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In this episode of the Diligent Compliance Week 2025 Speaker Preview Podcasts series, Amanda Carty discusses her presentation at Compliance Week 2025, “Going Beyond Due Diligence in Risk Management.” Some of the issues she will discuss: Demonstrate measurable and quantifiable ROI Build psychological safety that drives ethical decision-making and engagement. Navigate matrix environments to expand the influence. Use data to tell compelling compliance success stories Partner with the C-suite to help them navigate disruptive changes, including deregulation and major economic geopolitical shifts. I hope you can join us at Compliance Week's 20th Anniversary National Conference. This year's event will be held April 28-30 at The Mayflower Hotel, Autograph Collection, Washington, D.C. The lineup is first-rate, with some top ethics and compliance practitioners around. Drop by the Diligent booth for some Compliance Podcast Network coffee to gain insights and make connections at the industry's premier cross-industry national compliance event, offering knowledge-packed, accredited sessions and take-home advice from the most influential leaders in the compliance community. Back for its 20th year, compliance, ethics, legal, and audit professionals will gather safely face-to-face to benchmark best practices and gain the latest tactics and strategies to enhance their compliance programs. Learn more about your ad choices. Visit megaphone.fm/adchoices
RSL’s across Australia play a pivotal role in ANZAC Day. Year round they are there to support veterans and provide a service for the community, but in the last week or so you would’ve seen them everywhere. Raising money and preparing for marches and services and no doubt today will be a huge day as well. RSL Queensland State Secretary Iain Carty told Luke Bradnam on 4BC Breakfast, "What an amazing turnout across the state today given some of our inclement weather." "Over 400 to 500 events across the state and all being very well attended." "So thank you, Queensland," Mr. Carty said.See omnystudio.com/listener for privacy information.
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This week on our season finale of "I've Been Meaning To Listen To That", we review GNX by Kendrick Lamar with special guests Racquel Callahan (The Chi, Swagger) and Christina Carty! Plus, we dive deep into: • Whether there are flaws in viewing Kendrick as an inflated concept rather than a flawed man and artist • How GNX serves as a natural sequel and evolution of To Pimp a Butterfly, DAMN., and Mr. Morale & The Big Steppers, incorporating the teachings of Eckhart Tolle • The Super Bowl halftime performance—was it exactly what it needed to be, or did Kendrick take a half(time) measure? • Why we, as a society, should avoid crowning Kendrick as a “culture savior” and learn from past mistakes • How Kendrick innovates and elevates the West Coast sound while staying true to his roots • Is Drake still part of the culture? And where could he go as a human being post-beef (without right-wing grifting)? • Does the title track GNX sound like being trapped in a 2-liter bottle filled with 808s? • …and more! Subscribe to our Patreon series: "I've Been Meaning To Watch That"! PATREON SUPPORTERS: Sean Wilkinson Samuel Lee Stenley Philippe Jon Butts Tanner Richard Craft Kiersten Nickel Carissa Zaffiro SOURCES: Kendrick Lamar GNX review by Dakota West Foss https://www.sputnikmusic.com/review/89250/Kendrick-Lamar-GNX/ Kendrick Lamar Sneak Disses America... by FD Signifier https://www.youtube.com/watch?v=42hduL6bDJs&t=86s Barbie, Spider-Punk and Jester's Privilege by Nickolas Nameolas https://www.youtube.com/watch?v=KjNSOCI9wQo Follow Racquel Callahan on Instagram (@itstherac) Follow Jon Butts at (@jonbuttsishere)Follow Andrew Ambrose Lee on Instagram (@andrewambroselee) Follow Stenley Philippe on Instagram (@snapasten) Cover Art by Megan Rika Young (@meganrika) Theme Song by OTNES (Twitter: @mxotnes Instagram: @mxotnes) Follow us at (@ibmtltt) on Tiktok & Instagram, and email us at ivebeenmeaningtolistentothat@gmail.com Have a good daaay!
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On this episode I speak to Andrew Carty Head of Strategy and Glen D'Souza Head of Creative respectively for Forsman & Bodenfors Canada about their unique approach to integrating creative and strategy into what they call “The Product”. They'll also touch on the importance of creative teams being involved early in the process, the tools they use to foster creativity, such as 'what if' statements and their innovative concept of 'flooring' work for peer review, and embracing the messy nature of the process to achieve impactful results for clients.
In this episode Brian Hancock talks with Kurt Dykstra and Joshua Weikart to discuss the 38 Golf Program, the Functional Specialty Team Construct, and the recent Functional Specialty Team Symposium. Major Dykstra and Captain Weikert, welcome to the show. Thank you very much. Wonderful to be here. --- One CA is a product of the civil affairs association and brings in current or former military personnel, diplomats, development officers, and field agents to discuss their experiences on the ground with the people and leadership of a partner nation. We aim to inspire anyone interested in working in the "last three feet" of U.S. foreign relations. To contact the show, email us at CApodcasting@gmail.com or look us up on the Civil Affairs Association website at www civilaffairsassoc.org --- Special thanks to Art Music for a sample from the song "January | Instrumental Background Music." Retrieved from: https://www.youtube.com/watch?v=2E0orz_C33I --- Transcript 00:00:03 INTRODUCTION Welcome to the 1CA Podcast. This is your host, Jack Gaines. 1CA is a product of the Civil Affairs Association and brings in people who are current or former military, diplomats, development officers, and field agents to discuss their experiences on ground with a partner nation's people and leadership. Our goal is to inspire anyone interested in working the last three feet of foreign relations. To contact the show, email us at capodcasting@gmail.com or look us up on the Civil Affairs Association website at www.civilaffairsassoc.org. I'll have those in the show notes. 00:00:39 BRIAN HANCOCK I'm Lieutenant Colonel Brian Hancock, and I will be your host for this session. Today, we have with us Major Kurt Dykstra and Joshua Weikert and Joshua Weikert and Captain Joshua Weikert to discuss the 38 golf program and the recent Functional Specialty Team Symposium. Major Dykstra and Captain Weikert, welcome to the show. Thanks very much. Wonderful to be here. Thank you, sir. 00:01:26 BRIAN HANCOCK A quick disclaimer while we're here that the remarks of myself and the participants are solely ours. All right, gentlemen, let's jump into it. From the beginning, what attracted you to U.S. Army civil affairs? Well, I can start that answer. So I'm a bit older, as you might have gathered from my bio. 00:01:43 KURT DYKSTRA a bit older, as you might have gathered from my bio. And at various points in my adult life, I had thought about entering into military service. And for one reason or another, It just didn't happen. And it was always a great regret in my life that I had not served and saw it as something that I wish I would have done. And then about four or so years ago, I got a call from a friend of a friend who at the time was a major who was recruiting for this new golf program. And we really didn't know each other, but we sort of had moved in similar circles and knew the same people and those sorts of things. And my wife and I were hiking the Appalachian Trail and I was having breakfast one morning and got a phone call from Colonel Koinga, as he retells the story, I think within an hour or two, I said something like, sounds good to me, let's do it. Of course, I did talk with my wife and those sorts of things, but that's my pathway in and a bit unique perhaps, but I think a story that has some resonance with many of the other gulfs, particularly those who were not prior service, that this was fulfilling an opportunity that they had, that they had wished that they had taken earlier, which was to serve the country through the military. 00:02:51 BRIAN HANCOCK the country through the military. Well, first of all, Kurt, you're not that old. You look very young and healthy to me. And so you're doing something right. So good for you. I'm thrilled that you have chosen to give both the Army and civil affairs a chance. We definitely need the type of skills that you bring to the table. Now, let me turn to you, Captain Weicker. Tell me a little bit about your journey getting here. Well, I was a prior service soldier. 