Podcasts about Dear Doctor

It's time to revisit Dear Doctor—and who better to join us than the man behind Phlox? John Billingsley stops by to share stories, insights, and plenty of laughs.Each week, we explore and celebrate the lives that the Star Trek universe has forever changed. From former and future cast and crew members to celebrities, scientists, and astronauts whose personal and professkional journeys have been affected by the franchise, we sit down and dive deep with a new friend, laughing and learning from their stories. Sit back, grab a drink, and join our hosts, Dominic Keating and Connor Trinneer, as we get geeky in The D-Con Chamber.Let's get social! -

Dr. Latifat is a money coach who helps women physicians build wealth, gain financial freedom, and live the life they deserve. As a physician and a mother, she empowers women to break free from limiting beliefs and make confident, impactful financial decisions.In this episode, Dr. Latifat shares a heartfelt message with women physicians, urging them to stop playing small and embrace the opportunity for change in the new year. She encourages you to break free from procrastination, let go of fear, and step into discomfort as the path to true growth.Key Takeaways:1. Stop settling for less.2. Embrace discomfort.3. 2025 is your year to rise and take bold actions.Timestamps:00:00 – Dr. Latifat introduces her message to women physicians for 2025.02:19 – Don't play small this year—embrace your true potential.03:42 – Stop procrastinating and take action now.05:12 – Step out of the shadows and stop hiding your greatness.06:51 – Discomfort is the currency for change and growth.08:04 – Time is precious—don't waste another year stuck in the past.09:28 – Rise up and make 2025 the year you claim your financial freedom.12:10 – Join the Money School to take your life and finances to the next level.Connect with Dr. Latifat:☎️ Book A Call: www.moneyfitmd.com/call

Episode 8: Prime Directive What sets Phlox apart as a non-human on the Enterprise? What happens when you insert human ethics onto a non-human problem? What does Archer learn about the Prime Directive? Should Archer have demoted Trip for his actions in “Cogenitor”? What if Archer had granted the Cogenitor asylum? Join Ashlyn, Rhianna, and Todd as they discuss “Dear Doctor” and “Cogenitor” in Enterprise. This is the eighth episode of the Prime Directive series, where Ashlyn and Rhianna talk about the good and bad examples in every Star Trek show, starting with the Original Series and ending with Strange New Worlds. SPOILER WARNING: “Dear Doctor” and “Cogenitor” TRIGGER WARNINGS: Suicide Next time, we'll be finishing up the remaining Prime Directive episodes of Enterprise! DISCLAIMER: We do not own any of the rights to Star Trek or its affiliations. This content is for review only. Our intro and outro is by Jerry Goldsmith. Rule of Acquisition #102: “Nature decays, but latinum lasts forever.” Please check out our Patreon and donate any $1, $6, $12, or $23 per month to access exclusive episodes of trivia, Galaxy Quest, and reviews of every episode of The Animated Series and our reviews of Lower Decks seasons 1-4! https://www.patreon.com/thedurassisterspodcast

Welcome to another episode of bedtime stories with salty Vixen. Tonight's story is titled ‘No Direction”. Dear Doctor, I know you are here....listening to my words.all stories are 100% original. Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Always, You, Sir." Dear Doctor...Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/always-you-sir-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “In the still” Dear Doctor, am I still on your mind? I hope so because…Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/in-the-still-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Hint”. Dear Doctor, My Alpha Male, My Dom Sir, Tell me…Do you still dream about….Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/hint-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Think these thoughts, Sir”. Dear Doctor, My Alpha Male, My Dom, Sir, when I imagine you here, I can almost….Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/think-these-thoughts-sir-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled ‘The Hook”. Dear Doctor, My Alpha Male, My Dom, Sir, I want you toFull Story Typed out (With Audio added): https://www.saltyvixenstories.com/the-hook-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Shower Time”. Dear Doctor, My Alpha Male, My Dom, Sir. I can't stop thinking about you. Words of passion are thoughts in my mind- I want to make a reality with you…..Full Story on Salty Vixen Stories & More: https://www.saltyvixenstories.com/a-maddening-need-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Thunder”. Dear Doctor, My Alpha Male, My Dom, Sir. I was in a mood today and when I thought about you, my mood changed to a wicked smile. Oh yes, Sir….Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/thunder-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Training Session with The Doctor”. Dear Doctor, My Alpha Male, My Dom Sir. Tonight's introduction and story is all about you, Sir. The ties that bind can be soft and entwined….Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/training-session-with-the-doctor-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Ready for you”. Dear Doctor, My Alpha Male, My Dom, Sir, I've been so lonely, thinking about you. It's been so long since we've been together. I miss…..Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/ready-for-you-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Watch Me, My Love”. Dear Doctor, My Alpha Male, My Dom, Sir, tell me, if I…Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/watch-me-my-love-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Shower Time”. Dear Doctor, My Alpha Male, My Dom, Sir. I can't stop thinking about you. Words of passion are thoughts in my mind- I want to make a reality with you…..Full Story on Salty Vixen Stories & More: https://www.saltyvixenstories.com/shower-time-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's episode is titled “Alone ;)” Dear Doctor, My Alpha Male, My Dom, Sir. You move up silently behind me, your presence at first a suggestion rather than a certainty…Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/alone-bedtime-stories-with-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

