Podcasts about CPT

This episode originally dropped on: March 19, 2025Many of us have spent a lifetime trying to shrink ourselves. We grew up being told you could never be too thin. As athletes, especially in endurance sports, smaller, lighter, faster was the ethos of the day. That is changing as we see athletes, especially women, discover that being fueled and strong yields even better performance–and longevity. This week's guest, trainer and nutrition coach Steph Gaudreau embodies that journey through both her personal and professional life. She shares how, for 40+ women especially, growing muscles is the key to better energy and performance in sport and life, and how strength training is the gateway to midlife self-acceptance. Steph Gaudreau, CISSN, CPT, helps athletic women over 40 fuel themselves better, get stronger, increase their energy, and perform better in the gym. She's a sports nutritionist and strength coach with multiple certifications including USA Weightlifting coach, Menopause Health & Fitness Specialist, Girls Gone Strong Women's Coaching Specialist, and Intuitive Eating Counselor. She shares her advice on building strength, proper fueling, and much more as the host of the Fuel Your Strength Podcast. You can learn more about Steph and her work at www.stephgaudreau.comSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/Join the Feisty Strong Barbell Club: https://feisty.co/strong-club/ and use code:  STRONG2026 to save $50 Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Wahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL

Last January, I set a simple- but uncomfortable- goal: walk outside every single day for the month.Not for more steps.Not for better fitness results.But because I had gotten a little too comfortable staying inside.Michigan winters don't exactly make that easy. Below-zero wind chills, travel days, tight schedules- it took grit. But I did it. Every day. And then… I kept going.What started as a 30-day challenge quietly turned into a habit.Then an identity.And eventually- a 365-day streak.In this episode, I'm reflecting on my year of outdoor walks:• The brutally cold days• The travel days that required creativity• The almost-midnight walks to “save the streak”• And the moments that made it all worth it- sunrises, fall evenings, quiet woods, walk-and-talks, and miles with my dog and my familyBut I'm also sharing something important: why I'm intentionally letting the streak end.Because even healthy habits can become unhealthy when they turn rigid.Because “all-or-nothing” thinking doesn't just show up in dieting- it shows up in fitness, routines, and goals, too.And because real, sustainable behavior change requires flexibility-not perfection.If you're heading into a new year thinking about habits, consistency, or becoming “a different version of yourself,” this episode will help you rethink what success actually looks like- and how identity is built over time.This one isn't about walking. It's about who you become when you show up- imperfectly, consistently, and on purpose.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Couch Potato Theater: GALAXY QUEST (1999) - Fandom Podcast Network Classics Watch: Fandom Podcast Network YouTube Channel Link: https://www.youtube.com/@FandomPodcastNetwork Listen: Couch Potato Theater Audio Podcast Link: https://fpnet.podbean.com/category/couch-potato-theater Welcome to Couch Potato Theater, where we celebrate our favorite movies on the Fandom Podcast Network! We're re-releasing - Couch Potato Theater: GALAXY QUEST (1999), and alumni of our "Fandom Podcast Network Classics". Originally recorded in 2019. For this Couch Potato Theater special presentation of GALAXY QUEST (1999), your CPT co-hosts and Fandom Podcast Network co-founders Kevin & Kyle welcome guests and fellow Union Federation podcast co-hosts Amy and Hayley as we discuss why GALAXY QUEST (1999) became an instant classic, and is considered by fans, as one of the best Star Trek movies! LOL! Sit back and relax on the couch and enjoy this re-release special presentation of Couch Potato Theater: GALAXY QUEST (1999). Plot Synopsis: Galaxy Quest is a 1999 American satirical science fiction comedy film directed by Dean Parisot and written by David Howard and Robert Gordon. It stars Tim Allen, Sigourney Weaver, Alan Rickman, Tony Shalhoub, Sam Rockwell, and Daryl Mitchell. A parody of and homage to science-fiction films and series, especially Star Trek and its fandom, the film depicts the cast of a fictional cult television series, Galaxy Quest, who are drawn into a real interstellar conflict by aliens who think the series is a documentary and have shaped their society around the show.   Fandom Podcast Network Contact Information - - Fandom Podcast Network YouTube Channel:  https://www.youtube.com/c/FandomPodcastNetwork - Master feed for all FPNet Audio Podcasts: http://fpnet.podbean.com/ - Couch Potato Theater Audio Podcast Master Feed: https://fpnet.podbean.com/category/couch-potato-theater - Facebook: https://www.facebook.com/Fandompodcastnetwork - Email: fandompodcastnetwork@gmail.com - Instagram: https://www.instagram.com/fandompodcastnetwork/ - X: @fanpodnetwork / https://twitter.com/fanpodnetwork -Bluesky: @fanpodnetwork / https://bsky.app/profile/fanpodnetwork.bsky.social Host & Guest Contact Info: - Kevin Reitzel on X, Instagram, Threads, Discord & Letterboxd: @spartan_phoenix / Bluesky: @spartanphoenix - Kyle Wagner on X: @AKyleW / Instagram & Threads: @Akylefandom / @akyleW on Discord / @Ksport16: Letterboxd / Bluesky: @akylew Special Guests: - Amy Nelson on X: @MissAmyNelson / Instagram: @amynelson522 /  Blue Sky: @CounselorAmy - Hayley Stoddart on Instagram & Bluesky: @trekkie01D #CouchPotatoTheater #CPT #FandomPodcastNetwork #FandomPodcastNetworkClassics #FPNet #FPN #GalaxyQuest #GalaxyQuest1999 #GalaxyQuestMovie #DeanParisot #TimAllen #SigourneyWeaver #AlanRickman  #TonyShalhoub #SamRockwell #DarylMitchell #Sam Rockwell  #MissiPyle  #JustinLong  #RainnWilson #PatrickBreen  #1999Movies #KevinReitzel #KyleWagner #AmyNelson #HayleyStoddart New boost  

New year…same badass B-ACTION! We kick off 2026 with Cpt. Steve from Bucket of Chum as we cover a quintessential (big word, we know) B-ACTION movie…1983's Deathstalker! This Sword and Sorcery classic hits all the high notes that make us happy: No holds barred violence, badass babes, a little touch of humor, and enough testosterone to grow your very own Charlie beard! Seriously, He-Man WISHES he was this manly. So join us to watch the giant battle hammer drop and ring in a BADASS New Year! Don't just watch Action, B-Action! 

Send us a textKayla Girgen, RD, LD, CPT, is a registered dietitian, certified personal trainer, and founder of Sugar + Strength Academy—an online wellness community helping women balance blood sugar and build strength, one step at a time.She blends real-life tools like continuous glucose monitoring and accessible movement like rucking to help clients break free from diet extremes and feel strong—both physically and mentally. Kayla's approach centers on progress over perfection and creating results that work in real life.Her upcoming book Ruck Fit: Build Strength and Endurance by Walking with Weight shares how rucking became a catalyst for reclaiming her physical and mental health, proving that fitness doesn't have to be complicated to be life-changing. Her book helps readers understand how to get started, with basic guidelines for beginners, answers to common questions, safety tips, and more advanced strategies to help maximize fitness goals.It surveys gear and gadgets, including packs, plates, footwear, and more, and offers sample training plans designed to put readers on the road to better mobility, greater aerobic fitness, strength, and even competitive challenges.Find Kayla at-https://kaylagirgenrd.com/IG- @kaylagirgenrdYT- @kaylagirgenrdAmazon- Ruck Fit: Build Strength and Endurance by Walking with WeightFind Boundless Body at- myboundlessbody.com Book a session with us here!

As the New Year approaches, a lot of women over 40 are already thinking about dieting harder, cutting more calories, and starting over again.But what if the reason fat loss hasn't worked in the past… isn't you?In this episode, we're calling out the biggest fat loss myths women over 40 have been fed for years- the exact ones that show up every January and keep women stuck in the same cycle:

December 26, 2025 In this episode, Scott, Mark, and Ray Painter answer listener questions about the new 2026 prostate biopsy CPT codes. They clarify global periods, explain the differences between transrectal and transperineal approaches, and tackle the nuances of coding for MRI-guided procedures—especially when using systems like Promaxo. They also break down the use of 55715 for additional targeted lesions, when modifiers like 52 may apply, and how payers might interpret these new codes differently. The team emphasizes caution, payer communication, and the evolving nature of both coding and coverage guidance.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptp

Couch Potato Theater: SCROOGED (1988) - Fandom Podcast Network Classics Watch: Fandom Podcast Network YouTube Channel Link: https://www.youtube.com/@FandomPodcastNetwork Listen: Couch Potato Theater Audio Podcast Link: https://fpnet.podbean.com/category/couch-potato-theater Welcome to Couch Potato Theater, where we celebrate our favorite movies on the Fandom Podcast Network! We're re-releasing - Couch Potato Theater: SCROOGED (1988), and alumni of our "Fandom Podcast Network Classics". Originally recorded in 2020. For this Couch Potato Theater presentation of SCROOGED (1988), your CPT co-hosts and Fandom Podcast Network co-founders Kevin & Kyle discuss why SCROOGED (1988) became in instant Christmas classic, and is Kevin's favorite Holiday movie of all time! Sit back and relax on the couch and enjoy this re-release special presentation of Couch Potato Theater: SCROOGED (1988). Plot Synopsis: Scrooged is a 1988 American Christmas fantasy black comedy film directed by Richard Donner and written by Mitch Glazer and Michael O'Donoghue. Inspired by Charles Dickens' 1843 novella A Christmas Carol, the film is a metafictional modern retelling that follows Bill Murray as Frank Cross, a cynical and selfish television executive who, while prepping for a live broadcast adaptation of A Christmas Carol, is visited on Christmas Eve by a succession of ghosts intent on helping him regain his Christmas spirit. The supporting cast includes Karen Allen, John Forsythe, Bobcat Goldthwait, Carol Kane, Robert Mitchum, Michael J. Pollard, and Alfre Woodard.   Fandom Podcast Network Contact Information - - Fandom Podcast Network YouTube Channel:  https://www.youtube.com/c/FandomPodcastNetwork - Master feed for all FPNet Audio Podcasts: http://fpnet.podbean.com/ - Couch Potato Theater Audio Podcast Master Feed: https://fpnet.podbean.com/category/couch-potato-theater - Facebook: https://www.facebook.com/Fandompodcastnetwork - Email: fandompodcastnetwork@gmail.com - Instagram: https://www.instagram.com/fandompodcastnetwork/ - X: @fanpodnetwork / https://twitter.com/fanpodnetwork -Bluesky: @fanpodnetwork / https://bsky.app/profile/fanpodnetwork.bsky.social Host & Guest Contact Info: - Kevin Reitzel on X, Instagram, Threads, Discord & Letterboxd: @spartan_phoenix / Bluesky: @spartanphoenix - Kyle Wagner on X: @AKyleW / Instagram & Threads: @Akylefandom / @akyleW on Discord / @Ksport16: Letterboxd / Bluesky: @akylew #CouchPotatoTheater #CPT #FandomPodcastNetwork #FandomPodcastNetworkClassics #FPNet #FPN #Scrooged #Scrooged1988 #ScroogedMovie #RichardDonner #CharlesDickens #AChristmasCarol #BillMurray #FrankCross #KarenAllen #JohnForsythe #BobcatGoldthwait #CarolKane #RobertMitchum #MichaelJPollard #AlfreWoodard #ChristmasMovie #ChristmasMovies #1988Movies #KevinReitzel #KyleWagner  

