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Because that makes sense. Dick Durbin the Dipstick drops the legislation to fast-track illegals into citizens by allowing them into our military. Chinese nationals with guns? What could go wrong? We'll peel back that idea of suck and start our dive into how re-electing Donald Trump will bring an "end to democracy." (Yawn.) PLUS the 11 year old girl who was forced to share a bed with a trans boy (who IDENTIFIED as a girl, mind you) BY HER SCHOOL on a FIELD TRIP??? Welcome to the United States of Crazy. Podcast Production: Bob Slone Audio Productions
Czabe goes SOLO today, and talks about the new "analytics" based way managers run a game. Some funky calls in the NFL this week. Gay ref? Non-binary? Who cares? Call the game! Off-duty pilot tries to lawn-dart Alaskan Airlines jet. The worst robots we'll ever have in our lifetime. Meet "Tut Tarantino." Feedback and an ALE legend. MORE.....Our Sponsors:* Check out Drizly: https://drizly.com* Check out Factor at: http://www.FactorMeals.com/czabe50* Check out Rosetta Stone for a great deal: https://www.rosettastone.com/TODAY * Start hiring NOW with a $75 SPONSORED JOB CREDIT to upgrade your job post at Indeed.com/CzabeAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Being sensitive has got to be one of the oddest characteristics about being a human.During my correspondence via D.M.s (as a total stranger) with Til Willis, I had a small moment of panic. It was the kind of moment wherein the rabbit hole of questioning the way you go about life doesn't suddenly gape, but it doesn't not open a little bit, either.Anyway...it was a handful of months back, and we were swapping messages. He -- at one point -- used the phrase, "Like I said," and I might as well have just made myself a shit sandwich and eaten it.You blew it, Dipstick, I thought. Way to go.The summer went by and I'd all but chalked up this attempt to invite someone on the podcast to be a wash. Then -- right around the time he'd mentioned his availability would open back up again -- he messaged me. And I didn't even remember how much of a failure I'd felt like so many weeks ago.Things, as they say, aren't actually always as they seem, I guess.And this goes both ways. Or...numerous ways. Or...all of the ways. I dunno.Point being: Life is hard sometimes; try and remember to take it easy on yourself.But...BUT!...Til Willis and Episode #83.I like the number 83. It's the year the youngest of my siblings was born, and, well...it's just kind of a robust number, both in numeric value and in appearance.And robust is a good word, perhaps, to sort of, kind of describe Til Willis.He's a fascinating dude with an incredible life story and a journey that's full of making music, performing it live, recording it and releasing it, and -- most of all -- loving it.We really vibed over a couple of artists, so I hope you'll check out our conversation, which -- by the way -- included a few of his favorite records, and those were these:Bone Machine (1992), Tom WaitsLiz Phair's Exile in Guyville (1993)Time Out of Mind (1997), Bob DylanRonny Elliott's Magneto (2002)Tiny Voices (2003), Joe HenryI also hope you'll check out a few of the places his music can be found, such as his own bandcamp, his Web site, his other project, or his other-other project.That's it!Vote for Badass Records for Best Local Podcast in The Pitch's annual contest.Thank you!copyright disclaimer: I do not own the rights to either the promo or the intro/outro audio. They are clips from a track called, "Strolling Sloth" by Arc De Soleil off of their 2020 EP, Libertalia (c/o Epidemic Sound).
Maddie Lohman, a PhD student from University of Nevada-Reno and 2-time DU research fellow, joins host Mike Brasher to discuss her research on mallards, pintails, and blue-wings in the Prairie Pothole Region. She shares how an initial dislike of math turned into a fascination with quantitative ecology and how she hopes her research will inform conservation. The two also reminisce about their trip to Alaska with friends and colleagues to study black brant on the Yukon Delta National Wildlife Refuge. www.ducks.org/DUPodcast
Adam and Dr. Drew open the show discussing Dr. Drew's rekindled love for 'The Love Boat' as Adam explains his theory behind the value in examining commercials and popular entertainment of a time period as it represents what our society is like during that time. Later on, Adam explores his analogy about cars and the male libido before they take a call and explain the key difference between "have to" and "get to". Finally the guys go to the phones and take calls about Hyper-vigilance, the effects of fatherless homes on young men and women, and Adam has a change of heart about allergies.
