The longer a child has a seizure after 5 minutes, the harder it is to stop with medications. This fact is why developing protocols and eliminating barriers for Emergency Medical services to provide anti-seizure rescue medications quickly is so important. Primary Children’s’ Emergency Department hopes a new clinical trial will further empower EMS pre-hospital providers to treat child seizures in a safe and timely manner.
Jade Elliott spoke with Dr. Maija Holsti, MD, MPH, Professor of Pediatrics at the University of Utah, about this clinical trial.
The Pediatric Dose Optimization for Seizures in EMS (PediDOSE) study created by Primary Children’s Hospital in collaboration with Salt Lake City Fire, West Valley Fire, and Unified Fire EMS will run over a period of 4 years at Primary Children’s Emergency Department and 20 other sites across the country.
Paramedics currently perform multiple calculations to determine the dosing for anti-seizure medications, which has led to under-dosing and delays in treatment of pediatric seizures. About a ⅓ of pediatric patients on average are transported to Emergency Departments still seizing due to these delays and under-dosing.
The study will compare dosing of the anti-seizure medication, midazolam, based on age versus conventional dosing based on weight. Age-based dosing will eliminate steps and simplify the protocols for EMS prehospital providers, supporting paramedics to give the correct dose in a timely manner.
Special rules for emergency research by the FDA allows patients to be enrolled in research without prior consent if there is not time to consent. Because a seizure is an emergency and requires immediate treatment, all eligible patients will be consented after enrollment at Primary Children’s Hospital. We will be studying these patients until they leave the hospital to ensure that it is effective and safe.
To be eligible for enrollment in this study, patients must be:
Age: 6 months to 13 years old
Actively having a seizure in the presence of a paramedic EMS provider
Transported by Salt Lake City Fire, West Valley Fire, and Unified Fire Emergency Medical Services to Primary Children’s Hospital
The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.
In this episode, Alec Stern, co-founder of eight startups with five exits and one of the founders of Constant Contact, shares his life story and why he’s been selected for top honors and awards. He’s been recognized as the world authority for entrepreneurship. As a world-class drummer and serial entrepreneur, Alec gives us the step-by-step formula required to start, grow, and exit as a successful entrepreneur.
About Alec Stern: Alec Stern is an entrepreneur, keynote speaker, startup mentor, innovator, and investor. He has become known as “America’s Startup Success Expert” and is now regarded as a motivational speaker, as he has performed hundreds of highly inspiring keynote speeches worldwide. He’s been a co-founder or founding team member of 8 startups with 5 exits – 2 IPOs and 3 acquisitions. As a primary member of Constant Contact’s founding team Alec was one of the original 3 who started the company in an attic. Alec was with the company for 18 years from start-up, to IPO, to a $1.1 Billion-dollar acquisition. In 2020, he was a 2-time Visionary Award winner at top conferences for his success as an entrepreneur and for his work helping startups and entrepreneurs.
Romney wrote, “Worst domestic news today: the Biden Administration will admit double or more the number of ‘undocumented’ immigrants at the border, starting May 28.”
Ukraine Update: The Secretary of Homeland Security confirmed close to 3,000 Ukrainians entered the United States through the Mexico border last week. https://t.co/aI7HEMD0papic.twitter.com/rpVmkpBWYw
MEANWHILE THE US HAS NOT ACTED ON VISAS FOR UKRAINIANS SO THEY ARE HEADED TO MEXICO TO CROSS THE BORDER.
ALL STAR GAME STAYS IN SLC
NBA Commissioner Adam Silver “There was no discussion over the past 2 days about moving the All-Star Game from Salt Lake City and we do not anticipate moving the game.”
“Ryan Smith, the principal governor of the team and the Utah Jazz have come out against that legislation, but we find that in our conversation with Ryan we think we can create an inclusive environment for our All-Star Game in Salt Lake City that will be welcoming for all our guests and for the diverse community of Utah as well.”
“As both governor and an avid basketball fan, Gov. Cox is excited for the NBA All-Star Game to come to Utah and looks forward to welcoming the world to this event next year.” – @GovCox
The ways that women experience menstrual periods vary from person to person. Symptoms may vary quite a bit and the intensity of those symptoms may vary from month to month.
