Podcasts about Dunning

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Nasser Altorki, thoracic surgeon at Weill Cornell Medicine in New York, and thoracic surgeon and CTSNet Senior Editor Leanne Ashrafian about the 10-year results from the JCOG0802 trial. Chapters 00:00 Intro 02:56 JANS 1, Re-Repair vs Replacement 05:07 JANS 2, Mini Mitral Multicentre RCT 07:01 JANS 3, PERSEVERE Study 08:54 JANS 4, Parietal Pleurectomy vs Pleural Abrasion 11:38 Career Center 12:33 Video 1, Endoscopic Post-Infarction VSD Repair 14:11 Video 2, 3D Dor Procedure & MVR Huge LV Aneurysm 15:19 Video 3, Non-Cardioplegic Myo Protection Robotic 17:16 Nasser Altorki Interview, JCOG 45:16 Upcoming Events 47:20 Closing They discuss key aspects of the trial, including the noninferiority primary endpoint. Dr. Altorki shares his overall thoughts on the trial, and they also examine topics such as pulmonary function, lobar vs sublobar resection, and segmentectomy vs wedge resection. Additionally, they explore secondary primary lung cancer, the importance of thoracic surgeons presenting data to patients, and best practices for segmentectomy to ensure patient safety. They also examine good wedge resection vs bad wedge resection, planning for segmentectomy, and the future of lobectomy and segmentectomy.   Joel also highlights recent JANS articles on the outcomes of re-repair vs replacement after failed primary mitral regurgitation repair, minimally invasive thoracoscopically-guided right minithoracotomy vs conventional sternotomy for mitral valve repair, one-year results of novel aortic arch hybrid prosthesis for repair of acute DeBakey Type I dissection with malperfusion, and a meta-analysis of efficacy and safety of parietal pleurectomy vs pleural abrasion in treating spontaneous pneumothorax.  In addition, Joel explores endoscopic post-infarction VSD repair, 3D video-assisted endoscopic Dor procedure and MVR for post-infarction huge LV aneurysm, and non-cardioplegic myocardial protection for robotic mitral surgery. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Outcomes of Re-Repair Versus Replacement After Failed Primary Mitral Regurgitation Repair: STS Adult Cardiac Surgery Database Analysis  2.) Minimally Invasive Thoracoscopically-Guided Right Minithoracotomy Versus Conventional Sternotomy for Mitral Valve Repair: The UK Mini Mitral Multicentre RCT  3.) One-Year Results of Novel Aortic Arch Hybrid Prosthesis for Repair of Acute DeBakey Type I Dissection With Malperfusion: PERSEVERE Study  4.) A Meta-Analysis of Efficacy and Safety of Parietal Pleurectomy Versus Pleural Abrasion in Treating Spontaneous Pneumothorax  CTSNet Content Mentioned  1.) Endoscopic Post-Infarction VSD Repair  2.) Pushing Surgical Boundaries: 3D Video-Assisted Endoscopic Dor Procedure and MVR for Post-Infarction Huge LV Aneurysm  3.) Non-Cardioplegic Myocardial Protection for Robotic Mitral Surgery  Other Items Mentioned  1.) Instructional Video Competition  2.) 2025 Endoscopic Cardiac Surgeons Club Video Competition  3.) 2025 CTSNet Recruitment Guide   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.

Aujourd'hui, je vous parle de l'effet de surconfiance et des psys Dunning et Kruger qui l'ont mis au jour. Et puis je constate bizarrement que la chose est bien plus répandue chez les Messieurs que chez les Dames. Bizarre, non? _______________________________________Bienvenue dans Les Bulles de Flo(w), un défi (un peu) fou : 100 bulles audio en 100 jours, entre confidences intimes, réflexions sensibles et outils concrets.Je suis Florence Hügi, Facilitatrice des impossibles, et chaque jour, je vous propose une bulle pour souffler, questionner, transformer.Pas de perfection ici — juste des histoires, des ratés, des déclics.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Laurens Ceulemans, thoracic surgeon at the University Hospitals Leuven in Belgium, about lung volume reduction. Chapters 00:00 Intro 02:41 Right to Repair, Robotics Re-Use 04:53 REPEAT Trial 06:30 JANS 1, PCI After CABG Randomized Trial 08:01 JANS 2, No-Touch vs Conventional Saph Veins 11:04 JANS 3, Sir Terence English & Keyvyn Mohagissi 12:09 CTSNet Recruitment Guide 12:54 Video 1, JCOG0802 Bombshell & Webinar 16:33 Video 2, Endoscopic Cardiac Foreign Body Extraction 17:56 Video 3, First Europe Robotic AVR Perceval Valve 18:42 Video 4, Bilateral VATS Sympathectomy 20:10 Laurens Ceulemans Interview 34:15 Upcoming Events 34:48 Closing They highlighted key takeaways from the procedure and addressed the issue of air leaks. They also discussed bilateral lung volume reduction and emphasized the importance of a team approach. Additionally, they focused on why surgeons should be selecting the healthiest patients for this operation rather than the most critically ill, as well as the future of lung volume reduction.    Joel also highlights recent JANS articles on a multicenter, randomized trial on the PCI of native coronary artery vs saphenous vein graft after prior bypass surgery, a meta-analysis of randomized trials on the outcomes of no-touch vs conventionally harvested saphenous veins for coronary artery bypass surgery, and the death of transplant pioneer Sir Terence English at 93.  In addition, Joel explores bombshell 10-year JCOG0802 results showing lobectomy is superior to segmentectomy for lung cancer, endoscopic extraction of a cardiac foreign body, the first robotic aortic valve replacement in Europe using a Perceval valve, and bilateral VATS sympathectomy for ventricular tachycardia electrical storm. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) PCI of Native Coronary Artery vs Saphenous Vein Graft After Prior Bypass Surgery: A Multicenter, Randomized Trial  2.) Outcomes of No-Touch Vs Conventionally Harvested Saphenous Veins for Coronary Artery Bypass Surgery: A Meta-Analysis of Randomized Trials  3.) Transplant Pioneer Sir Terence English Dies at 93  CTSNet Content Mentioned  1.) Bombshell 10-Year JCOG0802 Results Show Lobectomy Is Superior to Segmentectomy for Lung Cancer  2.) Military Heart Trauma: Endoscopic Extraction of a Cardiac Foreign Body  3.) First Robotic Aortic Valve Replacement in Europe Using a Perceval Valve   4.) Bilateral VATS Sympathectomy for Ventricular Tachycardia Electrical Storm  Other Items Mentioned  1.) Restore Robotics   2.) 2025 Endoscopic Cardiac Surgeons Club Video Competition  3.) 2025 CTSNet Recruitment Guide   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.

Peter farmed, mostly alone, for nearly 40 years. We sat at his kitchen table and talked about what it's like to farm for a whole life, then see it go fallow.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Christopher McGregor, professor in the Department of Surgery at the University of Minnesota Twin Cities, about the current state of cardiac and kidney xenotransplantation. Chapters 00:00 Intro  03:10 Sir Terence English  08:00 JANS 1, Cardiac Xenotransplantation  09:13 JANS 2, Coffee Consumption on AF  11:06 JANS 3, Environmental Factors Acute AD  12:49 JANS 4, PROTHOR Trial  15:15 Video 1, Combined AV & Coronary via LAM  17:08 Video 2, ARCA w MV Prolapse  19:32 Video 3, Redo Elephant Trunk After EAR  22:06 Chris McGregor Interview  48:23 Upcoming Events  50:15 Closing  They discussed the three approved trials for xenotransplantation in 2025, the preclinical efficacy assessment, and the various challenges of xenotransplantation. Additionally, they explored the history of orthotopic transplants, heart failure, and antibody-mediated rejection. They also examined the future of xenotransplantation and the anatomy of pig hearts vs human hearts.   Joel also highlights recent JANS articles on the status of cardiac xenotransplantation including preclinical models, the DECAF randomized clinical trial on if caffeinated coffee consumption or abstinence reduces atrial fibrillation; the impact of environmental factors on acute aortic dissection; and a multicenter, international, randomized, controlled, phase 3 trial on the effects of intraoperative higher vs lower positive end-expiratory pressure during one-lung ventilation for thoracic surgery on postoperative pulmonary complications (PROTHOR).   In addition, Joel explores combined aortic valve and coronary surgery via left anterior minithoracotomy, management of anomalous right coronary artery in a patient with mitral valve prolapse, and redo frozen elephant trunk after endovascular arch repair. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) 2025: Status of Cardiac Xenotransplantation Including Preclinical Models  2.) Caffeinated Coffee Consumption or Abstinence to Reduce Atrial Fibrillation: The DECAF Randomized Clinical Trial  3.) Weathering the Aorta: The Impact of Environmental Factors on Acute Aortic Dissection   4.) Effects of Intraoperative Higher Versus Lower Positive End-Expiratory Pressure During One-Lung Ventilation for Thoracic Surgery on Postoperative Pulmonary Complications (PROTHOR): A Multicentre, International, Randomised, Controlled, Phase 3 Trial  CTSNet Content Mentioned  1.) Combined Aortic Valve and Coronary Surgery via Left Anterior Minithoracotomy: Clinical Experience With Sutureless Bioprosthesis  2.) Management of Anomalous Right Coronary Artery in a Patient With Mitral Valve Prolapse  3.) Redo Frozen Elephant Trunk After Endovascular Arch Repair  Other Items Mentioned  1.) Resident Video Competition  2.) 2025 CTSNet Recruitment Guide   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.

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!

Post-Gazette Pitt insiders Stephen Thompson and Abby Schnable break down the Panthers' 81-73 loss to Texas A&M on Tuesday night at Petersen Events Center in the ACC/SEC Men's Challenge. Why couldn't Pitt pay off a sometimes encouraging performance? Is Jeff Capel's team deep enough for ACC play beyond main guys like Cam Corhen, considering they only really played seven guys against the high-tempo Aggies? Where would this team be if not for Damarco Minor's buzzer beater to beat Ohio State? Is fatigue already setting in? And with overpassing a problem Wednesday night, how can they ensure Minor, Barry Dunning Jr., Omari Witherspoon, Brandin Cummings and others are being aggressive? Our duo answers those questions and more. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Evgenij Potapov, a consultant senior surgeon and co-chairman of the mechanical circulatory support program in the Department of Thoracic and Cardiovascular Surgery at the German Heart Center in Berlin, about the guidelines on temporary mechanical circulatory support (tCMS) in adult cardiac surgery. Chapters 00:00 Intro 01:56 Segmentectomy vs Lobectomy News 18:51 JANS 1, CT Residents Emergency Surgery 20:56 JANS 2, Interventional vs Surgical 22:49 JANS 3, Robotic Vascular Surgery 24:32 JANS 4, Surgery vs Surveillance 26:30 Video 1, Branch-First Arch Replacement 28:19 Video 2, Manougian Technique Double Patch 30:14 Video 3, Bentall Surgery via RAM 31:23 Evgenij Potapov Interview 53:55 Upcoming Events They discussed the key elements of the guidelines, active unloading, and current trends and outcomes in tMCS. Additionally, they addressed protected cardiac surgery for high-risk patients, cardiac arrest, and the impact of recent changes to the donor heart allocation system on tMCS. Dr. Potapov also shared valuable insights on hints and tips for tMCS, anticoagulation management, and the future of tMCS. Furthermore, Joel elaborated on recent discussions regarding lobectomy vs segmentectomy in a detailed analysis.  Joel also highlights recent JANS articles on a 10-year propensity-matched analysis on if we can safely train cardiothoracic surgical residents to perform emergency surgery, investigating the personality of interventional and surgical cardiovascular specialists, a clinical perspective on robotic-assisted vascular surgery, and a quality-of-life analysis of patients with moderately dilated aortic root or ascending aorta.  In addition, Joel explores branch-first arch replacement, revisiting the Manougian technique with double-patch, and Bentall surgery via right anterior minithoracotomy. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Can We Safely Train Cardiothoracic Surgical Residents to Perform Emergency Surgery? A 10-Year Propensity-Matched Analysis   2.) Cut From the Same Cloth? Investigating the Personality of Interventional and Surgical Cardiovascular Specialists  3.) Robotic-Assisted Vascular Surgery: A Clinical Perspective  4.) Surgery Versus Surveillance: A Quality-of-Life Analysis of Patients With Moderately Dilated Aortic Root or Ascending Aorta  CTSNet Content Mentioned  1.) Branch-First Arch Replacement: How to Do It   2.) Revisiting the Manougian Technique With Double-Patch   3.) Bentall Surgery via Right Anterior Minithoracotomy   Other Items Mentioned  1.) EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery   2.) The Cardiac Recovery Room  3.) Resident Video Competition  4.) 2025 CTSNet Recruitment Guide     5.) Career Center   6.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Randas Batista, cardiac surgeon and founder of Vilela Batista Heart Foundation, about the surgical treatment of Eisenmenger syndrome. Chapters 00:00 Intro 02:51 JANS 1, DAMSUN-HF Study 05:41 JANS 2, TAVR vs SAVR Guidelines 07:45 JANS 3, Myocardial Infarction After CABG 10:31 JANS 4, VAD Bridge-to-Transplant 12:27 New Recruitment Guide 13:54 Video 1, Anomalous Right Coronary Artery 15:27 Video 2, Beating Heart Transplant OCS 17:51 Video 3, Aortic Dissection Podcast w Marc Moon 19:26 Randas Batista Interview 37:38 Upcoming Events They explored what Eisenmenger syndrome is and outlined the most common causes of the condition. They also delved into the history of this syndrome, highlighting the significant contributions of Viktor Eisenmenger and Paul H. Wood. Furthermore, they discussed the impact of this syndrome on lung function and extracting oxygen within the pulmonary artery. Dr. Batista shared valuable technical tips for performing the surgical procedure as well as solutions for managing this syndrome.   Joel also highlights recent JANS articles on the DAMSUN-HF study on AI-enabled digital auscultation for detecting heart failure with reduced ejection fraction in Sub-Saharan Africa, transcatheter or surgical aortic-valve replacement in low-risk patients at seven years, current clinical practices and future perspectives on periprocedural myocardial infarction after coronary artery bypass grafting, and an analysis of UNOS.  In addition, Joel explores anomalous right coronary artery, beating heart transplantation using the Organ Care "Heart-in-a-Box" System (OCS), and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Marc Moon about aortic dissection. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) AI-Enabled Digital Auscultation for Detecting Heart Failure With Reduced Ejection Fraction in Sub-Saharan Africa: The DAMSUN-HF Study  2.) Transcatheter or Surgical Aortic-Valve Replacement in Low-Risk Patients at 7 Years  3.) Periprocedural Myocardial Infarction After Coronary Artery Bypass Grafting: Current Clinical Practices and Future Perspectives  4.) Analysis of UNOS: Ventricular Assist Device as Bridge-to-Transplant in Paediatric Patients With Congenital Heart Disease  CTSNet Content Mentioned  1.) Anomalous Right Coronary Artery  2.) Beating Heart Transplantation Using the Organ Care "Heart-in-a-Box" System (OCS)  3.) The Atrium: Aortic Dissection  Other Items Mentioned  1.) The Cardiac Recovery Room  2.) Resident Video Competition  3.) 2025 CTSNet Recruitment Guide   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.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Zara Shirazi, a congenital cardiac surgery post-fellow at the National Institute of Cardiovascular Diseases, about advancing pediatric cardiac surgery in Pakistan using what she learned from her fellowship in Austria. Chapters 00:00 Intro 02:28 Vince TAVR Roundtables 03:05 Foreign Body, Case of the Month 03:49 JANS 1, Temporary MCS Guidelines 13:50 JANS 2, Parenting as a CT Surgeon 16:20 JANS 3, Utilization of Long Distance Donors 18:20 JANS 5, Multi-A Grafting in Redo CABG 20:58 Career Center 21:20 Video 1, Pulm & Tricuspid Endocarditis 22:35 Video 2, Valvular Heart Disease Guidelines 27:05 Video 3, Thoraflex Hybrid Graft Insertion 28:16 Zara Shirazi Interview 39:30 Upcoming Events 42:42 Closing They explored the advantages of working in a hospital in Pakistan compared to Austria, as well as the different techniques and operations, such as extracorporeal membrane oxygenation (ECMO). Dr. Shirazi also shared her experiences as a fellow in Austria and the valuable insights she gained from that experience. Additionally, she discussed her vision for the growth of her unit over the next five years and provided an overview of what a typical surgical week looks like in Pakistan.   Joel also highlights recent JANS articles on the EACTS/STS/AATS guidelines on temporary mechanical circulatory support in adult cardiac surgery, the unique challenges and positive impacts on children raised by cardiothoracic surgeon mothers, evolving changes in center-level utilization of longer distance donors in heart transplantation, and multiarterial grafting in redo coronary artery bypass grafting.  In addition, Joel explores pulmonary and tricuspid valve endocarditis, an interview with Drs. Borger and Marin-Cuartas on the guidelines for the management of valvular heart disease, and Thoraflex Hybrid graft insertion in a patient with Marfan syndrome. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery   2.) Parenting From the OR: The Unique Challenges and Positive Impacts on Children Raised by Cardiothoracic Surgeon Mothers  3.) Evolving Changes in Centre-Level Utilization of Longer Distance Donors in Heart Transplantation  4.) Multiarterial Grafting in Redo Coronary Artery Bypass Grafting: Type of Arterial Conduit and Patient Sex Determine Benefit  CTSNet Content Mentioned  1.) Pulmonary and Tricuspid Valve Endocarditis: A Late Sequelae of Unrepaired Double Chambered Right Ventricle in an Adult  2.) Guidelines for the Management of Valvular Heart Disease: An Interview With Drs. Borger and Marin-Cuartas  3.) Thoraflex Hybrid Graft Insertion in a Patient With Marfan Syndrome  Other Items Mentioned  1.) Adapting Global Innovations to Local Realities: Advancing Pediatric Cardiac Surgery in Pakistan—Lessons From Austria  2.) Roundtable: Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani   3.) Case of the Month: The Case of a Foreign Body  4.) Resident Video Competition  5.) The Cardiac Recovery Room  6.) Career Center   7.) 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.

