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All DL's are going to have ideas about what makes a 'classic' WW's episode, but surely any time Mr Whitehall is bursting into song (more than once) has got to be a good bet? This week... A DL who wonders why people aren't getting dressed to go out, some top drawer sightseeing recommendations and a bit of a dance around the house.You can email your questions, thoughts or problems to TheWitteringWhitehalls@gmail.comOr, perhaps you'd like to send a WhatsApp message or Voice note? Why not?! Send them in to +447712147236This episode contains explicit language and adult themes that may not be suitable for all listeners.
Paul and Mark kick off the weekend on Who Dey Light-Intro-Upcoming shows-Beat writer mock draft backstory-Sir, this is an Arby's-Indiana Bears vs Kentucky Bengals-Sztanyo winner!-Your questions-Who would be the free-agent splashes?-Most money spent: DL, S, LB?-Survivor 50 -Draft before free agency?-RB2?-Away schedule and international-Ambush Light-Bachelor Party stories-Thanks for supporting Cincy Shirts!-Comedy plugs-Dad lifeWatch and subscribe on YouTube: https://www.youtube.com/@TheGrowlerPodcastThe Growler on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-growler/id1733476604The Growler on Spotify: https://open.spotify.com/show/70iJjqgPQrVzQ2pdOwVvDYLinks to all socials, podcast platforms, merchandise from Cincy Shirts and more: thegrowlerpodcast.comSee Mark's tour schedule at markchalifoux.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
The Composite Two-Star Recruits podcast returns to discuss USC landing legacy 2027 DL commit Isaia Vandermade, previewing major 2027 WR target Quinten Hale's commitment this weekend and more. TIME STAMPS: (0:00): Hurricane's Snow Day (13:23): USC Lands 2027 DL Isaia Vandermade (39:23): Previewing Quinten Hale Commitment (53:47): Mark Bowman the Real Deal? (01:05:34): Favorite Cilantro Recruit (01:12:30): Honor Fa'alave-Johnson Changes Plans (01:27:12): New Visits, Offers (01:32:39): Listener Questions To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
We've all heard Mrs Whitehall's tips on keeping this and that in the fridge to use again... A smidge of this and a dollop of that... Well, this week's DL has a Mother who does exactly that, but are the lengths she goes to worth it?You can email your questions, thoughts or problems to TheWitteringWhitehalls@gmail.comOr, perhaps you'd like to send a WhatsApp message or Voice note? Why not?! Send them in to +447712147236This episode contains explicit language and adult themes that may not be suitable for all listeners.
Natalia Ball, global chief growth officer at Mars Pet Nutrition joins The Big Impression podcast to talk about how Pedigree transformed a local Brazilian insight into a global business story. She also shares why she is now focused on the next frontier of growth: Connected commerce and making sure brands show up when AI agents, not just people, are making purchasing decisions. Episode TranscriptPlease note, this transcript may contain minor inconsistencies compared to the episode audio. Damian Fowler (00:00):I'm Damian Fowler.Ilyse Liffreing (00:01):And I'm Ilyse Liffreing.Damian Fowler (00:02):And welcome to The Big Impression.Ilyse Liffreing (00:09):This week we're joined by Natalia Ball Global Chief Growth Officer at Mars Pet Nutrition home to brands like Pedigree and Sheba.Damian Fowler (00:18):Last March, pedigree launched a bold, purpose-driven campaign in Brazil celebrating mixed breed dogs, especially the iconic Vela Caramelo.Ilyse Liffreing (00:27):It wasn't just a campaign, it became a movement boosting adoption and challenging long held bias.Damian Fowler (00:35):The work went on to win top honors at the 2025 cans. Lions including the titanium lionIlyse Liffreing (00:41):And its impact is still rippling across markets and media channels worldwide.Damian Fowler (00:45):So today we're unpacking what made it work with the person who helped drive it. Natalia, tell us about the Carello campaign and how you landed on the idea.Natalia Ball (00:57):Carmelos are mixed dogs that are beloved in Brazil. They are found on the streets everywhere. They are the subject of meme, street culture, and people just identify Carmelo as the Brazilian dog. However, the inside that we discover was that this dog is 90% less likely to get adopted than breed dogs. So it is the most popular dog in Brazil, but the most overlooked. And when we learned about that, we decided that we wanted to make a difference and that we wanted this dog to get the position it deserve and pedigree decided to champion the underdog and become the official brand of caramel's in Brazil.Damian Fowler (01:41):You talked about the caramel. Could you just describe a little bit more for people who don't really know the caramelo and that term Vita, where does that come from?Natalia Ball (01:52):Yes, so caramels are basically mixed breed dogs that you can find on the streets of Brazil everywhere they are called caramel because they are caramel color and that's what it is in Spanish and they tend to be that caramel color, short hair. But there are different ways that these dogs look and feel because they are mixed breeds. But like I said, they are beloved dogs in Brazil, but when it comes to getting a pet, getting a dog, they are not the ones that people are going for. They see them as street dogs, not a dog that you have in your house. And the whole campaign was about, like I said, championing these caramels, driving adoption of mixed breed dogs, not only breed dogs. And we did that by saying that if caramels were considered non breeded, pedigree was going to give them a breed and who better to give them a breath than pedigree.Ilyse Liffreing (02:48):Great. And then at what point did you connect that insight to the campaign itself?Natalia Ball (02:54):What you need to know about pedigree? Pedigree is one of the largest dog brands in the world. Pedigree feeds more dogs than any other brand, and it has been there for many years and for the past 20 years or more, pedigree has been driving adoption, encouraging people to adopt pets everywhere. We have had a lot of iconic campaigns so much which maybe you would've heard, like for example, docs on Zoom during COVID or the child replacement program, which was a very interesting one. And we were talking about adoption in Brazil, but other local brands were talking about adoption too. So we were not cutting through and it was only when this insight came to us, which was a very deeply local insight that we made the connection, if we want to drive adoption in Brazil, this is going to be the way in and we're going to make this as big as it can possibly be.