Welcome to Day 12 - the final episode of the 12 Days of Fit-mas mini-series.Today's episode is about closing out the year with intention - not pressure -and recognizing that you don't need to wait for January to feel successful. Casey shares why the habits you protect in December matter more than most people realize, and how staying connected now makes the new year feel like a continuation, not a restart.This episode is a reminder that progress isn't built through perfection - it's built through consistency, self-trust, and momentum.In this episode, you'll learn:Why December isn't a throwaway monthWhat “finishing strong” actually meansHow to carry sustainable habits into the new yearWhy momentum matters more than motivationYou're not behind. You're already building what comes next.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

2026 is coming in fast, and with it comes a fresh wave of CPT code changes that every healthcare professional needs to be ready for. On today's episode of the CodeCast podcast, we break down the newest updates impacting Cardiology, Peripheral Vascular services, and several other key specialties. From what's changing to why it matters, we'll walk through the revisions, additions, and potential pitfalls so you can stay compliant and ahead of the curve as the new year approaches. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/ YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874 Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/ The post 2026 CPT Code Changes Are Coming Fast appeared first on Terry Fletcher Consulting, Inc..

Welcome to Day 11 of the 12 Days of Fit-mas mini-series!Today we're talking about one of the most overlooked -but powerful - tools for fat loss and consistency: sleep.If workouts feel harder, cravings feel stronger, or motivation feels lower this time of year, poor sleep may be playing a bigger role than you realize - especially after 40. In this episode, Casey explains how sleep impacts hormones, appetite, recovery, and fat loss, and shares simple ways to support better sleep during the busy holiday season.This isn't about perfect bedtime routines. It's about making small changes that help your body work with you, not against you.In this episode, you'll learn:Why sleep affects fat loss more than most women realizeHow poor sleep increases cravings and fatigueWhy sleep is a critical part of recoverySimple ways to improve sleep without overhauling your routineJoin us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Welcome to Day 10 of the 12 Days of Fit-mas mini-series!Today we're talking about something many women experience during the holidays: emotional eating.If stress, overwhelm, or exhaustion has you reaching for food more often this time of year, this episode will help you understand why - without guilt or judgment. Casey breaks down what's actually happening in your body and mind and shares simple strategies to respond with awareness instead of willpower.This episode isn't about “stopping” emotional eating. It's about learning how to pause, check in, and make choices that support you - even in the middle of a busy season.In this episode, you'll learn:Why emotional eating increases during the holidaysWhy willpower isn't the answerHow stress and sleep impact cravingsA simple pause strategy to reduce mindless eatingHow to respond with compassion instead of guiltYou don't need to be perfect this season.You just need tools that help you feel supported.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Welcome to Day 9 of the 12 Days of Fit-mas mini-series!Today we're talking about one of the most overlooked parts of staying consistent during the holidays: protecting your time and energy.If December feels packed with commitments and your workouts, movement, or self-care keep getting pushed aside, this episode will help you rethink how you use your time - without guilt.Casey breaks down why boundaries are a health strategy (especially for women over 40), how overcommitment increases stress and stalls progress, and how small, intentional boundaries can help you stay consistent through the busiest season of the year.In this episode, you'll learn:Why time- not motivation- is often the real issue in DecemberHow stress and overcommitment impact energy and fat lossWhat simple boundaries actually look like in real lifeHow protecting your time supports consistency and confidenceYou don't need to do everything to have a great holiday season.You just need to protect what matters most.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Welcome to Day 8 of the 12 Days of Fit-mas mini-series!Today we're talking about a topic that comes up a lot during the holidays: alcohol-and how to approach it with intention instead of guilt.If you've noticed alcohol affects your sleep, energy, recovery, or cravings more than it used to, this episode will help you understand why—and what to do about it. Casey breaks down how alcohol impacts women over 40 and shares simple strategies to enjoy social events without derailing your goals.This isn't about cutting alcohol out completely. It's about making choices that support how you want to feel during the holidays and beyond.In this episode, you'll learn:Why alcohol hits differently after 40How it affects sleep, recovery, and fat lossWhat “drinking with intention” actually meansSimple strategies to stay in control without restrictionEnjoy the season - without the regret.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

During the holiday season, there can be SUPER high anxiety. If you dread the holidays, or can't wait for them to be over, then this Say Yes to Holiness podcast episode is definitely for you. Christina Semmens sits down for a deep conversation with Rachael Popcak Isaac, a Pastoral Counselor and Mental Performance Specialist of Success and Performance Coaching at CatholicCounselors.com. Dr. Rachael (Popcak) Isaac, LCSW, CPT is the founder and director of the Success and Performance Coaching Program at CatholicCounselors.com. She holds a Psychology degree from Franciscan University of Steubenville and a Master's in Clinical Social Work from the University of Pittsburgh. With a focus on success and sports psychology, Rachael has coached individuals, teams, and organizations from high school to the professional level.Together, Christina and Rachael explore the integration of faith with mental performance, the importance of understanding confidence and humility, and effective strategies for managing stress and anxiety. Rachael also shares her personal journey and insights on how a faith-based approach can enhance counseling and personal growth, emphasizing the significance of recognizing one's worth and purpose in life. Their discussion concludes with highlighting transformative practices and mindsets that can lead to a more fulfilling and peaceful existence.TakeawaysRachel Isaac is a Pastoral Counselor and Mental Performance Specialist.She integrates faith with mental performance in her counseling.Confidence is about knowing who you are, not comparing yourself to others.Stress and anxiety management are common struggles for clients.Faith is integral to personal identity and counseling effectiveness.Understanding our worth is crucial for personal growth.Connecting with our passions and desires is essential.Practicing mindfulness and emotional regulation is important.Visualization techniques can enhance performance and reduce anxiety.Building a supportive community is key to emotional well-being.Chapters00:00 Introduction to Pastoral Counseling and Mental Performance04:46 Integrating Faith and Mental Performance Counseling09:54 Understanding Confidence and Humility14:58 Managing Stress and Anxiety20:09 The Importance of Faith in Counseling24:53 Finding Peace and Purpose in Life29:57 Transformative Practices and Mindsets34:59 Conclusion and ResourcesFor more information on Dr Rachael and her work, go to: https://catholiccounselors.com/success-and-performance-coaching/

Welcome to Day 7 of the 12 Days of Fit-mas mini-series!Today we're talking about something many women struggle to embrace-recovery-and why it's not time off, but a critical part of your training plan.If you've ever felt guilty taking a rest day, worried you'd lose progress, or thought you had to be sore or exhausted for a workout to “count,” this episode is for you. Casey breaks down why recovery matters more after 40, especially during high-stress seasons like the holidays, and how intentional recovery actually supports strength, energy, and fat loss.In this short episode, you'll learn how to use recovery strategically so you can stay consistent, avoid burnout, and feel better in your body-without feeling like you're falling behind.In this episode, you'll learn:Why recovery becomes more important as we ageHow stress and lack of recovery can stall progressWhat actually counts as recovery (and why it matters)How to let go of guilt around rest daysA simple way to schedule recovery with intentionRecovery isn't a step backward- it's how your body gets stronger.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Our LEVEL US UP GUEST, veteran and activist, CPT. Josephine Guilbeau talked the methods she's using to decolonize her kids and how she's dedicated her life to the decolonization of the world! Watch “Views from AmandaLand” Wed 10a EST at Youtube.com/AmandaSealesTV!Listen to the podcast streaming on all podcast platforms.Advertise on the show! Go to https://www.amandaseales.com/book-me This is a Smart Funny & Black ProductionFollow me on social media: Instagram - https://www.instagram.com/amandaseales/Facebook - https://www.facebook.com/AmandaSealesTV/Make sure you're subscribed!

Welcome to Day 6 of the 12 Days of Fit-mas mini-series!Today we're talking about why strength training deserves a spot in your routine even more during the busy holiday season-and why doing less can actually be the smartest strategy right now.If December has you thinking, “If I can't get all my workouts in, what's the point?” this episode is for you. Casey breaks down why protecting muscle and momentum matters more than chasing perfection, especially for women over 40.You'll learn why committing to just two short strength workouts can help maintain muscle, support metabolism, and make January feel like a continuation-not a restart.In this episode, you'll learn:Why women tend to skip strength training in DecemberHow muscle supports fat loss, energy, and confidence after 40Why 2 workouts is better than aiming for 3–4 and quittingWhat short, effective strength sessions can look likeThe mindset shift that keeps momentum going through the holidaysDecember isn't about pushing harder- it's about staying connected to your strength.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

