As long as humans have inhabited this earth, there's been a life-supporting, palpable connection between us and the natural world. Before grocery stores, before pharmaceuticals, before physicians, before farming; humans foraged, experimented and communicated with the plants around them. Over time, a huge amount of knowledge was accumulated about the power of plants to heal and nourish, about the amazing plethora of life right under our feet and all around us. In more modern times, as food sources have become more centralized, more people citified, wisewoman healers persecuted and indigenous, tribal communities torn apart through colonization, much of this knowledge became lost. More and more people are now realizing how vital it is to reclaim our connection to nature and learn from those who tenaciously held onto this relationship and knowledge. Our relationship to nature is innate. We can recall and remember. We all have access to her language.
Connection to nature helps us feel a sense of belonging. Each of us can empower ourselves through a reconnection to ancestral knowledge and relearn how to heal in harmony with ourselves and with nature. The path of herbalism has helped me heal on all levels of mind, body and spirit. It's an honor to facilitate this remembering for others. Through the practices and hands on learning we share during Sacred Warrior Herbalism Courses and retreats, each student deepens relationship to their bodies and the body of the earth. Everyone is encouraged to explore their unique and intuitive approach to healing. We learn so much about ourselves and from each other with the help of our plant allies.
If you're in the New York area and interested in exploring this practice, you're invited to join our upcoming Herbalism course at Love Is Juniper. The course includes a medicinal herb share from Sawmill Farm for hands on learning and medicine making. Each student gets unlimited access to our Thursday and Sunday plant walks in Prospect Park, Brooklyn to learn how to identify medicinal plants in the wild and connect with the nature in the city. You'll come away with foundation in holistic herbalism, a deepened relationship with the natural world and a homemade apothecary to last you through the seasons. We begin July 14th and meet monthly through December. Click HERE for more information.
For those of you in other parts of the world, I'd love for you to join this conversation. Have you explored herbalism? If so, how has it impacted your life? What plants do you feel an affinity with? Comment below or share directly onto the Sacred Warrior Facebook page. As always, you're invited to our retreats where we also share this practice,work with healing plants and connect with the land wherever we are.


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The Moto 360 is the First Smartwatch That Actually Matters
best online shopping By raline 0 Comments
Ask a bunch of kids to draw a watch, as Motorola did, and they'll usually end up drawing something round. Thus, the simple inspiration behind Motorola's soon to be released Moto 360 smartwatch running Android Wear. You might think that the design is obvious, but the Moto 360 is the first full-featured smartwatch with a round display.
The Moto 360 is also important for fully embracing both sides of the "smartwatch" moniker. The top smartwatch in the field, the Pebble, was a good first try, but it's incredibly limited and is usually more frustrating than it is useful. Neither it nor its more expensive counterpart, the Pebble Steel, is particularly fashionable, leaving it characterized as a geek's plaything.
The Moto 360, with the support of Google's excellent Android Wear OS, is an incredibly smart gadget. Along with the two other announced Android Wear devices, the awkwardly named LG G watch and Samsung Gear Live, the Moto 360 is set to create a new standard for the consumer smartwatch experience. Primarily used to display quick pieces of information like notifications, previous smartwatches have suffered from a lack of interoperability between the watch and the phone. For example, if you dismiss a text message notification on your Pebble, it isn't dismissed from your phone. It's the little things like that that make the Pebble feel less like an extension of your phone and more like an extra annoyance that lives on your wrist. Android Wear aims to change that. Because Google can control both the phone and watch OS, there is an impressive symbiosis between the two. And yes, if you dismiss a text message notification on your Moto 360, it will disappear from your phone's lock screen as well.
But it'll take more than just a smart OS to win over users. Where the Moto 360 really succeeds is in the watch half of the equation. The round display is absolutely gorgeous, and unlike anything anyone has ever seen before. Compared to the LG G and Galaxy Live, which both featured standard square displays with black bezels, the Moto 360 is flashy, fashionable, and a lot more fun to wear on your wrist. Whether that will be enough to win over businesspeople and fashionistas wearing $200, $500, or $5000 watches is a question that won't be answered until the Moto 360 goes on sale later this year, especially with the rash of other fashion smartwatches in the running.
Android OS is a fantastic platform, but it's out of the box solution means that everyone from Armani to Hugo Boss Black watches will be 'smart' in the coming months, and for the average user would they rather have the brand they love or a well-designed watch from a phone company? We will see.

redpajama_set_name: RedPajamaCommonCrawl


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N20bn ICT Computer Village takes off in 2015
by magna
Capital Market News
The much anticipated new ICT Computer Village, which has been relocated to Katangowa, along Lagos-Abeokuta Expressway, Alimomosho Local Government, Lagos, will be flagged off in 2015 before May 29, 2015.
Jimmy Onyemenam, CEO, Bridgeways Limited, real estate developer handling contract of the new ICT market, said this recently in Lagos at a meeting/presentation with the stakeholders (heads of plaza) in the ICT Computer Village, in Ikeja.
The Lagos State government conceived the new ICT Village 11 years ago, during the administration of Bola Tunubu. The aim is to build a befitting market for computer village and afterwards, relocate the market from its present location at Ikeja.
At the forum, Onyemanam presented the master plan of the new buildings designed to world-class standard. He said the new computer village is designed to meet the expectation and comfort of all occupants who want to do business in the Emarket.
Presenting the facts and figures of the master plan of the market, he said "the N20 billion project has 15 hectares of land, which has been earmarked by the Lagos State government in the Alimosho Local Government Area."
On completion, the new ICT Village will offer facilities such as exhibition hall, hotel, shopping plaza, industrial park, warehouses, and Kee klamps (small shopping shades). Other facilities are: a helipad, utilities, banking and food court.
Source : BusinessDay
AMCON transfers ownership of Mainstreet Bank to Skye Bank
2014: 'Capital Market Faced Hostilities'


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Q: Doubly linked list insertion after/before node For most online examples I found for insertion in doubly linked lists, the common motive is to define a node structure or class with *next,*prev and data and then to define the List class with usually those insertion options:
InsertFront(data)
InsertBack(data)
InsertAfter(*node,data)
InsertBefore(*node,data)
For the last two methods, inserting before or after a node, it is supposed that you have a node at hand.
My question is where do you get that node from, in a regular working sequence? Why the Clist user has to know what an internal node is, and if I make the node for instance an internal private class or struct in CList, then why should I have to pass it in order to insert after/before?
I know that I can alternatively use
AddAfter(int pos,data)
To add at a specific position, but this will require traversing the list until I reach that position index?

redpajama_set_name: RedPajamaStackExchange


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Astonishing Koyabashi lap takes pole for Toyota
by David | posted in: Homepage, LMGTE, LMGTE-Am, LMGTE-Pro, LMP, LMP1, LMP2 | 0
A new post-Mulsanne-Chicane lap record for Japanese driver Kamui Kobayashi secured pole for the #7 Toyota Gazoo Racing ahead of this weekend's 24 Hours of Le Mans. The 3:14.791 lap came in the first of two qualifying sessions in the sweltering heat of Thursday evening. The lap was so quick, in fact, that it broke the all-time record for the fastest average speed around the Circuit de la Sarthe – a record previously held by Hans-Joachim Stück, which he set in a Porsche 962C at a pre-Mulsanne-Chicane circuit in 1985.
The first qualifying session had only been green for around a quarter of an hour before the #33 Eurasia Motorsport car careered into the barriers at the first Mulsanne Chicane, resulting in a 50-minute red flag period for barrier repairs. Kobayashi's record-breaking lap came just as the track turned green again, and ended up being 2.3 seconds quicker than any other driver in the field.
Porsche weren't able to match the Toyota pace, and suffered some troubles of their own in the second qualifying session with the #2 car of Brendon Hartley, Earl Bamber and Timo Bernhard stopping out on track with an unknown issue. The quickest Porsche lap was recorded by the #1 car, with André Lotterer's 3:17.259 also quicker than Neel Jani's previous post-Mulsanne-Chicane lap record set back in qualifying in 2015.
LMP2 pole went to the #26 G-Drive Racing machine of Roman Rusinov, Pierre Thiriet and Alex Lynn, who just pipped the #25 CEFC Manor TRS Racing car of Robert Gonzalez, Simon Trummer and Vitaly Petrov by two tenths of a second. The #38 Jackie Chan DC Racing machine of Ho-Ping Tung, Oliver Jarvis and Thomas Laurent was just four tenths further back in third.
GTE Pro delivered a topsy turvy battle for pole, with Antonio Garcia in the #63 Corvette Racing C7.R setting the pace early on in the second session as temperatures cooled. However, the #63 machine only ended up sixth in class, as the GTE Pro competitors slowly improved their times as Q3 progressed. Pole ultimately went to #97 Aston Martin Racing – somewhat surprisingly considering it's the older car in the GTE Pro field – of Darren Turner, Johnny Adam and Daniel Serra, with the #51 AF Corse Ferrari 488 just two tenths behind in second.
Fernando Rees took a spectacular pole position for the #50 Larbre Competition Corvette C7.R after a frantic battle with the #98 Aston Martin Racing car of Paul Dalla Lana, Matthias Lauda and Pedro Lamy. The #62 Scuderia Corsa Ferrari of Cooper Macneil, Bill Sweedler and Townsend Bell rounded out the top three.
Images (c) WEC-Magazin / Walter Schruff


