Podcast appearances and mentions of Alex Smith

June Lunney famously characterized the end of life functional course of people with dementia as a slow dwindle over time. Tom Gill later found that people with dementia do indeed have persistent severe disability throughout the last year of their lives. But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia.  Those disruptive events or shocks often portend a major decline in function from which people with dementia never fully recover.  And they're often a sign of (or cause of?) worsening prognosis. Today we talk about disruptive events, or health and wealth shocks.  We start with Lauren Hunt, who described the incidence and outcomes of hip fracture and hospitalization for pneumonia in a pair of publications in JAGS, comparing people with dementia who experience these events to people without dementia.  We then turn to social events, starting with Rebecca Rodin, who studied the effect of widowhood on mortality and function for people with dementia, cancer, and organ failure, published in JAMA Network Open.  Finally, we turn to Tsai-Chin Cho, who studied the impact of a wealth shock (loss of 75%+ of wealth in a short time period) on cognitive decline in 4 countries.  Tsai-Chin's article, published in Lancet Healthy Longevity, found a tantalizing hint that countries with stronger safety nets had lower incidence of wealth shocks, and less of a deleterious impact of the wealth shock on cognitive function. Wait, so one key message is that social health is linked to physical and cognitive health?!?  And the government can do something about that?!? Yes indeed, we like to hammer that home regularly, dear listeners. And I enjoyed singing Leonard Cohent's Who By Fire, about the many ways people might die…you know…typical uplifting GeriPal song lyrics! -Alex Smith   Additional links mentioned by Tsai-Chin Cho: -Wealth shocks and mortality in the US -Change in marital status as a risk for wealth shock  

This year marks the 100th anniversary of the Leitz Camera, or as we know it today, Leica. The Leitz Camera Co. is far older than the cameras they produce. In today's episode, Bill leads a panel of photographers, including Alex (Smith), John Roberts, and David, who all have one thing in common: their love of Leicas, from the Barnack rangefinders to the iconic M-Series of rangefinders and even the controversial SLR line of Leicaflexes! But no matter which side of the fence you land on, there is something special about Leica cameras and their lenses that makes them not only expensive but worth every penny. Also Alex (our Alex) comes in with a presentation on the Leica Freedom Train, an effort by Ernst Leitz II and Elsie Kuehn-Leitz, to move hundreds of Jewish employees and their families outside of Germany from 1935-1939 and the company's efforts to protect those enslaved under the Nazis and employed by Leitz during the war. You can read more in the Legion Magazine or the Accidental Talmudist.   CCR is ten years old this year, and to celebrate, we're hosting a Photowalk & Brewery Tour on 12 July starting at 11 am from the Great Lakes Brewpub at 11 Lower Jarvis in Toronto, Ontario. You can find more details on the event signup page on Photowalk.me!

