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Dr. Chapa’s Clinical Pearls.

Dr. Chapa’s Clinical Pearls

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Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers regarding all things women’s healthcare! This podcast is intended to be clinically relevant, engaging, and FUN, because medical education should NOT be boring! Welcome...to Clinical Pearls.
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The Optimal Body

Dr. Jen Fraboni & Dr. Dom Fraboni

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Join top-40 Physical Therapy Influencer, Doc Jen, and her Physical Therapy husband Dr. Dom, as they bring you the body tips and PT Pearls you need to help you understand your body, relieve your pains and restrictions, and answer your questions. Along with expert guests, the goal of The Optimal Body is to help you discover what optimal means in your own body.
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Pregnancy Pearls

Mean Ole Lion Media

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Dr. Plenty, is a double board-certified OB/GYN and high risk pregnancy expert. She's brilliant, well-researched with a great bedside manor.... but she is a little feisty and will "tell it like it is". Growing tired of seeing complications in pregnancy that could have been prevented, she wanted a way to help women empower themselves through knowledge so they can advocate for themselves. This quest to educate women birthed this podcast.
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Welcome to Voices of Wisdom, an essential listen for medical professionals exploring new frontiers in thyroid cancer and related fields. Dr. Janice Pasieka, a renowned field expert, hosts and shares pearls of wisdom in each episode, joined by a guest physician to enrich the conversation. Together, they dive into topics like addressing thyroglobulin levels, exploring ultrasound’s role in thyroid cancer diagnosis, and navigating the treatment of thyroid cancer during pregnancy. Our mission: to ...
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Pregnancy and birth meditations and musings. Celebrating autonomous pregnancy and birth. Follow us on IG @pregnantpausepodcast for updates! Cover art photo provided by Leanna Cushman on Unsplash: https://unsplash.com/@leannacushman Support this podcast: https://podcasters.spotify.com/pod/show/pregnantpause/support
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"Big Chat Small Talk" is for dynamic, engaged minds who love a good debate about the complexities of modern life while seeking genuine connection and understanding. You're tired of the superficial veneer of perfection and crave real, honest conversations about family, relationships, and the challenges of balancing work and home life. You know the value of sharing and learning from lived experiences, you just need a platform that mirrors your reality and offers pearls of wisdom from those who ...
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Madame Ovary