Jade Elliott spoke with Leah Moses, CNM, Intermountain Healthcare, about uterine fibroids and endometriosis on this episode of the Baby Your Baby Podcast.
“Some patients describe their periods as barely noticeable, slightly uncomfortable, or that they just feel a bit off. Other patients experience significant cramping, bleeding, discomfort, bloating and/or headaches that prevent them from doing the things they want and need to do in day-to-day life. Most women fall somewhere in between. Symptoms and pain tolerance really vary,” said Moses.
Because periods typically happen every month for several decades throughout what are considered the “childbearing years” – from the time a woman starts menstruating until she’s completely in menopause – many women may feel like their period symptoms are normal because that’s all they know.
It’s important that women talk to their doctor or midwife about their period symptoms at their annual visit and let them know if they notice significant changes in their periods. Providers can explain what is normal and identify symptoms that might be related to underlying conditions. Keeping track of menstrual frequency, duration and flow amounts in a journal or on an app can be very helpful to track changes over time to help determine what is normal.
There are often emotional benefits for women when they talk to friends and family members about their period symptoms. Most can sympathize and relate to symptoms and compare notes to notice if something is unusual. Women should see their provider if they think their symptoms seem worse or different, have dramatically changed, or even just have a gut feeling that something needs to be addressed.
“Don’t just depend on your family or friends alone to give you advice, go talk to a provider. It may turn out your experience is in the range of normal, but identifying conditions that need attention is best done early. There may be some genetic similarities passed on in families, but that doesn’t mean those conditions are normal, or that you have to suffer. And family members or same-age friends can have a lot of variation in cycle bleeding and general health,” said Moses.
Women are often the main caregiver in their family and may not make time for formal healthcare and haven’t had an exam in several years. Many women don’t seek healthcare often, except during pregnancy or the occasional simple urgent care visit. It’s important to have regular annual exams outside of those big events or small crises.
When periods might get heavier
“The years when women may experience unusual bleeding patterns and sometimes heavier periods are during the bookends of life, or in other words, during the beginning year or so of starting periods and the final years—or perimenopause. During the middle years most of the time periods tend to regulate,” said Moses.
“For young women, the body is just getting used to menstrual cycles and experiencing a new flood of hormones. When shedding the uterine lining for the first several times, periods can be heavy. For older women no longer bearing children or breastfeeding, it’s not uncommon that as hormones change, periods vary and can sometimes get heavier,” she added.
Other factors that affect bleeding include genetics, number of pregnancies and overall health, as well as life changes month to month.
When to seek care for heavy menstrual bleeding
If symptoms of pain or bleeding are severe, or are not going away with home remedies and over-the-counter medications, contact a women’s health provider.
“If you’re bleeding so much you’re filling a regular sanitary pad in an hour, you need to be seen immediately. Heavy bleeding can cause women to become anemic or have low iron levels over time, or can be a symptom of something more serious, like fibroids, endometriosis, polyps, or malignancies,” said Moses.
A primary care doctor, an OB/Gyn or a midwife is a great place to start, then patients can be referred to other specialists as needed. Women who are experiencing severe, persistent abdominal pain or unusually heavy bleeding during their period should go to an urgent care or emergency room.
Common causes of painful periods and heavy bleeding
Two of the most common causes of painful periods and heavy bleeding can be fibroids and endometriosis. Other causes are polyps and malignancies.
Fibroids
Fibroids are non-cancerous tumors of muscular and fibrous tissues that can occur in other parts of the body, and can commonly develop in the wall of the uterus.
Uterine fibroids are the most common tumor of the reproductive tract. Approximately 40 to 80 percent of women have fibroids over their lifetime, however, most are small, asymptomatic, and not concerning.
Fibroids can occur in many locations, outside and inside the uterus. Depending on location and size, fibroids can create different symptoms of varied severity. Medical imaging is necessary to diagnose them. Certain sizes of fibroids and locations are normal, while others need medical attention. Fibroids can range in size from 1 mm to more than 20 cm (8 inches) in diameter or even larger.
Fibroids often appear during the childbearing years, and are most common between ages 30-40. Some women are relieved to know symptoms of uterine fibroids usually stabilize or go away completely after menopause as hormone levels decline.
