Podcast appearances and mentions of Alex Smith

Llega la primera edición de los Power Rankings esta temporada, con Bills y Ravens compartiendo la cima.

July 27, 2025 Alex Smith by Taylors FBC

92%ers, welcome to another episode of New Heights brought to you by Reese's Oreo Cups! On today's episode, we get right to the announcement that took over the internet last week, Travis shares his advice for other 92%ers thinking of popping the question, Jason clarifies who brought jorts for Jason at the Bearcats game, we also break down the Chiefs week 1 trip to Brazil, and the Eagles hanging a banner in front of the Cowboys. Later Chiefs legend Alex Smith joins us to help break down everything about the upcoming NFL season. We get into his favorite stories about rookie Travis, what life is like as a #1 pick, the QBs he can't wait to watch this season, his thoughts on the Ben Johnson hire in Chicago, why he thinks the Jags might be a sleeper playoff team, and we take a few calls from the Heights Hotline. You can also listen to new episodes early and ad-free on Wondery+. Join Wondery+ in the Wondery App, Apple Podcasts or Spotify. ...Download the full podcast here:Wondery: https://wondery.app.link/s9hHTgtXpMbApple: https://podcasts.apple.com/us/podcast/new-heights/id1643745036Spotify:https://open.spotify.com/show/1y3SUbFMUSESC1N43tBleK?si=LsuQ4a5MRN6wGMcfVcuynwFollow New Heights on Social Media for all the best moments from the show: https://lnk.to/newheightshowCheck out all the New Heights merch at https://homage.com/newheights Support the show: REESE'S: Grab REESE'S OREO Cups today, wherever candy is sold!GILLETTE: Visit https://Gillette.com/NFL for more information!YOUTUBE: Set a reminder now at https://youtube.com/nfl and don't forget to TUNE IN on this Friday, September 5thSEAT GEEK: Use our code for 10% off your SeatGeek order*. https://seatgeek.onelink.me/RrnK/NEWHEIGHTS ($25 max discount) *Restrictions ApplyALLSTATE: Checking first is smart. So, check https://Allstate.comfirst for a quotethat could save you hundreds.LIQUIDIV: Tear. Pour. Live More. Go to https://liquidiv.com and get 20% off your first order with code NEWHEIGHTS at checkout.DRAFTKINGS: Don't miss out on all the action this week at DraftKings! Download the DraftKings app today! Sign-up using dkng.co/newheights or through my promo code NEWHEIGHTS. GAMBLING PROBLEM? CALL 1-800-GAMBLER, (800) 327-5050 or visit gamblinghelplinema.org (MA). Call 877-8-HOPENY/textHOPENY (467369) (NY).Please Gamble Responsibly. 888-789-7777/visit ccpg.org (CT), or visit www.mdgamblinghelp.org (MD). 21+ and present in most states. (18+ DC/KY/NH/WY). Void in ONT/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS).1 per new customer. $5+ first-time bet req. Max. $200 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: dkng.co/dk-offer-terms. Ends 2/9/25 at 11:59 PM ET. Sponsored by DK.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

April 6, 2025 Alex Smith by Taylors FBC

Leaders Who Create Resources: Join Jason Squires as he sits down with Alex Smith. Alex is on staff at The Pointe Church in Eastanollee, GA. Alex shares how her passion for helping others started, whether creating resources was intentional or a natural outflow of her church role, and what her process looks like for turning ideas into practical tools anyone can use. In this conversation, Alex opens up about the challenges she's faced when hitting creative walls, how she pushes through, and the advice she'd give to new content creators who are just starting out. If you're a worship leader, keyboard player, or content creator looking for inspiration, this is a podcast you won't want to miss. Check out Alex on Instagram @alexonthekeyz.

In this clip from the Friday episode of the North Shore Drive podcast, presented by Edgar Snyder & Associates, host Adam Bittner welcomes Post-Gazette sports columnist Jason Mackey to ponder best-case scenarios for the Steelers in 2025 and what needs to go right to attain them. Do T.J. Watt, Alex Smith, Nick Herbig and the pass rush need to be better than they were in 2024? And how much will a reloaded offensive line with Derrick Harmon and Yahya Black next to Cam Heyward and Keeanu Benton help in that pursuit? Can the entire quarterback room be good enough for OC Arthur Smith? From Aaron Rodgers, who's facing questions about how quickly he can find his stride, to Mason Rudolph in a backup role. And can coach Mike Tomlin get where he wants to go if Broderick Jones, and potentially also Troy Fautanu, aren't playing at close to a Pro Bowl level in protecting a largely immobile Rodgers behind center? Our duo tackles those questions and more.

