mdi

This week we sit down with Meeix to ask her about all things related to being a professional eSports personality. As one of the hardest working people in the industry she gives us a little peak into her journey with Warcraft in between broadcasts of our favourite events. 

Guest:
Twitter: Meeix_
Twitch: Meeix
YouTube: Meeix

Host
Twitter: RAF_Podcast
Twitch: Recruit a Friend

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When Rolling Tides End - StreamBeats Original

This week we sit down with Meeres to pick his giga brain about all things WFR and MDI. From his first raid clear as a 6 year old to winning world first on his 18th birthday we cover it all. With amazing insight into the way top ends guilds play this game and lots of laughs along the way, this is an episode for the record books!

Guest
Twitter: MeeresTV
Twitch: MeeresTV
YouTube: Meeres

Host
Twitter: RAF_Podcast
Twitch: Recruit a Friend

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When Rolling Tides End - StreamBeats Original

This week we are thrilled to have a chance to sit down with 5 time MDI champ and speed leveler extraordinaire Naowh! We got to pick the brain of the best tank in the world about his start with Warcraft, how he climbed to the top and what drives him to keep winning. From architecture to dungeon strat building we cover it all. This is an episode you will not want to miss. 

Guest
Twitter: Naowhxd
Twitch: Naowh
YouTube: NaowhGaming

Host
Twitter: RAF_Podcast
Twitch: Recruit a Friend

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When Rolling Tides End - StreamBeats Original

Chris Scully Brown does not let type-1 diabetes stand in her way. In this month's episode, Scully Brown describes her experience thru hiking the Bruce Trail, a 900km rugged trek through Ontario, with T1D constantly at her side.
 
"Every day was like a bit of a groundhog day where at a certain point I was just slogging through the pain cave and it was not getting easier."

This work is licensed under Creative Commons Attribution-Noncommercial-Share Alike 2.5 Canada License.

Music Credits:
Lorenzo’s Music, Just Had to Let You Know
Pawel Feszchuk, A Chat by the Fire
Blue Dot Sessions, Only Lonesome
Ben McElroy, Pond is Life
Pawel Feszchuk, Sunny Walk
Scott Holmes, So Happy

Theme: 
Paediatrics.

Participants: 

Dr Surbhi Rikhi, Dr Kerf Tan, Dr Pramod Chandru, Johann De Alwis (PEM trainee) Omal Fernando (PEM trainee), Min Park (EM trainee), Shreyas Iyer, Kit Rowe, Caroline Tyers and Samoda Wilegoda Mudalige.

Discussion 1:
Kuppermann, N., Dayan, P., Levine, D., Vitale, M., Tzimenatos, L., & Tunik, M. et al. (2019). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatrics, 173(4), 342. https://doi.org/10.1001/jamapediatrics.2018.5501.

Presenter - Johann De Alwis.

Summary:

• Serious bacterial infections (SBIs); which include UTI, meningitis, and bacteraemia, lead to dangerous complications in infants.
• This was a prospective observational study between 2011 and 2013, looking at previously healthy febrile infants aged 60 days or younger, who were evaluated for SBIs.
• The clinical rule considered the urinalysis, absolute neutrophil count (ANC), and serum procalcitonin, and had a sensitivity of 97.7%, with a specificity of 60%, and a negative predictive value of 99.6%.
• One infant with bacteraemia and two with UTI who were misclassified. 
• This tool decreased the number of lumbar punctures performed, antibiotics administered, and infants admitted to the hospital. 

Take-Home Points:

• Remember that these infants are the most at-risk population; do more rather than less.
• Safety net: no matter what you do or what investigations reveal, always have a safety net! 

Discussion 2:
Pan, P. (2020). Validation of the Testicular Workup for Ischemia and Suspected Torsion (TWIST) Score in the Diagnosis of Testicular Torsion in Children With Acute Scrotum. Indian Pediatrics, 57(10), 926-928. https://doi.org/10.1007/s13312-020-1992-6.

Presenter - Omal Fernando.

