36 Burst results for "Cord Cord Cord Cord"

Fresh update on "cord " discussed on The News Junkie

The News Junkie

00:35 min | 9 hrs ago

Fresh update on "cord " discussed on The News Junkie

"Back to the program. Oh, it's great to be here with you today. Hey, you know, I just mentioned, it's a toxic world we're living in. The environment is absolutely polluted. And I got to tell you, I'm still shocked by what you sent me. This EPA bat tissue survey that basically shows that we're all contaminated by plastics and solvents virtually 100% of us in our tissue. It's downright scary stuff, right? Absolutely. This is a scary subject, and as you mentioned that EPA fact issue survey, that was done on 33,000 U.S. residents, they found terpenes plastics, chemicals, solvents, in a 100% of the samples. So basically, we're all contaminated. Then the environmental working group back in 2006 found that tap water in 42 states is contaminated by more than a 140 unregulated chemicals. This is the craziest thing of all. They do studies of umbilical cord blood. They find dozens of chemicals in umbilical cord blood. So, I mean, what are we going to do about this? What are we going to do about this toxic environment to cleanse and detoxify our systems on a daily basis? That's the question. So how do we do that? Well, that's where this next generation organic juice cleanse with our special liver support blend comes in handy because it has over 30 different super foods. They nourish all the cells and tissues of your body. You get the vitamins, the minerals, the phytonutrients that we miss when we don't get that 7 to 9 servings a day recommended by the FDA, the USDA of fruits and vegetables. On top of that, because it's USDA certified organic, we're not getting any of the pesticides or herbicides just all that pure organic produce that supports all our tissues, but on top of that goes to our supporting the liver in its job of cleansing the toxify in the system. So you get that cleansing every single day with OJ C on top of that best news of all today, we're giving away a free bottle of OJ C to everybody in the listening audience. Now purity isn't saying that they're organic juice cleanse can fix everything, but they are saying

EPA Umbilical Cord Blood Usda U.S. FDA
A Heroine High Gave the Rolling Stones '(I Can't Get No) Satisfaction'

AJ Benza: Fame is a Bitch

01:32 min | 3 weeks ago

A Heroine High Gave the Rolling Stones '(I Can't Get No) Satisfaction'

"How about this? Did you know that the rubber on the topic of music? So I'll give you some of these music stories. I know. The Rolling Stones almost never recorded maybe the greatest rock song of all time, satisfaction. Had Keith Richards, not woken up from a heroin high to trip around his room and played those opening cords that are immediately recognizable anywhere in the world. He plays that. And he lets loose the words, I can't get no satisfaction. Shuts the tape recorder off. He thought, and went back to being high in bed, but he had to get that off his mind. That's the way a lot of artists are because you always think whatever you're a writer or a musician, writer and writer's mostly, you think you're going to remember it in the morning, but you never do. So ungodly hours, so you have a dream where something makes sense or something you think is just beautiful. You've got to get up, try not to turn on a like is if you turn the light on you're up. And put some down on paper with a little spies that have a pen I used to have a light on my pen that I could see the paper. And I have journals filled with things like I have journals filled with sentences I've used 20, 25 years later. You got to catch those things, but that's what I mean about just casting an atmosphere still. Sometimes wonderful things come to you when you're staying still. Now, for Keith Richards, they came to him while he was on a heroin high. But this is a trippy

Keith Richards Rolling Stones
Russian media: Griner pleads guilty in Russia drugs trial

AP News Radio

00:52 sec | Last month

Russian media: Griner pleads guilty in Russia drugs trial

"Russian news agencies say WNBA star Brittany griner has pleaded guilty in her drugs trial Grinder's been held more than four months after vape canisters with cannabis oil were allegedly found in her bags at a Moscow airport The reports say grinder pleaded guilty to drug possession and smuggling charges and that she told the cord through an interpreter she acted unintentionally while packing quickly The reported plea comes a day after White House spokeswoman karine Jean Pierre said President Biden called grinder's wife to pledge every effort possible to free the basketball star This has been top of mind for the president Though the U.S. may have little leverage with Moscow given animosity over the Ukraine invasion griner faces up to ten years in prison if convicted Sagar Meghani Washington

Brittany Griner Wnba Grinder Karine Jean Pierre President Biden Moscow White House Basketball Griner U.S. Ukraine Sagar Meghani Washington
AOC Calls for People to Protest Following SCOTUS Ruling

ToddCast Podcast with Todd Starnes

00:58 sec | Last month

AOC Calls for People to Protest Following SCOTUS Ruling

"By the way, AOC, made her way to the capitol. She's calling for you people to get out on the streets and, well, you can figure that out for yourself. Take a listen. All right, so it goes on and on. They're gonna be fired up. You know, they gotta save their voices. I mean, screaming like that your vocal cords, and I know this because ladies and gentlemen, yours truly a professional broadcaster. You can't scream that much or else you're going to strain your vocal cords and then tonight when they start burning things down, they're just going to be at the end of the street. I can't talk. It's very unfortunate. And hopefully grace maker, somebody is distributing throat losses.

AOC
How Black Men Are Victims of Generational Trauma

The Officer Tatum Show

01:35 min | 2 months ago

How Black Men Are Victims of Generational Trauma

"Young black men are getting murdered almost every single day in inner city's all around the country. And nobody cares. I care, you know, I wish there was more I can do. There was a group of men, I think they were called the Detroit 300 or something like that. I can't remember. I want to reach out to them to help donate to the calls that they have, which is me and going into the communities and preventing a lot of this violence from these young men who are not geared in the right direction. Let me say this. Some people may think in their minds and in their souls that somehow, and I know it's not y'all, I'm talking about the white liberal, that black people are inherently dangerous. That's not necessarily true. Although a lot of young black men are misled, why generational trauma, people don't understand the effects of generational trauma. And a lot of people want to go way back to slavery. Well, none of us were slaves and nobody even know a person who owned a slave. So let's start with modern generational trauma. When you have young black men selling dope to one another, creating zombies in the inner city communities, when you have mothers not allowing or having children with men who have not made a commitment to be in the household, that's generational trauma. I remember growing up and my cousin used to get beat with extension cords, hangers, all kinds of stuff. And my great cousins. That's generational trauma. When you can't even walk outside your house without getting robbed in afraid of getting gunned down by another black man, that's generational trauma.

Detroit
Parishioners subdue gunman in fatal California church attack

AP News Radio

00:56 sec | 2 months ago

Parishioners subdue gunman in fatal California church attack

"A a a a gunman gunman gunman gunman who who who who opened opened opened opened fire fire fire fire inside inside inside inside a a a a southern southern southern southern California California California California church church church church on on on on Sunday Sunday Sunday Sunday was was was was taken taken taken taken down down down down by by by by church church church church goers goers goers goers the the the the Irvine Irvine Irvine Irvine Taiwanese Taiwanese Taiwanese Taiwanese Presbyterian Presbyterian Presbyterian Presbyterian congregation congregation congregation congregation holds holds holds holds services services services services at at at at the the the the Geneva Geneva Geneva Geneva Presbyterian Presbyterian Presbyterian Presbyterian church church church church and and and and the the the the retiree retiree retiree retiree community community community community of of of of Laguna Laguna Laguna Laguna woods woods woods woods California California California California Jerry Jerry Jerry Jerry chan chan chan chan says says says says a a a a group group group group of of of of about about about about forty forty forty forty people people people people had had had had gathered gathered gathered gathered after after after after services services services services for for for for a a a a luncheon luncheon luncheon luncheon Sunday Sunday Sunday Sunday in in in in honor honor honor honor of of of of a a a a visit visit visit visit by by by by former former former former pastor pastor pastor pastor Billy Billy Billy Billy Chang Chang Chang Chang that's that's that's that's when when when when the the the the gunman gunman gunman gunman opened opened opened opened fire fire fire fire killing killing killing killing one one one one person person person person and and and and wounding wounding wounding wounding five five five five others others others others fellow fellow fellow fellow church church church church goers goers goers goers said said said said that that that that when when when when the the the the gunman gunman gunman gunman stopped stopped stopped stopped to to to to reload reload reload reload pastor pastor pastor pastor Chang Chang Chang Chang hit hit hit hit him him him him on on on on the the the the head head head head with with with with a a a a chair chair chair chair while while while while others others others others move move move move to to to to subdue subdue subdue subdue him him him him at at at at a a a a news news news news conference conference conference conference Orange Orange Orange Orange County County County County undersheriff undersheriff undersheriff undersheriff Jeff Jeff Jeff Jeff Pollock Pollock Pollock Pollock label label label label the the the the congregation congregation congregation congregation as as as as heroes heroes heroes heroes we we we we believe believe believe believe the the the the church church church church goers goers goers goers detain detain detain detain him him him him and and and and hog hog hog hog tied tied tied tied his his his his legs legs legs legs with with with with an an an an extension extension extension extension cord cord cord cord and and and and confiscated confiscated confiscated confiscated at at at at least least least least two two two two weapons weapons weapons weapons from from from from him him him him he he he he was was was was detained detained detained detained when when when when the the the the deputies deputies deputies deputies arrived arrived arrived arrived I I I I DO DO DO DO courtesy courtesy courtesy courtesy KABC KABC KABC KABC seven seven seven seven Los Los Los Los Angeles Angeles Angeles Angeles many many many many questions questions questions questions remain remain remain remain including including including including the the the the motive motive motive motive of of of of the the the the gunman gunman gunman gunman an an an an Asian Asian Asian Asian man man man man believed believed believed believed to to to to be be be be in in in in his his his his sixties sixties sixties sixties I'm I'm I'm I'm Jennifer Jennifer Jennifer Jennifer king king king king

