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4pm: BREAKING: Sal Mungia defeats Dave Larson for open WA Supreme Court seat // WSU raises tuition as enrollment declines // FEMA leader faces questions about hurricane relief, denying aid to Trump supporters // Guest - Darleen Christopher - Astrolgist based in Pike Place Market // She “famously” predicted that the Seahawks would win the Super Bowl in 2014 // Pluto in Aquarius … Evidently this means a 20 year golden age of enlightenment and progress // Why rats can teach us a lot about relieving stress
What’s Trending: A Washington State GOP elections observer was asked to leave an Island County precinct because she wasn’t wearing a COVID mask. A legal battle has ensued since. Kamala Harris is trying to pretend that she hasn’t been in office for the last four years. // LongForm: GUEST: Judge Dave Larson is running to add a Conservative to the bench on Washington State’s Supreme Court. // The Quick Hit: Joe Rogan explains why Kamala Harris didn’t appear on his show. The New York Times and Washington Post is attempting to censor conservative voices on YouTube.
This week's episode brings everyone from the kennel together for a discussion of training topics and home life. Dave Larson, Eric Schutte and Zac Stinnett share some stories about certain training scenarios and what they have been up to outside the kennel. Josh also hits on a few training scenarios and how he's worked through them. www.eukanubasportingdog.com www.riverstonekennels.com www.retrieverroadmap.com
Three of the seats on our state's Supreme Court will be on the ballot next week. Two of them have incumbent justices running unopposed; the race Washington voters will actually decide is for Washington Supreme Court Position 2. The incumbent, Justice Susan Owens, who turned 75 in August, is aging out of the position because of a rule in the state's constitution. The position is non-partisan, so you won't see any party labels next to the candidates' names - but don't worry, we're here to help you make that decision without the “D” or “R” shorthand. Soundside is talking to both candidates vying for the seat this week. Today, we're interviewing Judge Dave Larson. Larson has been a judge for the Federal Way Municipal Court since 2008. Guest: Judge Dave Larson, candidate for Washington Supreme Court Position 2. Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network. See omnystudio.com/listener for privacy information.
Judge Dave Larson is joining me here today to discuss the critical role of the judiciary in democracy, the importance of educating the public about judicial races, and the ethical boundaries judges must navigate. He emphasizes the need for judges to apply the law as written, rather than legislating from the bench, and highlights the challenges of judicial selection and campaign finance. We're also touching on the need for reform in the judicial election process in order to enhance public awareness and trust in the judiciary. In this conversation, Judge Larson highlights the role of education in fostering civic responsibility and the necessity of active participation in democracy to combat tyranny and ensure freedom. This conversation is straight fire! You won't want to miss it. SPONSOR: Thank you to TUVU for sponsoring our podcast today! While other platforms thrive on addiction, TUVU is engineered for relational connection. No advertisements, no explicit content, none of the junk that leaves you feeling empty on the other sites. The first 500 to tuvu.com/heidi to get six months free! Show Notes: http://heidistjohn.com/blog/podcasts/freedom-supposed-to-work-judge-dave-larson
In this episode, Professional Dog Trainer Josh Miller talks about some exciting changes that have been taking place at River Stone Kennels. With the addition of Zac Stinnett, whom Josh introduced in episode #135, they have also brought in Eric Schutte to run the day to day operations. Along with long-time employee, Dave Larson, the crew sits down as a formal introduction and chat about their time spent at the kennel thus far. There are some exciting things happening at River Stone and this probably won't be the last time you'll hear from this crew.
What’s Trending: A new task force is seeking to ameliorate the growing congestion at SeaTac airport. An Issaquah married couple had their luggage stolen at baggage claim at SeaTac airport. The mainstream media fearmongers about Project 2025. CNN is cutting staff. // LongForm: GUEST: Judge Dave Larson needs your support as he hopes to fill a vacant State Supreme Court seat. // The Quick Hit: A misleading poll has some pretending Biden is doing well.
Send us a Text Message.Grab this illustration on some merch T-shirts, mugs, clocks and more on Redbubble https://www.redbubble.com/shop/ap/162522914?asc=uCheck out this and previous illustrations on www.drawntoyourstory.comIn this episode, we sit down with marketing legend Dave Larson, whose career spans iconic brands like Nike, Reebok, and Brooks. Dave has worked with some of the biggest names in sports history, including Michael Schumacher, Venus and Serena Williams, and many more.Join us as Dave shares his marketing brilliance, from creating a shoe for the world's best Formula One driver to orchestrating a mini circus on a double-decker bus from England. He also regales us with a fascinating story about teaching Michael Jordan tennis and discusses his brief foray into the video game industry, where he felt like a fish out of water.Dave's passion for tennis and pickleball shines through, and our custom illustration captures his remarkable journey in the shoe industry. Don't miss this insightful and entertaining conversation with one of the industry's most creative minds!Have a good day, ya legend.- Matty
Hello and welcome to the ZimmCast. In this episode we're going to learn about special sale of agriculture focused website domains being sold by Dave Larson of Larson Ent. LLC. There are a number of categories and I'll let him tell you about what is available. After that I'm going to share my wrap-up interview of the 2023 NAMA Fall Conference with John Rozum, AEM and current President of NAMA. It was a well attended and successful conference. I'll be in the woods starting this weekend for a few days for my annual deer hunt and I'm looking forward to getting some more venison in the freezer. Can't wait. That's the ZimmCast for this week. I hope you enjoyed it and thank you for listening.
