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Alana shares her postpartum journey with us today. She is a mother to one daughter who is two years old and is now a Yoga and Pilates Instructor, a Women's Circle Facilitator and hosts a monthly mothers group meet up in Singleton. Alana's postpartum experience involved a lot of anxiety and isolation, largely due to the challenges she faced around exclusively pumping for her daughter for 6 months due to Vasospasm and her struggles to breastfeed. She talks through her experience of going to her first mothers group and how it change her experience of motherhood, even though she has some reservations to begin with. She reminds us to be gentle on ourselves through this transition and share a few tips to support new mums. You can find all Alana classes and events on her website: https://www.youryogaspot.com.au/home Your Yoga Spot Instagram: https://www.instagram.com/youryogaspot/ Your Yoga Spot Facebook: https://www.facebook.com/people/Your-Yoga-Spot/100070900413585/ Peanut App: https://www.peanut-app.io/ Newcastle Mums and Bubs Picnic: https://www.facebook.com/groups/1418777762210977/?_rdr Welcome to Valley Village Collective If you liked todays episode follow/subscribe and leave us a review. Valley Village Collective Podcast podcast dives into the heart of motherhood, bringing you relatable stories from local mums and insights from local practitioners.Our aim is to be your virtual village where you'll feel supported and know where to turn during the rollercoaster of motherhood. Join the Village on: Insta at @valleyvillagecollective Facebook - https://www.facebook.com/profile.php?id=61555978335757&mibextid=LQQJ4d Please click the follow to stay up to date with our episodes and if you could leave a review we'd be so grateful.
Today's episode is brought to you by NipCo Welcome to our expert lactation mini series, a five part series where we're diving deep into the world of lactation. Throughout this mini series I sit down with some of the best experts within the lactation space where we focus on the crucial aspects of breastfeeding. Aiming to educate, empower & provide you with confidence to navigate your feeding journey at wherever point that may be. In today's episode, I chat with Kate Bird from Lactamo where we discuss some of the most common breastfeeding challenges. Throughout this episode Kate offers practical tips aimed to empower you when navigating these challenges. Some of the challenges we discuss are: - engorgement - nipple damage - implementing a nipple shield - over/under supply - nipple vasospasm - nipple thrush Join us next week on the pod where we will be chatting all things mastitis! Today's podcast episode is brought to you by Nipco - a maternity bra that's designed to support you through whatever feeding journey you may be in. The OG bra by nipco, has been carefully created with every Mum in mind. It's not just a breastfeeding bra; it's your buttery soft second skin. Whether you're chasing a toddler with a newborn in tow or stylish enough to flash in public, The OG bra is there for you. Uncompromising in style, support, and functionality, it's soft enough to grow with your ever changing boobs. Visit nipco.com.au and experience comfort like never before. Because every Mum deserves to feel supported in more way than one on this incredible journey.
Charmaine describes her account of how she felt something was wrong, getting different kinds of tests and finally getting properly diagnosed with Vasospasm. The website she referred to is: - https://inocainternational.com/ The FB support page :- https://www.facebook.com/groups/626759484130445 - Prinzmetal/Coronary Artery Spasm Support Group
Commentary by Dr. Bonnie Ky
CardioNerds (Amit Goyal & Daniel Ambinder) join UCSF cardiology fellows (Emily Cedarbaum, Matt Durstenfeld, and Ben Kelemen) for some fun in San Francisco! They discuss a informative case of ST-segment elevation (STEMI) due to coronary vasospasm. Dr. Binh An Phan provides the E-CPR and program director Dr. Atif Qasim provides a message for applicants. Episode notes were developed by Johns Hopkins internal medicine resident Evelyn Song with mentorship from University of Maryland cardiology fellow Karan Desai. Jump to: Patient summary - Case media - Case teaching - References Episode graphic by Dr. Carine Hamo The CardioNerds Cardiology Case Reports series shines light on the hidden curriculum of medical storytelling. We learn together while discussing fascinating cases in this fun, engaging, and educational format. Each episode ends with an “Expert CardioNerd Perspectives & Review” (E-CPR) for a nuanced teaching from a content expert. We truly believe that hearing about a patient is the singular theme that unifies everyone at every level, from the student to the professor emeritus. We are teaming up with the ACC FIT Section to use the #CNCR episodes to showcase CV education across the country in the era of virtual recruitment. As part of the recruitment series, each episode features fellows from a given program discussing and teaching about an interesting case as well as sharing what makes their hearts flutter about their fellowship training. The case discussion is followed by both an E-CPR segment and a message from the program director. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademySubscribe to our newsletter- The HeartbeatSupport our educational mission by becoming a Patron!Cardiology Programs Twitter Group created by Dr. Nosheen Reza Patient Summary A man in his mid-50s with alcohol use disorder, cirrhosis, atrial fibrillation, and alpha thalassemia complicated by iron overload presented with hematemesis. He was tachycardic and hypotensive. Labs were notable for Hgb 8.1 (baseline of 10.2), INR 1.3, lactate 4.2, and ferritin 4660. He was started on IV PPI and octreotide. Course was complicated initially by Afib with RVR with hypotension. Subsequently, the patient developed unstable VT requiring CPR. Post-code EKG showed inferolateral ST elevations. Troponin-I rose from 19 to 225 and his pressor requirement continued to increase despite resolution of his GIB. TTE showed LVEF 42% with new inferolateral wall motion abnormalities, normal RV systolic function, severe mitral regurgitation, and small pericardial effusion. After treatment of his GIB by IR and GI, he underwent an urgent LHC which showed 30% stenosis in proximal LAD, 70% in LADD2, and 95% in distal RCA. Coronary spasm was noted in all vessels. Intracoronary nitroglycerin and nicardipine were administered with significant improvement in spasm and resolution of STE on EKG. Vasopressors were quickly weaned off after. He was eventually stabilized, extubated, and started on an oral nitrate and calcium channel blocker. Repeat TTE showed normalized systolic function without any wall motion abnormalities. Case Media ABClick to Enlarge A. Baseline ECG - atrial fibrillationB. ECG with inferior STEMI CORS - left system CORS- RCA pre-vasodilator CORS- RCA post-vasodilator Episode Schematics & Teaching Coming soon! The CardioNerds 5! – 5 major takeaways from the #CNCR case What are the cardiac manifestations of hemochromatosis? Cardiac hemochromatosis encompasses cardiac dysfunction from either primary or secondary hemochromatosis. Initially, hemochromatosis leads to diastolic dysfunction and arrhythmias. In later stages, it can lead to dilated cardiomyopathy. Diagnosis of iron overload is established by elevated transferrin saturation (>55%) and elevated serum ferritin (>300 ng/mL).