Church Church Church Church California Chang Chang Chang Chang California Church Church Churc Irvine Irvine Irvine Irvine Ta Geneva Geneva Geneva Geneva Pr Laguna Laguna Laguna Laguna Jerry Jerry Jerry Jerry Chan C Billy Billy Billy Billy Orange Orange Orange Orange Co Jeff Jeff Jeff Jeff Pollock Po Congregation Congregation Cong Cord Cord Cord Cord Kabc Los Los Los Los Angeles Angele Jennifer Jennifer Jennifer Jen
Catherine Engelbrecht: Investigation Moving Forward After '2000 Mules'

Mike Gallagher Podcast

01:21 min | 3 months ago

Catherine Engelbrecht: Investigation Moving Forward After '2000 Mules'

"We are moving forward in investigations in Arizona. And we are thrilled. I mean, just yesterday, you the county put out a press release that they now have in addition to the two they've already have under indictment. There's 16 more that they've just announced. And so we are thrilled about that. We are seeing progress in Georgia. It's Georgia is a politically charged environment right now, and there are on the Republican side. There are camps fighting against each other one that wants to see this investigation proceed and the Kemp, the Brian Kemp camp that wants to bury it. And so that's a challenge. But we're working through it yet and it's also progressing in Wisconsin. We have a couple of law enforcement efforts in quite there. So yes, it's all going well. And then what's next beyond Leon that is something that we're calling pulling the rip cord and frankly Sam maybe the thing I am most excited about because I'm an activist and I know the power of citizen engagement. And pulling the rip cord means we are going to take all of the data that we have and release it publicly for the purpose of crowdsourcing and further research.

Brian Kemp Georgia Arizona Kemp Wisconsin Leon SAM
How Do We Affect Criminal Justice Reforms at the Policy Level?

The Doug Collins Podcast

02:17 min | 3 months ago

How Do We Affect Criminal Justice Reforms at the Policy Level?

"How do we affect criminal justice form as we go forward? What are the things that conservatives can do that we can emphasize instead of just standing up there at arguing the hollow points of tough on crime and lock them up without explaining why that doesn't work? I mean, again, we already one of the highest incarceration is in the world. And we're not seeing this. You know, go back to actually prosecuting cases, go back to actually doing the things that need to be done from a criminal just part, giving the police the money and the equipment to do their jobs to be a force of presence in these communities. And then when they get to the district attorney's office, the dish turning prosecute them in an ethical way and get those cases dissolved. This is where we need the most help. But then also for those who have been through the system who have been adjudicated in this system, we need to provide ways that they can recover. Let's talk about some ways. George has done this, many other states are doing this. And one of the first ways that I think that I want to emphasize, even from a federal perspective, if we can figure out how to do it, is the idea of accountability course. Accountability courts are those now, for some of you, and I've heard older judges who said this is, you know, I'm not going to be a part of an accountability cord. It's a hug a thug mentality. These people don't deserve, you know, to do this. And then they would actually see what goes on in a drug court or a DUI court or a veterans court or a family court. And they would see that what was actually happening, especially and we used the example in a local community near in my home state of Georgia after two DUIs within a short amount of time within a year and a half time frame. If you get two, do you want to ask your automatically assigned the UI for it? And indeed you are, which means that we put on probation for two years, you have to go through an intensive program in which you sell any jail time that you had to have. If you had to do 24 72 hours, whatever your jail time would be, and if you were having to be more, they can still send it to you if you had three or more that can send it to you to de walk or you have to attend court in the early stages weekly. You have to undergo drug test and your drug and alcohol testing in which you pay for, you have to keep a job. You have to abide with all laws and rules. If you don't, you go to jail, you can have your probation revoked and you can spend a significant amount of time in

George Georgia
How Do We Capture Stem Cells? Dr. Vincent Giampapa Explains

The Doug Collins Podcast

01:58 min | 4 months ago

How Do We Capture Stem Cells? Dr. Vincent Giampapa Explains

"Let's take this and break it down a little bit. I mean, in looking at the, you know, all the aspects of what you just talked about, you know, starting at 20, 50, some, you know, we have people at different places. Let's explain that process. What does that mean if I was sitting here today and I came to you and said, you know, doctor J pop, I want to talk about my stem cell and capture those. What does capturing mean? What does it entail? That kind of stuff. So, first of all, let me explain what the situation is here in the U.S. and frankly in most countries globally. So in most countries, you can collect store stem cells as in the U.S.. We can collect them, store them for future use. We can't give them to back to you. Okay, so under very limited circumstances. For instance, if you have cancer, if you are part of a research study in a major university, then you could use your cells. Frankly, most people even store the cord blood of their children can't really use those unless there's a very limited potential application for those cells. So excuse me. So the secret here is if we can collect and store them, why can't we use them? And so we'll get into that and maybe in a few minutes. But the secret here is today, we can collect your cells and store them. And there's a certain medications we give for three days prior to a collection, which releases billions and billions of stem cells of all three types into your body. That actually really is the first treatment people get when they go to collect because that release a billions of cells is a regenerative treatment. Those cells will start to repair damage and your blood vessels boost your immune function. And decrease the inflammation we're all fraught with as we get

U.S. Cancer
Support True the Vote in Their Crusade for Election Integrity

The Charlie Kirk Show

02:27 min | 4 months ago

Support True the Vote in Their Crusade for Election Integrity

"Let's talk more about citizen empowerment to close out here. So this is all ongoing. There's going to be a lot of attacks against you guys a lot there. So what can people do? And then I want you guys to just totally you have my permission. Tell the audience how you can get support and help. Because you need it and you're going to need it because the Republican establishment, they won't be bothered by this. They'd rather lose admirably Vichy French. Most of these big D.C. organizations establishment, they're fine sitting down there endowments. You guys are in the trenches. You're the one that raised the 2 million bucks. You're the one that's connected to a supercomputer, right? So answer that first and then the citizen empowerment side. Well, what people can do to help. I mean, go to treat the vote dot org and support us. I mean, this is money. You guys need money. This is, this is not for the faint of heart. I mean, we are playing at a at a level beyond to get to this kind of data, and you are exactly right. The attacks are going to come and they're going to come hard, and that was part of the calculus that we signed up for. We know it. So I got to ask you, why are you doing this? Because you could just not do it. Well, can you though? I mean, plenty of people do, Brian Kemp does. Well, yeah. I guess that's true. I can't. I can't be complicit in this. I've long said if elections aren't truly fair, we are not truly free. And that's it. And Charlie, the other thing that we need money for is this movie is going to be huge. We believe. 2000 meals. It's going to do it. And you guys are the protagonists in the film. We brought it to dinesh because the news stations wouldn't run it. I think I was smart to do. But what we're planning on after that, remember, we have two petabytes of information. We have cell phone pings. We have video. We have all manner of documents. We have all sorts of things. Catherine and I have long talked about this in our intention at this point. Is at some point shortly after the video runs, we're going to pull the rip cord. We're going to release all of this. Totally transparent. All of it. Give it all to the American people. So like WikiLeaks style. But legal. But legal. And say, do with it what you will. Now you can see what nobody's shown you to this point. So the movie is the kind of the build up. And then you're going to get discredited, isolated incident, dinesh was a Fallon pardoned by Trump, all that crap they're going to try to do. And you'll say, you want to dance? Let's do it. Here you go. Let's

Brian Kemp D.C. Dinesh Charlie Catherine Wikileaks Fallon Donald Trump
Jason Jones Paid a Powerful Visit to the Grand Ole Opry

