Podcasts about agan

This month we are joined by Tolkien professor and scholar, Dr. Sara Brown! Join us for Sara's lesser-trod path, Feminist criticism of Tolkien's work! In context of the four waves of feminism, Sara gives us an overview of the past and present of feminist criticism of Tolkien's work, as well as some thoughts on the future. Thanks for joining us, Sara! CitationsThank you to our guest host, Dr. Sara Brown! How to find Sara:Bluesky: @aranelparmadil.bksy.socialSara's publications can be found at: https://tinyurl.com/DrSaraBrown (Accessed Feb 3, 2025)Sara on Signum University's website: https://signumuniversity.org/people/sara-brown/ (Accessed Feb 2, 2025)Sara's entry on Tolkienists.org: https://tolkienists.org/sara-brown/ (Accessed Feb 2, 2025)Sara's upcoming projects in 2025:-Look out for the upcoming Oxford Handbook of Tolkien- Sara is contributing a chapter on feminist criticism of Tolkien.-Look out for an upcoming book about queer readings of Tolkien for which Sara has written a chapter about Shelob as a queer mother.-With Dr. Kristine Larsen, Sara is editing a collection about Tolkien and psychology for The Journal of Tolkien Research.-Sara is the keynote speaker for Signum University's Mythmoot XII- June 19-22, 2025.-Sara is giving a paper at Leeds International Medieval Congress called, 'No One Listens to Melian: When Women Speak and Men Ignore Them in Middle-earth'- 7-10 July 2025.-Sara will be at the Tolkien Society's gathering Oxonmoot, September 4-7, 2025.From Sara's outline: (in alphabetical order)-Cami D. Agan: "Lúthien Tinúviel and Bodily Desire in the Lay of Leithian" from Perilous and Fair: Women in the Works and Life of J.R.R. Tolkien, ed. Janet Brennan Croft and Leslie A. Donovan, Mythopoeic Press, 2015-Sara Brown: “‘Éowyn it was, and Dernhelm also': Reading the ‘Wild Shieldmaiden' Through a Queer Lens.” from The Journal of Tolkien Research, Volume 18, Issue 2, 2018https://scholar.valpo.edu/journaloftolkienresearch/vol18/iss2/4/ (Accessed Feb 2, 2025)-Edith Crowe: “Power in Arda: Sources, Uses, and Misuses” from Perilous and Fair: Women in the Works and Life of J.R.R. Tolkien, ed. Janet Brennan Croft and Leslie A. Donovan, Mythopoeic Press, 2015-Leslie Donovan: "The Valkyrie Reflex in J.R.R. Tolkien's The Lord of the Rings: Galadriel, Shelob, Éowyn, and Arwen" from Perilous and Fair: Women in the Works and Life of J.R.R. Tolkien, ed. Janet Brennan Croft and Leslie A. Donovan, Mythopoeic Press, 2015-Melissa McCrory Hatcher: "Finding Woman's Role in The Lord of the Rings." from Mythlore 97/98, Volume 25, Issue 3/4, 2007-Lisa Hopkins: “Female Authority Figures in the Works of Tolkien, C.S. Lewis and Charles Williams” from Mythlore, Volume 21, Number 2, 1996-Kristine Larsen: "The Power of Pity and Tears: The Evolution of Nienna in the Legendarium" from Perilous and Fair: Women in the Works and Life of J.R.R. Tolkien, ed. Janet Brennan Croft and Leslie A. Donovan, Mythopoeic Press, 2015-Edwin Muir: Review of “The Return of the King” in The Observer on Nov. 27, 1955-Doris T. Myers: “Brave New World: The Status of Women According to Tolkien, Lewis, and. Williams.” Cimarron Review. 17 (1971): 13-19.-Brenda Partridge: “No Sex Please–We're Hobbits: The Construction of Female Sexuality in The Lord of the Rings” from J.R.R. Tolkien: This Far Land, ed. Robert Giddings, New Jersey: Barnes & Noble Press, 1983-Melanie Rawls: “The Feminine Principle in Tolkien” from Mythlore, Volume 10, Number 4, 1984-Robin Reid: "The History of Scholarship on Female Characters in J. R. R. Tolkien's Legendarium: A Feminist Bibliographic Essay" from Perilous and Fair: Women in the Works and Life of J.R.R. Tolkien, ed. Janet Brennan Croft and Leslie A. Donovan, Mythopoeic Press, 2015-Catherine Stimpson: “J.R.R. Tolkien” Published by Columbia University Press, 1969-J.R.R. Tolkien's letters - 33a; 38a; 39; 42a; 43; 44; 50; 53; 78; 142; 179a; 250; 267; 331; 332; 340.Other sources mentioned beyond Sara's outline:-Amy Amendt-Raduege  “Revising Lobelia” from book “Tolkien and Alterity” (pp.77-93) edited by Christopher Vaccaro and Yvette Kisor, 2017-The work of Cameron Borquien: https://cameronbourquein.com/ (Accessed Feb 2, 2025)-The work of Clare Moore: https://tolkienists.org/clare-moore/ (Accessed Feb 2, 2025)-The work of Mercury Natis: https://lushthemagicdragon.carrd.co/ (Accessed Feb 2, 2025)-Keep your eyes peeled for an upcoming anthology: ‘Great Heart and Strength:' New Essays on Women and Gender in the Works of J.R.R. Tolkien, edited by Cami D. Agan and Clare Moore.

In this episode,  Zed sits down with Dr. Ashley Agan, a board-certified otolaryngologist and co-host of the Backtable ENT Podcast. Together, they explore the power of patient-centric medicine and how prioritizing connection and care transforms both patient outcomes and the physician experience. Whether you're curious about personalized care models, considering a private practice of your own, or seeking ways to improve your patient relationships, this episode is packed with insights and inspiration for physicians looking to break the mold and create a system that truly works. Resources from this episode:  Backtable ENT Podcast: https://www.backtable.com/shows/ent  Request a Practice Assessment Review: https://www.physiciangrowthaccelerator.com/connect  Take the Vitals Diagnostic: https://www.physiciangrowthaccelerator.com/vitals-diagnostic  Sponsored by TrackableMed  

- PiS pozostawił wielki bałagan w sądownictwie. (...) Grozi nam, że jeżeli będzie niewielka różnica pomiędzy dwoma kandydatami (w wyborach prezydenckich - red.), to może się okazać, że nie ma kto tego rozstrzygnąć. (...) My, jako Polska 2050, szukamy rozwiązania tej sytuacji - przekonywała posłanka Ewa Szymanowska z ugrupowania Polska 2050, nawiązując do projektu ustawy incydentalnej, w audycji 24 pytania - Rozmowa poranka. 

Send us a textOur second ENT guest Dr. Ashley Agan gives us a fresh look into her Direct Specialty Care practice located in Dallas, TX that opened last spring in 2024. She discusses working as locum as she builds up her practice and much more. ScotteENT.comIG @ashleyaganmd

Send us a textOur second ENT guest Dr. Ashley Agan gives us a fresh look into her Direct Specialty Care practice located in Dallas, TX that opened last spring in 2024. She discusses working as locum as she builds up her practice and much more. ScotteENT.comIG @ashleyaganmd

Sermon by V. O. Agan The Necessity of Holiness 2003 www.ihconvention.com

Ilmunud on mälestusteraamat "Kuulaps" Riho Sibulast.

