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Started the Friday podcast with the terrible suicide bombing in Pakistan,, Argentina trade deal, and ran/U.S talks. Plus a Thailand elephant kills a tourist, Canada police scandal, Greece migrant boat collision, France gang rape charges, Pennsylvania Olive Garden fryer suicide, and yet another French guy shows up to an ER with a WW1 artillery shell stuffed up his rectum. Music: Three Dog Night/"An Old Fashioned Love Song"
Welcome back to another fantastic episode of Inappropriate Quilters! This week, Rochelle and Inappropriate caught up on everything from wild weather adventures to heartwarming community connections. Despite challenging snow conditions affecting mail delivery and commutes, Leslie and family rallied together to support Sam through her recovery from a serious leg injury requiring surgery. The excitement continued with celebrations for the 100th day of school, complete with adorable personalized t-shirts for the grands! Family emergencies brought everyone closer as they navigated a late-night ER visit for vertigo, and the community spirit shone bright with plans to send Valentine's cards to kindergartners in rural Nebraska. The fun didn't stop there—Rochelle received the most delightful surprise packages featuring collectible "cats versus pickles" items from a mysterious listener, sparking joy and laughter all around! The creative energy was flowing as Rochelle shared her amazing quilt coat projects and needle felting adventures, while Leslie connected with inspiring quilters from Oklahoma and beyond at Angela's business class. Leslie shared exciting stories about long-arm quilting boot camp and ruler techniques, while Rochelle shared her Florida adventures. The episode beautifully showcased the quilting community's incredible generosity in sharing knowledge and supporting one another. From sea otter videos to the challenges of finding the perfect quilt rulers, this episode had it all! The conversation wrapped up with a touching reminder about the importance of treating everyone with kindness—a perfect note for this wonderful quilting family.To send a card to Thedford Public Schools Kindergarteners:Kindergarten Scholars, 407 Court St, Box 248, Thedford, NE 69166Send us a textFollow Leslie on Instagram at @leslie_quilts and Rochelle at @doughnutwarrior
Embarrassing details of a group chat where Jen McCabe makes plans to follow around innocence fraudster & blogger Aidan “Turtleboy” Kearney in a friend's car have been released to the public. McCabe's lack of judgement might have been something Karen Read knew about McCabe's before she chose to reverse her 6,000 pound Lexus into John O'Keefe and decided to mix in the innocent people as witnesses in her crime. On the innocent Karen Read witnesses' “Testify” website they claim they would like to help other unnamed court witnesses who were victims of harassment. How can they help others if they can't help themselves after being smeared by Karen Read's innocence fraud campaign?Show Sponsor - Shelley Levisay "Love Isn't Always the Answer" - https://a.co/d/6KtEaC3 GetGet access to exclusive content & support the podcast by a Patron today! https://patreon.com/robertaglasstruecrimereportThrow a tip in the tip jar! https://buymeacoffee.com/robertaglassSupport Roberta by sending a donation via Venmo. https://venmo.com/robertaglassBecome a chanel member for custom Emojis, first looks and exclusive streams here: https://youtube.com/@robertaglass/joinShow Notes:Lindsey Gaettani on X - https://x.com/lindseygaetani/status/2016939405643006228?s=46&t=QYSCN5--uh3-3EcMJ5GVBwInnocence Fraud Watch “Kate Peter Rants on Spaces on X” - https://rumble.com/v74yzmm-kate-peter-ranting.htmlInnocence Fraud Watch “Lydia Rodarte Quayle is a Liar” - https://rumble.com/v74a5ww-lydia-rodarte-quale-from-the-fourensic-room-is-a-liar.htmlRoberta Glass True Crime Report “Will Karen Read's Magical Distraction Campaign Work” - https://www.youtube.com/live/Wrb5gLD8fkI?si=_GvM-hlHMT1aYoARYellow Cottage Tales Spaces on X (Kevin Lenihan) - https://x.com/ourx_vault/status/2016992286995824852?s=12Aidan Kearney on X - https://x.com/doctorturtleboy/status/2016966702714802633?s=46&t=QYSCN5--uh3-3EcMJ5GVBwThank you Patrons!Beth, Shelley Safford, Carol Mumumeci, Therese Tunks, JC, Lizzy D, Elizabeth Drake, Texas Mimi, Barb, Deborah Shults, Ratliff, Stephanie Lamberson, Maryellen Sudol, Mona, Karen Pacini, Jen Buell, Marie Horton, ER, Rosie Grace, B. Rabbit, Sally Merrick, Amanda D, Mary B, Mrs Jones, Amy Gill, Eileen, Wesley Loves Octoberfest, Erin (Kitties1993), Anna Quint, Cici Guteriez, Sandra Loves GatsbyHannna, Christy, Jen Buell, Elle Solari, Carol Cardella, Jennifer Harmon, DoxieMama65, Carol Holderman, Joan Mahon, Marcie Denton, Rosanne Aponte, Johnny Jay, Jude Barnes, JenTheRN, Victoria Devenish, Jeri Falk, Kimberly Lovelace, Penni Miller, Jil, Janet Gardner, Jayne Wallace (JaynesWhirled), Pat Brooks, Jennifer Klearman, Judy Brown, Linda Lazzaro, Suzanne Kniffin, Susan Hicks, Jeff Meadors, D Samlam, Pat Brooks, Cythnia, Bonnie Schoeneman-Dilley, Diane Larsen, Mary, Kimberly Philipson, Cat Stewart, Cindy Pochesci, Kevin Crecy, Renee Chavez, Melba Pourteau, Julie K Thomas, Mia Wallace, Stark Stuff, Kayce Taylor, Alice, Dean, GiGi5, Jennifer Crum, Dana Natale, Bewildered Beauty, Pepper, Joan Chakonas, Blythe, Pat Dell, Lorraine Reid, T.B., Melissa, Victoria Gray Bross, Toni Woodland, Danbrit, Kenny Haines and Toni Natalie.
Civil defense lawyer Aaron Rosenberg part of a multi-lawyer team representing accused murderer Karen Read, denied “hiding documents” and acting nefarious in yesterday's hearing (2/3/2026). This isn't the first time a lawyers facing off with Karen Read had trouble receiving discovery - discovery violations were so flagrant and frequent in Karen Read's two criminal trials that Judge Cannone allowed the prosecution team to have voir dires with many of Read's defense witnesses prior to trial. Judge Cannone reprimanded Read's legal team for their frequent and willful lying to the court- should the O'Keefe family lawyers trust Karen Read's team with handing over documents?Show Sponsor - Shelley Levisay "Love Isn't Always the Answer" - https://a.co/d/6KtEaC3Get access to exclusive content & support the podcast by a Patron today! https://patreon.com/robertaglasstruecrimereportThrow a tip in the tip jar! https://buymeacoffee.com/robertaglassSupport Roberta by sending a donation via Venmo. https://venmo.com/robertaglassBecome a chanel member for custom Emojis, first looks and exclusive streams here: https://youtube.com/@robertaglass/joinThank you Patrons!Beth, Shelley Safford, Carol Mumumeci, Therese Tunks, JC, Lizzy D, Elizabeth Drake, Texas Mimi, Barb, Deborah Shults, Ratliff, Stephanie Lamberson, Maryellen Sudol, Mona, Karen Pacini, Jen Buell, Marie Horton, ER, Rosie Grace, B. Rabbit, Sally Merrick, Amanda D, Mary B, Mrs Jones, Amy Gill, Eileen, Wesley Loves Octoberfest, Erin (Kitties1993), Anna Quint, Cici Guteriez, Sandra Loves GatsbyHannna, Christy, Jen Buell, Elle Solari, Carol Cardella, Jennifer Harmon, DoxieMama65, Carol Holderman, Joan Mahon, Marcie Denton, Rosanne Aponte, Johnny Jay, Jude Barnes, JenTheRN, Victoria Devenish, Jeri Falk, Kimberly Lovelace, Penni Miller, Jil, Janet Gardner, Jayne Wallace (JaynesWhirled), Pat Brooks, Jennifer Klearman, Judy Brown, Linda Lazzaro, Suzanne Kniffin, Susan Hicks, Jeff Meadors, D Samlam, Pat Brooks, Cythnia, Bonnie Schoeneman-Dilley, Diane Larsen, Mary, Kimberly Philipson, Cat Stewart, Cindy Pochesci, Kevin Crecy, Renee Chavez, Melba Pourteau, Julie K Thomas, Mia Wallace, Stark Stuff, Kayce Taylor, Alice, Dean, GiGi5, Jennifer Crum, Dana Natale, Bewildered Beauty, Pepper, Joan Chakonas, Blythe, Pat Dell, Lorraine Reid, T.B., Melissa, Victoria Gray Bross, Toni Woodland, Danbrit, Kenny Haines and Toni Natalie.
A new filing in the O'Keefe family wrongful death lawsuit against Karen Read details how Read accidentally sent the O'Keefe family lawyers a statement that contradicts her previously statements made under oath. Does lawyer/client confidentiality still protect Read? Is anyone in our FKR aligned press paying attention?Show Sponsor - Shelley Levisay "Love Isn't Always the Answer" - https://a.co/d/6KtEaC3Show Notes:Plaintiffs Oppostion to Motion to Destroy Emails - https://x.com/suspiciousauce/status/2019413379115544949?s=46&t=QYSCN5--uh3-3EcMJ5GVBw Karen Read's Response - https://x.com/suspiciousauce/status/2019414247282032757?s=46&t=QYSCN5--uh3-3EcMJ5GVBw Karen Read's Under Oath statement on her case - https://x.com/tweetygirl71/status/2019568441317863779?s=46&t=QYSCN5--uh3-3EcMJ5GVBwGet access to exclusive content & support the podcast by a Patron today! https://patreon.com/robertaglasstruecrimereportThrow a tip in the tip jar! https://buymeacoffee.com/robertaglassSupport Roberta by sending a donation via Venmo. https://venmo.com/robertaglassBecome a chanel member for custom Emojis, first looks and exclusive streams here: https://youtube.com/@robertaglass/joinThank you Patrons!Beth, Shelley Safford, Carol Mumumeci, Therese Tunks, JC, Lizzy D, Elizabeth Drake, Texas Mimi, Barb, Deborah Shults, Ratliff, Stephanie Lamberson, Maryellen Sudol, Mona, Karen Pacini, Jen Buell, Marie Horton, ER, Rosie Grace, B. Rabbit, Sally Merrick, Amanda D, Mary B, Mrs Jones, Amy Gill, Eileen, Wesley Loves Octoberfest, Erin (Kitties1993), Anna Quint, Cici Guteriez, Sandra Loves GatsbyHannna, Christy, Jen Buell, Elle Solari, Carol Cardella, Jennifer Harmon, DoxieMama65, Carol Holderman, Joan Mahon, Marcie Denton, Rosanne Aponte, Johnny Jay, Jude Barnes, JenTheRN, Victoria Devenish, Jeri Falk, Kimberly Lovelace, Penni Miller, Jil, Janet Gardner, Jayne Wallace (JaynesWhirled), Pat Brooks, Jennifer Klearman, Judy Brown, Linda Lazzaro, Suzanne Kniffin, Susan Hicks, Jeff Meadors, D Samlam, Pat Brooks, Cythnia, Bonnie Schoeneman-Dilley, Diane Larsen, Mary, Kimberly Philipson, Cat Stewart, Cindy Pochesci, Kevin Crecy, Renee Chavez, Melba Pourteau, Julie K Thomas, Mia Wallace, Stark Stuff, Kayce Taylor, Alice, Dean, GiGi5, Jennifer Crum, Dana Natale, Bewildered Beauty, Pepper, Joan Chakonas, Blythe, Pat Dell, Lorraine Reid, T.B., Melissa, Victoria Gray Bross, Toni Woodland, Danbrit, Kenny Haines and Toni Natalie
Mike has been one of the busiest actors in movies and TV for more than 35 years. Most recently you've seen him in The Good Fight, The Resident, Madam Secretary, Shots Fired, NCIS: New Orleans, Blue Bloods, Manhunt: Unabomber and the STARZ series Hightown. His other recent credits include Halt and Catch Fire, Army Wives, Drop Dead Diva, Banshee and the films Richard Jewell directed by Clint Eastwood, The Founder with Michael Keaton and American Made with Tom Cruise. In 2019, he wrote a short film, Mend, in which he also plays the lead role. Mend will be appearing in several film festivals in 2020. Over the years, He has made memorable guest appearances in such projects as The Sopranos, CSI: NY, Mean Girls 2, Law & Order: Criminal Intent, CSI: Miami, ER, Runaway Jury, From the Earth to the Moon, Ray and Remember the Titans. He is also one of the stars of Two Soldiers, the 2003 Academy Award winner for Best Live Action Short Film.
