Podcasts about Ejection

METs and VA Disability Ratings — What Veterans Should Know About Heart ClaimsHosted by: Leah Bucholz, Founder & CEO of Prestige Veteran Medical Consulting

Sponsor Links:This episode of SpaceTime is brought to you with the support of Squarespace....your first stop when you want to build a presence online. To check out our special offers, simply visit www.squarespace.com/spacetime for all the detailsSpaceTime with Stuart Gary Gary - Series 29 Episode 17In this episode of SpaceTime, we delve into the recent powerful solar storm that has impacted Earth, the delay of NASA's Artemis 2 manned moon mission, and China's ambitious plans for a futuristic orbital space carrier.Massive Solar Storm Hits EarthThe sun has unleashed a barrage of solar eruptions, including 41 N-class flares and six X-class flares, with an X8.1 class flare setting a new record for 2026. This storm is described as the strongest radiation event in 20 years, with scientists noting its potential similarity to the historic 1859 Carrington event. The solar activity has disrupted radio communications and produced stunning auroras, while the sun continues its 11-year solar cycle.Nasa's Artemis 2 Mission DelayedNASA has postponed the launch of its Artemis 2 manned moon mission due to fuel leaks during a critical launch rehearsal. The mission aims to send a crew of four aboard an Orion spacecraft on a 10-day journey around the moon. The delays stem from issues with the SLS rocket's hydrogen tanks and other technical challenges, with new launch windows opening in March.China's Orbital Space Carrier PlansChina has announced plans for a Star Wars-style orbital space carrier named Luanio, designed to deploy hypersonic missiles and unmanned stealth drones. This massive spacecraft would be part of an ambitious defense system, although the technology to build such a vehicle is still in the realm of science fiction. The announcement comes amid tensions between the U.S. and China regarding military advancements.www.spacetimewithstuartgary.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/spacetime-with-stuart-gary--2458531/support.