When the Entrepreneur hails a ship that doesn't respond, Captain Archer decides to grab the sickly aliens aboard and bring them back for treatment. But when the cure for their genetic malaise creates an ethical dilemma, Dr. Phlox has his first professional disagreement with Captain Archer. How do you get a Doctor into your social circle? What's not a good reason to get into a relationship? Who was on vacation during this production? It's the episode without any writhing, legions, or pustules.Support the production of The Greatest GenerationGet a thing at podshop.biz!Sign up for our mailing list!Follow The Game of Buttholes: The Will of the Riker - Quantum LeapThe Greatest Generation is produced by Wynde PriddySocial media is managed by Rob Adler and Bill TilleyMusic by Adam Ragusea & Dark MateriaFriends of DeSoto for: Labor | Democracy | JusticeDiscuss the show using the hashtag #GreatestGen and find us on social media:YouTube | Facebook | X | Instagram | TikTok | Mastodon | Bluesky | ThreadsAnd check out these online communities run by FODs: Reddit | USS Hood Discord | Facebook group | Wikia | FriendsOfDeSoto.social

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled ‘I would spend all day…” Dear Doctor, my Alpha Male, my Dom Sir, fighting my emotions with you is hard. One moment I want you. I desire you. The other moment, I am angry but the anger is washed away by fond thoughts about you…This is is what you did to me…. Full Story Typed out (With Audio added) : https://www.saltyvixenstories.com/you-would-spend-all-day-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Salty & Sweet”. Dear Doctor, my Alpha Male, my Dom, Sir.. You know what they say, love is a chemical and I want…. Full Story Typed out (With Audio added) : https://www.saltyvixenstories.com/salty-sweet-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “I have been bad” Dear Doctor, my Alpha Male, my Dom, it appears we have an audience, so let's give them a show. This is the moment I have waited for… Full Story Typed out (With Audio added) : https://www.saltyvixenstories.com/i-have-been-bad-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled ‘That Thing you Love…” . Dear Doctor, my Alpha Male, my Dom, Sir, I'd been waiting a long time. We had seen each other several times and had great… Full Story Typed out (With Audio added) : https://www.saltyvixenstories.com/that-thing-you-love-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Wet.Together.” . Dear Doctor, my Alpha Male, my Dom, Sir. I confess, I cheated on you today. I hope you are not mad at me as I remember how jealous you got when your friend was… Full Story Typed out (With Audio added) : https://www.saltyvixenstories.com/wet-together-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's episode is titled “All the time”. Dear Doctor, my Alpha Male, my Dom, Sir. I need your…. Full Story Typed out (With Audio added) : https://www.saltyvixenstories.com/all-the-time-i-need-to-fuck-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “I am feeling good”. Dear Doctor, My Alpha Male, my Dom, Sir I am in a very good mood right now. I fact, I am feeling…. Full Story Typed out (With Audio added) : https://www.saltyvixenstories.com/i-am-feeling-good-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Dark Desire”. Dear Doctor, my Alpha Male, my Dom, my Sir.Tell me what do you like? What do you want? I will tell you my deepest…..Full Story Typed out (With Audio added) : https://www.saltyvixenstories.com/dark-desire-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Tonight I want you to walk with me”. Dear Doctor, My Alpha Male, My Dom, my Sir....You withdraw your ….Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/tonight-i-want-you-to-walk-with-me-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “His Smile”. Dear Doctor, my Alpha Male, my Dom , my Sir. Listen to my voice…Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/his-smile-makes-me-cum-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Dallon and Megan recap Season 2 Episode 2 of the Real Housewives of Dubai. Taleen's Vagina is the 8th housewife behind Sergio. Brooks is obsessed with Taleen's Vagina and is keeping the beef alive with Stanbury. Ayan and Sara have a beautiful moment.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “What are you waiting for?” Dear Doctor, my Alpha Male, my Dom, My Sir, I had a dream about you. In my dream I was….Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/what-are-you-waiting-for-audio-erotica-story-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of Bedtime Stories with Salty Vixen. Tonight's story is titled “Forbidden”. Dear Doctor, my Alpha Male, My Dom, Sir, I have a confession to make and this will put a smile on your face. Something I remembered for years because you were the first man to give me…Full Story Typed out (With Audio added): https://www.saltyvixenstories.com/forbidden-audio-erotica-by-salty-vixen/Salty Vixen Stories & More main site- Bedtime Stories With Salty Vixen: https://www.saltyvixenstories.com/ Hosted on Acast. See acast.com/privacy for more information.

