Beloved Holistics Radio

Beloved Holistics Radio

By Nathan Riley, MDHealth & Fitness
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Beloved Holistics Radio episodes

  • Goodbye! Here's to new beginnings...

    I have left the conventional medical model for good in search of brighter pastures! With the amount of painting, dancing, and kissing my baby and wife that I've been doing over the past several days, I encourage you all to try living a life free of the medical industrial complex! I have been liberated, and now I've got the bandwith the shake things up and create the life of my dreams. 

    The new iteration of my podcast will be titled The Holistic OBGYN


    Find me at: www.BelovedHolistics.com

    18 min
  • Ep 82: Management of AUB Associated W/ Ovulatory Dysfunction

    Practice Bulletin #136 - Published July 2013 (Reaffirmed 2017)


    1. Know your reproductive endocrinology like the back of your hand!

    2. AUB-O is classically associated with cycles that differ in length by `10 days or more. Patient with AUB-O also generally don't experience the classical cyclical breast tenderness, mucoid cervical discharge, premenstrual cramping, or bloating seen in ovulatory bleeding.

    3. Anovulation is the most common etiology of AUB in 13-18-year olds. Transfusion or hospitalization is rare in this age group, but, when it happens, you should investigate coagulopathy.

    4. AUB-O in patients >18 years of age should prompt investigation for hyperplasia/malignancy.

    5. Hysterectomy or hormonal contraceptives are the mainstays for treating AUB-O, but neither address the underlying endocrine abnormality.

    6 .SIS + EMB is a sweet combo: if both are negative, the likelihood of pathology is extremely low and conservative measures are be offered without you losing sleep


    Show Notes

    Theme music by Evan Handyside

    42 min
  • Ep 81: Second Trimester Abortion

    Practice Bulletin #135, Published June 2013 (Reaffirmed 2017)


    1. It's none of your damn business why a woman desires a 2nd trimester abortion. There are also a lot of scenarios in which 2nd trimester abortion skills are necessary but that have nothing to what many perceive to be a seemingly easy decision to terminate a pregnancy.

    2. If you don't feel confident in your skills as a provider to perform 2nd trimester abortions, do your patients the service of developing a referral relationship with another provider who does.

    3. Inducing fetal demise prior to 2nd-trimester abortion does not improve safety or decrease procedure time in case of D&E, but he it does shorten induction time for medical abortion.

    4. Misoprostol + mifepristone = the most effective protocol of medical options

    5. All methods of contraception are effective on the day of 2nd-trimester abortion apart from cervical cap, diaphragm, or hysteroscopic sterilization (including IUD)

    Show Notes

    Theme music by Evan Handyside

    36 min
  • Ep 80: Management of Endometriosis

    Practice Bulletin #1114, Published July 2010 (Reaffirmed 2018)


    1. Pelvic pain and infertility are characteristic. Severe dyspareunia and dyschezia are indicative of deeply infiltrative disease.
    2. The etiology is unknown, but currently thought to be due to the implantation of endometrial glands and stromal cells outside the uterus within the peritoneal cavity due to retrograde menstruation
    3. Histologic evaluation of a surgical specimen is the gold standard for diagnosis. Visualization of endometriotic lesions has a high false positive rate. The finding of an endometriomas on imaging studies can alone be highly predictive, though.
    4. Excision of endometriosis can improve fertility rates, particularly with the excision of an endometrioma.
    5. NSAIDs, COCs, GnRH analogues, and progestins are all great alternatives to surgery for managing endometriosis-related pain

    Show Notes

    Theme music by Evan Handyside

    36 min
  • Ep 79: Journal Club, July 2021

    July 2021 Journal Club


    I'm joined by Emmie Sturgess, DO, an OBGYN, MFM, and friend of the show to review relevant articles from the major OBGYN journals. I promise it's not as boring as it sounds...

    Show Notes

    Theme music by Evan Handyside

    1 hr 7 min
  • Intro to Beloved Holistics Radio

    Welcome to Beloved Holistics Radio, a podcast for the holistic OBGYN! Expect summaries of ACOG's practice bulletins, important voices with birth keepers and birth warriors, and discussions around the most up-to-date research and publications.


    www.BelovedHolisticsRadio.com

    5 min
  • Ep 78: Postpartum Hemorrhage

    Practice Bulletin #183, Published October 2017 w/ co-host Sara Rosser, CPM (@sararosser)


    1. PPH is defined as 1000 mL for either vaginal or cesarean birth.
    2. Go with your gut in diagnosing PPH, and do it fast! You can't rely on vital signs or lab work to make the call to action in the acute setting.
    3. Uterine atony is the most common cause of PPH. Manage through uterine massage, uterotonics, tamponade, and UAE. Opening up her abdomen to place compression sutures, ligate the uterine vessels, or perform hysterectomy are last resort!
    4. Remember the triad of the amniotic fluid embolism: respiratory decompensation, hemodynamic instability, and DIC.
    5. As soon as you feel that she's lost too much blood activate your institution's transfusion protocol. Remember that you can never get pre-screened blood fast enough when you actually need it.

    Show Notes

    **Visit our friends at The Labor of Love Co. to send a pregnant person in your life a curated maternity or postpartum care package!**

    Theme music by Evan Handyside

    1 hr 15 min
  • Ep 77: Ultrasound in Pregnancy

    Practice Bulletin #175 - Published December 2016 (Reaffirmed 2020) w/ co-host Sara Rosser, CPM (@sararosser)


    1. US may be harmful if overutilized.
    2. Important uses include pregnancy dating/viability, fetal growth, and amniotic fluid assessment.
    3. US pregnancy dating is most accurate in the 1st trimester. If significant discordance exists between US dating  and LMP dating, it may be appropriate to adjust due date.
    4. Fetuses at risk for FGR should be monitoring by serial growth ultrasound. It's not recommended to repeat growth ultrasound more frequently than q2 weeks.
    5. Growth-restricted fetuses can be monitored through umbilical artery Doppler velocimetry as a means of avoiding bad perinatal outcomes.

    Show Notes

    **Visit our friends at The Labor of Love Co. to send a pregnant person in your life a curated maternity or postpartum care package!**

    Theme music by Evan Handyside

    1 hr 1 min
  • Ep 76: Journal Club, June 2021

    June 2021 Journal Club


    I'm joined by Emmie Sturgess, DO, an OBGYN, MFM, and friend of the show to review relevant articles from the major OBGYN journals. I promise it's not as boring as it sounds...because...I mean...come on...WINE.

    Show Notes

    Wine pairing: 2016 Primitivo di Manduria from Antico Sigillo
    Theme music by Evan Handyside
    Logo design by JD Dotson ([email protected])

    1 hr 27 min

About Beloved Holistics Radio

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How does women's health look through the lens of a holistic OBGYN? My podcast promotes holistic lifestyle measures and shared decision making as priorities over the standard of poor communication…