Episode 211: Understanding HFpEF.  Hyo Mun and Jordan Redden (medical students) explain the pathophysiology of heart failure with preserved ejection fraction (HFpEF) and how it differentiates from HFrEF. Dr. Arreaza asks insightful questions and summarizes some key elements of HFpEF. Written by Hyo Mun, MS4, American University of the Caribbean; and Jordan Redden, MS4, Ross University School of Medicine. Comments and edits by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is EF? Just imagine, the heart is a pump, blood gets into the heart through the veins, the ventricles fill up and then squeeze the blood out. So, the percent of blood that is pumped out is the EF. Let's start at the beginning. What is HFpEF?Mike: HFpEF stands for heart failure with preserved ejection fraction. Basically, these patients squeeze normally—their ejection fraction is 50% or higher—but here's the thing: the heart can't relax and fill the way it should. The muscle gets stiff, almost like a thick leather boot that just won't stretch. And because the ventricle can't fill properly, pressure starts backing up into the lungs and the rest of the body. That's when patients start experiencing shortness of breath, leg swelling, fatigue—all those classic symptoms.Dr. Arreaza: And this is where people get fooled by the ejection fraction.Mike: Exactly. The ejectionfraction tells you total left ventricular emptying, not just forward flow.Jordan: The classic example is severe mitral regurgitation. You can eject 60% of your blood volume and still be in cardiogenic shock because most of that blood is leaking backward into the left atrium instead of going into the aorta. So, you get pulmonary edema, hypotension, fatigue, all with a “normal” EF. Which is honestly terrifying if you're over-relying on echo reports without thinking clinically.Dr. Arreaza: And in HFpEF, functional mitral regurgitation often shows up later in the disease. It's not usually the primary cause; it's more of a marker of advanced disease. Moderate to severe MR in HFpEF independently predicts worse outcomes, including a higher risk of mortality or heart failure hospitalization. So, let's contrast this with HFrEF. How are these two different?Mike: HFrEF—heart failure with reduced ejection fraction—is a pumping problem. The heart muscle is weak and can't contracteffectively. Ejection fraction drops below 40%, and this is your classic systolic dysfunction.Jordan: HFpEF, on the other hand, is diastolic dysfunction. The heart muscle is thick, fibrotic, and noncompliant. It squeezes fine, but it just doesn't relax, even though the EF looks reassuring on paper.Mike: I like to explain it this way: HFrEF is a weak heart that can't squeeze. HFpEF is a stiff heart that can't relax. Totally different problems.Dr. Arreaza: And then there's the gray zone: heart failure with mildly reduced EF, or HFmrEF. That's an EF between 41 and 49% with evidence of elevated filling pressures. It really shares the features of both worlds. So, what actually causes HFpEF versus HFrEF?Jordan: HFpEF is basically what happens when all the problems of modern living catch up with you. You've got chronic hypertension, obesity, diabetes, metabolic syndrome, aging, systemic inflammation—all of these things slowly remodel the heart over years. The muscle gets thick and stiff, and eventually the ventricle just loses its ability to relax. So, HFpEF is really a disease of metabolic dysfunction and chronic stress in the heart. Mike: HFrEF is more about direct injury. Think about myocardial infarctions, ischemic cardiomyopathy, viral myocarditis, alcohol toxicity, chemotherapy like doxorubicin, genetic cardiomyopathies, or chronic uncontrolled tachycardia. These insults actually damage or kill heart muscle cells, leading to a dilated, weak ventricle that can't pump effectively.Dr. Arreaza: So the short version: HFpEF is caused by chronic metabolic and hypertensive stress, while HFrEF is caused mainly by myocardial damage. A question we get a lot: does HFpEF eventually turn into HFrEF? What do you guys think?Mike: In most cases, no. HFpEF patients usually stay HFpEF throughout their disease course. They don't just “burn out” and turn into HFrEF.Jordan: They're generally separate disease entities with different pathophysiology. A patient with HFpEF can develop HFrEF if they have a big myocardial infarction or ongoing ischemia that damages the muscle, but that's not the natural progression.Mike: Interestingly though, the opposite can happen. Some HFrEF patients actually improve their ejection fraction with good medical therapy—that's called HF with improved EF—and it's a great sign that treatment is working.Dr. Arreaza: Another question. How do HFpEF and HFrEF compare to restrictive cardiomyopathy and constrictive pericarditis?Jordan: Clinically, they can all look very similar: dyspnea, edema, fatigue, but the underlying mechanisms are completely different.Mike: In HFpEF, the myocardium itself is stiff from hypertrophy and fibrosis. The problem is intrinsic to the heart muscle, and EF stays preserved. Echoshows diastolic dysfunction with elevated filling pressures.Jordan: In HFrEF, the myocardium is weak. The ventricle is often dilated and contracts poorly, with