Post-Gazette insiders Stephen Thompson and Abby Schnable react to the Pitt basketball team's victory against Eastern Washington and look ahead to the Backyard Brawl rivalry game with West Virginia later this week. This show is presented by FanDuel. What did coach Jeff Capel's Panthers show in winning without star Brandin Cummings? Did Omari Witherspoon and Barry Dunning Jr. prove that they can be contributors amid their increased opportunities? And what should we make of Cam Corhen's strong start to the season? Has he made enough improvements to take the next step? Or does he still need to display consistency? Our duo tackles those questions and more. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

🙏 Sermon Summary: Walking in Step with the Spirit This week, Jonathan Dunning challenged us to move beyond simply being a "nominally charismatic" church—one that sings the songs and waves the flags but "denies its power". Drawing from Galatians 5:25, "Since we're living by the Spirit, let us follow the Spirit's leading in every part of our lives", the message urged us to shift from mere information to impartation and to be constantly filled with the Holy Spirit. The Call to Power and Purpose Jonathan highlighted that being filled with the Holy Spirit isn't an "optional extra" but God's command and grace gift. Citing John Stott, he emphasized that what the church needs is not more eloquence or organization, but "more power from the Holy Spirit". This power enables us to be witnesses and missionaries, moving us beyond a "spirit of timidity" and into a spirit of "power and of love and of self-discipline" (2 Timothy 1:7). He asked challenging questions for personal reflection: When were you last filled with the Holy Spirit? When did you last stir up the spiritual gift in you? How to Walk in Step with the Spirit The core of the sermon focused on practical ways to "walk in step" with God's Spirit, using the metaphor of a journey: Put God First and Deny Self-Will: This involves living a good and righteous life, obeying God's ways, and acknowledging Him so He can direct our path (Proverbs 3:6). Listen and Obey the Nudge: Like sheep recognizing the shepherd's voice (John 10), we need to be attuned to the Spirit's inner voice, the prompt, the stirring, or the nudge. This inner voice is the same one that convicts us of wrongdoing. Keep Pace and Time: We must avoid rushing ahead and lagging behind. Timing is key. Like the vision in Habakkuk, a clear vision is "for an appointed time" and requires patient waiting. We need to keep in step to catch the Kairos moment, the divinely appointed time where heaven touches earth. The Spirit's Guidance in Jonathan's Life and MCF Jonathan shared powerful personal examples of how the Spirit has led him through his life and ministry: Inner Voice: Sensing a clear call to pastoral ministry at age 17 and later feeling the distinct nudge to step down from a role, even with no clear path ahead. Impartation: Receiving an "anointing for ministry" through the laying on of hands and prayer from others. Prophetic Words: Receiving a word in his twenties calling him to prison ministry, which unfolded years later with a job as the UK's first free minister paid by the home office to serve as a prison chaplain. Scripture: Using Ecclesiastes 3 ("a time to uproot and a time to plant") to process a difficult transition in ministry. Closed Doors: Learning to "trust the closed door" when his "dream job" didn't materialize, which ultimately led him to stumble into ministry at MCF in Sheffield. He concluded by stressing that walking in the Spirit is also for the church collectively. MCF's journey—from moving to the estate to receiving prophetic words about enlarging the place of the tent (Isaiah 54) and the river of God flowing (Ezekiel 47)—has been a result of people listening and obeying the Spirit's nudges, not simply "man's design". The final challenge: "You cannot walk with God without moving." The time to move from theory to practice is now, by seeking to be filled with the Spirit. Would you like me to find a relevant Bible verse, such as Galatians 5:25, to post with this summary? Transcript Thanks, Nick. Morning, everyone. I've been given the title, Walking in Step with the Spirit, and a passage from Galatians 5, verse 25, which says, "Since we're living by the Spirit, let us follow the Spirit's leading in every part of our lives." Now, today, I don't intend to spend a lot of time going into what this verse means. I want to talk about my experience of the Holy Spirit, the church's experience of the Holy Spirit, and how that is really, really important today. So I'm going to be a bit of an agent provocateur, a bit of a stirrer this morning. It was a week ago I was chatting to Graham Reid, and we reflected how the church we were born into in the 1970s and 1980s, he was in Sussex House in North Yorkshire, the charismatic movement which we were birthed into, the baptism of the Holy Spirit, being filled with the Holy Spirit, was front and centre of what was happening. Each service, there was opportunity for people to come forward to be filled with the Spirit, as well as for other things. Ministry was very important. And actually, it was very much part of the warp and the web of the church. So what's changed? Because I think as I look at the church in the UK today, and I travel around quite a few of them, we have become nominally charismatic, i.e., in name only. We sing the songs, we wave the flags, we stick our hands in the air, but that's often as far as it goes. And actually, to sort of like misquote Paul in his letter to Timothy, we have a form of charismatic worship, but deny its power. Thanks, we've had a few amens for that, that's good. I think it's really important that we don't just play lip service to this aspect of ministry in the Holy Spirit, but actually we're engaging in a topic over a long period of weeks, which should actually transform us as human beings and as followers of Jesus. Jesus told his disciples, his followers, to be filled with the Spirit, to give them the power to be the missionaries and the witnesses that he required them to do in this world. He'd already taught them in Luke 11, verse 3, that God is this great good Father, much better than a human father, who longs to give the Holy Spirit to those who ask him. Interesting. The need to ask. Not automatic. Paul was keen that Christians understood that they needed to be constantly filled with God's Holy Spirit, Ephesians 5, verse 18. "Be being filled" is the actual literal translation of that, as we know. And he contrasted that with being drunk, being intoxicated. Now, you know, if you've ever known what it is to be drunk, you basically, your tongue gets loose, you start to say things, you talk in a way that you wouldn't normally be guarded. You're basically a much more kind of like, they used to call it Dutch courage, aren't you? You're much more brave about confronting things and taking things on. You know, it's Dutch courage. Hey, hey. You know, I'm going to get in there. And the contrast was, don't be intoxicated by a worldly spirit, but God's Spirit gives you the power to speak and to go beyond your fears. In fact, you know, Paul talked to Timothy and said, you had to stir up the gift that had been given to him when he'd had hands laid upon him. Stir it up. Fan it into flame. Timothy had to do something with what God had invested in his life when hands were laid on him. And he said, that's because God hasn't given you a spirit of timidity where you hold back, where you haven't got Dutch courage, where you're afraid to say anything, afraid to do anything. But he's given you a spirit of power and of love and of self-discipline. 2 Timothy 1 verse 7. This is important stuff. Barry Manson on Facebook recently had this quote from John Stott. Now, John Stott was not a charismatic or Pentecostal Christian. He was an evangelical. But it's very interesting what John Stott wrote. And all evangelicals should prick up their ears to this. "What we need is not more learning, not more eloquence, not more persuasion, not more organization, but more power from the Holy Spirit." Amen. So we need to go from information about this to impartation. From knowing about the Holy Spirit to asking God, our Heavenly Father, to fill us with His Spirit constantly. Otherwise, we're just on a paper exercise. We're just paying lip service to this. So I ask some questions of myself and I ask them of you today. When were you last filled with the Holy Spirit? When did you last ask your Heavenly Father to fill you with the Holy Spirit? When did you last stir up the spiritual gift in you? Because being filled with the Holy Spirit is not an optional extra or an add-on in our life. It's God's command and will and grace gift to you as His sons and daughters. So what does it mean to walk in step with God's Spirit? Which is the title today. I mean, the idea of walking with God is a metaphor for how life should be lived in Jewish thought. You see it at the very beginning, Adam and Eve walking with God. You know, this place of harmony, this place of perfection. In a perfect world, humanity is walking hand in hand with Father God and enjoying life in the goodness and the grace of God. Our lives were to be lived as a journey with God. This is Jewish thought, this, who leads and guides us. Now, you see that in the Old Testament played out in the wilderness wanderings where God takes them through the wilderness. Even in the patriarch's journey, Abraham, you know, journeying on to find that place of promise in God. This is a metaphor that's played out in Genesis and actually was a thought that the Jews held strongly. We kind of lost it a bit. Walking suggests we're on the move, that we're active, that we're going somewhere. Walking with the Spirit suggests that it's God that's taking us on this journey, that actually it's a walk of faith. I know sometimes it feels like a walk in the dark. It does to me. It will do to anyone who takes this seriously. We don't always know where we're going to end up. And walking in step with the Spirit suggests that we have to keep pace and time with God. We go at His pace and in His time. So how do we do this? Well, I mean, it's not easy, isn't it? It's easy to say it. It's another thing to do it. And there's some simple things that we all have to do, like put God first in our lives. Following Jesus says, we deny our own self-will, our selfishness. We take up a cross to say, that's dead to me. And we obey God's ways and will in our life. We live a good, righteous life before Him. We don't need a prophetic word or a tingle down the back of our spine to live well. We just need to follow what God's asked us to do. And in all your ways, Proverbs 3, verse 6, if we acknowledge Him, He will direct our path. So if we're living a good life, if we're living a righteous life, we are open to the possibility and should be able to walk in the paths that God has laid out for us. Secondly, we do it by listening to Him and then obeying what He tells us to do. I think it's very interesting, 1 Samuel 3, where this young child Samuel is in this place, this sanctuary, Shiloh, and he's taught by an old priest to say to God as a three-year-old or four-year-old, a very young child, speak. "Your servant is listening." What are we listening to? Who are you listening to? Are you listening to the voice of the Spirit? Because if you want to walk in the Spirit, we have to be attuned to what He is saying. Now, Jesus said in a passage in John 10 that His sheep, He's a good shepherd and we're His sheep in that sense, hear His voice. Now, I've worked on a farm. Shepherds don't know exactly what the shepherd's saying. They can't speak English. They don't understand English. They don't understand every word you're saying. But when the shepherd calls, Oi, oi, oi. Don't even use English, most of them. You know, Come by. That's the sheep dog, by the way. But, All you do, you stand by a gate and just make a noise like that. I know, I've done it. And the sheep prick up their ears and they come to the shepherd because they know the shepherd's either going to feed them or take them somewhere or look after them. They respond to a voice. We don't always clearly hear what God's saying to us, but we should be able to hear that, Oi! Over here. Oi! Like a dog, of course. We should be able to respond to his master's voice. Isaiah 30 verse 21 says these words. "When you turn to the right or to the left," and we do that at times, I get very distracted in life. Probably you do. "You're going to hear a voice behind you saying, this way. Walk in it." Now, I've never heard God speak to me audibly. But it's that inner voice. It's that prompt. It's that stirring. It's that nudge. It's that idea that's suddenly coming to your head from nowhere that you've not even thought of before. It's the same inner voice that convicts us at times that we're doing wrong because we all feel that that also is communicating with us, prompting us and nudging us into other areas. And sometimes, you know, we hear the voice of conviction and we think, oh yeah, we know that's wrong. We recognize that as maybe God's speaking to us. Why can't we recognize God communicating with us when he's nudging us to do something else? Somehow, we struggle much more with that. We walk in step with the Spirit by putting God first in our life, denying our own way, following him, by listening to him and then being obedient to that nudge of the Spirit and by keeping in step with the Spirit. Timing is key for us as Christians. Some of us hear something and we rush on ahead. We're going to make it happen. It's there and then. It's going to happen tomorrow. It's what God wants us to do there and then. And I think Habakkuk, if you read the book of Habakkuk, it gives us a really good pointer on this. He says, look, you've heard God. You've got a clear vision, but it's for an appointed time. It's not for now. Hold on to it. Wait patiently. It will happen, but not yet. The other thing we don't keep in step with the Spirit is we lag behind. And I don't think this is a judgment on any of us. But I think the truth is sometimes we might miss that moment that God has opened up for us. The Kairos moment. The moment where heaven, Kairos means a divine appointed time where heaven touches earth. There is a time, said Ecclesiastes, for every purpose under heaven. And actually, if we're too far behind, sometimes we might miss it. If we're too far ahead, we might have gone beyond God, keeping in step with the Spirit. I'm loving this camera because I'm having such fun this morning with me. Keeping in step, I should walk this way. Keeping in step with the Spirit is keeping pace with what God is asking us to do. But it transforms your life. Eric was talking about transformation last week. It changes your life's direction. It nudges you in certain things that perhaps you hadn't thought of doing. It takes you on a journey that perhaps you hadn't thought you were going to do. We need to keep and walk in step with the Spirit. I rarely talk about my experiences because it's not because they aren't that brilliant, any greater than anyone else's in this room. But I do think I want to talk to you tonight about how this has worked today, about how this has worked out in my life. Because there's various ways, the nudges, the prompts, the words, that God has taken me to the time where I stand before you now, you know, in this new chapter in my life. Whether it's that inner voice of the Spirit, whether it's impartation through the laying on of hands that Paul was talking to Timothy about, whether it's prophetic words, whether it's Scripture, whether it's closed doors, and I want to give you an example of each one of them. One of them. But they have helped nudge me. And God will speak to you and do things in your life in different ways, but you've just got to keep listening and you've just got to keep obeying. They've helped to nudge me to the place I am today, the inner voice. At my baptism at the age of 17 in a river in North Yorkshire, I sensed a clear call of God to pastoral ministry. Now I have this opinion that new Christians can hear God better. I think the older you get, bluntly, as a Christian, the more crusty you get. Frankly, you have too many filters, too many questions, too many cautions, oh that can't be God, too many negative experiences of when it's gone wrong that you basically are much harder to hear when God is asking you to do something. So I shared with an American evangelist who was over from Philadelphia, sat on a riverbank that I was called to ministry at the age of 17. I told him that him and I were going to be working together in the future. He was living in America. 