Podcasts about Cogan

Did you know that all of the growth in federal spending as a percentage of the national income is due to the growth of "uncontrollables"? In this interview, we discuss the following: ►What are "uncontrollables"? Why are they 'mandatory'? ►What are entitlements? How are they treated differently than discretionary budget spending? ►What was the Budget Resolution Process that was introduced in the 1970s? ►How did Pres. Cleveland, Roosevelt (FDR), Reagan and Clinton control government budget? ►Which president reduced our entitlement programs the most? ►What was FDR's biggest mistake, the consequences of which still impacts us? ►What are the 3 requirements for reducing the budget deficit? ►How would my guest advise a U.S. president in reducing our budget deficit?

Double vision is a symptom often experienced by patients with neurologic disease. An organized systematic approach to evaluating patients with diplopia needs a foundational understanding of the neuroanatomy and examination of eye movements and ocular alignment. In this episode, Teshamae Monteith, MD, FAAN, speaks with Devin Mackay, MD, FAAN, author of the article “Approach to Diplopia” in the Continuum® April 2025 Neuro-ophthalmology issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Mackay is an associate professor of neurology, ophthalmology, and clinical neurosurgery at Indiana University School of Medicine in Indianapolis, Indiana. Additional Resources Read the article: Approach to Diplopia Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: This is Dr Teshamae Monteith. Today I'm interviewing Dr Devin Mackay about his article on approach to diplopia, which appears in the April 2025 Continuum issue on neuro-ophthalmology. Welcome to the podcast. How are you? Dr Mackay: Thank you. It's great to be here. Dr Monteith: Congratulations on your article. Dr Mackay: Thank you. I appreciate that. Dr Monteith: Why don't you start off with introducing yourself to our audience? Dr Mackay: So, yeah, my name is Devin Mackay. I'm a neuro-ophthalmologist at Indiana University. I did my residency at what was used to be known as the Partners Healthcare Program in Boston, and I did a fellowship in neuro-ophthalmology in Atlanta. And I've been in practice now for about ten years. Dr Monteith: Oh, wow. Okay. Tell us a little bit about your goals when you were writing the chapter. Dr Mackay: So, my goal with the approach to double vision was really to demystify double vision. I think double vision is something that as trainees, and even as faculty members and practicing neurologists, we really get intimidated by, I think. And it really helps to have a way to approach it that demystifies it and allows us to localize, just like we do with so many other problems in neurology. Dr Monteith: I love that, demystification. So why don't you tell us what got you interested in neuro-ophthalmology? Dr Mackay: Yeah, so neuro-ophthalmology I stumbled on during a rotation during residency. We rotated in different subspecialties of neurology and I did neuro-ophthalmology, and I was just amazed by the exam and how intricate it was, the value of neuroanatomy and localization, the ability to take a complicated problem and kind of approach it as a diagnostic specialist and really unravel the layers of it to make it better. To, you know, figure out what the problem is and make it better. Dr Monteith: Okay, so you had a calling, clearly. Dr Mackay: I sure did. Dr Monteith: You talked about latest developments in neuro-ophthalmology as it relates to diplopia. Why don't you share that with our listeners? Dr Mackay: Yeah. So, you know, double vision is something that's really been around since the beginning of time, essentially. So that part hasn't really changed a lot, but there are some changes that have happened in how we approach double vision. Probably one of the bigger ones has been, we used to teach that with a, you know, patient over the age of fifty with vascular risk factors who had a cranial nerve palsy of cranial nerves 3, 4, or 6, we used to automatically assume that was a microvascular palsy and we just wouldn't do any more testing and we'd just, you know, wait to see how they did. And it turns out we're missing some patients who have significant pathologies, sometimes, with that approach. And so, we've really shifted our teaching with that to emphasize that it's a lot easier to get an MRI, for example, than it ever has been. And it can be important to make sure we're not missing important pathology in patients, even if they have vascular risk factors over the age of fifty and they just have a cranial nerve 3, 4, or 6 palsy. So that's been one change. Dr Monteith: Interesting. And why don't you tell us a little bit about the essential points that you want to get across in the article? Dr Mackay: Yeah. So, I think one is to have a systematic approach to double vision. And a lot of that really revolves around localization. And it even begins with the history that we take from the patients. There's lots of interesting things we can ask about double vision from the patient. For example, the most important thing you can ever ask someone with double vision is, does it go away when you cover either eye? And that really helps us figure out the first question for us as neurologists, which is, is it neurologic or non-neurologic? If it's still there when covering one eye, then it is not neurologic and that's usually a problem for an ophthalmologist to sort out. So that's really number one. And then if it is binocular double vision, then we get into details about, is it horizontal or vertical misalignment? Is it- what makes it better and worse? Is there an associated ptosis or other symptoms? And based on all of that, we can really localize the abnormality with the double vision and get into details about further testing if needed, and so forth. I also love that that approach really reduces our need to rely on things like neuroimaging sometimes when we may not need it, or on other tests. So, I think it really helps us be more efficient and really take better care of patients. Dr Monteith: So definitely that cover/uncover test, top thing there. Your approach- and you mentioned, are you really getting that history, and are there any other kind of key factors when you're approaching diplopia before getting into some of the details? Dr Mackay: Yeah, that's a good question. I think also having some basics of how to examine the patient, because double vision is such a challenging thing. A lot of us aren't as familiar with the exam toolkit, so to speak, of what you would do with a patient with double vision. And so, I go over in the article a bit about a Maddox rod, which is a handy little tool that I always keep in my pocket of my lab coat. It allows you to assign a red line to one eye and a light to the other eye, and you can see if the eyes line up or not. And you don't need any other special equipment, you just need the light in that Maddox rod. That really helps us understand a lot about the pattern of misalignment, which is really important for evaluating double vision. So, for example, if someone has a right 6th nerve palsy, I'll expect a horizontal misalignment of the eyes that worsens when the patient looks to the right and improves when they look to the left. And especially if it's a partial palsy, it's not always easy to see that just by looking at their eye movements. And having a way to really measure the eye alignment and figure out, is it worse or better in certain directions, is really essential to localization, I think, in a lot of cases. Dr Monteith: You caught me. I skipped over that Maddox rod part, even though you spent a lot of time talking about Maddox rods. Kind of skipped over it. So, you're saying that I need one. Dr Mackay: Everyone needs one. I've converted some of our residents here to carry one with them. And yeah, I realize it's a daunting tool at first, but when you have a patient with double vision and their eye movements look normal, I feel like a lot of neurologists are- kind of, their hands seem like they're tied and they're like, oh, I don't know, I don't know what to do at this point. And if you can get some more details with a simple object like that, it can really change things. Dr Monteith: So, we've got to talk to the AAN store and make sure that they have enough of these, because now there's going to be lots of… Dr Mackay: We're going to sell out on Amazon today now because of this podcast. Dr Monteith: Cyber Monday. So, let's talk about the H pattern. And I didn't know it had the- well, yeah, I guess the official name is “H pattern.” In medical school, I mean, that's what I learned. But as a resident and, you know, certainly as an attendee, I see people doing all sorts of things. You're pro-H pattern, but are there other patterns that you also respect? Dr Mackay: It