En Équateur, plusieurs membres de la famille de Daniel Noboa, dont son père, sont accusés d'être impliqués dans le trafic de drogue. Si le pays n'est pas producteur de cocaïne, il est, en revanche, le premier exportateur mondial de cette substance, ainsi que de bananes. Or, bien souvent, la cocaïne est cachée dans les conteneurs transportant ces fruits. Ces dernières semaines, plusieurs enquêtes journalistiques, dont une publiée au début du mois, ont mis en lumière des liens entre l'entreprise familiale du président conservateur au pouvoir depuis 2023 et ce trafic illégal. 700 kilos de cocaïne auraient été saisis dans des chargements de Noboa Trading, depuis 2020. Le président et ses proches nient toute responsabilité. Mais l'affaire révèle les contradictions entre les ambitions en matière de sécurité affichées par le dirigeant équatorien et les intérêts économiques de l'entreprise familiale. C'est un dossier de Melissa Barra de la rédaction en espagnol de RFI, avec Justine Fontaine.   En Haïti, la fin du CPT provoque des remous Comme tous les jeudis, nous faisons le point sur l'actualité haïtienne avec notre confrère Frantz Duval, rédacteur en chef du Nouvelliste. Le Conseil présidentiel de transition a présenté ses vœux de fin d'année hier (mercredi 17 décembre 2025) devant les diplomates en poste à Port-au-Prince. Si le président du Conseil a loué l'action accomplie ces derniers mois, affirmant qu'elle avait permis de maintenir l'administration publique debout, l'ambassadeur du Canada a appelé à faire plus, et souligné que le statu quo n'était pas une option. Le diplomate a également rappelé que le mandat du CPT devrait se terminer le 7 février 2026, comme prévu. «Il n'est pas le seul à le dire ces derniers temps», précise Frantz Duval. «À chaque fois, les membres du Conseil présidentiel de transition s'offusquent. Mais cette indignation n'a aucune suite», fait remarquer le journaliste. Les attaques des gangs restent quotidiennes. Ces dernières heures, ils ont incendié des camions à l'entrée de la commune d'Arcahaie. «C'est une façon de dire qu'ils contrôlent les routes et qu'ils ont la mainmise sur ce qui circule dans le pays», décrypte Frantz Duval (Le Nouvelliste). Dernière actualité en Haïti, après la soupe joumou ou le konpa qui ont fait leur entrée au patrimoine mondial de l'Unesco, les autorités veulent mettre en valeur les «vèvè», ces «dessins mystiques et religieux» qui sont vraiment très importants dans le pays, explique Frantz Duval. «C'est une très vieille tradition qui remonte aux premiers habitants de l'île», précise le journaliste. Les vèvè sont des «signes très puissants» qui «figurent même sur le maillot de l'équipe de football d'Haïti».   Quand Jair Bolsonaro va-t-il sortir de prison ? Mercredi (17 décembre 2025), le Congrès brésilien a adopté une proposition de loi visant à réduire la peine de prison de l'ancien président. C'est un «pas crucial vers la révision de sa condamnation», estime le quotidien argentin Infobae. Mais il reste encore du chemin à parcourir : le président brésilien peut opposer son veto à ce texte qui «permet des réductions de peine et un passage plus rapide à un régime carcéral moins strict», comme le détaille le journal. Et c'est bien ce qu'il compte faire, selon Folha de Sao  Paulo. Mais ce veto, il peut, à son tour, être annulé par le Congrès. Et une fois promulguée, cette loi peut encore faire l'objet de recours devant le Tribunal suprême fédéral, la plus haute instance du pouvoir judiciaire du pays, précise Infobae. Selon O'Globo, Jair Bolsonaro sortira de prison au plus tard début 2029. Mais tous les journaux ne font pas le même calcul. Jair Bolsonaro a été condamné à 27 ans de prison en septembre 2025, pour tentative de coup d'État. Une peine qu'il ne purgera pas dans sa totalité. Avec les remises de peine, il devrait faire environ six ans de prison, selon O'Globo. Maintenant, si cette loi est appliquée, il ne ferait que deux à quatre ans de prison. Calcul difficile à faire car cela dépend de la manière dont la loi sera interprétée. La législation brésilienne prévoit également que le temps consacré aux études, au travail et même à la lecture permet de raccourcir la sentence. O'Globo nous apprend que lire un livre, c'est quatre jours de prison en moins, à condition quand même d'avoir fait une fiche de lecture. Après des mois de tractations, les partisans de Jair Bolsonaro ont réussi leur pari. Enfin pas tout à fait car ils voulaient obtenir l'amnistie totale pour tous les émeutiers du 8 janvier 2023, afin de «pacifier et de réconcilier la nation», explique Folha. Ils ont, donc, dû revoir leurs ambitions à la baisse. Jair Bolsonaro et ses acolytes ne verront «que» leurs peines réduites. «Le Congrès a corrigé les excès du pouvoir judiciaire», s'est tout de même réjoui Tereza Cristina, la cheffe du Parti populaire au Sénat, rapporte le journal.   Au Chili, des frictions entre l'ancien et le nouveau président Au Chili désormais, La Tercera nous apprend que le nouveau président commence déjà à énerver la gauche. «Lundi (15 décembre 2025), lors d'une réunion avec les partis de sa coalition, Gabriel Boric a reconnu que la droite avait réussi à imposer le récit selon lequel son gouvernement a mal géré les questions de sécurité» et cela le contrarie, raconte le quotidien chilien. Il s'efforce, donc, de rétablir sa vérité, à savoir que sous son mandat, la situation a été «stabilisée». Pas besoin d'un «gouvernement d'urgence», comme l'annonce le nouveau président, José Antonio Kast. Des élus de gauche montent au créneau pour faire passer le message. Dans les colonnes du journal, plusieurs d'entre eux affirment ainsi que le Chili va bien, qu'il a retrouvé «la stabilité démocratique, économique et sociale» ou bien encore que José Antonio Kast, avec son futur gouvernement d'urgence, commence déjà à menacer les institutions et la démocratie. Bref, au Chili, le camp Boric se prépare déjà à être dans l'opposition. José Antonio Kast, lui aussi, s'active. Il dévoilera la liste des membres de son gouvernement le 15 janvier 2026, indique La Tercera.   Le journal de la 1ère 16.000, c'est le nombre d'airbags Takata qui seraient encore en circulation en Guadeloupe.

Welcome to Day 5 of the 12 Days of Fit-mas mini-series!Today we're tackling one of the most common holiday struggles for women over 40: treat overload and decision fatigue.This episode isn't about cutting out sweets or “being good.” It's about choosing intentionally. When treats are everywhere, having a plan for what's actually worth it helps you enjoy the holidays without guilt, mindless snacking, or the all-or-nothing spiral.In this short episode, Casey explains how picking a simple “treat budget” can help you feel more in control, enjoy the foods you love, and move through the season feeling confident instead of frustrated.In this episode, you'll learn:Why holiday treats feel so overwhelmingWhat a treat budget really means (and what it doesn't)How to enjoy the foods you love without overdoing itThe mindset shift that removes guilt and regretYou don't need to say yes to everything.You get to choose what truly matters.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

This week our 60 SECONDS HEADLINES guest, law professor Ra'Shya Ghee (IG @highly_vibey) gave us the constitutional low down on Antifa, Project 2026 and more! Our LEVEL US UP GUEST, veteran and activist, CPT. Josephine Guilbeau talked the methods she's using to decolonize her kids and how she's dedicated her life to the decolonization of the world! The CRITICAL THINKING EXERCISE asks how far will capitalism go now that CNN & Kashi are placing bets on world events!Watch “Views from AmandaLand” Wed 10a EST at Youtube.com/AmandaSealesTV!Listen to the podcast streaming on all podcast platforms.Advertise on the show! Go to https://www.amandaseales.com/book-me This is a Smart Funny & Black ProductionFollow me on social media: Instagram - https://www.instagram.com/amandaseales/Facebook - https://www.facebook.com/AmandaSealesTV/Make sure you're subscribed!

Auditing split/shared encounters can become confusing when providers, auditors, and coders are not aligned. CPT and CMS have both issued guidance to help clarify how these services should be billed. In this episode of the CodeCast podcast, Terry breaks down where to begin when auditing and educating on Split/Shared visits, what payers are currently saying, and how to maintain compliance for physicians and NPPs to prevent payer audits or confidently address them when they occur. She also gives a shout out to Sonda Kunzi, CPC, for her NAMAS article referenced during the discussion. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/ YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874 Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/ The post Audit Tips For Split/Shared Visits appeared first on Terry Fletcher Consulting, Inc..

Welcome to Day 4 of the 12 Days of Fit-mas mini-series!Today we're talking about one of the most practical tools you can use during the holidays: the 80/20 holiday plate.This approach helps you enjoy seasonal foods while still supporting your energy, digestion, and goals - without tracking, measuring, or restricting. By prioritizing protein and fruits/veggies first, you naturally feel more satisfied and less likely to overeat or spiral into all-or-nothing thinking.In this short episode, Casey explains how to use the 80/20 plate at holiday dinners, parties, and even with leftovers - making it a realistic strategy for real life.In this episode:What the 80/20 holiday plate actually looks likeWhy it works for women over 40How to apply it at any meal or eventThe mindset shift that removes guilt around holiday eatingSimple. Flexible. Sustainable.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Les groupes armés continuent d'étendre leur emprise en Haïti. Alors que les chefs de gangs cherchent à obtenir une amnistie pour leurs crimes, leurs regards sont tournés vers le 7 février 2026, date officielle à laquelle doit expirer le mandat du Conseil présidentiel de transition (CPT). Comment se financent-ils ? Quels liens entretiennent-ils avec le pouvoir politique et les élites économiques ?   L'International Crisis Group (ICG) vient de publier un rapport détaillé sur ce sujet. RFI a interviewé l'un de ses auteurs, Diego Da Rin. Dans les zones qu'ils contrôlent, les gangs prélèvent de l'argent pour laisser passer les véhicules, commettent des kidnappings, taxent les commerces et sont soupçonnés également de participer au trafic de drogue. « Avant, les gangs de la coalition Vivre Ensemble recevaient des ordres de leurs patrons », issus des élites politiques et économiques, explique à RFI Diego Da Rin, analyste Haïti à l'ICG et co-auteur du rapport « Haïti : démanteler l'alliance meurtrière des gangs », publié lundi 15 décembre 2025. Mais grâce à la hausse et la diversification de leurs revenus, « désormais, ils interagissent avec les élites comme des partenaires », dans le but « d'essayer de faire en sorte que les autorités leur garantissent une amnistie totale de leurs crimes », poursuit-il. À l'approche de l'échéance du 7 février 2026, les gangs, qui gardent chacun leur autonomie, tentent d'obtenir l'accès ou le maintien au pouvoir des forces politiques qui leur sont favorables. Ils ne cherchent pas à prendre eux-mêmes le pouvoir, estime l'ICG. « L'intérêt partagé de tous les chefs de gangs de Vivre Ensemble est d'éviter d'avoir à affronter une force qui puisse les détruire », explique Diego Da Rin, alors qu'une nouvelle force multinationale, la Force de répression des gangs, adoubée par l'ONU, doit être déployée d'ici au 1er avril 2026 en Haïti.    L'UE sanctionne l'ex-président haïtien Michel Martelly Le Conseil de l'Union européenne (UE) a imposé, ce lundi 15 décembre 2025, des sanctions à l'encontre d'anciens responsables politiques haïtiens, explique Gotson Pierre, rédacteur en chef de l'agence Alterpresse. L'UE sanctionne ainsi l'ex-président Joseph Michel Martelly, (2011 - 2016), l'ancien sénateur Youri Latortue (et fondateur du parti politique Ayiti an Aksyon), l'ancien parlementaire Rony Célestin, et le chef de gang Johnson André (Izo 5 segonn) selon un communiqué consulté par l'agence en ligne AlterPresse. «En juillet 2025, le Conseil de l'UE avait déjà inscrit sur sa liste de sanctions trois chefs de gangs haïtiens : Micanor Altès, Christ-Roi Chéry (Krisla) et Jeff Larose, impliqués dans des activités criminelles et dans les violences en Haïti», précise encore Alterpresse.   «Les États-Unis ont soif» d'eau venue du Mexique Le partage de l'eau du bassin du Rio Grande (ou Rio Bravo, comme on préfère l'appeler au Mexique) est de nouveau un sujet de tensions entre Washington et Mexico. «Ça y est, Les Etats-Unis ont soif !» ironise El Horizonte au Mexique. Les modalités ont été fixées par un traité en 1944, rappelle Expreso. Le Mexique n'a pas pu donner autant d'eau que prévu et Donald Trump a menacé la semaine dernière d'imposer de nouveaux droits de douane si le pays ne fournissait pas tout de suite près de 250 millions de mètres cubes d'eau. Sous pression, un accord a été conclu et le Mexique commence cette semaine à laisser filer l'eau de ses barrages vers les Etats-Unis, explique Milenio. Les autorités mexicaines ont utilisé «de belles phrases» diplomatiques, ont parlé de «défi commun», poursuit El Horizonte. Mais ces barrages sont déjà «à moitié vides», avertit El Sol de Mexico. Car le problème de fond, c'est qu'une «sécheresse exceptionnelle et sans précédent qui touche les deux pays», souligne El Independiente. C'est ce qui a empêché le Mexique de livrer suffisamment d'eau à temps, insiste le journal.   Dans le journal de La 1ère...  Une première liaison directe relie depuis ce lundi (15 décembre 2025) Bordeaux à Fort-de-France, nous explique Benoît Ferrand, d'Outre-mer La 1ère. 