Summary:

• The TWIST score includes - testicular swelling (2), hard testicle (2), absent cremasteric reflex (1), nausea or vomiting (1), a high-riding testicle (1). 
• Low risk was a score of 0-2, intermediate risk was a score of 3-4 and high risk was a score 5-7.
• Of those with testicular torsion, the mean TWIST score was 5.7 (none in low-risk category, 13 in intermediate-risk group, and 55 in high-risk group). 
• Of those without testicular torsion, the mean TWIST score was 1.46 (21 in low-risk group, 7 in the intermediate-risk group, and 0 in the high-risk group).
• All patients with a high-riding testis or absent cremasteric reflex were found to have testicular torsion.

Take-Home Points:

• This score reminds us what we should be looking for when assessing a patient with acute testicular pain and thus help to build clinical gestalt, however, there is not enough evidence at present to rely on this tool alone (although this may change in the years to come). 
• It is important to involve the urologist/general surgeon if there is any suspicion of torsion.
• Given the time-critical nature of this presentation, patients should be taken to the theatre (rather than further investigated with ultrasound) if testicular torsion is suspected.

Discussion 3:
Iramain, R., Castro‐Rodriguez, J., Jara, A., Cardozo, L., Bogado, N., Morinigo, R., & De Jesús, R. (2019). Salbutamol and ipratropium by inhaler is superior to nebulizer in children with severe acute asthma exacerbation: Randomized clinical trial. Pediatric Pulmonology, 54(4), 372-377. https://doi.org/10.1002/ppul.24244.

Presenter - Min Park.

Take-Home Points:

• 103 children between the age of 2 and 14 years with severe asthma exacerbations (pulmonary score 7) were randomly allocated to a nebulizer or metred dose inhaler (MDI) and spacer with nasal prong oxygen.
• The primary outcome was the rate of hospitalization with the secondary outcome being oxygen saturations at 60 and 90 minutes.
• Children in the MDI group had significantly improved oxygen saturation from 60 minutes compared with the nebulizer group, with significantly lower rates of admission to hospital (5.8% vs. 27.5%). 

Summary:

• MDIs may be at least equally effective if not more effective than nebulizers.
• MDIs are also cheaper and provide an opportunity to educate patients regarding their use.
• It is important to re-assess your patients following initial treatment.
• There may be variability in the way you approach each patient to meet their individual needs. 
• Always refer to your local guidelines. 

Interlude Segment 1:
Presenter - Dr Surbhi Rikhi.

Interlude Segment 2:
Presenter - Dr Kerf Tan.

Resources (to support doctor well-being) - 

• Applications: Shift (Black Dog Institute app for healthcare workers), Calm, Headspace, Feeling Good, Smiling Minds, Insight Timer.  
• JMO support line (NSW): 1300 566 321.
• Access EAP (free confidential service for all NSW Health employees).
• Doctors for doctors: www.drs4drs.com.au.
• Beyond Blue: 1300 224 636.
• Lifeline: 13 11 14. 
• Suicide call-back service: 1300 659 467. 

Other References:
“Step by step” approach to the febrile infant - 
Mintegi, S., Bressan, S., Gomez, B., Da Dalt, L., Blázquez, D., & Olaciregui, I. et al. (2013). Accuracy of a sequential approach to identify young febrile infants at low risk for invasive bacterial infection. Emergency Medicine Journal, 31(e1), e19-e24. https://doi.org/10.1136/emermed-2013-202449.

Original study validating the TWIST score -
Barbosa, J., Tiseo, B., Barayan, G., Rosman, B., Torricelli, F., & Passerotti, C. et al. (2013). Development and Initial Validation of a Scoring System to Diagnose Testicular Torsion in Children. Journal Of Urology, 189(5), 1859-1864. https://doi.org/10.1016/j.juro.2012.10.056.

Starship Hospital (NZ) study examining nebuliser vs. MDI delivery for asthma -
Klassen, T. (2001). Spacers were better and less expensive than nebulisers for giving albuterol to children with moderate to severe acute asthma. Evidence-Based Medicine, 6(1), 31-31. https://doi.org/10.1136/ebm.6.1.31.

Further evidence regarding female ACS presentations (as covered in our previous episode) -
van Oosterhout, R., de Boer, A., Maas, A., Rutten, F., Bots, M., & Peters, S. (2020). Sex Differences in Symptom Presentation in Acute Coronary Syndromes: A Systematic Review and Meta‐analysis. Journal Of The American Heart Association, 9(9). https://doi.org/10.1161/jaha.119.014733.