depends on what you're looking for, I think. The reason I like the H pattern is because you get to look at upgaze and downgaze in two different directions. So, you get to look at upgaze and downgaze when looking to the left, and up- and downgaze when looking to the right. And the reason that matters is because vertical movements of the eyes are actually controlled by different eye muscles depending on whether the eye is adducted toward the nose or abducted away from the nose. And so that's why I love the H pattern, is because it allows you to see that. If you just have them look up and down with just a cross pattern, for example, then you really lose that specificity of looking at both the adduction and abduction aspects. So, it's not wrong to do it another way with, like, the cross, for example, but I just think there are some cases where we'll be missing some information, and sometimes that can actually make a difference. Dr Monteith: Well, there you have it. Let's talk a little bit about eliciting diplopia during the neurologic exam. What other things should we be looking out for? Dr Mackay: So, in terms of eliciting diplopia, it really starts with the exam and again, figuring out, are we covering one eye? And figuring out, is this patient still having double vision? It's tricky because sometimes the patients won't even know the answer to that question or they've never done it, they've never covered one eye. And so, if that's the case, I really make them do it in the office with me and it's like, okay, well, are we having double vision right now? Well, great, okay, we are, then we're going to figure this out right now. And we cover one eye and say, is it still double? And that way we can really figure out, are we monocular or binocular? That's always step one. And then if we've established that it's binocular diplopia, then that's when we get into the other details that I mentioned before. And then as far as other things to look for, we're always in tune to other things that are going on in terms of symptoms, like ptosis, or if there's bulbar weakness, or some sensory change or motor problem that seems to be associated with it. Obviously, those will give us clues in the localization as well. Dr Monteith: And what about ocular malalignment? Dr Mackay: Yeah. So ocular malalignment, really, the cardinal symptom of that is going to be double vision. And so, if a patient has a misalignment of the eyes and they don't have double vision, then usually that means either we're wrong and they don't have double vision, or they do have double vision and they, you know, haven't said it correctly. Or it could be that the vision is poor in one eye. Sometimes that can happen. Or, some patients were actually born with an eye misalignment and their brain has learned in a way to kind of tune out or not allow the proper development of vision in one eye. And so that's also known as amblyopia, also known as the lazy eye, some people call it. But that finding can also make someone not experience double vision. But otherwise, if someone's had normal vision kind of throughout their life, they'll usually be pretty aware of when they first notice double vision. It'll be an obvious event for them in in most cases. Dr Monteith: And then the Cogan lid twitch? Dr Mackay: Oh yes, the Cogan lid twitch. So, the Cogan lid twitch is a feature of myasthenia gravis. The way you elicit it is, you have the patient look down. I'm not sure there's a standardization for how long; you want to have it long enough that you're resting the levator muscle, which is the muscle that pulls the upper lid open. And so, you rest that by having them look down for… I usually do about ten or fifteen seconds. And then I have them look up to looking straight forward. And you want to pay careful attention to their lid position as their eye settles in that straight-forward position. What will happen with a Cogan's lid twitch is, the lid will overshoot, and then it'll come back down and settle into its, kind of, proper position. And what we think is happening there is, it's almost like a little mini “rest test” in a way, where you're resting that muscle just long enough to allow some of the neurotransmission to recover. You get a normal contraction of the muscle, but it fades very quickly and comes back down. And that's experienced as a twitch. Dr Monteith: So, the patient can feel it. And it's something you can see? Dr Mackay: Yeah, the patient may not feel it as much. It's usually it's going to be something that the clinician can see if they're looking for it. And I would say that's one of the physical exam findings that can be a hallmark of myasthenia gravis, but certainly not the only one. Some others that we often look for are fatigable ptosis with sustained upgaze. You have the patient look up for a prolonged time and you'll see the lid droop down. So that can be one. Ice pack test is very popular nowadays, and it has pretty good sensitivity and specificity for myasthenia. So, you keep an ice pack over the closed eyes for two minutes and you compare the lid position before and after the ice pack test. And in the vast majority of myasthenia patients, if they have ptosis, the ptosis will have resolved, or at least significantly improved, in those patients. And yet one more sign is, if you find the patient's eye with ptosis and you lift open the eye manually, you'll often see that the other eyelid and the other eye will lower down. So, I'm not sure there's a name for that, but that can be a helpful sign as well. Dr Monteith: Since you're going through some of these, kind of, key features of different neurologic disease, why don't you tell us about a few others? Dr Mackay: Yeah, so another I mentioned in the in the article is measurement of levator function, which is really a test of eyelid strength. And so, that can be helpful if we have- someone has ptosis, or we're not sure if they have ptosis and we're trying to evaluate that to see if it's linked to the double vision, because that really changes the differential if ptosis is part of the clinical situation. So, the way that's measured is you have a patient look down as far as they can. And you get out a little ruler---I usually use a millimeter ruler---and I set the zero of the ruler at the upper lid margin when they're looking down. So, I hold the ruler there, and then I ask the patient to look up as far as they can without moving their head. Where the lid position stops of the upper lid is the new point on the ruler. And so, you measure that and see how much that is. And so, a normal patient may have a value somewhere between, I don't know, twelve or thirteen millimeters up to seventeen or eighteen millimeters, probably, in most cases. Especially if there is an asymmetric lid position, if you find that the levator function is symmetric, then it tells you that the muscle is working fine and that the ptosis is not from the muscle. So then the ptosis may be from dehiscence of the lid margin from the muscle. And so, that's a really common cause of ptosis, and that's often age-related or trauma-related. And we can dismiss that as being part of the symptom constellation of double vision. So, it can be really helpful to clarify, is this a muscle problem, which you'd expect with myasthenia or a third nerve palsy, or is this a mechanical problem with the lid, which is non-neurologic and really should be dismissed? So that can be a really helpful exam tool. Dr Monteith: So, you're just now getting into a little localization. So why don't we kind of start from the most proximal pistol with localization. Give us a little bit of tips. I know they just got to read your article, but give us a few tips. Dr Mackay: So, in terms of most proximal causes, there are supranuclear causes of ocular misalignment. For example, a skew deviation would qualify as that. Anything that's happening from some deficient input before you get to the cranial nerve nuclei, that we would consider supranuclear. So, we also see that with things like progressive supranuclear policy and certain other conditions. And then there can be lesions of the cranial nerve nuclei themselves. So, cranial nerves 3, 4, and 6 all have nuclei, and if they're lesioned they will cause double vision in specific patterns. And then there's also another subgroup, which is known as intranuclear problems with eye alignment. And so, the most common of that is going to be intranuclear ophthalmoplegia. And so that's very common in patients with demyelinating disorders, or it can also happen with strokes and tumors and other causes. And then there's infranuclear problems, which are from the cranial nerve nuclei out, and so those would be the cranial nerves themselves. So that's where your microvascular palsies, any tumor pressing on the nerve in those locations can cause palsies like that, any inflammatory disorder along that