Dr. Mary Jane Minkin

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Madame Ovary is a podcast series for women and their partners, as well as for health care providers. The podcasts have information on woman's health topics including menopause, menopause issues for cancer survivors and other topics such as contraception, endometriosis, fibroids, vaginitis, infertility, and pregnancy issues. Hosted by Dr. Mary Jane Minkin, an obstetrician/gynecologist in practice for over 45 years, and clinical professor in the department of obstetrics, gynecology and reprodu ...
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Geula Mamas is the place to find support on all topics surrounding pregnancy and birth. By unleashing the power and wisdom of Jewish women united, we are a force of good to be reckoned with! Here, we will learn about pregnancy, birthing and babies in an inspirational, spiritual and yet down-to-earth way based on the infinite wisdom of the Torah and an effort to deeper our connection with Hashem. Enjoy incredible interviews with professionals from all across the spectrum of everything birth r ...
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Oh Crumbs - The Gluten Free Podcast. A podcast about all things gluten free, coeliac disease and more. By gluten free bloggers Laura Strange and Sarah Howells. Each week, guests will be talking about their free from lives including: gluten free diets, children with allergies and intolerances, IBS, low FODMAP, IBD and Crohns, allergies and coeliac disease. Episodes will feature a range of people from chefs and authors to television stars and bloggers. FOLLOW US: Instagram: www.instagram.com/o ...
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Cannabinoid Hyperemesis Syndrome (CHS): Yep, this is definitely an issue and has been in recent print. This was just covered in an expert commentary in J Gastroenterology in May 2024, and CMS was featured as a JAMA Patient Page on October 10, 2024 in JAMA Network. PLUS, we actually covered this back in Feb 10th, 2020! Yep…M-O-R-E information just k…
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The SMFM, ACOG and RCOG all recommend screening for Antiphospholipid Antibody Syndrome (APS) in women with Recurrent Pregnancy Loss (RPL). However, once identified, there has been controversy historically regarding the best TIME to initiate low dose aspirin and prophylactic LMWH. The main controversy regarding this is whether to begin treatment bef…
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In this episode of the Optimal Body Podcast, hosts Doc Jen and Doctor Dom, both doctors of physical therapy, explore the benefits of ancestral supplements with guest Craig McCloskey, a certified health coach and holistic nutrition expert. Doc Jen shares her positive experiences with beef liver supplements, particularly during and after pregnancy, n…
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Raising boys is a unique and profound experience, one filled with love, hope and the unwavering belief in our son's potential. But as a black boy, it can also be a journey fraught with obstacles, stereotypes and systemic injustices that threaten to derail their dreams. Raising black boys in Britain comes off its own set of challenges and considerat…
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Proper hydration is important for physiology whether male or female, and if female… hydration in pregnancy is important for proper uterine blood flow and proper amniotic fluid production. Interestingly, water recommendations do not specify differential water needs or hydration status recommendations by pregnancy month or trimester, nor do they take…
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Eczema is also known as a form of Atopic Dermatitis (AD). Males and females are not equally affected by AD, and studies have shown that AD is more common among males during infancy and childhood. However, around puberty, there is a shift towards more females than males having AD and this female predominance continues into adulthood. Eczema can impa…
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Hurricane Helene has caused massive devastation for a part of the US, and now we are bracing again for Milton, set to affect Florida within the next 24 hours. Baxter, one of the country's leading manufactures for IV fluid bags has closed its plant for an unknown amount of time as it was affected by Helene. On October 4, 2024, the SMFM released a ne…
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In this episode of the Optimal Body Podcast, hosts Doc Jen and Doctor Dom welcome Karena Dawn, co-founder of Tone It Up and a New York Times bestselling author. Karena shares her inspiring journey from a challenging childhood with a mentally ill mother to becoming a successful entrepreneur and mental health advocate. She discusses her struggles wit…
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We've all heard the saying that you don't marry the individual but the family. But how true is that in real life? In-laws come in all shapes and sizes, and Viola Fields from “Monster-in-Law” illustrates just what a nightmare it can be when all parties are not happy with the partnership that's about to take place. Likewise, it doesn't just stop at t…
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BRCA1 mutations dramatically increase the lifetime risk of breast, ovarian, pancreatic, and other cancers, yet most BRCA1-positive patients are not identified until after they have been diagnosed with cancer. At prenatal visits, women often undergo obstetrical prenatal carrier screening that can identify hundreds of genetic mutations which can be p…
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Podcast family, this episode comes to you NOT FROM THE STUDI, but was recorded LIVE at the ACOG Annual District Meeting (District XI in Texas). This episode is a "lil convo" with Dr. Stella Dantas, our current ACOG President. This is a brief, light-hearted, yet POWERFUL message to encourage you, lighten your day, and make you smile. PLUS, Dr. Danta…
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The ACOG defines Fetal Growth Restriction (FGR) as fetuses with an estimated fetal weight or abdominal circumference that is less than the 10th percentile for gestational age. Currently, the ACOG, SMFM, FIGO, and the ISUOG do not recommend maternal bed rest for this condition. However, a recent publication from the AJOG (May 2024) concluded that st…
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In the ACOG practice bulletin 203, the ACOG states that, “Traditionally, the diagnosis of hypertension (HTN) in pregnancy has been 140/90, on 2 occasions at least 4 hrs apart“. The keyword there is… “Traditionally”. In 2017, the ACC/AHA redefined hypertension with Stage I HTN being 130/80. Do some societies recommend the use of this lowered blood p…
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In this episode, Doc Jen and Doctor Dom, both doctors of physical therapy, explore back pain during pregnancy. Doc Jen shares her personal pregnancy journey, emphasizing the importance of nutrition and supplements from Needed. They discuss the prevalence of back pain among pregnant women, highlighting the physiological changes and biomechanical shi…
