Podcasts about Anesthesia

In this 341st episode I welcome Drs. Alia El-Mowafy and Rachel Tobis to the show to discuss how to prepare for and handle difficult airways and airway emergencies in the office-based setting. Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS: https://wearfigs.com* Check out Factor and use my code factormeals.com/accrac50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/ACCRAC for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Recorded live from the IFNA World Congress in Australia, Sharon and special co-host Kevin Chem sat down with Associate Professor Susannah Sherlock to offer a rare look inside hospital-based hyperbaric medicine and its connection to anesthesia, critical care, surgery, wound healing, and long-term cancer recovery. Here's some of what you'll hear in this episode:

    Bleeding is what kills people after injury. In this companion conversation to their earlier episode, host and vascular surgeon Dr. Wayne Causey asks Dr. John Pavlus, Chief of Interventional Radiology at Brooke Army Medical Center, to do the thing most medical conversations skip. He walks step by step through exactly how a bleeding trauma patient is treated without major surgery.   The tools are small. A needle, a short hollow tube called a sheath placed in the artery at the groin, wires thinner than a strand of spaghetti, and catheters steered by live X-ray to the one vessel that is leaking. The patient leaves with a bandage instead of an incision. The decisions behind those tools are what make the difference.    It starts with the CT scan. Contrast is injected and images are captured at three different moments, and the timing of those pictures decides what the doctor believes he is looking at. A scan done for a different purpose at an outside hospital can make a patient look like an arterial bleeder when the bleeding is coming from a vein instead, and veins are not something a catheter can easily fix. Getting the timing right is the difference between the right treatment and the wrong one.     From there the conversation turns to the system. At Brooke Army Medical Center, a trauma activation commits the interventional team to having a needle in the artery within sixty minutes of the call, at any hour. That standard was not bought with equipment. It was built on years of trust with the trauma surgeons, to the point that when a trauma surgeon calls a bleed, nobody argues about the pictures. Everyone moves, including anesthesia.    Then come the organs. The liver is complicated because it carries two separate blood supplies, and one of them cannot be reached easily from the inside. The spleen is the favorite, shut down with a metal coil placed at a precise landmark, sometimes in fifteen minutes. And the conversation closes on thrombin, a clotting agent injected through the skin under ultrasound, no X-ray required. It is cheap, it is simple, and it is the one tool a military interventional radiologist would want in his pack if told to deploy tomorrow.     The thread running through all of it is not equipment. It is repetition. Do the same thing the same way every time, and the mind is free to solve the problem that actually matters. Chapters (01:12-07:15) What Endovascular Care Actually Is and What the CT Scan Shows (07:15-12:23) The Sixty-Minute Clock and Activating the Trauma Interventional Radiology Pathway (12:23-20:49) A Bleeding Liver with Two Blood Supplies and Why Access Comes First (20:49-28:59) A Bleeding Spleen with Microcatheters Coils and Knowing When Good Enough Is Enough (28:59-35:51) Thrombin and the Simple Tool Worth Carrying Far Forward Chapter Summaries (01:12-07:15) What Endovascular Care Actually Is and What the CT Scan Shows    Dr. Pavlus defines his specialty in the plain language he uses with patients. Minimally invasive, image guided procedures done through pinholes in the skin, either plugging up an artery that is bleeding or lining the inside of an injured one with a small tube. The discussion then turns to the CT scan, where contrast dye is imaged at three separate moments, and how the timing of those pictures determines whether the bleeding is arterial, venous, or a contained pocket of blood called a pseudoaneurysm. (07:15-12:23) The Sixty Minute Clock and Activating the Trauma Interventional Radiology Pathway   A trauma surgeon standing at the scanner calls a bleed and the pathway fires. A single alert reaches the interventional radiologist, the nurse, the technologist, and the resident at the same time, and everyone drives in. The standard is a needle in the artery within sixty minutes of the call, and the guest is direct that the only way to hold that standard is to remove every point of debate from the process. Anesthesia is activated at the same moment, because these patients are rarely stable enough for anything less. (12:23-20:49) A Bleeding Liver with Two Blood Supplies and Why Access Comes First   The liver is harder than most people assume because it carries two separate incoming blood supplies, and the second one cannot be reached quickly from inside a catheter. That is why a certain grade of liver injury belongs in the operating room with a surgeon rather than in the radiology suite. The guest then walks through his access routine in detail, from ultrasound guided puncture of the artery at the groin to the specific wire and catheter he uses every single time, and explains why keeping the hole in the artery as small as possible matters in a patient who may receive thirty units of blood. (20:49-28:59) A Bleeding Spleen with Microcatheters Coils and Knowing When Good Enough Is Enough Splenic bleeding can be shut down with a metal coil placed at a precise landmark between two small pancreatic arteries. Dr. Pavlus explains why he abandoned one widely used technique after it tore an artery early in his career, and why he now threads a much smaller catheter inside his working catheter to reach the target safely. He is also candid that in an unstable patient at two in the morning, the goal is not a perfect result. It is a live patient who can be handed back to the trauma team. (28:59-35:51) Thrombin and the Simple Tool Worth Carrying Far Forward    Thrombin is a clotting agent injected directly through the skin with a needle, guided by ultrasound rather than X-ray. It is the standard repair for a pseudoaneurysm in the groin, but the guest has extended it to bleeding inside solid organs and small vessels in soft tissue that would be difficult or impossible to reach with a catheter. Because it requires no X-ray suite and almost no equipment, he names it as the single technique he would most want available in a far forward combat setting. The episode closes on consistency, repetition, and adapting a fixed base technique to whatever the patient in front of you presents. Take Home Messages Timing of the Contrast Changes the Answer: A CT scan is not one picture. Contrast dye is imaged before it arrives, as it fills the arteries, and again after it has spread, and comparing those three moments is what separates arterial bleeding from venous bleeding from an old finding that was never bleeding at all. A scan ordered for a different purpose at an outside hospital can point a team toward the wrong treatment entirely. Trust Is Built Long Before the Emergency: The sixty minute standard from phone call to needle in the artery is not achieved with faster equipment. It is achieved by removing every point of debate from the pathway, which only happens after years of a trauma service and a radiology service learning to rely on each other. When the trauma surgeon calls a bleed, nobody re-argues the pictures. Everyone moves. Access Is the Whole Game: You can perform the most elegant procedure in the world inside a patient, and if the puncture in the artery is mishandled, that is the only part anyone will remember. Ultrasound guidance takes no meaningful extra time, and keeping the opening as small as possible protects a patient who may go on to receive massive amounts of blood. Perfect Is the Enemy of Alive: In a stable patient with a low grade injury there is time to chase an ideal result. In a crashing patient at two in the morning there is not. Placing a coil in a good enough position and stopping high flow bleeding so the trauma team can move on is a legitimate and often correct decision, and knowing which situation you are in is a clinical skill of its own. The Simplest Tool May Be the Most Deployable: Thrombin injection needs a needle, an ultrasound probe, and a vial. No X-ray suite, no power injector, no shelf of catheters. That is exactly why it stands out as the technique most likely to work far forward, where the equipment, the imaging, and the logistics that a modern hospital takes for granted simply are not there. Episode Keywords interventional radiology, military medicine, trauma interventional radiology, embolization, splenic artery embolization, liver embolization, solid organ injury, thrombin injection, pseudoaneurysm repair, endovascular hemorrhage control, non compressible torso hemorrhage, angiography, microcatheter, coil embolization, Brooke Army Medical Center, combat casualty care, far forward surgical care, vascular surgery, WarDocs podcast, military trauma care, hemorrhage control, John Pavlus, Wayne Causey Hashtags #MilitaryMedicine, #InterventionalRadiology, #TraumaCare, #HemorrhageControl, #CombatCasualtyCare, #VascularSurgery, #WarDocs, #MilitaryHealth Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission- WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called “Docs” as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast    

