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interview starts at 40:55 Ra Castaldo is back and joins us for a great chat about plasma physics, ancient wisdom, astral wars and much more. We talk about the Golden Lasso of the Gods, the luminous ether, theosophy, the Naga, Apollo, CME's, ancient battles with Dragons being our Sun v our Magnetosphere. Go to the Nightside to stay in this solar system after death. We also get into ancient Egypt, the Hindu mythologies, dolmens in North America, John Lilly, Dolphins, divine intelligence, the dark forces, the Watchers, codes at birth and ET objects like 3I/Atlas and what they may bring. Most cutting-edge thoughts on the fusion of science, religion and spirituality. Exploring our cosmic journey. Featuring world-renown research and experiences of Ralph-Anthony "RA" Castaldo and various Colleagues. Ra, born still inside the caul, is an all around Renaissance man. https://www.youtube.com/@ExploringtheKawithRa https://www.themysticalspiralstore.com/themysticalspiral Bass Forge. Plasma Pixels: Understanding the Interface of Reality with Dana Kippel (@Dana.thealien) https://youtu.be/nXFid8D7q1Q?si=zG7F4-6mguqNDaa7 Become a Lord or Lady with 1k donations over time. And a Noble with any donation. Leave Serfdom behind and help Grimerica stick to 0 ads and sponsors and fully listener supported. Thanks for listening!! Help support the show, because we can't do it without ya. https://www.amazon.com/Unlearned-School-Failed-What-About/dp/1998704904/ref=sr_1_3?sr=8-3 Support the show directly: https://grimericacbd.com/ CBD / THC Gummies and Tinctures http://www.grimerica.ca/support https://www.patreon.com/grimerica http://www.grimericaoutlawed.ca/support www.Rokfin.com/Grimerica The Eh- List site. Canadian Propaganda Deconstruction https://eh-list.ca/ The Eh-List YouTube Channel: https://youtube.com/@theeh-list?si=d_ThkEYAK6UG_hGX Adultbrain Audiobook YouTube Channel: https://www.youtube.com/@adultbrainaudiobookpublishing https://grimericaoutlawed.ca/The newer controversial Grimerica Outlawed Grimerica Show Check out our next trip/conference/meetup - Contact at the Cabin www.contactatthecabin.com Our audio book website: www.adultbrain.ca www.grimerica.ca/shrooms and Micro Dosing Darren's book www.acanadianshame.ca Grimerica on Rumble: https://rumble.com/c/c-2312992 Join the chat / hangout with a bunch of fellow Grimericans Https://t.me.grimerica https://www.guilded.gg/i/EvxJ44rk Leave a review on iTunes and/or Stitcher: https://itunes.apple.com/ca/podcast/grimerica-outlawed http://www.stitcher.com/podcast/grimerica-outlawed Sign up for our newsletter https://grimerica.substack.com/ SPAM Graham = and send him your synchronicities, feedback, strange experiences and psychedelic trip reports!! graham@grimerica.com InstaGRAM https://www.instagram.com/the_grimerica_show_podcast/ Tweet Darren https://twitter.com/Grimerica Can't. Darren is still deleted. Purchase swag, with partial proceeds donated to the show: www.grimerica.ca/swag Send us a postcard or letter http://www.grimerica.ca/contact/ Episode ART - Napolean Duheme's site http://www.lostbreadcomic.com/ MUSIC https://brokeforfree.bandcamp.com/ - Something Galactic Felix's Site sirfelix.bandcamp.com - Should I
Will the Fed cut rates again before the end of 2025? The probability of the Federal Reserve cutting interest rates has decreased significantly, now standing at 30% according to CME's FedWatch tool. The slide comes amid concerns over a prolonged data blackout, as the Labor Department confirmed that it wouldn't release the jobs data for October. How will bitcoin and other risk assets react to the macro gloom? CoinDesk's Jennifer Sanasie hosts "CoinDesk Daily." - Break the cycle of exploitation. Break down the barriers to truth. Break into the next generation of privacy. Break Free. Free to scroll without being monetized. Free from censorship. Freedom without fear. We deserve more when it comes to privacy. Experience the next generation of blockchain that is private and inclusive by design. Break free with Midnight, visit midnight.network/break-free - Need liquidity without selling your crypto? Take out a Figure Crypto-Backed Loan, allowing you to borrow against your BTC, ETH, or SOL with 12-month terms and no prepayment penalties. They have the lowest rates in the industry at 8.91%, allowing you to access instant cash or buy more Bitcoin without triggering a tax event. Unlock your crypto's potential today at Figure! https://figuremarkets.co/coindesk - Genius Group has partnered with CoinDesk for Bitcoin Treasury Month, launching the Genius x CoinDesk Quest. Participants can join the Bitcoin Academy, complete free microcourses from experts like Natalie Brunell and Saifedean Ammous, and enter to win 1,000,000 GEMs (worth 1 BTC) promoting bitcoin education and adoption.Learn more at: geniusgroup.ai/coindesk-bitcoin-treasury-month/ - This episode was hosted by Jennifer Sanasie. “CoinDesk Daily” is produced by Jennifer Sanasie and edited by Victor Chen.