Alex B. Smith of the Ice Guys Podcast stops by, to discuss how he is betting tonight's Game #6 of the Stanley Cup Final between the Panthers and Oilers, as Florida looks to raise Lord Stanley's Cup for the second straight season. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Nintendo owns CES, The future belongs to the internet & EA disses Sega These stories and many more on this episode of the VGNRTM! This episode we will look back at the biggest stories in and around the video game industry in September 1994.  As always, we'll mostly be using magazine cover dates, and those are of course always a bit behind the actual events. Alex Smith of They Create Worlds is our cohost.  Check out his podcast here: https://www.theycreateworlds.com/ and order his book here: https://www.theycreateworlds.com/book Get us on your mobile device: Android:  https://www.google.com/podcasts?feed=aHR0cHM6Ly92aWRlb2dhbWVuZXdzcm9vbXRpbWVtYWNoaW5lLmxpYnN5bi5jb20vcnNz iOS:      https://podcasts.apple.com/de/podcast/video-game-newsroom-time-machine And if you like what we are doing here at the podcast, don't forget to like us on your podcasting app of choice, YouTube, and/or support us on patreon! https://www.patreon.com/VGNRTM Send comments on Mastodon @videogamenewsroomtimemachine@oldbytes.space Or twitter @videogamenewsr2 Or Instagram https://www.instagram.com/vgnrtm Or videogamenewsroomtimemachine@gmail.com Links: If you don't see all the links, find them here:     https://www.patreon.com/posts/131691264 7 Minutes in Heaven: Zero Tolerance Video Version: https://www.patreon.com/posts/131666929     https://www.mobygames.com/game/10115/zero-tolerance/ Corrections: August 1994 Ep - https://www.patreon.com/posts/august-1994-123352781 Ethan's fine site The History of How We Play: https://thehistoryofhowweplay.wordpress.com/     https://en.wikipedia.org/wiki/Magic:_The_Gathering     https://en.wikipedia.org/wiki/Sega     https://www.retroreversing.com/super-famicom-snes-sdk/     https://archive.org/details/st-report             https://patentarcade.com/tag/alpex-computer-v-nintendo 1994: Street Fighter loses its luster     A Warrior of Video Games, The New York Times, September 6, 1994, Tuesday, Late Edition - Final, Distribution: Financial Desk, Section: Section D; ; Section D; Page 1; Column 6; Financial Desk ; Column 6; Byline: By ANDREW POLLACK,     Capcom's video game superhero, Mega Man, debuts this week in nationally syndicated cartoon series; Interactive software giant embraces Hollywood to create precedent-setting entertainment, Business Wire, September 7, 1994, Wednesday     https://www.imdb.com/title/tt0111301/?ref_=fn_all_ttl_2         https://www.imdb.com/title/tt0219458/?ref_=fn_all_ttl_14         https://www.imdb.com/title/tt0115421/?ref_=fn_all_ttl_1         https://en.wikipedia.org/wiki/USA_Action_Extreme_Team     https://www.imdb.com/title/tt0165046/?ref_=fn_all_ttl_1         Joe Morici - Capcom - https://www.patreon.com/posts/37289815 CD duplicators expand their offerings     "Keeping Track Of All Trades; Replicators Go Beyond The Basics, Branching Out Into Packaging,Distribution And More, Billboard, September 3, 1994, Section: CD REPLICATION; Spotlight; Pg. 86, Byline: BY PAUL VERNA           The Expanding Universe Of Replication; Companies Roll Out The Format Welcome Mat, Opening The Door To CDROM And Others, Billboard, September 3, 1994, Section: CD REPLICATION; Spotlight; Pg. 84, Byline: BY STEVE TRAIMAN" CD piracy explodes in Hong Kong     Software pirates strike gold, South China Morning Post (Hong Kong), September 15, 1994, Section: FEATURE; Pg. 25          https://www.youtube.com/watch?app=desktop&v=eEUNtQprsc0 Best Buy expands     Best Buy Plans Southern Calif. Invasion; Discounter Promises 'New Shopping Experience', Billboard, September 10, 1994, Section: Pg. 5, Byline: BY EILEEN FITZPATRICK Woolworth UK hit hard by drop  in computer software sales     Kingfisher offshoots turn in mixed performance, Financial Times (London,England), September 14, 1994, Wednesday, London, Section: UK Company News; Pg. 25,  Rhino sees slowdown     Rhino runs deeper into red at midway, Financial Times (London,England), September 20, 1994, Tuesday, Section: UK Company News; Pg. 26, Byline: By GARY EVANS Video game slump hits Wong         Video-game slump hits firm, South China Morning Post (Hong Kong), September 30, 1994, Section: BUSINESS; Pg. 18     Raymond Yap - Wong's International, Mondex - https://www.patreon.com/posts/108390526 Playmates shifts to games     Post-TMNT Playmates Goes Vid, Ad Day, September 19, 1994, Section: NEW PRODUCTS; Pg. 17 Software Toolworks becomes Mindscape     THE SOFTWARE TOOLWORKS, INC. BECOMES MINDSCAP , INC., PR Newswire, September 30, 1994, Friday - 19:34 Eastern Time Strauss Zelnick to head BMG     "Ex-IBM chief to head Canadian films group, Financial Times (London,England), September 15, 1994, Thursday, London; Section: International Company News; Pg. 27, Byline: By LOUISE KEHOE and REUTER          Ex-Film Executive Chosen To Head Bertelsmann Unit, The New York Times, September 14, 1994, Wednesday, Late Edition - Final, Distribution: Financial Desk, Section: Section D; ; Section D; Page 8; Column 5; Financial Desk ; Column 5; Byline: By SALLIE HOFMEISTER,            https://en.wikipedia.org/wiki/Strauss_Zelnick Katzenberg out at Disney     Now Playing: Disney in Turmoil, The New York Times, September 23, 1994, Friday, Late Edition - Final, Distribution: Financial Desk, Section: Section D; ; Section D; Page 1; Column 3; Financial Desk ; Column 3; Byline: By BERNARD WEINRAUB with GERALDINE FABRIKANT,     https://en.wikipedia.org/wiki/DisneyWar     https://www.amazon.com/Men-Who-Would-King-DreamWorks/dp/0547520271 Battletech Centers go online     L.A.-Vegas link makes virtual a new reality, The Hollywood Reporter, September 2, 1994, Friday            DISNEY'S GAME LINK, Variety, September 12, 1994 - September 18, 1994, Section: SPECIAL REPORT: INTERTAINMENT; Update; Pg. 33 Nicastro's to co-CEO WMS     Neil D. Nicastro appointed co-chief executive officer of WMS Industries, Business Wire, September 12, 1994, Monday Arnie's Place closes down     Scrappy Arcade Owner Gives Up the Fight, The New York Times, September 20, 1994, Tuesday, Late Edition - Final, Distribution: Metropolitan Desk, Section: Section B; ; Section B; Page 4; Column 1; Metropolitan Desk ; Column 1; ; Biography, Byline: Arnie Kaye, Special to The New York Times, Dateline: WESTPORT, Conn., Sept. 19           https://www.nytimes.com/1994/09/20/nyregion/scrappy-arcade-owner-gives-up-the-fight.html?searchResultPosition=1          http://arniesplacearcade.com/pictures.html Nintendo owns CES     https://archive.org/details/edge-012-september-1994/page/10/mode/2up?view=theater     https://archive.org/details/edge-012-september-1994/page/44/mode/1up?view=theater RPGs, adventures and doom clones abound on pc at ces     https://archive.org/details/computer-gaming-world-issue-122-september-1994/page/22/mode/1up?view=theater      Sega bypasses Japanese distributors     SEGA DECIDES TO SELL DIRECT TO RETAILERS, Computergram International, September 13, 1994 EA disses Saturn     No Headline In Original, Consumer Electronics, September 19, 1994, Section: NOTEBOOK, Vol. 34, No. 38 3DO's next gen system is a dog...     https://archive.org/details/edge-012-september-1994/page/6/mode/2up     https://en.wikipedia.org/wiki/Panasonic_M2 ESRB rates its first game     No Headline In Original, Consumer Electronics, September 12, 1994, Section: NOTEBOOK, Vol. 34, No. 37 Mortal Kombat II breaks records     Acclaim's 'Mortal Kombat II' breaks video game and film industry records with $50 million opening week, Business Wire, September 22, 1994, Thursday Sega and Nintendo plan big Xmas ad spends     Sega and Nintendo Prepare to Do Battle Over Holiday Season Sales, Wall Street Journal (3 Star, Eastern (Princeton, NJ), Edition), , September 21, 1994, Business and Industry, Section: Pg. B10; Vol. CCXXIV; No. 57; ISSN: 0099-9660 EA sees CD future     Electronic Arts Shifts Focus to CD-ROM Video Games, Wall Street Journal (3 Star, Eastern (Princeton, NJ) Edition), September 7, 1994, Business and Industry, Section: Pg. B4; Vol. CCXXIV; No. 47; ISSN: 0099-9660 CDi gets new slogan     A NEW STRATEGY FOR CD-I PHILIPS LOWERS PRICE, CHANGES SLOGAN  TO DRIVE SALES, Advertising Age, September 26, 1994, Section: Pg. 14         https://youtu.be/TgtBDVRwKCQ?si=77kblLoNQUYxSl16 China seen as growth market by Nintendo     Nintendo to launch game software production in China, Japan Economic Newswire, SEPTEMBER 6, 1994, TUESDAY, Dateline: TOKYO, Sept. 6 Kyodo     Taiwan firm to compensate Nintendo, Singapore Business Times, September 18, 1994 Sanyo avoids face off with Matsushita         Sanyo to market 32-bit computer game, Report From Japan, September 1, 1994     https://www.linkedin.com/feed/update/urn:li:activity:7327486440387289088/ Konix lives     Aiming to succeed where others have failed - MSU's CD systems look set to find their way into homes world-wide / Growth from Technology, Financial Times (London,England), September 8, 1994, Thursday, London, Section: UK Company News; Pg. 30, Byline: By ALAN CANE     https://www.konixmultisystem.co.uk/index.php?id=interviews&content=wyn Myst coming to laseractive     https://segaretro.org/Myst_(Mega_LD)         Pioneer gets LaserActive with 'Myst' software hit; Redford eco entertainment also set for format, The Hollywood Reporter, September 6, 1994, Tuesday, Byline: Scott Hettrick       https://segaretro.org/Legacy Time Warner picks up Rise of the Robots     Time Warner Interactive to release "Rise of the Robots" on CD-ROM and Floppy in United States; TWi also to release "Rise" on 10 interactive platforms in Europe, Business Wire, September 6, 1994, Tuesday, Dateline: MILPITAS, Calif.      