At 24, Kyle Brymer went to the ER with altered speech, facial drooping, severe headaches and confusion. The doctor blamed Kyle's symptoms on his post-grad academic workload and even his partner Kirstie. In a few days, he went back to the ER – and this time, the stroke was unmistakable. Strokes in young people are on the rise in Canada, with one in 20 affecting someone under the age of 45. And even a decade later, Kyle says he's still "not back to normal."
Slather some beef tallow on it. On this episode, M3 Fallon Jung, M1s Isa Perez-Sandi and Cory Karasek, and M2 Maria Schapfel let loose on the internet’s wildest health content. We react to AI-generated videos claiming cortisol is why Dave smells bad, Colonel Sanders warning you about non-biodegradable supermarket fruit, and those unhinged animations where a screaming spine demands you fix your posture. Some of it’s nonsense, some of it’s accurate, and all of it leads to tangents about fake vomit made from chunky soup, whether the ER triage nurse should tell non-emergent patients “good news, you’re not dying,” and the eternal question every clinical student faces: “So what specialty are you going into?” We talk about imposter syndrome, being “pluripotent,” the secret ER life hack nobody tells you about, and why Jeff Goldblum’s face should be used in all AI-generated health content. It’s an hour of medical students trying to make sense of what social media is feeding their future patients—and themselves. Episode credits: Producer: Dave Etler Co-hosts: Fallon Jung, Alexis Baker, Cory Karasek, Maria Schapfel The views and opinions expressed on this podcast belong solely to the individuals who share them. They do not represent the positions of the University of Iowa, the Carver College of Medicine, or the State of Iowa. All discussions are intended for entertainment purposes only and should not be taken as professional, legal, financial, or medical advice. Nothing said on this podcast should be used to diagnose, treat, or prevent any medical condition. Always seek qualified professional guidance for personal decisions. We Want to Hear From You: YOUR VOICE MATTERS! We welcome your feedback, listener questions, and shower thoughts. Do you agree or disagree with something we said today? Did you hear something really helpful? Can we answer a question for you? Are we delivering a podcast you want to keep listening to? Let us know at https://theshortcoat.com/tellus and we'll put your message in a future episode. Or email theshortcoats@gmail.com. We need to know more about you! https://surveys.blubrry.com/theshortcoat (email a screenshot of the confirmation screen to theshortcoats@gmail.com with your mailing address and Dave will mail you a thank you package!) The Short Coat Podcast is FeedSpot’s Top Iowa Student Podcast, and its Top Iowa Medical Podcast! Thanks for listening! We do more things on… Instagram: https://www.instagram.com/theshortcoat YouTube: https://www.youtube.com/theshortcoat You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you.
Hello, all you and the Relentless Health Tribe trying to figure out how to do right by patients and the folks footing the bill. Welcome to it. This is episode 499, one episode before episode 500. So, come back next week for that one. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. All right, so today, let's talk about the inches that are all around us. Let's find some. Musculoskeletal spend, otherwise known as MSK spend, for any given plan sponsor adds up to the tune of something like 20% or 30% of total plan spending, depending on the member demographic. MSK rolls in at $16 PMPM, I just saw, according to a report Keith Passwater sent me a couple of weeks ago. It's the third most costly spend apparently overall. And it's easy to see why, right? On any given day, odds are good any given plan member is gonna do something that, in hindsight, was fairly obviously a bad idea and wind up getting hurt in some low-acuity way. For example, I remember that one time I twisted my ankle on a curb getting outta my car. Given the right space, enough time, and concentration, I can do the worst parking job you've ever seen in your life and manage to twist my ankle in the process. But I digress. Here's the point. MSK spend adds up really fast. Add to that something like 50% of spine surgeries are said to be unnecessary. The same thing goes true from injuries like twisted ankles, for example, that would have healed themselves without an ER visit, without any intervention aside from ice, rest, and elevate. Because it turns out that something like 80% of those twisted-ankle, banged-up-the-back types of MSK injuries are actually low acuity, and a huge percentage of those will heal by themselves. On that point, let me bring in some context here, some late-breaking news. I was reading Dana Prommel's newsletter. She wrote, and I'm reading this, she wrote, "The 2026 National Healthcare Expenditure data reports are out, and it is another sobering reflection of our current system. Personal healthcare spending has surged by over 8%, and our healthcare spend as a share of the GDP has followed that same aggressive trajectory." Then Dana writes, "The most troubling takeaway from the 2026 report is the lack of a 'health dividend.' Despite [this] 8% increase in spending, we aren't seeing a corresponding 8% increase in longevity, wellness, or chronic disease management. People aren't getting significantly healthier; they are just getting more 'care.' And that 'care' isn't always good care, or the right care, or care by the right type of clinician, at the right time, in the right setting." Is that not the perfect segue or what? Because this is what we're talking about on the show today in regard to, again, MSK care—care that can wind up costing millions of dollars across plan members, and it might be unnecessary because, again, the twisted ankle or the pain in the lower back would have healed itself without any care, without an ER visit. But if an ER visit was had, that patient probably is gonna wind up with a bunch of imaging. Probably is gonna wind up with a referral to a surgeon. And now there's a surgery scheduled, and the patient has been off work for however long all that took. There's a lot of direct and indirect costs that may or may not add up to any given health dividend or health span or whatever you wanna call it—better quality of life. Why does all this happen? How does it happen? One reason is what Dr. Jay Kimmel calls the white space of MSK care. This is where a patient does a truly breathtaking job parking the car, twists her ankle, starts to swell up, and now a decision has to be made: Go to the ER. Go to urgent care. Go home. Or what if it's a parent making this choice for a kid? In the olden days, maybe that patient would've called up his or her longtime family doctor and asked what to do, and maybe if that longtime family doctor didn't know, he or she would have called up the local ortho and gotten their opinion. Or maybe the two were sitting together in the doctor's lounge at the time, or maybe they rounded together in the hospital and, and, and … There used to be lots of opportunities for spontaneous questions and answers and curbside consults. But not today most of the time, really, unless you're a patient with a doctor in the family. But even for a PCP, who wants an ortho consult? Amy Scanlan, MD, and I discussed this quite a bit in an earlier episode (EP402). There's no doctor lounges anymore. There's no coffee klatch down in radiology either. There's just a lot of cultural shifts, in other words. But all of this, everything I have said thus far, all adds up to one big takeaway: These excess costs that don't have commensurate improved clinical outcomes, they happen because patients are on their own to triage themselves. They look at their black-and-blue whatever, or they're standing there listening to their kid cry and they are deciding what to do. And the thing is, if they choose the ER—because, again, they don't have a doctor, anybody they can just call with the right kind of clinical background—once they head into that ER and sit there for six hours and demand an MRI because now it has to be worth their time because they sat there for six hours; but now there's a false positive and the ER docs are being conservative because of malpractice or whatever and they refer them to some sort of surgeon … Look, everybody's doing their best with the information that they have at the time, but you can see how easy it is for a person to avoidably wind up costing a lot of money for a musculoskeletal injury that would have healed by itself. So, yeah, let's talk about how we can get patients some help in that so-called white space. How can we get them, triage before the triage, as I managed to say more than once in the conversation that follows? Let's get them on a good trajectory to start. Today, my guest is Dr. Jay Kimmel. Dr. Kimmel is an orthopedic surgeon, and he's been in practice in Connecticut for over 35 years. He and Steve Schutzer, MD, co-founded Upswing Health. I talked with Dr. Steve Schutzer about Centers of Excellence in an earlier episode (EP294). Upswing Health provides members with the opportunity to talk with an athletic trainer within 15 minutes and an orthopedic specialist within 24 hours. So, instead of having a panic attack of indecision and ultimately winding up in the ER, getting coughed on in the waiting room, members have somebody helping them in this white space so they can get triaged before the triage. I need to thank Upswing Health. I am so appreciative they donated some financial support to cover the costs of this episode. This podcast is sponsored by Aventria Health Group with an assist from Upswing Health. Also mentioned in this episode are Upswing Health; Keith Passwater; Dana Prommel; Amy Scanlan, MD; Steve Schutzer, MD; Eric Bricker, MD; Al Lewis; Nikki King, DHA; Matt McQuide; Christine Hale, MD, MBA; and Chris Deacon. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn. Jay Kimmel, MD, is the president and co-founder of Upswing Health, the country's first virtual orthopedic clinic. He founded Upswing with Steve Schutzer, MD, to rapidly assess, triage, and manage orthopedic conditions in a cost-effective, high-value manner, helping patients avoid unnecessary imaging, procedures, and delays in care. Dr. Kimmel had a long and distinguished career as a practicing orthopedic surgeon with Advanced Orthopedics New England. He earned his undergraduate degree from Cornell University and his medical degree from the University of Rochester. He completed his orthopedic residency at Columbia Presbyterian Medical Center, where he trained with leaders in shoulder surgery, followed by a sports medicine fellowship at Temple University Center for Sports Medicine, where he participated in the care of Division I collegiate athletes. He is board-certified in orthopedic surgery and is a Fellow of the American Academy of Orthopedic Surgeons. Dr. Kimmel specializes in sports medicine with an emphasis on shoulder and knee injuries and holds a subspecialty certificate in orthopedic sports medicine from the American Board of Orthopedic Surgery. He is also a member of the American Orthopedic Society for Sports Medicine. Dr. Kimmel co-founded the Connecticut Sports Medicine Institute at Saint Francis Hospital, a multidisciplinary center dedicated to providing high-quality care for athletes at all levels, and served as its co-director for many years. He has a strong commitment to education and served for over 20 years as an assistant clinical professor in both family medicine and orthopedics at the University of Connecticut. He has also served as a team physician at the professional, collegiate, and high school levels. 07:49 EP472 with Eric Bricker, MD, on high-cost claimants. 08:01 What is the "white space" in MSK spend? 10:43 Statistics on Connecticut's spending on plan members with low-acuity MSK injuries. 13:30 How back pain also easily transitions from a low-acuity issue to a high-acuity problem. 15:11 How plan sponsors can detect their white space downstream spend. 16:58 EP464 with Al Lewis. 17:02 EP470 with Nikki King, DHA. 18:15 Why where patients start their journey often dictates where they wind up and how costly that medical pathway is. 20:48 Where PCPs fit into this MSK spend issue. 25:26 EP468 with Matt McQuide. 25:34 EP471 with Christine Hale, MD, MBA. 25:39 Why access is key. You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn. Jay Kimmel, MD, of @upswinghealth discusses #MSKspend on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation #musculoskeletal Recent past interviews: Click a guest's name for their latest RHV episode! Mark Noel, Gary Campbell (Take Two: EP341), Zack Kanter, Mark Newman, Stacey Richter (INBW45), Stacey Richter (INBW44), Marilyn Bartlett (Encore! EP450), Dr Mick Connors
You know that weird place where everything you prayed for is now just… normal? The money is consistent, the clients are amazing, the relationship is solid, the lifestyle is cushy — and somehow your brain is like, "Yeah, whatever. Next." In this episode, I'm riffing on: The shadow side of being so regulated and safe in your life and business How we stop celebrating what we've created and slowly become jaded Why your brain will never naturally make things "a big deal" (and how to re-train it) Real-life examples from my own world — including a literal ER visit that barely ruffled my nervous system What it actually looks like to be the center of your brand as a whole-ass human, not an untouchable authority If you've ever caught yourself thinking, "It's fine, it's just normal now," this is your loving call-out and recalibration. Let's make your life and business feel fucking magical again — not because anything is missing, but because you finally decide to celebrate what's already here. NEW IG https://www.instagram.com/whatwouldjuliawellsdo/ Come follow the new page and say hi so I know you made it over.
