All Episodes
Simini Boards Cast — 208 episodes
Chapter 114 - Part E: The Compensation Trap: Why Chronic Kidney Disease Stays Hidden Until Collapse
Chapter 114 - Part D: When Pressure Backs Up: Obstruction, Stones, and Hydronephrosis
Chapter 114 - Part C: When the Filter Leaks: Glomeruli, Protein Loss, and Barrier Failure
Chapter 114 - Part B: When Flow Dies: Shock, Ischemia, and Acute Kidney Failure
Chapter 114 - Part A: Pressure Creates Filtration: Why the Kidney Is a Precision Flow Machine
Chapter 113 - Part E: The Drainage Principle: Why Prostate Surgery Is About Restoring Flow
Chapter 113 - Part D: The Aggressive Transition: Why Prostatic Carcinoma Behaves Differently
Chapter 112 - Part C: The Compression Problem: When the Prostate Becomes a Space-Occupying Disease
Chapter 112 - Part B: The Stagnation Spiral: Why Secretions Become Infection
Chapter 112 - Part A: The Growth Program: Why the Prostate Never Stops Enlarging
Chapter 112 - Part E: The Irritation Loop: Why Chronic Inflammation Never Stays Local
Chapter 112 - Part D: When Blood Supply Dies: Trauma, Strangulation, and Penile Necrosis
Chapter 112 - Part C: When Development Fails: Hypospadias, Frenulums, and Broken Anatomy
Chapter 112 - Part B: When Pressure Can’t Escape: Paraphimosis and the Entrapment Spiral
Chapter 112 - Part A: Pressure Creates Function: Why the Penis Is a Vascular Machine
Chapter 111 - Part E: Cut the Source: Why Orchiectomy Solves More Than You Think
Chapter 111 - Part D: Flow Blocked, System Fails: Epididymis as the Storage Bottleneck
Chapter 111 - Part C: Mass, Hormones, and Chaos: When Testes Turn Against the Body
Chapter 111 - Part B: Heat Kills Output: Why Testicles Live Outside the Body
Chapter 111 - Part A: No Descent, No Function: The Hidden Cost of Cryptorchidism
Chapter 110 - Part E: Fix the Exit or Chase the Symptoms Forever
Chapter 110 - Part D: When Space Is Taken, Function Is Lost
Chapter 110 - Part C: Conformation Is Destiny: Structure Drives Contamination
Chapter 110 - Part B: Obstruction vs Incompetence: The Only Two Ways the Exit Fails
Chapter 110 - Part A: The Common Outflow Tract: One Exit, Multiple Systems
Chapter 109 - Part D: Pyometra is Not Infection: It’s a Hormone-Driven System Failure
Chapter 109 - Part C: Spay is Not Routine: It’s Controlled Vessel Elimination
Chapter 109 - Part B: Blood Supply is the Game: Cut the Right Thing or Bleed for It
Chapter 109 - Part A: The Cycle Controls Everything: You’re Not Treating an Organ, You’re Treating a Phase
Chapter 109 - Part E: The Real Decision Preserve Function or Remove the System
Chapter 108 - Part E: Stop the Flow or Restore It: The Two Endgames of Vascular Surgery
Chapter 108 - Part D: Access Is Everything: If You Can’t Get There, You Can’t Fix It
Chapter 108 - Part C: Anastomosis Is Physics: Match the Pipe or Kill the Flow
Chapter 108 - Part B: The Intima Is Everything: Why Gentle Wins and Rough Kills
Chapter 108 - Part B: The Intima Is Everything: Why Gentle Wins and Rough Kills
Chapter 107 - Part E: Cut the Constraint: Why the Fix Isn’t the Heart
Chapter 107 - Part D: Reading the Signals: When the Heart Starts Whispering Before It Dies
Chapter 107 - Part C: The Compensation Trap: Why the Body Makes It Worse
Chapter 107 - Part B: Fast vs Slow: Why Timing Changes Everything
Chapter 107 - Part A: The Heart Is Strong, It Just Can’t Fill
Chapter 106 - Part E: They Survived Surgery—Now Everything Tries to Kill Them
Chapter 106 - Part D: The Cost of Bypass: Inflammation, Lungs, and System Damage
Chapter 106 - Part C: Flow Is Easy, Perfusion Is Hard.