Captain Archer is ordered to transport Vulcan Ambassador V'Lar from a planet where her integrity has been called into question. This is a T'Pol episode and has a rating as high as Dear Doctor on the IMDB, but is it as good? contact us - podcastnx01@gmail.com      

Not much Trip this week, and maybe there's better links here but this one is more important. First up: no one on "Enterprise" seems to know how evolution actually works in "Dear Doctor". After that, tough luck if you were expecting Porthos, you're just getting Klingons in "Sleeping Dogs". Also this week: no respect from the writers, the whitest man in space, and Pavel Chekov! [timestamps: Doctor: 02:19; Dogs: 45:55; Mr. Wessels Himself: 01:14:49] [blog by way of Alameida: https://www.tumblr.com/sshbpodcast/732809439728566272/character-spotlight-pavel-chekov?source=share]

Phlox is asked to save the Valakians from annihilation by disease. However, he discovers something unusual about the Menk, another humanoid race on the planet. Contact us - podcastnx01@gmail.com Enterprise just had two "A" episodes in a row. Will Dear Doctor make it 3 in a row? We've got a lot to say about this one...

This summer short is about the dynamic between payers and providers. An opening point that Jacob Asher, MD, my guest in this healthcare podcast, makes in the interview that follows is that, for a payer, it's super hard to competitively differentiate from both a cost and/or a quality perspective when you and all of your payer competition use the exact same PPO (preferred provider organization) networks. I mean, what? Are these same exact doctors gonna somehow do a better job with your members than with the rest of their patients? This is even more true if you think about this from a physician or a practice point of view. Will clinical teams in their clinical workflow figure out who your members are, first of all, which is a thing, and then switch up what they choose to do for your members that is special? Even theoretically, that sounds like an executional fandango, which is exacerbated in markets with lots of payers. I guess I am not shocked when I hear stories like Dr. Asher was talking about: Doctor sits down at desk after a long day and sees 27 “Dear Doctor” letters from all of the payers in his or her payer mix. “Hey, Doc. Let me tell you about our amazing new thing.” And Doc's like, “Pajama time awaits.” And—boom!—the letters, unopened, right in the recycle bin. From a payer's standpoint, back to square one, I guess. Now, I will chuck in the mix here—and this has nothing to do with the conversation with Dr. Asher that follows—but one thing I've spent my entire career doing is helping organizations set up programs to collaborate with other organizations. If I authentically solve an actual, authentic, prioritized problem, I usually can find many people who seem pretty pleased to work with me. Now, is this easy to do? No. It takes strategic thinking and executional competence and/or grit to see it through. You really have to understand and account for vested interests and all the weird perverse incentives. Personally, I gotta work with a whole team of others coming at this from all different directions to untie this Gordian knot. But anyone who really wants to or needs to reach across the aisle and engage with other stakeholders or customers, even in any sort of systemic way, it's just not possible to phone it in. Anyway, I just want everyone to succeed in working together. It is impossible to have a longitudinal patient journey if everybody is all up in their own silos fragmenting care.   You can learn more by connecting with Dr. Asher on LinkedIn.   Jacob Asher, MD, completed a residency in otolaryngology–head and neck surgery at the University of California, San Francisco, after receiving degrees from Brown University and the Boston University School of Medicine. Dr. Asher then practiced as an ENT (ear, nose, and throat) surgeon with Kaiser Permanente in Northern California and also served on the board of directors of The Permanente Medical Group, where he focused on physician compensation reform, member satisfaction initiatives, and retirement benefits. After transitioning to full-time health plan management, Dr. Asher served as a California commercial market medical director between 2008 and 2022 for Anthem Blue Cross, Cigna, and UnitedHealthcare. In those roles, he supported membership growth and retention in both fully insured and self-funded product lines and promoted value-based reimbursement, including capitation. He has led utilization management teams, collaborated with internal and external population healthcare advocates, and worked to develop clinical initiatives that sought to achieve the Triple Aim. In his role as the clinical face of the health plan to the local market, he worked with network colleagues on accountable care organization partnerships and hospital and physician contract renewals with integrated pay for performance, supported Obamacare exchange participation, engaged in quality improvement collaboratives, and supported regulatory compliance efforts. Currently, Dr. Asher is serving as a mentor for the Stanford Master in Medical Informatics program while exploring innovative solutions to healthcare delivery.   03:38 Why providers contracted with multiple health plans don't have a financial incentive to do something unique with one payer over another. 04:01 Why it doesn't make sense for providers to offer unique pathways for different payer organizations. 05:23 Why, broadly speaking, standards of care between payer policies aren't really differentiators in clinical practice. 06:47 Why financial incentives might not be aligned to make providers want to standardize their care. 09:16 What improvement has there been in plans making providers more aware of the benefits they offer? 11:47 Why won't providers off-load their pop health?   You can learn more by connecting with Dr. Asher on LinkedIn.   @JacobAsher18 discusses #payers and #providers on our #healthcarepodcast. #healthcare #podcast   Recent past interviews: Click a guest's name for their latest RHV episode! Eric Gallagher (Summer Shorts 4), Dan Serrano, Larry Bauer, Dr Vivek Garg (Summer Shorts 3), Dr Scott Conard (Summer Shorts 2), Brennan Bilberry (Summer Shorts 1), Stacey Richter (INBW38), Scott Haas, Chris Deacon, Dr Vivek Garg  