Hour 3: Jason talked with Dave Larson about MN Credit Unions giving back to their communities. Then on the DeRush-Hour, a big fight over land. And Dave Schwartz talked Twins, Vikings, Gophers and Wild!
Jason and Laura talked with Dave Larson, CEO of Affinity Plus Credit Union, about their efforts to give back to the community and how other Credit Unions have gotten on board to create "CU Forward Day"
In this episode, we will be discussing the importance of systems and processes in building a business that can be sold as an asset, rather than solely relying on depreciating assets for value. We will delve into the common story of business owners who have been in the trade for many years, only to find themselves with little to sell when it's time to retire or move on from their business.We will explore the challenges and pitfalls of relying solely on equipment and physical assets as the value of a business, and how this can limit the options for business owners when it comes to exit strategies, such as selling the business or passing it on to the next generation.Dave Larson, who is part owner of United Tile & Stone and owner of Shower Concepts, located just outside of Denver, CO. Dave will share his experience of building a business that is worth selling, and how he achieved this through the implementation of systems and processes that have added value to his business beyond just the physical assets.Dave shares insights into the steps he took to transform his business into an asset that can be transitioned to his employees as partners, and how this has impacted his future plans for retirement and succession planning.We will discuss the benefits of implementing systems and processes in a business, including increased efficiency, scalability, and the ability to sell the business as a valuable asset. We will also explore how having a well-structured business can provide options for business owners when it comes to exit strategies, and how this can impact their retirement and succession planning.Need new headphones for working and listening to Floor Academy? Check out ISOTunes using the link below. Amazing Bluetooth headphones that are OSHA certified. http://bit.ly/2P5A9pRCheck out The International Surfaces Lookbook here!Check out the virtual estimates software here! Don't forget to create an account after submitting a sample estimate to get access to more features.Check out our sponsorsJohns ManvilleThe International Surfaces EventCheck out our website and stSupport the showFloor Academy is a podcast hosted by Kyle Hedin that provides small business information and guidance to flooring, tile and stone contractors on how to build a successful and sustainable business. The podcast aims to help contractors move from owning a job to owning an asset, by providing insights and strategies related to management, entrepreneurship, and networking.Floor Academy covers a range of topics related to flooring, tile and stone business management, including small business advertising, paid traffic, and organic traffic. The podcast also provides information on promotional marketing, LLC setup, simple small business management, and networking strategies.The podcast aims to help carpet, tile, stone, hardwood, floating floor, and many more types of contractors develop a deep understanding of business management, including effective networking and entrepreneurship strategies, which are crucial to achieving long-term success in the flooring industry. By discussing various topics related to small business management, such as finance, operations, marketing, sales, human resources, branding, advertising, interviewing, taxes, company structures, and more the podcast provides valuable insights to help flooring, tile and stone contractors become successful business owners.
Dark Harvest returns to Anaheim in a new location. Pirates Cave Productions joined Dark Harvest this year to bring more technical scenes. Today we'll speak with Adam LeBlanc from Dark Harvest and Dave Larson from Pirates Cave Productions about the new experience. Follow along to our Hauntathon: https://linktr.ee/hauntedattractionnetwork
Spirent Communications' CTO, Dave Larson, explores how telecom providers are overcoming the technical debt associated with tightly integrated virtual private networks to leverage the cloud's virtualized framework. In this Executives at the Edge podcast episode, host Pascal Menezes explores these topics and more with Dave Larson of Spirent Communications: What do public clouds lack that... Read More The post Telco Clouds: Putting Virtual Networks to the Test appeared first on MEF.
This is a special Sunday honoring a man who has labored among us since Grace Church came into being. Dave Larson is moving to another city to join his family when the school year is done. This is a special time of showing our appreciation to a great man of God.