The Eric Metaxas Show

02:30 min | 5 months ago

Jason Jones Paid a Powerful Visit to the Grand Ole Opry

"Folks I'm talking to my friend, Jason Jones, who has, among other things, written for the stream, go to stream dot org and you can read his piece, his piece is there, there's a recent piece he wrote on Ukraine. You were just saying that we're both in Nashville right now. And you said yesterday, you went to the grand Ole opry with your kids. Beautiful. And what were you saying? So, you know, I'm there. I got good seats. It was just my son and I, he's been traveling with me and it's been intense week with our work. And so of course, my staff and my team, the suffering and the burden that they're bearing in Ukraine and Afghanistan was on my mind. And I was thinking about this article. I'm going to be writing in response to dugan. He's a heideggerian and thrill of death in war, which is not thrilling a 19 year old boy laying across Constantino wire with his lungs filled with poison gas and a hole in his lungs is not it's not beautiful. What's beautiful is children playing a father cutting the umbilical cord of his newborn child of fathers and son fishing together. And so there we were at the grand Ole opry and I just thought it was such this beautiful experience to be seen as artists, some 90 years old on stage with their children and this is what human life and human flourishing is about. And I look at the rhetoric of our politicians and they have forgotten what their job is and their job is to get between chaos and the citizens. And we need statesmen, we need stateswoman, we need advocates for the vulnerable. And so when we look to Ukraine, we have Jamaican and I have a new article out. You know, it's mordor versus Saddam. The west is sodom and Russia's mordor. And we need Putin and his armies to turn around and leave, but we need to push Soros and Klaus Schwab out of Ukraine. I was going to say, this is what's so horrifying is that when I think of the America of Ronald Reagan, it means to be a shining city on a hill. That cares about people all around the world. When I think of the America of whatever you want to call it, the deep state, the actors at Davos, these are people they don't have the same vision as Reagan did even as Trump did as when I think of the founders. They have a kind of anti American globalist vision

Ukraine Jason Jones Constantino Dugan Nashville Afghanistan Klaus Schwab Saddam Putin Soros Russia Ronald Reagan America Reagan Donald Trump
Decorating For Christmas (MM #3918)

The Mason Minute

01:00 min | 8 months ago

Decorating For Christmas (MM #3918)

"The NASA minute. With Kevin mason, we don't do a lot of decorating for Christmas around here. It's just me and the wife and the cat. We have a cat Christmas tree almost out of the question. Well, we go up to Indiana for the holidays anyway so we can enjoy Christmas with all those families. But what fascinates me is all the folks who are doing their Christmas decorating with all the apps and the smart plugs, and the digital assistants we now have, how much easier it is, we did a little decorating yesterday. We put up some lights around our fireplace and got a little bit more into the holiday spirit. The wife had the Christmas stockings up and did a nice little mantle display and it looked nice. It was a lot of decorating for us. But if I didn't have my smart plugs and my apps, it wouldn't have been half as much fun as it was. And it actually was fun. I remember growing up our next door neighbor did a lot of outdoor decorating. So you're always looking for plugs to plug things into extension cords and just check in bulbs. It always seemed to be snowing when we were doing it. Now, all indoors don't really matter and hey, if I want to change my outdoor lights right now, I just go to the app and change the color. I think they're yellow right now. I guess I can make them red in an instant.

Mason Minute Kevin Mason Baby Boomers Life Culture Society Musings Nasa Indiana
Decorating For Christmas (MM #3918)

The Mason Minute

01:00 min | 8 months ago

Decorating For Christmas (MM #3918)

"The NASA minute. With Kevin mason, we don't do a lot of decorating for Christmas around here. It's just me and the wife and the cat. We have a cat Christmas tree almost out of the question. Well, we go up to Indiana for the holidays anyway so we can enjoy Christmas with all those families. But what fascinates me is all the folks who are doing their Christmas decorating with all the apps and the smart plugs, and the digital assistants we now have, how much easier it is, we did a little decorating yesterday. We put up some lights around our fireplace and got a little bit more into the holiday spirit. The wife had the Christmas stockings up and did a nice little mantle display and it looked nice. It was a lot of decorating for us. But if I didn't have my smart plugs and my apps, it wouldn't have been half as much fun as it was. And it actually was fun. I remember growing up our next door neighbor did a lot of outdoor decorating. So you're always looking for plugs to plug things into extension cords and just check in bulbs. It always seemed to be snowing when we were doing it. Now, all indoors don't really matter and hey, if I want to change my outdoor lights right now, I just go to the app and change the color. I think they're yellow right now. I guess I can make them red in an instant.

Mason Minute Kevin Mason Baby Boomers Life Culture Society Musings Nasa Indiana
United Airlines Pilot Placed on Unpaid Leave After Being Granted Exemption From Vaccine Mandate

The Charlie Kirk Show

03:12 min | 9 months ago

United Airlines Pilot Placed on Unpaid Leave After Being Granted Exemption From Vaccine Mandate

"I am going to be joined in this segment by captain sherry walker and captain Dave Morgan of airline employees for health freedom. They happen to be United Airlines pilots, and they are pretty good at what they do. 7 87 international 7 67, these guys are experts. They keep us safe. They make the skies friendly. They get us from point a to point B and now they are going to tell us their story about their experience with these vax mandates that have been spreading across the country. There is news today that osha has now at least temporarily sidelined this plan of vax mandates, pending circuit court, judgments that have fully put a stop to it, at least for the time being. So we're going to keep monitoring that. Dave Morgan, thank you so much for joining us, captain sherry walker. Thank you so much for joining us. Tell us a little bit about what you guys have been going through the floor is yours. I've got some tape, by the way, that we can play at some point in the segment of the CEO of United. I know you're not speaking on behalf of United here, but I do have, I think it's partner to what we're discussing. So I do want to get to that, but tell us what you've been going through. Tell us a little bit about your background. Are you guys getting paid right now? I went on unpaid leave a week ago on Friday. I'm a pilot for United Airlines. I was hired in continental airlines in 1998, so I've been here 23 and a half years. We've spent many years out in the island of Guam for Micronesia and three years ago, just before the pandemic, we moved from Guam to the great state of Arizona, and I'm on a fly 7 87 out of San Francisco. Pandemic came down the pipe and we pressed on. We are the front lines that we're willing to do whatever it took. What we are team of many, many people, and I'm just representing I'm a voice representing thousands who I wish also could have this opportunity to speak. But we work through this thing. And with a really can do cooperative spirit of let's get through this because I was also a pilot during 9 11. I remember that vividly. We worked through that. And then suddenly, on the back side of this, here comes this vaccine mandate. And those of us who pressed on and made the wheels turn airplanes fly, the people who were able to fly for point a to we were there to get them there. And all of a sudden, Scott Kirby says, we're not safe anymore. You're done. So as of last Friday, I've been placed on unpaid leave, and they've basically cut my cord. I have no insurance, no benefits. I can't retire. I have no access to anything. They have shut me down and to make it worse. I can't pass travel. I can't even jump seat on other airline jump seats. So I'm scrambling right now to see what I'm going to do with insurance. I have three boys, 12, 16 and

Captain Sherry Walker Captain Dave Morgan Airline Employees For Health F United Airlines Dave Morgan Guam Osha Circuit Court Micronesia Pandemic United Scott Kirby Arizona San Francisco
Dr. William Lile Uses Modern Obstetrics to Support the Personhood of Pre-Born Babies

The Eric Metaxas Show

02:29 min | 9 months ago

Dr. William Lile Uses Modern Obstetrics to Support the Personhood of Pre-Born Babies

"Doctor Lyle, your organization and meeting you. I mean, it really affected me because I just thought you're in this world. You're in these trenches. So you take over this practice, you decide to end abortions in that area. I mean, has anyone ever thought of that before to go into an area and take over a place that does something like this? I've never heard of this as it seems like a brilliant strategy. Yeah, I mean, money, money has power money talks. I mean, there have been abortion clinics, which have actually been purchased by pregnancy resource centers there. You know, it's an active movement where you can just go in and take control. And that's what we do as far as education, as far as how we treat the pre born as patients. I mean, a lot of people don't realize that the mom even though she's an amazing life support system. Babies not part of her body. It's not her body. One of the things that we do, which is absolutely amazing is we can actually do blood transfusions directly to the baby. And we've done this at our hospital as early as 18 weeks gestation. It's like, well, why would you need to give a baby a blood transfusion? Because the mom sees the baby as a different person. And mom will actually send antibodies across the placenta attack the baby's blood because it's a different blood type and the baby's blood count will start to drop. And it can drop to the point where the baby will die on the inside unless we give the baby a blood transfusion. It's like, well, where do you get special baby blood? It's not special baby blood. That's just donating. Yeah. It's just donated at the Red Cross or one blood and we can take an ultrasound guy to go through the skin of the mom's belly through the wall of the uterus directly to the umbilical cord and just give the baby a lifesaving blood transfusion at 18 some weeks, you said? 18 weeks. When we've done that here at my hospital, but it's not just blood transfusions. We are now doing heart surgery at centers around the country at 22 weeks gestation. All right, this is where I mean, really, this is why I wanted you want to hear. This is unbelievable. That science has gotten to a level medical science where you can do heart surgery on a 22 year old 22 week old child in its mother's