18 months later he was living in North Yorkshire. We were living in a house together and we were working around the area. And I guess that I felt after 10 years of working at Hollybush, part time, well not 10 years, sorry, got this wrong. Let me go back. I was part of the youth work at Hollybush. I was going out preaching, leading worship as a teenager. But I felt disobedience because I needed to go to Bible college. Didn't have a word to go to Bible college. Never had a flashing light. Just felt it was part of the process of what I needed to do and of course that was where I met Karen. So in a sense the first word had led to me being obedient and walking through life into the second. After 10 years, after 10 years of working at Hollybush I was in a prayer meeting one night and I just knew it was time for me to let go and step down. There was no reason for that to happen. Things were going very well there in lots of ways. But I told the pastor there that I was leaving I was going to work my notice out. We were married we had a mortgage we had a baby son and I had nothing ahead of me. Didn't have a job to go to didn't know what was going to happen next. But I followed the prompt and the nudge of God. And guess what? I ended up here eventually. But it was only it was about two and a half years well more I don't know how long or two and a half three years ago that I again felt that nudge when I was here that this was the time for me to step down from here. No word no Bible no prophetic word just the inner guiding of God's spirit. Listen to the inner voice. Impartation. Again, 17, 18, stood at the front coming forward for ministry always hungry for the things of the spirit always hungry for God to meet with me. I was stood there an American who didn't know who I was never met him before had no contact with my church stood in front of me and said Jonathan that's a great name means gift of God so today tonight you're going to receive an anointing for ministry that's the last thing I remember as I lay flat on the floor but I knew with a conviction that God had called me to something else. There are many times when I've received prayer and help and ministry from other people that is really important. Don't shy away when there's an opportunity for prayer. Please do not shy away from receiving prayer ministry from others. The prophetic. These both took real time in my life. Again, early twenties, somebody at Hollybush said, "Jonathan, I believe God is calling you to prison ministry". The only prison I'd ever seen was Porridge, the TV program. I had no idea how that would happen. It was a few years later that a prisoner, sorry, somebody wrote to me about a friend of theirs who was in prison for murder. Asked me to go and visit him, a guy called Paul. He just died last year. He was in for life. He gave his life to Jesus. I ended up visiting him. Then ended up getting friends with the prison chaplain at Wakefield, who became the prison general for the whole Britain. He invited me onto the team at Wakefield. I then was the first free minister in the UK paid by the home office as a prison chaplain in full, certain maximum security prison. I took teams before I came to Sheffield into five different prisons every month. And God actually opened the door for me. But it took time. I didn't write to the home office for a job. God opened the door. I remember a couple called the Alums, who were a prophetic couple, who prayed over me maybe 25 years ago as this group connections meeting that we were at. I think Roland was there. And they prayed that I would have a ministry to work with small churches. That I would be moving around supporting them, advising them, imparting, encouraging and developing them. 25 years ago. I'm doing it now. Scripture. It was this summer trying to come to terms with the change of seasons that God is taking me through that I was at a quiet service down down the south coast in Sussex the end of August where somebody was reading asked us to reflect on Ecclesiastes chapter 3. "There is a time and a purpose for everything." And said, "I want you to go and think about this." And we got to verse 2 and was read out, "a time to uproot and a time to plant." And I just knew that God had uprooted me. And I wrote a reflection I've still got on my phone about how it is difficult for a plant that's been established for 30 years in a place to be uprooted taken out of its network of relationships and actually at the moment still in a bucket waiting for what comes next. But that's basically where I am. So God spoke to me through scripture helpfully through the prophetic through people praying for me and laying hands on me through that inner voice of the spirit. And finally through the closed door. Because the only reason I came to Sheffield was that the dream job I wanted which had been offered to me didn't turn up in time. So at that point the evangelical alliance was led by a guy called Clive Calver who wanted me to become the northern regional development officer for the whole of EA. That's 30 something years ago. I felt this was what God wanted me to do. I said I would go for this. He said Joel Edwards who eventually to go for him he was the church minister he would get back in touch with me and then would sort out what was going to happen next. Joel Edwards didn't get in touch with me but Jeff Williams did. And I had no word to come here no scripture no audible voice no prophetic word nobody laid hands on me and said go to Sheffield. I stumbled over the doorway into this church. Right. Just being obedient to God faithful to God and I ended up here. And three weeks after I arrived the EA offered me the job. But I felt it was lacking in integrity to walk away from a church to do that. And the rest as they say is history. But I remember at Bible College R.T. Kendall who was a very famous preacher. He spoke on the Macedonian call of Paul which was about closed doors and open doors. And the word that came to him was that he spoke on was "learn to trust the closed door". We don't always understand why God has done something. I hope I see now when I look behind me the grace and the goodness of God in all this. But at the time I didn't. Perhaps walking in the spirit is not always easy. It's not always clear. There are times when you don't always understand what's happening but it's true that we still listen and we still obey and we still go for those nudges. But walking in the spirit is not just for individuals. It's also for a church. Because MCF is not where it is today by accident or by man's design. This has been God's purpose and plan and who is behind it all and before it all. We're here today doing what we're doing because we've been walking with the Holy Spirit. It was never a good idea, it was God's idea. It's worth remembering I think it's not just the leadership team who have revelation and inspiration. They're not only the ones who listen to God. We should all be listening to God. And good leaders will always release the spirit of God and the genius of the gifts of the spirit in a church and listen to what's been happening. Most of the mission stuff that you see around you or certainly a lot of it didn't come from the leadership team but came from individuals who felt God was prompting them nudging them calling them to do things and the leadership got behind it at that time. Scripture says that we we collectively have the mind of Christ, 1 Corinthians 2 verse 16. And the biggest decisions the early church had was the council of Jerusalem in Acts 15 where they had to decide what criteria Gentiles or non-Jews could join the church. Would they have to keep all the law? Would they have to do everything that good Jews had done for many many years? And they came with these big decisions at the end of Acts 15. But the phrase they used, the church, I love it. Because a whole group of them were gathered together to come to this decision. They said, "it seemed good to the Holy Spirit and to us." Togetherness collaboration as a group of people with the Holy Spirit to discover what God was doing. Of course, the first missionary journey which eventually took us into the church into Europe with Paul and Barnabas. They were released to serve as missionaries by a group of people who had been fasting and praying but who heard the Holy Spirit together telling them to release Paul and Barnabas to get on with what they had to do. How has walking in the Spirit worked out at MCF? And all these things I'm going to tell you have come from different people as far as I remember different words and different prompts. They've not come just from me or one other person or somebody else. Firstly, before I was even thought of coming to this estate in the first place, from Millhouses, leafy suburb of Millhouses to Batemoor Jordan Thorpe. That was a big nudge and it was a sacrificial nudge that this church made. But they made it on the prompt of the Holy Spirit on the basis of people being converted off this estate. That was a huge change from a middle class church to coming on to, I hate to use that phrase, but coming on to this area. It was a big big change and some people didn't like it I guess. A bit later on before we even had any buildings at all it was a friend of mine in the church who's not in the church anymore he's went up Scotland for a period of time who had a word from Isaiah 54 which we've often said which was about enlarging the place of your tent strengthening the states lengthening the cords do not hold back. You may feel like a barren woman who's not doing a great deal but suddenly your house is going to be filled. You've gone to two services here and basically before we even had a place we had this sense of God telling us to be established in this area and to almost sing over it. And it's a word that actually helped us to think about even stretching out to get that pub. Because one other thing was spare no expense if you read the New Living Translation. I always thought it was a fantastic thought because the expense is going up isn't it everyone? When we came to this building another one of the leaders who's no longer with us serving as another church he had a vision he kept talking about the piazza out there but the precinct where he saw the image of Ezekiel the river of God flowing from this place out onto the precinct. It's Ezekiel 47 of course. That river of God Jesus says is the Holy Spirit. "Out of your innermost beings will flow." So the flow of the Holy Spirit going out onto this estate that was seen very early on when we first moved here. Read John 7 verse 37 onwards if you want to get the idea of what Jesus is saying about this. But actually you see it's not the building isn't it? Because the Holy Spirit will only flow out of unit three if it's flowing out of the church which is us in unit three. It's flowing out the people who are being filled with the Holy Spirit who are being constantly filled with the Holy Spirit whose overflow is reaching out and lapping up and causing fruitfulness out there on our estate. Andy was the one who brought the artesian well saying he got a vision of somebody working hard on a pump. You know we were working hard doing stuff. And honestly there's still a danger in any church and I would say in this church because of the efforts we all put in that we rely on our own efforts of trying to pump the water so much. But I'm referring back to a word that Andy brought. This was about something springing up a well of living water springing up the Isaiah 43 thing. Again it's the Holy Spirit. It's the Holy Spirit coming forth. It's the Holy Spirit springing forth. This is why it's so important that we're filled with the Holy Spirit. That if we don't see it as an add-on. That we don't see it as something "well that happened to me 20 years I went to an Alpha course and I had a tingle or I felt a warm feeling." I mean God help us if that's all we think this is about. This is about the work of God. This is about the purpose of God. This is about the plan of God. Don't settle for anything less. No well worn passes. But I think it was me that had this vision of skiing off piste. You know because we were thinking how do we mission on this estate? How do we reach out on this estate? And it was about not just taking pre pre ordered ideas and just you know using that "oh that's worked over there" or "that's worked over there". But actually discovering is listening again to that voice what is God asking us to do that we're not being asked to go down a course. You know skiing down the course but actually off the courses and discover what God was asking us to do not just relying on those well known methods. And the fourth thing was the values which we worked through: encountering God, getting involved, living generously, transforming community. I want to say to you the journey for MCF has been bumpy, when I was leading it anyway. Still probably is. But it has a walk keeping in step with where God's spirit is wanting to lead us. So I'm going to finish with coming back to the values. Encountering God. That wasn't just about about a once and for all salvation experience but about us as the believers in Christ seeking after him longing for him discovering him in our lives. And as an old man at my previous church in North York she used to say, "if you're seeking God and he's seeking you then you're bound to bump into each other sooner or later". I conclude we need to be filled with the Holy Spirit. It's not an option extra. Don't deny God's grace in this and don't pay lip service to this. "Since we're living by the Spirit, let us follow the Spirit's leading in every part of our lives," Galatians 5 verse 25 says. Secondly, you have to trust and have faith that God does speak to you and he will guide you. And we all get it wrong at times. Be humble and admit it when we do. That's a good learning curve for us all, isn't it? It it's always good to what you really want you often think that's what God must want too. And it can be very confusing. You convince yourself it must be God's will. But walking in step with the Spirit is taking steps of faith. As John Wimber said, "faith spelled R-I-S-K." Don't expect God to speak to you with a megaphone because he won't. He normally has this still small voice that Elijah experienced in 1 Kings 19. More likely the internal nudge, the prompt, the reminder, the sense of peace or the sense of unease or conviction or a passion rising within you. And God will speak to you by the means like scripture, through sermons, perhaps through songs, through prophetic words. And we should take note of those things also. Finally, we're not going anywhere unless we move. And I just feel really sad when I go to certain churches and I have been to certain churches and churches I used to preach at many years ago they're on the verge of closing. Because I would say to you as the people of God, churches stagnate and become stale when they stop moving. They stop walking with God. Now this series has been a bit like learning the highway code, maybe doing your driving theory. It's time to hit the road with what you've learned. There was a Scottish preacher trying to explain the Holy Spirit said, "it's better felt than tell". And you know there's something about that. I could talk as much as I like about this but actually this is your invitation opportunity to be involved yourself. The sat nav might show you the route, scripture, but you don't arrive without setting off and following the instructions. You cannot walk with God without moving. We talk about wanting a move of God. Well that starts when God starts to move us. Move us, move us. As I hand back over to Nick now, just want to encourage you. Please take every opportunity during this series that is offered to you to be filled with the spirit. Amen. God bless you.