course. Then as we get more distal, we get into the orbit, we have the neuromuscular junction---so, the connection between the nerve and the muscle. And of course, that's our myasthenia gravis. And there are rare causes, things like botulinum and tick borne illnesses and certain other things that are more rare. And then, of course, we get to the muscle itself, and there can be different muscular dystrophies, different things like myositis or inflammatory disorders of the orbit or even physical trauma. So, if a patient, you know, had a trauma in trapping an extraocular muscle, that can be a localization. So really, anywhere along that pathway you can have double vision. So, I love to approach it from that perspective to help narrow down the diagnostic possibilities. Dr Monteith: Okay, just like everything? Dr Mackay: Just like all of the rest of the neurology. See, it's not that scary. Dr Monteith: You know, and so, yeah. And then you do a lot more than, you know, a few cranial nerves, right? Dr Mackay: Right. That's right. There's a lot more to double vision than that. I think as neurologists, we get lost if it's not a cranial nerve palsy, we're like, oh, I don't know what this is. And if it's not myasthenia, not a cranial nerve palsy. But it's worth also considering that there are ophthalmologic causes of someone having double vision that we often don't consider. So maybe someone who was born with strabismus, or maybe they have a little bit of a tendency toward an eye misalignment that their brain compensates, for and then it decompensates someday and that now they have a little bit of double vision intermittently, so that those can be causes to consider as well. Dr Monteith: Yeah, well, we'll just have to, you know, request those records from forty years ago. No problem. Dr Mackay: That's right. Dr Monteith: Why don't you also give us a little bit of tip when we're on the wards and we want to teach either a medical student or a resident, or if it's a resident listening, may want to teach a junior resident and seem like a star when approaching a patient with diplopia. Give us some teaching pearls. Dr Mackay: Yeah. So, I would love people teaching more about this at the bedside. I'd say probably the first thing to do would be to equip yourself by recognizing what some of the pertinent questions are to ask someone with double vision. Those things would include, is the double vision worse when looking in a certain direction? Does the double vision go away or not when you cover one eye? What happens when you tilt your head one direction or the other? Is it intermittent or constant? What makes it better? What makes it worse? Those kinds of things can really help us narrow down the possibilities. And then the other thing would be to equip yourself with some tools for examining. And it doesn't have to be physical tools. These can actually be things like, you mentioned the cross-cover test or cover/uncover test. That's described in the article. And I think knowing how to do that properly, knowing how to examine the eye movements properly and how to check for subtle things like a subtle intranuclear ophthalmoplegia, which is also mentioned in the article, being familiar with those things can be a really useful exercise in allowing you to teach others later on. Dr Monteith: Cool. Why don't you tell us about some of the things you're most excited about in the field? Dr Mackay: One of the things about our subspecialty for so long is we really haven't had big data with, you know, big trials and all these things that all the stroke people have. And that's starting to change slowly. There's been, for example, the idiopathic intracranial hypertension treatment trial that was published back in, I think it was 2014. You know, of course we had the optic neuritis treatment trial, back a few decades ago now. Some of the exciting ones coming up, there's going to be a randomized controlled trial looking at different treatments for idiopathic intracranial hypertension that are surgically based. So, for example, comparing venous sinus stenting with optic nerve sheath fenestration. And so, figuring out, is there a best practice for surgical intervention for patients with IIH? So, we're starting to have more trials like that now than I think we've had in the past. And so, it's exciting to get to have an evidence base for some of the things that we recommend and do. Dr Monteith: And what about some of the treatment for diplopia? Like prisms, and where are we with some of that? Dr Mackay: Yeah, great. So, it's a pretty simple concept, but still kind of difficult in practice. I kind of say there are four different ways to treat double vision: you can ignore it, you can patch or cover one eye, you can treat with prisms, and you can treat with eye muscle surgery. And so, those are the main ways other than, of course, treating the underlying disorder if there's a disorder causing double vision. So those are the main ways to treat. In terms of knowing if someone's going to be a candidate for prism therapy, we also have to remember that prisms are really going to be most helpful for when someone's looking straight forward. So, we need to make sure that their double vision is happening when they look straight forward. So, for example, if they're only having double vision looking to the left or to the right, that patient may not benefit from prisms as much as someone who is having double vision when they look straight forward. So that's one thing I look for. And then strabismus surgery is something to be considered if someone is not tolerating prisms and they're not helping and their eye alignment is stable. So, if you think about it, if someone's eye alignment is changing a lot, you're probably not going to want to do surgery for that patient because it's going to keep changing after surgery. And so, if someone's eye alignment is stable for six months or more and they're not getting the benefit they'd like from prisms, then maybe referral to a strabismus surgeon might be something to consider. Dr Monteith: Great. And then, I guess another question is just popping up in my head selfishly. What are your thoughts about patients that get referrals for exercises? Say they have, like, a convergence efficiency or something causing diplopia, maybe after a concussion. Maybe there's not a lot of evidence, but what is your take on exercising? Dr Mackay: Yeah, excellent question. So, there actually is evidence for exercises for convergence insufficiency. So, we know that those do work. Now where exercises are probably not as helpful, or at least not- there isn't an evidence base for them, is really with just about every other kind of eye misalignment in adults. We hear a lot about eye movement therapies for concussion and barely any other acquired misalignment of the eyes as well. And really, the evidence really hasn't shown us that that's helpful; again, with the exception being convergence insufficiency. So, we know that an office-based vision therapy type program for convergence insufficiency does work, but of course it's kind of inconvenient. It can cost money that may or may not be covered by insurance. And so, there are difficulties even with doing that. And so, I often recommend that patients with convergence insufficiency at least try something called pencil push-ups, where they take a pencil at arm's length and they bring it in and exercise that convergence ability. You know, that's a cheap, easy way to try to treat that initially. So yeah, there can be some limited utility for eye muscle exercises in certain conditions. Dr Monteith: My one example. I was- it was fuzzy, but in a different way. So, what do you do for fun? I mean, it sounds like you like to see a lot of eyeballs? Dr Mackay: I do. I like to see a lot of eyeballs. Dr Monteith: When you're not doing these things, what do you do for fun? Dr Mackay: So, people ask me what my hobbies are, and I laugh because my hobby is actually raising children. Dr Monteith: Oh, okay! Dr Mackay: So, my wife and I have eight kids- Dr Monteith: Oh, wow! Dr Mackay: Ages three to thirteen. So, kind of doesn't allow me to have other things right now. I'm sure I'll have more hobbies later on, but no, I really love my kids. And I- they give me plenty to do. There's no shortage of- in fact, they were really, they were really excited about this podcast today. They're so excited that Dad gets to be on a podcast, and so I'm going to have to show this to them later. They're going to be thrilled about it. Dr Monteith: Excellent. Well, thank you so much for being on the podcast. Dr Mackay: Thank you. It's been my pleasure. Dr Monteith: Again, today I've been interviewing Dr Devin Mackay about his article on approach to diplopia, which appears in the most recent issue of Continuum on neuro-ophthalmology. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