00:03:16 JOSHUA WEIKERT prior service soldier. Also being the pre -law advisor at my university, I had a pre -law student who was interested in the Army JAG program. And she had asked me to look into direct commissioning programs in the Army in general, knowing that I was a veteran and had some experience in this area. And I stumbled across the 38 Gulf page on the Army Talent Management website. And it was such an immediately obvious fit because I teach politics, but I also do politics. I work for the House of Representatives. And for that matter, when I go out looking for faculty members to hire, I like looking for people who are practitioners as well as being scholars. And this really dovetailed very nicely into that model. And it struck me as something with a very clear need. It also struck me as something that, especially as we think about lessons learned from Iraq and Afghanistan and 20 years of deployments, that this was an area where the Army could really bone up its skills and get more into capacity building both within our formations and also the places where we operate. So it struck me as something that was both important and extremely interesting. 00:04:13 BRIAN HANCOCK Well, very glad that you're here. The background that you both have in politics and helping. do governance on an almost daily basis. It makes me wonder, how would we train something like transitional governance? This is one of our core capabilities. I don't know if the program does things like that. I think there's a big future for us in this area. And both of you have the background to help us move in that direction. Well, in the early 2000s, 00:04:44 JOSHUA WEIKERT the DOD had... conducted a review of all the civil administration and civil affairs tasks that were out there that the Army engages in. And they came up with a list of something like 1 ,400 different tasks. And they combed through this list and started identifying things that are not currently met. So where are the areas where the Army needs help? And out of that derived these 18 skill identifiers within the 38 Gulf program, covering a broad range of civil skills. And these include things like... finance, education, and border security, and law, regulation, and policy, and this cultural heritage and property protection. And the goal of the program is essentially to enhance a commander's ability to operate in a stable civil environment, to foresee and address any likely challenges that should crop up, so that commanders can focus on accomplishing their primary image. 00:05:33 KURT DYKSTRA AND JOSHUA WEIKERT Yeah, if I might jump in a little bit on that as well, either read the book or see the movie Monuments Men, then that gives you a little bit of a sense. In World War II, The U .S. were heading across Western Europe. They needed help to identify certain things, whether it's art, whether it's the significance of structures. And those are skills that the Army just didn't have. So the George Clooney's of the world, who at the time were art historians and museum curators, were brought into the Army's orbit to assist in those tasks. And that's kind of the history of the program that goes way back when, and then it was recently restarted in many ways and broadened as Captain Weigert. has been describing. So in some ways, I describe our role as consultants with specific civilian side expertise that the Army simply does not have to assist the Army to be able to do things that it otherwise might not be able to do. So we get called upon to assist in some of those areas that are more specialized than what the Army generally might have. And in other ways, like other civil affairs officers, you know, we're kind of the Army's diplomatic corps. So it's really those combinations, but the Gulf program specifically brings a very specific and in -depth civilian skill set to be used for Army purposes. 00:06:47 BRIAN HANCOCK set to be used for Army purposes. It sounds a little bit similar to some of the specialists we have with surgeons and lawyers, but also different at the same time. When we were deployed in Iraq and Afghanistan, we definitely could have used these capabilities in all of these special functional areas. The Department of State tries their best to fill that gap, but the reality is that they're a relatively small organization that isn't necessarily equipped to go to non -permissive environments for extended periods of time. So for transitional governments, I think the heavy lift tends to fall on the military, and you really can't rebuild a government without trying to rebuild the economy and those other threads that tie into that tapestry. I'm very excited for the future with you guys on board. One of the initial challenges is that there wasn't necessarily a clear career progression through every rank for these soldiers. They couldn't follow the 38 Alpha career progression. Has that been relooked at? We do have a quasi -path through your military education. 00:07:57 JOSHUA WEIKERT a quasi -path through your military education. We do not yet have a basic officer leadership course, though we are currently piggybacking on Medical Services Bullock down here at Fort Sam. which is actually where they both are right now. But my understanding is that a 38 golf at CA Bullock course is in development, and I volunteered some of my time doing some of the course materials for that. And of course, we do have the civil affairs captain's course as well as an option. Beyond that, I'm not certain at all. But for Major Dykstra, if he has more information on that. 00:08:26 KURT DYKSTRA AND JOSHUA WEIKERT Much of this has been like jazz. There's been a certain underlying beat that's there, and there's a lot of improvisation that happens along the way. And Captain Weikert is exactly correct that we do DCC largely with the JAG DCC. And then we sort of peg on BOLIC, either AG or AMED, and AMED seems to be the preferred course right now. And to me, this is an area for improvement. We've gone through two school experiences without having any sort of direct training for what it is that we do. And that feels to me like an area that we can improve upon. And I think that is in process, as Captain Weikert mentioned with. With large organizations, particularly the U.S. Army, all that sort of thing takes time. Yeah, it does. But I do think that as the program matures, as there are more people within it for longer periods of time, a lot of the questions about career path and specifics along those lines, frankly, either be worked out by doctrine or they'll be worked out by the process of having people going through these programs and through the ranks and getting OERs and those kinds of things. So I'm not as concerned about that. A ladder piece is what I think that it would be beneficial for the golf program to have better formal education laid out sooner as we see with most other MOCs. 00:09:37 BRIAN HANCOCK other MOCs. It makes sense to me. It is clever, though, to piggyback on a professional MOS. Many reservists have a similar challenge who aren't 38 golfs because a lot of the professional military education that we funnel through. is geared towards combat arms. And of course, for reserve soldiers, what we do is largely support. But in terms of professional military education, understanding some of these other professions like medicine and pieces of logistics and information operations, professional military education historically has not been geared to advance the tradecraft of those individuals. So I think there's a larger movement within the Army at large, though, to create more specialized training. Unlike the Marine Corps, where they have fewer MOSs and folks have to be a little bit more of a generalist, the fact that we have so many specialty MOSs in the Army, I think, lends itself to the ability to stand up individual branches that can run its own training. And within the functional specialties of the 38 golf program, you might even need an entire course dedicated. to each of those functional areas because they're really quite different. 38 golfs are contained within the functional specialty team construct, like the building where they live within a civil affairs unit. Some folks tend to conflate the 38 golf program with the functional specialty team, not the same. But let's take it a step further. Since the functional specialty team which houses the 38 golf program is a military unit, It, of course, has non -commissioned officers in it as well as officers. Three of us happen to be officers, but non -commissioned officers are very important for us to get things done in the Army. What right now is the role of the non -commissioned officer within functional specialty teams? And gentlemen, where do you see that going? Go ahead, Captain Martin. I think that's exactly right. 