Pasó lo impensable. Jerry Jones y los Dallas Cowboys mandaron a Micah Parsons a los Green Bay Packers. Analizamos el movimiento para todos los involucrados.

00:00 – 11:20– Chris Ballard spoke yesterday and there was a lot to break down, the biggest takeaways 11:21 – 22:47 – Morning Checkdown 22:48 – 42:48 – More reaction to Chris Ballard’s press conference, getting defensive with all the quarterback questions, his comment about “doing enough homework” on Anthony Richardson, where he thinks there are positions of strengths on the roster 42:49 – 1:00:41 – More reaction to Ballard’s presser, Schoolhouse Rock, the “real job” comment, BREAKING NEWS: Washington Post drops a story about Jim Irsay’s multiple relapses before his death, Morning Checkdown 1:00:42 – 1:17:30– Scott Agness of Fieldhouse Files joins us to discuss where the Fever are as they chase a playoff spot, TJ McConnell night at Victory Field last night, Mike Weinar’s departure from the Pacers 1:17:31 – 1:26:15 – We react to the bombshell Washington Post report on Jim Irsay and his multiple relapses before his death 1:26:16 – 1:53:14 – Tom Dienhart of On3 joins us to preview Purdue’s football season as the team preps for Ball State, Devin Mockobee staying through all the transition with the team, the latest chapter in the Tyler Trent story, expectations for Barry Odom’s team, Colts discussion: Ballard’s Alex Smith comment, Daniel Jones expectations, Morning Checkdown 1:53:15 – 2:0:3:22 – Breakfast for dinner, baby food, Chris Ballard’s comments yesterday, Conjunction Junction 2:03:23 – 2:12:06 – Pointer Sisters/Sesame Street, children TV shows, happier when your team wins or most hated team loses?, Shane Steichen today Support the show: https://1075thefan.com/the-wake-up-call-1075-the-fan/See omnystudio.com/listener for privacy information.

The Bengals set their roster – at least for now – and turn their attention to the season opener. Dan Hoard's guests include former NFL quarterback and ESPN analyst Alex Smith and wide receiver Charlie Jones. Plus, Dan shares his Top 5 training camp standouts.See omnystudio.com/listener for privacy information.

