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When you're running a small fleet, a single breakdown can crush your margins and throw your week off track. In this episode of The Long Haul, we sit down with Tyler Robertson, founder and CEO of Diesel Laptops, to talk about why every small carrier needs diagnostic tools in their own hands—not locked behind a shop's schedule or inflated repair fees. We dig into: What makes Diesel Laptops different from other diagnostic tools How owner-ops and small fleets can cut downtime, negotiate smarter, and stay in control Real-world examples of small carriers using diagnostics to protect their bottom line Why shops and dealers don't want you to have this tech (but you should anyway) If you've ever been stranded with a blinking check engine light and no answers, this is the episode that might just save you thousands. Follow The Long Haul Podcast Other FreightWaves Shows Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, editor in chief Joseph E. Safdieh, MD, FAAN, highlights articles about a p-tau217 blood test for Alzheimer's disease, the benefits of tirofiban with thrombolysis, and an AI tool that excels in diagnostic coding.
Our 54th episode of QuidelOrtho Science Bytes features Jonathan Siegrist, PhD, Executive Vice President of Research & Development and Chief Technology Officer, exploring the breakthroughs shaping diagnostics in 2025. From high-sensitivity troponin testing for faster cardiac care to non-invasive assays improving gastrointestinal health, rapid combo tests for respiratory surges and advances in molecular diagnostics, informatics and AI – these innovations are transforming workflows, guiding timely decisions and redefining patient care across the continuum. Dr. Siegrist shares how cutting-edge research and next-generation platforms are driving smarter diagnostics – delivering fast, reliable insights that empower clinicians and improve outcomes worldwide. About Our Speaker: Jonathan Siegrist, PhD Executive Vice President of Research & Development & Chief Technology Officer at QuidelOrtho Jonathan is responsible for the company's global R&D strategy, driving innovation and advancing next-generation diagnostic solutions. He brings over 15 years of leadership experience in the biotechnology and diagnostics industries, with a focus on molecular diagnostics, microfluidic platforms and biomedical engineering. Before joining QuidelOrtho, Jonathan served as Chief Technology Officer and head of assay research and development at Cepheid. Throughout his career, he has been recognized for his ability to lead complex, multidisciplinary teams while fostering a culture of creativity and innovation. Jonathan holds a PhD and Master of Science in biomedical engineering from the University of California, Irvine, and a Bachelor of Science in electrical engineering from the University of California, Los Angeles.
View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this "Ask Me Anything" (AMA) episode, Peter tackles a wide-ranging set of listener questions spanning lifespan interventions, exercise, cardiovascular risk reduction, time-restricted eating, blood pressure management, hormone therapy, diagnostics, and more. Peter reveals the single most important lever for extending healthspan and lifespan, and explains how he motivates midlife patients using the Centenarian Decathlon framework. He discusses the importance of addressing high apoB and cholesterol even in metabolically healthy individuals with calcium scores of zero, how to manage high blood pressure, and how to accurately evaluate metabolic health beyond HbA1c. Additional topics include time-restricted eating, practical considerations around ultra-processed foods, nuanced approaches to HRT for women and TRT for men, and why early and expanded screening for chronic disease—colonoscopy, PSA, coronary imaging, low-dose CT—can be lifesaving. He also offers insights into treating prediabetes, crafting exercise programs for those short on time, and safely incorporating high-intensity training in older adults. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #78 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Introducing a wide-ranging AMA: practical perspectives on lifespan interventions, metabolic health, diet, hormones, diagnostics, and more [2:45]; Why exercise is the most powerful single intervention for lifespan and healthspan [4:15]; How Peter motivates midlife patients to prioritize exercise [6:00]; Why lifespan and healthspan should not be treated as competing priorities and how choosing sustainable interventions benefits both [9:30]; Why high apoB deserves treatment even in a metabolically healthy patient with a CAC score of zero [14:00]; Managing hypertension: ideal targets for blood pressure, lifestyle levers, and why early pharmacology matters [18:15]; Assessing metabolic health beyond HbA1c: fasting insulin, triglycerides, lactate, zone 2, and more [23:30]; How to avoid common self-sabotaging patterns by choosing sustainable habits over extreme health interventions [26:00]; Time-restricted eating: minimal effect beyond calorie control, implications for protein intake, and practical considerations for implementing it [28:00]; Ultra-processed foods: definitions, real-world risks, and practical guidelines for smarter consumption [30:30]; How women should prepare for menopause and think about hormone replacement therapy: early planning, symptom awareness, and guidance on HRT [36:45]; Testosterone replacement for aging men: indications, benefits, and safe clinical management [39:45]; Why Peter recommends earlier and more aggressive screening tests than guidelines suggest: colonoscopies, coronary imaging, PSA, Lp(a), and low-dose CT scans, and more [43:30]; Full-body MRI screening: benefits, limitations, potential false positives, and the importance of physician oversight [47:15]; Prediabetes: individualized treatment strategies using tailored combinations of nutrition, sleep, and training interventions [51:00]; Time-efficient training plans for people with only 30 minutes per day to exercise [53:00]; How to safely introduce high-intensity exercise for older adults [55:00]; Timed dead hangs and ripping phone books: a playful look at Peter's early attempts to impress his wife [57:15]; Peter's carve out: The Four Kings documentary about a golden era of boxing [1:01:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube
A growing shortage of breast radiologists has hindered timely access to diagnostic breast imaging services. Radiologist burnout is exacerbating these workforce challenges. In this AJR Conversation, Breast Imaging Senior Editor Wei Yang, MD, speaks with Sona Chikarmane, MD, about her team's recently published AJR article exploring how the implementation of a remote diagnostic breast imaging program can provide a sustainable strategy to address these gaps.
In this podcast, featuring audio from an expert roundtable video module, listen as 3 multidisciplinary faculty, Tracey Q. Davidoff, MD, FCUCM; Carina Marquez, MD, MPH; and Jeffrey D. Whitman, MD, MS, discuss the benefits of diagnosing respiratory syncytial virus (RSV) and optimal testing strategies. Topics covered include:The annual burden of RSV and the benefits of diagnosisWhom to test and what diagnostic techniques to useLogistical considerations for implementationPotential benefits of RSV testingFor the full video module and to download the accompanying slides, visit the program page for this episode:https://bit.ly/3MrXTpIPresenters:Tracey Q. Davidoff, MD, FCUCMAttending PhysicianBaycare Urgent CareAssistant Professor, Family MedicineFlorida State University College of MedicineTallahassee, FloridaCarina Marquez, MD, MPHAssociate Professor of MedicineDivision of HIV, Infectious Diseases and Global MedicineUniversity of California, San FranciscoSan Francisco, CaliforniaJeffrey D. Whitman, MD, MSCo-Director of Clinical MicrobiologyAssociate ProfessorDepartment of Laboratory MedicineUniversity of California, San FranciscoSan Francisco, CaliforniaGet access to all of our new podcasts by subscribing to the Decera Clinical Education Infectious Disease Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Cet épisode hors-série a été réalisé dans la cadre d'un partenariat avec Petite Émilie. Rassemblant des parents et des soignant·es, cette association sans appartenance politique ou religieuse œuvre pour un meilleur accompagnement des personnes qui sont confrontées à une IMG et à un deuil périnatal. Pour faire un don à Petite Émilie, rendez-vous sur https://www.petiteemilie.org/.