Join Marshal and Keith as they trek with Captain Johnathan Archer, Commander Charles "Trip" Tucker, Sub-Commander T'Pol, Doctor Phlox, and the rest of the crew of the starship Enterprise NX-01.  In the first six months of their maiden journey into space, they make contact with Klingons, the Suliban, the Axanar, Xyrillians, Novians (who are mutated human colonists), Andorians, the Akaali, Malawians, Nausicaans, Valakians, the Menk, and other unidentified aliens.To download, right-click here and then click SaveJoin the Journey Into Patreon to get extra episodes and personal addresses, plus other extras and rewards.Timecode           Episode Title00:25:24            "Broken Bow"00:33:04            "Fight or Flight"00:38:40            "Strange New World"00:42:10            "Unexpected"00:47:36            "Terra Nova"00:51:58            "The Andorian Incident"00:57:48            "Breaking the Ice"01:00:09            "Civilization"01:01:25            "Fortunate Son"01:04:08            "Cold Front"01:08:47            "Silent Enemy"01:12:26            "Dear Doctor"To comment on this or any episode:Send comments and/or recordings to journeyintopodcat@gmail.comTweet us us TwitterPost a comment on Facebook here

I thought Human reproduction was complicated – you Denobulans make us look like single-celled organisms!  Unknown (2151)  Welcome to Romulans Bearing Gifts Five Nine featuring Caleb and Eric. Join us as we finally return to Star Trek: Enterprise, this time looking at Season 1 Episode 13, Dear Doctor. Let the Banter Begin! In canonical Saucer Section episodes of this show, the original 3 hosts take turns choosing random Star Trek episodes from any era/show for the hosts to digest and discuss. This is a canonical Refit Era RBG.   WARNING: This discussion contains miscellaneous The Original Series, The Animated Series, The Next Generation, Deep Space Nine, Voyager, Enterprise, and/or classic SPOILERS pertaining to Star Trek. If you are 100% spoilerphobic to new & classic episodes not yet seen, do NOT complain to us. This episode is mostly canonical & contains EXPLICIT ideas, and as always expect strokes of innuendo throughout.   DISCLAIMER: This episode was originally recorded on Mar. 27th, 2023. Back us off, Ensign. Nice and slow.   Host/Producer: Eric @BullittWHO Podcast: guidetothewhoverse.libsyn.com Co-Host: Cat @fancyfembot Podcast: scifipartyline.com Co-Host: Carl @robominister Co-Host/Producer: Caleb @CalebAlexader Podcast: https://thenoviceelitists.podbean.com/ Podcast: https://tnebendingtheelements.podbean.com/ RBG Theme created by E.A. Escamilla