(03:51):Because we, from the very beginning saw we understood this idea of the vi Lata. You mentioned it before by the way, the vi lata is how you call mixed breed dogs in Brazil. And so when we had these conversations about this insight, the injustice of this beautiful dog not getting adopted, but also the cultural impact that it would have on resilience themselves, who could see themselves related in the fact that they were being championed, we decided to go really big on this campaign and not only do just an activation, but actually we are doing this campaign. We did it all of last year and we continue activating through this year. And some of the ways in which we championed this was actually by creating a caramel kennel club by creating the first ever caramel DNA testing. And it's the largest ever DNA test done in mos in all of history, kept creating a Carmelo dog show and not only that, putting caramels for the very first time ever on our packs. So it was really a way to give them the rightful place.Ilyse Liffreing (05:01):I love how you guys just took it a step further than even just it being a campaign and you actually adopted it into your packaging and the whole bit. At what point did you realize that the campaign wasn't only just a marketing ploy and it began actually affecting culture?Natalia Ball (05:23):Yeah, I mean this campaign has really changed culture in Brazil, but it was a campaign that was deeply rooted in culture itself because Carmelos were part of Brazilian culture. But when we realized the campaign became bigger than ourselves, absolutely. When it started driving difference in adoption of Carmelos, we saw more than 200% lift of caramelo adoption just in the first month. And we saw a 65% increase in likelihood to adopt a Carmelo in the future with this campaign. And then when we started seeing other brands and other businesses even outside of the pet care category start using the Carmelo in their campaigns in their advertising, that's when we knew this had really hit culture big. An example of that was Chevrolet that actually launched a partnership with Netflix that launched a documentary about caramel, and several launched a caramel or a caramel colored car in a promotion.(06:29):Other brands like Honda or Whirlpool also feature caramels in their advertising. So we started seeing that this became much bigger than ourselves, but maybe the biggest achievement that we had with this campaign other than driving adoption itself, which was the cost at the end of the day, was the fact that we were betting on the mixed pre-doc actually not being accepted in dog shows because only breed dogs are accepted usually in dog shows. But at the end of the day, the movement became so big that after only two weeks of this campaign, the federation that actually controls the dog shows called us and said, we now want to move to accept mixed breed dogs in all of our shows. So that was a huge achievement that we never knew it would be possible.Damian Fowler (07:18):What's really interesting to me about this campaign is the way you focused on one region, one country, one market, but obviously you're a global brand. So how does that connection to the local end up escalating? So it became this global campaign.Natalia Ball (07:35):Like I said, adoption is a huge cost for us, and we have been very consistently on pedigree, driving adoption for a long time. So we have an evergreen brief that goes out to all of our agencies on adoption, and in my case in particular, I am a strong believer in creative excellence as a driver for growth. And so I put a creative excellence program in place that included building capabilities on creative excellence, but also creating a creative council where the best ideas could come faster to the marketing leadership of Mars Pet Nutrition so that we could move at speed, but also we could fund the better ideas. And in this creative council DL map team, Al Map VO, who are the agency that came up with this idea presented Carmelo. And from the very beginning, me and the whole leadership team fell in love with it, and so we decided to fund it.(08:31):We decided to go big and to give it our full support. We knew it had the potential to drive the business and change culture, and I think in this case, the important thing about the campaign, obviously it did a lot of good. So it's a purposeful campaign and pedigree is a purposeful brand, but it was not only about the purpose, it was also about driving business results. Through the campaign in the first couple of months, we were able to grow 15% and through all of last year, we moved to grow volume and value by double digits. So the campaign really did the job about turning around the pedigree brand and delivering results not only on the cost but also on the business.Ilyse Liffreing (09:11):That's great. And you're doing something right when all the other brands out there are copying you guys suddenly in pop culture and everything like that. I'm very curious about as the campaign evolved, obviously it started out from a social aspect, but as it evolved, how did you decide what other channels to bring it into? What other channels did you try out in this process?Natalia Ball (09:42):Yes. Actually this campaign started as social first and we then boosted with media. The way it started is we partner with local influencer called Tata Vernick. She loves caramels and she herself has adopted caramels. And we asked her to register her caramel in a dog show because we knew that her caramel was going to get rejected, which it did. And so she posted on her Instagram that had 60 million followers that she was outraged that her beautiful and smart caramelo could not be accepted in a dog show. This went viral immediately in Brazil and everybody was outraged. This went on the evening news, the morning shows everywhere, and we waited for it to gain enough fire for us to step in. So actually we were planning that this was going to take a couple of days, but at the end we had to act after only 10 hours because this became so big so quickly.(10:41):And we step in and we said, you know what, Tata, don't worry. Pedigrees got you. We're going to give all caramels a breed. And we launched the campaign with our beautiful campaign video that talks about our program of giving them a DNA test, giving them a show, giving them a kennel club and giving them everything that breed dogs have. And then after that, we use that video and we boost the message. The video went viral as well, but we boost the message, for example, with connected TV as well as Prime and Disney, et cetera. So in order to make sure that everybody had listened to it, but it was truly an omni-channel approach because we use a lot of offline tools like for example, the dog show itself that we created or the adoption drive that we had later on where we were invited people to adopt caramels and then online tools like Instagram or Connected TV or Disney, et cetera.Damian Fowler (11:38):You suggested that the kind of timeline got really sped up really fast. So this thing you had to act very quickly. At what point did you realize you had a hit on your hands in a way, and how quickly did it escape the local context and became this bigger campaign that everyone looked at?Natalia Ball (12:01):Yeah, this exceeded all of our expectations. So we knew that it was going to get picked up, but like I said, we were not expecting for this to become so big so fast. And the fact that it appeared in all of the big shows, evening news, morning shows, et cetera, it appeared as well on national media, on print Everywhere meant that we needed to step in faster, but we were fully prepared for that. So that didn't represent the challenge. It was more of an opportunity. And then the other thing that really surprised us was that the largest dog association reached out to us after only 24 hours to partner to see how mixed beat dogs could then be allowed to compete. We were not expecting this. We were expecting actually that to be attention point that we were going to leverage in our campaign, and this became so big that they just couldn't ignore it. So it was a big win just from the very beginning.Damian Fowler (12:57):Wow.Natalia Ball (12:57):Now one of the things that we're seeing is even though this was very, very local, as we have started sharing this work across many other places in the world, we have realized that the insight actually exists in many other markets. For example, in Chile they have a dog called the Quilter, which is the equivalent of the caramel. We have them in Philippines, we have them