Podcasts about diagnostic

Result of medical diagnostics

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Latest podcast episodes about diagnostic

The Vet Dental Show
Episode 230 - Why Most Veterinary Dental Patients Are Still Suffering (And Owners Don't Know It)

The Vet Dental Show

Play Episode Listen Later Jun 24, 2026 11:49


Looking to strengthen your veterinary dentistry skills and improve patient outcomes? Access our FREE RACE-accredited online veterinary dentistry course and join thousands of veterinary professionals advancing their dental knowledge. https://ivdi.org/free --- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT --- Client communication and home care compliance are among the most important factors influencing long-term success in veterinary dentistry. In this episode, Annie Mills, LVT, answers questions submitted during recent online trainings and shares practical strategies for improving client education, increasing treatment acceptance, and helping pet owners become active participants in their pet's oral health. The episode also explores evidence-based home care recommendations, including the role of Veterinary Oral Health Council (VOHC) approved products, practical options for dogs and cats, and why home care should be viewed as an essential component of every dental treatment plan. Annie also addresses common objections to dental radiography and explains why comprehensive assessment and diagnosis must take priority over cosmetic cleaning alone. Whether you're looking to improve client communication, increase follow-up compliance, or strengthen your preventive dentistry protocols, this episode provides practical guidance you can immediately apply in general practice. What You'll Learn in This Episode

METUS Tech Show
M&P Diagnostic Changes

METUS Tech Show

Play Episode Listen Later Jun 24, 2026 36:55


Send us Fan MailIn this episode, Bryn, Ralph, Will and Marcus discuss some of the changes in the way M&P equipment should be diagnosed on the new equipment.Thanks for listening!  Please visit www.mitsubishicomfort.comContact us at metustechshow@hvac.mea.com

The Spin Sucks Podcast with Gini Dietrich
The PESO Model® Diagnostic: What Peppa Pig Can Teach You About the Difference Between a Campaign and a System

The Spin Sucks Podcast with Gini Dietrich

Play Episode Listen Later Jun 23, 2026 17:16


A cartoon pig ran one of the most integrated campaigns I've seen in years—and it still leaves the most important question unanswered. In this week's Spin Sucks podcast episode, I run the Peppa Pig pregnancy campaign through the PESO Model® Diagnostic to show you the difference between a brilliant campaign and an actual operating system: one has a finale, the other never ends.  Take the PESO Model® Diagnostic: https://spinsucks.com/self-peso-diagnostic/  Explore the PESO Model® Certification: https://spinsucks.com/peso-model-certification/  Read the full article: https://spinsucks.com/communication/peso-model-diagnostic-peppa-pig

High Yield Family Medicine
#49 - Abnormal Uterine Bleeding

High Yield Family Medicine

Play Episode Listen Later Jun 23, 2026 28:01


Q-BANK: https://www.patreon.com/highyieldfamilymedicineIntro (0:35),Definition (1:44),PALM-COEIN (2:48),Diagnostic approach (3:51),Endometrial polyps (5:39),Adenomyosis (7:37),Endometriosis (9:40),Leiomyoma (11:28),Endometrial hyperplasia and cancer (13:37), Coagulopathy (15:59),Polyendocrine Metabolic Ovarian Syndrome (17:20),Iatrogenic (20:02),Practice Questions (21:22)

Biomécanique
Prodige de la Mémoire : ce qu'on ne vous apprendra pas à l'école (S. Martinez)

Biomécanique

Play Episode Listen Later Jun 22, 2026 100:53


Merci à Mammouth AI d'avoir sponsorisé cet épisode : ⁠https://mammouth.ai⁠Sébastien Martinez est champion de France de mémoire et expert en techniques de mémorisation et d'apprentissage. Son dernier livre La mémoire est un jeu est disponible partout (lien ci-dessous).⁠Site Internet⁠⁠Youtube⁠⁠Instagram⁠⁠Livre (Amazon)⁠CHAPITRES :0:00 Introduction2:35 Mémoire et technologies5:41 Autonomie face au numérique13:28 Réserve cognitive et Alzheimer16:24 Retenir les prénoms20:07 Le GPS sous examen28:03 Calculer sans la calculatrice31:51 Sommeil et consolidation38:00 Le test de rappel39:25 Le palais mental43:42 Mémoriser les chiffres46:41 Utilité au quotidien48:20 Mémoire et métiers50:07 Acteurs et textes à retenir54:02 Retenir les prénoms, d'abord59:25 Codes et chiffres en images1:03:26 Retrouver les objets perdus1:14:40 Vérifier la porte fermée1:21:38 Apprendre une langue1:28:35 Mythes sur les types de mémoire1:32:55 Alimentation1:35:41 Diagnostic des problèmes mnésiquesBIOMÉCANIQUE :​⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠​⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Youtube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠​⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠​⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠​⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Discord⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠​⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠​⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠La Lettre Biomécanique⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠™⁠⁠ Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

MorningBull
Fed, tu bluffes. Ormuz, quelle réalité de reprise ? | Top Ganne

MorningBull

Play Episode Listen Later Jun 22, 2026 28:48 Transcription Available


La FED de Kevin Warsh a donc mis à jour ses projections macro-économiques. Dans ce nouveau contexte monétaire, le marché actions peut-il poursuivre sa marche avant cet été ? Diagnostic fondamental et technique avec Vincent Ganne.

PICU Doc On Call
Sweet Dreams: Procedural Sedation in the PICU

PICU Doc On Call

Play Episode Listen Later Jun 21, 2026 33:53


In this episode of PICU Doc on Call, hosts Dr. Monica Gray and Dr. Pradip Kamat explore procedural sedation in the pediatric ICU. They cover sedation levels, pre-screening, risk stratification using ASA classifications, and medication selection tailored to each patient's hemodynamic and respiratory status. Through real-world case discussions involving respiratory failure, septic shock, and acute neurological decline, they highlight the importance of end-tidal CO2 monitoring and early adverse event recognition. Key takeaways include avoiding the term "conscious sedation," preparing rescue plans, and prioritizing patient safety through careful assessment and monitoring.Show Highlights:Definitions and levels of sedation (minimal, moderate, deep sedation, and general anesthesia)Importance of terminology in procedural sedationMonitoring sedation levels using scales like the Richmond Agitation-Sedation Scale (RASS)Pre-screening and risk stratification considerations for pediatric patientsASA physical status classification system for assessing patient riskUnique challenges of procedural sedation in critically ill childrenAdverse events associated with pediatric procedural sedation, particularly respiratory complicationsManagement strategies for specific cases requiring sedation (e.g., respiratory failure, septic shock)Importance of end-tidal CO2 monitoring during sedationKey takeaways for safe sedation practices in the pediatric ICU settingReferences: Nir Atlas; Rahul C. Damania; Pradip P. Kamat In Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 135, 1624-1628Statement on Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia by Committee on Quality Management and Departmental Administration. Last Amended: October 23, 2024.Coté CJ, Wilson S; AMERICAN ACADEMY OF PEDIATRICS; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures. Pediatrics. 2019 Jun;143(6):e20191000. doi: 10.1542/peds.2019-1000. PMID: 31138666.xKrauss B, Green SM. Procedural sedation and analgesia in children. Lancet. 2006 Mar 4;367(9512):766-80. doi: 10.1016/S0140-6736(06)68230-5. PMID: 16517277.Sharif S, Kang J, Sadeghirad B, Rizvi F, Forestell B, Greer A, Hewitt M, Fernando SM, Mehta S, Eltorki M, Siemieniuk R, Duffett M, Bhatt M, Burry L, Perry JJ, Petrosoniak A, Pandharipande P, Welsford M, Rochwerg B. Pharmacological agents for procedural sedation and analgesia in the emergency department and intensive care unit: a systematic review and network meta-analysis of randomised trials. Br J Anaesth. 2024 Mar;132(3):491-506. doi: 10.1016/j.bja.2023.11.050. Epub 2024 Jan 6. PMID: 38185564.Smith, Heidi A. B. MD, MSCI (Chair)1,2; Besunder, James B. DO, FCCM3,4; Betters, Kristina A. MD1; Johnson, Peter N. PharmD, BCPS, BCPPS, FCCM, FPPA, FASHP5,6; Srinivasan, Vijay MBBS, MD, FCCM7,8; Stormorken, Anne MD9,10; Farrington, Elizabeth PharmD, FCCM11; Golianu, Brenda MD12,13; Godshall, Aaron J. MD14; Acinelli, Larkin CPNP-AC, ACHPN15; Almgren, Christina CPNP16; Bailey, Christine H. MD17; Boyd, Jenny M. MD18,19; Cisco, Michael J. MD20; Damian, Mihaela MD, MPH21,22; deAlmeida, Mary L. MD23,24; Fehr, James MD13,25; Fenton, Kimberly E. MD, FCCM14; Gilliland, Frances DNP, CPNP-AC/PC26,27; Grant, Mary Jo C. CPNP-AC, PhD, FAAN28; Howell, Joy MD29; Ruggles, Cassandra A. PharmD, BCCCP, BCPPS30; Simone, Shari DNP31,32; Su, Felice MD21,22; Sullivan, Janice E. MD33,34; Tegtmeyer, Ken MD, FAAP, FCCM35,36; Traube, Chani MD, FCCM29; Williams, Stacey CPNP-AC37; Berkenbosch, John W. MD, FAAP, FCCM (Chair)33,34. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatric Critical Care Medicine 23(2):p e74-e110, February 2022. | DOI: 10.1097/PCC.0000000000002873Benzoni T, Agarwal A, Cascella M. Procedural Sedation. [Updated 2025 Mar 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551685/Kerson AG, DeMaria R, Mauer E, Joyce C, Gerber LM, Greenwald BM, Silver G, Traube C. Validity of the Richmond Agitation-Sedation Scale (RASS) in critically ill children. J Intensive Care. 2016 Oct 26;4:65. doi: 10.1186/s40560-016-0189-5. PMID: 27800163; PMCID: PMC5080705.Tel-Dan SF, Shavit D, Nates R, Samuel N, Shavit I. Emergency Physician-Administered Sedation for Thoracostomy in Children With Pleuropneumonia. Pediatr Emerg Care. 2021 Dec 1;37(12):e1209-e1212. doi: 10.1097/PEC.0000000000001975. PMID: 31929389.Cosgrove P, Krauss BS, Cravero JP, Fleegler EW. Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation. Ann Emerg Med. 2022 Dec;80(6):485-496. doi: 10.1016/j.annemergmed.2022.05.002. Epub 2022 Jun 23. PMID: 35752522.Cravero JP, Blike GT, Beach M, Gallagher SM, Hertzog JH, Havidich JE, Gelman B; Pediatric Sedation Research Consortium. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Pediatrics. 2006 Sep;118(3):1087-96. doi: 10.1542/peds.2006-0313. PMID: 16951002.

Lichen Sclerosus Podcast
Entering Our Lichen Planus Era: Diagnostic Blurs, Hidden Triggers, and New Hope with Dr. Erin Foster

Lichen Sclerosus Podcast

Play Episode Listen Later Jun 19, 2026 18:17


You are not doing the heavy lifting alone anymore.If you are living with symptoms that seem confusing, inconsistent, or flat-out exhausting, we have a vital surprise for you. For years, the Lichen Sclerosus Support Network (LSSN) has been a dedicated sanctuary for the LS community. But we know that many of our brothers and sisters are also navigating the painful, isolating world of Lichen Planus (LP) without a clear place to call home. Today, that completely changes. LSSN is officially expanding our mission to build a dedicated resource home for Lichen Planus. Joining host Kathy to launch this new frontier is Dr. Erin Foster, a leading mucosal specialist from Oregon Health & Science University. Dr. Foster is stepping up as the head of our brand-new LP department to help turn scattered search spirals into hard clinical research, clearer tracking tools, and real community hope. Visit our new LP website at https://aboutlichenplanus.comWhat You Will Learn: Core Episode TakeawaysThe Blueprint of Lichen Planus: How this autoimmune response targets the deep T-cells of your body, and why it can show up across your skin, mouth, scalp, nails, esophagus, or genitals. The Diagnostic Blur (LS vs. LP): Why classic textbook definitions are outdated. Dr. Foster shares why hyperkeratotic LP can present as completely white patches on the vulva, mimicking lichen sclerosus perfectly and causing years of misdiagnosis. The 3-to-9 Month Medication Trigger Window: A look at how common everyday medications like Ibuprofen, Metformin, and Beta-blockers can set off a delayed immune flare-up months after your first dose. The Truth About Scarring: Why identifying symptoms early in areas like the scalp (LPP) or moist mucosal tissues is vital to halt irreversible tissue fusion and hair loss. The Systemic Escalation Ladder: A breakdown of how treatments look when topical steroid creams aren't enough, including safe pills like Hydroxychloroquine and immune modulators like Methotrexate. *Self-Advocacy & Educational Use Only. This podcast episode and its accompanying notes exist to organize personal observations, validate patient experiences, and support informed conversations with your care team. This content does not diagnose medical conditions, replace formal clinical examinations, or determine medication directives. LichenS Support Network does not provide clinical diagnoses or official treatment plans. Please coordinate directly with a qualified, licensed professional for all medical evaluations, physical tissue biopsies, and therapeutic care strategies.