Sharon Pearce, DNP, CRNA, FAANA, FAAN has spent decades practicing, advocating, leading, mentoring, and telling the stories of nurse anesthesia. But behind the titles is a career shaped by formative mentors, difficult clinical days, unexpected opportunities, and a strong sense of responsibility to the profession. Nicolas and Kelsey have a great conversation with Sharon, not just a former AANA president and longtime voice in nurse anesthesia, but also a CRNA shaped by mentors, advocacy, hard clinical lessons, and a deep belief in giving back to the profession. She shares the stories behind her career, the people who helped build her confidence, what students can learn from difficult days, and why preserving the history of nurse anesthesia has become such an important part of her legacy. Here's some of what we discuss in this episode:

Many nurse anesthesia students enter their programs with an interest in teaching, but that interest can fade without formal guidance or hands-on opportunities. The Minneapolis School of Anesthesia is addressing that gap through a student faculty mentorship track designed to prepare future educators before graduation. In this episode, Nickie and Louisa are joined by faculty members Dr. Travis Laffoon, DNP, CRNA, APRN, Megan Kakela, DNP, CRNA, APRN, Jordan Popp, DNP, CRNA, APRN, and Dr. Grace Bedu, DNP, CRNA, APRN to discuss how the program combines mentorship, clinical release time, exam development, simulation teaching, and exposure to the realities of academic life. Their experience offers a practical model for strengthening the nurse anesthesia faculty pipeline. Here's what you'll hear in this episode:

Ketamine for emergency intubation has a reputation for hemodynamic stability, but does the best evidence back that up when your patient is truly sick? Today, we walk through four fresh research summaries that sharpen day-to-day anesthesia patient safety decisions, from airway management in shock and sepsis to the way teams and technology shape outcomes in the OR.First, we break down a large randomized controlled trial comparing ketamine versus etomidate for tracheal intubation in critically ill adults across U.S. emergency departments and ICUs. Mortality is similar, but ketamine shows more peri-intubation cardiovascular collapse, including hypotension and increased vasopressor use, especially in sicker patients. Our practical focus is how to choose an induction agent based on hemodynamic risk and how to prepare for peri-intubation instability.Next, we head into the cardiac OR to explore why surgeon-anesthesiologist dyad familiarity may be a systems-level patient safety strategy. A large retrospective study links more consistent pairings with lower operative mortality and better perioperative outcomes, raising real questions about scheduling, teamwork, and communication under pressure. We also review evidence on BIS-guided closed-loop anesthesia systems that improve anesthetic depth control by reducing excessively deep anesthesia without increasing light anesthesia, and we close with perioperative brain health, highlighting why routine preoperative cognitive screening is still uncommon and what resources could finally make it standard practice.Subscribe to the Anesthesia Patient Safety Podcast, share this with a colleague, and leave a review so more clinicians can find the latest evidence-focused perioperative safety insights.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/319-four-new-studies-that-change-daily-anesthesia-safety-decisions/© 2026, The Anesthesia Patient Safety Foundation

Send us Fan MailIn Part 1, Tracy and Rob examine the Arizona State Board of Dental Examiners' handling of a dentist's billing for regional block anesthesia. They discuss the ADA ethical principle to “code for what you do,” why a procedure being excluded from most dental plans does not make the code improper, and how Arizona's non-covered services law may apply. They also address a troubling question: How did this matter progress when the Board reportedly did not initially recognize that regional block anesthesia had its own dental code?Support the show

Dr. Aaron Primm, editor for Summaries of Emerging Evidence (SEE), speaks with Dr. Adam Striker about three items featured in SEE Volume 42B related to anesthesia for GI endoscopy: a comparison of remimazolam and propofol, a consideration of the value of anesthesiologists in procedural settings, and a look at insurance coverage for buprenorphine. Recorded July 2026.

Adam Flowe, MSN, CRNA returns to Beyond the Mask for a follow-up conversation on onco-anesthesia, cancer research, and the rapidly changing tools that may shape the future of care. After stepping away from a longtime leadership role at Duke and moving into a smaller practice setting, Adam reflects on career change, identity, and the importance of staying open to growth. The conversation then turns to one of the biggest unresolved questions in anesthesia: does the anesthetic technique used during cancer surgery affect long-term cancer outcomes? Adam discusses why several major research studies were expected to provide clarity, how funding cuts have stalled key randomized controlled trials, and why providers are still left with more questions than answers. Here's some of what you'll hear in this episode:

From the 58th annual meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP) in Montreal, Mike Grocott and new co-host Joe Larvin speak with SOAP president Ron George about SOAP's growth to over 1,000 attendees and its international, collaborative community. George outlines his career from Dalhousie to UCSF and back to Canada as director of obstetric anesthesia at Mount Sinai Hospital in Toronto, highlighting its high-risk referral practice and large, internationally diverse fellowship program. He reflects on his presidency's focus on mission alignment and partnerships, including work with the New York State Society of Anesthesia, discussions with the California Society of Anesthesia, and a planned memorandum of understanding with the World Federation of Societies of Anaesthesiologists (WFSA) to support evidence-based global education. He also discusses formative work in low- and middle-income settings, advocacy, peripartum anesthesiologist roles, and meeting highlights such as trainees, pain during cesarean delivery panels, and the Gerard W. Ostheimer Lecture. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

Anesthesia coverage is now the single most cited financial headache for surgery center leaders in the country, and MD-only care is disappearing fast: QZ billing is up 15%, team-based coverage is up 30%, and CRNA-involved cases have nearly doubled in Florida over 14 years. Joe Rodriguez sits down with Randy Moore, Chief CRNA and Chief Strategy Officer at North Star Anesthesia, and first-time guest Andrew Woodmancey, founder and managing partner of Anesthesia Operations Consultants, a mid-sized consulting firm based in Florida, to break down what's actually driving these numbers. They don't agree on all of it. The conversation opens with a new VMG Health survey on where anesthesia subsidies are headed in 2026, then moves into the billing data behind the shift away from MD-only care. Andrew, brought on as the non-clinical voice in the room, argues the real economic problem is reimbursement and industry infighting, not scope-of-practice fights. Joe pushes further, arguing that credentials alone don't guarantee value: the market only pays for solving someone else's problem, and if surgeons can eventually do it without anesthesia providers, they will. Randy and Joe also spar over how much weight to give data versus identity in shaping the industry's direction. Also in this one: what change management actually looks like for an anesthesiologist moving from a one-to-three model to zone coverage, and why the math behind CRNA-only staffing might be quietly reversing in some markets.  TAKEAWAYS 1. MD-only anesthesia care is significantly decreasing, not because of politics or scope-of-practice wins, but because the economics stopped supporting it. QZ billing is up 15%, team-based coverage up 30%. 2. In Florida, roughly 90% of anesthesia cases now involve a CRNA, up from about 70%. 3. Credentials alone don't create economic value. Value in this market is transactional to some degree, tied to solving someone else's problem, not to years of training. 4. QZ utilization is increasing across states, though unevenly, some markets seeing modest growth, others far more dramatic shifts. MD-only care is significantly decreasing nationally, and medical direction/team models are increasing at varying rates by state. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randy Moore (EVP & National Chief CRNA, NorthStar Anesthesia) Gary Keeling (VP of Anesthesia Services, Coronis RCM) To Learn More about Human Content Visit: ⁠⁠⁠http://www.human-content.com⁠⁠⁠ To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

Sponsored by MyStaffSchedule, in this episode, Dr. Adam Striker interviews a husband-and-wife team who developed a scheduling platform for healthcare organizations. Listen in as CRNA, Ms. Krista Niedermeier, and IT professional, Mr. Ricky Niedermeier, discuss how it all began, the problems they hoped to solve, the current state of anesthesiology from their POV, and more. Recorded June 2026.