Welcome to the Creepcast Podcast hosted by Rickcreeper11 . The Creepcast Podcast is sponsored by vampfangs.com Episode 22 with Jacob And Dave Larson from Pirate's Cave Haunt. We enter the dark depth to hear the family's haunt history for over the past 20 years. Pirate's Cave Haunt can be found: Instagram: @piratescavehaunt Facebook: Pirate's Cave Haunt Twitter: @piratecavehaunt Tiktok: @piratescavehaunt Website: https://piratescavehaunt.wixsite.com/piratescavehaunt Jacob Larson can be found: Instagram: @jacoblarsondesigns Twitter: @jlarsondesigns Facebook: Jacob Larson Website: https://piratescavehaunt.wixsite.com/jacoblarson Email: Jacoblarson04@icloud.com Dave Larson can be found: Instagram: @dave_cctv Website: https://www.creativecommotion.tv/ Email: davel@creativecommotion.tv Rickcreeper11 can be found: https://www.instagram.com/rickcreeper11/ https://www.instagram.com/darkalleyproductions/ Podcast Sponsorship: vampfangs.com https://www.instagram.com/vampfangsofficial/ Podcast Art concept and Design: dribbble.com/michael-fernandez https://www.instagram.com/michael_myyyers/ Production and Voice talent: linktr.ee/Animenji --- Send in a voice message: https://anchor.fm/rickcreeper11/message
Alana & Mac welcome Dave Larson from High Life Adventures & Larson Logging to the show. This show sure zips along even when Mac gets bogged down in the great “Smokey Bear” vs. “Smokey the Bear” debate.
In 2000, Excursion Records owner Dave Larson released THE EDGE OF QUARREL. In this piece we talk about working with friends, beard bands, the joy of writing screenplays, and the dissolution of his label EXCURSION RECORDS. Featuring such bands as TRIAL, THE MURDER CITY DEVILS and BOTCH, THE EDGE OF QUARREL would catch lightning in a bottle amidst the sub-culture it was had both fictionalized and documented. THE EDGE OF QUARREL director sits down and talks about making this seminal hardcore/punk film. Stream THE EDGE OF QUARREL HERE: https://vimeo.com/ondemand/theedgeofquarrel/261056669 Grab the Orange County Hardcore Scenester DVD here: https://revhq.com/products/evanjacobs-orangecountyhardcorescenester-dvd?_pos=2&_sid=683ac2ce9&_ss=r Contact the Orange County Hardcore Scenester Podcast here: anhedenia@hotmail.com Orange County Hardcore Scenester: Aftermath music provided by Dear Furious. The songs is "r/Complex"
In 2000, Excursion Records owner Dave Larson released THE EDGE OF QUARREL. This film looked at the relationship between the SXE scene and Punks in the Seattle, WA. Featuring such bands as TRIAL, THE MURDER CITY DEVILS and BOTCH, THE EDGE OF QUARREL would catch lightning in a bottle amidst the sub-culture it was had both fictionalized and documented. THE EDGE OF QUARREL director sits down and talks about making this seminal hardcore/punk film. Stream THE EDGE OF QUARREL HERE: https://vimeo.com/ondemand/theedgeofquarrel/261056669 Grab the Orange County Hardcore Scenester DVD here: https://revhq.com/products/evanjacobs-orangecountyhardcorescenester-dvd?_pos=2&_sid=683ac2ce9&_ss=r Contact the Orange County Hardcore Scenester Podcast here: anhedenia@hotmail.com Orange County Hardcore Scenester: Aftermath music provided by Dear Furious. The songs is "r/Complex"
In 2000, Excursion Records owner Dave Larson released THE EDGE OF QUARREL. In this piece we talk about casting the movie, using black and white, editing, and getting a movie in the Tribeca Film Festival. Featuring such bands as TRIAL, THE MURDER CITY DEVILS and BOTCH, THE EDGE OF QUARREL would catch lightning in a bottle amidst the sub-culture it was had both fictionalized and documented. THE EDGE OF QUARREL director sits down and talks about making this seminal hardcore/punk film. Stream THE EDGE OF QUARREL HERE: https://vimeo.com/ondemand/theedgeofquarrel/261056669 Grab the Orange County Hardcore Scenester DVD here: https://revhq.com/products/evanjacobs-orangecountyhardcorescenester-dvd?_pos=2&_sid=683ac2ce9&_ss=r Contact the Orange County Hardcore Scenester Podcast here: anhedenia@hotmail.com Orange County Hardcore Scenester: Aftermath music provided by Dear Furious. The songs is "r/Complex"
Dave Larson, retired military and one of Homes for Heroes top performing real estate specialists joins us on R.E.A.L. Talk with Homes for Heroes to discuss how to lead a career filled with purpose. Dave shares the strategies that he's taken from his military career to apply to his real estate business to grow it into a top-performing 13 agent team. Tune in and take away some great tips that you can apply to your real estate business to grow and scale today.
In this episode of the SLN Podcast, our friend Dave Larson, the CMO of Sweet Onion Consulting, speaks with his former Nike colleague, Ian Hamilton. It will become clear as to why Dave has such admiration for Ian. Together, they built Nike Tennis with Phil Knight's support. They signed and outfitted Andre Agassi, Pete Sampras, Jim Courier, and many other legends of the game. Ian would then lead Planet Hollywood's All-Star Cafe, working with the likes of Tiger Woods and Shaq. After years in sports marketing, Ian was highly sought after to be the PBA Tour Commissioner. Today, Ian Chairs the Board of Nike's U.S. and Canada Sports Camps while also serving on several other boards. Dave caught up with late last year while Ian was between playing tennis and drum lessons.