00:11:40 JOSHUA WEIKERT right. And in addition, the just traditional roles that NCOs play in almost any unit in formation in terms of like training plan development and... upward input and things like that. I think the role of NCOs is all the more valuable and important in an FXFB section that includes a significant number of direct commission officers. You need that reinforcing experience even more in that set. And also, as we found out at the symposium in April, many of we had NCOs in attendance, and many of these NCOs are themselves fairly accomplished within their careers on the civilian side. So they have SI. contributions to make as well. So they're an essential part of this formation. 00:12:19 KURT DYKSTRA AND JOSHUA WEIKERT Yeah. One of our NCOs was a lawyer of 35 plus years, had done really remarkable things in the civilian side. So the idea that I, as a newly commissioned officer, would come in as the experienced person on the civilian side and he was more experienced on the Army side was true on the one hand, but it also was so much more than that because his civilian expertise was also first rate and really quite impressive. 00:12:41 BRIAN HANCOCK first rate and really quite impressive. That's amazing. And I don't know if the functional specialty teams will select for that type of talent. It certainly exists, at least within the Army Reserve. We're very skill -rich. That is exciting to me. Now, prior to the establishment of the 38 golf program, who was manning the functional specialty teams? 00:13:03 JOSHUA WEIKERT There is great talent in our formations already. So we had, for example, veterinarians. We had public health practitioners. and people that have civil affairs and what we now think of as sort of 38 Gulf skill sets. With the 38 Gulf program, you have subject matter experts who can get a little further into the weeds in areas where we don't have as much expertise. If someone came up to a practicing JAG lawyer and said, look, we need to design a judiciary system because we're about to massively disrupt the civil administration of this country, they're going to be in the ballpark. They understand courts and civil and criminal procedure and things like that. but they might clearly consider things that I would think of in terms of governmental engineering around separation of powers, how those are selected. And that is what I think 38 Gulfs add to that functional specialty. It lets us accomplish a lot more within the same formation. That makes sense to me. 00:13:51 KURT DYKSTRA AND JOSHUA WEIKERT Yeah, I completely agree with that. And clearly the civil affairs units and the FXSPs in particular were doing tremendous work prior to the visioning of the 38 Gulf program. In many cases, it seems as though it might be because of the particular and unique skill sets of those officers and NCOs. I think the Gulf program is trying to actually more systematically identify and bring into the Army persons who have depth to skill. 00:14:17 BRIAN HANCOCK to skill. What I'm hearing is that 38 Gulfs bring out more capability and apply it to the often very complex civil social problems that we work on in the civil affairs community. I read a fair amount of peer -reviewed literature, and I can tell you from that standpoint, since the 38 Gulfs have entered the community, I've seen a lot more peer -reviewed literature coming out. So I think there definitely is some effect from this program, and I'm really excited to see where it's going to lead. Now, at the end of April, the 304th Civil Affairs Brigade, which is commanded by Colonel Toby Humphries, convened the first -ever functional specialty team symposium. How did that come about? What's the history there? Colonel Daniel Fletcher is the FXSP chief of the drill fourth. 00:15:03 KURT DYKSTRA AND JOSHUA WEIKERT chief of the drill fourth. So I was as green as they come. And Colonel Fletcher, he was incredibly helpful and kind to me to help me figure out some things. And through that, he learned that there was an onboarding and utility gap of how are we supposed to use these golfs? And he asked around up and down the chain in other units and found out that lots of people were having the same kind of question. So this, I think, was the impetus that he had then to say, well, let's get some people together to talk about some of these issues and see if we can't find solutions to some of these challenges. And then he and our CEO, Colonel Humphreys, talked. And Colonel Humphreys was, as I'm told, immediately enthusiastically on board for this effort. And then through lots of laboring hours and the work of many good officers and NCOs, we put together this symposium. It was a really rich learning experience, let alone a great networking opportunity. 00:16:01 BRIAN HANCOCK That sounds amazing. I almost wish I had been there. I know one of my mentors, Colonel Bradford Hughes, was there, and probably some of his team as well. What were some of the topics you guys discussed, and did you come to any conclusions or lessons learned that you'd like to share with the community? We had essentially three large chunks. 00:16:19 JOSHUA WEIKERT three large chunks. One was around organization and operations of 38 golfs and ethics SP sections. One was around training and doctrine. And then we specifically also discussed recruitment and personnel and lengthy discussions around accessions and initial onboarding. And we covered a lot of ground in three days. The white paper that is just about ready to be disseminated details the findings and does make some recommendations. But I think far more important than any particular recommendation that came out of it was the fact that we were able to draw all these discussions into one place and one location at one time. I have to believe, greatly increases the likelihood that they are ultimately acted upon because we were able to draw from everyone's best practices and identify where our collective gaps were. And as we sort of pass this up to USKPOC and the command level, this is something that is going to be a little more valuable simply because we were able to reach consensus on even just our concerns. 00:17:17 KURT DYKSTRA AND JOSHUA WEIKERT Exactly. It was a tremendously rich experience and a breadth of topics. And you mentioned Colonel Hughes. And he and his team have, I think, sort of set the pace for many of the KCOMs in terms of how they're using gulps in particular. And so I was a bit familiar with him through the literature and through various email types of things, but I'd never really talked with him before. Unfortunately, he couldn't be there in person, so he was presented by a team. But then got the chance to meet him this summer in Madison, Wisconsin, at a training event at the University of Wisconsin. And you want to talk about officers who are... just stellar in terms of their knowledge, but also stellar in terms of character and quality of person. Carl Hughes is right up there as well. So it was just an incredible experience to learn from other KCOMs and to understand history and some of the doctrine issues that arise and to identify road bumps or landmines and avoid them or fix them. But a really great experience that I think was appreciated by all who attended. 00:18:17 JOSHUA WEIKERT all who attended. One of the things that came out of the symposium for me in terms of like genuinely new things that I learned, is that at one point there was the establishment of this Institute for Military Support to Governance, which was formed specifically to identify and support reservists with civilian acquired skills that were applicable to these functional areas. And it sounds like it was a forerunner in many ways to what we think of as the 38 Gulf program today. And it still exists, at least as far as we can tell, absolutely unclear what current status is. But this is something that came up several times during the symposium, is that that could be something that could function as a vehicle to address some of the coordinating. challenges we face and maybe even some of the accessions on board be challenged. And it will just remain to be seen if that's something we can vitalize or revitalize. I love the way you're thinking. 00:19:01 KURT DYKSTRA AND JOSHUA WEIKERT Sir, this is part of the benefit of having an academic like Captain Weikert in the planning team. He thinks institutionally and thinks strategically in terms of the doctrine aspect of things. It's not just operational or tactical. The other thing I would mention is Captain Weikert mentioned The white paper from the symposium is soon to be published, but there was an article in the latest edition of The Shield that gives a more thinner or more popular description of what the symposium did and what it accomplished and who was there. So I would encourage any listener who is at least somewhat curious about the symposium to check out The Shield article and then be able to look out for the upcoming white paper. 