Help Support CME Group's Charitable Efforts By Donating To St. Jude Children's Research Hospital Guy Adami and Dan Nathan are joined by Terry Duffy, CEO and Chairman of CME Group, at the CME Group Tour Championship in Naples, Florida. They discuss a range of topics including Bitcoin, gold, equities, and market correlations, offering insights into the current financial landscape. The conversation highlights the role of CME's initiatives in retail trading, emphasizing the company's efforts in prediction markets and partnerships with platforms like Robinhood and FanDuel. Other key points include the evolution of market structure, the significance of the ten-year bond, and the increasing relevance of gold and crypto assets. Additionally, Duffy reflects on his leadership style, institutional trust, and future challenges and opportunities in finance. —FOLLOW USYouTube: @RiskReversalMediaInstagram: @riskreversalmediaTwitter: @RiskReversalLinkedIn: RiskReversal Media
In this week's episode, we delve into the powerful documentary The Chaplain and The Doctor with two extraordinary guests: Betty Clark, the chaplain at the heart of the film, and Dr. Jessica Zitter, the physician and filmmaker who brought this story to the screen. The film provides a deeply moving look into the ways personal stories and biases shape our interactions in healthcare. Through our conversation with Betty and Jessica, I gained a valuable insight: the narratives we carry within ourselves—whether conscious or unconscious—act as invisible forces that influence how we engage with patients and colleagues. I also learned that recognizing these stories and the biases they may produce, rather than avoiding them, can foster more genuine and empathetic care. They also may lead to deep friendships, as is clearly shown between Betty and Jessica. I love both this podcast episode and the film itself, as they shine a light on the deeply human—and oftentimes flawed—experience of working in healthcare. They remind us of the vital role of storytelling in shaping how we care for patients, and the often-overlooked yet essential contributions of chaplains in healthcare settings. Betty and Jessica's reflections underscore how chaplains bring compassion and humanity to the medical team, offering emotional and spiritual support to patients and providers alike. If you're interested in watching The Chaplain and The Doctor during its festival tour, or would like to host a screening at your own institution, I encourage you to visit the film's website at TheChaplainandTheDoctor.com. This episode of the GeriPal Podcast is sponsored by UCSF's Division of Palliative Medicine, an amazing group doing world class palliative care. They are looking for physician faculty to join them in the inpatient and outpatient setting. To learn more about job opportunities, please click here: https://aprecruit.ucsf.edu/apply/JPF05811 ** NOTE: To claim CME credit for this episode, click here **
Tyson Heaton is Senior Director of Co-Learning and Business Strategy and a Senior Coach at the Lean Enterprise Institute (LEI), where he partners with organizations worldwide to guide enterprise transformations and develop leaders who can build learning organizations. His Lean journey began in food and manufacturing operations at JBS, Schreiber Foods, and Greencore before spending more than a decade at O.C. Tanner, where he led supply chain operations, leadership development, and continuous improvement initiatives in partnership with Toyota's TSSC. Today, Tyson focuses on how Lean thinking intersects with the future of work - helping leaders navigate the disruptive impacts of AI, automation, and shifting workplace cultures while keeping people at the center of improvement. He is also a Shingo Institute examiner and an advocate for building organizations that combine operational excellence with human capability development.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.
“My most powerful content is when I lead with my voice as a mom because I have the same concerns about keeping my kids safe as my audience does. It's a powerful and effective way to find common ground with people,” says Dr. Jess Steier, a popular public health scientist and science communicator seeking to bridge divides and foster trust through empathetic, evidence-based communication. Dr. Steier has several platforms from which to do this work, including Unbiased Science -- a communication hub that uses multiple social media platforms and other communications channels to share validated health and science information -- and as executive director of the Science Literacy Lab, a nonprofit organization dedicated to reaching a diverse audience seeking clarity and reliable information on scientific topics. “The science is less than half the battle,” she explains. “It's about how to communicate with empathy.”Join Raise the Line host Lindsey Smith for a valuable conversation that explores:What sources Dr. Steier relies on to validate informationHow she uses “escape room” exercises to train clinicians on empathetic communicationWhy tailored, story-driven messages reach audiences more effectively than facts.Mentioned in this episode:Unbiased Science If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
In this episode of the Uplevel Dairy Podcast, Curtis Bosma from HighGround Dairy provides a comprehensive update on the current state of dairy and cattle markets. Following his participation in the CME and American Dairy Products Institute's seminar, Curtis discusses key market dynamics, including the Whey Boom, challenges in cheese and butter markets, and the impact of the September milk production report. The episode also covers the ongoing volatility in cattle markets, recent trends in feed commodities like corn and soybeans, and strategic recommendations for dairy producers as they look ahead to 2026. Curtis emphasizes the importance of staying proactive in risk management to navigate market challenges and capitalize on emerging opportunities.Catch your copy of the November Market Update here: https://marketing.highgrounddairy.com/november-2025-producer-market-updateThis episode is brought to you by:HighGround Dairy provides global dairy market intelligence, insurance services, futures & options brokerage, and advisory programs to a diverse range of dairy market participants throughout the supply chain.Information shared in this podcast is for educational purposes and is not a solicitation to buy or sell commodities. Opinions expressed are current opinions as of Nov 18, 2025 at 2:30 p.m. CST and only represent the views of the speaker and not those of HighGround Trading, unless otherwise expressly noted.
In this episode, Tom Varghese, MD, FACS, is joined by Ziad Sifri, MD, FACS, from Rutgers New Jersey Medical School, and Matthew Linz, MD, from Rutgers Robert Wood Johnson Medical School. They discuss Drs Sifri and Linz's recent article, “Postoperative Pain Management in the US vs Low- and Middle-Income Countries by US Surgeons,” in which they found that surgeons in the US prescribe significantly more opioids after inguinal hernia repair compared with when they operate on short-term surgical trips to low- and middle-income countries, despite continued efforts to reduce opioid overprescription in the US. Disclosure Information: Drs Varghese, Linz, and Sifri have nothing to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Linz, Matthew S MD1; Parvin-Nejad, Fatemeh P MD2; Srinivasan, Nivetha MD3; Vegunta, Geetasravya MD1; Eng, Ashley K BS1; Kim, Eugene BA MBS; Alexander, Imani BS1; Elgammal, Fatima MD2; Benson, Ryan MD2; Benneh, Albert Y MD4; Gyakobo, Mawuli K MD5,6; Lopez, Lorena MD7; Jalloh, Samba MD8; Sifri, Ziad C MD FACS2. Postoperative Pain Management in the US vs Low-and-Middle-Income Countries by US Surgeons. Journal of the American College of Surgeons ():10.1097/XCS.0000000000001538, July 30, 2025. | DOI: 10.1097/XCS.0000000000001538 Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord
Jeff Park is the Partner and Chief Investment Officer at ProCap BTC. In this conversation, we break down why bitcoin's price has been slipping and whether the market is actually signaling the start of a bear trend. Jeff explains the key forces driving sentiment — from liquidity pressures to global macro shifts — and why a slightly negative year for bitcoin might not be as bearish as it sounds.We also dig into what it would take for bitcoin to rip back toward the $125K–$150K range, plus how geopolitical dynamics in Japan, China, and elsewhere are shaping the broader investment landscape.======================BitcoinIRA: Buy, sell, and swap 80+ cryptocurrencies in your retirement account. Take 3 minutes to open your account & get connected to a team of IRA specialists that will guide you through every step of the process. Go to https://bitcoinira.com/pomp/ to earn up to $1,000 in rewards.======================In this episode, Pomp spotlights easyBitcoin.app—the app that pays you 1% extra on recurring buys, 2% annual bitcoin rewards, and 4.5% APY on USD. Download it now for iOS or Android at https://easybitcoin.onelink.me/F1zP/klc4v1p8 and start earning today. Your capital is at risk. Crypto markets are highly volatile. This content is informational and not financial advice.======================Core is the leading Bitcoin scaling solution, enabling you to lock in yield by locking up your Bitcoin. Simply lock it on the Bitcoin blockchain to secure the Core network, and get rewards. No bridging. No lending. Just holding. Still your keys. Still your coins. Now your yield. Start at https://stake.coredao.org/pomp======================Timestamps: 0:00 – Intro1:50 – Why is bitcoin dropping? Should investors be worried?4:36 – Do technical levels like CME gaps actually matter?8:13 – Harvard's bitcoin position and how endowments invest12:15 – Has optionality changed bitcoin's market dynamics?15:14 – What Jeff is watching for real signs of optimism17:30 – Is the 4-year cycle officially dead?23:18 – Macro risks: liquidity, global conflict, & Trump premium25:56 – What would a true upside black swan look like?28:05 – How do you underwrite quantum risk today?
