Beloved Holistics Radio

By Nathan Riley, MD

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 arou... more

· Health & Fitness

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FAQs about Beloved Holistics Radio:

How many episodes does Beloved Holistics Radio have?

The podcast currently has 100 episodes available.

Beloved Holistics Radio episodes:

February 16, 2021 Ep 60: Asthma in Pregnancy
Practice Bulletin #86 - Published October 2009 (Reaffirmed 2016)

1. Poorly controlled asthma is associated with prematurity, preeclampsia, growth restriction, and maternal morbidity and mortality.
2. Nonselective β-blockers, carboprost, ergonovine, indomethacin, misoprostol, and dinoprostone can trigger bronchospasm, and they are all commonly used agents in pregnancy/postpartum.
3. Short-acting β2-agonists (e.g. albuterol) are the mainstay for acute asthma exacerbations
4. Long-acting inhaled corticosteroids and inhaled long-acting β2-agonists are the mainstays of maintenance asthma therapy. Oral corticosteroids may be required in the most severe cases.
5. For pregnant patients with poorly-controlled asthma or asthma classified as moderate or severe persistent, fetal growth should be monitored by serial ultrasound beginning around 32 wga.

Show Notes

Wine pairing: 2019 Chardonnay from Sean Minor
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
31min
February 02, 2021 Microdose H - The Journey of an Unorthodox Allopath
"The restructuring of my healing practice affords me the opportunity to ask the bigger questions, to challenge dogma, and to truly heal people, communities, and the planet. I have the same skillset as most physicians: laboratory analysis, expertise in interpreting medical literature, medication, antibiotics, imaging studies, and surgery. The difference is in how I use these powerful but limited tools. Healing begins with your story, and it grows outward from there in concentric circles. This approach has been called 'slow medicine' by author Victoria Sweet."

www.ObgynoWino.com
...more
17min
January 30, 2021 Ep 59: An Unassisted Hospital Birth (Story)
SPECIAL EPISODE - Interview w/ Maryn Green, CPM, independent midwife and author

Maryn is a midwife, midwifery instructor, and a mom to now 10 children, all of whom were born vaginally, most of which were born at home. The birth of her most recent, Rumi Sol, happened in the hospital as the result of Maryn acting on her intuition while in labor and transferring herself to the hospital when she sensed things weren't right. The most surprising part of her story is that she ultimately had an unassisted birth in the hospital. Maryn is a unicorn is more ways than one, and every OBGYN could learn a great deal from her experiences.

Show Notes

Wine pairing: 2018 Valpolicella Classico from Ca' La Bionda
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
1h 8min
January 21, 2021 Ep 58: Prevention of Deep Vein Thrombosis and Pulmonary Embolism
Practice Bulletin #84 - Published August 2007 (Reaffirmed 2018)

1. Most patients who die from PE do so within 30 minutes of the event, so prevention is key.
2. If a patient is known to have Factor V Leiden mutation or prothrombin gene mutation 20210A, they should be considered high risk and managed appropriately intra- and post-operatively and in pregnancy
3. Compression stockings, pneumatic compression devices, and pharmacologic prophylaxis are all safe and useful in preventing VTE
4. Highest risk patients benefit most from a combined approach of mechanical or stocking prophylaxis combined with pharmacologic prophylaxis
5. Platelet inhibitors should be stopped 14 days before spinal or epidural anesthesia, unfractionated heparin or twice daily low molecular weight heparin 8-12 hours before, and low molecular weight heparin 18 hours before

Show Notes

Wine pairing: 2019 Les Quatre Cepages from Domaine de Pajot
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
38min
January 19, 2021 Ep 57: Endometrial Ablation
Practice Bulletin #81 - Published May 2007 (Reaffirmed 2018)
1. Both resectoscopic and non-resectoscopic techniques are safe and effective.
2. Size and shape of the uterine cavity and the presence of fibroids may impact efficacy of non-resectoscopic techniques
3. With resectoscopic techniques, careful monitoring of distension medium fluid is important. If too much fluid intravasates, dilutional electrolyte imbalances can have serious consequences.
4. Ablation is not recommended for patients who wish to preserve fertility.
5. Sample the endometrium before performing an ablation to evaluate for hyperplasia or malignancy.

