Podcasts about diagnostic

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

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/  

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?

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.

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.

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.

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.

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.

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."

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 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.

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

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.

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

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!

By David Stephen who looks at electrochemical psychiatry trends and issues to consider. The College of Psychiatrists of Ireland [CPsychI] and the Royal College of Psychiatrists [RCPsych] may choose to collaborate on one of the major opportunities to better explain mental disorders and addictions: electrochemical psychiatry. The objective is to focus on electrical and chemical signals to describe and display mental disorders and addictions. Already, neuroscience has established that neurons with their electrical and chemical signals are responsible for functions. So, because there has not been any major success in explaining the configurations of mental disorders by neurons — which, in part, may be due do their anatomy as cells — the next options are the electrical and chemical signals. Why CPsychI and RCPsych should partner on electrochemical psychiatry There is currently no national or continental Psychiatric Association that is focused on this. The American Psychiatric Association actually released a road map earlier in 2026, towards improving the Diagnostic and Statistical Manual of Mental Disorders. However, they are having their 2026 Annual Meeting [May 16-20] in San Francisco, with a different theme entirely. Meanwhile, there is a recent debate in the United States about how and when to get off selective serotonin reuptake inhibitors [SSRIs], such that both the people on the side of deprescribing or against it have no model of the human mind, to explore how to map the mind for the effects of medications. While it is true that CPsychI and the RCPsych go it alone, respectively, it is possible to have both of them do much better if they collaborated on getting it done. The American Psychiatric Association do not seem to be in a hurry about solving the mind or have it as a central agenda. This gives the CPsychI and the RCPsych the chance to accelerate and get ahead, to bear the might of global psychiatry and mental health, even as the era evolves with newer risks and more unknowns. The CPsychl also need to make a major mark, giving its relatively young existence as well as the importance to lead right even as guess therapies continue in mental health, with little understanding of how they work. While the RCPsych has the National Collaborating Centre for Mental Health [NCCMH], the principal advance is what can be explained, or displayed using components of the brain, to move certainty to a better percentage, to shape outcomes. This means the interactions and attributes of electrical and chemical signals can be useful to thoroughly move psychiatry forward for now, according to the postulate in Conceptual Biomarkers and Theoretical Biological Factors for Psychiatric and Intelligence Nosology. Conceptually, the human mind is the collection of all the electrical and chemical signals, with their interactions and attributes, in sets, in clusters of neurons, across the central and peripheral nervous systems. Simply, the human mind is the sets of signals. There is a recent [May 14, 2026] analysis in The New York Times, Thinking About Stopping an Antidepressant? Here's What to Consider., stating that, "The American Society of Clinical Psychopharmacology recently published recommendations about "deprescribing" psychiatric medications. They include the suggestion that doctors re-evaluate "the utility of continuing any particular psychotropic medication" on at least an annual basis." "There are several factors to take into account when deciding whether to stop. As a general rule, experts said people could consider going off their antidepressants when they felt they were back to their normal selves." "Dr. Mark Rapaport, the president-elect of the American Psychiatric Association, said he also took into account whether the person had a good support network in place and if they would be experiencing any major life changes in the near future, like moving or starting a new job. "Even good change is associated with stress," he said." "Anoth...

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!

durée : 00:02:42 - Debout la Terre - par : Camille Crosnier - Les assises du DPE se tiennent ce matin à Paris. Au cœur des discussions : la réforme du calcul de performance énergétique des logements et son impact sur la classification des passoires thermiques, désormais au centre d'un débat politique. Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