all over the world. So this insight can travel. The way to activate might be different because you need to localize to the nuance, but we are very excited about the potential of drive more inclusion of these dogs with these campaigns, but also for pedigree to stand stronger in culture.Ilyse Liffreing (13:36):I love that. As a dog owner, myself and owner of a mutt, I'm glad they're getting their time in the spotlight a little bit more around the world. Generally, I feel like post COVID in the marketing world today, some brands have actually moved away from purpose-driven marketing a little bit, but this is a really good example of it done right. What would you say this campaign proved or maybe disproved about purpose-led marketing?Natalia Ball (14:04):I am a strong believer of purposeful brands actually growing stronger, but it only works when it's aligned truly and authentically to the reason for the brand to exist. Pedigree itself, the purpose of the brand is we believe that dogs bring out the best in us, and pedigree wants to bring out the best in dogs. So the purpose of pedigree is pedigree brings out the good dogs bring to the world to do that. We obviously do that with our great nutrition, but we do that by putting dogs in houses so that they can bring out the best in people. That's what we do because we strongly believe that dogs make us better. So that's why we have been driving adoption for more than 20 years. And when you really make this part of your core DNA and it's authentically linked to the brand, that's when it really works.Damian Fowler (14:56):And one of the proof points of that is the awards that you scooped up last year. Can you tell us a little bit more about how that happened? And that must have happened quickly because the campaign rolled out in March, 2025 by June, you're already in the spotlight.Natalia Ball (15:13):Yes. So this campaign was picked up for a lot of awards at Cannes last year. We won the Rainbow, silver, gold and Titanium. The titanium we are very excited about because it's Mars Inc. First ever titanium. So we are really proud of that, and it's also an award that rewards transformation in the creative industry, and we believe this idea was transformational. We're also proud of, I mean, we've got the many other awards, but the other one that we're really proud of is that we got the Grand Phy in the latam phy and in the Brazil phy, which shows that this was not only a creative idea that was very strong, but also a very effective idea in driving the business. So you can achieve both. You can do good in the world, you can drive the business and you can be creative actually. So it's three.Damian Fowler (16:03):Yeah, that's great. I love that trifecta. What happens to the titanium award?Natalia Ball (16:09):Well, I have it right hereIlyse Liffreing (16:10):With me.Damian Fowler (16:12):NoIlyse Liffreing (16:12):Way. Very nice. Beautiful here. It's beautiful.Damian Fowler (16:16):Beautiful. Well, congrats again. So from that, obviously momentum has come on. We've talked a little bit about how it influenced other brands, but in terms of the campaign continuing, what's next? How are you thinking about expanding this?Natalia Ball (16:33):In Brazil itself? We want to stay committed to this idea. We don't want to do one and go, and we are working, we continue activating the campaign through all of our channels. We continue doing adoption drives. For example, very recently we released the results from the DNA research that we did. So we find ways to keep this relevant. But now I think the next stage is to move on from not only caramels but all mixed breed dogs. Because with this campaign, the sentiment has been extremely positive. We got 99% positive sentiment. The only 1% negative comments was what about the other mixed breed dogs? They also deserve to be adopted. They also deserve recognition. So I think that's probably where we're taking it next in Brazil and then outside of Brazil, we are working on, like I said, these inside travels very well, but we're working on how to localize it in a world that feels authentic for the specific markets. I can't share anymore. Stay tuned, because some interesting things are coming soon.Ilyse Liffreing (17:44):And it sounds like that theme is going to keep going with this idea of all putting mutts in the spotlights from now on too.Natalia Ball (17:54):Exactly, yes. This is about inclusion. At the end of the day, our hope is that mutts are shown everywhere. We also love breed dogs. They're great. All dogs deserve to be feature everywhere. So our hope is that this campaign will drive inclusion, inclusion in advertising, inclusion in homes, inclusion everywhere.Damian Fowler (18:16):Another thought I had actually is when you were filming this campaign, did you have any standout caramelo stars?Natalia Ball (18:22):Actually, actually, I think our biggest star was Patas Caramel, which we then did a lot of things with her, I think. I mean, I don't record very well, but I think it was Mia, her name, but we did a lot with her in our activation. She was present when we did the dog show, et cetera. So I think that was our biggest star.Ilyse Liffreing (18:43):Oh, that's great. It can't always be that easy to shoot with dogs though, even if they're very well-trained, I imagine it's still a different world than human actors. So Natalia, what problem are you most obsessed with solving right now?Natalia Ball (18:59):I am right now obsessed with agentic commerce and agentic search and winning the race to thatIlyse Liffreing (19:08):BecauseNatalia Ball (19:09):I'm really concerned that in only a couple of years, if we are not winning, we will completely disappear the way all decisions are going to be made. So together with my team, we're trying to figure out how do we stay ahead of that race and how do we crack it pretty soon, so we're ready future.Ilyse Liffreing (19:26):Wow. And just to press you a little bit more on that, so you're talking about probably using agents on your website directly.Natalia Ball (19:35):It's about we are very good about marketing to people. We have cracked the code on how do we talk to people. We have the best insights in pet care, so we know how to create compelling stories that humans will listen to, but we need to crack how to market to agents, how to market to the machine because they are going to be making a lot of decisions for us in the future, in the very near future. And that's what we're working on.Damian Fowler (20:05):You're talking about media buying specifically on the creative side of itNatalia Ball (20:12):Or the LLM. This is about how do you make your brands show up in searches that are being done on ai? This is how do you make your brands be the ones that get recommended to be bought? So for example, when you're on Cha G PT and you're asking Cha G pt, I got a new puppy, what brands should I buy for my puppy? We want our brands to be the first ones to be recommended if you are going to buy a gift, anything like that, we want our brands to show up and we want our brands to show up in good light. And so that's what we're trying to figure out and to win. There is a combination of how do you have the right content in the right places? How do you get the right third parties to talk about you in the right way? What are the media channels where you need to show up? How do you optimize your search? So it is a very complex way. We need to crack the algorithm basically.Damian Fowler (21:12):On that point, how do you ensure your marketing teams have the right capabilities for success?Natalia Ball (21:19):Well, that's a big priority for me as CGO is one of my main