150 restaurants, cafés, gastropubs and food businesses shut their doors in the first three months of the year. That's according to a survey by the Restaurants Association of Ireland, which says it offers a sobering snapshot of an industry grappling with rising costs and shrinking margins. Four in five restaurants expect they'll cut staff hours, while 70 per cent expect to reduce overall staff numbers. CEO of the Restaurants Assocation of Ireland, Adrian Cummins says there's been a slowdown in closures, down from around 300 during the same time last year.. To discuss this further, Alan Morrissey was joined by John O'Brien, An Teach Bia Maith in Kilrush and Tony Cogan, from Cogan's Bar and Restaurant in Miltown Malbay. Photo(C): https://www.facebook.com/photo/?fbid=823830546412506&set=a.768920478570180

A Clare café owner claims supplier price gouging is forcing businesses to close and putting undue pressure on those that survive. With a new survey indicating a spike in food businesses closing their doors this year, proprietors are pointing to rising costs as their greatest challenge. A total of 150 restaurants, gastro pubs or other food businesses ceased trading in the first three months of this year, according to new figures from the Restaurants Association of Ireland. Of the 170 respondents to the RAI's survey, 65% reported a decline in financial performance last year, compared to 2023. The finding is unsurprising given RAI data indicates that between 2022 and 2025, the price of fruit and vegetables has gone up by nearly 50%, while beef is up 96% and chocolate has soared by a startling 157%. It's also reported that menu costs haven't kept pace with these rising input costs, increasing by just shy of 17% for lunch and less than 19% for dinner. Frank Landy of Sweet 'n' Green in Ennis believes large suppliers are taking advantage of global circumstances at the expense of small businesses. A whole 94% of the survey's respondents foresee a continued rise in food costs this year, while 88% expect beverage prices to do likewise. To stay afloat, four in five restaurants are preparing to cut staff hours and 70% expect to reduce overall staff numbers. Tony Cogan of Cogan's Bar and Restaurant in Miltown Malbay says he's just about breaking even and has to watch every single cent.