W trzecim odcinku podcastu „Pałac Prezydencki” Michał Kolanko rozmawia z Marcinem Dumą, prezesem pracowni badawczej IBRIS, o nadchodzącej kampanii prezydenckiej. Analizują przygotowania głównych partii, możliwy wpływ na kampanię wyborów w Stanach Zjednoczonych oraz szanse na pojawienie się trzeciej siły w wyścigu o Pałac Prezydencki.  Marcin Duma podkreśla, że kandydat na prezydenta w obecnych warunkach „musi być wiarygodny w kwestii bezpieczeństwa”, najlepiej być kojarzony z tymi sprawami oraz posiadający w oczach wyborców kompetencje w zarządzaniu. Ekspert analizuje także możliwy wpływ wyniku wyborów w USA na nastroje wyborców w Polsce. Wygrana Donalda Trumpa mogłaby wzmocnić prawicową retorykę, natomiast zwycięstwo Kamali Harris „byłoby optymalnym scenariuszem dla Trzaskowskiego”. Rozmówcy podkreślają, że dynamika kampanii będzie wyjątkowo zmienna, co sprawia, że nawet pozornie stabilne sondaże mogą okazać się nietrwałe. - Wybory prezydenckie są spersonalizowane. To kandydat staje się soczewką, przez którą wyborcy filtrują swoje emocje i nadzieje - podkreśla Duma.  Czy w takim razie trzeci kandydat może odmienić układ sił? A może to „najszybciej zużywająca się ekipa rządząca” sprawi, że kampania stanie się najbardziej emocjonującą od lat? Zdaniem prezesa IBRiS czas na potencjalne wejście "trzeciego kandydata" jest jeszcze co najmniej przez kilka miesięcy. Musi mieć jednak szczególny zestaw cech. I być mężczyzną. „Mamy najszybciej zużywającą się ekipę rządzącą i potworny bałagan pośrodku duopolu” – mówi Duma, sugerując, że pole do gry jest szerokie, a każdy z głównych kandydatów będzie musiał stawić czoła zarówno wewnętrznym, jak i zewnętrznym wyzwaniom. Dyskusja porusza także zagadnienia związane z wyborczą strategią, potencjalnym znaczeniem nowych kandydatów oraz dynamiką kampanii prezydenckiej, która według Michała Kolanki „może okazać się najciekawsza od dekad”.  A co z premier Donaldem Tuskiem i jego kandydowaniem? Sam premier wykluczył to wielokrotnie. - Donald Tusk robi wszystko, co kandydat na prezydenta powinien robić i mówić. Ktoś siódmego grudnia się dowie, ale buduje napięcie  –  mówi Marcin Duma o działaniach Donalda Tuska w kontekście nadchodzącego ogłoszenia kandydata Koalicji Obywatelskiej.

The 13 essays collected in Cities and Strongholds of Middle-earth: Essays on the Habitations of Tolkien's Legendarium (Mythopoeic Press, 2024) foreground processes of making and constructing Arda -- either within the Secondary world or for readers/viewers -- and thus continually assert that the habitations form a vital part of the tales within that world. Because they assume a complex arrangement complete with social, familial, artistic, and political relations, cities and strongholds often define their inhabitants as crafting boundaries between themselves and the outside, the visitor, and the unknown. These essays reveal that all cities and strongholds of the legendarium function as makers of meaning, containers of relations, outposts of history, and evocations of the Past. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

The 13 essays collected in Cities and Strongholds of Middle-earth: Essays on the Habitations of Tolkien's Legendarium (Mythopoeic Press, 2024) foreground processes of making and constructing Arda -- either within the Secondary world or for readers/viewers -- and thus continually assert that the habitations form a vital part of the tales within that world. Because they assume a complex arrangement complete with social, familial, artistic, and political relations, cities and strongholds often define their inhabitants as crafting boundaries between themselves and the outside, the visitor, and the unknown. These essays reveal that all cities and strongholds of the legendarium function as makers of meaning, containers of relations, outposts of history, and evocations of the Past. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/literary-studies

The 13 essays collected in Cities and Strongholds of Middle-earth: Essays on the Habitations of Tolkien's Legendarium (Mythopoeic Press, 2024) foreground processes of making and constructing Arda -- either within the Secondary world or for readers/viewers -- and thus continually assert that the habitations form a vital part of the tales within that world. Because they assume a complex arrangement complete with social, familial, artistic, and political relations, cities and strongholds often define their inhabitants as crafting boundaries between themselves and the outside, the visitor, and the unknown. These essays reveal that all cities and strongholds of the legendarium function as makers of meaning, containers of relations, outposts of history, and evocations of the Past. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/folkore

The 13 essays collected in Cities and Strongholds of Middle-earth: Essays on the Habitations of Tolkien's Legendarium (Mythopoeic Press, 2024) foreground processes of making and constructing Arda -- either within the Secondary world or for readers/viewers -- and thus continually assert that the habitations form a vital part of the tales within that world. Because they assume a complex arrangement complete with social, familial, artistic, and political relations, cities and strongholds often define their inhabitants as crafting boundaries between themselves and the outside, the visitor, and the unknown. These essays reveal that all cities and strongholds of the legendarium function as makers of meaning, containers of relations, outposts of history, and evocations of the Past. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/fantasy

The 13 essays collected in Cities and Strongholds of Middle-earth: Essays on the Habitations of Tolkien's Legendarium (Mythopoeic Press, 2024) foreground processes of making and constructing Arda -- either within the Secondary world or for readers/viewers -- and thus continually assert that the habitations form a vital part of the tales within that world. Because they assume a complex arrangement complete with social, familial, artistic, and political relations, cities and strongholds often define their inhabitants as crafting boundaries between themselves and the outside, the visitor, and the unknown. These essays reveal that all cities and strongholds of the legendarium function as makers of meaning, containers of relations, outposts of history, and evocations of the Past. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/geography

Sermon by VO Agan Sin God's Bible School and College Camp 1977 www.ihconvention.com

Real Talks with Poles to krótkie, spontaniczne rozmowy z Polakami na różne tematy. Ich celem jest dać Ci szansę posłuchać różnych głosów, idiolektów czyli indywidualnych stylów mówienia i przyzwyczaić Cię do naturalnej, niezaplanowanej mowy. Najpierw usłyszysz całą rozmowę, a potem ja zwrócę Ci uwagę na ciekawe słowa i konstrukcje gramatyczne. Jeśli chcesz, możesz pobrać transkrypcje i ćwiczenia z mojej strony https://www.polskidaily.eu.Link do całej listy poprzednich odcinków Real Talks with Poles: https://www.polskidaily.eu/course-cat/talk/Have you discovered the Polski Daily Club yet? If not go to https://www.polskidaily.eu/signup and join the club!

"Tiiu Silves võttis arvelaua, klõbistas sellega oma veerand tundi, pani dollarid ja rublad kokku. Lõpuks tekkis sinna alla lõppresultaat: "Hea küll, Tafenau, saad need pillid, aga üksteist tuhat rubla ja nelikümmend tonni rauda." –"Ma ütlesin, et okei, siis on asjad nii"," meenutab Raivo Tafenau üht värvikat episoodi oma muusikuteelt.Tähenduse teejuhtide 228. vestlusringis osales Raivo Tafenau oma kauaaegse lavapartneri ja sõbra Ain Aganaga. H. Hosted on Acast. See acast.com/privacy for more information.