Wir beginnen den ersten Teil unseres Programms mit einer Diskussion über einige aktuelle Ereignisse. Die Empörung über die US-amerikanische Einwanderungs- und Zollbehörde ICE wächst. Die Proteste gehen weit über die USA hinaus und haben sich inzwischen auf die ganze Welt ausgeweitet. Danach sprechen wir über Pläne in Europa, Social-Media-Verbote für Kinder einzuführen. Spanien will Kindern unter 16 Jahren den Zugang zu Social Media verbieten. Ähnliche Maßnahmen sind auch in anderen europäischen Ländern im Gespräch. Anschließend sprechen wir über einen Kurswechsel bei Tesla. CEO Elon Musk will Tesla strategisch neu ausrichten – weg von der Automobilproduktion und hin zur Massenproduktion von Robotern. Und zum Schluss sprechen wir über einen Trend in Frankreich, der mich persönlich sehr traurig macht. Dort verschwinden traditionelle französische Restaurants mit einer alarmierenden Geschwindigkeit. Es sind etwa 25 pro Tag! Dies ist auf steigende Kosten, sinkende Gewinne und veränderte Essgewohnheiten zurückzuführen. Der Rest des Programms ist der deutschen Sprache und Kultur gewidmet. Das Thema der heutigen Grammatiklektion ist: Der Infinitivsatz – Verbs with „zu": Part 1. Wer seine angemietete Wohnung untervermietet, darf damit keinen Gewinn machen. Das ging aus einem Urteil des Bundesgerichtshofs hervor. In diesem konkreten Fall hatte jemand eine mehr als doppelt so hohe Miete vom Untermieter verlangt, als im Hauptmietvertrag festgelegt war. Rechtfertigen wollte er dies mit dem Argument, dass die Wohnung möbliert untervermietet wurde. Unsere Redewendung diese Woche ist Sich in Schale schmeißen. Dazu passt nichts besser als der berühmt-berüchtigte Wiener Opernball, der eine der strengsten Kleiderordnungen der Welt hat. Er findet dieses Jahr am 12. Februar statt. Wachsende internationale Empörung über die Vorgehensweise von ICE Europa nähert sich einem Social-Media-Verbot für Kinder Kurswechsel bei Tesla: Musk will künftig Roboter bauen Frankreichs Bistro-Kultur droht zu verschwinden Kein Gewinn durch Untervermietung Der Wiener Opernball
Content warning for talk of suicide and a non-graphic suicide attempt This week: The whole ER staff blows off an annoyed teenager with random medical complaints, Gates helps Joshua through the final day of his life, Harold has a hot date and needs someone to teach him about sex, Moretti's son pays a very concerning visit, a new guest star attending is introduced, Morris and Pratt prep for the boards, and Abby's life troubles continue to send her towards rock bottom.
A fun chat with Saundra Mitchell all about her new book This Side of Gone, culture shock, and scary highways. Plus – Dave's not showering and his classroom smells, Laura is looking at points north, and Andrew takes a trip to the ER. We also recommend: The Cut by Chris Brookmyre, The Unselected Journals of … Continue reading Ep. 318 Culture Shock and Freaky Freeways With Saundra Mitchell
Send us a textEver been told to “suck it up” after a call that split your world in two? We challenge that script with a grounded, respectful look at how first responders can access care that actually helps. Steve sits down with licensed clinician and podcaster Susan Roggendorf for a candid, unfiltered conversation about culture, stigma, and practical support for police, fire, EMS, dispatch, ER, ICU, NICU, and corrections.We unpack why the tired question “What's the worst thing you've seen?” is not only unhelpful but harmful—and what clinicians should ask instead. Susan shares her background serving LGBTQ clients and first responders, detailing how role-specific stressors shape symptoms: from dispatchers carrying incomplete stories and auditory flashbacks, to EMS haunted by pediatric calls, to ER staff absorbing wave after wave of crisis without pause. Together, we outline a trauma-informed approach that centers consent, pacing, and control, building skills that fit real shifts: brief grounding, tactical breathing, movement that discharges stress, and cognitive resets you can use between calls.This episode also draws a clear map of the first responder circle without watering it down. We talk moral injury, hypervigilance, sleep disruption, and why peer support must be more than a checkbox. You'll hear podcasting war stories, yes, but also a deeper point: humility and repair are part of resilience, whether in a studio or on a scene. If you've ever sat through a therapy session that felt like a TV script, this is your reset. Expect real language, straight answers, and tools you can put to work immediately.To reach Susan, please go to https://psychhub.com/us/provider/susan-roggendorf/1316326036Support the showYouTube Channel For The Podcast
Today's Headlines: Europe was unusually productive yesterday. French authorities raided Twitter's Paris offices as part of a cybercrime investigation, summoned Elon Musk and former CEO Linda Yaccarino (voluntarily, lol), and announced France is ditching Zoom and Microsoft Teams in favor of its own platform. Spain followed up by unveiling plans to crack down on social media algorithms and hold tech executives personally liable for illegal or hateful content, after Prime Minister Pedro Sánchez accused Musk of amplifying disinformation about Spain's immigration policy. Not to be outdone, Poland's prime minister said Jeffrey Epstein was likely a Russian intelligence asset — and said his government plans to investigate. Back in the U.S., Trump floated the idea of “nationalizing” elections during a podcast appearance and teased more fallout from last week's FBI raid in Georgia, despite elections being run by states under the Constitution. Democrats held a public forum on ICE abuses that Republicans skipped entirely, featuring testimony from people shot at, assaulted, or detained without cause — including a disabled woman who says she was dragged from her car and later treated in an ER for assault. Meanwhile, ICE is reportedly preparing a major operation targeting Haitian immigrants in Ohio as TPS protections expire, even as the agency quietly spends hundreds of millions buying warehouses to convert into detention centers.Elsewhere, DC U.S. Attorney Jeanine Pirro briefly threatened jail time for anyone bringing a gun into the district before walking it back, Trump continued his Kennedy Center renovation saga, and New York Magazine published a deeply unsettling profile of Rep. Nancy Mace detailing erratic behavior and staff misuse. Resources/Articles mentioned in this episode: NBC News: Paris prosecutors summon Elon Musk after raid on X's French offices BBC: Spain announces plans to ban social media for under-16s The Telegraph: Epstein was probably a Russian spy, says Tusk WaPo: Trump says he wants to ‘nationalize the voting,' a power granted to states The New Republic: Not a Single Republican Shows Up to Hear Renee Good's Brothers Testify WaPo: Renée Good's brothers, others describe assaults, shootings at hearing MS Now: ICE eyeing Ohio next, where it is expected to target Haitian immigrants Bloomberg: ICE Begins Buying ‘Mega' Warehouse Detention Centers Across US MS Now: Pirro walks back threat to lawful gun owners traveling to D.C. NBC News: Kennedy Center won't be torn down during $200 million renovation, Trump says NY Magazine: Nancy Mace Is Not Okay Morning Announcements is produced by Sami Sage and edited by Grace Hernandez-Johnson Learn more about your ad choices. Visit megaphone.fm/adchoices
"You can do everything right—and still end up in the ER." In this episode of Gun Talk Nation, Jahred Gamez of SDS Arms and Okayest Shooter, shares the unexpected ricochet injury that landed him in the hospital. It's a gripping, first-hand story about range safety, complacency, and the importance of preparedness—even when you're experienced and careful. From gun culture myths to medical response tips, this conversation is as insightful as it is cautionary.This Gun Talk Nation is brought to you by FN Firearms, Remington Ammunition, CZ Firearms, Range Ready Studios, Silent Steel USA, and Taurus USA.About Gun Talk NationGun Talk Media's Gun Talk Nation with Ryan Gresham is a weekly multi-platform podcast that offers a fresh look at all things firearms-related. Featuring notable guests and a lot of laughs. Gun Talk Nation is available as an audio podcast or in video format.For more content from Gun Talk Media, visit guntalk.com or subscribe on YouTube, Rumble, Facebook, Instagram, and X. Catch First Person Defender on the new Official FPD YouTube channel. Watch Gun Talk Nation on its new YouTube channel. Catch Gun Talk Hunt on the new dedicated YouTube Channel. Listen to all Gun Talk Podcasts with Spreaker, iHeart, Apple Podcasts, Spotify or wherever you find podcasts.Copyright ©2026 Freefire Media, LLCGun Talk Nation 02.04.26Become a supporter of this podcast: https://www.spreaker.com/podcast/gun-talk--6185159/support.
In this Bible Story, Tamar is married into the family of Judah but is widowed twice. She then devises a plan to have a child with Judah. This story is inspired by Genesis 38. Go to BibleinaYear.com and learn the Bible in a Year.Today's Bible verse is Genesis 38:25 from the King James Version.Episode 26: The family of Judah is a complicated one. While Judah was faithful and blessed with a wife and children, their sons were not so faithful. When Er was old enough, he was given Tamar as a wife. However, he was wicked in God’s sight and died before having a child. The same happened to Er’s Brother Onan when he was meant to redeem his brother. With one child left, Judah was unwilling to lose a child a third time. But in his unwillingness, he would be tricked into becoming the father of Tamar’s children.Hear the Bible come to life as Pastor Jack Graham leads you through the official BibleinaYear.com podcast. This Biblical Audio Experience will help you master wisdom from the world’s greatest book. In each episode, you will learn to apply Biblical principles to everyday life. Now understanding the Bible is easier than ever before; enjoy a cinematic audio experience full of inspirational storytelling, orchestral music, and profound commentary from world-renowned Pastor Jack Graham.Also, you can download the Pray.com app for more Christian content, including, Daily Prayers, Inspirational Testimonies, and Bedtime Bible Stories.Visit JackGraham.org for more resources on how to tap into God's power for successful Christian living.Pray.com is the digital destination of faith. With over 5,000 daily prayers, meditations, bedtime stories, and cinematic stories inspired by the Bible, the Pray.com app has everything you need to keep your focus on the Lord. Make Prayer a priority and download the #1 App for Prayer and Sleep today in the Apple app store or Google Play store.Executive Producers: Steve Gatena & Max BardProducer: Ben GammonHosted by: Pastor Jack GrahamMusic by: Andrew Morgan SmithBible Story narration by: Todd HaberkornSee omnystudio.com/listener for privacy information.