Doctor Lyle Red Cross
This Is the Reason Republicans Won Across the US on Tuesday Night, According to the Left

Mike Gallagher Podcast

03:05 min | 9 months ago

This Is the Reason Republicans Won Across the US on Tuesday Night, According to the Left

"This is what the left says is the reason Republicans won on Long Island in Austin, Texas in Seattle in Ohio in New Jersey in Virginia, north south, east west, Republicans dominated, crushed the Democrat agenda. Crushed the Democrat ideology. Crushed their efforts. To radicalize America, but the mainstream media, the beast as I call them, the beast was howling in pain. Played the race card for a reason, because he knows it works on certain white voters. He did stoke white grievance politics to mobilize the Republican base. His laundered trumps really sort of disgusting flagrant out racism. He's wrapped it in education. Education, which is code for white parents don't like the idea of teaching about race. That's the fundamental problem for these parents and this anti CRT movement. They don't like the way whiteness is being portrayed in these new more inclusive lessons. This wasn't about those pocketbook issues. This was about how white kids feel talking about what black kids go through. The subtext of all this was, we can't let these black and brown people run the country. Glenn young can run on critical race theory that he knew hit a cord around race. I think all the CRT stuff is trumped up, Doc whistling. Some of it was dog whistle racism. The dog whistle messaging that you saw junk in, engage in during the course of the campaign. CRT is in the latest line of school busing, across town busing. Welfare queens, you have it isn't that say it's in that same line and you saw it in the results in Virginia. It's more palatable Republican who still uses the same racist themes that Trump did. He just packaged them in a soccer debt, sweater vest model. He's found a way to launder a pretty racist trope, this idea that we can not talk about America's history because it hurts my feelings. He's turned that into a campaign. White voters do have anxiety about a changing America, right? That it is blacker, it is browner. You've got the Republican jelly like, hey, look, the black and brown folks are coming for us. Some Republican candidates are perfectly willing to use race as a motivating factor for their base. That has gone on for decades and it happened this year. Race is just the most palpable tool in the toolkit. It used to be of the Democratic Party back in the day when they were dixiecrats. And now the Republican Party. This is about the fact that a good chunk of voters out there are okay with white supremacy. Let's call a thing a thing. Actually, scratch that. They are more than okay. That wasn't a skit. That wasn't a parody that wasn't a joke at the Babylon bee. Those were actual pundits on CNN and

Glenn Young North South East West Virginia America Long Island Austin New Jersey Seattle Ohio Texas Donald Trump Browner Soccer Democratic Party Republican Party CNN
Leadership Lessons from a US Army General  Maj Gen John Gronski (retd) - burst 11

A New Direction

06:37 min | 9 months ago

Leadership Lessons from a US Army General Maj Gen John Gronski (retd) - burst 11

"A gunnery. Sergeant michael burkhart was the who was the explosive ordinance disposal team leader went down to that site with two young marines and they were going to conduct a post blast analysis to determine a tactics techniques procedures insurgents. Were using so we could try to prevent these attacks from happening again in the future and when gunny burkhardt got down there with two young rains was chaotic. The soldiers were cisterna. Seen the ad that a chaos there were two reporters from the omaha world herald newspaper there there were embedded reporter so anyway going burkhard gets down. There sees the destroyed up. Armored humvee sees a crater near that up armored humvee bow four feet in diameter a couple of feet deep makes an assumption that that's for that roadside bomb that destroyed that humvee was placed jumps down into crater. Take a closer look as soon as he did that. He realized he made a mistake because he could see in the dirt in front of him to artillery shells. Red detonation cord running in the nose was a roadside bomb. That an insurgent have placed their so. He took his k bar knife. Cut the red debt. Detonation cord to neutralize that roadside bomb. He didn't see a third artillery shell into dirt behind him in that crater. An insurgent was off in the distance. Hit a button. On a that nation device that artillery shell exploded not going burkhardt about fifteen feet into the air lands on the dirt road unconscious pants soaked with blood. Our soldiers call a medevac helicopter. Ride away go up tomb start. Cut his pants off. Start tending to his boons after few minutes burkhart regains consciousness. The soldiers couldn't believe that and and he's laying there and he asked the soldiers if he has both of his legs because they had no no sensation from the waist down. They sure to me had both of his legs. They continue to work on 'em couple minutes later. He gets a tingling sensation in his legs. He tells the soldiers he wants to stand up. Soldiers couldn't believe that this guy had just gotten blown up and so we struggles to his feet. He standing there to soldiers around him. The medevac helicopter comes in lands on the ground behind them. The soldiers point to the stretcher On the ground in front of the misogony. We've got you know. Gotta put you on a stretcher and carry you to that helicopter. He looks at the soldiers and he says i'm not going to have you carry me that helicopter on a stretcher. I'm going to walk there under my own power. Because i don't want the insurgents of the pleasure of seeing me being carried that helicopter and easy. He says that he raises his hand into the air and gives the insurgents which i will call a one finger salute reporter reported from the omaha world heritage takes a picture of him standing there Groin protector. you know. In in front of his private area there. No pants on finger thrown up into the air soldiers around him. You'd say the helicopter the background. That picture became an iconic picture of the iraq war but what is deleted Point of the story. And the reason i tell this story and the reason. I think it's important. The leadership point of this story is member told you. He had two young marines with them that day. He knew he was going to have to recover from his wounds. He knew what all the roadside bomb attacks were getting that those two young marines were going to have to be out there probably later on that day routes realizing roadside bombs. The reason he wanted to walk to that helicopter instead of being carried there had nothing at all to do with what he thought and surgeons for thinking. He wanted to walk to that helicopter so we would not shatter the confidence of those too young marines. Pseudo leadership point is even after getting blown up ten minutes earlier. His main concern was not with his own wounds. His bank concern was with those two young marines. Who he was leading an isn't that what leadership is all about. And we talked about that looking out for the welfare of those you lead rather than your own welfare and that's exactly what gandhi burkhardt exemplified that day. And that's why. I like to tell that story that i read read that story. I had to read it again. Because i was laughing because i could just see i. I have friends who are marines right by the way. There's no such thing as an ex marine okay. the just doesn't exist. I've been told that countless times by my friend there's just no such thing they they may be quote unquote have retired at the end of their name. But they're still all. And and and i just thinking about them go. That's exactly what jimmy would. That's exactly what he would have done. That's what bob would have done. He would have done the same thing. I i can. Just see it. I just great story but it was truly the surprise in that lesson was not. I thought it was going to be resiliency. It is but the point is that he cared so much about making sure that those other two young marines were their that their mental emotional state was not shaken. Yeah and you know jay that think about this as leaders we face adversity almost every day in whatever organization were leading the some degree and and sometimes things get tough honest and the point is as a leader. You can't be thinking. I'm an figuratively. I'll use this. You know you can't be thinking. I'm cold i i'm hungry. You know i. I'm shivering right. No you you've got to show those you're leading that you know what i've got the resiliency to overcome this. And because i do you have the resiliency to overcome. They might be called. I might be hungry. I might be weak. But i'm going to take care of you before i take care of myself. And that's the essence of leadership. We underestimate the modeling of behavior. Don't we when it comes to leadership absolutely. Yeah and you know what the other thing i learned in my forty years of leading soldiers also leading teams in the business sector. Is the people you lead are always watching you practice. You know you could. You could put down in writing. What your leadership philosophy is or you could verbally give some guidance about behaviors. You're looking for but those you lead are going to be watching to see you. Know how do you adhere your own guidance. Behaviors that you're looking for you. Exemplify those behaviors and your followers are always watching and your actions speak so much larger than larger louder than your words. Do

Marine Michael Burghardt Major General John Gronski Disarming Ied Iron Sharpened Leadership A New Direction Podcast John Gronski Sergeant Michael Burkhart Gunny Burkhardt Omaha World Herald Burkhard Omaha World Heritage Burkhardt Burkhart Gandhi Burkhardt Iraq Jimmy BOB JAY
Biden Administration Wants to Use the IRS to Spy on Your Bank Account. Period.