Many patients walk into labor and delivery picturing a birth day, not an operating room, and that mismatch is where preventable suffering can start. We sit down with Dr. Ruthi Landau to get practical about cesarean delivery anesthesia, with a focus on patient safety, respectful communication, and what to do when a patient says, “This isn't comfortable.”We dig into why setting expectations during neuraxial consent matters, and why active management of labor epidurals is not optional when an urgent intrapartum C-section may be around the corner. We also unpack what the literature keeps showing: epidural top-ups for intrapartum cesarean delivery are a common pathway to intraoperative discomfort. From re-dosing to adjuvants to real-time reassurance, we talk through concrete ways to prevent pain from being brushed off as “normal.”The conversation goes beyond the OR. A traumatic cesarean experience can shape the next pregnancy, fuel avoidance, and contribute to childbirth-related PTSD. We discuss trauma-informed care, offering debriefs, connecting patients to maternal mental health services, and using patient-reported experience measures to learn where systems fail. On the technical side, we cover pain management for general anesthesia cases, when to keep using an existing epidural, how neuraxial opioids fit with SOAP consensus monitoring guidance, and what a solid multimodal plan looks like when there is no neuraxial option including TAP or QL blocks, acetaminophen, NSAIDs, and opioid stewardship.Subscribe for more obstetric anesthesia and anesthesia patient safety conversations, share this with an anesthesia or OB colleague, and leave a review to help others find the show. What change are you most ready to make in your C-section anesthesia practice?For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/317-setting-expectations-for-safer-cesarean-anesthesia-with-dr-ruthi-landau-revisited-part-2/© 2026, The Anesthesia Patient Safety Foundation

In this episode of the ASC Podcast with John Goehle, we run through the ASC news that matters — a sweeping CMS enrollment proposal, the anesthesia squeeze, and more — plus a few things we've been seeing out in the field. Then John sits down with two veteran pharmacy consultants for a practical look at medication safety in the surgery center, from patient screening to drug diversion to malignant-hyperthermia readiness. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: CMS seeks new powers to deny or revoke enrollment for “problematic” Medicare providers — Becker's Hospital Review: beckershospitalreview.com CY2027 Home Health PPS proposed rule (CMS-1844-P) — Medicare enrollment provisions (retroactive revocation, location & affiliation rules, 855B private-equity/REIT disclosure); comments due Aug 31, 2026 — CMS fact sheet: cms.gov Elevance's 10% out-of-network penalty — 3 payer moves disrupting ASCs, physicians — Becker's ASC: beckersasc.com Why anesthesia stipends could be inevitable amid outdated ASC models — Becker's ASC: beckersasc.com Feds: Iowa plastic surgeon defrauded Medicare through false billings — Iowa Capital Dispatch: iowacapitaldispatch.com CMS request for information on episode-based payment for ASCs (ASCA opposed) — ASC News: ascnews.com Companion episode: Episode 283 — Pharmacy Management and Recalls . INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

This week, we're talking about how becoming a CRNA doesn't have to be the finish line—it can be the beginning of so much more. Cole and Tanner sit down with Jon and Rhianna Schoeller to chat about using anesthesia as a launchpad to build financial freedom, create new opportunities, and design a life centered around what matters most. They share practical advice on avoiding lifestyle inflation, making smart financial decisions, and investing in ways that can give you more flexibility and time with your family. Whether you're still in school or already practicing, this conversation will leave you thinking differently about what your CRNA career can make possible.Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com 

Recorded live from the IFNA World Congress in Australia, Sharon and special co-host Kevin Chem welcome Richard Henker, PhD, CRNA, FAANA, FAAN, whose work with the World Health Organization and the G4 Alliance is helping reshape global anesthesia through data. We'll explore ​how ​the ​Operative ​and ​Encounter ​Registry ​serves ​as ​a ​simple ​point ​of ​care ​tool ​that ​allows ​anesthesia ​providers ​to ​capture ​essential ​surgical ​and ​anesthesia ​data, ​making ​our ​care ​visible ​in ​ways ​it ​hasn't ​been ​before. Here's some of what you'll hear in this episode:

Item analysis can sound intimidating, especially for educators who were trained as clinicians first and teachers second. But when used well, it can become one of the most valuable tools for improving assessments, clarifying instruction, and supporting student success. In this episode of Airway Exchange, hosts Erin and Louisa welcome in Valerie Diaz, DNP, CRNA, PMHNP-BC, APRN, CNE, CHSE, FAANA, CAPT (Ret), USN and Pedro Hernandez, DNP, CRNA, APRN to break down the importance of item analysis, a topic they presented at AANA's EDGE event earlier this year. Just as CRNAs constantly refine their clinical practice, educators should continually evaluate, reflect, and improve the tools they use to assess learning. Better assessments lead to better education. Better education ultimately leads to better patient care. Here's some of what you'll hear in this episode:

(0:00) About the Boardroom Governance Summit (Aug 26-27, 2026)  (0:55) Intro (2:37) About the podcast sponsor: The American College of Governance Counsel. (3:24) Start of interview.  (4:23) Origin story Mayree Clark (6:08) Origin story Linda Riefler (8:23) About their Leading-Edge Stewardship framework and personal road-map. (11:38) Teamwork and Long-Term Value Creation (16:03) On board diversity and pace of change (19:02) Boards in distress: Mayree joining Ally Financial in financial crisis (2009) (21:39) MSCI Culture and CEO Relations (26:02) Tough calls on CEO transitions (example of CSX CEO transition) (32:39) Private Equity Board Lessons (flexibility on decision-making and talent pools) (36:22) Handling under-performing directors (43:11) German Governance Across Borders (Mayree's experience serving on Deutsche Bank's board) (48:06) Purpose, Adversity, and Stewardship (50:42) What are the 1-3 books that have greatly influenced your life:  Mayree: Self Renewal : The Individual and the Innovative Society, by John Gardner (1963) Linda: A Brief History of Everything, by Ken Wilber (2017) How the Word is Passed, by Clint Smith (2021) The Spark Within, by Michael Neal (coach) (53:36) Who were their mentors, and what they learned from them. (56:37) An unusual habit or an absurd thing that they love. (1:00:16) The living person they most admire. Mayree Clark is a longtime corporate director, founder and Managing Partner of Eachwin Capital, and former senior executive at Morgan Stanley. She currently serves on the boards of Ally Financial and Deutsche Bank AG.  Linda Riefler is an experienced corporate director and former senior executive at Morgan Stanley. She currently serves on the boards of CSX Corporation, MSCI Inc., and North American Partners in Anesthesia, and is chair of Pencils of Promise. You can follow Evan on social media at:X: @evanepsteinLinkedIn: https://www.linkedin.com/in/epsteinevan/ Substack: https://evanepstein.substack.com/__To support this podcast you can join as a subscriber of the Boardroom Governance Newsletter at https://evanepstein.substack.com/__Music/Soundtrack (found via Free Music Archive): Seeing The Future by Dexter Britain is licensed under a Attribution-Noncommercial-Share Alike 3.0 United States License