Show Notes for Episode 27 of “The 2 View” – Brain abscesses, torsion, and delirium. Brain Abscesses Accorsi EK, Hall M, Hersh AL, Shah SS, Schrag SJ, Cohen AL. Notes from the Field: Update on Pediatric Intracranial Infections - 19 States and the District of Columbia, January 2016-March 2023. MMWR Morb Mortal Wkly Rep. CDC, Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/volumes/72/wr/mm7222a5.htm Brook I. Clinical Case. Brain Abscess Clinical Presentation. Medscape.com. https://reference.medscape.com/article/212946-clinical Goodman B. Doctors watching for more cases after mysterious cluster of brain infections strikes kids in southern Nevada. CNN. CNN Health. https://www.cnn.com/2023/04/28/health/brain-abscess-cluster-nevada/index.html The Center for Medical Education. 23 - Dear Doctor, Skin Closures, and Wound Management. 2 View: Emergency Medicine PAs & NPs. https://2view.fireside.fm/23 What's “ordinary negligence”? //Missed brain abscess//Special offer. Mad Mimi. Medical Malpractice Insights: Learning from Lawsuits. https://madmimi.com/s/3fc5711 Testicular Torsion Lukosiute-Urboniene A, Nekrosius D, Dekeryte I, Kilda A, Malcius D. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Emerg Med J. BMJ Journals. https://emj.bmj.com/content/40/2/134.info Mellick LB, Watters BC. The Torsed Testicle Traction Technique and 2 Case Reports. Pediatr Emerg Care. https://journals.lww.com/pec-online/Citation/2023/05000/TheTorsedTesticleTractionTechniqueand2_Case.14.aspx Sessions AE, Rabinowitz R, Hulbert WC, Goldstein MM, Mevorach RA. Testicular torsion: direction, degree, duration and disinformation. J Urol. PubMed. NIH: National Library of Medicine. National Center for Biotechnology Information. https://pubmed.ncbi.nlm.nih.gov/12544339/ Ovarian Torsion Long B, Koyfman A, Gottlieb M. Dispelling 5 Ovarian Torsion Myths. ACEP Now. https://www.acepnow.com/article/dispelling-5-ovarian-torsion-myths/ Ovarian Torsion. Acep.org. ACEP Emergency Ultrasound Section. https://www.acep.org/emultrasound/newsroom/sept2020/ovarian-torsion Spinelli C, Piscioneri J, Strambi S. Adnexal Torsion in Adolescents: Update and review of the literature. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/08/adnexal-torsion-in-adolescents Swenson DW, Lourenco AP, Beaudoin FL, Grand DJ, Killelea AG, McGregor AJ. Ovarian torsion: Case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department. European Journal of Radiology. ScienceDirect. https://edus.ucsf.edu/sites/edus.ucsf.edu/files/wysiwyg/1-s2.0-S0720048X14000023-main.pdf Delirium ACEP's Position on Hyperactive Delirium. American College of Emergency Physicians. https://www.acep.org/news/acep-newsroom-articles/aceps-position-on-hyperactive-delirium Hatten BW, Bonney C, Dunne RB, et al. ACEP Task Force Report on Hyperactive Delirium with Severe Agitation in Emergency Settings, Approved by the ACEP Board of Directors, June 23, 202. American College of Emergency Physicians. https://www.acep.org/siteassets/new-pdfs/education/acep-task-force-report-on-hyperactive-delirium-final.pdf Hayes BD, O'Brien M. Should Diphenhydramine be included in an Acute Agitation Regimen? AliEM: Academic Life in Emergency Meedicine. https://www.aliem.com/diphenhydramine-acute-agitation-regimen/ Psychiatric Patient. American College of Emergency Physicians. https://www.acep.org/patient-care/clinical-policies/Psychiatric-Patient Reuben. Emergency Department Agitated Patient Treatment Map. Emergency Medicine Updates. https://emupdates.com/danger/ Veraart JKE, Smith-Apeldoorn SY, Bakker IM, et al. Pharmacodynamic Interactions Between Ketamine and Psychiatric Medications Used in the Treatment of Depression: A Systematic Review. Int J Neuropsychopharmacol. Oxford Academic. https://academic.oup.com/ijnp/article/24/10/808/6309481?login=false Prescription Drug Monitoring Programs D'Souza RS, Lang M, Eldrige JS. Prescription Drug Monitoring Program. StatPearls Publishing. NIH: National Library of Medicine. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK532299/ Something Sweet Brito C. Bobi, the world's oldest dog, turns 31 years old. CBS News. https://www.cbsnews.com/news/bobi-the-worlds-oldest-dog-turns-31-years-old/ Recurring Sources Center for Medical Education. http://ccme.org The Proceduralist. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com

This episode we're sticking in Enterprise Season 1 to tackle "Dear Doctor". We get to mispronounce "Valakians" every way imaginable, talk about cats versus dogs, as well as what it looks like for cultures to interact and how to have judgement without being judgemental. SHOW NOTES Phlox actor is John Billingsley, best known for The Man From Earth (2007), Out of Time (2003), and 2012 (2009). John Billingsley's IMDB page Dear Doctor (episode) | Memory Alpha | Fandom Music by Charles Michel

