Podcasts about UTI

Show notes at pharmacyjoe.com/episode1067. In this episode, I'll discuss recent guidelines about complicated UTI treatment. The post 1067: The IDSA's 4 Step Approach to Choosing Empiric Therapy to Treat Complicated UTI appeared first on Pharmacy Joe.

What happens when a febrile infant presents at 61 days old? Are they suddenly low risk for invasive bacterial infections? In this episode, we explore the gray zone of managing febrile infants aged 61–90 days with the help of two new clinical prediction rules from PECARN. Joining us are two powerhouses in pediatric emergency medicine: Dr. Nate Kuppermann and Dr. Paul Aronson, who walk us through their recent study published in Pediatrics. We discuss why prior research has traditionally stopped at 60 days, what the new data shows about risk in this slightly older age group, and how these rules might help guide clinical decision-making. This study fills a long-standing gap—but should we start using the rules now? Tune in for a nuanced discussion on sensitivity, missed cases, practical application, and the future of risk stratification in young infants with fever. What is your practice in terms of work-up of 2-3 month old febrile infants? Will this change what you do? Hit us up social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children's National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Paul Aronson, Professor of Pediatrics (Emergency Medicine); Deputy Director, Pediatric Residency Program at Yale University School of Medicine Resources: “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? Aronson PL, Mahajan P, Meeks HD, Nielsen B, Olsen CS, Casper TC, Grundmeier RW, Kuppermann N; PECARN Registry Working Group. Prediction Rule to Identify Febrile Infants 61-90 Days at Low Risk for Invasive Bacterial Infections. Pediatrics. 2025 Sep 1;156(3):e2025071666. doi: 10.1542/peds.2025-071666. PMID: 40854562; PMCID: PMC12432541. Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Apr 1;173(4):342-351. doi: 10.1001/jamapediatrics.2018.5501. PMID: 30776077; PMCID: PMC6450281. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O'Leary ST, Okechukwu K, Woods CR Jr; SUBCOMMITTEE ON FEBRILE INFANTS. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug;148(2):e2021052228. doi: 10.1542/peds.2021-052228. Epub 2021 Jul 19. Erratum in: Pediatrics. 2021 Nov;148(5):e2021054063. doi: 10.1542/peds.2021-054063. PMID: 34281996. **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

00:28 Cold Open: October Vibes, Reese's Shapes, GameStop Stories02:11 Bobby Upgrades to PS5 Pro12:32 Dying Light: The Beast Impressions21:06 Chase Updates: Death Stranding 2, Super Robot Wars, Pokémon Emerald Sea Glass24:57 September Picks Recap30:09 October PS+ Essentials31:23 Xbox Game Pass Changes & Strike Update35:32 Birthday Month Wheel Tradition35:56 October Releases Preview (Magical Delicacy, Ghosts of Uti, more)This Week on The Casual Hour…We've got a stacked month of October to preview, with a little something for both Chase and Bobby to chew on. Plus, GameStop's grading trading cards now? Oh brother. All that and more on this edition of The Casual Hour!// T W I T C H  &  Y O U T U B E------------------------------------------------------------------------------------M W F @ 9 PM CSTtwitch.tv/thecasualhouryoutube.com/thecasualhour// S U B S C R I B E------------------------------------------------------------------------------------https://www.youtube.com/thecasualhourWe post Casually Considereds and VODs from previous streams weekly!// F O L L O W------------------------------------------------------------------------------------One link to rule them all: www.thecasualhour.com// T H E   C A S U A L   H O U R------------------------------------------------------------------------------------Bobby Pease - https://linktr.ee/bob_ombyChase Koeneke - http://Linktr.ee/chase_koeneke// M U S I C------------------------------------------------------------------------------------Love our theme music? It was created by Patric Brown. You can follow his antics on Twitter @insaneanalog or check out more of his music and download our theme at www.insaneanalog.com

No 3 em 1 desta quinta-feira (02), o destaque foi a aprovação, pela Câmara dos Deputados, da isenção do Imposto de Renda para quem ganha até R$ 5 mil, promessa de campanha do presidente Lula (PT). A proposta foi aprovada por unanimidade, com 493 votos, e agora segue para o Senado. O texto prevê compensação com a taxação de rendimentos acima de R$ 50 mil. Reportagem: Victoria Abel. O presidente Lula (PT) comemorou a aprovação, afirmando que a medida “corrige uma grande injustiça”. O ministro da Fazenda, Fernando Haddad (PT), também celebrou, classificando o resultado como uma “votação histórica, um golaço”. Já o líder da Câmara, Hugo Motta (Republicanos), disse que a medida representa um “alívio direto no bolso”. Reportagem: André Anelli e Lucas Martins. A Câmara também aprovou a urgência de um projeto que endurece as penas para a falsificação de bebidas. A medida é uma reação à crise de intoxicação por metanol, que levou diversas pessoas, entre elas o rapper Hungria, à UTI. Em São Paulo, a fiscalização já apreendeu quase mil garrafas adulteradas. Reportagem: Lucas Martins e Misael Mainetti. O ministro da Fazenda, Fernando Haddad (PT), anunciou viagem a Washington para tentar um acordo sobre o tarifaço imposto pelos Estados Unidos. A iniciativa ocorre enquanto a aguardada reunião entre os presidentes Lula (PT) e Donald Trump ainda não tem data definida. Reportagem: André Anelli. Tudo isso e muito mais você acompanha no 3 em 1. Learn more about your ad choices. Visit megaphone.fm/adchoices

#Cardiologia #AfyaCardio #AtualizaçãoMédica Nesse videocast, o Dr. José Roberto fala sobre Onde nasceu a 1ª UTI do Brasil? Gostou do conteúdo? Compartilhe este vídeo com seus colegas médicos! Aqui você encontra conteúdos atualizados, diretos ao ponto e focados em quem vive a Medicina na prática.

In this episode, we will reveal how manufacturers secretly decrease the size of products like coffee and paper towels—resulting in a hidden price hike that contributes to overall inflation. (We will also look into policy options for increasing consumer transparency.) Today's Stocks & Topics: Universal Technical Institute, Inc. (UTI), Market Wrap, American Bitcoin Corp (ABTC), The Shrinkflation Problem: How You're Paying More for Less at the Grocery Store, KBR, Inc. (KBR), How Interest Rates Affect the Economy, Dolly Varden Silver Corporation (DVS), Modine Manufacturing Company (MOD), Vertiv Holdings Co (VRT), Government Shutdown, Roth I-R-A & K1, U.S. Credit Markets. Our Sponsors:* Check out Gusto: https://gusto.com/investtalk* Check out TruDiagnostic and use my code INVEST for a great deal: https://www.trudiagnostic.comAdvertising Inquiries: https://redcircle.com/brands

What if aging wasn't about being discarded, but about reclaiming your dignity and power? In this powerful episode of Innovate and Elevate, host Sharon Kedar sits down with her personal doctor, Dr. Rachel Rubin, a board-certified urologist and sexual medicine specialist. Dubbed "The Women's Dignity Doctor" by Sharon, Dr. Rubin is on a mission to fix the menopause care crisis by educating both patients and clinicians. The two unpack the systemic failures of modern medicine, from the misinterpretation of the 2002 Women's Health Initiative study to the shocking fact that doctors are still not adequately trained in women's midlife health. Dr. Rubin shares her five-step "prescribing" guide for HRT, including testosterone and vaginal estrogen, and a deeply personal story about why this work is a matter of life and death. This is a must-listen for every woman who feels like a "hot mess," or is an advocate for a woman in her life, who is not feeling like herself.What You'll Learn from this Episode:The Midlife Care Crisis: Understand why women are often left to navigate menopause symptoms like brain fog, joint pain, and sleep issues on their own, and how the medical community's siloed approach to care has failed them. Dr. Rubin explains why this is a systemic problem, not a failure of individual doctors.The "NFLM" Diagnosis: Learn about the "Not Feeling Like Myself" diagnosis that Dr. Rubin uses to describe the common, but often dismissed, symptoms of perimenopause and menopause.The Five Pillars of HRT: Get a detailed look at the five key areas of hormone replacement therapy that Dr. Rubin covers in her course for clinicians: systemic estrogen, progesterone, testosterone, vaginal hormones, and vulvar vestibule cream.A Call for Dignity: Hear why Dr. Rubin and Sharon believe that access to proper menopause care is about more than just managing symptoms—it's about a woman's fundamental dignity. Dr. Rubin shares a poignant story about a patient who was at risk of dying from a UTI due to lack of treatmentConnect with Sharon:On LinkedInOn InstagramLearn more about the Innovate and Elevate podcastSubscribe to Innovate and Elevate on YouTubeJoin the newsletter to receive the latest episodes in your inboxConnect with Dr. Rachel Rubin:On LinkedInOn InstagramLearn more on her websiteTake the Hormone Therapy for Early Adopters courseAdditional Resources:Find a sexual medicine provider at ISSWSH.orgThe 2002 Women's Health Initiative American Urologic Association guidelines on genital urinary syndrome of...