00:19:40 BRIAN HANCOCK Let me ask you, gentlemen, a test question now that I've got you both warmed up and unsuspecting here. Field manual, three -tack, five -step, civil affairs operations, our Bible, recently updated. It added this new task of civil network development and engagement, or CNDE, which in itself is pretty complicated because we're talking about mapping and engaging interrelated complex adaptive systems. Okay, so mathematically, at least, it's already very complicated. Now, considering how deep the expertise is, within the 38 Gulf community, I would suspect that those folks with those credentials in those communities are probably in a very good position to advance civil network development engagement within their specialty areas. Now let's talk about that concept within the broader Army concept. We're all professionals at this level of our career. How are we as an institution, in your opinion, measuring the strength of the professional networks that we are bringing with us, which are an asset for both civilian and the military? How could we include the strength of someone's network as, say, part of their promotion or board packages? Do you have any thoughts how the Army as an institution could take a better measure? of our professional networks and ability to leverage them to achieve commander's effects. I can say that it did come up at the symposium among that group of 38 Golfs and FXSP members in attendance that this was an essential part of just understanding what our own capabilities were and how do we track and map where everyone lands in terms of their skill sets. 00:21:13 JOSHUA WEIKERT that it did come up at the symposium among that group of 38 Golfs and FXSP members in attendance that this was an essential part of just understanding what our own capabilities were and how do we track and map where everyone lands in terms of their skill sets. So it was something of general interest at the symposium, and it also came up in the context of how we developed training. for 38 golfs and for civil affairs units more generally. And those efforts are likely to be ongoing. But in terms of how to do it, I think it should be relatively straightforward because we already have some of these things sort of populated in the soldier talent profile at HRC, for example. And if we simply adapt that and augment it to specifically identify for civil skills and civil networks, it shouldn't be too challenging to at least get that on paper. Now, how you operationalize that and put it to work is a more challenging question, obviously. 00:22:03 KURT DYKSTRA But it does seem to me as though there is a lot of ad hoc -ness to the way this is happening so far. The point and purpose of the Gulf program is to really get into uniform persons with skills that the Army was lacking. And if we simply have them but don't know about them and don't utilize them and leverage them and execute on them, then maybe to put it in a more concrete way, if we're simply relying upon, I know a guy or I know a gal who has that experience and they happen to be over there. in the 352, well, that's better than not having that information. But it's not really how you want to be running a program like this. Better to have a much more institutionalized, formalized means of understanding networks so that we can affect the broad array of a civil society. Because as we all understand, if a civil society breaks down, it's not just one thing that needs to be addressed. It's about 175 things that need to be addressed. in order for civil society to work. So there's still work to be done there, but I am heartened by the fact that the Gulf community is a robust one intrapersonally and continuing to be more so. And these topics of more institutionalizing that kind of knowledge is absolutely on the topic of conversation for many people who are thinking more seriously about how to do that. 00:23:18 BRIAN HANCOCK people who are thinking more seriously about how to do that. I love the fact that this community is actually thinking about these difficult questions that not only affect the army, but... affect the force as a whole and strategically affect our ability to compete and deter, ideally avoiding conflict altogether. And these are things that we have to understand. What networks, how do we invest in them? How do we, if necessary, appropriate them to steer the world away from costly conflict? That is something that needs more attention, 00:23:49 JOSHUA WEIKERT more attention, is there is a very, very, very robust peace mission for 38 Gulf. And I think it's important to remember, too, as we think about how we exploit these talents. For example, the same way our conservationists and cultural property protection folks have a partnership with the Smithsonian, we would want to see that within every skill identifier, that institutional partner becomes a potential warehouse of understanding what their aside people can do and how they can contribute as well. So I think at present, it is very interpersonal, and it's great that we do have that network of folks. But I also think that that is something that will get augmented once we have everything built out to its fullest expression. Carty, do you have a thought on that? 00:24:26 KURT DYKSTRA I was just going to say that we want to be in a spot to have those networks built out and an understanding of the places in which we operate before any hostilities break out. These things are happening and they're happening because of the good work of a whole lot of people, but the program is still pretty young. So we're still gaining our legs and still building it out. And with the kind of caliber of people we have in uniform now through this program, I have no doubt that the future is really, 00:24:50 BRIAN HANCOCK have no doubt that the future is really, really bright. That's wonderful to hear. The Army has done conflict for a long time, right? This idea of competition is still somewhat new to us, so we're not going to expect overnight our doctrine and schooling to change to be able to help us secure that win in competition. But I'm seeing encouraging signs, and I know we're going to head in that direction, and I really believe the 38 Golfs are going to have a very big role as we look to maximize our return on investment and competition, ideally avoiding conflict altogether. Now, at the symposium, I imagine maybe behind closed doors, a very professional and upfront group who's not afraid to talk about challenges. Within those conversations, what... at present, do you see as the single greatest challenge that needs to be overcome within the 38 Golf community? And what are your suggestions to do so? I'll say one thing. 00:25:52 KURT DYKSTRA To a person who was there, yes, there were some frustrations or constructive criticism ideas, but there was not a person in that room who was not enthusiastic about the program and grateful to be a part of it. So I think part of the challenge in a twofold piece, and both of these things have to do with the program being relatively new. The first one I would say is the accession process and the identification process. How does someone go from never having worn a uniform in the history of their life to commissioning? And how does that process work? And how long does it take for that to happen? Part of the challenge that we see, and I think it's getting better, I was maybe second class of Gulfs that came in, is that it was an on -again, off -again process for close to two years. And if we are trying to identify highly skilled, highly talented, highly experienced civilian personnel to come into uniform, a two -year process is problematic. 00:26:51 BRIAN HANCOCK is problematic. It's strange to me because my recruiter had me in boots before I left his office. And that was actually part of the discussion. 