The unprecedented payment cuts that the Centers for Medicare and Medicaid (CMS) proposed over the summer were finalized on October 31. The disastrous impact on cataract surgery reimbursements alone will amount to an 11% reduction in payment. In today's emergency episode, host Dr. Andrew Pouw welcomes back three guests to rally ophthalmologists to take action: Dr. John McAllister, the Academy's Secretary for Federal Affairs; Brandy Keys, the Academy's Director of Health Policy; and Rebecca Hyder, the Academy's Vice President of Government Affairs. Physicians shouldn't have to choose between staying open and serving their Medicare patients. Congress needs to hear directly from ophthalmologists like you before these cuts are enacted. Please, make your voice heard. Use this easy form to reach Congress. Essential Academy Resources: Contact Congress Now: www.aao.org/act-now Summary of CMS Medicare Physician Fee Schedule Past podcast episode: CMS Cuts Rock Ophthalmology For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.
Featuring a slide presentation and related discussion from Dr Erika Hamilton, including the following topics: Mechanisms of endocrine resistance; incidence of ESR1 mutations in breast cancer (0:00) Testing methods for ESR1 mutations in patients with breast cancer; therapeutic options for patients with ESR1-mutant breast cancer (3:59) General overview of proteolysis-targeting chimeras (PROTACs); comparison of PROTAC estrogen receptor (ER) degraders and selective ER degraders (7:39) Early-phase data with vepdegestrant monotherapy or in combination with CDK4/6 inhibitors in ER-positive, HER2-negative metastatic breast cancer (mBC) (11:54) Phase III VERITAC-2 trial of vepdegestrant versus fulvestrant in ER-positive, HER2-negative mBC previously treated with endocrine therapy and a CDK4/6 inhibitor (17:48) Ongoing clinical trials evaluating vepdegestrant in novel combinations or treatment settings; other clinical applications of PROTACs (26:08) CME information and select publications
HOST: Mark Longo, The Options Insider Radio Network CO-HOST: Dan Passarelli, Market Taker Mentoring In this episode, Mark and Dan delve into the latest developments in the options trading market, with AI-generated insights on trends, margin changes, retail shifts, and the growth of extended trading hours. They discuss Cboe's launch of the 'Magnificent 10' index options, OCC's margin rule adjustments for zero-day options, and the increase in retail trading activity. The episode also covers the forthcoming CME and FanDuel collaboration to create a prediction market for sports events, exploring the implications of this new venture. Additionally, the hosts highlight the importance of managing options trading strategies during vacation times and addressing listener questions on trading risks and strategies.
HOST: Mark Longo, The Options Insider Radio Network CO-HOST: Dan Passarelli, Market Taker Mentoring In this episode, Mark and Dan delve into the latest developments in the options trading market, with AI-generated insights on trends, margin changes, retail shifts, and the growth of extended trading hours. They discuss Cboe's launch of the 'Magnificent 10' index options, OCC's margin rule adjustments for zero-day options, and the increase in retail trading activity. The episode also covers the forthcoming CME and FanDuel collaboration to create a prediction market for sports events, exploring the implications of this new venture. Additionally, the hosts highlight the importance of managing options trading strategies during vacation times and addressing listener questions on trading risks and strategies.
In this hot seat coaching conversation, Sarah Jabeen MD, a clinician turned medical writer, brings the honest questions so many emerging CME writers quietly carry:How do I navigate a career pivot without feeling like an imposter? How do I leverage my clinical background without overwhelming my writing? And how do I grow from “new” to “trusted” in the eyes of clients?Together, we unpack what's underneath each of these questions and explore how identity, confidence, community, and small experiments shape your growth as a CME writer.You'll hear:Why self-doubt is a normal part of professional transformation—and how to shift from “What if this fails?” to “What if this works?”How your clinical experience becomes a true superpower in CME writing, giving you insight, relevance, and empathy that elevate your work.What separates a beginner from a trusted partner, and how reliability, curiosity, and consistent communication matter more than perfection.The role of community and belonging in building confidence and combating isolation during a career pivot.Practical guidance for showing up online, finding your voice, and creating a presence that feels aligned and safe.Whether you're transitioning from clinical practice, entering CME writing from another discipline, or simply looking for more confidence in your craft, this episode offers permission, perspective, and a path forward.Mentioned in this episode:12 Days of GivingThis podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp
This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You're an institution. Time to invest like one. _____________ This Episode is also sponsored by Ryze Health Every minute counts in medicine—so why waste it on clunky admin work? With Ryze Health, practice management becomes effortless. Our all-in-one platform streamlines scheduling, patient communications, and insurance verification, giving you fewer no-shows, faster check-ins, and happier patients. Free yourself from paperwork and phone tag so you can focus on what truly matters: providing care. Visit http://ryzehealth.com/BootstrapMD today and see how simple running your practice can be. ______________ In this episode of BootstrapMD, Dr. Mike Woo-Ming opens up about the breaking point that forced him to ask for help. Bad location, useless equipment, $5,000 Valpak disasters, and exactly one patient looking for free advice until one desperate phone call to a mentor turned everything around. From avoiding the crushing "stupid tax" and compressing years into months, to getting ruthless accountability, emotional support through the lows, real-world playbooks no CME ever teaches, instant network expansion, burnout prevention, borrowed confidence, and staying ethical while scaling — Mike proves mentorship isn't optional for physician entrepreneurs. It's the difference between surviving and thriving. If you've ever thought "I'm a doctor I should be able to figure this out alone," this episode is your wake-up call. Three Actionable Takeaways: Stop paying the "stupid tax" on your own: Find a mentor who has already lost the money and time on the exact mistakes you're about to make — wrong EMRs, useless marketing agencies, bad locations and shortcut years of expensive trial-and-error in a single conversation. Make a list today of three physicians who are 2–5 years ahead of where you want to be: Reach out and book a paid 60-minute consultation, never ask for free advice. Respect their time, get laser-focused answers, and start implementing immediately. Audit your business honestly: if you got hit by a bus tomorrow, would it survive without you? Build systems, hire replaceable team members, cut clinical hours, and create a practice that serves your life instead of chaining you to it — that's the real freedom entrepreneurship promises. About the Show: Bootstrap MD is the ultimate podcast for physician entrepreneurs looking to escape traditional healthcare and control their financial futures. Hosted by Dr. Mike Woo-Ming, a successful physician, entrepreneur, and investor, the show delivers actionable insights on starting businesses, creating passive income, and navigating healthcare entrepreneurship. Featuring interviews with industry leaders, physicians, and experts in telemedicine and digital health, it's your guide to building a profitable, fulfilling career. Tune in weekly at http://bootstrapmd.com About the Host: Dr. Mike Woo-Ming has over 20 years of experience as a physician entrepreneur. He's built and sold multiple seven-figure companies and now leads Executive Medical, a group of clinics specializing in age management and aesthetics. Through BootstrapMD, he mentors physicians in business, content creation, and autonomy. Let's Connect: www.https://www.bootstrapmd.com Want to start a podcast? Check out the Doctor Podcast Network!