Pregnant women, IVF Pregnancy, Diabetes, UTI, Kidney Stones, Post Partum, Eating Disorders, Nursing Mothers, Post Op, Severe Anxiety, Panic Attacks, Fall Risk, Elderly Patients, Fertility Treatments

This week I'm joined by fellow German New Medicine Educator, Abigail! She shares some great stories about hairloss, a conflict active symptom of a separation conflict; her resolution of a chronic stuffed nose; the discovery and resolution of eczema, a healing phase symptom of a separation conflict on her mother-child side; and finally a UTI story of a territorial marking conflict resolution. Abigail shares some great alternative strategies of resolution or downgrading symptoms! You can find Abigail's instagram and podcast here: Podcast: Freedom From Fear: A German New Medicine Podcasthttps://open.spotify.com/show/0kJT9t1ijNDvH8kkwQ0b5VInstagram:​⁠

Der ehrliche Sister-Talk mit Stefi: Wir quatschen über brennende Momente auf der Autofahrt, über Stefis XL-Blasentee, über ihre Trigger und über Studienwissen aus der Urologie. Viel Spaß.

Prevenir PAV( Pneumonia Associada à Ventilação mecânica) é missão central para quem atua em UTI e CCIH. No episódio #159 do InfectoCast, Lino e William detalham as estratégias mais eficazes para reduzir riscos — protocolos de desmame e sedação, cabeceira elevada, higiene oral, cuff, tubos subglóticos e medidas adicionais baseadas em evidências.▶️ Ouça agora e fortaleça sua prática com foco em prevenção e controle de infecção hospitalar.

Did you know unexplained heart palpitations could be a sign of a hidden UTI or other kidney issues? On this episode of the Ancient Health Podcast, Dr. Motley explains how this connection works as well as possible remedies. Learn about how to spot kidney trouble by exploring Traditional Chinese Medicine and even Embryology. Show notes ⬇️ Recommendations: Talk Therapy → To release trapped fear EMDR NET - https://www.instagram.com/dr.samriley/ Uva Ursi to cleanse the kidneys → https://shorturl.at/vqxmG BodyGuard Supreme to break kidney stones → https://shorturl.at/l7KuF Cranberries + D-Mannose ------  Follow Doctor Motley Instagram TikTok Facebook Website ------  *If you're a health coach looking to advise parents and families, or even if you're a hardcore health nerd who wants to dive deeper and take advantage of ALL Doctor Motley's clinical experience, he has a membership to help you get the most out of your health and help the people you love. Check it out for free for 15 days: doctormotley.com/15 *If you want to work with Dr. Motley virtually, you can book a discovery call with his team here: https://drmotleyconsulting.com/schedule-1333-7607 *Coffee-lovers unite! Lifeboost Coffee is gentle on the stomach, clean - we're talking third-party tested for mold and other toxins - and won't spike your anxiety. Right now you can get 58% off at lifeboostcoffee.com/DRMOTLEY

If you're a cat parent, especially to a male cat, there's one word that should be on your radar: blocked.Emergency veterinarian Dr. Tannetje Crocker has seen many cats come into her ER with urinary blockages, and she's here to share her experience with the differences between a UTI and a blockage, the sneaky warning signs to look out for, and how stress, diet, and even a moving day may be triggers. Plus, she answers listener questions about multi-cat households, and why your cat might be peeing outside the litter box (hint: it's likely not just attitude). Tune in now!   Care Experts is a weekly podcast by CareCredit where we sit down with doctors and experts who give information, tips and insight into healthcare treatments and procedures. Check in every Wednesday for new episodes at carecredit.com/careexperts or follow on your favorite podcast app.   CareCredit is a health, wellness and personal care credit card that has helped millions of people with promotional financing options and is accepted at hundreds of thousands of provider and retail locations nationwide. Learn more at carecredit.com.

Zwei Frauen, zwei Länder, ein Thema: Wiederkehrende Blasenentzündungen. In dieser Episode spricht Melissa Kramer von Live UTI Free mit mir offen über unsere persönlichen Erfahrungen mit ihrer Blase. Wir teilen, welche Therapien der Communities geholfen haben, wie sich die Gesundheitssysteme unterscheiden und warum der psychische Aspekt eine große Rolle spielt.

Do you have pain or burning when you pee? If so, you might have a urinary tract infection. They're remarkably common. About 50% of women will develop one in their lifetime, and they get even more common as women get older and go through menopause. If you're one of the 50% unlucky enough to come down with a UTI, this podcast is for you...For more information about the National Association for Continence, click here, and be sure to follow us on Facebook, Instagram, Twitter and Pinterest.Music:Rainbows Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 3.0 Licensehttp://creativecommons.org/licenses/by/3.0/If you look at the numbers behind incontinence in women, it's hard to believe just how big an issue it is. Incontinence affects more women than diabetes, breast cancer and heart disease, but it doesn't get the attention it deserves. That's why NAFC has created the We Count campaign, to help you realize that you are not alone, and there are treatments available right now that can make a real difference in your life. Visit NAFC.org/we-count to learn more.

Today, I am thrilled to reconnect with Dr. Kelly Caspersen, a urologist who empowers women to live their best love lives. She is a two-time author, with her latest being The Menopause Moment. In our conversation, we cover a wide range of topics, from navigating UTI purgatory and understanding the vaginal microbiome to how vaginal estrogen can dramatically reduce the risk of sepsis and death in the ICU. We unpack the evolving language of hormones- specifically progesterone, estrogen, and testosterone and we examine censorship and bias on social media, and the differences between prescribers and non-prescribers. We explore the effects of SSRIs on bone and brain health, changes in self-perception in middle age, and the effects of the baby boomer generation and the Women's Health Initiative, exposing the medical gaslighting behind the use it or lose it narrative. We also offer practical options for women who cannot take hormones, and Dr. Kelly shares her go-to supplements and those she avoids. This conversation is one of my recent favorites. Dr. Kelly's enthusiasm is contagious, and her straightforward approach makes complex topics clear, practical, and unforgettable. IN THIS EPISODE, YOU WILL LEARN: Why recurrent UTIs can feel like UTI purgatory How hormone terminology is evolving, and what that means for women in midlife The value of vaginal estrogen, and the potential it holds for saving women's lives How the approaches of prescribers and non-prescribers differ How SSRIs can raise the risk of bone fractures  The brain health and self-perception shifts that often occur in midlife  Why the use it or lose it belief is misleading, and how it veers into medical gaslighting How the baby boomer generation and the Women's Health Initiative still influence women's healthcare today Some alternative options for women who cannot take hormones Dr. Kelly shares her preferred supplements and those she avoids Bio:  Dr. Kelly Casperson, MD Urologist • Author • Podcaster • Women's Health Thought Leader Dr. Kelly Casperson is a board-certified urologist, best-selling author, and top-ranked international podcaster empowering women to take control of their health, hormones, and sexuality. Known for blending science with storytelling, she transforms complex medical topics into relatable and actionable insights that help women live fully and fearlessly—especially in midlife. With her signature candor and evidence-based clarity, Dr. Casperson dismantles long-held myths around sex, menopause, and desire. Her acclaimed podcast, You Are Not Broken, has become a go-to resource for hundreds of thousands of women seeking real answers about their bodies and brains. Her groundbreaking work integrates urology, neuroscience, and mindset coaching to drive lasting change in intimacy, confidence, and overall well-being. As a keynote speaker and educator, Dr. Casperson challenges outdated norms in medicine while offering bold, science-backed solutions. She's on a mission to build a world where women are educated, empowered, and no longer afraid of their own bodies. Whether she's on stage, in a clinic, or behind the mic, Dr. Casperson is leading a health revolution—one smart, honest conversation at a time. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Kelly Casperson On her website On Instagram You Are Not Broken (Podcast) The Menopause Moment is available on Amazon and Barnes and Noble.