00:26:59 KURT DYKSTRA AND that was actually part of the discussion. In so many other areas, Army recruiting is really, really strong, and there's a clearly established path that you do. And because of the newness and kind of quirkiness of this program, there's less of that, and we're sort of building the ship as we're sailing. Yesterday in the hotel here at Fort Sam, I met a thoracic surgeon who was newly commissioned. And some of those areas that maybe have experience with highly skilled civilian practitioners. coming newly into the Army that have paths that are a bit more developed than what the golf program is. So again, I think it has gotten much better, but it takes time. 00:27:36 JOSHUA WEIKERT time. I think as the program grows and we sort of meet our staffing benchmarks and as we get more practice and more reps in the process, I do believe a lot of this will hire. I think it will as well. The other thing I would say is having the ability for a civil affairs bullet to come into play. 00:27:49 KURT DYKSTRA having the ability for a civil affairs bullet to come into play. We latched on with mainly the JAG officers for GCC and there's... a lot that's great about that, especially as a lawyer. It was very strange. So there were about 100 of us in our Bolick class. All but five of us, I think, were JAG officers. But I was the lawyer who wasn't the JAG. And I was the old guy. So it was really, it was a fascinating couple of months and a lot of fun. But we were sort of sitting along the side as they were talking lots of things about JAG school and what happened next for them. And then to be at AMED Bolick, again, it's a similar sort of thing. And there's, especially for someone new to the Army like me, being around people in the Army is invaluable, regardless of whether it's directly related to my MOS or not. But at some point, it would be helpful to get some specialized training about what it is that the Army expects me to do, apart from the civilian experience that I bring to the table. 00:28:45 JOSHUA WEIKERT In terms of challenges within 38 Gulf, I also find that, organizationally speaking, is how we connect 38 Gulfs with commanders and missions. Because at present, we are relying on these informal networks to pass information along about we need six Delta to go to Poland in two weeks. Who's available? You know, things like that. That's always going to be inefficient, for one thing. We realize a little too much on that ad hoc communications network. And it also means that commanders can't go looking for 38 Gulfs either. So what I think will have to happen sooner or later is having some kind of centralized. repository of mission and or task information that 38 Gulfs can go to and look at ongoing missions or missions in planning. And at the same time, some kind of searchable database where commanders can go find those people. And there are institutions and organizations that have this set up in existence. So it's not something we need to reinvent. It's just something we need to consolidate because it is just very unlikely that every formation in a civil affairs unit will happen to have the right people for their region and their missions. We need to be better to get good information down to every individual 38 golf and up to every commander. And that's just going to take time and awareness to them. 00:29:51 BRIAN HANCOCK time and awareness to them. That makes perfect sense. So that would help you grow in your skill set and mature your capability as well for everyone's benefit. Totally sold on that. And I think in time, as you mentioned, that's probably going to be developed and roll out. We've talked a lot about the 38 golf program today. Very exciting. I think certainly the best thing that's happened to civil affairs in decades. And I believe over time it'll be one of the best things that's ever happened to the Army and to the military at large. Very exciting. Those in the audience who are listening, who are interested in learning more and perhaps going through that application process, which will shrink in time, of course, what are those steps they need to take? If someone raised their hand and says, sign me up to 38 Golf, what do they do? 00:30:44 JOSHUA WEIKERT the Army and Hound Management website. If you just Google 38 Gulf Army, I believe the first tip that you'll see. And it's been built out over the past three years, adding more context, more information about the steps. But it essentially begins with laying out the basic requirements for the program, which is at least a master's degree in a relevant SI field, and at least professional experience in that as well. Once you've cleared those hurdles, you're then looking at developing your packet, and it does provide good guidance on that. I have already fielded some inquiries from interested NCOs and officers, and there are also some groups that you find on LinkedIn and Signal as well that are very active in discussing this process and how it's going. 00:31:18 BRIAN HANCOCK it's going. Professional football teams don't just recruit from their neighborhood. They go all over the place to get the right specialties, to put them together in the right combination for the right missions and matchups. I love the way you're thinking about putting something together like that. I've honestly felt that... As an institution, one of the things that we should do a little bit better job with in general is knowledge management within the military. If you have deep subject matter expertise, if it's in a very tight area like tech support, they have knowledge bases that you can search. We don't have a lot of tools like that, and we spend a lot of our money on human capital who are producing intellectual property, some of which is lost when a unit rips out or when there isn't a good continuity plan. And of course, the deep knowledge that you're describing, we definitely need a better way to collect, analyze, maintain, and make that accessible. So thinking about 38 Gulfs, and it was described as a consultancy within the Army. 00:32:12 JOSHUA WEIKERT it was described as a consultancy within the Army. So essentially, a staff officer or commander pauses and says, wait, how do I fill in the blank? That should trigger a call at an RFI down to some kind of 38 Gulf to fill that need. Yeah, and two more comments on that. One, this isn't unique to the Army. 00:32:29 KURT DYKSTRA AND JOSHUA WEIKERT to the Army. Any organization of any size will sort of talk about knowledge walking out the door. So this is not a unique situation to the Army, though, of course, it's magnified given the size, scale, and scope of what the U .S. Army does. The second thing I would say is, and this was part of the discussion at the symposium, the Colonel Hughes panel, what the 351st does is they house all of their goals at the KCOM level, as opposed to embedding them in brigades or battalions. And that way... Whether it's the ultimate solution or whether it's a matter of a way to actually get their arms around it, they have a sense as to what their capacity is within the 351st because they're all at the KCOM level and can understand that, oh, we have this issue of an agricultural thing happening in the Philippines. Wonderful. We know who we can send to help out on that mission. As things continue to get better, and they clearly have gotten better. But as this program is longer and more experienced and has more people in it and more knowledge shared through it, I fully expect that the process will get better and the knowledge that we're able to share in social life. 00:33:31 BRIAN HANCOCK I definitely think it will. We're approaching our time for the show. I wanted to give you a few last minutes for each of you. Do you have any final thoughts that you would like to share with the community? First of all, thanks for having us on, 00:33:46 KURT DYKSTRA AND JOSHUA WEIKERT on, sir. It's been a real treat to be able to talk with you. In addition to the great resources that Captain Weikert mentioned, feel free to reach out to us if you have questions on the golf program. We may not have all the answers, but we can probably be a good conduit into the network to help get you the answers, or at least the right people who would have the answers. So happy to field any phone calls or emails about the golf program. Awesome. 00:34:07 JOSHUA WEIKERT And I would just say to anyone who's currently in the pipeline or is thinking about applying or has recently commissioned and is very sort of new to the process, patience is the key. I know it seems like it's taking forever. It has gotten better with every iteration. It seems like the sort of processing time is getting smaller and smaller and all these things. So just hang in there and it does reach a conclusion eventually. 00:34:26 BRIAN HANCOCK a conclusion eventually. Well, thank you both very much, Major Dijkstra and Captain Weikert for coming on the show. That concludes this issue of 1CA Podcast. 00:34:37 Close Thanks for listening. If you get a chance, please like and subscribe and rate the show on your favorite podcast platform. Also, if you're interested in coming on the show or hosting an episode, email us at capodcasting@gmail.com. I'll have the email and CA Association website in the show notes. And now, most importantly, to those currently out in the field, working with a partner nation's people or leadership to forward U.S. relations, thank you all for what you're doing. This is Jack, your host. Stay tuned for more great episodes. One CA Podcast.