Welcome to the Firearms Insider Gun & Gear Review Podcast episode 479. This show is brought to you by Primary Arms, VZ Grips, and Walker Defense. In this show we will be talking about hearing protection, prisms, tiger stripe shotguns, and tan Diablos As you may know, we showcase guns, gear, and anything else you … Gun & Gear Review Podcast episode 479 – Dipstick Read More »
Welcome to the Firearms Insider Gun & Gear Review Podcast episode 479. This show is brought to you by Primary Arms, VZ Grips, and Walker Defense. In this show we will be talking about hearing protection, prisms, tiger stripe shotguns, and tan Diablos As you may know, we showcase guns, gear, and anything else you … Gun & Gear Review Podcast episode 479 – Dipstick Read More »
Welcome to the Instant Trivia podcast episode 835, where we ask the best trivia on the Internet. Round 1. Category: sporting words 1: In golf, it denotes a tournament which can be entered by both amateur and professional players. open. 2: For a football team, it's being sent back 5 yards, for a hockey player, being put in a box. penalty. 3: A 40-40 tie in tennis. deuce. 4: Unless he's up 1st in an inning a baseball player is usually here just before he's "at bat". on deck. 5: Goalposts and bedposts are different nicknames for this in bowling. 7-10 split. Round 2. Category: advice from dr. joyce brothers 1: (Dr. Joyce Brothers reads the clue.) Your daughter who's exhibiting this type of kleptomania at Wal-Mart may be trying to get attention. shoplifting. 2: (Dr. Joyce Brothers reads the clue.) Many have overcome their fear of this; you can always start with the cliche, "unaccustomed as I am" to it. speaking in public. 3: (Dr. Joyce Brothers reads the clue.) Make sure your kids know that this euphoria-inducing drug, also called MDMA, can do serious damage. ecstasy. 4: (Dr. Joyce Brothers reads the clue.) Don't fear non-traditional gender roles, like a man keeping house as in this Michael Keaton film. Mr. Mom. 5: (Dr. Joyce Brothers reads the clue.) There's no need to be ashamed of this common mental illness, even if it's alternating with mania. depression. Round 3. Category: let's fool around! 1: "Fool to Cry" was a Top 10 hit for this group in '76, which must have given them "Satisfaction". The Rolling Stones. 2: This swivel-hipped legend released "A Fool Such as I" in 1959 and just plain "Fool" in '73. Elvis Presley. 3: "Foolish Pride" gave him a Top 40 hit in 1986, without any help from John Oates. Daryl Hall. 4: In 1991 this sexy Welshman sang "Fool For Rock 'N' Roll" on his "Carrying a Torch" album. Tom Jones. 5: "A Fool in Love" was the first big hit for this couple known for their stormy marriage and their "Revue". Ike and Tina Turner. Round 4. Category: tv catchphrases 1: "Yabba Dabba Do!". The Flintstones. 2: "This tape will self-destruct in five seconds". Mission: Impossible. 3: "You bet your sweet bippy!". Rowan and Martin's Laugh-In. 4: "This is the big one, Elizabeth! I'm coming to join you, honey!". Sanford and Son. 5: "Say Kids, what time is it?". Howdy Doody. Round 5. Category: "ck" 1: The "culture" type is emotional disruption caused by living in a society not one's own. Shock. 2: Edmund Bergler, credited with inventing the term "writer's" this, must not have felt it -- he wrote several books. Block. 3: A metal measuring rod that's poked into a car's crankcase. Dipstick. 4: They're barrel's 2 partners in an expression meaning "the whole thing". Lock and stock. 5: Athletic position in which the thighs are against the chest and the arms wrap around the shins. Tuck. Thanks for listening! Come back tomorrow for more exciting trivia! Special thanks to https://blog.feedspot.com/trivia_podcasts/
It's been a long time coming… Here we are talking about fascism. Today people that throw this word around just mean “bad guys” or “the other side of my political argument”. Why is fascism so hard to actually define and understand? ... let's get our magnifying glass out and try to sort this shit out. FASCISM DOESN'T WORK FROM THE PRIVATE SECTOR UP! Featured Articles / books:https://www.britannica.com/Liberal Fascism: The Secret History of the American Left, From Mussolini to the Politics of Change - Jonah GoldbergThe Dark Knight Returns - Frank Miller***Credits***The voice of The Abracast – Hila Assor https://hilaassor.com/Theme Song “Red Horse Rising” by X-Proph3t: http://www.reverbnation.com/xproph3tWritten / Produced / researched / Performed – Jon Towers www.abracast.com***Contact***Visit Website: www.abracast.comEmail Jon: Towers113@gmail.comFind Jon on Twitter: @jonnyaxx https://twitter.com/JonnyAxxFind Jon on Facebook: https://www.facebook.com/jon.towers.925Find Jon On Instagram: http://instagram.com/stigmatastudios***Storefront*** If you enjoy the show, learned something new, or was inspired you might consider supporting the show! https://abracast.com/store-front***Support*** If you enjoy the show, learned something new, or was inspired you might consider supporting the show!Become a subscriber: www.subscribestar.com/abracastJust wanna buy me a drink?: paypal.me/stigmatastudios***Advertise*** Got a book, Product or Podcast? Would you like to get your message to The Abracast audience?Advertise on The Abracast: https://www.advertisecast.com/TheAbracastAdvertise on The Abracast: https://intellifluence.com/influencer/jon-towers-6103
A quarter of a thousand episodes! It's a thing! In this thing we have the shipping forecast, a saviour story, a rebirth of an event, Amy Rose keeps it tight and the massive parkfaffer Danny tells you Y he was at Yarborough Leisure Centre parkrun in Lincoln.