Welcome to Perimenopause WTF!, brought to you by Perry—the #1 perimenopause app and safe space for connection, support, and new friendships during the menopause transition. You're not crazy, and you're not alone! Download the free Perry App on Apple or Android and join our live expert talks, receive evidence-based education, connect with other women, and simplify your perimenopause journey.Today's episode is titled “Prevention is Power: Protecting Bone Health in Perimenopause”. Rebekah Rotstein & Dr. Jennifer Han focus on the holistic and practical strategies for bone health during perimenopause, shifting the conversation from doom-and-gloom to actionable steps. The discussion highlights the critical role of community and support in managing an osteopenia or osteoporosis diagnosis, the importance of movement, resistance training, and essential nutrients like calcium and Vitamin D (stressing the difficulty of getting enough from diet alone), and the benefit of complementary therapies (like acupuncture and yoga) alongside traditional medical treatments.
As the year comes to a close, it's time to make sure your finances are in order before December 31st. In this episode, we go over a practical year-end checklist designed specifically for physicians to help you save money, reduce taxes, and start the new year on solid financial footing. We'll cover:How to maximize retirement contributions and employer matchesSmart ways to use your CME funds and professional allowances before they expireTax strategies to consider before year-end, including charitable giving and tax-loss harvestingWhat to check with your HSA, FSA, and dependent care accountsReviewing your investments, insurance coverage, and financial goals for the new year This episode will help you finish the year strong—organized, confident, and ready to make the most of your money in the year ahead.Please subscribe and leave a review on your favorite Podcasting platform. Get 12 Financial Mistakes that Keep Physicians from Building Wealth at https://www.growyourwealthymindset.com/12financialmistakes If you want to start your path to financial freedom, start with the Financial Freedom Workbook. Download your free copy today at https://www.GrowYourWealthyMindset.com/fiworkbook Dr. Elisa Chiang is a physician and money coach who helps other doctors reach their financial goals by mastering their money mindset through personalized 1:1 coaching . You can learn more about Elisa at her website or follow her on social media. Website: https://ww.GrowYourWealthyMindset.com Instagram https://www.instagram.com/GrowYourWealthyMindset Facebook https://www.facebook.com/ElisaChiang https://www.facebook.com/GrowYourWealthyMindset YouTube: https://www.youtube.com/c/WealthyMindsetMD Linked In: www.linkedin.com/in/ElisaChiang Disclaimer: The content provided in the Grow Your Wealthy Mind...
Watch The X22 Report On Video No videos found (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:17532056201798502,size:[0, 0],id:"ld-9437-3289"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");pt> Click On Picture To See Larger Picture Trump has withdrawn his nominee for the top IRS lawyer, he is an Obama donor. If you look at the US, the blue states are experiencing a recession, the policies are backfiring. Ford is now going to sell cars on Amazon. Trump wants to make life cheaper for Americans. Investors are liquidating their Bitcoin positions pushing the price down. The [CB] is the root of all evil. The fake news continues with their fake stories in regard to the illegals. The D's fell right into the trap that Trump set, they are exposing the Epstein files and clearing Trumps name and implicating themselves. They are now panicking. Trump is now beginning to separate the RINOS from MAGA, this is all in preparation for the midterms, Trump is also beginning to set the narrative for the Presidential race. Trump mission is to take the country back, the [DS] mission is to try to stop him, nothing can stop this. Economy Trump Withdraws Nominee for Top IRS Lawyer Donald Korb served in the Bush administration from 2004 to 2008. President Donald Trump on Nov. 14 withdrew the nomination of Donald L. Korb, a veteran tax attorney, to serve as the top lawyer for the IRS. Source: theepochtimes.com Deputy Assistant Secretary of the Treasury for Tax Policy At The IRS Is A Obama Donor https://twitter.com/KobeissiLetter/status/1990137278304305391?s=20 (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:18510697282300316,size:[0, 0],id:"ld-8599-9832"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs"); https://twitter.com/KobeissiLetter/status/1990425179621621957?s=20 https://twitter.com/EricLDaugh/status/1990421230193643844?s=20 "More deals with pharma companies to make prescription drugs cheaper" This is HUGE! BITCOIN Over $900 million in leveraged positions were liquidated since November 15, with longs taking the brunt (~$650 million). High leverage in derivatives markets (funding rates flipped negative) created a cascade: one sell triggered stops, pulling prices lower and wiping out more positions. Weekend and low-volume trading exacerbated the drop—daily spot volume fell to $2 billion (vs. $50 billion peaks in 2021), making BTC vulnerable to amplified moves. A CME futures gap at $92K was filled, adding technical fuel. Sentiment gauges like the Fear & Greed Index hit "extreme fear" (score: 18), spurring retail panic. Notably, on-chain data reveals no major spot selling—exchanges hold fewer BTC now than at the peak—suggesting this is a "synthetic" flush via derivatives, not fundamental dumping. Spot Bitcoin ETFs saw net outflows of $1.1 billion over the past 48 hours—the largest weekly redemptions since March 2025—driven by institutions like BlackRock's IBIT and Fidelity's FBTC. This reversed months of inflows that had propped up prices earlier in the year. https://twitter.com/ColonelTowner/status/1989700368951906382?s=20 Political/Rights https://twitter.com/CMDROpAtLargeCA/status/1990435847611552052?s=20 https://twitter.com/DHSgov/status/1990414982060581351?s=20 removal by an immigration judge from November 4, 2014. His criminal history includes assault with a deadly weapon, multiple counts of burglary, multiple counts of carjacking, carjacking with a firearm, trespassing onto private property, multiple counts of taking a vehicle without owner consent,