Veterinary Vertex
When the Tests Disagree: The Diagnostic Gap Between Cytology and Histopathology in Canine Splenic Masses

Veterinary Vertex

Play Episode Listen Later Jun 19, 2026 16:10 Transcription Available


Send us Fan MailA splenic mass shows up on ultrasound and the question hits like a brick: benign or malignant? We go straight at the uncomfortable truth behind canine splenic cytology. Even when splenic FNA feels like the “do something now” step, the match between cytology and histopathology is only moderate, and that has consequences for how we advise families, schedule rechecks, and decide when splenectomy is the safest path.We talk with Drs. Janet Grimes and Matthew Alusio about what their data means in the exam room: why a neoplastic cytology result tends to be more predictive than a non-neoplastic one, and why a benign aspirate does not rule out cancer. We unpack the spleen's built-in complexity, including extramedullary hematopoiesis, mixed cell populations, and the sampling problem of trying to summarize a large, heterogeneous lesion from a tiny needle sample. We also get specific about the diagnoses no one wants to miss, including hemangiosarcoma and lymphoma, and how tumor exfoliation and overlap with reactive processes can blur the picture.From there, we shift into action: when cytology is most useful, when serial ultrasound monitoring is a reasonable strategy for smaller, non-ruptured nodules, and when size and rupture risk should move the conversation toward surgery and definitive histopathology. We also dig into the “possibly neoplastic” gray zone and why calling your pathologist can be one of the most practical diagnostic tools you have.If you work up splenic masses in dogs and want clearer owner conversations, better monitoring plans, and fewer false reassurances, this one is for you. Subscribe, share with a colleague, and leave a rating and review so more clinicians can find the show.JAVMA article: https://doi.org/10.2460/javma.26.01.0006INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ®  OR AJVR ® ?JAVMA ® : https://avma.org/JAVMAAuthorsAJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® :Facebook: Journal of the American Veterinary Medical Association - JAVMA | FacebookInstagram: JAVMA (@avma_javma) • Instagram photos and videosTwitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | FacebookInstagram: AJVR (@ajvroa) • Instagram photos and videosTwitter: AJVR (@AJVROA) / TwitterJAVMA ®  and AJVR ®  LinkedIn: https://linkedin.com/company/avma-journals

Symptômes
Burn-out : quand le diagnostic cache une urgence vitale

Symptômes

Play Episode Listen Later Jun 19, 2026 22:07


REDIFF - Dans cet épisode de "Symptômes", le médecin généraliste Laure Geisler partage l'histoire poignante d'une femme de 60 ans, initialement venue consulter pour un burn-out professionnel. Accompagnée de sa fille, la patiente présente des symptômes de dépression et d'anxiété qui ne s'améliorent pas malgré un traitement... La généraliste reprend le dossier à zéro et une question va la mettre sur la bonne piste... Retrouvez chaque mois, un nouvel épisode inédit de "Symptômes", ainsi qu'un bonus la semaine suivante. Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

RTL Stories
Symptômes - Burn-out : quand le diagnostic cache une urgence vitale

RTL Stories

Play Episode Listen Later Jun 19, 2026 22:07


REDIFF - Dans cet épisode de "Symptômes", le médecin généraliste Laure Geisler partage l'histoire poignante d'une femme de 60 ans, initialement venue consulter pour un burn-out professionnel. Accompagnée de sa fille, la patiente présente des symptômes de dépression et d'anxiété qui ne s'améliorent pas malgré un traitement... La généraliste reprend le dossier à zéro et une question va la mettre sur la bonne piste... Retrouvez chaque mois, un nouvel épisode inédit de "Symptômes", ainsi qu'un bonus la semaine suivante. Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Les Déviations
Pourquoi la France décroche : le diagnostic sans filtre de Natacha Polony

Les Déviations

Play Episode Listen Later Jun 18, 2026 86:29


Fondatrice de la revue L'Audace !, journaliste et essayiste, Natacha Polony est depuis plus de vingt ans l'une des principales défenseures de la souveraineté française, de la transmission des savoirs et du redressement productif.Face aux questions de Laurent Moisson, co-fondateur des Forces Françaises de l'Industrie, elle livre un diagnostic sans détour sur les fragilités de la France : effondrement scolaire, crise démocratique, perte de souveraineté économique, désindustrialisation et affaiblissement de l'État stratège.À travers son parcours personnel et intellectuel, elle esquisse aussi les voies d'un renouveau fondé sur la responsabilité, la production, la transmission et la confiance retrouvée dans les citoyens.Une conversation essentielle pour comprendre les défis auxquels la France est confrontée et les moyens de retrouver sa puissance d'action.Soutenez ce podcast http://supporter.acast.com/les-deviations. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

UBC News World
Chinch Bugs on Calgary Lawns: The Diagnostic Most Homeowners Miss

UBC News World

Play Episode Listen Later Jun 17, 2026 9:15


Calgary lawns face a hidden threat that looks like drought but destroys grass permanently. Learn the coffee can test, two-track control strategy, and why timing chemical treatments to nymph stages changes everything for chinch bug infestations. Leprechaun Lawns City: Calgary Address: 4030 8 St SE, Website: https://www.leprechaunlawns.ca/

Kookie Learning
L'exemple du diagnostic de douleur sacro-iliaque

Kookie Learning

Play Episode Listen Later Jun 16, 2026 26:40 Transcription Available


Les tests de provocation des sacro-iliaques sont souvent présentés comme peu fiables ou peu utiles en pratique clinique. Mais est-ce vraiment le cas… ou les utilisons-nous simplement dans de mauvaises conditions ?Dans ce troisième épisode, Jean-Philippe Deneuville revient en détail sur les travaux de Mark Laslett et explique comment une batterie de tests, intégrée dans un raisonnement clinique rigoureux, peut contribuer à identifier une origine sacro-iliaque de la douleur avec une probabilité élevée.Nous discutons du rôle de la sélection des patients, de l'importance des probabilités pré-test, des pièges liés aux faux positifs, mais aussi des différents profils de douleurs sacro-iliaques rencontrés en pratique : traumatismes, surutilisation, post-partum ou encore spondyloarthrites.Un épisode qui illustre parfaitement l'idée centrale de cette série : ce n'est pas un test isolé qui fait le diagnostic, mais la manière dont chaque information s'intègre dans un raisonnement clinique cohérent.Soutenez-nous sur Tipeee !

Inside the Lab
Rethinking Cervical Cancer Screening in a Changing Diagnostic Landscape

Inside the Lab

Play Episode Listen Later Jun 15, 2026 54:53


In this episode of Inside the Lab, Patricia Delgado and Liz Etkin-Kramer explore the evolving landscape of cervical cancer screening amid recent guideline updates emphasizing primary HPV testing, self-collection, and revised screening exit criteria. The conversation examines the challenges posed by HPV-negative cervical cancers and highlights the importance of close collaboration between pathology and OB-GYN teams when screening results, clinical findings, and patient presentation do not align neatly. Through a detailed case discussion, the guests describe how ongoing communication and iterative review between specialties ultimately leads to improved diagnostic accuracy in difficult cases, underscoring the value of interdisciplinary partnership in complex gynecologic cases.Key TakeawaysRecent cervical cancer screening updates are not yet fully harmonized across major professional organizations, creating a transitional landscape that clinicians and laboratories must navigate carefully.HPV-negative cervical lesions and cancers can present significant diagnostic challenges, particularly when standard screening results do not match clinical suspicion.Strong, iterative collaboration between OB-GYNs and pathologists can be critical for resolving complex cases and achieving accurate diagnoses, as illustrated by the discussion of lobular endocervical glandular hyperplasia.

Oncology Peer Review On-The-Go
S1 Ep219: Navigating Personality Disorders in Cancer Care

Oncology Peer Review On-The-Go

Play Episode Listen Later Jun 15, 2026 36:23


Cancer is never convenient, and it never arrives when a patient is truly prepared, according to Daniel C. McFarland, DO, who began the most recent episode of Oncology On the Go with this sentiment. When individuals enter the high-stakes, highly coordinated world of oncology, they do so under extreme duress, often presenting the versions of themselves that are most under stress. In this environment, clinical teams frequently encounter behaviors that get unfairly lumped into the vague and pejorative category of the “difficult patient.” What happens when these challenges stem from an underlying personality disorder rather than just temporary situational anxiety? In this episode, McFarland was joined by psycho-oncology expert Kaleena Chilcote, MD, to unpack the inner workings of personality styles and disorders within oncologic science. Together, they explored the Diagnostic and Statistical Manual of Mental Health Disorders (DSM) diagnostic framework, spanning the eccentric, dramatic, and anxious categories. They discussed how these enduring, pervasive traits impact a patient's health care journey. Shifting the conversation away from the stigma of labels, McFarland and Chilcote delivered actionable, real-world advice for oncology teams. They discussed how to utilize objective, descriptive charting; initiate a pause to check your own provider emotions; and build highly consistent, structured boundaries. From managing frequent phone calls to intentionally scheduling short, high-frequency touchpoints, the pair provided a roadmap for turning interpersonal conflict into therapeutic collaboration, proving that underneath the defense mechanisms, every patient has a uniquely valuable strength to connect with. McFarland is the director of the Psycho-Oncology Program at Wilmot Cancer Center and a medical oncologist who specializes in head, neck, and lung cancer, in addition to being a psycho-oncology editorial advisory board member for the journal ONCOLOGY®. Chilcote is director of Psycho-Oncology in the Department of Palliative and Supportive Care at the Taussig Cancer Center, part of the Cleveland Clinic. 

Talk Dizzy To Me
PPPD Explained: When the Dizziness Doesn't Go Away

Talk Dizzy To Me

Play Episode Listen Later Jun 11, 2026 53:13


In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT sit down with neurologist Dr. Kristin Steenerson to unpack Persistent Postural Perceptual Dizziness, also known as 3PD or PPPD.If you feel dizzy, floaty, rocking, disoriented, or visually overwhelmed most days — especially in places like grocery stores, airports, busy restaurants, or while scrolling screens — this episode explains what may be happening in the brain and nervous system.Dr. Steenerson breaks down the diagnostic criteria for 3PD, why symptoms can continue even after the original vestibular problem improves, how 3PD overlaps with vestibular migraine, and why treatment often requires a combination of education, vestibular therapy, medication, cognitive strategies, lifestyle support, and gradual exposure.This conversation also addresses why 3PD is sometimes misunderstood, how hypervigilance plays a role, and why there is real hope for recovery and improved quality of life. Hosted by:

Dean's Chat - All Things Podiatric Medicine
“Diagnostic miscues in podiatric dermatology” - with Dr. Leland Jaffe, DCLS S1E5

Dean's Chat - All Things Podiatric Medicine

Play Episode Listen Later Jun 10, 2026 34:42


In this episode of the Dean's Chat Learning Series, Dr. Johanna Richey welcomes podiatric dermatology expert Dr. Leland Jaffe for an in-depth discussion on diagnostic miscues, biopsy decision-making, and the importance of maintaining a broad differential diagnosis in podiatric medicine. Drawing from his experience teaching dermatology and working extensively in wound care, Dr. Jaffe shares how his threshold for performing biopsies has significantly lowered over the years as he recognized how many serious conditions can masquerade as common foot and ankle pathology.The conversation explores how chronic wounds, nail disorders, inflammatory skin conditions, and even routine “ingrown toenails” can occasionally hide malignancies or autoimmune disease. Dr. Jaffe emphasizes that when a patient fails to improve with appropriate standard-of-care treatment, clinicians must pause and ask, “What am I missing?” rather than simply repeating unsuccessful therapies. Through several compelling clinical examples, including wounds later diagnosed as squamous cell carcinoma, basal cell carcinoma, and autoimmune-mediated lesions, he highlights how biopsy can completely alter a patient's treatment trajectory and, in some cases, save lives.Dr. Jaffe also provides practical insight into biopsy technique selection, discussing when he prefers punch biopsies, shave biopsies, or excisional biopsies depending on the suspected diagnosis. He explains why inflammatory conditions often require full-thickness punch biopsies, while suspected melanomas may warrant more nuanced excisional approaches to ensure accurate staging. Importantly, he reassures clinicians that “some biopsy is better than no biopsy,” encouraging providers not to let uncertainty or fear prevent them from obtaining tissue when something feels atypical.A major theme throughout the episode is collaboration. Dr. Jaffe and Dr. Richey discuss the value of working closely with dermatopathologists, oncologists, dermatologists, and wound care specialists to optimize patient outcomes. They stress that diagnosing a concerning lesion is not the end of the clinician's role, but rather the beginning of a team-based process that benefits both patients and providers.#podiatry #podiatricmedicine #podiatricdermatology#skincancerawarenessmonth #skincancerawareness #skincancer #melanoma #melanomaawareness#PICA #BakoDx