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At the heart of the polyamorous versus monogamy debate lies the very fabric of human relationships, societal norms and individual freedoms. As we delve into this complex and multifaceted topic, it is imperative that we approach it with an open mind, a spirit of critical inquiry, and a deep respect for differing perspectives. On one hand, we have mo…
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Dysphoric Milk Ejection Reflex (D-MER) is an abrupt emotional "drop" that occurs in some women just before milk release and continues for not more than a few minutes. Although research is still evolving, one study Published in 2019 (Breastfeeding Medicine) states that up to 9% of breastfeeding women may experience dysphoric milk ejection, although …
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Podcast Family, every once in a while we need a little reminder that we are all wired for community. Despite differences in geographic locations, cultures, and family history, we really do have a lot in common. In this episode, I'll share with you 3 examples which prove that we really do live in a very small world. I hope this brings a smile to you…
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The LNG-IUS has been on the U.S. market since 2001. Since 2005, there have been several studies examining the association (if any) of LNG-IUS users and the diagnosis of breast cancers. This is a controversial and conflicting story. In this episode, we will highlight a soon to be released publication (OCT 2024) from the AJOG looking into this relati…
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In this episode of the Optimal Body Podcast, hosts Doc Jen and Doctor Dom are joined by Nadine Artemis, an author, beauty philosopher, aroma ecologist, and creator of Living Libations. The discussion delves into skin health, the benefits of essential oils, and the importance of sun exposure. Nadine shares her expertise on using natural oils like co…
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How does social media impact our kids? On a TV show, the U.S. surgeon general commented that 95% of teens ages 13 to 17 are using social media. Additionally, in recent months, Common Sense Media also found that 8% of 16-year-olds have their own smartphone. Although there are a lot of positives associated with connecting with friends online, there a…
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We all what to win in life, right? That’s why we have life hacks…to beat the system. Sometimes those tricks are tremendously successful while some other random hack can be- well, just WACK. Such is the case for LABOR HACKS! We all want our inductions and augmentations of labor to be successful, and there have been some labor hacks promoted througho…
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On May 22, 2024, we summarized a then soon-to-be-released ACOG CPU on Screening for GDM in Pregnancy and Postpartum. That CPU was officially released July 2024. That update endorsed the possibility of immediate postpartum GTT testing with a 75-gram OGTT. Now, on September 19, 2024, authors from UT Houston have published a systematic review/meta-ana…
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In this special two-part episode of Voices of Wisdom, Dr. Janice Pasieka hosts a fascinating discussion with renowned thyroid cancer surgeons, Dr. Ashok Shaha and Dr. Mark Urken. They delve into the unexpected challenges surgeons face during thyroid cancer surgeries, particularly when encountering unexpected tracheal invasion. The experts share the…
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Magnesium Sulfate for preeclampisa can be traced back to the work of Horn in 1906! Yet, despite such a long history of use, there are still questions about mag sulfate use that we just don’t have good answers for, and that’s indicative of the all the continued articles and commentaries on the subject that are still being released. For example, ther…
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In this episode of the Optimal Body Podcast, co-hosts Doc Jen and Doctor Dom, both doctors of physical therapy, explore the common issue of shin splints, or medial tibial stress syndrome, prevalent among runners and those engaged in high-impact activities. They emphasize the importance of foot health, the benefits of barefoot shoes like Vivo Barefo…
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This week, we will be exploring the highs, the lows and everything in between of parenthood specifically related to those nightmare playdates. Most parents have experienced at least one tale of terror and we've searched the internet to bring you just a few of those tales today. We've all been there excited that our child is going to have a fun afte…
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Filet Mignon, Pork Loin, Rib-Eye….all delicious (unless you are vegetarian)! If you are a meat- eater, be aware of AGS. Alpha-gal syndrome (AGS), also known as Red Meat Allergy, is a potentially life-threatening allergic reaction that can occur after a tick bite from a Lone Star tick or other tick species. While clustering within the US, Alpha-gal …
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Today, 9/12/24, the FDA released a SAFETY COMMUNICATION regarding Veozah. As you may recall, we have been following this novel medication since March 2023. This episode is NOT our regularly planned episode- that topic will come out as scheduled tomorrow AM 9/13/24! This is a SPECIAL REPORT episode in response to the FDA's communication released tod…
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Back in January 2024, we summarized the SFP's position statement on RH IG use (or rather non-use) under 12 weeks IUP gestations. Then, in February 2024, we released an episode summarizing the more conservative stance from the SMFM. Well now, 7 months after that episode, we have a new Clinical Practice Update from the ACOG on this very issue. That i…
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In our last episode we tackled random questions with specific answers. After that episode went live, one of our nurses asked about the value of antibiotics with a Bakri balloon in place. This conversation happened as we were placing the balloon for PPH in a patient on Mag-Sulfate for Preeclampsia with Severe Features. That's antibiotic question is …
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In this episode of the Optimal Body Podcast, hosts Doc Jen and Doctor Dom welcome back Doctor Josh Axe, a functional medicine expert and bestselling author, to discuss his new book, "Think This, Not That." Doctor Axe shares his personal journey of overcoming a severe back injury through various treatments, including stem cell therapy and hyperbaric…
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Birth order theory suggests that our place among siblings can leave a lasting imprint on our personalities and behaviour. You've probably heard people joke about how the eldest child is the boss you want, the middle child is the peacemaker and the youngest child is the responsible rebel. Whilst each birth order position comes with its own set of ch…