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

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

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

This episode explores the growing issue of body image struggles and eating disorders among men, examining how cultural pressures and online environments—particularly the Manosphere—shape perceptions of masculinity, worth, and identity.Gunter Swoboda discusses clinical insights into muscle dysmorphia, steroid use, and the increasing pressure men face to view their bodies as measures of status and value. The episode also explores practical pathways toward developing healthier relationships with the body and reconnecting with genuine wellbeing.Key Topics• The influence of the Manosphere on men's body image• Clinical insights into muscle dysmorphia and steroid use• Understanding interoceptive awareness and why it matters• Societal and cultural factors reinforcing toxic masculinity• Practical approaches toward healthier body relationshipsSound Bites“The clinical consequences are really real, very real.”“Muscle dysmorphia is a distorted perception of the body.”“The path forward is clinical.Inside This Episode• Understanding the growing body image crisis among men• How the Manosphere shapes male body standards• Exploring muscle dysmorphia and its consequences• Competition, acquisition, and body image pressures• The crisis of recognition and identity in men• The role of algorithms in reinforcing unrealistic standards• Reframing the relationship with the body• Practical pathways toward healing and self-understandingResourcesButterfly Foundation Helplinehttps://butterfly.org.au/DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition)https://www.psychiatry.org/psychiatrists/practice/dsmInteroceptive Awareness Researchhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362784GratitudeWe want to extend a huge thank you to our listeners in Fairborn, Grafton, Maple Heights, and Findley for bringing Ohio to #1 on our Top USA listeners list!! And to our Global Listeners, a special shoutout to our listeners in Mainz (mine-s), Emmerich (em-uh-rick), and Mannheim (man-hyme) for pushing Germany to #5 on our global listeners list! CONGRATULATIONS!! you made the Top Listeners List.Become a supporter of this podcast: https://www.spreaker.com/podcast/inspire-change-with-gunter--3633478/support.PatreonIf this episode resonates with you and you'd like to go deeper into practical exercises and guided reflection, Gunter offers extended self-development resources and exercises through our Patreon community: www.patreon.com/inspirechangeSponsorDistil UnionThis episode of Inspire Change with Gunter is brought to you by Distil Union, creators of beautifully designed, functional everyday carry accessories that help bring organization, simplicity, and intention into your daily life.Distil Union blends craftsmanship with thoughtful design to help you carry what matters most — without the clutter.

Andrea L Benedet, Burak Arslan, Kubra Tan, Hanna Huber, Ilaria Pola, Guglielmo Di Molfetta, Hlin Kvartsberg, Anna Orduña Dolado, Shorena Janelidze, Kaj Blennow, Henrik Zetterberg, Oskar Hansson, Pedro Rosa-Neto, Nicholas J Ashton. Diagnostic Value of Serum p-tau217 in Alzheimer Disease: Equal to Plasma in Levels and Clinical Utility? Clinical Chemistry, Volume 72, Issue 2, February 2026, Pages 303–315, https://doi.org/10.1093/clinchem/hvaf162

Serena Low sits down with leadership expert Megumi Miki to explore what it means to be a quietly powerful leader — and why organisations in Australia and beyond can no longer afford to overlook quiet talent.Megumi is the award-winning author of Quietly Powerful: How Your Quiet Nature is Your Hidden Leadership Strength and a leadership, culture, and diversity consultant with over 20 years of experience. In this episode, she challenges the outdated “hero leader” model and reveals how spaciousness, presence, and humility are reshaping what effective leadership looks like in today's uncertain world.Who This Episode Is ForThis conversation is essential listening for:Introverted professionals in Australian workplacesQuiet achievers aspiring to senior leadershipLeaders who feel exhausted by performative confidenceOrganisations wanting to cultivate inclusive leadershipAnyone navigating visibility without sacrificing authenticityWhat You'll Learn in This Episode1. Why the “Hero Leader” Model Is Failing Organisations2. The Three Attributes of Quietly Powerful Leaders3. Why Asking the Right Question Is More Powerful Than Having the Right Answer4. The Danger of Boxing Yourself In as an Introvert5. What Organisations Must Do to Stop Wasting Quiet TalentQuietly Powerful Leadership CardsIn addition to her book, Megumi has created Quietly Powerful Leadership Cards — tangible, accessible tools designed to spark reflection and practical leadership growth.Connect with Megumi MikiYou can explore Megumi's book, leadership programs, interviews, and Quietly Powerful resources through her official website https://megumimiki.com/.Work 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