For many families, a joyous part of December is waking up and racing around the house to find their Scout Elf's quirky, funny or adventurous new hiding spot. But sometimes, curious kids, rambunctious pets or even forgetful parents may accidentally get a little too close to their Scout Elf while checking out their unique hiding spot. So, what should you do when your Scout Elf is accidentally touched?
First, don't worry! We can assure you any Scout Elf can get their Christmas magic back in a snap. Pick one of the ideas below, and try it with your family to renew your elf's magic in no time!
Write a note to your elf or Santa apologizing for touching your elf. This is the most effective way to help your Scout Elf get back in action quick!
Sprinkle a little cinnamon next to your Scout Elf. Cinnamon is like vitamins for your elf, and it will help him or her get back to the North Pole where the elf doctors can give them a quick check-up!
Sing a Christmas carol with your family! Elves love singing, and all the Christmas cheer is sure to create plenty of Christmas magic to make your Scout Elf better in no time!
Looking for answers to other frequently asked questions about elves? Find out how elves get a name, or find out why your elf's return may have been delayed!


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NBA launches conservation management plan
-NBA
WESTMINISTER, Colo. – The National Bison Association officially launched its new Conservation Management Plan during its Virtual Bison Learning Webinar Series last week. The CMP will provide bison farmers and ranchers the ability to monitor and document their conservation practices to both improve upon and exhibit how their work positively impacts the bison, the land they're on, and the people around them.
Kansas bison rancher, NBA board member and NBA Conservation Committee chair, Ken Klemm said, "We believe that good conservation practices provide great benefits to all involved — the bison, the land, and the people. Furthermore, we believe that good conservation practices don't cost — they pay. This program will help managers of all experience levels increase their conservation effectiveness and help them engage with a wide variety of like-minded managers and thereby take their operations to even higher levels of conservation success."
The philosophy behind this program is neatly summed up in the following three statements:
For millennia, bison and people have relied on the land for sustenance. Even so, these lands thrived, blossomed and sustained massive herds of bison, which in turn supported many people. We believe that through wise stewardship, many people can yet still enjoy great herds of bison living on healthy, vibrant lands. We also believe that informed and caring people are the key to this vision.
The purpose of this Bison Conservation Management Plan is:
To ensure that Conservation Partners do no harm to bison, land or people.
To foster innovation and creativity to benefit and sustain healthy bison, lands and people.
This program is not intended to inhibit or limit citizens' freedoms or liberties but will operate only with voluntary participation and a deep respect for personal property rights and individual choice.
The CMP is exclusively available to National Bison Association members in good standing as a web-based desktop program in collaboration with HerdDogg which can be accessed at https://bison.herddogg.com/login where members can register at no charge by entering the pilot code when prompted. NBA membership is confirmed when the user emails jim@bisoncentral.com to obtain the pilot code required to initiate the app and program.


X-IT GAMES - LIVE ESCAPE GAME SHIPLEY - PUZZLES - CAN YOU ESCAPE?
Who is the game aimed towards?
Ideal for small groups of friends who fancy a change from the norm. Come and enjoy a unique experience worth sharing!
Solving puzzles is an interactive way to bring the family together. Highly recommended for children 12 or over.
A must for team building and networking events.
As a mortal, to enter your afterlife, you must first die. How you die is your choice but all must enter through the void of transcendence.
Only the brave will follow the light, crawl out of the grave and go to hell and back. Logical thinking and teamwork is what you need to ensure that when your hour is up your name is found in the Book of life.
Will you escape and be granted your life back, or will you be left to wander the afterlife for eternity?
Will you beat death himself?
Assemble your crack team, choose a date and get booked in!
60 minutes to puzzle your way out!
If you're lucky, brave and smart enough!


Click on an activity to learn more about it and to request the activity for your school. Program offerings can be customized to fit your school's needs and schedule and we offer different tiers of achievement to recognize each school's success. All program offerings are free, although some of the popular events have limited availability. Check out all the events available to get your students active!
What: A school safety assessment is a school/community event used to identify and evaluate the safety issues around a school.


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Support for additional Zetron devices is planned for future releases.