Chapter 106 - Part B: Stopping the Heart Without Killing It
Chapter 106 - Part A: You Turned the Body Off: How Machines Replace Life
Chapter 105 - Part E: You Can’t Breathe in a Broken Container: Pressure, Volume, and Compliance
Chapter 105 - Part D: Pleural Effusion: When Fluid Rewrites the Rules
Chapter 105 - Part C: Tension Pneumothorax: The Fastest Way to Kill a Stable Patient
Chapter 105 - Part B: Pneumothorax Isn’t Air — It’s System Failure
Chapter 105 - Part A: The Vacuum That Keeps You Alive: Why the Thoracic Cavity Isn’t Just Space
Chapter 104 - Part E: Successful Resection, Dead Patient: The Thoracic Wall Reconstruction Trap
Chapter 104 - Part D: Flail Chest, Trauma, and the Stability Myth
Chapter 104 - Part C: Thoracotomy Is Controlled Trauma: The Access That Creates the Problem
Chapter 104 - Part B: You Don’t Kill the Chest - You Break the Pressure System
Chapter 104 - Part A: The Thoracic Wall Is a Pump, Not a Barrier
Chapter 103 - Part E: Oxygen Failure: The 5 Mechanisms That Kill Your Patient
Chapter 103 - Part D: Oxygen Doesn’t Deliver Itself
Chapter 103 - Part C: Air Isn’t Enough: It Has to Meet Blood
Chapter 103 - Part B: The Oxygen Problem Isn’t Airflow: Diffusion Mechanics
Chapter 103 - Part A: The Lung Is Not a Pump - Ventilation Mechanics: Why Air Moves Without Being Pulled In
Chapter 102 - Part E: Fixing the Airway: Stents, Surgery, and Tradeoffs
Chapter 102 - Part D: Diagnosing a Moving Target: Imaging the Airway
Chapter 102 - Part C: Tracheal Collapse: The Disease You Can Hear
Chapter 102 - Part B: Pressure Changes Everything: Why Airways Collapse
Chapter 102 - Part A: The Trachea Is Not a Pipe: It’s a Dynamic Airway
Chapter 101 - Part E: Opening the Airway: Arytenoid Lateralization Surgery
Chapter 101 - Part D: Diagnosing the Airway Problem: Evaluating the Larynx.
Chapter 101 - Part C: When the Gate Won’t Open: Laryngeal Paralysis
Chapter 101 - Part B: The Muscles That Open the Airway: Laryngeal Mechanics
Chapter 101 - Part A: The Larynx Is a Gate: The Three Jobs of the Airway Valve
Chapter 100 - Part E: The Airway Problem: Overlong Soft Palate & Brachycephalic Syndrome
Chapter 100 - Part D: Closing the Gap: Principles of Palatal Reconstruction
Chapter 100 - Part C: Clefts and Oronasal Fistulas: When the Barrier Breaks
Chapter 100 - Part B: Swallowing, Airflow, and the Soft Palate Machine
Chapter 100 - Part A: The Palate Is a Barrier: Why Separation Matters
Chapter 99 - Part E: When Surgery Enters the Nose
Chapter 99 - Part D: Tumor, Fungus, or Inflammation: The Big Three Causes
Chapter 99 - Part C: Sneezing Isn’t a Diagnosis: The Diagnostic Approach
Chapter 99 - Part B: The Nose Is Not Just an Airway: Physiology & Function
Chapter 99 - Part A: The Nose Is a Maze: Anatomy That Explains Nasal Disease
Chapter 98 - Part E: When the Tube Comes Out: Long-Term Management & Removal
Chapter 98 - Part D: Feeding the Sick Patient: Metabolism, Refeeding & Monitoring