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

Two posts, same week, same effort. One hit 50,000+ impressions with zero pipeline. The other reached 800 people and closed €60K. If you measure them with the same metric, you'll write ten more of the wrong one.In this episode, I lay out the 6-Stage B2B Marketing ROI Framework I use with Microsoft, Marsh McLennan, Delta Holding, and 120+ other B2B companies — and why most teams are running 2012 e-commerce attribution on 2026 enterprise sales cycles.Inside:- Why attribution fails in B2B and what to do about it- Kill the MQL: the Inquiry / Opportunity rebuild that dropped leads 60% and lifted pipeline 40%- The 6 stages: Revenue, Pipeline, Active Focus, Future Pipeline, Cluster ICP, Brand- The software client one week from being shut down — and the €1.4M pipeline that was already building- Why LinkedIn reach dropped 50% YoY and pipeline still went up- ICP Density as the moat, and how to measure it with zero new tools- Q1 2026 search data: Reddit at #2, Wikipedia surging, where AI search actually sits- The 3 rituals that replace 80% of an enterprise marketing intel platform- Diagnostic for finding the one stage that's leaking- A 90-day starterThe best measurement isn't more granular attribution. It's measuring the right system at every stage with the right leading indicators.Everything else is data theater.More: funky.enterprises

How many of us are chasing a version of success that was never really ours to begin with?My guest is Janine Mathó, author of Live Your Opus and executive coach to ambitious leaders. After navigating burnout and the loss of her mother, she went on a multi-year quest to answer one question: how can ambitious people achieve healthy, meaningful success without losing themselves along the way?We explore what it really takes to sustain high performance over time, why energy is the architecture of how you show up as a leader, and why the answer isn't to lower your ambition but to raise your capacity to meet it.If you want to lead at your best without burning out, this conversation will give you a new way to think about your life, your energy and what high performance really requires."Energy is the architecture of how you show up as a leader." — Janine MathóYou'll hear aboutTreating your life as your greatest work.Energy as your earliest signal of misalignment.Burnout forcing a complete redefinition of success.Inherited success stories blocking real change.Why energy is the architecture of performance.Starting the conversation in hard-edged cultures.Overcoming fear of being seen as weak.Diagnostic questions every leader should ask themselves.Best day habits and micro practices.Why upgrading yourself beats just upskilling.About Janine:Janine Mathó is a former Harvard and Pearson executive and a trusted advisor to senior leaders running large, complex institutions. Her work focuses on strengthening the leadership capacity required to sustain high performance in today's high-pressure environment. Over a 25-year career spanning corporate, nonprofit, and academic sectors, she has helped organisations navigate transformation at scale, shaped global strategy on the future of learning and work, and raised more than $30 million for learning innovation. She received a Massachusetts Congressional Award for her service to education. Her focal areas include sustainable high performance, leadership capacity under pressure, aligning ambition with human capacity, and decision-making in complex systems. She is the author of Live Your Opus (Amplify, 2026).Profile: https://shorturl.at/Z19toBook: Live Your Opus: Reclaim Your Energy, Redefine Succes, and Create a Life That Truly Matters https://shorturl.at/30KELNewsletter: Live Your Opus  https://shorturl.at/IxvxjWebsite: https://shorturl.at/XY1hhMy resources:Try my High-stakes meetings toolkit (https://bit.ly/43cnhnQ).Take my Becoming a Strategic Leader course (https://bit.ly/3KJYDTj).Sign up to my Every Day is a Strategy Day newsletter (http://bit.ly/36WRpri) for modern mindsets and practices to help you get ahead.Subscribe to my YouTube channel (http://bit.ly/3cFGk1k) where you can watch the conversation.For more details about me:Services (https://rb.gy/ahlcuy) to CEOs, entrepreneurs and professionals.About me (https://rb.gy/dvmg9n) - my background, experience and philosophy.Examples of my writing https://rb.gy/jlbdds).Follow me and engage with me on LinkedIn (https://bit.ly/2Z2PexP).Follow me and engage with me on Twitter (https://bit.ly/36XavNI).