Welcome to Day 3 of the 12 Days of Fit-mas mini-series!Today we're focusing on one of the simplest habits you can use to reduce stress, boost energy, and improve consistency during the holiday season: walk before you scroll.Before the emails, the notifications, and the morning chaos, giving your body just a few minutes of movement can completely change the tone of your day. This episode breaks down why morning movement matters-especially for women over 40-and how even a short walk can help improve mood, focus, and appetite regulation.This isn't about adding another workout to your schedule. It's about starting your day with intention instead of overwhelm.In this episode, you'll learn:Why scrolling first thing in the morning increases stressHow a short walk supports energy and mindsetSimple ways to make morning movement realisticHow this habit helps you make better choices all day longFive minutes. No pressure. Big impact.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Welcome back to Day 2 of the 12 Days of Fit-mas mini-series!Today we're talking about the simplest nutrition shift that makes every holiday meal, party, and treat feel easier to navigate: protein first, treats second.This isn't about restriction. It's about strategy. When you lead with protein, you naturally stabilize hunger, reduce cravings, support muscle, and make it far easier to enjoy holiday treats without overeating or spiraling into the all-or-nothing mindset.In this short episode, Casey breaks down why women over 40 benefit so much from this approach, how to make it practical during a busy season, and how this one tiny rule can help you feel more in control of your choices- without giving up the foods you love.In this episode:Why protein is especially important during the holiday seasonHow protein helps curb cravings and stabilize energyReal-life protein ideas you can use before meals or eventsThe mindset shift that lets you enjoy treats guilt-freeA small shift in the order you eat can create a big shift in how you feel.Tune in for Day 2- and get ready for more simple, doable steps all season long.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Welcome to Day 1 of the 12 Days of Fit-mas mini-series!Today we're kicking things off with the simplest, most powerful strategy to stay consistent through the holidays: choosing one non-negotiable each day.In this short episode, Casey shares why one small, intentional action can keep you grounded when life gets busy, messy, or unpredictable. You'll learn how to choose a non-negotiable that actually works for your real life—and why this tiny habit creates momentum, confidence, and less “all-or-nothing” thinking.If you've ever felt like December derails your routine, this episode will help you anchor your day with one promise you can keep.In this episode:Why holiday routines fall apart (and how to stop the spiral)Examples of simple non-negotiables that make a big impactHow to choose the right one for you each dayThe mindset shift that keeps you consistent without pressureA small win today becomes momentum tomorrow. Let's start with one doable step.Tune in for Day 1- and get ready for 12 days of simple, sustainable holiday support.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

The holidays are here, and with them comes a season that can easily pull you off your routine, drain your energy, and make consistency feel impossible. That's exactly why I'm launching something special: the 12 Days of Fit-mas mini-series.In this short preview episode, I'm giving you a look at what to expect over the next 12 days-simple, powerful, 5-8 minute episodes designed to help you stay intentional, grounded, and connected to your goals during the busiest time of year.You'll learn why these short daily episodes matter, what topics we'll be covering, and how just five minutes of mindset or nutrition support can change the direction of your day. This series isn't a challenge and it isn't about perfection. It's about giving you clear, doable steps to help you feel more in control of your choices while still enjoying the holiday season.In this preview, you'll hear:Why staying grounded in December matters more than you thinkThe purpose behind the 12 Days of Fit-masA sneak peek at the simple daily habits we'll focus onHow this series will support your consistency, energy, and mindsetIf you're ready for small, intentional habits that help you finish the year with confidence-and step into the new one with momentum-this mini-series is for you.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

December 12, 2025 In this episode, Scott, Mark, and Ray Painter share highlights from the recent Urology Advanced Coding and Reimbursement Seminar in Las Vegas, including robust discussions on E/M coding, prostate biopsy changes, modifiers, and the Wiser program. They also provide an important update on the AMA's recent meeting about coding and payment for algorithmic services, detailing how CPT and the RUC are approaching AI integration in healthcare. From potential reimbursement models to risk assignment and FDA considerations, this forward-looking conversation covers the groundwork being laid for AI's role in clinical care and payment policy.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

Det. Stabler and Cpt. Cragen investigate what they think is a botched kidnapping at a playground that left a toddler in a coma. They give up the hunt for a creepy guy with a camera when doctors determine little Lucy's injuries occurred days earlier when she was violently shaken. Though suspicion falls on the nanny, Stabler homes in on Lucy's widowed mother, Evelyn. After ADA Novak puts the mom on trial, the child's condition worsens. If Evelyn keeps Lucy on life support, her daughter will suffer immense pain. If she takes her off the respirator, the charges will be upgraded to murder. Stabler appeals directly to DA Branch to get the court to end the child's suffering. In court, Evelyn admits she shook Lucy because she didn't want the child to interrupt a night of romance. Later, Stabler confides in Cragen about a time he took out his frustrations on his own baby daughter.We're talking about Special Victims Unit season 5 episode 10 "Shaken." Our guest is Jessica Spawn from the Gal on the Prowl podcast.This episode takes its inspiration from the 1997 case of Louise Woodward. For exclusive content from Kevin and Rebecca, sign up on Patreon.This show was recorded in The Caitlin Rogers Project Studio. Click to find out more. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this engaging floor-recorded conversation from the AAO-HNSF 2025 Annual Meeting & OTO EXPO, host Rahul K. Shah, MD, MBA, AAO-HNS/F EVP and CEO, sits down with R. Peter Manes, MD, associate professor of surgery (otolaryngology) at Yale School of Medicine as well as AAO-HNS/F Board member and Chair of the Academy's Physician Payment Policy (3P) Workgroup. Together they demystify the alphabet soup of CPT, RUC, and RVUs, explaining how every otolaryngologist—academic or private—can influence reimbursement simply by completing the necessary surveys. Dr. Manes offers a candid look at how procedure codes are valued, why honest data matters, and how these processes directly shape the financial sustainability of ENT practices nationwide. He also discusses his new role as the Academy's Industry Consultant, fostering ethical collaboration between surgeons and device partners to advance innovation and patient care.

