Podcasts about Doppler

CardioNerds (Dr. Apoorva Gangavelli, Dr. Cory Sejo, and Dr. Joseph Kassab), discuss tricuspid regurgitation evaluation and management with Dr. Sunil Mankad. This episode was produced as part of the CardioNerds Academy curriculum by House Einthoven under the guidance of House Chief, Dr. Apoorva Gangavelli and Academy Program Director, Dr. Gurleen Kaur. A matching review article will be published in US Cardiology Review, the official journal of CardioNerds. This discussion was planned in collaboration with the Mayo Clinic Cardiovascular Board Review Course.  Audio editing by CardioNerds intern Emma Winakur. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Key Points: Tricuspid regurgitation is common and associated with increased mortality at every stage, regardless of etiology. Outcomes are worse with worsening severity, so accurate grading is critical. Etiology is critical to guide treatment decisions. Etiology includes primary vs secondary (atrial or ventricular) vs CIED-related TR. 3D echocardiography can be very helpful in determining TR etiology, especially in CIED-related TR. Diuresis with the goal of euvolemia is step one. Additionally, underlying contributory conditions (eg. pulmonary HTN, HFrEF, atrial fibrillation) should be addressed, if appropriate, and then TR severity reassessed. The choice between T-TEER and TTVR hinges on anatomy, RV function, pulmonary hypertension, and the ability to tolerate anticoagulation. T-TEER is generally first line in atrial functional TR with appropriate anatomy, in patients with poor RV function who cannot tolerate a sudden increase in RV afterload, or in patients who cannot tolerate the necessary anticoagulation with TTVR. TTVR is preferred with wide coaptation gaps and CIED-related TR. This is a team sport. Multidisciplinary discussions utilizing imaging (TTE/TEE, CT), risk scores (TRI-SCORE or TRIO), patient preference, and prior institutional experience are essential for the effective treatment of severe TR. Notes: What is the clinical importance of tricuspid regurgitation? TR is very common with approximately 4% of people over 75 having moderate or greater severity. TR (even mild) is associated with increased mortality. Those outcomes worsen as the TR severity worsens, and this phenomenon is independent of the mechanism of regurgitation. What is unique about the tricuspid valve compared to the other cardiac valves? It is at an anterior location which allows it to be imaged well with transthoracic echocardiography It is the largest valve and composed generally of 3 leaflets (but very often can have 4+ leaflets). Importantly, the RV is compliant and changes size and shape readily based on loading conditions. The TV annulus similarly changes size and shape based on hemodynamic conditions such as preload. What is a good framework for approaching the causes of tricuspid regurgitation? Determine the presence and define the severity of TR. Using TTE, we want to measure the right atrial size, the RV size, and any other concomitant valvular lesions.  Use TTE (2D and 3D) to characterize leaflet anatomy and characteristics. Subtypes of TR mechanisms (many times etiology is mixed). Primary: primary leaflet abnormality, occurs in ~10% of cases. Look for prolapse, flail, endocarditis, etc. Secondary/functional: leaflets normal but surrounding structures are abnormal. Atrial: RA and tricuspid annular dilation but normal RV size/shape, and can be related to arrhythmias like atrial fibrillation. Ventricular: RV dilated and/or dysfunctional with leaflet tethering. Can be related to pulmonary hypertension or primary RV disease. Cardiac implantable electronic device (CIED): Related to device (usually pacemakers or ICD) interaction with TV leaflets. Includes perforation, entanglement in subvalvular apparatus, impingement, etc. 3D TTE particularly helpful to evaluate How do we grade TR severity? It is very important to grade the severity of TR, and this is generally done with echocardiography. There are both quantitative and qualitative methods which use Doppler and various equations to estimate TR severity. Current recommendations have expanded TR severity beyond mild/moderate/severe to include “massive” and “torrential” categories. The most important parameters measured/calculated are vena contracta width, regurgitant volume, regurgitant fraction, and effective regurgitant orifice area. Helpful qualitative metrics include hepatic venous flow reversal. When should additional studies beyond transthoracic echocardiography, such as transesophageal echocardiography (TEE), cardiac computed tomography (CT), and cardiac magnetic resonance imaging (MRI) be pursued? TEE is particularly helpful if TTE views are poor. Since TEE is used during transcatheter intervention, a pre-procedure TEE to define anatomy, determine procedure candidacy, and plan for the procedure is critical.  CT is also helpful for procedure planning and has particular strengths in defining annulus size and geometry. A CT is required prior to transcatheter tricuspid valve replacement (TTVR). MRI is helpful for measuring RV volumes and function, but is not generally used to assess TR severity.  What is the approach to the treatment for severe tricuspid regurgitation? The first step is to try to determine the etiology. For secondary TR, treating the underlying condition is indicated. For example, pulmonary vasodilators for pulmonary HTN or guideline therapy for heart failure with reduced ejection fraction. Diuretics are the mainstay for treatment, with the goal to obtain euvolemia. This may require inpatient admission to optimize volume status and medication regimen. Once reversible etiologies are addressed, if the patient is still symptomatic from TR, additional therapies can be considered. What is the role of right heart catheterizations (RHC) in patients with severe TR? RHC is very helpful for many reasons. We use it in TR to help determine volume status, cardiac output, and RV function. Additionally, identifying and characterizing pulmonary hypertension (with pulmonary artery pressures and calculating pulmonary vascular resistance) is an important factor when choosing future therapies.  With severe tricuspid regurgitation, when should we refer for intervention (either with surgery or transcatheter repair or replacement)? Once reversible etiologies are addressed and euvolemia has been achieved, if the patient is still symptomatic from TR despite aggressive medical optimization, additional therapies can be considered. Once euvolemic, a repeat TTE should be ordered to reassess the severity of the TR. Use calculators (for example, either the TRI-SCORE or TRIO score) to predict operative mortality for isolated TR surgery. What are our transcatheter treatment options in severe tricuspid regurgitation, and how do we choose between them? The primary approved transcatheter treatment options for severe TR include transcatheter tricuspid edge-to-edge repair (T-TEER) and transcatheter tricuspid valve replacement (TTVR), of which the Edwards EVOQUE valve is the only one currently approved by the FDA. There are other TTVR device under investigation. These decisions should be made with a multi-disciplinary team including representation from cardiac imaging, interventional cardiology, and cardiothoracic surgery. Factors that go into the decision between T-TEER and TTVR include anatomy (annulus width, coaptation gap, leaflet length), RV reserve, pulmonary hypertension presence, ability to tolerate anticoagulation, patient preference, and institutional experience.  T-TEER is generally the first line with atrial functional and suitable anatomy. It is successful at reducing TR but does not generally eliminate it.  TTVR with EVOQUE is preferred in certain anatomic considerations like a large coaptation gap or when there is CIED-related TR (as this was excluded in T-TEER trials). Patients must be suitable for anticoagulation to receive TTVR as there is risk of leaflet thrombosis without it. If moderate/severe pulmonary hypertension is present, or there is poor RV function, TTVR may be avoided as the sudden elimination of TR causes a sudden increase in RV afterload which may not be tolerated. What is the role in advanced metrics for evaluating RV function? Advanced metrics like RV/PA coupling are under investigation but have not made it into the guidelines. The clinical utility is not yet known.  Assessing the RV function is important as stated above. Dr. Mankad prefers using 3D TTE to calculate an RVEF, or tracking RV longitudinal free wall strain. If you do encounter CIED-related TR, how do you treat it? Evaluate with TTE or TEE. 3D is very helpful to identify relative anatomy and leaflet-device interactions. There is no clear consensus about treatment if CIED-related TR is the primary mechanism of severe TR. If recently implanted, repositioning may be a valid option, but requires discussions with multiple teams including electrophysiology, advanced cardiac imaging, CT surgery, and interventional cardiology. References O’Gara PT, Lindenfeld J, Hahn RT, et al. 10 Issues for the Clinician in Tricuspid Regurgitation Evaluation and Management: 2025 ACC Expert Consensus Decision Pathway. J Am Coll Cardiol. 2025;S0735-1097(25)07047-0. O’Gara PT, Little SH, Badhwar V, et al. Operator and Institutional Recommendations and Requirements for Tricuspid Interventions: 2026 ACC/AHA/ASE/HRS/STS Expert Consensus Systems of Care Document. J Am Coll Cardiol. 2026;S0735-1097(26)05481-1. Hahn RT. Tricuspid Regurgitation. N Engl J Med. 2023;388(20):1876-1891. Davidson LJ, Tang GHL, Ho EC, et al. The Tricuspid Valve: A Review of Pathology, Imaging, and Current Treatment Options: A Scientific Statement From the American Heart Association. Circulation. 2024;149(22):e1223-e1238.

At 34 weeks pregnant, I'm sharing all the latest on our home build, pregnancy with baby #9, and what life is like in this full season. Even though progress on the house feels slow, I'm finding peace in the extra time to make intentional decisions, and we are loving how our unique vision is coming to life. I talk about chimney brick, roofing surprises, and the proportions that make it feel like an old homestead. I also reflect on how textbook this pregnancy has been compared to my others and answer a few listener questions about storm windows and monitoring during labor.In this episode, we cover:Slow building progress continues, but the slower pace has allowed for more thoughtful, intentional decisionsFinalized historic design elements like trim profiles, wall materials, and appliance choices— finding excitement in the progress even if it's gradualChimneys are now bricked and the garage is roofed with wide-seamed metal that perfectly fits the historic vibe— a happy surprise with no overthinking!Main house will feature cedar shake roofing, while the porches and additions have metal to embrace the “old house with add-ons” storyReflections on how proportions, window placement, and overall structure are beautifully bringing to life the original vision of a “new old house”Pregnancy update at 34 weeks: similar symptoms and baby position as past pregnancies, feeling confident and readyChoosing minimal prenatal interventions— tracking iron and glucose at home, keeping midwife visits sparseSharing our personal approach to open windows with no screens or storm doors for an indoor-outdoor connectionThoughts on Doppler use in labor and delivery— balancing caution with practical monitoring when neededView full show notes on the blog + watch this episode on YouTube.Thank you for supporting the sponsors that make this show possible!RESOURCES MENTIONEDCheck out my last episode with Lana of Girl, Teach meListen to Jennifer Pepito's previous appearances on the podcast:Episode 233: Bringing Our Homes to Life through Sacred RhythmsEpisode 160: Overcoming Fear in MotherhoodListen to this recent episode for all the house updatesJoin my FREE masterclass to learn my 4-step framework for making money on YouTubeMaster the rhythm of sourdough with confidence in my Simple Sourdough courseGain the sewing knowledge and skills every homemaker needs in my Simple Sewing seriesTurn your content creation dreams into a profitable business with my YouTube Success AcademyKeep all my favorite sourdough recipes at your fingertips in my Daily Sourdough cookbookCONNECTLisa Bass of Farmhouse on Boone | Blog | YouTube | Instagram | TikTok | Facebook | PinterestDo you have a question you'd like me to answer on the podcast? A guest you'd like me to interview? Submit your questions and ideas here: bit.ly/SFLquestions.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Christian von der 2nd Unit  verzweifelt an deutschen Filmtiteln und weigert sich standhaft seinen Doppler einzusetzen. Wie hoch er mit dieser Strategie in der Tabelle einsteigt und ob er Chancen auf die Play-Offs hat hört ihr in dieser Folge des Film-Schätz-Quiz. Das ganze gibt es auch mit Bild auf YouTube. Lasst mal ein Abo und einen Kommi da, damit der Algorithmus uns lieb hat. Die 2nd Unitkönnt ihr hier hören: https://www.sneakpod.de/ Die Super-Hero-Unit hier: https://superherounit.de/ Basti & Christian & George & Lucas hier: https://bcgl.de/

One of Sheldon's most unforgettable Halloween costumes wasn't a superhero or a monster—it was the Doppler Effect. Was the costume scientifically accurate, and what exactly is the Doppler Effect anyway? In this episode, we'll discover why every time an ambulance speeds past you, you're actually hearing one of physics' coolest phenomena.