The Dan Bongino Show

01:47 min | 10 months ago

Biden Administration Wants to Use the IRS to Spy on Your Bank Account. Period.

"So peppermint patties up there at the in the Brady press room And she can't stop lying It's like an impulse control problem Peter doocy is pressing her right now on both vaccine mandates and the IRS snooping and she just can't be cheesy incapable I believe physically incapable Like the vocal cords the tongue the whole mechanism for which she produces sound is incapable of producing a sound that resembles the truth Listen to me and listen clearly The IRS under Joe Biden Joe Biden's administration wants to use the IRS to spy on your bank account Period That's not open for debate That's not open for discussion I don't play euphemisms games That's a fact They think your money is their money and therefore they should be able to see everything you spend money on every withdrawal That's why they want a digital currency as well There's nothing more they'd like and to monitor your transactions outside of the bank as well Listen to me This is what totalitarians and tyrants do They do totalitarian stuff which is totally running your life and taking from you what they believe is theirs That's why they want you to stick things in your body like a vaccine whether you want to or not That's why they demand access to your bank account And she can not stop lying She's trying to play this fancy word game Well now we were gonna look at everybody's bank account that had $600 in transactions Now we're just gonna make it 10,000 Folks most people have direct deposit I assure you the overwhelming majority of Americans are going to have some transactions in their account that total the $10,000 or more Why are they entitled to

IRS Peter Doocy Joe Biden
John Zmirak Describes Accusations of Anthony Fauci Funding Experiments Involving Beagles Being 'Eaten Alive'

The Eric Metaxas Show

01:25 min | 10 months ago

John Zmirak Describes Accusations of Anthony Fauci Funding Experiments Involving Beagles Being 'Eaten Alive'

"Is, John smirk, welcome. Thanks, Eric. Mainly today I'm here for the beagles. Look, the beagles thing, before we get serious because it's so serious, I get murderously angry when I think about it. Frame the question because most people are familiar, but some will not be. We might as well leap into it. This is very dark. It's very important. Thank you for writing an article about it at stream dot org go ahead. Yeah, the title is well beagles be the avenging angels who finally bring down Anthony Fauci. It has come out thanks to the white coat, the white coat waste project that one of the many things the busy Anthony Fauci was doing. Was funding cruel and useless research on helpless innocent beagles that he was paying for them to be put out in the desert with sandflies eating their eyeballs. Overnight, that their eye their faces were being torn apart by sandflies in the Tunisian desert in order to test some new medicine. And when the dogs barked in pain, the lab people cut their vocal cords

John Smirk Anthony Fauci Eric Tunisian Desert
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

05:53 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"He was able to show that now they were able to respond to intermittent hypoxia. So there's a linkage between hypoxia and used a pass city mechanisms and inflammation mechanisms. We were particularly interested in that because individuals. With spinal cord injury has been shown that they have Chronic sub-grade inflammation which is independent off any active infection that they have so just a sparkled entity by itself changes the immune system in such a way that they a a local inflammation solar first efforts to do this work was with i proven so we gave be proven to individuals and over or so before giving hypoxia and then we give them a hypoxia and we either give ibuprofen all Placebo and we found that there were no differences between the two groups when they're senior person are placebo. No no change so there are two reasons why this could have happened. And i'm just building up to the reason why we did a study One is backed by boop rufin. Works in a different manner than asteroid the mechanisms between the two Are different so if you use the cytokines but it would not affect. ns gabby pets. Boone's cox inhibitor. And not a strong inhibitor off. The nf petipa just other pets. Second reason this that it tends producing inflammation by giving ibuprofen. You need longer. Duration of ibuprofen intake in other words an individual. Take them for at least one day. Every eight hours for them to be able to reduce the inflammation so maybe we were not successful. Introducing inflammation and. That's why we did not see an effect or maybe it was the past. We were targeting was not the appropriate patsy. That's what we did not see it affect so then we decided to go to a corticosteroid and pakistan is one of the most common available corticosteroid. It's also extremely strong. Inhibitors inflammation and we've entered the highest. Does that was possible and Basically in other words. I'm trying to say we threw the kitchen sink at it so we give sixty milligrams those off patterns alone and that is sufficient to reduce inflammation within a short duration of time. So we give any our before giving hypoxia and the control sweep individuals received either deceived a placebo and the same individuals came in at least a week apart and vanda my studio. See the the cbo. So that's how the reasoning behind why we decided to add the end inflammatory like penicillin into the question. It so when you added the produce loan what was the result by introducing the inflammation in these individuals We're able to See an increased end by affect I mean ankle. Torque that was over Primary outcome measure even bid or the dow fairness alone. Most individuals had an effect. They all had a significant effect by significant effect..

inflammation boop rufin gabby pets hypoxia spinal cord injury Boone vanda my studio pakistan cbo
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

05:05 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"Pre-treatment enhances intermittent hypoxia induced plasticity in persons with chronic incomplete. Spinal cord injury. Dr milan do is research scientist at the shirley ryan ability lab and an assistant professor in the department of physical medicine and rehabilitation at northwestern university. The primary focus of his research is.

Dr milan hypoxia shirley ryan ability lab Spinal cord injury northwestern university
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:27 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"So then when i designed my syria i know what the things are. I need to change. They sit within the half a model. And i can still use the hopper model because a half a model tells me stuff. I should be measuring while in implementing my behavior change techniques a complicated. Is that kind of makes sense that we can still use these series but the behavior change will help us point to which theory might be best to use and why so in in fact it sounds like them. The two are a bit complimentary that they can work. It can work with both of them together as you think about how to proceed either with the patient or patient population. Yeah that's it. And it's scientists at your theory geek. Like me you'll always wanna have a theory guiding it. And i can still there that theory on or you're a clinician or a public health promoter. And you're not so fussed about the testing this theory or this theoretical piece you can still use behavior change wheel to figure out exactly what behavior change technique. You wanna do and you can have the confidence that when you make that decision. It's based on. It's based on theory behind the scenes and also on evidence by how the behavior change technique is linked to the problem. You're trying to solve excellent boy. I've got some reading to do so. I can actually. I've i have one more question for you so can you. What advice do you have four. Cincinnati will think about clinical pbs in the clinic out there who may want to incorporate more updated behavior change theories or models into their practice. Say as they help their patients with spinal cord injury since this is the spinal cord injury six podcast but so we'll say patients with spinal cord injury with incorporating long-term physical activity of some sort into their lives. Like how how can these more updated. Theories helped them and tools to help them do that. Yes well then. I want you to resources first of all on my lab's website swan. Sei action canada dot ca. We have a proactive tool kit. And if an intervention of behavior change intervention developed using the half a model and the behavior change wheel that specifically for physiotherapists who want to change physical activity behavior in their clients with spinal cord injury so the manual provides sort of how to of how to do that. And then we have an accompanying paper that describes how we went through all those theoretical processes to to make it. So i think that gives like a an evidence based example to see To see how theory can be used to to or how can they implemented in practice And then i'm going to suggest anything that you go to the website for the behavior change wheel and just see what i've been talking about. How identifying barriers and opportunities can can be linked to behavior change techniques I recognize that over time behavior. Change has got more complicated than it used to be. But i think that's a good thing. I think for a long time people underestimated how difficult behavior change was. And as you said at the outset of discussion while it's tough and i think those of us who are trying to help people change their behavior. I think we have a responsibility. Just appreciate how complex it is. If it was easy we would have all done by now..

spinal cord injury syria pbs Cincinnati canada ca
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:14 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"Dr kathleen martin guinness from episode five. We talked about the international spinal cord injury scientific exercise guidelines. Well she agreed to stick around and talk with me about health. Behavior change three two and seriously does her bag. And it's important stuff for pt's to know if we can't do a great job of helping our patients with spinal cord. Injury incorporate healthy physical activity behaviors into their lives. Like what is it. We think we're doing anyway right so stick around as we talk behavior. Change theory and spoiler alert. She gives them specific resources with concrete action. Items at the end and joy. Okay so kathleen. Can we talk about behavior. Change theory of this. You know it's an area. I i am familiar with your work. I know scenario that. You've done a lot of work in. And i have questions and i'd love to give you some context of where i'm coming from and and i think a lot of my colleagues are coming from as well so a clinical practice is primarily with people with chronic disabilities many with spinal cord injury and in an outpatient setting. And i found that my my background in physical therapy has prepared me well to be able to advise and train my patients in the like what and how to perform physical activities really of all sorts but to have a meaningful impact. Most of these types of activities need to be long-term changes. And what i've struggled with more is how best to partner with my patients to help them. Incorporate changes that they want to make into their lives longer term. When i talked to other physical therapists out there. I don't think i'm alone in that struggle and so the question of how anyone makes any life. Change is a complex one with many possible answers. And so it's important that we clinicians. And i have a feeling here then preaching to the choir on this but i think it's important that we clinicians don't just tell someone to go about making a life change the way that we think we would do it. We need to be thinking about. What does our patient need to make this change if they decide to do so. And so from my standpoint. I think that having frameworks for how we think about these kinds of problems is an important way to navigate that complexity..