Outdoors Dan breaks down proper conservation, hunting management and deer fines. Plus, the clothing for your next hunt with Dave Larson.
Dan chats proper conservation and hunting management and deer fines. Dan also talks proper clothing for the best possible hunt with Dave Larson and so much more!
Host Connor Craven is joined by Dave Larson, general manager of the Security Solutions business unit at Spirent Communications. The two travel back to the beginnings of cloud models and talk about what factors have really driven the changes seen over the many years.
In this episode of the SLN Podcast, guest host Dave Larson speaks with his good friend and former Nike colleague Tony Ambroza. Tony is now the Chief Brand Officer at Carhartt, previously having worked for Under Armour. The guys discuss Carhartt's ethos for hard work and the importance of storytelling. They also reference many of the shared experiences they had a Nike. Tony was candid about how Carhartt had to scrap most of their plans for 2020 but emphasized how its values have guided the team during the pandemic and accompanying social unrest. Internally, Carhartt operates with leadership truths, and we're grateful to Tony for sharing these truths with our listeners.
In Case You Missed It: My interview with Judge Dave Larson who is running for Washington State Supreme Court --- Support this podcast: https://anchor.fm/ari-hoffman/support
Dave Larson, President and CEO of Affinity Plus discusses how we fit into the communities we’re part of, the value of culture within the Affinity Plus organization, and what inspires Dave in his role leading a not-for-profit credit union. Episode recorded at Minnehaha Recording Studio on February 20, 2020.
In this episode of the SLN Podcast, Mike Gugat speaks with industry veterans Rob Langstaff and Dave Larson. Rob, a standout distance runner at the United States Air Force Academy wasn't going to fly planes, so he left the Air Force for an MBA that landed him on the doorstep of adidas in Germany, where he'd later become Head of adidas in Japan before becoming President of adidas for North America. Dave found his way to Stanford to play tennis alongside John McEnroe. After college, Dave would go on to serve brands like Reebok, Nike, Brooks, and Under Armour as a marketing executive. Rob and Dave first became colleagues and friends at Brooks Running. They're now forming a partnership that will serve organizations in need of their respective business development and brand strategy expertise. Our conversation was had over Squadcast, as Rob resides in Portland and Dave in Orange County.
Production Note: Dave did a bad copy-paste in his notes and credited the wrong Dave in Game Time. Dave is a bad Dave. Dave LARSON is not a bad Dave, he is a good Dave and the author of Viva Lost Wages! Apparently unsatisfied by dominating the world of scripted film, Ryan Reynolds has branched out into alternative TV programming by creating a new ABC game show called Don't, hosted by Adam Scott. Will "Don't" also be our advice on whether you should watch it? Frequent Game Time writer Dan Cassino joins us to discuss! Around The Dial clicks through Netflix's latest dopey game show, Floor Is Lava; Top Chef All-Stars L.A.; and an I Am Not A Crackpot rant from Sarah regarding plotlines about bad and learning drivers. John Horner uses his Extra Credit to have us imagine TV characters from unusual careers trying to interview for jobs in the straight world. Dan presents the Father Brown episode "The Passing Bell" for induction into The Nonac. We name the week's Winner and Loser, and then we take a gamble on the latest Game Time. DON'T let your attention wander for a second! GUESTS
Production Note: Dave didn't a bad copy-paste in his notes and credited the wrong Dave in Game Time. Dave is a bad Dave. Dave LARSON is not a bad Dave, he is a good Dave and the author of Viva Lost Wages!Apparently unsatisfied by dominating the world of scripted film, Ryan Reynolds has branched out into alternative TV programming by creating a new ABC game show called Don't, hosted by Adam Scott. Will "Don't" also be our advice on whether you should watch it? Frequent Game Time writer Dan Cassino joins us to discuss! Around The Dial clicks through Netflix's latest dopey game show, Floor Is Lava; Top Chef All-Stars L.A.; and an I Am Not A Crackpot rant from Sarah regarding plotlines about bad and learning drivers. John Horner uses his Extra Credit to have us imagine TV characters from unusual careers trying to interview for jobs in the straight world. Dan presents the Father Brown episode "The Passing Bell" for induction into The Nonac. We name the week's Winner and Loser, and then we take a gamble on the latest Game Time. DON'T let your attention wander for a second!Show TopicsDon'tATD: Floor Is LavaATD: Top Chef All-Stars L.A.ATD: IANAC: Subplots About Bad/Learning Drivers Are ForbiddenExtra Credit: TV Character Job InterviewsThe Nonac: Father Brown S07.E02: "The Passing Bell"Winner and Loser of the WeekGame Time: Viva Lost WagesShow NotesDan Cassino on TwitterTara on Crossing Swords at PrimetimerThe Great American Pop Culture Quiz ShowA Very Special 90210 BookMark And Sarah Talk About Songs 191 with Chris Barron of The Spin DoctorsThe Pawn Stars Slot MachinePhoto: ABCDiscussionTalk about this episode on its dedicated page on ExtraHotGreat.comTweet at us @ExtraHotPodcast on TwitterWe are @ExtraHotGreat on InstagramSupport EHG on PatreonThe EHG gang have been recording this podcast for almost a decade now. In podcasting terms, that makes us positively Methuselahian. Since the start of EHG, our listeners have asked if we had a tip jar or donation system and we'd look at each other and say surely that is a joke, people don't pay other people to do podcasts. We'd email them back "Ha ha ha, good one, Chet" and go about our business. Now we are told this is a real thing that real nice people do. Value for value? In today's topsy turvy world? It's madness but that good kind of madness, like when you wake up a 3:15am and clean your house. Or something. In all seriousness, we are humbled by your continued prodding to get a Patreon page up for EHG and here it is! Extra Hot Great on Patreon See acast.com/privacy for privacy and opt-out information.