Show Notes

Wine pairing: 2017 Nero d’Avola Cabernet Sauvignon from Barone Montalto
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
1h 9min
January 16, 2021 Ep 56: Hemoglobinopathies in Pregnancy
Practice Bulletin #78 - Published Janury 2007 (Reaffirmed 2018)

1. Sickle cell trait (heterozygous for the mutation) is generally asymptomatic; sickle cell disease can have severe consequence
2. Sickle cell disorders are more common among individuals of African descent, whereas the thalassemias are more common among individuals of Southeast Asian and Mediterranean descent.
3. Alpha thalassemia results from deletion of any number of the four genes that code for the alpha chain. The more deletions, the worse the presentation.
4. Beta thalassemia results from mutation of one or both of the genes that code for the beta chain. Severity of disease is determined by presence and degree of functionality within intact genes.
5. Sickle cell disease is a risk factor for preterm delivery, IUFD, IUGR, etc., therefore, antepartum fetal surveillance is recommended

Show Notes

Wine pairing: 2018 Sainte Marie Corbieres from Domaine Faillenc
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
49min
January 09, 2021 Ep 55: Medical Abortion up to 70 Days of Gestation
Practice Bulletin #225 - Published October 2020

1. Medication abortion is safe and effective (just slightly less effective than uterine evacuation).
2. The standard regimen is mifepristone 200 mg PO followed by misoprostol 800 mcg per vagina 24-48 hrs later
3. Patients who reliably report menstruation within 56 days of presentation for medication abortion do not require ultrasound confirmation
4. Patients at high risk for ectopic pregnancy based your clinical assessment should not be offered medication abortion.
5. Medication abortion has no adverse effect on future fertility or future pregnancy outcomes.

Show Notes

Wine pairing: 2017 Willamette Valley Pinot Noir from Chemistry Wine
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
37min
January 05, 2021 Ep 54: Screening for Fetal Chromosomal Abnormalities
Practice Bulletins #226 - Published October 2020

1. Cell-free DNA screening has the best sensitivity and specificity of all screening methods. But before you order it, it's best to get a prenatal ultrasound
2. Best non-cell-free screening modality is the sequential integrated serum screen (1st-tri serum + NT ultrasound + 2nd-tri serum)
3. Formal anatomy survey should be offered at 18 - 22 wga; can identify soft markers for T21 and T18
4. Prenatal genetic screening should be offered to all pregnant women regardless of risk profile
5. Anything that doesn't add up, it's best to just refer to a genetics counselor or even your friendly MFM for clarification.

Show Notes

Wine pairing: 2017 Garnacha from Las Rocas
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
47min
December 20, 2020 Ep 53: Diagnosis and Management of Vulvar Skin Disorders
Practice Bulletins #224 - Published July 2020

1. A systematic approach is required to evaluate and treat vulvar pain and pruritis.
2. In premenopausal women: contact dermatitis is most likely culprit.
3. In postmenopausal women: Genitourinary syndrome of menopause is your most likely culprit, and this relates to the natural increase in pH associated with the hypoestrogenic state.
4. Lichen sclerosus is best diagnosed through biopsy, because if left-untreated it can develop into vulvar squamous cell carcinoma
5. Topical steroids w/ topical anti-histaminic agents are the mainstay of therapy for inflammatory vulvar disorders.

Show Notes

Wine pairing: 2017 Chardonnay from Eighteen Eighty Three
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
31min
December 14, 2020 Ep 52: Thyroid Disease in Pregnancy
Practice Bulletins #223 - Published June 2020

1. Fetal brain development relies on adequate maternal T4 until the fetal thyroid gland takes over at ~12 wga

2. Fetuses who develop in environments deficient in thyroid hormone may suffer from impaired psychoneurological development of the newborn

3. Hyperthyroidism is most commonly due to Graves' disease, which is caused by antibodies that stimulate the thyroid gland

4. Screening for thyroid disease in pregnancy starts w/ TSH. More sensitive than thyroid hormone.

5. Propylthiouracil is generally used to treat hyperthyroidism in the 1st trimester because methimazole is associated w/ rare embryopathies

Show Notes

Wine pairing: 2016 Cabernet Sauvignon from Embrazen Wine
Theme music by Evan Handyside
Logo design by JD Dotson ([email protected])
...more
34min

FAQs about Beloved Holistics Radio:

How many episodes does Beloved Holistics Radio have?

The podcast currently has 100 episodes available.