At the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine (FPM) held in Auckland, New Zealand, Kate Leslie and Andy Cumpstey interview Neel Desai about non-opioid multi-modal analgesia, especially the use of paracetamol/NSAID combinations for minor surgery. Dr Neel Desai is a Consultant Anaesthetist at Guys and St Thomas's Hospital, London, UK. He is supported by AFT Pharmaceuticals. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

As hospitals face increasing financial pressures, workforce shortages, and growing demands for surgical efficiency, perioperative performance has never been more critical. Yet one of the most overlooked drivers of success may be sitting right in the operating room.In this episode of Value-Based Care Insights, Daniel Marino is joined by Dr. Angel Martino-Horrall, anesthesiologist, consultant, and perioperative operations expert, to discuss the evolving role of anesthesia leadership in surgical services governance. Together, they explore why traditional perioperative leadership structures are no longer sufficient, how anesthesiologists provide a unique system-wide perspective across the surgical continuum, and why leading organizations are giving anesthesia a stronger voice in operational decision-making.Whether you're a hospital executive, perioperative leader, surgeon, or anesthesia professional, this conversation offers valuable insights into building stronger governance structures and improving surgical performance across the organization.Get in touch with Dr. Angel: LinkedIn, https://halo-consultants.com/

As hospitals face increasing financial pressures, workforce shortages, and growing demands for surgical efficiency, perioperative performance has never been more critical. Yet one of the most overlooked drivers of success may be sitting right in the operating room.On this episode Dan is joined by Dr. Angel Martino-Horrell, anesthesiologist, consultant, and perioperative operations expert, to discuss the evolving role of anesthesia leadership in surgical services governance. Together, they explore why traditional perioperative leadership structures are no longer sufficient, how anesthesiologists provide a unique system-wide perspective across the surgical continuum, and why leading organizations are giving anesthesia a stronger voice in operational decision-making. Whether you're a hospital executive, perioperative leader, surgeon, or anesthesia professional, this conversation offers valuable insights into building stronger governance structures and improving surgical performance across the organization. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Cologuard at home test link: https://www.cologuard.com/insuranceTo learn more about preparing your brain for anesthesia, read the Amen Clinics Blog on Anesthesia and POCD or the Amen Clinics Blog on Surgery Risks.Are Colonoscopies Helping Us? How to Make Colon Cancer a Problem You Don't Have to Havewww.healthcouragecollective.comAre colonoscopies actually helping (women and society)?  Colorectal cancer (the second leading cause of cancer deaths in the U.S.) is one of the most preventable because it usually develops predictably over about 10 years and colonoscopy can both find and remove polyps in the same visit. She contrasts this with mammograms (episode 258) and explains why colonoscopy payoff is high but not perfect: prep quality and provider skill strongly affect what gets missed, with an adenoma miss rate around 24%. She reviews updated screening guidance to start at 45 (earlier with risk factors), discusses alternative tests like Cologuard and SHIELD, and weighs real risks—prep complications, perforation, bleeding, and sedation—against the dramatic survival difference between localized and metastatic disease.00:00 You Can Prevent This Cancer00:49 Podcast Welcome And Breathing01:37 Mammograms To Colonoscopies04:19 Why Colon Cancer Is Predictable06:42 Colonoscopy Removes Polyps07:55 Rising Rates And When To Screen09:35 Prep Quality And Doctor Metrics12:23 Miss Rates And Screening Gaps15:58 Risks And Sedation Concerns20:26 Risks Of Skipping Screening23:31 Other Tests And Costs25:38 Wrap Up And Final Thoughts Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!Join the Waitlist HereCome visit me: www.healthcouragecollective.comemail me: healthcouragecollective@gmail.com

Heavenly Basketball Game With Stepdad!What really happens in the moments after your heart stops? This episode of Round Trip Death brings together two guests with strikingly different connections to the same profound mystery: the near death experience.________________________Get 15% off OneSkin with code ROUNDTRIPat https://www.oneskin.co/ROUNDTRIP#oneskinpod #sponsored__________________________Host Eric sits down with Makai Calles — a journalist turned filmmaker who himself had a childhood NDE after a venomous scorpion sting in Mexico — and Bubba Herrick, a former college baseball pitcher whose routine elbow surgery turned into a full-blown clinical death. Makai wrote and hosted the new documentary Final Hours, and his own near-death experience as a seven-year-old set him on a lifelong path of investigating others' stories, including Bubba's.Bubba's account is the heart of this episode — and it's a wild one. After an allergic reaction to anesthesia stopped his heart on the operating table, he describes floating above his own body, undergoing an intense 360-degree life review filled with guilt and unexpected anger at himself, and then being pulled into a breathtaking realm of pure light. There, his deceased stepfather appears — not with words, but with a basketball, recreating a childhood memory in real time. Their telepathic "game" becomes the vehicle for a message about purpose, responsibility, and reluctant return.The conversation digs into why so many NDE experiencers report depression and grief after coming back, how life priorities shift dramatically post-experience (career changes, fading fears, even divorce), and why guilt-driven life reviews like Bubba's are actually the exception rather than the rule. Equal parts eerie, emotional, and hopeful, this episode asks the big question the show is built around: if these accounts are real, what do they tell us about fear, death, and how we're meant to live right now?VIDEO VERSIONRoundTripDeath.comDonate to this podcast: https://www.roundtripdeath.com/support/Makai's Film "Final Hours": https://www.theepochtimes.com/epochtv/final-hours-is-death-really-the-end-6027582

In this episode of the ASC Podcast with John Goehle, we cover a money-focused news segment — the anesthesia stipend crisis by the numbers, a refresher on the NOPAIN Act and the separate Medicare payment it created for non-opioid pain management, and a $12 million ASC valuation lawsuit in Iowa. We also share a few things we've been seeing in the field. Then we go all-in on the big one: CMS's just-released proposed payment rule for 2027 — the proposed ASC update, the market-basket question, the Covered Procedures List, the device and NOPAIN provisions, quality-reporting changes, and the site-of-service savings — plus the summary and spreadsheet we built — and a video walkthrough coming to conferences.asc-central.com — to help you assess the impact on your center. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Anesthesia stipends by the numbers — Becker's ASC (June 12, 2026): beckersasc.com The NOPAIN Act and separate Medicare payment for non-opioid pain management — ASC News: ascnews.com NOPAIN Act — CMS, Non-Opioid Treatments for Pain Relief (payment details, 42 CFR 416.174): cms.gov Iowa health system and physician group sue over a $12M ASC valuation gap — Becker's ASC: beckersasc.com 2027 Proposed Rule —  Resource Library: the CMS proposed rule (CMS-1850-P) and addenda, our comprehensive written summary of the rule, the impact spreadsheet, and the video walkthrough — all gathered in one place: https://www.dropbox.com/scl/fo/j37wvj8v9h15lmbyhjri3/ABzhpV77rpOrshAXqCBv0oY?rlkey=h83k0pf1fb90lzi44463go4w9&dl=0 Video Seminar - “What CMS's Proposed 2027 Payment Rule Means for Your ASC” available on demand for free https://conferences.asc-central.com/2027-payment-rule/   INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