Japan goes after arcades, Nintendo's Famicon gets its first licensee & Gamers come together online 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 October 1984.  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/137421899 7 Minutes in Heaven: Lazy Jones Video Version: https://www.patreon.com/posts/7-minutes-in-137421447     https://en.wikipedia.org/wiki/Lazy_Jones Corrections: September 1984 Ep - https://www.patreon.com/posts/september-1984-127470165 Ethan's fine site The History of How We Play: https://thehistoryofhowweplay.wordpress.com/     https://archive.org/details/atariincbusiness0000gold     http://jerrymomoda.com/universal-vs-nintendo-part-i-2/     https://www.patreon.com/posts/83174490/     https://www.filfre.net/2016/05/kit-williamss-golden-hare-part-1-the-contest/page_1big/     https://www.youtube.com/watch?v=1-Uz0LMbWpI         https://archive.org/details/zaprisefall00cohe/mode/2up      1944     Coinmen looking forward to VE Day     https://www.worldradiohistory.com/Archive-All-Music/Cash-Box/40s/44/CB-1944-10-03.pdf  pg. 1        https://www.worldradiohistory.com/Archive-All-Music/Cash-Box/40s/44/CB-1944-10-10.pdf pg. 3        https://www.ipdb.org/machine.cgi?id=2735         https://www.ipdb.org/machine.cgi?id=2736     https://www.worldradiohistory.com/Archive-All-Music/Cash-Box/40s/44/CB-1944-10-31.pdf   pg. 2     https://www.worldradiohistory.com/Archive-All-Music/Cash-Box/40s/44/CB-1944-10-10.pdf  pg. 2          https://www.worldradiohistory.com/Archive-All-Music/Cash-Box/40s/44/CB-1944-10-17.pdf   pg. 5 First National Electronics Conference held     https://www.nytimes.com/1944/10/06/archives/electronics-holds-postwar-promise-war-expansion-of-uses-aids-in.html?searchResultPosition=2 1954     Popular Electronics debuts     https://www.worldradiohistory.com/Archive-Poptronics/50s/54/Pop-1954-10.pdf    pg. 52 Von Neumann joins Atomic Energy Commission     https://www.nytimes.com/1954/10/24/archives/oppenheimer-friend-named-to-the-aec-von-neumann-gets-vacancy-on-aec.html?searchResultPosition=3        https://www.nytimes.com/1954/10/24/archives/von-neumann-had-key-hbomb-role-princeton-scientist-created.html?searchResultPosition=5 New York Magistrate resigns to head Comics Code Authority      https://www.nytimes.com/1954/10/02/archives/magistrate-resigns-murphy-to-draft-a-code-for-comic-magazine.html?searchResultPosition=4 1964     UNIVAC experiments with airflow computing     https://www.nytimes.com/1964/10/18/archives/new-digital-computer-introduced-by-univac.html?searchResultPosition=2 Big Tech hit by defense spending cuts     https://www.nytimes.com/1964/10/13/archives/watson-announces-ibm-profits-mark-for-third-quarter.html?searchResultPosition=65 Bowling gets computerized     https://www.worldradiohistory.com/Archive-Poptronics/60s/64/Pop-1964-10.pdf   pg. 46 1974     ASCII code extensions proposed     https://www.worldradiohistory.com/Archive-Poptronics/70s/1974/Poptronics-1974-10.pdf   pg. 26       https://www.aivosto.com/articles/charsets-7bit.html#body       Atari Debuts Touch Me     https://www.worldradiohistory.com/Archive-All-Music/Cash-Box/70s/1974/CB-1974-10-19.pdf   pg. 31 Sega sponsors video game tournament     https://www.worldradiohistory.com/Archive-All-Music/Cash-Box/70s/1974/CB-1974-10-26.pdf  pg. 45         https://segaretro.org/Sega_TV_Game-ki_Zenkoku_Contest     1984: Hasbro buys Milton Bradley     Toys Hobbies & Crafts, October 1984 Warner returns to profitability     "Posts $24.4 Million Profit Compared With Loss a Year Ago, The Associated Press October 23, 1984, Tuesday, AM cycle, Section: Business News" Atari Games Inc. established     Replay, October 1984, pg. 15      Jack is looking for cash     The second time around, Forbes, October 8, 1984, Section: COMPANIES; Pg. 42, Byline: By Anne Bagamery     Electronic Games, October 1984, pg. 12     Gerard Leaves as Warner Co-President, The Associated Press, October 16, 1984, Tuesday, AM cycle, Section: Business News Commodore financials break records     https://archive.org/details/popular-computing-weekly-1984-10-18/page/n4/mode/1up?view=theater      Apple numbers soar     Apple earnings soar six-fold in quarter, Financial Times (London,England), October 19, 1984, Friday, Section: SECTION II; International Companies; Pg. 21 TI settles investor suit     Suit costs TI $12 million, Computerworld, October 15, 1984, Section: COMPUTER INDUSTRY; Pg. 116 Ocean buys Imagine     https://archive.org/details/popular-computing-weekly-1984-10-18/mode/1up?view=theater Sinclair buys rights to bandersnatch     https://archive.org/details/popular-computing-weekly-1984-10-11/mode/1up?view=theater     https://archive.org/details/popular-computing-weekly-1984-10-04/page/n4/mode/1up?view=theater Activision to spend big as computer game maker     ACTIVISION; Details pre-Christmas advertising and promotion plans, Business Wire, October 24, 1984, Wednesday            ACTIVISION; Financial results, Business Wire, October 29, 1984, Monday PCS going into bankruptcy     https://archive.org/details/popular-computing-weekly-1984-10-25/page/n4/mode/1up?view=theater      Konami goes public     KONAMI INDUSTRY TRADED FIRST AT 8,300 YEN, Copyright 1984 Jiji Press Ltd.Jiji Press Ticker Service, OCTOBER 1, 1984, MONDAY Japanese Arcade law     https://archive.org/details/game-machine-magazine-19841001p/page/n18/mode/1up?view=theater Japanese arcades diversify     https://archive.org/details/game-machine-magazine-19841015p/page/n16/mode/1up Chuck E. Cheese operations normalize     Play Meter, October 15, 1984, pg. 9 Fighting games are all the rage     Replay, October 1984, pg. 16     https://en.wikipedia.org/wiki/Punch-Out!! AMOA set to be the battle of the carts     Replay, October 1984, pg. 27, pg. 31 Video Games donated to Smithsonian     https://www.worldradiohistory.com/Archive-All-Music/Cash-Box/80s/1984/CB-1984-10-20.pdf  pg. 38      Namco moves to Famicom     https://archive.org/details/game-machine-magazine-19841001p/page/n18/mode/1up?view=theater     http://www.videogameden.com/fc.htm?lor      Parker Bros may be getting out     https://archive.org/details/computer-entertainer-3-7/page/n14/mode/1up?view=theater     Tom Dusenberry - Parker Brothers - Hasbro - Atari - https://www.patreon.com/posts/42807419 Adam woes continue     https://archive.org/details/computer-entertainer-3-7/mode/1up?view=theater     https://archive.org/details/computer-entertainer-3-7/page/105/mode/1up?view=theater     Cabbage Patch Sales Boost Coleco's 3rd-Qtr Profit, The Associated Press, October 25, 1984, Thursday, AM cycle, Section: Business News          No Headline In Original, United Press International, October 24, 1984, Wednesday, BC cycle, Section: Financial     Adam promotion costs hit earnings at Coleco, Financial Times (London,England), October 30, 1984, Tuesday, Section: SECTION II; International Companies; Pg. 15 Oric on the ropes     https://archive.org/details/popular-computing-weekly-1984-10-04/mode/1up?view=theater GEC drops MSX plans     https://archive.org/details/popular-computing-weekly-1984-10-11/page/n4/mode/1up?view=theater Sega to launch MSX in UK     https://archive.org/details/popular-computing-weekly-1984-10-18/page/n4/mode/1up?view=theater          https://www.msx.org/wiki/Yashica_YC-64         https://www.msx.org/wiki/Category:Yeno Amstrad bullish on CPC     Amstrad stays Sugar sweet, The Guardian (London), October 4, 1984, Byline: By MAGGIE BROWN Commodore prepping 128     https://archive.org/details/popular-computing-weekly-1984-10-25/mode/1up?view=theater Sinclair denies rumors of expanded speccy     https://archive.org/details/popular-computing-weekly-1984-10-04/mode/1up?view=theater Sinclair announces Spectrum+     https://archive.org/details/popular-computing-weekly-1984-10-18/mode/1up?view=theater         https://archive.org/details/popular-computing-weekly-1984-10-25/page/n17/mode/2up?view=theater Home computers have the price right, just not the power     Byte, October 1984, pg. 6     Final bonanza for home micros / Sales of cheap home computers, The Guardian (London), October 8, 1984, Byline: By PETER LARGE Games on cassette are dead     https://archive.org/details/computer-entertainer-3-7/page/107/mode/1up?view=theater Bookware mania explodes!     https://archive.org/details/computer-entertainer-3-7/mode/1up?view=theater         https://archive.org/details/popular-computing-weekly-1984-10-11/page/n4/mode/1up?view=theater     Toy & Hobby World, October 1984, pg. 8      Visi On sold to CDC     https://books.google.de/books?id=d-tPdHcBE9wC&pg=PAPA41&redir_esc=y#v=onepage&q&f=false Microsoft delays Windows... again     PERIPHERALS; SPECIAL INSURANCE COVERAGE COULD PREVENT COSTLY LOSSES, The New York Times, October 30, 1984, Tuesday, Late City Final Edition, Section: Section C; Page 6, Column 5; Science Desk Ensoniq plans ad campaign     No Headline In Original, ADWEEK, October 22, 1984, Eastern Edition, Section: ACCOUNT ACQUISITIONS; New England         https://en.wikipedia.org/wiki/Ensoniq Crackers get organized     https://archive.org/details/popular-computing-weekly-1984-10-25/page/n4/mode/1up?view=theater          https://csdb.dk/group/?id=3423      Playnet Launches nationwide     PLAYNET; Launches national access to its in-home, on-line network, Business Wire, October 30, 1984, Tuesday Comp-U-Card hits 1 million     COMP-U-CARD-INTL; Announces individual membership base exceeds one million, Business Wire, October 18, 1984, Thursday      Micronet to take on Compunet in the UK     https://archive.org/details/popular-computing-weekly-1984-10-18/mode/1up?view=theater         Futures (Micro Guardian): Search and you will find / The World Reporter full text news and current affairs database, The Guardian (London), October 18, 1984 Videotex or videotext?     Business World;Infant videotext industry has identity problems in pitching home information systems to consumer, United Press International, October 21, 1984, Sunday, BC cycle, Section: Domestic News, Byline: By SUSAN POSTLEWAITE, UPI Business Writer              Business World; Infant videotext industry has identity problems in pitching home information systems to consumer; First question: What does it do?; Second question: Why do I want it?; Third question: Can I afford it?, United Press International, October 21, 1984, Sunday, BC cycle, Section: Financial, Byline: By SUSAN POSTLEWAITE, UPI Business Writer Game creators get chatty     https://archive.org/details/Computer_Gaming_World_Issue_4.5/page/n13/mode/2up     https://archive.org/details/Computer_Gaming_World_Issue_4.5/page/n29/mode/2up      ISBN adds software     Byte, October 1984, pg. 10 Antic Reviews The Art of Computer Game Design     https://archive.org/details/artofcomputergam00chri/mode/2up?view=theater        https://archive.org/details/1984-10-anticmagazine/page/82/mode/2up      Nintendo beats Universal on appeal     "Universal City Studios, Inc. v. Nintendo Co., United States Court of Appeals for the Second Circuit, May 23, 1984, Argued ; October 4, 1984, Decided, No. 84-7095     On the Light Side, The Associated Press, October 11, 1984, Thursday, PM cycle" MCA sues Atari     https://archive.org/details/computer-entertainer-3-7/mode/1up     https://www.atariprotos.com/2600/software/dune/dune.htm Commodore runs afoul of the FTC     Byte, October 1984, pg. 9      Learn to speculate - the Video Game!     INVESTMENT WATCH, The San Diego Union-Tribune, October 31, 1984 Wednesday, Section: BUSINESS; Pg. A-13, Byline: Janet Lowe, TRIBUNE FINANCIAL EDITOR          https://www.worthpoint.com/worthopedia/comex-game-market-simulator-software-3764189470   Acorn dives into Laserdiscs     Venture in video discs,Financial Times (London,England), October 31, 1984, Wednesday, Section: SECTION I; Technology; Education; Pg. 15, Byline: EDITED BY ALAN CANE           https://www.historyofinformation.com/detail.php?id=1661 RIP HESWare     https://archive.org/details/popular-computing-weekly-1984-10-11/mode/1up?view=theater           Jay Balakrishnan - HESWare, Radical, Dynamics, Solid State Software - https://www.patreon.com/posts/jay-balakrishnan-103071267     No Headline In Original, United Press International, October 8, 1984, Monday, BC cycle, Section: Financial, Dateline: EUGENE, Ore. Quote of the month: https://archive.org/details/popular-computing-weekly-1984-10-25/page/n2/mode/1up?view=theater 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