Chapter 98 - Part C: Placement Isn’t the Hard Part: Complications Are
Chapter 98 - Part B: Routes of Feeding: The Access Determines the Strategy”
Chapter 98 - Part A: Nutrition Is Therapy, Not Support
Chapter 97 - Part E: Diabetes, Exocrine Insufficiency & Long-Term Consequences
Chapter 97 - Part D: Biliary–Pancreatic Intersection: Obstruction Changes Everything
Episode 97 - Part C: Pancreatic Abscesses & Necrosis: When to Cut and When to Wait
Episode 97 - Part B: Acute Pancreatitis: Local Fire, Systemic Explosion
Chapter 97 - Part A: The Pancreas Is a Loaded Weapon
Chapter 96- Part E: Post-Attenuation Complications & Long-Term Outcomes
Chapter 96 - Part D: Attenuation Is a Pressure Experiment
Chapter 96 - Part C: Portal Hypertension & Acquired Shunts: The Pressure Problem
Chapter 96 - Part B: Congenital Portosystemic Shunts: Anatomy Dictates Strategy
Chapter 96 - Part A: When Blood Skips the Liver: The Physiology of Shunting
Chapter 95 - Part E: Postoperative Liver Failure & Systemic Consequences
Chapter 95 - Part D: The Biliary System: Drainage Is Survival
Chapter 95 - Part C: Hemorrhage, Shunts, and Portal Hypertension
Chapter 95 - Part B: Masses, Nodules, and the Resection Decision
Chapter 95 - Part A: The Liver Is a Processing Plant, Not a Solid Organ
Chapter 94 - Part E: Successful Surgery, Failed Continence: The Rectal Physiology Trap
Chapter 94 - Part D: Anal Sac Disease: Infection, Abscess, and the Surgical Trap
Chapter 94- Part C: Rectal Tears, Dehiscence, and the Suture Lie
Chapter 94 - Part B: Perineal Hernias: When the Pelvic Floor Fails
Chapter 94 - Part A: The Outlet Problem: Why the Last 5 Centimeters Matter Most
Chapter 93 - Part E: Successful Colectomy, Failed Patient: The Colon Physiology Trap
Chapter 93 - Part D: Foreign Bodies, Linear Tension & Colonic Obstruction
Chapter 93 - Part C: Colonic Anastomosis: Why This Leak Is Worse Than the Last One
Chapter 93 - Part B: Megacolon Is a Neurologic Problem, Not a Stool Problem
Chapter 93 - Part A: The Colon Isn’t Just Dirtier — It’s Less Forgiving
Chapter 92 - Part E: Successful Anastomosis, Dead Dog: The Small Intestine Failure Pattern
Chapter 92 - Part D: Foreign Bodies, Linear Traps, and the Bowel You Shouldn’t Save
Chapter 92 - Part C: Anastomosis Isn’t Closure: Tension, Diameter, and the Leak You Built
Chapter 92 - Part B: Blood Supply, Margins, and the Ischemic Lie
Chapter 92 - Part A: The Small Intestine Is a High-Risk Organ: Why Leaks Kill Fast
Chapter 91 - Part E: Successful Surgery, Dead Dog: The Gastric Failure Pattern
Chapter 91 - Part D: Gastric Outflow Is a Trap: Why Pyloric Surgery Breaks Patients
Chapter 91 - Part C: Gastrotomy, Gastrectomy, and the Blood Supply You Forgot
Chapter 91 - Part B: GDV Isn’t About the Stomach — It’s About Circulation
Chapter 91 - Part A: The Stomach Is a Reservoir, Not a Bag
Chapter 90 - Part E: Successful Repair, Dead Patient: The Esophageal Surgery Trap