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Antibiotics for bacterial infection in the urine in pregnancy when there are no symptoms
Can giving antibiotics to pregnant women who have a urinary infection but no symptoms improve the outcomes for women and their babies?
A bacterial infection of the urine without any of the typical symptoms that are associated with a urinary infection (asymptomatic bacteriuria) occurs in a number (2% to 15%) of pregnancies. Because of the changes happening in their body, pregnant women are more likely to develop a kidney infection (pyelonephritis) if they have a urinary infection. The infection may also contribute to a baby who is born preterm (before 37 weeks), or at a low birthweight (weighs less than 2500 g (5.5 pounds)).
What evidence did we find?
We found 15 randomised controlled studies involving over 2000 pregnant women with urinary infections, but no symptoms. Antibiotics may be effective in reducing the incidence of kidney infection in the mother (12 studies, 2017 women) and clearing the infection from the urine (four studies, 596 women). They may also reduce the incidence of preterm births (three studies, 327 women) and low birthweight babies (six studies, 1437 babies). None of the studies adequately assessed any adverse effects of antibiotic treatment for the mother or her baby, and often the way the study was done was not well described.
We assessed the three main outcomes with the GRADE approach, and found low-certainty evidence that antibiotic treatment may prevent pyelonephritis, preterm birth, and birthweight less than 2500 g.
Antibiotic treatment may reduce the risk of kidney infections in pregnant women who have a urine infection but show no symptoms of infection. Antibiotics may also reduce the chance a baby will be born too early or have a low birthweight. However, because of the low certainty of the evidence, it is difficult to draw conclusions; more research is needed.
Authors' conclusions:
Antibiotic treatment may be effective in reducing the risk of pyelonephritis in pregnancy, but our confidence in the effect estimate is limited given the low certainty of the evidence. There may be a reduction in preterm birth and low birthweight with antibiotic treatment, consistent with theories about the role of infection in adverse pregnancy outcomes, but again, the confidence in the effect is limited given the low certainty of the evidence.
Research implications identified in this review include the need for an up-to-date cost-effectiveness evaluation of diagnostic algorithms, and more evidence to learn whether there is a low-risk group of women who are unlikely to benefit from treatment of asymptomatic bacteriuria.
Read the full abstract...
Asymptomatic bacteriuria is a bacterial infection of the urine without any of the typical symptoms that are associated with a urinary infection, and occurs in 2% to 15% of pregnancies. If left untreated, up to 30% of mothers will develop acute pyelonephritis. Asymptomatic bacteriuria has been associated with low birthweight and preterm birth. This is an update of a review last published in 2015.
To assess the effect of antibiotic treatment for asymptomatic bacteriuria on the development of pyelonephritis and the risk of low birthweight and preterm birth.
Search strategy:
For this update, we searched the Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov, the WHO International Clinical Trials Registry Platform (ICTRP) on 4 November 2018, and reference lists of retrieved studies.
Selection criteria:
Randomised controlled trials (RCT) comparing antibiotic treatment with placebo or no treatment in pregnant women with asymptomatic bacteriuria found on antenatal screening. Trials using a cluster-RCT design and quasi-RCTs were eligible for inclusion, as were trials published in abstract or letter form, but cross-over studies were not.
Data collection and analysis:
Two review authors independently assessed trials for inclusion and risk of bias, extracted data, and checked for accuracy. We assessed the quality of the evidence using the GRADE approach.
We included 15 studies, involving over 2000 women. Antibiotic treatment compared with placebo or no treatment may reduce the incidence of pyelonephritis (average risk ratio (RR) 0.24, 95% confidence interval (CI) 0.13 to 0.41; 12 studies, 2017 women; low-certainty evidence). Antibiotic treatment may be associated with a reduction in the incidence of preterm birth (RR 0.34, 95% CI 0.13 to 0.88; 3 studies, 327 women; low-certainty evidence), and low birthweight babies (average RR 0.64, 95% CI 0.45 to 0.93; 6 studies, 1437 babies; low-certainty evidence). There may be a reduction in persistent bacteriuria at the time of delivery (average RR 0.30, 95% CI 0.18 to 0.53; 4 studies; 596 women), but the results were inconclusive for serious adverse neonatal outcomes (average RR 0.64, 95% CI 0.23 to 1.79, 3 studies; 549 babies). There were very limited data on which to estimate the effect of antibiotics on other infant outcomes, and maternal adverse effects were rarely described.
Overall, we judged only one trial at low risk of bias across all domains; the other 14 studies were assessed as high or unclear risk of bias. Many studies lacked an adequate description of methods, and we could only judge the risk of bias as unclear, but in most studies, we assessed at least one domain at high risk of bias. We assessed the quality of the evidence for the three primary outcomes with GRADE software, and found low-certainty evidence for pyelonephritis, preterm birth, and birthweight less than 2500 g.
Health topics:
Infectious disease > Urinary tract infections > Treatment: asymptomatic infection
Kidney disease > Urinary tract infections > Treatment: asymptomatic infection
Pregnancy & childbirth > Infection during pregnancy > Urinary tract infections
Smaill FM, Vazquez JC
Pregnancy and Childbirth Group
See the full Review on
the Cochrane Library
Smaill FM, Vazquez JC. Antibiotics for asymptomatic bacteriuria in pregnancy. Cochrane Database of Systematic Reviews 2019, Issue 11. Art. No.: CD000490. DOI: 10.1002/14651858.CD000490.pub4
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The shrieking apes whose children would some day be called men clambered down from trees and stood upright on two trembling legs, they began to kill with clubs and carried burning embers to make fire. Their primitive intelligence grew and among them one began to dream, not of mating or hunting, but of a beautiful female voice that spoke from beyond the stars. That gentle and wise voice named herself as Shub-Niggurath, the Mother of Darkness.
The Dreamer had only simple language, but he understood the voice of Shub-Niggurath and she told told him many things. He found an ancient oak and carved a symbol on it, exactly at the time and in the proportions she had instructed. In a season many plants that were good to eat grew around the tree and the tribe ceased roaming to dwell there. The voice taught him of plants that would heal the sick so that his people would prosper. The voice of Shub-Niggurath would sing to the Dreamer and he in turn taught the tribe to sing the Dark Mother's praises as they gathered around the mighty oak. For a time it was perfect, there was much food and peace, the tribe grew large and its children strong. The tribe held the Dreamer in high esteem and his word became first in all things.
Then one night near the time of the falling leaves, Shub-Niggurath spoke to the Dreamer with a voice harsh and fearsome. The Dreamer awoke in a fit of terror and he told the tribe of the Dark Mother's desire; that they should capture people of another tribe, as many as were the fingers of both hands and bring them to the oak. Half were to be bled dry on the roots of the tree in the dark of the moon and praises sung to the Mother of Darkness. The other half were to be given to the terrible firstborn of Shub-Niggurath, who would come to receive this tribute of flesh. It was done, the Dreamer led his tribe to war for the pleasure of his goddess and she smiled upon him as he performed the grisly rituals.
With the blessings of Shub-Niggurath the dreamer lived far beyond the normal span of a man and spawned many children, some with strange aspects and even stranger appetites. When at last the Dreamer died they buried his body at the foot of the great oak so his bones would be tangled in the bloodstained roots of the ever growing tree.
The tribe dwelt for countless years at the great oak and in time they evolved into true men and built a stone temple around the ancient tree and around that temple sprang up the first great city of man on earth, which was called Gron-Hia in that old tongue.
Even to this day the oak still stands in the crumbled ruins of the temple and the Prophets of Pnom claim that when the comet Oucarobius stains the sky the Dreamer can be heard singing to his dark goddess. Although some would say it is just the echoing shrieks of apes from the distant forest.


As a teacher, I can usually sum up my students within a few days after classes begin, spotting the individual characteristics each will show throughout the year. And there is always one (sometimes more) that have just enough sarcasm and wit to keep me on my toes.
My students had to pick a Marvel character to embody within a resume and cover letter. The idea that you miss 100% of the shots you don't take lives within one particular student.
Those who've not seen Guardian of the Galaxy movies may not get this epic response from his student. I'll explain.
Groot is one of the characters who only has one repetitive line in the movies..."I am Groot."
My hat is off to this clever student! Touché!
Davis' post has been shared almost 130,000 times and has over 100k likes and 44k comments! Oh, and Davis later posted that the same student received a 95 and 100 on two separate assignments. "Grammar is key," Davis wrote.
You can connect with Davis on twitter at @robodaviswfisd.


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Q: How to correctly format a "for" loop I'm quite new to programming and I'm trying to make a simple program with a loop:
#include <stdio.h>

int a = 5;
int b = 0;

int main(void)
{
    for (int i = 0; i < a, i++)
    {
        b++;
    }

    printf("%i", b);
}

However, when I try to compile I get the errors: relational comparison result unused [-Werror,-Wunused-comparison] and expected ';' in 'for' statement specifier for line 8. I've tried to look at several different sources on how to construct for loops and I just can't see what I'm doing wrong. Any help would be much appreciated.

A: Here's an example where you can practice interpreting the error statement. As you'll see, it says expected ';' in 'for' statement specificer. That's saying there's a place where you should have a semi-colon but you don't.
In your casse, there should be a semi-colon after the i < a. Right now, you have a comma.

A: I think you are using , instead of ; in the for loop after the statement.
for (int i = 0; i < a; i++)