Symptoms of uterine fibroids
Most fibroids are small and don’t cause symptoms or require treatment, other than annual observation. Larger fibroids can cause a variety of symptoms, including:
Longer, heavier or more painful, frequent periods
Painful abdominal cramps
Bleeding between periods
Boating or feeling of fullness in lower abdomen or abdominal enlargement
Nausea
Fever
Pain during sex
Low back pain
Constipation
Frequent urination, inability to urinate or to completely empty the bladder
Side effects of fibroids
Anemia from blood loss
Miscarriage or Infertility
The causes of fibroids are unknown but could be genetic or hormone-related, specifically tied to estrogen and progesterone levels. Hormones are a big cause, and that’s one reason why fibroids can change in size. Imaging results can also vary during monthly cycles and over longer periods of time, so seeing the same provider could help track results and streamline care.
Risk factors
Obesity – defined as 20% over healthy body weight
Heredity, or family history of fibroids
Not having children
Early onset of menstruation younger than age 11
Late age for menopause
Vitamin D deficiency
Poor diet, high in red meat or not enough fresh fruits and green vegetables
Alcohol use
Race: Black women are more likely to have fibroids younger or more severe. Additional studies are needed in black and minority populations to more completely understand all the risk factors.
In general, fibroids can’t be completely prevented, but women can reduce their risk by maintaining a healthy body weight with a healthy diet and having annual exams.
Treatment or monitoring of fibroids may be needed
Depending on location and size of the fibroid, treatment may or may not be needed. They are not usually dangerous, but it can vary from person to person. If women have small fibroids, it’s a good idea to make a plan for how often to monitor them.
It’s ok for women to get pregnant if they have uterine fibroids, but they should be especially conscious to have regular prenatal care with proper imaging as there are some risks of pregnancy complications, such as placenta abruption, fetal growth restriction or preterm birth.
Endometriosis can cause painful periods and heavy bleeding and affects 1 in 10 women
Endometriosis can be a devastating, often painful condition when the lining of the uterus or endometrium grows outside of the uterus. It affects 1 in 10 women in the U.S.
“In endometriosis, the displaced tissue grows, thickens, breaks down and bleeds, but then has no way to exit a woman’s body and is trapped, and can irritate surrounding tissue, causing pelvic pain, scar tissue or cysts,” said Moses.
Common symptoms of endometriosis
Painful menstrual periods
Pain with sexual intercourse
Pain with bowel movements or urination
Excessive bleeding during or between periods
Fatigue, diarrhea, constipation, bloating, nausea especially during periods
Infertility
When to see a doctor or midwife
If women experience more than one of these symptoms, or even if just one symptom is very severe, they should see their provider. Severe pelvic pain or heavy bleeding can impact a woman’s daily function and possibly her long-term health.
Risk factors for endometriosis
Starting menstruation at an early age
Going through menopause at an older age
Heavy menstrual periods
High estrogen levels
Low body mass index
Family history of endometriosis
The causes of endometriosis remain elusive. Hormones or immune system factors that affect the lining of the abdomen can sometimes play a role, as well as scar tissue from abdominal surgery.
Early diagnosis is important because endometriosis can be complex and difficult to treat
Early diagnosis may result in better management of symptoms. Women should see a specialist if their symptoms are severe and other remedies aren’t working.
Start with low intervention help. Keep track of symptoms over time. Note what helps or makes them worse and keep track of the bleeding or pain pattern. The more accurate data women give to their healthcare provider, the better they can get help ruling out other issues or determining if a specialist is recommended.
Treatments can include a series of injections over a few months or more recently, oral pills. There are also various surgical options.
Some endometriosis is microscopic in nature, so it can’t be seen. Trying out medication can help determine if it’s endometriosis and treat what can’t be seen. Endometriosis can go hand in hand with infertility, many women will pursue treatments that can preserve fertility.
There are different schools of thought on how to surgically treat endometriosis. There is very precise excision surgery to remove what can be microscopic endometriosis. Other surgical options are the less-invasive laparoscopy or major surgery, such as a hysterectomy.