Desde o nascimento, a vida de Pedro Henrique foi atravessada por olhares e palavras que tentaram reduzir quem ele poderia ser. Sua primeira experiência com o capacitismo havia sido poucas horas depois dele nasceu, quando o médico disse à sua mãe, ainda na maternidade: “ele vai ser tipo um anão de circo”. A frase marcou o início de uma trajetória em que sobreviver significou enfrentar, diariamente, um mundo que insiste em não enxergar pessoas com deficiência como iguais.Prematuro de oito meses, Pedro foi direto para a UTI. Sua mãe o reencontrou cheio de tubos e, assustada com os diagnósticos duros, chegou a pensar que talvez fosse melhor o filho não sobreviver a tanto sofrimento. Mas o Pedro sobreviveu e logo descobriu que viver com deficiência seria enfrentar o capacitismo em cada espaço.Na infância, seu primeiro contato com a representação do nanismo foi com os anões da Branca de Neve, retratados como adultos infantilizados. Na escola, o preconceito foi ainda mais cruel quando ele muda de um colégio de bairro, onde todos o conheciam, e vai para uma escola muito maior.Na escola nova, que era religiosa, ele ouviu de professores e colegas que era um karma para os pais. Ao mesmo tempo, assistia à TV transformar pessoas como ele em piada, e nas ruas sofria agressões físicas e verbais. Lembra do “pedala Robinho” popularizado pelo Pânico na TV? A tudo isso se somava ainda a homofobia. Ainda criança, Pedro sabia que se interessava por meninos, mas estudava em uma escola religiosa que dizia que isso era pecado. Imagina uma pessoa com deficiência, que já é vista como uma provação para família, se assumir homossexual? Impossível.Foram quase trinta anos até ele conseguir se assumir como homem com deficiência e como homem gay. Só então começou a se reconhecer digno de existir, de se olhar no espelho e se sentir desejado.Mas no campo afetivo, as marcas do capacitismo persistiam: “fica, mas não assume”, “fica, mas não leva pra família”. Para o Pedro, a exclusão aparece nas relações, nas festas, nos trabalhos que nunca chegam.Hoje, ele é diretor, roteirista, ator, jornalista e influenciador. Vai com medo, mas vai. Porque acredita que pessoas com deficiência não só produzem arte como também transformam as narrativas de um país que insiste em não incluí-las.

Hey Tinies!This week, Melissa's still struggling with a UTI that totally ruined her weekend away with Toby. She opens up about the symptoms and shares some tips for anyone going through the same thing. Sophie's mum has come to stay and got herself stranded in SheBu with 3% phone battery and no clue what to do. On top of that, Sophie's hormones are raging. The pregnancy red midst still lingers and she's got loaaads of new icks including men who drink tea (Jamie, take notes

Welcome back to another week with UTI! That man Druski is a foo! bigkasthatguypm@gmail.com

Worldwide, 150 million women get urinary tract infections (UTIs) yearly, and 30-44% of them get recurrent UTIs (defined as 2+ infections in 6 months, or 3+ in a year.)I was one of those women.UTIs are so prevalent that they are the second-most common reason for antibiotic prescriptions on the planet. And in case you've never had one, rest assured that UTIs are painful, disruptive, and deeply anxiety-producing.They are also, 90% of the time, contracted due to sexual intercourse.UTIs are a sex problem, which often also makes them a relationship problem. If you, as a man, has had a woman partner who was stressed about having sex out of fear of getting a UTI; a friend with serious health issues due to her gut biome being decimated by antibiotics; or a sex partner who was in tears, in despair at getting yet another one, you're far from alone.Fortunately, you be a hero to all the women in your lives by spreading the word about a solution:Good Kitty has an extremely effective prevention method. Their doctor-developed, urologist-approved formula supports good bacteria, neutralizes the bad when it matters (i.e. right after sex), and impacts the bacteria in the gut that cause UTIs, thus helping to prevent recurrence.This interview with Meghan Blake, CEO and co-founder of Good Kitty, is both entertaining sobering, enlightening, and uplifting. Also, I drop a few F-bombs, so that's always fun. ;)Real talk: Reliable UTI prevention is life-changing for both her sex life, and yours.Work with usIf you're committed to breaking old patterns and transforming your sex & love life in a real and lasting way, we'd love to work with you. To see if there's a fit, book a call here. www.evolutionary.men/apply---Mentioned on this episode:Good Kitty Co.: https://goodkittyco.com/ (use code DEARMEN20 for 20% off)---Memorable quotes from this episode:"Every time we had sex, this was the outcome."“I was desperate. It was like, 'This cannot be happening to me again.'”“These can be really serious infections if they're not treated.”“I wanted to have someone to blame.”“I know it's him!”“Guys are really wanting to help, and do whatever they can to care.”“This is getting in the way of our sex lives, and our sex lives are the source of a lot of our joy and connection.”“I don't want to become a celibate person because of UTIs.”“It has made my heart burst open.”

Welcome back to another session from UTI! bigkasthatguypm@gmail.com

Ever wondered how far you'd go to care for someone you love? How much dignity you'd sacrifice? I found my answer on the side of I-20 during Atlanta rush hour.When my mother started talking to people who weren't there, walking into walls, and fidgeting constantly, I suspected a UTI—those sneaky infections that can make dementia symptoms appear dramatically worse. After three grueling weeks of attempting to collect a urine sample from my incontinent mother, we finally succeeded. With my precious cargo secured, I had exactly one hour to reach a lab 45 minutes away.What followed was nothing short of a caregiver's nightmare. Halfway to the lab, my body betrayed me, forcing an emergency roadside stop that left me sweating, shaking, and utterly humiliated—but still clutching that precious urine sample. You'll have to listen to the episode for all that went down - listener discretion advised!This raw, unfiltered story illustrates the invisible battles caregivers fight daily. We sacrifice comfort, dignity, and sometimes even our own health in service of those who depend on us. But in those moments of chaos and desperation, we discover reservoirs of strength we never knew existed.If you're caring for someone with dementia, remember this: UTIs are the worst. They can cause dramatic behavioral changes that mimic worsening dementia. Before assuming your loved one's condition is deteriorating, check for infection. And never, ever stop advocating—even when it means pulling over on a busy highway or challenging medical professionals who stand in your way.Subscribe to Parenting Up for more unvarnished truths about the caregiving journey. Because sometimes the messiest stories offer the most valuable lessons.Support the show"Alzheimer's is heavy but we ain't gotta be!"IG: https://www.instagram.com/parentingupFB: https://www.facebook.com/parentingupYT: https://www.youtube.com/channel/UCDGFb1t2RC_m1yMnFJ2T4jwPatreon: https://patreon.com/jsmilesstudiosTEXT 'PODCAST" to +1 404 737 1449 - to give J topic ideas, feedback, say hi!Be sure to leave us a review!