jobs is to make sure that we're building capabilities for today and for the future. So in my team, we have a strong capabilities program where each and every one of the people on my team owns a capability and owns making sure that we get best in class content training and as well as the tools, because it's not only the knowledge, it's also the tools in order to do that. But the reality is that none of this works unless you are creating a culture of curiosity. And I really want to instill that in myself and in my teams because the industry is changing so fast. The minute you think you have cracked something, there is a new challenge. And the only way to stay fresh, the only way to stay in line with what's happening is to be curious. Whenever you don't know anything, go and ask someone who knows, go and ask questions like really try to learn instead of fearing the change, be curious about the change, and that's the way that we will build future proof capabilities.Ilyse Liffreing (22:22):Beyond ai, how do you see the role of connected commerce in the pet industry? Are there any other channels, for instance, that you're testing out? I'm thinking of are you testing shopping ads on CTV or any of that?Natalia Ball (22:40):Connected commerce is extremely important for us in pet care. The reason for that is because this category is one of the highest engagement categories that there are out there. People are making decisions for living beings, and they need to do deep research in order to make those decisions because they have real consequences. And so people are very engaged in reading through rating and reviews, and connected commerce gives us an opportunity to connect better with pet parents in those moments that matter most. We also, when it comes to pet care, a lot of our products come in huge bags that are hard to carry. So actually the fact that the convenience of those bags getting delivered at home make so that digital commerce becomes really important in our category. And so what we're trying to is to really help consumers navigate the pet parent journey and moving from content to commerce in a seamless way so that they can make the best decisions for their pets and that we are helping them along the journey to make those decisions.Damian Fowler (23:46):Okay, here's another, what's one marketing rule? This campaign, the Caramelo campaign happily ignored.Natalia Ball (23:52):The one rule that we happily ignore is about keeping your distinctive memory structures consistent because pedigree has always had a golden retriever on its pack. But with the Caramel campaign, we thought that it would be hypocritical of us to feature a breed dog while we were championing a mixed breed dog. So for the first time ever in history, we changed our pack and we feature a caramel, and this made the news again. And this was a huge bold move that we made and that made the campaign even more authentic and more powerful.Ilyse Liffreing (24:28):Now we have a fun one for you. Personal one really. Are dogs better than cats when it comes to brand lift?Natalia Ball (24:36):Oh, when it comes to brand lift, well, actually both are great for brand Lift. We actually have studies that show that when you feature cats or dogs in advertising, attention significantly increases emotional connection, significantly increases. This is why you see a lot of brands that are not in the pet care space featuring cats and dogs. They are both fantastic. Cats are more powerful in meme culture, as you probably know. They are huge in meme culture. And then dogs are some of the biggest stars in social media today. Some of the biggest accounts on social media are dogs accounts. So we are lucky that we get to work in this beautiful category because people want to see dogs and cats. I myself have a dog. My dog's name is Bella. She's been with us for three years and she's great. But the more I work in this category, the more I'm falling in love with cats as well because they are so particular and so unique. So yeah, both are fantastic.Damian Fowler (25:45):And that's it for this edition of The Big Impression.Ilyse Liffreing (25:47):This show is produced by Molten Hart. Our theme is by love and caliber, and our associate producer is Sydney Cairns.Damian Fowler (25:54):And remember,Natalia Ball (25:55):You can do good in the world, you can drive the business, and you can be creative.Damian Fowler (26:00):I'm Damian.Ilyse Liffreing (26:01):and I'm IlyseDamian Fowler (26:01):And we'll see you next time. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
When air meets uncertainty, judgment matters most. We dig into the evolving landscape of airway management where video laryngoscopy, supraglottic devices, and even ECMO promise better outcomes, yet cognitive errors and non‑OR settings still account for many of the most devastating events. Drawing on recent studies, malpractice claims, and national audits, we map the pressure points that turn a difficult intubation into a crisis and show how to defuse them with clearer plans, tighter teamwork, and sharper skills.We start with three high‑yield rules that change outcomes fast: cap the number of attempts, anticipate physiologic crashes, and switch early to rescue strategies. From there, we unpack the INTUBE findings on hypoxemia and cardiovascular instability, plus data showing how repeated attempts compound failure. Video laryngoscopy gets a balanced look: why it lifts first‑pass success across ED and ICU intubations, and how overreliance can silently erode direct laryngoscopy and awake fiberoptic competence. Expect practical strategies to preserve breadth: intentional DL reps, awake FOI workshops, and shared mental models that define time limits and bailout triggers.We also tackle unsettled ground. Aspiration risk reduction remains murky; cricoid pressure under general anesthesia has not delivered clear benefits, and robust trials comparing asleep rapid‑sequence to awake, topicalized methods in high‑risk patients are missing. We offer a decision lens to tailor approach by anatomy, physiology, and available expertise. For extreme airways—think massive goiter or tracheal compression—we explore where ECMO fits: preemptive, standby, or rescue. You'll hear how activation criteria, cannulation readiness, and interprofessional rehearsal turn a complex tool into a safety net rather than a new hazard.By the end, you'll have a cleaner playbook: plan A–D that you can execute under stress, a review of device trade‑offs, and concrete ways to reduce cognitive traps that drive harm. If this conversation sharpens your next airway, share it with a colleague, subscribe for future episodes, and leave a quick review to help others find the show.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/294-from-video-laryngoscopy-to-ecmo-what-keeps-airway-management-safe/© 2026, The Anesthesia Patient Safety Foundation
4647times ハナイロ・・2026年2月17日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:..
4646times ハナイロ・・2026年2月16日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:..
4645times ハナイロ・・2026年2月15日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:..
そもそも労働とは何か? 雇用契約は「労働の提供」に対して報酬を支払う契約であり、「仕事の完成」に報酬を支払う請負契約とは異なります。この違いを踏まえると、労働時間とは成果物の完成度ではなく、「使用者の指揮命令下にある時間」であることが見えてきます。 始業前の着替え時間、休憩中の電話対応、研修やリスキリング、AI学習など、実務で判断に迷いやすいケースも取り上げ、基本的な考え方を解説しています。 より詳しい具体例や判断基準は、お役立ち資料・ミニセミナー動画で解説します(2/17公開)。 メール登録で、お役立ち資料・ミニセミナーをプレゼント! バラスト社労士法人→https://ballast-sr.com資料DL・ミニセミナー視聴はこちら→https://ballast-sr.com/resources-newsletter-signup/ 投稿 304.「仕事」と「労働」は違う?労働時間の本質と実務判断(2026/2/16) は バラスト社会保険労務士法人 に最初に表示されました。
4644times ハナイロ・・2026年2月14日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:..