This episode explores new evidence showing that paramagnetic rim lesions (PRLs) are highly prevalent early in multiple sclerosis (MS) and can differentiate MS from mimics with striking accuracy. Dr. Daniel Ontaneda, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, and Dr. Pascal Sati, Cedars-Sinai Medical Center, Los Angeles, CA, discuss how PRLs, paired with optimized susceptibility-based MRI, are reshaping diagnostic confidence and informing the latest revisions to the McDonald criteria.
Raymond Nistor-Gallo, Kurt Zatloukal, Karin Schwenoha. Regulatory Fragmentation in Europe and Its Risks for Patient Access and Safety: Subcontracting Work Flow Steps of In-House Diagnostic Procedures. Clinical Chemistry, Volume 71, Issue 12, December 2025, Pages 1202–1211. https://doi.org/10.1093/clinchem/hvaf123
We've been seeing lots of videos and promotion on MSKUS training for PTs.We all love new toys. And let's be honest, showing a patient their supraspinatus in real-time looks cool. It builds buy-in. It feels high-tech.But does it change what you do Monday morning?Does seeing the calcification actually change your loading protocol? Does the image change the fact that you need to treat the person in front of you, not just the tissue?In this week's episode of Untold Physio Stories, we're breaking down the ROI of Musculoskeletal Ultrasound.We discuss:The steep learning curve (it's harder than it looks).Diagnostic accuracy vs. Clinical utility.When it's a "Game Changer" and when it's just a "Nice to Have."If you've thought about or gone through the training leave a comment or reach out! We'd love to hear from you!Untold Physio Stories is sponsored byComprehend PT- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!The Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com
We are excited to collaborate with IVPN-Critical Care Listserv to bring you a powerful new episode:“Diagnostic Infectious Diseases Stewardship in the ICU.”Hosted by Sally Abbas, MSc. Clin.Pharm., BCCCP, MBA, this episode features an in-depth conversation with Sahar Hesham, MSc ,BCIDP ,BCPS, Infectious Diseases Clinical Pharmacist at Global Care Hospital (UAE).A must-listen for anyone passionate about infectious diseases, ICU practice, or antimicrobial stewardship.Stay tuned on IVPN Voice Podcast — where expert voices drive better patient care.#IVPNVoice #IVPNCriticalCare #ClinicalPharmacy #CriticalCarePharmacy#InfectiousDiseases #AntimicrobialStewardship #DiagnosticStewardship#ICUPharmacy #PharmacyEducation #HealthcareProfessionals#PharmacistsOfLinkedIn #PodcastEpisode #HealthcarePodcast#ClinicalPractice #PharmacyLeadership
Guest: Ashvini Keshavan, MRCP, PhD Very few patients in UK memory services receive an Alzheimer's diagnosis supported by molecular testing, limiting timely access to emerging therapies. The ADAPT trial—which was funded by the Blood Biomarker Challenge, a multi-million-pound program supported by the Alzheimer's Society, Alzheimer's Research UK, and players of People's Postcode Lottery—aims to close this gap by evaluating the real-world integration of blood-based biomarkers into standard NHS memory care pathways. Join Dr. Ashvini Keshavan as she discusses how this approach may impact diagnostic accuracy, treatment access, and healthcare resource use across the UK. Dr. Keshavan is a Senior Clinical Research Fellow and Honorary Consultant Neurologist specializing in Alzheimer's disease biomarkers at the University College London, and this topic was presented as a poster at the 2025 CTAD conference.
Guest: Ashvini Keshavan, MRCP, PhD Very few patients in UK memory services receive an Alzheimer's diagnosis supported by molecular testing, limiting timely access to emerging therapies. The ADAPT trial—which was funded by the Blood Biomarker Challenge, a multi-million-pound program supported by the Alzheimer's Society, Alzheimer's Research UK, and players of People's Postcode Lottery—aims to close this gap by evaluating the real-world integration of blood-based biomarkers into standard NHS memory care pathways. Join Dr. Ashvini Keshavan as she discusses how this approach may impact diagnostic accuracy, treatment access, and healthcare resource use across the UK. Dr. Keshavan is a Senior Clinical Research Fellow and Honorary Consultant Neurologist specializing in Alzheimer's disease biomarkers at the University College London, and this topic was presented as a poster at the 2025 CTAD conference.
The ABMP Podcast | Speaking With the Massage & Bodywork Profession
A client has a very traumatic experience with their kidney transplant surgery in 2017. Ever since, they have lived with chronic, intractable neck and head pain that doesn't respond to any treatment they've tried so far. A recent CT scan reveals some calcium deposits inside the cranium but - is that the cause? Can massage therapy help? Are there any options for this person? Resources: Anwar, Z. et al. (2011) "Superficial temporal artery calcification in patients with end-stage renal disease: Association with vascular risk factors and ischemic cerebrovascular disease," The Indian Journal of Radiology & Imaging, 21(3), pp. 215–220. Available at: https://doi.org/10.4103/0971-3026.85371. CNN, C.S., Special to (2014) 'I couldn't move': Patients who wake up during surgery, CNN. Available at: https://www.cnn.com/2014/11/28/health/wake-up-during-surgery (Accessed: November 14, 2025). Healthcare, G.E. (2020) Waking Up During Surgery: A Nightmare | Clinical View. Available at: https://clinicalview.gehealthcare.com/article/waking-during-surgery-patients-worst-nightmare (Accessed: November 14, 2025). Kiroglu, Y. et al. (2009) "Intracranial calcifications on computed tomography: pictorial essay," Diagnostic and Interventional Radiology [Preprint]. Available at: https://doi.org/10.4261/1305-3825.DIR.2626-09.1. Li, Xuelong et al. (2022) "The association of renal impairment with different patterns of intracranial arterial calcification: Intimal and medial calcification," Atherosclerosis, 363, pp. 42–47. Available at: https://doi.org/10.1016/j.atherosclerosis.2022.11.012. Host Bio: Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com. About our Sponsors: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function. Website: anatomytrains.com Email: info@anatomytrains.com Facebook: facebook.com/AnatomyTrains Instagram: www.instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA
ថ្មីៗនេះ ខ្ញុំបានសន្ទនាជាមួយមិត្តម្នាក់ដែលបាននិយាយថាការស្កប់ស្កល់ គឺជាមុខសញ្ញាល្អមួយសម្រាប់អ្នកនៅលីវដែលជាគ្រីស្ទបរិស័ទ។ នាងនិយាយបានត្រូវមែន។ វាជាមុខសញ្ញាល្អមួយ ហើយជាមុខសញ្ញាដែលយើងអាចរកឃើញបានចេញពីការសួរសំណួរត្រឹមត្រូវ។តាមពិតទៅ មានសំណួរពិចារណាមួយចំនួនដែលយើងត្រូវសួរដែលនឹងឆ្លើយប្រាប់ថា ភាពនៅលីវរបស់លោកអ្នកដំណើរការបានល្អប៉ុណ្ណា។តើវាមានអ្វីខ្លះ?ទាំងនេះគឺជាសំណួរយ៉ាងហោចណាស់៩ ដើម្បីសួរ៖ Hosted on Acast. See acast.com/privacy for more information.