The Spin Sucks Podcast with Gini Dietrich
Your Measurement Problem Isn't Really a Measurement Problem

The Spin Sucks Podcast with Gini Dietrich

Play Episode Listen Later Jun 9, 2026 15:16


You're doing the work—the content, the media, the campaigns—and the minute leadership asks what it's all worth, you've got nothing to hand them. So you go looking for a better dashboard. In this week's Spin Sucks podcast episode, Gini Dietrich explains why a measurement problem is almost never a measurement problem—it's the first place a broken system shows up—and shares the Diagnostic data proving the biggest budgets aren't buying readiness. You'll learn why pitching the PESO Model® as a marketing expense loses the budget every time, and how to reframe it as the operating system that actually gets funded. Take the PESO Model® Diagnostic: https://spinsucks.com/self-peso-diagnostic/  PESO Model® Certification: https://spinsucks.com/peso-model-certification/

The NASS Podcast
Hip-Spine Syndrome: Diagnostic and Rehabilitation Considerations for Clinicians

The NASS Podcast

Play Episode Listen Later Jun 9, 2026 42:04


Authors Preston Le, MD, and Dustin Anderson, MD, discuss their recent article, "Hip-Spine Syndrome: Diagnostic and Rehabilitation Considerations for Clinicians," with moderator Alex P. Michael, MD.Read the full article here

Core EM Podcast
Episode 224: Kidney Stones

Core EM Podcast

Play Episode Listen Later Jun 8, 2026


A guide to diagnosing, imaging, and managing acute renal colic and nephrolithiasis in the ED. Hosts: Brian Gilberti, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Nephrolithiasis.mp3 Download Leave a Comment Tags: Kidney Stones, Urology Show Notes 1. CLINICAL CORE & PHYSIOLOGIC FRAMEWORK Epidemiologic Risk Profiles Lifetime incidence parameters hover around 1 in 11, presenting with a prominent male sex skew. Peak demographic manifestation concentrated within the 30–60 age band. High-yield temporal parameter: 50% recurrence vector within a 5-year post-initial-insult window. Mineralogical Composition Vectors Calcium oxalate crystals represent the predominant structural matrix. Struvite configurations (magnesium ammonium phosphate matrix) account for 1–2% of cohorts. Struvite stones function explicitly as infection-driven configurations secondary to upper tract proliferation; higher distribution index noted in female cohorts. Etiological & Modifiable Relational Dynamics Profound systemic dehydration or low baseline fluid throughput states. High-sodium diet structures and heavy animal-protein consumption loads. Positive genetic/familial history variables. Relative risk modulation: Each variable independently operates to expand baseline risk by a factor of 2x to 3x. Pathophysiologic Symptom Complexes Acute, sudden-onset, maximum-intensity (10/10) unilateral flank pain. Classic structural radiation vector tracking downward toward the ipsilateral groin/genitourinary dermatomes. Distinctive behavioral marker: Renal colic pacing/writhing behavior with zero antalgic position availability. Concomitant autonomic triggers: Nausea and emesis manifest in 50% of acute presentations. Physical Exam Discordance Metrics Severe subjective distress contrasted with a characteristically soft, completely non-tender abdominal palpation exam. CVA tenderness is completely variable and lacks reliable negative predictive value. Atypical Presentation Classifications Vague, poorly localized abdominal pain presentations occurring in up to 20% of active cases. Isolated lower urinary tract irritative signs including acute frequency or severe urgency. Incidental & Asymptomatic Dynamics Silent intrarenal or ureteral stones found incidentally. Longitudinal tracking demonstrates up to 33.3% of initially asymptomatic cohorts convert to fully symptomatic renal colic within a multi-year tracking window. 2. EXCLUSION DIAGNOSES & CRITICAL PATHWAY RED FLAGS Vascular Mimics: AAA rupture/expansion. This is a mandatory exclusion pathway in elderly cohorts presenting with acute flank or back pain. Physical tracking requires active exploration for an expansile, pulsatile abdominal mass. Gynecologic Emergencies: Ruptured ectopic pregnancy. Demands universal screening protocols via rapid beta-hCG testing in all female patients of childbearing potential presenting with lower abdominal/pelvic localization. Infectious Upper Tract Decompensation: Acute uncomplicated pyelonephritis. Differentiated via persistent high spikes, high fevers, systemic shaking chills, and profound pyuria. Genitourinary Structural Crises: Acute testicular torsion. Mandates a thorough, explicit scrotal/testicular structural exam if the flank pain radiates into the scrotum. Gastrointestinal and Adnexal Torsional Confounds: Acute appendicitis variants, acute mesenteric/bowel ischemia, and ovarian torsion syndromes. 3. LABORATORY TESTING & PHYSIOLOGIC EVALUATION Urinalysis Interpretation Nuances Microscopic or gross hematuria presents in approximately 66% to 90% of acute cases. Critical Pathological Caveat: Complete absence of hematuria documented in 20% to 33.3% of confirmed, acute obstructing ureteral stones. Diagnostic rule: A pristine urinalysis with zero red blood cells is entirely insufficient to exclude acute ureterolithiasis. Urinary pH as a Composition Clue Consistently low urinary pH parameters (pH < 5.5) point strongly toward a uric acid crystalline composition. Elevated urinary pH parameters (pH > 7.5) indicate the presence of urease-producing microbial pathogens, pointing toward a struvite infection stone. Infectious Screening Metrics Active tracking for marked pyuria, positive leukocyte esterase, and bacterial nitrites to rule out an obstructed, infected upper urinary tract system. BMP Immediate quantification of baseline serum creatinine to establish accurate eGFR values. Targeting detection of post-renal AKI from bilateral obstruction, unilateral obstruction in a single functioning kidney, or severe volume depletion. CBC Evaluation for marked leukocytosis. Physiologic Nuance: Mild-to-moderate white blood cell count elevations frequently represent non-specific stress demargination driven by severe pain and repetitive vomiting. High-grade white blood cell shifts demand immediate exclusion of systemic bacteremia or an infected, obstructed urinary system. Adjunctive Lab Pathways Rapid qualitative urine hCG testing. Reflex urine culture execution whenever urinalysis metrics display significant inflammatory profiles or clinical suspicion of UTI is high. 4. IMAGING MODALITIES & ALGORITHMIC CLINICAL SELECTION Non-Contrast CT Diagnostics Gold standard; diagnostic sensitivity and specificity parameters exceed 95% for stones >2 mm. Provides precise quantification of stone diameter (mm), exact localization (proximal, mid, or distal ureter), and degree of secondary hydronephrosis. Excellent structural visualization for detecting or ruling out alternate retroperitoneal, vascular, or intra-abdominal pathologies. Contrast-Enhanced CT Protocols Indicated when alternative intra-abdominal surgical pathology is highly suspected over isolated renal colic. Retains diagnostic capability to identify urinary tract stones >3 mm even within contrast-enhanced phases. NCCT Structural Architecture Limitations Standard stone protocol CT scans are executed in a prone position without IV contrast enhancement. It does not opacify the ureteral lumen. Presents a cumulative radiation exposure penalty when utilized serially across recurrent ED presentations. POCUS / Radiology Ultrasound Direct stone visualization capabilities are modest, operating at approximately 50% to 60% sensitivity, and is highly dependent on anatomical positioning at the extreme proximal ureter or the UVJ. Secondary obstruction tracking: Demonstration of hydronephrosis operates at a high sensitivity of approximately 80%. POCUS Clinical Utility Metrics Eliminates ionizing radiation exposure and allows immediate, rapid real-time execution directly at the patient’s bedside. Confirmation of significant hydronephrosis within a classic clinical presentation yields high post-test probability for stone presence while lowering suspicion for vascular catastrophes like a AAA. KUB Radiography Extremely poor overall diagnostic sensitivity, hovering around 57%. Fails to image radiolucent configurations (pure uric acid matrices) or small stones measuring

Automotive Diagnostic Podcast
355: Kia 2.4L P0010 Diagnostic

Automotive Diagnostic Podcast

Play Episode Listen Later Jun 8, 2026 30:57


This week on the show I share a case study on a 2016 Kia Optima 2.4L that's setting a P0010 in the ECM after multiple components have been replaced, including the ECM. This is a common code for these vehicles and they have multiple failure points in this system. This car turned out to be something more interesting than the typical fault. Website- https://autodiagpodcast.com/Facebook Group- https://www.facebook.com/groups/223994012068320/YouTube- https://www.youtube.com/@automotivediagnosticpodcas8832Email- STmobilediag@gmail.comPlease make sure to check out our sponsors!SJ Auto Solutions- https://sjautosolutions.com/Automotive Seminars- https://automotiveseminars.com/L1 Automotive Training- https://www.l1training.com/Autorescue tools- https://autorescuetools.com/  

Grace South Bay
Fellowship by Faith - Romans 14:1-13

Grace South Bay

Play Episode Listen Later Jun 8, 2026 30:35


As for the one who is weak in faith, welcome him, but not to quarrel over opinions. 2 One person believes he may eat anything, while the weak person eats only vegetables. 3 Let not the one who eats despise the one who abstains, and let not the one who abstains pass judgment on the one who eats, for God has welcomed him. 4 Who are you to pass judgment on the servant of another? It is before his own master that he stands or falls. And he will be upheld, for the Lord is able to make him stand.5 One person esteems one day as better than another, while another esteems all days alike. Each one should be fully convinced in his own mind. 6 The one who observes the day, observes it in honor of the Lord. The one who eats, eats in honor of the Lord, since he gives thanks to God, while the one who abstains, abstains in honor of the Lord and gives thanks to God. 7 For none of us lives to himself, and none of us dies to himself. 8 For if we live, we live to the Lord, and if we die, we die to the Lord. So then, whether we live or whether we die, we are the Lord's. 9 For to this end Christ died and lived again, that he might be Lord both of the dead and of the living.10 Why do you pass judgment on your brother? Or you, why do you despise your brother? For we will all stand before the judgment seat of God; 11 for it is written,“As I live, says the Lord, every knee shall bow to me,     and every tongue shall confess to God.”12 So then each of us will give an account of himself to God.13 Therefore let us not pass judgment on one another any longer…1.     Do you think that the church faces the same tensions our broader culture does in terms of disputes, judgment and division?2.     Paul had a clear position on the meat debate, agreeing with the strong but still refusing to weaponize it to win the argument. Is there a position you hold that you've been tempted to make a condition of fellowship? What makes it hard to hold the conviction without using it as a weapon?3.     Diagnostic question: what are you giving God thanks for? Are there areas of your life you haven't really brought before Jesus in thankfulness?4.     The sermon describes the "tender" places — corners of our lives where we still feel like we have to perform to keep our place. Where is that for you?5.     Have you ever had a moment, even briefly, where you saw someone you'd been judging the way God might see them? What was that like, and did it change anything?6.     Does applying the gospel personally to yourself, that you've been welcomed by Jesus, encourage and empower you to welcome others different from you? How so/why not?