Dr kathleen martin guinness kathleen spinal cord injury
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:50 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"I think the short answer is yes absolutely but they key ingredient is to know your audience and engage your audience. So if your target audience sark clinicians. The clinicians needs to be at the table. But i think even if your target audience if just clinicians you still need to have a spinal cord injury. People that lived experience at the table. I think that that's non negotiable that some for those of us who don't have a spinal. Gee i think sometimes we we miss things that we no matter how much time we may have spent working in a clinical setting with a person with sei or the research setting. There are just so many things we don't know or appreciate about living every day with a spinal cord injury and having people without experience at the table Will will give you a broader sense. You'll see things that you just hadn't anticipated by not having that experience at the table And i think the other thing is to always have the evidence in mind when people guidelines. But i always say look you better be prepared to defend those guidelines for the rest of your life because there will always be people who criticize the guideline or have questions about it and in that situation myself but my back is always the evidence. What's the evidence. Say i think the more because they truly scientific evidence or best practices that are using clinical care The less we are opening ourselves to criticisms about what we've put in the guidelines recommendations and the guidelines clo- kathleen. You're singing matutuine. I'm certain there's colleagues of mine who are feeling validated for that as well. So if you if you have that evidence piece in the stakeholder involvement to fall back on i would imagine the criticisms will still come from someone. But you're in a place that you can defend what you've done and then it still holds up. I what i believe in you. Know one of the best examples is when we were developing the guidelines. I always got pushback. Why not one hundred fifty minutes per week and sitting at our table when we did the final international panel on the espn exercise guidelines. I had two people at my panel with lived experience of spinal cord injury and there was some opposition. Know that we should just be..

kathleen espn spinal cord injury
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:21 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"Be discouraging as well and and it's so if you really if you said he thinks about the various people with sti say for example people want to go to the gym And they don't have their own private vehicle need to organize We special Buses that people disabilities can order but they can only order them a maximum number of times per week highly scheduled. There's no way a person could get to a gym if they didn't have home based equipment and everything takes longer when you have a spinal cord injury. There really are fewer hours in the day for people with for the rest of the population and trying to squeeze one hundred fifty minutes per week in it. It's just not feasible for so many people with fbi. Yeah shoot when when. I think about like a physical therapy home exercise program. I've had physical therapy when someone gave me ten exercises. Oh shoot now. I'm like making a confession here. But the i didn't do any of them. But someone gives me three exercises in like one hundred percent you know and it's a variation on that theme isn't it like. This is a doable thing. At the at the fewer times per week that cetera. Yeah and then. Is there a reason so as you talk about that minimum amount basically that someone with a spinal cord injury needs to do in order to see a benefit. Is that a different minimum for somebody with a spinal cord injury. Say than somebody without and if so. Do we know anything about the mechanism. That is yeah great question. And that's something. I need to clarify because the the current evidence that there probably isn't a true minimum. You know that that. I hate i hate to say it but you know that there's this philosophy that anything is better than nothing something better than nothing And while that may be true. I think it's important for people with spinal cord injury to know. What's the bare minimum. I need to do in order to get you know meaningful improvements. And i think we're all like that was without an se. Just tell me the minimum. What's the bare minimum. I need to do to reduce my risk of cardiovascular disease or prevent cancer and.

fbi spinal cord injury cardiovascular disease cancer
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

05:26 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"These guidelines and there's also the guidelines from the exercise and sports science australian position statement could you briefly highlight differences between the two. Why should why should people with spinal cord injury. and then of course we as clinicians. Why should we be using one set of recommendations over the other between yours and the other groups. Yeah that's a great question. And i get asked about a lot so first of all. I think it's important to clarify that. Israeli and guidelines are simply the w. h. the world health organization physical activity guidelines that are put forth but the whole population of the world which is one hundred fifty minutes of a much bigger sensitivity per week plus strength training twice a week. The attorney guidelines were generated by a small group of scientists who looked at the scientific literature and People with sei as well as able popular able bodied population and ultimately Suggested that the who recommendation should be carried over to the people living with spinal cord injury. Now i i've been working there for over twenty years i've I'm a behavioral scientist. I'm really interested in what physical activity behavior of people spinal cord injury do. And i've looked at the the physical activity profiles over three days and seven days. Probably a probably seven thousand people living with spinal cord injury over the past twenty years. I've got a really good understanding of what people with the i do. And we know for sure that fifty percent of people living with final cord injuries. Do no exercise whatsoever. You not a minute. So i was back in twenty. Seven is the first time i worked sunsets collectively guidelines for people with spinal cord injury and We version that you now know. The scientific exercise guidelines guidelines that we have faded and twenty seventeen and really what drives those times with a bit of a different philosophical slant on physical activity guideline development for people with sei. So i really believe that physical activity guidelines should be developed taking into consideration the needs the values the preferences of the people.

spinal cord injury world health organization
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:50 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"Dr martin guinness is the right called family. Ubcv southern medical program in preventive medicine. She's also professor in the division of physical medicine and rehabilitation in the department of medicine and in the school of health and exercise sciences at university of british columbia. She's the principal investigator of the international collaboration on repair discoveries. She's the founding director of sti action. Canada which is a national alliance of community based organizations and university based researchers working together to advance physical activity participation in people living with spinal cord injury. She's also the principal investigator of the canadian disability participation project which is an s. h. hr c. funded partnership grant that brings together nearly fifty university public private and government sector partners to enhance community participation among canadians with physical disabilities. Now admit now that one of my alterior motives in agreeing to host this podcast with the spinal cord injury sig of the academy of neurologic. Pt was that maybe. Sometimes i get to talk to people whose work in spinal cord injury rehab. I most admire and here. We are so. Dr martin guinness the topic of lifelong physical activity for people with physical disabilities including and especially people with spinal cord. Injury is a topic that's near and dear to my heart and you've done so much to move that literature and practice forward and so i'm so excited to get to talk to you about it today. Welcome to discuss. Thank you very much rachel. You're so very tight. It's really my pleasure to be here with you today. And so in this paper you outlined the knowledge translation process that your group went through to help disseminate and implement the international scientific spinal cord injury exercise guidelines in canada. And if it's okay with you. I'd like to start with a summary of these guidelines i. I'm and then talk about the steps that you went through for knowledge translation in the communities. So so i what. What did the exercise guidelines say. All right so i. I think it's probably probably important to distinguish between the scientific. Sei exercise guidelines and he's canadian physical activity guidelines which are Sort of the next step from those. So the scientific. Sei exercise guidelines stipulate that to improve cardiorespiratory fitness and Increase muscle strength that people with spinal cord injury should engage in twenty minutes. A moderate vigorous intensity robot exercise twice per week and strength training exercises twice per week. And then there's the second exercise guideline which is to improve cardio metabolic health people..

Dr martin guinness department of medicine school of health and exercise national alliance of community canadian disability participat spinal cord injury academy of neurologic university of british columbia canada spinal cord rachel
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

05:35 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"Cpg around if you'd included sub acute and chronic spinal cord injury. What's your sense. Do you think the recommendations would have ended up being different. Or how would they have been different. I think the recommendations would have been the same if we include some acute funchal injury. there are studies That are very well known. The skill trial for example found that spinal cord entered patients who are receiving support treadmill training Don't improve anymore than overground. Type training so That's not something that a lot of therapists who believe in byways turning wanna hear but that's probably unfortunately one of the answers that would come out of that The the number of articles is pretty low. Spunk and injury. This is such such a more rare disease and stroke for example So relying on those similar mechanisms of plasticity and acute onset disorder. Who's really how he felt. We could lump in with the other disorders sometimes early after injury with patients with incomplete spinal cord injury a lot of times. You're really considering prognosis. So it's less about the tool right. So yes i do. Think the active the recommendations will look the same question for improving walking outcomes of saint interventions. Think would look the same in sub acute. Sei the question is how the patient's going gonna respond Do they have the prognostic indicators. That walking independent walking is in the cards. I think that's sometimes clinicians. Have a hard time wrapping their head around and so the prognostic indicators and acute spinal cord injury that might be a different piece that would go into. Cpg that was specific to spinal cord injury. That isn't really the same for the whole group. Is that what you're saying. Yeah i mean i think. Certainly that's there's going to be you know there are some prognostic indicators for stroke and they're certainly prognostic indicators for walking for incomplete spinal cord injury I don't know much about bringing injury like specific tools or anything that are out..