Vroeger was alles beter, dat weet iedereen. Twintig jaar geleden werd de debuutplaat Count Your Blessings van Bring Me The Horizon terecht weggezet als een vergetelijk broddelwerk en kon je kopie van het videospel Grand Theft Auto ook als onderzetter gebruikt worden. Anno 2026 stopt Sony met het uitbrengen van media op cd (nota bene het format dat het zelf uitgevonden heeft) en mag Bring Me The Horizon op het prestigieuze Outbreak Fest geschiedenis vervalsen met een integrale vertoning van haar debuut. Gelukkig verandert er al jaren niets aan de zuurgraad van Osmium - de zwaarste podcast in het Nederlands - en worden deze twee ontwikkelingen uitgebreid besproken. De rehabilitatie van Count Your Blessings is symptomatisch voor de recente heropleving van scenemuziek die zich aandient als de natuurlijke opvolger van de nu-metalrevival. Maar wie beschikt eigenlijk over het sociale kapitaal om te bepalen wanneer verguisde muziek ineens weer goed mag zijn, en moeten we zo'n herschrijving van de canon zonder meer accepteren? Tegelijk dreigt met het verdwijnen van de cd ook de zeggenschap van luisteraars over hun muziekcollectie verder af te nemen. Wie de toegang tot muziek controleert, kan immers ook bepalen wat beschikbaar blijft, terwijl zonder fysieke dragers een betaalbare tweedehandsmarkt langzaam verdwijnt. Bij games leidt die ontwikkeling tot discussie over bezit, licenties en conservering. Is de economische realiteit voor muziek werkelijk anders, of staat dit ons ook te wachten? Met beeldmateriaal door Pim Kastelein en muziek van Bring Me The Horizon en Doppler. Onderwerpen: Bring Me The Horizon - Pray For Plagues (2026 Repented) (00:00) Welkomstwoord over het kruisbestuiven van hortensia's met stalen afvalcontainers (00:06) Huishoudelijke mededelingen en achterstallig onderhoud aan de concertzalentierlist (02:57) Introductie van de onderwerpen (04:38) Pim legt even een drolletje over Count Your Blessings Repented, Bring Me The Horizon's opnieuw opgenomen debuutplaat (05:04) Het bezitten van (fysieke) media (26:53) Luistertip van Pim: Junius – Sotera; catchy gothic post-metal met kneitervalse Fred Durst-zang en een snufje Deftones (57:10) Luistertip van Niels, deel 1: Sugar Horse – No Sound In Heaven; noisy sludge die als soundtrack kan dienen voor de beklimming van de trappen naar de hemel (1:04:40) Luistertip van Niels, deel 2: Doppler – Pourquoi Ce Disque?; volwassen mathrock met slechts 1.600 luisteraars op Spotify (1:07:08) Concerttip van Pim: Metal & Hell Festival in Essen (Duitsland); een line-up vol gruizige undergroundbands en Duitsers die supermarktbier drinken op de stoep (1:12:11) Concerttip van Niels: Coroner in Leiden, Uden en Kortrijk; thrashmetalroyalty die het tot nummer 7 in de ZM Jaarlijst schopte en in één weekend drie Benelux-shows speelt (1:20:15) Shout-outs (1:23:33) Links: Bring Me The Horizon - Count Your Blessings | Repented op Bandcamp Junius Bandcamp Sugar Horse Bandcamp Doppler Bandcamp Metal & Hell Festival 3 Coroner in Nobel, De Pul en De Kreun

HALLOWEEN KISSES, TERRIBLE PICKUP LINES & SHELDON'S ICONIC TRIPLE KNOCK! Aaron Alexander & John Humphrey continue their first-time watch of The Big Bang Theory Season 1 with Episodes 6–10, reacting to five classic installments featuring Sheldon, Leonard, Penny, Howard, and Raj. In this Big Bang Theory Season 1 Episodes 6–10 reaction and review, Aaron & John experience Sheldon's Doppler effect costume, Leonard and Penny's Halloween kiss, Raj discovering he can talk to women after drinking, and the first appearance of Sheldon's famous triple knock. The episodes also feature Howard's disastrous romance with Penny's friend, Leonard and Sheldon's physics-conference feud, Halo night without Howard, and the increasingly elaborate lie created to escape Penny's musical performance. The Big Bang Theory Season 1 Episodes 6–10 Reaction (Full-Length Watch-Along):   / thereelrejects   Created by Chuck Lorre and Bill Prady, The Big Bang Theory stars Jim Parsons as Sheldon Cooper (Hidden Figures, Young Sheldon), Johnny Galecki as Leonard Hofstadter (Roseanne, National Lampoon's Christmas Vacation), Kaley Cuoco as Penny (The Flight Attendant, 8 Simple Rules), Simon Helberg as Howard Wolowitz (Florence Foster Jenkins, A Serious Man), and Kunal Nayyar as Raj Koothrappali (Trolls, Criminal: UK). Aaron & John react to “The Middle-Earth Paradigm,” “The Dumpling Paradox,” “The Grasshopper Experiment,” “The Cooper-Hofstadter Polarization,” and “The Loobenfeld Decay” as the sitcom establishes some of Sheldon's most recognizable habits and pushes Leonard and Penny's relationship forward. Follow Aaron On Instagram: https://www.instagram.com/therealaaronalexander/?hl=en Intense Suspense by Audionautix is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/... Support The Channel By Getting Some REEL REJECTS Apparel! https://www.rejectnationshop.com/ Follow Us On Socials:  Instagram: https://www.instagram.com/reelrejects/  Tik-Tok: https://www.tiktok.com/@reelrejects?lang=en Twitter: https://x.com/reelrejects Facebook: https://www.facebook.com/TheReelRejects/ Music Used In Ad:  Hat the Jazz by Twin Musicom is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Happy Alley by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/... POWERED BY @GFUEL Visit https://gfuel.ly/3wD5Ygo and use code REJECTNATION for 20% off select tubs!! Head Editor: https://www.instagram.com/praperhq/?hl=en Co-Editor: Greg Alba Co-Editor: John Humphrey Music In Video: Airport Lounge - Disco Ultralounge by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Ask Us A QUESTION On CAMEO: https://www.cameo.com/thereelrejects Follow TheReelRejects On FACEBOOK, TWITTER, & INSTAGRAM:  FB:  https://www.facebook.com/TheReelRejects/ INSTAGRAM:  https://www.instagram.com/reelrejects/ TWITTER:  https://twitter.com/thereelrejects Follow GREG ON INSTAGRAM & TWITTER: INSTAGRAM:  https://www.instagram.com/thegregalba/ TWITTER:  https://twitter.com/thegregalba Learn more about your ad choices. Visit megaphone.fm/adchoices

No complaints here - except for the weather. Creeping up on episode 100. Thanks for listening, we love you.EXTRA WEEKLY EPISODE HERE: http://www.patreon.com/c/trappedforever

Aujourd'hui, on explore le mystère du Grand Attracteur : cette force colossale qui emporte notre galaxie à travers l'univers sans que nous puissions l'observer directement. Entre Laniakea, le Grand Répulseur, les superamas et la toile cosmique, notre place dans le cosmos apparaît soudain bien plus étrange que prévu. Plus les astronomes cartographient l'univers, plus ils découvrent des structures gigantesques qui redessinent notre compréhension du réel. Et le plus fascinant, c'est qu'on n'en voit peut-être encore qu'une infime partie.___________

Derrière le petit point bleu de nos smartphones se cache une infrastructure militaire devenue indispensable à la vie quotidienne. Cet épisode de la série « Tout comprendre » explique comment des satellites, des horloges atomiques et même la relativité d'Einstein permettent de nous localiser à quelques mètres près.– Série « Tout comprendre », avec le soutien de Frogans.En savoir plus sur Frogans : https://www.f2r2.fr Une technologie militaire Utilisé par Google Maps, Apple Plans ou Waze, le GPS paraît aujourd'hui banal. Pourtant, ce système est né pendant la guerre froide pour guider les forces armées américaines, bien avant de trouver sa place dans les voitures puis dans les smartphones.Son histoire remonte au lancement de Spoutnik en 1957. En étudiant l'effet Doppler produit par le signal radio du satellite soviétique, des chercheurs américains comprennent qu'il est possible d'inverser le raisonnement : si la trajectoire d'un satellite est connue, son signal peut servir à déterminer la position d'un récepteur sur Terre.Des satellites qui donnent l'heureLe GPS repose sur une constellation d'au moins 24 satellites situés à plus de 20 000 kilomètres d'altitude. Contrairement à une idée reçue, ils ne nous observent pas et ne reçoivent pas directement notre position : ils diffusent en permanence leur emplacement et l'heure exacte d'émission de leur signal.Le smartphone mesure le temps mis par ce signal pour lui parvenir, puis en déduit la distance qui le sépare du satellite. En combinant les données d'au moins quatre satellites, il calcule sa latitude, sa longitude, son altitude et corrige l'imprécision de sa propre horloge. Cette méthode s'appelle la trilatération.Merci Albert Einstein La précision du système dépend avant tout de la mesure du temps. Une erreur d'une microseconde peut déjà provoquer un décalage d'environ 300 mètres.Les satellites embarquent donc des horloges atomiques extrêmement précises. Le GPS doit également corriger les effets prédits par les théories de la relativité d'Albert Einstein : dans l'espace, la vitesse des satellites et la gravité plus faible modifient légèrement l'écoulement du temps. Sans ces corrections, les erreurs de localisation atteindraient rapidement plusieurs kilomètres.Bien plus qu'un outil de navigationLe GPS ne sert pas seulement à trouver une adresse. Ses signaux horaires synchronisent aussi des réseaux téléphoniques, des infrastructures électriques, des systèmes financiers et de nombreux équipements industriels.Ouvert progressivement aux usages civils, il devient pleinement opérationnel en 1995. En mai 2000, les États-Unis mettent fin à la dégradation volontaire du signal civil, ce qui améliore fortement sa précision et accélère sa diffusion dans les transports, l'agriculture et les appareils mobiles.Le mot « GPS » désigne en réalité le système américain. D'autres constellations existent, notamment GLONASS en Russie, BeiDou en Chine et Galileo en Europe, un système placé sous contrôle civil.Une infrastructure invisible et vulnérableDans les smartphones, les signaux satellitaires sont complétés par les antennes mobiles, le Wi-Fi, le Bluetooth, la boussole et les capteurs de mouvement. La précision peut néanmoins se dégrader entre de hauts immeubles, sous un tunnel, dans un parking ou lorsque les signaux sont volontairement brouillés.Le jamming consiste à empêcher la réception du signal, tandis que le spoofing diffuse de fausses informations pour tromper les appareils. Notre navigation quotidienne dépend ainsi d'une infrastructure invisible, puissante, mais qui peut aussi être perturbée.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

"Съвременната ревматология: предизвикателства и новихоризонти" - темата в този епизод на здравния подкаст на БНР "В центъра на системата" с автор и водещ Гергана Хрисчева.Гост по темата е:Проф. Симеон Монов -  Началник клиника поревматология в УМБАЛ "Света Анна" София От разговора ще научим: Как се промени лечението на ревматологичнитезаболявания в България през последните 20 години Защо при първите симптоми наставни болки трябва да се търси причинатаНеравномерно разпределение на ревматолозите в страната и липса на достъп в малките населени местаЗащо и кога се прави мускуло-скелетната ехография, Dopplerехографията или капиляроскопияНаблюдава ли се увеличаване на автоимуннитезаболявания и кои са причинитеКаква е подготовката на младите лекари - ревматолози и има ли недостиг на кадри Какви са основните предизвикателства по отношение на достъпа до иновативни терапии Кои научни направления в ревматологията ще се променят през следващите 10 години      Очаквайте следващите езиподи през септември 2026 г.

We're in Week 8 of this WNBA season and we're talking about it all! The new WNBA Commissioner's Cup Champs! Prayers up for A'ja! WTF is Doppler?#newyorkliberty #LasVegasAces #SeattleStorm #IndianaFever #ConnecticutSun #PhoenixMercury #DallasWings #ChicagoSky #MinnesotaLynx #WashingtonMystics #LosAngelesSparks #AtlantaDream #TorontoTempo #GoldenStateValkyries #UConnHuskies #Paigebueckers #azzifudd

Send us Fan MailSubscribe and unleash your inner science goblin. We see you. We respect it.How do scientists study animals that spend their lives hiding, migrating thousands of miles, or living deep underwater?In this episode of Wildly Curious, Katy Reiss and Laura Fawks Lapole explore the incredible technology that's transforming wildlife research. From radar that detects millions of migrating birds to satellites tracking whales from space, conservation has become a real-life spy mission. Discover how researchers can monitor animals without disturbing them—and sometimes without ever seeing them at all.In this episode:

In this "Mailbag" episode of the Healthful Woman Podcast, Dr. Nathan Fox answers listener questions covering a range of topics in maternal-fetal medicine. He provides an in-depth explanation of umbilical artery Doppler testing, including what elevated, absent, and reversed flow mean, and how those findings guide monitoring frequency and delivery timing for growth-restricted babies and twins. The episode also touches on twin-specific topics like growth divergence and preterm birth screening using cervical length and fetal fibronectin, and wraps up with a discussion on preeclampsia symptoms and the potential role of at-home blood pressure monitoring during pregnancy.

Luciano Scheffer - Sens (J Doppler Remix) MRT Master by

En el episodio 164 de CQ en Frecuencia viajamos hasta Pratas Island, una remota y codiciada entidad del programa DXCC, para conocer su ubicación, su historia radioeléctrica y las dificultades que presenta para los radioaficionados que intentan añadirla a su log. En el Rincón Diexista repasamos el informe de la Asociación Española de Radioescucha (AER) correspondiente al mes de julio, con frecuencias, emisiones y propuestas para disfrutar de la escucha de la onda corta. Además, abrimos nuestro espacio técnico para hablar de una antena tan sencilla como ingeniosa: la antena de cinta métrica para VHF y UHF, una construcción ligera, económica y direccional que puede ayudarnos a trabajar satélites de radioaficionados. Veremos por qué funciona, cómo se comporta una antena de este tipo y qué aspectos debemos tener en cuenta al apuntar, corregir el efecto Doppler y buscar la polarización adecuada durante un pase. DX, diexismo, satélites y construcción casera en un nuevo episodio de CQ en Frecuencia. ¿Nos apoyas para que podamos seguir haciendo este podcast? Puedes apoyarnos en QRP con 1,99€ al mes o un poco más de potencia en QRO, con 5,99€ al mes aquí: https://cqenfrecuencia.com/apoyar/ NOTAS DEL EPISODIO - Hilo sobre la antena de cinta métrica, con varios enlaces, en el foro de URE https://www.ure.es/foros/satelites/construccion-de-antena-yagi-de-cinta-metrica-para-144-432/ - Datos de Pratas Island https://clublog.freshdesk.com/support/solutions/articles/3000047223-bq9p-bv9p-pratas-island - Web de la AER https://aer.org.es/ Envía tus preguntas, propuestas de temas o lo que quieras: https://cqenfrecuencia.com/contacto/ O en nuestro canal de Telegram: https://t.me/cqenfrecuencia Y no olvidéis visitar nuestra web: https://cqenfrecuencia.com

Nick's in the hospital after an emergency appendectomy. Maybe he'd have had more warning if he had used the new (as of roughly 1990) Super Doppler Radar. You may be thinking "how could doppler radar possibly predict appendicitis?", and you'd be right to do so. But this is Super Doppler. It can do anything. Probably.

Cardiac arrest care hinges on high‑quality CPR, but pulse checks remain a stubborn source of interruptions — often longer than the recommended 10 seconds and repeated every two minutes. What if we could detect ROSC without ever pausing compressions? This diagnostic accuracy study evaluates whether femoral arterial Doppler waveforms obtained during active CPR can predict arterial line pulsatility at the next pulse check. Join Dr. Qin as she reviews how well Doppler‑detected pulsatility and anterograde flow signal true cardiac activity — and whether ultrasound could offer a future where pulse checks no longer slow us down.