In this episode, Dr. Mihir Patel, Professor of Otolaryngology at Emory University and expert in Transoral Robotic Surgery (TORS), discusses HPV-positive head and neck cancer with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23 --- SYNPOSIS Dr. Patel opens by briefly sharing his journey to head & neck surgery, and, more specifically, expertise in TORS. After, Dr. Patel explains the epidemiology and pathophysiology of HPV-caused cancers, which frequently present as painless neck masses. Then, Dr. Patel describes workup and treatment of these cancers. He shares surgical strategies, paying special attention to cases of unknown primary lesions. He underscores the importance of collaboration with medical and radiation oncologists, particularly given the rapid pace of treatment innovation. Finally, Dr. Agan and Dr. Patel examine how increased HPV vaccine uptake could drastically lower the burden of this disease in the coming decades. --- TIMESTAMPS 00:00 - Introduction 05:26 - The Evolution of HPV-Related Oropharyngeal Cancer Treatment 17:26 - Contemporary Diagnostics for Head & Neck Cancer 24:39 - Surgical Strategies for Unknown Primary Lesions 38:15 - The Role of ctDNA in Cancer Management 46:10 - Advancements in HPV-Driven Cancer Treatment 53:30 - The Future of Cancer Screening and Vaccination 01:01:54 - Vaccination: A Tool for Cancer Prevention --- RESOURCES Medtronic ENT: https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Mihir Patel's Emory University Profile: https://winshipcancer.emory.edu/bios/faculty/patel-mihir-r.html AVOID Trial: https://pubmed.ncbi.nlm.nih.gov/31785337/

Rick Agan stops by the Hisessions studio to talk about his very interesting journey into the world of photography. We also discuss the sales business, and his upbringing in the Neatherlands. Find Rick on Instagram: @takoeyephoto Find Kyle's designs here: https://www.hilifeclothing.com/ Find Devon Nekoba here: https://kumu.com/ Love watching HI*Sessions? Well, now you can join our Patreon community and directly impact our ability to continue making great videos like this one. For as little as $1/mo. you'll get early access to our content as well as cool exclusive stuff for the Patreon community. Visit http://www.patreon.com/hisessions and sign up today! Make sure you subscribe to get notified when we release new videos! Follow HI*Sessions: http://hisessions.com http://www.facebook.com/hisessions http://twitter.com/hisessions

Amanda Agan talks about how sealing criminal records affects employment. “Can you Erase the Mark of a Criminal Record? Labor Market Impacts of Criminal Record Remediation” by Amanda Agan, Andrew Garin, Dmitri Koustas, Alex Mas, and Crystal Yang. OTHER RESEARCH WE DISCUSS IN THIS EPISODE: Probable Causation Episode 9: Michael Mueller-Smith “Ban the Box, Criminal Records, and Racial Discrimination: A Field Experiment" by Amanda Agan and Sonja Starr. Probable Causation Episode 8: Amanda Agan "The mark of a criminal record" by Devah Pager. "The edge of stigma: An experimental audit of the effects of low-level criminal records on employment" by Christopher Uggen, Mike Vuolo, Sarah Lageson, Ebony Ruhland, and Hilary K. Whitham. "Does banning the box help ex-offenders get jobs? Evaluating the effects of a prominent example" by Evan K. Rose. "The criminal and labor market impacts of incarceration" by Michael Mueller-Smith. "Expungement of criminal convictions: An empirical study" by J.J. Prescott and Sonja Starr. "Unmarked: Criminal Record Clearing and Employment Outcomes" by Jeffrey Selbin, Justin McCrary, and Joshua Epstein. "America's paper prisons: The second chance gap" by Colleen Chien. "Misdemeanor Prosecution" by Amanda Agan, Jennifer L. Doleac, and Anna Harvey. Probable Causation Episode 51: Amanda Agan and Anna Harvey "Labor Market Impacts of Reducing Felony Convictions" by Amanda Y. Agan, Andrew Garin, Dmitri K. Koustas, Alexandre Mas, and Crystal Yang. "Is it time to let go of the past? Effect of clean slate regulation on employment and earnings" by Kabir Dasgupta, Keshar Ghimire, and Alexander Plum. "Increasing the Demand for Workers with a Criminal Record" by Zoë Cullen, Will Dobbie, and Mitchell Hoffman. Probable Causation Episode 71: Zoë Cullen  

Join us as we kick off an engaging discussion with Holly's co-host for this episode, Heather Agan de Visser, as we share the exhilarating build up to AIP 2024. Together, we reflect on the journey of event planning, the joy of welcoming both familiar and new faces, and the significance of tailoring the conference experience to personal growth goals. Listen in as we explore the various expert-led sessions designed to guide attendees through career, fitness, or lifestyle aspirations, offering the tools to set and achieve big dreams while pushing past self-imposed barriers. This conversation takes a more personal turn as Heather opens up about her own challenges with maintaining fitness habits, confronting burnout, and the pursuit of self-acceptance. With a candid recount of Holly's experience with OCD and perfectionism, we discuss the mental and physical toll of overworking and the importance of resilience. As we anticipate the insightful discussions at the conference on topics like body image and adversity, emphasising the impact of gut-brain health on mood and motivation, and the commitment to personal reflection post-conference to truly embrace the theme of self-acceptance. Finally, we shift focus to the transformative power of kindness in both business and personal development. Holly reflects on the evolution of her own leadership style and decision-making processes, and they discuss the balancing act of tough business choices with the value of understanding diverse perspectives. Highlighting the necessity of self-compassion and the benefits of disconnecting from technology, they delve into the role inner kindness plays in our lives. Whether you're a business owner grappling with tech addiction, or an expectant parent navigating the emotional landscape of pregnancy, this episode promises to offer insights and inspiration for embracing life's journey with grace and self-acceptance. (00:00) - AIP Recap and 2024 Preview(07:17) - Self-Acceptance and Personal Growth(19:10) - Navigating High Achievement and Self-Value(26:30) - Career Evolution and Self-Rediscovery(36:01) - Evolution of Fulfillment in Coaching(39:35) - The Power of Kindness and Self-Acceptance(45:38) - Disconnect From Tech as Business Owner(49:46) - Pregnancy Experience and Surrender Follow Heather on socials: Instagram: https://www.instagram.com/iamheatheragandevisser/Website: https://linktr.ee/heatheragandevisser Instagram: https://www.instagram.com/anythingispossiblegroup/?hl=enTikTok: https://www.tiktok.com/@anythingispossiblegroupJoin our Facebook community: https://www.facebook.com/groups/2168215153350448Subscribe to our YouTube: https://www.youtube.com/@anythingispossiblepodcast/featuredListen on: Spotify: https://open.spotify.com/show/6dq6JhY... Apple Podcasts: https://podcasts.apple.com/us/podcast... Sign up to our newsletter: https://anythingispossiblegroup.co.uk...Buy tickets to AIP Live 2024: https://anythingispossiblegroup.co.uk...

#NUKES: #Zaporhizhiya agan at risk in a war zone barrage. Henry Sokolski, NPEC https://www.msn.com/en-us/news/world/ukraine-says-power-line-to-zaporizhzhia-nuclear-plant-fixed-after-blackout-risk/ar-BB1klAi6 1957 Plumbbob

In this episode, Dr. Sujana Chandrashekar, neurotologist with New York City's ENT and Allergy Associates, joins host Dr. Ashley Agan to discuss labyrinthitis. The podcast begins by reviewing the clinical presentation of labyrinthitis, drawing on Dr. Agan's personal experience with the condition. Then, Dr. Chandrashekar explains in-depth the physical exam of the dizzy patient, focusing on differentiating central vestibular lesions (such as strokes) from peripheral ones (such as labyrinthitis). While labyrinthitis is a self-limited condition, Dr. Chandrashekar shares strategies to mitigate the associated nausea, imbalance, and hearing loss patients find debilitating. Finally, the surgeons discuss how vestibular physical therapy and adequate rest enable prompt recovery. --- SHOW NOTES 00:00 - Introduction 01:22 - Discussion of and Personal Experience with Labyrinthitis 08:14 - Recovery and Treatment of Labyrinthitis 11:01 - Examination and Workup of Labyrinthitis 16:11 - Understanding Nystagmus in Labyrinthitis 20:29 - Further Testing and Examination for Labyrinthitis 33:49 - Treatment for Labyrinthitis 40:53 - The Role of Physical Therapy 43:12 - Follow-up and Recovery --- RESOURCES Dr. Chandrashekar's ENT and Allergy Associates Profile: https://www.entandallergy.com/find-a-doctor/sujana-s-chandrasekhar-md-facs/ Backtable ENT Ep. 87 – “Sudden Sensorineural Hearing Loss with Dr. Sujana Chandrashekar:” https://www.backtable.com/shows/ent/podcasts/87/sudden-sensorineural-hearing-loss “The Ten-Minute Examination of the Dizzy Patient,” J.A. Goebel: https://pubmed.ncbi.nlm.nih.gov/11774054/ “She's On Call” Podcast featuring Dr. Sujana Chandrashekar and Dr. Maurina Kurian: https://podcasts.apple.com/us/podcast/shes-on-call-weekly-medical-show/id1582727930 “Otolaryngologic Clinics” Podcast hosted by Consulting Editor Sujana S. Chandrasekhar, features in-depth discussions and commentary on the articles in each issue by the guest editors themselves. Otolaryngologic Clinics (Elsevier) on Apple Podcasts