Sega bets on Cornhuskers     "Sega Sports opens college football season by predicting this weekend's winners on the new ""College Football National Championship"" video game;Nebraska Cornhuskers take national championship on Sega Sports field, Business Wire, September 2, 1994, Friday" Shaq goes multiple media     ive, EA Hope Shaq Game/CD Promo Hits Nothing But Net, Billboard, September 24, 1994, Section: ARTISTS & MUSIC; Pg. 10, Byline: BY MARILYN A. GILLEN Chaos Studios renamed     Gamepro September 1994 pg. 161      Tensions between Intel and Compaq heat up     Compaq-Intel spat is fascinated dread, Financial Times (London,England), September 20, 1994, Tuesday, Section: Pg. 21, Byline: By LOUISE KEHOE and ALAN CANE PowerPC alliance unravels     BUSINESS TECHNOLOGY; Computing's Bold Alliance Falters, The New York Times, September 14, 1994, Wednesday, Late Edition - Final, Distribution: Financial Desk, Section: Section D; ; Section D; Page 1; Column 3; Financial Desk ; Column 3; Target moving out of PC business     No Headline In Original, Consumer Electronics, September 12, 1994, Section: NOTEBOOK, Vol. 34, No. 37 MOS technology sold         STARTING FROM ASHES OF OLD FIRM COMMODORE'S NORRISTOWN PLANT CAN BE SOLD TO A START-UP COMPANY, U.S. BANKRUPTCY COURT SAID., The Philadelphia Inquirer, September 24, 1994 Saturday FINAL EDITION, Section: BUSINESS; Pg. D01     CONTENDER FOR FIRM ADVERTISES FOR HELP ONE BIDDER FOR COMMODORE IS ALREADY SEEKING WORKERS. THE OTHER BIDDER SAYS IT WANTS THE RESUMES, TOO., The Philadelphia Inquirer, September 22, 1994 Thursday FINAL EDITION, Section: BUSINESS; Pg. C01     Der PC-Pionier stellte Antrag auf Konkurs,  Handelsblatt, September 13, 1994, Business and Industry, Section: Pg. 11; ISSN: 0017-7296 Wing Commander budget to break records     Computer Gaming World, September 1994 pg. 12     https://en.wikipedia.org/wiki/Transmetropolitan Activision brings back 2600 classics     ACTIVISION'S NEW ATARI 2600(TM) ANTHOLOGY - A REAL BLAST FROM THE PAST; ORIGINAL BEST-SELLING HITS TO BE AVAILABLE FOR WINDOWS EARLY '95, PR Newswire, September 20, 1994, Tuesday - 15:02 Eastern Time, Section: Financial News Monty Python comes to CDRom     COMPUTER GAMES: THE CIRCUS COMES TO TOWN; Jack Schofield on something very silly a CD-ROM celebration of Monty Python, The Guardian (London), September 22, 1994, Section: THE GUARDIAN ONLINE PAGE; Pg. T7      The Information Super Highway is destined to fail     "The information highway heads for the exit lane, The Age (Melbourne, Australia), September 13, 1994 Tuesday Late Edition, Section: NEWS; Features; Pg. 15" Ads will make the interactive world go round.     into the ring, ADWEEK, September 5, 1994, All Southeast EditionSouthwest EditionWestern Advertising News Edition, Section: SPECIAL REPORT, Byline: By Michael Schrage      The future belongs to content     "start your content engines, ADWEEK, September 5, 1994, All Southeast EditionSouthwest EditionWestern Advertising News Edition, Section: SPECIAL REPORT, byline: By Michael Krantz"      FCC to investigate interactive TV bidders     FCC probing interactive video bidders, The Hollywood Reporter, September 1, 1994, Thursday AT&T pushes The Edge over a ledge     AT&T Scraps Plan to Sell Gear For Video Game, Wall Street Journal (3 Star, Eastern (Princeton, NJ) Edition), September 1, 1994          AT&T PULLS PLUG ON EDGE 16, Consumer Electronics, September 5, 1994, Section: THIS WEEK'S NEWS, Vol. 34, No. 36; Pg. 15          WHEN IT COMES TO NEW MEDIA, AT&T'S NOT PLAYING GAMES; AT THE MOVIES: TWO-WAY TV; RETAILERS SIGN ON TO INTERACTIVE TV; COMPUSERVE TO BE INTERNET PROVIDER; OTHER NEWS: , Advertising Age, September 05, 1994, Section: Pg. 13      BellAtlantic, Time Warner and Viacom face delays     Discord and Delay for Bell Atlantic Network, The New York Times, September 9, 1994, Friday, Late Edition - Final, Section: Section D; ; Section D; Page 1; Column 3; Financial Desk ; Column 3; Byline: By EDMUND L. ANDREWS, Compuserve moves to the internet     WHEN IT COMES TO NEW MEDIA, AT&T'S NOT PLAYING GAMES; AT THE MOVIES: TWO-WAY TV; RETAILERS SIGN ON TO INTERACTIVE TV; COMPUSERVE TO BE INTERNET PROVIDER; OTHER NEWS: , Advertising Age, September 05, 1994, Section: Pg. 13# Online services days numbered     The Executive Computer; In the On-Line Market, the Name of the Game Is Internet, The New York Times, September 25, 1994, Sunday, Late Edition - Final, Distribution: Financial Desk, Section: Section 3; ; Section 3; Page 7; Column 1; Financial Desk ; Column 1; XBAND to launch as Genesis exclusive     Sega and Catapult sign agreement to support XBAND game modem and network service, Business Wire, September 6, 1994, Tuesday,                   Catapult Video-Game Modem Gets a Boost From Sega, Nintendo, Wall Street Journal (3 Star, Eastern (Princeton, NJ) Edition), September 7, 1994, Section: Pg. B8; Vol. CCXXIV; No. 47; ISSN: 0099-9660     T-HQ announces debt and equity financings, Business Wire, September 19, 1994, Monday Playstation to go online... in France     Sony, France Telecom link in video game business, Japan Economic Newswire, SEPTEMBER 16, 1994, FRIDAY CDRom gets online updates     RealTime Moving Quickly Into Sports Arena; BMG, Nederlander Behind New CD-ROM Supplier, Billboard, September 17, 1994, Section: THE ENTER*ACTIVE FILE; Pg. 68, Byline: MARILYN A. GILLEN Mondex aims to revolutionize payments     A Visionary Pushes Toward the Cashless Revolution, American Banker, September 15, 1994, Business and Industry, Section: Pg. 12; Vol. 159; No. 178; ISSN: 0002-7561        https://www.patreon.com/posts/108390526?collection=481857 Futurist sees internet as savior of democracy     Books and Authors, The Associated Press, September 2, 1994, Friday, BC cycle, Section: Entertainment News, Byline: By ELIZABETH WEISE, Associated Press Writer           https://www.researchgate.net/publication/318765343_The_Virtual_Community_Homesteading_on_the_Electronic_Frontier UK magazine market collapses     GAMES MAGAZINES: A MILLION CRUEL CUTS, The Guardian (London), September 22, 1994, Section: THE GUARDIAN ONLINE PAGE; Pg. T3      Atari and Sega bury the hatchet     Sega and Atari Announce Longterm Licensing Agreements, Equity, Investment, and Resolution of Disputes, Business Wire, September 28, 1994, Wednesday Nintendo sues TSMC         NINTENDO FI ES SUIT AGAINST TAIWAN COMPANY TO STOP COUNTERFEITING OF VIDEO GAME SEMICONDUCTOR CHIPS, PR Newswire, September 13, 1994, Tuesday - 16:47 Eastern Time     919  921     COUNTERFEIT CHIP SUIT, Consumer Electronics, September 19, 1994, Section: THIS WEEK'S NEWS, Vol. 34, No. 38     https://archive.org/details/AtariCorporationAnnualReport1994 Nintendo wins in Taiwan Court     Taiwan firm to compensate Nintendo, Singapore Business Times, September 18, 1994 9th Circuit rebukes Apple     Apple's Copyright Suit Against Rivals Rejected, The Associated Press, September 19, 1994, Monday, AM cycle, Section: Business News, Byline: By BOB EGELKO, Associated Press Writer      George Forman KOs Power Punch II in court     No Headline In Original, Consumer Electronics, September 5, 1994, Section: NOTEBOOK, Vol. 34, No. 36; Pg. 12      Acclaim mocap comes to the big screen     Acclaim Motion Capture Technology Tapped For Warner Bros. 'Batman Forever'; Special Effects to Employ Motion Capture, Business Wire, September 1, 1994, Thursday        https://www.youtube.com/watch?v=mZrZK9-stCM Watch the future of computing on your TV     https://archive.org/details/jcnhomecomputing/Home.Computing.1.XviD-VHSRip.avi          PCTV, INC. ANNOUNCES NEW @OME O FICE COMPUTER SHOWS AS PART OF FALL LINEUP OF TV PROGRAMS, PR Newswire, September 13, 1994, Tuesday - 06:57 Eastern Time Photoshop gets layered     Byte September 1994 pg. 30 Pulp Fiction wins Palm D'Or     THE MOVIE JUNKIE; The critics hated it, the audience hurled abuse: stand by for Quentin Tarantino's Pulp Fiction, The Guardian (London), September 19, 1994, Section: THE GUARDIAN FEATURES PAGE; Pg. T8 Recommended Links: The History of How We Play: https://thehistoryofhowweplay.wordpress.com/ Gaming Alexandria: https://www.gamingalexandria.com/wp/ They Create Worlds: https://tcwpodcast.podbean.com/ Digital Antiquarian: https://www.filfre.net/ The Arcade Blogger: https://arcadeblogger.com/ Retro Asylum: http://retroasylum.com/category/all-posts/ Retro Game Squad: http://retrogamesquad.libsyn.com/ Playthrough Podcast: https://playthroughpod.com/ Retromags.com: https://www.retromags.com/ Games That Weren't - https://www.gamesthatwerent.com/ Sound Effects by Ethan Johnson of History of How We Play. Copyright Karl Kuras