Uncogrim, a tattoo artist with a decade of experience, emphasizes the importance of breaking away from traditional tattooing norms, particularly in the realm of Japanese-style tattooing. In a recent podcast episode, he discusses how his unique approach often involves omitting backgrounds in his designs, allowing the human body to become an integral part of the artwork itself.   Host Aaron Della Vedova interviews Uncogrim (Hoon Kim) at the Mondial du Tatouage in Paris. Aaron expresses his admiration for the  exquisite detail and composition of Uncogrim's large piece work. Uncogrim shares insights about his journey as a tattoo artist, and despite the relatively short time, his impressive body of work suggests a deep commitment to his craft. Tune in to hear about his artistic inspirations and his dedication to pushing the boundaries of tattooing. For visuals of his incredible work, check out his Instagram at https://www.instagram.com/uncogrim   Chat Highlights:   00:00:00 - Extreme Tattoo Sessions 00:01:59 - Uncogrim's Tattooing Journey 00:04:24 - The Concept of No Background in Tattoos 00:05:04 - Artistic Choices and Inspirations 00:07:02 - Breaking Traditional Tattoo Norms 00:10:35 - Tattooing Legality in South Korea 00:12:23 - Uncogrim's Path to Becoming a Tattoo Artist 00:14:12 - Mentorship and Studio Challenges 00:16:00 - Emotional Connection to Tattooing 00:17:23 - Pain Management in Tattooing 00:20:25 - Tattoo Session Structure 00:21:00 - Numbing Cream and Pain Relief 00:23:33 - Anesthesia in Tattooing 00:29:50 - Inspiration and Acknowledgements   Quotes:   "You don't stop until I die like this."   "It's fun for me to see people breaking tradition."   "If you can make another person happy with your art, what more do you need to get up every morning and love what you do?"   "One of my big dreams, tattoo convention, because, you know, in South Korea, tattoo culture really closed and underground culture."   "Your specific artistic aesthetic in the art of tattooing is wildly impressive to me."   Stay Connected:   Chats & Tatts: Website: http://www.chatsandtatts.com⁠ Tik Tok: https://www.tiktok.com/@chatsandtatts  IG: http://www.instagram.com/chatsandtatts Chats & Tatts YouTube: https://www.youtube.com/c/chatsandtatts   Connect with Aaron:⁠   Aaron IG:⁠ http://www.instagram.com/aarondellavedova⁠ Guru Tattoo: http://www.Gurutattoo.com   Connect with Uncogrim: IG: https://www.instagram.com/uncogrim  

In this episode of the ASC Podcast with John Goehle, we cover the latest ASC industry news — Surgery Partners rejecting a $3.2 billion buyout from Bain Capital to stay independent, new VMG Health data on surgeon recruitment and the shift in anesthesia staffing, and a leadership piece on why “chasing volume” can be a surge to the bottom. We also share recent experiences from the field on board certification versus medical-staff bylaws, what surveyors are focusing on right now, and how preparation paid off during a real emergency. Then, in our focus segment, John sits down with Terry Bohlke for an interview on “Leadership in the Trenches.” This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Surgery Partners rejects Bain Capital buyout — Becker's ASC (June 2026) North Star Health Alliance to close its Watertown ASC & orthopedic group — Becker's ASC: beckersasc.com beckersasc.com Biggest physician risks facing ASCs in 2026 (VMG Health survey) — Becker's ASC  |  Anesthesia staffing models — Becker's ASC   |   Chasing volume is a “surge to the bottom” — Becker's ASC beckersasc.com/asc-news Guest: Terry Bohlke — “Leadership in the Trenches” INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

Understanding how values and communication styles differ across cultures is key to succeeding internationally. That’s why training in cross-cultural communication has become commonplace in the international business world. In this session, we’ll look at 6 dimensions of cross-cultural communication and their application to medical scenarios.

AABP Executive Director Dr. Fred Gingrich is joined by AABP Vice President and Preconference Seminar Coordinator Dr. Elizabeth Quesnell Kohtz. Preconference seminars are small group courses focusing on a specific topic offering high quality continuing education. Seminars are a great way to learn a new skill or advance skills to offer services to your beef and dairy clients.  Seminars are approved for eight hours per day of continuing education in jurisdictions that recognize RACE approval. These courses are an AABP member benefit and available to members who are veterinarians, veterinary technicians and students. There will be six seminars offered at the conference. There is also a student-only lameness seminar that will also be offered. Seminars available at the Minneapolis conference are below. Click on the name of the seminar to view a description and detailed agenda. Seminar 1 – Milk quality: Practical knowledge for boots on the ground veterinariansSeminar 2 – Bovine Dystocia and Fetotomy SeminarSeminar 3 – Transition cow health and managementSeminar 4 – From anecdote to evidence: conducting impactful field research in private practiceSeminar 5 – Immunology and vaccinology across beef and dairy production systemsSeminar 6 – Anesthesia, analgesia and sedation All conference information can be found under the Continuing Education menu of the AABP website. View session descriptions here. Register for the conference by going to this link. Early bird discounted registration ends July 16 so register before that date. Hotel information can be found on this page. Seminars with an inadequate number of registrations on July 16 are subject to cancellation with a full refund available if cancelled.  #AABP2026  

Could dental assistants soon administer local anesthesia in more states? Oregon is leading the way with one of the most progressive changes in dental assisting, and it could shape the future of the profession across the country. In this episode of the Dental Assistant Nation Podcast, Kevin Henry is joined by Tina Clarke, Atia Black, and Tony Garcia to discuss Oregon's new Local Anesthesia Function certification for dental assistants. They explain the education, training, and certification process required to perform this advanced function, why patient safety remains the top priority, and how expanding responsibilities can improve workflow, reduce burnout, and create new career opportunities. The conversation also explores whether Oregon's model could inspire similar changes in other states and where dental assistants can find reliable information about their own state's requirements. Whether you are an experienced dental assistant, a student, or part of the dental team, this episode offers valuable insight into one of the profession's most important developments. DANB Website: https://www.danb.org/ Connect with Tony Garcia Email: vipservice@danb.org Connect with Tina Clarke Email: tina@teachertinardh.com Website: https://www.teachertinardh.com/ ------------------- Dental assistants play a powerful role in whether patients move forward with treatment. You are a key part of the patient journey, and having the right financial options can make all the difference. CareCredit is a health and wellness credit card that offers flexible financing options, so patients can pay over time for the care they want or need, subject to credit approval. When money isn't the obstacle, patients say yes. Want to make CareCredit part of your practice's offerings and strengthen case acceptance? Email me at kevin@kevinspeaksdental.com and let's make it happen for your team.