Dr. Eithan Haim first became nationally known as the whistleblower on Texas Children's Hospital's secret pediatric gender program. After facing prosecution by the Biden Department of Justice and the prospect of ten years in prison, the surgeon was ultimately successful in his case and is now practicing medicine while continuing to expose ethical violations in pediatric sex trait modification.Today, we dive deep into the insurance fraud that enables gender clinics to operate—a layer of scandal beneath the already discredited evidence base for these interventions. Dr. Haim explains how medical billing codes work and reveals that clinics are routinely using false diagnosis codes to get insurance companies to cover hormones, blockers, and surgeries. We discuss the 95% rate of fraudulent "endocrine disorder unspecified" diagnoses found at one university gender clinic, how patients' sex is being falsified in medical records, and how the American Medical Association—with its government-mandated monopoly on medical coding—may be facilitating this fraud.What are the consequences of this scheme? Why would the AMA recommend coding mastectomies as "breast reductions"? How is this affecting insurance premiums for ordinary Americans? And where does Dr. Haim see all of this heading? This conversation will change how you understand the machinery behind gender medicine.Dr. Eithan Haim is a general and trauma surgeon in Greenville, Texas. In 2023, he served as the anonymous whistleblower who exposed Texas Children's Hospital for secretly continuing its pediatric gender program after publicly claiming it had shut down. Within 24 hours of the story's publication, the Texas Senate passed bipartisan legislation banning these interventions on minors.The Biden Department of Justice responded by charging Dr. Haim with four federal felonies, sending armed U.S. Marshals to his home on the morning of his surgical residency graduation. Facing up to 10 years in prison, he and his wife—an attorney—drained their savings to fight the charges. He was ultimately successful, with the case resolved in his favor.Dr. Haim now continues his work as a surgeon while raising awareness about fraud and ethical violations in pediatric gender medicine. He and his wife Andrea live outside Dallas with their young child.Follow him on X @EithanHaimDonate to his GiveSendGo[00:00:00] Start[00:01:29] Introduction to Dr. Eithan Haim[00:05:30] How medical billing codes work: CPT and ICD codes[00:09:30] 95% of gender clinic patients had fraudulent "endocrine disorder" diagnosis[00:14:45] Iatrogenic harm: treatment creates the condition listed in the diagnosis[00:19:45] The AMA's government-mandated monopoly on medical coding[00:24:15] AMA recommends coding mastectomies as breast reductions[00:34:00] The "alternative diagnosis codes" guide removed after exposure[00:39:00] Falsifying patient sex in medical records[00:49:00] Wildest case: male diagnosed with "agenesis of the cervix"[00:58:00] How this fraud affects healthcare costs for everyone[01:04:15] The disturbing romanticization of surgery among trans-identified youth[01:10:30] Why "adults can do what they want" doesn't apply to doctors[01:16:00] Where this is heading: criminal prosecutions[01:25:15] Dr. Haim's family and current work[01:28:15] Where to find Dr. Eithan HaimROGD REPAIR Course + Community gives concerned parents instant access to over 120 lessons providing the psychological insights and communication tools you need to get through to your kid. Now featuring 24/7 personalized AI support implementing the tools with RepairBot! Use code SOMETHERAPIST2025 to take 50% off your first month.PODCOURSES: use code SOMETHERAPIST at LisaMustard.com/PodCoursesTALK TO ME: book a meeting.PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.SUPPORT THE SHOW: subscribe, like, comment, & share or donate.Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order.MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.ALL OTHER LINKS HERE. To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!Learn more about Do No Harm.Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.Check out my shop for book recommendations + wellness products.Show notes & transcript provided with the help of SwellAI.Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! 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The Real Economics of Rural Surgery with Dr. Randy Lehman In this episode of the BOSS Business of Surgery Series, host Dr. Amy Vertrees sits down with rural surgeon Dr. Randy Lehman for a wide-ranging conversation about rural surgery, financial freedom, and the future of surgical practice. Dr. Lehman shares his unconventional journey, from growing up on a farm in northwest Indiana to becoming a national advocate for rural surgery—complete with a helicopter commute between hospitals. Together, they explore what makes rural surgery uniquely fulfilling, why independent practices struggle in today's healthcare economy, and how financial independence can transform a surgeon's career options and impact. What You'll Learn in This Episode Dr. Lehman's Path to Rural Surgery Growing up on a farm, switching from pre-pharmacy to pre-med, and discovering a passion for rural surgery at Purdue and UC Medical School. He describes the unexpected doors that opened and closed along the way, eventually leading him to Mayo Clinic's rural surgery track and a broad, high-volume surgical experience. What Rural Surgeons Really Do Rural surgery offers a broad scope of practice and the ability to care for patients of all ages—often with higher compensation for lower-acuity operations. Dr. Lehman shares examples from his own practice, which spans carpal tunnels to hysterectomies to skin cancer flaps, as well as why he avoids highly complex cases that require tertiary-care resources. Training That Prepares You for Everything He explains the difference between simply rotating through a rural hospital and completing true rural surgery training, which requires high volume across multiple specialties. His own training included over 1,600 cases—far above the national average. The Hard Truth About Practice Models Dr. Lehman opens up about the highs and lows of his post-residency years, including: Pursuing a job at his hometown hospital after it was sold Building a dual-location practice between two small hospitals Attempting an independent practice with $600k annual overhead and only $350k collection Writing $20–30k checks every few weeks just to keep the doors open The takeaway: in today's economic environment, hospitals subsidize surgeons because they recoup facility fees—while most independent practices cannot survive on professional fees alone. Understanding the Economics: RVUs, Overhead, and Reality He breaks down why his independent practice collected only $57 per RVU versus over $100 per RVU when employed—and what that means for surgeons who dream of autonomy. Dr. Lehman and Dr. Bertrand discuss the impact of decreasing reimbursement, increasing overhead, and the future risk of efficiency adjustments and bundled CPT payments. Financial Freedom as a Career Strategy Dr. Lehman's philosophy is simple and powerful: live on very little early in your career, invest wisely, and achieve financial independence fast. He shares: How buying an $86,000 home allowed him to reach financial freedom within two years Why minimalism amplifies your negotiating power The role of real estate in accelerating independence How financial freedom allows him to give away hundreds of thousands of dollars each year Why money magnifies your character—good or bad Building “The Rural American Surgeon” Podcast Despite costing nearly $50,000 per year to produce, his podcast is a passion project aligned with his goal of becoming a national rural surgery leader. He shares why telling these stories matters for rural hospitals, local economies, and the future surgical workforce. Entrepreneurial Thinking in Medicine Dr. Vertrees and Dr. Lehman close with a powerful discussion on why physicians must think like entrepreneurs—not simply RVU generators. They explore how surgeons can reclaim autonomy, redefine their value, and build careers with freedom, flexibility, and mission at the center. Chapters 00:00:00 – Dr. Randy Lehman's Background and Journey 00:03:47 – The Scope and Benefits of Rural Surgery 00:06:00 – Rural Surgery Training and Case Volume 00:13:18 – Practice Models After Residency: Wins and Struggles 00:20:04 – The Real Economics of Surgical Practice 00:29:56 – Financial Philosophy & Becoming Independent Early 00:42:07 – Creating The Rural American Surgeon Podcast 00:47:56 – Entrepreneurial Mindset and Physician Autonomy Action Items & Takeaways Seek a true rural surgery training track, not just rural exposure. Prioritize high-volume operative experience during residency. Buy a modest first home to accelerate financial independence. Practice generosity early, regardless of income. Explore rural surgery as a deeply rewarding and high-impact career path. Connect with Dr. Lehman at ruralamericansurgeon.com for more resources.

In today's episode, Casey shares a powerful line she heard while out on a walk- one that stopped her in her tracks:“I cannot call in the next level of woman while still whispering to the one that I already outgrew.”If you've ever felt torn between who you've been and who you're trying to become, this message will land deeply. As we move into a new year, this is the perfect time to look at the identities, stories, and habits we've been carrying… and decide which ones no longer fit the woman we want to step into.In this episode, Casey explores why so many women over 40 hold onto versions of themselves that they've already outgrown- and how this keeps them stuck, small, and disconnected from their goals. You'll learn how to identify what you need to release, what your next-level identity actually looks like, and how to step into a future that aligns with the strongest, healthiest version of you.Inside this episode:Why identity drives every habit, choice, and resultHow old stories keep you from becoming the woman you want to beWhat it means to “whisper” to outdated versions of yourselfThe mindset shift required to step into your next levelA simple reflection exercise to help you let go + move forward with intentionIf you're craving growth, clarity, and a fresh start- this episode will help you walk into the new year with intention instead of hesitation.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Injuries, flare-ups, and physical setbacks happen to every woman- especially in our 40s and beyond. But the real challenge isn't the injury itself… it's the mental spiral that can follow.In today's episode, Casey breaks down how to stay connected to your health goals even when you can't train the way you want to. You'll learn how to modify your workouts, protect your mindset, stay engaged with healthy habits, and avoid the all-or-nothing thinking that derails so many women during a setback.If you've ever felt frustrated, “behind,” or worried you're losing progress- this episode will help you reset, refocus, and keep momentum in a way that honors your body.You'll learn:How to approach injuries without panic or guiltWhat to do instead of quitting when you can't do your full workoutsSmart modifications to keep you moving safelyThe habits that matter most during recovery (and YES- progress can still happen!)How to return to workouts with confidence once your body is readyWhy staying connected to the Inspire community matters more than ever during a setbackA setback doesn't mean you've failed. It means your body is asking for a different kind of support- and you're strong enough to give it.Tune in, take a breath, and remember: you can come back stronger than before.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Have you ever wondered why trauma seems to "live" in the body? Or why so many women struggle with sexual dysfunction after difficult childbirth experiences that they're told they should just be "grateful" for?Join me as we explore the profound connection between trauma and sexual health with Erika Kelley, an award-winning clinical psychologist who specializes in women's sexual medicine and trauma treatment.Erika Kelley is revolutionizing how we understand and treat the intersection of PTSD and sexual dysfunction. Winner of the prestigious Irwin Goldstein Award at ISSWSH for her groundbreaking research on childbirth-related PTSD, Erika shares insights from her years of experience helping women reclaim their bodies and sexuality after trauma.Together, we discuss the often overlooked reality of "smiling PTSD" the postpartum trauma that women hide behind societal pressure to appear only joyful after childbirth. Erika explains how trauma becomes physically embedded in the body through the fight-flight-freeze response, creating real physiological changes that impact everything from pelvic floor function to sexual desire.She also shares the evidence based psychotherapies that are proven to help, including Prolonged Exposure Therapy and Cognitive Processing Therapy, and how these treatments can be integrated with pelvic floor physical therapy and sexual medicine approaches for comprehensive care.Erika's commitment to building trust with marginalized communities through community-based participatory research demonstrates how we can address healthcare disparities while advancing trauma care. Her work with Black women and perinatal mental health is paving the way for more inclusive and effective treatment.This episode is essential listening for anyone who has experienced trauma, healthcare providers who work with trauma survivors, and anyone interested in understanding how our bodies truly do "keep the score." By listening, you'll gain crucial knowledge about recognizing trauma symptoms, accessing appropriate treatment, and advocating for yourself or your patients.TRIGGER WARNING: This episode contains discussions of sexual assault, traumatic childbirth experiences, medical trauma, PTSD symptoms, and obstetric complications. Please listen with care and reach out for support if needed.HighlightsHow PTSD manifests physically in the body and affects sexual health.Dr. Kelley's award-winning research on childbirth trauma and sexual dysfunction.Why "smiling PTSD" prevents women from getting help after traumatic births.Evidence-based treatments that work: Prolonged Exposure Therapy, CPT, and EMDR.How to prepare for subsequent pregnancies after traumatic childbirth.Trauma-informed care and why communication during emergencies is critical.Healthcare disparities affecting BIPOC women and community-based solutionsIf this episode resonated with you, please rate and review the show on Apple Podcasts or Spotify it helps other women find this life changing information. Share this episode with someone who needs to hear that their trauma is real and treatment is available.Get in touch with Erika:WebsiteInstagramGet in Touch with Me: WebsiteInstagramYoutubeSubstack