Chiefs, Royals and stadium news!

Bob caught the Titans Chiefs playoff game from 2017 last night and forgot how bad that loss was. But damn Alex Smith was a really good QB. We talk this frustrating Royals team and the Knicks head coaching mess and how that relates to the Chiefs.

Alex Smith couldn't kick the door down but he brought this team right to the precipices. Bob found a game on the TV last night that Alex may not remember right but Bob says he fought hard for our Chiefs.

Chef Alex Smith is the Executive Chef of Urban Oak, which sits atop the dual branded Homewood Suites and Tempo by Hilton Raleigh Downtown, bringing over a decade of culinary expertise to one of Raleigh's newest dining destinations. With a background in fine dining, menu development, and kitchen leadership, he has helmed acclaimed restaurants across the country. As Chef de Cuisine at Parallax Restaurant in Mammoth Lakes, CA, he led kitchen operations, from innovative menu design to staff development, ensuring high culinary standards in a high-demand setting. His experience in research and development with Union Square Hospitality expanded his expertise in recipe creation, ingredient sourcing, and global culinary collaborations. Previously, at Milk and Roses in Brooklyn, he reimagined the restaurant's Italian-focused menu, earning recognition in travel guidebooks. Passionate about mentorship, food sustainability, and operational excellence, Smith is committed to making Urban Oak a dynamic and memorable dining experience for guests in Raleigh.Listening in Columbus, Oh? Care about where your food comes from? Head to ⁠⁠⁠⁠⁠⁠⁠yellowbirdfs.com⁠⁠⁠⁠⁠⁠⁠ to start your order for farm fresh food, and enter NOPROOF30 for 30% off your cart.⁠⁠⁠⁠⁠⁠⁠Founded in 2016, the mission of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Ben's Friends ⁠⁠⁠⁠⁠⁠⁠⁠⁠is to offer hope, fellowship, and a path forward to anyone who struggles with substance abuse or addiction. By coming together, starting a dialogue, and acknowledging that substance abuse cannot be overcome by isolation and willpower alone, Ben's Friends hopes to write a new chapter in the lives of food and beverage professionals across the country.

Los Bengals están llevando de la peor manera posible las situaciones contractuales de Trey Hendrickson y Shemar Stewart, para sorpresa de nadie.

The Hat Chat Podcast consists of a trio of comedy entertainers who run a YouTube channel called 'Hat Films' Ross Hornby, Chris Trott and Alex Smith make up the three voices you'll hear chatting about absolutely anything and everything. No holds barred! E-mail questions and fingles to hatchat@hat-films.com This podcast may include strong language and topics of a sexual nature. Thanks for listening to our ramblings, check out our Twitch streams at ⁠⁠⁠http://www.twitch.tv/hatfilms⁠⁠⁠ and ⁠⁠⁠https://www.youtube.com/hatchat Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week in the club house Adrian Sandoval describes how video games are speed running art history. Your nice hosts have their minds blown many times and Steven discovers he might actually like history!? Stay tuned to find out where the 90 day return policy came from.Little Nemo and the Nightmare Fiends - Team NemoChris Totten, co-author of Adrian's book, has been on the showTeaching Gamedev to Young People, Again!Adrian SandovalGame DesignHardwareMarketingSpacewar! - WikipediaAdventure (Atari 2600) and its designer's easter egg - Atari OnlineAlex Smith, They Create Worlds - They Create WorldsEp. 22: Remembering Atari with Howard Scott Warshaw - Robin Kunimune, Video Game History HourTeach Me Something in 5 Minutes 2 - What Games Can Learn from Theatre w/ Adrian… - Adrian Sandoval, YouTubeConsole Wars: Sega, Nintendo, and the Battle That Defined a Generation - Blake J. Harris, GoodreadsAdrian SandovalGuestAdrian Sandoval is a professional game designer, historian, and educator with 15+ years of industry experience. He currently teaches game design, production and history at Drexel University. His book, "World Design for 2D Action-Adventures", co-authored with Christopher W. Totten, is available on the Routledge store.External linkhttps://www.adriansandoval.net/https://bsky.app/profile/adriansandoval.net