The FTC just notched its second win against the biggest roll-up in anesthesia history. Welsh Carson settled first. Now USAP. So who actually won, and who pays next? Joe Rodriguez sits down with Randy Moore and Gary Keeling for the kind of conversation that usually happens at the bar after the conference, not on the record. No "where did you go to school" warm-ups. Just three operators reading the headlines everyone else is misreading. Gary drops the frame that defines the episode: this is two Goliaths at war. Private equity built 70 percent market share with borrowed money. Insurers answered with the No Surprises Act and rate cuts. Now IDR is swinging back, hospitals are eating the shortfall through subsidies, and the FTC just stepped into the ring. Anesthesia providers are standing in the middle of all of it. Then the gloves come off on the anesthesiologist assistant fight. Sixty bills in thirty years. Gary says there's enough work for everybody and braces for the hate mail. Randy makes the case that should worry every workforce planner in the country: this shortage isn't a cycle anymore, it's structural, and it's not normalizing for five to seven years. Joe closes with the contrarian bet he's making with his own money. If you book the cases, staff the rooms, or sign the subsidy checks, this episode is your briefing. Takeaways The FTC win is a settlement, not a verdict. USAP admitted no fault and the terms are still being executed. The real signal is that the roll-up playbook now carries regulatory risk that didn't exist a decade ago. The Goliath framework: insurers wanted fragmented anesthesia markets they could play against each other. PE consolidated to fight back. The NSA flipped leverage to insurers, IDR is flipping it back, and hospitals absorb every swing through subsidies. PE's debt structure is the tell. Buy with borrowed money, load the debt onto the asset, run admin on a skeleton crew, jettison through bankruptcy when it breaks. Margin expectations beyond 6 to 15 percent in a service business are the warning sign. AA legislation has a 30-year losing record. Roughly 60 attempts, 47 straight failures from 2010 to 2019, and only 5 of 40 passed in 2025 during a historic shortage. If it was going to break through, that was the year. Randy's call: the workforce shortage is structural, not cyclical. Every CRNA program is expanding cohorts and demand still outruns supply. No meaningful normalization for five to seven years. The pipeline counterweight: 147 nurse anesthesia programs with 17 more coming. Joe's on the record preparing for demand growth to slow. Cycles always turn. Gary's operator test: the 2 percent of groups with excess staff aren't lucky, they built culture and systems. Everyone else is churning providers and renting locums at whatever price locums name. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randall Mooore, DNP, MBA CRNA are Executive VP of Strategy and Chief Anesthetist Officer, former AANA CEO. Gary's is VP of Anesthesia Services, Revenue Cycle Management To Learn More about Human Content Visit: ⁠⁠⁠http://www.human-content.com⁠⁠⁠ To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

Joe Rodriguez sits down with Randy Moore and Tracy Young, to work through the week's hardest stories. Let the spicy takes flow! Reimbursement: UnitedHealthcare stops paying for physical status. Oklahoma and Louisiana fight back with legislation. Tracy makes the case that anesthesia has been commoditized, and that hospital subsidies taught payers they never have to pay full price. Private equity: California and Oregon pass laws to curb PE in medicine. Tracy argues we legislate against bad actors instead of punishing them. Randy defends consolidation, then explains why the Oregon deal was a playbook of what not to do. And the line nobody else will say: hospitals don't fire anesthesia groups that are doing a good job. Workforce: AA bills fail in Iowa and Minnesota. Joe argues the entire AA strategy asks the wrong question. Tracy disagrees with both hosts and predicts a sorted market: CRNA-centric facilities on one side, MD and AA medical-direction models on the other, driven by math, not preference. Plus: why anesthesia companies obsessed with growth keep losing contracts, and why CRNA residents work full-time hours unpaid while physician residents draw a salary. Takeaways: Hospital subsidies are functioning as a defacto safety net for the entire industry. They are the mechanism that lets payers keep cutting. Every subsidy dollar confirms someone else will cover the gap. Differentiation in anesthesia is no longer simply price. It is recruiting and retention, full stop. Culture is the product. Hospitals don't replace groups that are performing. If a contract gets shopped, there was a problem, whatever the press release says. Growth without product is a failure of leadership. The large groups losing contracts did it to themselves. The workforce will sort itself in the next decade. The average anesthesiologist is 55. CRNA graduation just crossed 3,000 for the first time.  Profit motive is not a disease. Imbalance is. Everyone you've ever hired has a profit motive, including you. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randall Mooore, DNP, MBA CRNA are Executive VP of Strategy and Chief Anesthetist Officer, former AANA CEO. Tracy Young: Incoming President of the American Association of Nurse Anesthesiology To Learn More about Human Content Visit: ⁠⁠⁠http://www.human-content.com⁠⁠⁠ To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

A virus can feel “far away” right up until it lands in a preop bay with a fever, abdominal pain, and a story that only makes sense weeks later. We walk through what anesthesia, perioperative, and critical care teams need to know about hantavirus, why the incubation period (often 7 to 42 days) complicates detection, and how the Andes virus changes the conversation because it is the only hantavirus known to spread person to person.We start with the basics that matter at the bedside: common transmission pathways like inhalation of aerosolized particles from rodent droppings, the two major clinical syndromes (hantavirus cardiopulmonary syndrome and hemorrhagic fever with renal syndrome), and the pathophysiology that drives non cardiogenic pulmonary edema, shock, thrombocytopenia, and organ failure. We also cover diagnosis (PCR and antibody testing), reporting to public health, and why supportive care remains the foundation, including when ECMO may be considered as a bridge to recovery.Then, we bring it into the perioperative space with clear, practical infection control guidance for operating rooms and procedural areas. We talk elective case delays after known exposure, emergency surgery planning with bleeding risk, negative pressure isolation rooms, and PPE choices like N95 or PAPR for clinicians. We also share concrete anesthesia circuit precautions recommended by occupational health experts, including HEPA filtration placement, safer gas sampling scavenging, and how to handle circuit disconnections to reduce room contamination.If you want a focused, evidence aware checklist for hantavirus preparedness in anesthesia care, hit play, share this with a colleague, and subscribe so you do not miss the next safety update. After listening, leave a review and tell us: what is the single biggest gap in your OR infection control plan right now?For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/312-hantavirus-readiness-for-anesthesia-teams/© 2026, The Anesthesia Patient Safety Foundation

Why do dreams matter, and how can we use them to support waking life? In this episode of The Dream Journal, host Katherine Bell speaks with Canadian author and health journalist Karen Van Kampen about her book The Brain Never Sleeps: Why We Dream and What It Means for Our Health. Together they explore dream science, memory, mental health, dream sharing, nightmare rescripting, dream engineering, lucid dreaming research, and the emerging study of anesthesia dreams as potentially healing experiences. Karen shares how childhood experiences in her father's sleep lab shaped her fascination with dreaming, why dreams may act like a “highlight reel” of waking concerns, and how practices such as dream journaling, dream salons, and imagery rehearsal therapy can help us engage dreams with curiosity and care. The conversation also looks at cutting-edge research on guiding dreams, communicating with lucid dreamers, and the possibility that anesthesia dreams may help people revisit difficult memories in a calm, transformative state. Why dreams are connected to memory, mental health and waking life How dream sharing builds empathy and new perspectives Imagery rehearsal therapy and practical ways to rewrite nightmares Dream engineering, sleep onset creativity and technology-assisted dreaming Lucid dreaming research and two-way communication with dreamers Anesthesia dreams, healing dreams and post-traumatic growth How stories, memories and dreams shape identity Timestamps 00:00 Introduction to The Dream Journal 01:02 Meet Karen Van Kampen and The Brain Never Sleeps 03:36 Karen's early life with her sleep-scientist father 05:12 Dream deprivation, sleep and mental health 07:31 Memory consolidation and the “next up” model of dreaming 09:47 Dream salons, dream sharing and collective insight 15:33 How dreams reveal waking-life concerns 17:16 Thought suppression and why it can rebound in dreams 18:36 Imagery rehearsal therapy and rewriting nightmares 24:44 Dream engineering and guiding dreams with technology 28:20 Lucid dreaming and two-way communication with dreamers 31:46 Anesthesia dreams and healing dream experiences 39:43 Consciousness, memory and dreams as a 24-hour continuum 44:31 Final encouragement: becoming empowered dreamers BIO: Karen van Kampen is a Canadian author and journalist who specializes in health and science. Her latest book is the instant national bestseller “The Brain Never Sleeps: Why We Dream and What it Means for our Health”. Her fascination with dreams began at the age of nine when she was her father’s first sleep lab “assistant,” helping him practice electrode hook-up and testing. Contact our guest: KarenvanKampen.com This show, episode number 368, was recorded during a live broadcast on June 20, 2026 at KSQD.org, community radio of Santa Cruz. SHARE A DREAM FOR THE SHOW or a question or enquire about being a guest on the podcast by emailing Katherine Bell at katherine@ksqd.org. Follow on LI, IG, YT, FB, & LT @ExperientialDreamwork #thedreamjournal. To learn more or to inquire about exploring your own dreams go to ExperientialDreamwork.com. Video podcast available at youtube.com/@experientialdreamwork. Popular playlists: “Dream Journal shorts” and “FULL LENGTH VIDEOS”. Here are links to some other Dream Journal episodes you might be interested in: Get a Better Night’s Sleep with Dr. Chris Winter Nightmares and Suicide with Dr Michael Nadorff Intro and outro music by Mood Science. Ambient music new every week by Rick Kleffel. Archived music can be found at Pandemiad.com. Many thanks to Rick for also engineering the show and to Erik Nelson for answering the phones. The Dream Journal aims to: Increase awareness of and appreciation for nightly dreams. Inspire dream sharing and other kinds of dream exploration as a way of adding depth and meaningfulness to lives and relationships. Improve society by the increased empathy, emotional balance, and sense of wonder which dream exploration invites. A dream can be meaningful even if you don’t know what it means. The Dream Journal is produced at and airs on KSQD Santa Cruz, 90.7 FM. Catch it streaming LIVE at KSQD.org 10-11am Pacific Time on Saturdays. Call or text with your dreams or questions at 831-900-5773 or email at onair@ksqd.org. Podcasts are available on all major podcast platforms the Monday following the live show. The complete KSQD Dream Journal podcast page can be found at ksqd.org/the-dream-journal/. Thanks for being a Dream Journal listener! Available on all major podcast platforms. Rate it, review it, subscribe, and tell your friends.