REDIFF - Franck a partagé son expérience d'errance médicale pendant 30 ans avant de recevoir un diagnostic correct de trouble bipolaire en 2019. Cette découverte a transformé sa vie grâce à un traitement au lithium, lui permettant de retrouver une vie normale et de s'engager à sensibiliser les autres sur la santé mentale. Chaque soir, en direct, Caroline Dublanche accueille les auditeurs pour 2h30 d'échanges et de confidences. Pour participer, contactez l'émission au 09 69 39 10 11 (prix d'un appel local) ou sur parlonsnous@rtl.fr.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
Dans cet épisode de Yes We Care, Faustine Duriez reçoit Emmanuelle Duez, fondatrice de The Boson Project, capitaine de réserve dans la Marine nationale, et une des voix qui compte sur le travail en France. Si vous ne connaissez pas encore Emmanuelle, voici pourquoi cet épisode est incontournable. Depuis plus de dix ans, elle explore le travail comme d'autres explorent un territoire inconnu :
Ce jeudi 4 décembre , Antoine Larigaudrie a reçu Karen-Laure Mrejen, fondatrice de Swaive, et Laurent Grassin, directeur des médias chez Boursorama, dans l'émission Tout pour investir sur BFM Business. Retrouvez l'émission lundi au vendredi et réécoutez la en podcast.
durée : 00:01:58 - Beauté et bien-être, ici RCFM - Une solution pour analyser et caractériser le microbiome. Vous aimez ce podcast ? Pour écouter tous les autres épisodes sans limite, rendez-vous sur Radio France.
Are you thriving as a physician, or just getting by? In today's episode, I sit down with Erika Czerwinski, a clinical psychologist and founder of Eleos, who's dedicated to helping high-achieving doctors break free from the cycle of burnout and rediscover their sense of self. We explore how many physicians unknowingly disconnect from their emotions and go through the motions rather than truly living. Erika shares her fascinating approach to healing, which blends cutting-edge psychedelic therapies with a deep, introspective look into the physician's inner world. She explains how doctors, who are experts at compartmentalizing their pain to serve others, often fail to notice the silent toll it takes on their relationships, health, and happiness. If you're a doctor who feels like something's missing, but you can't put your finger on it, this one is for you. Don't let the weight of “performing” take you away from living life. Tune in now to learn how you can reclaim your energy, passion, and purpose. “The health and energy you possess is your highest currency.” ~ Erika CzerwinskiIn This Episode:- Erika's transition from working with young adults to physicians- Warning signs of burnout and emotional disconnection- The difference between endurance and resilience in physicians- Diagnostic tools for measuring physician burnout and well-being- Creating a safe space for physicians to rediscover their happiness- Ketamine-assisted therapy: background and how it works- Benefits of community and vulnerability at Eleos physician retreats- Advice for high-achievers who are at a plateauMentioned in the Episode:Take the ELEOS Journey at a special discount. Use the code “LIMITLESS MD” at checkout to get $500 off at: https://eleosjourney.com/ Connect with Erika Czerwinski: LinkedIn: https://www.linkedin.com/in/erika-czerwinski-psy-d-09784310 Website: https://eleosjourney.com/ Resources:➡️ Free community of high-performing physicians: the Physician Wealth Accelerator - https://limitless-md.mn.co/➡️ Check out my programs - https://vikramraya.com/coaching/➡️ Apply to become a Limitless MD - www.I8mastermind.com➡️Claim Your Free 30-minute discovery call and $500 off your engagement with Hall CPA: go.therealestatecpa.com/limitless Connect with Vikram:Website: https://vikramraya.com/Instagram: https://www.instagram.com/vikramraya/Facebook: https://www.facebook.com/VikramrayamdLinkedIn:
The crux of HIV care and prevention is quick and accurate diagnosis. Listen in to learn from Aniruddha (Anu) Hazra, MD, and Dr. Nancy S. Miller about the advantages and potential pitfalls of different HIV testing algorithms to find out which one is best suited for your practice.Presenters:Aniruddha (Anu) Hazra, MDAssociate Professor, Section of Infectious Diseases and Global HealthMedical Director, UCM Sexual Wellness ClinicDirector of STI Services, Chicago Center of HIV EliminationDepartment of MedicineUniversity of ChicagoChicago, IllinoisNancy S. Miller, MDMedical Director, Clinical Microbiology and Molecular DiagnosticsClinical Professor, Department of Pathology and Laboratory MedicineBoston Medical Center and Boston University Chobanian & Avedisian School of MedicineBoston, MassachusettsLink to full program:https://bit.ly/4nS7rYEGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Molecular point-of-care testing has the potential to substantially mitigate the impact of sexually transmitted infections (STIs) on personal and public health. Listen in to learn how it may even limit the development of antimicrobial resistance. Topics covered include:CDC and US Preventive Services Task Force STI screening recommendationsWhether or not laboratory-based STI tests contribute to increasing antibiotic resistanceRole of point-of-care testing and strategies for implementationPresenter:Jeffrey D. Klausner, MD, MPHClinical Professor of MedicinePopulation and Public Health Sciences LeadInfectious Diseases Epidemiology and Applies Studies (I.D.E.A.S.) InitiativeKeck School of Medicine of the University of Southern CaliforniaLos Angeles, CaliforniaLink to full program:https://bit.ly/4nS7rYEGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Ce mardi 2 décembre, le rapport du conseil des prélèvements obligatoires pour revoir la fisaclité du patrimoine et la lettre de Lecornu aux 2 000 entrepreneurs concernant le budget, ont été abordés par Léonidas Kalogeropoulos, PDG de Médiation & Arguments, Emmanuel Combe, professeur à l'université Paris 1 Panthéon-Sorbonne et à la Skema Business School, et Ludovic Desautez, directeur délégué de la rédaction de La Tribune, dans l'émission Les Experts, présentée par Raphaël Legendre sur BFM Business. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.
In this episode, I sit with Reed Davis — board-certified holistic health practitioner, certified nutritional therapist, and founder of Functional Diagnostic Nutrition — to unpack the modern health crisis and a different way forward.Reed shares his journey from environmental paralegal to leading educator in functional lab testing, why conventional bloodwork often misses the real causes, and how the DRESS framework (Diet, Rest, Exercise, Stress reduction, Supplementation) helps resolve what he calls “metabolic chaos.”We dive into real stories of transformation from clearing chronic hives and medication dependence to helping a child avoid stimulant meds through diet and lifestyle, and why running multiple, targeted labs is the “price of admission” for finding upstream healing opportunities.Reed also explains how FDN trains practitioners to interpret functional labs, design individualized protocols, and coach clients through lasting change.If you're curious about lab-led holistic care, personalized protocols, and practical steps to reclaim long-term health, this episode is for you.To learn more about FDN and connect with Reed: https://www.functionaldiagnosticnutrition.com♾ In a fast-paced world like the one we live in, time is one of our most important assets. For a few minutes every episode, I, Tannaz Hosseinpour, will be discussing topics that aim to enhance the quality of your life, by helping you feel empowered to take inspired action on your personal growth journey.Connect with me for daily insights:InstagramFacebookTikTokMore resources available on www.minutesongrowth.comThis podcast is for educational purposes only. The host claims no responsibility to any person or entity for any liability, loss, or damage caused or alleged to be caused directly or indirectly as a result of the use, application, or interpretation of the information presented herein.