Alex B. Smith of the Ice Guys Podcast joins the show, to discuss how he is betting the Stanely Cup Finals, incluidng if he thinks a Florida Panthers repeat is on the horizion, or if the Oilers will get their revenge. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Joe Ostrowski and Sam Panayotovich take a look at the latest sports betting law changes in the state or Illinois and elsewhere, discussing what this could mean for the way you bet gooing forward. Then, Alex Smith of the Ice Guys Podcast stops by, to discuss how he is betting the Stanley Cup Final rematch between the Panthers and Oilers. The hour wraps with today's MLB Card, and if we can actually fade the Rockies as massive road underdogs ,against a counterpart at the bottom of the standings in the Miami Marlins. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Have any of you watched the movie “The Notebook”?  At the end, one of the characters, who has dementia, experiences an episode of lucidity.  When I watched it, between tears (I'm a complete softie) I remember thinking, “Oh no! This will give people false hope!  That their loved one is ‘in there.' If only they could find the right key to unlock the lock and let them out.” Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Our guests are Andrea Gilmore-Bykovskyi, a nurse researcher, and Andrew Peterson, a philosopher. We had a wide ranging discussion that touched on (among many things): A consensus definition developed at an NIH conference, organized by the recently retired NIA program officer Basil Eldadah (we will miss you Basil!). Andrew complicates this definition, stating is raises more questions than answers. Hospice nurses know that terminal lucidity “is a thing” and have pretty much all  seen it Family and caregiver stories of lucid episodes and what they meant to them, including early glimpses into a study Andrea is doing using video to capture episodes and show them to family. Potential for experiences to elicit “false hope”, misunderstanding/misinterpreting, and changing say code status from DNR to full code (rare but happens). Sam Parnia's work on brain activity during CPR and near death episodes Ethical issues these lucid episodes raise  Should clinicians treat people with dementia as always lucid? Having some level of awareness?  Parallels between how we treat people with advanced dementia, who may or may not be lucid, and how we treat AI, who may or may not be conscious, or experiencing paradoxical lucidity on their way to full consciousness.  I try to say please and thank you to the AI I interact with other than Alexa, who is obviously way behind. The Age of Aging podcast episode on lucidity, featuring Anne Bastings, Jason Karlawish, Elizabeth Donnarumma, and Justin Clapp Was Andrew's song choice, “I can see clearly now” better than Eric's suggestion “Silent Lucidity” by Queensryche?   Enjoy! -Alex Smith  

Del peor al mejor equipo de la NFL después de la Agencia Libre y Draft.

In this hour with John Granato and Lance Zierlein, It's time to touch on why did Alex Smith get picked over Aaron Rodgers. Many comments on the current WNBA teams and players. Lastly, news of the weird!

The Zone with Sterling Holmes & Producer Dylan Michaels hear from former NFL Quarterback and Legend Alex Smith, who helped the Chiefs to multiple winning seasons and mentoring Patrick Mahomes, about his life during retirement, his views on the game now from the broadcasting side and more!See omnystudio.com/listener for privacy information.

Alex Smith of the Ice Guys Podcast joins the show, to discuss his top takeaways after last night's Game #7 between the Maple Leafs and Panthers, and how he plans on betting each conference finals series now that both matchups are offically set! To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Joe Ostrowski and Sam Panayotovich break down some of their favorite betting angles to make heading into both thr Eastern and Western Conference Finals in the NBA, as both series are offically set. Then, our reaction to this weekend's big news in the NFL, as the 49ers pay Brock Purdy and what it means for their them going forward. Plus, some of our top NFL Offseason Takeaways, with our eyes already approahcing next season. The hour wraps with Alex Smith of the Ice Guys Podcast joining the show, to discuss his top takeaways from last night's Panthers-Leafs Game #7, and how he is betting the conference finals. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

The Hat Chat Podcast consists of a trio of comedy entertainers who run a YouTube channel called 'Hat Films' Ross Hornby, Chris Trott and Alex Smith make up the three voices you'll hear chatting about absolutely anything and everything. No holds barred! E-mail questions and fingles to hatchat@hat-films.com This podcast may include strong language and topics of a sexual nature. Thanks for listening to our ramblings, check out our Twitch streams at ⁠⁠http://www.twitch.tv/hatfilms⁠⁠ and ⁠⁠https://www.youtube.com/hatchat Learn more about your ad choices. Visit podcastchoices.com/adchoices

Our main focus today was on nudging critical care clinicians to consider a more palliative approach to care.  Our guests are all trained in critical care: Kate Courtright, Scott Halpern, and Jaspal Singh.  Kate and Scott have additional training in palliative medicine.  To start. we review: What is a nudge? Also called behavioral interventions, heuristics, and cognitive biases. Prior podcasts on the ethics of nudging, and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. What is sludge?  I'd never heard the term, perhaps outside of Eric's pejorative reference to my coffee after adding copious creamers, flavoring, and sweeteners.  Sludge is apparently when you create barriers or extra work for someone.  For example, putting the healthy food at the back of the grocery store is sludge; making an applicant for health insurance climb the flight of stairs to the office - weeding out those less fit - is also sludge.  Prior-auth forms? Sludge. Examples of nudges, some based in health care, others in coffee.  This specific study, published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Many were community hospitals.  Participants were critically ill and intubated.  Clinicians were randomized to 4 groups: Usual care Prognosis nudge - EHR prompt asking, do you think your patient will be alive in 6 months? This is called a focusing effect Comfort care nudge - EHR prompt asking if they'd offered comfort-focused care. This is called accountable justification - an appeal to standards of care for critically ill patients endorsed by multiple professional societies. Both the prognosis and comfort care nudge. A few key points of discussion: Is an EHR prompt a nudge or sludge?   The intervention was a negative study for the primary outcome, hospital length of stay.  Why?  The prognosis nudge did nothing.  What to make of that? Would you think an EHR nudge to consider prognosis might move the needle, at least on some outcomes? The nudge toward offering comfort care led to more hospice and early comfort-care orders.  Is this due to chance alone, given the multiplicity of secondary outcomes examined?  Or is it a tantalizing finding that suggests a remarkably low cost EHR based nudge might, on a population level, lead to critical care clinicians offering comfort care and hospice more frequently?  Imagine!    -Alex Smith  

Recently, BookVault—a company familiar to many of our U.S. and U.K. listeners—expanded its print-on-demand services to Australia. In this episode, ALLi's nonfiction advisor Anna Featherstone speaks with Alex Smith, BookVault's brand manager, to learn what the company offers, how it operates globally, and whether it might be a good fit for authors looking to diversify how they produce and distribute their books. In this episode, you'll learn: What BookVault is, which countries it currently serves, and how it compares to KDP, IngramSpark, and traditional book printers How special editions work—costs, timelines, trends, and possibilities The most common mistakes authors make with POD, and how to avoid them Why BookVault charges a setup fee—and how ALLi members can have it waived A crash course on bookbinding types: perfect bound, case bound, and saddle stitch Trends and innovations in indie publishing that have Alex excited about the future Find more author advice, tips, and tools at our Self-Publishing Author Advice Center, with a huge archive of nearly 2,000 blog posts and a handy search box to find key info on the topic you need. And, if you haven't already, we invite you to join our organization and become a self-publishing ally. Sponsors This podcast is proudly sponsored by Bookvault. Sell high-quality, print-on-demand books directly to readers worldwide and earn maximum royalties selling directly. Automate fulfillment and create stunning special editions with BookvaultBespoke. Visit Bookvault.app today for an instant quote. This podcast is also sponsored by Gatekeeper Press, the all-inclusive Gold Standard in Publishing, offering authors 100% rights, royalties, satisfaction and worldwide distribution. Gatekeeper Press, Where Authors are Family. About the Host Anna Featherstone is ALLi's nonfiction adviser and an author advocate and mentor. A judge of The Australian Business Book Awards and Australian Society of Travel Writers awards, she's also the founder of Bold Authors and presents author marketing and self-publishing workshops for organizations, including Byron Writers Festival. Anna has authored books including how-to and memoirs and her book Look-It's Your Book! about writing, publishing, marketing, and leveraging nonfiction is on the Australian Society of Authors recommended reading list. When she's not being bookish, Anna's into bees, beings, and the big issues of our time. About the Guest Alex Smith has been with Printondemand Worldwide, the parent company of BookVault, for more than seven years. During that time, he has gained extensive knowledge of the publishing industry. His experience positioned him to take a leading role in redeveloping the BookVault platform. Alex works closely with leading indie publishing entrepreneurs to ensure BookVault continues to deliver the innovative features authors and publishers need.