Nalongue Cogan, President of Friends of College Monfant and Gina Washburn, the nonprofit’s ambassador, talk about the fundraiser scheduled for Saturday, May 10 at St. Peter’s Lutheran Church. Click here for more details. Friends of College Monfant is a non-profit organization based in Northfield, Minnesota whose goal is to raise funds to support scholarships and […]

 Nalongue Cogan, President of Friends of College Monfant and Gina Washburn, the nonprofit's ambassador, talk about the fundraiser scheduled for Saturday, May 10 at St. Peter's Lutheran Church. Click here for more details. Friends of College Monfant is a non-profit organization based in Northfield, Minnesota whose goal is to raise funds to support scholarships and other projects at the College Monfant. College Monfant is a Catholic school in the Savannah region of Togo, in the city of Dapaong. Founded in the 1970s, each year the school educates over 300 young women from the region, including over 80 boarding students.  

March 18, 2025 ~ Dr. Sol Cogan, owner and Clinic Director at the Nerve and Disc Institute discusses the upcoming open house on Thursday.

Send us a textWhat happens when you mix military deployments, pop culture blind spots, metal-country fusion, and gym culture? You get one of the most hilarious and insightful conversations yet on Security Halt!In this high-energy episode, Deny Caballero sits down with Liam Cogan to discuss everything from the cultural disconnect of missing pop culture during deployments to how music impacts focus, discipline, and fitness. They also dive into the evolution of country music, the idea of blending metal and country (Deathklock meets Nashville?), and the influence of social media on modern youth.But that's not all—Deny and Liam take a raw and unfiltered look at the challenges of body image in the veteran community, the fitness industry's obsession with perfection, and why parenting in today's digital world requires a whole new level of accountability. Expect laughs, deep insights, and real talk on what truly defines success beyond internet fame.

All the stories in one place Check back each week to hear new stories and see the extras provided by our storytellers. Click here to share your own Story March 5, Ash Wednesday: +Cogan - “Code White in the ED” This is the Emergency Department at Capitol Hospital in Trenton, New Jersey, where +Cogan worked as a Hospital Chaplain. March 12: Bettina Puckett - “The Hard, Holy News of Bipolar Disorder” March 12: Steve Beebe - “O Holy Night” Steve singing “O Holy Night” at this past year's 11:00pm Christmas Eve service.

Mariana Prado Cogan, Chief Marketing Officer of Americas at Hexagon Manufacturing Intelligence, responsible for annual $600 Million with a 6B dollar company, sits down with David Cogan on the Eliances Heroes Show. hexagon.com

Join the conversation with C4 & Bryan Nehman.  A recap of the joint press conference with Governor Moore & Mayor Scott.  First day of session.  META gets rid of fact checkers.  A preview of this weekends wild card matchup with division rival Pittsburgh Steelers & Lamar MVP discussion.  Baltimore City Sheriff Sam Cogan also joined the show.  Listen to C4 & Bryan Nehman live weekdays from 5:30 to 10am on WBAL News Radio 1090, FM 101.5 & the WBAL Radio App.