This week on Hysteria 51, we're serving up a double feature where nature chooses violence… and humanity chooses unhinged.First: Janesville, Wisconsin is apparently living inside a Thanksgiving-themed action movie. A flock of wild turkeys has been chasing people, hassling a postal worker, blocking traffic, and generally running the neighborhood like feathery little HOA enforcers with anger issues. One local even caught the chaos on camera. If you've ever wondered what it's like to be offering peace and goodwill to all… while a bird the size of a small child sprints at you with murder in its eyes, welcome home. Then we pivot from “street menace” to “please evacuate the entire building”: a man showed up at a hospital with a World War I artillery shell lodged in his rectum, prompting a hospital evacuation and a bomb squad response because, yes, it was reported as potentially live. Doctors had to remove it surgically, and everyone involved probably aged ten years in one evening. It's the kind of headline that makes you whisper, “how” and then immediately decide you don't actually want the answer. So buckle up for an episode packed with weird news, small-town terror turkeys, and ER chaos so intense it came with its own security perimeter. If you like your comedy dark, your science nonexistent, and your survival instincts activated by poultry… this one's for you.Links & Resources
Sam is joined by Sha Racks and Buddy Jenkins for an episode that somehow keeps escalating. The centerpiece story sets the tone as a simple youth group moment turns into a split-second decision with consequences no one saw coming, and it only spirals from there. Along the way, the crew works through stories involving a late-night lock-in gone horribly wrong, a prank with catastrophic timing, wildlife encounters that end in ER visits, camp mornings that take an immediate medical turn, mission trip chaos, and the kind of sleepwalking that makes leaders question reality. Every story feels harmless right up until it absolutely isn't, making this one of those episodes where you're constantly bracing for what's about to go wrong next.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What if your sex life could tell you something important about your health? In this episode, we're joined by Dr. Elliot Justin, an ER doctor of 25 years who pivoted into sexual health innovation to change the way we talk about bodies, pleasure, and well-being. We explore how erections, cardiovascular health, data-driven tools, and honest conversations can give us earlier insight into what's happening in the body and why sexual health should never be treated as separate from overall health. We cover: Why sexual health is a health issue, not a vanity issue. Dr. Justin explains why pleasure, performance, and function are often early indicators of deeper health patterns. What erections can reveal about cardiovascular health. How nighttime erections are connected to blood flow and heart health long before other symptoms appear. Why men's sexual health is often ignored until there's a crisis. How stigma and silence delay diagnosis and meaningful conversations. The science behind nocturnal erections. What's normal, what's not, and why the body's nighttime patterns matter. How data can change the way couples talk about sex. Why shared, objective information can reduce shame, blame, and guesswork in the bedroom. The role of technology in modern sexual wellness. How tools like FirmTech are bringing measurable insights into intimacy and performance. Why early awareness matters more than quick fixes. How prevention and understanding beat waiting for symptoms or relying on temporary solutions. Use code "DEWME" for a discount at FirmTech! Looking to apply these tips to your REAL life? Schedule a FREE 1:1 strategy session with Cass & Em to see if coaching can support you. Get Honeydew Me Merch HERE! Join our Patreon and access exclusive content HERE! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Kiera is joined by the tooth-healer himself, Jason Dent! Jason has an extensive background in pharmacy, and shares with Kiera where his pharmaceutical experience has bled over into dentistry. This includes the difference between anti-quag and anti-platelet and which medications are probably safe, what to do to shorten the drag time in the pharmacy, how to write prescriptions most efficiently, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a really awesome and unique day. It is, think the second time I've had somebody in the podcast studio with me live for a podcast and it's the one and only Jason Dent. Jason, how are you? I'm doing well. Good morning. Thanks for having me. It is crazy. I I watch Instagram real like this all the time where people are like in the podcast and they're hanging out on two chairs and couches and now look at us. We're doing it. Cheers. Cheers. That was a mic cheer for those of you who are only listening, but yeah, Jace, how does this feel to be on the podcast? It's weird. Like I was not nervous at all talking about it. I got really nervous as soon as you hit play. So if I stumble over my words, please forgive me ahead of time. Well, Jason, I appreciate you being on the podcast because marketing had asked me to do a topic about teledentistry and I was like, oh shoot, that's like not my forte at all. so You and I were actually chatting in the hot tub. call it Think Tank session and you and I, we have a lot of good ideas that come from that Think Tank. A lot of business. no phones. That's why. We do leave our phones out. But I was talking to Jason and this is actually a podcast we had talked about quite a while ago. Jason has a lot of information on pharmacy. And if you don't know, Jason isn't really, we were going through all of it last night. It's kind of a mock in the tub. And I think it's going to be great because I feel like this is an area, I'm working at Midwestern and knowing about how dentists, pharmacology was surely not your favorite one. Jason actually helps a lot of dentists with their clearances. And so we were talking about it and I like it will just be a really awesome podcast for you guys to brush up on pharmacology, different things from a pharmacist's side. So Jason, welcome. Thank you. Yeah, no, we were talking about it and here's like, what should I talk about on the podcast next? I have all these different topics and she's like, what do you know? And the only real interaction I have with dentists is doing clearances for procedures. We get them all the time, which makes sense. Lots of people are on blood thinner, I've always told Kiera, like, hey, I could talk about that. Like, that's kind of a passion of mine. I'm not a dentist. Or my name is Jason Dent. So in Hebrew, Jason means tooth. No, no, no, sorry. Nerves are getting to me. Jason means healer and Dent means tooth. So my name means tooth healer. So, here's a little set. Hold on, on, hold Can we just talk about? I brought that up before you could talk about it more. So. My name means tooth healer but I did not become a dentist. I know you wanted me to become a dentist. did. I don't know why. I enjoy medicine. I know what you're going to get to already. The things you're going to ask me. There's been years of this. But nevertheless, that's my name. We'll get that out of the way. But you did give me a great last name. So I mean, it's OK. You're All is fair and love here. SEO's up for that. But yeah, Jason, I'm going to get you right into the show. And I'm going to be the host. And we're going to welcome to the podcast show. Jace, how are you? Good, good, good. Good, good, good. So by getting into clearances, right? This is what you're kinda talking about with you know, before we get to clearances, I actually wanted Jason, for the listeners who don't know you, who haven't talked to you, who don't know, let's kinda just give them like, how did you go from, Kiera wanted you to be a dentist, to now Jason, you are on the podcast talking as our expert on pharmacy. fantastic. I've always really loved medicine, a ton. As a kid getting headaches and taking Excedrin, like you just feel like a miserable pile of crap. and then you take two pills and all of a sudden you feel better. Like that's amazing, like how does that happen? Also getting ear aches as a kid, just being in so much pain and then taking some medicine and you start feeling a lot better. I always had a lot of appreciation for that. I've always been mechanically inclined. I went to, started doing my undergrad and took biology and learned about ATP synthase, which is a spinning enzyme that's inside the mitochondria, like a turbine engine. I used to work on small engines on my dirt bike and thought that is so cool. So I really got wrapped up into chemistry. All the mechanics of chemistry really pulled me in. I'm not getting goosebumps. checking. I usually get goosebumps when I think about chemistry. But it's so cool. You think an engine's awesome, like pistons and camshafts and pressures, the cell is the same thing. It's not as loud, so it's not as cool. But it's fascinating. that's why we're like. ⁓ chemistry and really got into coagulation. So I did my residency after pharmacy school. we went to Arizona for three years. ⁓ You did and your main focus, you were never wanting to be the guy behind the counter. No, I haven't done that. Yeah. No, I love them though. I've always really want to go clinical. ⁓ But I love my retail ⁓ pharmacists. They're amazing resources. And ⁓ I use the retail pharmacist every day still to this day, but I went more the clinical route, really love the chemistry aspect of it. did my doctorate degree and then I did my residency in Reno. Reno's kind That's how we got here everybody. Welcome to Reno. Strategically placed because I was really interested in critical medicine and where we're located we cover a huge area. So we pull in to almost clear, we go clear to Utah, clear to California, all of Northern Nevada. We get cases from all over. So we actually are kind like the first hub of care for lot of areas. So we really get an eclectic mixture of patients that come in that need- all kinds of different cases that are coming to them. So it's what I really wanted. So I did my residency in critical care there. And then for the next 10 years, I worked in vascular medicine with my final five years being the supervisor of the clinic. Ran all the ins and outs of that. So my providers, two doctors were on our view. So when we talk about dentistry, talk about production, those kinds of things, totally get it. My doctors were the exact same way, my vascular providers. ⁓ There's some pains there, right? You wanna be seeing patients as much as possible, being able to help as many people, keeping the billing up. And had other nurse practitioners, four practitioners, a fleet of MAs, eight pharmacists. We also had that one location we had, going off the top of my head, I think we had eight locations running as well. And we took care of all the different kinds of vascular cases that came to us. Most common was blood clots, ⁓ which is just a... which is an easier way of saying VTE. There's so many different ways to say a blood clot. Like you might hear patients say, I've had a PE or a DVT or a venous thromboembolism or a clot in my leg, right? They're all clots, but in different locations. Same with an MI, and MI can be a clot as well. ⁓ there's a lot of, everybody's kind of saying the same thing, but sometimes the nomenclature can make it sound hard, but it really is actually pretty simple. No. And Jason, I love that you went through, you've been in like, and even in your, ⁓ when you were getting your doctorate, you were in the ER. You also worked in retail pharmacy. remember you having a little sticker on your hand. And retail pharmacy, I have a lot of respect for those guys. They have a lot of pressure on them. and then you also, ⁓ what was that test that you had to take that? I don't know. You were like studying forever for it. ⁓ board certification for, ⁓ NABP. Yeah. So I did that board certification as well. And now you've moved out of the hospital side onto another section in your career. Now in the insurance, right? So it's really, really interesting. So now I'm on the other side reading notes and evaluating clinical appropriateness and trying to help patients with getting coverage and making those kinds of determinations. So yeah, I've really jumped all over. Really love my clinical days. I know. don't I don't I do miss them. But yeah, kind of had a good exposure to a lot of. pharmacy a lot a lot of dentists actually with all the places that come through which Jason I really appreciate that and honestly I know you are my spouse and so it's fun to have you on but when I go into conversations like this I don't know any of this information and so finding experts and Jason I think here's me talk more about dentistry and my business than I do hear about him on pharmacy so as we were chatting about this I really realized you are a wealth of knowledge because you've been on the clinical side so you've done a lot of patient care and you've seen how medications interact and I know you've had a few scares in your career and ⁓ you've known some physicians that have had a few scares and ⁓ you've seen plenty of patients pass away working in the ER and gosh in Arizona drownings were such a big deal. I remember when you were in the ER on your rotations I'd be like who died today? Like tell me the stories and you've really seen and now going on to the insurance side I felt like you could just be such a good wealth of knowledge because I know dentists are sometimes so I would say like maybe just a little more anxious when it comes to medications. I know that dental students from Midwestern were like here was like four months and we had to like pass it, learn it. And Jason, you've done four years plus clinical residency, plus you've been in it. And something I really love about Nevada Medicine is they've been so collaborative with you. like your heart, your cardiologist, they diagnose and then they send to you to treat with medicine and... Yeah, I've been really lucky being here in Reno too. The cardiology team has been amazing to work with. We started a CHF program, sorry, congestive heart failure program for patients. So we would collaborate with cardiologists. They'd see the cardiologists and then they send them to the pharmacist to really manage all the medications. So there's pillars of therapy ⁓ called guideline directed medical therapy and the pharmacist would take care of all that. So that's gonna be your... your beta blockers, your ACEs, your ARBs, your Entresto, which would be a little bit better, spironolactone. So just making sure that all these things are dosed appropriately, really monitoring the heart, and make sure that patients are getting better. we've had real positive outcomes when the, sorry, this is totally off topic. do, talk about that study. When we looked at when patients were coming to see our pharmacists in our clinic that we started up, the patients were half as likely to be readmitted. And this was in 2018, and our pharmacists, We're thinking about all the medications. We're usually adjusting diabetes medications too at the same time. Just kind of naturally just taking care of all the medications because we kind of got a go ahead from the providers, a collaborative practice agreement that we could make adjustments to certain medications within certain parameters. So we weren't going rogue or maverick, but we were definitely trying to optimize our medications as much as possible. And then years later, some studies came out with, I'm sure you've seen Jardins and Farseegh. not trying to, I'm not. I don't get any kickback from them. I have no conflicts to share. But because our pharmacists were really optimizing that medication, those medications were later shown to reduce hospitalizations and heart failure, even though they're diabetes medications. Fascinating. So it wasn't really the pharmacists. It was just the pharmacists doing as much as they can with all the tools that were in front of them. And then we found out that the patients were going back to the hospital. half as much as regular patients. So, yeah, being here, it's been so amazing to work with providers here. the providers here want help, want to help patients, don't have an ego. I mean, I just, it's awesome. I love it. I do love how much I think Jason sees me geek out about dentistry and I watching Jay's geek about his pharmacy and how much he loves helping patients. And ⁓ really that was the whole idea of, all right. Dentistry has pharmacy as a part of it. And I know a lot of dentists are sending in clearances and I know working in a chair side, it would be like, oh no, if they're on warfarin or on their own blood clot, you guys, honestly don't even know half of what I'm talking about because this is not my jam, which is why Jason's here. But I do know that there was always like, well, we got to talk with their provider. And so having Jason come in and just kind of explain being the pharmacist that is approving or denying or saying yes or no to take them off the blood thinners in different parts, because you have seen several dental I don't know what they're called. What is it? Clarence's? that what comes to you? don't even know. All day my mind, it's like, here is the piece of paper that gets mailed to you to the pharmacist and then you mail it back. So whatever that is. But Chase, let's talk about it because I think you can give the dentist a lot of confidence coming from a pharmacist. What you guys see on that side. When do you actually need to approve or disapprove? Let's kind of dig into that. Yeah. Well, first of all, I think I'm not a replacement for any kind of clinical judgment whatsoever. Every patient's different. But the American Diabetes Association, you I work with diabetes a lot. American Dental Association has some really great guidelines on blood thinners and I would always reference them. I actually looked at their website today. Make sure I'm up to speed before I get back on this again. They have resources all around making decisions for blood thinners. And I think the one real important thing in putting myself in the shoes of a dentist or any kind of staff that's around a patient that's in a chair, if they say I'm on a blood thinner, right, a flag goes up. At least in my mind, that's what goes up. Like, okay, how do we get across this bridge? And I think the important thing to really distinct right then when they say they're on