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

Across seventeen separate kitchens and living rooms, the same patterns surface. Children who cannot describe their own symptoms have aggressive behaviors read as "just autism" instead of as pain, neuroinflammation, catatonia, or seizure activity. Inside these families, profound autism arrives with company: Whitney on tuberous sclerosis complex, Lydia on type 1 diabetes, Heather on SYNGAP1-related disorder, Jillian on PANS/PANDAS, Erica C. on Duchenne muscular dystrophy, Elena on Lennox-Gastaut syndrome and tonic-clonic seizures, Michelle on gastrointestinal disease. Whitney and Christine describe catatonia severe enough to require electroconvulsive therapy (ECT), a treatment most listeners have never been told is part of profound autism care. The same response keeps coming back from too many clinicians, a psych med and a restraint order in place of a workup. Diagnostic overshadowing has a body count, and these mothers can name it.Three other themes repeat. Trust yourself; you know your child best. Fierce love is a clinical skill. When the system has no service that fits your child, you build one. Mothers in this episode fight schools and therapy centers after their children are harmed or their rights are trampled. Other mothers describe building transportation services, programs, and supports from scratch because no one else would.NCSA exists because this population has been missing from the public conversation about autism. These mothers are the correction.Mother's Day 2026, NCSA released a short reel on the hour from 10am-6pm CT on Facebook and Instagram. We conducted interviews with mothers who had been nominated by the community. This podcast episode is a compilation of the 17 short stories shared. Articles for each mother with more detail will be coming soon on the NCSA website. NCSAutism.orgCHAPTERS:00:00:00 Stephanie00:02:50 Renee00:05:46 Whitney00:08:47 Susan00:10:41 Kim00:12:24 Erica P.00:14:36 Lydia00:16:48 Jen00:19:52 Heather00:23:44 Christine00:27:37 Amy00:29:29 Jillian00:32:43 Keynote: Kiki00:42:11 Erica C.00:45:44 Zuheil00:48:20 Elena00:52:44 Michelle

Odile vient de découvrir un cancer du sein après une mammographie de contrôle et a été opérée en urgence. Elle vit très mal l'accélération des rendez-vous médicaux, qu'elle associe à une aggravation possible de sa situation, et dit être envahie par l'angoisse et la peur de mourir. 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.frHébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

A lot of early-stage founders can explain their company five different ways — and all five might be technically correct. The problem is that often, those answers don't fully line up. That gap in a startup's narrative creates friction.  Investors may understand the problem but still don't feel like the story lands. Candidates may understand the product, but they're not fully on board with the mission. Customers may hear the explanation but still struggle to repeat it clearly. I've been inside meetings where the CTO described the company's core value one way and the CEO had a different take. In this episode, I break down the “narrative gap”: the distance between what a founder knows and what everyone else understands.  I explain why technical founders often struggle to communicate even when they deeply understand their business and share several diagnostic frameworks you can use to test whether your story gives customers, investors, hires, and reporters confidence that you can execute. RUNTIME 16:55   EPISODE BREAKDOWN (1:52) Narrative is Not Decorative. Narrative is Load-bearing. (3:30) Founder Diagnostics: 3 Questions That Pressure-test Your Story (4:49) Your Message Is Not Your Pitch (6:06) A Bridge Is Not A Destination (7:42) Find The One Thing That Carries The Most Weight (8:57) Ask, "What breaks without you?" (10:30) Separate History From Story (11:25) What's the First Sentence of Your Startup's Story? (12:12) Pressure-test Your First Sentence In Different Rooms (13:59) Putting It Together: Final Founder-narrative Diagnostic (15:11) Use This Episode To Start Framing Your Narrative   I work with early-stage founders on narrative framing, media prep, fundraising communication, and public-facing storytelling. This is foundational work that helps your message hold up before investors, customers, candidates, reporters, and conference audiences. If you're getting ready to raise, hire, pitch, launch, or speak publicly, reach out: fundbuildscale@gmail.com SUBSCRIBE