This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You're an institution. Time to invest like one.___________________ Ever wonder why success doesn't feel successful?You've checked every box — med school, residency, family, stability — yet still feel that quiet tug of restlessness. Dr. Richard Boyatzis, joins Dr. Bradley Block to unpack why even accomplished physicians often lose their sense of meaning mid-career. Drawing from his Intentional Change Theory, Dr. Boyatzis explains that fulfillment dips every 7–10 years as part of our natural life cycle — what he calls liminality, the space between “what was” and “what's next.” The fix isn't distraction (real estate, side gigs, or skydiving), but rediscovering your vision — your “ideal self” — and aligning daily work with your true values.He warns against the trap of coaching for compliance — trying to fix patients (or yourself) through fear and goals. Instead, focus on coaching with compassion — inspiring sustained change through purpose, gratitude, and hope. Physicians, he says, thrive when they reconnect to why they entered medicine: to help, heal, and matter. Through personal stories, neuroscience, and humor, Dr. Boyatzis offers a practical roadmap for reigniting passion without abandoning your profession — whether that means teaching, mentoring, volunteering, or simply reframing success through renewed purpose.Three Actionable Takeaways:Revisit Your Vision Every 7–10 Years: Midlife restlessness isn't failure — it's biology. Reflect on your ideal self by asking, “If my life were fantastic 10–15 years from now, what would it look like?” Write it down, talk it out, and use it to guide new choices in work and life.Coach (and Care) with Compassion, Not Compliance: Patients — and physicians — change through hope, not fear. Replace “If you don't…” warnings with vision-driven goals (“What do you want to live for?”). Shared purpose boosts motivation, treatment adherence, and well-being.Recharge with Purposeful Connection: Gratitude and positive storytelling aren't fluff — they activate the parasympathetic system and restore energy. Start meetings or days with one uplifting story, or jot three things you're grateful for. It rewires stress into meaning. About the Show:Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!Dr. Richard Boyatzis is a Distinguished University Professor at Case Western Reserve University and one of the world's most cited scholars on emotional intelligence, leadership, and behavior change. Co-author of Primal Leadership and Helping People Change, his latest book, The Science of Change, distills decades of research into how individuals and organizations achieve sustained transformation. A global consultant and teacher, his work has reached over 1.5 million learners worldwide.LinkedIn: https://www.linkedin.com/in/richard-boyatzis-401822a Website: case.eduAbout the Host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results… Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income. And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com. =============== This podcast is sponsored by the Physician Executive MBA Program at the University of Tennessee Knoxville's Haslam College of Business. Thinking about a nonclinical career path? In just one year, our physician-only MBA gives you the business and leadership skills to pivot, whether into administration, consulting, entrepreneurship, or beyond. Join a nationwide network of over 1,000 physician leaders. Learn more at nonclincicalphysicians.com/physicianmba. =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== In this replay, John reflects on his 14-year tenure as Chief Medical Officer and walks through six major assignments that shaped his work: - building a CME and residency program, - leading quality-improvement initiatives, - implementing medication-safety and order-entry systems, - applying lean process methods in key departments, - launching a hospitalist program, and - expanding a multi-specialty medical group through recruitment and practice acquisitions. His reflections provide a grounded view of how physician leadership unfolds inside a hospital, how large projects are carried from idea to completion, and what it looks like to partner with directors, executives, and frontline clinicians over many years. You'll find links mentioned in the episode at https://nonclinicalphysicians.com/6-typical-assignments of-a-hospital-cmo/
Send us a textWe're kicking off Season 4 of the Medical Money Matters Podcast, and we're celebrating something big. Over 10,000 downloads. Listeners tuning in from nearly 1,000 cities across the country—and even internationally. And we're entering our fourth year of episodes. Honestly, that number still stuns me a little. When we launched this podcast, our goal was simple: to help physicians and practice leaders navigate the business of medicine without losing sight of why they went into medicine in the first place.We wanted to demystify the money side. To have honest, clear conversations about things like revenue cycle, financial strategy, payer policies, and practice independence. We believed then—and we still do now—that when doctors understand the financial side of their practice, they're better equipped to lead, grow, and stay independent.And we're just getting started.Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill's company, Health e Practices' website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/ Purchase your copy of Jill's book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig's website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/
In this episode of Bowel Sounds, host Dr. Temara Hajjat talks to Dr. Katja Karrento, an Associate Professor at the University of Wisconsin and pediatric gastroenterologist at Wisconsin Children's and an expert on DGBI. Dr. Karrento talks about the 2025 NASPGHAN guidelines for managing children with cyclic vomiting syndrome (CVS). Learning objectivesUnderstand the new recommendations on managing CVSReviewing the guidelines on managing CVS and what has been added to the guidelines.Recognizing the limitations of the guidelines and side effects of the recommended medicationsLinks:2025 NAPSGHAN CVS management guidelines: https://pubmed.ncbi.nlm.nih.gov/40223700/Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.