Neuro ICU: SAH: Diagnosis/vasospasm (prevention and management)
I podcast 9 håller Jonas Blixt en ett sokratiskt samtal med Stockholms ST-läkare i anestesi & intensivvård - om cerebral vasospasm a.k.a. delayed cerebral ischemia.
Tom Bleck - Subarachnoid haemorrhage: what matters? Tom Bleck gives an overview of the pertinent facts regarding the complications and management of aneurysmal subarachnoid haemorrhage (SAH). The complications of aneurysmal SAH can be divided into immediate, early and late. The risk of re-bleeding is maximal on the first day, it is fatal in 75% of patients and the best management is to secure the aneurysm by coiling or clipping. Blood pressure control is utilised widely but parameters are arbitrary and the data is scarce. Early complications (days 1 - 3) include early brain injury in its various forms, stress cardiomyopathy, neurogenic pulmonary oedema and cerebral salt wasting. The most important late complication (day 4 onwards) is vasospasm. Tom briefly discusses the mechanisms and manifestations of SAH-associated brain injury including ischaemia, blood brain barrier breakdown, sustained depolarisation, hydrocephalus, vasospasm, seizures, hyperglycaemia and fever. He goes on to discuss in more detail the management of vasospasm, the associated evidence and the importance of distinguishing between clinically detectable and subclinical vasospasm.
Neurotrauma – How to Put Humpty together again Humpty is a 23 year old egg, who fancied himself as a bit of a Hipster. Little did poor old Humpty know that his day was about to end in tears and he was to join the 1000 other Australians who annually have a severe head injury. The talk focuses on Traumatic Brain Injury. There is particular emphasis on Traumatic Subarachnoid Haemorrhage and Transfusion Thresholds in Traumatic Brain Injury. The discussion explores the incidence and patterns of vasospasm following tSAH and the role, if any, of nimodipine and other therapies usually reserved for the aneurysm SAH population The optimal target haemoglobin concentration following TBI is unknown. The discussion looks at the literature and explores the pathophysiology of anaemia in this setting. A blood conservation strategy for patients with TBI is outlined
Margaret Parker, MD, MCCM, speaks with Nicole O'Brien, MD
Margaret Parker, MD, MCCM, speaks with Nicole O'Brien, MD
Celia Bradford talks about prevention and management of vasospasm after subarachnoid haemorrhage. This talk was recorded at Bedside Critical Care Conference 4.
Background. Cerebral vasospasm is one of the leading courses for disability in aneurysmal subarachnoid hemorrhage. Effective treatment of vasospasm is therefore one of the main priorities for these patients. We report about a case series of continuous intra-arterial infusion of the calcium channel antagonist nimodipine for 1-5 days on the intensive care unit. Methods. In thirty patients with aneurysmal subarachnoid hemorrhage and refractory vasospasm continuous infusion of nimodipine was started on the neurosurgical intensive care unit. The effect of nimodipine on brain perfusion, cerebral blood flow, brain tissue oxygenation, and blood flow velocity in cerebral arteries was monitored. Results. Based on Hunt & Hess grades on admission, 83% survived in a good clinical condition and 23% recovered without an apparent neurological deficit. Persistent ischemic areas were seen in 100% of patients with GOS 1-3 and in 69% of GOS 4-5 patients. Regional cerebral blood flow and computed tomography perfusion scanning showed adequate correlation with nimodipine application and angiographic vasospasm. Transcranial Doppler turned out to be unreliable with interexaminer variance and failure of detecting vasospasm or missing the improvement. Conclusion. Local continuous intra-arterial nimodipine treatment for refractory cerebral vasospasm after aSAH can be recommended as a low-risk treatment in addition to established endovascular therapies.
Oli Flower presents a case of headache with an unusual diagnosis. Hopefully thought provoking. The slides can be seen separately on www.intensivecarenetwork.com and the links to relevant resources can be found there too. This was presented at last years BCC in Daydream island
A Pecha Kucha discussing vasospasm following aneurysmal subarachnoid haemorrhage. The terminology, pathology, risk factors, diagnosis and management are discussed within the limitations of a PK. This is the 3rd of 5 PK's.
Sat, 1 Jan 2000 12:00:00 +0100 https://epub.ub.uni-muenchen.de/16812/1/10_1159_000008160.pdf Brandt, T.; Hamann, Gerhard F.; Strupp, M.