Sabe o lance do show do Gusttavo Lima na véspera da Maratona de Aracaju? O gato subiu no telhado, hoje é dia da Meia de Buenos Aires, eu e o Jacob Kiplimo vamos correr a prova, Adidas vai fazer desafio de bater o recorde mundial dos 100 km com tênis proibidão, o corredor atropelado em Salvador e que teve a perna amputada saiu da UTI e Paul tergat foi o primeiro atleta a entrar no Hall da Fama da São Silvestre.#corrida #corridaderua #corridaderuabrasil #paultergat #jacobkiplimo #saosilvestre #maratonadearacaju

YEP…Its another episode of You Asked, We Answered! In this episode, we will look at the data to answer 2 questions that came into the show within the last 24 hrs: 1. Is oral or topical therapy best for first treatment of uncomplicated vulvovaginal candidiasis? (We have new data- AJOG, Sept 2025, to answer that), and 2. Is urine PCR testing for UTI diagnosis a “routine practice”? (We will look at 4 sources of information to answer that one). Listen in for details. 1. Gardella, Barbara et al. Treatment of uncomplicated vulvovaginal candidiasis: topical or oral drugs? Single-day or multiple-day therapy? A network meta-analysis of randomized trials. American Journal of Obstetrics & Gynecology, Volume 233, Issue 3, 152 - 1612. Invited Commentary: JAMA Netw Open: Published Online: November 26, 20242024;7;(11):e2446711. doi:10.1001/jamanetworkopen.2024.467113. March 2025 (AAFP): Are the Advantages of Urine PCR Testing Worth the Higher Costs? https://www.aafp.org/pubs/afp/afp-community-blog/entry/are-the-advantages-of-urine-pcr-testing-worth-the-higher-costs.html4. July 2025: PALTmed: https://paltmed.org/news-media/paltmed-calls-providers-stop-using-routine-pcr-urine-tests-utis5. https://pathnostics.com/limitations-of-pcr-only/

Chris is in the hotseat and immediately starts over thinking a call involving a possible stroke... or UTI... or hypoglycemia... or alcohol? Check out @ems2020show in Instagram and vote on his performance!