Actinomyces species are considered part of the normal vaginal and urogenital tract flora. The percentage of Pap smears containing Actinomyces-like organisms varies but is most commonly reported as approximately 7% among women using IUDs. That number is supported by multiple sources, including the Infectious Diseases Society of America guideline and several clinical studies. The incidence can be higher or lower depending on the type of IUD; for example, copper IUDs have been associated with rates up to 20%, while levonorgestrel-releasing IUDs show lower rates around 2.9%. In women with an IUD, who are found to have this finding on their liquid-based Pap smear, what is the appropriate management? In this episode, which comes from one of our podcast family members, we will discuss this topic and it's management in both symptomatic and symptomatic (pelvic pain) IUD wearing women. 1. McHugh KE, Sturgis CD, Procop GW, Rhoads DD. The Cytopathology of Actinomyces, Nocardia, and Their Mimickers. Diagnostic Cytopathology. 2017;45(12):1105-1115. doi:10.1002/dc.23816.2. Practice Bulletin No. 186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices. Obstetrics and Gynecology. 2017;130(5):e251-e269. doi:10.1097/AOG.0000000000002400.3. Miller JM, Binnicker MJ, Campbell S, et al. Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2024 Update by the Infectious Diseases Society of America (IDSA) and the American Society for Microbiology (ASM). Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 2024; ciae104. doi:10.1093/cid/ciae104.5. Carrara J, Hervy B, Dabi Y, et al. Added-Value of Endometrial Biopsy in the Diagnostic and Therapeutic Strategy for Pelvic Actinomycosis. Journal of Clinical Medicine. 2020;9(3):E821. doi:10.3390/jcm9030821.
Dr. Tamara Hancock, assistant teaching professor at Mizzou's College of Veterinary Medicine and 2025 Kemper Fellow, joins Brad's Bites to discuss the Veterinary Medicine Diagnostic Laboratory and its expansion.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In the last ten years, 'diagnostic stewardship' has emerged as a core principle of good clinical practice whose implementation impacts both the individual patient and public health at large. In this episode of Communicable, hosts Angela Huttner and Annie Joseph invite two experts in the field, Daniel Morgan (Maryland, USA) and Valerie Vaughn (Utah, USA), to discuss diagnostic stewardship in the context of infectious diseases, hospital medicine, and healthcare in general. Other topics covered include practical interventions for better testing practices and the role of artificial intelligence in the future of diagnostics. The episode highlights how thoughtful, intentional diagnostic practices can enhance clinician workflows and improve patient outcomes.This episode is a follow-up from Morgan's recently published commentary in CMI Communications on diagnostic testing, and the need for evaluating its clinical impact [1]. The episode was peer reviewed by Özlem Türkmen Recen of Çınarcık State Hospital, Yalova, Türkiye. ReferencesBaghdadi JD & Morgan DJ. Diagnostic tests should be assessed for clinical impact. CMI Comms 2024. DOI: 10.1016/j.cmicom.2024.105010Further readingAdvani S and Vaughn VM. Quality Improvement Interventions and Implementation Strategies for Urine Culture Stewardship in the Acute Care Setting: Advances and Challenges. Curr Infect Dis Rep 2021. DOI: 10.1007/s11908-021-00760-3 Core Elements of Hospital Antibiotic Stewardship Programs, https://www.cdc.gov/antibiotic-use/hcp/core-elements/hospital.html Core Elements of Hospital Diagnostic Excellence (DxEx), https://www.cdc.gov/patient-safety/hcp/hospital-dx-excellence/index.htmlCosgrove SE & Srinivasan A. Antibiotic Stewardship: A Decade of Progress. Infect Dis Clin North Am 2023. DOI: 10.1016/j.idc.2023.06.003 Dik JH, et al. Integrated Stewardship Model Comprising Antimicrobial, Infection Prevention, and Diagnostic Stewardship (AID Stewardship). J Clin Microbiol 2017. DOI: 10.1128/jcm.01283-17Fabre V, et al. Principles of diagnostic stewardship: A practical guide from the Society for Healthcare Epidemiology of America Diagnostic Stewardship Task Force. Infect Control Hosp Epidemiol 2023. DOI: 10.1017/ice.2023.5 Huttner A, et al. Re: ‘ESR and CRP: it's time to stop the zombie tests' by Spellberg et al. CMI 2025. DOI: 10.1016/j.cmi.2024.09.016 Morgan DJ, et al. Diagnostic Stewardship—Leveraging the Laboratory to Improve Antimicrobial Use. JAMA 2017. DOI: 10.1001/jama.2017.8531 Messacar K, et al. Implementation of rapid molecular infectious disease diagnostics: the role of diagnostic and antimicrobial stewardship. J Clin Microbiol 2017. DOI: 10.1128/jcm.02264-16Messacar K, et al. Clinical and Financial Impact of a Diagnostic Stewardship Program for Children with Suspected Central Nervous System Infection. J Pediatr. 2022. DOI: 10.1016/j.jpeds.2022.02.002 Qian ET, et al. Cefepime vs Piperacillin-Tazobactam in Adults Hospitalized With Acute Infection: The ACORN Randomized Clinical Trial. JAMA 2023. DOI: 10.1001/jama.2023.20583 Siontis KC et al. Diagnostic tests often fail to lead to changes in patient outcomes. J Clin Epidemiol 2014. DOI: 10.1016/j.jclinepi.2013.12.008Vaughn VM, et al. Antibiotic Stewardship Strategies and Their Association With Antibiotic Overuse After Hospital Discharge. Clin Infect Dis 2022. DOI: 10.1093/cid/ciac104Vaughn VM, et al. A Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria. JAMA Intern Med 2023. DOI: 10.1001/jamainternmed.2023.2749
Jane Hutchens, naturopath and reproductive health and human genetics expert, along with fx Medicine ambassador, Emma Sutherland, raise awareness on the importance of understanding cardiovascular health implications during pregnancy and post-partum. This impacts 1 to 4 percent of women in Australia and is under recognized and underreported. In this discussion the naturopaths discuss the various types of cardiovascular diseases that may impact a pregnant or postpartum woman, the importance of understanding the mental and social impacts this may have on sufferers and some tools to aid practitioners in screening for risk in developing cardiac disease in pregnancy. COVERED IN THIS EPISODE (00:54) Welcoming Jane Hutchens (02:06) Types of cardiac disease in pregnancy (06:04) The amount of women with cardiovascular disease is dramatically under represented (08:08) Diagnostic criteria for cardiac disease in pregnancy (11:38) Some findings from Jane's research (16:13) Understanding genetic and general risks (22:29) Signs and symptoms of cardiac disease during and post-pregnancy (28:40) How oxidative stress affects the placenta (31:30) Long-term risks and ongoing struggles (39:02) Treatment options and support (42:40) Thanking Jane and final remarks Find today's transcript and show notes here: https://www.bioceuticals.com.au/education/podcasts/cardiovascular-health-in-pregnancy-postpartum-with-emma-sutherland-jane-hutchens Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: www.bioceuticals.com.au/signup/ DISCLAIMER: The information provided on fx Medicine by BioCeuticals