A native of the Bronx, Al "Boogie" Carty has been laying it down with the world's best artists for over two decades. With his huge pocket and sense of both groove and melody, Al is a first call for many artists and has worked with Rob Thomas, Alicia Keys, Meshell Ndegeocello, Ed Sheeran, Christina Aguilera and many, many more. I first met Al at a gig I was playing in Toronto sometime back in the early 2000's and we finally got a chance to sit down and catch up on everything do with bass, touring and life one afternoon in New York. Al is a wealth of knowledge, so sit back and enjoy!
Liz kicks off this year's Medical Device Training Journey by interviewing Kelly Carty, who advises medical device companies on regulatory strategy throughout the product lifecycle. During their conversation, they dive deep into the clinical trials process, from how to develop the IFU to implementing best practices into a procedure, and how mandatory training can be a mitigation measure in the risk management process. Join Kelly and Liz as they discuss how a strong regulatary strategy can ensure companies have the best data, documents, and procedural steps to support their products. In 2025, we're embarking on a MedDevice Training Journey: From clinical trials to standard of care. Join us all year long as we explore training at each stage of the product life cycle. Related Resources: Kelly Carty is a Co-founder of MedTech Strategy Advisors, LLC, a consulting company that advises medical device companies on regulatory strategy development and execution throughout the product lifecycle. Kelly spent 22 years working in the medical devices industry at companies ranging from small startups to large, well-established companies with a wide variety of devices and complex issues. She held positions of increasing responsibility, ultimately ending as the Head of Regulatory Strategy – Body Aesthetics for Allergan Aesthetics, an Abbvie Company. Following her time in industry, Kelly moved into consulting at Veranex, Inc. where she worked closely with her Co-Founder, Nada Hanafi. Together, Kelly and Nada routinely interface with FDA for their clients on novel product designs, pending submissions, and postmarket issues. Connect with us on LinkedIn: Kelly Carty Cumby Consulting Rachel Medeiros Liz Cumby About Cumby Consulting: Cumby Consulting's team of professionals deliver innovative MedTech training services for physicians, sales representatives, teaching faculty, key opinion leaders and clinical development teams. Whether you need a complete training system developed to deliver revenue sooner or a discrete training program for a specific meeting, Cumby Consulting will deliver highly strategic, efficient programs with uncompromising standards of quality.
In the written description of my podcast, Fine Is a 4-Letter Word, I begin by asking:“Wasn't it just a couple years ago you were sitting on the beach at spring break in Ft. Lauderdale – listening to the Pet Shop Boys, U2, and Def Leppard - with your entire life ahead of you? Now you're looking back 30-plus years and wondering what the hell happened.”Basically, I've just described what used to be called the mid-life crisis. I started the show shortly after I'd embarked on some major mid-stream changes and was hearing similar rumblings from many of my friends. But I've long maintained that this isn't a crisis!What if everything that happened was just groundwork setting you up for your current success – and that there's a lesson to be found in how fast time seemed to zoom until one day you looked up and said “Holy s*it, I'm 52 years old!”This is what Katie Carty Tierney tells those who have yet to go through it.Her early life didn't seem like much of a crisis – she came from a good home where she learned that when you say you're gonna do something, you do it; and if you make a mistake, own up to it and work hard to be better.Growing up, she wanted to be a brain surgeon, then a pediatrician. As a college freshman, as part of her studies toward becoming some sort of doctor, she was made to do something in a biology lab she didn't agree with, which I'll leave to your imagination. So she pivoted to business analysis and research. This led Katie to a career in the computer industry as a consultant, which she enjoyed until the 2008 crash caused her to lose her job.Her husband was doing well in his career, so she became a stay-at-home mom for a while, volunteering for various networking organizations and stuff for the kids. She figured she'd go back to work eventually and everything seemed fine.But Fine is a 4-Letter Word.In a moment, when you meet Katie, you'll discover how her need to hang out with adults again led her down new career paths, including landing a job that required her to go through fifteen – yes, fifteen – interviews. What did she learn from that?And looking back with 20/20 hindsight, how has becoming an empty-nester for the first time in 23 years not only brought things full-circle, but also given her a wealth of information to pass along as she blazes the trail for others?You're about to find out.Katie's hype song is "Eye of the Tiger" by Survivor.Resources:Katie Carty Tierney's LinkedIn: https://www.linkedin.com/in/katiecartytierney/ Invitation from Lori: Let me ask you, if there was a simple way to reclaim your peace of mind and not feel so frazzled, would you want to know what it is? Enter the “10 Proven Habits Top Leaders Use to Stay Calm and Focused Every Day” checklist — your quick guide to creating calm, intentional days.These practices are so incredibly simple, you'll probably question their effectiveness. Like, how could just doing THAT alleviate my stress?! But take my word - and all the science and research that's been done on these methods - implementing even ONE of these strategies will absolutely change your ability to manage your energy, embrace change, and foster resilience. PLUS, you want to cope with the distractions in your mind so you can stay focused and achieve your desired results? THIS checklist will give you the direction to do that. Oh, and lastly, it isn't about perfection or doing ALL the things all at once. It's about taking each small step toward progress, one at a time, consistently. Consistency over perfection wins every time. You deserve a life...
In Episode 13, State of Texas v. Linda Anita Carty. In Part 3, Lisa and Kyle concluded their look at the case against Linda Carty, who remains on Texas Death Row after multiple unsuccessful efforts to win a new trial in state and federal court. They talked about the alternate suspects Carty has blamed for the 2001 kidnapping and murder of new mother Joana Rodriguez, whose body was found in the trunk of a car rented for Carty by her daughter and whose newborn son, Ray, was found, thankfully unharmed, in the back seat of Carty's daughter's car. Both cars were at the same time and in the same place. We'll also talk about Carty's multiple self-serving letters professing her innocence and complaining about her persecution by prison officials. Then they talked about her second successive state post-conviction writ, request to file a successive federal habeas claim and her request for appointment of new counsel, allegedly to assist with presentation of a petition for clemency.
This week on I've Been Meaning to Listen to That, we're diving into Chromakopia by Tyler, The Creator with special guests Christina Carty and Racquel Callahan! Join Andrew, Stenley, Christina, and Racquel as they discuss their personal histories with Tyler, debate his place in the West Coast rap pantheon, and explore how he fuses masculine and feminine energies with imagination and empathy. They'll also unpack his bold takes on abortion, motherhood, polyamory, and female pleasure on tracks like “Judge Judy,” “Hey Jane,” and “Darling I.” Plus, hear how his maximalist production contrasts with Kendrick Lamar's therapeutic storytelling on Mr. Morale, and don't miss the shocking moment when Stenley takes his mask off and reveals he's Canadian!Sources:Brat and the Culture of Addiction by Alexander Avilahttps://www.youtube.com/watch?v=iyg-p-NZx8w&t=1553sCHROMAKOPIA is here (and it's really good) by Dissect Podcasthttps://open.spotify.com/episode/6HLJ7VqKSlvEd2hVanQdVpSubscribe to our Patreon series: "I've Been Meaning To Watch That"!PATREON SUPPORTERS:Sean WilkinsonSamuel LeeStenley PhilippeJon ButtsTanner Richard CraftKiersten NickelCarissa ZaffiroFollow Racquel Callahan on Instagram (@itstherac)Follow Andrew Ambrose Lee on Instagram (@andrewambroselee)Follow Michael Limentato on Twitter (@limentaco) & Instagram (@limentaco)Follow Harper Thomson on Instagram (@harpingabout)Follow Stenley Philippe on Instagram (@snapasten)Cover Art by Megan Rika Young (Twitter: @meganrika Instagram: @meganrika)Theme Song by OTNES (Twitter: @mxotnes Instagram: @mxotnes)Follow us at (@ibmtltt) on Tiktok & Instagram, and email us at ivebeenmeaningtolistentothat@gmail.comHave a good daaay!