Une loi pionnière en Colombie permet, depuis 2023, à des femmes cheffes de famille condamnées pour des délits mineurs de purger leur peine hors de prison, à travers des travaux d'utilité publique. Près de 200 détenues ont déjà bénéficié de ce dispositif, qui leur permet de rester auprès de leurs enfants. Reportage à Fusagasugá, près de Bogotá de notre correspondante Camille Bouju. Patricia Cortés, 23 ans, est l'un des visages de ce dispositif unique au monde : Incarcérée alors qu'elle était enceinte, elle a passé onze mois en prison avant d'être libérée grâce à cette réforme. Sa mère, Luisa Fernanda Ladina, raconte une vie marquée par la pauvreté et les violences domestiques, qui l'a poussée vers le trafic de drogue pour nourrir ses enfants. Un profil type pour les associations qui sont à l'origine de la loi. La réforme repose sur la double reconnaissance : les femmes commettent souvent ces délits pour subvenir aux besoins de leur famille. Et pour la première fois, le travail de soin est reconnu comme un critère juridique et ouvre la voie à une forme de justice plus réparatrice, susceptible d'inspirer d'autres pays, souligne notre correspondante Camille Bouju dans son reportage.   Haïti : le bas Artibonite vit une situation de «chaos généralisé» C'est ce qu'estime en tout cas le Protecteur du citoyen, Jean Wilner Morin, qui a alerté le Premier ministre Alix Didier Fils-Aimé sur une violence armée accrue dans cette région. Dans une lettre datée du 2 décembre 2025, il décrit des communes comme Saint-Marc, Montrouis et Pont-Sondé sous la coupe de gangs, avec prises d'otages, assassinats, agressions sexuelles et actes criminels divers, le tout dans une impunité totale. Avec Frantz Duval, rédacteur en chef du Nouvelliste, nous revenons sur ce sujet, tout comme sur les tensions au sein du CPT, tensions qui se sont «apaisées», selon Frinel Joseph, membre observateur au Conseil présidentiel de transition. Tension Caracas - Washington : Donald Trump à la recherche de la gloire militaire Pour le Washington Post, la posture agressive de Donald Trump envers le Venezuela ne s'explique pas seulement par la lutte antidrogue (c'est en tout cas l'explication officielle), l'accès au pétrole ou l'influence stratégique dans les Caraïbes. Le moteur le plus profond serait ailleurs, d'après l'éditorial : c'est la recherche de la «grandeur présidentielle». Donald Trump considère le dossier vénézuélien comme une occasion d'entrer dans l'Histoire à travers la guerre, un marqueur récurrent des présidents classés parmi les «grands» des États-Unis. Donald Trump, rappelle l'auteur, ne cesse de se comparer à Washington, Lincoln ou Roosevelt. Le problème, c'est que l'Histoire est souvent cruelle avec les présidents belliqueux. Si les guerres peuvent coûter des milliers de vies, elles ne garantissent en rien la gloire politique, tous les sondages le montrent. Et puis, le Washington Post souligne aussi ce paradoxe de Donald Trump, qui se targue d'avoir mis fin à des conflits tout en semblant prêt à en ouvrir un nouveau. Une issue politique du conflit est-il encore possible ? En tout cas, c'est ce que veut croire El Nacional. Le journal vénézuélien décrit le conflit qu'oppose Caracas et Washington comme «un jeu à somme nulle». Si Nicolas Maduro est écarté du pouvoir, Donald Trump pourra clamer victoire. Si, au contraire, le dirigeant chaviste que le journal qualifie d'illégitime parvient à se consolider malgré la pression, eh bien le triomphe sera le sien. À partir de ce panorama, poursuit El Nacional, la véritable nature de l'affrontement apparaît clairement : il ne s'agit pas d'une stratégie pour améliorer le sort des Vénézuéliens, mais d'un «duel» entre deux egos où chaque mouvement vise à empêcher l'autre de l'emporter. Mais le journal estime qu'il est encore temps d'éviter ce type d'intervention. Le journal relève que les deux dirigeants se sont parlé au téléphone. Ce simple échange, confirmé hier (3 décembre 2025) aussi par Nicolas Maduro révèle l'existence d'un canal direct entre Washington et Caracas, souligne le journal. «Et s'il existe un canal, il existe aussi la possibilité d'une issue qui restaure la liberté au Venezuela sans morts ni tragédie». Journal de la 1ère La Martinique bouleversée par un cas d'infanticide : un bébé a été retrouvé mort dans un réfrigérateur.  

The second to last installment in our "Shadow Ticket" series is currently only available to subscribers in its entirety. Join the PPM Patreon today:patreon.com/ParaPowerMappingAlso, heads up - because of increasing automated censorship and flagging, I can no longer use music breaks on Spot°fy. To hear eps as originally intended, please listen on the Patreon or Substack.We're picking back up our brief, alternative history of American class violence, the anticommunist apparatus, and anti-syndicalist dynamite false flags, much wider spread than even I would have realized, this time honing in on a number of rhyming, causal & effective deep events rippling down the welded wrought iron links of the anchor chain of history, largely Chicago and Milwaukee concentric sagas of strike action and counterinsurgent reactions by the capitalist powers that be.File today's episode under: the Haymarket Affair; the Bay View Massacre at the North Chicago Rolling Mills steel foundry that left at least seven Polish, German, and Native workers dead the day following the bloodbath in the Windy City; the 8 Hour Work Day movement; the Federation of Organized Trades and Labor Unions (FOTLU), precursor to AFL; the snake Samuel Gompers; Milwaukee Central Labor Union socialist Paul Grottkau; Catholic Church Knights of Labor's Robert Shilling; Gov. Rusk; "shoot to kill" orders; Cpt. Treaumer muttering "halt" orders under his breath; the N. Chi Rolling Mills into Illinois Steel Company and then rolled up into US Steel come J.P. Morgan's Carnegie and otherwise monopolistic consolidation; Kosciusko Militia; FOTLU and Gomper's feud with the Knights of Labor; the labor significance of the phrase "amalgamated" (formed of individual craft unions) and what this says about ST protagonist Hicks McTaggart's work as strikebreaking PI for UNamalgamated Ops; Pynchon gets real Hobsbawmian, Gramscian, and Adamic-ian with it; "Haymarket FRAME-UP job"; explicitly references Bay View and Rolling Mills; Debs Rebellion; Pullman Strike; Henry Clay Frick nearly merc-ed by Berkman; the Gov. Steunenberg dynamiting; Big Bill Haywood's framing close shave; James McParland; Harry Orchard's confessions under duress; Pinkerton's; more US Steel; Mine Owners Association; Clarence Darrow; WFM; Wobblies; the McNamara Affair, the LA Times Building Bombing, and brothers J.J. and J.B.; surprise guilty pleas kneecapping the Job Harriman socialist mayoral candidacy in LA; spies catch Darrow bribing jurors?; Propaganda of the Deed comes to Milwaukee... or maybe not; the Italian Evangelical Church; ex-Catholic priest Rev. August Giuliani, MPD and BOI/DOJ informant; rabble rousing in the Third Ward, singing jingoistic songs, proselytizing to Catholics (which they didn't take kindly to from an apostate priest cum Protestant), and offering to pay for any anti-war anarchists or leftists of varying stripes' return tickets to the boot of Italy, all painting a picture of the gadfly pastor acting on behalf of federal law enforcement and local business interests with his troublemaking in the Ward; faced down by anarchists like Maria Nardini; the Bay View Riots, multiple Italian immigrant residents of Cream City killed by officers of the law with false flag violence (Antonio Fornasier and August Marinelli killed in the fray); the Milwaukee Station House Bombing of 1917; the comedy of errors; single deadliest day for law enforcement in American history up until 9/11; the curious lag in MPD response to the bomb's arrival at Giuliani's church; the claim the IMOPIO or infernal machine was anarchist made being sourced from BOI agent Julius Brown and possibly a Milwaukee congressman by way of MPD Capt. John T. Sullivan; the Galleanisti, followers of anarcho-communist Deed-Propagandist and advocate of various nitroglycerin and lead means for affecting change, squarely in the crosshairs; and much much more, breadcrumb trails we'll resume tracing next time.

Dr. Robin Brody is back to tackle a critical gap in clinical training: narcissism and its devastating impact. We cut straight to the core, defining narcissism by its signature trait, entitlement, and exploring the clinical distinctions between grandiose, vulnerable, and malignant subtypes. The episode then dives into the flip side: narcissistic abuse. Learn to spot the confusing dynamics clients face, including performative empathy, denial of reality (often called gaslighting), trauma bonding through intermittent reinforcement, and the predictable cycle of idealization, devaluing, discard, and hoovering. Most crucially, we discuss the "sin" of inadequate provider training and the risk of how applying standard components of evidence-based treatment, like assertiveness skills, can tragically fail or even place survivors in danger.Dr. Robin Brody is an Assistant Professor of Psychiatry (Voluntary) at Weill Cornell Medicine and the founder of Dr. Robin Brody Psychological Services, a private practice specializing in the treatment of occupational trauma, PTSD, and couples therapy, and gender and sexually diverse individuals. Her work is driven by a deep commitment to helping trauma survivors, particularly those facing PTSD and moral injury.Her expertise and demonstrated passion center on treating trauma survivors, particularly those with PTSD and moral injury. In doing so, Dr. Brody has worked with diverse populations of civilians, veterans of all branches and eras, first responders, healthcare workers, and 9/11 survivors and responders across the diagnostic and demographic spectrum. Dr. Brody started and ran an EBP for PTSD program within the World Trade Center Mental Health Program, where she trained and supervised providers in PE and CPT. Before joining Mount Sinai's World Trade Center Mental Health Program, Dr. Brody served on the faculty at Weill Cornell Medicine. In that capacity, Dr. Brody oversaw Weill Cornell's Military Families Wellness Center and worked within the Program for Anxiety and Traumatic Stress Studies (PATSS), where she was a co-investigator on numerous clinical research studies involving the treatment of PTSD, particularly among frontline healthcare workers amidst the COVID-19 pandemic. In all her efforts, Dr. Brody is committed to increasing access to, and training, in evidence-based treatments, especially for PTSD. Dr. Brody's research interests include PTSD treatment innovation and the role of shame, stigma, and identity in trauma recovery.Resources mentioned in this episode: DSM-5 Alternative Model of Personality Disorders It's Not You, Dr. Ramani Durvasula Calls-to-action: Utilize Diagnostic Frameworks: Look into the DSM-5 Alternative Model of Personality Disorders as a useful framework for understanding healthy personality functioning and personality disorders, including narcissism.Obtain additional training on NPD and narcissistic abuseSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Leave us a question or comment on Speakpipe

Today's episode is one so many women over 40 will relate to - because pelvic floor issues are far more common than anyone talks about.I'm sitting down with one of my incredible clients, Jill, to talk openly about her pelvic floor journey:the frustrations, the fear, the awkwardness, the rehab… and ultimately, the strength and confidence she's rebuilt along the way.Jill shares:When she first noticed pelvic floor symptoms and how they affected her workoutsThe movements that felt off-limits before treatmentWhat finally pushed her to see a pelvic floor physical therapistThe surprising things she learned about her bodyHow she's safely reintroduced strength training and rebuilt trust in her coreThe mental side - the frustration, the fear, and the confidence that followedWe also talk about what she wishes every woman knew about pelvic floor issues, and how normal (and fixable!) they often are.This is a real, honest conversation - not medical advice - meant to raise awareness, reduce stigma, and help women recognize they're not alone.Whether you're dealing with leaking, pressure, fear around lifting, or you're just curious about pelvic floor health, this episode will leave you feeling seen, empowered, and hopeful.If you've ever thought, “Is it just me?” - this one's for you.Tune in and let's dive in.