More like “AKA Sarah Royal Stans Fred Mertz.”Thank you so much to Sarah for joining me AGAN! Buy AKA LucyFollow SarahSupport the showShop my Bookshop affiliate link for my fave books on I Love Lucy and Lucille Ball: https://bookshop.org/shop/thericardoproject If there's a book you'd like to recommend to your fellow listeners, please let me know! Shop Funny Girls - minimalistic classic tv merch: https://funny-girls-tv.myspreadshop.com/ Support the podcast by making a one time donation on PayPal: paypal.me/ricardoproject Get in touch: Instagram: @thericardoproject Email: thericardoproject@gmail.com Twitter: @ricardo_project

Have you considered content creation as a Marketing tool for your Financial Planning business? Are you thinking of starting a podcast, YouTube channel, or social media marketing platform to bring in clients, spread your message and promote your services?  This week's guest is George Agan, Chartered Financial Planner at Flying Colours, content creator and founder of the Principles Personal Finance YouTube channel, designed with the goal of providing “Personal finance and financial education from a Chartered Financial Planner”  We explore George's career journey, from touring Europe as a musician, to working long hours in a call centre and eventually, embarking on his Financial Planning career journey. We talk career routes, the pros and cons to the various options available for those looking to get into Financial Planning and what to consider before doing so.   Then the really juicy stuff! George is an absolute wizard when it comes to creating content, engaging an audience effectively and the innerworkings of YouTube and how it works, all the way down to algorithms and the type of content that gets pushed to the masses.  We learned loads from George during this episode, so whether you're navigating your career in the Financial Planning profession or are already established and looking to begin your content creation journey, this episode is overflowing with tips and tricks to get you off the ground!  Time Stamps  00:00:00 | Intro 00:02:48 | How George got into Financial Planning 00:11:26 | Routes through the profession 00:20:18 | Content creation 00:35:24 | Content creation as an employee 00:40:56 | Intellectual property rights with content creation 00:50:29 | Where is your content creation future going? 00:56:24 | Marketing strategy 00:59:06 | Sales process 01:12:23 | Targeted content creation 01:14:38 | Starting content creation in 2023 01:19:07 | YouTube SEO, is it the key?Begin your financial planning career journey todayWhether you are looking to become a paraplanner, administrator, mortgage and protection adviser or financial planner, the Financial Planner Life Academy is for you. With limited entry-level job roles, giving yourself the best financial planning career education, will not only kick start your financial planning journey with relevant qualifications and skills, but it'll also help you achieve success much faster.&nbsBe sure to follow financial planner life on YouTube for extra content about a career within Financial Planning HIT THAT SUBSCRIBE BUTTON! Below are some excellent links from our sponsor Recruit UK for any aspiring or experienced financial planners looking for new job opportunities or looking to get ahead in their career. If you're looking to start your career in Financial Planning, check out the Financial Planner Life Academy hereExperienced and searching for a new role within the financial planning profession? Click here for a free career consultation.Check out the 2023 Financial planning Salary Guide here. If you would like to discuss partnering with The Financial Planner Life for jobs, advertising, marketing or academies please reach out to sam@financialplannerlife.com or call 07854778712.

Bałagan jest źródłem codziennego stresu rodziców, jak wynika z badania Biostat dla marki WaterWipes. Jak sobie z nim radzić, kiedy się skończy i dlaczego w ogóle dzieci się brudzą i bałaganią? Zapytaliśmy o to psycholog Julię Izmałkową, znaną jako Psychomama Julia, która promuje filozofię #ParentsFirst, bo do szczęścia dzieci niezbędne jest szczęście rodziców. Julia podkreśla, że choć bałagan jest wpisany w rodzicielstwo, jest on również drażniący. Jak zachować cierpliwość i spokój, gdy nasze dziecko wpada np. na pomysł pomalowania nie tylko kartki, ale również własnej buzi, rączek, a potem naszej kanapy? Czy są sposoby, by bałagan stał się nieco mniej irytujący? Tak! Posłuchaj całego podcastu, by je poznać. Materiał powstał we współpracy z marką WaterWipes

In this episode of BackTable ENT, Robert Glazer, executive vice president of ENT and Allergy Associates LLP joins Dr. Ashley Agan to speak about his process for recruiting the next generation of otolaryngologists, things otolaryngologists should look for in choosing a practice to join, and general tips and advice for otolaryngology residents to think of in their plans post residency. --- SHOW NOTES Dr. Agan begins the episode by having Robert Glazer discuss his background in the healthcare field with over 40 years of healthcare experience in finance and operations, managed care contracting, physician recruitment, and healthcare marketing. Glazer discusses his beginnings in healthcare starting back in 1976 by getting a job as a clerk in NYU medical center in the grants and contracts division, helping physicians fill out grants for their medical research. During his nine years at NYU he went and got his masters degree in public administration with a focus on healthcare, and takes us through how these early jobs and his further promotions, led him to ENT & Allergy Associates LLP. Next, Glazer explains what he looks for in recruiting otolaryngologists to his practice and advice for resident physicians looking to apply to the job market. Residents should take into consideration different practices and the importance of networking and meeting individuals at a particular practice. Glazer tries to meet candidates in their PGY2 and PGY3 years to get to know them and learn more about why they are interested in being in the NYC region. He also discusses some of the key questions that residents should be asking during the interview trail and discusses the importance of transparency in learning more about a practice. Lastly, Glazer talks about strategies that he has found to be successful in recruiting new otolaryngologists to his practice and discusses COVID has changed recruitment and how physicians can manage burnout post-COVID. --- RESOURCES ENT and Allergy Associates, LLP: https://www.entandallergy.com

#wysokiewibracje #umysł #myśli #zmiana W dzisiejszym odcinku WYSOKICH WIBRACJI powiem o tym jak posprzątać bałagan umysłu i uspokajać umysł. Po to, aby mieć więcej energii do tworzenia świadomie swojej codzienności. I aby rzeczywiście doświadczać spokoju, lekkości, miłości i obfitości.  Poznasz w nim więcej niż 5 metod na uwolnienie się od natłoku myśli, od nieuporządkowanych emocji, zbędnych informacji czy braku celowości i poczucia sensu.  Życzę wielu “aha-momentów”! Z przestrzeni serca,  Honorata Chcesz wrócić do ŹRÓDŁA swojej mocy?  Poznaj ŹRÓDŁO: https://embraceyourlife.pl/zrodlo/  ☝️☝️☝️☝️  Sprawdź także te propozycje:  "22 dni do odbudowania relacji z energią pieniądza" https://embraceyourbusiness.pl/odbuduj-relacje-z-pieniadzem/ "WYSOKIE WIBRACJE (w praktyce)  ⭐️⭐️⭐️⭐️⭐️ https://embraceyourlife.pl/wysokie-wibracje/ "ALCHEMIA RELACJI"  https://embraceyourlife.pl/alchemia-relacji/  "ALCHEMIA EMOCJI"  https://embraceyourlife.pl/alchemia-emocji/ ☝️☝️☝️☝️ *** Obserwuj nas tutaj:  https://www.facebook.com/wysokiewibracje.zrodlo https://www.instagram.com/embraceyourlife.pl/  Współpraca: kontakt@embraceyourlife.pl/  *** O WYSOKICH WIBRACJACH: WYSOKIE WIBRACJE to podcast poświęcony tematyce rozwoju duchowego, emocjonalnego i mentalnego. Gospodarzami podcastu są Honorata Lubiszewska i Sylwia Sikorska. Jeśli jesteś zainteresowana poszerzaniem własnej świadomości o sobie, o tym, jak działają Uniwersalne prawa Wszechświata, jak podnieść swoje wibracje, jak połączyć się ze Źródłem Wszystkiego Co Jest i czerpać moc z niego – zapraszamy Cię do słuchania odcinków. Nowy odcinek w każdą niedzielę. Naszą intencją jest dzielić się tym, czego same doświadczyłyśmy. To właśnie praktykowanie duchowości w połączeniu z ciągłym rozwojem biznesowym, pozwala nam cieszyć się wolnością wyboru, wnosi wiele spokoju w nasze codzienne życie i daje spełnienie w każdej ze sfer.