is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the November 2025 Emergency Medicine Practice article, Diagnosis and Management of Emergency Department Patients With Alcohol Withdrawal SyndromeEpidemiology & Background Rising ED visits related to alcohol use. Mortality rates and spectrum of patient presentations. Importance of high suspicion and complexity of cases.Pathophysiology & Mechanisms Alcohol metabolism and neurochemical changes. Differential diagnosis: Conditions that mimic alcohol withdrawal.Prehospital & EMS Considerations Role of EMS in triage and initial management. Use of sobering centers vs. ED transport. Prehospital administration of benzodiazepines (IM midazolam).History & Risk Assessment Key questions to assess risk for alcohol withdrawal syndrome. Importance of patient history, medication use, and comorbidities. Discussion on patient honesty and rapport.Physical Exam & Scoring Systems DSM-5 criteria for alcohol withdrawal. Use of CIWA-AR, BAWS, and PAWSS scoring systems. Importance of objective measurement for monitoring and disposition.Complications & Special PresentationsComplicated alcohol withdrawal: Hallucinosis, seizures, delirium tremens. Diagnostic workup: Labs, imaging, and co-ingestions. Special populations: End-stage liver disease, pregnancy, intubated patients.Treatment Strategies Mainstay: Benzodiazepines (types, dosing, and protocols). Phenobarbital: Indications, dosing, and evidence. Adjunctive therapies: Thiamine, glucose, magnesium. Alternative/adjunct medications: Gabapentin, ketamine, dexmedetomidine, baclofen.Clinical Pearls & Practice Changes Early, aggressive therapy to prevent complications. Symptom-based vs. fixed-schedule treatment. Gabapentin as an alternative or adjunct. Anti-craving medications for relapse prevention.Disposition & Protocols Use of scoring systems for safe discharge, observation, or admission. Importance of protocolized approaches and community resources.Summary & Take-Home Points Five key practice-changing points. Clinical pathway.Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
"Hormones, SOPK, cycle, sport... avec Eva Lecoq, fondatrice de Sova | Podcast de Clarisse"Dans cet épisode puissant, je reçois Eva Lecoq, 27 ans, cofondatrice de Sova, une marque de compléments alimentaires spécialisée dans le bien-être hormonal qui a généré près de 10 millions d'euros en 3 ans et accompagné 70 000 femmes.Eva nous raconte son parcours personnel avec le SOPK (Syndrome des Ovaires Polykystiques), depuis ses premiers symptômes à l'adolescence jusqu'à la création de son entreprise. Elle partage des conseils concrets et accessibles pour toutes les femmes qui veulent prendre soin de leurs hormones et mieux vivre leur cycle.
November 20th is World Pancreatic Cancer Awareness Day, and specialists along with Pancreatic Cancer Ireland are calling for rapid access to diagnostic clinics, as it is projected to become the second leading cause of cancer-related death by 2030…Joining Seán Defoe to discuss this is Professor Tom Gallagher, Consultant Surgeon at the National Surgical Centre for Pancreatic Cancer at St. Vincent's University Hospital.
Koro is a culture-bound delusional disorder in which individuals have an overpowering belief that their sex organs are retracting and will disappear, despite the lack of any true longstanding changes to the genitals.[1][2] Koro is also known as shrinking penis, and was listed in the Diagnostic and Statistical Manual of Mental Disorders.
This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Diagnostic intelligence is transforming healthcare by turning lab testing from a cost center into a strategic asset. In this episode, Dr. Julie Schulz, Vice President of Product at Avalon Healthcare Solutions, discusses how integrating diagnostics into value-based care can lead to improved quality, lower costs, and enhanced preventive medicine. She notes that physicians are overwhelmed by the rapid growth of genetic testing and evolving clinical guidelines, leading to cognitive overload and inefficiencies. Diagnostic intelligence, she explains, can alleviate this by identifying the right tests at the right time and automating prior authorizations, reducing treatment timelines from 60 days to just 15. Dr. Schulz emphasizes that diagnostics inform 70% of healthcare decisions, making their effective use vital for improving access and outcomes, particularly among underserved populations, and underscores that simplifying data and embedding clinical decision support earlier can benefit both patients and providers. Tune in and learn how diagnostic intelligence is shaping the future of precision medicine and preventive care! Resources Connect with and follow Dr. Julie Schulz on LinkedIn. Follow Avalon Healthcare Solutions on LinkedIn and explore their website. Read Avalon Healthcare Solutions' Annual Lab Trend Report here.
The Centers for Disease Control and Prevention recently released its Core Elements of Hospital Diagnostic Excellence. Given the significant implications of diagnostic stewardship on the use of antimicrobials, US Antibiotic Awareness Week is an excellent opportunity to begin to unpack this topic. This podcast reviews the core elements and explores the opportunities for pharmacists to engage in diagnostic stewardship and how this topic has broader implications beyond antimicrobial use. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
You may find the charges in this episode jarring: depression is not the result of a chemical imbalance, SSRIs aren't necessarily antidepressants, and the term you use for your mental health condition isn't scientifically valid. Sarah Fay, author of Pathological: The True Story of Six Misdiagnoses says it's dangerous to identify with your diagnosis because it's kind of made up and it blocks your path to recovery.A doctor told her she was “an anorexic” when Sarah was 12 years old, even though she didn't meet many of the criteria for anorexia. Sarah embraced the identity, taking on the behaviors and habits of a person with that eating disorder. Later in life, she was diagnosed with five more disorders, each time embracing the tag, all while her mental health deteriorated. Finally, another doctor said he didn't know what was the matter with her and that gave Sarah some peace and a chance to focus on feeling better. She saw her mental makeup as something not bound by the names of disorders in the Diagnostic and Statistical Manual used by mental health professionals. While she still takes meds and sees a therapist and a psychiatrist, Sarah has come to believe that everyone's focus needs to be on recovery rather than focusing on the limitations borne of terms she says are way too subjective and that don't stand up to scientific scrutiny.Thank you to all our listeners who support the show as monthly members of Maximum Fun.Check out our I'm Glad You're Here and Depresh Mode merchandise at the brand new merch website MaxFunStore.com!Hey, remember, you're part of Depresh Mode and we want to hear what you want to hear about. What guests and issues would you like to have covered in a future episode? Write us at depreshmode@maximumfun.org.Depresh Mode is on BlueSky, Instagram, Substack, and you can join our Preshies Facebook group. Help is available right away.The National Suicide Prevention Lifeline: 988 or 1-800-273-8255, 1-800-273-TALKCrisis Text Line: Text HOME to 741741.International suicide hotline numbers available here: https://www.opencounseling.com/suicide-hotlines