Keeping Current CME
Advancing Care in Acromegaly: Expert Insights on Optimizing Current Diagnostic and Care Strategies

Keeping Current CME

Play Episode Listen Later Jun 8, 2026 52:49


Stay up to date with practical strategies in the management of patients with acromegaly. Credit available for this activity expires: 06/03/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/advancing-care-acromegaly-expert-insights-optimizing-current-2026a1000i1h?ecd=bdc_podcast_libsyn_mscpedu

PICU Doc On Call
Pink Toes and Blue Brain on VA ECMO (North South Syndrome on ECMO)

PICU Doc On Call

Play Episode Listen Later Jun 7, 2026 24:00


In this episode of *PICU Doc on Call*, Dr. Monica Gray and Dr. Pradip Kamat are joined by fellow Dr. Hope Vancleve to discuss a complex case of a 12-year-old with MRSA septic shock requiring VA ECMO. The conversation covers sepsis-induced myocardial dysfunction, including its pathophysiology, diagnosis, and management. The hosts also explore differential hypoxia, or Harlequin syndrome, a serious VA ECMO complication causing upper body deoxygenation, and discuss monitoring strategies and circuit reconfiguration to prevent cerebral and myocardial ischemia.Show Highlights:Clinical case discussion of a 12-year-old male patient with MRSA septic shock.Complications of sepsis, including sepsis-induced myocardial dysfunction and refractory shock.Management strategies for septic shock, including antibiotic therapy and fluid resuscitation.Use of venoarterial ECMO support in pediatric patients with severe cardiac dysfunction.Pathophysiology of sepsis-induced myocardial dysfunction and its impact on cardiac function.Differential hypoxia (North-South syndrome) in patients on femoral VA ECMO.Diagnostic approaches for sepsis-induced myocardial dysfunction, including echocardiography and biomarkers.Importance of monitoring and managing end-organ function in septic patients.Strategies for addressing differential hypoxia in ECMO patients, including circuit reconfiguration.Discussion of the risks and benefits of various ECMO configurations and management techniques.References:Fuhrman & Zimmerman - Textbook of Pediatric Critical Care ChapterReference 1: Torre DE, Pirri C. Harlequin Syndrome in Venoarterial ECMO and ECPELLA: When ECMO and Native or Impella Circulations Collide - A Comprehensive Review. Rev Cardiovasc Med. 2025 Aug 26;26(8):39992. doi: 10.31083/RCM39992. PMID: 40927093; PMCID: PMC12415751.Reference 2 : Cove ME. Disrupting differential hypoxia in peripheral veno-arterial extracorporeal membrane oxygenation. Crit Care. 2015 Jul 22;19(1):280. doi: 10.1186/s13054-015-0997-3. PMID: 27391473; PMCID: PMC4511033.

The ResearchWorks Podcast
EACD 2026: An evidence-based, standardized, and practical diagnostic framework for CP. (Dr Bhooma Aravamuthan)

The ResearchWorks Podcast

Play Episode Listen Later Jun 6, 2026 17:51


An evidence-based, standardized, and practical diagnostic framework for cerebral palsy.

The Motherhood Podcast with Michelle Grosser
459 -The Capacity Audit: The 5-Category Diagnostic That Tells You Exactly Where to Start to Regulate Your Nervous System

The Motherhood Podcast with Michelle Grosser

Play Episode Listen Later Jun 5, 2026 75:02


If you've ever felt like you're doing all the right things and still running on empty — this episode is going to explain exactly why.And more importantly, it's going to show you where to actually focus first.This episode is the full audio from The Capacity Audit — a live workshop I hosted this week on Zoom.We did something I've never done publicly before: a live, 25-question nervous system diagnostic across five capacity categories, followed by a deep dive into the highest-leverage move for each category.Grab a pen. You can take the audit yourself as you listen and walk away knowing your lowest capacity category and your single most impactful next step.Here's what makes this one different from every other nervous system episode you've heard: we're not talking about what to do.We're talking about where to start — because for most high-achieving women, the problem isn't information. It's that they've been solving a nervous system problem with productivity solutions. This episode changes that.What you'll learn:How to score yourself across five capacity categories: Emotional, Physical & Energetic, Stress, Relational, and Joy & PleasureWhat your scores actually mean — and how to identify your single highest-leverage entry pointThe 80/20 that changes everything: why your body is 4x more influential than your mind, and why everything you've tried has only worked partiallyThe difference between state shifters and trait shifters — and why you need both to actually expand your capacity--Join The Capacity Method (we start June 15th!) -> Check it out HERE--

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.
Cancer Diagnostic Delay Rates and Multicancer Early Detection Test, Cost-Effectiveness of FIT Testing With H Pylori Stool Antigen, JAMA at ERA, and more

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.

Play Episode Listen Later Jun 5, 2026 19:18


Editor's Summary by Linda Brubaker, MD, and Preeti Malani, MD, MSJ, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from May 30-June 5, 2026.

Physiotutors Podcast
Why Cervicogenic Dizziness Is a Misleading Diagnosis with Firat Kesgin

Physiotutors Podcast

Play Episode Listen Later Jun 3, 2026 52:16


The Fed and Fearless Podcast
The Growth Ceiling Diagnostic: Why You Can't See Your Own Business Bottleneck

The Fed and Fearless Podcast

Play Episode Listen Later Jun 2, 2026 54:44


If you've built a six-figure business, you know how to make money. The problem is that at some point, the strategies that got you there stopped being enough, and now you're putting in more effort than ever while the needle barely moves. In this episode, I'm walking through the Growth Ceiling Diagnostic: the five core areas of your business where a bottleneck could be hiding, and the three lens problems that are most likely distorting what you think you're seeing. Because you can't fix a bottleneck you're misdiagnosing, and when you're this close to your own business, you're almost always misdiagnosing it. This episode was originally a Substack Live, and it's the exact kind of diagnostic work I do with clients inside The Decision Room Mastermind. If you're an established founder who keeps circling the same decisions and you're ready to actually break through, this one's for you. Timeline Highlights [00:00] – Why working harder isn't moving the needle for six and seven-figure founders [02:00] – The real reason the ceiling feels invisible: being too close to your own business to see it accurately [06:00] – Introducing the three diagnostic lenses: belief, knowledge, and decision [09:00] – Why the knowledge trap is dangerous and when more information actually is the problem [11:00] – The five core areas where bottlenecks show up: identity, offer, sales, messaging, systems [13:00] – Identity as a bottleneck: how self-knowledge gaps and misaligned beliefs run the business from the background [17:00] – Offer bottlenecks: the kitchen sink offer, the belief that clients need unlimited access to you, and how both stall growth [21:00] – A personal example: shutting down a multimillion-dollar program and what that decision unlocked [25:00] – Sales bottlenecks: how unfounded beliefs about audience readiness suppress conversion before a sale is even attempted [29:00] – Messaging in 2026: why market sophistication has outpaced most people's messaging, and what AI can't fix [34:00] – Systems as a bottleneck: the cost of keeping everything running through you [38:00] – Self-diagnosis questions for each of the five areas [42:00] – Why you can't find the real bottleneck alone, and what to do about it [45:00] – The Decision Room Mastermind: who it's for and what we're doing inside Top Quotes from the Episode "The fact that you're so close to your business is exactly what makes the real constraint invisible to you. You think you're seeing the problem. You're just seeing the filter." "You cannot read the label from inside the prescription bottle. This isn't about intelligence or capability. It's literally just how your brain works when it's this close to something." "AI works on a law of averages. It buffs the edges off your messaging and makes you sound like everyone else. The precision has to come from you." "A belief problem doesn't mean you're broken. It means you're swimming in water you can't see because it's your environment. Someone else has to point it out." "Mediocre messaging isn't going to work in 2026. The market has gotten more sophisticated and most people's messaging hasn't come with it." "The founders who break through plateaus are the ones who get clear on what's actually running the show behind their business, then have the courage and clarity to actually change it." "When you fix a bottleneck, you'll find another one. That's how business works. The goal is to find the biggest one and give it your full attention so the effort you're putting in is actually landing." Links & Resources CEO Type Quiz: lauraschoenfeld.com/quiz Apply to The Decision Room Mastermind (open through June 19, 2026): jointhedecisionroom.com Instagram: @laura.schoenfeld If this episode gave you a clearer picture of where you're stuck, share it with a founder who's been circling the same decisions, and follow the podcast so you don't miss what's next.

BackTable ENT
Ep. 276 LPR vs. LPS: Key Differences & Diagnostic Techniques with Dr. Inna Husain

BackTable ENT

Play Episode Listen Later Jun 2, 2026 63:33


Not all chronic cough, globus, or voice changes are due to reflux, so how do you distinguish laryngopharyngeal symptoms (LPS) from true laryngopharyngeal reflux disease (LPRD)? In this episode of the BackTable ENT & Allergy podcast, Dr. Ashley Agan interviews laryngologist Dr. Inna Husain about how nuanced diagnostic definitions and a careful clinical approach can improve patient outcomes and avoid both under- and overdiagnosis. Together, they discuss the differences between GERD and LPRD, review the importance of detailed patient histories, endoscopic findings, and the evolving role of biomarkers like pepsin. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:14 - LPS Versus LPR Basics06:34 - GERD Versus LPRD11:28 - Clinic Workup and Scoping18:02 - San Diego Consensus Debate24:14 - Testing Over Empiric PPIs31:45 - Managing Proven Reflux34:59 - Stroboscopy Before Surgery36:10 - Pepsin Therapies and Tests39:54 - What Counts as Abnormal Reflux44:24 - Tapering Off PPIs Safely50:12 - Long Term Plan and Dietitians55:39 - GLP One Drugs and Reflux57:34 - Menopause Rhinitis and Hormones01:00:09 - Final Pearl For ENTs --- More about this episode They outline contemporary workup strategies, including the San Diego Consensus on Bravo testing, 24-hour pH impedance, and alternatives for negative reflux testing. The conversation covers management strategies, from selective PPIs and lifestyle tailoring to emerging therapies and the impact of GLP-1 drugs, helping ENT specialists refine their approach to complex laryngopharyngeal complaints. --- Resources San Diego Consensus for LPS and LPRD:https://doi.org/10.14309/ajg.0000000000003482 Dr. Inna Husainhttps://innahusainmd.com/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Nebraska Extension Almanac Radio
UNL Plant and Pest Diagnostic Clinic

Nebraska Extension Almanac Radio

Play Episode Listen Later Jun 2, 2026 4:16


If disease or insects are damaging your crops or home landscape plants the University of Nebraska has a resource that can help. Nebraska Extension Plant Diagnostician Kyle Broderick says the UNL Plant and Pest Diagnostic Clinic can identify pests and plant problems and help producers and homeowners find management solutions.

AJR Podcast Series
Human-in-the-Loop Large Language Model–Augmented Diagnostic Reasoning in Thoracic Imaging: Impact of Radiologic Expertise

AJR Podcast Series

Play Episode Listen Later Jun 1, 2026 6:24


Full article: Human-in-the-Loop Large Language Model–Augmented Diagnostic Reasoning in Thoracic Imaging: Impact of Radiologic Expertise Use of LLMs in the diagnostic reasoning process can either improve or hinder performance. Pranjal Rai, MD, discusses the AJR article by Song et al. exploring the association of reader expertise and reader performance when using LLMs as a diagnostic aid.

Émotions
TDAH : qu'est-ce que change le diagnostic ?

Émotions

Play Episode Listen Later May 31, 2026 44:12


Vivre avec un esprit qui papillonne constamment et qui refuse de se plier aux routines les plus élémentaires transforme chaque journée en un parcours du combattant invisible. Derrière ce que l'entourage qualifie souvent de paresse ou d'étourderie se cache en réalité un trouble neurodéveloppemental épuisant, où le cerveau lutte contre ses propres fonctions exécutives : le trouble déficit de l'attention avec ou sans hyperactivité (TDAH). Qu'est-ce que ça fait de vivre avec un TDAH ? Et qu'est-ce que ça change, d'avoir un diagnostic ?Dans cet épisode d'Émotions, Marie Misset explore la réalité du TDAH à l'âge adulte à travers les récits de Léonore, Sophie et Nils. Pour décrypter les effets du TDAH et comprendre ce que change un diagnostic officiel, elle interroge le psychiatre et addictologue Yann Le Strat ainsi que le neuropsychologue Florian Gatto. Si vous aussi vous voulez nous raconter votre histoire dans Émotions, écrivez-nous en remplissant ce formulaire ou à l'adresse hello@louiemedia.comÉmotions est un podcast de Louie Media. Marie Misset a tourné et écrit cet épisode. La réalisation sonore est de Clémence Reliat. Elsa Berthault est en charge de la production. Pour avoir des news de Louie, des recos podcasts et culturelles, abonnez-vous à notre newsletter en cliquant ici. Vous souhaitez soutenir la création et la diffusion des projets de Louie Media ? Vous pouvez le faire via le Club Louie. Vous pouvez aussi vous abonner à Louie+ sur Apple Podcasts pour écouter les épisodes sans publicités et nos séries en avant-première. Chaque participation est précieuse. Nous vous proposons un soutien sans engagement, annulable à tout moment, soit en une seule fois, soit de manière régulière. Au nom de toute l'équipe de Louie : MERCI !Suivez Émotions sur Apple Podcasts, Spotify, Deezer.Suivez Louie Media sur Instagram, Facebook, et YouTube. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