In this week's Goblins & Growlers Podcast, Inverlyst welcomes Alex of Alpha Comics & Games to pull back the curtain on writing romance into your tabletop games. Together, they tackle the messy realities of GMing smoochable NPCs, avoiding bleed, and why player-to-player romance can derail a campaign faster than a crit fail. From sexy smiths to sahuagin brothels, Alex shares her hard-earned lessons on slow burns, narrative flags, and why romance should challenge players instead of pandering to them. Whether you're a GM curious about adding intimacy to your campaign or a player wondering why your bard's “roll to seduce” isn't working, this episode sets the groundwork. BEHOLD THE RELEVANT LINKS ✦ Discord: bit.ly/goblindiscord ✦ Guest: @LexieSunshine on socials ✦ Alpha Comics & Games: facebook.com/AlphaComicsAndGames

In today's podcast we talk with Eric Wong, geriatrician-researcher from Toronto, and Thiago Silva, geriatrician-researcher from Brazil, about the comprehensive geriatrics assessment.  We spend the first 30 minutes (at least) discussing what, exactly is the comprehensive geriatric assessment, including: What domains of assessment are essential/mandatory components of the comprehensive geriatrics assessment? Who performs it? Is a multidisciplinary team required? Can a geriatrician perform it alone? Can non-geriatricians perform it? Who is the comprehensive geriatrics assessment for? Who is most likely to benefit? Eric Widera suggests not as much benefit for very sick and very healthy older adults, more benefit in the vast middle. Why do the comprehensive geriatrics assessment? What are the interventions that it leads to (we cover this more conceptually, rather than naming all possible interventions) How does the comprehensive geriatrics assessment relate to the 4Ms (or 5 Ms)? How long does it take to conduct a comprehensive geriatrics assessment? What's the evidence (BMJ meta analysis) for the comprehensive geriatrics assessment?  What are the outcomes we hope for from the comprehensive geriatrics assessment?   That final point, about outcomes, bring's us to Eric Wong's study, published in JAGS, which evaluates the cost effectiveness of the comprehensive geriatrics assessment performed by a geriatrician across settings (e.g. acute care, rehab, community clinics). As an aside, as the editor at JAGS who managed this manuscript, I will say that we don't ordinarily publish cost effectiveness studies at JAGS, as the methods are opaque to our clinical audience (e.g. raise your hand if you understand what ‘CGA provided in the combination of acute care and rehab was non-dominated' means). We published this article because its bottom line is of great interest to geriatricians.  In Eric's study, geriatricians performing CGA were more cost effective than usual care in Every. Single. Setting. And of course cost effectiveness is only one small piece of the argument for why we do the comprehensive geriatrics assessment in the first place (no patient in the history of the world has ever asked for a test or treatment because it's cost effective for the health care system). I'll close with a couple of “mic drop” excerpts from Thiago's accompanying editorial: Finally, it is instructive to compare the cost-effectiveness of geriatric services and CGAs with other interventions. A recent analysis of lecanemab for early-stage Alzheimer's disease found that gaining one QALY would cost approximately $287,000 (USD). In contrast, Wong et al. estimated that adding community-based CGA would cost about $1203 (CAD) per quality-adjusted life month (QALM) (equating to roughly $10,105 (USD) per QALY, using $1 USD = $0.7 CAD), making geriatrician-led CGA nearly 30 times more cost-effective. Put simply, for each dollar spent to improve quality of life for a year through CGA, one would need to spend almost $30 to achieve the same benefit with lecanemab.  Ultimately, the question is not whether geriatricians represent a worthwhile investment (they are) but how healthcare systems can ensure that every older adult requiring specialized, comprehensive care can access it. Wong et al.'s modeling study provides a valuable contribution by showing that geriatricians placed in acute and rehabilitation settings offer the most cost-effective deployment given current workforce limitations. Despite some caveats, the overarching message remains clear: geriatric expertise not only enhances care quality but can also align with health-economic objectives, especially in high-acuity environments. However, we cannot allow an inadequate geriatric workforce to become a permanent constraint, forcing painful decisions about which older adults and which settings will miss out on optimal geriatric care. Instead, we should continue to strive to increase the number of geriatricians through robust training programs and payment model reform to ensure that cost-effective care can be provided for this large and growing vulnerable population.  -Alex Smith  