The Music of America Podcast Season 3 winds down this week with Wyoming and wow! What a way to end a season. We begin a duo who goes by the name Sparrow Bones. Mattias Russell and Alyssa kick the week off from Casper with songs that include Colossus, Anesthesia, I Am Sure and Take Me To the Water

Send us Fan MailLee has been a perfusionist for over 43 years.  He was at the Cleveland Clinic for 17 years, during which the team there was involved in creating many techniques still used today.  He now has a TikTok page where he tells stories from the early years of heart surgery and also discusses modern techniques.Learn about career options from the people doing it

Most patients on antidepressants are told they can't take methylene blue, even for brain fog. Steven E. Warren, a physician and longevity medicine clinician, joins Kevin to discuss his KevinMD article "51 cases that reframe methylene blue serotonin syndrome." You'll hear why 50 of the 51 published serotonin-syndrome cases involved high-dose IV methylene blue given under anesthesia, mostly during parathyroid surgery, rather than the low oral doses used in outpatient longevity practice. Steven walks through the Goldilocks dosing posture he uses for patients with brain fog, why he screens every patient's full medication list for interactions before starting, and why he tells every patient there are no randomized trials behind methylene blue. He also describes the broader longevity practice he sees daily: patients stacking peptides from the gym, megadosing vitamin D from podcasts, and ordering supplements off Amazon without quality control. If you're a clinician fielding methylene blue questions or a patient considering it, listen for the questions Steven thinks should be asked before starting any unstudied supplement. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In this episode of Core Anesthesia, Tanner and Cole sit down with CRNA Anthony to talk about his recent anesthesia mission trip to the Philippines. Anthony shares how he got involved, what it took to plan and organize the trip, and the challenges of providing anesthesia in a resource-limited setting. The conversation explores the importance of partnering with local communities, adapting to different clinical environments, and making a lasting impact beyond the operating room. Anthony also reflects on the personal and professional growth that came from the experience and offers encouragement for anyone considering medical mission work.Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com 

CRNA education has never been more demanding. As nurse anesthesia programs have evolved into rigorous 36-month doctoral programs, educators are seeing increasing levels of stress, anxiety, burnout, and mental health challenges among students. So how can faculty better support students while maintaining the high standards required of the profession? In this episode of Airway Exchange, hosts Nickie and Erin welcome Gerard Hogan, DNSc., APRN-BC, CRNA, FAANA, LtCol, USAF (ret.), psychiatric mental health nurse practitioner, educator, and researcher, for an important conversation about resilience in nurse anesthesia education. Dr. Hogan discusses his research on resilience among nurse anesthesia residents and explains why resilience is a skill that can be taught, strengthened, and developed over time. Here's some of what you'll hear in this episode:

Michael Huot, M.D., Anesthesiologist and Medical Director at the Pain Management Clinic in Rapid City is back for his third Doc Talk appearance, this time from a more personal angle. In February, he was Doc Talk host Mark Houston's anesthesiologist for colorectal surgery, and that experience opens a wide-ranging conversation about what's actually happening while you're under anesthesia. Dr. Huot walks through the science of consciousness, the realities of trauma cases, malignant hyperthermia, the role of AI in the operating room and why anesthesiologists tend to be the chillest doctors in the building. Then, for the first time, the host gets put in the hot seat. Hosted on Acast. See acast.com/privacy for more information.

At this year's Euroanaesthesia meeting in Rotterdam, TopMedTalk host Andy Cumpsty interviews Wolfgang Buhre, Professor of Anesthesia and Perioperative Medicine at Utrecht University Medical Center and past president of the European Society of Anaesthesiology and Intensive Care (ESAIC). The discussion starts with a focus upon the annual ESAIC congress and its international reach, with next year's meeting planned for Copenhagen. Buhre explains ESAIC's White Paper, developed over two years using interviews and desk research with clinicians, stakeholders, and patient perspectives, to clarify the role of anesthesiologists and communicate core values and strategic goals for 2026. Key priorities include addressing workforce shortages and Europe-wide variation in training and working conditions, protecting patient safety, ensuring availability of critical medicines and supplies, and expanding standardized education tools such as the European Diploma. He outlines next steps focused on advocacy with European institutions and support for national societies. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

In this episode, host Alyssa Watson, DVM, welcomes Thomas K. Day, DVM, MS, DACVAA (Emeritus), DACVECC (Emeritus), CVA, Cert. IVUSS, to discuss his recent Clinician's Brief article, “Anesthesia for Dental Surgery in a Dog With Myxomatous Mitral Valve Disease.”  With his broad background in anesthesia and critical care, Dr. Day shares a wealth of useful information for handling these challenging anesthetic cases. You will want to keep your notebook close to take notes on everything from drug selection to dosing to even fluid dosing. Resources: https://www.cliniciansbrief.com/article/mmvd-dental-anesthesia-quiz https://www.apoquel.com Contact: podcast@instinct.vet Where To Find Us: Website: CliniciansBrief.com/Podcasts YouTube: Youtube.com/@clinicians_brief Facebook: Facebook.com/CliniciansBrief LinkedIn: LinkedIn.com/showcase/CliniciansBrief/ Instagram: @Clinicians.Brief X: @CliniciansBrief The Team: Alyssa Watson, DVM - Host Alexis Ussery - Producer & Multimedia Specialist

Dr. Keya Lock interviews Drs. Jun Ma and Mo Azam, guest editors of July's ASA Monitor, about practice management staffing models. Listen in as they consider adaptive staffing models, managing NORA expansion, workforce strategies, burnishing leadership skills, what the future might look like, and more. Recorded June 2026.