The Quiet Warrior Podcast with Serena Low
138. You're Not Broken: How to Flip the Switch on Anxiety and Depression by Rewiring Your Brain (Mike Wood)

The Quiet Warrior Podcast with Serena Low

Play Episode Listen Later May 31, 2026 47:58 Transcription Available


What happens when you've built a successful career, ticked every box on the list society gave you - and you're still miserable?That's where Mike Wood found himself at 45. A former COO who helped scale Jarrett Companies from $2.5 million to over $100 million in revenue, Mike had achieved everything he was supposed to want. Yet beneath the success, 30 years of anxiety and depression were still screaming.In this deeply honest conversation, Mike shares the five-year inner journey that led him to become a consciousness coach — and why he now takes those same tools into maximum security prisons and corporate boardrooms alike.In this episode, you'll discover:Why external success can never fill an internal void — and where to look insteadHow a single moment in kindergarten programmed a core belief that silently ran Mike's life until he was 47What the subconscious mind's "number one job" reveals about why we hold on to old wounds — and how to finally let them goThe two-minute gratitude practice that Mike used when his 7-year-old came upstairs in tears about monstersWhy reframing the past isn't rewriting history — it's giving your younger self more contextThe surprising leadership lesson Mike learned when his company flooded a 30-floor high-rise — and how taking radical ownership transformed the entire roomWhat school is failing to teach our kids (and ourselves) about emotional intelligenceHow releasing identity attachments can dissolve the physical stress response almost instantlyThe one thing Mike wants every quiet achiever to know if they feel brokenAbout Mike WoodMike Wood is a former COO turned consciousness coach who spent 30 years struggling with anxiety and depression before finding the tools that changed everything. He now runs Learn to Love Being You, a 10-week subconscious reprogramming program, and takes his work into maximum security prisons and corporate leadership settings across the US. Mike is also the father of seven children, ranging in age from 11 to 33.Connect with Mike & Claim Your Free GiftMike is offering listeners a free first week of his program — including guided breathwork exercises and manual tools to manage anxiety starting today.Free gift: mwoodmindset.com/warrior Program: learntolovebeingyou.com Email: mike@learntolovebeingyou.comWork with SerenaIf you're an introverted woman leader ready to become more visible and influential without performing extroversion, I invite you to apply for a SEEN Executive Calibration. 45 minutes via Zoom. Diagnostic, not selling. Root causes, not symptoms.Apply HERE.Connect with Serena Low at serenalow.com.au. Loved this episode? Leave a review - it helps other Quiet Warriors find the show.This episode was edited by Aura House Productions

The Radiology Report Podcast
From NASA Dreams to Radiology Leadership: Building a Life and Career in Radiology | Dr. Gautam Agarwal & Dr. Erin Gomez

The Radiology Report Podcast

Play Episode Listen Later May 29, 2026 54:20


In this episode of The Joys of Radiology, host Dr. Gautam Agarwal sits down with Dr. Erin Gomez, Assistant Professor of Radiology and Program Director of Diagnostic and Molecular Imaging Residencies at Johns Hopkins, for a conversation about building a meaningful life and career in medicine. Before becoming an award-winning radiologist and educator, Dr. Gomez was an engineering student working with NASA contractors at the Kennedy Space Center. What followed was an unexpected journey into radiology, where she discovered a passion for imaging, education, mentorship, and leadership. Together, they explore what brings joy to radiology, how great educators inspire the next generation of physicians, the evolving role of AI in radiology education, and the importance of creating a sustainable career without sacrificing the things that matter most outside of medicine. From teaching anatomy and mentoring residents to balancing academic medicine with family life, Dr. Gomez shares thoughtful insights on finding purpose, embracing growth, and leading with empathy. Most importantly, she leaves listeners with a simple but powerful piece of advice: "Run toward fear."

The PainExam podcast
Compression Fractures, Vertebroplasty, Kyphoplasty & Occipital Neuralgia for the Pain Medicine Boards

The PainExam podcast

Play Episode Listen Later May 29, 2026 14:08


PainExam Podcast Show Notes Compression Fractures, Vertebroplasty, Kyphoplasty & Occipital Neuralgia for the ABA Pain Medicine Boards In this episode of the PainExam Podcast, Dr. David Rosenblum reviews two frequently tested topics on the ABA Pain Medicine Board Examination: Occipital Neuralgia and Vertebral Compression Fractures, including the indications, techniques, complications, and evidence surrounding vertebroplasty and kyphoplasty. Whether you are preparing for the ABA Pain Medicine Boards, ABPM, ABIPP, FIPP, or simply looking to strengthen your interventional pain knowledge, this episode covers essential board pearls, anatomy, diagnosis, imaging findings, and treatment options. Episode Highlights Occipital Neuralgia Topics discussed include: Anatomy of the greater, lesser, and third occipital nerves C2 dorsal ramus anatomy and clinical relevance Diagnostic criteria for occipital neuralgia Differentiating occipital neuralgia from: Cervicogenic headache Migraine Cluster headache Tension headache Physical examination findings Occipital nerve blocks Pulsed radiofrequency ablation Cryoneurolysis Peripheral nerve stimulation (PNS) Board Pearl The greater occipital nerve originates from the dorsal ramus of C2 and temporary pain relief following a diagnostic occipital nerve block strongly supports the diagnosis. Vertebral Compression Fractures Topics reviewed include: Osteoporotic vertebral compression fractures Thoracolumbar fracture patterns MRI findings STIR sequence interpretation Patient selection for vertebral augmentation Conservative treatment versus intervention Vertebroplasty technique Kyphoplasty technique Cement leakage and other complications Evidence supporting vertebral augmentation procedures Board Pearl Bone marrow edema on MRI STIR imaging is one of the most important findings suggesting an acute compression fracture. Kyphoplasty vs Vertebroplasty Vertebroplasty Direct injection of PMMA cement into the vertebral body Stabilizes micro-motion within the fracture Can provide rapid pain relief Kyphoplasty Balloon tamp creates a cavity before cement placement May partially restore vertebral body height May reduce risk of cement extravasation Often preferred in selected patients with significant vertebral collapse Commonly Tested Complications Cement leakage Pulmonary cement embolism Adjacent level fractures Infection Neurologic injury (rare) High-Yield ABA Pain Medicine Keywords Occipital Neuralgia Greater Occipital Nerve C2 Dorsal Ramus Third Occipital Nerve Cervicogenic Headache Peripheral Nerve Stimulation Vertebral Compression Fracture Kyphoplasty Vertebroplasty PMMA Cement STIR MRI Osteoporosis Cement Extravasation Upcoming Educational Meetings & Conferences 2026 ASPN Annual Meeting – Miami Learn more about the upcoming meeting hosted by the American Society of Pain and Neuroscience:

AnesthesiaExam Podcast
Occipital Neuralgia and Compression Fractures for the Boards

AnesthesiaExam Podcast

Play Episode Listen Later May 29, 2026 14:08


PainExam Podcast Show Notes Compression Fractures, Vertebroplasty, Kyphoplasty & Occipital Neuralgia for the ABA Pain Medicine Boards In this episode of the PainExam Podcast, Dr. David Rosenblum reviews two frequently tested topics on the ABA Pain Medicine Board Examination: Occipital Neuralgia and Vertebral Compression Fractures, including the indications, techniques, complications, and evidence surrounding vertebroplasty and kyphoplasty. Whether you are preparing for the ABA Pain Medicine Boards, ABPM, ABIPP, FIPP, or simply looking to strengthen your interventional pain knowledge, this episode covers essential board pearls, anatomy, diagnosis, imaging findings, and treatment options. Episode Highlights Occipital Neuralgia Topics discussed include: Anatomy of the greater, lesser, and third occipital nerves C2 dorsal ramus anatomy and clinical relevance Diagnostic criteria for occipital neuralgia Differentiating occipital neuralgia from: Cervicogenic headache Migraine Cluster headache Tension headache Physical examination findings Occipital nerve blocks Pulsed radiofrequency ablation Cryoneurolysis Peripheral nerve stimulation (PNS) Board Pearl The greater occipital nerve originates from the dorsal ramus of C2 and temporary pain relief following a diagnostic occipital nerve block strongly supports the diagnosis. Vertebral Compression Fractures Topics reviewed include: Osteoporotic vertebral compression fractures Thoracolumbar fracture patterns MRI findings STIR sequence interpretation Patient selection for vertebral augmentation Conservative treatment versus intervention Vertebroplasty technique Kyphoplasty technique Cement leakage and other complications Evidence supporting vertebral augmentation procedures Board Pearl Bone marrow edema on MRI STIR imaging is one of the most important findings suggesting an acute compression fracture. Kyphoplasty vs Vertebroplasty Vertebroplasty Direct injection of PMMA cement into the vertebral body Stabilizes micro-motion within the fracture Can provide rapid pain relief Kyphoplasty Balloon tamp creates a cavity before cement placement May partially restore vertebral body height May reduce risk of cement extravasation Often preferred in selected patients with significant vertebral collapse Commonly Tested Complications Cement leakage Pulmonary cement embolism Adjacent level fractures Infection Neurologic injury (rare) High-Yield ABA Pain Medicine Keywords Occipital Neuralgia Greater Occipital Nerve C2 Dorsal Ramus Third Occipital Nerve Cervicogenic Headache Peripheral Nerve Stimulation Vertebral Compression Fracture Kyphoplasty Vertebroplasty PMMA Cement STIR MRI Osteoporosis Cement Extravasation Upcoming Educational Meetings & Conferences 2026 ASPN Annual Meeting – Miami Learn more about the upcoming meeting hosted by the American Society of Pain and Neuroscience:

Cardionerds
451: CCTA, CT-FFR, and AI Plaque Analysis to Personalize CAD Detection, Prevention, and Management with Dr. Michael Gallagher