Multiple system atrophy is a rare, sporadic, adult-onset, progressive, and fatal neurodegenerative disease. Accurate and early diagnosis remains challenging because it presents with a variable combination of symptoms across the autonomic, extrapyramidal, cerebellar, and pyramidal systems. Advances in brain imaging, molecular biomarker research, and efforts to develop disease-modifying agents have shown promise to improve diagnosis and treatment. In this episode, Casey Albin, MD speaks with Tao Xie, MD, PhD, author of the article “Multiple System Atrophy” in the Continuum® August 2025 Movement Disorders issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Xie is director of the Movement Disorder Program, chief of the Neurodegenerative Disease Section in the department of neurology at the University of Chicago Medicine in Chicago, Illinois. Additional Resources Read the article: Multiple System Atrophy Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Full episode transcript available here Dr. Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Albin: Hello everyone, this is Dr Casey Albin. Today I'm interviewing Dr Tao Xie about his article on diagnosis and management of multiple system atrophy, which appears in the August 2025 Continuum issue on movement disorders. Welcome to the podcast, and please introduce yourself to our audience. Dr Xie: Thank you so much, Dr Albin. My name is Tao Xie, and sometimes people also call me Tao Z. I'm a mood disorder neurologist, professor of neurology at the University of Chicago. I'm also in charge of the mood disorder program here, and I'm the section chief in the neurodegenerative disease in the Department of Neurology at the University of Chicago Medicine. Thank you for having me, Dr Albin and Dr Okun and the American Academy of Neurology. This is a great honor and pleasure to be involved in this education session. Dr Albin: We are delighted to have you, and thank you so much for the thoughtful approach to the diagnosis and management. I really want to encourage our listeners to check out this article. You know, one of the things that you emphasize is multiple system atrophy is a fairly rare condition. And I suspect that clinicians and trainees who even have a fair amount of exposure to movement disorders may not have encountered that many cases. And so, I was hoping that you could just start us off and walk us through what defines multiple system atrophy, and then maybe a little bit about how it's different from some of the more commonly encountered movement disorders. Dr Xie: This is a really good question, Dr Albin. Indeed, MSA---multisystem atrophy----is a rare disease. It is sporadic, adult-onset, progressive, fatal neurodegenerative disease. By the name MSA, multisystem atrophy. Clinically, it will present with multiple symptoms and signs involving multiple systems, including symptoms of autonomic dysfunction and symptoms of parkinsonism, which is polyresponsive to the levodopa treatment; and the symptom of cerebellar ataxia, and symptom of spasticity and other motor and nonmotor symptoms. And you may be wondering, what is the cause- underlying cause of these symptoms? Anatomically, we can find the area in the basal ganglia striatonigral system, particularly in the putamen and also in the cerebellar pontine inferior, all of the nuclear area and the specific area involved in the autonomic system in the brain stem and spinal cord: all become smaller. We call it atrophy. Because of the atrophy in this area, they are responsible for the symptom of parkinsonism if it is involved in the putamen and the cerebral ataxia, if it's involved in the pons and cerebral peduncle and the cerebellum. And all other area, if it's involved in the autonomic system can cause autonomic symptoms as well. So that's why we call it multisystem atrophy. And then what's the underlying cellular and subcellular pathological, a hallmark that is in fact caused by misfolded alpha-synuclein aggregate in the oligodontia site known as GCI---glial cytoplasmic increasing bodies---in the cells, and sometimes it can also be found in the neuronal cell as well in those areas, as mentioned, which causes the symptom. But clinically, the patient may not present all the symptoms at the same time. So, based on the predominant clinical symptom, if it's mainly levodopa, polyresponsive parkinsonism, then we call it MSAP. If it's mainly cerebellar ataxia, then we call it MSAC. But whether we call it MSP or MSC, they all got to have autonomic dysfunction. And also as the disease progresses, they can also present both phenotypes together. We call that mixed cerebellar ataxia and parkinsonism in the advanced stage of the disease. So, it is really a complicated disease. The complexity and the similarity to other mood disorders, including parkinsonism and the cerebellar ataxia, make it really difficult sometimes, particularly at the early stages of disease, to differentiate one from the other. So, that was challenging not only for other professionals, general neurologists and even for some movement disorder specialists, that could be difficult particularly if you aim to make an accurate and early diagnosis. Dr Albin: Absolutely. That is such a wealth of knowledge here. And I'm going to distill it just a little bit just to make sure that I understand this right. There is alpha-synuclein depositions, and it's really more widespread than one would see maybe in just Parkinson's disease. And with this, you are having patients present with maybe one of two subtypes of their clinical manifestations, either with a Parkinson's-predominant movement disorder pattern or a cerebellar ataxia type movement disorder pattern. Or maybe even mixed, which really, you know, we have to make things quite complicated, but they are all unified and having this shared importance of autonomic features to the diagnosis. Have I got that all sort of correct? Dr Xie: Correct. You really summarize well. Dr Albin: Fantastic. I mean, this is quite a complicated disease. I would pose to you sort of a case, and I imagine this is quite common to what you see in your clinic. And let's say, you know, a seventy-year-old woman comes to your clinic because she has had rigidity and poor balance. And she's had several falls already, almost always from ground level. And her family tells you she's quite woozy whenever she gets up from the chair and she tends to kind of fall over. But they noticed that she's been stiff,and they've actually brought her to their primary care doctor and he thought that she had Parkinson's disease. So, she started levodopa, but they're coming to you because they think that she probably needs a higher dose. It's just not working out very well for her. So how would you sort of take that history and sort of comb through some of the features that might make you more concerned that the patient actually has undiagnosed multiple systems atrophy? Dr Xie: This is a great case, because we oftentimes can encounter similar cases like this in the clinic. First of all, based on the history you described, it sounds like an atypical parkinsonism based on the slowness, rigidity, stiffness; and particularly the early onset of falls, which is very unusual for typical Parkinson disease. It occurs too early. If its loss of balance, postural instability, and fall occurred within three years of disease onset---usually the motor symptom onset---then it raises a red flag to suspect this must be some atypical Parkinson disorders, including multiple system atrophy. Particularly, pou also mentioned that the patient is poorly responsive to their levodopa therapy, which is very unusual because for Parkinson disease, idiopathic Parkinson disease, we typically expect patients would have a great response to the levodopa, particularly in the first 5 to 7 years. So to put it all together, this could be atypical parkinsonism, and I could not rule out the possibility of MSA. Then I need to check more about other symptoms including autonomic dysfunction, such as orthostatic hypertension, which is a blood pressure drop when the patient stands up from a lying-down position, or other autonomic dysfunctions such as urinary incontinence or severe urinary retention. So, in the meantime, I also have to put the other atypical Parkinson disorder on the differential diagnosis, such as PSP---progressive supranuclear palsy---and the DLBD---dementia with Lewy body disease.---Bear this in mind. So, I want to get more history and more thorough bedside assessment to rule in or rule out my diagnosis and differential diagnosis. Dr Albin: That's super helpful. So, looking for early falls, the prominence of autonomic dysfunction, and then that poor levodopa responsiveness while continuing to sort of keep a very broad differential diagnosis? Dr Xie: Correct. Dr Albin: One of the things that I just have to ask, because I so taken by this, is that you say in the article that some of these patients actually have preservation of smell. In medical school, we always learn that our Parkinson's disease patients kind of had that early loss of smell. Do you find that to be clinically relevant? Is that- does that anecdotally help? Dr Xie: This is a very interesting point because we know that the loss of smelling function is a risk effect, a prodromal effect, for the future development of Parkinson disease. But it is not the case for MSA. Strange enough, based on the literature and the studies, it is not common for the patient with MSA to present with anosmia. Some of the patients may have mild to moderate hyposmia, but not to the degree of anosmia. So, this is why even in the more recent diagnosis criteria, the MDS criteria published 2022, it even put the presence of anosmia in the exclusion criteria. So, highlight the importance of the smell function, which is well-preserved for the majority in MSA, into that category. So, this is a really interesting point and very important for us, particularly clinicians, to know the difference in the hyposmia, anosmia between the- we call it the PD, and the dementia Lewy bodies versus MSA. Dr Albin: Fascinating. And just such a cool little tidbit to take with us. So, the family, you know, you're talking to them and they say, oh yes, she has had several fainting episodes and we keep taking her to the primary care doctor because she's had urinary incontinence, and they thought maybe she had urinary tract infections. We've been dealing with that. And you're sort of thinking, hm, this is all kind of coming together, but I imagine it is still quite difficult to make this diagnosis based on history and physical alone. Walk our listeners through sort of how you're using MRI and DAT scan and maybe even some other biomarkers to help sort of solidify that diagnosis. Dr Xie: Yeah, that's a wonderful question. Yeah. First of all, UTI is very common for patients with MSA because of urinary retention, which puts them into a high risk of developing frequent UTI. That, for some patients, could be the very initial presentation of symptoms. In this case, if we check, we say UTI is not present or UTI is present but we treat it, then we check the blood pressure and we do find also hypertension---according to new diagnosis criteria, starting drop is 20mm mercury, but that's- the blood pressure drop is ten within three minutes. And also, in the meantime the patients present persistent urinary incontinence even after UTI was treated. And then the suspicion for MS is really high right at this point. But if you want increased certainty and a comfortable level on your diagnosis, then we also need to look at the brain MRI mark. This is a required according to the most recent MDS diagnosis criteria. The presence of the MRI marker typical for MSA is needed for the diagnosis of clinically established MSA, which holds the highest specificity in the clinical diagnosis. So then, we have- we're back to your question. We do need to look at the brain MRI to see whether evidence suggestive of atrophy around the putamen area, around the cerebellar pontine inferior olive area, is present or not. Dr Albin: Absolutely. That's super helpful. And I think clinicians will really take that to sort of helping to build a case and maybe recognizing some of this atypical Parkinson's disease as a different disease entity. Are there any other biomarkers in the pipeline that you're excited about that may give us even more clarity on this diagnosis? Dr Xie: Oh, yeah. This is a very exciting area. In terms of biomarker for the brain imaging, particularly brain MRI, in fact, today there's a landmark paper just published in the Java Neurology using AI, artificial intelligence or machine learning aid, diagnoses a patient with parkinsonism including Parkinson's disease, MSA, and PSP, with very high diagnostic accuracy ranging from 96% to 98%. And some of the cases even were standard for autopsy, with pathological verification at a very high accurate rate of 93.9%. This is quite amazing and can really open new diagnosis tools for us to diagnose this difficult disease; not only in an area with a bunch of mood disorder experts, but also in the rural area, in the area really in need of mood disorder experts. They can provide tremendous help to provide accurate, early diagnosis. Dr Albin: That's fantastic and I love that, increasing the access to this accurate diagnosis. What can't artificial intelligence do for us? That's just incredible. Dr Xie: And also, you know, this is just one example of how the brain biomarker can help us. Theres other---a fluid biomarker, molecular diagnostic tools, is also available. Just to give you an example, one thing we know over the past couple years is skin biopsy. Through the immunofluorescent reaction, we can detect whether the hallmark of abnormally folded, misfolded, and the phosphorate, the alpha-synuclein aggregate can be found just by this little pinch of skin biopsy. Even more advanced, there's another diagnosis tool we call the SAA, we call the seizure amplification assay, that can even help us to differentiate MSA from other alpha-synucleinopathy, including Parkinson disease and dementia with Lewy bodies. If we get a little sample from CSF, spinal cerebral fluids, even though this is probably still at the early stage, a lot of developments still ongoing, but this, this really shows you how exciting this area is now. We're really in a fast forward-moving path now. Dr Albin: It's really incredible. So, lots coming down the track in, sort of, MRI, but also with CSF diagnosis and skin biopsies. Really hoping that we can hone in some of those tools as they become more and more validated to make this diagnosis. Is that right? Dr Xie: Correct. Dr Albin: Amazing. We can talk all day about how you manage these in the clinic, and I really am going to direct our listeners to go and read your fantastic article, because you do such an elegant job talking about how this takes place in a multidisciplinary setting, if at all possible. But as a neurointensivist, I was telling you, we have so much trouble in the hospital. We have A-lines, and we have the ability to get rapid KUBs to look at Ilias, and we can have many people as lots of diagnosis, and we still have a lot of trouble treating autonomiclike symptoms. Really, really difficult. And so, I just wanted to kind of pick your brain, and I'll start with just the one of orthostatic hypotension. What are some of the tips that you have for, you know, clinicians that are dealing with this? Because I imagine that this is quite difficult to do without patients. Dr Xie: Exactly. This is indeed a very difficult symptom to deal with, particularly at an outpatient setting. But nowadays with the availability of more medication---to give an example, to treat patients with orthostatic hypertension, we have not only midodrine for the cortisol, we also have droxidopa and several others as well. And so, we have more tools at hand to treat the patient with orthostatic hypertension. But I think the key thing here, particularly for us to the patient at the outpatient setting: we need to educate the patient's family well about the natural history of the disease course. And we also need to tell them what's the indication and the potential side effect profile of any medication we prescribe to them so that they can understand what to expect and what to watch for. And in the meantime, we also need to keep really effective and timely communication channels, make sure that the treating physician and our team can be reached at any time when the patient and family need us so that we can be closely monitoring, their response, and also monitoring potential side effects as well to keep up the quality of care in that way. Dr Albin: Yeah, I imagine that that open communication plays a huge role in just making sure that patients are adapting to their symptoms, understanding that they can reach out if they have refractory symptoms, and that- I imagine this takes a lot of fine tuning over time. Dr Xie: Correct. Dr Albin: Well, this has just been such a delight to get to talk to you. I really feel like we could dive even deeper, but I know for the sake of time we have to kind of close out. Are there any final points that you wanted to share with our listeners before we end the interview? Dr Xie: I think for the patients, I want them to know that nowadays with advances in science and technology, particularly given a sample of rapid development in the diagnostic tools and the multidisciplinary and multisystemic approach to treatment, nowadays we can make an early and accurate diagnosis of the MSA, and also, we can provide better treatment. Even though so far it is still symptomatically, mainly, but in the near future we hope we can also discover disease-modifying treatment which can slow down, even pause or prevent the disease from happening. And for the treating physician and care team professionals, I just want them to know that you can make a difference and greatly help the patient and the family through your dedicated care and also through your active learning and innovative research. You can make a difference. Dr Albin: That's amazing and lots of hope for these patients. Right now, you can provide really great care to take care of them, make an early and accurate diagnosis; but on the horizon, there are really several things that are going to move the field forward, which is just so exciting. Again today, I've been really greatly honored and privileged to be able to talk to Dr Tao Xie about his article on diagnosis and management of multiple system atrophy, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes for this and other issues. And thank you again to our listeners for joining us today. Dr Xie: Thank you so much for having me. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