There's something in your practice that keeps coming back. You handle it, move on — and there it is again. In this solo episode of The Thriving Practice Podcast, Tracy Cherpeski reframes every recurring problem in your practice: those problems aren't malfunctions. They're messages.  Read the full show notes, memorable quotes, and key takeaways.  Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment  Drawing on her background in regenerative gardening and her experience coaching independent healthcare practice owners, Tracy introduces the concept of reading practice problems the way a skilled clinician reads recurring symptoms — with diagnostic intelligence, not just a quick fix. She walks through three categories of recurring "practice weeds," four diagnostic questions you already know how to ask, and a simple Two-Week Data Log that shifts you from reactive manager to pattern-reader.  This is part two of a two-part mindset series. If you haven't listened to part one — Episode 247, From the Weeds to the Horizon — Tracy recommends starting there. But this episode stands on its own as a practical framework for any practice owner who's tired of managing the same problems on repeat.  Ready to do this kind of thinking in community? Our June TPC cohort is open now. Inquire at ThrivingPracticeCommunity.com  Read the full show notes, memorable quotes, and key takeaways.  Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment  Connect With Us:  Be a Guest on the Show  Thriving Practice Community  Schedule Strategy Session with Tracy  Tracy's LinkedIn  Business LinkedIn Page 

Aujourd'hui, Zohra Bitan, fonctionnaire, Didier Giraud, éleveur de bovins, et Sandrine Pégand, avocat, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

In this episode of Live Well, Earn Well, guest host Donna Lynn Price sits down with Maeve Ferguson—business strategist and creator of The Client Engine™—to unpack how to turn your intellectual property into a diagnostic "client engine" that runs every day, on every platform, without you constantly hustling for leads. Maeve works with multi–seven-figure experts, bestselling prescriptive non-fiction authors, high-level coaches, and keynote speakers to build sophisticated diagnostic assessments that do what generic lead magnets can't: they qualify, segment, and pre-sell the right people at the right level of investment. She shares: Why traditional PDF lead magnets attract low-intent leads—and what to do instead How to design a diagnostic that segments leads by problem and ability to invest The difference between a cute "quiz" and a true revenue-driving diagnostic How her team uses data and Agentic AI to continuously refine messaging and attract higher-caliber buyers Why diagnostics are the secret to positioning yourself as a Category of One in a crowded niche How she's scaling delivery while still living well on her horse farm in Northern Ireland with her family If you're tired of "spray and pray" marketing, endless unqualified discovery calls, and email blasts that don't convert, this conversation will change how you think about lead generation forever.    

This episode examines the thin line between the natural emotional toll of clinical work and the formal labels we use to define it. We utilize a psychodynamic perspective to explore how "secondary PTSD" manifests in the therapist's subconscious and whether our current diagnostic frameworks are becoming too broad. Join us as we dissect the internal experience of first responders and the shifting boundaries of trauma theory.

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

Schools aren't just content delivery systems, they're the places where belonging happens, and that matters more in the age of AI than it did before.Matthew Berkshire, Director of Curriculum and Instruction at Greenville Central School District in New York, built something unusual: a school improvement process that used AI to strengthen the human trust network, not replace it. When Greenville adopted the Agile Evolutionary Group platform, the Diagnostic revealed hidden patterns in pacing, intervention, and assessment that educators had felt but couldn't name. The real work started after, sitting together, reviewing insights against lived experience, and making decisions as a learning organization.In this conversation with Dr. Michael T. Conner, Berkshire walks through what intentional AI integration looks like: starting with people who already trust each other, designing conditions for learning rather than supervising instruction, and keeping professional judgment and collective efficacy at the center. He talks about pandemic lessons, how the AEG platform fit into an already-strong school improvement process, the challenge of keeping dynamic collaboration alive across 6-12 departmental alignment meetings, and why, even with AI, the educators make the final call.What You'll LearnHow to integrate AI tools without removing people from the processWhat the AC-Stage means for instructional leadershipWhy the Diagnostic is a beginning, not an endingHow to design conditions for learning across a whole districtThe difference between technology that supports and technology that replacesThis episode is essential listening for instructional leaders, superintendents, and anyone building the conditions for continuous improvement in a learning organization.And on that note, onward and upward.

