Podcasts about Dunning

Most people think the hard part is making money. But Lawrence Dunning's story shows that making money, keeping money, and using money well are three very different things. By 30, Lawrence had built a multi-million-dollar net worth on the trading floor in Chicago. Then he stepped away to pursue a dream that had a much smaller window: becoming a professional MMA fighter. When he came back, the trading business model that had made him wealthy had changed, and the income stream he once relied on was gone. In this episode of Money School Elite, I sit down with Lawrence to talk about what he learned from becoming a millionaire, losing it, rebuilding through real estate, and developing a very different philosophy around money. We get into the difference between being rich and being wealthy, why one revenue stream can create hidden fragility, how risk changes when the goal moves from making money to preserving it, and why the wrong partner can cost more than a bad investment. But this conversation goes beyond money. Lawrence and I also talk about time, fatherhood, health, giving, hard things, and why wealth only becomes meaningful when it helps you build a life you actually want to live.   About the Guest Lawrence Dunning is a real estate investor, broker, entrepreneur, former fixed-income derivatives trader, and former professional MMA fighter. Born and raised in London, England, Lawrence holds both an undergraduate degree and an MBA from the University of Exeter. He began his career in finance as a fixed-income derivatives trader, working in London, Amsterdam, and Wall Street before settling in Chicago, where he traded at the Chicago Board of Trade and eventually founded his own trading company. After beginning his real estate investing journey in 2009, Lawrence shifted his focus fully into real estate and became a full-time broker in 2014. Since then, he has sold more than a quarter of a billion dollars in real estate investment properties and built a diversified portfolio of commercial and residential assets. He specializes in helping investors find turnkey, cash-flow-positive buildings and has been recognized as a Top 1% agent in Chicago for a decade. Lawrence is part of the Dunning Team at Fulton Grace, host of the Enter the Lionheart podcast, and author of The Forgotten Asset Class. He is also a Jiu-Jitsu 3rd Degree Black Belt, bringing a rare perspective on discipline, risk, resilience, money, and what it takes to rebuild after major setbacks. Follow @LawrenceDunning on Instagram.    About Your Host From pro-snowboarder to money mogul, Chris Naugle has dedicated his life to being America's #1 Money Mentor. With a core belief that success is built not by the resources you have, but by how resourceful you can be. Chris has built and owned 19 companies, with his businesses being featured in Forbes, ABC, House Hunters, and his very own HGTV pilot in 2018. He is the founder of The Money School™ and Money Mentor for The Money Multiplier. His success also includes managing tens of millions of dollars in assets in the financial services and advisory industry and in real estate transactions. As an innovator and visionary in wealth-building and real estate, he empowers entrepreneurs, business owners, and real estate investors with the knowledge of how money works. Chris is also a nationally recognized speaker, author, and podcast host. He has spoken to and taught over ten thousand Americans, delivering the financial knowledge that fuels lasting freedom.   Resources Private Money Guide:  https://go.moneyschoolrei.com/book-podcast Wealth Wednesday Webinar: https://go.moneyschoolrei.com/wednesday-webinar-podcast Mapping out the Millionaire Mystery:  https://go.moneyschoolrei.com/newbook-podcast    

Clothing is one of the most overlooked sources of chemical exposure in modern life, and it sits on our skin all day, every day, literally from birth until death.In this episode, we're talking with Hannah Dunning, The Clean Clothing Chick, about what no one is regulating, no one is disclosing, and very few are questioning: the chemicals in our clothes and textiles. Many of these chemicals are believed to act like estrogen in the body, binding to receptors and interfering with normal signaling. And no, your skin isn't the impenetrable barrier you may think it is. We also discuss why washing clothes may reduce exposure to some chemicals while potentially increasing exposure to others, as they get broken down.We wanted to have this conversation both to learn and to raise awareness. The cumulative chemical exposure we face today is unlike anything previous generations experienced, and clothing may be a larger contributor than most people realize. Most of us care about keeping chemicals out of our food; it's time to have a conversation about our clothes.In this episode, you'll learn about certifications that may help consumers make more informed choices, including the difference between labels like “made with organic cotton” and more rigorous textile standards, as well as practical steps you can take to reduce exposure for yourself and your family.The Clean Clothing ChickHannah's petitionHannah on InstagramSend us Fan Mail Support the showAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded

Yoga isn't about doing the “right” thing — it's about finding what's true for you. In this conversation with yoga teacher, Tosha Yoga studio owner, and Flow School alum Suzanne Dunning, we talk about devotion, sequencing, voice, and what happens when teachers stop trying to fit a mold and start trusting their own way.That's where the real shift happens: less pressure, more freedom, and a practice that actually feels like yours.Connect with Suzanne on InstagramWeekly stories by email from Bonnie HEREConnect with Bonnie: Instagram, Email (hello@bonnieweeks.com), WebsiteProduced by: Grey Tanner

Join this week's show with: Shawn Hunter, Lawrence Dunning and Alan Weiss

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Aamir Amin, a cardiothoracic surgery resident at Manchester University NHS Foundation Trust, UK, about humanoid robots and artificial intelligence (AI) in surgery. Chapters  00:00 Intro  01:19 Quadruple-Organ Transplant  02:12 Sublobar Resection NSCLC Consensus  07:25 Ventricular Papillary MI Consensus  14:23 Weather Triggers of Acute Aortic Dissection  15:14 Perivascular Adipose ITA  16:20 Video 1, VATS Hyperparathyroidism  18:22 Video 2, Left VATS Pneumonectomy  20:27 Dr. Amin, Humanoid AI in Surgery  36:08 Upcoming Events  37:17 Career Center  Dr. Amin shares his insights from the Massachusetts Institute of Technology (MIT) (Cambridge, Massachusetts, USA) executive program on AI in healthcare, highlighting the program's benefits and key takeaways. He also reviewed research on humanoid robots, including a paper titled “In Vivo Feasibility Study of Humanoid Robots in Surgery.” Additionally, they discussed the practical implementation of AI in surgery, its broader benefits, and its specific application within cardiothoracic and intraoperative settings. Finally, they explored the risks associated with humanoid robots and Dr. Amin provided guidance on the initial steps individuals can take to get involved with AI. Joel also highlights recent JANS articles on the STS expert consensus document (2026) on addressing definition and practices of sublobar resection in non-small cell lung cancer, ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction, a case-crossover study of 293 patients on weather-related triggers of acute aortic dissection, and perivascular adipose on relaxation of internal thoracic artery with surgical implications. In addition, Joel explores a VATS solution for ectopic primary hyperparathyroidism, left VATS pneumonectomy, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Filip Casselman about aortic valve replacement. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned STS Expert Consensus Document (2026) on Addressing Definition and Practices of Sublobar Resection in Non-Small Cell Lung Cancer Ventricular Free-Wall Rupture, Ventricular Pseudoaneurysm, and Papillary Muscle Rupture Complicating Acute Myocardial Infarction Weather-Related Triggers of Acute Aortic Dissection: A Case-Crossover Study of 293 Patients Perivascular Adipose on Relaxation of Internal Thoracic Artery With Surgical Implications: Better Antispastic Effect of Pedicle Than Skeletal Grafts CTSNet Content Mentioned Navigating the Mediastinum: A VATS Solution for Ectopic Primary Hyperparathyroidism The Atrium: Aortic Valve Replacement Left VATS Pneumonectomy Other Items Mentioned Humanoid Robots in the Operating Room: A Framework for Staged Integration of Embodied AI in Surgery In Vivo Feasibility Study of Humanoid Robots in Surgery Human–Robot Collaboration in Surgery at the Nexus of Knowledge, Agency, and Ownership Northwestern Medicine Performs First Known Quadruple-Organ Transplant Involving Retransplanted Lungs Career Center CTSNet Events   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 spoke with Dr. Ahmed Ghazy, Head of Minimally Invasive Surgery at Johannes Gutenberg University of Mainz, Germany, about robotic cardiac surgery adoption and training. Chapters 00:00 Intro 01:06 SRS Conference 03:57 JANS 1, Surgical Left AA Closure 05:01 JANS 2, Mainstream CTS Research 06:20 JANS 3, Socioec Deprivation Aortic Outcomes 07:55 JANS 4, Standalone & Hybrid AF Ablation 09:54 Video 1, Type A AAR & PA Banding 11:32 Video 2, Off-Pump SVC Reconstruction 13:39 Video 3, Endarterectomy & Off-Pump CABG 14:29 Dr. Ghazy, Robotic Cardiac Training 29:48 Upcoming Events Dr. Ghazy shares his experience working with Dr. M. M. Yusuf, a cardiothoracic and vascular surgeon at Apollo Hospitals in Chennai, India. Their conversation covers Dr. Ghazy's hands-on experience with various robotic systems and simulators, the professional connections he made, and insights into India's healthcare system. He also details the logistics of organizing the visit, including the application process and the specific procedures he performed. Furthermore, they discuss the difference between robotic systems and the difference between robotic-assisted and traditional minimally invasive surgery. Joel also highlights recent JANS articles on methods and criteria for evaluating the success of surgical left atrial appendage closure, evaluating the mainstream influence of cardiothoracic surgical research, insights from a 20-year single-center cohort on the impact of socioeconomic deprivation on early and long-term outcomes after major aortic surgery, and safety and efficacy of stand-alone and hybrid thoracoscopic atrial fibrillation ablation. In addition, Joel explores Type A interrupted aortic arch repair and pulmonary artery banding through a left posterolateral thoracotomy, off-pump superior vena cava reconstruction with mediastinal mass excision for SVC syndrome, and a 30-year-old bullet injury causing carotid stenosis—simultaneous carotid endarterectomy and off-pump CABG. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned Methods and Criteria for Evaluating the Success of Surgical Left Atrial Appendage Closure: A Systematic Review Evaluating the Mainstream Influence of Cardiothoracic Surgical Research: An Analysis of Google Trends Data from 2004 to 2024 Impact of Socioeconomic Deprivation on Early and Long-­Term Outcomes After Major Aortic Surgery: Insights From a 20-Year Single­Centre Cohort  Safety and Efficacy of Stand-Alone and Hybrid Thoracoscopic Atrial Fibrillation Ablation  CTSNet Content Mentioned Type A Interrupted Aortic Arch Repair and Pulmonary Artery Banding Through a Left Posterolateral Thoracotomy  Off-Pump Superior Vena Cava Reconstruction With Mediastinal Mass Excision for SVC Syndrome  A 30-Year-Old Bullet Injury Causing Carotid Stenosis—Simultaneous Carotid Endarterectomy and Off-Pump CABG Other Items Mentioned Innovation Video Competition Career Center CTSNet Events   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.

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This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Drs. Michael Mack and Tom Nguyen about the proposed US Centers for Medicare & Medicaid Services changes to how cardiologists and cardiac surgeons interact during transcatheter aortic valve replacement (TAVR) procedures. Chapters 00:00 Intro 01:21 TAVR Heart Team 04:08 JANS 1+2, JACC TAVR vs SAVR 12:19 JANS 3, TAVR Short-Term Outcomes 14:06 JANS 4, SAVR Life Expectancy 17:44 JANS 5, WSJ TAVR Article 19:19 Video 1, Direct AA Cannulation Technique 21:23 Video 2, Endoscopic Redo TVR After CABG 24:25 Video 3, Gaudiani Cox-Maze III 27:33 Dr. Mack & Nguyen, TAVR Heart Team 51:12 Closing Dr. Mack explained the current heart team system, established in 2011 through collaboration with the US Food and Drug Administration (FDA) and CMS, which has been highly successful in ensuring safe and effective TAVR implementation. He argues that the proposed CMS changes could potentially dismantle this collaborative approach by allowing asynchronous patient evaluation and procedures to be performed by single operators without surgeon involvement. Dr. Nguyen provided insights from a system leader's perspective, noting that while the proposed changes raise significant concerns about patient care and data collection, some cardiologists argue that surgeons are already not actively involved in many programs, making the single operator model the norm in practice. Both expressed concern that without mandatory surgeon participation and TAVR registry involvement, smaller programs may adopt practices that lack proper accountability and could lead to inappropriate patient selection and outcomes, potentially creating more contentious debates between TAVR and surgical approaches. Joel also highlights recent JANS articles including a propensity-matched analysis comparing 10-year outcomes after SAPIEN 3 TAVR in the PARTNER 2 SAPIEN 3 Intermediate-risk Registry with surgery in the PARTNER 2A trial; a single-center retrospective study evaluated 61 patients who underwent cardiac surgery after prior TAVR during a 10-year period at a high-volume academic center; whether surgical aortic valve replacement (SAVR) should remain the first choice for aortic stenosis in patients with a life expectancy beyond five years; and an article examining the dramatic rise in the popularity of transcatheter aortic valves, early valve failure, and the impact it has on patients' lives. In addition, Joel explores axillary cannulation as a primary cannulation strategy, beating-heart endoscopic tricuspid valve replacement for high-risk redo patients after CABG and device-related tricuspid valve injury, and a Cox-Maze III operation combined with a left internal mammary artery (LIMA) to left anterior descending artery (LAD), as well as an ascending aortic replacement and aortic valve resuspension. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 10-Year Outcomes of SAPIEN 3 Transcatheter Aortic Valve Replacement or Surgery in Intermediate-Risk Patients A Decade of Cardiac Surgery After Transcatheter Aortic Valve Replacement: Short-Term Clinical Outcomes at a High-Volume Center Great Debate: Surgical Aortic Valve Replacement Is First Choice for Aortic Stenosis in Patients With a Life Expectancy Beyond 5 Years A Breakthrough Heart Procedure Comes With Risky Tradeoffs CTSNet Content Mentioned Direct Axillary Artery Cannulation With the Open Seldinger Technique Endoscopic Redo Tricuspid Valve Replacement After CABG The Cox-Maze III Procedure Combined With Valve-Sparing Aortic Surgery and CABG Other Items Mentioned Centers for Medicare & Medicaid Services Database—TAVR Career Center CTSNet Events   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 spoke with Dr. Chris Malaisrie, a Professor of Surgery in the Division of Cardiac Surgery at Northwestern University and an Attending Cardiac Surgeon at Northwestern Medicine, about valve-sparing aortic root replacement techniques. Chapters 00:00 Intro 02:25 TAVR Heart Team Coverage 03:52 JANS 1, TAVR vs SAVR Perspective 10:50 JANS 2, Gene-Edited Transplant Model 13:13 JANS 3, Long-Term Outcomes Atrial Fib 14:31 JANS 4, 147-Minute Drowning Circ Arrest 18:01 Video 1, Double Ann Enlargement Prosth Mis 20:48 Video 2, Reop Aortic Root Reconstruction 22:24 Video 3, Normothermic AA Aneurysm 24:22 Dr. Malaisrie, Aortic Root Replacement 41:42 Closing The conversation covers a wide range of procedures, including the Bentall, Yacoub, and David operations, as well as the Ross procedure and personalized external aortic root support (PEARS). They further explore approaches to mitral and aortic valve repair, the management of diseased leaky valves, and the advantages of the Stanford modification of the David V procedure. Dr. Malaisrie concludes the discussion by offering advice to surgeons on refining their valve repair skills and shares his prediction for the future of valve repair surgery. Joel also highlights recent JANS articles on age vs lifetime perspective on the transcatheter vs surgical aortic valve implantation, gene-edited pig cardiac xenotransplantation as a bridge to allotransplantation in infants, long-term outcomes of postoperative atrial fibrillation after cardiac surgery, and a case on ice water drowning survival after 147-minute submersion and 7 °C hypothermic circulatory arrest. In addition, Joel explores double annular enlargement as an effective technique to overcome patient-prosthesis mismatch, reoperation for aortic root reconstruction, and normothermic treatment of an aortic arch aneurysm. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned Transcatheter vs Surgical Aortic Valve Implantation: Age vs Lifetime Perspective Gene-Edited Pig Cardiac Xenotransplantation as a Bridge to Allotransplantation in Infants: Progress in a Pig-to-Baboon Model Long-Term Outcomes of Postoperative Atrial Fibrillation After Cardiac Surgery: Results From 19,000 Patients Ice Water Drowning Survival After 147-Minute Submersion and 7 °C Hypothermic Circulatory Arrest CTSNet Content Mentioned Double Annular Enlargement as an Effective Technique to Overcome Patient-Prosthesis Mismatch Reoperation for Aortic Root Reconstruction Normothermic Treatment of an Aortic Arch Aneurysm Other Items Mentioned Centers for Medicare & Medicaid Services Database—TAVR Career Center CTSNet Events   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.

Editorial cartoonist Jack Ohman is good at skewering whatever he targets in his cartoons, a talent recognized by the honors he has received, including the Pulitzer Prize a decade ago and the Herblock Prize this year. Most people in Davis know him for the cartoons he drew for the Sacramento Bee for a decade. But Davis and longtime local journalist Bob Dunning also helped Ohman save his career, he says today on Davisville. Three years ago McClatchy, which owns the Bee, fired Ohman and the company's two other editorial cartoonists, saying it didn't want to run daily editorial cartoons anymore. Ohman, then 62, joined the San Francisco Chronicle part-time as a columnist and cartoonist, and a larger recovery followed when he launched You Betcha!, a Substack home in 2024 for his cartoons and columns. He got advice from Dunning and others — Dunning, of course, launched his own Substack after the Davis Enterprise cut him loose two years ago, and quickly surpassed the salary he'd lost. Other topics today: How Ohman works; developing a meta sense of San Francisco from regular meetings with Willie Brown; fishing; becoming a political columnist; and his project, currently idle, to write a graphic personal memoir of the Apollo 11 moon landing 57 years ago this month.  

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning discusses the Centers for Medicare & Medicaid Services proposed decision memo regarding the national coverage analysis for transcatheter aortic valve replacement (TAVR). Chapters 00:00 Intro 01:17 TAVR National Coverage 06:05 JANS 1, EPOCH CardioLink-10 Trial 10:20 JANS 2, Dacron Ross Autograft Analysis 12:23 JANS 3, Mech vs Biopros Valve Outcomes 15:53 Video 1, Ross Procedure I/E Reduction 19:18 Video 2, Hemi-Commando Procedure 22:14 Video 3, Left VATS Enucleation Leiomyoma 24:15 Dr. Meguid, Intraop Molecular Imaging 35:52 Closing He outlines crucial deadlines, actionable steps for surgeons, the importance of submitting public comments, and the necessity of data collection. Additionally, he spoke with Dr. Robert Meguid, Professor of Surgery at the University of Colorado Anschutz Medical Campus, Aurora, CO, USA, about intraoperative molecular imaging. They explore how this technology identifies small nodules, the functionality and use cases of the specialized camera, the associated learning curve, and other available systems. The conversation also touches on robotics, lymph node staging, and cost. Furthermore, Dr. Meguid shares insights on his frequency of use of this technique. Joel also highlights recent JANS articles on a systematic review and meta-analysis on how complete Dacron reinforcement of Ross autograft does not increase neo-aortic valve regurgitation, a randomized trial on superficial parasternal intercostal plane block with ropivacaine vs placebo for opioid exposure after cardiac surgery, and outcomes after conversion from mechanical to bioprosthetic valves for anticoagulation-related complications. In addition, Joel explores the Ross procedure with internal and external reduction annuloplasty using autologous tissue rings, hemi-commando procedure for bioprosthetic aortic valve endocarditis, and left-sided uniportal VATS enucleation of a large esophageal leiomyoma. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned Complete Dacron Reinforcement of Ross Autograft Does Not Increase Neo-Aortic Valve Regurgitation: A Systematic Review and Meta-Analysis Superficial Parasternal Intercostal Plane Block With Ropivacaine Versus Placebo for Opioid Exposure After Cardiac Surgery (EPOCH CardioLink-10): A Multicentre, Double-Blind, Randomised Trial Outcomes After Conversion From Mechanical to Bioprosthetic Valves for Anticoagulation-Related Complications CTSNet Content Mentioned Ross Procedure With Internal and External Reduction Annuloplasty Using Autologous Tissue Rings Hemi-Commando Procedure for Bioprosthetic Aortic Valve Endocarditis Left-Sided Uniportal VATS Enucleation of a Large Esophageal Leiomyoma Other Items Mentioned Centers for Medicare & Medicaid Services Database—TAVR Career Center CTSNet Events   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.

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This week on The Beat, CTSNet Editor-in-Chief Joel Dunning discusses the transcatheter aortic valve replacement (TAVR) heart team potentially losing a member. He explores the current composition of the TAVR heart team, proposed changes, the thoughts of cardiothoracic societies, and future actions regarding this issue. Chapters  00:00 Intro  01:53 TAVR Heart Team  07:48 JANS 1, Base Editing of PCSK9  09:47 JANS 2, High Volume Valve Sparing ARR  12:03 JANS 3, Western Rheumatic Heart Disease  14:05 JANS 4, Non-Intubated Uniportal VATS SL  15:38 Video 1, Miami Method-Bentall  17:02 Video 2, ALCAPA Repair  18:29 Video 3, Robotic Cardiac Podcast  22:17 Dr. Sundt, Mantle Radiation Patients  31:17 Upcoming Events  Additionally, he spoke with Dr. Thoralf Sundt, Chief of the Division of Cardiac Surgery and Director of the Corrigan Minehan Heart Center at Massachusetts General Hospital, Boston, MA, USA, about patients who have undergone mantle radiation. They discuss the challenges these patients face postoperatively, including the mortality rate associated with reoperations. The conversation also highlights the significance of employing a heart team approach for these patients, emphasizing the importance of preoperative planning and the application of TAVR, which is potentially suitable for these patients. Furthermore, they touch upon topics such as mechanical valves, porcelain aorta, and the importance of conducting careful operations on these patients. Joel also highlights recent JANS articles on in vivo base editing of PCSK9 with VERVE-102 for hypercholesterolemia, defining high-volume centers using prospective data for valve-sparing aortic root replacement, insights from the Netherlands Heart Registration on surgical care for rheumatic heart disease patients, and a cohort study on surgical techniques and outcome analysis of non-intubated uniportal VATS sleeve lobectomy. In addition, Joel explores a step-by-step technique for a minimally invasive Bentall procedure via right axillary access, the repair of an anomalous left coronary artery from the pulmonary artery via direct coronary transfer, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Husam Balkhy about multi-spectrum robotic cardiac surgery. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned In Vivo Base Editing of PCSK9 With VERVE-102 for Hypercholesterolemia Valve-Sparing Aortic Root Replacement: Defining High-Volume Centres Using Prospective Data Surgical Care for Rheumatic Heart Disease Patients: Insights From the Netherlands Heart Registration Surgical Techniques and Outcome Analysis of Non-Intubated Uniportal VATS Sleeve Lobectomy: A Cohort Study CTSNet Content Mentioned Minimally Invasive Bentall Procedure via Right Axillary Access: A Step-by-Step Technique Repair of Anomalous Left Coronary Artery From the Pulmonary Artery via Direct Coronary Transfer The Atrium: Multi-Spectrum Robotic Cardiac Surgery Other Items Mentioned Cardiac Reoperations in Patients With Prior Thoracic Radiation: A Single-Center Analysis of Outcomes and Key Lessons CTSNet Innovation Video Competition Career Center CTSNet Events   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 spoke with Dr. Isaac George, CTSNet Board Member and Co-Director of the Structural Heart and Valve Center, Surgical Director of Structural Heart Disease, and Co-Director of the Mitral and Tricuspid Center at Columbia University Medical Center/NewYork-Presbyterian, NY, USA, about the lifetime management of aortic valve disease. Chapters 00:00 Intro 02:11 AATS-CTSN Randomized Trials 04:37 JANS 1, Consensus Statement ALAD 10:28 JANS 2, Lung Re-Transplantation Outcomes 12:19 JANS 3, Aortic Homografts, EURECAH 15:15 JANS 4, Lobectomy Cost Analysis 18:10 Video 1, Anomalous L Coronary Artery 19:38 Video 2, Pulm Valve Replacement Reop 21:38 Video 3, Giant Pulm Artery Aneurysm 23:28 Dr. George Discussion 33:18 Upcoming Events 34:05 Closing They explored the expansion of transcatheter aortic valve replacement (TAVR), emphasizing the crucial role of the heart valve team in this process. The discussion highlighted the necessity for surgeons to be actively involved in the decision-making process surrounding TAVR, particularly in the early stages. They also addressed the importance of lifetime management of the valve, selecting the appropriate valve, and valve durability. Additionally, they discussed the significance of providing patients with multiple surgical options, the Ross procedure, mechanical valves, and explored which procedures patients are choosing. Joel also highlights recent JANS articles on the ISHLT consensus statement on acute lung allograft dysfunction, aortic homografts for native and prosthetic aortic valve and root endocarditis, how outcomes after lung re-transplantation for restrictive allograft syndrome have not improved over two decades, and the financial burden of postoperative adverse events following lobectomy. In addition, Joel explores the surgical repair of an anomalous left coronary artery from the right pulmonary artery, minimally invasive pulmonary valve replacement in reoperative settings, and surgical management of giant pulmonary artery aneurysm using a T-shaped graft-valve strategy. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned ISHLT Consensus Statement on Acute Lung Allograft Dysfunction (ALAD): Definition, Etiology, Diagnostic and Therapeutic Approaches, and Research Priorities Aortic Homografts for Native and Prosthetic Aortic Valve and Root Endocarditis: Results From the EUropean REgistry of Cryopreserved Aortic Homografts EURECAH Outcomes After Lung Re-Transplantation for Restrictive Allograft Syndrome Have Not Improved Over Two Decades Financial Burden of Postoperative Adverse Events Following Lobectomy: Cost Analysis From 10 High-Volume Canadian Hospitals CTSNet Content Mentioned Surgical Repair of an Anomalous Left Coronary Artery From the Right Pulmonary Artery Minimally Invasive Pulmonary Valve Replacement in Reoperative Settings Surgical Management of Giant Pulmonary Artery Aneurysm Using a T-Shaped Graft-Valve Strategy Other Items Mentioned CTSNet Innovation Video Competition Career Center CTSNet Events   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 spoke with Dr. Joseph Coselli, Executive Vice-Chair of the Michael E. DeBakey Department of Surgery, the Cullen Foundation Endowed Chair, and a Professor in the Division of Cardiothoracic Surgery at Baylor College of Medicine, Houston, TX, USA, about thoracoabdominal aortic aneurysm repair. Chapters  00:00 Intro  02:21 JANS 1, Ethical Leadership in CTS   07:36 JANS 2, Dual Antiplatelet RCT   10:27 JANS 3, Robotic MV Program   12:00 JANS 4, Time of Day Outcomes   15:34 Video 1, MI AV Replacement via RAM   17:04 Video 2, LA & Pulm Cuff Dissection   18:34 Video 3, LVOTE Master Class   21:09 Dr. Coselli Discussion   29:35 Upcoming Events   29:59 CTSNet Profiles Update  They discussed the increasing use of endovascular techniques and the declining prevalence of open surgery. Additionally, they emphasized the necessity of maintaining open surgery skills for certain cases and provided specific examples where these skills are essential. The conversation also covered the best spinal protection treatment, preconditioning the spinal cord, and hybrid approaches that combine open and endovascular techniques. Furthermore, they highlighted the importance of surgeons being involved in patient follow-up. Dr. Coselli also shared insights on future approaches and recommendations for individuals considering which subspecialty to pursue in cardiothoracic surgery. Joel also highlights recent JANS articles on ethical leadership in cardiothoracic surgery in an era of consolidation, efficacy of dual antiplatelet therapy for three months vs 12 months after coronary artery bypass grafting, outcomes following the first 100 cases of a new robotic mitral valve program, and time of day of cardiac surgery and postoperative outcomes in the UK. In addition, Joel explores minimally invasive aortic valve replacement via right anterior minithoracotomy, left atrial and pulmonary cuff dissection after heart and lung en-bloc procurement, and a master class with Drs. Sameh Said and Vince Gaudiani on the Konno procedure and left ventricular outflow tract enlargement. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned Ethical Leadership in Cardiothoracic Surgery in an Era of Consolidation: A Framework for Trust, Transparency, and Workforce Stability Efficacy of Dual Antiplatelet Therapy for Three Months Versus 12 months After Coronary Artery Bypass Grafting: Multicentre, Double Blinded, Randomised Controlled Trial Outcomes Following the First 100 Cases of a New Robotic Mitral Valve Program Time of Day of Cardiac Surgery and Postoperative Outcomes in the UK: A Secondary Analysis of Linked National Datasets CTSNet Content Mentioned Minimally Invasive Aortic Valve Replacement via Right Anterior Minithoracotomy Left Atrial and Pulmonary Cuff Dissection After Heart and Lung En-Bloc Procurement Master Class: The Konno Procedure and LVOT Enlargement With Sameh Said and Vince Gaudiani Other Items Mentioned Career Center CTSNet Events   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 spoke with Dr. Nikki Stamp, a cardiothoracic surgeon at Mount Private Hospital in Perth, Western Australia, who also serves as an Adjunct Clinical Senior Lecturer at Curtin University, Australia, about shifting healthcare policy in surgery.   Chapters  00:00 Intro  01:45 ESTS 2026  02:01 Presidential Address  02:52 Keynote, Emerging Surgical Technologies  05:21 Segmentectomy vs Lobectomy  10:18 Other Key Presentations  11:34 JANS 1, Propensity Score Analysis  12:30 JANS 2, FILONEX Hemodiafiltration  13:21 JANS 3, Transplant Surgery at Night  14:29 Video 1, Aortic Dissection Presentations  15:36 Video 2, Endoscopic AV & AA Replacement  16:45 Video 3, Tetralogy Repair in an Infant  18:12 Dr. Stamp, Health Media & Policy  33:46 Career Center  34:03 Closing  They begin by discussing Dr. Stamp's professional background, including her experiences working with the media and the lessons she learned from it. They also explore the positive effects of social media for surgeons, such as networking and learning from peers. Additionally, they identify areas for improvement in aortic surgery and transplants. Dr. Stamp then shares her vision for the future of cardiothoracic surgery, emphasizing the need to reduce fragmentation of care and encourage professionals to focus their efforts on their specific specialties.   Joel also highlights recent JANS articles on a propensity score matching analysis on the risk of sternal wound infection in bilateral skeletonized internal thoracic artery in coronary artery bypass grafting, a prospective, randomized controlled pilot safety study evaluating the addition of hemodiafiltration to EVLP in marginal donor lungs, mechanical load inhibits cancer growth in mouse and human hearts, and outcomes of lung transplantation surgery performed at night  In addition, Joel explores totally endoscopic aortic valve and ascending aorta replacement, tetralogy repair in an infant, and a presentation from the 2026 Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting on aortic dissection.  Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  Risk of Sternal Wound Infection in Bilateral Skeletonized Internal Thoracic Artery in Coronary Artery Bypass Grafting: A Propensity Score Matching Analysis FILONEX—A Prospective, Randomized Controlled Pilot Safety Study Evaluating the Addition of Hemodiafiltration to EVLP in Marginal Donor Lungs Mechanical Load Inhibits Cancer Growth in Mouse and Human Hearts Outcomes of Lung Transplantation Surgery Performed at Night CTSNet Content Mentioned  SCTS 2026 | Aortic Dissection   Totally Endoscopic Aortic Valve and Ascending Aorta Replacement   Tetralogy Repair in an Infant   Other Items Mentioned  Career Center  CTSNet Events   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.

For the first time in 28 years Scotland is headed to the World Cup. Now a butcher in the small village of Dunning, Scotland is trying to convince the American government to lift a decades long ban on traditional haggis so fans can celebrate with the country's national dish.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Bo Yang, a cardiovascular and thoracic surgeon at the University of Michigan Health in Ann Arbor, Michigan, USA, about aortic root enlargement.   Chapters 00:00 Intro 02:37 JANS 1, WhatsApp for Patients 08:27 JANS 2, DCD Heart Transplant 11:07 JANS 3, TIGHT K Trial 13:18 JANS 4, RecoverHeart Calculator 15:57 Video 1, Self Constructed Valve 18:52 Video 2, MVR Sandwich Technique 20:43 Video 3, Distal Coronary Anastomosis Podcast 23:04 Dr. Yang, Annular Enlargement 36:31 Upcoming Events 37:26 Closing They explored Dr. Yang's participation in a debate regarding the use of aortic root enlargement for the majority of patients, addressing the opposing views against root enlargement and discussing the percentage of patients who undergo this procedure. The conversation also covered important topics such as the mean gradient dropping and the lifelong management of aortic valve disease. They emphasize the importance of maximizing the initial valve size for optimal outcomes. Additionally, Dr. Yang shared insights on his Y-incision technique, highlighting its advantages and effectiveness. They also examined whether this technique increases the length of the surgical procedure.   Joel also highlights recent JANS articles on exploring the use of instant messaging groups in the postoperative period for pectus excavatum patients, a multicenter retrospective study comparing DCD heart transplantation in Europe and the United States, six-month outcomes of a trial of potassium supplementation thresholds after cardiac surgery, and determining the individualized probability of myocardial recovery.  In addition, Joel explores self-constructed tubular heart valve using bovine pericardium for surgical treatment of tricuspid valve endocarditis, mitral valve repair using the sandwich technique for symmetrical bileaflet prolapse, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Elan Burton about distal coronary anastomosis.    Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  Exploring the Use of Instant Messaging Groups in the Postoperative Period for Pectus Excavatum Patients A Comparison of DCD Heart Transplantation in Europe and the United States: A Multi-Centre, Retrospective Study Six-Month Outcomes of a Trial of Potassium Supplementation Thresholds After Cardiac Surgery Determining the Individualized Probability of Myocardial Recovery: The Multicenter RecoverHeart Calculator  CTSNet Content Mentioned  Self-Constructed Tubular Heart Valve Using Bovine Pericardium for Surgical Treatment of Tricuspid Valve Endocarditis  Mitral Valve Repair Using the Sandwich Technique for Symmetrical Bileaflet Prolapse   The Atrium: Distal Coronary Anastomosis  Other Items Mentioned  Career Center  CTSNet Events    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 spoke with Dr. Gilbert Tang, Editor-in-Chief of Journal of the American College of Cardiology (JACC): Case Reports, professor in the Department of Cardiovascular Surgery at the Icahn School of Medicine at Mount Sinai, surgical director of the Structural Heart Program at Mount Sinai Health System, and the director of Structural Heart Education at the Mount Sinai Fuster Heart Hospital in New York, NY, USA. They were joined by Drs. Mateo Marin-Cuartas, associate editor of JACC: Case Reports, CTSNet JANS Editor, and cardiac surgeon at Leipzig Heart Center, Germany, and Tsuyoshi Kaneko, Chair of American College of Cardiology (ACC) Cardiac Surgery Member Section and Chief of Cardiac Surgery at Washington University in St. Louis, MO, USA, to discuss JACC: Case Reports. Chapters 00:00 Intro 01:45 Instructional Video Competition 05:30 JANS 1, Lung Cancer Metastasis 09:08 JANS 2, Uncorrected Pectus 11:29 JANS 3, Ambulatory VV Life Support 13:38 JANS 4, EuroSCORE II 14:28 Video 1, TAVR Removal Double Patch 16:09 Video 2, ROK Procedure AF 17:46 Video 3, RATS Lobectomy 19:11 JACC Case Reports 35:28 Upcoming Events 36:03 Career Center They discussed the mission of the journal and the types of submissions it receives. They also covered the types of cases accepted and the various categories within the journal has, such as the "How We Did It" section. Additionally, they talked about the upcoming partnership between JACC: Case Reports and the ACC, as well as past collaborations that JACC has undertaken. Dr. Marin-Cuartas shared insights about his role as an associate editor and highlighted the most interesting case he has encountered in JACC: Case Reports. Furthermore, Dr. Kaneko discussed being the Chair of the ACC Cardiac Surgery Member Section. Joel also highlights recent JANS articles on the evolutionary characterization of lung cancer metastasis, the impact of severe uncorrected pectus excavatum on outcomes after aortic surgery in Marfan syndrome, determining an optimal central cannulation strategy for ambulatory veno-venous extracorporeal life support, and refitting EuroSCORE II for 120-day mortality after coronary artery bypass grafting using nationwide registry data. In addition, Joel explores complex imaging TAVR removal double patch double valve, RATS extended left upper lobectomy with intrapericardial vascular control and bronchoplasty, and ROK procedure for the treatment of atrial fibrillation. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned Evolutionary Characterization of Lung Cancer Metastasis Impact of Severe Uncorrected Pectus Excavatum on Outcomes After Aortic Surgery in Marfan Syndrome Determining an Optimal Central Cannulation Strategy for Ambulatory Veno-Venous Extracorporeal Life Support Refitting EuroSCORE II for 120-Day Mortality After Coronary Artery Bypass Grafting Using Nationwide Registry Data CTSNet Content Mentioned Complex Imaging TAVR Removal Double Patch Double Valve RATS Extended Left Upper Lobectomy With Intrapericardial Vascular Control and Bronchoplasty ROK Procedure for the Treatment of Atrial Fibrillation Other Items Mentioned JACC: Case Reports 2026 Instructional Video Competition Winners Career Center CTSNet Events   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.

Natica Dunning takes us through all of the events of the 2026 Break the Cycle calendar: The June 6 Challenge Ride with 100, 50 and 25 mile options, the June 19 BTC 200 Ride, a one day 200 mile ride from West Des Moines to Okoboji Iowa and the June 20 5K All Day Walk, Run or Ruck event at Raccoon River Park in West Des Moines. For information, to register, volunteer or to donate to any of these events, start here: https://pro.gofundme.com/event/break-the-cycle-des-moines-2026/e751360To donate to Natica's page directly: https://pro.gofundme.com/fundraiser/7180997To listen to previous episodes: Episode 134: Experience 200 miles with a variety of cyclsts as they complete a 200 mile ride: https://rss.com/podcasts/biketalkwdave/1554287/Episode 159: Dave's personal journey and longest ride of his life! https://rss.com/podcasts/biketalkwdave/2119641/Check out Pedaling Dirt, a YouTube travel channel for mountain bike trails and gravel routes! https://www.youtube.com/@PedaldirtCheck out the first episode, which also includes the history of the Sycamore Trail! https://youtu.be/byd3JEtlQB8?si=HOo260dlt34NQo0tHave a great week and I hope your next ride is your BEST ride, because nothing compares to the simple pleasure of riding a bicycle!

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Enoch Akowuah, an academic consultant cardiothoracic surgeon at Newcastle University and South Tees NHS Foundation Trust, UK, and Dr. Matthias Raschpichler, a cardiac surgeon at Leipzig Heart Center, Germany, about the REPEAT trial. Chapters 00:00 Intro 02:21 JANS 1, NOBLE Trial 07:14 JANS 2, Ischemic Mitral Regurg MVR 08:58 JANS 3, Pregnancy Outcomes AVR 11:19 JANS 4, MCS LVAD Candidates 13:06 Video 1, Thoracoplasty 14:58 Video 2, Nuss Procedure After Ravitch 16:42 Video 3, Traumatic Right Main Bronchus 19:04 REPEAT Trial, Bioprostheses 32:22 Upcoming Events 32:46 Closing They discussed the trial's objectives, including what it is, why it is needed, and its overall goals. The setup of the trial was also examined, covering aspects such as funding, composite outcome, and follow-up procedures. Additionally, they addressed the target number of patients required for recruitment and the efforts involved in recruiting patients and centers to participate in the trial. They emphasized the overall significance of the trial, outlining what is necessary for its success and highlighting the importance of collaboration among heart teams. Joel also highlights recent JANS articles on percutaneous coronary intervention vs coronary artery bypass grafting for unprotected left main stenosis, a two-decade experience on the outcomes of mitral valve repair in ischemic mitral regurgitation, maternal, valvular and fetal outcomes of pregnancy following aortic valve replacement, and temporary mechanical circulatory support in left ventricular assist device candidates with right ventricular dysfunction. In addition, Joel explores if forgotten techniques of thoracoplasty with latissimus dorsi myoplasty are relevant today, the Nuss procedure after previous Ravitch operation, and uniportal VATS repair of traumatic right main bronchus transection following blunt chest injury. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for Unprotected Left Main Stenosis: 10-Year Final Results From the Randomised, Open-Label, Non-Inferiority NOBLE Trial Outcomes of Mitral Valve Repair in Ischemic Mitral Regurgitation: A Two-Decade Experience Maternal, Valvular and Foetal Outcomes of Pregnancy Following Aortic Valve Replacement  Temporary Mechanical Circulatory Support in Left Ventricular Assist Device Candidates With Right Ventricular Dysfunction: Acuity Without Long-Term Futility CTSNet Content Mentioned Are the Forgotten Techniques of Thoracoplasty With Latissimus Dorsi Myoplasty Relevant Today?  Nuss Procedure After Previous Ravitch Operation  Uniportal VATS Repair of Traumatic Right Main Bronchus Transection Following Blunt Chest Injury  Other Items Mentioned The REPEAT Trial Career Center CTSNet Events 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.

Paddy Dunning joins me in studio this week for one of the most fascinating conversations we've had on Unfiltered so far.   From bringing Michael Jackson to Ireland in 2006, to building some of Ireland's most iconic creative and entertainment spaces including Grouse Lodge Recording Studios, The Button Factory, The Giant Company, The Irish Rock 'N' Roll Museum Experience and the National Wax Museum, Paddy shares the real stories behind a lifetime in business, music and entertainment.   We talk about: • What it was really like working with Michael Jackson • The early days of building creative businesses in Ireland • The reality of entrepreneurship behind the scenes • Why Ireland continues to produce world class talent • Creativity, culture and ambition in Westmeath • The future of the Irish music industry • Taking risks, backing yourself and building long term success   This episode is packed with incredible stories, valuable lessons and moments that genuinely surprised me throughout the conversation.   Sponsored by Apache Pizza Mullingar

This week on The Whiskey Trip Podcast, Big Chief rides into the shadow of Pikes Peak to sit down with Paul Dunning from 13th Century Whiskey in beautiful Colorado Springs.   Paul has built something truly unique in the whiskey world — a brand where every bottle is part of the experience. Each handcrafted release features a blown glass figure inside, from copper stills and aging barrels to incredible wildlife designs, making these bottles true shelf pieces and instant conversation starters.   Crafted at the base of Pikes Peak, 13th Century Whiskey ages its spirits in small 30-gallon barrels, creating bold cask-strength pours packed with flavor while remaining remarkably smooth.   Big Chief kicks things off with the Reserve Rye at 143 proof — unfiltered and unapologetic. Dark caramel, black pepper, baking spice, and toasted oak explode from the glass before finishing with a long warming spice.   He then moves to the Reserve Bourbon at 142.2 proof to close out the first half. Vanilla bean, maple syrup, dark cherry, and caramelized sugar coat the palate with a rich oily mouthfeel that drinks far smoother than the proof suggests.   On the second half, Big Chief pours the Cigar Blend — a toasted barrel-finished bourbon at 141 proof — and immediately gets transported back to childhood campfires and s'mores. Toasted marshmallow, graham cracker, melted chocolate, espresso, and charred oak create one unforgettable pour.   To finish the ride, Big Chief pours their American Single Malt at 134.4 proof, which quickly became the star of the show. Honey, toasted malt, dark fruit, chocolate-covered raisins, and subtle smoke deliver a rich and balanced finish that refused to quit.   Throughout the episode, Paul shares the story behind building 13th Century Whiskey, the inspiration behind the unforgettable bottles, and the passion required to stand apart in today's whiskey world.   Take the Ride. Cheers.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Brad Leshnower, Director of Aortic Surgery at Emory University Hospital in Atlanta, GA, USA, about the first implantation of the Gore Ascending Stent Graft in the ARISE III trial for the treatment of an acute type A dissection. Chapters 00:00 Intro 02:26 New CTSNet Website 03:31 JANS 1, Thromboendarterectomy Fellowship 05:28 JANS 2, Sodium-Glucose Cotransporter 2 Inhibitor 07:36 JANS 3, Type A Acute Aortic Dissections 09:51 JANS 4, Asymptomatic Aortic Stenosis at 10 Years 11:46 Video 1, Nuss Procedure w Chrondrotomies 13:08 Video 2, Cardiac Redo Surgery 14:52 Video 3, Uniportal Lobectomy Bronchial Reimplantation 16:13 Dr. Leshnower, Ascending Stent Grafts 32:51 Career Center 33:52 Closing They discussed Dr. Leshnower's experience with this groundbreaking implantation, including the case details such as the patient's medical history, the assessment of the patient's high-risk status, and the criteria for determining their suitability for the procedure. Imaging techniques and the contributions of the other surgeons involved in the case were also highlighted. Furthermore, they delved into the use of the stent in previous ARISE trials and what Dr. Leshnower learned from those early experiences. The conversation also covered topics such as proximal placement, the innominate artery, and the preoperative planning required for the trial. Dr. Leshnower also shared what he learned from this case and discussed the future of the stent graft and this technique. Joel also highlights recent JANS articles on the safety and efficacy of a dedicated pulmonary thromboendarterectomy fellowship, sodium-glucose cotransporter 2 inhibitor use and outcomes after surgical aortic valve replacement, association between surgical timing and postoperative outcomes in type A acute aortic dissection, and early surgery or conservative care for asymptomatic aortic stenosis at 10 years. In addition, Joel explores the Nuss procedure with midline chrondrotomies in severe pectus excavatum, redo surgery for failed MVr, iatrogenic ASD, tricuspid valve regurgitation, and aorta replacement, and uniportal VATS left lower sleeve lobectomy with upper lobe bronchial reimplantation for typical carcinoid tumor. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned Safety and Efficacy of a Dedicated Pulmonary Thromboendarterectomy Fellowship: The UK Experience at a High-Volume Center Sodium-Glucose Cotransporter 2 Inhibitor Use and Outcomes After Surgical Aortic Valve Replacement Association Between Surgical Timing and Postoperative Outcomes in TypeAAcute Aortic Dissection Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis at 10 Years  CTSNet Content Mentioned The Nuss Procedure With Midline Chrondrotomies in Severe Pectus Excavatum  Redo Surgery for Failed MVr, Iatrogenic ASD, Tricuspid Valve Regurgitation, and Aorta Replacement  Uniportal VATS Left Lower Sleeve Lobectomy With Upper Lobe Bronchial Reimplantation for Typical Carcinoid Tumor  Other Items Mentioned ARISE III Trial of Gore Ascending Stent Graft Begins Enrollment How to Navigate the New CTSNet Website Career Center CTSNet Events 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 spoke with Dr. Andrea Steely, an Assistant Professor of Cardiac Surgery in the Division of Cardiothoracic Surgery at the University of Utah Health, Salt Lake City, UT, USA, about aortic surgery and long-term patient follow-up. Chapters 00:00 Intro  01:43 New CTSNet Website  02:36 AATS 2026  09:15 EJCTS News  10:15 Video 1, Left Ventriculotomy  10:51 Video 2, 3-Vessel TECAB  12:24 Video 3, AV Disease in Young Patients  13:14 Andrea Steely, Aortic Surgery & Follow-Up  29:14 Upcoming Events  They discussed the critical importance of educating both patients and surgeons about aortic disease, and the most effective strategies for follow-up care after aortic surgery. The conversation also covered testing genetic factors and stabilizing the aortic arch. They also explored reintervention and the importance of a multidisciplinary follow-up approach. Additionally, they addressed topics such as lung cancer screening, the training of non-MDs to evaluate screening charts, and the development of an aortic pathology sheet for each patient.   In addition, Joel explores an underutilized approach for closing multiple apical ventricular septal defects, robotic-assisted three-vessel minimally invasive coronary artery bypass, and a presentation from Emile Bacha on the "Surgical Management of Aortic Valve Disease in Young Patients."  Before closing, Joel highlights upcoming events in CT surgery.    CTSNet Content Mentioned  1. Left Ventriculotomy: An Underutilized Approach for Closing Multiple Apical Ventricular Septal Defects  2. Robotic-Assisted Three-Vessel Minimally Invasive Coronary Artery Bypass  3. SCTS 2026 | Surgical Management of Aortic Valve Disease in Young Patients  Other Items Mentioned  1. How to Navigate the New CTSNet Website  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.

Julianna Dunning & Torrey Dasmann were potters at the Ceramic Showcase and they were sharing their booth and it proved to be very helpful for the both of them. In this conversation we talked through the pros and cons of their teaming up for their booth. https://ThePottersCast.com/1225

What does a sustainable relationship with money actually look like? In this episode, Denise Dunning, founder of Rise Up Together, shares how the idea of sustainability shapes everything from how she leads a global nonprofit to how she earns, saves, and raises her children. Her story reveals that building a meaningful financial life is not about extremes, but about creating something that can endure. About Denise Dunning: Building a Global Model for Sustainable Impact Denise is the Founder and Executive Director of Rise Up Together. She launched Rise Up Together following years of working closely with country-based leaders and organizations to develop a new, locally-led model for sustainable impact at scale. Today, Rise Up Together's team builds power with leaders and partners in the US, Africa, Asia, and Latin America and has created lasting impact for more than 172 million people. Previously, Denise worked at the David & Lucile Packard Foundation on global women's reproductive health and rights, and the Inter-American Development Bank on poverty reduction strategies in Honduras. She was a distinguished Fulbright Scholar, National Science Foundation Fellow, and Stanford Social Entrepreneur in Residence. Denise has a Ph.D. and M.A. in Sociology from UC Berkeley, a Master's in Public Affairs from Princeton, and graduated Summa Cum Laude from Duke. Her work has been featured in media outlets including the Stanford Social Innovation Review, The Guardian, Al Jazeera, The Christian Science Monitor, and Alliance Magazine. Denise has lived in five countries, and worked and traveled in many more, including her mother's native Argentina. She speaks four languages, and now calls San Francisco home, where she resides with her husband, three children, and two cats. Ready to build a more intentional relationship with money? Explore more conversations like this on Aspiriant's Money Tales podcast, where we dive into the stories behind how people earn, save, and live with money. And for deeper insights, visit fathom, our content hub for perspectives on wealth, values, and decision-making. If you are thinking about how to align your wealth with your values, an Aspiriant advisor can help you clarify your purpose, structure your giving and build a thoughtful philanthropic plan that fits your family. Follow Money Tales on Spotify, Apple Podcasts or YouTube Music for more real stories that inspire thoughtful, intentional decisions about money.

Kyla Dunning is a visual artist, songwriter, poet, and more. Kyla is a resident artist at MacGown Art Retreat Studio (MARS).Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Zhi Lin, Chief Director of Cardiovascular Surgery Division 1 at Xiamen Cardiovascular Hospital of Xiamen University in Xiamen, China, and Dr. Oscar A. Flores Flores, a cardiothoracic surgeon at Hospital Civil de Guadalajara Fray Antonio Alcalde in Guadalajara, Mexico, about The Heart Sapling Visiting Scholar Program. Chapters 00:00 Intro 02:22 AATS, UAE Conference, King Faisal 05:28 JANS 1, LAA Closure vs Therapy AF 09:53 JANS 2, Thrombus-Free LAA Occlusion 11:49 JANS 3, Immunosuppression & Retransplantation 13:06 JANS 4, Biomarkers & Outcomes Isolated CABG 15:18 Video 1, Rheumatic MV Reconstruction 17:02 Video 2, Morgagni Hernia 18:07 Video 3, Robotic Excision Anterior Mediastinal 19:35 Lin Zhi & Oscar Flores, Chinese Fellowship & Surgery 34:25 Upcoming Events 35:13 Closing Dr. Flores discusses what the program entails, sharing his experience as a fellow and the opportunities he gained from it. Dr. Lin then outlines the program's goals and the various procedures that can be learned at Xiamen Cardiovascular Hospital of Xiamen University, which hosts the program. They also cover how to join the program and the application process. Furthermore, they discuss minimally invasive procedures in China and how this approach is growing in popularity. Joel also highlights recent JANS articles on left atrial appendage closure or medical therapy in atrial fibrillation, long-term thrombus-free left atrial appendage occlusion via magnetofluids, implications of immunosuppression and retransplantation for donor-derived cell-free DNA associated with increased risk of chronic lung allograft dysfunction and mortality, and immunosenescence biomarkers and outcomes in isolated coronary artery bypass grafting.  In addition, Joel explores rheumatic mitral valve reconstruction, tips for the surgical management of a Morgagni hernia, and right robotic excision of anterior mediastinal mass. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. Left Atrial Appendage Closure or Medical Therapy in Atrial Fibrillation  2. Long-Term Thrombus-Free Left Atrial Appendage Occlusion Via Magnetofluids  3. Donor-Derived Cell-Free DNA Associated With Increased Risk of Chronic Lung Allograft Dysfunction and Mortality: Implications of Immunosuppression and Retransplantation  4. Immunosenescence Biomarkers and Outcomes in Isolated Coronary Artery Bypass Grafting  CTSNet Content Mentioned  1. Rheumatic Mitral Valve Reconstruction  2. Tips for the Surgical Management of a Morgagni Hernia  3. Right Robotic Excision of Anterior Mediastinal Mass  Other Items Mentioned  1. Endoscopic Cone Repair in an Adult Patient With Ebstein Anomaly    2. CTSNet Website Redesign: Important Updates and Transition Details   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 spoke with Dr. Zain Khalpey, an assistant attending surgeon at NewYork-Presbyterian/Columbia University Irving Medical Center, NY, USA, adjunct assistant professor of surgery at Columbia University Irving Medical Center, NY, USA, and Chief Medical AI Officer, Chair of Applied Clinical AI, and Director of Applied Translational Artificial Research Institute (ATARI), AZ, USA, about utilizing artificial intelligence (AI) in cardiothoracic surgery. Chapters 00:00 Intro 01:42 Upcoming CTSNet Activities 03:01 Website Transition 03:54 JANS 1, Mech vs Bio AVR in 50–70 YO 08:16 JANS 2, Abnormal Bleeding in OR 10:26 JANS 3, Intraop Assessment RV Function 11:54 JANS 4, Laser Anastomosis System CABG 14:49 Video 1, RAMT AVR Hemiarch Replacement 16:23 Video 2, Big Cyst & Small Incisions 17:33 Video 3, Left VATS Pneumonectomy 19:55 Dr. Khalpey, AI in CT Surgery 30:28 Upcoming Events 31:48 Closing They discuss the importance of ethical AI being and address risk scores. The conversation also covers the application of AI in preoperative, intraoperative, and postoperative settings, as well as predictive algorithms and the benefits of integrating AI within cardiothoracic surgery. Additionally, they emphasize that there will always be a need for surgeons, as AI cannot replace human expertise.   Joel also highlights recent JANS articles on a systematic review and meta-analysis on mechanical vs biological aortic valve replacement in patients aged 50-70 years, an observational study of inter-rater reliability between anesthetists and surgeons on abnormal bleeding in the cardiac operating room, advancing intraoperative assessment of right ventricular function, and the excimer laser assisted non-occlusive anastomosis (ELANA) anastomotic system surgical technique to construct distal anastomoses using a novel device in coronary artery bypass grafting.  In addition, Joel explores a right anterior minithoractomy aortic valve replacement, ascending aorta, and hemiarch repair, thoracoscopic resection of a large mediastinal cyst, and left VATS pneumonectomy in pediatric pulmonary mucoepidermoid carcinoma. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. Mechanical Versus Biological Aortic Valve Replacement in Patients Aged 50-70 Years: A Systematic Review and Meta-Analysis  2. Abnormal Bleeding in the Cardiac Operating Room: An Observational Study of Inter-Rater Reliability Between Anesthetists and Surgeons  3. Echocardiographic Correlates of Pressure-Volume-Derived Indices: Advancing Intraoperative Assessment of Right Ventricular Function  4. The Excimer Laser Assisted Non-Occlusive Anastomosis (ELANA) Anastomotic System Surgical Technique to Construct Distal Anastomoses Using a Novel Device in Coronary Artery Bypass Grafting  CTSNet Content Mentioned  1. Right Anterior Minithoractomy Aortic Valve Replacement, Ascending Aorta, and Hemiarch Repair   2. When Size Is Not a Limitation: Thoracoscopic Resection of a Large Mediastinal Cyst   3. Left VATS Pneumonectomy in Pediatric Pulmonary Mucoepidermoid Carcinoma   Other Items Mentioned  1. Website Blackout Notice!  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 spoke with Frank Tamru, author of Power: A Memoir and owner of Frank Tamru Consultants LLC, about aortic valve technology throughout the years. Chapters 00:00 Intro 01:51 New Website Preparation 02:53 AATS 2026 Overview 11:59 Video 1, Robotic Right-Sided MIDCAB 13:08 Video 2, Extra-Anatomic IAA Repair 14:29 Video 3, Double-Decker Procedure 16:38 Video 4, Aortic Disease Awareness 19:53 Video 5, Robotic Culmen in Situs Inversus 21:30 Frank Tamru, Aortic Valve Technology 35:32 Upcoming Events 36:03 Closing They explored Tamru's professional background and involvement with heart surgeons and cardiovascular leaders. The conversation covered various topics, including heart valves and the evolution of open-heart centers. They also discussed the advancements in aortic valve replacement technologies and the critical role of surgeons as decision-makers in the field. Additionally, Frank shared his experience as the founding publisher of the Asian Cardiovascular and Thoracic Annals.  In addition, Joel explores a robotic-assisted right-sided minimally invasive coronary artery bypass for anomalous origin of the right coronary artery, a transdiaphragmatic aorto-supraceliac extra-anatomic bypass for interrupted aortic arch with collateralizations, double-decker procedure for partial anomalous pulmonary venous connection, robotic-assisted right upper segmentectomy (culmen) in situs inversus totalis, and an interview with Gareth Owens and Dr. Ben Youdelman on Think Aorta and aortic disease awareness.  Before closing, Joel highlights upcoming events in CT surgery.    CTSNet Content Mentioned  1. Robotic-Assisted Right-Sided Minimally Invasive Coronary Artery Bypass for Anomalous Origin of the Right Coronary Artery   2. A Transdiaphragmatic Aorto-Supraceliac Extra-Anatomic Bypass for Interrupted Aortic Arch With Collateralizations   3. Double-Decker Procedure for Partial Anomalous Pulmonary Venous Connection   4. Think Aorta and Aortic Disease Awareness: An Interview With Gareth Owens and Dr. Ben Youdelman   5. Robotic-Assisted Right Upper Segmentectomy (Culmen) in Situs Inversus Totalis   Other Items Mentioned  1. Power: A Memoir  2. Website Maintenance Alert!  3. The Lifeline  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.

Phillip Dunning - Sr. Director of Product Management at Enverus joins the podcast to break down the 10+ year journey of acquisitions and product development that is took to launch Enverus' new Minerals Marketplace offering, **Disclaimer: This podcast is meant for informational purposes only and does not constitute investment advice. A big thanks to our 4 Minerals & Royalties Podcast Sponsors:--Tokenized Energy: If you are interested in allocating capital to oil & gas minerals, royalties, and nonop assets in order to earn digital mailbox money, then visit www.tokenizedenergy.com or download the Tokenized Energy app for your Apple or Android phone.--Tracts: If you are interested in learning more about Tracts title related services and software, then please call 281-892-2096 or visit https://tracts.co/ to learn more.--Riverbend Energy Group: If you are interested in discussing the sale of your Minerals and/or NonOp interests w/ Riverbend, then please visit www.riverbendenergygroup.com for more information--Farmers National Company: For more information onFarmer's land management services, please visit www.fncenergy.com or email energy@farmersnational.com

Leaders far smarter and more capable than Donald Trump and Pete Hegseth have started foreign wars that turned to quagmires. So in this regard they are not special. What’s different this time around is that incompetence prevails in every corner of this administration and the economic levers that are usually pulled to mitigate the domestic economic impact are no longer available to us. In every way, this administration is wholly unfit to lead the nation and certainly incapable of prosecuting a war. Resources The Chris Hedges Report: Will There be a Ground Invasion of Iran? (w/ Col. Larry Wilkerson) UNFTR Resources Become a Member. UNFTR’s 5 Non-Negotiables. Video: Pete Hegseth and Donald Trump Are Not Ready for War Essay: Trump and Hegseth. -- If you like #UNFTR, please leave us a rating and review on Apple Podcasts and Spotify: unftr.com/rate and follow us on Facebook, Bluesky, and Instagram at @UNFTRpod. Visit us online at unftr.com. Become a member at unftr.com/memberships. Buy yourself some Unf*cking Coffee at shop.unftr.com. Visit our bookshop.org page at bookshop.org/shop/UNFTRpod to find the full UNFTR book list, and find book recommendations from our Unf*ckers at bookshop.org/lists/unf-cker-book-recommendations. Access the UNFTR Musicless feed by following the instructions at unftr.com/accessibility.Support the show: https://www.unftr.com/membershipsSee omnystudio.com/listener for privacy information.

One of the things I've been working on with my clients is helping them figure out who they are outside of their careers. As Latina women living in the US, we often feel like our worth is dependent on what we do for work because we need it to be worth the trauma of immigration. But living only for our jobs and tying our worth to our career is not only unhealthy - it's a trauma response. So how do we break away from this way of thinking and find a more peaceful path to success?    Ann Dunning is the co-author of Radical Señora Era, and co-founder of Señora Era, a newsletter celebrating slow living, beauty, and Latina identity, and the former co-founder of Latina beauty line Vamigas, at Target and Whole Foods. A Chilean-American, she lives in the campo with her family and her chickens. She thinks that you'll be surprised at how much your life will improve if you take up the habits and routines of your tias and bisabuelas.    In this week's episode, we're talking about the peaceful path to success. Welcome to your Señora Era! It's time we stop thinking about success in a purely American way and start looking into what our ancestors did. A totally different mindset brought them so much peace, and it could be the thing that allows you to bring balance into your life while still honoring your ambition. Tune in to hear how our people found balance in their lives and how you can embody these practices by stepping into your Señora Era today!  Resources Mentioned: Click here to claim your Manifest Your Marca bot!   Follow Ann on: TikTok: @senora.era  Instagram: @senoraeraofficial Book Instagram: @radicalsenoraerabook Website: www.senoraera.com      Follow Erika on: Instagram @‌theerikacruzTikTok @‌theerikacruzLinkedIn Website: http://www.theerikacruz.com How to work with Erika: Sign up for the Courage Driven Latina program here! Join the waitlist for the Magnetic Mastermind here!   Podcast production for this episode was provided by CCST, an Afro-Latina-owned boutique podcast production and copywriting studio. 

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Adam Greenbaum, an Associate Professor of Medicine at Emory School of Medicine and Co-director of the Emory Structural Heart and Valve Center, Atlanta, GA, USA, about the groundbreaking percutaneous coronary artery bypass graft procedure he developed called the ventriculo-coronary transcatheter outward navigation and reentry (VECTOR) procedure. Chapters 00:00 Intro 02:46 FDA Device Recall 03:52 JANS 1, CDC WONDER Aortic Stenosis 06:10 JANS 2, Free vs In-Situ RIMA-CABG 08:04 JANS 3, AF Worsens Outcome of MVR 09:52 JANS 4, EXCEL Trial 12:29 New Website 13:43 Video 1, Ross Procedure Technique 16:16 Video 2, Total Arch Replacement 18:38 Video 3, Pleural Sepsis Podcast 20:51 Dr. Greenbaum, VECTOR Procedure 40:34 Upcoming Events 41:18 Career Center 41:43 Closing They delved into the development and rationale behind this innovative technique, which aims to provide a solution for patients with no other options, particularly those with narrow sinuses or low-lying coronaries. Additionally, they discussed other leaflet modification methods and the criteria for patient selection for the VECTOR procedure. The conversation also covered the technical steps involved in the procedure, along with specific cases in which it has been utilized, as well as the challenges faced and troubleshooting done by the surgeons. Finally, they explored the future of this procedure.   Joel also highlights recent JANS articles on concerning trends seen in aortic stenosis-related mortality, a meta-analysis on free vs in-situ right internal mammary artery as a conduit in coronary artery bypass surgery, if atrial fibrillation worsens outcome of mitral valve repair for degenerative mitral regurgitation, and the EXCEL trial on spontaneous myocardial infarction after left main revascularization.  In addition, Joel explores the Ross procedure with annular stabilization, interposition graft, and loose-jacket technique, total arch replacement with a novel dual stent device, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Professor Eric Lim about pleural sepsis. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. ‘Concerning' Trends Seen in Aortic Stenosis-Related Mortality: CDC WONDER  2. Free vs In-Situ Right Internal Mammary Artery as a Conduit in Coronary Artery Bypass Surgery: A Meta-Analysis  3. Atrial Fibrillation Worsens Outcome of Mitral Valve Repair for Degenerative Mitral Regurgitation: Long-Term Follow-Up of 959 Patients  4. Spontaneous Myocardial Infarction After Left Main Revascularization: The EXCEL Trial  CTSNet Content Mentioned  1. Ross Procedure With Annular Stabilization, Interposition Graft, and Loose-Jacket Technique   2. Total Arch Replacement With a Novel Dual Stent Device   3. The Atrium: Pleural Sepsis   Other Items Mentioned  1. Percutaneous Aorto-Coronary Bypass Graft to Prevent Coronary Obstruction Following TAVR: First Human VECTOR Procedure  2. Website Blackout Notice!  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.

We check our food labels. We filter our water. We obsess over skincare ingredients… but what about the clothes we wear every single day?In this episode—one of my all-time favorite conversations I've ever recorded and one that truly blew my mind—I sit down with Hannah Dunning (aka The Clean Clothing Chick), who's been deep in the research uncovering what's actually in our clothing. We're talking synthetic fabrics like polyester, chemical treatments, formaldehyde, lead, and forever chemicals—and asking a pretty big question: what are we actually putting directly against our skin for 12+ hours a day? Thank you to our sponsors!ZEBRA – Use code "ALEX" for 10% off any orderGEVITI – Use code "ALEX" to get 20% off your first purchaseJASPR – Use code "ALEX" to get $300 off your purchasePRIMALLY PURE – Use code "ALEXCLARK" for 15% off your first orderWILD PASTURES – Get an exclusive discount on your next orderOur Guest:Hannah DunningHannah's Links:The Clean Clothing Chick – WebsiteHannah Dunning (Instagram) – Instagram

In this week's message, Dean Dunning delves into the narrative of Lazarus from John 11, examining the complex emotions of Mary and Martha as they navigate the tension between their urgent request and Jesus' purposeful delay. Dunning emphasizes that while human perspective often focuses on the "if only" of missed opportunities, Jesus uses the situation to provide a radical revelation of Himself as the Resurrection and the Life. The sermon concludes with a powerful call to trust in divine timing, illustrating that what appears to be a hopeless ending is often the beginning of a greater display of God's glory.  

Pittsburgh Panthers guard Barry Dunning, Jr., on what it means to fight through 10 lead changes in the 2nd half in a 64-63 victory over the Stanford Cardinal in the 1st Round of the 2026 ACC Tournament to live on another day in this season... Stay close to "WakeUpCall" on Facebook, X, & Instagram! Listen LIVE to "Wake Up Call with Dan Tortora" MON through FRI, 9-11amET on wakeupcalldt.podbean.com & on the homepage of WakeUpCallDT.com from ANY Device inside the Great Lakes Honda City Studios (7140 Henry Clay Blvd, Liverpool, NY)! You can also Watch LIVE MON through FRI, 9-11amET on youtube.com/wakeupcalldt, facebook.com/wakeupcalldt, & facebook.com/LiveNowDT. This special is Proudly Presented by: Carvel DeWitt Great Lakes Honda City Meier's Creek Brewing Company The Wildcat Sports Pub Ma & Pa's Kettle Corn & Popcorn Factory Willow Rock Brewing Company Brian's Landing K-9 Kampground Dog Boarding Game Point Sports Complex Binghamton University Pizza Man Pub Chick-fil-A DeWitt K-9 Kamp Dog Daycare Avicolli's Restaurant Mother's Cupboard Chick-fil-A Cicero

Most people think about what they put in their bodies. Almost no one thinks about what they put on them. In this episode, I'm joined by clothing safety advocate and policy reform leader Hannah Dunning, widely known as The Clean Clothing Chick. She's a leading voice in the clean clothing movement, helping consumers understand the hidden health risks in modern apparel and pushing for transparency in an industry with very little regulation. We discuss how chemicals in clothing interact with the body, why women are disproportionately affected by toxic exposure, the truth behind synthetic fabrics and "sustainable" materials like bamboo, and what's happening behind the scenes in both fast fashion and luxury brands. We also explore corporate accountability, supply chains, and what the future of clean fashion could look like. Sponsored By: → TIMELINE | Support your cells and how you age with Mitopure® Gummies from Timeline. Visit https://timeline.com/HealingTheSource and save up to 39% off your Mitopure® Gummies. → FATTY15 | Fatty15 is on a mission to optimize your C15 levels to help support your long-term health and wellness - especially as you age. You can get an additional 15% off their 90-day subscription Starter Kit by going to https://fatty15.com/HEALINGTHESOURCE and using code HEALINGTHESOURCE at checkout.  → BRANCH BASICS | Get 15% off Branch Basics with the code HEALINGTHESOURCE15 at https://branchbasics.com/HEALINGTHESOURCE15 #branchbasicspod → PUORI | Go to https://puori.com/HEALINGTHESOURCE and use the code HEALINGTHESOURCE at checkout to get 32% off your first Puori Grass-fed Whey Protein subscription order and get a free shaker worth $25. Resources: Follow Hannah on Instagram Follow the host, Claudia, on Instagram, check out Elham's Liquid Gold 100% Organic Castor Oil, and enjoy her deep-dives on Substack

I watched Home Alone and suddenly started hearing the theme tune everywhere.  I thought I was going insane.  But Tom Bowden-Green and Luan Wise explained that I actually fell for a fairly well-known bias.  A bias you've almost certainly experienced as well.  ---  Come to Uplift Live: https://uplift-live.com/ (Use code NUDGE to get £50 off)  Tom and Luan's book: https://amzn.to/49aZnh3 Unlock the Nudge Vaults: https://www.nudgepodcast.com/vaults Join 10,428 readers of my newsletter: https://www.nudgepodcast.com/mailing-list  Connect on LinkedIn: https://www.linkedin.com/in/phill-agnew/  ---  Today's sources:  Costello, J. P., Garvey, A. M., Germann, F., & Wilkie, J. E. B. (2024). The Uptrend Effect: Encouraging healthy behaviors through greater inferred normativity. Journal of Marketing Research, 61(1), 110–127. Cruz, R. E., Leonhardt, J. M., & Pezzuti, T. (2017). Second person pronouns enhance consumer involvement and brand attitude. Journal of Interactive Marketing, 39(1), 104–116. Khan, U., & Dhar, R. (2006). Licensing effect in consumer choice. Journal of Marketing Research, 43(2), 259–266. Lim, S., van Osselaer, S. M., Goodman, J. K., Fuchs, C., & Schreier, M. (2024). The Starbucks effect: When name-based order identification increases customers' store preference and service satisfaction. Journal of Retailing, 100(2), 316–329. Sahni, N. S., Wheeler, S. C., & Chintagunta, P. (2018). Personalization in email marketing: The role of noninformative advertising content. Marketing Science, 37(2), 236–258. Van Boven, L., Dunning, D., & Loewenstein, G. (2000). Egocentric empathy gaps between owners and buyers: Misperceptions of the endowment effect. Journal of Personality and Social Psychology, 79(1), 66–76. van der Meulen, M. (2022). Are we indeed so illuded? Recency and frequency illusions in Dutch prescriptivism. Languages, 7(1), 42. Zwicky, A. (2006). Why are we so illuded. Retrieved from https://web.stanford.edu/~zwicky/LSA07illude.abst.pdf

Today on the show, we have Charles Rosenblatt, CEO of Butter Payments, providing ML AI-driven payment recovery for subscription merchants and recurring payments. Previously, Charles was CSO of Payoneer, CRO at Velo Payments, and ran treasury at D.E. Shaw during the late 90s—where managing a financial crisis taught him that outside factors can derail even the best strategies and smartest teams. In this episode, we uncover why the 14-day dunning period is an arbitrary standard that shouldn't exist—and how decoupling dunning strategy from product access unlocks smarter business decisions. Charles shares how Butter analyzes 128 variables across billions of transactions to predict payment recovery within 10 seconds, allowing companies to shut off high-cost AI users immediately when recovery is unlikely, while keeping loyal customers active when payments will clear. We explore why involuntary churn creates dangerous false signals: 30% of customers leaving might actually want to stay but have expired cards or temporary payment issues. This can lead product teams to catastrophic decisions—like Coca-Cola changing their formula when the real problem was payment infrastructure, not product-market fit. The lesson: understand what's within your control versus what's not before making strategic pivots. We also discuss how Capital One shifted their best people from acquisition to retention after realizing they were churning the equivalent of the 7th largest credit card company every year—because spending $20 to save a $500 NPV customer beats spending $300 to acquire a new one who might churn anyway. Finally, we dig into payment recovery ethics and strategy: why Butter refuses "forced payments" that drive customer accounts negative, how different card types (Amex vs. debit vs. prepaid) require completely different retry logic, and why competitors who inflate recovery promises by 100% damage trust across the industry.As always, I'd love to hear from you. You can email me directly at andrew@churn.fm, and don't forget to follow us on X.Churn FM is sponsored by Vitally, the all-in-one Customer Success Platform.