Cardionerds

Play Episode Listen Later May 27, 2026 46:23


CardioNerds Dr. Joseph Kassab, Dr. Mariana Garcia-Arango, and Dr. Christopher Mason explore the technological revolution of Coronary CT Angiography (CCTA) with expert faculty Dr. Michael Gallagher. The discussion details how CCTA has evolved into a frontline diagnostic and preventive tool, moving beyond simple anatomy to incorporate physiology via CT-FFR and biology through AI-driven plaque quantification. The episode reviews landmark evidence like the SCOT-HEART and PROMISE trials, the nuances of CAD-RADS 2.0 reporting, and the emerging role of AI in monitoring treatment response and personalizing cardiovascular care. Critically, they also discuss some of the assumptions and limitations of these techniques. Stay tuned for a matching review article to be submitted to US Cardiology Review, the official Journal of CardioNerds. This episode was supported by an independent medical education grant from HeartFlow. All CardioNerds education is planned, produced, and reviewed solely by CardioNerds.  Enjoy this Circulation Paths to Discovery article to learn more about the CardioNerds mission and journey. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscripts here. CardioNerds Multimodality Cardiovascular Imaging PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll Pearls Shift in Paradigm: CCTA is no longer just an anatomic test; with some key limitations, it can provide anatomy, physiology (CT-FFR), and plaque biology (AI-CPA) in a single non-invasive scan. The “Power of Zero” vs. Plaque: While a normal CCTA has a >95% negative predictive value, future MIs often arise from non-obstructive plaque that traditional stress tests might miss. CAD-RADS 2.0 Utility: The addition of plaque burden modifiers (P1–P4) is a “game changer,” allowing clinicians to identify high-risk patients who need aggressive lipid-lowering despite having only mild stenosis. CT-FFR as a Virtual Stress Test: CT-FFR uses computational fluid dynamics to simulate blood flow, potentially reducing unnecessary invasive catheterizations by approximately 61% without sacrificing safety. Seeing the Invisible: AI-based quantitative plaque analysis (QCPA) can identify “subvisual” plaque and low-attenuation (lipid-rich) components that are the primary drivers of acute coronary syndromes. Show Notes How has the role of CCTA changed compared to traditional functional testing? Historically, stress testing answered “is there ischemia today?”, which often reflects late-stage disease. CCTA identifies disease across the entire spectrum, asking “is there atherosclerosis and how much plaque is present?”. Landmark evidence: SCOT-HEART showed a 41% relative risk reduction in MI at 5 years attributed to intensified preventive therapies, and PROMISE showed CCTA was better at selecting patients who truly needed invasive angiography. Diagnostic CCTA imaging depends on the protocol, contrast timing, heart rate, heart rhythm, breathholding, scanner quality, and several patient factors (obesity, prior stents, heavy calcification, complex bypass anatomy, and motion artifact all may limit imaging). “CCTA is exceptional for the right patient, with the right scanner, and the right team.” What are the key modifiers introduced in CAD-RADS 2.0, and why do they matter? CAD-RADS 2.0 moved beyond stenosis severity to include plaque burden (P0 to P4), high-risk plaque (HRP) features, and the presence of ischemia based on CT-FFR. It serves as a clinical decision support tool: a patient with mild (25-49%) stenosis but “extensive” (P4) plaque burden is considered high risk and warrants aggressive risk factor modification. How is CT-FFR calculated, and when is it most useful in clinical practice? CT-FFR uses resting CCTA data and computational fluid dynamics to create a 3D model of coronary flow during simulated maximal hyperemia. It is often used for intermediate lesions (40–90% stenosis) to predict if they are  ischemia-producing, guiding the decision whether to proceed with invasive angiography.  The assumptions necessary for this computational modeling may not apply well to patients with microvascular dysfunction, significant myocardial scar or prior infarction, or ventricular hypertrophy. Still, data indicate that CT-FFR performs similarly to PET in predicting hemodynamically significant lesions.  CT-FFR performs well at the extremes (either clearly normal or clearly abnormal). Accuracy dips, however, in the intermediate range (~0.75-0.80), where decision-making is most critical. In this grey zone, additional factors can help guide the approach, including the amount of myocardium supplied, translesional gradient, and plaque features.   CT-FFR has not been validated in distal segments, stented segments, heavily calcified coronary arteries, or in patients with severe aortic stenosis. Caution with CT-FFR should be utilized in very calcified coronary segments.  What is AI-based quantitative plaque analysis (QCPA), and what metrics are ready for clinical use? This is potentially a paradigm shift, moving away from stenosis-centric thinking to a more disease burden and plaque biology focus. QCPA uses deep learning algorithms to automatically segment the vessel wall and quantify plaque volume in mm³. Ready for “prime time” metrics include: Total Plaque Volume (TPV), non-calcified plaque volume, and Low-Attenuation Plaque (LAP) burden. Can serial CCTA be used to monitor the effectiveness of medical therapies like statins? While not yet a routine guideline-driven practice, trials like PARADIGM and EVAPORATE show that therapies can stabilize plaque; notably, CCTA is better for monitoring than CAC scores, which can be misleading as statins often increase plaque calcification as part of the stabilization process. There are no randomized trials that serial CCTAs improve outcomes. Cost and radiation exposure will be notable limitations. Serial scan timing, scan acquisition and interpretation standardization would be key. Dr. Gallagher notes that we are moving toward a world in which plaque burden may become a “treatment biomarker,” similar to tumor burden in oncology.  References 1. Coronary Computed Tomography Angiography From Clinical Uses to Emerging Technologies: JACC State-of-the-Art Review. Abdelrahman KM, Chen MY, Dey AK, et al. Journal of the American College of Cardiology. 2020;76(10):1226-1243. doi:10.1016/j.jacc.2020.06.076. 2. Non-Invasive Imaging in Coronary Syndromes: Recommendations of the European Association of Cardiovascular Imaging and the American Society of Echocardiography, in Collaboration With the American Society of Nuclear Cardiology, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance. Edvardsen T, Asch FM, Davidson B, et al. Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography. 2022;35(4):329-354. doi:10.1016/j.echo.2021.12.012. 3. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Gulati M, Levy PD, Mukherjee D, et al. Journal of the American College of Cardiology. 2021;78(22):e187-e285. doi:10.1016/j.jacc.2021.07.053. 4. Contemporary, Non-Invasive Imaging Diagnosis of Chronic Coronary Artery Disease. van der Bijl P, Gulati M, Saraste A, et al. Lancet (London, England). 2025;406(10519):2577-2587. doi:10.1016/S0140-6736(25)01586-7. 5. State of the Art: Evaluation and Medical Management of Nonobstructive Coronary Artery Disease in Patients With Chest Pain: A Scientific Statement From the American Heart Association. Slipczuk L, Blankstein R, Bucciarelli-Ducci C, et al. Circulation. 2025;152(23):e443-e466. doi:10.1161/CIR.0000000000001394. 6. Diagnostic Performance of Fractional Flow Reserve Derived From Coronary CT Angiography: The ACCURATE-CT Study. Li C, Hu Y, Jiang J, et al. JACC. Cardiovascular Interventions. 2024;17(17):1980-1992. doi:10.1016/j.jcin.2024.06.027. 7. Clinical Outcomes Based on Coronary Computed Tomography-Derived Fractional Flow Reserve and Plaque Characterization. Sato Y, Motoyama S, Miyajima K, et al. JACC. Cardiovascular Imaging. 2024;17(3):284-297. doi:10.1016/j.jcmg.2023.07.013. 8. Clinical Use of Coronary Computed Tomography Angiography-Derived Fractional Flow Reserve: Expert Consensus by an International Working Group. Tang CX, Leipsic JA, Nørgaard BL, et al. European Radiology. 2026;:10.1007/s00330-025-12313-6. doi:10.1007/s00330-025-12313-6. 9. Diagnostic accuracy of computed tomography–derived fractional flow reserve: a systematic review. Cook CM, Petraco R, Shun-Shin MJ, et al. JAMA Cardiol. 2017;2(7):803-810. Doi:10.1001/jamacardio.2017.1314 10. Diagnostic performance of noninvasive fractional flow reserve derived from coronary computed tomography angiography in suspected coronary artery disease: the NXT trial (Analysis of Coronary Blood Flow Using CT Angiography: Next Steps). Nørgaard BL, Leipsic J, Gaur S, et al. J Am Coll Cardiol. 2014;63(12):1145-1155. Doi:10.1016/j.jacc.2013.11.043 11. Comparison of coronary computed tomography angiography, fractional flow reserve, and perfusion imaging for ischemia diagnosis. Driessen RS, Danad I, Stuijfzand WJ, et al. J Am Coll Cardiol. 2019;73(2):161-173. Doi:10.1016/j.jacc.2018.10.056. 12. 1-year outcomes of FFRCT-guided care in patients with suspected coronary disease: the PLATFORM study. Douglas PS, De Bruyne B, Pontone G, et al. J Am Coll Cardiol. 2016;68(5):435-445. Doi:10.1016/j.jacc.2016.05.057. 13. Comparison of an initial risk-based testing strategy vs usual testing in stable symptomatic patients with suspected coronary artery disease: the PRECISE randomized clinical trial. Douglas PS, Nanna MG, Kelsey MD, et al; PRECISE Investigators. JAMA Cardiol. 2023;8(10):904-914. Doi:10.1001/jamacardio.2023.2595. 14. Diagnostic and clinical value of FFRCT in stable chest pain patients with extensive coronary calcification: the FACC study. Mickley H, Veien KT, Gerke O, et al. JACC Cardiovasc Imaging. 2022;15(6):1046-1058. doi:10.1016/j.jcmg.2021.12.010. 15. Low-Attenuation Noncalcified Plaque on Coronary Computed Tomography Angiography Predicts Myocardial Infarction: Results From the Multicenter SCOT-HEART Trial (Scottish Computed Tomography of the HEART). Williams MC, Kwiecinski J, Doris M, et al. Circulation. 2020;141(18):1452-1462. doi:10.1161/CIRCULATIONAHA.119.044720. 16. AI-Guided Quantitative Plaque Staging Predicts Long-Term Cardiovascular Outcomes in Patients at Risk for Atherosclerotic CVD. Nurmohamed NS, Bom MJ, Jukema RA, et al. JACC. Cardiovascular Imaging. 2024;17(3):269-280. doi:10.1016/j.jcmg.2023.05.020. 17. Interaction of AI-Enabled Quantitative Coronary Plaque Volumes on Coronary CT Angiography, FFRCT, and Clinical Outcomes: A Retrospective Analysis of the ADVANCE Registry. Dundas J, Leipsic J, Fairbairn T, et al. Circulation. Cardiovascular Imaging. 2024;17(3):e016143. doi:10.1161/CIRCIMAGING.123.016143. 18. Prognostic Value of AI-Based Quantitative Coronary CTA vs Human Reader-Based Visual Assessment: Results From the CONFIRM2 Registry. van Rosendael A, Nakanishi R, Bax JJ, et al. JACC. Cardiovascular Imaging. 2026;19(3):345-359. doi:10.1016/j.jcmg.2025.09.021.13. Pericoronary Adipose Tissue as a Marker of Cardiovascular Risk: JACC Review Topic of the Week. Tan N, Dey D, Marwick TH, Nerlekar N. Journal of the American College of Cardiology. 2023;81(9):913-923. doi:10.1016/j.jacc.2022.12.021. 19. Effect of Icosapent Ethyl on Progression of Coronary Atherosclerosis in Patients With Elevated Triglycerides on Statin Therapy: Final Results of the EVAPORATE Trial. Budoff MJ, Bhatt DL, Kinninger A, et al. European Heart Journal. 2020;41(40):3925-3932. doi:10.1093/eurheartj/ehaa652. 20. Coronary CT Angiography Evaluation With Artificial Intelligence for Individualized Medical Treatment of Atherosclerosis: A Consensus Statement From the QCI Study Group. Schulze K, Stantien AM, Williams MC, et al. Nature Reviews. Cardiology. 2026;23(2):100-115. doi:10.1038/s41569-025-01191-6.

Remarkable Results Radio Podcast
From Guesswork to Process: Modern Diagnostic Strategies for Auto Repair Shops [RR 1093]

Remarkable Results Radio Podcast

Play Episode Listen Later May 26, 2026 33:35


Thanks to our Partners, NAPA Auto Care and NAPA TRACS Watch Full Video Episode Recorded live at the 2026 TST Big Event, Carm Capriotto sits down with automotive trainer Ken Zanders to discuss the importance of ongoing technical education, building efficient diagnostic processes, and adapting to rapidly evolving vehicle technology. Ken explains why too many shops still rely on a chaotic “grocery list” approach to repairs and how a structured diagnostic strategy can dramatically improve technician efficiency, profitability, and customer trust. What You'll Learn Why inefficient diagnostic habits directly reduce technician productivity, shop profitability, and overall earning potential.The importance of following a structured diagnostic workflow instead of guessing and replacing parts.How electronic relative compression testing with a lab scope and amperage probe can reduce diagnostic time from hours to minutes.How modern vehicle technologies like GM's Vehicle Intelligence Platform (VIP) and Over-The-Air (OTA) updates are changing diagnostics and repair procedures.Why continuous education is no longer optional for automotive professionals working on today's advanced vehicle systems. The biggest takeaway from this episode is that repair shops cannot afford to operate in constant chaos and guesswork. A reactive “grocery list” approach to diagnostics leads to wasted time, unnecessary parts replacement, lower profits, and poor customer outcomes. To succeed in today's increasingly complex automotive industry, shop owners must create a year-round training strategy that helps technicians diagnose efficiently, think critically, and continuously improve their skills. Structured processes, modern testing methods, and ongoing education are no longer advantages; they are necessities for survival and growth. TST Big Event: https://tstseminars.org/ Ken Zanders, Dorman Training Don't Base Your Success On Probability – Ken Zanders [RR 822]: https://remarkableresults.biz/remarkable-results-radio-podcast/e822/ Thanks to our Partners, NAPA Auto Care and NAPA TRACS Learn more about NAPA Auto Care and the benefits of being part of the NAPA family by visiting https://www.napaonline.com/en/auto-care NAPA TRACS will move your shop into the SMS fast lane with onsite training and six days a week of support and local representation. Find NAPA TRACS on the Web at http://napatracs.com/ Connect with the Podcast: Visit the Website: https://remarkableresults.biz/ Subscribe on YouTube: https://www.youtube.com/carmcapriotto Follow on Facebook: https://www.facebook.com/RemarkableResultsRadioPodcast/ Follow on LinkedIn: https://www.linkedin.com/in/carmcapriotto/ Follow on Instagram: https://www.instagram.com/remarkableresultsradiopodcast/ Join Our Virtual Toastmasters Club: https://remarkableresults.biz/toastmasters Join Our Private Facebook Community: https://www.facebook.com/groups/1734687266778976 Join our Insider List: https://remarkableresults.biz/insider All books mentioned on our podcasts: https://remarkableresults.biz/books Our Classroom page for personal or team learning: https://remarkableresults.biz/classroom Special episode collections: https://remarkableresults.biz/collections Buy Me a Coffee: https://www.buymeacoffee.com/carm The Automotive Repair Podcast Network: https://automotiverepairpodcastnetwork.com/ Remarkable Results Radio Podcast with Carm Capriotto: Advancing the Aftermarket by Facilitating Wisdom Through Story Telling and Open Discussion. https://remarkableresults.biz/ Diagnosing the Aftermarket A to Z with Matt Fanslow: From Diagnostics to Metallica and Mental Health, Matt Fanslow is Lifting the Hood on Life. https://mattfanslow.captivate.fm/ Business by the Numbers with Hunt Demarest: Understand the Numbers of Your Business with CPA Hunt Demarest. https://huntdemarest.captivate.fm/ The Auto Repair Marketing Podcast with Kim and Brian Walker: Marketing Experts Brian & Kim Walker Work with Shop Owners to Take it to the Next Level. https://autorepairmarketing.captivate.fm/ The Weekly Blitz with Chris Cotton: Weekly Inspiration with Business Coach Chris Cotton from AutoFix - Auto Shop Coaching. https://chriscotton.captivate.fm/ Speak Up! Effective Communication with Craig O'Neill: Develop Interpersonal and Professional Communication Skills when Speaking to Audiences of Any Size. https://craigoneill.captivate.fm

The Spin Sucks Podcast with Gini Dietrich
The PESO Model® Diagnostic: Inside the Liquid Death Operating System

The Spin Sucks Podcast with Gini Dietrich

Play Episode Listen Later May 26, 2026 22:16


In the second of the monthly PESO Model® Diagnostic series, Gini Dietrich diagnoses the operating system behind Liquid Death, the rare brand sitting at Stage 5 / Leadership on the PESO Maturity Ladder, where the operating system isn't supporting the product. It IS the product. Take the free PESO Model® Diagnostic at spinsucks.com/self-peso-diagnostic, or learn about the 2026 PESO Model® Certification at spinsucks.com/peso-model-certification.