Sederholm Lawesson, S., Isaksson, R., Thylén, I., Ericsson, M., Ängerud, K., & Swahn, E. (2018). Gender differences in symptom presentation of ST-elevation myocardial infarction – An observational multicenter survey study. International Journal Of Cardiology, 264, 7-11. https://doi.org/10.1016/j.ijcard.2018.03.084.

Credits:
The discussions were mediated by PEM consultant Dr Surbhi Rikhi, ED consultant Dr Kerf Tan and, ED consultant Dr Pramod Chandru. 

This episode was produced by the ­­­­Emergency Medicine Training Network 5 with the assistance of Dr Kavita Varshney, Deepa Dasgupta, ...

Being a woman in podcasting can feel like a really isolating experience sometimes. But being part of the minority in a super open and welcoming community makes it so much easier. Ali from Dungeon Fables joins us to talk about being a woman in Warcraft, her time podcasting, being an awesome part of the Warcraft community!

Ali shares why she first started podcasting about Warcraft and what led her to take a very lore focussed approach. Dungeon Fables is a completely unique show because Ali looks at one dungeon per show, does days of research, and talks about the lore and background about it. 

In fact, Ali says that between Dungeon Fables and the other two shows she co-hosts, All Things Azeroth and BlizzMates, she is working on Warcraft podcasting every single day. WHEW!

Ali's podcast may be relatively new to the scene, but she's been welcomed to the Warcraft community with open arms. Because if there's one thing that community does, it's be a friendly, happy, and open to new people bunch. FOR THE MOST PART.

Ali shares about some of the times she's been objectified while playing World of Warcraft and what the experiences have meant to her. Thankfully, they're few and far between, and being thirty-something years old now, these brushes with incels roll right off her shoulders. AMEN TO THAT!

And excitingly, Ali gives us some pretty accurate stats about the ratio of women to men in Warcraft podcasting - and the difference isn't as shocking as you might think! AMAZING! 

Have you listened to Dungeon Fables? Are you a woman wanting to get your podcast on? Let us know in the comments and how we can help!

Find Ali Online

Find Ali on Twitter
Find Dungeon Fables on Twitter

If you’ve enjoyed this episode, please check out some of our others!

• Geek Interview: Warcraft, Roleplay, and Podcasting with Sil
• Geek Interviews: Mental Health and Real Life Rep Grinding with Thyst
• Geek Characters: Glorious Ladies of Warcraft

Love Geek Herring, please hop over to Apple Podcasts and leave us a review!

Join us on Discord!

Geek out with Geek Herring Online / Facebook / Instagram / Twitter / Patreon!

Geekily yours,
 Amanda & Monika

Special Guest: Ali.

Support Geek Herring

Rising up the ladder, hitting Legend, topping the Badass Women of Hearthstone league, and competing weekly in the Hearthstone GrandMasters is a journey, but not one without an emotional rollercoaster. We're joined by Pathra Cadness who's sharing her experience as a professional eSports athlete, currently competing at the GrandMasters!

Pathra is a Thai/Kiwi Hearthstone player who started streaming on Twitch back in 2015. She quickly climbed the ladder and started making a name for herself on the Hearthstone scene. When a friend convinced her to start competing with the Badass Women of Hearthstone, she soon started topping their leagues. Of course, Blizzard noticed, and now she's a regular feature in the Hearthstone GrandMasters, a weekly tournament run a couple times a year.

Now that Pathra has moved to Atlanta, Georgia, this competition has ramped up on another level. Because she still competes in the Asia-Pacific tournament, Pathra is waking up and competing sometimes at 4 in the morning - crazy or what!! Imagine that pressure, especially when you're not firing on all cylinders! 

In this episode, we're talking about Pathra's experience at the GrandMasters. It's not easy sailing being the only woman competing at this level. She breaks down what it's like reading the comments and Twitch chat that isn't always (or even usually) very complimentary of her.

There's no doubt about it, playing Hearthstone at a professional level is nerve wrecking! It's 50% talent, 50% getting your head in the right space - and when you have harassment and trolls berating you in chat, it can definitely be challenge.