In this episode, we break down the upcoming CMS policy that will reduce work RVUs for nearly all non–time-based surgical CPT codes beginning January 1st. Dr. Chris Childers, surgical oncologist and health-policy expert, and Christian Shaughnessy, ACS Senior VP for Advocacy, join us to explain what these cuts mean for surgeons in both private practice and employed models. We explore why CMS believes surgeons are becoming “more efficient,” and why newly published data suggest the opposite may be true. Our guests outline the downstream financial, workforce, and patient-access implications of this unprecedented policy shift. Finally, we discuss how every surgeon can—and should—take action now to help prevent these cuts from taking effect. Hosts: Patrick Georgoff, MD, @georgoff Christopher Childers, MD, PhD, @cchildersmd Christian Shalgian, ACS Division of Advocacy and Health Policy Senior Vice President Take action: https://www.facs.org/advocacy/regulatory-issues/fight-back-against-cuts-to-work-relative-value-units/ Longitudinal Trends in Efficiency and Complexity of Surgical Procedures: Analysis of 1.7 Million Operations Between 2019 and 2023: https://pubmed.ncbi.nlm.nih.gov/40801398/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

In today's episode of the Inspire Fitness Podcast, we're talking all things Thanksgiving- a holiday that's centered around food, family, and tradition… but doesn't have to derail your goals.I'm walking you through simple, realistic strategies I teach my clients every single year so you can enjoy your favorite foods without slipping into the all-or-nothing mentality (you know… the one that says “Welp, I'll start over Monday!”).Here's what we dive into:Start the day with intention - why your mindset in the morning shapes the whole dayPlan ahead - a few small decisions that make everything easierPrioritize protein & veggies - how to stay satisfied without feeling stuffedBe mindful while eating - truly enjoy your meal instead of rushing through itBe choosy with treats - pick what's worth it, skip what's notSet limits on alcohol - staying present instead of derailing progressStay hydrated - the underrated secret to better choicesGet moving - not to burn calories, but to feel goodAvoid the all-or-nothing mentality — the #1 reason women spiral on holidaysThis episode is all about presence over perfection, and helping you walk into Thanksgiving feeling confident, intentional, and fully in control.✨ Today's Reminder: You can enjoy a holiday meal and stay aligned with your goals. It's not either/or.

In this episode, I speak with Matt about his work with veterans, PTSD and his research on AI's ability to diagnose mental health disorders. Matt explained that he got into the field of psychotherapy after being a patient, working through his own issues after being in the Marines. He found the process very helpful and went on to become a therapist and initially worked with unhoused populations, psychosis and gang young, but wanted to go into working with veterans and first responders, treating PTSD. He shared that he never intended to go into research, but after doing his dissertation, he thought he might as well publish it, and then was invited to be part of a research group. Matt shared that most of the treatment for veterans is provided by the Veteran's Administration, although they did not hire clinicians with his licensure. He explained that he was fortunate to get connected with an organization called the Head Strong Project that provides services to active duty military and veterans addressing PTSD and suicide prevention. He said that many of his clients often have a history of trauma, in addition to their experience in the military, as well as around 50% of his clients also have comorbid ADHD. Matt discusses the three major evidence based approaches to treating trauma: Prolonged Exposure (PE), Cognitive Processing Therapy, & Eye Movement Desensitization Reprocessing. He shares how the dropout rate for PE is 40% and EMDR is not always successful, which might be due to the eye movements and that not being as effective with those in the military, although he doesn't know any research backing that up. Matt explained that he uses CPT and in the approach, the focus is on beliefs or what they refer to as “stuck points”. There may be assimilated “stuck points" that the person has taken from the traumatic experience and over accommodated "stuck points”< which are things that the person now believes and has adjusted their thinking patters as a result of the trauma. He explains the treatment starts off with psycheducation and teaching coping skills, then addressing the “stuck points”. He explained that they help the clients break down thinking patterns from events, then usechallenging questions, identify cognitive distortions, use cognitive reframing, and put this all together into a challenging questions worksheet. He shared that once you have that framework in place, then you follow up on five themes which include: Safety, Trust, Power & Control, Esteem, and Intimacy, then work through stuck points in each of those areas. Finally, you work through the traumatic narrative and what you believed before and what you believe now. We discussed the five themes and how particularly discussed an intervention called the Trust Star, where the person picks aspects of someone's personality, and rates how that leads them to be more trusting of them or less. The breaks out of the all or none thinking around trust. Lastly, we discuss Matt's research into linguistic patterns in different DMS disorders throughout the various editions of the DSM. He also discusses his work group's research into having AI review vignettes and try to arrive at a diagnosis. He reported that Chat GPT did worse than chance, Claude was about as good as chance, and Gemini had a 97% rate of accuracy. We discuss AI and its use related to therapy. Matt Rensi, Ph.D., LPCC, is a licensed counselor in California, Oregon, and Idaho. He holds a Ph.D. in counselor education and supervision, often teaching at various universities. He currently works primarily with law enforcement, veterans, firefighters, and active duty military personnel. His primary focuses are PTSD, substance use, ADHD, marital or couples issues, and anything that may be associated with that cluster of struggles. Matt conducts research on various topics as part of an independent research team. He is a clinical partner with The Headstrong Project and the SOF Network. Matt is also a clinician at the Institute for the Advancement of Psychotherapy and its specialty center, the Bay Area Center for ADHD.

Today we're breaking down the two concepts that completely transform results for women over 40: RPE and progressive overload.If you've ever wondered:“Am I lifting heavy enough…?”“Why am I not getting stronger…?”or “How do I know if I'm actually pushing myself?”…this episode is your shortcut to clarity.Inside, I explain:What RPE (Rate of Perceived Exertion) really meansWhat an RPE 7, 8, or 9 should feel likeWhy strength gains happen in those final challenging repsHow progressive overload works — without complicated programmingHow we use RPE inside Inspire Fitness to help women lift safely and effectively at homeWhy “comfortable” workouts won't change your bodyAnd how to push yourself without risking injury or burnoutYou'll walk away knowing exactly how to approach your lifts so you can build strength, muscle definition, energy, and confidence - no matter your age, fitness level, or equipment.If you want better results from your workouts, this episode is a must-listen.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

About Nikhil Buduma:Nikhil Buduma is a San Francisco–based entrepreneur, scientist, and engineer working at the cutting edge of AI and healthcare. He is the co-founder and CEO of Ambience Healthcare, an AI platform built to supercharge every healthcare worker with intelligent automation. Under his leadership, Ambience has grown into one of the most well-funded AI healthcare startups in the world, raising over $343 million from top investors, including a16z, OpenAI, Kleiner Perkins, Oak HC/FT, Optum Ventures, and industry pioneers such as Jeff Dean and Pieter Abbeel. Before becoming CEO, Nikhil served as Ambience's Chief Scientist, leading the development of its core AI systems that streamline documentation, coding, and clinical workflows for healthcare systems, including the Cleveland Clinic and St. Luke's.Prior to Ambience, Nikhil co-founded Remedy Health, where he applied machine learning to advance value-based care models, backed by Khosla Ventures and Greylock. He also co-founded Lean On Me, a nonprofit organization that supports mental health and wellness across U.S. college campuses through anonymous peer-to-peer text support networks at institutions such as MIT, Duke, and UC Berkeley.A graduate and valedictorian of Bellarmine College Preparatory, Nikhil earned both his bachelor's and master's degrees in computer science and engineering from MIT. His career reflects a rare blend of technical mastery, compassion, and vision—using AI not to replace clinicians, but to restore the human joy in the practice of medicine.Things You'll Learn:Health systems often see low real-world usage of ambient tools; when daily adoption crosses most clinicians and visits, the ROI conversation becomes meaningful. This requires solving fundamentals across specialties, not just shipping features.If AI generates notes that don't align with payer rules and codes, organizations incur rework and risk. Integrating HCC, ICD-10, and CPT selection, along with supporting language, at the point of care helps prevent denials.Revenue integrity upside: Bringing CDI intelligence forward can reclaim large sums from work already done but not credited. This strengthens both financial sustainability and compliance posture.Continuous third-party auditing and domain-specific modeling are essential because general reasoning models often struggle with the nuances of revenue cycles. Independent validation builds organizational trust.Patient Summary anticipates questions and data needs before the visit, while Chart Chat answers complex, EHR-aware queries in seconds, helping to democratize top-tier standards of care in rural settings.Resources:Connect with and follow Nikhil Buduma on LinkedIn.Follow Ambience Healthcare on LinkedIn and visit their website. 

Epi 336What's the real secret to sustainable fitness, flexible nutrition, and body confidence—without losing your mind or social life?

Are you looking for tools to challenge dynamic balance? Duh! Check out what makes the Gibbon SlackBoard different and how it can transform balance outcomes. In the episode, host Erin Gallardo, PT, DPT, NCS interviews Derek Mikulski, BS, CSCS, CPT, National Director of Commercial Sales for Gibbon about what makes the SlackBoard different from other balance tools clinicians use, like foam pads and BOSU balls. Derek described his entrepreneurial journey that led him to Gibbon. The SlackBoard was born from a passion for fitness and personal transformation, and brings slack lining technology into clinics, schools, and homes. The SlackBoard offers an engaging, fun approach to improving body awareness and stability. With adjustable lines and scientific research underway, the board supports everything from rehabilitation to performance training for everyone from stroke survivors to professional athletes.  Check them out at www.gibbon-USA.com and save 10% with our affiliate code "neurocollab" GIBBON North America, Inc.