Crystal is a crossdresser into guys, specific kinks and more and he called in to talk all about it. Tune in to hear all the details including when he realized he was into wearing feminine clothing, when he realize the was into guys and how he labels himself, the style of dress he enjoys, when he got into pegging and who got him into it, how he would dress up on the DL and how no one ever found out, the hood and mask and latex he likes to wear, the dominatrix he saw and what would go down during their sessions, how he only hooks up with guys while dressed up, the first guy he hooked-up with and exactly what went down, the first time he hooked up with a guy while dressed with a hood on and what went down, the women who have hit him up who are into him being a crossdresser, where he posts naughty pics of himself dressed up and what enjoys posting, the cock cages he enjoys and how long is longest time he was caged plus a whole lot more. GET A COPY OF THE STRICTLY ANONYMOUS BOOK! Strictly Anonymous Confessions: Secret Sex Lives of Total Strangers. A bunch of short, super sexy, TRUE stories. GET YOUR COPY HERE: https://amzn.to/4i7hBCd To see HOT pics of DOVE plus my other female guests + hear anonymous confessions + get all the episodes early and AD FREE, join my Patreon! It's only $7 a month and you can cancel at any time. You can sign up here: https://www.patreon.com/StrictlyAnonymousPodcast and when you join, I'll throw in a complimentary link to my private Discord! To join SDC and get a FREE Trial! click here: https://www.sdc.com/?ref=37712 or go to SDC.com and use my code 37712 Want to be on the show? Email me at strictlyanonymouspodcast@gmail.com or go to http://www.strictlyanonymouspodcast.com and click on "Be on the Show." Want to confess while remaining anonymous? Call the CONFESSIONS hotline at 347-420-3579. All voices are changed. Sponsors: https://beducate.me/pd2605-anonymous Get your personalized road map to pleasure https://loadboost,com — To get 10% off LOAD BOOST by VB Health use code: STRICTLY https://butterwellness.com Get the Butter massager and get 20% off your whole order https://bluechew.com — Get 10% OFF your first month of Bluechew GOLD! Use code: STRICTLYANON https://www.quince.com/strictlyanon — For premium quality Quince clothing plus FREE shipping and 365 day returns Follow me! Instagram https://www.instagram.com/strictanonymous/ X https://twitter.com/strictanonymous?lang=en Website http://www.strictlyanonymouspodcast.com/ Everything else https://linktr.ee/Strictlyanonymouspodcast Learn more about your ad choices. Visit megaphone.fm/adchoices
As BMIs and weights increase across the US population, there have been increased calls for universal screening for existing DM at entrance to prenatal care, if under 20 weeks. Others, including the ACOG, prefer to screen early those with additional risk factors (like prior GDM HX, prior macrosomia, BMI >30, PCOS, first degree relative with diabetes, or age >40). In July 2024, the ACOG released its publication, “Screening for Gestational and Pregestational Diabetes in Pregnancy and Postpartum”. In this guidance, it states, “At this time, there are insufficient data to support the best screening modality for pregestational diabetes in pregnancy, but consideration can be made to use the same diagnostic criteria as for the nonpregnant population (A1c value 6.5 or higher, or fasting plasma glucose value 126 mg/dL or higher, or 2-hour plasma glucose value 200 mg/dL or higher during a 75-g OGTT, or random plasma glucose value 200 mg/dL or higher in patients with classic hyperglycemia symptoms)”. However, a new proposed protocol has been published in AJOG for early screening for DM in pregnancy. This also describes the differences in diagnosis and care for Standard GDM diagnosed at 24-28 weeks, vs a diagnosis of pregestational DM diagnosis made prior to 20-weeks vs “early” GDM also diagnosed under 20 weeks of gestation. Listen in for details. 1. McLaren, Rodney et al.nA Proposed Classification of Diabetes Mellitus in PregnancyAmerican Journal of Obstetrics & Gynecology, Volume 0, Issue 0. Epub Feb 2, 2026; https://www.ajog.org/article/S0002-9378(26)00061-X/fulltext2. ACOG Clinical Practice Update: Screening for Gestational and Pregestational Diabetes in Pregnancy and Postpartum; July 2024; https://journals.lww.com/greenjournal/abstract/2024/07000/acog_clinical_practice_update__screening_for.34.aspx3. Simmons, David et al. “Treatment of Gestational Diabetes Mellitus Diagnosed Early in Pregnancy.” The New England journal of medicine vol. 388,23 (2023): 2132-2144. doi:10.1056/NEJMoa2214956
1. Super Bowl LX Takeaways-DKrom: The last two Super Bowl winners are proof that there's no such thing as too much DL depth-Hal: Seahawks won the battle of attrition and peaked at the right time thanks to their strong depth2. Super Bowl LX Honors-GOAT of the Week (DKrom: John Schneider, Hal: Mike Macdonald)-Dunce of the Week (DKrom: Rams D/ST, Hal: Josh McDaniels)3. Coaching Carousel-Grading the Steelers hire of Mike McCarthy as head coach (DKrom: D, Hal: C-) -Grading the Bills hire of Joe Brady as head coach (DKrom: C, Hal: D) -Grading the Browns hire of Todd Monken as head coach (DKrom: C, Hal: D)-Grading the Cardinals hire of Mike LaFleur as head coach (DKrom: D, Hal: C) -Grading the Raiders hire of Klint Kubiak as head coach (DKrom: A. Hal: A)-Would you be surprised if 2 (or all) of Davis Webb, Grant Udinski and Nate Scheelhaase are NOT head coaches in 2027?-Would you say Aaron Glenn is entering 2026 on the hottest seat of any head coach? -Do you think a potential dumpster fire awaits the Eagles in 2026 (particularly on offense) with Jeff Stoutland no longer in the building? 4. Pro Football Hall of Fame Class of 2026-If the PFHOF doesn't (at MINIMUM) change the selection process for seniors, coaches and contributors back to the pre-2025 system, do we riot (metaphorically speaking of course)?-Outside the Belichick/Kraft snubs, do you think the Hall assembled one of the better classes it has in recent years?-Which one of these three (Willie Anderson, Marshal Yanda, or Terrell Suggs) do you think is most deserving to be enshrined in 2027? 