On this version of the Word On the Street Podcast we catch up with Dave Larson. This is the second time Dave has been on the podcasts. We start off with a little Star Wars talk what we liked and didn't like about "Rise of Skywalker" also some thoughts about the Mandalorian. Dave lets us know how the pandemic has affected his life and work, what he is doing and how he is thinking about it. We also get nerdy about podcasting and Dave tells us about his love of treasure hunting and how that is related to his new show Quarterbash. I hope you enjoy this conversation as much as I did.*The conversation with Dave starts at 8:43Featured Music:“Misery” by Ten-O-Seven off Chainsaw Orchestra“Souvenir” by Screwjack off Screwjack / The Entropy ProjectLearn more here:http://www.nobodysnose.com/http://www.quarterbash.com/https://www.youtube.com/channel/UCSfLey8pYh-AosZQpIlQu3wYou can find, subscribe, rate, and review the podcast on Apple Podcasts, Google Podcasts and Spotify.
Dave Larson is an OG in the world of underground NW hardcore and punk music. I hopped on the phone with Dave to talk about some of the following things + much more - his film The Edge of Quarrel- Excursion Records- owning a skate shop at the age of 16- his new YouTube channel- his podcast- Northwest Hardcore
Dave Larson is an OG in the world of underground NW hardcore and punk music. I hopped on the phone with Dave to talk about some of the following things + much more - his film The Edge of Quarrel - Excursion Records - owning a skate shop at the age of 16 - his new YouTube channel - his podcast - Northwest Hardcore
Dave Larson from Gamehide stops by to talk about Pheasant-Fest and looking forward to turkey hunting season. More on deer population status and the animals we hunt.
Not only does Dan have a new Puppy, he gets to chat with Dave Larson from Gamehide to talk about Pheasant Fest, Ticks, and a whole lot more hunting tips
Dan brings in Dave Larson of Gamehide Clothing to talk about the gear to look out for during your next hunt. He also chats with Don of Sportsmans Wearhouse and more.
Dan stays put for a live show and brings in Dave Larson of Gamehide Clothing to chat the gear to look out for during your next hunt. Dan also chats with Don of Sportsmans Wearhouse and more!!!
President of Affinity Plus Credit Unions, Dave Larson, joins Carly for this episode of Overtime to talk all the ways in which Affinity Plus Credit Unions give back to the community. He also has a very special gift for her. Overtime is presented by Affinity Plus Federal Credit Unions.
President of Affinity Plus Credit Unions, Dave Larson, joins Carly for this episode of Overtime to talk all the ways in which Affinity Plus Credit Unions give back to the community. He also has a very special gift for her. Overtime is presented by Affinity Plus Federal Credit Unions.