Why do so many CAPA systems pass their metrics while the same problems keep coming back? Dan Eagles, a medical device quality VP and longtime CAPA mentor, breaks down where these systems quietly fail and how to rebuild them into tools that actually drive improvement.Dan discusses why the problem statement is where most CAPAs go wrong, how teams back-engineer root cause analysis to match a fix they've already chosen, and why "retrain the operator" is usually the wrong answer.A few of Dan's key takeaways:A closed CAPA that fails again for the same reason was never successful, repeat offenders are the clearest sign of a broken-but-compliant systemMost CAPA trouble starts with a poorly worded problem statement, train your owners to write good ones and you get value across NCRs tooHumans back-engineer root cause analysis to justify the fix they already wanted, the J&J forklift story shows how that goes wrongTrade retrospective "wait three months and see" verification for process validation that proves capability with objective evidenceKnow the difference between a correction (fixes the immediate problem) and a corrective action (prevents recurrence)Without leadership buy-in across functional groups, CAPA becomes a hot potato, but a recall costs far more time and moneyTrack whether your VOEs are effective, not just whether CAPAs closed on timeAbout Dan EaglesDan Eagles is Vice President of Quality Assurance at NeuraSignal, a company developing robotic transcranial Doppler ultrasound technology for stroke detection. He has over 20 years in the medical device and pharmaceutical industries, with 23 years in quality assurance and prior roles at NuVasive, Dendreon, Endologix, and Edwards Lifesciences. He is a CAPA and NCR mentor and is listed on 21 ophthalmic device patents.About The FDA GroupThe FDA Group helps life science organizations rapidly access the industry's best consultants, contractors, and candidates. Our resources assist in every stage of the product lifecycle — from clinical development to commercialization — with a focus on staff augmentation, auditing, remediation, QMS, and other specialized project work in Quality Assurance, Regulatory Affairs, and Clinical Operations. Learn more: https://www.thefdagroup.com/

In episode fifty, Erik G. Larsson and Emil Björnson leave Earth to take a closer look at the new advancements in satellite communications. Constellations with thousands of low-Earth-orbit satellites are now orbiting the sky to deliver fast Internet connectivity to infrastructure, homes, and maybe even directly to 6G mobile phones. How can we reach such distant satellites, and how do the satellite constellations connect back to Earth? What are the intended use cases? How can the massive Doppler effect be overcome? What is the role of multi-antenna technology? All the answers are provided in this massive episode. To learn more about Distributed MIMO in space, we recommend the paper https://arxiv.org/pdf/2603.12914 The Swedish SMART 6GSAT research center has the website https://cos.eecs.kth.seMusic: On the Verge by Joseph McDade. Visit Erik's website https://liu.se/en/employee/erila39 and Emil's website https://ebjornson.com/

In this episode of the Prolonged Field Care Podcast, Dennis sits down with trauma surgeon Mark Shapiro for a no-BS masterclass on wound ballistics. They break down why understanding the physics of penetrating and blast trauma matters in austere and combat environments — even when experience makes you cynical. From high-velocity rifle rounds and their massive temporary cavities to the infectious nightmare of shotgun wounds and the four phases of blast injury, Mark shares hard-won lessons from civilian Level I trauma centers and years training special operations medics and ground surgical teams.They tackle the myths around entry/exit wounds, when (and when not) to explore right upper quadrant gunshot wounds downrange, why you should almost never pack the abdomen or chest from the outside, how to assess neurovascular status in blast-injured extremities, and why bizarre bullet paths and “stable” patients with signs of life can still surprise you.Key Takeaways:Kinetic energy (½mv²) means velocity is king — high-velocity rifle rounds create devastating temporary cavities and fragmentation that can turn one projectile into many.Jacketed rounds still fragment at rifle speeds; never assume a clean through-and-through. Bone fragments act like secondary missiles and can create wounds up to 3x the size of the fragment.For stable patients with right upper quadrant GSWs in resource-limited settings, expectant management can be reasonable — but you must have a plan, know your limits, and be ready to move if things change.Never pack the abdomen or chest from the outside in most cases. It risks pushing debris deeper and worsening injuries. Cover exposed organs if needed, but don't shove gauze into body cavities.Shotgun wounds (especially buckshot/birdshot) are “mobile IEDs” — massive tissue destruction, heavy debris inoculation, and extremely high risk of infection, fistula, and devascularized tissue requiring serial debridement.In extremity blast trauma, assess vascular status (pulses, Doppler signals, color, warmth, capillary refill) and neurologic function. The ~6-hour window to revascularization is critical, but the decision point comes earlier.Training + common sense + adaptability beat rigid protocols when resources are limited. Sometimes the best move is observation.Chapters04:15 – Why Wound Ballistics Knowledge Still Matters (even when you're cynical)08:30 – High-Energy Rifle Wounds: Muzzle Velocity, Kinetic Energy & Spitzer Bullets13:45 – Fragmentation, Tumbling & Secondary Missiles (bone shards & unpredictable paths)18:20 – Clinical Reality: Multiple Injuries & Why “Small Entrance, Big Exit” Is a Myth22:50 – Entry vs. Exit Wounds: When Trajectory Actually Matters (and when it doesn't)26:40 – Right Upper Quadrant GSWs: Explore, Observe, or Expectant Management Downrange?31:10 – The Dangers of Packing Abdominal & Chest Wounds from the Outside34:55 – Low-Energy Pistol Wounds: How They Differ (or Don't) from Rifles37:20 – Shotgun Wounds: Close-Range Carnage, Debris & Infectious Nightmares42:40 – IEDs & Modern Explosives: Blast Physics, Ukraine Patterns & Hard-Ground Effects48:15 – Primary, Secondary, Tertiary & Quaternary Blast Injuries Explained52:30 – Neurovascular Assessment in Blast-Injured Extremities (Conscious & Unconscious Patients)56:45 – Lessons from the Trauma Bay: Common Sense, Training & Knowing When to Deviate from ProtocolFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

We push back on the idea that obstetrics “deserves” a malpractice crisis and explain how bad incentives and junk science can turn normal evidence-based care into courtroom blame. We also break down a few widely shared clinical myths and new research so we can practice with clearer eyes and less narrative noise.• placental grading on ultrasound as low-value data with poor predictive power and high reader variability • how malpractice commentary can seed plaintiff-friendly arguments against evidence-based off-label use • why blaming misoprostol or “high-dose” oxytocin oversimplifies multifactorial outcomes • quality improvement bundles as useful tools but weak proof without controls or causal clarity • how massive verdicts and paid expert testimony can clash with modern science on cerebral palsy and HIE • the FAA's five hazardous attitudes and practical antidotes for high-stakes clinical work • new data on LEEP versus cold knife cone for CIN, recurrence, HPV clearance, and access tradeoffs • genetics and BMI as major drivers of gut microbiome patterns, not influencer narratives • what a 1993 Doppler trial can and cannot prove, plus why replication changes conclusions Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram.0:00 Welcome And Season Update1:15 Placental Grading Myth On Ultrasound6:44 Calling Out A Malpractice Influencer14:06 The 2011 Policy Bundle Examined23:20 What Drives The OB Malpractice Crisis30:00 How Mega Verdicts Get Made36:59 Five Hazardous Attitudes From Aviation44:31 LEEP Versus Cone For CIN48:04 Genetics And The Gut Microbiome52:17 Does Doppler Ultrasound Harm Babies?1:00:37 Recommendations And ClosingFollow us on Instagram @thinkingaboutobgyn.

Welcome to your weekly UAS News Update, we have three stories for you this week; DJI audited by US-Based Cybersecurity firm OnDefend, a custom FPV drone hits 730 kilometers per hour, and SkyeBrowse rolls out another major product update. Let's get to it.First up this week, DJI released the findings of an independent security assessment conducted by U.S.-based cybersecurity firm OnDefend on May 28, 2026. The assessment evaluated the DJI Air 3S with RC 2 controller and the Matrice 4E with RC Plus 2 Enterprise controller. Test units were procured from retail outlets and dealer stock without pre-notification to DJI.The assessment ran from October 2025 through March 2026 and produced zero critical, high, or medium-risk findings. Specifically, OnDefend reported no evidence of data transmission outside the United States, no backdoors or unauthorized remote access mechanisms, no unexplained radio frequency emissions, and no supply chain tampering or unauthorized hardware modifications. Controllers also resisted jailbreak and firmware modification attempts. Ten low-risk findings and thirteen observations were identified, primarily related to application security configurations, session handling, and wireless hardening. DJI stated it is working to address remaining items in subsequent software releases.DJI cited the findings in connection with its ongoing appeal of its December 2025 inclusion on the FCC Covered List, which was not accompanied by a documented security vulnerability. The release noted that more than 80% of the 1,800-plus state and local law enforcement agencies operating drones use DJI platforms, and that 43% of drone business users surveyed indicated DJI restrictions would have an extremely negative or business-ending impact on operations. This comes just a few weeks after the FCC's request for comment closed on reconsidering DJI's addition to the entity list, prohibiting them from introducing new models in the US.Next up, Australian aerospace engineer Benjamin Biggs just pushed his custom Blackbird drone to an absolutely blistering 730 kilometers per hour, or 454 miles per hour, on a downwind run! Flying back into the wind, the drone hit 640 kilometers per hour, giving it a two-direction average of 685 kilometers per hour, or 426 miles per hour.  Unfortunately, this incredible speed run won't count for the record books. The team didn't have accredited Guinness observers on site, the winds were gusting up to 60 kilometers per hour, and the drone didn't land on a clean battery. They also lost one of their two drones at 630 kilometers per hour when the video feed completely dropped out. The team reportedly believes this was caused by the Doppler effect messing with the digital video link as the drone screamed past the pilot.  Last up, SkyeBrowse has rolled out a major update to their core videogrammetry engine. If you use their software for 3D modeling, you'll want to pay attention to this. Every plan on their platform now has upgraded accuracy, better texture rendering, and faster tooling at no additional charge. According to their internal benchmarks, there is a 3X improvement in matching accuracy when you combine multiple video sources. They also upgraded their AI Floor Plans, which are now twice as accurate and can be exported from any interior model in about 20 seconds. On top of that, their Image Walkthroughs feature, which lets you navigate through structured spaces using high-quality photos, is now available to everyone for free. That's it for this week, see you next week for Post flight where we'll discuss these stories uncensored, live Q&A on Monday, and News update on Friday! https://www.dji.com/ca/trust-centerhttps://dronexl.co/2026/05/22/blackbird-biggs-730-kmh-drone-speed-record/https://www.skyebrowse.com/news/posts/major-product-update

Sponsor Link:To grab our special money saving NordVPN deal - Click HereIn today's episode, Anna and Avery cover a blue whale-sized asteroid making a close pass of Earth today, the imminent debut of SpaceX's most powerful rocket yet, NASA's Psyche spacecraft successfully completing its Mars gravity assist, fresh science arriving at the ISS, a new physics paper challenging the simulation hypothesis at its foundations, and Congress pushing back hard against proposed cuts to NASA's science budget.   Story 1 — Asteroid 2026 JH2 Newly discovered asteroid 2026 JH2 (first spotted 10 May 2026) makes a close Earth flyby today at ~90,000 km — within the orbital radius of many satellites. Estimated size: up to ~35 metres (blue whale-sized). Zero impact risk confirmed. Observable with binoculars at peak magnitude ~11.5. Live stream available via the Virtual Telescope Project. Orbital period: 3.7 years between Earth and Jupiter.   Story 2 — Starship V3 / Flight 12 SpaceX targets May 19, 2026 for the debut of Starship Version 3 (Flight 12) from Pad 2 at Starbase, Texas. Launch window opens 6:30 PM EDT. Key upgrades: Raptor 3 engines (250 tf SL thrust, up from 230 tf), three larger grid fins, new integrated hot-stage design, updated propellant systems. No tower catch on this flight; booster splashes in Gulf of Mexico. Upper stage (Ship 39) targets Indian Ocean after 65 minutes. Payload: 22 Starlink simulator satellites. Critical step toward Artemis lunar landings.   Story 3 — NASA Psyche Mars Flyby On 15 May 2026 at 3:28 PM EDT, Psyche completed its Mars gravity assist at 4,500 km altitude travelling at 12,333 mph. Passed inside the orbits of both Martian moons. Confirmed by Doppler shift monitoring. Mission: en route to metal-rich asteroid 16 Psyche (arrival July 2029). Thousands of Mars observations gathered for science calibration.   Story 4 — SpaceX CRS-34 SpaceX's 34th Dragon cargo mission docked at ISS at 6:37 AM EDT on 17 May 2026, delivering ~6,500 lb of cargo for Expedition 74. Science payloads include: microgravity simulator validation study, wood-based bone scaffold (osteoporosis research), red blood cell/spleen spaceflight study. Dragon will return to Earth mid-June splashing down off California coast.   Story 5 — Simulation Hypothesis Paper Paper: ‘Non-algorithmic physics and the limits of the simulation hypothesis', published in the Journal of Holography Applications in Physics. Authors: Mir Faizal (UBC Okanagan), Lawrence Krauss, Arshid Shabir, Francesco Marino. Core argument: using Gödel's incompleteness theorems, the team argues any theory of quantum gravity would be non-algorithmic — containing truths no computation can capture. Since any simulation requires algorithms, reality cannot be fully simulated. Note: this is a theoretical paper, not an experimental result. The authors acknowledge no complete quantum gravity theory currently exists.   Story 6 — NASA FY2027 Budget House Appropriations Committee approved $24.438 billion for NASA in FY2027 — matching FY2026 and rejecting the White House's proposed $18.8 billion (a 23% cut). The proposal would have cut the Science Mission Directorate by 46%, terminating 50+ missions. Committee protects science, Habitable Worlds Observatory, and STEM education funding. Bill still needs Senate passage and reconciliation.   Skywatching TONIGHT — Moon-Venus conjunction: look west after sunset for the crescent Moon close to brilliant Venus. Earthshine visible on dark lunar limb. Southern Hemisphere: look west-northwest, best in first hour after sunset. Blue Moon on 31 May (second full Moon of the month).  Become a supporter of this podcast: https://www.spreaker.com/podcast/astronomy-daily-space-news-updates--5648921/support.Sponsor Details:Ensure your online privacy by using NordVPN. To get our special listener deal and save a lot of money, visit www.bitesz.com/nordvpn. You'll be glad you did!Become a supporter of Astronomy Daily by joining our Supporters Club. Commercial free episodes daily are only a click way... Click HereThis episode includes AI-generated content.