UTIs: the ultimate party crasher in the world of sex and relationships. But what's the real deal behind these pesky infections? Join us on this episode of Shameless Sex as we dive into the wild world of urinary tract infections with Megan Henken, Co-Founder and Chief Marketing Officer of MyUTI. With over two decades of experience in diagnostics and biotech, Megan's on a mission to transform women's health through innovation, education, and empathy. Here's what you'll learn from this episode: • The lowdown on UTIs: what they are, how they're caused, and why they're not just a vulva-owner problem • UTI myths busted: separating fact from fiction and tackling the shame and stigma surrounding vaginal health • How to ID UTI symptoms and what might feel like a UTI but isn't (psst... it's not just about the burning sensation) • The scoop on Micro Plasma, BV, and other mysterious conditions that might feel like a UTI • Home remedies to keep UTIs at bay and promote vaginal wellness • How hormones and aging affect UTI risk - and what you can do about it Megan shares her personal journey of struggling with recurrent UTIs and how it sparked her passion for improving care for women. As a healthcare marketing executive and entrepreneur, she's led the commercial launch of over 20 products, generating $93M+ in revenue. Tune in to learn more about MyUTI, a game-changing digital health platform offering advanced at-home testing and personalized guidance for UTIs, STIs, and BV. And as a special treat, use the code SHAMELESS10 at checkout on http://Myuti.com for 10% off And to learn even more go to: Instagram: @_myuti_ YouTube: https://www.youtube.com/@myuti Ready to kick UTIs to the curb and take control of your vaginal health? Listen to this episode and join the conversation. ⁠Join us for our next Shameless Sex retreat in the Coachella Valley, CA September 11th-14th: ⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/49b9fx8b⁠⁠⁠⁠⁠⁠⁠ Get premium access to our behind the scenes episodes here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://shamelesssex.supportingcast.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Do you love us? Do you REALLY love us? Then order ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠our book⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ now! Go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠shamelesssex.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to snag your copy Support Shameless Sex by sending us gifts via our ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Amazon Wish List⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Other links: Get 10% off + free shipping with code SHAMELESS on Uberlube AKA our favorite lubricant at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://uberlube.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get 10% off while learning the art of pleasure at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://OMGyes.com/shameless⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get 15% off all of your sex toys with code SHAMELESSSEX at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://purepleasureshop.com⁠⁠⁠⁠⁠⁠⁠⁠⁠

Confira nesta edição do JR 24 Horas: O influenciador Hytalo Santos e o companheiro dele, presos por exploração e exposição de crianças e adolescentes na internet, foram transferidos para o Centro de Detenção Provisória, em São Paulo. Eles estavam presos em Carapicuíba, na Grande São Paulo. No início da tarde desta segunda-feira (18), eles foram encaminhados para o CDP II de Pinheiros. E ainda: Faustão deixa UTI e vai para quarto de internação, em São Paulo.

Is the FDA phasing out natural thyroid?Study:  Lithium for Alzheimer's diseaseMore on water filtration issuesMy mother-in-law has hallucinations when she has a UTI.  Why is that?Are dental mouth guards toxic?  Is there a better alternative for clenching and bruxism?

Nesse episódio, Vinícius Zofoli, médico intensivista e editor-chefe de terapia intensiva do portal Afya, discute as possíveis causas da hipocalcemia no cenário da UTI, assim como o seu manejo em pacientes críticos. Aperte o play e ouça agora!Confira esse e outros posts no ⁠Portal Afya⁠ e siga nossas redes sociais!⁠Facebook⁠⁠Instagram⁠⁠Linkedin⁠⁠Twitter

Confira os temas do Check-up Semanal de hoje: Laringoespasmo na anestesia. Como proceder?; O que os especialistas em UTI precisam saber sobre transfusões de plaquetas; Diretriz de profilaxia de TEV no perioperatório de cirurgia cardiovascular; AAP 2024: Manejo da ansiedade em crianças com TEA; 10 dicas de gestão financeira para o início da carreira médica. Aperte o play e ouça agora!Confira esse e outros posts no ⁠Portal Afya⁠ e siga nossas redes sociais!⁠Facebook⁠⁠Instagram⁠⁠Linkedin⁠⁠Twitter

Chegou mais um check-up Semanal com as novidades da medicina e da saúde que você precisa saber para começar semana atualizado. Confira os temas do check-up de hoje: Orientações para falta de frascos de hemocultura BD BACTEC™; vacina do Butantan contra dengue grave; Mpox; nova diretriz de prevenção de sangramento gastrointestinal em pacientes de UTI; desmame de corticoides. Ouça agora!Confira esse e outros posts no ⁠Portal Afya⁠ e siga nossas redes sociais!⁠Facebook⁠⁠Instagram⁠⁠Linkedin⁠⁠Twitter

When is that sudden urge to go so bad that you should seek out medical help? How can I tell the difference between a UTI and OAB? How much water should I be drinking every day? Can a woman actually visit a urologist? These are some of the important questions that we address with today's guest, Dr. Raveen Syan. She's an associate professor of clinical urology at the University of Miami's Miller School of Medicine and a specialist in a number of women's pelvic health issues, including the treatment of stress urinary incontinence, pelvic organ prolapse and overactive bladder.  For more information about the National Association for Continence, click here, and be sure to follow us on Facebook, Instagram, Twitter and Pinterest.Music:Rainbows Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 3.0 Licensehttp://creativecommons.org/licenses/by/3.0/If you look at the numbers behind incontinence in women, it's hard to believe just how big an issue it is. Incontinence affects more women than diabetes, breast cancer and heart disease, but it doesn't get the attention it deserves. That's why NAFC has created the We Count campaign, to help you realize that you are not alone, and there are treatments available right now that can make a real difference in your life. Visit NAFC.org/we-count to learn more.

In this episode, we're joined by pelvic floor physical therapist Dr. Colleen Drahos for a conversation about pelvic floor health during perimenopause. Originally recorded on August 6 and livestreamed on the Sassquad Trail Running Facebook page and YouTube channel, this webinar dives into the unique challenges that runners may face during this season of life. Dr. Drahos unpacks common issues such as urgency, frequency, leakage, and UTI's, all of which can impact performance and quality of life on and off the trails.We discuss how hormonal shifts during perimenopause affect pelvic floor function, and Dr. Drahos shares practical strategies to stay strong and confident. Whether you're currently experiencing perimenopause or preparing for it, this conversation provides valuable insight and actionable advice for navigating these changes with strength and resilience.To learn more or connect with Dr. Colleen Drahos, visit her website at www.drahospt.com and follow her on Instagram at www.instragram.com/drdrahospt

Maybe you've never had one, or maybe you get them 5 or 6 times a year.  Natural help for bladder infections can help break the cycle of antibiotics and antibiotic resistance. Causes of UTI's Here's a list we'll review for what causes bladder infections. Some you are familiar with. Others may be new to you. chronic dehydration poor immunity diet (sugars and grains) antibiotic resistance acid-blockers (PPI's) menopause hormones expired dental fillings intercourse hygiene Full show notes

A nurse practitioner receives a message from a neighbor, a 35-year-old woman who is asking for a prescription to treat a “urine infection”. The neighbor states she's had this condition occur in the past and does quite well if she gets on an antimicrobial quickly. The neighbor also mentions that she's going out of town on a business trip the next day and is unable to contact her personal healthcare provider nor get to urgent care. The NP considers the following in prescribing a medication to her neighbor.  A. Given this is a request for a prescription that is not a controlled substance, the NP can provide the prescription as long as the patient can advise on what antimicrobials she has taken in the past. B. Providing this prescription would be a violation of federal law. C. In suspected UTI, an antimicrobial prescription should not be initiated until urine culture results are available.  D. Since the NP does not have a patient provider relationship established with her neighbor, the request for an antimicrobial should be declined. ---YouTube: https://www.youtube.com/watch?v=G1IN08Ioh74&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=121Visit fhea.com to learn more!

Open up your fortune cookie, it's John Mayer- LIVE from Los Angeles. Give ‘em the pickle, UTI jokes, and Flecainide as needed; we're giving Yes-And a run for its money. Welcome to our marriage, it's an all-new SmartLess… LIVE! Subscribe to SiriusXM Podcasts+ to listen to new episodes of SmartLess ad-free and a whole week early. Start a free trial now on Apple Podcasts or by visiting siriusxm.com/podcastsplus.