Hour 4 of A&G features the latest on the government intel leaker. Plus, Anheuser-Busch loses billions on the Dylan Mulvaney campaign and more! See omnystudio.com/listener for privacy information.
Hour 4 of A&G features the latest on the government intel leaker. Plus, Anheuser-Busch loses billions on the Dylan Mulvaney campaign and more! See omnystudio.com/listener for privacy information.
Hour 4 of A&G features the latest on the government intel leaker. Plus, Anheuser-Busch loses billions on the Dylan Mulvaney campaign and more! See omnystudio.com/listener for privacy information.
The head honks start off talking about their terrible week. Harper had some missed opportunities and Gabby found herself in multiple conflicts. Then we jump in to your stories on crazy landlords and neighbors! There's black magic, creepy dudes, and the through line is of course you guessed it plenty of meth heads. Supported by Awkward Essentials. Learn more about their flagship product The Dipstick and more at www.awkwardessentials.com, use code TEATIME10 at checkout to save 10% and support the show! All video is on our YouTube channel. Please subscribe, click the bell for notifications, and be sure to play our episodes playlist to help us get back on track. HONK HONK
This week on Death, the head honks discuss Lee's fatal storytelling flaw, we unpack some funky flavors of cancer, grim grandmas, an aunt stuffed inside of a penguin, and so much more! Supported by Awkward Essentials. Learn more about their flagship product The Dipstick and more at www.awkwardessentials.com, use code TEATIME10 at checkout to save 10% and support the show! All video is on our YouTube channel. Please subscribe, click the bell for notifications, and be sure to play our episodes playlist to help us get back on track. HONK HONK
Disaster strikes the studio, and Chris jumps into action while Brent battles the packet wars of 1996.
Viva Las Vegas, or something like that. Here's the thing, no one's the main character in Vegas and this episode proves it! We catch up after a restful week off then jump in to depravity and day pools. Supported by Awkward Essentials. Learn more about their flagship product The Dipstick and more at www.awkwardessentials.com, use code TEATIME10 at checkout to save 10% and support the show! All video is on our YouTube channel. Please subscribe, click the bell for notifications, and be sure to play our episodes playlist to help us get back on track. HONK HONK
This week the head honks open up with some comedy talk, because that's what we're doing out here! We can't skip over the stuff that we stole, then we dive in and roll around in the loot you stole! There's crafting supplies, there's grand larceny, there's statues, there's a chihuahua(??) and the old Gillette razor. Buckle up, this one's a roller coaster! Get 20% OFF at Manscaped + Free Shipping with promo code TEATIME20 at MANSCAPED.com! Supported by Awkward Essentials. Learn more about their flagship product The Dipstick and more at www.awkwardessentials.com, use code TEATIME10 at checkout to save 10% and support the show! All video plus some previously unreleased clips are YouTube channel. Please subscribe, click the bell for notifications, and be sure to play our episodes playlist to help us get back on track. HONK HONK
We have an injured Harper, Gabby is reeling from her eggs being rejected, and Lee is cashing checks! Then Honk, Bonk and Lee talk about Shame. We asked, What have you done that you're ashamed of? We read your anonymous submissions on hooking up with your sister's crush, sexual fantasies, and some of your reactions to being lied to in a couple different and pretty dark ways. We love your stories and truly appreciate that you take the time to write in. Get 20% OFF at Manscaped + Free Shipping with promo code TEATIME20 at MANSCAPED.com! Supported by Awkward Essentials. Learn more about their flagship product The Dipstick and more at www.awkwardessentials.com, use code TEATIME10 at checkout to save 10% and support the show! All video plus some previously unreleased clips are YouTube channel. Please subscribe, click the bell for notifications, and be sure to play our episodes playlist to help us get back on track. HONK HONK
