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There have been a lot of questions recently regarding the appropriateness of patients scheduled for care in an ambulatory surgical center (ASCs). It appears that sicker and more complex patients are being scheduled for care in an ASC, and many anesthesiologists are increasingly concerned about the safety of anesthetizing these patients in locations that may lack resources to escalate care if needed. In today’s episode we are going to discuss some of these issues with two experts in ambulatory to help navigate this quandary. Welcome Drs. Christina Menor and Basem Abdelmalak.

The discussion was fascinating and informative. Starting with why surgeons and proceduralists may want to schedule patients in an ASC, to factors that might affect the decision to safely care for a particular patient in a particular location. Along the way specific examples of patients with complicated medical conditions were presented and discussed in depth.

For full guest bios and resources discussed during the podcast, click here.

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Drs. Charles Hummel and Jason Cheng explain the origin story behind their involvement in founding the drive toward collegiality for a major healthcare system in California, Kaiser Permanente. Take a listen and be inspired by the immense possibilities when physicians join forces in the name of empathy and humanity.

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Your host Dr. Rita Agarwal is joined today by two outstanding guests who have an interest in preventing and treating women’s pain. Drs. Anita Gupta and Stephanie Cizek.

At the California Society of Anesthesiologists’ Annual Meeting in Anaheim, in April 2024, there were several posters authored by Dr. Anita Gupta looking at the literature surrounding IUD insertion pain and potential treatments for that pain. Several months later the new CDC recommendations were released recommending improved pain management techniques in patients undergoing IUD placement. Around the same time there was increased media attention to IUD related pain and the fact that women’s pain has historically often been dismissed, minimized or ignored. In this episode, we discuss all of this and more!