a blood thinner is that is kind of a slang word for a lot of different medications, right? Like it's the overarching word that everybody pulls up saying, I'm on a blood thinner. It's like, okay, but I don't know what say. It's like, I have a car. You're like, okay, do you have a Mazda? Do you have? Toyota, Honda, what do you have? or even worse it'd be like saying I have a vehicle, right? So when somebody says they're on a blood thinner, it opens up a whole box of possibilities of what they're Blood thinners are also, doesn't, when they're taking these types of medications that are quote unquote a blood thinner, it doesn't actually thin the blood, like adding water to the blood, if that makes sense, or like thinning paint, or like thinning out a gravy, right? It doesn't do the same thing. Blood thinners, really what they're doing is they're working on the blood, which. which is really cool, try not to tangent on that. ⁓ When they're working on the blood, it's not thinning it per se, but it's making it so that the proteins or platelets that are in it can't stick together and make a cloth quite as easy. So whenever somebody's on a blood thinner, I usually ask, what's the name of the blood thinner that you're on? It's not bad that they use that slang, that's okay, on the same page, but it's really broken into two different classes. There's anticoagulant and antiplatelet. And a way to kind of remember which is which, when residents would come through our clinics, the way that I teach them is a clot is like a brick wall. You know, it's not always a brick wall. Usually the blood is a liquid going through. But once they receive some kind of chemical message, it starts making a brick wall with the mortar, which is the concrete between the and the bricks, the two parts. When it's an anti-quagent, it's working on that mortar part. When it's an anti-platelet, it's working on the bricks part, right? You need both to make a strong clot or strong brick wall. But if you can make one of them not work, obviously like if your mortar is just water, it's not working, right? You're not gonna make a strong brick wall. So that's kind of the two deviants right there. So that's what I do in my mind real quickly to find out because antiplatelets are usually, so that's gonna be like your Plavix, Ticagrelor, Brilinta. And hold on, antiplatelets are bricks? Good job, bricks. They're the bricks. And so the reason I was thinking you could remember this because I'm, antiplatelets, it's a plate and a plate is more like a brick. And anti coagulant, I don't know why quag feels like mortar to me, like quag, like, know, it's like slushy in the blood, like it's coagulating. It's a little bit of that, like, honestly, I'm just thinking like coagulated blood is a little bit more mortar-ish. And so platelet is your plate, like a brick, and anti-quag is like. the gilly between the bricks. Okay, okay, I got it. Yeah, so there's an exception to every rule, but when they're on that Don't worry, this is Kiera, just like very basic. You guys are way smarter listening to this, and that's why Jason's here. No, no, you helped me pass pharmacy school. When we were doing all the top 200, you helped me memorize all know what flexorill is, all right? That's a muscle relaxant. Cyclo? I don't know that part. It's a cyclo, because you guys are cycling and flexing. I don't actually know. just know it's a muscle relaxant, so that's about as far as I got. When we're looking at antitick platelets, so that's the brick part, so that's going to be your, you know, Hecagrelor, Breitlingta, Clopidogrel is the most common one. It's the cheapest one, so probably see that one the most. Those, I mean, there's an exception to every rule, but that's generally being used after like a stent's placed in the heart. It can be used for VTE, there's some out there, but that's pretty rare. But also for some valves that are placed in the hearts, it can be used for that as well. So antiplatelet, really thinking more like a cardiac event, right? Like I said, there's always an exception to every rule, but that's kind of where my mind goes real quickly, because we're gathering information from the patient. They're on anticoagulant. Those are like going to be the new ones that you see commercials for all the time. So Xeralto, Alequis, those are the two big ones right now. They're replacing the older one. And also we were supposed to do a disclaimer of this is current as of today because the ADA guidelines do change. this will be current as of today. And Jason, as a pharmacist, is always looking up on that. I had no clue that you are that up to speed on dental knowledge. so just throwing it out there that if you happen to catch his podcast, a few years back that obviously check those guidelines for sure. But the new ones are the Xarelto and Eloquist. They're replacing the older ones of warfarin. Warfarin's been around for a really long time. We've seen that one. Those are anti-coagulants. So when you're looking, when a patient says that, generally they're on that medication because they've possibly had a clot in the past or they have a heart condition called atrial fibrillation. Those are kind of the two big ones. Like I said, there's always caveats to it, but that's kind of where my mind goes real quickly. And then, as far as getting patients cleared, the American Dental Association has really good resources on their website. You can look at those and they're always refreshing that up. They even say in their own words that there's limited data around studying patients in the dental chair and with anticoagulants or anti-platelets. It's pretty limited. There's a few studies, some from 2015, some from 2018. There's one as recent as 2021, which is nice. But really, all of those studies come together and it's really more of an expert consensus. And with that expert consensus, they have kind of simplified things for dentistry, which is really nice. ⁓ comparing that to, we have more data for like total hip replacement, total knee replacement. We have a lot of data and we know really what we should be doing around then. But going back to dentistry, we don't have as much information, so they always say use clinical judgment, but they do give some really great expert guidance on that. So if a patient's on an anticoagulant, ⁓ they generally recommend that it doesn't need to be stopped unless there's a high bleeding risk for a patient. as a provider or as a clinician in the practice, you can be looking at high bleeding risk. Some things that make an oral procedure a little bit lower risk is one, it's in the compressible site, right? Like we can actually put pressure on that site. That's the number one way to stop bleeding is adding pressure. It's not like it's in the abdominal cavity where we can't get in and can't apply pressure. So number one, that kind of reduces the bleeding risk. is number one. Two, we can add topical hemostatic agents. Dentists would know that better than me. There's a lot of topical ways to do that. So not only pressure, but there's those things as well. And also, but there are some procedures that are a little bit more likely to bleed. And that's where you and dentists would come in hand in What's the word in APO? Oh, the APOectomy. I got it right. Good job. like, didn't you tell me last night that the ADA guideline was like what? three or four or more teeth? great question. So you can extract one to three teeth is what their expert consensus One to three teeth without. Without really managing or stopping anticoagulation or doing anything like that. I think that's some good guidance from them. I'm gonna add a Jasonism on that though. So with warfarin, I do see why dentists would be a little bit more conservative or worried about stopping the warfarin because warfarin isn't as stable as these newer agents. Warfarin, the levels. quote unquote levels can go really high, they can go really low. And if the warfarin levels are high, they're more likely to bleed. So I do think it makes sense to have a really recent INR. That's how we measure what the warfarin's doing. I think that makes a lot of sense, but the ADA guidelines really go into the simplification version of all these blood thinners. Generally, it's recommended to not stop them because the risk of stopping them outweighs the benefit of stopping them in almost every case. Almost every case. ⁓ So when you're with that patient, right, they say I'm on a blood thinner, finding out which kind of blood thinner that they're on, you find out that they're on Xeralto, right? How long have you been on Xeralto for? I've been on it for years. You don't know exactly why, but if they haven't had any recent bleeding, you're only gonna remove one tooth. ⁓ You can do what's called a HasBlood score. That kind of looks at the bleeding risk that they'd have. That'd be kind of going a notch above, but in my mind, removing one tooth isn't a real serious bleeding risk. I'd love to hear from my dentist friends if they... disagree, right, but ADA says one to three tooth removals, extractions, that's the fancy word. Extractions, yeah, for extracting teeth out. Is not really that invasive. Sure. It's not that high risk, so it's usually perfectly fine. So if a patient was on Xarelto, ⁓ no other, this is in a vacuum, right? I'm not looking at any other factors, which you should be looking at other factors. I would be perfectly fine to just remove one to two. And when those clearances come in, because dentists do send them, talk about what happens. You guys were working in the hospital and you guys would get these clearances all the time. do. We get them so often. I mean, we get like four or five a day. We'd love to give it to our students, student pharmacists, and ask them what to do. And they would usually look up the American Dental Association guidelines and come up with something. We're like, yep, that's what we say too. In fact, we say it so many times a day that we have a smart phrase. which just blows in the information real quickly and faxes it right back to the So it's like a copy paste real quick. So what I wanted to point out when Jason told me this is dentists like hearing this and learning this, this can actually save you guys a ton of time to be able to be more confident, to not need to send those clearances on. And we were actually talking last night about how I think this might be a CYA for dentists. like, as we were talking, I think Jason, you seeing so many other aspects of medicine, like you've literally seen patients die, you've seen other areas. And so coming from that clinical vantage point, we were realizing that dentists, we are so blessed to live in an injury. I enjoy dentistry because possibly there's someone dying, not super high, luckily in dentistry. The only time that I have actually had a doctor have a patient pass away, and it was only when they were completely sedated and doing ⁓ some other things, but that was under the care of an anesthesiologist. And so that's really our high, high risk. And so hearing this, Jason, That was one of the reasons I wanted him to come on is to give you doctors more confidence of do we have to always send to a pharmacist? I mean, hearing that on the pharmacy side, they're just sending these back and not to say to not see why a to not cover this because you might be questioning like, well, do I really need to? But you also were talking about some other ways of so number one, you guys are just going to copy back the 88 guidelines. So so 88 guidelines. Yeah. And I think that that gives a lot of confidence to a provider or a dentist is that you can go to the 88 guidelines and read them, right? Like you're listening to some nasally monotone pharmacist on a podcast. Rumor has it, people love him at the hospital. were like, you're the voice, he's been told he has a good radio So for the clinic, I was the voice. Like, yeah, you've reached the vascular clinic, right? And they're like, oh my gosh, you're the voice. But sorry, you me distracted. That'll be your next career, Jace. You're going to be a radio host. OK. I would love that. I love music. But you're hearing from a nasally guy, but you can actually read the ADA guidelines. You just go right to the ADA, click on Resources, and under Resources, it has the around anticoagulants, I think that's the best way to get a lot of confidence about it because they have dentists who are the experts making calls on these. I'm just reiterating what they say, but I think it makes a lot of sense to help providers. And the reason why my heart goes out to you as well is having the providers that used to work underneath me, they're always looking for our views, which is a fancy way of making sure that they're drilling and filling. Can I say that? Yeah, can say drilling and filling. They're being productive, right? They're being productive, right? They're always looking to make sure if a patient's canceling, like get somebody in here. Like I need to be helping people all day long. That's how I, we keep the lights on. That's how I help as many people. And so if you have a patient coming in the chair and it has an issue, they say I'm on Xeralto. Well, you can ask real quickly, why are you on Xeralto? I had a clot 10 years ago. my gosh. Well, yeah, we're pretty good to go. Then I'm not worried. We're only removing one tooth or we're just doing a cavity or a cleaning. Something like that. Shouldn't be an issue whatsoever because there's experts in the dental. ⁓ in the dental society, the ADA guidelines that recommend three teeth or less, minimally invasive. They really recommend if it's gonna be really high bleeding risk. And clinically, that's where you would come in, ⁓ or yourself. know, apioectomy is one that's like on the fence line. I don't know where implants set. though, and like we were talking, implants aren't usually like a date of procedure. Most people aren't popping in, having tooth pain, and we're like, let's do an implant. Now sometimes that can be the case, but typically that one's gonna have a few other pieces involved. And so that is where you can get a clearance if you want to. ⁓ But we were really looking at this of like so many dentists that I know that you've seen will just send in these clearances because they are. And I think maybe a way to help dentists have more confidence is because you know, I love routines. I love to not have to remember things. So why don't we throw it in, have the team member set it up where every quarter we just double check the ADA guidelines. Are there any updates? Are there any other things that we need to do on that? That way you can just see like getting into the language of this, of what do I need to do? Because honestly, you guys, know pharmacy was not a big portion for it, so, recommending different parts, but I think this is such a space where you can have confidence, and there's a few other things I wanna get to, and I you- I some pearls too. Okay, go. I'm so when she get me into talking about drugs, I'm not gonna stop. So, some other things around that too is these newer blood thinners like Xarelto Eloquist, they now have reversal agents, so a lot of providers in the past were really worried about bleeding because we can't turn it off. We can turn those off. Warfarin has reversal as well, right? So I'm looking at these patients. It's really low risk. It's in the mouth, generally speaking. Very rarely are they a high bleeding risk. Now if you're doing maxillofacial surgery, this does not apply, right? This does not apply whatsoever. you're like general dentist, you're pediatric dentist. Yeah, yeah, and it's kind of on the fly. So just trying to really help you to be able to take care of those patients on the moment, have that confidence, look at the ADA guidelines, have that in front of you. I don't think it's a bad thing to ever... check with their provider if you need to. If you're thinking, I feel like I should just check with the provider, I would never take that away from you. But I just want to kind of steer towards those guidelines that I have to help. But what did you want to share? No, yeah, I love that. And I think there were just a few other nuggets that we were chatting about last night that can help dentists just kind of get things passed a little bit easier. So you were mentioning that if they were named to their cardiologist, what was it? was like, who is the last? Great question. Yeah, when a patient's on a blood thinner, It could be prescribed by the cardiologist. It could be prescribed by the family provider or could have been punted to like a vascular clinic like where I was working. It can go to any of those. And when you send that fax, right, if it goes to the cardiologist and it's supposed to go to the family care provider, like it just kind of goes, goes nowhere, right, from there. So I think it's a really good idea to find out who prescribed it last. If the patient doesn't know who prescribed their blood thinner last, you can call their pharmacy. I call pharmacies all day long. I have noticed in the last year, they are way easier to get a hold of, which has made my job a lot easier, working on the insurance portion. So reaching out to the pharmacy, finding out who that provider is and sending it to them, because they should be able to help with that. I thought that was a good shift in verbiage that you had of asking instead of like the cardiologist, because that's who you would assume was the one. But you said like so many times you guys would take care of them, and then they go back to family practitioner, and you guys would get the clearances, but you couldn't clear because you weren't overseeing. So just asking the patient. who prescribed their medication for them last time. That way you can send the clearance to the correct provider. then- And they might not know. You know patients, right? They're like, I don't know, my mom's or else, I don't know who gave it to me. Somebody told me I need to be on this. But at least that could be another quick thing. And then also we were talking last night about- ⁓ What are some other things that dentists can do when like writing scripts to help them get what I think like overarching theme of everything we discussed is one how to help dentists have less I think drag through pharmacy. ⁓ Because pharmacy can take a little while and so perfect we now know the difference between anti-quag and anti-platelet. We know which medications are probably safe. We know we can check the ADA guidelines so that we were not having to do as many clearances. We also know if