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Creative Ways To Dig Yourself Out of Depression
The Heart of Innovation is 60 minutes with life and limb saving potential. Emmy Award-winning Journalist and Patient Navigator Kym McNicholas and Interventional Cardiologist Dr. John Phillips discuss new exciting ideas and innovation in healthcare. They tackle some of the greatest barriers to timely, effective patient care and discuss solutions with physicians, clinicians, policy makers, and most importantly, patients.
How do we improve our mental health in the face of adversity? One in four adults suffers from a diagnosable mental disorder in a given year. People with chronic physical illnesses are twice as likely to suffer from anxiety or depression as their physically healthy counterparts. Coach Christine Meyer, author of "Keep It Simple Smarty Pants," says the biggest mistake people make in trying to dig their way out of depression is trying to jump from depression to happiness. She explains that it's a guaranteed recipe for failure. During this episode, hosts Kym McNicholas and Dr. John Phillips talk to Christine about creative games we can play with our mind that guide us step-by-step to better feeling thoughts which become more sustainable. Christine demonstrates how effective her methods work by coaching three patients LIVE who have Peripheral Artery Disease, restricted blood flow in mainly the leg arteries that cause debilitating pain and ultimately depression.
Former Harlem Globe Trotter Promotes the Power of Positive Thinking with Peripheral Artery Disease
Larry "Shorty" Coleman practices what he's preached his entire career as a Harlem Globetrotter, the power of positive thinking, even as he stands up against amputation of his right leg, two years after his left was lost due to complications from Peripheral Artery Disease (P.A.D.). P.A.D. is restricted blood flow in mainly the leg arteries due to plaque build-up. He didn't know other advanced options might be available to save his right leg so he never sought a second opinion. With his left leg on deck, he reached out to peripheral artery disease advocacy organization The Way To My Heart, which has found him a different doctor with an advanced set of limb salvage skills, who is exhausting all efforts available to keep "Shorty" on his feet. Throughout "Shorty's" fight for life and limb he has continued to maintain a powerful positive mindset much in thanks to his faith and has continued to hold clinics to not help kids learn some of his pro hoop tricks on the court, but to also raise money for those with disabilities like himself due to amputation.
New Innovation That Gamifies Your Gut Exam
If you are over age 50, your physician may urge you to have a colonoscopy to check for cancer. You might also be urged to have your lower gastrointestinal tract checked using a colonscope and upper GI tract checked using a camera held on to a flexible tube called an endoscope that slips down your throat. An alternative to a procedure which some facilities offer is to swallowing an imaging device shaped like a pill that follows your intestinal tract down through excretion. The limitation with that versus a manual scope is that the current device you swallow can't be directed and so it may miss problem areas. That's why inventor and entrepreneur Torrey Smith started Endiatx. It's a company that's building a newer version called a Pillbot, a type of robot you can swallow, that can be controlled remotely while you are in clinic with your healthcare team. He talks to hosts Kym McNicholas and Dr. John Phillips about gamifying the gut exam and future use cases for robotics in examining the arteries and other areas of the body. Smith sees microrobotics as a game-changer in diagnostics and interventional medicine, at some point even sprouting surgical instruments to treat real-time. Prior to this project, Smith helped invent a device that would remove plaque from the arteries, which is still in use today.
How To Survive an AAA or Aortic Dissection
To continue honoring her Mom, Marilyn Lou Baum McNicholas, who transitioned almost one year ago due to an undetected Abdominal Aortic Aneurysm (AAA), Kym McNicholas and cohost Dr. John Phillips are keeping the conversation about detection, prevention, and treatment alive to prevent others from suffering the same fate. While Kym's Mom couldn't get diagnosed and treated in time, David Williams is a survivor of an aortic dissection, who shares his long, painful, but successful, fight for his life. The physician who David credits for saving his life joins the discussion. It's aortic specialist, Dr. George Arnaoutakis, Cardiothoracic Surgeon at University of Texas (UT), Austin, who recently moved from the University of Florida, Gainesville, to build a specialty center at UT. He and Dr. Phillips talk about the prevalence of aortic dissection and aneurysms, the difference between the two life-threatening conditions, how to prevent them, and how to know if you need to seek treatment for one.
A Spiritualistically Innovative Approach To Healing
Mindset is medicine for both the physician and patient. Medicine already recognizes the persuasive power of beliefs. The use of placebos is a great example of that. But it's much more than that, especially with chronic, painful vascular ailments such as peripheral artery disease (P.A.D.), which is restricted blood flow in mainly the leg arteries due to plaque build-up. Patients with P.A.D. feel at times as though a tourniquet is wrapped tightly around their legs when they walk. Sometimes the leg pain and cramping wake them up at night. Dr. Paramjit Romi Chopra joins hosts Kym McNicholas and Dr. John Phillips to talk about the powerful combination of science and spirituality to help patients and physicians persevere in challenging life and limb-saving situations.
Treats for Your Feet To Weather Through The Winter
Podiatrist Dr. David Alper joins co-hosts Kym McNicholas and Dr. John Phillips to talk about the cold weather dangers for those with poor circulation and how to protect their life and limb, especially feet.
Healthcare Call Center Fails and How to Fix Them
Open Enrollment just wrapped up and call centers were center stage, handling a high volume of calls from patients looking to secure their health insurance for 2023. On the front lines ready to prevent call center failure was Cyara, a quality assurance technology company that helps organizations, including those in healthcare, spot problems and find resolve of them before the customers discover them and hang up. Show hosts Kym McNicholas and Dr. John Phillips talk to Cyara Senior Vice President of Customer Experience Dennis Reno about the biggest call enter fails and how to fix them. Also, a former Highway Patrol Call Center Supervisor, Connie, shares her limb saving story in our Save My Piggies series. She continued to help facilitate potentially life-saving calls for others while fighting for her own life.
Preventing Premature Death From Aortic Aneurysms
Show co-host Kym McNicholas is dedicating this how to her Mom Marilyn Lou Baum McNicholas who transitioned earlier this year due to an undetected abdominal aortic aneurysm that ultimately ruptured. Marilyn's cardiologist told Kym that there's still so much doctors don't know about aneurysms and because of that, there are gaps in care, which lead to premature death. Marilyn was diagnosed with having a 4cm thoracic aneurysm six months prior to her transition. Her cardiologist would only say it's not at a size to worry about since a surgeon typically does not treat an aneurysm until it's at least 5cm. Her cardiologist never discussed how to preventthe aneurysm from growing, what symptoms to look for, or her increased risk of having an abdominal aortic aneurysm because of it. So, not further testing was done despite textbook symptoms of symptoms of increasing erratic blood pressure, tachycardia, a pulsating feeling around her belly button, an abdominal mass, and severe radiating pain in her back. Her cardiologist, a vascular surgeon, and an emergency room doctor told her there was nothing life-threatening with her symptoms. They told her to take muscle relaxers and prescribed physical therapy, along with traction. The autopsy revealed what doctors missed. Should Marilyn's 4cm thoracic aneurysm have been taken more seriously? Should she have been tested for an abdominal aortic aneurysm after being diagnosed with a thoracic aneurysm? Should her symptoms have been a red flag for doctors? In this episode, co-host Dr. John Phillips leads the discussion with guest Cardiac Surgeon Dr. Arnaoutakis, about specifically thoracic and thoraco abdominal aneurysms. For those who aren't familiar with what an aneurysm is and how it forms, they will go through the basics. But the primary discussion will be around the current gaps in care, new innovative approaches to diagnosis and treatment, as well as critical questions to discuss with your healthcare team. Also, Retired Veterinarian, triathlete, and author Dr. Kevin Morgan shares his personal story about how he diagnosed his own aortic aneurysm, found the right treatment, and continues to compete in running and cycling events.
Creative Ways Unhealthy Ingredients Hide in Healthy Food
Foods that are considered "healthy" and labeled as "natural" contain many harmful chemicals used as food preservatives and flavor enhancers. Dietitian Melissa Hooper joins hosts Kym McNicholas and Dr. John Phillips, along with guest co-host Nurse Practitioner Kay Smith to reveal hidden hazards companies have creatively hidden in food that are labeled in a way that make you think you are making healthier choices. We all know that fresh, local ingredients are always the best. But our store shelves are stocked with boxes, cans, bags, and jars that might be more attractive with creative labeling! How do you know if your go-to favorites have ingredients also found in jet fuel and embalming fluid? Dietitian Melissa is going to refine your radar for those harmful man-made chemicals that acidify your body pH, which in turn accelerates bone loss and inflammation. Even more, she will also reveal the truth about the ingredients you may 'think' are 'healthy?'
Innovative Holdiay Gifts for Vascular Patients
A great time for family and friends to show support for those with vascular diseases such as coronary artery disease (CAD), restricted blood flow in the arteries around the heart that restricts blood flow, and peripheral artery disease (PAD), which is restricted blood flow in the leg arteries due to plaque build-up, also chronic venous insufficiency (CVI), diabetes, and Raynaud's Syndrome. Hosts Kym McNicholas and Dr. John Phillips, along with guest co-hosts Nurse Practitioner Kay Smith and Revitalist CEO Kathryn Walker offer some innovative ideas to help with mental well-being, exercise regimens, health monitoring, and more. PAD Warrior and PAD Life Outdoors Youtube channel creator Robert Castleberry joins to share his favorite holiday gift gets for those who are seeking adventure!
Innovative Healthier Holiday Food Hacks
Get ready for the unhealthiest time of year -- the holidays! Research shows half of Americans will break their diet to give into the temptation of holiday food. A little cheat here or there -- well - we are all human. But you don't want to make a holiday habit of eating foods that will light your arteries on fire. The more logs on the fire --- the more retardant you will need to put out the flames. In body speak, the more fats and cholesterol being called in to patch up the artery damage. Don't worry, we are not here to be scrooge and tell you not to enjoy your holiday favorites. We are going to be your Holiday Angels, offering some healthier ways to enjoy them! The Way To My Heart has released its first publication called, "Food For Thought," and one of the largest sections is all about healthier substitutes. So during the next hour, hosted by Kym McNicholas and Dr. John Phillips, co-hosted by Nurse Practitioner Kay Smith, we are going to show you how to healthify your holidays. Patients with Peripheral Artery Disease, restricted blood flow in mainly the leg arteries caused by plaque build-up, share their favorite holiday hacks. Dietitian Melissa Hooper rounds out the broadcast with some of her non-negotiables for anyone trying to stick to their medical diets
Innovating to Heal Diabetic Foot Wounds
Since November 14th is World Diabetes Day, hosts Kym McNicholas and Dr. Phillips are joined by guest co-hosts Podiatrist Dr. David Alper and Nurse Practitioner Kay Smith, to talk about one of the most prevalent complications of Diabetes, amputation. Every 20 seconds globally, a limb is amputated due to diabetes. Why? Extra sugar in the blood can damage the artery walls, allowing for fats and cholesterol to sneak in and push the artery wall out, hindering blood flow to the feet. Sometimes the first sign a diabetic has restricted blood flow in the leg arteries, known as Peripheral Artery Disease (P.A.D.) is when an ulcer appears on their foot or toe that won't heal. Every 1.2 seconds somewhere in the world there is a new diabetic foot ulcer that appears on someone. Diabetic Foot Ulcers are responsible for more hospitalizations than any other complication of diabetes, driving direct costs through the roof. Innovators at Sensoria® Health and Defender believe they have one way to help heal diabetic wounds faster, minimize related amputations, and reduce costs. Dr. Jason Hanft, podiatrist, and Michael DiTullo, a former shoe developer at Nike, have created the Foot Defender® to help patients expedite the healing time for their diabetic ulcers. The Foot Defender is designed to help heal diabetic foot ulcers and reduce the risk of amputations by improving patient adherence to mechanical offloading, monitoring patient usage, activity, improving outcomes, and reducing healthcare costs. A patient supported by P.A.D. advocacy organization The Way To My Heart shares his long journey trying to save his legs from amputation as well as his feedback after trying out The Foot Defender® for a few weeks.
When Treatment Algorithms Are Ripe For Innovation