Robert Pasin CEO Radio Flyer is interviewed by David Cogan of Eliances Heroes show amfm, iHeart radio. Pasin is the Chief Wagon Officer who promotes a fun work environment and brings pre-launch ride on toys home regularly to see how kids interact with them. Innovation is key to staying current as the oldest wagon manufacturer in America and most loved. Cogan talks with Pasin about being born into the familly with a silver wagon handle as Pasin is the grandson of the Radio Flyer founder an Italian immigrant.

Charlie Davis co-founder Davis Miles McGuire Gardner is interviewed by David Cogan of Eliances Heroes show amfm, iHeart radio. Davis tells Cogan how he realized the true value of what he does for a living, and shares the knowledge of beginning with what you know and building on it for having passion in career. Davis also helped his wife launch scrapbooking dot com, a successful scrapbook website.

Craig Ceccanti is co-founder of Pinots Palette, interviewed by David Cogan of Eliances Heroes radio show. Craig talks about how the Pinots Palette idea came during a dining room discussion with co-founders. They built the business literally over nights and weekends while working daytime jobs until they decided to bite the bullet and jump in to it full time. The company has seen meteoric rise in popularity and spawned copy cats across the Country.

durée : 00:49:04 - Côté Club - par : Laurent Goumarre - Côté Club, le rendez-vous de toute la scène française et plus si affinités reçoit Housecall pour la sortie de leur EP "Transmissions" et Cogan et son EP "Rolling rave". Bienvenue au Club ! - réalisé par : Stéphane LE GUENNEC

Dr. Meg Keller-Cogan, director of Canisius University's program in Educational leadership and supervision, on the possible loss of the Federal Department of Education full 319 Mon, 25 Nov 2024 09:15:40 +0000 oBcH7d46TfFl3zQ8hzIa9bwii37IO3rJ buffalo,news,wben,us department of education,canisius university WBEN Extras buffalo,news,wben,us department of education,canisius university Dr. Meg Keller-Cogan, director of Canisius University's program in Educational leadership and supervision, on the possible loss of the Federal Department of Education Archive of various reports and news events 2024 © 2021 Audacy, Inc. N

Show Notes    On today's show my very special guest, Caitlyn Cogan Doemner, and I discuss some ideas that have floating around in my mind for a bit. Ideas about a core philosophy of love, kind of in line with the words of Jesus about loving your neighbor… ... only I want to be rather specific when my neighbor is the one struggling at the bottom level of Maslow's hierarchy—those with access to water, food, shelter, warmth, and clothing. Those I refer to as the poor and disenfranchised.  Here's how I began my latest blog written the day after the election results:  Today is a day of sorrow and fear for one-half of the American public. It seems to me that fear and loss of hope largely represent the emotions of those who long for social justice. I understand. However, it also seems to me that social justice is less a governmental thing than it is a matter of personal responsibility.  As is her style, Caitlyn Cogan Doemner offers both brilliant and practical insights into our role as “our brother's keeper.”  LINKS Check out Caitlin's astounding website HERE. Or the business version found at www.ecstaticsales.com              

Mariana Cogan of Hexagon joins The Manufacturing Employer to talk about the importance of empowering Gen Z, women and Hispanic workers in manufacturing.

We want to hear from you! Send us a text message.With 600,000 job openings in manufacturing, could women be the solution to closing the talent gap?Host Matt Kirchner dives into this question with Mariana Cogan, Chief Marketing Officer at Hexagon Manufacturing Intelligence. Mariana brings a unique global perspective to workforce development and shares her strategies for making manufacturing a more inclusive, appealing career path.From brand transformation to mentorship and flexible work policies, Mariana explains how manufacturers can position themselves to attract and retain diverse talent—and why this mission matters now more than ever.Listen to learn:Why manufacturing's workforce shortage is a branding issue, not just an HR issueThe difference between mentorship and sponsorship, and how to implement them in your organizationThe impact of cultural perspectives on workforce development and why diversity fuels innovationQuotable Moments:On the difference between mentorship and sponsorship:“Mentorship, it's much more the art of teaching, sharing, guiding… you are sharing what you know, the experiences that you had in the past… Sponsorship is when you actually take an active role on making sure that that person's career actually develops… you might be even using your political capital…to make sure that that person's career really makes it to the next level.”Advice to her younger self:"Be patient, be caring, be sweet to yourself. It's going to be hard work, and you have to work hard, but if you combine it with that patience and love for yourself, things are going to work out fine."3 Big Takeaways from this Episode:Manufacturing's workforce shortage is a branding problem as much as an HR issue: With 3 million women seeking work in the U.S., manufacturing needs to rebrand itself as an industry that's not just "heavy lifting," but has high-tech, interesting and career-supporting roles across all departments. Companies need to rebrand manufacturing as a flexible, well-paying career with opportunities for growth to attract a wider talent pool, especially those women.Women need more than mentors - they need sponsors who will advocate for their career advancement: Many organizations ensure new employees have a mentor who can onboard, train and help them learn their role. Sponsorship goes further than mentorship by actively advocating for that individual's promotion and involvement in key projects, which strengthens their paths to leadership. In manufacturing, Mariana encourages both men and women to sponsor women on their path to leadership.Diverse perspectives are critical to fostering innovation in manufacturing: Mariana shares that women bring unique qualities, such as collaboration and patience, that enhance team dynamics and drive innovation. Her own multicultural background shapes her approach to workforce development, highlighting how cultural sensitivity and inclusion lead to stronger, more adaptive teams.Resources in this Episode:To learn more about Hexagon Manufacturing Intelligence, visit: ACTE CareerTech VISION 2024: https://www.careertechvision.com/Instagram - Facebook - YouTube - TikTok - Twitter - LinkedIn

durée : 00:59:25 - Ticket gagnant - par : Nathalie Piolé - Danser le tango sur la banquise? Flâner dans les rues de Paris? Dormir au soleil? Tout est possible avec notre ticket gagnant!