Happy Valentine's Day! I have a special episode to share with you. If you're single, do you celebrate Valentine's Day? I sure do! Besides giving gifts and cards to my son and my family, I do some little things for myself. I've always wanted flowers, chocolate, and a beautifully written card from partners of mine, but never have dated anyone that cared about V-Day. So, now I buy those things for myself! SPECIAL EPISODE: I was a guest on the podcast Happy Brain with Sean Bloch and I'm excited for you to listen to this episode: https://podcasts.apple.com/us/podcast/happy-brain/id1555659782?i=1000599458225 If you want to listen to my Dating Deathtrap series, here are the links to the episodes below! I hope they make you a savvy dater (way savvier than me!) Dating as a Dipstick of recovery: https://podcasts.apple.com/us/podcast/self-care-for-survivors-of-trauma/id1597600839?i=1000577756854Dating Deathtrap #1: Believing Words Above Actions https://podcasts.apple.com/us/podcast/self-care-for-survivors-of-trauma/id1597600839?i=1000578487781Dating Deathtrap #2: Jumping to Conclusionshttps://podcasts.apple.com/us/podcast/self-care-for-survivors-of-trauma/id1597600839?i=1000579278484 Dating Deathtrap #3: Desperation and Low-Self-Esteemhttps://podcasts.apple.com/us/podcast/self-care-for-survivors-of-trauma/id1597600839?i=1000580021508Dating Deathtrap #4: Dating Down and Re-Datinghttps://podcasts.apple.com/us/podcast/self-care-for-survivors-of-trauma/id1597600839?i=1000580748391Dating Deathtrap #5: Living in Fantasy https://podcasts.apple.com/us/podcast/self-care-for-survivors-of-trauma/id1597600839?i=1000583905066Dating Deathtrap #6: Dating with the Wrong Intentionshttps://podcasts.apple.com/us/podcast/self-care-for-survivors-of-trauma/id1597600839?i=1000586903087 Has instagram handleDM me on Instagram! I'd love to hear from you! https://www.instagram.com/iheartserin/Join the facebook group: Survivors of Trauma Unite! https://www.facebook.com/groups/925184671535182
Welcome to the Instant Trivia podcast episode 725, where we ask the best trivia on the Internet. Welcome to the Instant Trivia podcast episode 725, where we ask the best trivia on the Internet. Round 1. Category: Dance Fever 1: When you swing your partner and do-si-do. square dancing. 2: '60s spud crusher. the mashed potato. 3: Travolta and Debra Wing-ed their way around Gilley's, popularizing this. Western two-step (Texas two-step). 4: B-boys do it, rappers rhyme to it, DJs control it. break dancing. 5: Original version of this dance was only record to hit #1 two different times, in 1960 and 1962. "The Twist". Round 2. Category: The Foot 1: Your foot touches the ground only at the heel and the ball, unless this is "fallen". arch. 2: Named for a Greek warrior, it runs from the heel bone to the calf muscle. Achilles tendon. 3: Describing humans, it's from the Latin for "two-footed". bipedal. 4: A wedge-shaped bone in the foot, it's also the term for ancient wedge-shaped writing. cuneiform. 5: Like your thumb, an ape's big toe is this, meaning it can be moved toward the other digits. opposable. Round 3. Category: "Ck" 1: The "culture" type is emotional disruption caused by living in a society not one's own. Shock. 2: Edmund Bergler, credited with inventing the term "writer's" this, must not have felt it -- he wrote several books. Block. 3: A metal measuring rod that's poked into a car's crankcase. Dipstick. 4: They're barrel's 2 partners in an expression meaning "the whole thing". Lock and stock. 5: Athletic position in which the thighs are against the chest and the arms wrap around the shins. Tuck. Round 4. Category: Animal Young 'Uns 1: The zebra. Colt. 2: The kangaroo. Joey. 3: The rhinoceros. Calf. 4: The squirrel. Babies/infants. 5: The turkey. Poult/chick. Round 5. Category: You Know What They Say... 1: It's an Oreo enthusiast's version of "That's the way the ball bounces". That's the way the cookie crumbles. 2: Guess correctly you've "hit" this "on the head". nail. 3: "He who laughs last, laughs best" and "He who" does this "is lost". hesitates. 4: They "come in threes", "must come to an end" and "come to those who wait". good things. 5: For centuries fraidy-cats have insisted that this "is the better part of valor". discretion. Thanks for listening! Come back tomorrow for more exciting trivia! Special thanks to https://blog.feedspot.com/trivia_podcasts/
The one and only Bobby Lee joins us to read your stories on Anger Issues! Before we dive on in the Head Honks give our guest some dating advice, we play a round of ‘would you rather' and are blessed with some sage wisdom from Father Time himself. This episode is a blast and it's an honor to have an icon in comedy support our little show. Get 20% OFF at Manscaped + Free Shipping with promo code TEATIME20 at MANSCAPED.com! Supported by Awkward Essentials. Learn more about their flagship product The Dipstick and more at www.awkwardessentials.com, use code TEATIME10 at checkout to save 10% and support the show! All video plus some previously unreleased clips are YouTube channel. Please subscribe, click the bell for notifications, and be sure to play our episodes playlist to help us get back on track. HONK HONK
Hey Honks, this week we dive right in to your most Awkward or Cringe Hookups. Of COURSE Honk, Bonk and Lee have their own haunted stories to share along the way. Hang on tight for this Explosive Anal Extravaganza on Acid! Enjoy!