Join us on Door2Door Insider as we welcome Alex Smith, a solar industry veteran with 9.5 years of experience. For 4.5 years, he's led Spartan Solar, steering a sales team to consistently achieve 4-7 MW monthly. In 2025, Alex launched SpartanX, an install division, aiming to install 100 systems per week by year-end. Tune in for insights on entrepreneurship, leadership, and balancing innovation with a thriving business.Subscribe for more on work-life balance and industry trends!Support the show

On a prior podcast we talked with Todd Semla and Mike Steinman about the update to the AGS Beers Criteria of potentially inappropriate medications in older adults (Todd and Mike co-chair the AGS Beers Criteria Panel).  One of the questions that came up was - well if we should probably think twice or avoid that medication, what should we do instead? Today we talk with Todd and Mike about their new recommendations of alternative treatments to the AGS Beers Criteria, published recently in JAGS, and also presented at the 2025 AGS conference in Chicago (and available on demand online). We had a lot of fun at the start of the podcast talking about the appropriate analogy for how clinicians should use the AGS Beers Criteria.  In our last podcast, the analogy was a stop sign. You should come to a stop before you prescribe or refill a medication on the Beers list, look around at alternatives, and consider how to proceed.  You might in the end decide to proceed, as there are certainly situations in which it does make sense to start or continue a medication on the Beers list. Today's analogy had somewhat higher stakes, involving a driver, a pothole in the road, and a cyclist on the side who you'd hit if you swerved.  Really upping the anti!!! The podcast is framed around a case Eric crafted of a patient with most of the medications and conditions on the Beers list. We used this as a springboard to discuss the following issues (with links to prior GeriPal podcasts): Insomnia (Doxepin is an alternative, trazodone and melatonin are not?!?) Diabetes management  PPI for GERD Treatments for pain, including NSAIDS, COX2, and gabapentinoids Cannabis Deprescribing,org - terrific Canadian website (no tariff to use) And I hope that the prescribing landscape is indeed getting better (thanks to Kai on guitar)! -Alex Smith  