If you have symptoms A, B, and C, it is likely your physician will follow a decision-tree that leads them to choose X as treatment. Treatment algorithms exist across healthcare. They're detailed, step-by-step flow charts that outline the recommended treatment for patients with a specific disorder. These algorithms are a critical foundation for any physician. They're also critical for standardizing treatment around the world so as to provide equitable care. In this week's show hosts Kym McNicholas and Dr. John Phillips are joined by The Way To My Heart's Nurse Practitioner Kay Smith and Rush Hospital's Dr. Kumar Madassery about the value of treatment algorithms as well as where they fall short for patients, costing life and limb. They also discuss critical questions patients can ask their doctor to determine their treatment algorithm so they can weigh it against another physician who may use a different flow chart for treatment. During the Save My Piggies segment in the second half of the show, a patient, John, and his wife, Amy, who discovered almost too late that different doctors have different treatment algorithms, share their plight to save his life and limb and the importance of getting a second opinion.
Gaps and Solutions In Death With Dignity
Dignity is an important component of providing care for dying patients and their families. Death with dignity is an end-of-life option, governed by state legislation in the United States, and other lawmakers around the world. It allows certain people with terminal illness to voluntarily and legally request and receive a prescription medication from their physician to hasten their death in a peaceful, humane, and dignified manner. In today's show we talk about what you need to know about your freedom of choice when it comes to dignity in dying. It's an important conversation that could impact the discussions you have about life and death with your family and healthcare team.
Strategies to Reduce Covid Vascular Complications
COVID-19 in its early days was classified as only a respiratory illness with varying degrees of severity. But as healthcare professionals learned more over time, they started also considering it a vascular disease because of blood clots that led to serious complications, including death, in patients suffering from COVID-19. In today's show hosts, Dr. John Phillips and Kym McNicholas are joined by guest co-host Nurse Practitioner Kay Smith and Cardiothoracic Surgeon Dr. David Allie, and a patient who almost lost his legs following vascular complications due to COVID-19, to talk about those vascular complications and strategies to minimize arterial/venous thromboembolism (blood clots), myocardial infarction (damage to the heart muscle caused by lack of blood supply, which could be the result of a blood clot) complications. Some of those strategies discussed include earlier bloodwork to check cardiovascular biomarkers such as D-dimer and troponin as well as ultrasound imaging of the lungs, heart, and legs upon the early presentation of symptoms, which could signal an earlier need for aggressive intervention and treatment.
Innovation Democratizing Patient Access To Medical Records
How much easier would it be if we had instant access to our medical records, especially imaging, so we could make real-time decisions on our care and even get a second opinion in a timely manner? The reality is that although HIPAA mandates our right for access to our medical records, get copies of them, and request chances be made to them, policies differ depending on facility which hinder a patient's ability to get access real-time. Some charge to release the records, asking patients to cover the 'administrative costs.' Some wait until the very last moment to send under HIPAA's 30-day requirement between the time the request was made and honored. Some even take advantage of a one-time 30-day extension, further delaying the release of records. The delay in getting those records could cost life and limb. But there is some light on the horizon with the new Cures Act as well as innovation by entrepreneurs around medical records access. Leading the discussion is Bill Anderson, Advisor to Digicare, which is creating a platform that at its foundation democratizes access to all medical records for the patient across facilities, and even more, using a special algorithm brings the information to life by highlighting key medical terms and offering patients the ability to instantly get them defined and explained. He's also VP of Partnerships for Briya, which allows patients, physicians, and researchers, and data analytics tools to be able to access and make sense of data from any location, in any format, in near real-time. In the last half of the show, a patient shares her story of perseverance with Peripheral Artery Disease (P.A.D.), a chronic circulation issue impacting mainly the legs, that impacts one in five over age 60. Diagnosed and treated at early onset of symptoms such as leg cramps and pain in the buttocks, hips, thighs, or calves, reduces a patient's risk of heart attack, stroke, and amptuation.
The Genius Behind ALS Innovation
Hosts Interventional Cardiologist Dr. John Phillips and Emmy Award-winning journalist Kym McNicholas are talking about innovation around ALS. Most are familiar with ALS now more than ever because o the famous internet ice bucket challenge involving the pouring of a bucket of ice water over a person's head, either by another person or self-administered, to promote awareness of Amyotrophic lateral sclerosis , or ALS. ALS is a progressive nervous system disease that affects nerve cells in the brain and spinal cord, causing loss of muscle. Most people with this disease begin with muscle stiffness or weakness. But they eventually lose the ability to walk, dress, write, speak, swallow, and ultimately breathe on their own when the muscle paralysis spreads to vital organs such as the lungs. We are talking about it here on the Heart of Innovation for three reasons: First, although it's not considered a vascular disease, some researchers believe that an ALS-linked gene mutation could cause disruptions in the blood-spinal cord barrier, causing the neurovascular inflammatory response, which is ALS; Second, due to the lack of mobility as ALS progresses, many people with ALS end up with circulation issues in the legs (Circulation issues in the legs is known as peripheral vascular disease. We've talked about that at length on this show where arteries start hardening and the flaps that help usher blood flow back to the heart start malfunctioning.); Third, innovation around treatment and disease management has led to a longer, better quality of life for people with ALS due to organizations such as the Gleason Foundation, founded by former New Orleans Saints NFL great Steve Gleason. Kearney Gray, Director of development for the Gleason Foundation talks about how patient-driven innovation with communication and mobility are helping patients to live a longer, better quality of life. The Gleason foundation has played an integral role in raising the patient voice to create change in care, empowering companies to create new, novel approaches to improving communication for people with ALS, and not only educating lawmakers on ALS, but inspiring them to take action to help elevate care. Dietitian Melissa Hooper also joins the discussion to talk about the importance of nutrition in slowing the progression of disease and improving the quality of life of people with ALS. Since people with ALS maintain their cognitive ability throughout disease progression, knowing what's to come and what's happening can impact mental well-being. So, Kathryn Walker, CEO, MSN-Anesthesia, MSN-Psychiatry, at mental wellness treatment centers, Rivatalist, adds to the conversation with available options to improve mental health.
How To Ease Anxiety Before and After Surgery
Having a chronic illness and/or a surgical procedure can be scary. In this episode of the Heart of Innovation, we are talking about pre and post surgery stress and anxiety, especially tomophobia, 'the fear of surgery'. In the hospital, people are given medicine to help them sleep or sedatives to put them at ease. At home, it's not always as easy. Either way, many times the hurry up and wait game for any procedure is sure to put you on edge. The Way To My Heart Nurse Practitioner Kay Smith along with CRNA Kathryn Walker, CEO of Rivitalist , a group of mental wellness centers and her colleague Beth Ward, a Licensed Clinical Social Worker (LCSW) talk to hosts Kym McNicholas and Interventional Cardiologist Dr. John Phillips about how to discuss doubt, fears, and anxiety with your healthcare team. They also offer tangible, actionable ways in which you can put yourself at ease pre and post surgery. Grady, a family member of a patient who is now recovering from open heart surgery kicked off the discussion with a candid description of his experience leading up to his brother's procedure. He discussed the fear driven by the procedure itself but also the revolving door of physicians, the numerous pre-operative tests, the gaps in communication at times, and worries about what happens if treatment doesn't work. He also drove home the importance of a patient's healthcare team to recognize the stress and anxiety of a patient's family and to keep them in the loop to ensure all are on the same page so they can more effectively support the patient and help accelerate versus hinder the healing process. Marcia, a patient with peripheral artery disease (P.A.D.), asked the therapists and Dr. Phillips about how to deal with post-surgery symptoms and the emotional stress that comes with so many questions that may arise between appointments with her healthcare team. Most patients don't have a physician or clinician on speed dial every single time a question pops up. So, what might be a small, normal post-surgery side effect, can be magnified the longer a patient waits for an answer. A big takeaway from CRNA Kathryn and LCSW Beth is to recognize that stress, anxiety, and fear step from worrying about the future and things you can't control. They say the key is to focus on what you can control. Draw a circle on a piece of paper and place inside the circle all of the things you are worried about that YOU can actually do something about. That includes planning for options to accelerate recovery, such as starting to contemplate rehab possibilities, setting up a meeting with a dietitian, obtaining items for improved comfort and mobility at home, etc. Focus on those. For the others, sit down and come up with questions that may arise around them which can be discussed with your healthcare team or that of your family member. In summary, it's most important to not burden yourself with regrets of the past and the 'what if's' of the future. Catch them coming into your mind, and remind yourself to look for things that are within your power tand control to change and do right now. For more, listen to this powerful conversation:
How To Prepare for Open Heart Surgery
Douglas is on deck for open heart surgery and decided to join the show just minutes before air time to inspire others by sharing his courageous journey. He heard that Dr. Mehrzad Zarghouni, Interventional Radiologist with Houston Vein & Vascular, was going to be on the show as co-host since Dr. Phillips was on call and taking care of an urgent heart patient at Ohio Health, and he popped on just before our producer Aikman did the final countdown. Douglas wanted to thank Dr. Z, who was named U.S. Vascular Doctor of the Year 2022 by advocacy nonprofit The Way To My Heart, for saving his life. Douglas had shown up to see Dr. Z a few months ago for a procedure to unblock arteries in his legs because of a disease known as Peripheral Artery Disease, which is defined by plaque build-up in mainly the leg arteries which restricts blood flow, causing debilitating pain. Douglas seemed off that morning and was complaining of fatigue and chest pain. Dr. Z sent him immediately to the emergency department and called a friend, an Interventional Cardiologist, who was on call that day who was able to get diagnosed and stabilized. Douglas has a very rare apical hypertrophic cardiomyopathy, which is when the walls of the heart become thicker than they should be. This excessive thickening can cause the heart to become more stiff and leaves less room for blood to fill the heart. Douglas is now on deck for open heart surgery next week to improve his prognosis. During the show Douglas was able to ask our guest panel questions to ease his fears about the procedure and the aftermath. The Way To My Heart Nurse Practitioner Kay Smith was able to provide an in-depth explanation of Douglas' situation. Then Nurse Practitioner/CRNA Kathryn Walker, who's also CEO of Revitalist, a group of mental wellness treatment centers, walked Douglas through what to expect from the moment he's wheeled down to the operating room clear through recovery. Dietitian Melissa Hooper (www.dietitianmelissa.com) answered Douglas' questions about how to improve his health following open heart surgery. Also, in the show's Save My Piggies segment, Dr. John Corl, Interventional Cardiologist with Christ Hospital in Cincinnati, Ohio is joined by his patient Marcia to talk about how the right doctor and "modern medicine" changed her life and made her "new" again.
How to Walk Effectively To Improve Circulation
When your physician says "Walking is the best medicine" for treating Peripheral Artery Disease (P.A.D.), they're right. P.A.D. is defined by a narrowing of the arteries, mainly in the legs, due to plaque build-up. When flow is restricted, muscles, organs, and tissue are starved of critical nutrients, including oxygen. This may cause symptoms, such as leg pain and cramping when walking (claudication). Even worse, it could prevent the healing of sores on your feet, leading to ischemia, meaning tissue loss. Wounds need oxygen to heal. Your body does have a back-up system. It's the collateral network, known as your body's "natural bypass." During this episode, hosts Kym McNicholas and Dr. John Phillips talk to Interventional Radiologist Dr. Lorenzo Patrone, 2022 European Patient Champion and 2020 Global Vascular Doctor of the Year, about why walking is the best medicine for peripheral artery disease and other circulation issues. Mass General Hospital Vascular Surgeon Dr. Anahita Dua also shares how to walk effectively to wake up and grow your collateral network to help improve circulation without intervention. In the third segment, a P.A.D. patient shares how he had a second opinion from First Coast Cardiovascular Institute Interventional Cardiologist Dr. Yazan Khatab, who saved his leg after his previous physician told him amputation was the only option because he would make more money versus performing multiple angiograms.