What does it mean to follow Jesus — not just as a fan watching from the stands, but as someone who's fully committed?In this message from New Vision Church in Fayetteville, Georgia, we guide listeners through a twelve-question spiritual self-examination — a check engine light moment for your faith. We get practical and honest about the difference between conversion and commitment, using the framework we've been building all series: Know, Grow, Show, and Go.We land on three patterns for a life of discipleship — take time with God, take His yoke, and take up your cross. Part of the Elemental series at New Vision Church. Find us at newvisionc.com.

In this episode of The SHEA Podcast, host Dr. Dan Morgan sits down with Dr. Jessica Zering and Dr. Robin Patel to discuss how clinicians and labs can work together, especially beyond the traditional hospital with a lab on site. Dr. Zering, an antimicrobial stewardship pharmacist working for the Washington State Department of Health, and Dr. Robin Patel, the Director of the Mayo Clinic's Infectious Diseases Research Laboratory, reflect on the ways in which the relationship between clinicians and labs can move the needle in diagnostic stewardship.

The feedback loop that would make doctors better diagnosticians doesn’t exist. Louise walked five minutes. Then her legs turned to stone. She stood at the side of the road, waiting for them to work again—and nobody figured out why for thirty years. Author and New York Times Health and Science Opinion Editor Alexandra Sifferlin has spent years as a journalist fielding emails from patients who couldn’t get a straight answer from medicine—not because their doctors were incompetent, but because diagnosis is harder, messier, and more difficult to do in 15 minutes than anyone wants to admit. Her book The Elusive Body: Patients, Doctors, and the Diagnosis Crisis traces the problem from rural Kentucky to the NIH’s Undiagnosed Diseases Network, and her conversation with M4 Jeff Goddard, M1 Madelyn Klemmensen, and M2 Zach Goddard goes deep on the mechanics of how diagnostic errors actually happen: availability bias, the missing feedback loop, specialty tunnel vision, and the slow erosion of trust that pushes patients toward people selling them supplements. The students here aren’t just asking sympathetic questions, although Jeff is literally a character in the book, something Dave found out in real time on this episode. They push on the hard stuff: when is a placeholder diagnosis ethical, whether AI will save us or become a crutch, and what do you actually do about a healthcare system where the patient bounces between docs who don’t have answers. What they keep landing on is uncomfortable—medicine doesn’t have great solutions to this, but the relationship between patient and physician might matter more than the technology of medicine. Solving the diagnostic crisis might mean uncomfortable, expensive changes. Episode credits: Producer: Jeff Goddard Co-hosts: Zach Grissom, Madelyn Klemmensen Guest: Alexandra Sifferlin, https://www.alexandrasifferlin.com/ Production: SCP Media Lab–Anna Roger, Cyrus Barati, Isa Perez-Sandi, Zach Grissom, Sarah Upton, Srishti Mathur, David Lee, and Jacob Thompson The views and opinions expressed on this podcast belong solely to the individuals who share them. They do not represent the positions of the University of Iowa, the Carver College of Medicine, or the State of Iowa. All discussions are intended for entertainment purposes only and should not be taken as professional, legal, financial, or medical advice. Nothing said on this podcast should be used to diagnose, treat, or prevent any medical condition. Always seek qualified professional guidance for personal decisions. We Want to Hear From You: YOUR VOICE MATTERS! We welcome your feedback, listener questions, and shower thoughts. Do you agree or disagree with something we said today? Did you hear something really helpful? Can we answer a question for you? Are we delivering a podcast you want to keep listening to? Let us know at https://theshortcoat.com/tellus and we'll put your message in a future episode. Or email theshortcoats@gmail.com. We need to know more about you! https://surveys.blubrry.com/theshortcoat (email a screenshot of the confirmation screen to theshortcoats@gmail.com with your mailing address and Dave will mail you a thank you package!) The Short Coat Podcast is FeedSpot’s Top Iowa Student Podcast, and its Top Iowa Medical Podcast! Thanks for listening! We do more things on… Instagram: https://www.instagram.com/theshortcoat YouTube: https://www.youtube.com/theshortcoat You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you. AI disclosure: Voices of host, co-hosts, and guests are human. Some other voices–such as listener questions or questions/comments from the internet–may be AI generated.