We are very excited to announce our new partnership with Awkward Essentials. Learn more about their flagship product The Dipstick and more at www.awkwardessentials.com, use code “TEATIME10” at checkout to save 10% and support the show! We start on a high on this ep, the season of love is upon some of us (more on that on Patreon). After what turns in to a truly unhinged intro, the head honks read your stories on Avoidance. You guys are avoiding dates and restaurants, dermatologists and dentists, exes and you in-laws. All we know for sure is that we all need to floss a little bit more! All video plus some previously unreleased clips are YouTube channel. Please subscribe, click the bell for notifications, and be sure to play our episodes playlist to help us get back on track. HONK HONK
In this episode we explore diesel exhaust fluid, is it a joke? Who needs it and why... Mixed & edited by Emdognightmare Hugs, thank you & high fives to Greg Meleney for the killer tunez!
Today we have an answer to yr exsitential crisis: Do I really have to replace all the tires at once on my AWD car? Tire Shaving Edited & mixed by Emdognightmare
Liam's even more clueless than we realised so Ben gives him some pointers on how to look after a car. That being said Ben's also a felon now so he's not much better. I'm 26yrs old and I can't check dip sticks 610 Quiz: What's ya poison Philip? What did you accidentally steal? A carney gives us all the sideshow secrets What's the double standard in your relationship? Cow pun story What's trending: The Veronica's are splitting up. See omnystudio.com/listener for privacy information.
The guys discuss various new-car launches and realize how many manual-transmission-equipped cars are currently for sale. Debate #1 is for Christopher B. in Denver CO, who is becoming more of an outdoors enthusiast. Debate #2 is for Joe B. in Fort Collins, whose MoF is becoming an enthusiast. Social media questions ask what the benefits are of rev-matching manuals, what's it like being part of a focus group, and why are manufacturers getting rid of physical dipsticks? Seasons 1-11 are available on Amazon Prime and Vimeo worldwide. Please rate and review us on iTunes, and the TV show on IMDB and Amazon. Write to us with your Car Debates, Car Conclusions, and Topic Tuesdays at everydaydrivertv@gmail.com or everydaydriver.com. Share the podcast with your car enthusiast friends!
Today I start my series about Dating After Trauma. I share three things that skewed my percetion towards developing a healthy and loving relationship with a significant other. I'm still on my journey, but today's episode is a happy stop along the way. I can look back and see how far I have come, even though along the human trudge, we will never fully arrive.
Things are different. Things are are not the same. Who is this man? The Dipstick? I can't escape it. If you play the game, it ends up playing you. Seems . . . risky. Guess that's why they call it . . . RISKY RADIO. Send us emails! adamalsoandy@gmail.com Tik Tok: @adamalsoandy Facebook: @adamalsoandy Twitter: @adamalsoandy Instragram: @adamalsoandy Spotify: https://open.spotify.com/show/0wWImCkh76lpYmGdmXzrQZ iTunes: https://podcasts.apple.com/us/podcast/adam-and-andy/id1529984241 adam-andy.com
Streamline Church
Joe Biden and Democrats have a huge problem in two key demographics, on the economy and overall. His blamethrowing on gas prices and inflation clearly aren't working, as Duane Patterson and I discuss. We also talk to Ann McIlhenny about her new serialkillerpod.com podcast series on Kermit Gosnell and abortion, plus C-Fam-org's Martin Ruse about what comes next for the pro-life if the Supreme Court overturns Roe v Wade in its upcoming Dobbs decision.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode722. In this episode, I'll discuss whether a urine dipstick test can identify patients with clinically significant amounts of plasma DOAC levels. The post 722: Can a urine dipstick test identify patients with clinically significant amounts of plasma DOAC levels? appeared first on Pharmacy Joe.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode722. In this episode, I ll discuss whether a urine dipstick test can identify patients with clinically significant amounts of plasma DOAC levels. The post 722: Can a urine dipstick test identify patients with clinically significant amounts of plasma DOAC levels? appeared first on Pharmacy Joe.
Just as we can check the quality and level of oil in a car by pulling out the dipstick, God can check the health of a church or individual Christian whenever He pleases. We must live according to His Word, spreading the Gospel and expanding His Kingdom by building relationships with others through reaching out and listening. To support this ministry financially, visit: https://www.oneplace.com/donate/640/29
You check your car's oil by pulling out the dipstick. In the same way, God measures the health of the Church and of individual Christians by pulling out our spiritual "dipstick" whenever and in whatever way He chooses. One of the ways He does that is by checking our relationships -- and the only way for us to be in relationship with other people, including non-believers, is to reach out, listen, and be genuinely involved in their lives.