On the Friday episode of their PG Pitt Show, Post-Gazette Panthers insiders Stephen Thompson and Abby Schnable preview the second game of the season Friday against Longwood. Can coach Jeff Capel draw more consistency out of F Papa Kante? Will the Panthers limit their turnovers this time out after struggling in that area against Youngstown State? And can Barry Dunning Jr. produce more? Our duo tackles those questions, then turns to football. What is the ACC title game path for Pat Narduzzi, Desmond Reid, Mason Heintechel and the Panthers among the numerous tiebreaker scenarios in the ACC? And what are Stephen and Abby's picks for some crucial conference clashes this week: Wake Forest vs. Virginia and Louisville vs. Cal? Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Liam Burns, CEO of Qaelon Medical, about turning ideas into companies. Chapters 00:00 Intro 02:26 JANS 1, Ross Procedure Consensus Statement 13:59 JANS 2, Novel Anastomotic Device 16:03 JANS 3, Tracheobronchoplasty Disorders Analysis 18:32 JANS 4, Revasc Strategies Non-Acute Myocardial 20:22 JANS 5, EACTS Core Curriculum for Cardiac Surgeon 21:51 Video 1, Giant Right Coronary Artery Aneurysm 24:01 Video 2, Bentall-de Bono Procedure 25:29 Video 3, Democratizing MI Mitral Repair 27:01 Liam Burns Interview 37:15 Upcoming Events 38:38 Closing They explored the challenges faced by innovators and emphasized the importance of having a commercial perspective. Additionally, they discussed product design, the fundraising process, and the challenges that commercial leaders face. Burns also shared valuable advice for aspiring innovators.   Joel also highlights recent JANS articles on the EACTS expert consensus statement on the Ross procedure in adult patients, a human cadaver study on a novel anastomotic device for the sandwich technique in type A aortic dissections, a comparative analysis of distinct airway disorders, revascularization strategies for non-acute myocardial ischemic syndromes, and core curriculum for the cardiac/cardiovascular surgeon.  In addition, Joel explores the surgical repair of a giant right coronary artery aneurysm with saphenous vein interpositional grafting, the Bentall-de Bono procedure, and democratizing minimally invasive mitral repair. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) EACTS Expert Consensus Statement on the Ross Procedure in Adult Patients   2.) Novel Anastomotic Device for the Sandwich Technique in Type A Aortic Dissections—A Human Cadaver Study  3.) Tracheobronchoplasty for Excessive Dynamic Airway Collapse and Tracheobronchomalacia: A Comparative Analysis of Distinct Airway Disorders  4.) Revascularisation Strategies for Non-Acute Myocardial Ischaemic Syndromes  5.) The European Association for Cardio-Thoracic Surgery—Core Curriculum for the Cardiac/Cardiovascular Surgeon  CTSNet Content Mentioned  1.) Surgical Repair of a Giant Right Coronary Artery Aneurysm With Saphenous Vein Interpositional Grafting   2.) The Bentall-de Bono Procedure: A Novel, Time-Efficient Mattress-Type Technique for Aortic Root Anastomosis   3.) Democratizing Minimally Invasive Mitral Repair  Other Items Mentioned  1.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani  2.) Case of the Month: The Case of a Foreign Body  3.) Resident Video Competition  4.) Career Center   5.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Did you know that over 11 million tons of textiles end up in U.S. landfills each year? These discarded garments release an estimated 176,500 metric tons of microplastic fibers into the environment annually.The fashion industry's reliance on synthetic materials has skyrocketed, with polyester now used in over 60% of garments. Fast fashion brands are increasingly using cheaper, plastic-based fabrics to produce more clothing at lower costs. This trend towards disposable fashion is not only harming our planet but also potentially impacting our health.Microplastics from these garments can enter our food chain and water supply, with unknown long-term consequences. That's why we're so glad to chat on IG Live with Hannah Dunning, CEO of the Clean Media Agency. Hannah is the Host of the Hannah Dunning Project.During this Live, we're going to discuss the first steps to take for creating a low-tox closet, what to consider why buying undergarments, common materials to avoid in clothing, and so much more. Learn more about Hannah's services: https://www.instagram.com/hannahdunning11Get tested for BPA, phthalates, parabens, and other hormone-disrupting chemicals with Million Marker's Test Kit: https://www.millionmarker.com/

Trey's Table Episode 380 The Big Lie About Reconstruction We've been taught a version of history that was designed to oppress. In Episode 380 of Trey's Table, we're dismantling the "Dunning School." For decades, this school of thought dominated history books, pushing the false narrative that Reconstruction was a tragic failure—a period of "corrupt" Black leadership and "Northern aggression." It was a deliberate, academic lie created to justify Jim Crow and white supremacy by slandering the progress made after the Civil War. We have to understand these lies of the past to fight the misinformation of the present. Tap the link in my bio to listen to Episode 380: "Dismantling the Dunning School: The Lie That Shaped a Century." Hashtags: #TrevsTable #Podcast #AfricanAmericanHistory #Reconstruction #DunningSchool #BlackHistory #HistoryLesson #JimCrow #LearnOurHistory #FightMisinformation

Sunday Nov 2nd GRIZZ WATCH PARTY with Michelob Ultra and hosts Gabe Kuhn & Connor Dunning

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning explores the integration of artificial intelligence (AI) in writing medical articles. Chapters 00:00 Intro 01:56 Using AI in Medical Writing 09:07 JANS 1, AI-Writing Article 14:53 JANS 2, Kidney vs Lung Transplant Outcomes 17:04 JANS 3, Harvesting Tech on ITAG 18:56 JANS 4, Phase 2 NeoCOAST-2 Trial 23:01 Career Center 23:41 Video 1, TAVR Explant After CABG w MVR 25:28 Video 2, Updated Y-Incision AA Enlargement 27:05 Video 3, Carotid Artery Cann for CABG 28:16 Upcoming Events He reviews guidelines set by the International Committee of Journal Editors Committee regarding publication ethics and emphasizes the benefits of utilizing AI in writing processes. Joel also highlights the crucial necessity of including disclosures when employing AI tools. Additionally, he delves into other ways AI can be used, such as data analysis, and discusses taking accountability when using these technologies. Furthermore, he addresses the limitations of AI, noting that it cannot be cited as a source or used as a coauthor.   Joel also highlights recent JANS articles on assisted artificial intelligence in medical writing, the impact of kidney transplantation on survival outcomes for lung transplantation, if the harvesting technique affects the production of nitric oxide and endothelin in the internal thoracic artery graft, and the platform phase 2 NeoCOAST-2 trial on perioperative durvalumab plus chemotherapy plus new agents for resectable non-small-cell lung cancer.  In addition, Joel explores a TAVR explant after CABG with MVR, tips and tricks for the updated Y-incision aortic annular enlargement, and carotid artery cannulation for cardiopulmonary bypass in minimally invasive cardiac surgery.    JANS Items Mentioned  1.) Assisted Artificial Intelligence in Medical Writing: A Primer for Humans   2.) The Impact of Kidney Transplantation on Survival Outcomes for Lung Transplantation  3.) The Harvesting Technique Affects the Production of Nitric Oxide and Endothelin in the Internal Thoracic Artery Graft  4.) Perioperative Durvalumab Plus Chemotherapy Plus New Agents for Resectable Non-Small-Cell Lung Cancer: The Platform Phase 2 NeoCOAST-2 Trial  CTSNet Content Mentioned  1.) TAVR Explant After CABG With MVR   2.) Tips and Tricks for the Updated Y-Incision Aortic Annular Enlargement   3.) Carotid Artery Cannulation for Cardiopulmonary Bypass in Minimally Invasive Cardiac Surgery   Other Items Mentioned  1.) Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals  2.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani  3.) Resident Video Competition  4.) Career Center   5.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Fraser Sutherland, a consultant cardiac surgeon at Ross Hall Hospital and the Golden Jubilee National Hospital, Scotland, about the world's first transcervical robotic aortic valve replacement (AVR) procedures. Chapters 00:00 Intro  02:30 JANS 1, CABG After 60 Years  13:53 JANS 2, Endovascular Arch Repair  16:45 JANS 3, Impact of Age on ARR  18:47 JANS 4, Anterior Mediastinal Teratomas  20:28 Career Center  21:02 Video 1, RUL Without Dissecting SPV  22:58 Video 2, Replacement w Double Patch Repair  23:53 Video 3, TAVR & SAVR Removal w LVOR  24:47 Dr. Sutherland Interview  45:26 Closing  They discuss the history and evolution of these cases, along with the preclinical work that led to this innovative technique. Dr. Sutherland addresses initial challenges such as the uniportal incision, the transcervical retractor system, and enhancing dexterity by incorporating a robotic system. They also detail the first clinical case, including postoperative outcomes and the importance of maintaining safety for the patient. Additionally, they explore the benefits for patients undergoing this procedure and its future potential. Furthermore, Dr. Sutherland provides insights into the procedural steps and key aspects of the procedure.   Joel also highlights recent JANS articles on coronary artery bypass grafting 60 years after its debut, endograft design options and worldwide results for endovascular arch repair, the impact of age on aortic root replacement, and a multicenter retrospective study on if subxiphoid thoracoscopic surgery is safe and feasible for the treatment of anterior mediastinal teratomas.  In addition, Joel explores a multiportal approach for robotic right upper lobectomy without dissecting the superior pulmonary vein, aortic and mitral replacement with double patch repair, and TAVR and SAVR removal with left ventricular outflow reconstruction.  JANS Items Mentioned  1.) Coronary Artery Bypass Grafting: 60 Years After Its Debut  2.) Endovascular Arch Repair: Endograft Design Options and Worldwide Results  3.) The Impact of Age on Aortic Root Replacement  4.) Subxiphoid Thoracoscopic Surgery Is Safe and Feasible for the Treatment of Anterior Mediastinal Teratomas: A Multicentre Retrospective Study  CTSNet Content Mentioned  1.) Robotic Right Upper Lobectomy Without Dissecting the Superior Pulmonary Vein: A Multiportal Approach   2.) Aortic and Mitral Replacement With Double Patch Repair   3.) TAVR and SAVR Removal With Left Ventricular Outflow Reconstruction  Other Items Mentioned  1.) World's First Transcervical Robotic AVR Procedures Successfully Performed in 4 Cleveland Clinic Patients  2.) Resident Video Competition  3.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani  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.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Marc Pelletier, division chief of cardiac surgery for the Department of Surgery at Yale School of Medicine, about patient blood management. Chapters 00:00 Intro 01:45 EACTS 2025 07:19 JANS 1, HVD Management Guidelines 16:26 JANS 2, Low-Risk AVR Evidence 19:21 JANS 3, Warden Procedure Selection 20:36 JANS 4, Primary Repair of CAT 21:48 JANS 5, NEWTON-CABG Cardiolink-5 23:20 Video 1, Acute Aortic Syndrome 24:54 Video 2, Redo TVR Under Bypass 27:13 Video 3, Giant Tension Bulla 28:47 Dr. Pelletier Interview 34:25 Outro They delve into the Society of Thoracic Surgeons (STS) guidelines on patient blood management, along with key tips. They also explore preoperative optimization, provide an example, and discuss cell savers and reducing dead space during surgery. Additionally, they touch on postoperative transfusion and the importance of performing meticulous surgery.  Joel also highlights recent JANS articles on the 2025 ESC/EACTS guidelines for the management of valvular heart disease, low-risk aortic valve replacement at the crossroads of evidence, ideal age and weight for the Warden procedure in patients with partial anomalous pulmonary venous return, a systematic meta-analysis of short- and long-term outcomes of the primary repair of common arterial trunk, and an international, randomized, double-blind, placebo-controlled trial on the effect of Evolocumab on saphenous vein graft patency after coronary artery bypass surgery.  In addition, Joel explores the surgical treatment of acute aortic syndrome, a redo tricuspid valve replacement technique under right heart bypass for a previously repaired tricuspid valve, and thoracoscopic resection of a giant tension bulla. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) 2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease: Developed by the Task Force for the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)   2.) Low-Risk Aortic Valve Replacement at the Crossroads of Evidence  3.) Is There an Ideal Age or Weight for the Warden Procedure in Patients With Partial Anomalous Pulmonary Venous Return?  4.) Primary Repair of Common Arterial Trunk: A Systematic Meta-Analysis of Short- and Long-Term Outcomes  5.) Effect of Evolocumab on Saphenous Vein Graft Patency After Coronary Artery Bypass Surgery (NEWTON-CABG CardioLink-5): An International, Randomized, Double-Blind, Placebo-Controlled Trial  CTSNet Content Mentioned  1.) Surgical Treatment of Acute Aortic Syndrome   2.) Redo Tricuspid Valve Replacement Technique Under Right Heart Bypass for a Previously Repaired Tricuspid Valve   3.) Thoracoscopic Resection of a Giant Tension Bulla   Other Items Mentioned  1.) STS/SCA/AmSECT/SABM Update to the Clinical Practice Guidelines on Patient Blood Management  2.) Transcatheter vs Surgical Aortic Valve Replacement in Lower-Risk Patients: An Updated Meta-Analysis of Randomized Controlled Trials  3.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani  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.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning shares insights from his recent trip to Ghana. Chapters 00:00 Intro  02:18 Ghana Mission Trip  04:35 Failures of a Heart Surgeon   09:27 JANS 1, Accelerometer-Measured Physical Activity   12:57 JANS 2, Utility of GERAADA Score   14:41 JANS 3, Aortic Valve Neocuspidization   17:33 JANS 4, Procedural Planning in Thoracoscopic Segmentectomy  19:09 JANS 5, The Outlet Orifice Diameter   22:28 Video 1, Clampless Aortic Valve Replacement   24:01 Video 2, Multiportal Robot-Assisted Extended LLS S6  25:13 Video 3, The Atrium  26:00 EACTS 2025 & Upcoming Events  27:35 Footage From Ghana  He discusses the various procedures that he and his team performed during their visit, as well as his overall experience collaborating with the local surgeons. The episode also features surgical footage from his time in Ghana and includes discussion with several surgeons about their work. Additionally, Joel addresses a recent news story from the UK regarding the failures of a heart surgeon that have contributed to multiple patient deaths. He provides an overview of the circumstances surrounding these events and emphasizes the critical importance of teamwork in surgical practice.   Joel also highlights recent JANS articles on an analysis of the UK mini mitral randomized controlled trial for accelerometer-measured physical activity after mitral valve surgery, the utility of GERAADA score for predicting long-term survival following surgical repair of aortic dissection, early to mid-term results of aortic valve neocuspidization for rheumatic aortic valve disease, a systematic review and meta-analysis for three-dimensional reconstruction and virtual simulation of patient-specific anatomy for procedural planning in thoracoscopic segmentectomy, and the outlet orifice diameter of surgical bioprosthetic aortic stented valves is predominantly much smaller than the inlet orifice diameter.  In addition, Joel explores a clampless aortic valve replacement in a partial porcelain aorta with aortic root enlargement and CABG with two grafts, multiportal robot-assisted extended lower left segmentectomy, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. John D. Puskas about proximal coronary anastomosis. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Accelerometer-Measured Physical Activity After Mitral Valve Surgery: An Analysis of the UK Mini Mitral Randomized Controlled Trial  2.) Utility of GERAADA Score for Predicting Long-Term Survival Following Surgical Repair of Aortic Dissection  3.) Early to Mid-Term Results of Aortic Valve Neocuspidization for Rheumatic Aortic Valve Disease  4.) Three-Dimensional Reconstruction and Virtual Simulation of Patient-Specific Anatomy for Procedural Planning in Thoracoscopic Segmentectomy: A Systematic Review and Meta-Analysis  5.) The Outlet Orifice Diameter of Surgical Bioprosthetic Aortic Stented Valves Is Predominantly Much Smaller Than the Inlet Orifice Diameter   CTSNet Content Mentioned  1.) Clampless Aortic Valve Replacement in a Partial Porcelain Aorta With Aortic Root Enlargement and CABG With Two Grafts  2.) Multiportal Robot-Assisted Extended Lower Left Segmentectomy: Superior Segment S6 With Lateral S9 Resection  3.) The Atrium: Proximal Coronary Anastomosis   Other Items Mentioned  1.) Joel Dunning YouTube Channel | The Arrhythmia Alliance Hearts of Ghana Mission 2025   2.) Heart Surgeon's Failures Contributed to Multiple Deaths   3.) The 10 Commandments for Proximal Anastomosis During CABG: Techniques and Technologies for Vein and Arterial Grafts  4.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani  5.) Career Center   6.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week, Caroline and Liz welcome back duo designers Lathem Gordon and Cate Dunning to the show of the design duo Gordon Dunning in our NEW Atlanta podcast studio! Lathem and Cate demystify the client-designer relationship, walk through their step-by-step process (including their famous Love‑Hate meeting), and share practical guidance on budgets, timelines, communication, construction walkthroughs, sourcing art, and finishing touches. Whether you're hiring a designer for a single room, a phased project, or a whole-home build, they explain what to expect, what questions to ask, and how to get the most from the partnership. What You'll Hear in This Episode: 00:00 Welcome and Introductions 01:00 Meet Lathem Gordon & Cate Dunning (Gordon Dunning) 03:00 How to prepare before hiring a designer 06:00 Why relationship and communication style matter 09:00 Interviewing designers — what to ask 14:00 Budget conversations: ranges, transparency, and expectations 18:00 Working alongside architects and builders 22:00 The Love‑Hate meeting — ideation and identifying priorities 28:00 Magic wand + Anne piles — how choices get refined 32:00 Meeting length, decision fatigue, and pacing 36:00 Construction deliverables and walkthroughs (framing, electrical, millwork) 40:00 Designer as advocate — handling on-site surprises 43:00 Install day: how Gordon Dunning handles reveals 48:00 Post-install follow-up, fixes, and photo shoots 52:00 Using existing furniture and moving between homes 58:00 Sourcing and commissioning art — client-led vs. designer-led 01:05:00 Accessories, final styling, and invoicing 01:12:00 Communication preferences (email vs. text) and process etiquette 01:19:00 Common misconceptions and final advice 01:24:00 Where to find Gordon Dunning Also Mentioned: @gordondunning | Designer Instagram gordondunning.com | Gordon Dunning Website ⁠⁠⁠⁠⁠Shop Ballard Designs⁠⁠⁠⁠⁠⁠⁠⁠ | Website Please send in your questions so we can answer them on our next episode! And of course, subscribe to the podcast in Apple Podcasts so you never miss an episode. You can always check back here to see new episodes, but if you subscribe, it'll automatically download to your phone. Happy Decorating! Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Anders Jeppsson, a cardiothoracic surgeon at Sahlgrenska University Hospital in Gothenburg, Sweden, about his paper on “Ticagrelor and Aspirin or Aspirin Alone After Coronary Surgery for Acute Coronary Syndrome,” published in The New England Journal of Medicine. Chapters 00:00 Intro  01:54 Ghana Mission Trip  06:23 JANS 1, Pig-to-Human Transplant  08:08 JANS 2, CABG Acute Type A AD  10:06 JANS 3, Chylothorax Lymph Node Management  11:22 JANS 4, ICU Resternotomy Adoption  13:38 JANS 5, Octogenarians Repair vs MV Surgery  15:10 Career Center  15:31 Video 1, MVR Patent Bilateral IMammary Grafts  16:36 Video 2, Repeat RA Thoracotomy  17:39 Video 3, Vascular Injuries in Robotics  19:12 Dr. Jeppsson Interview  33:30 EACTS 2025 & Upcoming Events  They began by providing an overview of the study, including the reason for conducting it, the expansion of the study to other Nordic countries, and its results. They also discuss the funding for the research and the recruitment process. Additionally, they cover dual antiplatelet therapy and compare this study with similar research. Finally, they explore registry-based studies and future research on ticagrelor and aspirin, or aspirin alone, following coronary surgery for acute coronary syndrome.  Joel also highlights recent JANS articles exploring whether protective coronary artery bypass grafting improves surgical outcomes in acute type A aortic dissection with coronary ostial involvement, the association of chylothorax with aggressiveness of lymph node management during pulmonary resection, if intensive care unit resternotomy should be practiced in all facilities that perform cardiac surgery, transcatheter edge-to-edge repair vs mitral valve surgery in octogenarians, and research using pig-to-human lung xenotransplantation into a brain-dead recipient.  In addition, Joel explores robotic mitral valve replacement in a patient with patent bilateral internal mammary grafts, repeat right axillary thoracotomy as a safe and feasible approach for repair of recurrent LAVVR after previous AVSD repair, and handling vascular injuries in robotic thoracic surgery. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Protective Coronary Artery Bypass Grafting Improves Surgical Outcomes in Acute Type A Aortic Dissection With Coronary Ostial Involvement  2.) The Association of Chylothorax With Aggressiveness of Lymph Node Management During Pulmonary Resection  3.) Expert Opinion: Intensive Care Unit Resternotomy Should Be Practiced in All Facilities That Perform Cardiac Surgery  4.) Transcatheter Edge-to-Edge Repair Versus Mitral Valve Surgery in Octogenarians: Comparative Analysis of Safety, Durability, and Survival  5.) Pig-to-Human Lung Xenotransplantation Into a Brain-Dead Recipient  CTSNet Content Mentioned  1.) Robotic Mitral Valve Replacement in a Patient With Patent Bilateral Internal Mammary Grafts: A Case Video  2.) Repeat Right Axillary Thoracotomy Is a Safe and Feasible Approach for Repair of Recurrent LAVVR After Previous AVSD Repair   3.) Handling Vascular Injuries in Robotic Thoracic Surgery: Real-Life Cases Using a Fibrin-Based Hemostatic Technique  Other Items Mentioned  1.) Ticagrelor and Aspirin or Aspirin Alone After Coronary Surgery for Acute Coronary Syndrome   2.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani  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.