Hulk Hogan: A wrestling legend has passed away, we look at his last interview and are reminded that people can be normal one day and then just suddenly dead. Also, Ric Flair is extremely emotional on TMZ TikTok Door Kick Challenge: This can't be a real challenge right? Pretending to kick someone's door in and potentially get shot? Also an alien was spotted on security footage in Compton!? t Burrito Factory Death: Apparently a man fell into a meat grinder at the Tina's Burritos Plant and other horrific news stories. Also our upcoming Halloween Horror Nights and Epic Universe trip is on the horizon. THE BEAR!, FUCK YOU, WATCH THIS!, HULKAMANIA!, HULK HOGAN!, REAL AMERICAN!, JFK!, TMI!, UTI!, RIP!, HULK HOGAN!, WRESTLING FANS!, HULK HOGAN!, LAST INTERVIEW!, DEAD!, NORMAL ONE MOMENT!, HULK HOGAN'S LAST INTERVIEW!, RIDDLES!, TREASURE HUNT!, PASSWORD!, HIDDEN!, EMBARRASSING THINGS ON YOUR PHONE!, AFTER DEATH!, DICK PICTURES!, PORN!, CUM WITH SOUND!, UNKNOWN!, HARRY!, FACE DOWN!, ASS UP!, RIC FLAIR!, TMZ!, PUNCH DRUNK!, HARVEY LEVIN!, EMOTIONAL!, CRYING!, SPIDERS!, SKIN!, HEAD WOUND!, FOOD NETWORK!, WORST COOKS!, ANNE BURRELL!, UNALIVE!, OLDER!, TIKTOK TREND!, DOOR KICK CHALLENGE!, FLORIDA!, COMMIEFORNIA!, TEENS!, STAND YOUR GROUND!, OPEN CARRY!, TIDE PODS!, TRENDS!, PARENTS!, ETIQUETTE!, WAR OF THE WORLDS!, ICE CUBE!, PRANK!, EVA LONGORIA!, DATA IS THEIR FOOD!, SPIELBERG!, TOM CRUISE!, ALIEN!, COMPTON!, SIGNS!, ZAK BAGANS!, GHOST ADVENTURES!, MUCKBANG!, FAT GUY!, TIKTOK!, EAT YOURSELF TO DEATH!, ANYTHING FOR ATTENTION!, LEAN INTO IT!, BEGGING!, DEMANDING!, DONATIONS!, BOY BLUE!, DAVE BLUNTS!, HARD R!, 50 CENT!, BEEF!, TALKING SHIT!, EATING SHIT!, ROASTLEMANIA!, TINA'S BURRITOS!, MEAT GRINDER!, HALLOWEEN ENDS!, BURRITOS DIE TONIGHT!, FACTORY DEATHS!, EPIC UNIVERSE!, TOWER OF TERROR!, GUARDIANS OF THE GALAXY MISSION BREAKOUT!, COSMIC REWIND!, HALLOWEEN HORROR NIGHTS!, JASONUNIVERSE!, FIVE NIGHTS AT FREDDY'S!, FALLOUT!, TERRIFIER!  You can find the videos from this episode at our Discord RIGHT HERE!

Thank you for tuning into the Armor Men's Health Show again this week!  Dr. Mistry and Donna Lee are trying to catch up on listener questions so they'll answer more this week.  the first one is a question about delayed ejaculation and the second one is from a paraplegic patient who has recurrent UTI's.  Think these questions don't pertain to you?  Well, they might in a round about way some day!  If you ever are faced with delayed ejaculation or a UTI, the information found in this podcast will certainly be helpful and as you know if you're a regular listener, Dr. Mistry can make everything super interesting and relatable.  We thank you for tuning in again and we thank you for telling your friends about our award winning podcast, The Armor Men's Health Show!  Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot.Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice, NAU Urology Specialists (now Urology Specialists of Austin), in 2007.  Donna Lee works with Dr. Mistry as NAU Urology Specialists' Director of Business Development and she's also a professional standup comedian touring the country. We enjoy hearing from you! Visit www.armormenshealth.com to submit a question and we'll  answer your questions anonymously in an upcoming episode!  Phone: (512) 238-0762Website: www.armormenshealth.comEmail: armormenshealth@gmail.comOur Locations:Round Rock Office970 Hester's Crossing Road Suite 101 Round Rock, TX 78681South Austin Office6501 South Congress Suite 1-103 Austin, TX 78745Lakeline Office12505 Hymeadow Drive Suite 2C Austin, TX 78750Dripping Springs Office170 Benney Lane Suite 202 Dripping Springs, TX 78620

290: In this episode, I sit down with herbalist and healer Mourab Maraby to discuss the powerful connection between what we eat, how we digest, and how our bodies naturally heal. Mourab shares some seriously cool tools from Chinese medicine (like a ginger powder test that might predict hair regrowth!) and breaks down why getting to the root cause, rather than just masking symptoms, is key for long-term health. We also get into fruit-based detoxing, lymphatic drainage, and natural ways to support your body if you're dealing with things like headaches, UTI's, or digestive struggles. From food combining tips to the underrated magic of grapes and zeolite, this one's packed with easy, holistic ideas to level up your wellness routine. Topics Discussed: → Parasite killing herbs → Foods to eat on a parasite cleanse → What binders are best → Why food combining matters → CANDIDA → UTI's → What our lymphatic system does and why it matters → Signs and symptoms of poor lymphatic drainage → Gas, bloating, acne, fatigue, poor immune system, constipation, excess weight → How to activate our lymphatic system  → Natural ways to help muscle and joint pain → How to detox for different issues → Heavy metal detoxing → What cellulite actually is (+ how to get rid of it) As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app.  Sponsored By: →  Our Place | Go to http://fromourplace.com/and use code DIGEST for 10% → Pique Tea | http://piquelife.com/digest for up to 20% OFF and a free starter kit → Bethany's Pantry | Go to http://bethanyspantry.com/ and use code PODCAST10 for $10 anything! → Manukora | Head to http://manukora.com/DIGEST to get $70 off the Starter Kit Connect with Mourab Maraby: → Instagram → Website Check Out Bethany: → Bethany's Instagram: @lilsipper → YouTube → Bethany's Website → Discounts & My Favorite Products → My Digestive Support Protein Powder → Gut Reset Book  → Get my Newsletters (Friday Finds)

In this episode, ICS Education Committee member Shannon Wallace is joined by Workshop Chair Bob Yang to discuss one of the most anticipated sessions at ICS-EUS 2025 in Abu Dhabi:“Combating Recurrent UTIs: Latest Developments in Embedded Infections and UTI Vaccines.”This 60-minute, intermediate-level workshop dives into the science behind embedded urinary tract infections (UTIs) and explores the future of UTI vaccine development. With recurrent UTIs remaining a persistent and often misunderstood challenge in urology and urogynaecology, this session offers a timely and evidence-based update for clinicians and researchers alike.Attendees will also hear from expert speakers:Stephen Foley – presenting a critical review of current clinical evidence on UTI vaccinesChristopher Blick – sharing real-world applications and clinical insightsWhy attend?Understand the pathophysiology of embedded UTIs and intracellular bacterial reservoirsExplore the latest research and future directions in UTI vaccine developmentAnalyse clinical trial data and discuss practical applications in patient carePlaces are limited and lunch is included — so don't delay!Secure your ticket now: Workshop 12 – ICS-EUS 2025 Through its annual meeting and journal, the International Continence Society (ICS) has been advancing multidisciplinary continence research and education worldwide since 1971. Over 3,000 Urologists, Uro-gynaecologists, Physiotherapists, Nurses and Research Scientists make up ICS, a thriving society dedicated to incontinence and pelvic floor disorders. The Society is growing every day and welcomes you to join us. If you join today, you'll enjoy substantial discounts on ICS Annual Meeting registrations and free journal submissions. Joining ICS is like being welcomed into a big family. Get to know the members and become involved in a vibrant, supportive community of healthcare professionals, dedicated to making a real difference to the lives of people with incontinence.