5. Tag or No Tag-George Pickens-Trey Hendrickson-Kyle Pitts-Rashid Shaheed-Tyler Linderbaum-Daniel Jones or Alec Pierce6. Truth or Exaggeration-We will see A LOT more trades than we're accustomed to from March through late August-Either Jeff Bezos or Howard Schultz will end up buying the Seahawks as part of a larger group-Ohio State LB Sonny Styles will hear his name called before fellow Buckeye Caleb Downs on draft night-Raiders RB Ashton Jeanty will lead all NFL skill players in total touches in 2026-Two (or all three) of Jaxon Smith-Njigba, Puka Nucua, and Will Anderson, Jr. will receive a blockbuster contract extension averaging $50M per year or more this season -The Patriots OL will have 2 or 3 new starters in 2026-Unless the Raiders significantly move off their demands for a Micah Parsons-type haul in exchange for Maxx Crosby, the Bears should be content to rebuild their DL via the draft and value FA signings-The Los Angeles Chargers will win the AFC West and a playoff game in 2026 7. Offseason Bold Predictions -DKrom: Both Maxx Crosby and A.J. Brown well get traded about a week or so before Week 1. One will end up in Buffalo, and the other will end up in New England. Raiders will end up getting the same compensation the Cowboys got in the Micah Parsons trade and the Eagles will end up getting an extra first and second in 2027. -Hal: Despite only one first-round talent, 3-4 QB's get selected in the first round (Mendoza, Simpson, Nussmeier, Chambliss)8. Challenge Flags-DKrom: Seahawks…only hand out big $$ contracts to in-house extension candidates (Jaxon Smith-Njigba and Devon Witherspoon) and in-house free agents (Kenneth Walker III and Rashid Shaheed). Address your likely FA losses at corner with low-cost, supplementary signings and find long-term answers in the draft-Hal: Bears and Patriots...CONTINUE THE REBUILDING PROCESS
This show has been flagged as Clean by the host. Making First Contact An amateur radio contact, more commonly referred to as simply a "contact", is an exchange of information between two amateur radio stations. The exchange usually consists of an initial call, a response by another amateur radio operator at an amateur radio station, and a signal report. A contact is often referred to by the Q code QSO. It is often limited to just a minimal exchange of such station IDs. Stations who have made a contact are said to have worked each other. An operator may also say that he has worked a certain country. QSO: (amateur_radio) Making your first QSO Kees's history 1990 PD1OOY VHF/UHF only, 25 Watt, only F3E. (NED, BEL, LX, DL) 1991 PE1OOY CEPT Class II 1995 G7TWO 1st British callsign CEPT Class II 1997 PE7TWO First vanity callsign CEPT Class II 2000 M5TWO CEPT Class A+B+ CW included 2000 PA7TWO CEPT Class I + CW included 2002 M5TWO CEPT Class I + CW included Ken's history COVID-19 lockdown in the United Kingdom 2020-08-21 Amateur Foundation Examination 2021-01-28 Amateur Intermediate Examination 2021-08-05 Amateur Full Radio Licence Links UK Amateur Licensing Baofeng UV-5R Mini 5W Dual Band Radio BangGood Tech Minds video " This Baofeng UV-5R Mini Is Almost Perfect - And It's Only $25! " QSO: amateur_radio QSL Card IARU Region 1 HF band plan QRZ.com Club Log Modulation Codes , Types of radio emissions Provide feedback on this episode.
Send me feedback!DL & Krystena explore the frustrating gap between our intentions and how others actually receive our words. This gap is shaped by emotional filters, comprehension differences, and hidden biases, all without assigning blame.SUPPORT KRYSTENALinktree: https://linktr.ee/klucastroSUPPORT THE SHOWGet a 10% discount by using the code LibertyDad at Black Guns Matter shop.OR, use the referral linkFIND ME ELSEWHERELinktreeSupport the show
4643times ハナイロ・・2026年2月13日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:..
Every DL email (or WhatsApp!) that comes into the inbox is a treat and keeps the Whitehalls wittering, but sometimes a DL goes over and above with detail and effort… That's exactly what DL Ray has done here. Fair play, Ray. You can email your questions, thoughts or problems to TheWitteringWhitehalls@gmail.comOr, perhaps you'd like to send a WhatsApp message or Voice note? Why not?! Send them in to +447712147236This episode contains explicit language and adult themes that may not be suitable for all listeners.
From 'Take Command' (subscribe here): We're finally moving past the Super Bowl and truly into the NFL offseason... Logan and Grant breakdown and debate whether or not to bring back Bobby Wagner, how he'd fit in the new defense, Commanders hiring Eric Henderson as new DL coach, and more! To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
Dlúthcheirnín eisithe ag ceoltóir agus ealaíontóir Chúil Aodha den ainm 'The Clydaghscope Sessions'.
The end is HERE! Atomic Peanut|Butter Group teams up with the DragonLance Nexus to bring you their next live play: DragonLance: Huma Before the Lance - The Dark Patrol. Chuck is the Dungeon Master, leading players Atom, Michael, Sedgwick, Brent, Eric, and DragonLance Nexus member Ed through this new DL adventure available now on Dungeon Masters Guild! For more information and to order the game, click on the link below: https://www.dmsguild.com/product/5313...The closest thing to hanging out with friends and playing D&D without actually playing D&D yourself! It's more fun than it sounds, trust us! youtube and twitch.tv/atomicpeanutbuttergroup www.facebook.com/WickedStudios11 and www.facebook.com/AtomicPeanutButter
4642times ハナイロ・・2026年2月12日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:..
Florida Gators defensive coordinator Brad White is bringing a violent, attacking 3-4 Under defense to Gainesville, and DL coach Gerald Chatman is all in. We break down White's scheme philosophy and why Chatman's front “gets to eat." Hear directly from the coaches on what makes this system work and which players are ready to dominate. #FloridaGators #GatorsFootball #SECFootball #CollegeFootball #GatorsBreakdown #GoGators #CFB #FloridaGatorsFootball JOIN Gators Breakdown Plus: https://gatorsbreakdownplus.com Gators Breakdown Merch: https://gatorsbreakdown.printful.me Get Florida Gators merch at Fanatics: https://fanatics.93n6tx.net/DVYxja Questions or comments? Send them to gatorsbreakdown@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Send me feedback!Using the lens of emotional intelligence and lived experience to explore how people talk, listen, and relate across differences. On this episode, Krystena and DL explore assisted suicide, DNRs, & the ethics and concerns.Krystena LuCastro is a writer, mental health advocate, and creator of projects centered on care, clarity, and community. Her work explores lived experience (qualia), emotional intelligence, relational maturity, and cultural insight—bridging empathy with accountability in a world that often avoids both.SUPPORT KRYSTENALinktree: https://linktr.ee/klucastroSUPPORT THE SHOWGet a 10% discount by using the code LibertyDad at Black Guns Matter shop.OR, use the referral linkFIND ME ELSEWHERELinktreeSupport the show
4641times ハナイロ・・2026年2月11日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:..