Much of our intro segment is spent with Celestia gnashing her teeth about the recent Trump-RFK-Oz press conference that unveiled a purported link between acetaminophen and autism. It was . . . not good. Then Ben and Celestia are joined by Skeptoid's Brian Dunning to discuss his lifelong love of Death Valley and his part in the solution to a longtime mystery there: the sailing stones of Racetrack Playa. These heavy rocks have, for decades, mystified visitors (and apparently park rangers too) by leaving long, winding trails behind them when no one was looking. The remote location would seem to rule out hoaxing, so it had to be some natural phenomenon -- and no, it was not magnetic fields or vortexes. Note: Celestia mistakenly calls Nevada's Three Kids manganese mine a mercury mine, but because it bothered the heck out of her she looked it up right before typing these notes!

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Drs. Daniel Brockman, Professor of Small Animal Surgery at The Royal Veterinary College, London, England, and Matteo Rossanese, Senior Lecturer in Small Animal Surgery at The Royal Veterinary College, about performing cardiothoracic surgery in animals. Chapters 00:00 Intro 01:44 Innovation Competition Results 07:18 JANS 1, Modified Bio-Bentall 08:45 JANS 2, External Aortic Root 11:53 JANS 3, Re-Redo Pulm Valve 13:19 JANS 4, Tracheal Regeneration Model 16:15 Career Center 16:56 Video 1, EXIT-to-Open Atrial Septectomy 17:16 Video 2, Incision Repair of Tetra Fallot 19:40 Video 3, Isolated Pulm Leaflet Autograft 22:33 Dr. Brockman and Rossanese Interview 51:11 Upcoming Events 53:30 Closing They explore the evolution of cardiothoracic surgery in veterinary medicine, discussing a variety of cases and the techniques employed, including mitral valve repair. Additionally, they highlight the anatomical differences between animals and humans, explaining how surgical techniques must be adapted accordingly. They also cover methods for testing valves, measuring the quality of repairs, and monitoring postoperative outcomes and follow-ups. Furthermore, they touch upon various conditions, such as tetralogy of Fallot, heart valve defects, etc.   Joel also highlights recent JANS articles on modified Bio-Bentall operation with a rapid deployment valve, personalized external aortic root support, clinical success of re-redo pulmonary valve and pulmonary trunk homograft replacement during the second trimester of pregnancy, and lessons learned from various 3D-printed tracheal grafts in an extensive porcine model for de novo tracheal regeneration.  In addition, Joel explores an EXIT-to-open atrial septectomy for hypoplastic left heart syndrome with intact atrial septum, incision of the moderator band during repair of tetralogy of Fallot, and a new solution for aortic valve repair, isolated pulmonary leaflet autograft. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Modified Bio-Bentall Operation With A Rapid Deployment Valve  2.) Personalized External Aortic Root Support: The Dutch Experience  3.) Clinical Success of Re-Redo Pulmonary Valve and Pulmonary Trunk Homograft Replacement During the Second Trimester of Pregnancy  4.) Lessons Learned From Various 3D-Printed Tracheal Grafts in an Extensive Porcine Model for De Novo Tracheal Regeneration  CTSNet Content Mentioned  1.) EXIT-to-Open Atrial Septectomy for Hypoplastic Left Heart Syndrome With Intact Atrial Septum: Gone in 90 Seconds!  2.) Incision of the Moderator Band During Repair of Tetralogy of Fallot   3.) Isolated Pulmonary Leaflet Autograft: A New Solution for Aortic Valve Repair  Other Items Mentioned  1.) Career Center   2.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Alexis Shafii, professor of surgery and surgical director of heart transplantation at The Texas Heart Institute at Baylor College of Medicine, about the first in-human BiVACOR total artificial heart implantation. Chapters 00:00 Intro 01:54 JANS 1, Validation of SYNTAX 04:58 JANS 2, Long-Distance ECMO Bridge 09:05 JANS 3, Segmentectomies Made Easy 10:49 JANS 4, MI Total Arterial BG 12:56 Career Center 13:46 Video 1, MI ASD Closure 15:43 Video 2, Basics of MV Surgery 17:03 Video 3, Construct Autologous P MV 20:19 Dr. Shafii Interview 33:37 Upcoming Events 34:56 Closing They discuss the preclinical work and the history behind the development of this innovative device. Dr. Shafii also showcases the device and explains its functionality in detail. They also highlight the first patient who received the BiVACOR total artificial heart implantation and provide insights into learning the nuances of this operation.  Additionally, they explore the critical aspects of explanting the device and the importance of understanding how to explant the heart. Furthermore, they discuss the next steps for gaining approval of the BiVACOR total artificial heart, including the feasibility trial, and speculate on where we might be in five years regarding total artificial heart implantation.   Joel also highlights recent JANS articles on the external validation of SYNTAX score II in a real-world cohort undergoing coronary artery bypass grafting, successful extracorporeal membrane oxygenation bridge to lung transplant with a patient transported from Hawaii to Nashville, Tennessee, USA, robotic-assisted left S3 segmentectomy, and minimally invasive total arterial bypass grafting via left minithoracotomy in obese patients.  In addition, Joel explores direct cannulation for minimally invasive ASD closure, an instructional video for residents on the basics of mitral valve surgery, and how to construct an autologous pericardial mitral valve for infants and small children. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) External Validation of SYNTAX Score II in a Real-World Cohort Undergoing Coronary Artery Bypass Grafting  2.) Successful Extracorporeal Membrane Oxygenation Bridge to Lung Transplant With a Patient Transported From Hawaii to Nashville, Tennessee  3.) Segmentectomies Made Easy Series: Robotic-Assisted Left S3 Segmentectomy  4.) Minimally Invasive Total Arterial Bypass Grafting via Left Minithoracotomy in Obese Patients  CTSNet Content Mentioned  1.) Minimally Invasive ASD Closure: Direct Cannulation   2.) Basics of Mitral Valve Surgery: An Instructional Video for Residents   3.) How to Construct an Autologous Pericardial Mitral Valve for Infants and Small Children   Other Items Mentioned  1.) Career Center   2.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Menschen mit wenig Wissen oder Können neigen dazu, ihre Fähigkeiten zu überschätzen. Diese wissenschaftliche Erkenntnis wurde als Dunning-Kruger-Effekt weltberühmt. Doch inzwischen gibt es auch Kritik. (00:03:31) Dunning Kruger Effekt – ein kollektiver Effekt (00:04:35) Was genau ist der Dunning Kruger Effekt? (00:06:20) Wie wurde der entdeckt? (00:08:26) Gilt der Test als bestätigt? (00:09:04) Wie kommts zur Selbstüberschätzung? (00:11:31) Weniger Kompetenz mehr Selbstüberschätzung? (00:13:31) Was sagt Dunning zu seiner Entdeckung? (00:14:30) Was macht Dunning heute? (00:15:32) Overclaiming (00:17:03) Wie erklärt sich der Effekt? (00:18:33) Vermeidung des Effekts? (00:19:45) Kritik am Effekt (00:22:03) Ist der Effekt hinfällig? (00:23:02) Was kann man machen? Hier entlang zum Spektrum-Artikel zum Dunning-Kruger-Effekt: https://www.spektrum.de/news/dunning-kruger-effekt-warum-ueberschaetzen-sich-die-ahnungslosen/2273752 Hier geht’s zum neuen Podcast „Die großen Fragen der Wissenschaft“ von Spektrum der Wissenschaft und detektor.fm: https://detektor.fm/serien/die-grossen-fragen-der-wissenschaft Hier entlang geht's zu den Links unserer Werbepartner: https://detektor.fm/werbepartner/spektrum-der-wissenschaft >> Artikel zum Nachlesen: https://detektor.fm/wissen/spektrum-podcast-dunning-kruger-effekt