Le Dr Vincent Reliquet est un médecin généraliste engagé, reconnu pour ses travaux sur l'iode. Il défend une médecine indépendante, naturelle et centrée sur l'expérience clinique. Le tome 3 de son dernier livre "Chroniques de médecine contestataire - Je pense librement donc je soigne mieux !" est disponible partout.Site du cabinet : https://www.docteurreliquet.fr/Livre Amazon : https://urls.fr/yR-gJQCHAPITRES :0:00 Introduction2:52 La carence en iode en France4:30 Importance de l'iode pour la thyroïde6:09 Causes de la carence en iode15:43 La thyroïde et son fonctionnement25:51 Diagnostic d'hypothyroïdie28:14 Pourcentage de carence en iode31:53 Risques de carence pour la santé40:38 Iode et santé des femmes49:17 L'impact de l'iode sur le développement53:54 Supplémentation et recommandations d'iode56:27 Clarification sur la cléance de l'iode1:00:20 Les algues et l'iode dans l'alimentation1:03:22 L'importance de l'iode pour les enfants1:07:24 Lien entre iode et performance sportive1:14:13 Génotypes et production de T31:22:59 Vers une médecine préventive1:31:22 Métaux rares et leur importance1:36:48 Vaccination pédiatrique et ses enjeux1:45:31 Vaccins et leur efficacité1:54:07 Réflexion sur l'éducation et l'iodeBIOMÉCANIQUE :InstagramYoutubeSpotifyApple PodcastsDiscordWebsiteLa Lettre Biomécanique™ Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
Diagnostic radiologist Rakesh A. Shah discusses his article "A critique of medicine's response to RFK Jr." Rakesh argues that major physician organizations have failed in their duty to protect public health by remaining silent and timid in the face of Robert F. Kennedy Jr.'s anti-vaccine misinformation. He contends that this "cowardice" prioritizes institutional self-interest over patient welfare and endangers not just immunization programs but the future of medical research, including promising mRNA-based cancer treatments. This episode explores the crisis of leadership in organized medicine, the difference between being apolitical and surrendering to a public health threat, and why Rakesh believes this silence is a profound abdication of professional duty. Learn why he argues that when politicians show more courage than doctors, the very credibility of medicine is at stake. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Depression is not always unipolar—can you tell when bipolar features are hiding beneath the surface? Credit available for this activity expires: 11/12/2026 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/between-lines-depression-navigating-diagnostic-nuances-2025a1000uya?ecd=bdc_podcast_libsyn_mscpedu
In this episode of The Product Experience, Lily Smith speaks with Vidya Dinamani, product veteran, coach, and Co-founder of Product Rebels, about how to tell if your team is truly product-led or just paying lip service. With over a decade of experience coaching hundreds of teams, Vidya shares her insights into the critical elements of product maturity, the most overlooked barriers to effective product work, and how Product Rebels' diagnostic framework is helping companies move from chaos to clarity. Chapters00:00 – The customer conversation gap01:28 – Meet Vidya Dinamani and Product Rebels03:35 – Why they built a diagnostic, not an assessment04:45 – Mindsets, competencies, and the missing piece: resources06:28 – AI readiness: the new fourth pillar07:40 – What it really means to be product-led09:59 – How teams are using the diagnostic13:10 – Breaking down the four pillars16:01 – Why access to customers remains a key obstacle17:38 – Patterns, or lack thereof, in product maturity20:26 – AI readiness in context23:59 – A case study: product maturity at scale27:52 – Final thoughts on assessment vs namingWhat we learned from Vidya Most product teams lack customer access: 70–80% of PMs Product Rebels encounter say they've never spoken to a customer.Being product-led requires more than intent: It demands mindset, core competencies, supportive resources—and now AI readiness.Diagnostic, not assessment: Their tool isn't about performance reviews; it's a heat map that reveals where to begin your transformation.AI is not a bolt-on: AI readiness is most effective when integrated into the broader product maturity conversation, not treated as a silo.Start with one thing: Rather than trying to become product-led across the board, identify a single focus area and build momentum from there.Internal PMs need customer framing too: Even teams building internal platforms need customer advocacy and insight.Featured Links: Follow Vidya on LinkedIn | Product Rebels We're taking Community Questions for The Product Experience podcast.Got a burning product question for Lily, Randy, or an upcoming guest? Submit it here. Our HostsLily Smith enjoys working as a consultant product manager with early-stage and growing startups and as a mentor to other product managers. She's currently Chief Product Officer at BBC Maestro, and has spent 13 years in the tech industry working with startups in the SaaS and mobile space. She's worked on a diverse range of products – leading the product teams through discovery, prototyping, testing and delivery. Lily also founded ProductTank Bristol and runs ProductCamp in Bristol and Bath. Randy Silver is a Leadership & Product Coach and Consultant. He gets teams unstuck, helping you to supercharge your results. Randy's held interim CPO and Leadership roles at scale-ups and SMEs, advised start-ups, and been Head of Product at HSBC and Sainsbury's. He participated in Silicon Valley Product Group's Coaching the Coaches forum, and speaks frequently at conferences and events. You can join one of communities he runs for CPOs (CPO Circles), Product Managers (Product In the {A}ether) and Product Coaches. He's the author of What Do We Do Now? A...
Pulsatile tinnitus — the perception of a rhythmic sound in sync with the heartbeat — can be a key indicator of underlying vascular or structural pathology. In this episode, JNIS new Editor-in-Chief Dr. Michael Chen speaks with Dr. Madhavi Duvvuri and Dr. Matthew Robert Amans, authors of Non-invasive imaging modalities for diagnosing pulsatile tinnitus: a comprehensive review and recommended imaging algorithm. They are both from the University of California San Francisco, USA. They discuss the current evidence base, highlight the strengths and limitations of non-invasive imaging techniques such as MRI, MRA, CT, and CTA, and outline a practical algorithm for streamlining diagnosis. Please subscribe to the JNIS podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/4aZmlpT) or Spotify (https://spoti.fi/3UKhGT5). We'd love to hear your feedback on social media - @JNIS_BMJ.