Heal NPD
The DSM's New Model of Personality Disorders: The Good, The Bad, and What's Missing

Heal NPD

Play Episode Listen Later May 26, 2026 58:39


This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, Ph.D. In this session, the group examines the Alternative DSM-5 Model for Personality Disorders (AMPD), a dimensional framework introduced in Section III of the DSM-5 and retained in DSM-5-TR. The model was developed in response to longstanding limitations of the traditional categorical system, including diagnostic overlap, heterogeneity within disorders, and the absence of a clear framework for assessing severity. The discussion focuses on the two core components of the model. The first, Level of Personality Functioning (Criterion A), assesses impairments in identity, self-direction, empathy, and intimacy. This portion of the model reflects a structural approach to personality and aligns with psychodynamic and developmental perspectives on personality organization. The second component, Criterion B, introduces a trait-based system organized around five domains: negative affectivity, detachment, antagonism, disinhibition, and psychoticism. These traits are derived from dimensional personality research and represent an effort to describe maladaptive personality features in a standardized way. The group explores the strengths of this combined model, as well as its limitations. Particular attention is given to the tension between structural and trait-based approaches, and to the question of whether personality pathology can be adequately captured through trait descriptions alone. Using narcissistic personality disorder as a focal example, the discussion examines how the model emphasizes grandiosity and attention-seeking traits while underrepresenting vulnerability, shame, and fluctuations in self-state. The conversation highlights the importance of understanding pathological narcissism as a system of self-esteem regulation rather than a fixed set of traits. Key themes include: The shift from categorical to dimensional models of personality disorder The distinction between personality functioning (structure) and personality traits (style) Limitations of trait-based approaches in capturing dynamic, state-based phenomena The role of self-esteem regulation, vulnerability, and oscillation in narcissistic pathology Clinical implications for diagnosis, formulation, and treatment Throughout, the discussion situates the AMPD as a meaningful step forward in personality disorder classification, while also identifying areas where the model remains conceptually limited. The session emphasizes the value of structural and developmentally informed approaches in understanding personality pathology. This series is intended for clinicians, trainees, and viewers seeking a nuanced, non-moralizing understanding of narcissism and personality disorders. To learn more about our work, visit: www.HealNPD.org Additional Resources: Newsletter: https://healnpd.substack.com Assessment and therapy inquiries: https://healnpd.org/contact Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 Citation:  American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). Link to alternative model:   https://psychiatryonline.org/doi/10.1... About Heal NPD Heal NPD is a clinical practice specializing in the assessment and treatment of pathological narcissism, narcissistic personality disorder, and related personality difficulties. We offer comprehensive diagnostic assessments, individual psychotherapy, and consultations for partners and family members. Learn more or inquire about services: https://healnpd.org

Feeling Good Podcast | TEAM-CBT - The New Mood Therapy
503: Is It Time for a New Approach to Emotional Suffering

Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

Play Episode Listen Later May 25, 2026 63:23


Is it Time for a New Approach to Emotional Suffering? Advantages and Disadvantages of DSM Diagnoses Hosts: Kevin Cornelius, LMFT Dr. David Burns Episode Summary In this thought-provoking episode, Dr. David Burns and host Kevin Cornelius, LMFT explore a topic that shapes nearly every corner of modern mental health care: psychiatric diagnosis. For decades, the Diagnostic and Statistical Manual of Mental Disorders (DSM) has defined how clinicians diagnose, treat, and research emotional suffering. But what if many of these diagnostic categories don't represent distinct medical diseases? What if they are simply normal human emotions—like sadness, anxiety, or shame—occurring on a spectrum? Dr. Burns draws on decades of clinical experience, research, and insights from TEAM-CBT to question the assumptions behind psychiatric labeling. While diagnoses can sometimes reduce stigma or help people access care, they can also unintentionally shape identity, medicalize everyday emotional struggles, and distract from the real drivers of emotional pain. This episode offers a nuanced conversation about labels, measurement, therapy, and what actually helps people recover from depression and anxiety. In This Episode You'll Learn What the DSM is—and why it became so influential How the DSM functions as the "diagnostic bible" of psychiatry Why the system was originally designed for research standardization, not necessarily for everyday clinical treatment The difference between true mental disorders and normal emotional experiences Examples of genuine brain disorders such as schizophrenia and bipolar I disorder Why many DSM diagnoses describe normal emotions taken to an extreme How everyday struggles became medical diagnoses Shyness becoming "social anxiety disorder" Chronic worry becoming "generalized anxiety disorder" Why time-based thresholds (like "14 days of depression") can be arbitrary The unintended consequences of diagnostic labels How labels can reinforce feelings of shame or defectiveness Why diagnoses can sometimes lead to over-medicalization and medication-focused care Why measurement matters more than diagnosis in therapy Dr. Burns explains how simple mood scales can quickly assess a patient's emotional state Research showing that DSM diagnoses often add little predictive value for treatment outcomes A surprising research finding After lengthy diagnostic interviews, clinicians were only 3–5% accurate at estimating patients' feelings in the moment What this reveals about the limits of traditional diagnostic approaches Why focusing on thoughts may be the key According to cognitive research, negative thoughts drive emotional suffering Effective therapy focuses on identifying and transforming these thoughts Hope for people who feel defined by a diagnosis Why diagnoses do not determine your ability to recover How targeted cognitive techniques can sometimes produce rapid improvements—even within a single session Benefits of Diagnosis (According to Dr. Burns) While the episode critiques diagnostic labeling, the conversation also highlights situations where diagnoses can help: Access to insurance coverage Eligibility for disability or academic accommodations Temporary relief from self-blame Clear communication in research studies Key Takeaway Mental health diagnoses can sometimes be useful administrative tools—but they should never define who you are. Real healing often comes from understanding the specific thoughts, moments, and experiences that drive emotional pain, and learning practical methods to change them. Mentioned in This Episode Dr. Burns' article: "Is It Time for a New Approach to Emotional Suffering?" (Psychology Today) TEAM-CBT approach to psychotherapy Brief Mood Survey and other measurement tools used in therapy Memorable Quote "We treat humans, not disorders." Connect & Learn More Read Dr. Burns' latest articles on Psychology Today Explore more tools and resources at FeelingGood.com Learn about TEAM-CBT training and techniques If you enjoyed this episode, please consider subscribing, sharing the podcast, or leaving a review. It helps more people discover tools for overcoming depression and anxiety. Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!

Finding Brave
329: How to Create a Neurodiversity-Friendly Workplace

Finding Brave

Play Episode Listen Later May 21, 2026 43:09


What if many of the behaviors we dismiss as laziness or "not getting it together" are actually signs that someone's brain works differently? In this episode of Finding Brave, Kathy Caprino welcomes Kristen Pressner, a trailblazing people leader helping reshape conversations around neurodiversity, ADHD, and human potential. As Chief People Officer for prominent multinational, Nokia, Kristen is a sought-after voice on equity and inclusion and regularly appears on international "Top HR Influencer" lists. Following the global impact of her TEDx talk, Are you biased? I am, which challenged audiences to confront unconscious bias with greater honesty and self-awareness, Kristen returned to the TEDx stage with a new question: Why is it that so many people just 'can't get it together'? The talk explores how neurodivergent traits are often misunderstood and has sparked conversations across families, workplaces, and the ADHD community. It also led to Kristen joining the World Economic Forum's Global Brain Economy Initiative, launched at Davos. In this conversation, Kristen shares how her family's experiences with ADHD transformed the way she understands motivation, behavior, and potential. She explains why many neurodivergent traits are misunderstood as character flaws and how traditional expectations can unintentionally create shame. Kristen also unpacks the biological differences between neurotypical and ADHD brains, including the role dopamine plays in focus and action, and how to build neuro-inclusive workplaces that help people thrive. Additionally, Kristen highlights the extraordinary strengths that often accompany neurodivergence, from creativity and innovation to future thinking and problem-solving. Tune in for a powerful conversation about neurodiversity, leadership, and creating a more brain-friendly world! Key Points From This Episode: Introducing Kristen Pressner, her TEDx talks, and her revelations around unconscious bias as an HR leader. [02:02] How the pandemic exposed hidden struggles with ADHD and neurodivergence within Kristen's family. [08:45] Diagnostic criteria, why ADHD is often misunderstood, and how neurodivergence exists on a broader spectrum than many realize. [12:15] Biological differences between neurotypical and ADHD brains, and why different brains need different strategies to thrive. [15:07] The necessary conditions for focus and productivity in ADHD minds: challenging, novel, fun, or do-or-die urgent. [20:23] Reframing "hard" and "easy" tasks and recognizing the unique strengths linked to neurodivergence. [22:50] How reducing shame and building brain-friendly conditions helped Kristen's family move from surviving to thriving. [23:57] Kristen's advice for parents: reducing shame, recognizing strengths, and helping neurodivergent kids thrive. [31:33] Her vision for more flexible, neuro-inclusive workplaces that help people thrive. [35:09] Where to learn more about Kristen's work and why spreading awareness around neurodiversity matters. [40:19] For More Information: Kristen Pressner Kristen Pressner on LinkedIn Kristen Pressner on Instagram Kristen Pressner on Facebook Kristen Pressner on X Kristen Pressner on TikTok Be a Brain Friend TEDx on Instagram Be a Brain Friend TEDx on Facebook Links Mentioned in Today's Episode: Kristen's TEDx talk, Why is it that so many people just 'can't get it together'? Kristen's TEDx talk on unconscious bias, Are you biased? I am HR Leaders Podcast with Chris Rainey, How To Create a Neurodiversity-Friendly Workplace LinkedIn Post, The #1 Skill in the Age of AI (It's not what you think) Direct link to free Neurodiversity Learning Pathway The World Economic Forum's Global Brain Economy Initiative ——————— Ready to Take Your Professional Life and Leadership to the Next Level FAST?  Work with Kathy and get hands-on, transformative CAREER & LEADERSHIP GROWTH COACHING SUPPORT today! Join me today in one of my top-requested career and leadership growth 1:1 coaching programs, and break through to a new, more rewarding career, professional and leadership experience and chapter. And take 10% off the price this week with coupon code 'BRAVEPOD10" as my thank-you for tuning in! Click the links below for more information and register today to save 10%: – Jumpstart Your Career Success (3 sessions) – Career & Leadership Breakthrough program (6 sessions) – Build Your Confidence, Success and Impact (10 sessions) ——————— GOT A BURNING CAREER QUESTION? Ask me on Hubble! I'm thrilled to be part of the Hubble Expert Advisory group, a space for straightforward guidance and help from top experts on business, entrepreneurship, startups, and career and leadership growth. For folks who haven't worked with me yet but are seeking guidance on careers, leadership, and making a bigger impact, feel free to book a brief advisory call via Hubble here >> Hubble | One conversation can change everything   ——————— Order Kathy's book The Most Powerful You today! In Australia and New Zealand, click here to order, elsewhere outside North America, click here, and in the UK, click here. If you enjoy the book, we'd so appreciate your giving the book a positive rating and review on Amazon! And check out Kathy's digital companion course The Most Powerful You, to help you close the 7 most damaging power gaps in the most effective way possible.  Kathy's Power Gaps Survey, Support To Build Your LinkedIn Profile To Great Success & Other Free Resources Kathy's TEDx Talk, Time To Brave Up & Free Career Path Self-Assessment Kathy's Amazing Career Project video training course & 6 Dominant Action Styles Quiz ——————— Sponsor Highlight I'm thrilled that both Audible.com and Amazon Music are sponsors of Finding Brave! Take advantage of their great special offers and free trials today! Audible Offer Amazon Music Offer Quotes: "I thought ADHD was nine-year-old boys bouncing off the wall, and that isn't how it manifested in my house at all." — Kristen Pressner [0:14:11] "How it manifested in my house is [through] things that most of us would call character flaws: not getting it together, running around looking for your keys—not adulting." — Kristen Pressner [0:14:18] "I saw all this potential in my family, and then all of this appeared to me to be laziness, not giving a hoot, not trying, not applying themselves, and that's character flaws." — Kristen Pressner [0:14:49] "I have wind at my back, because the world was made for me, and they've got invisible wind in their face, because it wasn't made for them." — Kristen Pressner [0:19:58] "It feels like they're making easy things really hard. [But they] make hard things look really easy, like connecting dots others wouldn't connect, or anticipating the future in ways I couldn't do." — Kristen Pressner [0:23:11] "Our research shows that the accommodations in the workplace that enable someone to be much more effective cost less than 500 bucks. No one's asking to work from Fiji." — Kristen Pressner [0:37:36] Watch our Finding Brave episodes on YouTube! Don't forget – you can experience each Finding Brave episode in both audio and video formats!  Check out new and recent episodes on my YouTube channel at YouTube.com/kathycaprino. And please leave us a comment and a thumbs up if you like the show!