If a woman believes she has endometriosis, it’s very important for her to bring as much accurate information about her symptoms to her provider early to determine more about her case and refer her to a specialist for care.
The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.
In this episode, Thomas Bahler — best known for writing the hit song “She’s Out of My Life” recorded by Michael Jackson — shares his life of extreme creativity and gives us a glimpse into the life of a musical superstar.
About Thomas Bahler:
Thomas Lee Bahler is an American singer, composer, songwriter, arranger, producer, and author. He is the younger brother of singer, arranger, conductor and composer John Bahler. Bahler is most known for his song “She’s Out of My Life”; recorded by Michael Jackson, the song was originally written for Frank Sinatra, who never recorded it. In Bahler’s early career, he worked with Jan Berry (of Jan and Dean). Later, he and his elder brother John were vocalists in the Ron Hicklin Singers. Together with the Wrecking Crew, the Bahler brothers have sung, produced, and arranged hundreds of worldwide hits. They were the featured background voices on The Partridge Family recordings in the 1970s.
Menstrual cramps are common for women who experience periods. Sometimes, the range of normal discomfort may interfere with daily life, and leave some wondering if or when they should see a provider, or if what they are experiencing is normal.
Jade Elliott spoke with Leah Moses, a certified nurse midwife with Intermountain Healthcare, about how to navigate through the pesky aches that menstrual cramps can bring, what they could mean, and ways to manage them.
Menstrual cramps are also referred to as dysmenorrhea. This can include pain in the hips, lower back, inner thighs, and abdomen. Abdominal pain may also be accompanied by pressure and even loose stools, an upset stomach, nausea, headaches, as well as vomiting in severe cases.
During a period, the uterus sheds its lining. Hormones released during this time can sometimes cause pain and inflammation, also causing cramps.
Although most menstrual cramps are manageable, some common conditions may cause normal menstruation cramps to become more painful. These include pelvic inflammatory diseases, uterine fibroids, polyscystic ovarian syndrome (PCOS) and endometriosis.
Home remedies
Period pain without an underlying cause tends to improve with age, and sometimes menstrual cramps improve after a woman has had children.
For those who are dealing with the discomfort that menstrual cramps can bring, there are various types of home remedies that may help alleviate pain, including:
Exercise, stretching, or sexual intercourse
Heating pad, hot compress or warm baths
Over the counter pain relievers (Motrin, Tylenol)
Consider Midol and Pamprin for bloating and muscle aches
Acupuncture or chiropractic adjustments
Herbal teas
Natural supplements such as magnesium, fish oil, vitamin B1 and B6
Avoid alcohol, caffeine, and stress
“If women experience other underlying health conditions, it’s important to check with their providers to know which medication may be best. Following the dosage directions on the label of over-the-counter medication is also important,” said Moses.
When to see a provider
“If full doses of over-the-counter medicine is needed more than a few times a day for several days in a row, then women should see their provider to review their symptoms,” added Moses.
Another reason to see a provider is to discuss birth control options. Birth control can be an option to help alleviate normal to severe cramps and may be pursued when home remedies don’t relieve the pain. These methods may include an intrauterine device (IUD), an implant, or birth control pills. Most women don’t have to wait until things get severe to consider using birth control as an option to reduce menstrual pain.
“Consider seeing your provider when your menstrual cramps are unusual or severe, or if your monthly flow lasts much longer or is much heavier than usual. Painful period cramping can be treatable,” said Moses.
It’s important to seek immediate care if cramping becomes dramatically worse such as severe abdominal pain that isn’t going away, or menstrual flow is filling a regular sanitary pad in as fast as one hour.
Additionally, pelvic and physical exams may be performed to help identify abnormalities or infections of the reproductive areas. Often, an ultrasound or other imaging will be needed to know more.
Sometimes women don’t realize they may be experiencing cycle or menstrual cramp irregularities until discussing their symptoms. Find out what is physically normal by discussing symptoms and concerns with a women’s healthcare provider at an annual exam.
In this episode, David Meltzer shares why his multi-million dollar enterprise suddenly collapsed into a rapid downward spiral ending in bankruptcy — giving us a glimpse into his miraculous turnaround, rebound, and recovery created by blending spirituality with business. David has now regained his spot on the top of the sports financial and philanthropic worlds.