Join us as Pathra gets intimate about her experiences, how we think Twitch and the GrandMasters can be improved and moderated better, and what's next for this Hearthstone Pro.

Quotes
Be one tough cookie!

Find Pathra Online

Fine Pathra on Twitter | Facebook | Instagram | YouTube

If you’ve enjoyed this episode, please check out some of our others!

• Geek Girl in the News: Gillette’s transgender ad, an end to child marriage, and Georgia’s abortion bill
• Geek Interviews: Mental Health and Real Life Rep Grinding with Thyst
• Geek Girl Community: Support, Sisterhood, and Friendship

Love Geek Herring, please hop over to Apple Podcasts and leave us a review!

Join us on Discord!

Geek out with Geek Herring Online / Facebook / Instagram / Twitter / Patreon!

Geekily yours,
 Amanda & Monika

Special Guest: Pathra Cadness.

Support Geek Herring

Running two successful Blizzard positive podcasts, building a super supportive community, and working in gaming, all while dealing with anxiety and depression can definitely be hard! But our guest today, the incredible Thyst of Lagging Balls, makes it all look easy and completely natural.

Thyst says that the best thing about everything she's doing is the community her and Laggin Balls co-host, Thorn, have built. They have an extremely active Discord channel where members of their community can share everything from memes and nudes to Blizzard game chatter to asking for help and support. It was really important to Thyst to have the kind of community that builds each other up.

Thyst shares why she started podcasting and how she's built it from the ground up while dealing with some mental health issues and depression. In fact, World of Warcraft and podcasting is what helped bring her out of her depression -- who says gaming is bad for you! 

You can say that Thyst has definitely found her spark, which is a GOOD THING because holy crap this woman is BUSY! She recounts a "day in the life" with a typical Tuesday, where she's out of her house for 12 hours a day talking about video games before coming home, shovelling food into her face, and recording Convert to Raid.

Thyst gives some extremely valuable advice to content creators for getting industry jobs. If you've been wanting to take the leap from content creator to professional, you should definitely check this episode out! Super, super useful!

Did you know that Thyst has started working for Blizzard? All her hard work and real life rep grinding has paid off: she was chosen to sideline report at the Mythic Dungeon International in Australia. A literally dream come true!

Thyst talks about her experience as a female Warcraft podcaster, which for the most part has been pretty damn positive! Though she does get the occasional hateful comment or trolling, her community is so full of positive faces, both male and female, that she doesn't let them get her down.

Her final thoughts? Find your passion, make it work, and get paid doing it! 

Quotes

"I always wait for life to happen to me, and then in the last couple years, something lit a fire under my ass cuz I've just been grinding and hustling and doing everything I could."

"Women in eSports are coming, just give it 5-10 years. It'll start evening itself out."

Find Thyst Online

Find Thyst on Twitter | Facebook | Instagram | Discord

If you’ve enjoyed this episode, please check out some of our others!

• Geek Characters: Glorious Ladies of Warcraft
• Geek Herring & Chill: Upcoming Excitement, Host Updates, & Mental Health
• Geek Girl Community: Support, Sisterhood, and Friendship

Love Geek Herring, please hop over to Apple Podcasts and leave us a review!

Join us on Discord!

Geek out with Geek Herring Online / Facebook / Instagram / Twitter / Patreon!

Geekily yours,
 Amanda & Monika

Special Guest: Thyst.

Support Geek Herring

Producer/Host: Natalie Springuel Engineer: Amy Browne Maine coastal and ocean issues: Congestion and Transportation Planning in Acadia National Park and Mount Desert Island Communities 1. What are the visitation trends and why are they on the rise? 2. What is the impact of increasing numbers on the Island, both positive (such as economic), and challenging (such as closures of parking areas). 3. What are the transportation planning options and how can people be involved in voicing their concerns. Guests: John Kelley, Management Assistant, Acadia National Park Martha Searchfield, Executive Director, Bar Harbor Chamber of Commerce

The post Coastal Conversations 10/27/17 first appeared on WERU 89.9 FM Blue Hill, Maine Local News and Public Affairs Archives.