The Doctor's Farmacy with Mark Hyman, M.D.
The Latest Science on Microplastics — And What They're Doing to Your Body | Dr. Shanna Swan

The Doctor's Farmacy with Mark Hyman, M.D.

Play Episode Listen Later May 20, 2026 72:06


We're surrounded by plastics and environmental chemicals every day, but only recently have scientists begun to understand how deeply they may be affecting human health. On this episode of The Dr. Hyman Show, I sit down with Dr. Shanna Swan to explore what the latest science reveals about plastics, fertility, hormone health, and the everyday habits that may be shaping our biology more than we realize. Watch the full conversation on YouTube, or listen wherever you get your podcasts. We Examine: • Why scientists are increasingly concerned about declining sperm counts, fertility, and hormone health • What microplastics, phthalates, BPA, and PFAS actually do inside your body • Why heating food in plastic can dramatically increase exposure to endocrine-disrupting chemicals • The practical changes that may help you reduce exposure and support long-term health This conversation isn't about fear, rather it's about understanding how everyday exposures shape our health and where small, practical changes can make a meaningful difference. If this episode has left you thinking differently about everyday exposure and you want to learn more, here are a few great places to start: • Watch The Plastic Detox • Explore Dr. Swan's work through the Action Science Initiative • Visit UnplasticYourLife.com for practical ways to reduce exposure at home View Show Notes From This Episode Get Free Weekly Health Tips from Dr. Hyman https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Sign Up for Dr. Hyman's Weekly Longevity Journal https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Join the 10-Day Detox to Reset Your Health https://drhyman.com/pages/10-day-detox Join the Hyman Hive for Expert Support and Real Resultshttps://drhyman.com/pages/hyman-hive This episode is brought to you by Seed, Big Bold Health, Timeline, BON CHARGE, Sulighten and BIOptimizers. Go to seed.com/hyman and use code 20HYMAN to get 20% off your first month. Go to bigboldhealth.com/drhyman and use code HYMAN15 to save 15% on your first order. Visit timeline.com/drhyman for 20% off a subscription on top of new starting price of $79. Head to bioptimizers.com/hyman and use promo code HYMAN at checkout to save 15%. Head to fatty15.com/HYMAN today and use code HYMAN for 15% off your 90-day subscription Starter Kit. (0:00) Microplastics in the human body and their sources (0:56) Introduction to Dr. Shanna Swan (3:34) The Plastic Detox documentary and endocrine disruptors (5:21) Dr. Swan's research journey and phthalates (6:29) Decline in sperm count and reproductive impacts (8:45) Early research and phthalate syndrome in humans (11:03) Sources and broader impact of endocrine-disrupting chemicals (19:38) Classes of hormone-altering chemicals and health impacts (22:51) Health impacts beyond reproduction (24:20) Personal and clinical experiences with microplastics (27:02) Measuring microplastics and routes of human exposure (29:29) Methods to reduce microplastic exposure (31:14) Biological and regulatory aspects of microplastics (35:02) Plastic Detox movie findings and intervention results (41:16) Chemicals in microplastics and their effects (47:21) Legislation and consumer protection against toxic chemicals (50:54) Diagnostic testing for toxic exposure: importance and costs (53:09) Practical steps to reduce chemical exposures (55:35) Avoiding plastic and toxic exposures in daily life (58:10) Skincare, fragrance, and chemical exposure (1:01:19) Rapid-fire questions on health and environmental practices (1:09:06) Resources for testing and exposure reduction

Ask Dr. Drew
Dr. Clare Craig: Moderna Was Developing Hantavirus mRNA Vax Before Cruise Outbreak, Stock Jumps 20 Percent w/ Eric Bolling & Gloria Romero – Ask Dr. Drew – EP 624

Ask Dr. Drew

Play Episode Listen Later May 20, 2026 69:09


The media is working overtime to manufacture the next viral panic, and pharma companies are making big money from the fear campaign. After confirming they were already working on a Hantavirus mRNA vaccine before the cruise ship outbreak – and also developing mRNA vax for ebola – Moderna's stock jumped 20%. What an odd coincidence… Diagnostic pathologist Dr. Clare Craig joins Dr. Drew to expose the suspicious timing behind the latest virus hysteria and what the pharmaceutical industry might be planning next – monkeypox, ebola, bird flu, or worse. Eric Bolling breaks down the economic warning signs flashing across the country as diesel prices near all-time highs. CA Lt. Gov. candidate Gloria Romero (running with Steve Hilton) exposes a new plot by California Democrats to repeal the “Top 2” primary system and change the rules of the election to maintain power. Dr. Clare Craig, BM BCh FRCPath, is a Diagnostic Pathologist and author of “Expired: Covid the Untold Story.” She practiced in the NHS for 15 years and became a Fellow of the Royal College of Pathologists. She was the day-to-day pathology lead for the cancer arm of the 100,000 Genomes Project and led R&D at Genomics England. She is Co-Chair of the Health Advisory and Recovery Team (HART Group). Follow at https://x.com/ClareCraigPath Eric Bolling is a TV personality, political commentator, and author. He is the host of TheEDGE and a former co-host of Fox News' The Five. A former commodities trader at the New York Mercantile Exchange specializing in crude oil, gold, and agricultural commodities, he also served on the NYMEX Board of Directors. He is a 2-time NYT bestselling author. Follow at https://x.com/ericbolling Gloria Romero is a candidate for California Lieutenant Governor, running alongside Steve Hilton. A former California State Senate Majority Leader, she was elected to the State Assembly in 1998 and the Senate in 2001. She left the Democratic Party in September 2024 and joined the Republican Party. She is also a professor, educator, and businesswoman. Learn more at https://gloriaromero.com 「 SUPPORT OUR SPONSORS 」 • COVEPURE – Do you know what's in your tap water? Get $250 off your purifier at https://covepure.com/DREW ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/fatty15⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/paleovalley⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twc.health/drew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • Susan Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/firstladyoflove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Content Producer • Emily Barsh - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/emilytvproducer⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Hosted By • Dr. Drew Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/drdrew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

JAMA Author Interviews: Covering research in medicine, science, & clinical practice. For physicians, researchers, & clinician
A New Era in Dementia: Advances in Diagnostic Blood Tests, Novel Drugs, and the Power of Lifestyle Changes

JAMA Author Interviews: Covering research in medicine, science, & clinical practice. For physicians, researchers, & clinician

Play Episode Listen Later May 20, 2026 45:33


Dementia affects millions of people globally, causing profound memory loss and cognitive impairment and compromising the ability to function independently in day-to-day life. In this episode of Healthy Dialogue, host Derek C. Angus, MD, MPH, sat down with Gil Rabinovici, MD, a neurologist and director of the UCSF Alzheimer's Disease Research Center, to discuss the latest developments in dementia and Alzheimer disease research. Related Content: A New Era in Dementia—Advances in Diagnostic Blood Tests, Novel Drugs, and the Power of Lifestyle Changes

ASOG Podcast
Bonus Episode - Handling Customer Complaints and Raising Industry Standards in Auto Repair

ASOG Podcast

Play Episode Listen Later May 14, 2026 46:12


Don't get to the end of this year wishing you had taken action to change your business and your life.Click here to schedule a free discovery call for your business: https://geni.us/IFORABEShop-Ware gives you the tools to provide your shop with everything needed to become optimally profitable.Click here to schedule a free demo: https://info.shop-ware.com/profitabilityUtilize the fastest and easiest way to look up and order parts and tires with PartsTech absolutely free.Click here to get started: https://geni.us/PartsTechTransform your shop's marketing with the best in the automotive industry, Shop Marketing Pros! Get a free audit of your shop's current marketing by clicking here: https://geni.us/ShopMarketingPros In this episode, David and Lucas discuss the challenges of handling difficult customer complaints, specifically a negative review following a diagnostic process and the denial of repair work. They dive into the importance of clear communication, setting expectations with consumers, and defending the value of professional diagnostic procedures. Throughout the conversation, they emphasize the need for industry-wide improvement, highlighting how prioritizing quality repairs and properly educating both staff and customers can help move the automotive industry in a better direction.00:00 Client disputes repair charges04:23 Diagnostic process and repair decision06:32 Challenges of Dealing with Customers12:13 Discussing steak pricing strategies14:11 Handling customer expectations16:25 Discussing repair pricing strategy22:10 Ensuring quality car repairs24:46 Surrounding yourself with success26:35 Frustrations in the auto repair business32:03 Challenges of business growth35:45 Focusing on quality and process37:05 Why we started the show40:35 Technician frustrations over pricing

Muscle Intelligence
The 10 Part Diagnostic Every Man Needs to Run in 2026

Muscle Intelligence

Play Episode Listen Later May 12, 2026 42:55


Want the mental edge Ben trains with? Head to https://www.troscriptions.com and use code MUSCLE for 10% off https://www.troscriptions.com/muscle   The rules of body transformation have changed, and if you are still running a protocol from five years ago, you are already behind. In this episode, Ben Pakulski introduces Man 4.0, the precision-based evolution in how high-performing men approach their health. Ben walks through the complete 10-part diagnostic his team uses with clients, covering genetics, advanced blood work, gut health, sleep, stress resilience, VO2 max, strength, and body composition. He explains why stabilizing the system always comes before optimizing it, and why generic protocols fail the men who need precision most. If you are tired of guessing and ready to engineer your results, this episode is the blueprint.   5 Bullet Points: The 10-part diagnostic Ben uses with every client Why stabilizing always comes before optimizing How genetics determine which supplements work for you The three systems to fix before adding anything else Why Man 3.0 plateaus and Man 4.0 breaks through

Thinking LSAT
40 Years of Teaching the LSAT (Ep. 557)

Thinking LSAT

Play Episode Listen Later May 4, 2026 68:43


Ben and Nathan have taught the LSAT for over 20 years. Students leaving the Demon often give the same advice: read carefully, eliminate wrong answers, and slow down.Also in this episode- A large law firm submits a court filing with AI hallucinations- Whether you need a diagnostic score before starting your LSAT studying- Tips from Demon students who crushed the LSATReuters Article: https://www.reuters.com/legal/litigation/sullivan-cromwell-law-firm-apologizes-ai-hallucinations-court-filing-2026-04-21/ Study with our Free Plan⁠⁠Download our iOS app⁠Watch Episode 557 on YouTubeCheck out all of our “What's the Deal With” segmentsGet caught up with our ⁠Word of the Week⁠⁠ library0:00 AI Hallucinations in Big Law Filing3:55 ABA Employment Data24:11 Do I Need a Diagnostic?31:24 Tips from Departing Demons 43:25 Knowing Your Law Preference51:37 Is Law School Right For Me?1:05:40 Word of the Week – modicum