About David Meltzer: David Meltzer is the Co-founder of Sports 1 Marketing and formerly served as CEO of the renowned Leigh Steinberg Sports & Entertainment agency, which was the inspiration for the movie Jerry Maguire. His life’s mission is to empower OVER 1 BILLION people to be happy! This simple yet powerful mission has led him on an incredible journey to provide one thing…VALUE. In all his content and communication that’s exactly what you’ll receive. He is a three-time international best-selling author, a Top 100 Business Coach, the executive producer of Entrepreneur‘s #1 digital business show, Elevator Pitch, and host of the top entrepreneur podcast, The Playbook. His newest book, Game-Time Decision Making, was a #1 new release, David has been recognized by Variety Magazine as their Sports Humanitarian of the Year and awarded the Ellis Island Medal of Honor.
Utah Legislature Veto override vote on transgender sports Bill Veto override session Friday 1:00 p.m. Two-thirds of lawmakers in both the House and Senate must approve overriding the governor’s action for it to take effect.
Special Session immediately following called by Governor Utah Legislature will set up a commission to determine their eligibility if the ban is struck down by a court.
Will passing the bill cost Utah the NBA Allstar Game and or the Olympics? Salt Lake is hosting the NBA All-Star game next year. In 2017, that game was pulled out of Charlotte after North Carolina passed a transgender related bill. (That bill was later repealed, and the game returned to Charlotte in 2019.)
Senate President Stuart Adams said he hasn’t heard from the NBA and is not concerned
Bills the Governor did not sign but let pass into law
Utah Outdoor Retailers show is back after 5 years in Denver: 3 Year deal starts 1/23 The costs for both attendees and exhibitors in Salt Lake City will be significantly lower
Some Companies say they’re not showing up: REI, Patagonia not happy on State stand on public lands.
Salt Lake City and County Mayor’s say show up and engage in the conversation
Visit Salt Lake: $565 million generated in direct spending during shows tenure. $52 million in city/county/state taxes.
Utah Democrats Caucus: How many delegates will heed the calls of Mayor Jenny Wilson and former Congressman Ben McAdams and vote against the party?
He knows that if Democrats join the McMullin coalition, we can win. If Democrats stubbornly put up a candidate we KNOW will lose, we split the vote and guarantee Lee's re-election. Go to caucus tonight, become a McMullin delegate. Let's join the coalition and win. #utpolpic.twitter.com/czXhzDXmIM
SCOTUS Hearings Ketanji Brown Jackson Senator Lee questioning: Overall, Sen. Mike Lee was pleased by much of what Judge Ketanji Brown Jackson has said, but after three days of questions he also has some concerns yet to be resolved. Democrats says Republicans have been too harsh treating her unfairly.
In this episode, Jeremy Andrus sits down with Dan and shares his understanding of what it takes to build a unique and extraordinary growth culture.
Jeremy Andrus is President & CEO of Traeger Grills, the original wood pellet grill brand that has taken the outdoor cooking world by storm. He and a financial partner acquired the company in 2014, transforming it from a small, regional, 26-year-old business into a multi-hundred-million-dollar brand that owns over 50% of the global wood pellet grill market. This was largely achieved by Jeremy leading an overhaul that would result in moving the company’s headquarters from Oregon to Utah and rebuilding its team with an emphasis on the people and culture behind the company. Jeremy took Traeger public on the NYSE in July 2021. While Traeger has become Jeremy’s most successful growth story, it isn’t his first. He joined start-up Skullcandy in 2005 with 4 employees and less than $1m in sales. Under his leadership, Skullcandy disrupted the headphone and wearable electronic space, growing into a $300m public company. Jeremy was named EY Entrepreneur of the Year in 2016, MountainWest Capital Network Utah Entrepreneur of the Year in 2017, and was inducted into the Utah Technology Council Hall of Fame in 2018. Jeremy received his M.B.A. from Harvard Business School and B.A. from Brigham Young University. He lives in Salt Lake City with his wife Kristin and their six children. After years of experimenting and working with professional pitmasters and chefs, Jeremy now makes the perfect steak.