they're on a medication to find out and we do need a clearance. who we can go to for the fastest, easiest result. And now, in talking about prescriptions, you had some really interesting tips that you could share with them. Yeah, so with writing prescriptions, right, pharmacies are pharmacies. So I'm not gonna say good thing or bad thing. There are challenges working with pharmacies. I'm not gonna play that down at all. ⁓ If you're writing prescriptions and having issues and kickbacks from pharmacies, there's some interesting laws around ⁓ writing prescriptions. Say that you're trying to ⁓ prescribe augmentin, you know, 875 BID, and you tell the patient, hey, I want you to take this twice a day for seven days, and then you put quantity of seven, because you're moving fast, right? You want it for seven days, quantity of seven. Quantity would actually be 14, right? It's not that big of a deal. Anybody with common sense would say if you're taking a pill for twice a day for seven days, you need 14 tablets. But LAHA doesn't allow pharmacists to make that kind of a change, unfortunately. They have to follow what you're saying there. So you're going to get a... An annoying callback that says, you wrote for seven tablets. I know you need 14. Is that OK? Just delays things, right? So ⁓ I really like the two letters QS. That's Q isn't queen. S isn't Sam. Yeah. It stands for quantity sufficient. So you don't have to calculate the amount of any medication that you're doing. So for me, as a pharmacist, when I was taking care of patients, I hated calculating the amount of insulin they would need for an entire month. So I would say. Mrs. Jones needs 15, I'd say 15 units ⁓ QD daily. ⁓ And then I say QS, quantity sufficient, ⁓ 90 day supply through refills. So the pharmacy can then go calculate how much insulin that they need. I don't have to even do that. So anytime you're prescribing anything, I like that QS personally. So that lets the pharmacy use ⁓ common sense, as I like to call it, instead of giving you a call. I think that's super helpful. I also thought of one thing too. going back to blood thinners is when it's kind of like a real quick, like they're not gonna have you stop the blood thinner at all. like you're seeing if you can stop the blood thinner for a patient, there's some instances it's just not gonna happen. And that's whenever they've been, they've had a clot or a stroke or a heart attack within the last three months. Three months. Yeah, that's kind of like the. Because so many people are like, they had a heart thing like six years ago. And so I think a lot of my dentists that I worked with were like, we got to stop the blood thinners. But it sounds like it's within three months. Yeah, well, I'm just the time. Like this is general broad strokes. What I'm just trying to say is when you want to expect a no real quick. Got it. Right. So because benefits of stopping a blood thinner within those first three months of an event is very, very risky versus the, you know, the benefit of reducing a little bit of blood coming out of the mouth. Right. Like that's not that bad. when somebody's had a stroke or a heart attack or pulmonary embolism, a clot in the lung, like we can't replace the lung, heart or brain very easily. We can replace blood a lot better. We've got buckets of it at most hospitals have buckets of it, right? So I'm always kind of leaning towards I'd rather replace blood than tissue at all times. So that's kind of a quick no. If they've had one those events in the last three months, we are really, really gonna watch their brain instead of getting. root canal, right? Like really worried about them. So you'll just say no. And they could the dentist still proceed with the procedure or would you recommend like a three month wait? Or is it provider specific way the pros and cons because sometimes you need to get that tooth out. Great question. think then it's going to come into clinical. That's that's when you send in the clearance, right? Like, and it's great to reach out to the provider who's managing it for you. But I think it's kind of good to know exactly when you get a quick no quick no is going to be less than three months. ⁓ Or when it's going to be like a kind of a typical, yeah, no problem. If it's been no greater than six months, they're on the typical anticoagulants or alto eloquence. Nothing crazy is going on for them. You're only removing two teeth. This is very, very low risk. But again, I'd urge everybody to read the ADA guidelines. That way you feel more comfortable with it. I'm not as eloquent as they do. They do a real good job. So I don't want to take any of their credit. I think they do a real good job of simplifying that and making you feel confident with providing. more timely care for patients. Which is amazing. And Jayce, one last thing. I don't remember what it was. You were talking about the DEA and like six month rule. yeah. Let's just quickly talk about that and then we'll wrap this because this is such a fascinating thing for me last night. Yeah. So when comes to prescribing controlled substances, most providers have to have a DEA license. OK. First of all, though, what's your take on dentist prescribing controlled substances? ⁓ I don't think, you know, I worked on the insurance side of things. Right. And I look at the requirements for the as the authorizations, what a patient, the criteria a patient needs to hit in order to qualify for certain medications. A lot of times for those controlled substances, they have pretty significant issues going on, like fibromyalgia or cancer-related pain or end-of-life care versus we don't, in all my scanning thread, I don't have a ⁓ perfect picture memory. Sure. But I don't usually see oral. pain in there. There is some post-operative pain that can be covered for those kind of medications but I really recommend to keep those lower and in fact in a lot of our criteria it recommends you know have they tried Tylenol first, they tried, have they filled NSAIDs or are they contraindicated with the patient. So really they should be last line for patients in my two cents but there's always going to be a caveat to the rule right? Of course. comes through that has oral cancer and you're taking like that would make sense to me. Got it, so then back to the DEA. Yeah, okay. Okay, ready. So as a provider, you should be checking the, if you're doing controlled substances, you should be checking the prescription drug monitoring program, or sometimes called the PDMP, looking to see if patients are getting ⁓ controlled substances from another provider. So it's really just a check and balance to make sure that they're not going from provider to provider to getting too many narcotics and causing self harm or harm to others. And so with checking that PDMP before prescribing, I think a lot of providers do that. A lot of softwares that I'm aware of, EMRs, electronic medical records, sometimes have links so that you can do that more quickly. However, I don't think it's as intuitive that they need to be checking that every six months in some states. And like here in Nevada, you're supposed to be checking it every six months, not for a patient, but for your actual DEA registration to see if anybody else is prescribing underneath you. Because if you don't check that every six months, you could get in some serious trouble with... not only DEA, but even more the Board of Pharmacy and your state. Now, I don't know all 50 states, so I check with your state to see if you need to be checking that every six months, but set an alarm just to check that real quickly, keep your nose clean. ⁓ I've had providers, I've had to remind to do that. And if somebody was using your account, prescribing narcotics, you'd never know unless you went and checked that PDMP. Yeah, I remember last night you were like, and if that was you, I would not want to be you. The Board of Pharmacy is going to be real excited to find you. So that was something where I was like, got it. So, and we all know I'm big on let's make it easy. And Jason, I love that you love this so much and you just brought so much value today. And like also for me, it's just fun to podcast. fun. Yeah. But I got a nerd out on my world a little bit. Bring it into yours. I work with dentists or at least you know, when I was working in Vascular Clinic all day long. Great questions that would come through. Yeah. So I think for all of us, as a recap on this is number one, I think setting yourself ⁓ some cadences. So maybe every quarter we check our ADA guidelines and we check our, what is it, PDMP. PDMP. so each state, so they call it Prescription Drug Monitoring Program. We need that. Yeah, but there are different acronyms in different states, though. That's just what it's called in Nevada. I forget what it is in California, but you can check your state's prescription monitoring program, make sure that opioids aren't being prescribed under your name. Got it. So we just set that as a cadence. We know one to three teeth most likely if they're on a blood thinner is According to the 88 as of today is good to go You know things that are going to get a quick know are going to be within the last three months of the stroke the heart attack or the Clot I'm thinking like the pulmonary embolus. Yeah, that's what we're trying to prevent Those are gonna be quick knows and then if we're prescribing, let's do QS. We've got quantity is sufficient so that we're not getting phone calls back on those medications that we are. And then on narcotics, just being a bit more cautious. Of course, this is provider specific and in no way, or form did Jason come on here to tell you you are the clinical expert. Jason's the clinical expert on medications. And if you guys ever have questions, I know Jason, you geek out and you want to talk to people so that anyone wants to chat shop. Be sure to reach out and we'll be able to connect you in. we've even talked about possibly, so let me know listeners. You can email in Hello@TheDentalATeam.com of ask a pharmacist anything. I talked to Jason. I was like, We'll just have them like send in questions and maybe get you back on the podcast or we do a webinar. But any last thoughts, Jace, you've got of pharmacy and dentistry as we as we wrap up today? No, I think that's pretty much it. So check the ADA guidelines. I think it's really good to have cross communication between professions. Right. If you're working with the pharmacy, CVS, Walgreens or something like that or Walmart, I know that it can be challenging. Right. They're under different pressures. You're under different pressure. So I think ⁓ just coming in with an understanding, not being angry at each other. you know what mean, is super beneficial and working together. When it comes to it, every dentist that I've talked to is actually worried about their patient. Every pharmacist that I've worked with is really worried about the patient as well. So we're trying to accomplish the same thing, but we have different rules and our hands are bound in different ways that annoy each other, right? Like I know Dr. Jones, want 14 tablets, but you said seven. And I know Common Sense says I should give them 14, but I've got to make that change. knowing that their hands are tied by the law. They can't use as much common sense, which is aggravating. I mean, that's why I love what I gotta do here. I gotta just kind of help a lot more and use common sense and improve patient care. But those kinds of things I think are really beneficial as you work together and then not being so afraid of blood thinners, right? So I think those guidelines do a great job of giving you confidence and not worrying about the side effects. And there's a lot of things that you can do locally for bleeding. You have a lot of control over that. I think that's pretty cool, the tools they have. Yeah. And at the end of the day, yes, you are the clinician. You are the one who is responsible for this. so obviously, chat, but I think collaborating, talking to other pharmacists, talking to them in your state, finding out what are the state laws, things like that I think can be really beneficial just to give you peace of mind and confidence. And again, dentistry, are maybe a bit more risk adverse because luckily we don't have patients dying That's great thing. Yeah, that's fantastic. I want my dentists to be risk adverse. I think so too. But Jason, I appreciate you being on the podcast today. And for all of you listening, ⁓ more confidence, more clarity, more streamline to be able to serve and help our patients better. if we can help you in any way or you've got more questions, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.
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Entsetzen in der Politik und bei der Bahn: Zugbegleiter in Rheinland-Pfalz stirbt nach schwerer Attacke, Thüringens Ministerpräsident Voigt übersteht Misstrauensvotum, Unterhändler aus Moskau und Kiew verhandeln in Abu Dhabi um Friedenslösung, Im Sperrgebiet des havarierten Atomkraftwerks Tschernobyl in der Ukraine schlagen immer wieder russische Drohnen ein, Veröffentlichung weiterer Epstein-Akten: Britischer Premier Starmer wegen früherem Wirtschaftsminister Mandelson unter Druck, Acht Jahre Haft für deutsche non-binäre Person Maja T. bei Urteil in Budapest, Weltkrebstag: Frauen und Männer müssen unterschiedlich therapiert werden, Deutsche Fahnenträger für Eröffnungsfeier der Olympischen Winterspiele in Italien stehen fest, Schnee und Glätte führen am Morgen im Norden Deutschlands zu Verkehrsproblemen, Das Wetter
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers. This episode will cover the topic of Fingertip Amputations & Finger Flaps from our Hand section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
In this episode, we break down The Architecture of Proximity Power and the Hyper-Curated Access Strategies required to enter Ultra-High-Net-Worth circles. Join Dr. JC Doornick and Richard Dolan as we explore Mastering the Invisible Gates of elite networking and Solving for the Value Gap to build High-Value Connections. What you will learn in this session: How Relationship Return on Investment and Economic Happiness redefine professional success. Building a 100-Year Legacy through the lens of Strategic Advisory. Leveraging Ferocious Curiosity to secure Proximity Influence. Transmuting Insight into Action for significant multi-generational impact. Connect with Richard Dolan: ► Instagram:: @richard.dolan ► Website: www.richarddolan.com ► Ink Bio: https://lnk.bio/richdolan Follow Dr. JC Doornick and the Makes Sense Academy:► Makes Sense Substack - https://drjcdoornick.substack.com ► Instagram: / drjcdoornick ►Facebook: / makessensepodcast ►YouTube: / drjcdoornick MAKES SENSE PODCAST Welcome to the Makes Sense with Dr. JC Doornick Podcast. This podcast explores topics that expand human consciousness and enhance performance. On the Makes Sense Podcast, we acknowledge that it's who you are that determines how well what you do works, and that perception is subjective and an acquired taste. When you change the way you look at things, the things you look at begin to change. Welcome to the uprising of the sleepwalking masses. Welcome to the Makes Sense with Dr. JC Doornick Podcast. SUBSCRIBE/RATE/REVIEW & SHARE our new podcast. FOLLOW Podcast: You will find a "Follow" button in the top right. This will enable the podcast software to alert you when a new episode launches each week. Apple: https://podcasts.apple.com/ca/podcast/makes-sense-with-dr-jc-doornick/id1730954168 Spotify: https://open.spotify.com/show/1WHfKWDDReMtrGFz4kkZs9?si=003780ca147c4aec Podcast Affiliates: Kwik Learning: Many people ask me where I get all these topics, which I've been covering for almost 15 years. I have learned to read nearly four times faster and retain information 10 times better with Kwik Learning. Learn how to learn and earn with Jim Kwik. Get his program at a special discount here: https://jimkwik.com/dragon OUR SPONSORS: Makes Sense Academy: A private mastermind and psychologically safe environment full of the Mindset and Action steps that will help you begin to thrive. The Makes Sense Academy. https://www.skool.com/makes-sense-academy/about The Sati Experience: A retreat designed for the married couple that truly loves one another, yet wants to take their love to that higher magical level. Relax, reestablish, and renew your love at the Sati Experience. https://www.satiexperience.com 0:00 - Intro 4:23 - Proximity Influence 10:23 - Being the Architect of Access 16:15 - We're all seekers of the “Er” 18:46 - Mastering the Invisible Gates 21:15 - How I got to work with President Bill Clinton 25:34 - Solving the Value Gap 28:05 - What three irrefutable laws can solve the value gap? 31:13 - Juwan Howard Story 37: 55 - Wealth Psychology and Relationship Equity 48:46 - !00 Year Legacy Relationship Idea - Jim Kwik #RichardDolan #ProximityPower #LegacyBuilding #WealthPsychology #UltraHighNetWorth #RelationshipReturnOnInvestment #StrategicAdvisory #EliteNetworking #BusinessLegacy2026 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
A great laugh and a warm spirit resonates throughout this passionate self-taught chef. Listen as this Urbana native talks growing up in the diversity of Urbana, the opposing demographics of the Broadlands, team sports, alternative schools, working in dozens of kitchens, the importance of culture and food, the misery of manual labor, the incomparable feeling when cooking for others, couch surfing, working 20-hours per day and finding a home at the VFW 630. There are so many lows in this story, Benny took a lot of hits. However, he kept finding himself returning to the kitchen to find direction and happiness. I'd like to thank this episode's sponsor, FirstLine Urgent Care. Local Emergency Department doc, Kurt Bloomstrand and wife and ER nurse, Sarah, are dedicated to this heart-led passion project. The Bloomstrands are opening a local and modern urgent care, FirstLine, at 2043 S. Neil Street in Champaign. Care you know. People You Trust. Follow firstlineurgentcare on Instagram and Facebook for the latest updates and visit firstlineurgentcare.com.Thank you so much for listening! However your podcast host of choice allows, please positively: rate, review, comment and give all the stars! Don't forget to follow, subscribe, share and ring that notification bell so you know when the next episode drops! Also, search and follow hyperlocalscu on all social media. If I forgot anything or you need me, visit my website at HyperLocalsCU.com. Byee.