Et plus grave lorsqu'elle s'éloigne ?! Ce phénomène très connu s'appelle l'effet Doppler. Et il révèle quelque chose de fascinant sur la manière dont les ondes se déplacent.D'abord, il faut comprendre qu'un son est une onde. Lorsqu'une ambulance active sa sirène, elle produit des vibrations dans l'air. Ces vibrations se propagent sous forme d'ondes, un peu comme les rides circulaires créées lorsqu'on jette un caillou dans l'eau.Chaque son possède une fréquence : c'est le nombre de vibrations par seconde. Plus la fréquence est élevée, plus le son paraît aigu. Plus elle est basse, plus le son paraît grave.Maintenant, imaginons que la sirène soit immobile. Les ondes sonores se répartissent régulièrement dans toutes les directions. Vous recevez donc une fréquence stable.Mais quand l'ambulance se déplace vers vous, quelque chose change. La source sonore “rattrape” en partie les ondes qu'elle vient juste d'émettre. Résultat : les ondes se retrouvent compressées devant le véhicule.Comme les ondes sont plus rapprochées, vous en recevez davantage chaque seconde. Votre cerveau interprète cela comme une fréquence plus élevée : le son paraît donc plus aigu.À l'inverse, lorsque l'ambulance s'éloigne, les ondes sont étirées derrière elle. Elles arrivent plus espacées jusqu'à vous. Vous en recevez moins par seconde, ce qui donne un son plus grave.Ce phénomène ne concerne pas seulement les ambulances. On l'entend aussi avec les motos de course, les trains ou les avions.Mais l'effet Doppler est surtout devenu essentiel en science.En astronomie, par exemple, il permet de savoir si des étoiles ou des galaxies s'approchent ou s'éloignent de nous. Lorsqu'une galaxie s'éloigne, sa lumière est “décalée vers le rouge” : les ondes lumineuses sont étirées, exactement comme le son grave d'une ambulance qui s'éloigne.Les radars routiers utilisent également l'effet Doppler pour mesurer la vitesse des voitures. Ils envoient des ondes radio qui rebondissent sur les véhicules ; le changement de fréquence permet de calculer leur vitesse.Le plus fascinant, finalement, c'est que votre cerveau expérimente sans cesse un principe fondamental de la physique moderne… simplement en laissant passer une ambulance dans la rue. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

The U.S. fertility rate dropped to another record low in 2025, according to provisional CDC data, marking a 23% drop since 2007. Jill Filipovic, attorney and author of several books, including OK Boomer, Let's Talk: How My Generation Got Left Behind (Atria/One Signal Publishers, 2020),  and Karen Guzzo, director of the Carolina Population Center and a sociology professor at the University of North Carolina at Chapel Hill, explain what's behind the decline, the current Republican and far-right conservative policy plans to try and reverse those trends and what actually works to incentivize a growing population. Photo: A doctor uses a hand-held Doppler probe on a pregnant woman to measure the heartbeat of the fetus on Dec. 17, 2021, in Jackson, Miss. (Credit: Rogelio V. Solis/AP)

In today's episode, we speak with Stephanie about her stillborn daughter, Penelope, who arrived at 39 weeks and 6 days. After two healthy births and a completely uneventful third pregnancy, Stephanie found herself facing the unthinkable: an awareness of no fetal movement, confirmed by a silent Doppler and finally a hospital ultrasound. What followed was labor induction, birth, and the impossibility of leaving the hospital without her baby, riding home with her innocently cheerful toddlers in the car.Next came shock and denial, pleading with God, managing her milk coming in, and experiencing an isolation so extreme that even a friend of fifteen years told Stephanie she couldn't handle maintaining a friendship in the face of something so grave. Stephanie also reflects on the impact to her equally-devastated husband, the family members who ranged from phenomenal to absent, and facing the disorienting task of caring for her two children while grieving a third. To this day, Stephanie grapples with how to answer the question mothers usually enjoy: "How many children do you have?"  Our conversation later turns to grief, faith, 'God winks' that seem to show up everywhere as signs of her daughter's love and presence, and Stephanie's evolving sense of peace, even hope and eagerness, as she looks toward continuing to expand her family. **********Send us Fan MailNeeded

In this episode, Sophia and Aly sit down with Larissa to share one of the most unique birth journeys yet.What began as a seemingly overdue pregnancy turned into a powerful story of intuition, patience, and uncovering what was actually happening beneath the surface.Larissa shares:Why she chose a no-intervention pregnancyThe confusion of measuring small and unclear timelinesHow an early loss changed everythingWhat it was like to think she was “53 weeks pregnant”Her 43-hour labor and 8-hour pushing experiencePostpartum challenges with feeding and recoveryThis episode explores the complexity of trusting your body when answers aren't clear—and what it means to truly surrender to the process.Some of our Favorite product recommendations: ▶︎Afterease Tincture by Wish Garden Herbs: https://tidd.ly/4uQ0NGv▶︎Sitz Bath Herbs by Motherlove Organics: https://www.motherlove.com/?sca_ref=10865436.IGh1FTI5Qs▶︎HIRO diapers: https://hirodiapers.com/bornwild3▶︎Mioberry Organic Muslin Swaddle sets & more: www.miaoerrydesigns.com/bornwild Save 15% with code: Bornwild1500:00 Intro01:00 Fertility + pregnancy start03:30 Choosing home birth + no ultrasounds05:00 Measuring small + uncertainty begins08:30 Doppler + reassurance10:00 “Overdue” months begin11:40 The 53-week pregnancy realization14:30 Maternity leave chaos16:00 Trust vs fear in pregnancy19:00 Labor begins21:00 Early labor + tub + positions23:30 Pushing challenges24:00 Breakthrough moment (bladder)25:00 8 hours pushing29:00 Birth + surprise gender31:00 Postpartum + feeding challenges34:00 Advice for first-time momsThis podcast is intended for educational and informational purposes only. The views and experiences shared by guests are their own and do not constitute medical, legal, or professional advice.We are not providing medical or legal guidance, nor are we encouraging listeners to engage in any practice that may be unsafe or unlawful in their jurisdiction. Birth choices, medical care decisions, and midwifery practices are highly regulated and vary by state and country.Listeners are encouraged to consult with qualified, licensed professionals and to research the laws applicable to their location before making any health or birth-related decisions.By listening to this podcast, you acknowledge that you are responsible for your own decisions and actions.The show notes may contain affiliate links. IF you click and purchase product or service I might be compensated. Thank you for your support. 