In episode 68 we discuss an article about adding behavioral treatments to buprenorphine for opioid use disorder. McHugh RK, et al. Behavioral Therapy as an Adjunct to Buprenorphine Treatment for Opioid Use Disorder: A Secondary Analysis of 4 Randomized Clinical Trials. JAMA Netw Open. 2025 Aug 1;8(8):e2528529. We also discuss online gambling addiction, and neuroanatomy that predisposes adolescents to addiction. Stat News: Head of addiction medicine society warns of treatment cuts and rising threat of gambling Miller AP, et al. Neuroanatomical Variability and Substance Use Initiation in Late Childhood and Early Adolescence. JAMA Netw Open. 2024;7(12):e2452027. --- This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, visit MI CARES. CME: https://micaresed.org/courses/podcast-addiction-medicine-journal-club/ --- Original theme music: composed and performed by Benjamin Kennedy Audio editing: Michael Bonanno Executive producer: Dr. Patrick Beeman A podcast from Ars Longa Media --- This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice. The best part of any journal club is the conversation. Send us your comments on social media or join our Facebook group. --- Email: addictionmedicinejournalclub@gmail.com Facebook: @AddictionMedJC Facebook Group: Addiction Medicine Journal Club Instagram: @AddictionMedJC Threads: @AddictionMedJC YouTube: addictionmedicinejournalclub Twitter/X: @AddictionMedJC --- Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you're in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH. Claim CME for this episode at curbsiders.vcuhealth.org! By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education. Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak; Definitions Four-tier approach to taking care of patients with methamphetamine use/use disorder Medications for treatment Psychosocial treatment Harm reduction New horizons in treatment Outro Credits Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD Infographic and Cover Art: Zoya Surani Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD Reviewer: Sarah Leyde MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Dr. Phillip Coffin
Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We're joined by Ashish Thakrar, MD at the University of Pennsylvania. Claim CME for this episode at curbsiders.vcuhealth.org! By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education. Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak; Definitions Symptoms of opioid withdrawal Medications for the management of opioid withdrawal Buprenorphine precipitated withdrawal Starting Buprenorphine: Experiences and Strategies Titrating Methadone: Dosage and Adjuncts Adjunctive short-acting opioids Emerging Trends in Drug Supply: Xylazine and Medetomidine Outro Credits Producer, Show Notes: Zina Huxley-Reicher Infographics: Zina Huxley-Reicher MD and Zoya Surani Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD Reviewer: Payel Jhoom Roy, MD, MSc Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Ashish Thakrar, MD MHSP
The Mindful Healers Podcast with Dr. Jessie Mahoney and Dr. Ni-Cheng Liang
What if there isn't one right way to do things, but many? Letting go of being right can open the door to creativity, flexibility, and even liberation. This episode offers a mindful and compassionate reframe: seeing our approaches as preferences—shaped by our experiences, values, and identities. Pearls of Wisdom: • Softening into the idea of preferences fosters collaboration, both in medicine and at home. • Mindfulness helps us notice when judgment or irritation is a sign of unmet preferences. • Letting go of the need to be 'right' invites deeper trust, compassion, and innovation. • Seeing differences as diversity—not wrongness—can transform teams, relationships, and institutions. Reflection Questions: • Where in your life are you attached to doing things the "right way"? • How might it feel to see your way as simply your preference? • Whose preferences might you be overlooking at work or at home? • What would it look like to honor your own preferences without needing agreement? • How might this create more peace and possibility in your relationships? If you'd like support shifting from perfectionism to preference, or from rigidity to freedom, we would love to work with you. Jessie offers 1:1 mindful coaching and retreat experiences that integrate exactly these insights—visit www.jessiemahoneymd.com/coaching and www.jessiemahoneymd.com/retreats to explore upcoming options. End-of-year CME can be available with virtual coaching. We also speak and teach on these topics to healthcare teams, medical institutions, and professional conferences. To bring this mindful conversation about preferences, teamwork, and connection to your organization, learn more about inviting us to speak: Jessie Mahoney, MD: www.jessiemahoneymd.com/speaking Ni-Cheng Liang, MD: www.awakenbreath.org Nothing shared in the Healing Medicine Podcast is medical advice.
Has been an attending physician since 2019Brian volunteered when he was a teenager in the ER and the staff that got him involved really drew him toward emergency medicine in med schoolBrian worked in the ED as an EMT as wellHe talks about early mentors and the impact they have, including helping him get loans for medical schoolWe need to remember to be like that mentor that encouraged us when we were new and pay it forward to the next generation of studentsYou must have something that drives you in emergency medicine, it is a difficult specialty. At first the dopamine drive from the excitement can carry you a ways but it will fade over timeBrian talks about how faith led him to where he is nowWe talk about the fulfillment of just having good conversations with patients and making sure they feel cared for and understoodBrian talks about recognizing burnout, it's a “general sense of not being whole” like something has been taken from youHe talks about the golden handcuffs of being a physicianBrian talks about how he overcomes exhaustion and burnoutCold plunging - forces you to be in the moment, control you heart rate and breathing Choosing hard things makes those hard things that are forced on you easierLiving in the moment is largely equated with happiness, the more you can do this the more you can be happy. Meditation and many other therapies are simply teaching you to keep your mind in the momentA wandering mind is an unhappy mindPrayer is another method for focusing your mindSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition
Dr Rory Sweeney about Transport Logistics. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #Transport
Dr Gyula Tövisházi talking about Vascular Access Complications. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #Vascularaccess
Dr Phil Ross leading an interactive panel discussion answering viewers questions. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #DGH
Dr Peter Cosgrove talking about Physiological Pearls You'll Use Tomorrow: Interactive Resuscitation Cases. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #Physiology
Dr Chris Flannigan talking about Intubation in a Paediatric Cardiac Arrest. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #Intubation
Dr Stephen Mullen, Dr Julie Ann Collins, Dr Mary Beth Toner, Dr Peter McAlister, Dr Oluwadamilola Obidahunsi and Dr Tudor Oman running an Interactive Trauma Simulation. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #Trauma
Dr Chris Flannigan leading an interactive panel discussion on Septic Shock. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #Sepsis
Dr Peter Donnelly reflecting on his experience of being a parent of a baby in Intensive Care . This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #bronchiolitis
Dr Steven Montgomery running an educational quiz at the Paediatric Emergencies 2025 Conference. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #Quiz
Dr Constantinos Kanaris talking about Acute Management of the Deteriorating Child with an Anterior Mediastinal Mass. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #MediastinalMass
Dr Damien Gates talking about the Deteriorating Paediatric Patient with Complex Needs. This talk is part of the Paediatric Emergencies 2025 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2025/ #PaediatricEmergencies #PaediatricEmergencies2025 #PICU