chronic spinal cord injury onset disorder spinal cord injury stroke
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:08 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"To dr george hornby. In dr kerry hollarin' about a major effort on both of their parts the clinical practice guideline to improve locomotor function following chronic stroke incomplete spinal cord injury and brain injury. Which was recently published in the journal of neurologic physical therapy doctor. Hornby as a co author on this. Cpg he's also professor in the department of physical medicine and rehabilitation indiana university. School of medicine as well as the director of knowledge synthesis. For the academy of neurologic physical. Therapy welcome george. Thanks for having me. Absolutely and dr hollarin' collaborator and the cpg as well. And she's the co chair of the locomotor training knowledge translation force also through the academy of neurologic pt. She's also assistant. Professor physical therapy at washington university in st louis and welcome kerry. Thank you now. i'm. I'm hoping that we can get a bit in the weeds on this and how it should and will impact spinal cord injury rehabilitation in particular. Which means that. We're going to make an assumption that you dear listeners have already read this important paper. So it's currently open access in the january issue of jnp. The of neurologic therapy. If you haven't read it yet go read it. Our discussion today will be a whole lot. More interesting. if you do there's recommendations related to a variety of interventions to improve walking speed and distance and people with chronic incomplete spinal cord injury. Which is our focus today as well as chronic stroke and brain injuries. So really tough and with that kerry george. I have got questions for you too. I thought we'd start with the methodology a bit so for this. Cpg you included diagnoses of chronic incomplete spinal cord injuries stroke and brain injury and i certainly see the similarity between stroke and brain injury. Can you talk a bit about. Why include incomplete spinal cord injury in the mix and why not do a separate four spinal cord injury itself. I mean besides of course the extra work. But maybe you guys can talk a bit about that so i can go in address that so to answer the second part i. There's not a lot of richer. In spinal cord injury alone particularly with chronic balcon injury so we would have to increase the size of the scope of the punk practice. Guideline shoe Do a sub acute and acute injury. Which would have been fine. However the chance of the first part i think that From my perspective doing research and population for a bit and carry can speak to this from her clinical experience and research. I we felt that. Spock injury especially incomplete. Injury was somewhat similar to brain injury and stroke except of course the bilateral nature that you usually see they all present as upper motor neuron type disorders with creases weakness and spasms. Specificity coordination somewhat similar across these diagnosis. The idea that they're both they're all she's me Acute onset Set spahn quarter from other. Maybe spinal diseases like multiple sclerosis. That could be lumped in as the because they're more degenerative. That's how we addressed all three together. The other important factor is that we. I personally and i believe that others buy into this. Is that when you have a neurological disorder acute onset. You really are working with the spared nervous system that's available and the idea. There is that learning and plasticity in neural circuits is gonna rely on these circuits more so than different mechanisms of plassey in different diagnosis so because they presented somewhat similarly with the upper motor neuron type disorders. And because they're cute onset and positi is probably very similar across these disease prostes. We felt like we could combine them. I see you mentioned like you could have done a separate..

spinal cord injury dr george hornby dr kerry hollarin stroke incomplete spinal cord journal of neurologic physical brain injury department of physical medicin academy of neurologic physical dr hollarin academy of neurologic pt stroke kerry george Hornby School of medicine washington university st louis kerry george spahn spasms
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

05:59 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"So it's functionally connecting these different spinal segments both in the ventral endorse a horns which most importantly connect multiple levels of the spinal cord with act. John denver rights. So it's this large Kind of connective functionally connected system. But not only acts to relay system between the brain and spinal cord but also between Different segments of the spinal cord. And so you know the majority of these acts on are located in the doors. A lot of the nicholas so this is why it's Typographically thought to be a primary activation center for transportation. Es electrical spinal cord stimulation. So we know that those dorsal roots are in the poster funicular and that the appropriate spinal network there and it also mentally connects all of those levels of spinal cord. The thought being that. Then it's better able to transmit electrical current between various of of the spinal cord and most importantly through an injury side or through an injury segment. That's been injured in the spinal cord. You know one of the other important things to think about here. Is that These proprio spinal circuits have been shown to be tunnicliffe active even at rest so they're thought to produce kind of a stable foundation of available electric current for neural activation in the uninjured spinal cord. So they kind of you know. They're running the full length of the spinal cord. They're transmitting information. And then they kind of have this resting threshold of electrical excitability to allow e polarization to happen when we went on a split millisecond when we want to move something and so i think when we look at the injured nervous system hopefully with the activation with transient electrical spinal cord stimulation. We're activating that kind of foundation of electrical energy so that were providing a continuous supply of sub threshold facilitate Input that may be used to activate those motor pools but again if we bring it back to kind of more of a simple definition. We're just really trying to lower the activation threshold allowing even weaker signals. That are coming from the super spinal centers to then propagate action potentials But the proprio spinal system. It really seems to be kind of a major center that is getting this current and then allowing that to propagate Two different final segment was really helpful. Thanks also put a note in the paper that you chose that al peoper does a terrific job of describing this as well and Just supplemented that really nicely for me..

electrical spinal cord stimula John denver nicholas
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:07 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"That needs to happen for somebody to truly develop more functional and coordinated control the. It's exciting to think about. Just how then like the neuroscience and the motor learning and our clinical skills and and really patient i would imagine patient preferences on what their high priority goals are how that can really all interplay with this neat stuff. Yeah thinking and so what. What are the effects that you're seeing so far in terms of like. How much recovery is this helping people get or what types of recovery. Yeah i think it's really exciting. Now i'm you know. I tend to be an optimist by nature so take on with a grain of salt. But i know as a clinician. I've never seen the at outcomes in our in our clinical environment In the last twenty years that i've been able to see with just a few subjects Who are receiving transportation Electrical spinal cord stimulation so. I'm really excited but also cautiously optimistic understanding that we truly are in my mind in the infancy of understanding The mechanisms behind this. I think there's some great hypotheses out there and also some good literature to start to support those hypotheses. But i think you know again. It's still so early on to really understand this. But that's why. I chose the article review by two cola out because i think it really starts to build a nice mechanistic view on how this type of stimulation in combination with task specific training maybe able to activate dormant neural pathways even in the individuals with the most severe injuries. And you know as we talked earlier. That's the group that we really haven't in my mind that rate job from clinical or research perspective in figuring out how to to really help them cover You know so. Some authors that have been really critical in the early work Transportation use electrical stimulation. Spinal cord electrical stimulation edgerton You're a daraghmeh cinco prerogative And dimitri saying co have all published several papers together demonstrating the ability to restore voluntary movement in the lower extremities and individuals who are classified as motor complete injuries and in their papers the majority of the individuals that they've studied had Have very chronic injuries. And i think that's also important to recognize as well is that these dormant neurons may Actually still have electrical viability even years after spinal cord injury And i know froth those individuals out there who have chronic injuries you know. That's i think that's really exciting. The technologies we're developing today hopefully and it and the interventions we're developing today not only help the new injuries but also help those Individuals who had these injuries for quite some time but there was a nice paper from the reggie edgerton group that Devon that demonstrate improvement in upper extremity function and grip strength and individuals with cervical spinal cord injury when paired with transfer cheney electrical spinal cord stimulation with upper extremity training. And so. I think you know we're you know a lot of times. We all talk about walking and you know when a patient is i injured. That's often times the first thing they say. They're i'm gonna walk out of here but then as i think the injury Kind of matures people then start realizing how important their hands are not becomes done a priority one of the top priorities for them to get hand function back into get bowel and bladder function back. And so we've seen This literature building his body of literature building. That shows that maybe not only can it help with walking but it also can help a foul and bladder control and again with the upper extremity improvement in function And then there was also a paper published by raphael that supported improved trunks ability in individuals with spinal cord injury in response to this type of stimulation..