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Welcome to this episode of "Random Questions: Specific Answers"! In this episode we will (surprise) answer random questions- with specific answers- from our podcast family members: 1. Can administration of IV Calcium at intrapartum CS reduce QBL?, 2. What are the 4 classes of CS performance urgency? and 3. If a normal MVP for amniotic fluid is 2-8c…
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on 09/02/2024, we released an episode called, "Do SSRIs Raise PTB Risk?". In that episode, we highlighted a new publication from the AJOG (August 30. 2024) which indicated that SSRIs may raise PTB risk. This is in contrast to a separate cohort study released Feb 2024. This is a classic case of "He Said, She Said". But now we have a REFEREE on the f…
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Tubal sterilization goes back to the 1880s. The first collaborative review of sterilization effectiveness was the CREST study published in 1996 in the AJOG. But that was with prior sterilization techniques. As a way to update the data researchers looked at the national survey for family growth (NSFG) from 2002 to 2015 to determine failure rates aft…
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Depressive disorders during pregnancy are common, with estimated prevalence ranging from 11% to 16%. Accordingly, antidepressant drugs, most commonly selective serotonin reuptake inhibitors (SSRI), are used by approximately 3–4% of pregnant women worldwide, with a higher prevalence in the United States compared to Europe. As antidepressants cross t…
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In this episode of the Optimal Body Podcast, hosts Doc Jen and Doctor Dom explore the intricacies of the rotator cuff, focusing on its anatomy, function, and common injuries. They emphasize the importance of shoulder stability and discuss effective rehabilitation strategies. The episode highlights the significance of thoracic mobility, muscle balan…
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Pregnancy and childbirth are incredible experiences filled with joy, anticipation, and a fair share of challenges, whether you are a first-time parent-to-be or a seasoned pro preparing for another addition to the family. So is the challenge of having a baby or family worth it? That’s what we are going to discuss in this episode. We’ll also share th…
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Just when we thought we had put coronavirus in our rearview mirror for the most part, here comes mPOX again. We covered that in a previous episode. Unfortunately, that is not the only pathogen to be concerned about. Enter: OROPOUCHE VIRUS (OROV). This virus was first reported in 1955, but it is making news today due to a rapid increase in cases. Co…
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Polycystic ovary syndrome (PCOS) was first described in 1935 by Irving Freiler Stein and Michael Leo Leventhal at the Central Association of Obstetricians and Gynecologists. Since that time, it has gone through several name changes: Stein-Leventhal syndrome, PCOD, and currently PCOS. Nonetheless, proponents and scientists are still recommending yet…
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Our immediate past episode focused on the “C-section scar pregnancy”. In that episode we discussed the ultrasound markers of early pregnancy (first trimester). Now – today – HOT 🔥🔥OFF THE PRESS- is a new publication in the AJOG, which is “A Lexicon For First Trimester US: Society of Radiologists in Ultrasound Consensus Conference Recommendations“. …
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Cesarean scar pregnancy (CSP) occurs when an early pregnancy implants on the cesarean scar defect (CSD), myometrial tissue previously disrupted by cesarean delivery. The first case of CSP was reported in 1978 in a patient with a previous cesarean section (CS) who had heavy bleeding and abdominal pain after uterine curettage for a suspected miscarri…
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In this episode of the Optimal Body Podcast, hosts Doc Jen and Doctor Dom, both doctors of physical therapy, are joined by Shana Spence, a registered dietitian nutritionist. Shana discusses the pervasive influence of diet culture and the importance of a balanced approach to nutrition. She emphasizes the need to move away from restrictive diets and …
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(DISCLOSURE: Sexual Content) Back in April 2023, we released an episode on the “Jade Vaginal Egg” and vaginal weights for vaginal tightening. While we tackled the Jade Egg successfully, we now have a new player on the field: the VAGINAL TIGHTENING STICK. This over the counter “sex aid” can lead to chemical burns and severe vaginal dryness/agglutina…
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The IUD is a very safe and supremely effective contraceptive method. Given its increasing rate of use, practitioners are bound to see its relatively infrequent complications with greater regularity. Typical complications are considered “lost strings“, uterine perforation at placement, and expulsion. But there is another complication, device FRACTUR…
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In 1958, James et al. first described umbilical cord blood gas analysis to evaluate the fetus's metabolic condition at the time of delivery. It's recommended by both the British and American Colleges of Obstetrics and Gynecology for all high-risk deliveries. Cord blood gas provides the most accurate and objective evidence of fetal acidosis at the t…
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In this episode of Voices of Wisdom, host Janice Pasieka and expert guest Eyal Robenshtok dive into the revolutionary approach of active surveillance in thyroid cancer treatment. They explore how this method challenges traditional surgery-first strategies, offering valuable insights for clinicians. Discover the criteria for selecting patients for a…
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In this episode of the Optimal Body Podcast, Doc Jen and Doctor Dom explore cervical genic headaches, which originate from neck issues. They discuss the prevalence of headaches and emphasize the importance of identifying underlying causes. The hosts highlight the role of physical therapy, neck stability, and mobility in treatment. They also discuss…
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According to the National Institutes of Health, almost 13,000 women in the United States are diagnosed with cervical cancer each year, resulting in around 4,000 deaths, with most of the deaths occurring among under-screened women. Now, there is potentially a barrier-breaker. As of August 15, 2024, self-collection kits for cervical cancer screening …
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The rise of home testing for STIs/HIV started long before the recent pandemic (the FDA approved its first HIV home test collection kit way back in 1996), but COVID-19 seems to have accelerated the popularity of getting tested from the comfort of our homes. In Nov 2023, the Food and Drug Administration granted marketing authorization, the first of i…
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