This accredited continuing education program is supported by an educational grant from Sanofi. Credit for the program can be obtained by visiting https://checkrare.com/learning/p-consider-rare-suspecting-and-diagnosing-cidp/ . This program, led by Jeffrey Allen, MD, Professor of Neurology at the University of Minnesota provides an overview on the diagnostic delays that often occur in patients with CIDP as well as best practices to suspect and diagnose this rare condition more efficiently. This activity has been designed to meet the educational needs of physicians specializing in family medicine, pediatrics, and neurology. Other members of the care team may also participate.Learning ObjectivesAfter participating in the activity, learners should be better able to:Describe the early symptoms of CIDP.List best practices which can be used to diagnose CIDP more efficiently.Faculty Jeffrey Allen, MDProfessor of NeurologyDepartment of NeurologyDivision of Neuromuscular MedicineUniversity of MinnesotaMinneapolis, MNDisclosure StatementAccording to the disclosure policy of the Academy, all faculty, planning committee members, editors, managers and other individuals who are in a position to control content are required to disclose any relationships with any ineligible company(ies). The existence of these relationships is not viewed as implying bias or decreasing the value of the activity. Clinical content has been reviewed for fair balance and scientific objectivity, and all of the relevant financial relationships listed for these individuals have been mitigated.Disclosure of relevant financial relationships are as follows:Faculty Educator/PlannerDr. Scott discloses Consultant/Educational talks: Annexon, Alexion, Amgen, CSL Behring, Takeda,BioCryst, Grifols, Argenx, Sanofi, Immunovant, ImmunoAbs, Octapharma, Alnylam, AstraZeneca, Dianthus, Johnson & Johnson, Laboratoire Français du Fractionnement et des Biotechnologies, Nuvig, Akcea Therapeutics, ImmunoPharma,Pfizer.Community Faculty/Patient (Christine Eleeson): No relevant financial relationships with any ineligible companies.Other Planners for this activity have no relevant financial relationships with any ineligible companies.This activity will review off-label or investigational information.The opinions expressed in this educational activity are those of the faculty, and do not represent those of the Academy or CheckRare CE. This activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information.Accreditation and Credit DesignationIn support of improving patient care, this activity has been planned and implemented by American Academy of CME, Inc. and CheckRare CE. American Academy of CME, Inc. is Jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.PhysiciansAmerican Academy of CME, Inc., designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other HCPsOther members of the care team will receive a certificate of participation.There are no fees to participate in the activity. Participants must review the activity information including the learning objectives and disclosure statements, as well as the content of the activity. To receive CME credit for your participation, please complete the pre-and post-program assessments. Your certificate will be emailed to you within 30 days.PrivacyFor more information about the American Academy of CME privacy policy, please access http://www.academycme.org/privacy.htm For more information about CheckRare's privacy policy, please access https://checkrare.com/privacy/ContactFor any questions, please contact: CEServices@academycme.orgCopyright© 2025. This CME-certified activity is held as copyrighted © by American Academy of CME and CheckRare CE. Through this notice, the Academy and CheckRare CE grant permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).
Featuring slide presentations and related discussion from Prof Francois-Clement Bidard, Dr Hope S Rugo, Dr Rebecca Shatsky and Dr Seth Wander, including the following topics: Optimal approach to biomarker testing for patients with ER-positive metastatic breast cancer (mBC) (0:00) Case: A woman in her early 70s with recurrent ER-positive, HER2-negative mBC receives elacestrant (15:15) Case: A woman in her early 60s with ER-positive, HER2-low, PIK3CA-mutated mBC receives inavolisib-based therapy and experiences no disease progression for 24 months (18:02) Role of oral selective estrogen receptor degrader (SERD) monotherapy in the treatment of progressive ER-positive, HER2-negative mBC (26:26) Case: A woman in her mid 60s with recurrent HR-positive, HER2-negative mBC receives elacestrant (44:12) Case: A woman in her early 50s with recurrent HR-positive, HER2-negative, PIK3CA-mutant mBC receives capivasertib and fulvestrant (45:33) Potential novel applications of oral SERDs in the management of ER-positive, HER2-negative breast cancer (51:25) Case: A woman in her mid 50s with recurrent ER-positive, HER2-negative, PIK3CA-mutated mBC experiences disease progression 18 months after starting first-line letrozole and ribociclib (1:03:46) Case: A woman in her mid 50s with ER-positive, HER2-negative breast cancer undergoes serial ctDNA monitoring during first-line therapy (1:06:54) Tolerability and other practical considerations with oral SERDs (1:14:30) Case: A woman in her early 60s with recurrent HR-positive, HER2-negative mBC receives elacestrant (1:33:26) Case: A woman in her early 60s with recurrent HR-positive, HER2-negative mBC receives elacestrant (1:37:38) CME information and select publications
Prof Francois-Clement Bidard from the Institut Curie in Paris, France, Dr Hope S Rugo from the City of Hope Comprehensive Cancer Center in Duarte, California, Dr Rebecca Shatsky from the University of California San Diego Moores Cancer Center and Dr Seth Wander from Massachusetts General Hospital in Boston discuss recent updates on available and emerging treatment strategies involving oral SERDs for ER-positive metastatic breast cancer. CME information and select publications here.
Markets are shifting as the holidays approach — beef heats up with middle meats climbing, chicken stays steady, and pork holds its value. Grains stay quiet, and dairy continues to slide with butter finally leveling off. The big question: is this the start of the holiday run-up, or just the calm before real volatility hits?BEEF: Middle meats are stealing the show as ribeyes, tenderloins, and strips push higher into the holidays. With grinds leading the pack and demand building, this market's heating up fast — the only question is how high it'll climb before December cools it down.POULTRY: Chicken remains steady and well supplied, prices barely moving either way. But with another wave of avian flu reports and migration season still underway, how long can this calm market last?GRAINS: Corn, soy, and wheat all dipped slightly after last week's optimism faded. Good news for feeders — not so much for farmers — but could holiday demand finally stir this sleepy grain market?PORK: Bellies are steady around $140, keeping bacon lovers happy and buyers relaxed. Pork remains one of the best protein values out there — but how long will this balanced market hold?DAIRY: Butter finally stopped sliding, but cheese keeps melting down with barrels and blocks still dropping. With prices this low, could we be setting up for a holiday dairy rebound?Savalfoods.com | Find us on Social Media: Instagram, Facebook, YouTube, Twitter, LinkedIn
The Sun unleashed an absolutely massive G4 geomagnetic solar storm that hit the planet yesterday. It was the most powerful solar flare that we have seen in 2025. Additionally, an “energetic” and fast-moving coronal mass ejection, or CME, was hurled out by the Sun on Tuesday from the same area as the solar flare. The Space Weather Prediction Center has issued power grid warnings for 11 northern states, stating that the electromagnetic effects of the G4 would cause issues with electrical grids for states poleward of the 45th parallel. How prepared are we if the power is off and the lights go out? Listen to Ground Zero with Clyde Lewis M-F from 7-10 pm, pacific time on groundzeroplus.com. Call in to the LIVE show at 503-225-0860. #groundzeroplus #clydelewis #solar #CME #electromagnetic
A rare “cannibal CME” is slamming Earth, triggering a G3 geomagnetic storm and lighting up the skies—NOAA says auroras could stretch across 22 states, from the northern tier down into the Midwest. In Washington, lawmakers say they have the votes to reopen the government after the shutdown standoff. Meanwhile, Starbucks’ new “Bearista” cups are causing a full-on merch frenzy. And we wrap with a look at Las Vegas—after COVID hammered the buffet scene, are the iconic Vegas buffets finally back?See omnystudio.com/listener for privacy information.