In this podcast, Dr. Kim Thielen, a nephrologist/kidney specialist with Minnesota Kidney Specialists joins us today to continue part 2 of our discussion on acute kidney injury, as we wade further "into the weeds" discuss intrinsic renal disease. This episode will break down hallmark urinary findings and further subdivide intrinsic concerns into bland, nephrotic and nephritic, various causes, and treatment. Enjoy the podcast! Objectives: Upon completion of this podcast, participants should be able to: State the 3 types of urinary analysis findings related to instrinic acute kidney injury. Describe etiology of presentation of each type of intrinsic acute kidney injury. CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at rmccredentialing@ridgeviewmedical.org. To receive continuing education credit for this activity - click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) DISCLOSURE ANNOUNCEMENT The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics. Any re-reproduction of any of the materials presented would be infringement of copyright laws. It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Thank-you for listening to the podcast. SHOW NOTES: *See the attachment for additional show information. Intrinsic Kidney Injuries: Urinary analysis findings- Bland Urine: no protein - Nephrotic: protein - Nephritic: protein and blood Hallmark Urinary Findings: Casts - Tamm Horsfall Protein : Mucoprotein made by tubular epithelial cells that precipitate out and congeal to form casts on whatever is in the cells at the time. (i.e. RBCs, WBCs, tubular debris) Bland Urine States- Crystalline Induced Renal Injury: obstruction and infllamatory response - Uric Acid Neuropathy (Most common) - Cancers, lymphomas, etc. - Drugs: acyclovir, methotrexate, protease inhibitors, etc. - Toxins: Ethylene glycol - Bland Urine Disease states: results from injury to tubules, instertim or pre glomerular blodd vessels, not the filters of the kidney - Interstital Nephritis - Hallmark: pyuria and WBC casts - Biopsy: inflammatory infiltrate - Causes: viral, PPIs, Adenover, mizalamin, etc., Checkpoint inhibitors - Acute Tubular Necrosis - Hallmark: tubular epithelial cell cast - Granular: (course or fine) diagnostic of ATN - Biopsy: denuded dilated tubular cells - Causes: #1: Ischemia; toxins, drugs, contrast dye; pigment injury. myoglobin - What about contrast dye? - Categorized under ATN - Per Dr. Thielen, plays a role, but injury is not solely dependent on dye alone. - Hepatorenal Syndrome: ischemic injury to the kidney due to unopposed vasocontstriction - Ace inhibitors cause unopposed efferent vasoconstriction + nonsteroidals cause unposed afferent vasoconstriction = no glomerular perfusion pressure - Multiple Myeloma - Hallmark: Light chain cast nephropathy or myeloma kidney - Light chains precipitate out causing obstruction, inflammatory response and causes tubular damage - Presentation: older possibly with anemia, bone pain and elevated creatinine with a bland urine. - Protein to creatinine ratio: + for protein (non albumin) - Dipstick: (which measures for albumin and not light chains) will be negative for protein aka bland urine - Hypertensive Nephrosclerosis - Small vessel vascular disease - Blood vessels prematurely atherosclerosis causing glomerular drop out and scarring of the interstim - Scleroderma - Limited cutaneous systemic sclerosis - Diffuse cutaneous systemic sclerosis: 60-80% have renal injury from disease state itself - FANA positive - Concern for Scleroderma Renal Crisis = medical emergency - AKI, moderate to severe HTN and bland urine - Uncontrolled accumulation of collage, thickens vascular walls, narrowing and renal ischemia - Occurs in 10-15% of those with Diffuse Cutaneous Systemic sclerosis and happens early in disease - Left untreated: renal failure in 1-2 months and death in 1 year - Treatment: ACE Inhibitor Nephrotic Urine States - Urine protein: albumin excretion greater than 3.5g in 24 hours - Nephrotic Syndrome: - Present with 3 things (nephrotic range protein, hypoalbuminemia, peripheral edema) - Hyperlipidemia: due to increased hepatic lipogenesis - Increased risk of renal disease and arthroscleratic - Venous thrombotic disease: - Loose proteins other than albumin and develop a hypercoagulale state - Renal and peripheral venous thrombosis - Lipiduria (forms fatty casts, looks like a latese cross under microscope) -Pathophysiology or nephrotic syndrome - Glomerular capillary wall - 3 layers that work as a glomerular filtration and responsible in the filtration between blood and urine - Fenestrated Capillary Enothelial cells (fenestrations allow plasma through to the basement membrane) - Glomerular Basement Membrane (maintains glomerular filtration barrier; negatively charged, repels albumin) - Epithelium: Podocytes (Have highly specialized foot