durée : 00:10:50 - Les Nuits de France Culture - par : Philippe Garbit - Par Jérôme Bertrand et Françoise Treussard - Réalisation Monique Bailly - réalisation : Virginie Mourthé
Kristina and Anna unpack how the Inner Villain system shows up in everyday life: time blindness, rule-set clashes, obsessive “fixing,” and the loneliness of divide-and-conquer living. Kristina shares how mold, town history, and nervous-system patterns mirrored the Evasive Expert arc—and the practical “FUNNY” framework she and Luke use to slow down, reconnect, and shift out of overthinking. Anna explores the Righteous Bully, Obedient Critic, Nothing (Invisible Destroyer), and Eternal Child dynamics in relationships, with concrete tools for timing difficult conversations. Together they sketch common pairings between villains, why some arcs magnetize each other, and how to convert shadow patterns into serviceable strengths.Chapter Markers00:00 Checking in: ego death, gratitude as daily practice02:23 Why the Villain work feels more useful than “primal wounds” alone04:58 Anti-heroes and arcs: we're rarely pinnacle villains for long05:58 What is time blindness and how it strains relationships08:49 Calendar blindness vs time blindness09:58 Time for mortals: insights from Four Thousand Weeks (Oliver Burkeman)11:58 Estimation traps, executive function, and project-management “laws”13:58 Tools: timers, delayed conversations, and tech to protect relationships15:00 The Evasive Expert must slow down: decompression blocks and focus holds16:48 Safety, protection, and the urge to “fix it now”18:00 Cities, homes, couples as arcs; mapping a house as Evasive Expert21:45 Diagnostic combos: how 7-8-9 become “advanced” villains24:50 Obedient Critic rabbit holes and living by rule sets27:15 Laws of nature over personal rules; the Law of Procession31:40 Case study: two Obedient Critics and the family rule set clash33:50 Couples and houses as Villain ecosystems39:00 The FUNNY framework to invert the Evasive Expert44:10 Golden Hour: shared effort to reduce isolation50:10 Righteous Bully with the Nothing: common pairing patterns54:15 Other frequent pairings and why they happen58:40 Meme break: naming the villains with humor1:03:10 Working with parts: IFS, deconditioning, and flipping subtypes1:06:15 Homework and next episode: communicating with each villainKey Concepts & ToolsTime Blindness vs Calendar BlindnessTime blindness: difficulty perceiving passing minutes and sequencing tasks.Calendar blindness: difficulty tracking dates, planning horizons, and overlaps.Villain Arcs (selected)Obedient Critic (OC): lives by rigid rule sets; seeks correction and order. Legend: Equalizer.Vengeful Martyr (VM): over-gives to earn belonging; nourishes, then resents.Eternal Child (EC): entitled to care; toggles anxious/avoidant; covert romantic.Righteous Bully (RB): fusion of VM + OC; imposes “right” for safety and control.Evasive Expert (EE): over-intellectualizes, compartmentalizes; feelings drive from underground.Invisible Destroyer / The Nothing (ID): EE + Divisive Immortal; withdrawal, disappearance.Hungry Shapeshifter (HS): attention-seeking blend of Vain Controller + Eternal Child.Common Pairings (why they attract)RB + ID (Nothing): control/pursuit meets withdrawal; each amplifies the other.VM + EC: Wendy and Peter; nourishment meets eternal dependency.EE + Divisive Immortal: logic and safety bind; loyalty sustains low intimacy.HS + ID/EE: performance pairs with a quieter partner who recedes.Practical ToolsTimers & Alarms: outsource time perception to protect relationships.Deferred Conflict Scheduling: drop a calendar note to discuss when regulated.Decompression Blocks: 15-minute buffers after sessions to downshift.Golden Hour: whole-family or couple co-work on one project to restore “together energy.”Framework: FUNNY (to invert the Evasive Expert)F — Free: create time and space to slow down.U — United: do unpleasant tasks together; reduce divide-and-conquer loneliness.N — Nuanced: reject all-or-nothing; find middle paths.N — Natural: return to body signals and instinct, not just cognition.Y — You: keep it personal and present; ask, “Is this funny?” as a shorthand check.Quotes“You don't save your kid from pain. You help them become the leader of their own system.”“The Evasive Expert can't think its way out. It has to slow down.”“Repetition isn't punishment. It's practice.”“Have a honey-driven life. Purpose arrives at 90 degrees.”References & MentionsOliver Burkeman, Four Thousand Weeks: Time Management for MortalsInternal Family Systems (IFS) for working with partsLaw of Procession (purpose arrives indirectly)Loki (Marvel), Vision, Agatha as archetypal studies of time and shadowMarshall Thurber TedxTalk MelbourneTakeawaysIdentify whether your issue is time blindness, calendar blindness, or both. Choose tools accordingly.When you feel the urge to correct, schedule the talk instead. Protect the bond first.Map your home, town, or relationship as an arc. Ask what gift already emerged from the “problem.”Use FUNNY to invert overthinking into connection.Diagnose pair dynamics. If you are RB and your partner tends to Nothing, design pauses, gentle bids, and agreements around withdrawal and pursuit.HomeworkTake the Villain quiz: identify your primary arc and your partner's.Try one decompression block today and one Golden Hour this week.Journal: Which rule sets are mine, which are borrowed, and which align with laws of nature.Next EpisodeHow to communicate with each villain type without escalating the spin.Episode CreditsHosts: Kristina Wiltsee and Anna StromquistSeries: Inner Villain, Inner RepairSEO Keywordstime blindness, calendar blindness, evasive expert, righteous bully, obedient critic, invisible destroyer, eternal child, inner villain system, IFS, Oliver Burkeman, four thousand weeks, relationship communication, nervous system regulationAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Text us a pool question!Swimming Pool Leak Suspection refers to the initial stage of identifying and investigating potential water loss in a swimming pool system when there is reason to believe a leak may exist.In practical terms, it means a pool owner or service technician has observed indicators suggesting abnormal water loss—such as a consistently dropping water level, air bubbles in the return lines, excessive chemical use, soggy areas around the pool, or unexplained increases in water bills—but has not yet confirmed the presence or location of a leak.Leak suspection triggers diagnostic testing, including visual inspections, the bucket test (to distinguish between evaporation and leakage), pressure testing, dye testing, or electronic leak detection. It's essentially the diagnostic hypothesis phase of leak detection—where symptoms point toward a problem, but confirmation requires controlled testing and data verification. Support the showThank you so much for listening! You can find us on social media: Facebook Instagram Tik Tok Email us: talkingpools@gmail.com
durée : 02:30:07 - Les Matins - par : Guillaume Erner, Yoann Duval - - réalisation : Félicie Faugère
Check out the collection of fidgets Team Shiny loves! We gotta be able to handle hearing people talk about us, even when it's triggering and hard, because it can ultimately show us where the work is. And maybe you can be an expert on soething without having it yourself (like ADHD) but perhaps it requires a sense of curiosity, empathy, or some kind of introspection that recpognizes your lane, your scope, and your own biases? From anthropology and sociology to X-Men and who is Magneto and Charles Xavier, David and Isabelle meander through what it means to be an ally and also set up some solid recent hyperfixations.