If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results… Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income. And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com. =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== Emergency physician–turned–medspa owner Dr. Lisa Jenks explains how she went from the ER to founding Genesis Med Spa in 2007, growing it from four treatment rooms to a highly profitable practice that a private equity group ultimately acquired. Drawing on 17 years of ownership, she walks through what she would do differently if she were starting again today and why careful planning at the beginning determines whether a medspa becomes a sellable asset later. She focuses on practical decisions that matter most: negotiating the lease and build-out, choosing services that don't require expensive devices, hiring lean part-time staff, defining a clear niche, and thinking like a small-business owner rather than just a clinician. From there, she moves into strategies for growth and profitability, including high-ROI services, KPI tracking, inventory control, staff involvement in cost savings, and preparing systems and numbers that make your medspa attractive to future buyers. You'll find links mentioned in the episode at nonclinicalphysicians.com/start-a-medspa/
What scars do you carry? Maybe you've had a c-section (or 3) and don't want to wear a bathing suit anymore (among other reasons). Maybe you've been injured in an accident and try to disguise the evidence. Or maybe you've suffered from cancer and now have an ugly scar as a reminder of your survival. Whatever the reason, it's natural for us to want to cover unsightly scars from public view. When I was in my mid-twenties and almost put my eye out from accidentally shoving my face into a large splinter, I didn't realize the permanent damage that could have been done until the ER sent for a plastic surgeon. He said I was too young to carry a scar like that for the rest of my life, and I'm grateful he repaired the wound. Today I can barely see the scar. But only a few short years later I would deal with so much pain that there would be a permanent scar on my soul. This time, however, I was glad to have an enduring reminder of my healing. This is the ninth episode in the Blueprints for Building Your Spiritual Dream Home series. If you've missed any of the previous episodes, I hope you'll take the time to go back and listen, starting in your podcast app with How to Build a Godly Home: Choosing the Right Location. But the very first episode, Open Your Blueprint, can only be found on my website at CarolRoper.org. Today I'll share how the scars left on historic homes after catastrophic events mirror the scars we carry from our own life storms. Watch on YouTube Your Scars Tell Your Story with Carol Roper Listen to the first episode in the Blueprints for Building Your Spiritual Dream Home series Open Your Blueprint Listen to the second episode in the Blueprints for Building Your Spiritual Dream Home series How to Build a Godly Home: Choosing the Right Location Listen to the third episode in the Blueprints for Building Your Spiritual Dream Home series Envision Your Dream Home Listen to the fourth episode in the Blueprints for Building Your Spiritual Dream Home series How Building a Dream Home Tests your Marriage-and Your Faith Listen to the fifth episode in the Blueprints for Building Your Spiritual Dream Home series The Secret Behind a Strong Spiritual Home (Hint: It's Not Being Pinterest Perfect) Listen to the sixth episode in the Blueprints for Building Your Spiritual Dream Home series Why You Matter: The Hidden Strength in Every Home Listen to the seventh episode in the Blueprints for Building Your Spiritual Dream Home series The Power of Light: Becoming a Spiritual Lamplighter Listen to the seventh episode in the Blueprints for Building Your Spiritual Dream Home series Oaks of Righteousness: Raising Families with Deep Roots
#209: What if the simplest test for justice is the one we avoid most: did the punishment fit the alleged crime? We take a hard, human look at the Minneapolis ICE shootings and the narratives that sprang up around them, using a nurse's experience with de‑escalation to question why armed authority is often granted more leeway than caregivers who face chaos daily. In an ER, high stress and long hours never excuse unnecessary force; training, restraint, and accountability are the baseline. If that's true without a gun, why accept less when the state carries one?Across the conversation, we trace the patterns that blunt our empathy: the impulse to reframe victims through their worst moments, the comfort of silence framed as neutrality, and the churn of headlines that create political whiplash before any change can stick. History offers blunt lessons. The language of “just comply,” “don't get involved,” and “it's not my place” has appeared before every time a marginalized group was targeted. Silence doesn't sit in the middle; it leans toward power.We also talk directly about privilege without shame. If you can look away, you have margin others don't. Use it. Challenge dehumanizing talk in your circles, center proportionality and human dignity, and keep the focus on the moment where harm happened. We test our shared moral floor with examples most people agree on, then ask for consistency when the state uses force. You don't need perfect words or a public platform to matter—you need the courage to be specific, to ask better questions, and to let compassion lead even when it's uncomfortable.If this moved you, subscribe, share the episode with someone who needs a thoughtful push, and leave a review telling us how you'll show up this week. Your voice helps more people choose humanity over comfort.You can now send us a text to ask a question or review the show. We would love to hear from you! Support the showFollow me on social: https://www.instagram.com/babbles_nonsense/
We played a round of the Bobby Feud. Can you name the Top 10 places that you have to wait in line? It gets heated as there is some controversy after some answers. Lunchbox had a really hard time reading a word in a commercial. We all share what the hardest part of our job in radio is that most people have no idea about. Bobby shared a story of a kid getting an unusual object in their nose and we hear from more parent horror stories of how they ended up in the ER with their children.See omnystudio.com/listener for privacy information.
In 2020, after surviving a long season of hardship, Janell believed the valley was finally behind her. Life was opening up. Freedom was ahead. Then, on a familiar freeway, everything spiraled out of control. The car wouldn't slow down. The engine screamed louder. The brakes failed. The emergency brake did nothing. Seventy miles an hour… climbing. No way out. No one to help. Except One. In the moment where death felt certain, a voice spoke from behind her: “Do you trust Me? You have to jump.” What followed wasn't just survival—it was an encounter. An ER room. A presence. Eyes filled with peace. A Good Shepherd who draws near when control is gone and fear is everywhere. This is a story about obedience in terror, faith in the shadow of death, and the quiet power of a Savior who does not leave His sheep—before the jump, during the fall, or long after the moment passes. Sometimes the valley you never expected is where you finally meet the Shepherd.Janell Kremer has written a book about her experience called: Now My Eyes See You: When Pain Becomes an Invitation to Encounter God Face-to-Face ---------------------------------------------------------------If you're a fan of true crime but crave a dose of inspiration instead of tales of darkness, The Miracle Files is your perfect alternative. With the same storytelling intensity as true crime podcasts, The Miracle Files delves into the details of each miraculous story, exploring the people and circumstances that turned these moments into something unforgettable. Whether you believe in divine intervention or human perseverance, this podcast will leave you feeling uplifted and amazed. Website: www.themiraclefiles.comPodcast/RSS: https://podcasts.apple.com/us/podcast/the-miracle-files/id1714203488Instagram: https://www.instagram.com/the_miracle_files_podcastFacebook: https://www.facebook.com/profile.phpid=100093613416005&mibextid=LQQJ4dTikTok: https://www.tiktok.com/@the.miracle.files?_t=8rB5ooQd482&_r=1
Roberto Reed pulls up and this episode immediately goes off the rails. From ball pain horror stories to body cam footage obsession, comedy origin stories, therapy debates, and the kind of riffs you can't plan.We talk: starting standup at 19, dropping out of college, working at a comedy club, why fear is an underrated motivator, the weirdest ER visit ever, and how to stay grounded while chasing big goals.You Can Find Roberto:Instagram: https://www.instagram.com/robertoreed_/
Click Here to Text us. Yes really, you totally can.It's the super-sized 200 episode SPECTACULAR! In this GROUNDBREAKING podcast epic, we make jokes about WEINERS. And also talk about this stuff:Guess WhatPETA is doing some weird s**t againPut giant legos on your feet, stupid!The response to creepy AI porn made by incels10 times people from the 50's got the future wrong by being WAY TOO HOPEFUL.Even WeirderA never-before-talked-about mushroom that makes you see little freaks!The world economy braces for IMMINENT DISCLOSUREMore creepy AI s**tCelebrities are being replaced with clones!Some actually BELIEVABLE celebrity reincarnationsIT'S THE TRAILER FROM HE-MAN!Beyond The PaleWe journal into the dark jungle of OUR OWN DISCORD to discover new and never before heard of cryptids!Whatcha Wanna Talk About?We take a walk down memory lane, only to realize we have no memories, and where we're going...we don't need...ROADS. Er, LANES.Check Out Our Website!Join our Discord!Check out our Merch Store HERE!Follow us @theneatcast on TikTok!Follow us @neatcastpod on BlueskyFollow us @neatcastpod on Twitter!Follow us @neatcastpod on Instagram!Follow us @theneatcast on Facebook!
Liebe Leute,heute geht's um eine Sprache, die man nicht im Lehrbuch lernt – sondern auf der Baustelle, in der Werkstatt und auf Montage: Handwerker-Deutsch.Unterstützung habe ich dabei von Arne, viele von euch kennen ihn schon aus anderen Folgen. Er baut Konstruktionen, ist leitender Angestellter und regelmäßig auf Montage. Wir sprechen über Handwerk, Mythen – und vor allem über die Sprache: ganz viel Umgangssprache, typische Sprüche und Sprichwörter, die man in diesem Umfeld ständig hört.In der Sprachanalyse (27:15) warten wieder interessante Wörter wie „pfuschen“, „der Geselle“ oder auch Redewendungen wie „Wo gehobelt wird, fallen Späne.“ auf euch.Viel Freude beim Zuhören!Euer RobinHier geht es zum Handout:https://www.dropbox.com/scl/fi/n767i11sth6axksgt8b06/Episode_159_Handwerk-mit-Arne_Handout.pdf?rlkey=9irhaj18n2c23izgm74722s0u&dl=0Das Transkript und viele weitere Extras gibt es auf Patreon:https://www.patreon.com/aufdeutschgesagtZum Newsletter:https://aufdeutschgesagt.us21.list-manage.com/subscribe?u=530247c810b1c462df23c5ff9&id=b3c548b8d1Wer meine Arbeit finanziell unterstützen will, der kann das hier tun:https://paypal.me/aufdeutschgesagt?locale.x=de_DEE-Mail:info@aufdeutschgesagt.deHomepage:www.aufdeutschgesagt.deFolge dem Podcast auch auf diesen Kanälen:Facebook:https://www.facebook.com/pages/category/Podcast/Auf-Deutsch-gesagt-Podcast-2244379965835103/Instagram:www.instagram.com/aufdeutschgesagtYouTube:https://www.youtube.com/aufdeutschgesagtHier geht es zum Podcast auf anderen Seiten:https://plinkhq.com/i/1455018378?to=page Hosted on Acast. See acast.com/privacy for more information.