Amanda Agan talks about the effects of Ban the Box policies. This episode was first posted in July 2019. *** Probable Causation is part of Doleac Initiatives, a 501(c)(3) nonprofit. If you enjoy the show, please consider making a tax-deductible contribution. Thank you for supporting our work! *** RESEARCH WE DISCUSS IN THIS EPISODE: "Discrimination and the Effects of Drug Testing on Black Employment" by Abigail Wozniak. "Deleting a Signal: Evidence from Pre-Employment Credit Checks" by Alexander W. Bartik and Scott T. Nelson "Ban the Box, Criminal Records, and Racial Discrimination: A Field Experiment" by Amanda Agan and Sonja Starr. "The Unintended Consequences of Ban the Box: Statistical Discrimination and Employment Outcomes When Criminal Histories are Hidden" by Jennifer L. Doleac and Benjamin Hansen. "The Effect of Changing Employers' Access to Criminal Histories on Ex-Offenders' Labor Market Outcomes: Evidence from the 2010–2012 Massachusetts CORI Reform" by Osborne Jackson and Bo Zhao "Does Banning the Box Help Ex-Offenders Get Jobs? Evaluating the Effects of a Prominent Example" by Evan K. Rose "Ban the Box, Convictions, and Public Sector Employment" by Terry-Ann Craigie "'Ban the Box' Measures Help High-Crime Neighborhoods" by Daniel Shoag and Stan Veuger "Do Ban the Box Laws Increase Crime?" by Joseph J. Sabia, Taylor Mackay, Thanh Tam Nguyen, and Dhaval M. Dave "Job Market Signaling through Occupational Licensing" by Peter Q. Blair and Bobby W. Chung "Statistical Discrimination and the Choice of Licensing: Evidence from Ban-the-Box Laws" by Riccardo Marchingiglio "The Effectiveness of Certificates of Relief as Collateral Consequence Relief Mechanisms: An Experimental Study" by Peter Leasure and Tia Stevens Andersen "Criminal Records and Housing: An Experimental Study" by Peter Leasure and Tara Martin. "Encouraging Desistance from Crime" by Jennifer L. Doleac

In this episode of BackTable ENT, Dr. Agan and UT Southwestern laryngologist Dr. Shumon Dhar discuss new approaches like flexible scope techniques to managing Zenker's diverticulum. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, the doctors summarize flexible endoscopy techniques and hybrid techniques for treating patients with Zenker's diverticulum. They discuss the ideal candidates and how endoscopic Zenker's surgery has changed to achieve better results and lower rates of postoperative complications. Specifically, they discuss the importance of removing the muscular and mucosal septum of the Zenker's pouch to reduce the risk of postoperative complications. Additionally, they examine the importance of creating a watertight mucosal seal, the use of distal attachment caps, and the importance of getting a good visualization of the septum for a successful surgery. They also discuss the role of intubation and general anesthesia and cover the use of gastrostomy tubes for patients with dysphagia. Next, Dr. Dhar explains the types of advanced energy devices used when performing the myotomy for the treatment of Zenker's diverticulum. He also goes into depth about the learning curve associated with this procedure and discuss the rate limiting factors when considering the wide-spread use of this technique. The doctors then comment on the differences between a Z-POEM, rigid, and flexible endoscopic surgical techniques. Ultimately, Dr. Dhar believes that having a variety of tools at one's disposal to be able to offer patients the best option for their needs is the key to successful treatment. Finally, they discuss the importance of post-operative care for patients with Zenker's diverticulum. They explore the use of clips, the avoidance of positive pressure, the use of NG tubes, and an ideal post-operative diet. --- RESOURCES Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology/

In this episode of BackTable ENT, Dr. Agan and Dr. Shah invite Dr. Rohan Walvekar, Chair in Head and Neck Surgery at Louisiana State University, to discuss his experience with innovating procedures for sialendoscopy and ranula excision. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Dr. Walvekar shares his insights on how to differentiate between cysts and sublingual gland masses. He explains the importance of examining the normal side of the floor of the mouth and comparing it to the abnormal side. He also discusses the advantages of using ultrasound in the office and when to consider imaging such as CT or MRI. Finally, he explains the importance of understanding different malformation types when making treatment decisions. Next, Dr. Rohan Walvekar talks about the importance of being familiar with the floor of mouth anatomy to avoid injuring the lingual nerve. He also explains his preferred approach to intubation and emphasizes the importance of examining the papilla. Familiarity with floor of mouth anatomy is important for safe cannulation of the duct. Dr. Walvekar's stent is designed to have a flange that anchors itself to the floor of the mouth and can be used for both parotid and submandibular ducts. The stent helps to identify the duct and ensure the incision for the sublingual gland removal is made in the right place. Dr. Walvekar explains his approach to decompressing a pseudocyst, which includes transoral dissection and, if needed, aspirating with a thick 18 gauge needle. Finally, he discusses the importance of not injuring the submandibular duct and lingual nerve during closure and the possible use of a transcervical approach if needed. --- RESOURCES Walvekar Salivary Duct Stent: https://hoodlabs.com/salivary-management/walvekar-salivary-duct-stent/

Simon Shares Transaction Capital (JSE code: TCP) results where pretty much as expected. Management have essentially thrown the kitchen sink at everything. H2 will be tough but likely a little better. FY24 a clean slate. But market does not agree with me. Nutun doing good WeBuyCars under pressure, no surprise, consumer cracking SA Taxi real ugly, but as detailed in trading update US unemployment 3.4%. April CPI 4.9%. The end of the US$ Bretton Woods essentially created teh US$ as a reserve currency Now all commodities trade in US$ The end of the US$ is as old as time, really kicked off with the advent of the Euro in 1999. But who take over? China, no? BRICS, that's only China. Euro, but they don't want a strong Euro and the world doesn't want the Euro either. That said, the US$ will lose influence over time. It has been and will continue to do so. One day it may well be over, but we're a very long way from that.  

An unending, blissful journey comes from staying true to yourself. Today's Stellar Life episode features the amazing Lulu Agan as we dive into how she achieved success while navigating life's turbulences and the incredible benefits of connecting with nature. Tune in!

In this episode of BackTable ENT, Dr. Shah and Dr. Agan invite two comprehensive dentists, Dr. Abhishek Nagaraj and Dr. Anushka Gaglani, back to the show to discuss diagnosis and treatment of xerostomia. --- SHOW NOTES First, the doctors explain common causes of xerostomia, which include multiple medications and comorbid conditions. Lifestyle factors, such as mouth breathing, alcohol consumption, tobacco usage, smoking, and dehydration can also contribute to xerostomia. Less common causes of xerostomia include Sjogren syndrome, chemotherapy, radiation, and radioactive iodine exposure. Then, they discuss how to perform a comprehensive xerostomia workup. Xerostomia is formally diagnosed by measuring the rate of salivary flow for 5 minutes. It can also be diagnosed through minor salivary gland biopsy, but this procedure is performed by ENTs or oral surgeons, not dentists. After taking a thorough patient history, dentists may be able to see evidence of xerostomia during physical examination through signs like fissures on tongue, halitosis, ill-fitting dentures, and angular cheilitis. Then, the dentists explain the different treatments for xerostomia, from lifestyle changes to medications. They recommend that patients drink 60-65 ounces of water daily and brush at least two times a day. Fluoride mouthwashes and sugar-free lozenges may also help stimulate saliva production. Finally, a cholinergic medication like pilocarpine can be used if patients do not get better with non-pharmacologic intervention. Dr. Nagaraj also recommends that patients with xerostomia come in for dental cleaning four times a year instead of only twice because of their increased risk of developing dental caries. Finally, the doctors discuss how to distinguish the sensation of a dry mouth from the true diagnosis of xerostomia.