En esta primera edición de preguntas y respuestas de este offseason, hablamos de la caída de Shedeur Sanders en el Draft, el lugar histórico de Ben Roethlisberger y mucho más.

With the retirement of Derek Carr, The Drive wondered if he or former Chiefs QB Alex Smith had a better NFL career.

The BMitch & Finlay Show Hour 4 features: 1.Talking Cowboys Offseason with Newy Scruggs 2.Alex Smith On Jayden Daniels Rookie Season 3.Caps Game Predictions

We spend so much time talking about how to make more money, do more, and hustle. In today's episode, Kim is joined by Alex Smith to talk about slowing down and romanticizing your life. Connect with Alex: ⁠https://www.instagram.com/lovedaphnemae⁠ ⁠https://lovedaphnemae.com/links/ Connect with TMA: Website | Membership | Courses: ⁠⁠www.themotherhoodanthology.com⁠⁠ Free Community: ⁠⁠https://www.facebook.com/groups/themotherhoodanthology ⁠⁠ Our Instagram: ⁠⁠instagram.com/themotherhoodanthology⁠⁠ Connect with Kim: Site: ⁠⁠https://kimbox.com ⁠⁠ IG ⁠⁠https://www.instagram.com/kimbox 

Send us a textToday, I'm thrilled to welcome two powerhouse leaders in financial services and events: Dan Rubinetti and Shannon Rosic of Informa. If you've spent any time in the wealth management industry, you know their names are synonymous with top-tier industry conferences, innovative programming, and—most importantly—community building.Dan Rubinetti, who helped launch Edge just four years ago, has been a driving force in transforming WealthManagement.com's approach to advisor-centric events. He's championed the creation of best-in-class experiences that focus on peer-to-peer learning, actionable content, and technology-driven solutions for RIAs and senior leaders. With a keen eye for what resonates in the industry, Dan has played a pivotal role in building Edge's reputation as one of the can't-miss events on the annual calendar—now moving to the breathtaking Boca Raton Resort in June!Alongside Dan is Shannon Rosic, a tech-savvy leader and respected industry voice, known for curating wildly successful educational tracks and superstar speaker lineups. Shannon's ability to translate feedback from advisors and sponsors into real, tangible improvements is the secret sauce behind Edge's “choose your own adventure” conference model. Whether you're into investments, tech demos, or RIA practice management, Shannon ensures there's something for everyone.But that's just the beginning.In today's episode, we dive behind the scenes of Edge's evolution—how attendee-driven feedback, bold new partnerships, and a relentless focus on community have set a new standard for industry events. We talk about the future of advisor learning, the importance of next-gen mentorship, and the rise of women in wealth management. You'll also hear about exciting new features: roundtables, allocate meetings with AI-powered connections, and keynote speakers who embody leadership and resilience—including former NFL quarterback Alex Smith.Plus, Dan and Shannon share candid tips on thriving in high-stress environments, the power of collaboration, and how Informa is opening doors for advisors of all backgrounds to find their tribe, invest in their growth, and shape the industry's future.Get ready for a high-energy, insightful, and heartfelt conversation with two of wealth management's most innovative event leaders—right here, In The Suite.

The Hat Chat Podcast consists of a trio of comedy entertainers who run a YouTube channel called 'Hat Films' Ross Hornby, Chris Trott and Alex Smith make up the three voices you'll hear chatting about absolutely anything and everything. No holds barred! E-mail questions and fingles to hatchat@hat-films.com This podcast may include strong language and topics of a sexual nature. Thanks for listening to our ramblings, check out our Twitch streams at ⁠http://www.twitch.tv/hatfilms⁠ and ⁠https://www.youtube.com/hatchat Learn more about your ad choices. Visit podcastchoices.com/adchoices

5/1/25 - Hour 2 Rich gives props to Anthony Edwards and the Minnesota Timberwolves for dispatching of the Los Angeles Lakers from the NBA Playoffs in just 5 games.   ESPN's Alex Smith, the #1 overall pick in the 2005 NFL Draft, tells Rich what advice he has for this year's top pick Cam Ward, why the NFL needs to show more patience when developing young quarterbacks, reveals the moment he knew Patrick Mahomes was ready to supplant him as the Chiefs' starting QB, and weighs in on the remarkable turnaround of the Washington Commanders last season.  Rich gives TJ a Clippers pep talk.  Please check out other RES productions: Overreaction Monday: http://apple.co/overreactionmonday  What the Football with Suzy Shuster and Amy Trask: http://apple.co/whatthefootball The Jim Jackson Show: https://podcasts.apple.com/us/podcast/the-jim-jackson-show/id1770609432 No-Contest Wrestling with O'Shea Jackson Jr. and TJ Jefferson: https://podcasts.apple.com/us/podcast/no-contest-wrestling/id1771450708 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Alex Smith joined us in studio and discussed the idea of Jaxson Dart sitting behind Russell Wilson in 2025.

Alex Smith talks post draft situations for the Giants QB room, the Jets, and more.

Knicks fans are nervous, Alex Smith joined us in studio, Mets lose 2 in a row, and much more.

Estos fueron los equipos que mejores selecciones hicieron en el NFL Draft 2025.

Send us a textWhat happens when life's carefully constructed plans crumble? For Alex Smith, the journey from small-town athlete to Miss Oklahoma to entertainment industry executive has been anything but predictable. In this raw and revealing conversation, Alex shares how she transformed unexpected setbacks into powerful comebacks through the cultivation of faith.Growing up in a community with just 32 students in her graduating class, Alex had mapped out a future in sports until an injury forced her to reconsider everything. Reluctantly entering the pageant world, she ultimately claimed the Miss Oklahoma crown on her third attempt, launching her into a year of high-profile appearances and opportunities. But when the pageant spotlight dimmed and she didn't place at Miss USA, Alex found herself adrift, wondering what came next.The turning point arrived through a chance encounter with speaker Tim Story, who offered advice that would become her north star: "You can either sit in the setback, settle in the setback, and cement in the setback, or you can pick yourself up and make your setback into a comeback." This mindset shift propelled Alex forward, eventually leading to her current role as Vice President of Speaker Relations for the Aspire Tour, the world's largest business conference.Alex doesn't shy away from discussing her darkest moments, including the death of a former boyfriend in a car accident that tested her faith to its limits. Through prayer, journaling, meditation, and sound healing, she's developed daily practices that strengthen her spiritual foundations. Perhaps most compelling is her story of crisis management at her first major event, when a headline speaker canceled at 4 AM, forcing her to mobilize every contact in her network until securing NFL legend Emmitt Smith as a last-minute replacement.For anyone navigating uncertainty or rebuilding after disappointment, Alex's journey offers a powerful reminder that faith doesn't eliminate fear—it simply needs to be slightly larger than our fears in the moments that matter most.Support the show#thetruthaboutaddiction#sobriety#the12steps#recovery#therapy#mentalhealth#podcasts#emotionalsobriety#soberliving#sobermindset#spirituality#spiritualgrowth#aa#soberlife#mindfulness#wellness#wellnessjourney#personalgrowth#personaldevelopment#sobermovement#recoveroutloud#sobercurious#sobermoms#soberwomen#author#soberauthor#purpose#passion#perspective