Today we're talking about one of the biggest predictors of fitness success for women over 40… community.Inspired by one of my favorite James Clear quotes - “One of the most effective things you can do to build better habits is to join a culture where your desired behavior is normal” - this episode explores why the people you surround yourself with matter just as much as the workouts you do.Inside Inspire Fitness, hundreds of women show up for themselves every day. Different ages, different lifestyles, different responsibilities… but the same mission: to be strong, confident, and healthy. And when you plug into a community where prioritizing your fitness is the norm, consistency stops feeling so hard. You feel supported. You feel encouraged. You realize you're not alone.In this conversation, I'm breaking down why community accelerates your progress, why engagement matters (yes, even posting that sweaty selfie!), and why the holiday season is the worst time to go it alone.If you're craving accountability, motivation, and a group of women who will lift you higher- in every way I'd love to welcome you into the Holiday Bootcamp. Workouts begin Monday and the community opens Friday… and trust me, being surrounded by women who are moving with you will change everything.Let's talk about the power of showing up together.“You become the strongest version of yourself when you surround yourself with people who lift you higher.” UnknownIf you are new here, I welcome you to join us in the Holiday Bootcamp! We are kicking off the week of November 17. Find details here: https://inspirehw.com/holiday-bootcampJoin us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

In this solo episode, Darin reframes one of the most misunderstood forces in life — stress. Instead of seeing it as the enemy, he explores how stress is actually a messenger, guiding you back to alignment, safety, and awareness. Through science, spirituality, and lived experience, Darin breaks down how stress shows us where we're trying to control, where we're disconnected, and where our nervous system is calling for attention. He unpacks the layers of modern stress — from trauma and environment to community and purpose — and offers practical, embodied tools to restore calm, clarity, and resilience.     What You'll Learn 00:00:00 – Welcome to Super Life: Solutions for a Healthier Life and Better World 00:00:32 – Sponsor Spotlight: TheraSauna - Natural Healing Technologies (15% off with code Darrandai) 00:02:10 – The Super Life Podcast: Finding Contentment, Happiness, and Purpose 00:02:51 – Today's Topic: Stress - Reframing Stress as an Ally and Dashboard Light 00:04:54 – The "No Choice" Universe: Reconnecting to Infinite Possibilities 00:05:16 – The Reality of Stress: Statistics and the Impact of Chronic Stress 00:06:21 – Stress is Layered: Beyond a Single Cause, Addressing Chronic Stress 00:08:29 – Solutions for a Super Life: Safety over Calm and the Vagal Response 00:09:38 – The Inner Dialogue Layer: Trauma, Unconsciousness, and Spiritual Bypassing 00:11:47 – The Social Field Layer: Relationships, Community, and Finding Your Way Home 00:14:20 – Sponsor Spotlight: Bite Toothpaste - Sustainable, Non-Toxic Tabs (20% off with code Darin20) 00:16:35 – Creating Your Own Vision: Setting Boundaries with Media and Social Algorithms 00:17:29 – Finding Your Purpose: From Raising Children to Healing Injuries 00:18:35 – Environmental and Existential Stress Layers: Clutter, Noise, and Service 00:19:26 – Stress Load and Resiliency: Why Small Triggers Cause Blow-Ups 00:20:02 – Understanding the Dashboard Light: Acknowledging Unwillingness 00:20:35 – Safety as the Signal: Body Relaxation and Providing Inner Security 00:23:44 – Reframing Trauma: Was it the Protector You Needed at the Time? 00:25:00 – Releasing Trauma: Techniques, The Healing Code, and Waking the Tiger 00:26:06 – Finishing the Survival Response: Shaking, Crying, Screaming, and Stretching 00:26:38 – Stress as a Multiplier: Impact on Immune System, Heart, and Aging 00:28:10 – Stress Slows Repair: Inflammation, Cardiovascular Risk, and Cellular Aging 00:29:48 – The Integrative Approach: Changing Your Environments to Support Anti-Stress 00:30:07 – Actionable Stress Solutions: Circadian Rhythm, Nature, and Noise Reduction 00:30:44 – Actionable Stress Solutions: Gratitude, Conscious Breath, and Movement 00:31:32 – Energy Drains to Eliminate: Conflict, Clutter, Scrolling, and Late Caffeine 00:32:17 – Connecting to Greater Purpose: The Super Life Patreon Platform 00:32:54 – Morning/Night Questions: Letting Go, Creating, and Contributing 00:33:17 – Final Toolkit: Slow Breathing, Movement, Nature, Sauna, and Sleep 00:34:25 – The Invitation: Digging into all Layers of a Super Life on Patreon   Thank You to Our Sponsors Therasage: Go to www.therasage.com and use code DARIN at checkout for 15% off Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order. Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Podcast Website: superlife.com Book: Fatal Conveniences   Key Takeaway "Stress isn't your enemy — it's your compass. Every wave of tension points you back to what's asking for care, attention, and love. When you stop fighting stress and start listening to it, you don't just survive — you evolve."       Bibliography (selected, peer-reviewed) Sources: Gallup Global Emotions (2024); Gallup U.S. polling (2024); APA Stress in America (2023); Natarajan et al., Lancet Digital Health (2020); Orini et al., UK Biobank (2023); Martinez et al. (2022); Leiden University (2025). Cohen S, Tyrrell DA, Smith AP. Psychological stress and susceptibility to the common cold. N Engl J Med.1991;325(9):606–612. New England Journal of Medicine Cohen S, et al. Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proc Natl Acad Sci USA. 2012;109(16):5995–5999. PNAS Kiecolt-Glaser JK, et al. Slowing of wound healing by psychological stress. Lancet. 1995;346(8984):1194–1196. The Lancet Kiecolt-Glaser JK, et al. Hostile marital interactions, proinflammatory cytokine production, and wound healing.Arch Gen Psychiatry. 2005;62(12):1377–1384. JAMA Network Tawakol A, et al. Relation between resting amygdalar activity and cardiovascular events. Lancet.2017;389(10071):834–845. The Lancet Epel ES, et al. Accelerated telomere shortening in response to life stress. Proc Natl Acad Sci USA.2004;101(49):17312–17315. PNAS McEwen BS, Stellar E. Stress and the individual: mechanisms leading to disease. Arch Intern Med.1993;153(18):2093–2101. PubMed McEwen BS, Wingfield JC. Allostasis and allostatic load. Ann N Y Acad Sci. 1998;840:33–44. PubMed Felitti VJ, et al. Relationship of childhood abuse and household dysfunction to many leading causes of death in adults (ACE Study). Am J Prev Med. 1998;14(4):245–258. AJP Mon Online Edmondson D, et al. PTSD and cardiovascular disease. Ann Behav Med. 2017;51(3):316–327. PMC Afari N, et al. Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis.Psychosom Med. 2014;76(1):2–11. PMC Goyal M, et al. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Intern Med. 2014;174(3):357–368. PMC Qiu Q, et al. Forest therapy: effects on blood pressure and salivary cortisol—a meta-analysis. Int J Environ Res Public Health. 2022;20(1):458. PMC Laukkanen T, et al. Sauna bathing and reduced fatal CVD and all-cause mortality. JAMA Intern Med.2015;175(4):542–548. JAMA Network Zureigat H, et al. Physical activity lowers CVD risk by reducing stress-related neural activity. J Am Coll Cardiol.2024;83(16):1532–1546. PMC Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med.2010;7(7):e1000316. PMC Chen Y-R, Hung K-W. EMDR for PTSD: meta-analysis of RCTs. PLoS One. 2014;9(8):e103676. PLOS Hoppen TH, et al. Network/pairwise meta-analysis of PTSD psychotherapies—TF-CBT highest efficacy overall.Psychol Med. 2023;53(14):6360–6374. PubMed van der Kolk BA, et al. Yoga as an adjunctive treatment for PTSD: RCT. J Clin Psychiatry. 2014;75(6):e559–e565. PubMed Kelly U, et al. Trauma-center trauma-sensitive yoga vs CPT in women veterans: RCT. JAMA Netw Open.2023;6(11):e2342214. JAMA Network Bentley TGK, et al. Breathing practices for stress and anxiety reduction: components that matter. Behav Sci (Basel). 2023;13(9):756. 

Welcome to The Times of Israel's Daily Briefing, your 20-minute audio update on what's happening in Israel, the Middle East and the Jewish world. Military correspondent Emanuel Fabian and Jewish world reporter Zev Stub join host Amanda Borschel-Dan for today's episode. In an indication of the uptick of events along Israel’s northern border, IDF troops conducted an overnight raid in southern Lebanon and destroyed several buildings that were being used by Hezbollah, the military says. This is the second ground operation inside Lebanon in the past several days, conducted outside of the five points Israel now holds inside its neighbor. We learn about the IDF's outlook for a stepped-up conflict. Upon assuming office, Chief of Staff Eyal Zamir appointed a panel of former senior military officers to conduct an external investigation into the series of the IDF's internal probes in its failures on and ahead of Hamas’s October 7, 2023, terror onslaught. Fabian explores the new panel's findings and where the IDF needs to fill in holes. Itai Ofir will become the military advocate general later this month after Defense Minister Israel Katz ratified his appointment Sunday. He will succeed Maj. Gen. Yifat Tomer-Yerushalmi, who resigned and admitted to authorizing the leak of the Sde Teiman detainee abuse video. Fabian describes an unusual rank jump that Ofir will need to be given to assume the role. After a dramatic negotiation process with several surprise turns, the next leadership of the World Zionist Organization has been selected. Just ahead of recording, Stub learned that Rabbi Doron Perez, chairman of the religious Zionist World Mizrachi movement and father of Cpt. Daniel Perez, who was killed in the October 7, 2023, Hamas attack, will split the five-year term with the incumbent chairman of the WZO, Yaakov Hagoel. Last week, Yad Vashem, Israel’s World Holocaust Remembrance Center, said that it has recovered the names of five million Jews murdered in the Holocaust, a milestone it called “historic” in its decades-long mission to restore the identities of the six million Jews murdered by the Nazis.As part of its mission to mark every one of those six million as an individual, the museum wing has opened a new exhibit with deeply personal affects. Stub was at the new exhibit and reports back. Check out The Times of Israel's ongoing liveblog for more updates. For further reading: External panel appointed by IDF chief finds most of army’s Oct. 7 probes inadequate Katz okays Itai Ofir as next IDF legal chief, despite Netanyahu’s reported objection Lapid rips up ‘corrupt’ WZO leadership deal, opens door for Yair Netanyahu appointment World Zionist Congress devolves into chaos after Yair Netanyahu tapped for key role WZO heads likely to throw out thousands of suspect ballots as they meet on voter fraud Yad Vashem says it has compiled 5 million names of Jews murdered in Holocaust Subscribe to The Times of Israel Daily Briefing on Apple Podcasts, Spotify, YouTube, or wherever you get your podcasts. This episode was produced by Pod-Waves. IMAGE: Smoke rises following an Israeli airstrike in the village of Teir Debba, southern Lebanon, November 6, 2025. (AP Photo/Mohammad Zaatari)See omnystudio.com/listener for privacy information.