Most of us are completely oblivious to the cognitive biases that dictate how we live our lives.  Today, with Tom Bowden-Green and Luan Wise, we cover seven cognitive biases that all of us fall for.  ---  Tom and Luan's book: https://amzn.to/49aZnh3 Unlock the Nudge Vaults: https://www.nudgepodcast.com/vaults See Agent Spark in action at ⁠gwi.com/spark⁠ Join 10,428 readers of my newsletter: https://www.nudgepodcast.com/mailing-list  Connect on LinkedIn: https://www.linkedin.com/in/phill-agnew/  ---  Today's sources:  Chambers, J. R. (2008). Explaining false uniqueness: Why we are both better and worse than others. Social and Personality Psychology Compass, 2(2), 878–894. Dunning, D. (2011). The Dunning–Kruger effect: On being ignorant of one's own ignorance. In Advances in experimental social psychology (Vol. 44, pp. 247–296). Academic Press. Einhorn, H. J., & Hogarth, R. M. (1978). Confidence in judgment: Persistence of the illusion of validity. Psychological Review, 85(5), 395–416. Helmreich, R., Aronson, E., & LeFan, J. (1970). To err is humanizing sometimes: Effects of self-esteem, competence, and a pratfall on interpersonal attraction. Journal of Personality and Social Psychology, 16(2), 259–264. Koskie, M. M., & Locander, W. B. (2023). Cool brands and hot attachments: Their effect on consumers' willingness to pay more. European Journal of Marketing, 57(4), 905–929. Pronin, E., Lin, D. Y., & Ross, L. (2002). The bias blind spot: Perceptions of bias in self versus others. Personality and Social Psychology Bulletin, 28(3), 369–381. Van Hoorens, V. (1993). Self-enhancement and superiority biases in social comparison. European Review of Social Psychology, 4, 113–139. White, G. L., Fishbein, M., & Rutstein, R. C. (1981). Passionate love and the misattribution of arousal. Journal of Personality and Social Psychology, 41(1), 56–62.

This week we're kicking off 2026 with the fantastic Lisa Dunning! Lisa, a regular at Flintshire Funnybone Improv and CHIMPS and a member of one of the newest improv troupes on the block, Grass Dens, joins Iain to share her journey from starring in a televised version of The Nativity at just six years old to becoming deeply entrenched in the world of improv in recent years. This bumper episode is packed with conversation about accents, performing, using improv in the real world, sharing a hobby with your partner, and so much more. Also, stick around until the end for a special New Year musical treat from Iain! So what are you waiting for? Sit back, relax, and discover Lisa's true story about making stuff up.

What does a failed bank robbery have to do with one of the most cited ideas in psychology? More than you might expect. In this episode of My Favorite Mistake, Mark Graban tells the true story of McArthur Wheeler, a man who believed that rubbing lemon juice on his face would make him invisible to security cameras. Confident in his reasoning—and even more confident in his ability to test it—Wheeler walked into two Pittsburgh banks in broad daylight, fully exposed, certain that his citrus-based logic would protect him. It didn't. When police later showed him clear surveillance photos, Wheeler's stunned response became legendary: “But I wore the juice.” That moment caught the attention of psychologist David Dunning, who saw in Wheeler's mistake something deeper than criminal incompetence. Along with Justin Kruger, Dunning went on to study how people with low skill often lack the awareness to recognize their own limitations—research that became known as the Dunning–Kruger Effect. This episode explores the layered nature of mistakes: flawed assumptions, poorly designed tests, and the dangerous certainty that both are correct. It's not a story about stupidity. It's a story about human blind spots—and how easily confidence can outrun competence. Whether in leadership, work, or everyday life, the lesson is universal: it's not enough to test our ideas. We also have to test how we test them. Because some of the most convincing mistakes are the ones that feel like proof.

🧭 REBEL Rundown 📌 Key Points 🧠 We don’t know what we don’t know: Low experience can inflate confidence; true expertise usually brings humble certainty.🏥 ED relevance is universal: From central lines to transvenous pacing, over- or under-confidence shows up at every level—intern to seasoned attending.🧩 Metacognition matters: Accurate self-assessment is a clinical skill; reflection + feedback loops keep us calibrated.🛠️ Practice beats bravado: Skill decay is real; deliberate practice and HALO (high-acuity, low-occurrence) refreshers protect patients.🤝 Psychological safety ≠ niceties: “Confident humility” enables questions, feedback, and better resuscitation decisions—especially under uncertainty. Click here for Direct Download of the Podcast. 📝 Introduction Welcome to REBEL MIND—Mastering Internal Negativity during Difficulty. In this series, we turn the same critical lens REBEL EM uses for literature inward—into mindset, leadership, and psychological safety—so we can deliver better care outward to patients and teams.In this episode and blog post, hosts Mark Ramzy and Kim Bambach (Assistant Professor of Emergency Medicine, The Ohio State University) explore a deceptively simple question: How accurately can we assess our own performance? The answer hinges on a classic cognitive bias that touches all of us in emergency medicine. 🧾 Paper Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one’s own incompetence lead to inflated self-assessments. J Pers Soc Psychol. 1999 Dec;7 PMID: 10626367 Cognitive Question How accurately can we assess our own performance? 💭 What is the Dunning-Kruger Effect? The Dunning–Kruger Effect is a cognitive bias where:Lower-skill individuals tend to overestimate their competence, andHigher-skill individuals often underestimate theirs.Translation for the busy clinician: early on the learning curve, confidence spikes (“Mount Stupid”) because we don’t yet see the complexity. As experience accrues, confidence dips (“Valley of Despair”) with growing awareness, then rises again—grounded in nuance and humility.Key insight: True expertise ≠ louder certainty; it’s often quieter, more curious, and more collaborative. How It Applies to the Emergency Department Procedures (e.g., central lines, TVP): Watching a 5-minute video creates “I got this” energy—until the wire won’t pass, the patient thrashes, or you hit carotid. Competence includes troubleshooting in context.Skill Decay is Inevitable: If you haven’t done a chest tube or a TVP in months, you’re not as sharp as last time. Without deliberate refreshers, you drift below the safe-performance line.Everyone’s a Novice Somewhere: New disease entities, evolving algorithms, new tools (POCUS, decision support) mean even attendings routinely re-enter novice zones.Feedback Blind Spots: Lower performers can both overestimate their skills and resist feedback—while many high performers (particularly women, per discussed literature) undervalue their abilities.Culture is Clinical: The ED demands decisive action amid uncertainty. Psychological safety + confident humility lets teams surface alternative diagnoses, challenge momentum, and correct course fast. ⏩Immediate Action Steps for Your Next Shift Run a 60-second debrief on two casesWhat went well? What would I do differently next time? Write one improvement you’ll test today.Play “What if the opposite were true?”Anchored on “lumbosacral strain”, Ask, What if fever/incontinence appears? How does that change my path?Solicit 360° micro-feedbackAsk a nurse, resident, and peer: “One thing I did well; one thing to improve.” Say “thank you,” not “but.”Schedule a HALO refresher this weekPick one high-acuity, low-occurrence procedure (TVP, cric, thoracotomy). Do a 10-minute mental model + equipment walk-through; book sim time if available.Adopt a pre-procedure pauseIf X goes wrong, I’ll do Y. Name two likely failure modes (e.g., “wire won’t advance,” “delirium/agitation”) and your first corrective step.Language shift on shiftSwap “I’m sure” → “I’m reasonably confident, here’s my plan B.” Invite input: “What am I missing?” Conclusion The Dunning–Kruger Effect isn’t a moral failing; it’s a predictable human pattern that every clinician rides—often multiple times per day in the ED. The antidote is metacognition: routine reflection, explicit debiasing, deliberate practice, and feedback within a psychologically safe culture. 🚨 Clinical Bottom Line Competence is quiet and curious. The more we know, the more we recognize what we don’t—and the better we become at caring for patients and each other. Further Reading Dunning D, Kruger J. Unskilled and Unaware of It (1999). Classic paper introducing the effect.Croskerry P. Cognitive forcing strategies in clinical decision-making.Kahneman D. Thinking, Fast and Slow. Heuristics & biases in high-stakes decisions.Ericsson KA. Peak: Secrets from the New Science of Expertise. Deliberate practice & skill acquisition.Edmondson AC. The Fearless Organization. Psychological safety and learning culture in teams. Meet the Authors Mark Ramzy, DO Co-Editor-in-Chief Cardiothoracic Intensivist and EM Attending RWJBH / Rutgers Health, Newark, NJ Kim Bambach, MD Podcasting Manager Assistant Professor of Emergency Medicine Ohio State University The post REBEL MIND – The Dunning Kruger Effect: Why Looking Inward Improves Patient Care appeared first on REBEL EM - Emergency Medicine Blog.

Lawrence starts by explaining how he found his business niche and the lessons learned from working with successful developers. He gets granular on his geographical areas of focus and on understanding risks when developing product that will set the top comparable in a neighborhood. Lawrence provides a great take on his top Chicago neighborhoods for upside and reasoning for why he is bullish. Throughout this episode, Lawrence emphasizes the importance of deeply understanding your market and getting in the game to achieve success!

Lawrence starts by explaining how he found his business niche and lessons learned from working with successful developers. He gets granular on his geographical areas of focus and on understanding risks when developing product that will set the top comparable in a neighborhood. Lawrence provides a great take on his top Chicago neighborhoods for upside and reasoning for why he is bullish. Throughout this episode, Lawrence emphasizes the importance of deeply understanding your market and getting in the game to achieve success! If you enjoy today's episode, please leave us a review and share with someone who may also find value in this content! ============= Connect with Mark and Tom: StraightUpChicagoInvestor.com Email the Show: StraightUpChicagoInvestor@gmail.com Properties for Sale on the North Side?  We want to buy them. Email: StraightUpChicagoInvestor@gmail.com Have a vacancy? We can place your next tenant and give you back 30-40 hours of your time. Learn more: GCRealtyInc.com/tenant-placement Has Property Mgmt become an opportunity cost for you? Let us lower your risk and give you your time back to grow. Learn more: GCRealtyinc.com ============= Guest: Lawrence Dunning, Fulton Grace Realty Link: SUCI Ep 118 - Lawrence Dunning Link: Enter The Lionheart (Lawrence's Podcast) Link: The One Thing (Book Recommendation) Link: Vevor Adjustable Handrails Guest Questions:  03:01 Housing Provider Tip - Leverage adjustable handrails for an affordable solution to meet compliance requirements! 04:58 Intro to our guest, Lawrence Dunning! 12:27 Lawrence's business and areas of focus! 16:40 Real estate agent's value to developers. 26:33 Setting the top comparables in a neighborhood. 35:02 Lawrence's top emerging neighborhoods! 45:46 Outlook on Chicago's south side. 52:01 What is your competitive advantage? 53:00 One piece of advice for new investors. 53:47 What do you do for fun? 54:54 Good book, podcast, or self development activity that you would recommend?  56:43 Local Network Recommendation?  57:02 How can the listeners learn more about you and provide value to you? ----------------- Production House: Flint Stone Media Copyright of Straight Up Chicago Investor 2025.