MVP...Jackson or Barkely? Knicks and Nets Both Hot Remembering Rico Carty
"I ain't ever gonna try to be your dad, but I just want you to love me back." Tune in to hear the heartfelt story behind this powerful song and how it reflects the challenges of blended families. As Tom recounts his creative process, he reveals that the song encapsulates his desire to communicate to the children that he does not intend to replace their father but rather hopes to build a loving relationship with them. This episode features a live performance of "Never Gonna Be," where our Tom's raw emotion and authenticity shine through. About our guest: Tom Carty is an Australian singer-songwriter and travelling troubadour whose blend of heartfelt storytelling and infectious Pop Country melodies is making waves in 2024 and beyond. With his upcoming EP No Stopping Us, Tom is set to release a series of authentic, driving tracks that draw from his real-life experiences and the miles he's travelled. His music merges the influence of country greats like Keith Urban, Jordan Davis, and Chris Stapleton with the laid-back coastal vibes of artists like Xavier Rudd and Jack Johnson, creating a sound that's both captivating and relatable. Known for his dynamic live performances, Tom has already graced stages at major festivals such as Gympie Ute Muster, Rockhampton Riverfest, and Baralaba Bash, and his debut single Never Gonna Be is earning airplay on River 949 and ABC Country. With new music, radio interviews, and a tour planned for early 2025, Tom is on the rise, and his journey is only just beginning. Follow Our Guest: Website: https://www.tommacmusic.com/ Instagram: https://www.instagram.com/tommacmusic Youtube: https://www.youtube.com/tommacmusic Facebook: https://www.facebook.com/tommacmusic Follow Us On: Instagram: https://www.instagram.com/thestevehodgson/ https://www.instagram.com/sharewithsteve/ Episode Highlights: 00:49 - Creative Process Behind "Never Gonna Be" 03:45 - Songwriting as a Reflection of Fear 07:16 - Live Performance of "Never Gonna Be" 11:22 - Audience Connection and Impact 13:30 - The Power of Music
From local gigs to festival stages, Tom Carty is making waves in the Australian music scene! Join us as he shares his journey, the challenges of the industry, and the magic of storytelling through country music. We dive deep into Tom's creative process, exploring how emotions drive his songwriting. He opens up about his experiences as a stepdad and the inspiration behind his touching new song, "Never Gonna Be," which resonates with many navigating the complexities of blended families. Don't miss Tom's live performance of "Never Gonna Be" and hear how he captures the essence of love, acceptance, and the challenges of being a stepdad. About our guest: Tom Carty is an Australian singer-songwriter and travelling troubadour whose blend of heartfelt storytelling and infectious Pop Country melodies is making waves in 2024 and beyond. With his upcoming EP No Stopping Us, Tom is set to release a series of authentic, driving tracks that draw from his real-life experiences and the miles he's travelled. His music merges the influence of country greats like Keith Urban, Jordan Davis, and Chris Stapleton with the laid-back coastal vibes of artists like Xavier Rudd and Jack Johnson, creating a sound that's both captivating and relatable. Known for his dynamic live performances, Tom has already graced stages at major festivals such as Gympie Ute Muster, Rockhampton Riverfest, and Baralaba Bash, and his debut single Never Gonna Be is earning airplay on River 949 and ABC Country. With new music, radio interviews, and a tour planned for early 2025, Tom is on the rise, and his journey is only just beginning. Follow Our Guest: Website: https://www.tommacmusic.com/ Instagram: https://www.instagram.com/tommacmusic Youtube: https://www.youtube.com/tommacmusic Facebook: https://www.facebook.com/tommacmusic Follow Us On: Instagram: https://www.instagram.com/thestevehodgson/ https://www.instagram.com/sharewithsteve/ Episode Highlights: 00:00 - Episode Trailer 02:14 - Tom's Musical Background 07:15 - First Gig Experience 09:49 - Navigating the Music Scene in London 14:28 - The Rise of Country Music 18:40 - The Impact of Technology on Music 21:51 - The Creative Process of Songwriting 23:39 - Writing from Emotion 27:15 - How Many Songs Actually Make It to Release 32:48 - Turning Personal Struggles Into Music 39:36 - Live Performance of "Never Gonna Be" 43:46 - The Real Power of Music Beyond Streaming 51:24 - Tom's advice for aspiring musicians 01:02:50 - Tom's Future Aspirations 01:08:41 - How to Connect with Tom
Jon Norman is joined by the former England fast bowler Steve Harmison and former West Indies all-rounder Philo Wallace to look back at the third and final ODI between the West Indies and England, with the West Indies sealing the series win with an emphatic 8-wicket win in Barbados. They look back at the series, and hear from Liam Livingstone, Shai Hope and Brandon King. Hosted on Acast. See acast.com/privacy for more information.
