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Advances in Care
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1 Advancing Cardiology and Heart Surgery Through a History of Collaboration 20:13
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On this episode of Advances in Care , host Erin Welsh and Dr. Craig Smith, Chair of the Department of Surgery and Surgeon-in-Chief at NewYork-Presbyterian and Columbia discuss the highlights of Dr. Smith’s 40+ year career as a cardiac surgeon and how the culture of Columbia has been a catalyst for innovation in cardiac care. Dr. Smith describes the excitement of helping to pioneer the institution’s heart transplant program in the 1980s, when it was just one of only three hospitals in the country practicing heart transplantation. Dr. Smith also explains how a unique collaboration with Columbia’s cardiology team led to the first of several groundbreaking trials, called PARTNER (Placement of AoRTic TraNscatheteR Valve), which paved the way for a monumental treatment for aortic stenosis — the most common heart valve disease that is lethal if left untreated. During the trial, Dr. Smith worked closely with Dr. Martin B. Leon, Professor of Medicine at Columbia University Irving Medical Center and Chief Innovation Officer and the Director of the Cardiovascular Data Science Center for the Division of Cardiology. Their findings elevated TAVR, or transcatheter aortic valve replacement, to eventually become the gold-standard for aortic stenosis patients at all levels of illness severity and surgical risk. Today, an experienced team of specialists at Columbia treat TAVR patients with a combination of advancements including advanced replacement valve materials, three-dimensional and ECG imaging, and a personalized approach to cardiac care. Finally, Dr. Smith shares his thoughts on new frontiers of cardiac surgery, like the challenge of repairing the mitral and tricuspid valves, and the promising application of robotic surgery for complex, high-risk operations. He reflects on life after he retires from operating, and shares his observations of how NewYork-Presbyterian and Columbia have evolved in the decades since he began his residency. For more information visit nyp.org/Advances…
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Content provided by Trial By Fire and Padraig Croke. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Trial By Fire and Padraig Croke or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
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1 Farewell For Now: TBF Wednesday Briefing 07.12.22 32:30
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Todays episode will the last for the foreseeable future in this format. This is due to taxing time requirements and right now, working as a self-employed person, the hours in the day are tougher to keep track of more than ever! But we will continue to produce content, including the knowledge hub episodes, as well as articles and recommendations each week. So If you want to stick with us, then I would love you to come join us on there! Today we're talking about modern kit and tools, and how advancements in our stuff is inhibiting our ability to understand how it works, or repair it without the need for specialised tools or knowledge. How does understanding how your equipment works enrich your relationship to it?…
With such uncertain times upon us, and with the coming winter showing threat of rocketing energy prices and potential power outages, we thought it was a good time to look at how we can all be better prepared in the home for short term disruptions. Our guest today is Toby Cowern an expert in urban preparedness and survival to talk to him about the thing we should be thinking about to keep our homes well prepared. https://www.theorganicprepper.com/tc-7-pillars-urban-preparedness/ https://patreon.com/resiliencehub…
Welcome to this weeks briefing. this week we're looking back at our Charlie Walker interview, having had time to digest it a little, we speak about what resonated with us. We also discuss Kit envy and using what you have, in relation to bikepacking, after I spent the weekend getting my kit hammered on rough terrain. We talk about Howl Bushcraft and their upcoming experience course https://www.howlbushcraft.com/experiences/borealis-swedish-winterland…
Our guest today is Charlie Walker, a British writer, explorer and journalists who has spent the last decade travelling to the four corners of the globe, including a 43,000-mile bicycle journey through Europe, Asia and Africa, across Mongolia by horse and most recently, walking across Siberia. A journey that was cut short by the invasion of Ukraine. We got the chance to talk to Charlie about this most recent event, and his trouble with Russian authorities, as well as discussing the role of explorers in the 21st century, and how our desire to travel to these remote places impacts our ability to protect them. We also discuss journalism, and the influence of the Climate Crisis. Make sure to grab Charlies books on his website https://www.cwexplore.com/store/p5/The_whole_saga.html…
Welcome to a new week of Trial by Fire. Jeremias attended a ski making course over the weekend and I pick his brain into the process involved. We also touch on some more feedback from our last few episodes regarding clothing and trusting your own experience
Survival reality shows? Love em or hate em? what do they bring to the outdoor community? These are some of the questions Jeremias and I tackle on this weeks show. We discuss the series Alone, and what drives people to sign up, or quit, as well as some other really bizarre examples of other shows that have aired over the years. This episode was inspired by this article on Outside https://www.outsideonline.com/culture/books-media/small-game-blair-braverman-excerpt/ Our friends at Journeyman Handcrafts just launched a new website which you should check out here! https://journeymanhandcraft.com/…
today we're talking about clothing. It's role in society as a signifier but also as a protective tool against the elements, allowing us to go further and higher and deeper into the wild. We are the only animals on the planet that wear clothing. today we discuss clothing in the outdoors and what it means to us.…
today we are discussing sloyd. the subject of crafts and skills that are so important to the nordic household, and are taught in school for a very young age. but how can this skillset round out our outdoor skillset and what does it have to offer when we are in the woods? We discuss some elements of last weeks episode also, and we reference this video which is a great source to talk about our skillset https://youtu.be/VxvVfgx9PBU…
This week Jeremias and I make a somewhat small attempt and defining bushcraft and bushcraft skills, and what that means. We discuss peripheral skills outside of that remit and how they can inform and round out our knowledge and skillset in the outdoors. Cooking, hunting, fishing, leadership skills... blacksmithing... whatever it may be.…
welcome to this weeks briefing! Today we are answering some of the comments from last weeks episode about the Happy People documentary. We're discussing finding fulfilment in work, adjusting to the seasons and the concept of "Wintering" We end the episode with a sneak preview of the new Patreon content we're going to be rolling out this year!…
Have you ever wanted to know how to navigate yourself using the signs the nature shows us. If you have the tools and the skillset, you can navigate any terrain on the planet. From the desert to the city and everything in between. Our guest today is Tristan Gooley, one of my favourite authors. World traveller, author, and natural navigator, Tristan has spent his career learning to interpret the signs that lay invisible to most of us. An absolutely fascinating conversation that I hope you will enjoy…
this week we're discussing Happy People, a documentary film based in the Russian Taiga, which follows a group of trappers as they live their lives throughout the four seasons of the year. We discuss sustainable living, self reliance and Seasonal adjustment. you can watch the documentary here https://youtu.be/fbhPIK-oBvA…
Welcome to our Wednesday briefing. Today we are talking about something hot off the press. Yvon Chouinard has sold Patagonia to an Environmental trust fund and has vowed to donate $100m a year to environmental causes. But how effective is this in reality? We're discussing company greenwashing, sustainability measures in the outdoors and what we can be doing ourselves to be a bit more aware of our impact on nature…
This week we got a chance to talk to Joe Flowers, a world renowned knife designer, expedition leader and explorer. Joe's work can be seen in many of the knife designs of Condor and Tops Knives, and his school Bushcraft Global, lead jungle expeditions. He has also spent time with native tribes, learning from them and working with them, and he is also a zoologist and etymologist. It was a real pleasure to talk tools with Joe, and we talk about life in the jungle, inspiration for his work, and how he ended up where he is today. you can find his work at https://bushcraftglobal.com/…
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