THIS VOYAGE, hosts PETER HOLMSTROM (author, The Center Seat: The Authorized Companion To The Hit History Channel Series) and LISA KLINK (writer, Star Trek: Voyager) are joined by author/editor JASON ELBERL (Star Trek & Philosophy) to talk about one of STAR TREK: ENTERPRISE'S best episodes, the first season Phlox fix, "Dear Doctor." So join us in the TREKSPERTS BRIEFING ROOM for another installment of eye-opening curated audio commentary for a significant Star Trek adventure because The Doctor Is In! **New episodes of INGLORIOUS TREKSPERTS featuring MARK A. ALTMAN & DAREN DOCHTERMAN available every Thursday. Don't miss our conversation with PICARD SEASON 3 showrunner TERRY MATALAS and actor/director JONATHAN FRAKES available now wherever you listen to podcasts** ENGAGE WITH US ON SOCIAL AT: Follow Treksperts Briefing Room at: Twitter: trekspertsBR Instagram: Treksperts Briefing Room Follow Inglorious Treksperts at: Twitter: @inglorioustrek Facebook: facebook.com/inglorioustrek & Facebook.com/electric-surge Instagram: @inglorioustreksperts on Instagram Post: @inglorioustreksperts #StarTrek #TOS #TAS #TNG #DS9 #VOY #ENT #DISCO #PICARD #LLAP #comics #IDW #Marvel #DC #GoldKey #Discovery #Superman #STTMP #clipshow #TheApple #CaptainKirk #Enterprise #Voyager #Klingons #BloodFever #AmokTime #Prodigy #StarTrekProdigy #ParamountPlus #ElectricNow #science #technobabble #MIrrorUniverse #MirrorWar #IGW #Trill #TheHost #DIsco #PhaseII #Badlands #Eddington #DeepSapceNine #StarTrekSNW #SNW #LowerDecks #Picard #TNG #StarTrekPicard #PicardSeason3

Welcome to Episode 23 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Links To Our Live Courses Original EM Boot Camp Course: https://courses.ccme.org/course/embootcamp Advanced EM Boot Camp Course: https://courses.ccme.org/course/advancedbootcamp Emergency Medicine & Acute Care Series Course: https://courses.ccme.org/course/ema Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