"I argue pelvic floor physical therapists can literally change marriages." - Kim Vopni When I sat down with Kim Vopni, known as "The Vagina Coach," she dropped a bombshell that completely blew my mind about bladder infections that should be standard care—but isn't. As someone who's spent decades in the health and fitness world, I thought I knew everything about taking care of my body. But this conversation revealed a massive blind spot that affects up to 50% of women who've given birth, and countless others who haven't. Kim's expertise revealed why pelvic floor health for women over 40 is absolutely critical, yet so many of us are secretly struggling with issues we've been told are "just part of being a woman" or "normal aging." From understanding why 95% of women with low back pain have pelvic floor dysfunction to learning how vaginal estrogen can be a game-changer for UTI prevention, this episode will transform how you think about your body and empower you to take action that could literally change your life.   What you'll learn: Why pelvic floor health for women over 40 is crucial for preventing surgery and maintaining active lifestyles The shocking statistics about pelvic organ prolapse and incontinence that no one talks about How menopause and hormonal changes dramatically impact your pelvic floor function The connection between chronic constipation, posture, and pelvic floor dysfunction Why every woman should see a pelvic floor physical therapist annually (just like the dentist!) The truth about vaginal estrogen and how it can prevent recurrent UTIs Simple steps you can take right now to assess and improve your pelvic floor health How to properly integrate pelvic floor training into your existing workout routine Love the Podcast? Here's what to do: Make My Day & Share Your Thoughts! Subscribe to the podcast & leave me a review Text a screenshot to 813-565-2627 Expect a personal reply because your voice is so important to me. Join 55,000+ followers who make this podcast thrive. Want to listen to the show completely ad-free?  Go to subscribetojj.com Enjoy the VIP experience for just $4.99/month or $49.99/year (save 17%!) Click “TRY FREE” and start your ad-free journey today! Full show notes (including all links mentioned): https://jjvirgin.com/vopni Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on CockTales, Kiki and Medinah are back in the studio with updates, chaos, and laughs. Kiki shares behind-the-scenes stories about launching XO Man and the emotional moment Skyh Black cried during their interview. The girls talk reality TV obsessions—from Riley on Next Gen NYC to why Love Island might actually be softcore porn. Plus, Medinah opens up about the temptation of a romantic fly-out offer from an ex and her fear of losing the healing and clarity she's gained. The girls also plan a fantasy podcast girl reality show and get honest about sending spicy pics but not boarding the plane. And don't miss a weird sex story you'll never forget—let's just say someone got a UTI from a man who didn't deserve it. Also in this episode:A huge thank you to listeners supporting XO Man

Na série de conversas descontraídas com cientistas, chegou a vez da Médica, Doutora e Professora livre docente pelo departamento de Cardiopneumologia da Faculdade de Medicina da USP, Juliana Ferreira.Só vem!>> OUÇA (89min 54s)*Naruhodo! é o podcast pra quem tem fome de aprender. Ciência, senso comum, curiosidades, desafios e muito mais. Com o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.Edição: Reginaldo Cursino.http://naruhodo.b9.com.br*Juliana Carvalho Ferreira é graduada em medicina pela Universidade de São Paulo e atualmente é professora livre docente pelo departamento de Cardiopneumologia da Faculdade de Medicina da USP.Fez doutorado "sanduíche" no Massachusetts General Hospital / Harvard Medical School entre 2005 e 2007 e obteve o título de doutora em pneumologia pela Faculdade De Medicina da USP em 2008.Atua como médica da UTI Respiratória do InCor/HCFMUSP, é vice-supervisora da residência médica em pneumologia do InCor e membro suplente da Comissão Coordenadora do Programa de Pós Graduação em Pneumologia da Faculdade de Medicina da USP.Também é médica intensivista da UTI do AC Camargo Cancer Center, e pesquisadora do laboratório de investigação médica da pneumologia da faculdade de medicina da USP (LIM 09).Atualmente, é diretora do curso de capacitação em metodologia científica da American Thoracic Society (ATS- MECOR) na América Latina e presidente da Rede Brasileira de pesquisa em Terapia Intensiva ( BRICNet).Seus principais focos de ensino e pesquisa são ventilação mecânica, interação paciente-ventilador, educação médica e global health.É a primeira ganhadora do Philip Hopewell Prize for Global Respiratory Health Research Award, oferecido para pesquisadores em meio de carreira em países de baixa e média renda, reconhecidos por seu compromisso clínico e de pesquisa pela American Thoracic Society.É Bolsista de produtividade do CNPq Nível 2.Lattes: http://lattes.cnpq.br/5888969497931011*APOIE O NARUHODO!O Altay e eu temos duas mensagens pra você.A primeira é: muito, muito obrigado pela sua audiência. Sem ela, o Naruhodo sequer teria sentido de existir. Você nos ajuda demais não só quando ouve, mas também quando espalha episódios para familiares, amigos - e, por que não?, inimigos.A segunda mensagem é: existe uma outra forma de apoiar o Naruhodo, a ciência e o pensamento científico - apoiando financeiramente o nosso projeto de podcast semanal independente, que só descansa no recesso do fim de ano.Manter o Naruhodo tem custos e despesas: servidores, domínio, pesquisa, produção, edição, atendimento, tempo... Enfim, muitas coisas para cobrir - e, algumas delas, em dólar.A gente sabe que nem todo mundo pode apoiar financeiramente. E tá tudo bem. Tente mandar um episódio para alguém que você conhece e acha que vai gostar.A gente sabe que alguns podem, mas não mensalmente. E tá tudo bem também. Você pode apoiar quando puder e cancelar quando quiser. O apoio mínimo é de 15 reais e pode ser feito pela plataforma ORELO ou pela plataforma APOIA-SE. Para quem está fora do Brasil, temos até a plataforma PATREON.É isso, gente. Estamos enfrentando um momento importante e você pode ajudar a combater o negacionismo e manter a chama da ciência acesa. Então, fica aqui o nosso convite: apóie o Naruhodo como puder.bit.ly/naruhodo-no-orelo

SPONSORS: - Upgrade your wallet today! Get 10% Off @Ridge with code NOTTODAY at https://www.Ridge.com/NOTTODAY #Ridgepod It's the 100th episode of Not Today Pal! Jamie and Rob celebrate hitting triple digits with memories, mayhem, and major laughs. They recap some of their favorite moments so far, including the talk with PG and Jamie's harrowing battle with a UTI. They also get into Jamie's birthday at Game On, Rob wonders why Salad Fingers is playing on a monitor, talk Bad Thoughts, check out some Sopranos tattoos, talk favorite candies, and Rob shares his eternal pizza gripes. This episode has a crunchy outside, but a gooey caramel inside. Enjoy! Have a question for Rob and Jamie? Reach out at nottodaypalpodcast@gmail.com Not Today, Pal Ep. 100 https://www.instagram.com/jamielynnsigler https://www.instagram.com/nottodaypalshow https://store.ymhstudios.com Chapters 00:00:00 - Intro 00:01:36 - Jamie's Game Show Birthday 00:07:02 - A Special Memory Lane 00:08:45 - Favorite Moments From 100 Episodes 00:17:17 - Sopranos Tattoos 00:21:04 - Clip: Baby Sopranos Scene 00:25:06 - Robby Cheat Meals & New York Pizza 00:31:22 - Favorite Candy 00:37:21 - Falling Off The Wagon 00:40:43 - Distracting Cartoons Learn more about your ad choices. Visit megaphone.fm/adchoices

We play the Summer Blockbuster Game, R Kelly denied release, the government relaxes it's drinking guidelines, and why summer time is UTI time for women.

Doug's back in the kitchen after nearly dying from a TCI (mini-stroke)Dave compares Doug's Memorial Day scare to Ray the Clammer's UTI-induced brain fogRay heads to rehab; Dave wants to publish a book of Ray quotesDoug calls the meeting a “beginner's asylum”; Dave defends the newcomersRule 62, “start your day over,” and other Rayisms get debatedDave reflects on dirt, struggle, red cardinals, and the poetry of recoveryBagel store confrontation: Dave rolls his eyes and almost gets whackedReddit backlash: Dave reads Dopey Nation critiques of teaser formatFans on Reddit defend the show and say the $5/month is worth itDave tweaks the teaser style and explains his morning social media ritualMentions of Dopey Zooms and upcoming Patreon Zoom nightDave teases birthday content for a future episodeShoutout to Scott Wic aka The Rap God