Menschen mit wenig Wissen oder Können neigen dazu, ihre Fähigkeiten zu überschätzen. Diese wissenschaftliche Erkenntnis wurde als Dunning-Kruger-Effekt weltberühmt. Doch inzwischen gibt es auch Kritik. (00:03:31) Dunning Kruger Effekt – ein kollektiver Effekt (00:04:35) Was genau ist der Dunning Kruger Effekt? (00:06:20) Wie wurde der entdeckt? (00:08:26) Gilt der Test als bestätigt? (00:09:04) Wie kommts zur Selbstüberschätzung? (00:11:31) Weniger Kompetenz mehr Selbstüberschätzung? (00:13:31) Was sagt Dunning zu seiner Entdeckung? (00:14:30) Was macht Dunning heute? (00:15:32) Overclaiming (00:17:03) Wie erklärt sich der Effekt? (00:18:33) Vermeidung des Effekts? (00:19:45) Kritik am Effekt (00:22:03) Ist der Effekt hinfällig? (00:23:02) Was kann man machen? Hier entlang zum Spektrum-Artikel zum Dunning-Kruger-Effekt: https://www.spektrum.de/news/dunning-kruger-effekt-warum-ueberschaetzen-sich-die-ahnungslosen/2273752 Hier geht’s zum neuen Podcast „Die großen Fragen der Wissenschaft“ von Spektrum der Wissenschaft und detektor.fm: https://detektor.fm/serien/die-grossen-fragen-der-wissenschaft Hier entlang geht's zu den Links unserer Werbepartner: https://detektor.fm/werbepartner/spektrum-der-wissenschaft >> Artikel zum Nachlesen: https://detektor.fm/wissen/spektrum-podcast-dunning-kruger-effekt

Menschen mit wenig Wissen oder Können neigen dazu, ihre Fähigkeiten zu überschätzen. Diese wissenschaftliche Erkenntnis wurde als Dunning-Kruger-Effekt weltberühmt. Doch inzwischen gibt es auch Kritik. (00:03:31) Dunning Kruger Effekt – ein kollektiver Effekt (00:04:35) Was genau ist der Dunning Kruger Effekt? (00:06:20) Wie wurde der entdeckt? (00:08:26) Gilt der Test als bestätigt? (00:09:04) Wie kommts zur Selbstüberschätzung? (00:11:31) Weniger Kompetenz mehr Selbstüberschätzung? (00:13:31) Was sagt Dunning zu seiner Entdeckung? (00:14:30) Was macht Dunning heute? (00:15:32) Overclaiming (00:17:03) Wie erklärt sich der Effekt? (00:18:33) Vermeidung des Effekts? (00:19:45) Kritik am Effekt (00:22:03) Ist der Effekt hinfällig? (00:23:02) Was kann man machen? Hier entlang zum Spektrum-Artikel zum Dunning-Kruger-Effekt: https://www.spektrum.de/news/dunning-kruger-effekt-warum-ueberschaetzen-sich-die-ahnungslosen/2273752 Hier geht’s zum neuen Podcast „Die großen Fragen der Wissenschaft“ von Spektrum der Wissenschaft und detektor.fm: https://detektor.fm/serien/die-grossen-fragen-der-wissenschaft Hier entlang geht's zu den Links unserer Werbepartner: https://detektor.fm/werbepartner/spektrum-der-wissenschaft >> Artikel zum Nachlesen: https://detektor.fm/wissen/spektrum-podcast-dunning-kruger-effekt

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Adanna Akujuo, a cardiothoracic surgeon and the surgical director of the Structural Heart Program at UVA Health University Medical Center, about the Voom Foundation and its trips to Africa. Chapters 00:00 Intro 01:39 Dr. Akujuo, Medical Missions 21:57 JANS 1, Ticagrelor and Aspirin Coronary 25:20 JANS 2, Long-Term MVR Durability Model 27:37 JANS 3, Duration of Donor Ventilation 29:18 JANS 4, Min Inv Concomitant Tri VR 31:40 JANS 5, Soft Robotic Artificial Hybrid Heart 33:32 Career Center 34:20 Video 1, RVOT Injury During Dissection 37:05 Video 2, Min Inv ASD Closure 38:31 Video 3, Redo AVR via Partial U Resternotomy 40:08 Upcoming Events 40:54 Closing They explore the foundation's goals, including training and educating local medical staff and providing essential care. Additionally, Dr. Akujo offers insights into the upcoming trip, discussing what a typical day entails, transportation logistics, accommodation, and the expenses that surgeons participating in the trip will need to cover, as well as what costs are taken care of by the foundation. The conversation also covers security measures in place, the average number of staff members on these trips, the daily surgical volume, and the most common cases.   Joel also highlights recent JANS articles on which is best, ticagrelor and aspirin or aspirin alone after coronary surgery for acute coronary syndrome; an artificial intelligence and machine learning model for personalized prediction of long-term mitral valve repair durability; effect of duration of donor ventilation on lung transplant outcomes; surgical decision-making for concomitant tricuspid valve repair in minimally invasive mitral valve surgery; and a soft robotic total artificial hybrid heart.  In addition, Joel explores right ventricular outflow tract injury during deep dissection in valve-sparing aortic root replacement, a minimally invasive approach for atrial septal defect closure, and redo aortic valve replacement via partial upper resternotomy. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Ticagrelor and Aspirin or Aspirin Alone After Coronary Surgery for Acute Coronary Syndrome  2.) An Artificial Intelligence and Machine Learning Model for Personalized Prediction of Long-Term Mitral Valve Repair Durability  3.) Effect of Duration of Donor Ventilation on Lung Transplant Outcomes  4.) Surgical Decision-Making for Concomitant Tricuspid Valve Repair in Minimally Invasive Mitral Valve Surgery  5.) A Soft Robotic Total Artificial Hybrid Heart  CTSNET Content Mentioned  1.) Right Ventricular Outflow Tract Injury During Deep Dissection in Valve-Sparing Aortic Root Replacement   2.) Minimally Invasive Approach for Atrial Septal Defect Closure  3.) Redo Aortic Valve Replacement Via Partial Upper Resternotomy  Other Items Mentioned  1.) Voom Foundation   2.) Career Center   3.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Nicholas Smedira, a cardiac surgeon at the Cleveland Clinic, about mitral valve-induced left ventricular outflow tract (LVOT) obstruction with minimal septal hypertrophy. Chapters  00:00 Intro 02:25 JANS 1, Transcervical Robotic AVR 07:49 JANS 2, Post Cor-Knot vs Manual Tying 10:18 JANS 3, Valve Therapy vs Volume Reduction 12:55 JANS 4, Cardiac Early Extraction vs Management 15:17 Career Center 16:18 Video 1, Repair of Ruptured RCAA 17:57 Video 2, Right Atrial Myxoma from IVC Junction 20:05 Video 3, Modified Re-Do Commando 22:43 Dr. Smedira Interview 45:44 Upcoming Events 46:58 Closing They discuss the importance of understanding the anatomy and physiology of the papillary muscles, as well as flow vortices. They also cover various techniques for mitral valve repair and replacement, emphasizing the importance of making the leaflet coaptation zone as posterior as possible. Additionally, they explore how learning techniques for mitral valve-induced LVOT obstruction with minimal septal hypertrophy have evolved through exposure and experience.   Joel also highlights recent JANS articles on the world's first transcervical robotic AVR procedures successfully performed in four Cleveland Clinic patients, a comparison of outcomes post Cor-Knot vs manual tying in valve surgery, endobronchial valve therapy vs lung volume reduction surgery in the United States, and early extraction vs conservative management in patients with noninfected cardiac implantable electronic devices undergoing cardiac surgery for left-sided infective endocarditis.   In addition, Joel explores the repair of a ruptured right coronary artery aneurysm, removal of a right atrial myxoma from the IVC junction with patch repair using the left atrial appendage, and a modified redo Commando procedure in a patient with septic shock due to aortic and mitral valve endocarditis. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) World's First Transcervical Robotic AVR Procedures Successfully Performed in 4 Cleveland Clinic Patients  2.) Comparison of Outcomes Post Cor-Knot Versus Manual Tying in Valve Surgery: Our 8-year Analysis of Over 1000 Patients  3.) Endobronchial Valve Therapy Versus Lung Volume Reduction Surgery in the United States  4.) Early Extraction Versus Conservative Management in Patients With Noninfected Cardiac Implantable Electronic Devices Undergoing Cardiac Surgery for Left-Sided Infective Endocarditis  CTSNET Content Mentioned  1.) Repair of Ruptured Right Coronary Artery Aneurysm  2.) Removal of a Right Atrial Myxoma From the IVC Junction With Patch Repair Using the Left Atrial Appendage  3.) Modified Re-Do Commando Procedure in a Patient With Septic Shock Due to Aortic and Mitral Valve Endocarditis   Other Items Mentioned  1.) A Surgeon's Toolkit for Mitral Valve-Induced Left Ventricular Outflow Tract Obstruction With Minimal Septal Hypertrophy  2.) Cardiac Surgical Arrest—An International Conversation Series    3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Subscribe on Patreon and hear this week's full patron-exclusive episode here: www.patreon.com/posts/137338165 Beatrice, Phil, and Jules speak with Claire Dunning about the complex history of how nonprofit organizations became so pervasive in US political life and the issues with how the non-profit system promises to address big, structural problems while at the same time structurally constraining what these groups are and aren't allowed to do. Note: This episode was originally released for patrons on September 4th, 2023, and is being re-released today for Labor Day. We'll be back with a new episode in the patron feed next week. Runtime 1:31:00 Get Health Communism here: www.versobooks.com/books/4081-health-communism Find Tracy's book Abolish Rent here: www.haymarketbooks.org/books/2443-abolish-rent