It's been a week of illness, ER visits, and thinking about mortality as middle age is no longer upon the dudes....it's here! This week's brew is the 2025 Dogfish Head 120 Min IPA!
Abby finally got to attend a Denver Broncos game and it was the AFC Championship game. She shares the entire experience in Denver including how she stayed warm and how she made it back through the ice storm. Morgan shares her ice storm chronicles from her power being out 71 hours, staying at a hotel, to her cat needing an ER visit despite the ice. See omnystudio.com/listener for privacy information.
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers. This episode will cover the topic of Peripheral Nerve Injury & Repair from our Hand section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
STERNENGESCHICHTEN LIVE TOUR in D und Ö: Tickets unter https://sternengeschichten.live Im Jahr 1604 ist plötzlich ein neuer Stern am Himmel aufgetaucht. Er hat das damalige Weltbild in Frage gestellt und es hat mehr als 300 Jahre gedauert, bis wir herausgefunden haben, was damals passiert ist. Mehr erfahrt ihr der neuen Folge der Sternengeschichten. Wer den Podcast finanziell unterstützen möchte, kann das hier tun: Mit PayPal (https://www.paypal.me/florianfreistetter), Patreon (https://www.patreon.com/sternengeschichten) oder Steady (https://steadyhq.com/sternengeschichten) Sternengeschichten-Hörbuch: https://www.penguin.de/buecher/florian-freistetter-sternengeschichten/hoerbuch-mp3-cd/9783844553062
On the four year anniversary of Karen Read's murder of John O'Keefe, we go back and look at how her innocence fraud campaign began without the involvement of Aidan “Turtleboy” Kearney. Why was CourtTV pushing the killer's innocence fraud narrative in September of 2022? Show Sponsor - "Love Isn't Always the Answer" Shelley Levisay - https://a.co/d/bnYcYy9 GetGet access to exclusive content & support the podcast by a Patron today! https://patreon.com/robertaglasstruecrimereportThrow a tip in the tip jar! https://buymeacoffee.com/robertaglassSupport Roberta by sending a donation via Venmo. https://venmo.com/robertaglassBecome a chanel member for custom Emojis, first looks and exclusive streams here: https://youtube.com/@robertaglass/joinShow Notes:Innocence Fraud Watch “QUESTIONS For Chanley Shá Painter & Vinnie Politan & Court TV Re: Statements Made On September 22nd 2022 On Cop Killer Karen Read Case. Incl. Molly Parmer “ - https://x.com/innocencefraudw/status/2016676297020178559?s=46&t=QYSCN5--uh3-3EcMJ5GVBwVoyage ATL - Interview with Molly Parmer - https://www.voyageatl.com/interview/meet-molly-parmer-of-parmer-law/Innocence Fraud Watch “Kate Peter Rants on Spaces on X” - https://rumble.com/v74yzmm-kate-peter-ranting.htmlInnocence Fraud Watch “Lydia Rodarte Quayle is a Liar” - https://rumble.com/v74a5ww-lydia-rodarte-quale-from-the-fourensic-room-is-a-liar.htmlCourtTV “Exclusive Security Video Released in Read Case “ https://youtu.be/Pdq8Kd_hMJo?si=Fw7hk7L9IDsahNFrRoberta Glass True Crime Report “Will Karen Read's Magical Distraction Campaign Work” - https://www.youtube.com/live/Wrb5gLD8fkI?si=_GvM-hlHMT1aYoARYellow Cottage Tales Spaces on X (Kevin Lenihan) - https://x.com/ourx_vault/status/2016992286995824852?s=12Aidan Kearney on X - https://x.com/doctorturtleboy/status/2016966702714802633?s=46&t=QYSCN5--uh3-3EcMJ5GVBwThank you Patrons!Beth, Shelley Safford, Carol Mumumeci, Therese Tunks, JC, Lizzy D, Elizabeth Drake, Texas Mimi, Barb, Deborah Shults, Ratliff, Stephanie Lamberson, Maryellen Sudol, Mona, Karen Pacini, Jen Buell, Marie Horton, ER, Rosie Grace, B. Rabbit, Sally Merrick, Amanda D, Mary B, Mrs Jones, Amy Gill, Eileen, Wesley Loves Octoberfest, Erin (Kitties1993), Anna Quint, Cici Guteriez, Sandra Loves GatsbyHannna, Christy, Jen Buell, Elle Solari, Carol Cardella, Jennifer Harmon, DoxieMama65, Carol Holderman, Joan Mahon, Marcie Denton, Rosanne Aponte, Johnny Jay, Jude Barnes, JenTheRN, Victoria Devenish, Jeri Falk, Kimberly Lovelace, Penni Miller, Jil, Janet Gardner, Jayne Wallace (JaynesWhirled), Pat Brooks, Jennifer Klearman, Judy Brown, Linda Lazzaro, Suzanne Kniffin, Susan Hicks, Jeff Meadors, D Samlam, Pat Brooks, Cythnia, Bonnie Schoeneman-Dilley, Diane Larsen, Mary, Kimberly Philipson, Cat Stewart, Cindy Pochesci, Kevin Crecy, Renee Chavez, Melba Pourteau, Julie K Thomas, Mia Wallace, Stark Stuff, Kayce Taylor, Alice, Dean, GiGi5, Jennifer Crum, Dana Natale, Bewildered Beauty, Pepper, Joan Chakonas, Blythe, Pat Dell, Lorraine Reid, T.B., Melissa, Victoria Gray Bross, Toni Woodland, Danbrit, Kenny Haines and Toni Natalie.
Es soll eines der größten militärischen Infrastrukturprojekte der US-Militärgeschichte werden. Der sogenannte Golden Dome soll die gesamten USA vor möglichen Raketenangriffen aus dem Ausland schützen. Warum es de facto unmöglich ist, das gesamte Staatsgebiet der Vereinigten Staaten vollständig abzuschirmen, was das alles kosten würde und wer von dem Vorhaben profitieren könnte, erklärt Markus Schiller. Er ist Forscher am schwedischen Friedensforschungsinstitut Sipri und Geschäftsführer einer Beratungsfirma für Raketen und Raumfahrt in München.
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers. This episode will cover the topic of Hip Resurfacing from our Recon section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
Coaching isn't just useful for discipleship—it may be the missing skill set for making disciple-makers. The conversation is candid, funny, and quietly sharp: COVID exposed shallow formation, and the church's "information-first" approach is often producing people who can pass the quiz but can't live the life. What this episode is really about How coaching skills turn discipleship from "content delivery" into "life transformation," and why that matters if you want disciples who can actually reproduce—aka spiritual grandchildren. The main arc COVID as an x-ray: Tracy says the pandemic revealed weakness and shallowness in churches—faith wasn't helping people through reality as much as we assumed. Disciples vs. disciple-makers: Lots of systems can "disciple" people. The breakdown comes when those people are supposed to disciple others…and don't. Coaching as the bridge: Listening, powerful questions, Holy Spirit awareness, concise observations, encouragement—these are the exact "soft skills" disciple-makers need. Ownership beats compliance: If a person doesn't own the next step, they won't do it. Coaching helps them name it, choose it, and commit to it. Gold analogies and quotable moments "Checkbox Christianity": Brian compares conversion to clicking "I agree" on software terms you didn't read…until life hits and you realize you never actually understood what you signed up for. David wearing Saul's armor: What works for the discipler isn't automatically the right "rule of life" for the disciple. Customization matters. Your gallbladder parable: ER doc assumed you wouldn't change ("you'll be back; let's take it out"). Family doctor assumed change is possible and coached you toward it—so you kept your gallbladder. That becomes the whole discipleship point: do we assume people can change? "Pastor, what should I do?" → "You should ask Jesus." (Brian notes how rare that response is—and how coaching questions push people into hearing God, not outsourcing their spiritual life to professionals.) Practical coaching skills applied to discipleship (the "how") Listen to locate, not to reload. Disciple-making isn't "me talking, you listening." It's listening to where someone actually is, then drawing them out. Ask questions that create awareness: Jesus-style questions show up ("Who do you say I am?"). Good disciple-makers ask, not just tell. Use observations (concise messages), not advice-dumps: "When you quoted that verse, something lit up in you." "It sounds like Scripture reading hasn't been life-giving lately." Observations invite reflection without taking over. Offer resources when the gap is real: You can't "pull out" what isn't there. Tracy's prayer example: discover she knows only one way to pray → offer a resource → let her choose what resonates → she owns it. The model Brian Tracy is building 10-month micro-group discipleship (max four people, weekly, relational, life-on-life). Participants lead segments early so development is "doing," not just learning. After 10 months, they go through CAM 501, then get released to disciple 2–3 people. Tracy continues coaching them monthly to review progress—very "Jesus: watch me → do it → debrief → do it again." The punchline challenge to the church The church often assumes discipleship = more information. But Scripture itself pushes toward transformation + obedience: "Teaching them to observe/do…" James: don't merely listen and deceive yourselves. D.L. Moody: Bible wasn't given to increase information, but to transform life. Coaching helps close the gap between knowing and doing. Where Tracy says this is going A disciple-making movement in his local church built on coaching-enabled disciple-makers. Cohorts of pastors in the fall to redesign discipleship in their contexts using coaching skills as the method, regardless of the curriculum. Ending vibe They land the plane with contact info (and more "Brian vs. Bryan" banter), then Brian ties it to Romans 12: transformation through renewed thinking—exactly the kind of change coaching is designed to catalyze.
Today on Wake Up America, Austin Petersen exposes the radical state-sponsored erasure of American heritage in New York and the terrifying rise of "Medical McCarthyism" where the person holding your IV might be your political executioner. From the victory of the Connetquot Thunderbirds to the radicalization of activist nurses in the ER, we are breaking down the systematic dismantling of Western standards—and how the feds are finally fighting back.
When an unusually quiet night in the ER takes a terrifying turn, nurse Ally and her colleagues find themselves treating patients with injuries—and clothing—straight out of history, but as the chaos mounts, one chilling question remains: where did they come from?IN THIS EPISODE: "Out of Time” by Keith ConradMORE Stories Like This: https://www.auditoryanthology.com=====Originally aired: January 27, 2026EPISODE PAGE (includes sources): https://weirddarkness.com/OutOfTimeABOUT WEIRD DARKNESS: Weird Darkness is a true crime and paranormal podcast narrated by professional award-winning voice actor, Darren Marlar. Seven days per week, Weird Darkness focuses on all thing strange and macabre such as haunted locations, unsolved mysteries, true ghost stories, supernatural manifestations, urban legends, unsolved or cold case murders, conspiracy theories, and more. On Thursdays, this scary stories podcast features horror fiction along with the occasional creepypasta. Weird Darkness has been named one of the “Best 20 Storytellers in Podcasting” by Podcast Business Journal. Listeners have described the show as a cross between “Coast to Coast” with Art Bell, “The Twilight Zone” with Rod Serling, “Unsolved Mysteries” with Robert Stack, and “In Search Of” with Leonard Nimoy.DISCLAIMER: Ads heard during the podcast that are not in my voice are placed by third party agencies outside of my control and should not imply an endorsement by Weird Darkness or myself. *** Stories and content in Weird Darkness can be disturbing for some listeners and intended for mature audiences only. Parental discretion is strongly advised.
Welcome back to Pitty Party! In this episode, Gaby, Marcelle, and Zoe recap season 2, episode 3 (9:00 AM) of The Pitt! They dig into the many cases of the episode and discuss everything from the Pennsylvania Crimes Code, to patients playing drug roulette, to the many forms PTSD can take. And of course, they end with some power rankings and predictions for the next episode.(Note: This episode contains spoilers for season 8 of ER.)Next week we'll be back with episode 4, 10:00 AM.Support the Show!Follow us on Instagram at instagram.com/ohwitchplease and become a free or paid Patreon supporter at patreon.com/ohwitchplease. You'll find hours of bonuses — and bloopers for THIS episode — over there!Music Credits:“Shopping Mall”: by Jay Arner and Jessica Delisle ©2020Used by permission. All rights reserved. As recorded by Auto Syndicate on the album “Bongo Dance”. Hosted on Acast. See acast.com/privacy for more information.
Actor Katherine LaNasa returns to her Emmy-winning role as Nurse Dana on the HBO Max medical drama "The Pitt." She discusses Season 2, which sees Dana return to the ER even after declaring she was going to quit at the end of Season 1.