Bob talks about the crazy early days of his race car driving career and becoming the go-to racing consultant for filming movies with James Garner, Robert Wagner and Paul Newman. Now he heads up the Bondurant Racing School which has received much acclaim as the pre-eminent school for performance driving. Bondurant is a proud supporter of ChildHelp.com and was nominated by Phoenix ChildHelp President, Stacey Weber.

Jennifer Johnson founder of Power of 3P Coaching is interviewed by David Cogan of Eliances Heroes radio show amfm iheart. Her companies, Power of 3P and 6 Figure Sacred Sales, Cultivate Success. 

Angie Hicks co-founder of Angie's List is interviewed by David Cogan of Eliances Heroes radio show amfm, iHeart radio, Podcastone. She talks about the humble beginnings of the company knocking on doors to ensure homeowners can find reputable and recommended resources for projects around the house. "Dream Big and follow your dreams; try different avenues and accept opportunities."

Robert Jones the president of Communication Concepts AZ is interviewed by David Cogan of Eliances Heroes amfm, iHeart, Podcastone. They discuss how CCAZ helps its clients do more with less and create an impact through sound and reliable technology solutions. With more than 25 years of experience, Jones truly loves supporting his customers and has found the key is excellent customer service. "I believe we all are geniuses in some way." 

Curt Jones founder of Dippin Dots is interviewed by David Cogan of Eliances Heroes radio show amfm iHeart Podcastone. They discuss how a project in the lab while teaching an unexpected group of students and Jones' love of ice cream lead to the invention of Dippin Dots. Coffee now received the same treatment and is just as delicious in 40 Below Joe. "All entrepreneurs, when small, do what needs to be done"

In this episode of The Visible Voices Podcast, we speak with special guest Robin Cogan, known as The Relentless School Nurse, to discuss critical issues surrounding school safety and gun violence prevention. As a national leader in school nursing and a vocal advocate for child safety, Robin sheds light on the daily realities faced by students, educators, and health professionals in the wake of escalating school violence. Subscribe on Apple or YouTube or via the Website

David Campisi President and CEO of Big Lots is interviewed by David Cogan of Eliances Heroes radio amfm iHeart Podcastone. Big Lots has a lot of heart and made a 50 Million dollar donation to create a behavioral health facility dedicated to the treatment and research of children and adolescents from across the country with behavioral health conditions. The Company has been around for 50plus years in the non-traditional discount retail industry. Campisi also has held prominent positions at Khols, Fred Meyer, and May Department stores.

"Timing and strategy is everything in crisis management" Dan Hill, CEO founder of Hill Impact is interviewed by David Cogan host of the Eliances Heroes show broadcast on am and fm network channels and syndicated online and internet radio.  www.hillimpact.com

Heather Hardy a champion UBF WBC boxer is interviewed by David Cogan of Eliances Heroes radio show amfm iHeart. They talk about the training both mental and physical it takes to reach the top of your game in the ring and in business. Hardy is known as "the Heat" and talks about the legacy she's building for women in all sports, not just boxing. 

JD Hayworth an anchor for NewsMax Media is interviewed by David Cogan of Eliances Heroes radio show.Hayworth commands a room, and has presence. They talk about JD's time working for the American people as a representative of Arizona in the US Congress, and his experience in news media. 

Mogens Lykketoft President of the United Nations is interviewed by David Cogan of Eliances Heroes radio show amfm. They discuss the pressures of politics on the world stage, and he shares his advice for the people of the United States (6:00) heading into an election. "If you invest yourself and engage time in what you hear and see you sense where the truth lies."

בפרק הזה גלעד פוגש את סאליק קוגן מפיירבלוקס לשיחה מעמיקה על ההיסטוריה של מודלי התמחור. יחד הם מסקרים את המודלים השונים של תמחור, כולל יתרונות וחסרונות של כל אחד מהם, ומסבירים את הפונקציות השונות הקשורות לתמחור. בנוסף, סאליק משתף במודל 3 ה-C לבניית תמחור נכון, ומדגים כיצד ניתן ליישם אותו בפועל. הפרק מעניק תובנות יקרות ערך למנהלי מוצר, ומסביר כיצד הם יכולים להוביל את נושא התמחור בחברותיהם כדי להבטיח הצלחה כלכלית ועמידה ביעדים עסקיים.

Mike Muhney founder of ACT Software is interviewed by David Cogan of Eliances heroes radio show amfm. Muhney created the CRM industry with ACT which to date has been purchased by over 10 Million users. His new project is VIPOrbit Software and Vipor Plus, an Apple focused platform designed to integrate all global user needs for collaboration, organization, and relationship management.