In this episode I interview the former CMO of 5.11 Tactical Dave Larson about his amazing career in sports marketing at brands like Rebook, Nike, Brooks, G4, The Women's Tennis Association, UnderArmor and finally 5.11 Tactical. We cover a host of topics including never taking jobs for the money and that titles don't mean anything. Dave gives us some amazing insight about working closely with Phil Knight of Nike and Warren Buffett. Dave got to work with a host of sports icons throughout his career including Pete Sampras, Serena Williams, Anna Kournikova, Andre Agassi, John Mcenroe, Snoop Dog, and manny more. --- Support this podcast: https://anchor.fm/dylanconroy/support
Dan talks proper hunting wear on your next hunt with Dave Larson of Gamehide, breaks down the Turkey season, and provides more tips and tricks for your next hunt
In this podcast, Drs. Matt Herold and Dave Larson address the ever increasingly important issue of geriatric emergency care, and how a geriatric emergency department may be the wave of the future. This is another installment in the Ridgeview CME Lehmann lecture series. Enjoy the podcast! Objectives: Upon completion of this CME event, program participants should be able to: Describe demographic trends impacting emergency care. Recognize 'geriatric syndromes' and their role in the evaluation and management of seniors in the emergency department. Review current national and local strategies for developing care coordination for seniors in the emergency department. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within 2-weeks. You may contact the accredited provider with questions regarding this program at rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit: CME Evaluation: 2019 Lehmann Lecture: Innovations in Emergency Care for Seniors (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.” FACULTY DISCLOSURE ANNOUNCEMENT It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Show Notes: Drs. Matt Herold and Dave Larson address the ever increasingly important issue of geriatric emergency care and how a geriatric ED may be the wave of the future. This is another installment in the Lehmann lecture series. Dr. Jim Lehmann is a retired internist at Ridgeview and Lakeview Clinic, and this series commemorates his many years of incredible patient care. Enjoy the podcast! CHAPTER 1: 1. There are a lot of elderly people now. 2. They are unique. The fastest growing demographic in this country are people over the age of 65. In Minnesota, the average age of emergency patients will dramatically increase. This equates to an even larger proportion of our patients being elderly. But not just elderly patients — significantly more ill patients in this age group than previously recognized and addressed. Our current system is not sustainable, and we need to plan around this, and one of the ways is how we address our senior patient population. Primary care shortages, patient complexity, reimbursement issues and less time with patients in the clinic leads to more ED visits. In our Ridgeview Waconia campus, 1/3 of our patients are over the age of 65. In a few years it will be 75 years and older. Admit and transfer rates are more than 40% in those 65 and over. They also sit in the ED much longer due to this. Patients also bounce back more frequently in this population and this also affects reimbursement. What are the challenges in this patient population: medical complexity, social issues that go beyond a short ED evaluation, atypical presentations and the ubiquity of polypharmacy. There is a paradigm difference. Our senior patients require, and actually deserve a different setting than the more "fast-food" experience of patient comfort offerings. For our more straight forward patients, throughput is vital. In our older patients who may be spending more time in the ED, how do we make it more agreeable and comfortable. Dr. Herold illustrates three cases: In case number one, an elderly gentleman presents with a fall. Upon evaluation he has a rib fracture. He is admitted. Treated with tylenol and morphine. Sent home because he’s doing well. At home he can’t get out of bed. He is readmitted. Develops fever, SOB. Pneumonia, IV antibiotics. Sent home on Levaquin. He returns to the ED now delirious. Another elderly patient comes in with abd pain and urinary symptoms. Takes warfarin. Labs look okay with UTI noted on UA. CT abdomen is c/w cystitis. Cipro x 1 week prescribed. Coumadin held 2 days (although he didn’t actually hold the med). He returns with frank hematuria and urinary retention. Hospitalized for CBI. Another patient, an 89 yo female with COPD. Nebs, prednisone, watched in ED and discharged. Returned next night and is SOB. Doxycycline added. Sent home again and her daughter states she is anxious. She's placed on low dose lorazepam, just for at bedtime. Two days later she is somnolonent and in acute resp distress. Placed on bipap and improves, once again discharged. 4 days later she fell because of being lightheaded. As it turns out, she gets caught up on her many feet of O2 tubing, and brakes her arm. Another fall happens in the hospital. Her Hgb is 7.8, down from 10. A bleeding ulcer is found. More to come on these patients and how we can better care for them in the context of a geriatric emergency department. Stay tuned for Dr. Larson, who will talk about this very subject, and how to help make it come to fruition. CHAPTER 2: Dr. Larson discusses a paradigm shift in how we care for our senior patients. Coordination of care must improve and build a better system overall. Geriatric EDs are an innovative direction in emergency care. A new team approach specifically for our older patients who require different services. Comfortable beds, better lighting, noise improvement, etc. So, how is it actually working and currently being done well? An ED in Patterson, NJ, at a large urban hospital was of the very first to develop a geriatric ED. Dr. Mark Rosenberg spearheaded this endeavor. It was motivated by an experience he had in a ED with his own mother. Goals in mind include: 1. Improve care of geriatric patients. 