***Second Segment*** We're finally moving past the Super Bowl and truly into the NFL offseason... Logan and Grant breakdown and debate whether or not to bring back Bobby Wagner, how he'd fit in the new defense, Commanders hiring Eric Henderson as new DL coach, and more! To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
Grant Paulsen and Logan Paulsen dive into the Super Bowl 60 Reflection, Bobby Wagner Reunion?, & Potential Pursuit of Maxx Crosby in an action-packed episode of the pod. We're finally moving past the Super Bowl and truly into the NFL offseason... the boys are back to breakdown what they make of the Seahawks Super Bowl winning team, Bobby Wagner winning NFL Walter Payton Man of the Year, if Bobby should be brought back, Commanders hiring Eric Henderson as new DL coach, and whether or not the Commanders should pursue a Maxx Crosby trade. Find out all that and more on this episode of Take Command!
Send me feedback!Using the lens of emotional intelligence and lived experience to explore how people talk, listen, and relate across differences. On this episode, Krystena and DL explore the recent trend of No Contact with family members.Krystena LuCastro is a writer, mental health advocate, and creator of projects centered on care, clarity, and community. Her work explores lived experience (qualia), emotional intelligence, relational maturity, and cultural insight—bridging empathy with accountability in a world that often avoids both.SUPPORT KRYSTENALinktree: https://linktr.ee/klucastroSUPPORT THE SHOWGet a 10% discount by using the code LibertyDad at Black Guns Matter shop.OR, use the referral linkFIND ME ELSEWHERELinktreeSHOW NOTESOprah(No Contact With Family)Support the show
4640times ハナイロ・・2026年2月10日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:..
You surely know them... The red trouser brigade? Maybe you're one of them! This week, a DL needs help with their presumptuous brother and the Whitehalls give their thoughts on a loo with a glass door.You can email your questions, thoughts or problems to TheWitteringWhitehalls@gmail.comOr, perhaps you'd like to send a WhatsApp message or Voice note? Why not?! Send them in to +447712147236This episode contains explicit language and adult themes that may not be suitable for all listeners.
4639times ハナイロ・・2026年2月9日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:/..
4638times ハナイロ・・2026年2月8日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:/..
It's Super Bowl week around the NFL, but here in DC, we have a new DL coach, a lot of draft talk, a possible logo on the horizon…and of course, the fourth anniversary of 2/2/22! We look at all the goings on in this week's Best of Commanders!
It's Super Bowl week around the NFL, but here in DC, we have a new DL coach, a lot of draft talk, a possible logo on the horizon…and of course, the fourth anniversary of 2/2/22! We look at all the goings on in this week's Best of Commanders!
It's Super Bowl week around the NFL, but here in DC, we have a new DL coach, a lot of draft talk, a possible logo on the horizon…and of course, the fourth anniversary of 2/2/22! We look at all the goings on in this week's Best of Commanders!
It's Super Bowl week around the NFL, but here in DC, we have a new DL coach, a lot of draft talk, a possible logo on the horizon…and of course, the fourth anniversary of 2/2/22! We look at all the goings on in this week's Best of Commanders!
4637times ハナイロ・・2026年2月7日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:/..
Sportz and Thingz cranks up the heat this week with special guest Grant Mitchell from Full Command Podcast! SB showdown: Patriots or Seahawks? Faith in new Commanders DC Daronte Jones & DL coach Eric Henderson? Pick #7 steal? The Wizards get Anthony Davis, and does this make them officially playoff bound? Should the Wizards keep Keefe as HC? What Olympic Games are you watching? Plus this year's Grammy winners and much more! Pure fire! Tune In!
4636times ハナイロ・・2026年2月6日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:/..
Composite Two-Star Recruits returns to react to DL coach Eric Henderson leaving for the NFL, recap USC's Trojan Olympics event from over the weekend and the final Top247 rankings of 2026. TIME STAMPS: (0:00): Happy National Signing Day (11:39): USC Holds Junior Day (01:19:35): Final 2026 Top247 Rankings (01:40:10): New Offers (01:43:24): Hurricane Hits a 5-on-5 (02:00:34): Centennial/Chaparral Camp (02:17:00): Eric Henderson Leaves for NFL (02:38:17): Listener Questions To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
As we go through life, we're sometimes compelled to get shot of everything and start again... This week, a DL has questions about her Mother, who seems intent on giving everything away!You can email your questions, thoughts or problems to TheWitteringWhitehalls@gmail.comOr, perhaps you'd like to send a WhatsApp message or Voice note? Why not?! Send them in to +447712147236This episode contains explicit language and adult themes that may not be suitable for all listeners.
Here are all the segments: Announcement: Ashton Gillotte to be guest next Wednesday night Radio Row interview with Tyquan Thornton Radio Row interview with Trey Smith Chiefs interview Deland McCullough for RBs coach A to Z sports reveals Chiefs FO were unhappy with their DL plan in 2025 Q&A With Fans NEW CHIEF CONCERNS Jason Dunn Jersey – https://www.chief-concerns.com/merch/p/otro-quest-t-shirt-6ga92 USE LINK BELOW & PROMO CODE SODALOVE FOR 15% OFF OLIPOP ORDER https://tinyurl.com/OliPopChiefs Track Your Bets & Get Free Money NOW – Promo Code: Chiefs https://links.pikkit.com/user/chiefconcerns Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
4635times ハナイロ・・2026年2月5日ハナの色は移りにけりな悪戯にhttp://bit.ly/2KJX8YWハナイロ 公式 Xhttps://twitter.com/hanairoitazuraメッセージはハッシュタグを付けて・・ #magggieitunesでも聴けたりDLできたりします。http://bit.ly/ZEKd8sAnother podcast"まぎとらじお"http://bit.ly/2m5OB6m"忘れるマエに言っときますケド。"https:/..