In this episode of BackTable ENT, Dr. Shah and Dr. Agan speak with two comprehensive dentists, Dr. Abhishek Nagaraj and Dr. Anushka Gaglani, about common dentistry complaints and their treatments in head and neck cancer patients. --- SHOW NOTES First, the dentists discuss the role of dental clearance before radiation or surgery initiation. Dr. Nagaraj explains that dental clearance is when dentists check for ulcers, dentures, caries, and any other issues that may bother patients from a treatment standpoint. He mentions that it is helpful for surgeons to specify which conditions they would like dentists to focus on in clearance assessments. Both dentists use a set of 5 clearance screenings and give either full or partial clearance. For minor dentistry treatments, they recommend waiting at least 14-21 days to start cancer treatment. For major dentistry treatments like root canals or wisdom teeth extraction, they recommend waiting for at least 4-6 weeks before major surgeries due to the different healing potentials of each patient. Next, the dentists explain common side effects of radiation treatment, such as xerostomia, osteoradionecrosis (ORN), candidiasis, and mucositis. Dr. Nagaraj discusses how xerostomia can cause dental caries, which may result in a mandatory tooth extraction and ORN. He and dr. Gaglani recommend treating xerostomia with compounded mouthwashes, lubricants, xylitol, and fluoride toothpaste. They will use antifungals to treat candidiasis. For trismus, they recommend mouth stretching exercises and NSAIDs. Dr. Gaglani emphasizes the importance of upkeep dental hygiene routines in order to minimize the severity of these side effects. However, they both note that with the advent of intensity-modulated radiotherapy, less patients have complained about side effects of radiotherapy. Patients may also complain of post-radiation changes, such as ill-fitting dentures and loose dental implants due to decreased bone density and loss of osseous integration. Finally, the ENTs and dentists speak about the importance of oral cancer screening in the dentist office. Both dentists perform a visual and tactile examination for all new patients, paying special attention to the tongue, floor of mouth, and lymph nodes. They end the episode by sharing ways how ENTs can collaborate better with dentists, such as encouraging patients to go in for regular dentist visits and specifying conditions they are concerned about during treatment.

In this episode of BackTable ENT, Dr. Gopi Shah, Dr. Ashley Agan, and Dr. Sarah Bowe discuss new developments in the ENT residency match process as well as advice for future applicants. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/aXEKIr --- SHOW NOTES First, the doctors explain new policies in the match process. In 2015, the merging of osteopathic and allopathic accreditation systems began, which led to a single accreditation system combining osteopathic and allopathic accreditation in 2021. In 2022, the USMLE Step 1 exam switched to a pass/fail system from a numerical scoring system. The doctors note that although Step 1 scores used to be an application filter, research has shown that there is no correlation between scores and success during residency. Dr. Bowe notes that many programs deemed it necessary to filter using Step 1 scores because residency applications take a long time to read through. Additionally, standardized test scores do correlate well with board passage rates. Dr. Agan mentions that programs may use Step 2 scores as a replacement for Step 1 scores, leading some applicants to feel conflicted about having a Step 2 score before submitting their ERAS application. However, there have not been set Step 2 metrics for filtering applicants yet. Next, the doctors discuss reading through applications from a program perspective. Dr. Bowe explains that bigger programs have bigger faculty, which means more application readers are available. Some programs will set unique filters to screen for IMG applicants or career goals. Then, she discusses the use of the new signaling program, an initiative that distributes applicants a certain number of tokens to indicate their programs of interest. Signaling can equalize the playing field for applicants who do not have a home ENT program or do not have the resources to do as many sub-internship and away rotations as they would like. Additionally, signaling may serve as a surrogate application cap for programs. Finally, the doctors explain other parts of the residency application, such as letters of recommendation, research, and gap years. Because almost every ENT applicant is listed as “above average” on the standardized application, Dr. Bowe emphasizes the importance of the narrative sections of letters. Additionally, many programs allow additional space on the application to let students explain more about their background and hardships. Dr. Bowe concedes that research is important on an application, but it depends on the resources of each applicant's home institutions as well as their non-academic priorities, like part-time jobs. Additionally, in her opinion, a gap year to do research should only be taken if the applicant is aspiring to be a clinician scientist. Dr. Shah emphasizes the importance of taking a gap year because of personal interest, not for a stronger application. Finally, Dr. Agan speaks about differences between in-person and virtual interviews. There are cons of virtual interviews, such as interview hoarding and lack of interpersonal and environmental connection, but benefits include lowering expenses and environmental impact. --- RESOURCES Head Mirror Website https://www.headmirror.com/ National Otolaryngology Interest Group https://www.headmirror.com/noig ENT in a Nutshell Podcast: https://podcasts.apple.com/us/podcast/headmirrors-ent-in-a-nutshell/id1504305051

In this episode of BackTable ENT, Dr. Shah and Dr. Agan discuss turbinate hypertrophy, turbinate reduction, and empty nose syndrome with Dr. Jayakar V. Nayak, associate professor of otolaryngology at Stanford University. --- SHOW NOTES First, Dr. Nayak gives an introduction to nasal obstruction, which may be present in patients presenting with congestion or a “stuffy nose”. Common causes of nasal obstruction include a deviated septum, nasal polyps, large adenoids in children, and turbinate hypertrophy. There are three sets of turbinates, and the inferior turbinates are located in the nose. The function of turbinates is to filter and warm incoming air. The majority of airflow happens in the lowest one third of the nose around inferior turbinates and base of middle turbinates. Turbinate hypertrophy is one of the most common causes of nasal obstruction. Dr. Nayak also notes that the same level of obstruction can affect individual patients differently. Next, he explains his workup for patients with turbinate hypertrophy. He always asks about specific symptoms the patient is experiencing, being sure to analyze both the right and left nasal cavities. He also inquires about their current nasal regimen (i.e. use of sprays, moisturizers, ointments, gels, etc.), past surgeries, past trauma to the nose, and their breathing goals. Then, he performs an endoscopy on everyone in order to examine the anterior nasal cavity of the native nose before administering decongestant. If he observes turbinate hypertrophy, he will apply topical decongestant and observe if the patient's symptoms are mitigated. He avoids using decongestant spray because they may irritate patients' throats. Dr. Nayak recommends a basic nasal spray regimen in all his patients with turbinate hypertrophy as a first line treatment. Benefits of nasal saline include clearing out mucus and drawing out fluid from tissues to reduce turbinate hypertrophy. Nasal steroid sprays like Flonase work well but other prescription sprays also exist. He notes that tolerance and side effects are usually rare, but possible reasons why medication might have to be changed or discontinued. Combination rinses are also available for patients with additional symptoms, such as allergies. If the conservative medical approach fails, he will move onto turbinate reduction surgery. Next, he discusses a complication of turbinate reduction, which is empty nose syndrome (ENS). ENS occurs when too much tissue in the nose has been resected, leaving a massively open nasal cavity. Patients experience a wide variety of symptoms, such as difficulty breathing fully, nasal crusting, cold or burning air rushing into the nose, and congestion. Symptoms are assessed using the SNOT 22 score; a score above 11 on a scale of 0-30 indicates a possible ENS diagnosis. Dr. Nayak also explains his in-office blinded cotton test technique to accurately diagnose ENS. Finally, Dr. Nayak discusses his turbinate reduction technique to reduce the probability of ENS. He only reduces the turbinate size while keeping shape and contour of the bone. He believes that a gradual and conservative reduction is better than a quick and excessive one. He also notes that there needs to be more standardization of turbinate reduction procedures worldwide and data on which techniques are best for preventing ENS as a postoperative complication.