Brendan Synnot founder of Bare Naked Foods is interviewed by David Cogan of Eliances Heroes radio show amfm. Synnot was a popular Survivor reality TV show cast member and also created Evol Foods sold at fresh markets around the country. Now his latest venture is PACT Organic wear for men women and children.

Anson Williams known for playing Potsie from Happy Days in interviewed by David Cogan of Eliances Heroes radio show amfm. They discuss life on the Happy Days set, working with icons from the TV and film industry like Ron Howard, Henry Winkler and the rest of the cast. Williams continued to work in production and direction on many films and TV shows including current projects. He also talked about working to end drowsy driving with his uncle, Dr. Heimlich of the famed Heimlich Maneuver. They use the power of pepper and lemon to instantly wake up and avoid accidents when driving drowsy.

Richard Lustig is a 7time lottery grand prize winner, he is interviewed by David Cogan of Eliances Heroes radio show amfm. They talk about the system Lustig developed for increasing changes of winning any lottery.

Jose Costa of CEO Driven Brands MAACO Econo Lube n Tune, and others is interviewed by David Cogan of Eliances Heroes show on Money Radio amfm. They discuss authenticity in leadership and his time working at VP of marketing, research and development for Burger King.

Tim Davis CEO of UPS Store is interviewed by David Cogan of Eliances Heroes radio show amfm. They discuss franchising and the proliferation of UPS Store having 4500 locations. 

Dan Cane Founder of Modernizing Medicine is interviewed by David Cogan of Eliances Heroes radio show amfm. Cane discusses inspiration and the drive to revolutionize not one but two industries Education and Healthcare.

Renaud Visage the Co Founder of Eventbrite is interviewed by David Cogan of Eliances Heroes radio show amfm. Renaud calls in to the show from Paris France to discuss the meteoric transformation of event planning brought on by the joining of internet and Eventbrite.

Dara Torres Olympic swimming medalist is interviewed by David Cogan of Eliances Heroes radio show amfm. Live from Rio, Dara and David discuss what it takes to be an Olympian, and lessons for children aspiring to be Olympians. Together with other well known Olympians Bart Conner, Nadia Comaneci, Julie Foudy and their children, McDonalds sponsored 100 children from around to walk in the Olympic opening ceremonies in Rio.

David Novak of Yum! Brands is interviewed by David Cogan of Eliances Heroes radio show amfm. They discuss the power of appreciation as focused on in Novak's book Oh Great One. 

Pat Bondurant President of the Bondurant Performance Driving and Racing School is interviewed by David Cogan of Eliances Heroes amfm, iHeart. Pat talks about her rich history in fast design for performance vehicles including Tomahawk fighter jets and now the cars at Bondurant Racing School. 

Henrik Fisker the iconic automotive designer is interviewed by David Cogan of the Eliances Heroes radio show amfm. Fisker discusses car design and how inspiration comes from sketching and thinking about what he wants to see on the road. Fisker is a real creator, entrepreneur, innovator, mentor, and brand ambassador that has designed such iconic cars and James Bond style Ashton Martins, BMWs, V8 Vantage, Fisker Karma, Viking Motorcycles, Rocket, Destino and Force 1. Passion drives creation of his dream vehicles. He talks about how not all designs work and the difficulty of designing cars. From childhood to now he's always loved cars and wanted to be a designer. True vision and american design school helped him get his start.

Bill Clinton is interviewed by David Cogan of Eliances Heroes show amfm. They cover all the questions you want to know about from bucket lists, and future goals to how much power is afforded in office.  Be sure to listen to the interview in full for a special surprise.

Vicki Gunvalson the original Reality TV Real Housewife of Orange County is interviewed by David Cogan of Eliances Heroes radio show amfm. Vicki is the founder and owner of Coto Insurance a profitable insurance company for many years. After 12 years on the hit Bravo channel reality tv show she left to refocus. She discusses with David the importance of family, and having faith and strength in the face of challenges.

John Sculley fmr CEO Pepsi Co is interviewed by David Cogan of Eliances Heroes radio show amfm. Sculley talks about his book "Moonshot: Game-Changing Strategies for Building Billion Businesses" and how his time at Pepsi changed his life from starting as a route truck driver to CEO. Sculley shares the secret to creating everlasting success.

John Paul DeJoria founder of Paul Mitchell Systems and Patron Spirits is interviewed by David Cogan of Eliances Heroes radio show amfm. DeJoria is also founder of Patron Spirits and Rok Mobile in addition to participating in several humanitarian projects. He signed the Giving Pledge along with Bill Gates and Warren Buffet among other billionaires who have dedicated significant amounts in support of philanthropic efforts.

Senator John McCain is interviewed by David Cogan of Eliances Heroes radio show amfm. McCain talks about the most significant period in his life, his time a Vietnamese war prison, and which superhero he would be if he could. The Senator made a presidential campaign against current president Obama in 2008.

Vincent Zurzolo of Metropolis Collectibles is interviewed by David Cogan of Eliances Heroes radio show amfm. Zurzolo is the reigning Guinness World Record Holder of having purchased the most expensive comic books in the globe - Superman Action Comics #1 sold for $3.2 Million dollars. His gallery is located in NYC, and holds some of the most coveted items in the collectibles industry. He and David talk about collectibles, his world record books, and what his super power would be.