2. Better discern who will benefit from impatient care. 3. For those who do not require inpatient, to better coordinate their care at home. The overall goal is: reducing hospitalization. Staff and provider education, coordination of care from both the medical and the community sides are all crucial. Interestingly, they were able to achieve these goals by staying budget neutral. Comfort in the ED is a priority. All patients 65 or over from home or assisted living facilities are placed in cohorted rooms in the ED that are quieter. It is staffed 12-hours a day, but it actually correlates with most geriatric presentation times to an ED. Natural lighting, wall murals or windows if possible. The role of a navigator, typically a nurse or nurse practitioner, is vital. Screening evaluations for falls, dementia and delirium help set the stage for all further care. Contacting the patient on 1, 3 7 and 30-days post-discharge is done by the navigator as well. Social services' role in the patient's care is much needed as well. Polypharmacy was even recognized by Dr. Seuss. So pharmacy review of medications and the use of the BEERS criteria are of utmost importance. Staff education and ongoing education of the many parameters of the special needs of our senior patients is an essential part of maintain a geriatric ED. A guideline by ACEP and AGS, as well as ENA, was published and is a critical resource for geriatric emergency care. Cost containment is key here as well. We must address this elephant in the room, and the goal here is to reduce admissions and bounce backs with this new program. Attracting patients to a specialty center and improving the triple aim: improved patient care experience, improved health populations and reduced per capita cost of care. Why the ED? It is where patients go when things are going wrong, acutely, but also sub-acutely and chronically. Physician and nurse champions, patient advisor, nurse navigator, PT/OT, social work and pharmacy in the ED. Education for patients, protocols and a QI process are needed to actually become accredited as a geriatric ED. CHAPTER 3: Geriatric syndrome is a real thing. It may involve a combination of fall, delirium, frailty, and dehydration. It is a broad topic and concept. It relates to multifactorial conditions that lead to an older person being vulnerable to situation challenges. Dr. Herold used a lot of big words, like sarcopenia, and hemostenosis, to describe this. Essentially he points out that with more stressors placed on an elderly patient, the more likely one or more systems will break down. There is a disparity between mechanism of stress or injury and severity of the physiologic outcome. Distilled down, there are 8-domaigns of geriatric emergency medicine. They include: 1. Atypical presentation. 2. Cognitive/behavioral disorder. 3. Emergent intervention modifications. 4. Medication management. 5. Transitions of care. 6. Pain management. 7. Palliative care. 8. Effect of co-morbid conditions on all of the above. This was from a paper cited from about 10-years ago. So, how can we now do better with the original patients Dr. Herold presented? 1. Our rib fracture gentleman is followed by RT. A better assessment than a "road test" with proper screening for overall function. 2. How about better [bigger] font for discharge instructions, improved ability to schedule an outpatient lab test as well as a post visit or check-in by the Nurse Navigator. 3. Screening resources for mental health and neglect. Is she anxious because she doesn't want to be home alone? Pharmacy integration and home care coordination may prevent the inevitable bounce back. FINAL COMMENTS: Final comments were made by Dr. Jim Lehmann, the namesake for this special CME series, at Ridgeview Medical Center, where he practiced for many years. Thanks to Drs. Matt Herold, Dave Larson, and Tara McMichael for presenting this today. Also special gratitude goes to Dr. Jim Lehmann, and his many years of service and excellent patient care. Emergency care is stressful and complex. There is much to consider when tending to older patients and their inherent special circumstances. All the more reason to continue to be innovative with our care strategies going forward; not only in the ED, but in all departments, and at home.
Bob Swift is not a morning drive-time radio host and neither is Dave Larson, but don’t tell them that. Returning to the scene of the rent-theft extracted by Larson’s significant other, Swift finally answers the question on everyone’s mind: “When was the first time you danced with glow sticks?” LIKE the Nobody’s Nose page on […]
Come get to know your host Dave Larson. Dave shares his background. Serial Entrepreneur from auto detailing business at 17 to CEO of Sales & Marketing Technologies.
In this episode of SearchSecurity's Risk & Repeat podcast, Dave Larson of Corero Network Security discusses how DDoS defense has shifted to deal with IoT threats.
In this episode of SearchSecurity's Risk & Repeat podcast, Dave Larson of Corero Network Security discusses how DDoS defense has shifted to deal with IoT threats.
In today's podcast, we discuss another possible cyber incident that hit Ukraine's power grid last Saturday. Flashpoint looks at the ShadowBrokers' alleged Equation Group code and sees a rogue insider behind the leak. WordPress sites are receiving a lot of brute-forcing attempts. New spam and other attack techniques are evading volumetric detection. Mirai is sniffing for new IoT bots, and Dave Larson from Corero Network Security tells us what to expect in 2017. Jonathan Katz from the University of Maryland outlines advances in fully homomorphic encryption. Russian crooks skim ad revenue with the Methbot scam. Wassenaar cyber arms control remains controversial. And informed speculation suggests the ShadowBrokers and Bocephus Cleetus are—da—effectively, the same people.
Once again, Derek visits his local shop, Valhalla Games and Comics in Plano, TX, to talk with customers and employees about the various titles they're been reading. And he has a large number of people joining him for this month's on-location episode, including the owner of Valhalla, Dave Larson. Derek begins the episode by talking with Dave about the changes he's bringing to the shop and his experiences in gaming retail. But others join in on the discussion soon enough, including the shop manager, Sabrina, one of her associates, Stephanie, and several of Valhalla's regulars, Craig, Matt, and Chris. This month, the topic is open-ended, so the conversation freely flows from one subject matter to another. Along the way they cover the DC's new Young Animal series, the changes wrought by Rebirth, the current state of various Marvel titles, the growing number of superhero-based films and TV shows, the narrative worlds of Matt Kindt and Jeff Lemire, and, for at least one of the interlocutors, the discovery that Lucifer is actually a comic-book series.