NFL Super Bowl Champion,  Businessman, ActorThis episode. I Get to Chat with Fellow Washingtonian NFL Super Bowl Champion Vernon Davis!!In the 2011–12 NFL playoffs with the 49ers, Davis caught the game-winning touchdown pass from Alex Smith against the New Orleans Saints, referred to as "The Catch III". In 2015, he was traded to the Denver Broncos, where he won Super Bowl 50 with the team over the Carolina Panthers. Davis then signed with the Washington Redskins in 2016, where he played until his retirement following the 2019 season.Davis has become an entertainment personality since retiring from the NFL after the 2019 season, which includes competing on Dancing With the Stars in season 29. Among his recent acting credits are the Morgan Freeman-led The Ritual Killer and the Jon Heder comedy Plan B.In 2023, Two-time pro bowler and Super Bowl champion Vernon Davis, formerly of the San Francisco 49ers, Denver Broncos, and Washington Commanders, is also a star player as a member of the “Union” ensemble cast. Filmed a the Set in the heart of Northeast Washington, “Union” at the iconic Union District Oyster Bar. It is one of the first sitcoms about such a location that is filmed in an actual, operating bar.Match Point centers on Max (Davis) and Anthony (Bolden), two former tennis stars who co-host a new podcast together. The series follows their behind-the-scenes efforts to launch the podcast alongside a high-strung producer (Ashley Haas) and a ratings-obsessed talent booker (Rob Gordon), all while dealing with pushy executives and a dysfunctional crew.You can catch up with Vernon on Instagram: VernonDavis85© 2025 Building Abundant Success!!2025 All Rights ReservedJoin Me on ~ iHeart Media @ https://tinyurl.com/iHeartBASJoin me on Spotify: https://tinyurl.com/yxuy23baAmazon Music ~ https://tinyurl.com/AmzBASAudacy:  https://tinyurl.com/BASAud

Estos jugadores están en su última oportunidad de demostrar algo en la NFL o con sus equipos, si quieren continuar. Es ahora o nunca para ellos.

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

The entirety of DJ & PK for August 4, 2025: HOUR ONE Pablo Mastroeni, Real Salt Lake Fred Whittingham Jr. and Morgan Scalley, Utah Football Fesi Sitake and Tiger Bachmeier, BYU Football HOUR TWO What is Trending Hot Takes or Toast: Dean Rueckert set to commit...to BYU? Damian Lillard takes over as Weber State MBB GM HOUR THREE Kevin Graham talking College and NFL Football Should Alex Smith be a Pro Hall of Famer? MLB's stat revolution comes to a megatron HOUR FOUR Eric Duft, Weber State Men's Basketball Slacker Radio Headlines Feedback of the Day

Hour three of DJ & PK for August 4, 2025: Kevin Graham talking College and NFL Football Should Alex Smith be a Pro Hall of Famer? MLB's stat revolution comes to a megatron

DJ & PK debated and examined if former Utah star Alex Smith should be a true candidate for the Pro Football Hall of Fame next year when he becomes eligible for induction.

Eugenio Suarez returning to Seattle is so exciting, and Brock and Salk talk about how this shows that the Mariners are very serious about 2025. They also tie the Suarez trade back to Cal Raleigh's conversation that he had with the front office in Spring Training about a committment to winning and how this lives up to the team's word. In Blue 88, Brock takes a look at AJ Barner, comparing Sam Darnold to Alex Smith and Brock's takeaways from UW camp.