On this week's episodeScotty's girlfriend's mom listens to the show, and will thinks its hilarious. The Wins Surge has a sleeve and the Stanley Cup is heating up. Are stereotypes overrated or underrated, and what is the worst thing to hear before the Anesthesia kicks in? What are some funny fornication position names, and could you stereotype somebody and be wrong? Enjoy another episode and keep on laughing!

Send us an inquiry through a text message here!Buy VRT LIVE 2026 tickets here: https://www.axs.com/events/1451690/the-veterinary-roundtable-ticketsWelcome to another episode of The Veterinary Roundtable! In this episode, we sit down with Danielle Heberle, CVT, VTS-H Dentistry,Senior Manager of Clinical Services at Midmark Corporation, to talk about why so many veterinary teams feel overwhelmed even when they love the medicine, the workflow mistakes clinics don't even realize they're making, technician underutilization in anesthesia and dentistry, and so much more!Do you have a question, story, or inquiry for The Veterinary Roundtable? Send us a text or voicemail from the link above, ask us on any social media platform, or email theveterinaryroundtable@gmail.com!Episodes of The Veterinary Roundtable are on all podcast services along with video form on YouTube!YouTube: https://www.youtube.com/@TheVeterinaryRoundtableInstagram: https://www.instagram.com/theveterinaryroundtable/TikTok: https://www.tiktok.com/@theveterinaryroundtableTimestamps:00:00 Intro02:05 Introducing Danielle & Her Journey09:44 Industry Patterns and Burnout13:11 AAHA's Stay, Please Study16:57 Best Dentistry Workflow22:24 Overcoming Resistance to Standardized Care29:38 Client Compliance & Preventive Care34:15 Optimizing Clinic Physical Design41:02 Preventing Anesthesia Mistakes49:13 Midmark's Training Academy54:14 Real-Life Anesthesia Simulation01:01:55 The Future of Veterinary Dentistry01:11:33 Outro

Moderator: James P. Rathmell, M.D. Participants: Boris D. Heifets, M.D., Ph.D. and Ben Julian A. Palanca, M.D., Ph.D., M.S.C.I. Articles Discussed: Feasibility of a Multicomponent Protocol to Promote Dreaming during Surgical Anesthesia Protocolizing Propofol Emergence: Turning "Milk of Amnesia" into Designer Dreams?

Could you imagine working in a rural location where access is truly a lifeline for people? Today's guest is April Erickson, DNP, CRNA, an ​Alaska ​based ​nurse ​anesthesiologist ​and ​anesthesia ​medical ​director ​with ​more ​than ​15 ​years ​of ​experience ​in ​rural ​independent ​practice. Sharon and guest host Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN, sit down with April to discuss frontier medicine, independent practice, leadership, and what it truly means to provide care where access is critical but not guaranteed. Here's some of what you'll hear in this episode:

At the SOAP meeting in Montreal, Desiree Chappell and Monty Mythen interview Dr. Marie Louise Meng, Assistant Professor of Anesthesiology at Duke University Department of Anesthesiology and her former cardio-obstetric fellow Liliane Ernst, assistant professor in the Obstetric and Gynecologic Anesthesia section Wake Forest University. The conversation focuses on cardio-obstetric anesthesia, hemodynamics, monitoring, and patient-centered care. Meng describes building multidisciplinary "pregnancy heart teams" to plan management for complex cardiac disease in pregnancy and reduce birth trauma. Ernst discusses research using the Premier database on preexisting atrial fibrillation in pregnancy (about 25 per 100,000 deliveries) and associated management and outcomes. They review cases including mechanical circulatory support with an Impella to prolong pregnancy and highlight knowledge gaps about placental perfusion and pulsatility, including Fontan physiology. Meng outlines individualized hemodynamic monitoring for labor and C-sections, emphasizes recognizing hypertensive instability, and details preeclampsia with severe features, its end-organ criteria, incidence, disparities, postpartum follow-up challenges, and potential use of remote monitoring and noninvasive cardiac output/SVR monitoring to guide therapy. Monty Mythen, founding editor-in-chief of TopMedTalk, is now Senior Vice President, Scientific Liaison, BD Advanced Patient Monitoring. He is also Emeritus Professor of Anaesthesia and Critical Care, University College London, UK. Desirée Chappell, former co-editor-in-chief of TopMedTalk, is now Director of Medical Affairs and Medical Science Liaison, BD Advanced Patient Monitoring. She is also a CRNA at NorthStar Anesthesia, USA. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - EBPOM World Congress 2026

In today’s VETgirl online veterinary continuing education podcast, we interview Cathy Mann, RVT, VTS (Surgery), (Anesthesia & Analgesia) about the long road to becoming a veterinary technician specialist in surgery! Tune in to hear about how to achieve this prestigious credential, how you can help mentor someone towards this achievement, or what doors open once you acquire this credential!

Around 48 to 72 hours after surgery, swelling peaks, the anesthesia haze lifts, and a lot of women look in the mirror and feel like they've made a mistake. Dr. Diana Breister has been in plastic surgery long enough to know that feeling almost never means what people think it means. Most of the time, it's not regret — it's chaos.Dr. Breister, who came to La Jolla Cosmetic after years of reconstructive work at City of Hope, walks Monique through what's actually happening between day one and day fourteen. The first 48 hours are what she calls a “pink bubble” — anesthesia still on board, surgery behind you, mostly relief. Then comes the crash: maximum swelling, pain pills affecting mood, a body shape that doesn't look like the final result yet, and the strange weight of doing nothing while everyone else is productive. They get into the difference between regret and shock, why facelifts feel harder than mommy makeovers, the mean-girl moment that derailed a breast reduction recovery, and what to do when your partner isn't showing up.Three words anchor the whole conversation: trust the process. Dr. Breister explains why she can promise, with 200% certainty, that the feeling will pass — and why the women who say “what did I do” at week one almost never remember saying it by year one.LinksMeet San Diego plastic surgeon Dr. Diana BreisterLearn more about facelift surgery at LJCSCQuestions answered by this episodeWhy do I feel sad or emotional after plastic surgery?When does swelling peak after cosmetic surgery?Is it normal to regret plastic surgery in the first two weeks?What is post-surgery depression and how long does it last?Can anesthesia and pain medication change how I feel emotionally?Why does my face or body look so different right after surgery?How should a partner or family member support someone recovering from cosmetic surgery?Why do facelifts feel harder emotionally than other procedures?What are the biggest mistakes people make in the first two weeks of recovery?How do I tell the difference between normal swelling and a real problem?About this podcastLearn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the San Diego's Best Union-Tribune Readers Poll, global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine's Best of San Diego Awards.Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego's most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to LJCSC.com or follow the team on Instagram @LJCSCWatch the LJCSC Dream Team on YouTube @LaJollaCosmeticSurgeryCentreThe La Jolla Cosmetic Surgery Podcast is a production of The Axis: theaxis.ioTheme music: Busy People, SOOP

Alan dives into the clinical and psychological mysteries of pain tolerance and the supreme value of profound anesthesia. Alan opens up about a humbling experience with a phobic patient who simply wouldn't go numb, his deep love for his trusty Septodont Perject "pencil" syringe, and why he fiercely stands by Itena DentoTemp for zero-failure provisionals. Wrap it all up with a passionate, unfiltered defense of the proud "regular ass dentist" in a world obsessed with full-arch overhauls, and you've got a classic, relatable session in the basement studio. Some links from the show: DentoTemp from Itena Paroject ("the pencil") from Septodont BufferPro from Septodont Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, Frank or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!