---We gotta tolerate hearing people talking about what they think about us, including people who have lots of degrees and expertise, and also know that each person doesn't have the answers. Maybe it has to do with conversations that people have about us without us ADHDers? Then again there are journalists, who don't have expertise but who can report on the data they get. David names that there are good and bad journalists, and there is critical thinking. How much about people's ADHD ‘expertise' includes interpersonal work and understanding about attachment, relationships, your own identity. Like, if you're an expert on ADHD and you're not friends with people who have ADHD outside of your work (if you yourself don't have it)—something to look at? David names that as therapists, we have this debate about multicultural approaches—do you need to have a white therapist to work with white clients, a Black therapist to work with Black therapists? You need to know your lane and your expertise. David's own therapist is not an expert in ADHD. And neither is Isabelle's. They know to ask us questions, can ask “how does this relate to ADHD?” We might be the person with ADHD that helps them better understand that. Allies don't want to get rid of parts of you, they want to help parts of you. An ally is different than a researcher, Isabelle wants to name that you need to be enough of an ally to a topic and be curious. In undergrad, she studied anthropology and archaeology, and it's a blend of super specific science and also lots of educated guessing. She remembers learning about participant observation in anthropology, that just by observing a culture or a group you are impacting the group. It's way more about noticing what your own biases are. David's own background in sociology, the idea of intersectionality. David didn't really think about ADHD or neurodiversity as a culture until college. He's a big comic book fan and he loved the X-Men. They're trying to hide their mutant powers to not be exploited by the government and the X-Men are trying to help these mutants and take them to saving. Charles Xavier and Magneto were portrayed to be iconic people. Magneto was Malcolm X while Charles Xavier was based on Martin Luther King, Jr. It's two different portrayals around protecting yourself—do you get violent and active or passive? Maybe the mutants are a great metaphor for neurodiversity as well as the civil rights war—if you have been marginalized you can have empathy toward other people who are marginalized. It's not so personal, people do things to us that they do to other marginalized groups. It can also signify that we have a culture. It would be if everyone says they have a pile of unfolded clothes that threaten your identity, your pile of mail—-culturally both David and Isabelle are both connected to the plan that they didn't want to leave it there. When we connect about parts of our culture. Isabelle and David so appreciate this conversation. Isabelle names asynchronous processing—she can't just off the cuff rattle off her ideas and also needs time to talk it out, externalize, and think about things beyond the initial moment or conversations. How important it is for us to keep having these conversations. Isabelle wonders if David is like Charles Xavier. He wishes he could be Charles Xavier. Isabelle might be Charles Xavier. Because maybe she loves or identifies with Patrick Stewart so much. So maybe David is Magneto—in the comic books they were best friends, and he was like “they'll never learn, we need to protect our people” whereas as the other is like “don't give in to our aggressive urges.” David needs to shout out: Dungeon Crawler Carl. Not wearing any pants, the cat jumps out of his house trying to get the cat out of the tree, and Carl can then go on an 18 level dungeon crawl and can save the planet earth. The audio book is a treasure, David is a big fan of role playing games, he consumed all seven books in less than three weeks. Isabelle names why cats get stuck in trees, their claws go the other way so they get stuck—but big cats can go backwards. Isabelle mentions an enneagram book that she really appreciates. She was hooked on Borders and loved it as a kid and would keep trying to have someone explain me to me, and one of those books was on the enneagram (which makes David feel like he went to the bathroom during learning fractions and never picked up on it). And she mispronounced it and would read the book at people. Because tell her she's neurospicy without telling her she's neurospicy.Stephanie Sarkis is an ADHD expert who also has ADHD X-Men and more on Patrick StewartThe American Psychological Association vote on 'homosexuality' being listed as a diagnosable mental disorder in the Diagnostic and Statistical Manual (DSM) happened back in the LATE 80's (WHAAAATTTTT? yes).--there is a long history to depathologizing sexual identities, deeply impacted by tons of activism and advocacy. For more, you can see this NIH article on this history.Dungeon Crawler Carl seriesCats getting stuck on trees because of claw shape -- fascinatingly, going down backwards is a skill some cats can learn. Also, here is this website: Catrescueguy.com. *(you're welcome)*The amazing enneagram book Isabelle was trying to remember the title of -- The Unfiltered Enneagram by Elizabeth Orr------Cover Art by: Sol VázquezTechnical Support by: Bobby Richards Here's a nifty little promo code for those who either delayed gratification or who let this episode run through to the end because they were busy vacuuming.
The shift to outpatient surgery is transforming how care is delivered. In this episode, Dr. Adam Thaler, Medical Director at Summit Health, discusses leading a urology-focused ambulatory surgery center and the rapid growth of outpatient procedures. He explains why airway management is the cornerstone of patient safety in ASCs and why he relies on video laryngoscopy, particularly the McGrath MAC, for every case. Dr. Thaler highlights the clinical, financial, and operational benefits of this technology, including reduced complications, improved efficiency, and enhanced patient experience. He also shares advice for ASC leaders on embracing innovation, doing their own research, and treating every patient with the same high standard of care. Tune in to hear how Dr. Thaler is shaping the future of outpatient surgery! Resources: Connect with and follow Dr. Adam Thaler on LinkedIn. Follow Summit Health on LinkedIn and explore their website! Check out Dr. Adam Thaler's Medtronic blog on How the intubation tools you choose can affect your facility's costs and more! References: Leifer S, Choi SW, AsanatiK, YentisSM. Upper limb disorders in anaesthetists-a survey of Association of Anaesthetistsmembers. Anaesthesia. 2019;74(3):285-291. doi:10.1111/anae.14446 Kriege M, Noppens R, TurkstraT, et al. A multicentrer randomized controlled trial of the McGrath MAC video laryngoscope versus conventional laryngoscopy. Anaesthesia. 2023;78(6):722-729. Zhang J, Jiang W, Urdaneta F. Economic analysis of the use of video laryngoscopy versus direct laryngoscopy in the surgical setting. Journal of Comparative Effectiveness Research. 2021;10(10):831-844. doi:https://doi.org/10.2217/cer-2021-0068 Nørskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrøm LH. Diagnostic accuracy of anaesthesiologists' prediction of difficult airway management in daily clinical practice: a cohort study of 188,064 patients registered in the Danish Anaesthesia Database. Anaesthesia. 2015;70(3):272-281. Kleine-Brueggeney M, Greif R, Schoettker P, Savoldelli GL, Nabecker S, Theiler LG. Evaluation of six video laryngoscopes in 720 patients with a simulated difficult airway: a multicentre randomized controlled trial. Br J Anaesth. 2016;116(5):670-9. Thaler A, Mohamod D, Toron A, Torjman MC. Cost comparison of 2 video laryngoscopes in a large academic center. Journal of Clinical Outcomes Management. 2021 July;28(4):174-179. Moucharite MA, et al. Factors and economic outcomes associated with documented difficult intubation in the United States. Clinicoecon Outcomes Res. 2021;13:227–239. Gaszyński T. Comparison of the glottic view during video-intubation in super obese patients: a series of cases. Ther Clin Risk Manag. 2016;12:1677–1682. Alvis BD, Hester D, Watson D, Higgins M, St Jacques P. Randomized controlled trial comparing the McGRATH™ MAC video laryngoscope with the King Vision video laryngoscope in adult patients. Minerva Anestesiol. 2016;82(1):30–35.
Recurrent urinary tract infections (UTIs) are a common challenge for people with spinal cord injury, but new research shows that many suspected cases aren't true infections. In this episode, Madison Hughes and Dr. Chris Elliott discuss how recurrent UTIs are diagnosed and managed in the spinal cord injury population, the role of urodynamics and bladder diaries, and why patient education and non-antibiotic strategies can make such a big difference.
Oliver dives into the world of spiritual wellness when he’s joined by best-selling author and host of the ‘Medical Medium’ podcast, Anthony William. He explains his psychic connections, and his process of pin-pointing potential health problems before someone knows they’re sick. Plus, hear his take on angels in action and his answer to the social media skeptics. See omnystudio.com/listener for privacy information.