Vineyard Wind sues GE Renewables to block a walkout over $300M in withheld payments and defective blades. Plus Ørsted posts a $262M quarterly loss and shakes up its board. Sign up now for Uptime Tech News, our weekly newsletter on all things wind technology. This episode is sponsored by Weather Guard Lightning Tech. Learn more about Weather Guard’s StrikeTape Wind Turbine LPS retrofit. Follow the show on YouTube, Linkedin and visit Weather Guard on the web. And subscribe to Rosemary’s “Engineering with Rosie” YouTube channel here. Have a question we can answer on the show? Email us! Uptime316 Matthew Stead: [00:00:00] The Uptime Wind Energy Podcast brought to you by Strike Tape, protecting thousands of wind turbines from lightning damage worldwide. Visit strike tape.com And now your hosts. Allen Hall: Welcome to the Uptime Wind Energy Podcast. I’m your host Allen Hall, and I’m here with Matthew Stead and Rosemary Barnes who are in Australia. Before we get too far into this episode, I would like to mention that the UK US relationship has been very tense recently, as you have seen in the, in the news articles and on television. But there was one good news piece that just happened, which is the band Oasis just got inducted into the Rock and Roll Hall of Fame. So that is trying to mend those relationships, bring the UK and US back together. In at least a musical sense. So I know Rosemary was watching that closely as the votes were counted. But, [00:01:00] uh, everybody in the UK is super thrilled about it as they should be. And all us Oasis fans can’t wait for the induction ceremony. In fact, we’re planning to go to Cleveland. They’ll go watch it if we can. We shall see now onto more important information this week. Vineyard, wind and GE are not getting along. And if you have been paying attention for the last two years, you would’ve noticed that there’s been a couple of tense moments. Well, uh, that wind project is a little bit up in the air because vineyard wind has filed suit against GE renewables to stop the turbine maker from walking away after GE sent a termination notice. Over a $300 million ish, uh, disagreement in unpaid bills. At the center of this dispute are defective blades, of course, that, uh, broke off in 2024 and caused a number of problems, uh, for GE and vineyard Wind is particularly a delay in the [00:02:00] project and ge having to fix pull blades off of turbines that were already installed and I think they ended up sending those back to France. Reading the lawsuit, it seems like GE did not repair those blades. They replaced those blades because, uh, they may not have been able to repair them or maybe is the amount of time it’s gonna take to repair them. You can repair almost anything made out of. Composite. Uh, but this is a big problem because, uh, if GE does walk away and they’re talking about walking away from this project at the end of April, vineyard, wind believes that the turbines are not ready to be operated, and they don’t have a way to operate those turbines. They don’t have the knowledge or the people because the people belong to GE that need to make some of these turbines operate. Even there’s even some question about if all the turbines are operating at the required [00:03:00]handover requirements. This is unique because I don’t think I’ve ever seen a wind turbine manufacturer leave before a wind site is finished. It must have happened before, but. It does put both sides in quite a pinch. Right.  Rosemary Barnes: Can I just jump, jump back to, to something that you said, um, that you can repair almost anything when it comes to composites? I would say that that doesn’t necessarily apply if your design was insufficient in the first place. And I mean the design for manufacturing in this case, I think that the, like computer model design worked fine, but obviously it was not as easy to manufacture or as possible to manufacture. With the correct quality as what they expected. It can’t have been so simple to just, just repair. That’s, um, that’s what I want to say. Like it, it’s obvious to me that if it was possible to repair, that would’ve been much easier than what they’ve ended up with, which I think is pretty foreseeable. Or most [00:04:00] engineers would probably have foreseen that if you, you know, put blades out there that, um, don’t meet your. Standard, um, quality control acceptance criteria that, you know, the consequence of that would be that it would be more likely to fail. So yeah, I think you can repair nearly anything on a standard blade that is possible to make correctly. But if you’ve got big quality problems, then it’s not, it’s, it’s not easy and it’s possibly not possible to, you know, just get, um, just get onto that in repair.  Matthew Stead: I, I think you’re both right. Because it all comes down to economics. So I think Alan’s statement, you know, things can be repaired. It just comes back to economics, doesn’t it?  Rosemary Barnes: U usually, yes. And like for your average, like if you’ve got a wind farm and you’ve got a blade with a big, a big repair, or you know, like a big defect right on the main laminate, that’s gonna require, you know, like a huge repair, taking the blade down and keeping it down for, you know, like three months while you rebuild like 20 meters [00:05:00] of laminate. Yes, that would be technically possible, but you wouldn’t because it would be so expensive. So us usually, like in 99% of cases, that would be it. That it’s not actually impossible to repair. It’s just very hard. But, you know, in these really huge blades and, you know, um, bearing in mind that I don’t, I don’t know the specific quality problems that they face, but, you know, just from my knowledge of composites, you can say what the challenging areas would be, but you know, a really big blade is gonna have a really thick laminate and, um, composites don’t like to have really thick laminates. When they cure, it’s usually an, an exothermic reaction, puts off heat, you know, like the temperature is changing and um, it works fine for thin laminates, but when it’s really thick you can get hot spots and cold spots and maybe it’s hard to get the resin to go all the way through evenly. But you know, imagine if you’ve got a really thick laminate and there’s a chunk of it that just didn’t get any resin in it. How are you gonna repair that? Like, I wouldn’t say impossible. I’m sure if the fate of the human race depended on it, then you would, you would make it work. But it’s [00:06:00] certainly very close to impossible.  Matthew Stead: Economically, it does not make sense.  Rosemary Barnes: You would probably have to make a few inventions. Along the way to be able to make it work as well. I think,  Allen Hall: I think I should read part of, and I don’t like reading these lawsuits, but this is informative in a sense that it provides some relative background as to what Vineyard Wind is thinking in some of the contract details that are involved here. So in June 4th, 2021, this is directly from the lawsuit, uh, vineyard Wind entered into A TSA with GE renewables in which. GE Renewables agreed to design, manufacture supply, install commission, and test the wind turbine generators for the vineyard wind project at a contract price of more than $1.3 billion. There you go. On the same day as an integral part of the commercial agreement, the parties entered into an SMA, uh, by which GE renewables agreed to maintain and service that wind turbine [00:07:00]generators for the first five years. Of operations of the project and guarantee that all wind turbine generators will operate at a 97% of production availability. Uh, this guarantee is central, is a central component of the commercial viability of the Vineyard Wind Project. So I would say so, right. Uh, at present, all of the wind turbine generators on the project have been installed. However, the wind turbine generators are not yet fully operational and are. Able to reduce power at only levels well below those intended under the contracts fundamental to the project’s commitment to Massachusetts to achieve full commercial operation. The project requires repair, commissioning, and maintenance of GE renewables, 62 proprietary wind turbine generators, and their component parts work that only GE renewables knows how to perform. So it sounds like Vineyard Wind has a five-year contract that GE ISS gonna operate these [00:08:00] turbines, and if they leave in a couple of weeks, vineyard wind really doesn’t have a backup plan. They may have. Were planning on a plan five years down the road where they could operate ’em, but to operate those turbines immediately when they haven’t, at least as. Indicated here may not be fully commissioned to providing the right amount of availability. That’s a huge problem for Vineyard. Huge.  Rosemary Barnes: It’s interesting to me that they’ve decided to withhold some money that I think everyone agrees that they owe that money to ge. But then there’s a dispute because Vineyard when says that GE owes them money for some other stuff That sounds like GE disputes. Um, it’s like if you have a problem. With your landlord, they always tell you, don’t, don’t withhold rent, because then they can, you know, that’s, that’s their out of the contract. Right? So it seems weird, like it’s a relatively small amount compared to what vineyard wind is risking. So. It seems to me like, are they, is this a mistake from them? Are they giving ge an out from this contract that’s gonna be [00:09:00] really hard for them to meet? It might be that GE knows what it would cost to entirely fix the wind farm and have it producing the way that it should. But, you know, let’s say in a worst case scenario, that means remaking every single blade in the um, in the wind farm. At the, at the French factory, you know, like that could be your, your worst case scenario. GE knows that that’s gonna cost more than what they’re ever gonna pay over the five years of, um, you know, the, uh, of missing the availability guarantee. So then it is worth, for them, the cost effective thing to do is to just walk away and they’re kind of, the amount that they’ll have to pay is limited. If I’m thinking fairness, it’s so unfair that vineyard wind would be stuck with this wind farm that they can’t really get to do anything. But if I think about how I see these disputes work out in the smaller versions of them that I’ve seen, it seems like vineyard wind actually probably is the one more likely to come out with a bad outcome from the way that they’re [00:10:00] choosing to play this right. Uh, because they, they risk not being able to operate at all. And they have potentially, like, I’m not a lawyer, I don’t, I don’t know about, you know, how likely it is that the 300 million, that their withholding will be enough for GE to walk away with without having to pay anything for, um, you know, not operating, uh, correctly over the next five years. But, um, you know, it just seems like it’s not so much money compared to the billions that are at stake. To risk that they will be left unable to operate the wind farm at all. You know, it’s just, uh, I don’t know. It seems risky.  Allen Hall: Let’s start with the kickoff of what happened and what vineyard wind is alleging happened from these, their perspective on it. It does provide some insight into all the things we talked about on the podcast for the last two years. We, we saw bits and pieces of it. According to vineyard wind, uh, GE Renewable [00:11:00] claims that it is owed quote amounts due unquote for milestone payments is, is contrary in in language to the TSA, so the turbine supply agreement put simply vineyard wind owes nothing to GE renewables because the TSA turbine supply agreement allows vineyard wind to withhold amounts. The project engineer determines that GE Renewable owes vineyard wind from milestone payments otherwise due under the contract. So what they’re saying is GE owes is a bunch of money. Yes, we do owe GE renewables money, but it’s in Vineyard Wind’s favor. So why would they send GE money? Um, those set off amounts are substantial because GE renewables caused catastrophic injury to vineyard wind by installing 68 defective blades on 24. Wind turbine generators resulting in two years of delay and over a billion dollars of damages. In July, 2024, one of the GE renewable offshore blades collapsed and fell into the waters off Nantucket resuscitating a massive environmental cleanup and requiring a six month [00:12:00] construction hiatus during which GE Renewable performed a root cause analysis, concluding that 68 of the 72 GE renewable. Blades installed at the project, nearly all manufactured by GE Renewable in Gaspay Canada, and they say nearly all, not all, nearly all were also defected because they were inadequately bonded together, the original blades were so poorly made that they were beyond repair. Indeed, the federal government required GE renewable to remove all the blades and to replace all gas bay blades with others manufactured at a different facility in Sherbrook, France. So that’s really the kickoff to all of this disagreement was the quality issues from Gas Bay. Uh, vineyard Wind goes on to say that GE Renewables and, and their CEO, Scott Straza, basically admitted to, uh, a, a serious, um. Overlook or quality issue? Quality escape, something of the [00:13:00] sort, uh, in some of the statements, which I, I remember him talking about  Rosemary Barnes: allegedly, in your opinion. Allen Hall: Well, and Scott Streek did say it. In fact, here’s, here’s what Scott Streek did say. Streek, uh, acknowledged that the blade failure and said, quote, we have identified a material deviation or a manufacturing deviation. In one of our factories that through the inspection or quality assurance process we should have identified. Because of that, we’re going to use our existing data and reinspect all of the blades that we have made for offshore wind and for context in this factory in Gus Bay, Canada, where the material deviation existed. That’s a quote. What happens now,  Rosemary Barnes: obviously I’ve never worked on anything that’s, this is the biggest example of, um, a, you know, a blade quality problem, a serial issue probably that’s ever happened in the wind industry. I’ve never worked on something this big, but I have worked on probably half a dozen small, small versions that are quite similar. Um. To this, but just on a, you know, a much, much smaller scale. And I will say that it never [00:14:00] feels fair what the owner of the wind farm, like, what the outcome is, never feels fair to the owner of the wind farm. Like when you’ve got a serial defect in, um, in play it like, and everyone suffers. It costs, it’s gonna cost the, um, you know, the manufacturer a lot of money. But I think that proportionally it is. Affects the owners more in nearly every case. It’s just there are some contractual things that you don’t end up with outcomes that feel, feel fair to anybody that, um, you know, would take a casual look at it. So I don’t think that an outcome that feels fair is probably likely for, for vineyard wind. Um, and I guess it all just comes down to whether or not GE agree that they owe that 800 million or whatever the figure is. Um, or if a court finds that they owe it. Because surely the contract doesn’t say that Vineyard wins engineer at any time can just, or project manager can at any time decide [00:15:00] that, um, GE owes the money and so they don’t have to pay. That obviously wouldn’t be a very, um, nice contract for GE to sign. So there’s gotta be some more nuance to it other than. That our project manager says, you owe us money so we’re not paying. And then, you know, you have to continue. Like, I, it’s probably impossible for us to, without, um, you know, having access to all of, all of the documents and the legal degree to understand it. Probably, probably hard for us to Yeah. Come up with a, a reasonable conclusion.  Allen Hall: It does make you think, usually the progression is dispute. Whatever contractually is obligated in the beginning happens. And so if there’s someone who decides what pot of money goes where, that, that’s usually the first step. Second step is usually arbitration in the us. I’d be surprised if they haven’t gone through at least an attempt at arbitration. And then once arbitration breaks down, then you go into the courts, which is clearly where they’re at now you’re, you’re at the highest level that you can be in terms of legal proceedings to try to sort this matter out. And I’m sure both sides. Do not want to be in front of a [00:16:00] courtroom if they can avoid it. So there’s a much more to come about this. I, I think the other operators, uh, GEs this is, is this GEs only? Yeah. This is GEs only wind farm offshore in the us So this is it. But I would imagine that the other, uh, operators in offshore wind in the US or. Being very careful word through contracts and how this is proceeding.  Rosemary Barnes: That’s something else I think about this case is that it’s going to be like the GE are the ones who have more at stake in terms of reputational harm. I would’ve thought then. Um, so. Yeah, that’s obviously a consideration that they’ve, they’ve gotta have, it isn’t, regardless of where the facts are, it’s not a good look. Right. Um, to be seen, to be walking away from a wind farm. And it probably would make other people considering big expensive GE wind farms to be like, oh, you know, are we actually gonna get across the line with this? Or is there a risk that they just, you know, throw a tantrum towards the end and threaten to walk away and we have to renegotiate [00:17:00] everything. So, um, I guess that there’s a, yeah, there’s always just the perception. Is as important in a lot of ways to what the actual facts are.  Matthew Stead: The thing I find is, um, I mean this is largely a legal thing, isn’t it? You know, we, we’ve agreed that it’s, with the lawyers, it’s a largely a legal thing. The, the sort of topic that I’m interested in is, um, like the example of you buy a car, you know, you buy a Toyota, um, you expect to be able to maintain it. You expect to be able to run it and get a serviced by a Toyota, you don’t expect in the first year to take your Toyota to Ford and get them to fix it in the first year. The bigger issue is the turbine supplier agreement does not actually allow the turbine to be operated without the OEM, so no one knows. No one knows how to run it. So for me, it’s a massive industry challenge, access of data, access of how to run a turbine. If the OEM is no longer there, so I think hopefully [00:18:00] this can have rama bigger ramifications for the industry that operators and owners can actually run the assets they own.  Rosemary Barnes: Well, there are companies that will come in and pull out your control system of your, you know, your turbine. If it, you know, if you, um, if you don’t wanna work with them anymore or if the company went bankrupt, then there are companies that will rip it out and put a new one in. It’s not, not saying that that’s like an easy, cost effective thing to do and probably not gonna get the same, um, performance as, as you originally did. But that’s what happens if you are, um, you know, your turbine manufacturer goes bankrupt and they just don’t exist to support anymore. Sometimes people have to resort to literally pulling out the whole control system and starting again. Not easy. When it’s something as big and new as this one obviously  Matthew Stead: isn’t the better answer that when you buy something, you actually buy the information to actually run it. Rosemary Barnes: I don’t fully agree [00:19:00] though, because. It’s like, um, o often what you say, oh, you know, like this would be good. Like the one common thing is people say, oh, you know, like it’s planned obsolescence. People, engineers plan design things to fail so that you’ll need to replace them. And I think that that does, that does happen again in like consumer, consumer products. Like, um, yeah, like your, your battery isn’t really designed to last for 10 years in your, your phone the same way that it is in an electric car. Um, more than 10 years in the case of an electric car. Um. But it’s not. It’s not what happens in industrial scale equipment. You are mostly worried about getting the price point right. And if you want something to last longer, if you want something that anybody can come in and fix it easily, it costs more to engineer like that and usually like a a lot more. So it’s not just people like evil engineers or evil. Um. Evil management at these, at these companies.  Allen Hall: I already get to evil engineers. Rosemary Barnes: No, people think it is. People think it’s evil. Engineers like purposely designing bad products to [00:20:00] um, make money, which I actually do think that they do with consumer products. Some of the time. Um, but when it comes to like industrial equipment, I, I don’t think that that’s the main, the main thing that planned obsolescence is not, is not a major factor here. It’s about trying to get the price point competitive to make sales. And if you want to get better engineering, you, you will, you will pay for it.  Matthew Stead: I got a call with someone today that, which is on this topic. So, you know, we, we are a sensor company and, um, we pro we provide results, okay? So if we actually provided the raw data that we measure, it actually allows people, other people to reverse engineer our products. So we don’t generally provide the raw data, so we provide the end outcome. Because it means that people can’t copy what we do. It means we can actually charge a lower price. So actually there’s a lot of logic to, you know, having, you know, [00:21:00] all these ways of engineering a product to, you know, give a better outcome to the end customer. Allen Hall: I know Rosie doesn’t like Elon Musk, but this one of the things that Elon Musk did with Tesla at least, I don’t know about the other companies that he runs, but with Tesla, they went off and. Made patents, right? So they applied for a bunch of patents and received them and then just made them open use. And the reason they did that was so somebody couldn’t jump the patent line, create a patent about some car related electric thing, and prohibit Tesla from doing. And so Tesla has always had the need to create patents that cost them, I’m sure, a, a pretty penny, just so they can avoid. Patent conflicts and lawsuits going forward. And it’s sort of the same thing, right? That the evil engineer bit, that’s the evil engineer bit I, that I don’t like is that when you get these crazy patent things happening out there that are just there to collect money and not do any of the work,  Rosemary Barnes: and some of the patents are. Absolutely crazy. Like when you do a patent search and it’s like you’re [00:22:00] reading the language and like it sounds like they’ve just patented the concept of a wheel, you know? And then you’ve gotta try and figure out like what’s actually going on. Yeah. In  Matthew Stead: our world, someone has a patent around the Doppler shift. Allen Hall: How can you have a patent on Doppler shift? That’s crazy.  Matthew Stead: It’s fundamental physical. You know, there’s a shift in frequency of a sound, um,  Allen Hall: based on speed  Matthew Stead: and yes, sound comes from a blade and there’s a doppler shift.  Allen Hall: That’s real. I, I, I guess, uh, see, that’s, that’s, that’s the craziness of that. See, you should have thought about. The idiots that were gonna do that and then write a patent about Doppler shift.  Rosemary Barnes: It’s really annoying because it’s like, you know that it’s not gonna be, I mean, a lot of them you are like 99% sure it’s not gonna be possible for them to defend that if it gets challenged. But it’s like, to what extent do we trust that, you know? Um, so you still usually end up steering around it anyway, but it, it really gets in the way of elegant engineering solutions. All these. Bizaro patents that are out there like clogging up [00:23:00] the design landscape.  Allen Hall: That happened recently. Right? Rosa? You had and I were talking about a particular patent. I thought had it existed and it did at one point exist and I. Rosie said, I don’t, I don’t see it anymore. So I did some search on it. Yeah, it got pulled off. Uh, the list of valid patents. It was a lightning related thing.  Rosemary Barnes: And you were complaining that it was so obvious that they should never have been able to patent it, but yeah, and somebody obviously said, said something at some. I don’t think patents are not the best way to protect an idea anyway. Right? Like nobody, if you, if you’ve got a new technology idea and you’re relying on a patent to protect other people from copying it, it’s not the best idea. I do work with a lot of small inventors who are like, oh, I’ve got a patent application, and they think it means something, that it doesn’t. They think, oh, you know, patent was approved. That means it works. It means it’s a good idea. It doesn’t mean any of those things for like small, outside of big companies. I, I think it’s super rare that you would get more. You would get a positive return [00:24:00] on. On filing and maintaining a patent in all the countries that, um, are relevant  Allen Hall: as wind energy professionals, staying informed is crucial, and let’s face it difficult. That’s why the Uptime podcast recommends PES Wind Magazine. PES Wind offers a diverse range of in-depth articles and expert insights that dive into the most pressing issues facing our energy future. Whether you’re an industry veteran or new to wind, PES Wind has the high quality content you need. Don’t miss out. Visit PES wind.com today. Sted posted a net loss of 1.7 billion Danish groner, roughly $262 million for the third quarter, as the cost of battling us anti win policies continues to mount the CEO. Rasmus abo, uh, says the company is about. One year into a turnaround plan, uh, that’s set to [00:25:00] run through beginning of 2028, and that the medicine is starting to work. Uh, one major strategic change. Ted will enter partnerships on new projects far earlier, and so it will never again, uh, be forced into damaging late stage divestments The company maintained its full year EBITDA and, uh, guidance of, of, of. 24 to 27 billion Danish kroner. That’s a good bit of money. And the sale of a 50% stake in the horn, C3 to Apollo Global Management for a billion dollars is already under. Well, at least in progress, but there’s a lot more behind the scenes here. Sted had an basically an investor meeting and a shareholder meeting, and, uh, they have three new board members. They let go of, if I remember correctly, three board members that were [00:26:00] employees that they just, uh, had reductions in forces that happen to affect board members, which is very odd. Very, very odd in my. Humble opinion, having watched number of boards for a long time, usually don’t remove board members in that fashion, but there does seem to be a, a, a more emphasis on the board to help, uh, the CEO of stead get through some of these tumultuous times and maybe a little bit of concern about the, the, the way the board was constructed to get or sit back into profitability sooner rather than later. This is a big deal up in Denmark. Of course, stead is the power company for Denmark. This has implications worldwide, though, uh, what stead does everybody else follows. And the one thing that, uh, that was sort of in dispute before the shareholder meeting was EOR at one point, was. At least contemplating a board seat. And then right [00:27:00] before the meeting they backed off and said, no, it’s fine. We don’t want a board seat. Maybe they had some sense of what the changes were gonna be made to the board, so they felt better about it. But orsa is not out of the rough seas at the moment. There’s a couple more years of, of growing pains and learning some lessons that they wish they didn’t have to learn. I guess that’s the way I would look at it. What implications does this have on the greater offshore wind community? Is stead taking basically a step back and, and trying to focus. Herding offshore wind, or is it just other, another companies are gonna step into that, that space that Sted may have previously occupied? Matthew Stead: I think what you’re talking about, um, Alan, is, is all logical. I mean, you know, you can’t have everything. So, um, as in you can’t, you know, getting late to a project and expect it to go well, um, spreading risk is a good thing, you know, so the whole, you know, [00:28:00] doing it fast. Doing it cheap and doing it well. Um, you, you, you can’t have all of those things at once. So actually what they’re talking about, I think is entirely logical. Um, so yeah, I think if they can lead the way that way and, and you know, I’ve come from, um, some other industries like construction and they, they spread the risk across multiple. Organizations that know what they’re doing. So the idea of joint ventures where you get the best of both worlds makes complete sense to me. Allen Hall: Do they start making different decisions on projects based upon their financial stake at the moment? A And more importantly, when they start looking for offshore wind projects, are they likely to hook up with Vestas? Because I, I think that’s where this is all going.  Matthew Stead: Pick a horse.  Allen Hall: Yeah, they’re gonna pick a horse. I, I mean, that’s the best, best way to think about it. They’re gonna pick a horse and gonna stick with them. Instead of having, uh, a lot of options and playing one against the other, I could see alignment happening, uh, versus being the [00:29:00] one offshore, of course. And or instead being a big player. There is, is that the combo that’s gonna push the industry forward? Rosemary Barnes: Yeah, maybe. I mean, I think it’s more similar to what Chinese manufacturers are doing, a lot more vertical integration. You can, um, yeah, save, save a lot of money by doing that. It is. Uh, you know, not always ideal from other points of view. And it might be nice to have a, you know, a thriving technology ecosystem of, you know, different manufacturers competing with each other and, you know, making better products. So, um, yeah, I don’t know, uh, have sit on the fence on this one for what’s good. I do feel really bad for osted though, like in terms of the, the. Shocks that they’ve had over the last couple of years. I, I don’t think most people would’ve foreseen that it would be so risky to try and expand into the US like everybody. A few years ago, everybody thought that that was the next big profitable frontier in offshore wind. And [00:30:00] I don’t think that many people would’ve foreseen things going the way that they did.  Allen Hall: Is it the result of large industrial projects take time and that in that timeframe, five, 10 years, that the world changes so much? You can’t. Accurately predict what the outcome will be and or it just got caught up in it.  Rosemary Barnes: Yeah, I think that’s actually one of the themes you guys have read, um, how big things get Done Right by Ben. Um, that’s one of the things that he mentions that the quicker that you can do the execution phase of your project, like spend plenty of time planning it, but when you’re actually committed, work super fast because the longer that you’re working, the more your chance of a, a black swan. Um, a Black Swan event be, you know, a government that turns out to, you know, want to, you know, tear up contracts and you know, do all these other unprecedented stuff. You know, if you’ve got projects that take 10 or more years to build, then there’s just like a lot more risk of something like that happening. And I think that, um, you know, like in some ways that’s just one of the inherent weaknesses of [00:31:00] wind energy in general, but offshore wind especially is that it does actually take a long time to get through all of the things that you need to do to. Um, to complete a project. And so it’s just, yeah, a lot more chance for, you know, the government will change two or three times probably in, um, you know, during a project. How many wars can start, how many, you know, pandemics. Can there be you? Like, the longer that you’re going, you might think none of those things could be predicted and that can’t, but you can predict that those sorts of big things happen. And the longer that you, um, are exposed and the more of them that you’re probably gonna face. And I think that, yeah, like something like a solar farm is much quicker to roll out. Um, battery projects are much quicker to roll out. So it’s just like that, those are benefits of those technologies compared to wind. You just have to kind of accept that that’s one of the weaknesses of this, this industry that we’re in. Allen Hall: Is it a benefit to have solar because it can deploy very quickly, or, or is it just [00:32:00] smarter to have. More wind turbines of smaller megawatt outputs because you can manufacture ’em at scale quicker, and so the economies of scale don’t really matter so much. This is an argument we’ve been making for months now, that when you start selecting a single turbine, which doesn’t have any history, and it’s a big one, and it takes a long time to produce, you are really setting up yourself to fall into that window where something can go wrong. Versus just stamping out two or three megawatt turbines and going like crazy. It just seems so much less risky.  Rosemary Barnes: I think that I definitely agree with you for onshore and then for offshore. Probably also, like I don’t think it’s necessarily go for a smaller turbine. It’s just don’t go for the brand new one. Like that’s why I don’t understand how many people are like so obsessed with this, you know, small, small amount of improvement that they get from the very biggest. Turbine, but I don’t think that they realize the amount of technical risk. And I think that it gets, it’s getting [00:33:00] more and more like the, um, technology increment is getting more and more the bigger that we go. It’s not that like, oh, we’re learning how to do this, this, well, it’s, it’s the opposite that, you know, like every, um, increment up in size as an exponentially more like larger number of problems, technical problems that have to be solved. And, um, I think that, yeah, that’s. That’s something people don’t factor in. Allen Hall: Is it the gold rush problem where the miners were trying to hit that pocket of gold and spending all their time trying to find this gold, find this gold. In the meantime, a lot of them obviously broke, and the people that made money in the gold rush or the stores that sold the pickaxes, if you, you making a pickaxes, you have a customer page, you can just sell those things in. Levi’s, be the other one, right? So they’re selling genes of pickaxes to the miners. Guess who won in that battle, right? Levi’s.  Rosemary Barnes: But what’s the analogy with win two of the pickax manufacturers,  Allen Hall: the people that make the two megawatt machines? In my opinion, that’s gonna be who the pickaxes are because you don’t have to think about it. If [00:34:00] you can talk to operators of the United States today and you say, what turbine would you like to buy over again? And they will almost all tell you, GE one point fives. Almost all of them. And you go, yeah. Oh, okay. I understand it because it’s a machine. It’s pretty simple. But it does work. And it is, it is a true warhorse turbine. And some of the vested ones are the same. Simpson Siemens turbines are very similar, right? Uh, but in today’s world, when we’re talking about 15, 20 megawatt turbines, I just think, man, you gotta be careful doing that just because of the time it takes to develop it and produce it, and. Work at all the kinks? Uh, Rosemary, I think you’re right about that.  Rosemary Barnes: I think the issue is that, um, when you’re deciding whether to develop a project or not, it really depends a lot on what the spreadsheet tells you your return is going to be. And, um, you know, a bigger turbine with, uh, you know, like larger output over its lifetime, longer lifetime. Those are all gonna give you really good. Spreadsheet numbers, but what’s not in the spreadsheet [00:35:00] is, oh, you know, you’ve actually increased your risk of having to wait two years while they replace every single blade in this, um, in this wind farm. Oh, by the way, yeah, you’re gonna be dealing with, um, you know, twice as many repairs and your, um, downtime is not gonna be 2%, it’s gonna be 3.5% or, or something. You know, those, those sorts of things, I don’t think, uh, adequately captured in the, the spreadsheets whe say when you, whether you should or shouldn’t develop a new project.  Matthew Stead: So, so the evil engineering should be making decisions, not the evil lawyers.  Allen Hall: The financial people always make the decisions, right? The insurance companies make the decisions.  Rosemary Barnes: Don’t think there’s a lot of engineering into, um, input in the, the very first stages. But I also think that if you put in the reality, like most engineers, I think are a little bit pessimistic because our job is to see what problems exist at, you know, and then solve them ideally. Um, but at least part of it, like our brains are wired to look for problems, right? That’s, um, that’s a necessary part of the job, in my opinion. But if you were, you know, like pessimistic in your assumptions in the [00:36:00] spreadsheet, you would probably the majority of the time say, don’t make this project. The return is not very good. Allen Hall: Well, that would be a smart move, right? Yeah.  Rosemary Barnes: Yeah. So I don’t actually think you probably should have too many engineers in in involved.  Matthew Stead: Yeah. But what is the CEO incentivized by is the, yeah, so it, it comes back to, you know, what, what, what drives the project And it’s not just engineering.  Allen Hall: That wraps up another episode of the Uptime Wind Energy Podcast. If today’s discussion sparked any questions or ideas, we’d love to hear from you. Reach out to us on LinkedIn and don’t forget to subscribe. So if you never miss an episode and if you found value in today’s conversation, please leave us a review. It really helps. For Rosie and Matthew, I am Allen Hall and we’ll see you next week on the Uptime Wind Energy [00:37:00] Podcast.

Relativistic Doppler Beaming, Martian Water, and Fusion ConfusionIn this engaging Q&A edition of Space Nuts, hosts Andrew Dunkley and Professor Fred Watson dive into a variety of thought-provoking listener questions that explore the depths of astronomy and space science. From the complexities of relativistic Doppler beaming in black holes to the intriguing evidence of water on Mars and the mysteries of nuclear fusion in the sun, this episode is brimming with cosmic insights and scientific clarity.Episode Highlights:- Relativistic Doppler Beaming: Ron from New York asks about the brightness differences in black hole accretion disks. Andrew and Fred explain how relativistic speeds affect light emission, leading to the phenomenon known as Doppler beaming and why we don't see the expected color shifts.- Water on Mars: Sunny from California questions the geological evidence for water on Mars. The hosts discuss the findings from the Phoenix lander and the implications of briny water on the Martian surface, confirming that it was indeed water, albeit potentially different from what we know on Earth.- Earth's Mass and Space Junk: Holt raises a fascinating question about how much material we can send into space before it impacts Earth's orbit. Andrew and Fred provide insights into the negligible mass we've launched compared to the Earth's total mass, reassuring listeners that our planet remains unaffected.- Fusion Reactions in the Sun: Ken from Maroochydore seeks clarification on the fusion process in the sun, specifically regarding mass loss and binding energy. The hosts unravel the complexities of fusion, explaining how energy is produced and the significance of mass defects in nuclear reactions.For more Space Nuts, including our continuously updating newsfeed and to listen to all our episodes, visit our website. Follow us on social media at SpaceNutsPod on Facebook, Instagram, and more. We love engaging with our community, so be sure to drop us a message or comment on your favorite platform.If you'd like to help support Space Nuts and join our growing family of insiders for commercial-free episodes and more, visit spacenutspodcast.com/about.Stay curious, keep looking up, and join us next time for more stellar insights and cosmic wonders. Until then, clear skies and happy stargazing.Become a supporter of this podcast: https://www.spreaker.com/podcast/space-nuts-astronomy-insights-cosmic-discoveries--2631155/support.

T8A - Basic characteristics of FM and SSB: Bandwidth of various modulation modes: CW, SSB, FM, fast-scan TV, Choice of emission type: selection of USB vs LSB, use of SSB for weak signal work, use of FM for VHF. T8B - Amateur satellite operation: Doppler shift, basic orbits, operating protocols, modulation mode selection, transmitter power considerations, telemetry and telecommand, satellite tracking programs, beacons, uplink and downlink mode definitions, spin fading, definition of “LEO”, setting uplink power. 55:05

T8A - Basic characteristics of FM and SSB: Bandwidth of various modulation modes: CW, SSB, FM, fast-scan TV, Choice of emission type: selection of USB vs LSB, use of SSB for weak signal work, use of FM for VHF. T8B - Amateur satellite operation: Doppler shift, basic orbits, operating protocols, modulation mode selection, transmitter power considerations, telemetry and telecommand, satellite tracking programs, beacons, uplink and downlink mode definitions, spin fading, definition of “LEO”, setting uplink power. 55:05

Hex Trust joins us to break down how wXRP could unlock global liquidity and attract major institutional capital to the XRP ecosystem. This could be the bridge that finally connects traditional finance with the XRP LedgerGUEST: Giorgia Pellizzari, Chief Product Officer & Head of Custody, Hex TrustHex Trust wXRP More Info ➜ https://www.hextrust.com/services/wrapping/wxrp00:00 Intro00:10 What is Hex Trust?01:40 wXRP: what will this enable for users?03:30 When more chains?05:00 How is wXRP as safe as wBTC by Bitgo?07:00 How will this compare to FlareXRP and cbXRP?09:20 Who is this for?11:20 DopplerFi partnership13:20 Earning yields on xXRP15:45 TradFi ecosystem partners18:50 Are you working with any XRP ETF or Treasuries?20:00 Tokenized Securities IPO's on XRPL?21:00 Institutional risk25:30 Outro#Crypto #XRP #Ethereum~wXRP Unlocking Global XRP Liquidity

We are unbelievably excited this week to be reviewing the hot-off-the-presses 2026 Multi-Society (AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN) Pulmonary Embolism Guidelines with lead author Dr. Mark A. Creager. We will talk about key updates in these guidelines compared to prior practice, including the new risk classification model, and provide an overview from diagnosis to follow-up. Given the clinical importance and prevalence of pulmonary embolism, these guidelines are certainly going to shape practice going forward, so this episode is a can’t miss! Watch the full video of this episode with graphics and helpful teaching visuals on our YouTube channel: https://www.youtube.com/@pulmpeeps Meet Our Guest Dr. Mark Creager is a Professor of Medicine at Dartmouth Hitchcock Medical Center where he specializes in Cardiovascular Medicine with an emphasis on venous thromboembolic disease. He served as the lead author of the 2026 Pulmonary Embolism Guidelines. Article and Reference Creager MA, Barnes GD, Giri J, Mukherjee D, Jones WS, Burnett AE, Carman T, Casanegra AI, Castellucci LA, Clark SM, Cushman M, de Wit K, Eaves JM, Fang MC, Goldberg JB, Henkin S, Johnston-Cox H, Kadavath S, Kadian-Dodov D, Keeling WB, Klein AJP, Li J, McDaniel MC, Moores LK, Piazza G, Prenger KS, Pugliese SC, Ranade M, Rosovsky RP, Russo F, Secemsky EA, Sista AK, Tefera L, Weinberg I, Westafer LM, Young MN. 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2026 Feb 19:S0735-1097(25)10161-7. doi: 10.1016/j.jacc.2025.11.005. Epub ahead of print. PMID: 41712898. Key Learning Points Why these guidelines matter: This is the first joint AHA/ACC clinical practice guideline specifically on acute PE, bringing together a truly multidisciplinary writing committee (cardiology, pulmonology, hematology, emergency medicine, interventional radiology, surgery, and others). Prior guidelines existed from individual societies, but nothing this comprehensive had been updated in roughly five to six years. New PE clinical categories (A through E): One of the most impactful changes is replacing the old “massive/submassive” and “low/intermediate/high risk” labels with five categories that form a severity continuum. Category A is subclinical (incidental PE found on imaging in asymptomatic patients). Category B covers symptomatic but low-severity patients. Category C is where much of the clinical complexity lives — symptomatic, hemodynamically stable patients subdivided into C1, C2, and C3 based on RV function and biomarkers. Category D represents incipient cardiopulmonary failure (transient hypotension, normotensive shock with end-organ dysfunction). Category E is frank cardiopulmonary failure, with E2 being the sickest — refractory or recurrent cardiac arrest. Respiratory modifiers (hypoxia requiring supplemental oxygen) layer onto C, D, and E. Diagnostic approach: Clinical evaluation comes first — history, exam, and validated decision tools (Wells score, revised Geneva, PERC). If clinical probability is low and D-dimer is normal, imaging can be safely avoided. If either is concerning, imaging is warranted. CTPA remains the preferred imaging modality due to superior sensitivity, specificity, wide availability, and ability to assess clot burden and alternative diagnoses. VQ scanning is still appropriate when CTPA is contraindicated, and VQ SPECT offers better reproducibility and specificity than traditional planar VQ if available. Echocardiography is not a diagnostic test for PE but is important for risk stratification — RV size, TAPSE, and tissue Doppler measures all contribute prognostic information. Anticoagulation updates: Anticoagulation remains the cornerstone of treatment. For patients potentially needing advanced therapies (C3, D, E), parenteral anticoagulation is started first. A notable recommendation: low molecular weight heparin is generally preferred over unfractionated heparin, based on evidence showing more effective VTE risk reduction, more predictable pharmacokinetics, no need for routine monitoring, lower rates of heparin-induced thrombocytopenia, and no increase in major bleeding. The committee acknowledged this may create discomfort for clinicians accustomed to unfractionated heparin’s easy reversibility, but the difficulty of achieving and maintaining therapeutic levels with UFH was a significant concern. Advanced therapies: Catheter-based thrombolysis, mechanical thrombectomy, systemic thrombolysis, and surgical embolectomy all received mostly class 2B recommendations (“can consider”) for C3 and D categories, reflecting that current evidence shows improvement in short-term surrogate measures (RV/LV ratio, hemodynamics) but lacks definitive hard outcome data on mortality. For category E1 patients, recommendations are stronger (class 2A). Multiple trials are expected soon — HI-PEITHO, PEERLESS-2, PE-TRACT, PERSEVERE, TORPEDO, and PROG — that should substantially inform future updates. PERT teams: Pulmonary embolism response teams are encouraged, particularly for C3, D, and E patients. They’ve been shown to reduce length of stay. For institutions without PERT capability, establishing consultation networks with larger centers is recommended. Post-PE follow-up: Patients shouldn’t be “left in the wilderness” after discharge. The guidelines recommend communication within the first week to ensure understanding of diagnosis and treatment, an in-person visit at or before three months to assess for persistent symptoms and discuss anticoagulation duration, ongoing surveillance for chronic thromboembolic pulmonary disease, and periodic reassessment for those on extended anticoagulation. Infographics

We use a plotline from The Pit to separate ovarian torsion facts from TV fiction and explain why Doppler findings can't replace clinical judgment. Then we answer a listener question on trial of labor after myomectomy and how we counsel when the data are thin and the details matter. • why “competency porn” and “certainty porn” can distort real expectations of care • how color Doppler actually works and why red and blue do not always mean artery and vein • PCOS misconceptions and what really increases torsion risk • ovarian torsion as a clinical diagnosis and why preserved Doppler flow cannot rule it out • ultrasound clues that help beyond flow alone, including the whirlpool sign and peripheral follicles • when oophoropexy might be considered and why it remains controversial • why detorsion usually beats oophorectomy even with a black or blue ovary • limits of lab tests and the need to think in probabilities, not binaries • false positives and false negatives in pregnancy testing, including the hook effect and real-world mix-ups • counseling on vaginal delivery after myomectomy, focusing on depth, cavity entry, number and location of incisions, and shared decision-making Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram 0:01 Welcome And What We Cover0:32 The Pit Torsion Plot Setup3:06 Competency Porn And Public Expectations8:39 Color Doppler Basics BART Rule10:09 PCOS Myths And Torsion Risk13:27 Endometriosis Guidance And Clinical Diagnosis18:29 Torsion Diagnosis Beyond Doppler Flow24:30 Oophoropexy When It Helps And Harms29:22 Scoring Tools For Torsion Triage32:48 Detorsion Versus Oophorectomy And Recovery37:09 Certainty Porn And Limits Of Tests41:09 Pregnancy Tests False Positives And Negatives47:10 Listener Question TOL After Myomectomy50:01 Counseling Factors And Limited Rupture Data55:31 Closing And Next Guest TeaseFollow us on Instagram @thinkingaboutobgyn.

LVAD patients are increasingly encountered in emergency rooms and ICUs, yet many clinicians remain uncertain about initial management. A recent JACC State-of-the-Art Review provides a practical framework for recognizing and treating LVAD emergencies, from pump thrombosis and right-heart failure to arrhythmias and GI bleeding. Key pearls: LVAD patients may lack a palpable pulse, Doppler is preferred for MAP measurement, and Chest compressions should not be delayed if cardiac arrest is confirmed. First check power connection Understanding pump parameters and echocardiographic clues can rapidly guide diagnosis and life-saving therapy.

Matthew Carey, Co-Founder & CEO, Teradar, joined Grayson Brulte on The Road to Autonomy podcast to discuss the company's emergence from stealth with $150 million in funding and the creation of a brand-new category of terahertz (THz) sensors.The operational backbone of Teradar's strategy is a Terahertz Detection and Ranging (Rad-AR) approach that fills the gap between LiDAR and radar on the electromagnetic spectrum. By utilizing a modular architecture of Lego-like transmitter and receiver chips, the system provides the high-resolution point cloud typically associated with lidar while maintaining the all-weather robustness and velocity-sensing Doppler capabilities of radar. This solid-state design allows the sensor to be hidden behind vehicle bumpers or polymers, eliminating the need for bulky roof-mounted hardware.In the field, Teradar is rigorously applying its technology to solve the weather casino problem, proving the system's robustness in the heavy rain, snow, and dense fog of Boston. Unlike traditional vision or LiDAR systems that struggle with atmospheric particulates, Teradar's longer wavelengths can bend around rain and dust, ensuring consistent performance in environments where humans or other sensors might fail.Teradar's Physical AI ecosystem also includes a defense-grade application that provides situational awareness in combat environments without being easily detected. The atmosphere effectively blocks the sensor's signal beyond its intended range, allowing it to operate in dense traffic or military zones without jamming other sensors or revealing a vehicle's position to hostile actors.Looking ahead, Matt envisions a future where high-performance sensing reaches a mass-market inflection point by becoming affordable enough for every vehicle, from a Mercedes S-Class to a Ford Focus. By partnering with Tier 1 suppliers rather than vertically integrating, Teradar aims to scale to millions of units, fundamentally transforming the industry by delivering a sensor stack that costs hundreds, not thousands of dollars.Episode Chapters00:00 Teradar Emerges from Stealth03:01 Limitations of Existing Sensor Technologies05:54 Introducing Terahertz Sensing08:00 Defense and Battlefield Applications11:11 Modular Sensor Architecture17:00 Early Development and Startup Challenges26:54 Why Teradar Chose Boston36:11 Autonomous Vehicles and Weather46:06 Scaling Teradar--------About The Road to AutonomyThe Road to Autonomy is the definitive media brand covering the Autonomy Economy™. Through our podcasts, newsletter, and proprietary market intelligence, we set the narrative for institutional investors, industry executives, and policymakers navigating the convergence of automation, autonomy, and economic growth.Join institutional investors and industry leaders who read This Week in The Autonomy Economy every Sunday. Each edition delivers exclusive insight and commentary on the autonomy economy, helping you stay ahead of what's next. Subscribe today for free: https://www.roadtoautonomy.com/ae/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of The Heart of Innovation, cohosts Kym McNicholas and Dr. John Phillips feature multiple patients courageously sharing their lived experiences with Peripheral Artery Disease, including rare and often misunderstood cases that challenge what patients are told is "possible." Pamela's story highlights a critical gap in PAD care. After being told by a large hospital system that amputation was inevitable, she reached out to the Global PAD Association's Leg Saver Hotline. Through patient advocacy and care coordination, the underlying contributors to her disease were identified, including the role climate played in worsening her symptoms. Her decision to relocate to a warmer environment helped stabilize her condition and avoid limb loss, proving that earlier intervention and individualized care matter. Francine's journey offers another rare perspective. Diagnosed at just 48 despite being a runner, personal trainer, and fitness instructor, she was found to have a full occlusion in her left leg and intermittent blockages in her right. After undergoing a femoral-popliteal bypass, multiple stents, and angioplasty procedures, Francine transformed her lifestyle through the Dean Ornish program and a low-fat vegan diet. She has since completed four half marathons and continues teaching group fitness, yoga, and Reiki. Theresa's story exposes how often PAD is dismissed, even when the warning signs are clear. With a family history of PAD, Theresa recognized the symptoms early. At 46, she sought help after developing walking pain, only to be told repeatedly that it was a back problem and that she was "too young" to have PAD. A Doppler study was performed but interpreted as normal. For five years, as her symptoms worsened and her walking distance shrank to less than ten metres, she continued to advocate for herself before finally insisting on a vascular referral. Within minutes of meeting a vascular consultant, Theresa was diagnosed with severe PAD. Imaging revealed a 100 percent blockage in her right leg and 80 percent in her left. Angioplasty provided temporary relief, but restenosis occurred quickly. A second procedure resulted in arterial injury, requiring placement of a 30-centimetre stent in her right thigh. Despite ongoing pain, Theresa developed remarkable collateral circulation, so robust that it complicated intervention attempts. Today, she remains closely monitored by a responsive vascular specialist and manages her condition with vigilance, pacing, and rest. She also notes a meaningful improvement in walking pain after starting Wegovy, an observation she continues to discuss with her care team. Equally important, Theresa speaks candidly about the emotional toll of PAD. A special education teacher who loves to travel, she feared the disease would take away the life she loved, as it had for her father. After a period of isolation, she made a conscious decision that PAD would be part of her story, but not the author of it. She now works full time, travels when she can, adapts when needed, and lives by a powerful truth: she controls PAD, not the other way around. Together, these stories reinforce a message too many patients never hear in time: Leg pain, cramping, and difficulty walking are not normal aging. They are warnings.

Most strokes don't come out of nowhere many give silent warnings first, and your eyes may be one of the earliest places to detect them. In this episode, Dr. Ana Rosa explains how a routine eye exam can reveal early signs of stroke risk, reduced blood flow, microemboli, and vascular changes connected directly to the brain. Learn how eye-based findings, combined with imaging like carotid Doppler and transcranial Doppler, can help identify hidden dangers before a major stroke happens and what lifestyle changes can dramatically lower risk.

In this Jack Westin MCAT Podcast, Mike & Molly dive into one of the most tested MCAT Physics topics: Waves

Welcome to Truly Significant—the podcast that explores what really matters in life through conversations with big-hearted people. This show is presented by TheRightOne.net, the site created to intersect singles through emotional connectivity. Today's guest is someone who's been waking up America for three decades. You know him as the smiling, trusted face of the weather on The Today Show—but there's so much more to Al Roker than the forecast.This year marks Al's 30th anniversary on Today, an extraordinary milestone built on consistency, credibility, and connection. In this conversation, we go beyond the green screen and Doppler radar to talk about the things that truly shape a meaningful life—family vacations that turn into lifelong memories, the joys and lessons of fatherhood, and how weather, much like life, teaches us to prepare, adapt, and stay hopeful.Al reminds us that while storms come and go, it's the people we love and the moments we share that anchor us. This is a conversation full of warmth, wisdom, laughter—and yes, a little weather talk too. So grab a cup of coffee, settle in, and join me for a truly significant conversation with my friend, Al Roker Visit www.trulysignificant.com and share your heroes in life that lifted you up.Become a supporter of this podcast: https://www.spreaker.com/podcast/success-made-to-last-legends--4302039/support.

Watch every episode ad-free & uncensored on Patreon: https://patreon.com/dannyjones Geoffrey Drumm from @thelandofchem  does a full breakdown and analysis of the new SAR scans of the Egyptian pyramids. Radar engineer Filippo Biondi's data shows eight clearly man-made, tube-like structures that go more than a kilometer deep under the Khafre Pyramid, ending at an 80-meter chamber. Biondi used his proprietary "Biondi Protocol" to translate the synthetic aperture radar Doppler tomography. Geoffrey Drumm points out major problems with the raw data and how it is being translated. SPONSORS https://rhonutrition.com/discount/danny - Use code DANNY for 20% OFF everything! https://whiterabbitenergy.com/?ref=DJP - Use code DJP for 20% off EPISODE LINKS  @thelandofchem https://www.instagram.com/thelandofchem FOLLOW DANNY JONES https://www.instagram.com/dannyjones https://twitter.com/jonesdanny OUTLINE 00:00 - Summary of Land of Chem theory 03:19 - Function of the Bent Pyramid 06:07 - Function of the Great Pyramid 20:42 - Natural gas reserves below the Giza Plateau 33:55 - The big "void" above the Grand Gallery of the Great Pyramid 58:03 - Sonochemistry in the Great Pyramid 1:15:09 - Proof of chemical reactions inside the pyramids 1:23:35 - Heat exchanger in the Great Pyramid 1:27:56 - Function of the Central Pyramid 1:32:42 - The Great Pyramid's circuit breaker system 1:37:17 - Problem with the new SAR scans 1:55:20 - False discoveries using Biondi Protocol & SAR scans 2:18:03 - Egyptians are not happy about the SAR scans 2:21:24 - Debunking the new SAR scans of the Central Pyramid 2:28:39 - Flawed SAR scans of modern structures Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Rena Malik, urologist and pelvic surgeon, addresses common questions about testosterone replacement therapy (TRT) and prostate cancer risk, urinary incontinence in women—including causes, symptoms, and treatment options like pelvic floor exercises—and explains the role of penile Doppler ultrasounds for evaluating erectile dysfunction. This evidence-based Ask Me Anything episode also covers practical advice for improving quality of life and emphasizes the importance of personalized, physician-guided care in sexual and urinary health. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments Videos mentioned in podcast: https://www.youtube.com/watch?v=vbXUdNxXyqc https://www.youtube.com/watch?v=tRAKyM_n-ik ▶️Chapters: 0:00 Introduction 00:47 Testosterone replacement therapy cancer risk 01:38 Low testosterone and prostate cancer 02:11 The Traverse trial findings 03:09 Testosterone and prostate cancer growth 04:27 Other risks of testosterone therapy 05:06 Randomized controlled trials explained 06:39 Stress urinary incontinence in women 13:19 Penile Doppler ultrasound 18:27 Podcast wrap-up and subscribe Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Over the centuries, we’ve given all the visible stars many names – proper names, catalog designations, and others. But only one star is best known not by any of its formal names, but by its nickname: the Dog Star. Its proper name is Sirius, and it’s the leading light of the constellation Canis Major, the big dog – hence the nickname. Sirius is so well known because it’s the brightest star in the night sky – its closest competition is only about half as bright. Part of that is because Sirius itself is a couple of dozen times brighter than the Sun. But part of it is because Sirius is one of our closest neighbors – less than nine light-years away. And thanks to the relative motions of Sirius and the Sun, Sirius is moving closer, at about 12,000 miles per hour. It’ll continue to close in for tens of thousands of years. But the distances between stars are so vast that even at that speed, Sirius won’t grow much brighter in our sky. Astronomers discovered the star’s motion toward us by measuring its Doppler shift – a slight change in the wavelength of its light. The Doppler shift also allowed them to measure the orbit of a faint companion – a stellar corpse known as a white dwarf; we’ll have more about that tomorrow. In the meantime, look for Sirius climbing into good view in the east-southeast by around 8:30 or 9. It’s directly below the three stars of Orion’s Belt, so you can’t miss it. Script by Damond Benningfield

​​Want to learn all of Dr. Morgan's expert advice on pregnancy, birth, breastfeeding, and postpartum? Get her lessons here! Ultrasounds can save babies… and harm them.In this episode, we break down the real risks, the imperfect tech, and the benefits so you can choose with nuance. We don't take an all-or-nothing stance; We look at where this tool helps and where it doesn't, and name the common pressure tracks people get swept into.You'll hear what makes the first trimester different, why short scans matter, and how an anatomy scan fits. We pull back the curtain on false alarms, anxiety spirals, and the temptation to use a Doppler like a security blanket. Sometimes the smartest move is giving your body what it already needs.You'll Learn:[00:00] Introduction[06:00] Choosing reassurance without overuse[11:00] Early scans: where caution matters[16:00] When false results derail a pregnancy[20:57] IUGR: balancing risk and timing[26:11] The miscarriage myth gets a reality check[29:16] What a randomized trial found about child outcomes[36:58] Choosing acceptance when you feel out of control[40:36] Why the ‘right' choice looks different for every Mom[50:18] What the 20-week anatomy scan is for[1:11:00] What a late-pregnancy biophysical profile actually checksResources Mentioned:Healthy as a Mother podcast episode on The Power of Progesterone: An Essential Fertility Hormone | Apple or SpotifyFind more from Dr. Leah:Dr. Leah Gordon | InstagramDr. Leah Gordon | WebsiteWomanhood Wellness | WebsiteFind more from Dr. Morgan:Dr. Morgan MacDermott | InstagramDr. Morgan MacDermott | WebsiteUse code HEALTHYMOTHER and save 15% at RedmondFor 20% off your first order at Needed, use code HEALTHYMOTHERSave $260 at Lumebox, use code HEALTHYASAMOTHER

What happens when cancer treatment becomes the greatest catalyst for sovereignty?In this episode, I speak with Jocelyn, a Tennessee mother who walked away from conventional medicine after surviving thyroid cancer and having her thyroid removed at 25 years old.That experience changed everything. Jocelyn made a vow: never again would she hand her body over to the system. She carried that fierce sovereignty into motherhood, choosing to walk the sovereign path in her pregnancy and birth.She speaks to the comfort of finding the perfect sovereign birth witness and how being around animal birth her whole life helped her understand what she needed to do.Inside this episode:How surviving thyroid cancer led Jocelyn to question everything she'd been taughtThe moment in the hospital that made her vow never to surrender her body againWhat a wild pregnancy looked like day-to-day, with no tests, scans, or appointmentsWhat it takes to hold the line with family and community when your choices challenge the normTimestamps:[00:00] Introduction[03:23] Facing thyroid cancer and the trauma of a life-threatening hospital experience[11:25] Regrets about rushed surgery instead of looking into alternative treatments[29:41] Disappointment with midwives leading to the discovery of freebirth[37:52] Finding trust and support through The Lighthouse and connecting with a birth keeper[41:03] Jocelyn's freebirth storyResources Mentioned:Veda Revival | WebsiteThe Complete Guide to Freebirth | CourseThe Lighthouse | WebsiteFind more from Emilee on Instagram, YouTube and the Free Birth Society website.Disclaimer: Free Birth Society, LLC of North Carolina shares personal and educational stories and experiences related to freebirth and holistic care. This content is not medical advice, and we are not a licensed midwifery practice. Testimonials reflect individual experiences; results may vary. For services or scheduling, contact info@freebirthsociety.com. See full disclaimer at freebirthsociety.com/youtubeterms.

GPS is essential these days. We use it for everything, from a hunter figuring out where the heck they are in the backcountry, to a delivery truck finding a grocery store, to keeping clocks in sync.But our reliance on GPS may also be changing our brains. Old school navigation strengthens the hippocampus, and multiple studies suggest that our new reliance on satellite navigation may put us at higher risk for conditions like dementia.In this episode (first released in 2024), we map out how GPS took over our world—from Sputnik's Doppler effect to the airplane crash that led to its widespread adoption—and share everyday stories of getting lost and found again.Featuring Dana Goward, M.R. O'Connor, Christina Phillips, Michelle Liu, Julia Furukawa, and Taylor Quimby.Produced by Nate Hegyi. For full credits and transcript, visit outsideinradio.org. LINKSIn 2023, Google Maps rerouted dozens of drivers in Los Angeles down a dirt road to the middle of nowhere to avoid a dust storm. Maura O'Connor traveled from rural Alaska to the Australian bush to better understand how people navigate without GPS—and sometimes even maps. Here's the peer-reviewed study, published in the journal Nature, that found that young people who relied on GPS for daily driving had poorer spatial memories. Another study out of Japan found that people who use smartphone apps like Google Maps to get around had a tougher time retracing their steps or remembering how they got to a place compared to people who use paper maps or landmarks.

At 34 weeks pregnant, I'm sharing all the latest on our home build, pregnancy with baby #9, and what life is like in this full season. Even though progress on the house feels slow, I'm finding peace in the extra time to make intentional decisions, and we are loving how our unique vision is coming to life. I talk about chimney brick, roofing surprises, and the proportions that make it feel like an old homestead. I also reflect on how textbook this pregnancy has been compared to my others and answer a few listener questions about storm windows and monitoring during labor. In this episode, we cover: Slow building progress continues, but the slower pace has allowed for more thoughtful, intentional decisions Finalized historic design elements like trim profiles, wall materials, and appliance choices— finding excitement in the progress even if it's gradual Chimneys are now bricked and the garage is roofed with wide-seamed metal that perfectly fits the historic vibe— a happy surprise with no overthinking! Main house will feature cedar shake roofing, while the porches and additions have metal to embrace the “old house with add-ons” story Reflections on how proportions, window placement, and overall structure are beautifully bringing to life the original vision of a “new old house” Pregnancy update at 34 weeks: similar symptoms and baby position as past pregnancies, feeling confident and ready Choosing minimal prenatal interventions— tracking iron and glucose at home, keeping midwife visits sparse Sharing our personal approach to open windows with no screens or storm doors for an indoor-outdoor connection Thoughts on Doppler use in labor and delivery— balancing caution with practical monitoring when needed View full show notes on the blog + watch this episode on YouTube. Thank you for supporting the sponsors that make this show possible! RESOURCES MENTIONED Check out my last episode with Lana of Girl, Teach me Listen to Jennifer Pepito's previous appearances on the podcast: Episode 233: Bringing Our Homes to Life through Sacred Rhythms Episode 160: Overcoming Fear in Motherhood Listen to this recent episode for all the house updates Join my FREE masterclass to learn my 4-step framework for making money on YouTube Master the rhythm of sourdough with confidence in my Simple Sourdough course Gain the sewing knowledge and skills every homemaker needs in my Simple Sewing series Turn your content creation dreams into a profitable business with my YouTube Success Academy Keep all my favorite sourdough recipes at your fingertips in my Daily Sourdough cookbook CONNECT Lisa Bass of Farmhouse on Boone | Blog | YouTube | Instagram | TikTok | Facebook | Pinterest Do you have a question you'd like me to answer on the podcast?  A guest you'd like me to interview?  Submit your questions and ideas here: bit.ly/SFLquestions. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

At 34 weeks pregnant, I'm sharing all the latest on our home build, pregnancy with baby #9, and what life is like in this full season. Even though progress on the house feels slow, I'm finding peace in the extra time to make intentional decisions, and we are loving how our unique vision is coming to life. I talk about chimney brick, roofing surprises, and the proportions that make it feel like an old homestead. I also reflect on how textbook this pregnancy has been compared to my others and answer a few listener questions about storm windows and monitoring during labor. In this episode, we cover: Slow building progress continues, but the slower pace has allowed for more thoughtful, intentional decisions Finalized historic design elements like trim profiles, wall materials, and appliance choices— finding excitement in the progress even if it's gradual Chimneys are now bricked and the garage is roofed with wide-seamed metal that perfectly fits the historic vibe— a happy surprise with no overthinking! Main house will feature cedar shake roofing, while the porches and additions have metal to embrace the “old house with add-ons” story Reflections on how proportions, window placement, and overall structure are beautifully bringing to life the original vision of a “new old house” Pregnancy update at 34 weeks: similar symptoms and baby position as past pregnancies, feeling confident and ready Choosing minimal prenatal interventions— tracking iron and glucose at home, keeping midwife visits sparse Sharing our personal approach to open windows with no screens or storm doors for an indoor-outdoor connection Thoughts on Doppler use in labor and delivery— balancing caution with practical monitoring when needed View full show notes on the blog + watch this episode on YouTube. Thank you for supporting the sponsors that make this show possible! RESOURCES MENTIONED Check out my last episode with Lana of Girl, Teach me Listen to Jennifer Pepito's previous appearances on the podcast: Episode 233: Bringing Our Homes to Life through Sacred Rhythms Episode 160: Overcoming Fear in Motherhood Listen to this recent episode for all the house updates Join my FREE masterclass to learn my 4-step framework for making money on YouTube Master the rhythm of sourdough with confidence in my Simple Sourdough course Gain the sewing knowledge and skills every homemaker needs in my Simple Sewing series Turn your content creation dreams into a profitable business with my YouTube Success Academy Keep all my favorite sourdough recipes at your fingertips in my Daily Sourdough cookbook CONNECT Lisa Bass of Farmhouse on Boone | Blog | YouTube | Instagram | TikTok | Facebook | Pinterest Do you have a question you'd like me to answer on the podcast?  A guest you'd like me to interview?  Submit your questions and ideas here: bit.ly/SFLquestions.