processes that connect and form slit diaphragms; Slit diaphragm important for the efficient flow of small solute and water) - Anything that messes with any of these layers: nephrotic proteinuria - Nephrotic Disease States: - Biopsy: anyone with nephrotic proteinuria (besides diabetics) 1) Light microscopy: high overview 2) Immunofluorescens: looks for nephritic component and identif immunce complexes 3) Electron microscopy: (EM) helps look at the ultrastructure and better identify immune deposits - Diabetic nephropathy - Leading cause of kidney disease in U.S. and western society - Responsible for 30-40% of all ESRD causes - Hyperglycemia: produces inflammatory responses, oxidative stress, and injures the podocytes and deposits that charge and affect the ability of the kidney to filter. - Amyoidosis - Organize into betapleted sheets and produce spikes of the capillary uniion and poke through the GF membrane - Easily identified by apple green birefringence on congo red - Terminal illness - Present with HTN, cardiac effects and elevated creatine - Nephrotic Disease states based of histologic appearance - Diagnosed by histologic appearance but does not determine the etiology - Minimal Change Disease - Fairly common - Minimal change under light microscope - EM: podocytes are abnormal, fused, no unique cell-cell junction - Primary: Immune generated circulating facture; alters the cytoskeleton of the podocytes - Secondary - Nonsteriodal - most common cause of secondary minimal change disease - Gama interferon - Hodgkin's lymphoma - Allergy: 30% of minimal change have associate allergy (mechanism unknown) - Presentation - Sudden onset (days to weeks) - Marked edema and hypoablbuminemia - 60% have normal blood pressure, 82% have normal creatinine - Focal Segmental Glomerulosclerosis (FSGS) - primary and secondary - Most common cause idopathic nephrotic syndrome in adults - Primary glomerulonephritis in the US that causes ESRD - Widespread podocyte injury - Primary: circulating factor that messes with regulation of foot process and adhesion to the glomerular basement membrane (afffect all podocytes) - Present with nephrotic syndrome and rapid progression - HTN and elevated creatinine - Secondary: the visceral epithelial cells don't replicate - Nephron loss or obesity or direct foot process injury - Cannot replicate (podocytes), leads to decreased to podo denisty at specific areas (focal injury) - 2/3 of all cases FSGS - Present: with slowly increasing proteinuria and kidney impairment over time - Causes: interferon, bisphosphonates, talc, anabolic steroids - Genetics: gene mutations that encode for the slit diaphragms of the podocytes (affect all podocytes) - Present in Childhood: full blown nephrotic and progress rapidly to ESRD Membranous Nephropathy - Most common cause of nephrotic syndrome in caucasion adults - 80% present with nephrotic but develops more slowly to ESRD - Primary: Major antigen identified - antibody to trans-membrane receptor that is highly expressed on the glomerular podocyte - Secondary: Cancers (lung, breast, GI), Lupus, Thyroiditis, Hep B, Syphilis, Nonsteroidals, Monoclonal Antibodies Nephritic Syndrome - Hematuria and proteinuria - Hematuria: blood from kidney or outside the kidney - Outside the kidney: look the same - Inside the kidney: dysmorphic red cells - Present: - Renal impairment for days to weeks - Edmatous, HTN and look critically ill - Vasculitis, sinusitis, oral ulcers - Pulmonary renal syndrome: short of breath or hemoptysis - Skin changes: bruising , bleeding, purpura - Myalgias and arthritis - Urine: - Hallmark: red blood cell casts (polymorphic red cells) - dipstick + for blood - elevated proteinuria - Biopsy: nephritic and + urine Nephritic Disease States (based on immunofluorescence staining) - Pauci Immune Disease - Ankle vasculitis, common - A paucity (little amount) of immune complexes - See black on imaging - Lab work: check on ANCA and peripheral eosinophils - Anti-GBM Disease - Renal limited, or classic pulmonary renal: Good Pasture's - linear staining of the glomerular basement with anti IGG (looks like a ribbon on a package) - Treat with cytotoxic agents - Immune Complex - Starry sky pattern - Glomerulus looks dotted with stars - Stars = immune complex definition - Diseases: Lupus (FANA), Post Infectious GN, Membranous Proliferative GN - IGA Nephropathy - Most common cause of glomerulonephritis in the world - Presentation: - Peak incidence is the 2nd and 3rd decades of life - 40-50% gross hematuria with upper respiratory and GI illness - Risk Factors for Progression: - younger age or hypertension at time of presentation - > 1g proteinuria - Elevated creatinine at time of presentation Thanks for listening.
On episode 301 of For Canon Sake, we talk about Jim Cramer saying that the government has right to force you.