edgerton reggie edgerton group dimitri cervical spinal cord injury spinal cord injury Devon cheney raphael
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:01 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"The maybe the answer to the plan flexible just anything more in the distal lower extremity. Then we're getting more activation if we stimulate over the cox But like anything that we do in therapy. We all have different body shapes and sizes and and so it's been on a really interesting just to see that tiny little Movement of that electro can really change that motor pool activation so really trying to better understand how we can maximize the location and the intensity to really Activate the motor pool. That we're looking for. So kindy you do that. Then are you. I guess why not activates all of the motor pools. Are you being very selective in terms of whether you want more flexible or extensive. When we're still muscles or again why not. Why not. Just activate everything. Yes a really good question and something that we've been putting a lot of thought into lately but essentially you know in in clinical practice. You get those patients in who maybe Just for an example. There's very weak sees Asian permits scale. See who had never honestly no matter what intervention you've provided them. They've never really been able to maximize that recovery. Or you've never been able to help facilitate any appreciable recovery right and. I've always had population that i've has always been near and dear to my heart that i wanted to find different ways to help them. get more recovery and essentially you know often times you'll see them come in and they're more flexible oriented or extensive oriented right. Those are those people who can initiate that. But they don't have any stance base ability or they have a lot of santa face stability but they can't initiate a step and so I think for those week on asian..

cox santa
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

01:43 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"Welcome to the third episode of disgust discussions and spinal cord. Injury sci where we bring you interviews with researchers and clinical leaders and spinal cord injury rehabilitation. I'm rachel tappin. Last time we talked about neeraj relation. Touched on various neuro modulation protocols. Today i'll be speaking with. Dr candy t for tiller for a deeper dive on one of those protocols. Trans cutaneous spinal cord stimulation dr t for tillers the director of physical therapy at craig. Hospital in englewood colorado. She's a board certified specialist in neurologic physical therapy and i guess. I'm feeling the need to tell you that she's just. She's one of those people who has an iron in every fire. I i met candy when we were on the spinal cord. Injury edge taskforce together and since then it seems that everyone. I encounter in the spinal cord injury. Rehab world has worked on something with candy at one point or another. She's been involved in numerous research projects including a current project involving transfer continuous electrical spinal cord stimulation. Welcome candy. thank you rachel. It's so nice to be able to chat with you today. And i appreciate the invitation and opportunity to speak with you and to talk about transportation. Transportationnation spinal cord electrical stimulation absolutely so for today's topic. I'll refer you to a paper that candy chose for us titled and yet it moves recovery of volition control after spinal cord injury from the journal. Progress in neurobiology from two thousand eighteen. The full citation is listed in the description of this podcast. Episode and for listeners will be attending the abtei's combined sections meeting denver next week..

"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

03:23 min | 2 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"Welcome back. This is the long awaited second episode of discus discussions in spinal cord. Injury sci where we bring you interviews with researchers and clinical leaders in spinal cord injury rehabilitation. This podcast is a production of spinal cord injuries. Special interest group of the academy of neurologic physical therapy a component of the american physical therapy association. And i'm rachel tappin. Today we've got dr monica perez joining us from the shirley ryan ability lab in chicago where she is the scientific chair of the arms and hands lab. She's a professor of physical medicine and rehabilitation in the feinberg school of medicine at northwestern university as well as a research scientist at the heinz. Va and last. But not least. She's a physical therapist. So welcome dr press high ratios. Thanks for having me here today. We're happy to have you on so today. We'll be talking about neuro modulation in spinal cord injury rehabilitation neuro modulation especially epa daryl and trans cutaneous. Electric stimulation have been a hot topic and spinal cord injury research and in the news over the last year or two today. We're going to take a step back and provide a primer of several different neuro modulation protocols and talk about their potential spinal cord injury rehab. We'll talk about three of the neuro modulation protocols that you find in the research so the first is spike timing dependent plasticity that's also sometimes referred to as paired associated stimulation second we'll talk about epidurals and transportation use electrical spinal cord stimulation and then last. We'll talk about opera conditioning. And so for related reading will refer to paper of dr prizes. It's titled targeted plasticity in the corticospinal tract after human spinal cord injury and it was published in neuro therapeutics in two thousand eighteen. So this paper review. That does a deeper dive into the first protocol that will talk about spike timing dependent plasticity and the full references in the description of this podcast so onto our interview. I'm so monica i can. You tell us in a more broader sense. What is neuro modulation noodle. Mother changes in activity in the central nervous system that that usually induced through the livery of stimulus and this is stimulus could be for example electrical stimulation. Trump's credit magnetic stimulation or transplant. Direct current stimulation. The goal of notably relation is to change the activity at the specific sites in the central nervous system It aims to either normalize the function of different types of tissue in the central nervous system. Okay so you really trying to change. How the central nervous system is is functioning. Exactly yes that's what to do. And hopefully and these changes will result in improvement in performance or involuntary motor output in our patients. Okay yeah i guess. That's the goal that makes sense now earlier. We mentioned that. There are three different types of neuro modulation protocols that we're gonna talk about to start to get a sense of each of these specific protocols and so let's start with the spike timing dependent. Plasticity what is that right..

academy of neurologic physical rachel tappin monica perez shirley ryan ability lab american physical therapy asso spinal cord injury feinberg school of medicine northwestern university heinz Va epa chicago monica Trump
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:58 min | 3 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"The physical medicine rehabilitation world physiologists physical therapist radiologist. I think everyone just gotten to a normal clinical practice mode that did not include imaging for predicting in so that is kind of the norm even to this day. Okay so maybe the next best thing is for us to talk about is what you all did in your study. Go ahead and maybe take us through what y'all did. Okay so i just wanted to say Myself i definitely lean on heavily the entire team but for this podcast will speak on the behalf of the team we. We didn't necessarily do anything completely. I would say out of the ordinary which in my perspective. It's a good thing. Because as a physical therapist i wanna perform and be part of clinically relevant research right so the most exotic mri sequences might be publishable. But is it practical for any given patient to receive those types of sequences after spinal cord injury. So what we did was. We used to run the mill standard. What's called t two weighted mri sequences of a person's spinal cord damage on the cervical spine. The neck and we looked at a view. Kind of a bird's eye view or what we call imaging world and axial view and we look image by image or what we'd say slice by slice throughout the damage and we just wanted to we. We use the term adult coloring. We wanted to be able to characterize the damage on each slice so essentially. What we're doing is were drawing circles and coloring this damage. What's really nice about that particular study. Was we leveraged this open source. Software called the spinal cord toolbox. So it's it's up online Free of charge to use for research researchers like us and we could put the adult colored image of the spinal cord damage into this open source. Software the spinal cord toolbox. And it's a little bit more sophisticated in that but the output is characterizing each individual's spinal cord damage according to wear along specific tract of the spinal cord..

spinal cord injury
"cord  " Discussed on Discussions in Spinal Cord Injury Science - ANPT

Discussions in Spinal Cord Injury Science - ANPT

04:57 min | 3 years ago

"cord " Discussed on Discussions in Spinal Cord Injury Science - ANPT

"Tappin. Today dr andrew smith is joining us from regis university in denver where he's an assistant professor in the school of physical therapy. Welcome andrew thank you. Dr tap great to be here and excited contribute. What i can to discus. We'll be talking about research that andrew has been doing related to mri improving our ability to determine prognosis for walking and people who have had a spinal cord injury. We'll discuss the results of his study. Lateral corticospinal tract damage correlates with motor output in incomplete spinal cord injury which was published in the archives of physical medicine and rehabilitation last year in two thousand eighteen. So andrew i maybe to set the stage here a little bit. Could you talk to us about what's currently happening in the clinic to help predict whether people will walk or how well they'll be able to walk after a spinal cord injury. Yes so ritual what what typically happens after injury is even in the intensive care unit. Typically motor scores are so the patient will be lying supine and the physicians and the team will come and say hey can you. Are you able to move your limbs especially the legs if you're considering walking. Then they go through specific tests and measures that are found and published by the american spinal cord injury association and now they're considered international standards. And what you get from. That is a standardized motor score for the right leg in the left leg and that's typically used to determine a patient's feature ability to walk now. This is good and and we are team. Doesn't want to necessarily downplay this. It's very important and continues to be the most important predictor of walking but what we found is that patients often want a bit more information than what they can currently do when they are being assessed. So other questions come up. What if the patient sedated. What if the patient has a severe lower extremity fracture where they can't contract muscles are they shouldn't because it's a country patient is has continued spinal shock which typically happens after one of these injuries where they're not able to voluntarily move their limbs yet but perhaps could in the future so we found a few problem areas and that's where our research began to take shape and aiming to address those problem areas That's interesting my background is really an rehabilitation and setting 's and i hadn't thought too much about just how much the medical situation in acute care could really impact our ability to even have an idea of what they can do from motor standpoint in those really critical early days. So as you talk about how we're predicting how well someone's going to be able to walk in the future. I'm not really hearing anything about imaging. Can you give us some background there. You know why. Why doesn't imaging match up with what's going to be coming on the line. As far as the person's motor recovery goes when thinking about imaging and why it is not currently being emphasized for predicting things like walking..

Tappin dr andrew smith andrew regis university american spinal cord injury as spinal cord injury denver spinal shock