Zach Mercurio, Ph.D., is a researcher, author, and speaker who specializes in purposeful leadership, mattering, meaningful work, and positive organizational psychology.He wrote "The Invisible Leader: Transform Your Life, Work, and Organization with the Power of Authentic Purpose." His forthcoming book, "The Power of Mattering: How Leaders Can Create a Culture of Significance," will be released by Harvard Business Review Press in 2025.Zach works with hundreds of organizations worldwide to forge purposeful leaders who enable mattering, motivation, well-being, and performance. Some of his clients include the U.S. Army, USA Wrestling, J.P. Morgan Chase, Delta Airlines, Marriott International, The Government of Canada, and The National Park Service. He also serves as one of author Simon Sinek's “Optimist Instructors.”Zach earned his Ph.D. in organizational development from Colorado State University where he serves as a Research and Teaching Fellow in the Department of Psychology's Center for Meaning and Purpose and as an Instructor in the Organizational Learning, Performance, and Change program.His research on meaningful work has been awarded by The Association for Talent Development, The Academy of Management, and The Academy of Human Resource Development.Zach lives in Fort Collins, CO with his wife, two sons, and two adopted dogs.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.
“I realized that rather than talking one-to-one with patients in the exam room, you could talk one-to-many on social media,” says Dr. Kevin Pho, explaining the origins of KevinMD, the highly influential information sharing site he created for physicians, medical students and patients twenty years ago. Since then, KevinMD has become a valuable space for clinicians and patients to share stories and perspectives on topics from burnout and moral injury to technology and trust. In this conversation with Raise the Line host Michael Carrese, Dr. Pho reflects on the dual paths that have defined his career: as a practicing internal medicine physician and as one of healthcare's most trusted online voices. And despite the challenges of doing so, Dr. Pho encourages other medical providers to follow his lead. “Patients are going online, and if physicians are not there, they're going to get information that's perhaps politically-driven or simply inaccurate.”This thoughtful conversation also explores: How social media has reshaped health communicationThe risks and rewards for clinicians of having an online presence Why medical schools should teach negotiating skillsMentioned in this episode:KevinMDEstablishing, Managing and Protecting Your Online Reputation If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
In this call to action, Drs. Robert Mazzoli, Stuart Seiff, and Jon Perlstein share the scope of issues surrounding ophthalmic trauma care in the United States and a roadmap for improving it, including how we can translate experiences from the military into our own set of Damage Control Ophthalmology (DCO) guidelines. Referenced article: A Call to Action and Roadmap for Improving Emergency Treatment of Ophthalmic Trauma in the United States For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.
Dr Matthew Lunning and Dr Sonali M Smith share their perspectives on the evolving therapeutic landscape for patients with diffuse large B-cell lymphoma and follicular lymphoma. CME information and select publications here.
00:45 A coronal mass ejection from a distant starResearchers have detected what they say is the strongest evidence yet of a coronal mass ejection (CME) coming from a star other than our Sun. CMEs are massive bursts of fast-moving plasma that can be detected thanks to the characteristic radio signal they produce. However, despite decades of searching, these signals have only been identified from the Sun. Now a team has identified a similar signal coming from a distant star in the Milky Way. They hope their discovery will lead to better understanding of the impact these colossal events might have on the atmospheres of exoplanets, and their chances of being habitable.Research Article: Callingham et al.12:28 Research HighlightsVideo footage of a devastating earthquake provides a first-of-its-kind glimpse of a dramatic ground rupture — plus, a flock of comets seen outside our Solar System.Research Highlight: Single video camera tells the story of deadly Myanmar quakeResearch Highlight: A host of ‘exocomets' swarms a distant star14:29 The rare genetic variants that may increase the risk of ADHDAttention-deficit/Hyperactivity disorder (ADHD) is a condition that affects around 1 in 20 young people, but its underlying causes are not fully understood. Now, a team of researchers show that three rare genetic variants are implicated in an increased risk of ADHD, which may play a role in the neurons involved in dopamine signalling. While this work provides a better understanding of the complex genetics at play, the authors caution more research is needed to unpick the complex interplay other factors involved in ADHD.Research Article: Demontis et al.18:41 Briefing ChatA high-resolution digital map for Roman roads, and how speaking more than one language could slow brain ageing.Nature: ‘Google Maps' for Roman roads reveals vast extent of ancient networkNature: Want a younger brain? Learn another languageSubscribe to Nature Briefing, an unmissable daily round-up of science news, opinion and analysis free in your inbox every weekday. Hosted on Acast. See acast.com/privacy for more information.
THE WORLD IS CHANGING!!! Erasing fear with evidence, science and facts! This conversation delves into the significant impact of hormone replacement therapy (HRT) on women's health, particularly in the context of menopause. Dr. Rubin, Casperson and Makary discuss the recent FDA decision to remove black box warnings associated with HRT, which have perpetuated fear and misinformation for decades. They emphasize the importance of educating both clinicians and patients about the benefits and risks of HRT, highlighting the long-term health advantages it offers, such as reducing the risk of heart disease and osteoporosis. The discussion also addresses the need for informed consent and the importance of empowering women to make educated decisions about their health. Takeaways 50 to 70 million women have been denied health benefits from HRT. The FDA's removal of black box warnings is monumental. Misconceptions about HRT have persisted for decades. Education is crucial for both clinicians and patients. Hormone therapy can significantly reduce heart disease risk. Women often face barriers in accessing HRT. Informed consent is essential for women's health decisions. Long-term benefits of HRT include reduced risk of osteoporosis. The healthcare system needs to better address women's health issues. A collaborative approach is needed to improve women's health outcomes. FDA DIRECT podcast Dr. Makary's "Blind Spots" book To my fellow clinicians: listen to this podcast on Pinnacle for FREE to earn CME credit Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open Learn more about your ad choices. Visit podcastchoices.com/adchoices