October 13, 2024 - Members of One Another - Dr. Austin Carty by Boulevard Baptist Church
September 29, The Prayerful Community - A People of Hope - Dr. Austin Carty by Boulevard Baptist Church
September 22, A Prayerful Community - Dr. Austin Carty by Boulevard Baptist Church
September 15, Yesterday And Tomorrow - Dr. Austin Carty by Boulevard Baptist Church
Dr. Marcy Carty, President and Chief Medical Officer of myLaurel, emphasizes the need to change the model where hospitals are the safest place for medical care. MyLaurel's acute care services include pre-hospital care to prevent emergency room visits, care-at-home to help patients get discharged earlier, and post-hospitalization care to smooth the transition. They work with primary physicians and other care providers to ensure a coordinated approach and use technology in the home to perform monitoring and diagnostics overseen by medical professionals and responders who can provide in-person and virtual visits. Marcy explains, "In the past, our health systems have looked at volume. I was a chief medical officer at a hospital, and I remember my CEO saying, "How many heads and beds can we get?" And so the system's really driven towards reducing risk and putting people into hospitals, assuming that it's the best place to be cared for. At myLaurel, we challenge that and work with communities to say, "How can we change that paradigm and bring the care to someone at home where they can sleep in their own bed, where they can hold all the power in their decision-making and ensure their goals of care are really incorporated into the care plan?" We want to change the paradigm that hospitals are the safest place to be and bring that care home, where I would say most people we talk to want to be cared for." "In general, myLaurel focuses on elderly or frail or people with complex medical conditions. What that means is our average patient is in their eighties, our average patient has about 13 medications, and our average patient has six or more chronic conditions. They generally represent the top 10% of patients for a health plan, accountable care organization, or physician group." #myLaurel #AcuteCare #InHomeCare #HospitalatHome #ObservationatHome mylaurelhealth.com Download the transcript here
Dr. Marcy Carty, President and Chief Medical Officer of myLaurel, emphasizes the need to change the model where hospitals are the safest place for medical care. MyLaurel's acute care services include pre-hospital care to prevent emergency room visits, care-at-home to help patients get discharged earlier, and post-hospitalization care to smooth the transition. They work with primary physicians and other care providers to ensure a coordinated approach and use technology in the home to perform monitoring and diagnostics overseen by medical professionals and responders who can provide in-person and virtual visits. Marcy explains, "In the past, our health systems have looked at volume. I was a chief medical officer at a hospital, and I remember my CEO saying, "How many heads and beds can we get?" And so the system's really driven towards reducing risk and putting people into hospitals, assuming that it's the best place to be cared for. At myLaurel, we challenge that and work with communities to say, "How can we change that paradigm and bring the care to someone at home where they can sleep in their own bed, where they can hold all the power in their decision-making and ensure their goals of care are really incorporated into the care plan?" We want to change the paradigm that hospitals are the safest place to be and bring that care home, where I would say most people we talk to want to be cared for." "In general, myLaurel focuses on elderly or frail or people with complex medical conditions. What that means is our average patient is in their eighties, our average patient has about 13 medications, and our average patient has six or more chronic conditions. They generally represent the top 10% of patients for a health plan, accountable care organization, or physician group." #myLaurel #AcuteCare #InHomeCare #HospitalatHome #ObservationatHome mylaurelhealth.com Listen to the podcast here
September 8, The Fruit Of The Spirit - Dr. Austin Carty by Boulevard Baptist Church
September 1, Wiping Every Tear - Dr. Austin Carty by Boulevard Baptist Church
Waste No Day: A Plumbing, HVAC, and Electrical Motivational Podcast
Join the Waste No Day! Facebook group: https://bit.ly/3xbqEj0 Follow Waste No Day on YouTube: https://bit.ly/3xlDLhD DJ Carty is a seasoned professional in the plumbing industry, with more than 15 years of experience. Today, he works alongside his son at Benjamin Franklin Plumbing in Pleasantville, New Jersey. In this episode, we talked about plumbing, service calls & appointments, water filtration...
Pregnancy leads to many physiologic changes, and thyroid and parathyroid disorders alter that physiology even more leading to complex laboratory interpretation and decision-making impacting both mother and fetus. In this episode, join endocrine surgeons Drs. Barb Miller, John Phay, Priya Dedhia, and Surgical Oncology Fellow Dr. Vennila Padmanaban from The Ohio State University. Hear about normal and abnormal thyroid and parathyroid physiology and treatment of patients with thyroid cancer. The group discusses several articles focusing on current guidelines from the American Thyroid Association as well as other key studies. Hosts: Barbra S. Miller, MD (Moderator), Clinical Professor of Surgery, John Phay, MD, Clinical Professor of Surgery, Priya H. Dedhia, MD, PhD, Assistant Professor of Surgery, Vennila Padmanaban, MD, Surgical Oncology Fellow, Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio. Twitter handles: Barbra Miller - @OSUEndosurgBSM John Phay – @JohnPhayMD Priya Dedhia – @priyaknows Vennila Padmanaban - @vennilapadmanMD Learning objectives: 1) Understand normal changes in thyroid and parathyroid physiology during pregnancy 2) Describe the impact of thyroid and parathyroid dysregulation on maternal and fetal health 3) Compare and contrast management of thyroid and parathyroid disorders during pregnancy vs. non-pregnancy 4) Recognize the importance of multidisciplinary care of patients with thyroid and parathyroid disorders References: 1. Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, Grobman WA, Laurberg P, Lazarus JH, Mandel SJ, Peeters RP, Sullivan S. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017 Mar;27(3):315-389. doi: 10.1089/thy.2016.0457. Erratum in: Thyroid. 2017 Sep;27(9):1212. doi: 10.1089/thy.2016.0457.correx. PMID: 28056690 https://pubmed.ncbi.nlm.nih.gov/28056690/ 2. Jee SB, Sawal A. Physiological Changes in Pregnant Women Due to Hormonal Changes. Cureus. 2024 Mar 5;16(3):e55544. doi: 10.7759/cureus.55544. PMID: 38576690; PMCID: PMC10993087 https://pubmed.ncbi.nlm.nih.gov/38576690/ 3. Patel, Kepal N. MD; Yip, Linwah MD; Lubitz, Carrie C. MD, MPH; Grubbs, Elizabeth G. MD; Miller, Barbra S. MD; Shen, Wen MD; Angelos, Peter MD; Chen, Herbert MD; Doherty, Gerard M. MD; Fahey, Thomas J. III MD; Kebebew, Electron MD; Livolsi, Virginia A. MD; Perrier, Nancy D. MD; Sipos, Jennifer A. MD; Sosa, Julie A. MD; Steward, David MD; Tufano, Ralph P. MD; McHenry, Christopher R. MD; Carty, Sally E. MD. The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults. Annals of Surgery 271(3):p e21-e93, March 2020. DOI: 10.1097/SLA.0000000000003580 https://pubmed.ncbi.nlm.nih.gov/32079830/ 4. Appelman-Dijkstra NM, Pilz S. Approach to the Patient: Management of Parathyroid Diseases Across Pregnancy. J Clin Endocrinol Metab. 2023 May 17;108(6):1505-1513. doi: 10.1210/clinem/dgac734. PMID: 36546344; PMCID: PMC10188304 https://pubmed.ncbi.nlm.nih.gov/36546344/ 5. Eremkina A, Bibik E, Mirnaya S, Krupinova J, Gorbacheva A, Dobreva E, Mokrysheva N. Different treatment strategies in primary hyperparathyroidism during pregnancy. Endocrine. 2022 Sep;77(3):556-560. doi: 10.1007/s12020-022-03127-3. Epub 2022 Jul 12. PMID: 35821184 https://pubmed.ncbi.nlm.nih.gov/35821184/ TRUELEARN LINK: https://truelearn.referralrock.com/l/BTKPODCAST/ Discount code: BTKPODCAST Using the discount code, you can get a discount of $25 off our Residency (General surgery, anesthesiology, OBGYN, Psychiatry, Peds, Neurology, Emergency Medicine, Internal Medicine, and Family Medicine), USMLE, andCOMLEX SmartBank subscriptions of 90-days or more. The code can also be applied for 15% off our allied healthSmartBanks (PA, Nurse Practitioner, Pharmacy, PT, OT, etc.). Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen