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I The popular conception of Dunning-Kruger is something along the lines of “some people are too dumb to know they're dumb, and end up thinking they're smarter than smart people”. This version is popularized in endless articles and videos, as well as in graphs like the one below.Usually I'd credit the creator of this graph but it seems rude to do that when I'm ragging on them Except that's wrong. II The canonical Dunning-Kruger graph looks like this: Notice that all the dots are in the right order: being bad at something doesn't make you think you're good at it, and at worst damages your ability to notice exactly how incompetent you are. The actual findings of professors Dunning and Kruger are more consistent with “people are biased to think they're moderately above-average, and update away from that bias based on their competence or lack thereof, but they don't [...] ---Outline:(00:12) I(00:39) II(01:32) III(04:22) IV--- First published: September 29th, 2025 Source: https://www.lesswrong.com/posts/Di9muNKLA33swbHBa/you-re-probably-overestimating-how-well-you-understand --- Narrated by TYPE III AUDIO. ---Images from the article:
Much of our intro segment is spent with Celestia gnashing her teeth about the recent Trump-RFK-Oz press conference that unveiled a purported link between acetaminophen and autism. It was . . . not good. Then Ben and Celestia are joined by Skeptoid's Brian Dunning to discuss his lifelong love of Death Valley and his part in the solution to a longtime mystery there: the sailing stones of Racetrack Playa. These heavy rocks have, for decades, mystified visitors (and apparently park rangers too) by leaving long, winding trails behind them when no one was looking. The remote location would seem to rule out hoaxing, so it had to be some natural phenomenon -- and no, it was not magnetic fields or vortexes. Note: Celestia mistakenly calls Nevada's Three Kids manganese mine a mercury mine, but because it bothered the heck out of her she looked it up right before typing these notes!
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Drs. Daniel Brockman, Professor of Small Animal Surgery at The Royal Veterinary College, London, England, and Matteo Rossanese, Senior Lecturer in Small Animal Surgery at The Royal Veterinary College, about performing cardiothoracic surgery in animals. Chapters 00:00 Intro 01:44 Innovation Competition Results 07:18 JANS 1, Modified Bio-Bentall 08:45 JANS 2, External Aortic Root 11:53 JANS 3, Re-Redo Pulm Valve 13:19 JANS 4, Tracheal Regeneration Model 16:15 Career Center 16:56 Video 1, EXIT-to-Open Atrial Septectomy 17:16 Video 2, Incision Repair of Tetra Fallot 19:40 Video 3, Isolated Pulm Leaflet Autograft 22:33 Dr. Brockman and Rossanese Interview 51:11 Upcoming Events 53:30 Closing They explore the evolution of cardiothoracic surgery in veterinary medicine, discussing a variety of cases and the techniques employed, including mitral valve repair. Additionally, they highlight the anatomical differences between animals and humans, explaining how surgical techniques must be adapted accordingly. They also cover methods for testing valves, measuring the quality of repairs, and monitoring postoperative outcomes and follow-ups. Furthermore, they touch upon various conditions, such as tetralogy of Fallot, heart valve defects, etc. Joel also highlights recent JANS articles on modified Bio-Bentall operation with a rapid deployment valve, personalized external aortic root support, clinical success of re-redo pulmonary valve and pulmonary trunk homograft replacement during the second trimester of pregnancy, and lessons learned from various 3D-printed tracheal grafts in an extensive porcine model for de novo tracheal regeneration. In addition, Joel explores an EXIT-to-open atrial septectomy for hypoplastic left heart syndrome with intact atrial septum, incision of the moderator band during repair of tetralogy of Fallot, and a new solution for aortic valve repair, isolated pulmonary leaflet autograft. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Modified Bio-Bentall Operation With A Rapid Deployment Valve 2.) Personalized External Aortic Root Support: The Dutch Experience 3.) Clinical Success of Re-Redo Pulmonary Valve and Pulmonary Trunk Homograft Replacement During the Second Trimester of Pregnancy 4.) Lessons Learned From Various 3D-Printed Tracheal Grafts in an Extensive Porcine Model for De Novo Tracheal Regeneration CTSNet Content Mentioned 1.) EXIT-to-Open Atrial Septectomy for Hypoplastic Left Heart Syndrome With Intact Atrial Septum: Gone in 90 Seconds! 2.) Incision of the Moderator Band During Repair of Tetralogy of Fallot 3.) Isolated Pulmonary Leaflet Autograft: A New Solution for Aortic Valve Repair Other Items Mentioned 1.) Career Center 2.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
¿Te sientes torpe al aprender algo nuevo? ¿Estudias, practicas o entrenas y parece que nunca avanzas?
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Alexis Shafii, professor of surgery and surgical director of heart transplantation at The Texas Heart Institute at Baylor College of Medicine, about the first in-human BiVACOR total artificial heart implantation. Chapters 00:00 Intro 01:54 JANS 1, Validation of SYNTAX 04:58 JANS 2, Long-Distance ECMO Bridge 09:05 JANS 3, Segmentectomies Made Easy 10:49 JANS 4, MI Total Arterial BG 12:56 Career Center 13:46 Video 1, MI ASD Closure 15:43 Video 2, Basics of MV Surgery 17:03 Video 3, Construct Autologous P MV 20:19 Dr. Shafii Interview 33:37 Upcoming Events 34:56 Closing They discuss the preclinical work and the history behind the development of this innovative device. Dr. Shafii also showcases the device and explains its functionality in detail. They also highlight the first patient who received the BiVACOR total artificial heart implantation and provide insights into learning the nuances of this operation. Additionally, they explore the critical aspects of explanting the device and the importance of understanding how to explant the heart. Furthermore, they discuss the next steps for gaining approval of the BiVACOR total artificial heart, including the feasibility trial, and speculate on where we might be in five years regarding total artificial heart implantation. Joel also highlights recent JANS articles on the external validation of SYNTAX score II in a real-world cohort undergoing coronary artery bypass grafting, successful extracorporeal membrane oxygenation bridge to lung transplant with a patient transported from Hawaii to Nashville, Tennessee, USA, robotic-assisted left S3 segmentectomy, and minimally invasive total arterial bypass grafting via left minithoracotomy in obese patients. In addition, Joel explores direct cannulation for minimally invasive ASD closure, an instructional video for residents on the basics of mitral valve surgery, and how to construct an autologous pericardial mitral valve for infants and small children. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) External Validation of SYNTAX Score II in a Real-World Cohort Undergoing Coronary Artery Bypass Grafting 2.) Successful Extracorporeal Membrane Oxygenation Bridge to Lung Transplant With a Patient Transported From Hawaii to Nashville, Tennessee 3.) Segmentectomies Made Easy Series: Robotic-Assisted Left S3 Segmentectomy 4.) Minimally Invasive Total Arterial Bypass Grafting via Left Minithoracotomy in Obese Patients CTSNet Content Mentioned 1.) Minimally Invasive ASD Closure: Direct Cannulation 2.) Basics of Mitral Valve Surgery: An Instructional Video for Residents 3.) How to Construct an Autologous Pericardial Mitral Valve for Infants and Small Children Other Items Mentioned 1.) Career Center 2.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Menschen mit wenig Wissen oder Können neigen dazu, ihre Fähigkeiten zu überschätzen. Diese wissenschaftliche Erkenntnis wurde als Dunning-Kruger-Effekt weltberühmt. Doch inzwischen gibt es auch Kritik. (00:03:31) Dunning Kruger Effekt – ein kollektiver Effekt (00:04:35) Was genau ist der Dunning Kruger Effekt? (00:06:20) Wie wurde der entdeckt? (00:08:26) Gilt der Test als bestätigt? (00:09:04) Wie kommts zur Selbstüberschätzung? (00:11:31) Weniger Kompetenz mehr Selbstüberschätzung? (00:13:31) Was sagt Dunning zu seiner Entdeckung? (00:14:30) Was macht Dunning heute? (00:15:32) Overclaiming (00:17:03) Wie erklärt sich der Effekt? (00:18:33) Vermeidung des Effekts? (00:19:45) Kritik am Effekt (00:22:03) Ist der Effekt hinfällig? (00:23:02) Was kann man machen? Hier entlang zum Spektrum-Artikel zum Dunning-Kruger-Effekt: https://www.spektrum.de/news/dunning-kruger-effekt-warum-ueberschaetzen-sich-die-ahnungslosen/2273752 Hier geht’s zum neuen Podcast „Die großen Fragen der Wissenschaft“ von Spektrum der Wissenschaft und detektor.fm: https://detektor.fm/serien/die-grossen-fragen-der-wissenschaft Hier entlang geht's zu den Links unserer Werbepartner: https://detektor.fm/werbepartner/spektrum-der-wissenschaft >> Artikel zum Nachlesen: https://detektor.fm/wissen/spektrum-podcast-dunning-kruger-effekt
Menschen mit wenig Wissen oder Können neigen dazu, ihre Fähigkeiten zu überschätzen. Diese wissenschaftliche Erkenntnis wurde als Dunning-Kruger-Effekt weltberühmt. Doch inzwischen gibt es auch Kritik. (00:03:31) Dunning Kruger Effekt – ein kollektiver Effekt (00:04:35) Was genau ist der Dunning Kruger Effekt? (00:06:20) Wie wurde der entdeckt? (00:08:26) Gilt der Test als bestätigt? (00:09:04) Wie kommts zur Selbstüberschätzung? (00:11:31) Weniger Kompetenz mehr Selbstüberschätzung? (00:13:31) Was sagt Dunning zu seiner Entdeckung? (00:14:30) Was macht Dunning heute? (00:15:32) Overclaiming (00:17:03) Wie erklärt sich der Effekt? (00:18:33) Vermeidung des Effekts? (00:19:45) Kritik am Effekt (00:22:03) Ist der Effekt hinfällig? (00:23:02) Was kann man machen? Hier entlang zum Spektrum-Artikel zum Dunning-Kruger-Effekt: https://www.spektrum.de/news/dunning-kruger-effekt-warum-ueberschaetzen-sich-die-ahnungslosen/2273752 Hier geht’s zum neuen Podcast „Die großen Fragen der Wissenschaft“ von Spektrum der Wissenschaft und detektor.fm: https://detektor.fm/serien/die-grossen-fragen-der-wissenschaft Hier entlang geht's zu den Links unserer Werbepartner: https://detektor.fm/werbepartner/spektrum-der-wissenschaft >> Artikel zum Nachlesen: https://detektor.fm/wissen/spektrum-podcast-dunning-kruger-effekt
Menschen mit wenig Wissen oder Können neigen dazu, ihre Fähigkeiten zu überschätzen. Diese wissenschaftliche Erkenntnis wurde als Dunning-Kruger-Effekt weltberühmt. Doch inzwischen gibt es auch Kritik. (00:03:31) Dunning Kruger Effekt – ein kollektiver Effekt (00:04:35) Was genau ist der Dunning Kruger Effekt? (00:06:20) Wie wurde der entdeckt? (00:08:26) Gilt der Test als bestätigt? (00:09:04) Wie kommts zur Selbstüberschätzung? (00:11:31) Weniger Kompetenz mehr Selbstüberschätzung? (00:13:31) Was sagt Dunning zu seiner Entdeckung? (00:14:30) Was macht Dunning heute? (00:15:32) Overclaiming (00:17:03) Wie erklärt sich der Effekt? (00:18:33) Vermeidung des Effekts? (00:19:45) Kritik am Effekt (00:22:03) Ist der Effekt hinfällig? (00:23:02) Was kann man machen? Hier entlang zum Spektrum-Artikel zum Dunning-Kruger-Effekt: https://www.spektrum.de/news/dunning-kruger-effekt-warum-ueberschaetzen-sich-die-ahnungslosen/2273752 Hier geht’s zum neuen Podcast „Die großen Fragen der Wissenschaft“ von Spektrum der Wissenschaft und detektor.fm: https://detektor.fm/serien/die-grossen-fragen-der-wissenschaft Hier entlang geht's zu den Links unserer Werbepartner: https://detektor.fm/werbepartner/spektrum-der-wissenschaft >> Artikel zum Nachlesen: https://detektor.fm/wissen/spektrum-podcast-dunning-kruger-effekt
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Adanna Akujuo, a cardiothoracic surgeon and the surgical director of the Structural Heart Program at UVA Health University Medical Center, about the Voom Foundation and its trips to Africa. Chapters 00:00 Intro 01:39 Dr. Akujuo, Medical Missions 21:57 JANS 1, Ticagrelor and Aspirin Coronary 25:20 JANS 2, Long-Term MVR Durability Model 27:37 JANS 3, Duration of Donor Ventilation 29:18 JANS 4, Min Inv Concomitant Tri VR 31:40 JANS 5, Soft Robotic Artificial Hybrid Heart 33:32 Career Center 34:20 Video 1, RVOT Injury During Dissection 37:05 Video 2, Min Inv ASD Closure 38:31 Video 3, Redo AVR via Partial U Resternotomy 40:08 Upcoming Events 40:54 Closing They explore the foundation's goals, including training and educating local medical staff and providing essential care. Additionally, Dr. Akujo offers insights into the upcoming trip, discussing what a typical day entails, transportation logistics, accommodation, and the expenses that surgeons participating in the trip will need to cover, as well as what costs are taken care of by the foundation. The conversation also covers security measures in place, the average number of staff members on these trips, the daily surgical volume, and the most common cases. Joel also highlights recent JANS articles on which is best, ticagrelor and aspirin or aspirin alone after coronary surgery for acute coronary syndrome; an artificial intelligence and machine learning model for personalized prediction of long-term mitral valve repair durability; effect of duration of donor ventilation on lung transplant outcomes; surgical decision-making for concomitant tricuspid valve repair in minimally invasive mitral valve surgery; and a soft robotic total artificial hybrid heart. In addition, Joel explores right ventricular outflow tract injury during deep dissection in valve-sparing aortic root replacement, a minimally invasive approach for atrial septal defect closure, and redo aortic valve replacement via partial upper resternotomy. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Ticagrelor and Aspirin or Aspirin Alone After Coronary Surgery for Acute Coronary Syndrome 2.) An Artificial Intelligence and Machine Learning Model for Personalized Prediction of Long-Term Mitral Valve Repair Durability 3.) Effect of Duration of Donor Ventilation on Lung Transplant Outcomes 4.) Surgical Decision-Making for Concomitant Tricuspid Valve Repair in Minimally Invasive Mitral Valve Surgery 5.) A Soft Robotic Total Artificial Hybrid Heart CTSNET Content Mentioned 1.) Right Ventricular Outflow Tract Injury During Deep Dissection in Valve-Sparing Aortic Root Replacement 2.) Minimally Invasive Approach for Atrial Septal Defect Closure 3.) Redo Aortic Valve Replacement Via Partial Upper Resternotomy Other Items Mentioned 1.) Voom Foundation 2.) Career Center 3.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Nicholas Smedira, a cardiac surgeon at the Cleveland Clinic, about mitral valve-induced left ventricular outflow tract (LVOT) obstruction with minimal septal hypertrophy. Chapters 00:00 Intro 02:25 JANS 1, Transcervical Robotic AVR 07:49 JANS 2, Post Cor-Knot vs Manual Tying 10:18 JANS 3, Valve Therapy vs Volume Reduction 12:55 JANS 4, Cardiac Early Extraction vs Management 15:17 Career Center 16:18 Video 1, Repair of Ruptured RCAA 17:57 Video 2, Right Atrial Myxoma from IVC Junction 20:05 Video 3, Modified Re-Do Commando 22:43 Dr. Smedira Interview 45:44 Upcoming Events 46:58 Closing They discuss the importance of understanding the anatomy and physiology of the papillary muscles, as well as flow vortices. They also cover various techniques for mitral valve repair and replacement, emphasizing the importance of making the leaflet coaptation zone as posterior as possible. Additionally, they explore how learning techniques for mitral valve-induced LVOT obstruction with minimal septal hypertrophy have evolved through exposure and experience. Joel also highlights recent JANS articles on the world's first transcervical robotic AVR procedures successfully performed in four Cleveland Clinic patients, a comparison of outcomes post Cor-Knot vs manual tying in valve surgery, endobronchial valve therapy vs lung volume reduction surgery in the United States, and early extraction vs conservative management in patients with noninfected cardiac implantable electronic devices undergoing cardiac surgery for left-sided infective endocarditis. In addition, Joel explores the repair of a ruptured right coronary artery aneurysm, removal of a right atrial myxoma from the IVC junction with patch repair using the left atrial appendage, and a modified redo Commando procedure in a patient with septic shock due to aortic and mitral valve endocarditis. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) World's First Transcervical Robotic AVR Procedures Successfully Performed in 4 Cleveland Clinic Patients 2.) Comparison of Outcomes Post Cor-Knot Versus Manual Tying in Valve Surgery: Our 8-year Analysis of Over 1000 Patients 3.) Endobronchial Valve Therapy Versus Lung Volume Reduction Surgery in the United States 4.) Early Extraction Versus Conservative Management in Patients With Noninfected Cardiac Implantable Electronic Devices Undergoing Cardiac Surgery for Left-Sided Infective Endocarditis CTSNET Content Mentioned 1.) Repair of Ruptured Right Coronary Artery Aneurysm 2.) Removal of a Right Atrial Myxoma From the IVC Junction With Patch Repair Using the Left Atrial Appendage 3.) Modified Re-Do Commando Procedure in a Patient With Septic Shock Due to Aortic and Mitral Valve Endocarditis Other Items Mentioned 1.) A Surgeon's Toolkit for Mitral Valve-Induced Left Ventricular Outflow Tract Obstruction With Minimal Septal Hypertrophy 2.) Cardiac Surgical Arrest—An International Conversation Series 3.) Career Center 4.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Subscribe on Patreon and hear this week's full patron-exclusive episode here: www.patreon.com/posts/137338165 Beatrice, Phil, and Jules speak with Claire Dunning about the complex history of how nonprofit organizations became so pervasive in US political life and the issues with how the non-profit system promises to address big, structural problems while at the same time structurally constraining what these groups are and aren't allowed to do. Note: This episode was originally released for patrons on September 4th, 2023, and is being re-released today for Labor Day. We'll be back with a new episode in the patron feed next week. Runtime 1:31:00 Get Health Communism here: www.versobooks.com/books/4081-health-communism Find Tracy's book Abolish Rent here: www.haymarketbooks.org/books/2443-abolish-rent
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Robert Cerfolio, Chief of the Division of Thoracic Surgery at NYU Langone Health, about NYU Langone Health's rise in hospital rankings. Chapters 00:00 Intro 02:19 Best Hospitals Report 08:52 JANS 1, Physician Compensation 13:54 JANS 2, International Challenges 18:36 Career Center 19:40 JANS 3, Rib Fracture Guidelines 23:16 JANS 4, Endovasc Concepts & Devices 26:05 Video 1, Redo Aortic Root David 26:43 Video 2, Removal of LAM 28:16 Video 3, Posterior MAD Correction 30:23 Dr. Cerfolio Interview 51:29 Upcoming Events 53:18 Resident Video Competition 54:10 Closing They discuss the process that contributed to this improvement, including the efficiency quality index and the benefits of discharging patients on postoperative day one while maintaining constant communication with them as opposed to keeping them hospitalized for extended stays. Additionally, they emphasize the importance of patients going home to a safe environment, postoperative protocols, and the future of NYU Langone Health. Joel also highlights recent JANS articles on the 2025 Doximity Physician Compensation Report, the current landscape and challenges facing international medical graduates in cardiothoracic surgery training, Chest Wall Injury Society guidelines for surgical stabilization of rib fractures, and foundational endovascular concepts and devices for cardiac surgeons. In addition, Joel explores the David procedure in a patient with a previous Type A dissection surgery, removal of a left atrial myxoma with a ministernotomy, and surgical correction of the posterior mitral annular disjunction associated with structural abnormalities of the mitral valve. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Physician Compensation Report 2025 2.) The Current Landscape and Challenges Facing International Medical Graduates in Cardiothoracic Surgery Training 3.) Chest Wall Injury Society Guidelines for Surgical Stabilization of Rib Fractures: Indications, Contraindications, and Timing 4.) Foundational Endovascular Concepts and Devices for Cardiac Surgeons CTSNET Content Mentioned 1.) Redo Aortic Root Surgery: The David Procedure in a Patient With a Previous Type A Dissection Surgery 2.) Removal of a Left Atrial Myxoma With a Ministernotomy 3.) Surgical Correction of the Posterior Mitral Annular Disjunction Associated With Structural Abnormalities of the Mitral Valve Other Items Mentioned 1.) Best Hospitals for Cardiology, Heart & Vascular Surgery 2.) NYU Langone Health Leads the Nation with Four No. 1–Ranked Specialties by U.S. News & World Report 3.) Cardiac Surgical Arrest—An International Conversation Series 4.) Resident Video Competition 5.) Career Center 6.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Kenneth Liao, professor of surgery and chief of the Division of Cardiothoracic Transplantation and Circulatory Support at Baylor College of Medicine, about performing the world's first adult robotic heart surgery in the United States using a subxiphoid approach. Chapters 00:00 Intro 02:31 JANS 1, Endocarditis Guidelines 13:02 JANS 2, Hybrid vs Catheter 16:16 JANS 3, Full Sternotomy Trial 18:07 JANS 4, Buttressing the BA 19:05 JANS 5, Intraspinal Vasc Perf 20:15 Career Center 20:37 Video 1, Root Replace & Ann Reconstr 21:56 Video 2, Bi-Atrial Cann for BVAD 24:17 Video 3, Pediatric Device Implant 26:23 Dr. Liao Interview 49:07 Upcoming Events 49:39 Closing They discuss the details of the procedure, including its background, ischemic time, technique, and postoperative outcomes. Additionally, they explore the application of the subxiphoid approach for robotic heart transplants and robotic mitral valve repair vs traditional open-chest (sternotomy) repair. Dr. Liao shares insights into the training and practice required for this operation and discusses the advantages of using robotics in heart transplants. He also reflects on what he would do differently in future procedures. Joel also highlights recent JANS articles on the surgical implications of the 2023 ESC endocarditis guidelines endorsed by EACTS, the two-year results from the randomized CEASE-AF trial on the durable effectiveness and safety of hybrid ablation vs catheter ablation, a randomized trial on superficial parasternal intercostal plane block and full sternotomy, a comparison of the short- and long-term outcomes in patients undergoing sleeve lobectomy with or without buttressing the bronchial anastomosis, and intraspinal vascular perfusion territories of the descending thoracic aorta. In addition, Joel explores free-style root replacement and annular reconstruction for destructive aortic root endocarditis, bi-atrial cannulation for biventricular assist device in children, and a device implantation in a 26 kg child. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Surgical Implications of the 2023 ESC Endocarditis Guidelines Endorsed by EACTS: Bridging Guidelines and Practice 2.) Durable Effectiveness and Safety of Hybrid Ablation Versus Catheter Ablation: 2-year Results From the Randomized CEASE-AF Trial 3.) Superficial Parasternal Intercostal Plane Block and Full Sternotomy; A Randomized Trial 4.) Comparison of Short- and Long-Term Outcomes in Patients Undergoing Sleeve Lobectomy With or Without Buttressing the Bronchial Anastomosis 5.) Intraspinal Vascular Perfusion Territories of the Descending Thoracic Aorta CTSNET Content Mentioned 1.) Free-Style Root Replacement and Annular Reconstruction for Destructive Aortic Root Endocarditis 2.) Bi-Atrial Cannulation for Biventricular Assist Device in Children 3.) Device Implantation in a 26 kg Child Other Items Mentioned 1.) Guest Editor Series Webinar: Insights Into Pediatric Mechanical Circulatory Support 2.) Cardiac Surgical Arrest—An International Conversation Series 3.) Career Center 4.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Todd Rosengart, professor and chair of the Michael E. DeBakey Department of Surgery at Baylor College of Medicine, about his team performing the world's first adult robotic heart surgery in the United States. Chapters 00:00 Intro 02:27 JANS 1, On-Table Extubation 14:13 JANS 2, Intraop Broncho Biopsies 18:26 JANS 3, Stroke After Transplant 20:51 JANS 4, Pulm Carcinoid Tumors 22:56 Career Center 24:05 Video 1, Robotic LAAO 25:36 Video 2, Bedside VV ECMO 26:44 Video 3, Inverted Y AE 28:01 Dr. Rosengart Interview, Novel Approaches 40:57 Upcoming Events 42:58 Closing They discuss postoperative outcomes and the 100-day follow-up appointment, the benefits of the robotic technique in transplants, and the surgeons who participated in this procedure. Additionally, Dr. Rosengart shares advice for individuals performing robotic transplants, his experience leading this unit, and its notable accomplishments, including other world-first procedures. Joel also highlights recent JANS articles on the 10 best practices of on-table extubation after cardiac surgery, if we can rely on intraoperative bronchoscopic biopsies for surgical decision making, increased prevalence of stroke after heart transplant in the new allocation system era, and the surgical management of both stage III and stage IV pulmonary carcinoid tumors confers survival benefit. In addition, Joel explores robotic left atrial appendage occlusion, bedside veno-venous extracorporeal membrane oxygenation cannulation technique in an awake patient, and a stepwise surgical approach for inverted Y annular enlargement in the bicuspid aortic valve. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) The 10 Commandments of On-Table Extubation After Cardiac Surgery: Why and How to Increase Adoption 2.) Can We Rely on Intraoperative Bronchoscopic Biopsies for Surgical Decision Making? 78 Single Anesthetic Robotic Bronchoscopy to Anatomic Resections 3.) Increased Prevalence of Stroke After Heart Transplant in the New Allocation System Era 4.) Surgical Management of Both Stage III and Stage IV Pulmonary Carcinoid Tumors Confers Survival Benefit CTSNET Content Mentioned 1.) Robotic Left Atrial Appendage Occlusion 2.) Bedside Veno-Venous Extracorporeal Membrane Oxygenation Cannulation Technique in an Awake Patient 3.) Inverted Y Annular Enlargement in Bicuspid Aortic Valve: A Stepwise Surgical Approach Other Items Mentioned 1.) Guest Editor Series: Insights Into Pediatric Mechanical Circulatory Support 2.) Cardiac Surgical Arrest—An International Conversation Series 3.) Career Center 4.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Mara Antonoff, Associate Professor of Thoracic and Cardiovascular Surgery and Program Director for Education at the University of Texas MD Anderson Cancer Center, and President of Women in Thoracic Surgery, about chest tubes. Chapters 00:00 Intro 02:21 JANS 1, Ross Long-Term Outcomes 04:12 JANS 2, Valve Replacement Pregnancy 07:09 JANS 3, Bronchopleural Fistula 09:36 JANS 4, AUTHEARTVISIT Study 11:51 Career Center 13:56 Video 1, Bicuspid AVR & AAR 16:15 Video 2, Cold Head-Warm Body Perfusion 19:00 Video 3, Dr. Kappetein Podcast 20:23 Dr. Antonoff Interview, Chest Tube Management 38:45 Closing They discuss single chest tube vs double chest tube, the benefits of single chest tubes, and various chest tube sizes. They also explore reducing chest drain pain, stitching the chest tube, and chest tube output thresholds for removal. Additionally, they cover drain removal, air leaks, and clamping. Joel also highlights recent JANS articles on whether the Ross procedure in young adults delivers favorable long-term clinical and QOL outcomes, a literature review including new data from the registry of pregnancy and cardiac disease III regarding valve replacement during pregnancy, a multi-institutional analysis of the treatment outcomes and prognostic factors in the ESSG-01 study, and the choice of surgical aortic valve replacement type and midterm outcomes in 50 to 65-year-olds. In addition, Joel explores bicuspid aortic valve repair and ascending aorta replacement, a guide to isolated cerebral perfusion using two bypass circuits, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Professor Pieter Kappetein about the future of revascularization. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Ross Procedure in Young Adults Delivers Favorable Long-Term Clinical and QOL Outcomes 2.) Valve Replacement During Pregnancy: Literature Review Including New Data From the Registry of Pregnancy and Cardiac Disease III 3.) Bronchopleural Fistula: A Multi-Institutional Analysis of the Treatment Outcomes and Prognostic Factors in the ESSG-01 Study 4.) The Choice of Surgical Aortic Valve Replacement Type and Mid-Term Outcomes in 50 to 65-Year-Olds: Results of the AUTHEARTVISIT Study CTSNET Content Mentioned 1.) Bicuspid Aortic Valve Repair and Ascending Aorta Replacement 2.) Cold Head-Warm Body Perfusion: A Guide to Isolated Cerebral Perfusion Using Two Bypass Circuits 3.) The Atrium: The Future of Revascularization Other Items Mentioned 1.) Guest Editor Series: Insights Into Pediatric Mechanical Circulatory Support 2.) Cardiac Surgical Arrest—An International Conversation Series 3.) Career Center 4.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Joseph Zacharias, a consultant cardiothoracic surgeon at the Lancashire Cardiac Center in Blackpool, England, about lifetime management of heart valve disease. Chapters 00:00 Intro 02:13 Early Intervention, Disease Management 04:40 JANS 1, Sept on Placental Support 07:04 JANS 2, Surgeon Well-Being 09:41 JANS 3, Cardiac 10:58 JANS 4, PPM in SAVR 12:57 JANS 5, Cardiac Registry 14:22 Video 1, Close U Ministernotomy 15:19 Video 2, Endo AVR & MVR 16:03 Video 3, VATS 17:20 Dr. Zacharias Interview, HVD 38:04 Upcoming Events 38:51 Closing They delve into Dr. Zacharias's recent paper titled “Lifetime Management of Heart Valve Disease—Treat It Early and Treat It Right, First Time,” and discuss how the idea for the paper originated highlighting key takeaways. They also address perceived risks vs actual risks and why less than 25 percent of patients are referred for necessary interventions. Additionally, they examine the future of cardiac surgery, endoscopic cardiac surgery, and endoscopic vein harvesting. Joel also highlights recent JANS articles on a novel and logistic approach for hypoplastic left heart syndrome with intact atrial septum, a European Society of Thoracic Surgery survey on member well-being, transcatheter management of left-sided valvular heart disease following heart transplantation, a multi-institutional study on the prevalence and clinical impact of patient-prosthesis mismatch in surgical aortic valve replacement, and a systematic review and meta-analysis of the German registry of acute aortic dissection type A score for 30-day mortality prediction in type A acute aortic dissection surgery. In addition, Joel explores how to close an upper ministernotomy, endoscopic aortic valve replacement and mitral valve replacement, and uniportal VATS decortication for late-stage TB empyema. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Open Atrial Septectomy on Placental Support: A Novel and Logistic Approach for Hypoplastic Left Heart Syndrome With Intact Atrial Septum 2.) Fit2Perform: European Society of Thoracic Surgery Survey on Member Well-Being 3.) Transcatheter Management of Left-Sided Valvular Heart Disease Following Heart Transplantation 4.) A Multi-Institutional Study on the Prevalence and Clinical Impact of Patient-Prosthesis Mismatch in Surgical Aortic Valve Replacement 5.) The German Registry of Acute Aortic Dissection Type A Score for 30-Day Mortality Prediction in Type A Acute Aortic Dissection Surgery: A Systematic Review and Meta-Analysis CTSNet Content Mentioned 1.) How to Close an Upper Ministernotomy 2.) Endoscopic Aortic Valve Replacement and Mitral Valve Replacement 3.) Uniportal VATS Decortication for Late-Stage TB Empyema Other Items Mentioned 1.) Lifetime Management of Heart Valve Disease—Treat It Early and Treat It Right, First Time 2.) Guest Editor Series Webinar: Coronary Arterial Anomalies—Pediatric and Adult Congenital 3.) Cardiac Surgical Arrest—An International Conversation, Part 4 4.) Career Center 5.) CTSNet Events Calendar
Send us a textFounded by Frederick E. Jordan and John William Templeton, National Black Business Month honors and celebrates black-owned businesses across the nation, highlighting their significant contributions to diversity and equality in the country.WEBB Squared, an NC non-profit and Chatham Chamber member located in Chatham County will celebrate National Black Business Month with A Taste of WEBB - which includes food, dessert, entertainment - all provided by WEBB entrepreneurs enrolled in our entrepreneurial coaching program. Additional entrepreneurs will be showcasing their businesses. Please join us!Taste of WEBBDate: Friday, August 15Time: 5:30 to 8 pmLocation: 79 West Innovation Hub, 120 Mosaic Blvd, Pittsboro NC 27312TICKETS NOW ON SALELineup: 5:30 pm - Networking, Wine & refreshment. Music by Larron Lee, WEBB entrepreneur. Larron Lee is a Licensed Professional Counselor and owner of Lee Consulting Group service serving individuals and families in NC. When not working as a counselor, Larron is a musician and plays the piano, organ and bass guitar.Food from Tasting Queens Market, Desserts from Fancy and Frosted, LLC and I am Cookie and Sugar Company.6:30 pm - book reading - James “Monte” Montague - Author, Entrepreneur, Founder of F7 Development Corp, and F7 Blackstone Ranch - Will share an excerpt from his book Hood-Minted: How Hustle, Faith and Fifty-Cents Built an Empire7 pm - Comedy with April Storm Perry, a professional actress, stand-up comedian, writer, theatre maker, educator, and beauty and wellness influencer.For more information, www.webbsquared.org or contact Rinnie@webbsquared.org.Sponsors Include:PNC Foundation, 79 West Innovation Hub, Chatham Artists Guild, Duke Energy, Innovate Chatham, O'Mara Landscaping, Zen Business, Mark Hewitt Pottery, The Plant, and Binsured Advisors, LLCSupport the showThank you for listening.... Feel free to contact us with your thoughts, questions, or more. We would love to hear from you. Please contact rinnie@webbsquared.org
Prečo sa ľudia spoliehajú na ilúziu lepšieho zajtrajška, aj keď ich realita často dobehne
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with CTSNet Senior Editor Dr. Sameh Said, Chief of the Division of Pediatric and Adult Congenital Cardiac Surgery at Maria Fareri Children's Hospital, Professor of Surgery and Pediatrics at the New York Medical College, and Consultant Cardiac Surgeon at King Faisal Specialist Hospital and Research Center about performing the first successful ex utero intrapartum treatment (EXIT)-to-open atrial septectomy-to-rapid stage I Norwood palliation in a neonate with hypoplastic left heart syndrome and intact interatrial septum. Chapters 00:00 Intro 03:13 JANS 1, Cardiac Transplant 09:04 JANS 2, Lung Transplant 10:19 JANS 3, Cardiac Transplant 11:08 JANS 4, Lung Cancer 13:01 JANS 5, Thoracic 15:44 Video 1, Congenital Cardiac 17:53 Video 2, Cardiac 19:49 Video 3, Cardiac 21:50 Dr. Said Interview, EXIT Procedure 37:28 Upcoming Events 39:32 Closing They discuss the surgical steps involved in this groundbreaking procedure, including specific details about the surgery, the preparation undertaken prior to the operation, and the key factors that contributed to its success. Additionally, they covered the challenges encountered during this first successful EXIT procedure case, as well as the standard management practices for these cases at medical centers, such as fetal balloon atrial septostomy, along with postnatal transcatheter, surgical, or hybrid interventions and their associated surgical risks. Furthermore, they address the broader challenges faced when operating on patients with hypoplastic left heart syndrome, including the differences between restrictive atrial septum and intact atrial septum. Joel also highlights recent JANS articles on the current state and future directions of cardiac xenotransplantation, if age is a contraindication for lung transplantation in the elderly, a summary of the International Society for Heart and Lung Transplantation consensus conference on emerging understanding of antibodies and antibody-mediated rejection in heart transplantation, inflammatory diseases and risk of lung cancer among individuals who have never smoked, and active chest tube clearance added to an Enhanced Recovery After Cardiac Surgery (ERAS) program improves outcomes and reduces resource utilization. In addition, Joel explores a single incision mitral valve repair and LIMA-to-LAD bypass via a left anterior minithoracotomy, repair of post-infarction ventricular septal defect using a double patch sandwich technique, and reconstruction of the left trigone during the Commando procedure for invasive prosthetic aortic valve endocarditis. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Cardiac Xenotransplantation: Current State and Future Directions 2.) Lung Transplantation in the Elderly: Is Age a Contraindication? 3.) Summary of the International Society for Heart and Lung Transplantation Consensus Conference on Emerging Understanding of Antibodies and Antibody-Mediated Rejection in Heart Transplantation 4.) Inflammatory Diseases and Risk of Lung Cancer Among Individuals Who Have Never Smoked 5.) Active Chest Tube Clearance Added to an Enhanced Recovery After Cardiac Surgery (ERAS) Program Improves Outcomes and Reduces Resource Utilization CTSNET Content Mentioned 1.) Single Incision Mitral Valve Repair and LIMA-to-LAD Bypass via a Left Anterior Minithoracotomy 2.) Repair of Post-Infarction Ventricular Septal Defect Using a Double Patch Sandwich Technique 3.) Reconstruction of the Left Trigone During the Commando Procedure for Invasive Prosthetic Aortic Valve Endocarditis Other Items Mentioned 1.) Guest Editor Series: Coronary Arterial Anomalies—Pediatric and Adult Congenital 2.) Cardiac Surgical Arrest—An International Conversation Series 3.) Career Center 4.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Daniel Goldstein, professor and vice chairman of Montefiore Health System in New York, USA, about the importance of mentorship. Chapters 00:00 Intro 03:24 JANS 1, Cardiac 05:42 JANS 2, General 08:40 JANS 3, Cardiac 12:17 JANS 4, General 13:45 JANS 5, Cardiac 14:53 Video 1, Cardiac 16:48 Video 2, Thoracic 18:53 Video 3, Cardiac 20:29 Dr. Goldstein Interview 33:06 Closing They explore how to be an effective mentor, outlining essential steps in mentoring and the process of developing great surgeons. They also discuss the significance of volunteering and contributing to advance within the field. Additionally, they cover the incentives of being a good mentor, provide advice for trainees currently seeing to join a program, and delve into how and why Dr. Goldstein was selected by the ISHLT Foundation to receive the 2025 Francis D. Pagani, MD, Endowed Mentorship Award. In a separate segment, Joel addresses minimally invasive surgery in Europe. Joel also highlights recent JANS articles on lifetime management of heart valve disease, social media use among cardiothoracic surgeons, a surgeon's tool kit for mitral valve-induced left ventricular outflow tract obstruction with minimal septal hypertrophy, transatlantic analysis of gender representation in general thoracic surgery, and extent of coronary artery disease and clinical outcomes with ticagrelor monotherapy vs aspirin after coronary artery bypass grafting. In addition, Joel explores an infarct exclusion technique for posterior ischemic ventricular septal defect in a patient with Impella 5.5 support, mastering robotic lung resection using the French lobectomy technique for standardized surgical education, and assessment, debridement, and annular support for valve replacement in a case of mitral annular calcification. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Lifetime Management of Heart Valve Disease—Treat It Early and Treat It Right, First Time 2.) Social Media Use Among Cardiothoracic Surgeons: The Online Landscape and Comparisons Between Subgroups 3.) A Surgeon's Toolkit for Mitral Valve-Induced Left Ventricular Outflow Tract Obstruction With Minimal Septal Hypertrophy 4.) Trans-Atlantic Analysis of Gender Representation in General Thoracic Surgery: Challenges Permeate the Academic Community 5.) Extent of Coronary Artery Disease and Clinical Outcomes With Ticagrelor Monotherapy Versus Aspirin After Coronary Artery Bypass Grafting: Insights From the TiCAB Trial CTSNET Content Mentioned 1.) Infarct Exclusion Technique for Posterior Ischemic Ventricular Septal Defect in a Patient With Impella 5.5 Support 2.) Mastering Robotic Lung Resection: The French Lobectomy Technique for Standardized Surgical Education 3.) Mitral Annular Calcification: Assessment, Debridement, and Annular Support for Valve Replacement Other Items Mentioned 1.) Cardiac Surgical Arrest—An International Conversation, Part 3 2.) Career Center 3.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Jay Pal, Chief of Cardiac Surgery at the University of Washington, about AI-assisted screening for rheumatic heart disease. Chapters 00:00 Intro 02:17 JANS 1, Cardiac 05:15 JANS 2, Thoracic 07:01 JANS 3, Thoracic 09:41 JANS 4, Cardiac 12:14 JANS 5, Thoracic 13:37 Subvalvular Ring Excision, AVR 15:30 SCORE Technique, Rheu M Stenosis 18:43 VATS Intraperi L Pneumonectomy 20:00 Dr. Pal Interview 30:52 Closing They discuss how the AI-assisted stethoscope functions and its ability to identify rheumatic heart disease, highlighting the advantages of this technology in low-resource settings and the future potential of the device. Additionally, they explore the device's capability to diagnose heart failure and the benefits of using this advanced tool over a traditional analog stethoscope. Joel also highlights recent JANS articles on blood pressure and heart rate management in patients after repair of type A aortic dissection, long-term outcomes and prognostic factors after chest wall resection and reconstruction, a comparison between robot- and video-assisted thoracoscopic surgeries for anterior mediastinal lesions, and the cost-effectiveness of left ventricular assist device for transplant-ineligible patients. In addition, Joel explores an excision of a subvalvular ring with preservation of the aortic valve, a step-by-step VATS approach for intrapericardial left pneumonectomy for a centrally located lung tumor, and a repair of rheumatic mitral stenosis using the SCORE technique. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Blood Pressure and Heart Rate Management in Patients After Repair of Type A Aortic Dissection 2.) Long-Term Outcome and Prognostic Factors After Chest Wall Resection and Reconstruction 3.) Comparison Between Robot- and Video-Assisted Thoracoscopic Surgeries for Anterior Mediastinal Lesions 4.) Cost-Effectiveness of Left Ventricular Assist Device for Transplant-Ineligible Patients 5.) Three-Dimensional Tracheo-Bronchial Reconstruction to Plan Endoscopic Stent Insertion for Malignant Upper Airway Stenosis CTSNET Content Mentioned 1.) Excision of a Subvalvular Ring With Preservation of the Aortic Valve 2.) VATS Intrapericardial Left Pneumonectomy for Centrally Located Lung Tumor: Step-by-Step Approach With Technical Pearls 3.) Repair of Rheumatic Mitral Stenosis Using the SCORE Technique Other Items Mentioned 1.) Cardiac Surgical Arrest—An International Conversation, Part 2 2.) Career Center 3.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
In this episode of The Big Bid Theory, host Bill Culhane welcomes Elizabeth Dunning, Digital Navigator and Equity Specialist with AmeriCorps. Elizabeth offers a preview of Denver, shares her impressions of AWWA ACE 2025, and tells her inspiring story of moving from the U.S. Senate Health, Education, Labor, and Pensions Committee to environmental engineering and ultimately to AmeriCorps. She highlights efforts to close the digital divide, improve equitable access to technology, and support communities nationwide.Bill also recaps recent and upcoming public procurement events, including the upcoming NIGP Forum in Denver, where he'll host a panel session on the modernization of public procurement: AI, e-procurement, and implementation best practices. The session will deliver practical strategies for procurement professionals to expand vendor participation, leverage AI, and enhance sourcing even in challenging budget environments. Of course, Rick Jennings closes down the episode with a Crazy Bids about trees that's sure to entertain. Watch or listen (on Youtube) to gain fresh, actionable insights into advancing public procurement, improving community outcomes, and making better purchasing decisions in today's evolving landscape.Resources:AmeriCorps websiteLearning Source / Digital Navigators
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Ari Wes, Partner at Peninsula Plastic Surgery and CEO and Cofounder of Orchid Surgical, about clinical surgery video production. Chapters 00:00 Intro 01:46 Interview Preview 02:16 No Chest-Open Heart Transplant 05:07 NSCLC Time to Surgery 07:55 Impact of Preop Invasive Nodal Staging 11:04 Air Space Spread Impacts Adenocarcinoma 14:26 Intrapericard Pneum w Broncho & Flap 16:42 Ross Procedure Unveiled 21:16 Radial Artery Harvesting Podcast 23:32 Dr. Wes Interview, Video Production 46:06 Cardiac Surgical Arrest Series 46:52 Closing They discuss the value of starting with the right camera, the impact of field of view, head-mounted cameras vs. stationary cameras, and the importance of capturing the surgeon's perspective. Additionally, they explore the educational benefits of recording surgeries, the criteria for selecting an ideal storage solution for recordings, and the future of clinical surgery videos. Joel also highlights recent JANS articles on first fully robotic heart transplant in the US performed without opening the patient's chest, defining the optimal diagnosis-to-resection interval to reduce mortality in early-stage non-small cell lung cancer, concurrent spread through air spaces in dominant tumors impacts prognosis in synchronous multiple primary lung adenocarcinoma, and the impact of preoperative invasive nodal staging on unexpected mediastinal upstaging in early-stage non-small cell lung cancer. In addition, Joel explores a robot-assisted intrapericardial pneumonectomy with bronchoplasty and thymic flap post neoadjuvant chemo/IO, insights into various techniques and modifications for the Ross procedure, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Faisal Bakaeen from the Cleveland Clinic on radial artery harvesting. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) First Fully Robotic Heart Transplant in the US Performed Without Opening Patient's Chest 2.) Time to Surgery in Early-Stage Non-Small Cell Lung Cancer: Defining the Optimal Diagnosis-to-Resection Interval to Reduce Mortality 3.) Concurrent Spread Through Air Spaces in Dominant Tumors Impacts Prognosis in Synchronous Multiple Primary Lung Adenocarcinoma 4.) The Impact of Preoperative Invasive Nodal Staging on Unexpected Mediastinal Upstaging in Early-Stage Non-small Cell Lung Cancer CTSNET Content Mentioned 1.) Robot-Assisted Intrapericardial Pneumonectomy With Bronchoplasty and Thymic Flap Post Neoadjuvant Chemo/IO 2.) The Ross Procedure Unveiled: Insights into Various Techniques and Modifications 3.) The Atrium: Radial Artery Harvesting Other Items Mentioned 1.) Cardiac Surgical Arrest—An International Conversation, Part 2 2.) Career Center 3.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Chicago Way w/John Kass (06/30/25): On a HOT summer Sunday, John Kass & Jeff Carlin head out to the first annual Sicilian Summer Block Party in the Dunning neighborhood to break bread and enjoy some entertainment. Along the way, fans of John’s share stories about what the Chicago Way means to them. Plus, Kasso tells […]
GABE KUHN AUDIO: Grizzlies Santi, JJJ, Cam Spencer Instant Reaction from Gabe Kuhn, CBS Sports' David Cobb, and Connor Dunning
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. David Kalfa, the incoming Chief of Pediatric Cardiac Surgery and Co-Director of the Heart Institute at Nicklaus Children's Hospital in Miami, about allogeneic mitral valve transplants. Chapters 00:00 Intro 01:46 Interview Preview 02:54 MV Surgery After Failed Intervention 07:46 Tears Predict Outcomes After Hemi-Arch 10:32 Pain Catastrophizing Scale 14:27 ARR w Stentless Biopros, Sex Difference 16:38 Open Implant TAV via Redo Sternotomy 19:05 Repeat Sternotomy w Completion Unifocaliz 21:07 Direct Aortic Impella 5.5 in PC Shock 25:16 Dr. Kalfa Interview, AMV Transplant 39:58 Upcoming Events 41:26 Closing They discuss methods for obtaining a mitral valve for transplantation, and topics such as immunosuppression, aortic coagulation, and the progress that has been made in this field. They also explore how to perform a living allogeneic heart valve transplant and the future of this technique. Joel also highlights recent JANS articles on mitral valve surgery after failed transcatheter intervention for mitral regurgitation, whether distal anastomotic new entry tears predict long-term outcomes after hemiarch repair for DeBakey I aortic dissection, using a pain catastrophizing scale as a predictor for acute postoperative pain following video-assisted thoracoscopic surgery lobectomy, and sex difference in aortic root replacement with a stentless bioprosthesis. In addition, Joel explores an open implantation of a transcatheter aortic valve via redo sternotomy, mitral valve replacement, and tricuspid valve repair in a high-risk patient, repeat sternotomy with completion unifocalization and extensive pulmonary arterial reconstruction in ToF/PA/MAPCAs, and direct aortic Impella 5.5 in post-cardiotomy shock. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Mitral Valve Surgery After Failed Transcatheter Intervention for Mitral Regurgitation: Techniques, Challenges, and Outcomes 2.) Distal Anastomotic New Entry Tears Predict Long-Term Outcomes After Hemi-Arch Repair for DeBakey I Aortic Dissection 3.) Pain Catastrophizing Scale as a Predictor for Acute Postoperative Pain Following Video-Assisted Thoracoscopic Surgery Lobectomy 4.) Sex Difference in Aortic Root Replacement With a Stentless Bioprosthesis CTSNET Content Mentioned 1.) Open Implantation of a Transcatheter Aortic Valve via Redo Sternotomy, Mitral Valve Replacement, and Tricuspid Valve Repair in a High-Risk-Patient 2.) Challenging Pulmonary Arterial Reconstruction: Repeat Sternotomy With Completion Unifocalization and Extensive Pulmonary Arterial Reconstruction in ToF/PA/MAPCAs 3.) Direct Aortic Impella 5.5 in Post-Cardiotomy Shock Other Items Mentioned 1.) Allogeneic Mitral Valve Transplant: Historical Precedent, Current Considerations, and Future Implementation 2.) Cardiac Surgical Arrest—An International Conversation, Part 1 3.) Winners of the 2025 CTSNet Instructional Video Competition 4.) Career Center 5.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Texas Rangers vs. Baltimore Orioles MLB Pick Prediction by Tony T. Rangers at Orioles 6:35 PM ET—Dane Dunning will start for Texas. Dunning in one appearance allowed two earned runs with three strikeouts in three innings. He worked in 26 games in 2024 with an ERA of 5.31 and WHIP of 1.44. The right hander struck out 21.4% with 14.3% walks.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with CTSNet Board Member Dr. Keith Naunheim, Vallee L. and Melba Willman Professor and Chief of Cardiothoracic Surgery at Saint Louis University School of Medicine, about artificial intelligence (AI) in cardiothoracic (CT) surgery. Chapters 00:00 Intro 01:31 Guest Preview, Dr. Naunheim 02:34 Clinic Notes via AI 04:41 Congenital Challenging Anatomy 06:47 Exposing Intramyocardial LAD Artery 09:28 Multiple Stent Grafts, Aorta Aneurysm 11:33 AVR w M & TVR, R-Anterior Thoracotomy 13:50 Dr. Naunheim, AI in CT Surgery 34:33 Upcoming Events 35:16 Cardiac Surgical Arrest Series 36:37 Robert Lowery Obituary 38:38 Closing They discuss how AI will affect and impact CT surgery, where AI is already incorporated in the CT surgery world, and the importance of field-testing AI. They also explore the pros and cons of AI and being proactive about using AI. Joel also highlights a recent JANS article on left axillary thoracotomy for closure of ventricular septal defect in an infant with situs solitus and extreme levoposition of the heart. In addition, Joel explores a surgical technique of exposing the intramyocardial left anterior descending artery, open surgical repair of a giant abdominal aorta aneurysm filled with multiple stent grafts, and aortic valve replacement with mitral and tricuspid valve repair via a right anterior thoracotomy. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Creating Opportunities From Challenging Anatomy: Left Axillary Thoracotomy for Closure of Ventricular Septal Defect in an Infant With Situs Solitus and Extreme Levoposition of the Heart CTSNET Content Mentioned 1.) Surgical Technique of Exposing Intramyocardial Left Anterior Descending Artery 2.) Open Surgical Repair of a Giant Abdominal Aorta Aneurysm Filled With Multiple Stent Grafts 3.) Aortic Valve Replacement With Mitral and Tricuspid Valve Repair Via a Right Anterior Thoracotomy Other Items Mentioned 1.) Cardiac Surgical Arrest—An International Conversation, Part 1 2.) Obituary for Dr. Robert Lowery 3.) Winners of the 2025 CTSNet Instructional Video Competition 4.) Career Center 5.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Still feeling unsure- even with experience under your belt? This episode explains why doubt might be the best sign you're doing the job well, not a reason to second-guess yourself.In this episode, we're pulling back the curtain on what that uncertainty in school counseling really means. We'll talk about the invisible labor of school counseling, what the research says about feedback-poor environments, and how self-doubt often shows up right when your skills are leveling up.You'll learn:Why experienced counselors question themselves more, not lessHow silence and lack of validation chip away at even the strongest counselorsWhy messy, imperfect work is often the most effectiveAnd how to chase credibility instead of certaintyYou're not failing; you're growing. And you're not alone.Mentioned in this episode:School for School Counselors MastermindFree School Counselor PlannerReferences:Culbreth, J. R., Scarborough, J. L., Banks‑Johnson, S. B., & Solomon, T. (2005). Role stress among practicing school counselors. Professional School Counseling, 9(2), 106–112. Dunning, D., & Kruger, J. (1999). Unskilled and unaware of it: How difficulties in recognizing one's own incompetence lead to inflated self-assessments. Journal of Personality and Social Psychology, 77(6), 1121–1134. Falender, C. A., & Shafranske, E. P. (2010). Psychotherapy‑based supervision models in an emerging competency‑based era: A commentary. Psychotherapy: Theory, Research, Practice, Training, 47(1), 45–50. Hill, C. E., Sullivan, C., Knox, S., & Schlosser, L. Z. (2007). Therapist self‑disclosure: Research-based suggestions regarding clinical training, practices, and ethics. Psychotherapy Theory, Research, Practice, Training, 44(4), 392–407. Hochschild, A. R. (1983). The managed heart: Commercialization of human feeling. University of California Press. Jennings, L., & Skovholt, T. M. (2016). In T. M. Skovholt & K. Rønnestad (Eds.), Master therapists: Exploring expertise in therapy and counseling. Routledge. Skovholt, T. M., & Trotter‑Mathison, M. (2016). The resilient practitioner: Burnout prevention and self‑care strategies for counselors, therapists, teachers, and health professionals (3rd ed.). Taylor & Francis. (Original concept described in earlier editions as an “ambiguity‑rich, feedback‑poor environment.”) *********************************⭐️ Want support with real-world strategies that actually work on your campus? We're doing that every day in the School for School Counselors Mastermind. Come join us! ⭐️**********************************Our goal at School for School Counselors is to help school counselors stay on fire, make huge impacts for students, and catalyze change for our roles through grassroots advocacy and collaboration. Listen to get to know more about us and our mission, feel empowered and inspired, and set yourself up for success in the wonderful world of school counseling.Hang out in our Facebook groupJump in, ask questions, share your ideas and become a part of the most empowering school counseling group on the planet! (Join us to see if we're right.)Join the School for School Counselors MastermindThe Mastermind is packed with all the things your grad program never taught you I
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with CTSNet JANS Editor Dr. Mateo Marin-Cuartas, a cardiac surgeon in the University Department of Cardiac Surgery at the Leipzig Heart Center, Germany, about surgical aortic valve replacement (SAVR) vs transcatheter aortic valve replacement (TAVR). Chapters 00:00 Intro 00:57 Dr. Marin-Cuartas Feature 02:28 SHURUI Robot Feasability 05:09 Touching as Diagnostic Test 09:06 Removal of Rib Stab Hardware 13:00 Resectable EGFR-Positive NSCLC 16:12 On-Pump Beating Heart MVR 17:56 Post-Infarction Myocardial Rupture 19:52 Head-First Graft Technique 22:18 SAVR vs TAVR, Dr. Marin-Cuartas 46:44 Upcoming Events 47:52 Closing They discuss SAVR and TAVR guidelines, the suitability of SAVR vs TAVR for patients aged 65-75, and mechanical heart valves. They also explore surgery after TAVR, TAVR after TAVR, and the future of addressing aortic valve stenosis. Joel also highlights recent JANS articles on the safety and feasibility of novel single-port robotic-assisted lobectomy/segmentectomy for lung cancer, touching (proximity) as a companion diagnostic test, long-term outcomes after removal of rib stabilization hardware in patients with blunt chest trauma, and advancing the needle on the management of resectable EGFR-positive NSCLC. In addition, Joel explores an on-pump beating heart mitral valve repair through right anterior minithoracotomy, post-infarction myocardial rupture treated with surgical repair and graded mechanical support, and a head-first graft technique in aortic arch replacement. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Safety and Feasibility of Novel Single-Port Robotic-Assisted Lobectomy/Segmentectomy for Lung Cancer 2.) Touching (Proximity) as a Companion Diagnostic Test 3.) Long-Term Outcomes After Removal of Rib Stabilization Hardware in Patients With Blunt Chest Trauma 4.) Advancing the Needle on the Management of Resectable EGFR-Positive NSCLC: Is Neoadjuvant Osimertinib the Answer? CTSNET Content Mentioned 1.) On-Pump Beating Heart Mitral Valve Repair Through Right Anterior Mini Thoracotomy 2.) Drain, Patch, Unload: Post-Infarction Myocardial Rupture Treated With Surgical Repair and Graded Mechanical Support 3.) Head-First Graft Technique in Aortic Arch Replacement Other Items Mentioned 1.) Career Center 2.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
In this episode of the Glowing Older podcast, host Nancy Griffin interviews Lauren Dunning, Director of the Milken Institute Future of Aging. They discuss the importance of intergenerational connections, the role of the Milken Institute in promoting healthy aging, and the challenges of financial security and loneliness among older adults. Lauren shares insights from recent studies and reports, emphasizing the importance of community engagement and innovative solutions for aging well.About LauraLauren Dunning is a Director for the Milken Institute Future of Aging, where she develops initiatives and strategic partnerships that advance healthy longevity and financial security across the life course. In her role, Dunning leads work on integrated care solutions leveraging technology and oversees the Future of Aging Advisory Board, a group of global leaders from across sectors who provide advisement,expertise, and collaboration to maximize collective impact.Before joining the Milken Institute, Dunning served in key policy leadership roles for over 10 years at the Los Angeles County Department of Public Health, where she was most recently the director of government affairs, working with officials at all levels to shape public health policy. She has written and presented on a variety of topics across public health, aging, and health care; held an appointment as an adjunct professor of law at Georgetown University Law Center; and serves in an advisory capacity to several organizations, including LeadingAge California and theAtria Research Institute.Dunning earned a JD from Georgetown University LawCenter, a Master of Public Health from Johns Hopkins Bloomberg School of Public Health, and a bachelor's degree from George Washington University. She works at the Milken Institute's Santa Monica office. Key TakeawaysThe Milken Institute is a nonprofit, nonpartisan think tank with offices in the US, Europe, Asia, and the Middle East that collaborates across business, philanthropy, government, nonprofit and academia.The two domains of social connectedness are socialisolation, which is objectively having few relationships and infrequent social interaction and loneliness, which is the state of perceived isolation or inadequatesocial connections.Loneliness is a significant health risk, comparable tosmoking fifteen cigarettes a day and associated with increased risk of heart disease, stroke, dementia, anxiety, and depression. In a 2023 Gallup study of 142 countries, younger adultsreported greater loneliness levels than adults over 65. The rates of loneliness were 10% higher among people 19 to 29 (27 % reporting they were fairly lonely)than for older adults over 65 (17%).Children that participate in mentoring programs with older adults improved their physical and mental health and educational status. Civic engagement among college students increases when paired with older volunteers.Intergenerational relationships benefit both younger and older generations by reducing ageism and age discrimination, bridging differences, and identifying shared values.Eight in 10 older adults would like to connect across generations and 92 % of Americans believe intergenerational activities can help reduceloneliness across all ages.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning recaps the 33rd European Society of Thoracic Surgeons (ESTS) annual meeting in Budapest. Chapters 00:00 Intro 01:30 ESTS 2025 Conference 09:11 SHURUI Robot Study 10:04 Willard A. Fry 12:44 Transplant Recipient Pregnancy Outcomes 15:25 Low-Flow, Low-Gradient Aortic Stenosis 17:12 Warm Ischemic Intervals Effect 19:16 Extracorp Circulation vs Conventional 23:23 Femoral Cannulation for CPB Min Invasive 24:25 Valve Sparing Aortic Root Replacement 25:27 Valve Surgery Podcast w Michael Mack 27:21 Upcoming Events 27:54 Closing He discusses the key themes and takeaways from the event, the SHURUI single-port robotic system, the hands-on experience with the da Vinci Single-Port system led by Dr. Tom Routledge, and the extraordinary guest lecture from Ernő Rubik, the inventor of the Rubik's cube. Joel also highlights various presentations from the meeting, including “Does the Fissureless Technique Really Reduce Air Leak? Results of the Prospective Randomized Study Fissureless Versus Fissurefirst (3F Trial)” by Tom Routledge, “Tour D'Horizon About Potential Newcomings in the 10th Edition” by Valerie Rusch, and much more. Additionally, he pays tribute to Willard A. Fry and his significant accomplishments. Joel also highlights recent JANS articles on pregnancy outcomes in 53 female lung transplant recipients, outcomes of surgical versus transcatheter aortic valve replacement in patients with low-flow, low-gradient aortic stenosis, the effect of warm ischemic intervals on primary graft dysfunction in normothermic regional perfusion for donation after circulatory death heart transplant, and minimal invasive extracorporeal circulation versus conventional cardiopulmonary bypass in cardiac surgery. In addition, Joel explores femoral cannulation for CPB during minimally invasive cardiac surgery, a presentation from the Society for Cardiothoracic Surgery in Great Britain and Ireland annual meeting on “Valve Sparing Aortic Root Replacement—Tips and Tricks,” and the one-year anniversary episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with cardiothoracic surgery pioneer Dr. Michael Mack on the future of valve surgery. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Pregnancy Outcomes in 53 Female Lung Transplant Recipients 2.) Outcomes of Surgical Versus Transcatheter Aortic Valve Replacement in Patients With Low-Flow, Low-Gradient Aortic Stenosis 3.) The Effect of Warm Ischemic Intervals on Primary Graft Dysfunction in Normothermic Regional Perfusion for Donation After Circulatory Death Heart Transplant 4.) Minimal Invasive Extracorporeal Circulation Versus Conventional Cardiopulmonary Bypass in Cardiac Surgery: A Contemporary Systematic Review and Meta-Analysis CTSNET Content Mentioned 1.) Femoral Cannulation for CPB During Minimally Invasive Cardiac Surgery 2.) SCTS 2025 | Valve Sparing Aortic Root Replacement—Tips and Tricks 3.) The Atrium: The Future of Valve Surgery Other Items Mentioned 1.) Safety and Feasibility of Novel Single-Port Robotic-Assisted Lobectomy/Segmentectomy for Lung Cancer 2.) A Eulogy for Willard A. Fry 3.) 2025 SCTS Annual Meeting Videos 4.) The Atrium—All Episodes 5.) Career Center 6.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with cofounders Courtney Maxey-Jones and Connor Wasilnak about their charity, Global Outreach for Medical Equity and Development (GOMED), which exists to deliver essential medical supplies to underresourced regions. Chapters 00:00 Intro 01:33 Surgical Instrument Donations 02:43 Adverse Outcomes in Surgery 10:05 Lymph Node NSCLC Study 12:45 Pleural Invasion by AI Analysis 15:54 Robotic vs Conventional MVR 18:55 Postop Atrioventricular Block 22:36 Extra-Anatomical Bypass & AVR 24:25 Redo MV w Different Strategies 27:57 Manage Aorto-Mitral Abscess Endocarditis 30:41 GOMED Interview 43:04 Closing They discuss the reasons behind its creation, its mission, the current status of the organization, and how individuals and companies can get involved. Additionally, they explored some of the equipment GOMED has and what it needs, and the various locations it serves. Joel also shares insights about a recent patient of his with Marfan Syndrome and pectus excavatum, emphasizing the ongoing importance of the N=1 trial in clinical research. Joel also highlights recent JANS articles on lymph node sampling and survival in non-small cell lung cancer, pleural invasion of peripheral cT1 lung cancer by deep learning analysis of thoracoscopic images, clinical outcomes and costs of robotic-assisted vs conventional mitral valve repair, and postoperative atrioventricular block after surgery for congenital heart disease. In addition, Joel explores extra-anatomical aortic bypass and aortic valve replacement in a patient with aortic coarctation and severe aortic insufficiency, totally endoscopic redo mitral valve surgery with different myocardial protection strategies, and managing aorto-mitral abscess endocarditis after previous AVR with an LVOT enlargement procedure. Before closing, he highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Lymph Node Sampling and Survival in Non-Small Cell Lung Cancer: A 10-Year Danish Cohort Study 2.) Pleural Invasion of Peripheral cT1 Lung Cancer by Deep Learning Analysis of Thoracoscopic Images: A Retrospective Pilot Study 3.) Clinical Outcomes and Costs of Robotic-Assisted vs Conventional Mitral Valve Repair: A National Analysis 4.) Postoperative Atrioventricular Block After Surgery for Congenital Heart Disease: Incidence, Recovery and Risks CTSNET Content Mentioned 1.) Extra-Anatomical Aortic Bypass and Aortic Valve Replacement in a Patient With Aortic Coarctation and Severe Aortic Insufficiency 2.) Totally Endoscopic Redo Mitral Valve Surgery With Different Myocardial Protection Strategies 3.) Managing Aorto-Mitral Abscess Endocarditis After Previous AVR With an LVOT Enlargement Procedure Other Items Mentioned 1.) Global Outreach for Medical Equity and Development 2.) Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach 3.) Aortic Valve Replacement Series 4.) Career Center 5.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Rony and Ted welcome Angela Dunning, an attorney at Cleary Gottlieb specializing in AI and copyrights. With Charlie on vacation, they switched up the format, bringing Angela in at the top of the show, lacing news tidbits throughout. The big news this week was Google I/O, highlighting the $250/month Gemini Ultra model and the Veo 3 video generation tool, now offering voice. Rony expresses a bit of cynicism as Google once again re-re-enters XR. The conversation veers into the philosophical and legal future of machine authorship and sentience. Angela draws on her experience litigating the “monkey selfie” case to explain current copyright limitations, but notes shifting standards, including a recent case where an entirely AI-generated image was granted protection, due to extensive human control. She emphasizes the importance of human authorship, distinguishing between derivative output and directed creation.Thank you to our sponsor, Zappar!Don't forget to like, share, and follow for more! Follow us on all socials @ThisWeekInXR!https://linktr.ee/thisweekinxr Hosted on Acast. See acast.com/privacy for more information.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Nina Fuller-Shavel, co-chair of the British Society for Integrative Oncology (BSIO) from 2021 to 2023 and current co-chair of the BSIO Clinical Practice and Education Committee, about integrative oncology. Chapters 00:00 Intro 01:29 Integrative Medicine 09:13 Bar Dislocation, Pectus 10:53 Effective Circulating Volume Fraction 13:14 Repair vs Replacement, Edge-to-Edge 16:14 Relaxed TAVI Age Threshold? 18:14 Supravalvar Aortic Stenosis Transaxillary 20:09 How-To, AAE Tricuspid Repair 21:49 Modified Robotic Tracheobronchoplasty 23:34 Dr. Fuller-Shavel, Integrative Oncology 56:21 Upcoming Events 58:28 Closing They discuss what integrative oncology entails, mistletoe therapy, oncothermia, and the innovative integrative oncology app called Oncio. They also explore guidelines relating to this topic, nutrition, and immune checkpoint inhibitors. Dr. Fuller-Shavel also provides recommendations for supporting patients' mindfulness during cancer treatment. Joel also highlights recent JANS articles on bar dislocation after pectus excavatum repair, effective circulating volume fraction in Type A aortic dissection, surgical mitral valve repair vs replacement after failed mitral transcatheter edge-to-edge repair, and if the age threshold for TAVI can be relaxed to below 65 years. In addition, Joel explores minimally invasive transaxillary repair of supravalvar aortic stenosis, how to perform an aortic annulus enlargement with tricuspid repair, and modified robotic-assisted tracheobronchoplasty in a patient with severe calcific mediastinal lymphadenopathy. Before closing, he highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Bar Dislocation After Pectus Excavatum Repair: A Systematic Review of Risk Factors, Stabilization Techniques, and Management Strategies 2.) The Effective Circulating Volume Fraction in Type A Aortic Dissection: A New Risk Factor? 3.) Surgical Mitral Valve Repair vs Replacement After Failed Mitral Transcatheter Edge-to-Edge Repair: The CUTTING-EDGE Registry 4.) Could the Age Threshold for TAVI be Relaxed to Below 65 Years? Pros and Cons CTSNet Content Mentioned 1.) Minimally Invasive Transaxillary Repair of Supravalvar Aortic Stenosis 2.) How to Perform an Aortic Annulus Enlargement With Tricuspid Repair 3.) Modified Robotic-Assisted Tracheobronchoplasty in a Patient With Severe Calcific Mediastinal Lymphadenopathy Other Items Mentioned 1.) British Society for Integrative Oncology 2.) National Center for Integrative Oncology 3.) Integrative Oncology Approaches to Supporting Immune Checkpoint Inhibitor Treatment of Solid Tumors 4.) Aortic Valve Replacement Series 5.) Career Center 6.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Garth Heckman The David Alliance TDAgiantSlayer@Gmail.com Talking to a young man lately who plays guitar and he plays on a worship team. I told him I was going to be teaching a short 2 hour class to the guitar players at our church… he interrupted me and said “I am a good guitar player… And they he said it again as if I did not believe him. I kindly nodded. Now he can play guitar and he can play some rock songs… but who knows if someone is good or not right? But when he asked me what exactly I was going to be teaching my guitar players on my worship team - the first thing I said was “Diatonic harmony”… which believe it or not if you are in fact a good guitar player you would know what that is. He stared at me blankly and asked what it was. I kindly assured him he was not in fact a good guitar player. Now I have told this young man as I tell many people - You may not like what I say to you, but I will never lie to you! EVER. I will try to say it nice… most of the time - but who else will be honest with you. And today what if you can't be honest with yourself because… well you just can't. Have you ever heard of the The Dunning-Kruger Effect and the Blindness of the Incompetent Wheeler's lemon juice story inspired researchers David Dunning and Justin Kruger to study this phenomenon in greater detait. The research-ers were intrigued by the obvious difference in people's actual abilities and how they perceive these abilities. Dunning and Kruger hypothesized that incompetent people suffer from two types of problems · Due to their incompetence, they make flawed decisions (such as robbing a bank while covered in lemon juice). · They are unable to realize the fact that they make Flawed decisions. (Not even the video footage convinced wheeler of hjs inability to be invisible he claimed that it was faked ) The researchers tested the validity of these hypotheses on a sample of participants. First they laid out a test measuring their abilities in a certain domain (logical reasoning, grammar, and humor). Then, the par- ticipants were asked to assess how good their abilities were. The research- ers discovered two interesting findings The least competent people (labeled incompetent in the research) had a tendency to significantly overestimate their abilities. In fact, the less competent they were, the more they overestimated themselves. For example, the more painfully unfunny an individual was, the funnier they thought they were. this eftect was elegantly described by Charles Darwin years ago ignorance more frequently begets confidence than does knowledge' The second interesting finding was that the most competent participants had a tendency to underestimate their abilities. Their under- rated results can be explained by the fact that if a task seems easy to them, they will have the feeling that the task is easy even for other people. In another part of the experiment, participants had the possibility to review the test results of other people. They were subsequently asked to conduct a self assessment again. Competent participants realized that they were better off than they had thought. Thus, they modified their self assessments and began to evaluate themselves more objectively. So where am I going with this… David says something profound in Psalm 139:23-24 KJV. Search me, O God, and know my heart: Try me, and know my thoughts: And see if there be any wicked way in me, And lead me in the way everlasting. David is not saying this as a type of challenge to God… ok, God see if you can find anything wrong in me. NO NO NO he is saying it as one who realizes he can't see everything in his life clearly. He knows that he is blind to many of the sins, flaws, inconsistencies and choices he makes that are not Godly. WHAT A POWERFUL INSIGHT TO KNOW YOU DONT HAVE INSIGHT. RIGHT? Meaning, how powerful it is to know that you don't know everything -especially about you.
Charles Darwin once wrote that “Ignorance more frequently begets confidence than does knowledge”, and real-life situations which reflect that are all too common. To cite just one prominent example, in January 1995, American men MacArthur Wheeler and Clifton Earl Johnson were arrested after carrying out coordinated bank robberies in the state of Pennsylvania. Incredibly, they didn't bother wearing masks, as they believed that rubbing lemon juice on their faces would make them invisible to security cameras. Actually no, but bear with me; I'm getting there. The case got a lot of media coverage, and piqued the curiosity of social psychologists David Dunning and Justin Kruger at Cornell University. They wanted to know how on earth someone could be so damn sure of themselves while believing something completely stupid. Where does this effect come from? Is that what the Dunning and Kruger effect is then? What are the consequences of the Dunning Kruger effect? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: Why do some people believe in ghosts? What is the placebo effect and how does it work? Could chronoworking make you work more efficiently? A podcast written and realised by Joseph Chance. First broadcast: 15/2/2023 Learn more about your ad choices. Visit megaphone.fm/adchoices
Gabe Kuhn breaks down Tuomas Iisalo hiring with Connor Dunning on 92.9 FM ESPN
Wherein the guys autocomplete on steroids.
In this episode of the Hospitality Mavericks podcast, host Michael welcomes guest Natalie Dunning, who shares her journey of growing up in a hospitality family and building her agency, Kitch Social. They discuss the importance of creating super fans, engaging with communities, and the crucial role of maintaining a human connection in the hospitality industry. Natalie emphasizes the significance of clear purpose, strategy, and team alignment in fostering customer loyalty and a supportive work culture. The conversation also explores practical advice on leveraging technology, empowering teams, and maintaining work-life balance.Connect with Natalie:https://www.linkedin.com/in/nataliedunning/https://kitchsocial.com/Book Recommendation:https://uk.bookshop.org/a/8596/9781780725901Connect with the podcastJoin the Hospitality Mavericks newsletterTune in via your favourite podcast platform - here More episodes for you to check out here This podcast uses the following third-party services for analysis: Podcorn - https://podcorn.com/privacy
The Tsarevich Dmitry Ivanovich died from an accidental self-inflicted knife wound in 1591... but that didn't stop him from popping up to try and reclaim his throne in 1604. And 1607. And 1611. And 1612. And... https://order-of-the-jackalope.com/samozvantsy Key sources for this episode include Chester S.L. Dunning's Russia's First Civil War: The Time of Troubles and the Romanov Dynasty; Maureen Perrie's Pretenders and Popular Monarchism in Early Modern Russia: The False Tsars of the Time of Troubles; Paul Avrich's Russian Rebels, 1600-1800; and Peter Julicher's Renegades, Rebels and Rogues Under the Tsars. Special thanks to Kristen Harkness for her help with Russian transliteration and pronunciation. (Sorry, Kristen, I still beefed it!) The Ancient and Esoteric Order of the Jackalope is a secret society devoted to the idea that that which is least known is best to know. Each episode we share a strange story or amazing fact, and no topic is off limits -- if it's interesting or entertaining, we'll cover about it! Email: jackalope@order-of-the-jackalope.com Bluesky: https://bsky.app/profile/order-of-the-jackalope.com Discord: https://discord.gg/Mbap3UQyCB TikTok: https://www.tiktok.com/@orderjackalope Tumblr: https://www.tumblr.com/orderjackalope YouTube: https://youtube.com/@orderjackalope
When it comes to authentic Mexican restaurants in Chicago, it's hard to know where to start — there are about a thousand of them. This is the April edition of “Where Dave Ate” and these are host David Manilow's recommendations. Get ready for a food journey from Little Village to Logan Square to the Dunning neighborhood, with more stops in between.In this episode, learn where to have great chilaquiles for breakfast, get a taste of tamales, hear from Chicago's mole king and much more.
"Let George Do It" was a compelling American radio drama series broadcast from 1946 to 1954. Created by Owen and Pauline Vinson, it starred Bob Bailey as private investigator George Valentine, later voiced by Olan Soule. The show transitioned from sitcom-style episodes to thrilling private eye stories, directed by Don Clark. George Valentine's services were advertised in the newspaper, and he worked with his secretary Claire Brooks (voiced by various actresses). The show featured recurring characters like Sonny, Caleb, and Lieutenant Riley. John Hiestand announced the episodes, and the music evolved from a full orchestra to an organ.
Great advice is everywhere, but most of it is fluff. In sales, you don't need clichés—you need real strategies that help you win more deals. We've pulled together five of the biggest game-changing sales tips from the Sales Gravy Podcast so far this year. These are proven tactics from top sales pros who know what it takes to close deals, stay sharp, and dominate the competition. If you want to crush your numbers, start here. The Grind Gets You Gold You won't become a sales expert overnight. But you can practice your way to excellence and then—one day—reach elite levels of selling. As sales guru Tony Morris said, “You get out what you put in. … You don't have to be the greatest; you've got to be the hardest [worker].” In other words, be ready to roll up your sleeves and get in the trenches. Everyone sees the skills of great athletes, but not everyone considers all the consistent work it took to hit that home run or make that perfect golf swing. Sales success is no different—it's the result of countless daily reps, not just the big wins. Top performers make it all look fluid—like a dance that should be easy to learn. But it's not. Developing sales acumen takes time and massive effort, plus dedication to the grind. You have to dedicate time every day to getting better—no matter what. Practice is an integral part of the grind. Drill your frameworks. Roleplay with mentors. Ask for feedback. You have to pick up the phone and make calls no one else will—that's how you win. Don't give up before you see results. You Must Learn to Sell Once you've learned the basics, the grind perfects them. But you better start with some solid foundational skills. Sales strategist Dawnna St. Louis puts it this way: “The first thing you need to do is learn to sell.” Because trying to sell without knowing how to sell is an uphill climb that most never finish. Learn to sell, or risk losing everything. It's an ultimatum that no sales rep can afford to ignore. Even the best subject matter experts fail without sales skills. Take courses and identify a mentor—a seasoned veteran who can provide feedback on your calls and negotiation techniques. Find a personal sales coach to teach you the ropes. Perfect Your Digital Profile Stick to the simple; nix the jargon. As Breaking B2B Founder Sam Dunning says, “Does it pass the Caveman Grunt test?” Given a few seconds, could a caveman successfully grunt what you do based on your website—or your social media presence—alone? If not, you're in trouble. No one is going to buy from you if they don't understand what you do or your expertise. A website is the online lobby of a business—the introduction to your service or product for potential digital customers. But take Dunning's advice one step further and apply it to your Linkedin profile and social media accounts that are your lobby to your potential customers. Lean into the basics: Who are you? What do you do? Why should a customer pick you? The quality of your messaging can encourage prospects to reach out to you or establish you as a trustworthy source of business. Create content that positions you as a thought leader and advisor. Otherwise? Your social presence is useless. Wasted Time is the Enemy Time is the one commodity that you can't replenish. Once it's gone, it's gone. That's why you must dedicate time to filling your pipeline every week. Protect your Golden Hours at all costs and then use that time wisely to make as many calls as you can. Whether you're in the same building or your team includes remote workers, pick a mutual time and start dialing numbers. As best-selling author and sales expert Jeb Blount put it in a recent Ask Jeb, “Pick a period of time and say ‘We're going to run call blocks.' … Be ready with your list and we're going to chop wood.” Eat the frog—carve out specific time to focus on your hardest task of the day.
Lawrence /Guest on Modern Masculinity Podcast Lawrence Dunning is back, and as always, he's bringing the real. A top 1% real estate agent, investor, Jiu-Jitsu black belt, and host of Enter the Lionheart, he's lived a life full of big wins and brutal lessons. This time, he opens up about business partnerships gone wrong, the stress of lawsuits, and the hard truths that come with getting older—like juggling fatherhood, a career, and aging parents, all while trying to stay grounded. If you've ever felt the weight of responsibility piling up, this one's for you. 00:00:00 – The Man Who Wears Many Hats (And a Black Belt) 00:02:10 – Lessons from Lawsuits: What They Don't Teach in Business School 00:03:47 – Health, Family, and the Reality Check of Middle Age 00:05:11 – Why a Sick Man Only Wants One Thing 00:07:47 – The Illusion of Balance: Juggling Fatherhood, Business & Self-Mastery 00:11:07 – Meditation, Cold Plunges, and Training the Mind Like a Fighter 00:14:58 – Facing Fear: From the Fight Game to Life's Hardest Hits 00:26:04 – Rewriting the Past: Inner Child Work & Breaking Old Patterns 00:30:35 – Shifting Perspectives: The Mindset That Changes Everything 00:39:20 – Closing the Loop Until next time, love and good vibes. Podcast Website: https://enterthelionheart.com/ Check out the latest episode here: Apple Podcast: https://podcasts.apple.com/us/podcast/enter-the-lionheart/id1554904704 Spotify: https://open.spotify.com/show/4tD7VvMUvnOgChoNYShbcI
Santa Masa Tamaleria in Chicago's Dunning neighborhood uses non-GMO corn from Northern Mexico to make the dough for their tamales and tortillas. Opening this restaurant was a long held dream for the chef-couple. Reset hears how owners Jhoana Ruiz and Danny Espinoza made their dream a reality, and how the threat of tariffs is impacting them. For a full archive of Reset interviews, head over to wbez.org/reset.
Cliff's linksWebsite:www.earthancients.comFACEBOOK: https://www.facebook.com/groups/373226076066741INSTAGRAM: https://www.instagram.com/earthancientspodcast/YOUTUBE: https://www.youtube.com/@EarthAncientsOfficialMake a Donation to Forbidden Knowledge News https://www.paypal.me/forbiddenknowledgenehttps://buymeacoffee.com/forbiddenReconnect to Everything with BrainsupremeGet 25% off your order here!!https://brainsupreme.co/discount/FKN15Subscribe to Cory Hughe's "Bloody History" substackhttps://bloodyhistory.substack.comSign up for the IMT crypto community Imt.networkBook a free consultation with Jennifer Halcame Emailjenniferhalcame@gmail.comFacebook pagehttps://www.facebook.com/profile.php?id=61561665957079&mibextid=ZbWKwLSick of having mediocre health? Transform your health and vitality with Christian Yordanov's program. Learn more and book a free intro call here https://christianyordanov.com/fkn/Watch The Forbidden Documentary: Occult Louisiana on Tubi: https://link.tubi.tv/pGXW6chxCJbC60 PurplePowerhttps://go.shopc60.com/FORBIDDEN10/or use coupon code knowledge10FKN Link Treehttps://linktr.ee/FKNlinksForbidden Knowledge Network https://forbiddenknowledge.news/ Merchhttps://fknstore.net/Johnny Larson's artworkhttps://www.patreon.com/JohnnyLarsonSign up on Rokfin!https://rokfin.com/fknplusPodcastshttps://www.spreaker.com/show/forbiddenAvailable on all platforms Support FKN on Spreaker https://spreaker.page.link/KoPgfbEq8kcsR5oj9FKN ON Rumblehttps://rumble.com/c/FKNpGet Cory Hughes Book!https://www.buymeacoffee.com/jfkbookhttps://www.amazon.com/Warning-History-Cory-Hughes/dp/B0CL14VQY6/ref=mp_s_a_1_1?crid=72HEFZQA7TAP&keywords=a+warning+from+history+cory+hughes&qid=1698861279&sprefix=a+warning+fro%2Caps%2C121&sr=8-1https://coryhughes.org/YouTube https://youtube.com/@fknclipspBecome Self-Sufficient With A Food Forest!!https://foodforestabundance.com/get-started/?ref=CHRISTOPHERMATHUse coupon code: FORBIDDEN for discountsOur Facebook pageshttps://www.facebook.com/forbiddenknowledgenewsconspiracy/https://www.facebook.com/FKNNetwork/Instagram @forbiddenknowledgenews1@forbiddenknowledgenetworkXhttps://x.com/ForbiddenKnow10?t=uO5AqEtDuHdF9fXYtCUtfw&s=09Email meforbiddenknowledgenews@gmail.comsome music thanks to:https://www.bensound.com/Become a supporter of this podcast: https://www.spreaker.com/podcast/forbidden-knowledge-news--3589233/support.
Is your website truly working as hard as your sales team? In today's competitive digital landscape, your website isn't just an online brochure—it can be one of your best salespeople. Podcaster and influencer Sam Dunning joins The Sales Gravy Podcast to discuss the Caveman Grunt Website Test, why effective SEO strategies are never a one-and-done exercise, and how to build and how to maximize website performance for consistent sales growth. If your site isn't converting visitors into customers, it's time to rethink your approach. In this blog post, we'll show you how to apply Dunning's key strategies to turn your website into a dynamic, lead-generating sales machine. Key Takeaways: Caveman Grunt Website Test: Follow the “We do X that solves Y” formula for clarity and effective conversion. Understanding Customer Pain Points: Craft landing pages that directly address customer pain points using simple, jargon-free solutions. Leveraging Podcasts for Lead Generation: Use podcasting to build authority, get referrals, and increase inbound traffic. Turn Your Passions Into Profit: Experiment with activities you enjoy to see if they can be monetized, and give them three months to generate results. SEO is a Long-Term Commitment: Don't treat SEO as a one-time task. Ongoing optimization, including backlinks, keyword updates, and metadata improvements, is key to keeping your website visible. https://youtu.be/y3-ALV67iT4 1. SEO Strategies are Not Dead Sure, the introduction of AI optimization has some professionals running to figure out the algorithm for getting high rankings from AI platforms like ChatGPT or even Google's AI overviews. But as far as we know, for Google – which still dominates the landscape – the same effective SEO strategies make for high rankings on AI overviews. That means overall you still need to focus on Google's EEAT format: Experience, Expertise, Authority, and Trust. If you decide that SEO is worth your time then the best place to start is coming up with what your potential customers will be searching for to solve their problem. Consider: Industries where you've already seen success selling your products or services Companies or organizations that can afford your solutions What those companies might currently have cobbled together to solve their problems 2. The Caveman Grunt Website Test: A Simple Formula for Success Does your website pass the Caveman Grunt Test? The premise is simple: If a caveman visited your website, would it be immediately clear what problem you solve and how you solve it? Keep your messaging straightforward—avoid jargon and unnecessary complexity. Tip: Focus on the "We do X that solves Y" formula for a clear value proposition. Too many businesses miss out on potential conversions by overcomplicating their website copy. Simple, direct language can drastically improve your conversion rates. 3. The Importance of Identifying and Addressing Customer Pain Points The most successful websites address specific pain points right away. Your landing pages should immediately highlight the problem your customer faces and present your solution in a simple, jargon-free manner. Here's what to include: Clear, Benefit-Focused Headlines that speak to your customer's pain point. If you confuse, you lose. Trust Signals like customer reviews, testimonials, and case studies. Explainer Videos or step-by-step guides to show how your product or service solves the problem. Why this works: Customers are most likely to convert when they feel you understand their challenges and have effective solutions. Ensure that your landing pages and home page are designed to address these pain points quickly 4. Using Podcasts to Build Authority and Generate Leads Once you've optimized your website for clarity and customer pain points, it's time to extend your reach. Podcasting is a powerful tool for building your brand, establishing authority,
Time is inescapable -- as if we need to explain that to anyone living in January 2025. However, our listeners who've been paying attention to our podcast this past month know the tyrannical clock is particularly present in our imagination. This preoccupation began with this week's conversation about Ripperland with John Harris Dunning, which we recorded in December last year and has been informing nearly every episode we've released since. Dunning co-wrote Ripperland with Steve Orlando, and it's illustrated by Alessandro Oliveri, colored by Francesca Vivaldi, and lettered by Fabio Amelia. The comic is set in 2188, three hundred years after Jack the Ripper terrorized London. In exchange for financial and military aid, England has given itself over to America, transforming into a gargantuan Victorian theme park. While no dinosaurs go on a rampage, a Jack the Ripper impersonator does. Enter American Special Agent Jesse Holden and local British Police Detective Edwin Fogg. Ripperland is a cracking good time but carries a sharp, damning wit. For as obsessed about Jack the Ripper as we are, we don't really understand or appreciate the reality surrounding the horrific murders that occurred in Whitechapel in 1888. It's a vicious, societal spook story in which storytellers of every medium - prose, song, cinema, comics - return repeatedly and readers hungrily accept. What does that say about the giver and the receiver? We discuss Jack the Ripper's hold on our planet with John Harris Dunning and how exploring the past from a position of the future creates a tantalizing mental exercise. Does fate damn us to repeat our mistakes, or are we just too stupid to learn? Ripperland #1 is currently on sale from Dark Horse Comics, and issue two will arrive in shops on February 26th. To continue this conversation with John Harris Dunning, follow him on Instagram and Bluesky. Other Relevant Links to This Week's Episode: Patreon Exclusive: John Harris Dunning on Spider-Woman #50 Patreon Exclusive Saga of the Swamp Thing Book Club Married to Singles: Tyler Crook on Mage: The Hero Discovered #5 Spectrum Book Club with Dave Chisholm and Rick Quinn Buy eBooks via Bookshop.org The BINC Foundation Introducing Sweet Shop The Beat Reports on Sweet "Comics Will Mend Your Heart" by Kevin Alvir Merch (Benifitting BINC) Funny Business: An Insider's Look at the Art of Cartooning The Art of Richard Thompson Final Round of Plugs (PHEW): Support the Podcast by Joining OUR PATREON COMMUNITY. The Comic Book Couples Counseling TeePublic Merch Page. Join us at the Alamo Drafthouse in Winchester, Virginia, on 2/09 at 5:00 PM for Conan the Barbarian, co-sponsored by Four Color Fantasies. And, of course, follow Comic Book Couples Counseling on Facebook, on Instagram, and on Bluesky @CBCCPodcast, and you can follow hosts Brad Gullickson @MouthDork & Lisa Gullickson @sidewalksiren. Send us your Words of Affirmation by leaving us a 5-star Review on Apple Podcasts. Continue your conversation with CBCC by hopping over to our website, where we have reviews, essays, and numerous interviews with comic book creators. Podcast logo by Jesse Lonergan and Hassan Otsmane-Elhaou.
Writer/Producer and UFO investigator Brian Dunning joins us for a chat about the recent "drone sightings" in New Jersey and beyond.VIDEO of this conversation:https://youtu.be/X1H6Ns0eOFIBRIAN'S PAGE:https://www.briandunning.com/Become a supporter of this podcast: https://www.spreaker.com/podcast/thethinkingatheist--3270347/support.