In his book, “Why We Revolt,” Victor Montori decries the industrialization of healthcare.  We've become a healthcare factory, beholden to health systems motivated by profit. In particular, he laments the loss of the “care” aspect of healthcare. Clinicians are under the clock to churn through patients.  Patients are tasked with doing work outside of the clinic. Patients are tasked with hours and hours of work to self manage, obtain and manage medications, track weights and fingersticks, not to mention scheduling visits and waiting around for the visit to start. Now we have an app for that. For what, you ask? Well, for everything! Digital burden is real. Think about what we ask patients to do: charge your device, remember your password, 2 factor authentication, each interface is different, wait…where do you enter your fingersticks again? Victor is an endocrinologist who often provides care for older patients with multiple chronic conditions, polypharmacy, and complex social situations.  He's “one of us.” Some might argue that these circumstances call for incremental change.  Not Victor.  He argues that we need a revolution. In particular, he argues that the revolution must come from patients to be successful. On this podcast we discuss: Why do we need a revolution? What made him get to this point of arguing for a revolt? Why should the revolution be patient led, rather than clinician led? What role do clinicians have to play? What is minimally disruptive medicine (a term Victor coined with Carl May and Francis Mair in 2009)? How does shared decision making fit into the revolution? What's the matter with guidelines? What's the role of standardization? We suspect that most geriatrics and palliative care providers feel like they've escaped many of the issues Victor describes, trading less glamorous and remunerative work for more satisfying time spent caring for patients; focusing on what matters, goals of care, and attention to emotion and social well-being.  Are we deluding ourselves? If you'd like to join the revolution, please check out Victor's website, patientrevolution.org And I believe this is the first Peter Gabriel song request! I think Peter Gabriel's album So was the first cassette tape I purchased.  About time, 350+ podcasts in.  My son Kai turns this very non-guitar friendly song into an acoustic jam for the audio-only podcast version; you get my weaker attempt on YouTube :)  Finally, a quick plug for the Sommer Lecture series in Portland OR.  Victor and I had a terrific time bonding at this year's lecture series. While not strictly geriatrics and palliative care focused, the lectures seem targeted at a broad audience, with something for everyone.  And yes, I made them sing parody songs :) -Alex Smith  

Finalmente se firmó el contrato de novato de Shemar Stewart, Terry McLaurin regresó a entrenamientos de Commanders, Cowboys firman a jugador a extensión de contrato, Treylon Burks lesionado y Dolphins firman a CB. Repaso de noticias

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

In Hour 4, Evan and Shasky touch on another section of their Bay Area Sports Radio Topics bracket

Analizamos las extensiones de contrato firmadas en los últimos días, así como debatir los nuevos uniformes alternativos presentados esta semana.Analizamos las extensiones de contrato firmadas en los últimos días, así como debatir los nuevos uniformes alte

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

Ron Hughley, Stephen Serda, and Osita Anusi discuss the upcoming Radiothon in Houston and Caitlin Clark catching a lot of disrespect in the WNBA All-Star voting. Subscribe: https://youtube.com/live/AMpyfNX12lU Learn more about your ad choices. Visit megaphone.fm/adchoices

Watch on YouTubeIn this episode, Carson Bruce sits down with special guest Alex Smith from Georgia to break down five must-know chord progressions every worship keys player should have in their toolkit. Recorded live at Foothills Church in Knoxville, Tennessee, this session is packed with practical tips for beginner and intermediate musicians from embellishments and inversions to building confidence behind the keys. Alex also shares her personal journey, demonstrates on a Juno DS keyboard, and unpacks how to stay creative while staying rooted in purpose. Don't miss the part where they talk about the deeper why behind worship music—and how your playing shapes the atmosphere.Alex SmithThanks for listening! Subscribe here to the podcast, as well as on YouTube and other social media platforms. If you have any questions or suggestions for who you want as a featured guest in the future or a topic you want to hear, email carson@theworshipkeys.com. New episodes release every Wednesday!

Comedian Bronwyn Ariel Isaac and her girlfriend musician and security researcher Alex Smith call in from Amsterdam to talk about their extremely loving relationship and how Alex coming out as trans after a few years together has made it even more solid. Did Bronwyn know she was into women before? How long did Alex know she was trans before she came out? What IS the correct way to clean a diva cup?? And why does Remy keep saying she 'recommends autism?' All this and much more on this highly educational and highly adorable episode. TW: brief mentions of abuse Love How C*m? -- RATE, REVIEW & SUBSCRIBE  Follow Bronwyn @brondotcomputer and Alex @thejazzdisciple Follow / DM us at @HowCumPodcast @RemyKassimir Support the podcast/ get extras on Patreon Check out our website for extra info & merch!

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

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.

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.

Chiefs, Royals and stadium news!

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.

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  

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!

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

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

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  

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.

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."