Diagnostic de la crise écologique, d'après Bertrand PiccardLe podcast est en ce moment sponsorisé par CyberghostVPN. Une manière simple de soutenir Sismique est découvrir ici l'offre promotionnelle réservée aux auditeurs : www.cyberghostvpn.com/sismiqueÉpisode enregistré le 20/01/2026---Retrouvez tous les épisodes et les résumés sur www.sismique.frSismique est un podcast indépendant créé et animé par Julien Devaureix.

Whole genome sequencing is reshaping the rare disease diagnostic odyssey by replacing years of serial, narrow gene panels and helping patients with suspected rare diseases obtain faster, more definitive answers. Akash Kumar, co‑founder and chief medical officer of MyOme, discusses where genome sequencing now fits into care pathways, how it captures hard‑to‑detect variant types; and what it means for treatment decisions, clinical trial access, and the emotional burden on families searching for a diagnosis.

*The Texas wheat crop is dismal.  *Duty free shipments are on the way to the United Kingdom for the first time in five years.  *Florida has implemented restrictions on importing livestock, pets and wildlife from six South Texas counties. *Growing and marketing sorghum is a big part of Texas Panhandle agriculture.  *Cotton Council International is working to grow U.S. cotton demand overseas.  *Work is underway to help lower fertilizer costs for farmers.*The Coastal Bend has seen some drastic changes during the last month.  *Diagnostic tests can help improve a beef cattle deworming program.  

Garth Heckman The David Alliance TDAgiantSlayer@Gmail.com      #The brotherhood manifesto #TripleCsurvivor    Jesus spoke the truth even when it hurt. To the Pharisees, to the people of didn't understand he was the bread of life, to the disciples… who do people say I am.. to Peter - get behind me satan, to Peter again you will deny me… he did not hold back. I belive he always spoke it in love, but nonetheless he spoke it. `   This is the "Hidden Invoice" for the leader. While you've focused on the financial cost to the company, the personal cost is often more devastating because it's a slow-motion erosion of your professional soul. A banana in your backpack.    As a powerlifter, you know that if you have a hitch in your technique, you can muscle through it for a while—but eventually, that technical flaw becomes an injury that ends your career. Leadership is no different.   1. Burnout via "Emotional Friction" Avoidance is actually more exhausting than confrontation. The Insight: When a leader ignores a culture issue (like a Gen Z employee checking out), they don't actually stop thinking about it. They spend cognitive energy rehearsing conversations they never have, worrying about the "Contagion Effect," and managing the fallout of the dysfunction.   The Personal Cost: This constant "mental background noise" is what leads to burnout. You aren't tired from the work; you are tired from the friction of the things you aren't saying.   2. The Feedback Loop of Imposter Syndrome In your notes, you mentioned that Accountability must be seen in the top tier. When a leader fails to address a toxic team member or a lack of clarity, they know they aren't living up to their own standard.   The Insight: Every time you avoid a hard truth, you send a signal to your own brain: "I am not actually in control here." * The Personal Cost: This creates Imposter Syndrome. You feel like a fraud because you are wearing the "Boss" title but refusing to do the "Boss" work (which is the hard, honest conversations). You stop trusting your own judgment because you've stopped acting on it.   3. Career Stagnation & "Reputational Gravity" In the 2026 workforce, a leader's "Vessel" (their reputation) is their most valuable asset. The Insight: People talk. If you are a leader who allows "Ambiguity Tax" to run rampant or ignores "Ethical Dissonance," that becomes your brand. High-performers (the "Gold Standards") will stop wanting to work for you. The Personal Cost: You find yourself "stuck" managing a team of C-players because the A-players have all fled. Your career stagnates because you can't hit the "High-Velocity" goals that get you to the next level. You become the leader of a "holding pattern" department.   4. The "Relational Debt" at Home This ties directly into your focus on how work helps real life. The Insight: You cannot turn off the "Avoidance Mindset" at 5:00 PM. If you are avoiding the truth with your Gen Z employees, you are likely training your brain to avoid the truth with your spouse and children. The Personal Cost: The stress of the "Unsaid" follows you home. You are physically present but mentally "reading the room" of your own household, looking for the same cracks you ignored at the office.   The "Diagnostic" for the Leader In your speech, you can give them this brutal metric to measure their own personal cost: "Look at the one conversation you've been avoiding for the last month. The mental energy you've spent avoiding it is likely 10x more than the energy it would take to actually have it. Avoidance is a high-interest loan; Truth is a one-time payment. Which one are you paying today?"  