An interview with Dr. William Tew from Memorial Sloan Kettering Cancer Center in New York, NY, lead author on "Poly(ADP-Ribose) Polymerase Inhibitors in the Management of Ovarian Cancer: ASCO Guideline Rapid Recommendation Update." Dr. Tew reviews changes to the recommendations for PARPi therapy for patients with epithelial ovarian cancer, and the outstanding questions in the field. For more information, visit www.asco.org/gynecologic-cancer-guidelines. TRANSCRIPT Brittany Harvey: Hello, and welcome to the ASCO Guidelines Podcast series, brought to you by the ASCO Podcast Network, a collection of nine programs covering a range of educational and scientific content, and offering enriching insight into the world of cancer care. You can find all the shows, including this one, at asco.org/podcasts.  My name is Brittany Harvey, and today, I'm interviewing Dr. William Tew from Memorial Sloan Kettering Cancer Center in New York, New York; lead author on “PARP Inhibitors in the Management of Ovarian Cancer, ASCO Guideline Rapid Recommendation Update.” Thank you for being here, Dr. Tew.  Dr. William Tew: Thank you, Brittany. Glad to be here.  Brittany Harvey: Great. Then first, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO conflict of interest policy is followed for each guideline.  The full conflict of interest information for this guideline panel is available online with the publication of the guideline in the Journal of Clinical Oncology.  Dr. Tew, do you have any relevant disclosures that are directly related to this guideline topic?  Dr. William Tew: I do not.  Brittany Harvey: Thank you. Then let's get into the content of this rapid update. So, what prompted this rapid update to the ASCO Guideline on PARP inhibitor therapy in the management of ovarian cancer, which was previously published in 2020?  Dr. William Tew: Yeah, there's been rapid change in the use of PARP inhibitors over the last five years. We have seen marked improvements and patient outcomes with the use of PARP inhibitors in the maintenance setting and treatment settings.  And new data has developed specifically in the last three months that we felt it was really important to help our patients and their providers, give them the best and safest treatments with PARP inhibitors.  Brittany Harvey: Understood. So, then based off this new data that you mentioned, what are the updated recommendations from the expert panel?  Dr. William Tew: Well, there's a few. First, at ASCO 2022 in June, there was the ATHENA-MONO phase III randomized control trial that was presented and published looking at rucaparib monotherapy in patients with stage III-IV epithelial ovarian cancer who were in complete or partial response to platinum-based therapy and in remission. And then studies showed a significant improvement in progression-free survival.  And that's what first prompted the update of the guideline. We felt it was an important note that now, there are three PARP inhibitors that are approved and showing significant benefit in patients in the first remission setting. And those are olaparib, niraparib, and rucaparib.  And then as we were working on the guideline, there has been several updates provided primarily through Dear Doctor letters directed through the U.S. FDA, as well as different labeling changes that were made to different PARP inhibitors.  However, the changes that were made are in the settings outside of the first line setting. So, we are talking about patients who had recurrence of their ovarian cancer and where PARPs are being used either as treatment or as a maintenance strategy after completion of another round of platinum-based treatment.  Brittany Harvey: Understood. So, these sound like important updates to the recommendations. So, then what should clinicians know as they implement these updated recommendations?  Dr. William Tew: Well, I think first and foremost, PARP inhibitors are a really critical treatment strategy for our patients. And patients that benefit the most from PARP inhibitors are women with a germline or somatic mutation in the BRCA gene. These are the patients that are going to benefit the most.  And then I think where the confusion lies is how best to use PARP inhibitors in patients that don't have a BRCA mutation. These groups of patients kind of fall into different categories.  One, a group of patients that have what's called homologous repair deficiency, or those patients that don't have a BRCA gene or have a BRCA gene mutation, or have this HRD positive status.  The emerging data that has been presented is really focused on mostly these patients, this non-BRCA patient population. And again, I want to just be cautious here because this is all evolving data and I suspect further data is going to emerge over the coming months and years.  And we wanted to give some flexibility as far as how patients and their providers use PARP inhibitors, but we felt given that this new emerging data specifically with signals affecting survival, was important to outline to our community.  Brittany Harvey: Excellent. And then you've just touched on those who respond best to PARP inhibitor therapy, but how does this rapid update impact patients with epithelial ovarian cancer?  Dr. William Tew: Yeah, I think what we described and outlined in this updated guideline is that, one, as a general rule, PARP inhibitors are not particularly recommended in patients as a treatment.  That is, if patients have recurrence of their ovarian cancer, using PARP inhibitors as a treatment rather than a maintenance strategy does not offer significant benefit and may have some survival decrements. At least, this is the data that we are following.  And so, as a general recommendation, we're expressing caution in the use of PARP inhibitors in patients that have platinum sensitive recurrence as a treatment. And we are continuing to recommend (this was in the initial 2020 guideline) that PARP inhibitor monotherapy is not recommended for patients with platinum-resistant recurrent ovarian cancer or BRCA wild-type.  The other broad category is PARP inhibitor maintenance, and where we've made some adjustments in the guideline is as far as the strength and the overall recommendations of the use of PARP inhibitors after completion of platinum-based therapy in the recurrent setting.  And specifically, we're expressing caution and the use of PARP inhibitors, particularly for those that have BRCA wild-type, meaning they don't have a germline or somatic BRCA mutation, and expressing some caution in patients that are just homologous repair deficient score positive.  Brittany Harvey: Well, I appreciate you reviewing the updated data that the panel reviewed and what those new recommendations that you all made.  So, you just mentioned that further data may emerge over the coming days and years. So, what are the outstanding questions regarding PARPi therapy in the management of ovarian cancer?  Dr. William Tew: Well, I think a few things. One, the way PARP inhibitors have been developed was first in the recurrent setting as a treatment, then in the recurrent setting as a maintenance, and most recently, in the frontline treatment as maintenance therapy.  And what we're seeing as this data evolves is that PARP inhibitor has remain a very important treatment strategy in the first line maintenance group. And patients with BRCA mutations continue to have significant improvements and outcomes.  But what I think the data that we're following closely, is what about those patients that have recurrent ovarian cancer and where PARPs now are being used as treatment and maintenance — we're seeing that as a treatment, there may be harm, although, again, cautioned because of the data that is used. There's faults with how we look at this data.  But really, these subgroups of patients, specifically those patients without a positive HRD score or those patients without a BRCA mutation, is the benefit going to still outweigh the risk in the PARP inhibitor maintenance setting, particularly in the recurrent setting.  Brittany Harvey: Yes, those are important questions and I'm sure the panel will keep their eye on those to update the guideline further as needed.  So, I want to thank you so much for your work on this rapid update, and thank you for your time today, Dr. Tew.  Dr. William Tew: You're welcome.  Brittany: And thank you to all of our listeners for tuning into the ASCO Guidelines Podcast series. To read the full guideline, go to www.asco.org/gynecologic-cancer-guidelines.   You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app available in iTunes or the Google Play Store.  If you have enjoyed what you've heard today, please rate and review the podcast, and be sure to subscribe so you never miss an episode.  Voiceover: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care, and is not intended for use in the diagnosis or treatment of individual conditions.  Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy, should not be construed as an ASCO endorsement.     

Dear Star Trek Fans, We hope this episode finds you well. You've got mail, and so do two of our alien crewmates. Join us as we share our inner monologues as we compare TNG's "Data's Day" and Enterprise's "Dear Doctor". LLAP, SnapTrek

In an era before the prime directive exists, the crew of the Enterprise picks up a dying humanoid that represents an entire species on the brink of death.  Their request, for Archer to give them Warp drive capabilities, Dr Phlox has second thoughts about it, thinking that their extinction may actually be a part of the evolution of their planet as a new species is about to rise.  Man, if only there was actually a guiding principle to help them out in situations like that.  Let's find out Matt's take on this episode as he watches it for the first time.  If you're watching with us, the next episode will be a two parter, "The Andorian Incident" and "Shadows of P'Jem."  These episodes are not right next to eachother, but they are both from season 1 and certainly belong together.  Contact the show:email: beammeuppod@gmail.comTwitter: @beammeuppodInstagram: @beammeuppodWebsite: beammeuppod.comSupport the show (https://www.patreon.com/beammeuppod)Support the show