We flashback to discuss a movie that was much-requested when it was first released, but just didn't fit into our schedule -- Jerry Seinfeld's baffling paean to the Pop Tart, Unfrosted, a film that throws an astounding cavalcade of comedy talent at ideas that seem (apologies) a bit undercooked. Also, we were blessed by the rare in-studio presence of our beloved producer, Alex Smith, who hadn't actually seen the movie, which made explaining the madness of the "plot" all the more enjoyable.Wikipedia page for UnfrostedRecommended in this episode:Dan: The In-Laws (1979)Stu: Sexy Beast (2000)Elliott: Dark Days (2000)Alex: Gridlock (1996)Aura has a great deal for Mother's Day. For a limited time, listeners can visit AuraFrames.com to get $35-off plus free shipping on their best-selling Carver Mat frame, with promo code FLOP. Support the show by mentioning us at checkout!Head to squarespace.com/FLOP for a free trial, and when you're ready to launch, use OFFER CODE: FLOP to save 10% off your first purchase of a website or domain.

More and more people are, “doing their own research.”  Self-identified experts and influencers on podcasts (podcasts!) and social media endorse treatments that are potentially harmful and have little to no evidence of benefit, or have only been studied in animals.  An increasing number of federal leaders have a track record of endorsing such products. We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently.  Ivermectin to treat cancer.  Stem cell treatments. Chelation therapy.  Daneila Lamas wrote about this issue in the New York Times this week -after we recorded - in her story, a family requested an herbal infusion for their dying mother via feeding tube. Our guests today, Adam Marks, Laura Taylor, & Jill Schneiderhan, have coined a term for such therapies, for Potentially Unsafe Low-evidence Treatments, or PULET. Rhymes with mullet (On the podcast we debate using the French pronunciation, though it sounds the same as the French word for chicken).  We discuss an article they wrote about PULET for the American Journal of Hospice and Palliative Medicine, including: What makes a PULET a PULET?  Key ingredients are both potentially unsafe and low evidence.  If it's low evidence but not unsafe, not generally an issue.  Think vitamins. If it's potentially unsafe, but has robust evidence, well that's most of the treatments we offer seriously ill patients!  Think chemo. What counts as potentially unsafe? They include what might be obvious, e.g. health risks, and less obvious, e.g. financial toxicity. What counts as low-evidence?  Animal studies? Theoretical only? Does PULET account for avoiding known effective treatments? Do elements of care that are often administered to seriously ill patients count? Yes. Think chemotherapy to imminently dying patients, or CPR. How does integrative medicine fit in with this?  Jill Schneiderhan, a family medicine and integrative medicine doc, helps us think through this. How ought clinicians respond?  Hint: If you're arguing over the scientific merits of a research study, you're probably not doing it right.  Instead, think VitalTalk, REMAP, and uncover and align with the emotion behind the request. Does the approach shift when it's a caregiver requesting PULET for an older relative who lost capacity? How about parents advocating for a child? For more, Laura suggests a book titled, How to Talk to a Science Denier.   And I am particularly happy that the idea for this podcast arose from my visit to Michigan to give Grand Rounds, and the conversations I had with Adam and Laura during the visit.  We love it when listeners engage with us to suggest topics that practicing clinicians find challenging. And I get to sing Bon Jovi's Bad Medicine, which is such a fun song! -Alex Smith  

Joe & Sam welcome 3 amazing guests to the show! Andy Molitor joins the show to discuss the NFL Draft, Jason Goff to discuss the NBA Playoffs, and Alex Smith to discuss the NHL Playoffs. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Joe & Sam welcome Alex Smith to discuss the NHL Playoffs and the four coin flip games happening Thursday! To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

A kid hustled in college selling pizzas. Once out of school, he opened up an ice cream shop. And then a deli, and then a full-service restaurant, and today Alex Smith, the founder and CEO of Atlas Restaurant Group, owns more than fifty locations across five states! Of course, Annapolitans are most familiar with The Choptank! With the expansion of their footprint in Annapolis, with two restaurants in the Annapolis Waterfront Hotel expected to open this fall (Armada and Marmo), and The Admiral's Cup in the former Stevens Hardware building scheduled to open in a few weeks, we wanted to chat and learn a bit more about Atlas, how they grew, and how they become a part of the communities they serve. Have a listen! LINKS: Atlas Restaurant Group (Website) Atlas Restaurant Group (Facebook) Atlas Restaurant Group (X) Atlas Restaurant Group (Instagram) Atlas Restaurant Group (LinkedIn) The Choptank (Website) The Admiral's Cup (Website) Marmo (Website) Armada (Website)

In this episode of the "Chicken Dinner" podcast, Sam Panayotovich discusses market volatility in the NFL Draft and betting strategies for the Stanley Cup Playoffs. Special guests Corbie Craig, Alex Smith, Ian Cameron and Jaric Rubel join the show. SUBSCRIBE! Apple, Spotify and all other podcast platformsFOLLOW! X @chickenxdinner | IG and YT @betchickendinner

It's time for our annual NFL Draft preview! In this college football podcast episode, we welcome back Nate Tice of Yahoo Sports for an in-depth look at this year's class. Can Cam Ward's "jazz player" style translate to the pros? Where do Shedeur Sanders and Riley Leonard fit in this QB class? What trends are emerging while evaluating college tape? Who are Nate's pet players, and who are the "Purple Chips" in this year's Draft. Plus, Ty looks for advice for the New York Giants and Dan debuts "The Shania Line."

I read Farah Stockman's article in the NYT on why attacks on DEI will cost us all, and thought, “Yes, and ‘everyone' includes harm to our healthcare workforce, our patients, and their families.” So we're delighted that Farah Stockman, pulitzer prize winning journalist, author of American Made: What Happens to People When Work Disappears, and editorial board member at the New York TImes joins us to set the bigger picture for this discussion.  Farah provides clear examples from the Biden administration, in which having the most diverse cabinet in history was critical to building bridges, empathy, and inspiring others to feel included. We are also pleased to welcome Ali Thomas, a hospitalist, member of the Baha'i Faith, leader of anti-racism efforts in the Pacific Northwest, and founder of the BIPOC Health Careers Ecosystem.  Ali talks about the history of affirmative action, which started as a program for Whites, the importance of diversity in the healthcare workforce, the history of allyship and cross cultural collaboration, and his own efforts to provide opportunity and support for historically oppressed groups in his own community to obtain healthcare careers. And Ken Covinsky, avid baseball fanatic, joins us and notes that the day we record (April 15) is Jackie Robinson day.  Many may be familiar with the story of Jackie Robinson breaking the color barrier in major league baseball in 1947, but may not be aware of the tremendous adversity Jackie Robinson faced, and persistence he displayed, off the field. We address many things, including: The movement in Corporate America and institutes of higher education to implement DEI programming in the wake of George Floyd The general agreement in America of the value of diversity, and disagreement, unpopularity, and backlash about DEI as it was implemented How the pursuit of diversity and excellence are not in tension, they are aligned and necessary for each other What we can do to build bridges across differences There was so much we hoped to talk about and didn't get to, but I will link to now, including: Ali's mom's personal history with and study of school desegregation in South Carolina, Farah's mom's pioneering work as a speech language pathologist, and Ken's perspectives on the importance of studying ageism and racism in research. What a Wonderful World could be sung in irony at this moment.  I hope we all take it literally, with the hope this podcast ends with. -Alex Smith