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Robert Cerfolio, Chief of the Division of Thoracic Surgery at NYU Langone Health, about NYU Langone Health's rise in hospital rankings. Chapters 00:00 Intro 02:19 Best Hospitals Report 08:52 JANS 1, Physician Compensation 13:54 JANS 2, International Challenges 18:36 Career Center 19:40 JANS 3, Rib Fracture Guidelines 23:16 JANS 4, Endovasc Concepts & Devices 26:05 Video 1, Redo Aortic Root David 26:43 Video 2, Removal of LAM 28:16 Video 3, Posterior MAD Correction 30:23 Dr. Cerfolio Interview 51:29 Upcoming Events 53:18 Resident Video Competition 54:10 Closing They discuss the process that contributed to this improvement, including the efficiency quality index and the benefits of discharging patients on postoperative day one while maintaining constant communication with them as opposed to keeping them hospitalized for extended stays. Additionally, they emphasize the importance of patients going home to a safe environment, postoperative protocols, and the future of NYU Langone Health.  Joel also highlights recent JANS articles on the 2025 Doximity Physician Compensation Report, the current landscape and challenges facing international medical graduates in cardiothoracic surgery training, Chest Wall Injury Society guidelines for surgical stabilization of rib fractures, and foundational endovascular concepts and devices for cardiac surgeons.   In addition, Joel explores the David procedure in a patient with a previous Type A dissection surgery, removal of a left atrial myxoma with a ministernotomy, and surgical correction of the posterior mitral annular disjunction associated with structural abnormalities of the mitral valve. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Physician Compensation Report 2025  2.) The Current Landscape and Challenges Facing International Medical Graduates in Cardiothoracic Surgery Training  3.) Chest Wall Injury Society Guidelines for Surgical Stabilization of Rib Fractures: Indications, Contraindications, and Timing  4.) Foundational Endovascular Concepts and Devices for Cardiac Surgeons  CTSNET Content Mentioned  1.) Redo Aortic Root Surgery: The David Procedure in a Patient With a Previous Type A Dissection Surgery  2.) Removal of a Left Atrial Myxoma With a Ministernotomy  3.) Surgical Correction of the Posterior Mitral Annular Disjunction Associated With Structural Abnormalities of the Mitral Valve  Other Items Mentioned  1.) Best Hospitals for Cardiology, Heart & Vascular Surgery  2.) NYU Langone Health Leads the Nation with Four No. 1–Ranked Specialties by U.S. News & World Report  3.) Cardiac Surgical Arrest—An International Conversation Series    4.) Resident Video Competition  5.) Career Center   6.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Kenneth Liao, professor of surgery and chief of the Division of Cardiothoracic Transplantation and Circulatory Support at Baylor College of Medicine, about performing the world's first adult robotic heart surgery in the United States using a subxiphoid approach. Chapters 00:00 Intro 02:31 JANS 1, Endocarditis Guidelines 13:02 JANS 2, Hybrid vs Catheter 16:16 JANS 3, Full Sternotomy Trial 18:07 JANS 4, Buttressing the BA 19:05 JANS 5, Intraspinal Vasc Perf 20:15 Career Center 20:37 Video 1, Root Replace & Ann Reconstr 21:56 Video 2, Bi-Atrial Cann for BVAD 24:17 Video 3, Pediatric Device Implant 26:23 Dr. Liao Interview 49:07 Upcoming Events 49:39 Closing They discuss the details of the procedure, including its background, ischemic time, technique, and postoperative outcomes. Additionally, they explore the application of the subxiphoid approach for robotic heart transplants and robotic mitral valve repair vs traditional open-chest (sternotomy) repair. Dr. Liao shares insights into the training and practice required for this operation and discusses the advantages of using robotics in heart transplants. He also reflects on what he would do differently in future procedures.   Joel also highlights recent JANS articles on the surgical implications of the 2023 ESC endocarditis guidelines endorsed by EACTS, the two-year results from the randomized CEASE-AF trial on the durable effectiveness and safety of hybrid ablation vs catheter ablation, a randomized trial on superficial parasternal intercostal plane block and full sternotomy, a comparison of the short- and long-term outcomes in patients undergoing sleeve lobectomy with or without buttressing the bronchial anastomosis, and intraspinal vascular perfusion territories of the descending thoracic aorta.  In addition, Joel explores free-style root replacement and annular reconstruction for destructive aortic root endocarditis, bi-atrial cannulation for biventricular assist device in children, and a device implantation in a 26 kg child. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Surgical Implications of the 2023 ESC Endocarditis Guidelines Endorsed by EACTS: Bridging Guidelines and Practice   2.) Durable Effectiveness and Safety of Hybrid Ablation Versus Catheter Ablation: 2-year Results From the Randomized CEASE-AF Trial  3.) Superficial Parasternal Intercostal Plane Block and Full Sternotomy; A Randomized Trial  4.) Comparison of Short- and Long-Term Outcomes in Patients Undergoing Sleeve Lobectomy With or Without Buttressing the Bronchial Anastomosis  5.) Intraspinal Vascular Perfusion Territories of the Descending Thoracic Aorta  CTSNET Content Mentioned  1.) Free-Style Root Replacement and Annular Reconstruction for Destructive Aortic Root Endocarditis  2.) Bi-Atrial Cannulation for Biventricular Assist Device in Children  3.) Device Implantation in a 26 kg Child  Other Items Mentioned  1.) Guest Editor Series Webinar: Insights Into Pediatric Mechanical Circulatory Support  2.) Cardiac Surgical Arrest—An International Conversation Series    3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Todd Rosengart, professor and chair of the Michael E. DeBakey Department of Surgery at Baylor College of Medicine, about his team performing the world's first adult robotic heart surgery in the United States. Chapters 00:00 Intro 02:27 JANS 1, On-Table Extubation 14:13 JANS 2, Intraop Broncho Biopsies 18:26 JANS 3, Stroke After Transplant 20:51 JANS 4, Pulm Carcinoid Tumors 22:56 Career Center 24:05 Video 1, Robotic LAAO 25:36 Video 2, Bedside VV ECMO 26:44 Video 3, Inverted Y AE 28:01 Dr. Rosengart Interview, Novel Approaches 40:57 Upcoming Events 42:58 Closing They discuss postoperative outcomes and the 100-day follow-up appointment, the benefits of the robotic technique in transplants, and the surgeons who participated in this procedure. Additionally, Dr. Rosengart shares advice for individuals performing robotic transplants, his experience leading this unit, and its notable accomplishments, including other world-first procedures.   Joel also highlights recent JANS articles on the 10 best practices of on-table extubation after cardiac surgery, if we can rely on intraoperative bronchoscopic biopsies for surgical decision making, increased prevalence of stroke after heart transplant in the new allocation system era, and the surgical management of both stage III and stage IV pulmonary carcinoid tumors confers survival benefit.  In addition, Joel explores robotic left atrial appendage occlusion, bedside veno-venous extracorporeal membrane oxygenation cannulation technique in an awake patient, and a stepwise surgical approach for inverted Y annular enlargement in the bicuspid aortic valve. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) The 10 Commandments of On-Table Extubation After Cardiac Surgery: Why and How to Increase Adoption  2.) Can We Rely on Intraoperative Bronchoscopic Biopsies for Surgical Decision Making? 78 Single Anesthetic Robotic Bronchoscopy to Anatomic Resections  3.) Increased Prevalence of Stroke After Heart Transplant in the New Allocation System Era  4.) Surgical Management of Both Stage III and Stage IV Pulmonary Carcinoid Tumors Confers Survival Benefit  CTSNET Content Mentioned  1.) Robotic Left Atrial Appendage Occlusion   2.) Bedside Veno-Venous Extracorporeal Membrane Oxygenation Cannulation Technique in an Awake Patient  3.) Inverted Y Annular Enlargement in Bicuspid Aortic Valve: A Stepwise Surgical Approach  Other Items Mentioned  1.) Guest Editor Series: Insights Into Pediatric Mechanical Circulatory Support  2.) Cardiac Surgical Arrest—An International Conversation Series    3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Mara Antonoff, Associate Professor of Thoracic and Cardiovascular Surgery and Program Director for Education at the University of Texas MD Anderson Cancer Center, and President of Women in Thoracic Surgery, about chest tubes. Chapters 00:00 Intro 02:21 JANS 1, Ross Long-Term Outcomes 04:12 JANS 2, Valve Replacement Pregnancy 07:09 JANS 3, Bronchopleural Fistula 09:36 JANS 4, AUTHEARTVISIT Study 11:51 Career Center 13:56 Video 1, Bicuspid AVR & AAR 16:15 Video 2, Cold Head-Warm Body Perfusion 19:00 Video 3, Dr. Kappetein Podcast 20:23 Dr. Antonoff Interview, Chest Tube Management 38:45 Closing They discuss single chest tube vs double chest tube, the benefits of single chest tubes, and various chest tube sizes. They also explore reducing chest drain pain, stitching the chest tube, and chest tube output thresholds for removal. Additionally, they cover drain removal, air leaks, and clamping.   Joel also highlights recent JANS articles on whether the Ross procedure in young adults delivers favorable long-term clinical and QOL outcomes, a literature review including new data from the registry of pregnancy and cardiac disease III regarding valve replacement during pregnancy, a multi-institutional analysis of the treatment outcomes and prognostic factors in the ESSG-01 study, and the choice of surgical aortic valve replacement type and midterm outcomes in 50 to 65-year-olds.   In addition, Joel explores bicuspid aortic valve repair and ascending aorta replacement, a guide to isolated cerebral perfusion using two bypass circuits, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Professor Pieter Kappetein about the future of revascularization. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Ross Procedure in Young Adults Delivers Favorable Long-Term Clinical and QOL Outcomes  2.) Valve Replacement During Pregnancy: Literature Review Including New Data From the Registry of Pregnancy and Cardiac Disease III  3.) Bronchopleural Fistula: A Multi-Institutional Analysis of the Treatment Outcomes and Prognostic Factors in the ESSG-01 Study   4.) The Choice of Surgical Aortic Valve Replacement Type and Mid-Term Outcomes in 50 to 65-Year-Olds: Results of the AUTHEARTVISIT Study   CTSNET Content Mentioned  1.) Bicuspid Aortic Valve Repair and Ascending Aorta Replacement   2.) Cold Head-Warm Body Perfusion: A Guide to Isolated Cerebral Perfusion Using Two Bypass Circuits  3.) The Atrium: The Future of Revascularization   Other Items Mentioned  1.) Guest Editor Series: Insights Into Pediatric Mechanical Circulatory Support  2.) Cardiac Surgical Arrest—An International Conversation Series    3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Joseph Zacharias, a consultant cardiothoracic surgeon at the Lancashire Cardiac Center in Blackpool, England, about lifetime management of heart valve disease. Chapters 00:00 Intro 02:13 Early Intervention, Disease Management 04:40 JANS 1, Sept on Placental Support 07:04 JANS 2, Surgeon Well-Being 09:41 JANS 3, Cardiac 10:58 JANS 4, PPM in SAVR 12:57 JANS 5, Cardiac Registry 14:22 Video 1, Close U Ministernotomy 15:19 Video 2, Endo AVR & MVR 16:03 Video 3, VATS 17:20 Dr. Zacharias Interview, HVD 38:04 Upcoming Events 38:51 Closing They delve into Dr. Zacharias's recent paper titled “Lifetime Management of Heart Valve Disease—Treat It Early and Treat It Right, First Time,” and discuss how the idea for the paper originated highlighting key takeaways. They also address perceived risks vs actual risks and why less than 25 percent of patients are referred for necessary interventions. Additionally, they examine the future of cardiac surgery, endoscopic cardiac surgery, and endoscopic vein harvesting.   Joel also highlights recent JANS articles on a novel and logistic approach for hypoplastic left heart syndrome with intact atrial septum, a European Society of Thoracic Surgery survey on member well-being, transcatheter management of left-sided valvular heart disease following heart transplantation, a multi-institutional study on the prevalence and clinical impact of patient-prosthesis mismatch in surgical aortic valve replacement, and a systematic review and meta-analysis of the German registry of acute aortic dissection type A score for 30-day mortality prediction in type A acute aortic dissection surgery.   In addition, Joel explores how to close an upper ministernotomy, endoscopic aortic valve replacement and mitral valve replacement, and uniportal VATS decortication for late-stage TB empyema. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Open Atrial Septectomy on Placental Support: A Novel and Logistic Approach for Hypoplastic Left Heart Syndrome With Intact Atrial Septum  2.) Fit2Perform: European Society of Thoracic Surgery Survey on Member Well-Being  3.) Transcatheter Management of Left-Sided Valvular Heart Disease Following Heart Transplantation  4.) A Multi-Institutional Study on the Prevalence and Clinical Impact of Patient-Prosthesis Mismatch in Surgical Aortic Valve Replacement  5.) The German Registry of Acute Aortic Dissection Type A Score for 30-Day Mortality Prediction in Type A Acute Aortic Dissection Surgery: A Systematic Review and Meta-Analysis  CTSNet Content Mentioned  1.) How to Close an Upper Ministernotomy   2.) Endoscopic Aortic Valve Replacement and Mitral Valve Replacement   3.) Uniportal VATS Decortication for Late-Stage TB Empyema   Other Items Mentioned  1.) Lifetime Management of Heart Valve Disease—Treat It Early and Treat It Right, First Time  2.) Guest Editor Series Webinar: Coronary Arterial Anomalies—Pediatric and Adult Congenital 3.) Cardiac Surgical Arrest—An International Conversation, Part 4 4.) Career Center   5.) CTSNet Events Calendar 

Send us a textFounded by Frederick E. Jordan and John William Templeton, National Black Business Month honors and celebrates black-owned businesses across the nation, highlighting their significant contributions to diversity and equality in the country.WEBB Squared, an NC non-profit and Chatham Chamber member located in Chatham County will celebrate National Black Business Month with A Taste of WEBB - which includes food, dessert, entertainment - all provided by WEBB entrepreneurs enrolled in our entrepreneurial coaching program.  Additional entrepreneurs will be showcasing their businesses. Please join us!Taste of WEBBDate: Friday, August 15Time: 5:30 to 8 pmLocation: 79 West Innovation Hub, 120 Mosaic Blvd, Pittsboro NC 27312TICKETS NOW ON SALELineup: 5:30 pm - Networking, Wine & refreshment. Music by Larron Lee, WEBB entrepreneur. Larron Lee is a Licensed Professional Counselor and owner of Lee Consulting Group service serving individuals and families in NC. When not working as a counselor, Larron is a musician and plays the piano, organ and bass guitar.Food from Tasting Queens Market, Desserts from Fancy and Frosted, LLC and I am Cookie and Sugar Company.6:30 pm - book reading - James “Monte” Montague - Author, Entrepreneur, Founder of F7 Development Corp, and F7 Blackstone Ranch - Will share an excerpt from his book Hood-Minted: How Hustle, Faith and Fifty-Cents Built an Empire7 pm - Comedy with April Storm Perry, a professional actress, stand-up comedian, writer, theatre maker, educator, and beauty and wellness influencer.For more information, www.webbsquared.org or contact Rinnie@webbsquared.org.Sponsors Include:PNC Foundation, 79 West Innovation Hub, Chatham Artists Guild, Duke Energy, Innovate Chatham, O'Mara Landscaping, Zen Business, Mark Hewitt Pottery, The Plant, and Binsured Advisors, LLCSupport the showThank you for listening.... Feel free to contact us with your thoughts, questions, or more. We would love to hear from you. Please contact rinnie@webbsquared.org

Prečo sa ľudia spoliehajú na ilúziu lepšieho zajtrajška, aj keď ich realita často dobehne

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with CTSNet Senior Editor Dr. Sameh Said, Chief of the Division of Pediatric and Adult Congenital Cardiac Surgery at Maria Fareri Children's Hospital, Professor of Surgery and Pediatrics at the New York Medical College, and Consultant Cardiac Surgeon at King Faisal Specialist Hospital and Research Center about performing the first successful ex utero intrapartum treatment (EXIT)-to-open atrial septectomy-to-rapid stage I Norwood palliation in a neonate with hypoplastic left heart syndrome and intact interatrial septum. Chapters 00:00 Intro 03:13 JANS 1, Cardiac Transplant 09:04 JANS 2, Lung Transplant 10:19 JANS 3, Cardiac Transplant 11:08 JANS 4, Lung Cancer 13:01 JANS 5, Thoracic 15:44 Video 1, Congenital Cardiac 17:53 Video 2, Cardiac 19:49 Video 3, Cardiac 21:50 Dr. Said Interview, EXIT Procedure 37:28 Upcoming Events 39:32 Closing They discuss the surgical steps involved in this groundbreaking procedure, including specific details about the surgery, the preparation undertaken prior to the operation, and the key factors that contributed to its success. Additionally, they covered the challenges encountered during this first successful EXIT procedure case, as well as the standard management practices for these cases at medical centers, such as fetal balloon atrial septostomy, along with postnatal transcatheter, surgical, or hybrid interventions and their associated surgical risks. Furthermore, they address the broader challenges faced when operating on patients with hypoplastic left heart syndrome, including the differences between restrictive atrial septum and intact atrial septum.   Joel also highlights recent JANS articles on the current state and future directions of cardiac xenotransplantation, if age is a contraindication for lung transplantation in the elderly, a summary of the International Society for Heart and Lung Transplantation consensus conference on emerging understanding of antibodies and antibody-mediated rejection in heart transplantation, inflammatory diseases and risk of lung cancer among individuals who have never smoked, and active chest tube clearance added to an Enhanced Recovery After Cardiac Surgery (ERAS) program improves outcomes and reduces resource utilization.  In addition, Joel explores a single incision mitral valve repair and LIMA-to-LAD bypass via a left anterior minithoracotomy, repair of post-infarction ventricular septal defect using a double patch sandwich technique, and reconstruction of the left trigone during the Commando procedure for invasive prosthetic aortic valve endocarditis. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Cardiac Xenotransplantation: Current State and Future Directions  2.) Lung Transplantation in the Elderly: Is Age a Contraindication?  3.) Summary of the International Society for Heart and Lung Transplantation Consensus Conference on Emerging Understanding of Antibodies and Antibody-Mediated Rejection in Heart Transplantation  4.) Inflammatory Diseases and Risk of Lung Cancer Among Individuals Who Have Never Smoked  5.) Active Chest Tube Clearance Added to an Enhanced Recovery After Cardiac Surgery (ERAS) Program Improves Outcomes and Reduces Resource Utilization  CTSNET Content Mentioned  1.) Single Incision Mitral Valve Repair and LIMA-to-LAD Bypass via a Left Anterior Minithoracotomy  2.) Repair of Post-Infarction Ventricular Septal Defect Using a Double Patch Sandwich Technique  3.) Reconstruction of the Left Trigone During the Commando Procedure for Invasive Prosthetic Aortic Valve Endocarditis  Other Items Mentioned  1.) Guest Editor Series: Coronary Arterial Anomalies—Pediatric and Adult Congenital   2.) Cardiac Surgical Arrest—An International Conversation Series   3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this episode of The Big Bid Theory, host Bill Culhane welcomes Elizabeth Dunning, Digital Navigator and Equity Specialist with AmeriCorps. Elizabeth offers a preview of Denver, shares her impressions of AWWA ACE 2025, and tells her inspiring story of moving from the U.S. Senate Health, Education, Labor, and Pensions Committee to environmental engineering and ultimately to AmeriCorps. She highlights efforts to close the digital divide, improve equitable access to technology, and support communities nationwide.Bill also recaps recent and upcoming public procurement events, including the upcoming NIGP Forum in Denver, where he'll host a panel session on the modernization of public procurement: AI, e-procurement, and implementation best practices. The session will deliver practical strategies for procurement professionals to expand vendor participation, leverage AI, and enhance sourcing even in challenging budget environments. Of course, Rick Jennings closes down the episode with a Crazy Bids about trees that's sure to entertain. Watch or listen (on Youtube) to gain fresh, actionable insights into advancing public procurement, improving community outcomes, and making better purchasing decisions in today's evolving landscape.Resources:AmeriCorps websiteLearning Source / Digital Navigators