It's been a while since we've had a new series.  So we do the thing in this episode where we not only talk about the episode itself, but we meet the new crew, the new ship, and set the stage for where we are going as finish out this podcast.  In this episode, the first starship Enterprise, the NX-01, launches humanity into deep space, with a mission to return a klingot...I mean klingon...to his homeworld. But of course it's never as easy as it sounds, as this new crew is about to find out.  How does Matt like this new crew and the idea of a series as a prequel?  Let's jump in and find out.  If you're watching with us, the next episode will be "Dear Doctor."Contact the show:email: beammeuppod@gmail.comTwitter: @beammeuppodInstagram: @beammeuppodWebsite: beammeuppod.comSupport the show (https://www.patreon.com/beammeuppod)Support the show

Whether you're in a long term relationship, with family or friends, It's still possible to feel alone. Doctor Manny poses the question: "Do You Feel Lonely?" He's like to hear from you! Join the conversation:Twitter: https://twitter.com/LastNiceGuysInstagram: https://instagram.com/LastNiceGuysFB: https://facebook.com/castos/LastoftheNiceGuysPodcastE-mail - LastOfTheNiceGuys@yahoo.com Instrumental - "Prelude To War" by Bear McCreary

Talk about risking death for love. Dear Doctor I'm Coming For Soul has, in our professional (sometimes) opinion, cemented itself as the best supernatural BL series made. Dr. Prakan, Tua Phee, and of course Kheeta (aka a soul reaper...with a hat) make us feel all of the feelings and we're talking about every single one. From all of the death, to the soap opera level dramatics, this is an A+ watch. It has everything - including a realistic conversation about what it means to have a boyfriend who is not of this mortal realm. Comment, like & subscribe on YouTube Grab merch now at http://shop.letstalkbl.com FOLLOW US IF YOU STILL LOVE A FALL KISS: IG: @letstalkBL Twitter: @letstalkBL TikTok: @letstalkBL

This week we're joined by hilariously charming actors, Karn & Nut! Known for their previous roles in Grey Rainbow (2016), the boys have reunited after 6 years to star in the Thai BL 'Dear Doctor I'm Coming For Soul', airing on iQIYI. From theories about ghosts, HYBS & Karn's steak-cooking skills (plus the fact that he STILL hasn't cooked any for Nut), to the challenging but rewarding way they approached filming for Dear Doctor - join us as we laugh, joke and learn more about Karn, Nut & their past/future projects!Check out our official LoveCast Shop and get yourself some awesome BL merch: http://bit.ly/LoveCastShop Find us on socialsTwitter: https://twitter.com/lovecastpodcastInstagram: https://www.instagram.com/lovecastpodcastFacebook: https://www.facebook.com/lovecastpod/TikTok: https://www.tiktok.com/@lovecastpodcastDiscord: https://discord.gg/T3DUgSZeYB If you like our content, we'd love your support!LoveCast Shop: https://bit.ly/LoveCastShopPatreon: https://www.patreon.com/lovecastKo-Fi: https://ko-fi.com/lovecast Save $$$Make watching BL easier with NordVPN (affiliate link): https://bit.ly/NordVPNxLC Editor: Zsh (Alex) https://www.fiverr.com/zsh_editorQuestions or collabs go to lovecastthepodcast@gmail.com  Get bonus content on PatreonSupport this show http://supporter.acast.com/lovecast. See acast.com/privacy for privacy and opt-out information.

Phlox entertains his lady friend while the Nx-01 tries to help very friendly aliens in “Dear Doctor”! Will the planet of comfy sweaters be a match for Phlox coming in hot to both Crewman Cutler AND terrible medical ethics? Probably not!

“Dear Doctor” 20th-anniversary reflections. An alien astronaut leads the Enterprise crew to a planet in crisis. Two intelligent humanoid species live side by side, but one is suffering from a deadly disease. Unraveling the mystery puts Doctor Phlox and Captain Archer at odds as they decide whether or not to intervene in the development of another society. And Phlox shares all the details with his pen pal. In this episode of Warp Five, hosts C Bryan Jones and Matthew Rushing continue our 20th-anniversary retrospective that takes you through all of Star Trek: Enterprise, one episode at a time. In this installment, we explore “Dear Doctor” and the moral conundrum it presents for humans operating in a pre-Prime Directive world. We also debate whether Star Trek's famous directive would even apply here and what the ultimate decision says about Archer and Phlox. We also explore the burgeoning relationship between the doctor and Cutler. Hosts C Bryan Jones and Matthew Rushing Production C Bryan Jones (Editor and Producer) Matthew Rushing (Executive Producer) Norman C. Lao (Associate Producer)