Chapter 90 - Part D: Leaks, Strictures, and Aspiration: The Delayed Failure Cascade
Chapter 90 - Part C: Primary Repair Is a Trap: When Closure Guarantees Dehiscence
Chapter 90 - Part B: Timing Kills: Why Esophageal Surgery Is a Race Against Biology
Chapter 90 - Part A: The Esophagus Is Not a Tube: Why It Fails So Easily
Chapter 89 - Part E: Successful Resection, Failed Patient: The Jaw Surgery Trap
Chapter 89 - Part D: Reconstruction vs Second Intention: When Fixing the Defect Makes Things Worse
Chapter 89 - Part C: Maxillectomy Isn’t Mandibulectomy: Why the Upper Jaw Fails Differently
Chapter 89 - Part B: Mandibulectomy Mechanics: Curved Beams, Load Paths, and Fracture You Created
Chapter 89 - Part A: Margins Are Not Enough: The Mental Model of Jaw Resection
Chapter 88 - Part B: The Sialocele Trap: Why Drainage Always Fails
Chapter 88 - Part C: Successful Excision, Failed Patient: The Salivary Surgery Trap
Chapter 88 - Part A: Saliva Is Not the Enemy: When Swellings Aren’t Glands at All
Chapter 87 - Part E: Successful Resection, Failed Patient: The Oral Surgery Trap
Chapter 87 - Part D: Saliva Is Not Benign: Fistulas, Dehiscence, and the Oral Failure Cascade
Chapter 87 - Part C: To Close or Not to Close: When Oral Wounds Should Heal Open
Chapter 87 - Part B: Margins, Depth, and Deception: Why Oral Tumors Are Harder Than They Look
Chapter 87 - Part A: The Mouth Is a Battlefield: Why Oral Soft Tissue Never Behaves Like Skin
Chapter 86 - Part C: The Retroperitoneal Trap: Why Sick Patients Look Normal Until They Crash
Chapter 86 - Part E: Successful Lavage, Dead Patient: The Peritoneal Failure Pattern
Chapter 86 - Part D: Effusion Isn’t the Diagnosis: Blood, Bile, Urine, or Pus?
Chapter 86 - Part B: Localized vs Generalized Peritonitis: The Lie Surgeons Tell Themselves
Chapter 86 - Part A: The Peritoneum Is Not a Space: Why Fluids, Infection, and Cancer Spread the Way They Do
Chapter 85 - Part C: Successful Repair, Dead Patient: The Diaphragmatic Trap
Chapter 85 - Part B: Timing Kills: Stabilize or Die
Chapter 85 - Part A: The Diaphragm Is a Pressure Valve, Not a Wall
Chapter 84 - Part E: Contamination, Infection, and the Dirty Abdomen: Why Perfect Repairs Still Fail
Chapter 84 - Part D: Contamination, Infection, and the Dirty Abdomen: Why Perfect Repairs Still Fail
Chapter 84 - Part C: Mesh or Muscle: When Primary Closure Is a Lie
Chapter 84 - Part B: Hernias Explained: Congenital, Traumatic, Incisional — Same Physics, Different Stories
Chapter 84 - Part A: The Abdominal Wall Is a Tension Problem, Not a Closure Problem
Chapter 83 - Part E: The Splenic Trap: Why Surgeons Kill Patients After a ‘Successful’ Splenectomy
Chapter 83 - Part D: To Cut or Not to Cut: Partial vs Total Splenectomy
Chapter 83 - Part C: The Bleeding Dog: Splenic Rupture, Hemoperitoneum, and Shock
Chapter 83 - Part B: Splenic Masses: Benign, Malignant, or Lying to You?