Innovative Approaches to Mental Health with Chronic Pain Illness
Chronic physical illness can lead to depression and anxiety, resulting in a mental health crisis which can further jeopardize a patient's health. Kym McNicholas and Dr. John Phillips are joined by The Way To My Heart's Nurse Practitioner Kay Smith, legendary business and financial reporter Bambi Francisco (Founder and CEO of Vator.tv), and Revitalist CEO Kathryn Walker to talk about the problem and innovative solutions to improve mental health in patients with chronic physical ailments. Also, Diane, a patient with Peripheral Artery Disease (P.A.D.), which is a chronic circulation issue, talks about the impact of P.A.D. on her mental state and how finding the right vascular specialist who uses advanced minimally invasive tools and techniques can make all the difference in the world in not only providing pain relief but also restoring hope as well as her love life.
Innovative Approaches To Treating Peripheral Artery Disease and Other Vascular Conditions
Since this is the first show during Peripheral Artery Disease Awareness (P.A.D.) Month, which brings to the forefront a debilitating circulatory disorder that impacts one in five people over age 60, hosts Kym McNicholas and Dr. John Phillips, along with Nurse Practitioner Kay Smith, are talking to Dr. Jay Matthews. Dr. Matthews is an Interventional Cardiologist in Bradenton, Florida, whom several patients through nonprofit, The Way To My Heart's community call, "Dr. Miracle" for his limb-saving efforts for their care. He is fascinated by the innovation happening around P.A.D. and other vascular diseases and shares some of the technology that's catching his eye. Also, during the show, we talk to radio host Mike Matthews as we dedicate this show to his Mom Christa, who recently transitioned following a long battle with P.A.D.
Type 2 Diabetes and How Can Diet Reduce Amputation Risk
Type 2 diabetes and obesity are epidemics that can lead to amputation due to a common complication known as peripheral artery disease (P.A.D.), which is plaque build-up in mainly the leg arteries that restricts blood flow. But the right diet can help mitigate the risk of limb loss. Hosts Kym McNicholas and Dr. John Phillips are joined by Nurse Practitioner Kay Smith to chat with special guest Dr. Michael Dansinger about diabetes reversal, eating strategies for P.A.D. prevention, and the secret to weight loss based on USA Network's The Biggest Loser reality show. Dr. Michael Dansinger is Wellness Director at Boston Heart Diagnostics and Founding Director of the Diabetes Reversal Program at Tufts Medical Center in Boston. He also serves on the CDC's Expert Panel for Worksite Wellness Programs and on the Council of Directors for the True Health Initiative, a leading international voice for health and wellness. Dr. Dansinger previously served as the Nutrition and Obesity Editor for Medscape Journal of Medicine and was the principal investigator of the Tufts Popular Diet Trial comparing the Atkins, Zone, Weight Watchers, and Ornish eating plans for weight loss and heart disease risk-factor reduction (published in JAMA). Dansinger was the nutrition doctor for NBC's The Biggest Loser for 10 years and designer of the Biggest Loser Diet, which won top awards from U.S. News & World Report (including No. 1 Best Diet for Diabetes).
Patients Share Gaps They Experience in Healthcare
Patients are on the frontlines when it comes to uncovering gaps in our healthcare system. That's why this show will feature what they have to say about how patients in the most vulnerable communities who have Peripheral Artery Disease (P.A.D.), plaque build-up in mainly the leg arteries that restricts blood flow to the lower extremities, are treated. Live at The Way To My Heart's first in-person conference focusing on sharing cutting-edge information with patients with P.A.D., we talk to attendees about shaping the future of P.A.D. care.
Shocking Conversations Between Patients and Doctors
What patients say and what doctors hear is often very different. That's often the case with what doctors say and patients hear as well. During this episode, patients share stories about conversations with their doctor that have left them speechless. Hosts Kym McNicholas and Interventional Cardiologist Dr. John Phillips are joined by Dr. Kirk Minkus, and Nurse Practitioner Kay Smith who will also share their most shocking conversations with patients. Plus, one patient, Douglas, shares his fight for life and limb during this week's Save My Piggies segment.
How Vascular Disease Can Impact Sex... and What to do About It
If you have been diagnosed with a form of vascular disease such as Heart Disease, plaque build-up that has the potential to restrict blood flow in the coronary arteries, or Peripheral Artery Disease, which impacts the leg arteries then it is likely you have plaque build-up in other vessels in the body, even those that feed the prostate. In this episode, hosts Kym McNicholas and Dr. John Phillips are joined by board-certified Vascular and Interventional Radiologist Dr. Charles Nutting, who specializes in prostate artery embolization (PAE) , an outpatient procedure that involves the release of microscopic, plastic beads into the arteries that feed the prostate gland. We discuss who might be a candidate, the risks involved, how to talk to your doctor about sexual dysfunction, what might be causing it, and available treatment options. A patient, Douglas also shares his personal story, experiencing sexual dysfunction as the first sign of systemic vascular problems and how his disease evolved. Kym is also LIVE from the Vascular Institute in Sacramento, California where she observed Dr. Inder Singh saving the leg of a The Way To My Heart patient who was on deck for a below-the-knee amputation. Dr. Singh shares how he was able to restore additional blood flow to heal the wounds on the patient's foot.
Fibroids As An indicator of Cardiovascular Risk, and New Treatment Options
It might be odd to think that on a show about vascular health, hosts Kym McNicholas and Dr. John Phillips are talking about fibroids, which are noncancerous growths in a woman's uterus. But studies show that cardiovascular risk factors were slightly more common for women with fibroids than for women without fibroids. During this episode, Kym and Dr. Phillips talk to Advanced Vascular Centers Interventional Radiologist Dr. Mary Costantino about those risk factors as well as newer, more innovative approaches to treating fibroids.
How to Avoid Summer Foot Problems
In the summer, your feet are exposed to the elements more often which is especially concerning for those with diabetes, neuropathy, and Peripheral Artery Disease. Podiatrist Dr. David Alper joins hosts Kym McNicholas and Dr. John Phillips about how to prevent common foot problems and complications. Also in this episode, you don't want to miss our Save My Piggies segment where a patient and her doctor share an inspiring story of how a second opinion made the difference between life and limb.
Cutting Edge Cardiovascular Bloodwork
About half of those who suffer a heart attack have normal cholesterol in a basic lipid panel. It's not until advanced bloodwork is performed that they come to find out that while the quantity of LDL particles (bad cholesterol) is ok, the quality is poor. That begins the conversation on this week's show about the critical need for advanced bloodwork for those at-risk of and with vascular diseases such as heart disease, diabetes, and peripheral artery disease. Hosts Kym McNicholas and Dr. John Phillips are joined by Dr. Michael Dansinger, Medical Director of Boston Heart Diagnostics, which offers cutting-edge bloodwork for cardiovascular health. He also created a well-known diabetes reversal program for Tufts University and developed the diet for the hit TV show The Biggest Loser. They discuss newer blood markers that can help you and your doctor better understand your cholesterol, your risk for diabetes, and what's damaging your arteries triggering an inflammatory response that causes plaque to build-up and restricts bloodflow in various parts of your body.
Why Veins Don't Have Fun In The Summer Sun
Why do my veins seem bigger in the summer? That question leads Emmy Award-winning Journalist Kym McNicholas into a discussion with co-host Interventional Cardiologist Dr. John Phillips, Hill Vascular's Vascular Surgeon Dr. Bradley Hill, and The Whiteley Clinic's Dr. Mark Whitely, world renowned vein expert from London about varicose veins, chronic venous insufficiency, and Deep Venous Thrombosis (blood clots). They talk about the reasons why only 10% of the 30 million Americans, who are estimated to have venous issues, actually get treated. Advanced treatment options are also discussed at length.
The Impact of Fun in The Sun on Vascular Health
Heat can increase risk for morbidity and mortality. So, in this week's show over the 4th of July Holiday weekend we are focusing on the factors that increase someone's risk of heat-related illness or death in the summer sun and how to talk to your doctor about mitigating your risk. Co-host Emmy Award-winning Journalist Kym McNicholas, Co-host Interventional Cardiologist Dr. John Phillips, and Dr. George Adams, Director of Cardiovascular & Peripheral Research and Associate Professor at Rex hospital in North Carolina don't just tell you to drink water and limit time in the sun, they discuss the mechanism of action by which heat causes blood vessels to burst, blood clots to form, and medications to adversely react with your body. Also, in this episode you don't want to miss Walking William's story of perseverance, improving his health with each step he takes.
How Doctors Stay On The Cutting-Edge
This week Interventional Cardiologist Dr. John Phillips and Emmy Award-winning journalist Kym McNicholas talk about how physicians stay on the cutting-edge of treatment, especially with one of the most debilitating diseases most have never heard of yet impacts 3 in 5 heart attack sufferers and 1 in 5 over age 60, known as peripheral artery disease (P.A.D.) (plaque build-up in the leg arteries). Kym is LIVE from a conference in Italy for this broadcast where she talks to some of the most advanced physicians in the world who treat P.A.D.
The Life and Limb-Saving CHAT to Have with Your Doctor
C.H.A.T. is an acronym for Carotids, Heart, Abdomen, and Toes. In this show, Hosts Kym McNicholas and Dr. John Phillips, along with guest co-host Nurse Practitioner Kay Smith drive home the importance of urging your doctor to perform a full head-to-toe vascular assessment during each annual exam, especially if you have high risk factors such as family history, diabetes, autoimmune disease, celiac disease, obesity, former/current smoker, and more. Patients and physicians join to share their stories that will inspire you to advocate for your health.
Silent Epidemic Needlessly Costing Life and Limb
Everyone knows of the condition Cardiovascular Disease, also known as Heart Disease, which is plaque build-up in the arteries around the heart. In the legs, plaque build-up in the arteries is known as Peripheral Artery Disease (P.A.D.). It can also impact the arms and sometimes the small arteries in the brain. But it's mainly the legs. Three-in-five heart attack sufferers, one-in-five over age 60, and one-in-three diabetics over age 50 have it. Globally, it is estimated that more than 200 million people have P.A.D. Most don't know it until it reaches advanced stages and heart attack, stroke, and amputation are imminent. Doctors may misdiagnose textbook symptoms of leg pain and leg cramps as diabetic neuropathy, diabetic foot, fibromyalgia, old age, arthritis, or even spinal/sciatic problems. But it's easy to diagnose or rule out with even two fingers and two seconds with a doctor feeling a patient's leg pulses. In this episode, Dr. Yazan Khatib, Interventional Cardiologist with First Coast Cardiovascular Institute in Jacksonville, Florida calls in to drive home the importance of not only diagnosing P.A.D. early but then finding the right doctor who has advanced skills in treating P.A.D. Tammie Caves, Clinical Program Director for wound care organization, Healogics, Inc. calls in to share why it's perfect timing to discuss P.A.D as it's Wound Care Awareness Month in June. Douglas, a P.A.D. patient from Texas sparks a discussion about walking as the best medicine. Nurse Practitioner Kay Smith is featured in our "Save My Piggies" segment, to share her story about spending 19 months in the most advanced stages of P.A.D. known as Critical Limb Ischemia (CLI) and how she persevered.
Catalysts for Creating a New Paradigm in Healthcare
What is The Heart of Innovation? In this first episode, Co-Hosts Emmy Award-winning Journalist/Patient Navigator Kym McNicholas and Interventional Cardiologist Dr. John Phillips talk about the catalysts for creating change in healthcare through this radio show/podcast. We specifically address vascular diseases with Heart Disease remaining the #1 killer and the many associated ailments which contribute to vascular complications whether it's diabetes, autoimmune disorders, COVID-19, Peripheral Artery Disease, stroke, aneurysm, or others. Dr. Phillips And Kym explain their passion for specifically addressing Peripheral Artery Disease (P.A.D.), which is restricted blood flow in mainly the leg arteries due to plaque build-up, that impacts three-in-five heart attack sufferers and one-in-five over age 60. Listen to the show at this link to hear the details of their journeys and more about what you can expect each week on this show, which encourages doctors, patients, researchers, innovators, decision-makers, and all healthcare professionals to have a candid discussion about how to shape the future of care and improve outcomes for patients with vascular diseases. One patient called in during this episode as well as an advanced skilled Interventional Cardiologist, Dr. Fadi Saab, who both shared the same message that it's important for patients and physicians alike to understand what's new and next in the treatment of vascular disease in order to improve outcomes.