Early in my research career, I was fascinated by the (then) frontier area of palliative care in the emergency department.  I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. I can't do the primary thing I've been trained to do: ABC, ABC, ABCs.  Most emergency providers wanted to do the right thing for seriously ill patients, but they didn't have the knowledge, skills, or experience to do it. Today we focus on an intervention, published in JAMA, that gave emergency clinicians basic palliative care knowledge, training, and skills.  We talk with Corita Grudzen and Fernanda Bellolio about their cluster stepped wedge randomized trial of a palliative care intervention directed at emergency clinicians.  They got training in Vital Talk and ELNEC.  They got a decision support tool that identified hospice patients or those who might benefit from a goals of care discussion.  They got feedback. So did it matter?  Hmmm….it depends.  We are fortunate to have Tammie Quest, emergency and palliative trained and long a leader in this space, to help us unpack and contextualize these findings. Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. hospice use). Why to emergency clinicians, this study was a wild success because they had the skills they wanted/needed to feel like they could do the right thing (during the onset of Covid no less). Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. What is a cluster stepped wedge randomized trial?  Were they surprised by the negative findings? How do we situate this study in the context of other negative primary palliative care interventions, outside the ED?  E.g. Yael Shenker's negative study of primary palliative care for cancer, Randy Curtis's negative study of a Vital Talk-ish intervention, Lieve Van den Block's negative study of primary PC in nursing homes. Why do so many (most, all??) primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. Should we give up on primary palliative care?  What's next for primary palliative care interventions in the ED? And if your Basic Life Support training certification is due, you can practice the correct chest compression rate of 110 beats per minute to Another One Bites the Dust. -Alex Smith

Whelp, goodbye folks!  Eric and I have been DOGE'd. In a somewhat delayed April Fools, Nancy Lundeberg and Annie Medina-Walpole have taken over podcast host duties this week. Their purpose is to interview me, Eric, and Ken Covinsky about your final AGS literature review plenary session taking place at the Annual Meeting in Chicago this May (for those attending, our session is the plenary the morning of May 10).  We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this year's meeting.   We covered: The first parody song I wrote, for AGS 2018 in Orlando, about this article by Nancy Schoenborn on how to discuss stopping cancer screening. Ken's favorite articles, including The Impact of Rudeness on Medical Team Performance: A Randomized Trial Effect of Exercise Intervention on Functional Decline in Very Elderly Patients During Acute Hospitalization Eric's favorite article on the effect of chair placement on physicians' behavior and patients' satisfaction Tim Anderson's study on the intensification of older adults' outpatient blood pressure treatment at hospital discharge Nancy's favorite topic and parody song, Aducanumab, which won Drug of the Year in 2021.  Enjoy! And maybe, just maybe, Eric and I will be reinstated and return as hosts next week… -Alex Smith  

Joe Ostrowski & Sam Panayotovich welcome Alex Smith, Co-Host of The Ice Guys, to share his NHL bets and insights as we enter in the home stretch of the season. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

During hour two of Bet Sweats, Joe Ostrowski & Sam Panayotovich welcome Derek Carty to share his MLB bets, talk NFL Win Totals, and then are joined by Alex Smith to discuss NHL insights before the Stanley Cup Final. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

The Hat Chat Podcast consists of a trio of comedy entertainers who run a YouTube channel called 'Hat Films' Ross Hornby, Chris Trott and Alex Smith make up the three voices you'll hear chatting about absolutely anything and everything. No holds barred! E-mail questions and fingles to hatchat@hat-films.com This podcast may include strong language and topics of a sexual nature. Thanks for listening to our ramblings, check out our Twitch streams at http://www.twitch.tv/hatfilms and https://www.youtube.com/hatchat Learn more about your ad choices. Visit podcastchoices.com/adchoices

A pragmatic trial evaluates the effectiveness of a treatment or intervention in “real-world” clinical practice.  Outcomes are typically assessed from available records.  Eligibility in pragmatic trials are often broad, and don't have the exclusions of efficacy studies, which examine treatment effects under highly controlled conditions in highly select populations. Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. We spend the last portion of the podcast discussing the surprising finding of the study.  In the primary care practices that received the advance care planning intervention, rates of advance care planning were higher (about double). Shockingly, rates of potentially burdensome intervention (intubation, CPR, etc) were also higher in the advance care planning intervention group.  What?!?  Not a typo. We spend some time unpacking and contextualizing the potential reasons for this surprising finding, including: Disconnect between relatively low rates of new advance directives (12% in intervention arm vs 7% control) and higher rates of potentially burdensome treatment among decedents (29% in intervention arm vs 21% control).  Only 5% of intervention patients received the facilitator led component of the intervention (there were other components, facilitator-led was the most engaged component). Was there really a causal connection between the intervention, new advance directives, and higher rates of potentially burdensome interventions? Potential that care received, though potentially burdensome, was in fact aligned with goals, and might represent goal concordant care. Potential that documenting advance directives without a robust conversation about prognosis might have led to these findings.  My goals will differ if I think I probably have 2 years to live vs 10 years. Comparison to a trial Yael Shenker discussed in our podcast on AAHPM/HPNA plenary abstracts (also used the Respecting Choices intervention, outcome differed). Implications for the larger discussion over the value of advance care planning, and additional research into advance care planning.  As I say on the podcast, I'm sure Sean Morrison would be delighted to point to these findings as evidence that advance care planning doesn't work, and in fact may be harmful. And I got to sing in Spanish for the second time. I hope my pronunciation is better than my Urdu, or French! -Alex Smith  

Josh Mankiewicz and Craig Melvin sit down to talk about Craig's episode, “Return to the Lake.” In 1994, the disappearance of two young brothers, Michael and Alex Smith, following an alleged carjacking in Union, South Carolina, was all anyone could talk about. The nation felt their mother's despair as she told the harrowing story of a man who drove off with her two young boys after threatening her at gunpoint.  Nine days after Michael and Alex disappeared, Susan Smith confessed to the unimaginable – she had killed her sons. Josh and Craig discuss Craig's heartbreaking interview with David Smith about the deaths of his sons 30 years ago and his ex-wife's recent bid for parole. Dateline Producer Carol Gable joins Josh to discuss the letters she and Susan Smith have exchanged for the past 20 years and to answer questions from social media.Listen to the full episode of “Return to the Lake” on Apple: https://apple.co/3CM39jzListen to the full episode on Spotify: https://open.spotify.com/episode/13y8ZWq4lKB5kM9ZY7Crli

Exclusive new details in the case of Susan Smith, who murdered her two young boys in 1994. Craig Melvin speaks with David Smith about his ex-wife's recent attempt to be released from prison.