Chapter 83 - Part A: The Spleen Is Not the Problem: What Splenic Disease Actually Means
Chapter 26 - Part E: Cranial Nerves & The Two Reflexes Everyone Confuses: Menace vs PLR
Chapter 26 - Part D: Brain vs Spine: Forebrain, Brainstem, Cerebellum, Vestibular in Plain English
Chapter 26 - Part C: The Spinal Cord Boxes: C1–C5, C6–T2, T3–L3, L4–S3
Chapter 26 - Part B: UMN vs LMN: The One Split That Predicts Everything
Chapter 26 - Part A The 90-Second Neuro Exam Stop Guessing, Start Localizing
Chapter 71: Part E - The 5 Deadly Arthroscopy Errors & How Surgeons Create Their Own Complications
Chapter 71: Part D - Shoulder Arthroscopy: Biceps, OCD, and the Oddest Joint in Ortho
Chapter 71: Part C - The Stifle Episode: Meniscus, Cruciate, and the Fat Pad From Hell
Chapter 71: Part B - The Elbow Episode: FCP, OCD & Incongruency Under the Scope
Chapter 71: Part A - Arthroscopy: Inside the Joint Without Opening It
External Skeletal Fixation: Frames, Forces & Failures
Why Plates Break: Fatigue, Placement & the Screw That Did Too Much
Joint Infection: Lavage, Culture, and Salvage
Amputation & Limb Salvage: Decision-Making Beyond the Cut
Distraction Osteogenesis: Lengthening Done Right
Conservative Ortho: When Not to Cut
Mechanisms of Fracture Fixation Failure
Reading the Radiograph Like a Surgeon
Hip Luxation: Why It Fails (and How to Keep It In)
Osteomyelitis & Biofilm: When Bugs Hide in Bone
Nerve Injuries in Ortho: When to Fix, When to Wait
Bone Grafting & Substitutes: What Actually Helps Healing
Pediatric Orthopedics: What’s Different When They’re Still Growing
Corrective Osteotomy: Planning to Shift Force, Not Just Shape
Stress Shielding & Bone Loss: When Stability Hurts Healing
Biomechanics of Locking Plates: Fixed Angle Isn’t Always Better
Osteochondrosis & OCD: Cracks in Growing Cartilage
Cruciate Ligament Rupture: Beyond the TPLO
Patellar Luxation: Realignment & Rebalancing Forces
Total Joint Replacement: Hip, Elbow & Knee Essentials
Arthrodesis: When Motion is the Problem
Articular Surface Reconstruction: Grafting, CVOs & Salvage
Meniscal Mechanics: Load Transmission, Injury & Resection
Orthobiologics: PRP, MSCs & the Biologic Fix Toolbox
Cartilage Injury & Repair: When It Doesn’t Grow Back
Tendon & Ligament Healing: The Stress-Strain Reality
Ulnar Growth Arrest: When the Radius Keeps Going
Angular Limb Deformities: Axis, Angles & CORA — Part II
Angular Limb Deformities: Axis, Angles & CORA — Part I
Physeal Fractures — Growth Plates Under Pressure
Orthopedic Healing Gone Wrong — Implant Failure, Non-Union & Infection
Interlocking Nails: Why They Work (and When They Don’t)
Locking Plates vs. Conventional Plates: Friction, Fixed Angles & Fracture Repair
Plate Application Strategy: Forces, Failures & Fixation Fundamentals
Bug Wars – Board Brawl: 8 Questions to Lock It In
Bug Wars IV: The Outside Battle — Disinfectants, Antiseptics & Sterilization
Bug Wars III: Combo Killers — Synergy, Antagonism, and When It All Goes Wrong
Bug Wars II: Time vs. Concentration — How Dosing Kills (or Fails)
Bug Wars I: How Antimicrobials Kill (And Why It Fails Without You)
Implant Mechanics 101: Load Sharing vs. Load Bearing — Why Constructs Fail
Bone Healing & Strain: Why Fixation Fails (and What Actually Heals Bone)
Fracture Biomechanics: What Forces Break Bone (and Fix It)