Thug an tUachtarán Connolly cuairt ar Champas Ollscoil Ulaidh i mBéal Feirste, áit ar bhuail sí le rannpháirtithe Fleadh Cheoil 2026 chomh maith le mic léinn i nDámh an Dlí. Thug an tUachtarán príomhoráid do 200 aoi ón dámh, ó mhic léinn agus ó pháirtithe leasmhara pobail. President Connolly visited Ulster University Campus in Belfast where she met with participants in the 2026 Fleadh Cheoil, as well as students in the Faculty of Law. The President delivered a keynote address to 200 invited guests from the faculty, student body and community stakeholders.
We review diagnosing and managing bacterial meningitis in the ED. Hosts: Sarah Fetterolf, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Meningitis_2_0.mp3 Download Leave a Comment Tags: CNS Infections, Infectious Diseases, Neurology Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below. Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine, with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 Patient Presentation & Workup Patient: 36-year-old male, currently shelter-domiciled, presenting with 3 weeks of generalized weakness, fevers, weight loss, and headaches. Vitals (Initial): BP 147/98, HR 150s, Temp 100.2°F, RR 18, O2 99% RA. Clinical Evolution: Initial assessment noted cachexia and a large ventral hernia. Following initial workup, the patient became acutely altered (A&O x0) and febrile to 102.9°F. Physical Exam Findings: Brudzinski Sign: Positive (knees flexed upward upon passive neck flexion). Kernig Sign: Discussed as highly specific (resistance/pain during knee extension with hip flexed at 90°). Meningeal Triad: Fever, nuchal rigidity, and AMS (present in 40% of cases; 95% of patients have at least two of the four cardinal symptoms including headache). Imaging: Chest X-ray: Scattered opacities (pneumonia) and a small pneumothorax. CT Abdomen/Pelvis: Confirmed asplenia (secondary to 2011 GSW/exploratory laparotomy). Head CT: Ventricle enlargement concerning for obstructive hydrocephalus and diffuse sulcal effacement. CSF Analysis & Microbiology Bacterial Meningitis Opening Pressure: Elevated (Normal is 1000–2000/mm3 WBC); dominated by neutrophils (>80% PMN). Glucose: Low (
Jay Jurden joins the 'Beavis and Buthead of podcasting' to browbeat DL demon queens.Get tickets to see I've Had It LIVE in Atlanta, Georgia, THIS WEEKEND: https://linktr.ee/ivehaditpodcast.Thank you to our sponsors:Rocket Money: Let Rocket Money help you reach your financial goals faster. Join at https://RocketMoney.com/HADIT.Follow Us:I've Had It Podcast: @IvehaditpodcastJennifer Welch: @mizzwelchAngie "Pumps" Sullivan: @pumpspumpspumpsSpecial Guest: Jay Jurden @JayjurdenSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
On this podcast episode, I discuss important practice pearls and important test prep information about statins. Statins are cornerstone agents for ASCVD risk reduction, so test questions often focus on indication, intensity, and monitoring. Health care professionals should quickly identify statin intensity: high-intensity therapy (atorvastatin 40–80 mg, rosuvastatin 20–40 mg) lowers LDL by ~50% and is indicated for patients with clinical ASCVD, LDL ≥190 mg/dL, or high-risk diabetes patients age 40–75. Moderate-intensity statins (e.g., atorvastatin 10–20 mg, simvastatin 20–40 mg) are commonly tested for primary prevention. Statin-associated muscle symptoms range from myalgias (most common, normal CK) to rare but serious rhabdomyolysis (marked CK elevation and AKI). Risk factors include high doses, advanced age, hypothyroidism, drug interactions, and renal impairment. If muscle symptoms occur, stopping the statin, ruling out secondary causes (like hypothyroidism), and rechallenging with a lower dose or different statin is often the correct clinical approach. Drug interactions and statin selection frequently separate good from great test-takers. Lipophilic statins (simvastatin, atorvastatin, lovastatin) are more prone to muscle effects and CYP3A4 interactions, while hydrophilic statins (pravastatin, rosuvastatin) are preferred in patients with prior intolerance or complex drug regimens. Grapefruit juice, strong CYP3A4 inhibitors, and certain calcium channel blockers raise simvastatin levels—often prompting dose limits or avoidance on exams. If LDL goals aren’t met, adding ezetimibe or a PCSK9 inhibitor is the next evidence-based step. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101
0:30 - We want a piece of ice for world protection 13:40 - Trump on Europe: want them to succeed but they need to change course, destroying themselves 37:43 - Trump on Somali fraud, piracy 01:02:08 - Rich Lowry, editor of National Review and author of The Case for Nationalism, reviews Trump at Davos and pushes back hard on critics of ICE. Follow Rich on X @RichLowry 01:18:40 - Host of “The Futures Edge Podcast” and special contributor to Wirepoints, Jim Iuorio, on why deregulation matters—and why business owners need to know government has their backs. For podcast updates & more @JimIuorio 01:36:07 - Call to Maine's Bureau of Motor Vehicles...I have a Somali friend who needs a DL 01:55:35 - Director of the Agency for Healthcare Research and Quality, Roger Klein: After Decade of Drift, Trump Returns Health Agency to Core Mission 02:10:58 - Heather Mac Donald, Manhattan Institute fellow and author of When Race Trumps Merit, applauds Trump’s response to lawlessness as Rude but Right on CrimeSee omnystudio.com/listener for privacy information.
(2:00) Luke Loucks is a big Corey Clark guy(6:00) Impact of Desir's staying put(11:00) FSU goes nuts on QB signings(26:00) Have they improved anywhere?(37:00) How vital is it for the DL to outperform expectations?(45:00) FSU not broke after all(48:00) College ball with no cap?Music: Story of the Year - DisconnectedFollow CumminsLifestyle on IGIn Crawfordville, your Home Convenience Store is ACE Home Center & NAPA Auto Parts located at 2709 Crawfordville Hwy Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
(2:00) Luke Loucks is a big Corey Clark guy(6:00) Impact of Desir's staying put(11:00) FSU goes nuts on QB signings(26:00) Have they improved anywhere?(37:00) How vital is it for the DL to outperform expectations?(45:00) FSU not broke after all(48:00) College ball with no cap?Music: Story of the Year - DisconnectedFollow CumminsLifestyle on IGIn Crawfordville, your Home Convenience Store is ACE Home Center & NAPA Auto Parts located at 2709 Crawfordville Hwy Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.