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STATELINE, Nev. — A multimillion-dollar resort will put roots down on the Nevada side of Lake Tahoe's south shore.
The layout for the hotel with no gambling facilities includes a spa, restaurant and conference center. Among the planned amenities is a small public beach bordering the lake-front golf course that has hosted the American Century Celebrity Championship televised each July on NBC-TV since 1990.
The $100 million-plus price tag includes addressing environmental issues such as energy efficiency, runoff and other water-quality concerns. The resort is scheduled to open in the summer of 2017.
"Like grand lodges of the American West, we hope it will inspire awe with its views and location," Chuck Scharer, president/CEO of Edgewood Companies, told about 100 people gathered Thursday at the Edgewood Tahoe Golf Course clubhouse.
Edgewood Companies is owned by members of the Park family, descendants of pioneer cattle ranchers who settled at south Tahoe more than a century ago.
He said he received many questions regarding the brand and management of the lodge, but the owners settled on their own Edgewood Companies with the same name brand the Park family put on the golf course when it was built in the 1960s.
Preliminary infrastructure work has already begun on the site north of U.S. Highway 50 near the California border. The Tahoe Regional Planning Agency, the bi-state entity which oversees Tahoe-area development, approved the project in 2012.
Hal Cole, mayor of South Lake Tahoe, said the development might be on the Nevada side, but the Stateline area is "becoming more blurred as tourism grows." Both sides are wise to work together, he said.
"Edgewood needed to have hotel rooms. We are truly one shore," he said.
The Edgewood resort is "sorely needed" for helping grow the Tahoe basin's recreational tourism market, Claudia Vecchio told the Reno Gazette-Journal (http://tinyurl.com/q8qgueh ). Vecchio is director of the Nevada Department of Tourism and Cultural Affairs.