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In this episode of BackTable ENT, Dr. Shah and Dr. Agan interview Dr. Sujana Chandrasekhar, a private practice neurotologist, about diagnosis and treatment of patients with sudden sensorineural hearing loss (SSNHL). --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Dr. Chandrasekhar explains the formal definition of sudden hearing loss, which is a loss of 30 dB over 3 consecutive frequencies over 72 hours, and notes that it is usually unilateral. She explains that the time from hearing loss presentation to ENT referral is usually delayed, as many patients attribute their hearing loss to a cold, the flu, or allergies. Frequently, they are also told over phone to take nasal sprays or prescribed amoxicillin. However, severe / profound hearing loss with or without tinnitus and vertigo necessitates immediate ENT consultation. Upon initial presentation, she usually gets a thorough health history, review of systems, and medication list from the patient. Common causes of SSNHL include: pregnancy and other thrombotic states, stroke, injected or intravenous drugs, high dose aspirin, PDE-5 inhibitors, and COVID-19 infection. She also describes how she uses the physical exam to distinguish between conductive and sensorineural hearing loss. First, she checks the outer ear and visualizes the tympanic membrane to look for external pathologies. Then, she utilizes the Weber and Rinne tests on every patient. Next, she explains her further workup for patients determined to have SSNHL. She emphasizes the need for retrocochlear examination to check for vestibular schwannoma, which is best done through MRI. If patients have MRI contraindications, a CT temporal bone with contrast paired with auditory brainstem response (ABR) testing may be an alternative option. Dr. Chandrasekhar explains that a single ABR test has a low specificity for vestibular schwannomas, missing up to 15-20% diagnoses. She also notes that patients with audiograms showing low frequency hearing loss have a better prognosis than those with high frequency hearing loss. Additional symptoms to look for are otalgia, erythema, healing vesicles, facial palsy, and blebs on the tympanic membrane. These symptoms may point to an infectious cause, such as syphilis, Lyme disease, and herpes zoster. Additionally, children may have syndromic causes of SSNHL. Dr. Chandrasekhar also explains her treatment options for SSNHL of different severities. For patients with mild and moderate hearing loss, she prescribes an oral prednisone taper, which patients can stop taking if hearing comes back. Intratympanic steroid injections with dexamethasone may be implicated if patients with moderate SSNHL do not respond to oral prednisone. She explains her steroid injection technique as well as tips for how to make patients more comfortable during and after the procedure. For patients with severe SSNHL, she emphasizes the importance of self-training to listen in the affected ear, starting to wear hearing aids early, and considering BAHA devices. Then, the doctors discuss the value of additional therapies for SSNHL, such as acupuncture, hyperbaric oxygen, papaverine, and B vitamins. Finally, she speaks about intratympanic stem cell injections to regrow inner hair cells as an exciting future treatment of sudden hearing loss. --- RESOURCES She's on Call Podcast: https://podcasts.apple.com/us/podcast/shes-on-call-weekly-medical-show/id1582727930 WHO Free Hearing Test: https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/hearwho

Agan Na Dahai, ਅਗਨਿ ਨ ਦਹੈ (Sri Guru Granth Sahib Page 336 Sabad 855)

With the proper knowledge and coaching combined with an inspiring vision, I believe anyone -- person, team or organization -- can dramatically improve their performance. I help companies understand the art-of-the-possible to sell more products and services, to more customers, more often, and with greater profitability. I do this by leveraging digital, big data and analytics to create future-proofed experiences and offers that integrate the business and IT. My passion is to build the compelling brands, offers and integrated operating models including digital cores that deliver more human-centric, engaging and efficient customer and employee experiences. I've worked with global leadership teams as an operating line executive and as a strategy consultant. I have led teams that have implemented global digital transformations, developed a new first-in-kind 800-store retail chain in the UK called Sainsbury's Local, created the strategy for UBS to become the number one wealth management brand in the world, and identified new product opportunities in apparel and beverages. I also have made plenty of mistakes: my goal is for others to benefit from the lessons I have learned. My career also includes creating and sharing thought-leadership in numerous publications (e.g., Harvard Business Review, New York Times, Forbes, Fast Company, Property 360, Pharma Executive, AdAge) and global conferences (e.g., keynote speaker at IBM Think, Nielsen Consumer360, The Economist Marketing Summit, World Bank IFC Leadership Summits, corporate meetings). In 360 feedback co-workers consistently note my bold thinking, exceptional teamwork, deep commitment to coaching and mentoring, extensive business knowledge, and energetic leadership. I have an MBA from Harvard. Learn more about Tom's YouTube Channel - Click Here

In this episode of BackTable ENT, Dr. Shah and Dr. Agan speak with Dr. Colleen Plein about functional nasal breathing in the treatment of facial pain, sleep apnea, postural defects, and improving general quality of life.

Dr. Rodney AganCEO/PresidentConnexus Group1-800-283-3105https://www.theconnexusgroup.com/

In this episode of BackTable ENT, Dr. Shah and Dr. Agan discuss the role of lifestyle medicine and non-pharmacological therapy in otolaryngology with Dr. Jessica Lee, a general ENT who is certified in lifestyle medicine. The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/CKCP0W  --- CHECK OUT OUR SPONSOR Laurel Road for Doctors https://www.laurelroad.com/healthcare-banking/ --- SHOW NOTES First, Dr. Lee explains the philosophy behind lifestyle medicine. The purpose of the field is to treat and/or reverse chronic ailments using basic pillars, such as plant based nutrition, quality sleep, emotional connections, avoidance of risky substances, adequate physical activity, etc. Certification in lifestyle medicine is open to all board-certified physicians. Dr. Lee underwent 1.5 years of preparation, which included 30 hours of CME courses online and 10 hours of in person CME. At the end of her program, she was required to pass a board certification exam. Her initial motivation for obtaining her lifestyle medicine certification stemmed from a realization that many ENT concerns were a result of systemic chronic diseases. Dr. Lee views her lifestyle medicine approach as a partnership between her, her patient, and their PCP. Before she offers lifestyle medicine counseling separate from ENT counseling, she always ensures that the patient is open to pursuing this approach. Next, the doctors discuss diet, the most evidence-based pillar of lifestyle medicine. In this field of medicine, the best diet is plant-based. Dr. Lee notes that a “plant-based” diet does not mean vegetarian or vegan, but instead just a plant-heavy diet. Additionally, she recommends reducing alcohol use and starting a low histamine diet for patients with chronic inflammation. However, she emphasizes to always set an endpoint to restrictive diets in order to effectively find a good threshold for the patient. For laryngopharyngeal reflux, she recommends eliminating nighttime ice cream snacks and alcoholic beverages. Then, the doctors discuss effective approaches to smoking cessation. Dr. Lee emphasizes the importance of discussing support systems with patients wanting to quit smoking. Additionally, she agrees that the most effective smoking cessation therapy is a combination of nicotine replacement and group counseling. Although the effects of marijuana and vaping as substitutes for cigarettes are not widely studied, Dr. Lee notes that marijuana can be an irritant and vaping can cause lung injury. Another pillar of lifestyle medicine is emotional health. Through cognitive behavior therapy, she has been able to mitigate her patients' symptoms of tinnitus and globus pharyngeus. Additionally, she does not prescribe medications for anxiety or depression, as research has shown that daily physical activity is equivalent to daily medications for mild to moderate depression. Regarding adequate sleep, Dr. Lee warns doctors not to correlate the number of hours the patient spends in bed with the number of hours they spend asleep. She acknowledges that health tracker devices can be helpful for tracking sleep hours and dysfunction. Finally, she advises doctors who are interested in lifestyle medicine to refer their patients to specialists who share the same philosophy for consistent continuation of care. --- RESOURCES Oto Tinnitus Management App: https://www.joinoto.com/