Chicago Way w/John Kass (06/30/25): On a HOT summer Sunday, John Kass & Jeff Carlin head out to the first annual Sicilian Summer Block Party in the Dunning neighborhood to break bread and enjoy some entertainment. Along the way, fans of John’s share stories about what the Chicago Way means to them. Plus, Kasso tells […]

GABE KUHN AUDIO: Grizzlies Santi, JJJ, Cam Spencer Instant Reaction from Gabe Kuhn, CBS Sports' David Cobb, and Connor Dunning

Still feeling unsure- even with experience under your belt? This episode explains why doubt might be the best sign you're doing the job well, not a reason to second-guess yourself.In this episode, we're pulling back the curtain on what that uncertainty in school counseling really means. We'll talk about the invisible labor of school counseling, what the research says about feedback-poor environments, and how self-doubt often shows up right when your skills are leveling up.You'll learn:Why experienced counselors question themselves more, not lessHow silence and lack of validation chip away at even the strongest counselorsWhy messy, imperfect work is often the most effectiveAnd how to chase credibility instead of certaintyYou're not failing; you're growing. And you're not alone.Mentioned in this episode:School for School Counselors MastermindFree School Counselor PlannerReferences:Culbreth, J. R., Scarborough, J. L., Banks‑Johnson, S. B., & Solomon, T. (2005). Role stress among practicing school counselors. Professional School Counseling, 9(2), 106–112. Dunning, D., & Kruger, J. (1999). Unskilled and unaware of it: How difficulties in recognizing one's own incompetence lead to inflated self-assessments. Journal of Personality and Social Psychology, 77(6), 1121–1134. Falender, C. A., & Shafranske, E. P. (2010). Psychotherapy‑based supervision models in an emerging competency‑based era: A commentary. Psychotherapy: Theory, Research, Practice, Training, 47(1), 45–50. Hill, C. E., Sullivan, C., Knox, S., & Schlosser, L. Z. (2007). Therapist self‑disclosure: Research-based suggestions regarding clinical training, practices, and ethics. Psychotherapy Theory, Research, Practice, Training, 44(4), 392–407. Hochschild, A. R. (1983). The managed heart: Commercialization of human feeling. University of California Press. Jennings, L., & Skovholt, T. M. (2016). In T. M. Skovholt & K. Rønnestad (Eds.), Master therapists: Exploring expertise in therapy and counseling. Routledge. Skovholt, T. M., & Trotter‑Mathison, M. (2016). The resilient practitioner: Burnout prevention and self‑care strategies for counselors, therapists, teachers, and health professionals (3rd ed.). Taylor & Francis. (Original concept described in earlier editions as an “ambiguity‑rich, feedback‑poor environment.”) *********************************⭐️ Want support with real-world strategies that actually work on your campus? We're doing that every day in the School for School Counselors Mastermind. Come join us! ⭐️**********************************Our goal at School for School Counselors is to help school counselors stay on fire, make huge impacts for students, and catalyze change for our roles through grassroots advocacy and collaboration. Listen to get to know more about us and our mission, feel empowered and inspired, and set yourself up for success in the wonderful world of school counseling.Hang out in our Facebook groupJump in, ask questions, share your ideas and become a part of the most empowering school counseling group on the planet! (Join us to see if we're right.)Join the School for School Counselors MastermindThe Mastermind is packed with all the things your grad program never taught you I

In this episode of the Glowing Older podcast, host Nancy Griffin interviews Lauren Dunning, Director of the Milken Institute Future of Aging. They discuss the importance of intergenerational connections, the role of the Milken Institute in promoting healthy aging, and the challenges of financial security and loneliness among older adults. Lauren shares insights from recent studies and reports, emphasizing the importance of community engagement and innovative solutions for aging well.About LauraLauren Dunning is a Director for the Milken Institute Future of Aging, where she develops initiatives and strategic partnerships that advance healthy longevity and financial security across the life course. In her role, Dunning leads work on integrated care solutions leveraging technology and oversees the Future of Aging Advisory Board, a group of global leaders from across sectors who provide advisement,expertise, and collaboration to maximize collective impact.Before joining the Milken Institute, Dunning served in key policy leadership roles for over 10 years at the Los Angeles County Department of Public Health, where she was most recently the director of government affairs, working with officials at all levels to shape public health policy. She has written and presented on a variety of topics across public health, aging, and health care; held an appointment as an adjunct professor of law at Georgetown University Law Center; and serves in an advisory capacity to several organizations, including LeadingAge California and theAtria Research Institute.Dunning earned a JD from Georgetown University LawCenter, a Master of Public Health from Johns Hopkins Bloomberg School of Public Health, and a bachelor's degree from George Washington University. She works at the Milken Institute's Santa Monica office. Key TakeawaysThe Milken Institute is a nonprofit, nonpartisan think tank with offices in the US, Europe, Asia, and the Middle East that collaborates across business, philanthropy, government, nonprofit and academia.The two domains of social connectedness are socialisolation, which is objectively having few relationships and infrequent social interaction and loneliness, which is the state of perceived isolation or inadequatesocial connections.Loneliness is a significant health risk, comparable tosmoking fifteen cigarettes a day and associated with increased risk of heart disease, stroke, dementia, anxiety, and depression. In a 2023 Gallup study of 142 countries, younger adultsreported greater loneliness levels than adults over 65. The rates of loneliness were 10% higher among people 19 to 29 (27 % reporting they were fairly lonely)than for older adults over 65 (17%).Children that participate in mentoring programs with older adults improved their physical and mental health and educational status. Civic engagement among college students increases when paired with older volunteers.Intergenerational relationships benefit both younger and older generations by reducing ageism and age discrimination, bridging differences, and identifying shared values.Eight in 10 older adults would like to connect across generations and 92 % of Americans believe intergenerational activities can help reduceloneliness across all ages.

Rony and Ted welcome Angela Dunning, an attorney at Cleary Gottlieb specializing in AI and copyrights. With Charlie on vacation, they switched up the format, bringing Angela in at the top of the show, lacing news tidbits throughout. The big news this week was Google I/O, highlighting the $250/month Gemini Ultra model and the Veo 3 video generation tool, now offering voice. Rony expresses a bit of cynicism as Google once again re-re-enters XR. The conversation veers into the philosophical and legal future of machine authorship and sentience. Angela draws on her experience litigating the “monkey selfie” case to explain current copyright limitations, but notes shifting standards, including a recent case where an entirely AI-generated image was granted protection, due to extensive human control. She emphasizes the importance of human authorship, distinguishing between derivative output and directed creation.Thank you to our sponsor, Zappar!Don't forget to like, share, and follow for more! Follow us on all socials @ThisWeekInXR!https://linktr.ee/thisweekinxr Hosted on Acast. See acast.com/privacy for more information.

Garth Heckman The David Alliance TDAgiantSlayer@Gmail.com    Talking to a young man lately who plays guitar and he plays on a worship team. I told him I was going to be teaching a short 2 hour class to the guitar players at our church… he interrupted me and said “I am a good guitar player… And they he said it again as if I did not believe him. I kindly nodded. Now he can play guitar and he can play some rock songs… but who knows if someone is good or not right? But when he asked me what exactly I was going to be teaching my guitar players on my worship team - the first thing I said was “Diatonic harmony”… which believe it or not if you are in fact a good guitar player you would know what that is. He stared at me blankly and asked what it was. I kindly assured him he was not in fact a good guitar player. Now I have told this young man as I tell many people - You may not like what I say to you, but I will never lie to you! EVER. I will try to say it nice… most of the time - but who else will be honest with you. And today what if you can't be honest with yourself because… well you just can't. Have you ever heard of the   The Dunning-Kruger Effect and the Blindness of the Incompetent Wheeler's lemon juice story inspired researchers David Dunning and Justin Kruger to study this phenomenon in greater detait. The research-ers were intrigued by the obvious difference in people's actual abilities and how they perceive these abilities. Dunning and Kruger hypothesized that incompetent people suffer from two types of problems · Due to their incompetence, they make flawed decisions (such as robbing a bank while covered in lemon juice). · They are unable to realize the fact that they make Flawed decisions. (Not even the video footage convinced wheeler of hjs inability to be invisible he claimed that it was faked ) The researchers tested the validity of these hypotheses on a sample of participants. First they laid out a test measuring their abilities in a certain domain (logical reasoning, grammar, and humor). Then, the par- ticipants were asked to assess how good their abilities were. The research- ers discovered two interesting findings The least competent people (labeled incompetent in the research) had a tendency to significantly overestimate their abilities. In fact, the less competent they were, the more they overestimated themselves. For example, the more painfully unfunny an individual was, the funnier they thought they were. this eftect was elegantly described by Charles Darwin years ago ignorance more frequently begets confidence than does knowledge' The second interesting finding was that the most competent participants had a tendency to underestimate their abilities. Their under- rated results can be explained by the fact that if a task seems easy to them, they will have the feeling that the task is easy even for other people. In another part of the experiment, participants had the possibility to review the test results of other people. They were subsequently asked to conduct a self assessment again. Competent participants realized that they were better off than they had thought. Thus, they modified their self assessments and began to evaluate themselves more objectively.     So where am I going with this… David says something profound in Psalm 139:23-24 KJV. Search me, O God, and know my heart: Try me, and know my thoughts: And see if there be any wicked way in me, And lead me in the way everlasting. David is not saying this as a type of challenge to God… ok, God see if you can find anything wrong in me. NO NO NO he is saying it as one who realizes he can't see everything in his life clearly.  He knows that he is blind to many of the sins, flaws, inconsistencies and choices he makes that are not Godly. WHAT A POWERFUL INSIGHT TO KNOW YOU DONT HAVE INSIGHT. RIGHT?  Meaning, how powerful it is to know that you don't know everything -especially about you. 

Great advice is everywhere, but most of it is fluff. In sales, you don't need clichés—you need real strategies that help you win more deals. We've pulled together five of the biggest game-changing sales tips from the Sales Gravy Podcast so far this year.  These are proven tactics from top sales pros who know what it takes to close deals, stay sharp, and dominate the competition. If you want to crush your numbers, start here.  The Grind Gets You Gold You won't become a sales expert overnight.  But you can practice your way to excellence and then—one day—reach elite levels of selling. As sales guru Tony Morris said, “You get out what you put in. … You don't have to be the greatest; you've got to be the hardest [worker].” In other words, be ready to roll up your sleeves and get in the trenches. Everyone sees the skills of great athletes, but not everyone considers all the consistent work it took to hit that home run or make that perfect golf swing. Sales success is no different—it's the result of countless daily reps, not just the big wins. Top performers make it all look fluid—like a dance that should be easy to learn. But it's not. Developing sales acumen takes time and massive effort, plus dedication to the grind. You have to dedicate time every day to getting better—no matter what. Practice is an integral part of the grind. Drill your frameworks. Roleplay with mentors. Ask for feedback. You have to pick up the phone and make calls no one else will—that's how you win. Don't give up before you see results.  You Must Learn to Sell Once you've learned the basics, the grind perfects them. But you better start with some solid foundational skills. Sales strategist Dawnna St. Louis puts it this way: “The first thing you need to do is learn to sell.” Because trying to sell without knowing how to sell is an uphill climb that most never finish. Learn to sell, or risk losing everything. It's an ultimatum that no sales rep can afford to ignore. Even the best subject matter experts fail without sales skills.  Take courses and identify a mentor—a seasoned veteran who can provide feedback on your calls and negotiation techniques. Find a personal sales coach to teach you the ropes.  Perfect Your Digital Profile Stick to the simple; nix the jargon. As Breaking B2B Founder Sam Dunning says, “Does it pass the Caveman Grunt test?”  Given a few seconds, could a caveman successfully grunt what you do based on your website—or your social media presence—alone? If not, you're in trouble. No one is going to buy from you if they don't understand what you do or your expertise.  A website is the online lobby of a business—the introduction to your service or product for potential digital customers.  But take Dunning's advice one step further and apply it to your Linkedin profile and social media accounts that are your lobby to your potential customers. Lean into the basics: Who are you? What do you do? Why should a customer pick you? The quality of your messaging can encourage prospects to reach out to you or establish you as a trustworthy source of business. Create content that positions you as a thought leader and advisor.  Otherwise? Your social presence is useless. Wasted Time is the Enemy Time is the one commodity that you can't replenish. Once it's gone, it's gone. That's why you must dedicate time to filling your pipeline every week. Protect your Golden Hours at all costs and then use that time wisely to make as many calls as you can. Whether you're in the same building or your team includes remote workers, pick a mutual time and start dialing numbers. As best-selling author and sales expert Jeb Blount put it in a recent Ask Jeb, “Pick a period of time and say ‘We're going to run call blocks.' … Be ready with your list and we're going to chop wood.”  Eat the frog—carve out specific time to focus on your hardest task of the day.

Lawrence /Guest on Modern Masculinity Podcast  Lawrence Dunning is back, and as always, he's bringing the real. A top 1% real estate agent, investor, Jiu-Jitsu black belt, and host of Enter the Lionheart, he's lived a life full of big wins and brutal lessons. This time, he opens up about business partnerships gone wrong, the stress of lawsuits, and the hard truths that come with getting older—like juggling fatherhood, a career, and aging parents, all while trying to stay grounded. If you've ever felt the weight of responsibility piling up, this one's for you. 00:00:00 – The Man Who Wears Many Hats (And a Black Belt) 00:02:10 – Lessons from Lawsuits: What They Don't Teach in Business School 00:03:47 – Health, Family, and the Reality Check of Middle Age 00:05:11 – Why a Sick Man Only Wants One Thing 00:07:47 – The Illusion of Balance: Juggling Fatherhood, Business & Self-Mastery 00:11:07 – Meditation, Cold Plunges, and Training the Mind Like a Fighter 00:14:58 – Facing Fear: From the Fight Game to Life's Hardest Hits 00:26:04 – Rewriting the Past: Inner Child Work & Breaking Old Patterns 00:30:35 – Shifting Perspectives: The Mindset That Changes Everything 00:39:20 – Closing the Loop   Until next time, love and good vibes.  Podcast Website: https://enterthelionheart.com/ Check out the latest episode here: Apple Podcast: https://podcasts.apple.com/us/podcast/enter-the-lionheart/id1554904704 Spotify: https://open.spotify.com/show/4tD7VvMUvnOgChoNYShbcI