In today's podcast we follow the continuing story of election hacks, and the varying but convergent motives behind them. We get a side helping of good government advice from Mr. Putin. (Thanks, Vlad!) Al Qaeda tries to reach the Millennial jihadist market with ISIS-like information operations. The Internet-of-Things enhances its reputation as an Internet-of-Trouble. Cyber stocks see turbulence as downbeat guidance spooks speculators. Pork Explosion isn't a movie from the Seventies—it's an Android backdoor. The Johns Hopkins University's Joe Carrigan responds to a listener inquiry about Amazon's recent password resets. DDoS expert Dave Larson from Corero Network Security shares his perspective on recent attacks. And please don't use a misspelled app to take selfies.
Guest speaker Dave Larson illustrates how we should not be preoccupied with political and sociological issues. Instead, we need to concern ourselves with seeking out those who are lost. It's Not About Us Dave Larson Jul 24, 2016, 9:00 AM
Guest speaker Dave Larson explains that eternal salvation is easy once we seek the truth found in God's Word and acknowledge that His ways are above ours. This Is Easy! Dave Larson May 8, 2016, 9:00 AM
We cannot separate the Word of God from God because He and His Word are the same. But do we regard His Word a book of rules or a book of promises? Guest speaker Dave Larson encourages the Church to consider an alternative perspective. The Promises of the Word Dave Larson Mar 13, 2016, 9:00 AM
Today on the podcast we are talking to Dave Larson. I had a great time getting to know Dave and talking about the North West Punk and Hardcore scene, his podcast "I've Known You Too Long"on his podcast network Nobody's Nose, he helped me define and understand being straight edge, why he started a record label Excursion Records, sharing stories about the band Botch, and so much more.Featured songs:"Souvenir" by Screwjack"Scenekill" by Hit! off Shermer, IllinoisYou can also find the podcast on iTunes, Stitcher and Spreaker
Guest speaker Dave Larson admonishes us to discover God's attributes and then to embody those attributes in our daily living. But how can we understand the nature of God through our carnality? Instead, we need to embrace the Spirit of God in our lives so He can direct our understanding. The Attributes of God Dave Larson Aug 26, 2015, 7:00 PM
Dave and Carl both do music-based interview podcasts, so they split up the hosting duties on this one to interview each other. Dave gets a chance to revel in his redneck upbringing as Carl’s story reveals similarities in their pasts including county living, dangerous rural activities, and endless days spent on crappy BMX bikes. Follow […]
With another St. Patrick's Day in the books and The Dropkick Murphy's heading back into obscurity the most straight edge podcast on the internet is back to pollute your earholes. On this weeks episode Bill goes over some very well researched and effective hangover cures for anyone that got a little jaked on green beers. In the interview portion of the show Bill talks with Dave Larson of Excursion records and the writer and director of The Edge of Quarrel movie. Dave talks about skateboarding, why so many artists come from Seattle, and his new podcast I've Known You Too Long. In the non edge column of the show Bill talks with Ron Guardipee of Brotherhood about his early days listening to metal, joining Brotherhood, and how the teens of Seattle weren't allowed to dance.
James Walbert returns with Dave Larson to discuss the first Federal lawsuit and case regarding chipping inside the human body and cognitive liberty. The right to freedom of thought is situated at the core of what it means to be a free person. It is essential to the most elementary concept of human freedom, dignity and self expression. It's what gives us collective confidence that the future will improve upon the past. In the past, civil rights battles were centered on freeing the body from oppression. The civil rights battles of today and tomorrow must now focus on protecting the fundamental right to brain privacy, autonomy and choice (i.e. Cognitive Liberty). At stake is the unlimited potential of the human mind.
James Walbert returns with Dave Larson to discuss the first Federal lawsuit and case regarding chipping inside the human body and cognitive liberty. The right to freedom of thought is situated at the core of what it means to be a free person. It is essential to the most elementary concept of human freedom, dignity and self expression. It's what gives us collective confidence that the future will improve upon the past. In the past, civil rights battles were centered on freeing the body from oppression. The civil rights battles of today and tomorrow must now focus on protecting the fundamental right to brain privacy, autonomy and choice (i.e. Cognitive Liberty). At stake is the unlimited potential of the human mind.
Dave Larson: Starting a Business from Scratch - “How do we start a new business? What is involved? What is expected of me? How much money do I need to get started? How will I survive financially in the first few months? What if I don't make it?” These are some of the questions Terry and his guest, Dave Larson, COO of The Small Business Company.