In this episode of BackTable ENT, Dr. Agan and Dr. Shah discuss nasal valve collapse and repair with Dr. Moustafa Mourad, a New York City-based facial plastic and reconstructive surgeon. The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/SKIPQb --- CHECK OUT OUR SPONSOR Athletic Greens https://www.athleticgreens.com/backtableent --- SHOW NOTES First, Dr. Mourad delineates how he evaluates patients presenting with possible nasal valve collapse. There are two sets of nasal valves, an internal set and an external set. The tell tale signs of nasal valve collapse is dynamic nasal airway obstruction, a situation in which airflow is affected by deep breathing or structural rearrangement by the patient is required to breathe more easily. Internal nasal valve collapse patients usually find relief with structural rearrangements, such as blowing up their cheeks in order to breathe or using nasal strips. External nasal valve collapse patients find difficulty in breathing while exercising. Diagnosis of nasal valve collapse can also be complicated because many breathing problems are multifactorial. Therefore, otolaryngologists must be thorough in their initial evaluations and choose which causes to prioritize. Dr. Mourad also explains risk factors for nasal valve collapse. Because nasal cartilage grows weaker overtime, older patients are more likely to experience valve collapse. Younger patients presenting with valve collapse will most likely have had previous nasal surgeries, such as septoplasties and rhinoplasties. Other risk factors for valve collapse include trauma of the nasal tip or dorsum, avid athletes, and the Caucasian ethnicity (because of thinner and more cephalically oriented nasal cartilages). Next, Dr. Mourad discusses how he conducts the physical exam. He always scopes patients to look for abnormal anatomy or signs of allergies. Then, he has the patient breath while observing each of their nostrils. He observes the nostrils before and after the administration of decongestant. If the patient has a very good response to the decongestant, he starts to investigate for evidence of allergies, turbinate hypertrophy, and irritation–all of which can be treated by medical therapy. Then, he observes the patient breathing and nasal pinching as he lifts up the nasal tip and performs a caudal maneuver on the patient's nose. Finally, he takes photos and maps out the patient's internal and external anatomy. Dr. Mourad only considers surgical repair if the patient's complaint can be traced back to an anatomical abnormality. Then, Dr. Mourad walks through his surgical technique for nasal valve collapse. For an internal valve repair, he uses a simple endonasal approach. However, whether he uses an open or closed approach for an external nasal valve repair depends on the type of cartilage defect. As external valve repairs have aesthetic impacts, it is important to warn patients about changes in appearance beforehand. Additionally, Dr. Mourad prefers to obtain his implanted cartilage graft directly from the patient's rib, as cadaver rib may warp and ear cartilage may not be strong enough. He uses a taper needle to suture spreader graft because it allows him to be more gentle with the cartilage. He does not typically recommend synthetic nasal implants to patients, as they can become infected, but still educates patients about all their options. For anesthetic, he mixes a solution of lidocaine with epinephrine and tranexamic acid to reduce post-operative swelling. Finally, Dr. Mourad discusses his post-operative care regimen for nasal valve surgery.

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Dr Keith Matheny tells us how he first got involved in entrepreneurial pursuits, including starting a global purchasing organization for ENT's, as well as advice on where to start when you have a great idea for a new device! --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/xwej9p --- SHOW NOTES In this episode of BackTable ENT, Dr. Shah and Dr. Agan interview Dr. Keith Matheny, a physician-entrepreneur and a fellow ENT. First, Dr. Matheny discusses his personal device innovation and business journey. He started medical practice with no formal business background or training and had to learn these skills on-the-job during his first private practice job. After observing the need in his field for business consulting, he created US ENT, a formal consulting company, to help other ENT practices grow and develop different departments. US ENT later transformed into a group purchasing organization and was able to partner with medical suppliers to give physicians discounts on materials. During this time, he was also able to test new ENT devices and provide his input to large medical device companies; these experiences prompted him to venture into the field of device innovation and begin patenting his ideas. Acquiring knowledgeable and supportive partners is essential for developing new devices. Dr. Matheny recommends reaching out to device representatives of major medical device companies in order to be introduced to their business development teams. However, he notes that major medical device companies do not specialize in early-stage development. For this reason, partnering with a startup business may be more productive when developing a product prototype. For every person an innovator discusses his idea with, a non-disclosure agreement (NDA) should be signed in order to ensure the integrity of information sharing. Additionally, innovators should file a patent as soon as they have a solid idea; patent lawyers are useful resources and can help innovators find angles that make their ideas different from previous devices. Although Dr. Mathey encourages innovators to seek funding from healthcare investors, venture capitalists, and private equity companies, he warns listeners against letting outside forces take control over a majority of their company. Once a prototype is created, the product can be tested in the setting of a medical practice through the proper IRB channels. It is important to follow FDA regulations during this time period. For devices that are similar to pre-existing devices on the market, they can be classified as Class I exempt devices if all predicate devices are listed in the application. Approval for Class I exempt devices will follow in a few short months. However, for brand new devices, a formal study will need to be conducted before it can be used in human patients, thus invoking a longer approval time. --- RESOURCES Dr, Matheny's Linkedin: https://www.linkedin.com/in/keith-matheny-38250811/ US ENT: https://usent.com/ Septum Solutions: https://septumsolutions.com Sleep Vigil: https://www.sleepvigil.com/

Dr. Ashley Agan sits down with the eustachian tube expert Dr. Dennis Poe to discuss his approach to management and treatment of eustachian tube dysfunction. --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SHOW NOTES In this episode of BackTable ENT, Dr. Agan discusses eustachian tube disorders with Dr. Dennis Poe, professor of otolaryngology at Harvard Medical School. First, the doctors discuss the difference between the two main types of Eustachian tube disorders: obstructive dysfunctions and Patulous dysfunctions. Obstructive dysfunctions are a result of pathologies that cause inflamed or clogged Eustachian tubes, while Patulous dysfunctions are a result of the Eustachian tube remaining perpetually open. Obstructive and Patulous dysfunctions can be clinically differentiated. Patulous dysfunctions commonly experience extraordinary loud noises, variable pressure sensation, aural fullness, habitual sniffing, relief upon using the Valsalva maneuver, and autophony. Although autophony is not pathognomonic for Patulous dysfunction, it can give otolaryngologists a clue for a potential Patulous dysfunction diagnosis. Obstructive dysfunction patients commonly experience negative pressure in tympanic membrane, fluid in middle ear, scarring, and fixed retraction pockets. Otolaryngologists can also insert an endoscope through the nose to perform a physical examination on Eustachian tube disorder patients. Dr. Poe recommends that otolaryngologists obtain a longitudinal view of the Eustachian tube lumen to observe the cartilaginous and membranous walls and the quality of the valve. He recommends using the MEELO assessment (mucus production, erythema, edema, lymphoid hyperplasia, and opening quality) to grade Eustachian tube disorder patients on a scale of 1-4, with 4 being the most severe dysfunction. He cautions against using tympanograms for diagnoses because of their inaccuracy. Eustachian tube disorders can be treated with medication. Because the most common etiology of obstructive Eustachian tube disorder is allergic rhinitis, Dr. Poe starts with allergy testing to identify possible allergens. He notes that topical nasal steroids and nasal drops are effective, but may be difficult for patients to self-administer. For this reason, patient education is very important. If medications do not work after 6 weeks, Dr. Poe recommends performing a balloon dilation of the Eustachian tube. The length of balloon dilation depends on the MEELO grading scale. If obstructive Eustachian tube dysfunction patients are a grade 3 or 4 with moderate to severe inflammatory disease and a significantly compromised valve, he dilates for the full two minutes. If they are a grade 2 or low grade 3 with a lesser disease, he only dilates for one and a half minutes or even one minute. Because pediatric patients are very sensitive to balloons, he never goes above one and a half minutes in pediatric patients. Finally, he notes that Patulous Eustachian tube dysfunction patients can be surgically treated via a transtympanic tripod-shaped angiocatheter procedure. --- RESOURCES Eustachian Tube Disorder Questionnaire: https://earandsinusinstitute.com/online-questionnaires/etdq-7-questionnaire/ ​​ Xhance Nasal Spray: https://www.xhancehcp.com/