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Sacred Heart volunteers show students 'everyone is God's child'
Andy Telli, Tennessee Register
Colleen Vess and Jeffrey Littrell, who have special needs, both help their mothers at Sacred Heart School in Loretto. Colleen, a teacher's assistant at the school, helps a student in the pre-kindergarten class learn to read. Photos by Andy Telli
Colleen Vess sits beside a pre-kindergarten student and gently helps him learn to read. It's part of what she does as a volunteer teacher's assistant at Sacred Heart School in Loretto.
Jeffrey Littrell is quick to scan the books in the school library and return them to their proper place on the shelves. He knows exactly where every book belongs.
Colleen and Jeffrey have routine jobs at Sacred Heart School, but their presence there is anything but. Now adults, both were special education students when they were in school.
Their involvement at Sacred Heart teaches the students a valuable lesson, said Principal Teresa Leon.
"It's important for the kids," whose interactions with Colleen and Jeffrey teach them "everyone is God's child," Leon said. "To be different is not a mistake or wrong."
It can also help the students cope when they feel they are different, Leon said.
"It's important for kids to see through God's eyes and (working with Colleen and Jeffrey is) an opportunity for them to do that," Leon added. "It makes the kids warm and open and compassionate towards people. They take it outside the school walls."
'A blessing to me'
Sue Vess, left, and her daughter Colleen.
Colleen attended Sacred Heart School, where her mother Sue Vess is also a teacher, from fourth through eighth grade. In high school, she was enrolled in special education classes.
While still in high school, she would help her mother in the pre-kindergarten class after her own school day was finished.
One day, Colleen showed a pre-kindergarten student how to use scissors so they wouldn't hurt themselves. "I snagged her after that," Sue Vess said. "It was a blessing to me."
After Colleen graduated from Loretto High School in 2011, she started volunteering full-time with the pre-kindergarten class at Sacred Heart and also helping the school office manager, Coral Potts, in the afternoons.
Catherine Bradley was the principal when Colleen started. "She actually jumped on it," Sue Vess said of Bradley's decision to let Colleen volunteer at the school. "She didn't hesitate. I was very grateful."
Not only does Colleen's volunteering keep her involved in the school, "it lets children know we're all different," but we all have gifts we can share, said Sue Vess, who is now the school's kindergarten teacher. "Even if people have disabilities … there are things they can do."
'It was amazing'
Carol Yarbro is the volunteer librarian at Sacred Heart. She and her husband Alvin became foster parents in 2002.
Jeffrey volunteers in the school library one day a week.
"We got Jeffrey when we got a call" from state officials, Mrs. Yarbro said. "They had a boy with autism who needed a home. … I said, 'Autism. What is that?'"
Originally, the Yarbros were asked to keep Jeffrey, who was 14 at the time, and his half-brother for the weekend, but then they were asked to keep him for another week. "We knew they were going to move him from home to home to home," Mr. Yarbro said. They feared Jeffrey was going to get lost in the system, so Mrs. Yarbro started asking what she needed to know to take care of Jeffrey for the long term. The Yarbros were Jeffrey's foster parents when he was younger and still take care of him now that he is an adult.
Jeffrey has been diagnosed with severe autism, intellectual disability, and Attention Deficit Hyperactivity Disorder. Despite his disabilities, Jeffrey has a capacity to work with numbers and can quickly alphabetize things to keep them in order, Mrs. Yarbro said.
He also can draw detailed maps from memory after only one visit to a location. One of his maps of the State of Tennessee, showing all the major highways, cities and towns, that he draws from memory, is hanging in the school cafeteria.
Jeffrey loves music, plays the piano and is a huge fan of the Country Music band Alabama. He's been to several of their concerts and lead singer Randy Owen has invited him onstage to sing with the band.
After Jeffrey graduated from Lawrence County High School in 2011, the Yarbros wanted him to have a job. Mrs. Yarbro asked the principal, Mrs. Bradley, and Father Tomy Joseph, M.S.F.S., who was pastor of Sacred Heart Church at the time, if there was something Jeffrey could do at the school.
They said they would find something for Jeffrey and started by having him help shred papers that were no longer needed.
When he was in the school library with Mrs. Yarbro, Jeffrey started putting books back on the shelf in just the right order. "He just did it. I don't know how he did it," Mrs. Yarbro said. "It was amazing."
Jeffrey's behavioral therapist has come to the school to talk to the students and explain what autism is, Mrs. Yarbro said. "They were able to ask a lot of questions about why Jeffrey behaves like he does."
Jeffrey takes a photo of the students in the library.
His involvement at the school, like Colleen's, has benefited not only him but those around him.
"I think it's tremendous," Mrs. Yarbro said. "Kids here probably didn't have exposure to people with disabilities. They can see the value they have."
'Here for a reason'
Colleen likes to help the children in the pre-kindergarten class with their craft projects and learning their sight words, she said. To the students, she's a teacher, just like her mother. "That's what they call me," Colleen said.
Having Colleen in the classroom, benefits not only the teacher but the students as well, Sue Vess said. "Having an extra person to talk to and to read to them, it helps them academically."
"The kids seem to love her," Sue Vess said. When Colleen was out for a week earlier this school year, "they missed Miss Colleen and wanted to video chat with her."
Leon was one of Colleen's teachers when she was a student there. After teaching for several years at Overbrook School in Nashville, Leon came back to Sacred Heart this school year as principal. "It was a pleasant surprise to see Colleen here and working and seeing her accomplish so many of her goals as a young woman," Leon said.
Colleen and Jeffrey share a birthday on March 15, and they celebrated together with a party at the school in the past.
Like Colleen, Jeffrey enjoys spending time with the students, Mrs. Yarbro said. "He likes to make them happy."
Mrs. Yarbro is not sure why God put Jeffrey in her life and at Sacred Heart, but she is sure "he's here for a reason," she said. "I think he's making a positive impact."
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