It was the time of bad perms and frumpy clothes when Amy Fisher splashed onto the screen of every channel in America. There's so much more to the story behind the headlines as Jenna found out. Hosted by Jenna Swanson and Kelly DeVries Produced and edited by Kelly DeVries Theme music by Erik Swanson Intro music: 8 year anniversary by Diamond Ortiz https://linktr.ee/odfmpodcast
It was the time of bad perms and frumpy clothes when Amy Fisher splashed onto the screen of every channel in America. There's so much more to the story behind the headlines as Jenna found out.Hosted by Jenna Swanson and Kelly DeVriesProduced and edited by Kelly DeVriesTheme music by Erik SwansonIntro music: 8 year anniversary by Diamond Ortizhttps://linktr.ee/odfmpodcast
Urinary tract infections are a major differential for any child presenting with a fever. Thus, urine specimen collection is an important part of the workup of the febrile child. In this episode, we discuss the two main tests performed on urine in this setting. Firstly, there is the "urine dipstick", also known as a full ward test. The two main important items on this are the nitrites and leucocytes. Secondly, there is the microscopy, culture and sensitivities, which confirms diagnosis but also gives you a specific organism if present. Listen in to learn more about interpreting these two very common tests in paediatrics, and indeed in medicine as a whole! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
Tronsformers. Burning oil. Dad's belly button. Vacation, sweet corn, blackberries and a mouthful of salt water.
Welcome beck to another amazing week of Nicol Park. Highlights from this week include, firefighter bathroom protocol, an amazing new mad lib product, and ways to make baseball a much better sport. Thanks to our sponsors, Ikea and Bunz Burgerz. Thank you all for your support, be sure to reach out to us and tell people about the show!
Interview with Sir DipStick, 1998 Tornado Alley H3. (GM/RA, ...) 1000+, MINK, IAHs --- Send in a voice message: https://anchor.fm/ononh3/message Support this podcast: https://anchor.fm/ononh3/support
Kicking of the new season, this week we discuss the recent England performances, touching on the form of Jesse Lingard and the worries we have between the sticks with Pope producing some unconvincing performances. Does Grealish get into the 23 for the Euros and what that means for the rest of the selections. (Please no Dier) Gary Neville recently stated that Maguire was more of an important player to England than Kane, we certainly air our views on that opinion. Ending the episode with our charity Accumulator choices and yet another impromptu game..... ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Looking for a footballing gift for yourself or a loved one? Why not check out our partners over at: ScoreDrawPrints: https://www.etsy.com/shop/scoredrawprints/ (TFM10 - 10% Discount) & WordsandArtCrreative https://www.etsy.com/shop/wordsandartcreative (TFM15 - 15% Discount) --- Send in a voice message: https://anchor.fm/footballmusketeer/message
**This episode of Transmission Folklore has content warnings for the following-- family separation, implied medical and familial transphobia, ableism, and discussion of emotional abuse.** What do you do when the house you grew up in isn't home anymore? Carter sees his sister and gets some, but not all, of the answers. Check out our website https://www.transmissionfolklore.com for captioned videos, transcripts, merch, and more about the podcast! Episode Transcript and Video Link: https://transmissionfolkloretranscripts.carrd.co/#transcript-ep10 Carter is voiced by Orion Ibert Sorrel is voiced by Mik Koats Clare is voiced by Drew Ibert Adelyn is voiced by Aryn Rozelle MUSIC CREDITS: "Pilot" by Lately Kind of Yeah (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License) "The Stork" by Ketsa (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License) Other songs and sound effects where used with permission from EpidemicSound.com SOUND CREDITS: Sparkle: https://freesound.org/people/alexkandrell/sounds/170522/ Gear shift: https://freesound.org/people/mrmccormack/sounds/116598/ Keys jingle 1: https://freesound.org/people/sjturia/sounds/370897/ Car Windows: https://freesound.org/people/theshaggyfreak/sounds/276274/ Keys Jingle 2: https://freesound.org/people/Lightnessko/sounds/390324/ Door Opening 1: https://freesound.org/people/InspectorJ/sounds/431117/ Door Opening 2: https://freesound.org/people/Slanesh/sounds/31768/ Outside Ambiance: https://freesound.org/people/Genevieve_Lupke/sounds/366473/ Wings: https://freesound.org/people/jaegrover/sounds/240549/ Stairs: https://freesound.org/people/14GPanskaHonc_Petr/sounds/419172/
Hebrews 11:1. If you had to check your faith level, where would you think it's at? Not everyday do we feel like Billy Graham's, sometimes we feel down and out. Listen in and I hope to encourage you with this devotion --- Support this podcast: https://anchor.fm/thesimplechristian/support