In this podcast, experts David S. Klimstra, MD; Danielle A. Hutchings, MD; Nancy M. Joseph, MD, PhD; and Jonathan Strosberg, MD; discuss how neuroendocrine neoplasms are defined, diagnosed, and treated and why distinguishing between tumor types is critical for prognosis and therapies.

Budweiser won USA Today's Ad Meter for the 10th time—and while everyone was arguing Monday morning about the Clydesdale, the bald eagle, and whether "American Icons" was AI-assisted, the real story wasn't 60 seconds of creativity. It was whether the ad was part of a system. In the first episode of the new PESO Model® Diagnostic series, Gini Dietrich runs Budweiser's "Made of America" program through the PESO operating system lens and shows exactly where coordination ends and integration begins.  The lesson isn't about $8M ad budgets. It's about sequencing, depth, and a central nervous system—and any brand, at any budget, can build them. Take the self-assessed PESO Diagnostic at spinsucks.com/self-peso-diagnostic to find your own integration gaps.

Depending who you talk to, AI – artificial intelligence – is either the cutting edge of technology that can usher in a golden age of efficiency, precision, and capability that will allow humans to shake off the shackles of drudgery and guesswork, or it's a resources-devouring shadow that's going to strip us of our humanity, creativity, and connectedness.   On today's episode of Access to Excellence, College of Public Health professor of health informatics Farrokh Alemi joins President Gregory Washington to discuss the unique juncture of health care, industrial engineering, and now, artificial intelligence; specifically, what AI can do for educators and clinicians.  

The comedy queen of our generation Nikki Glaser is on the pod today!! Not only is she hilarious and gorgeous, but extremely smart and compassionate and a phenomenal talker. We talk all things back pain, depression, sex, and our time together at the Vanity Fair Party. It's a good one enjoy!! Watch her new Hulu comedy special “Good Girl” on Hulu 4/24!! Fibromyalgia quote mentioned source: Wolfe, Walitt, Katz, and Häuser. “Symptoms, the Nature of Fibromyalgia, and Diagnostic and Statistical Manual 5 (DSM-5). Defined Mental Illness in Patients with Rheumatoid Arthritis and Fibromyalgia Website: https://pmc.ncbi.nlm.nih.gov/articles/PMC3925165/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In the final episode of this series, Dr. Justin Abbatemarco and Dr. Shreya Louis discuss the study results and their implications for improving clinical practice.  Read more about this abstract on the AAN website. 

In part two of this series, Dr. Justin Abbatemarco and Dr. Shreya Louis discuss how this technology was developed and how it has evolved.  Read more about this abstract on the AAN website.