VetFolio Voice podcast to gain insights behind feeding strategies for cats and their species-specific quirks. You'll learn the key factors in diets that support a cat's urinary tract health. You'll also get tips on how to provide informed recommendations for clients regarding feeding their healthy, young, adult cats.
Evvy, a vaginal microbiome testing and care company, launched in 2021 with a mission to close the gender health gap by leveraging overlooked female biomarkers. Through its platform, the company has built the world's largest dataset on the vaginal microbiome and is using this novel data to drive better outcomes in women's health.
Can you be both a scientist and a mystic? In this extraordinary episode, Professor Selena Bartlett speaks with Dr. Anona Blackwell — a Lancet-published academic, former consultant physician, and author of From Medic to Mystic — about the turning point where evidence-based medicine no longer had all the answers.Raised in rural poverty in Wales and rising to the heights of British medical academia, Dr. Blackwell quietly navigated a parallel world of intuitive experiences, energy healing, and psychic insight. For decades, she kept this side hidden. Now, at 75, she's sharing it all — and helping rewire our understanding of medicine and healing.In this conversation, we explore:· The moments science couldn't explain — and why she couldn't ignore them· How trauma, intuition, and healing intersect in clinical settings· The courage it takes to speak about the unseen in a sceptical world· Why the future of medicine must integrate both body and energy, logic and intuitionDr. Blackwell's story challenges the idea that you must choose between science and spirit. Instead, she shows us that healing lives at the intersection of both.Her memoir, From Medic to Mystic, is available now.https://www.amazon.com/Medic-Mystic-Academic-Physicians-Paranormal/dp/1068511001Listen and discover what it really means to rewire medicine. Support the showSubscribe and support the podcast at https://www.buzzsprout.com/367319/supporters/newLearn more at www.profselenabartlett.com
Urinary tract infections (or UTIs) are more than a nuisance-they can be recurring and painful. Join our registered dietitians Melanie Beasley and Britni Vincent in our newest episode of Dishing Up Nutrition as they unravel the connection between your diet, your microbiome, and these infections. Listen now for expert insights regarding what makes UTIs such a frequent issue, and explore how specific foods and supplements can aid in prevention, relief, and recovery.
Urinary tract infections (or UTIs) are more than a nuisance-they can be recurring and painful. Join our registered dietitians Melanie Beasley and Britni Vincent in our newest episode of Dishing Up Nutrition as they unravel the connection between your diet, your microbiome, and these infections. Listen now for expert insights regarding what makes UTIs such a frequent issue, and explore how specific foods and supplements can aid in prevention, relief, and recovery.
Uterine incarceration in pregnancy, is a rare but troublesome complication. This occurs when a retroverted uterus becomes trapped in the pelvic cavity during pregnancy. This happens when the uterus fails to move forward as it grows, becoming stuck between the sacral promontory and pubicsymphysis. It's more common in women with prior pelvic issues or uterine anomalies. Urinary retention is the most common symptom that occurs because of elongation of the urethra by displacement of the cervix, loss of the urethro-vesical angle, and mechanical compression of the bladder neck. It is estimated to occur in 1 in 3000 patients. How do we release an incarcerated uterus? Is laparoscopy an option? And how can an ultrasound probe help (April 2025publication)? Listen in for details.
Urinary urgency and incontinence are topics that often don't get enough attention in women's health—which is exactly why we're diving into them in today's episode. Join hosts Amy and Krystle as they share top tips for better bladder health! It's common to be practicing unhealthy bladder habits without even knowing it, so we will cover what healthy habits should look like for you, your partner, and your kids!Urinary urgency is when you get the feeling that you have to rush to the bathroom, which can lead to incontinence. This is mainly caused by poor bladder habits. The good news is that you can retrain your bladder! We'll share some great tips and strategies to help retrain your brain and bladder for a more functional, healthy bladder. Whether you've had babies or not, these tips are for you!If you enjoyed listening to this episode, we would love it if you could share it to your Instagram stories and tag us, @expectingandempowered. As we like to say, knowledge is power, and we just really want to give more people the information that they may need on their motherhood journey!Expecting and Empowered Blog Post - Regaining Control: Tips for Dealing with Urge Urinary IncontinenceBladder Diary FREEBIE!Links & ResourcesExpecting and Empowered App - Enter code 'PODCAST25' at checkoutExpecting and Empowered WebsiteExpecting and Empowered InstagramThis episode was brought to you by the Pivot Ball Change Network.
In this episode, Dr. Lauren Cooley discusses benign prostatic hyperplasia, a common condition affecting older men. Dr. Cooley shares what causes the condition, its symptoms and possible treatment options.
Drink the living water – Jesus is waiting to quench your thirst! -------- Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org Find more encouragement on Instagram, TikTok, Facebook, and YouTube.
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.***
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 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!
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!
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