a reduced EF.Mike: Restrictive cardiomyopathy is different. Here, the myocardium gets infiltrated by abnormal stuff—amyloid, iron, sarcoid—and that makes it extremely stiff. It can look like HFpEF on the surface, but it's usually more severe. On Echo You'll see biatrial enlargement, small ventricles, and preserved EF. And importantly, it's a pathologic diagnosis, so you need advanced imaging or biopsy to confirm it.Jordan: Constrictive pericarditis is another mimic, but here the myocardium is usually normal. The problem is that the pericardium is thickened, calcified, and rigid. This will physically prevent the heart from being filled. Imaging shows pericardial thickening, septal bounce, and respiratory variation in flow, and cath shows equalization of diastolic pressures, which is the hallmark of constrictive pericarditis.Dr. Arreaza: So the takeaway is: HFpEF is a clinical syndrome driven by common metabolic and hypertensive causes, while restrictive and constrictive diseases are specific pathologic entities. If “HFpEF” is unusually severe or not responding to treatment, you need to think beyond HFpEF. Which type of heart failure is more common right now?Mike: Good question, the answer is: HFpEF. It now accounts for up to 60% of all heart failure cases, and it's still rising.Dr. Arreaza: Why is that?Jordan: Because people are living longer, gaining weight, and developing more metabolic syndrome. HFpEF thrives in older, or people with obesity, hypertension, or diabetes: basically, the modern American population. At the same time, better treatment of acute MIs means fewer people are developing HFrEF from massive heart attacks.Mike: HFpEF is the heart failure epidemic of the 21st century. It's honestly the cardiology equivalent of type 2 diabetes.Dr. Arreaza: Let's talk aboutCOVID-19. (2025 and still talking about it) Does it actually increase heart failure risk?Mike: Yes, absolutely. COVID increases both acute and long-term heart failure risk.Jordan: During acute infection, COVID can cause myocarditis, trigger massive inflammation, and precipitate acute decompensated heart failure, especially in patients with pre-existing disease. It also causes microthrombi, which can injure the myocardium.Mike: And after infection, even mild cases are linked to a significantly higher risk of developing new heart failure within the following year. Both HFpEF and HFrEF rates go up.Dr. Arreaza: I remember seeing this in 2021, we had a patient with acute COVID and HFrEF, her EF was about 10%, I lost contact with the patient and at the end I don't know what happened to her. What's the pathophysiology of COVID and heart failure?Mike: COVID causes direct viral injury through ACE2 receptors, triggers massive inflammation that damages the endothelium and heart muscle, leads to microvascular clotting and fibrosis—all mechanisms that promote HFpEF.Jordan: Add autonomic dysfunction, persistent low-grade inflammation, and worsening metabolic syndrome, and you've got a perfect storm for heart failure.Dr. Arreaza: Bottom line: COVID is a cardiovascular disease as much as a respiratory one. If someone had COVID and now has unexplained dyspnea or fatigue, think about heart failure. Get an echo, get a BNP, start treatment. Last big question: why did we have so many therapies for HFrEF but essentially none for HFpEF for years?Mike: HFrEF is mechanistically straightforward. You've got a weak heart with excessive neurohormonal activation going on — so you block RAAS, block the sympathetic system, drop the afterload. The drugs make sense.Jordan: HFpEF is messy. It's not one disease. It's stiffness, fibrosis, inflammation, microvascular dysfunction, metabolic disease, atrial fibrillation, all overlapping. One drug can't fix all of that.Mike: And some drugs that worked beautifully in HFrEF actually made HFpEF worse. Take Beta blockers, for example.  They slow heart rate, which is a problem because HFpEF patients rely on heart rate to maintain their cardiac output.Jordan: The breakthrough came with SGLT-2 inhibitors: diabetes drugs that unexpectedly addressed multiple HFpEF mechanisms at once: volume, metabolism, inflammation, and myocardial energetics.Dr. Arreaza: The miracle drug for HFpEF! Alright, let's wrap up.Mike: Bottom line: HFpEF is common, complex, and dangerous: even if the EF looks “normal.”Jordan: And if you're relying on ejection fraction alone, HFpEF will humble you every time.Dr. Arreaza: If you liked this episode, share it with a friend or a colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Ben Criddle talks BYU sports every weekday from 2 to 6 pm.Today's Co-Hosts: Ben Criddle (@criddlebenjamin)Subscribe to the Cougar Sports with Ben Criddle podcast:Apple Podcasts: https://itunes.apple.com/us/podcast/cougar-sports-with-ben-criddle/id99676

NBL NOW | Everything NBLAriana & Casey Prather live @ the Ignite Cup as the Finalists are decided.See omnystudio.com/listener for privacy information.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Long-Term Outcomes: Beta-Blocker Use and Permanent Pacing in Patients With Heart Failure Preserved Ejection Fraction.

The two men under investigation are in the army's highest echelon, and are some of President Xi Jinping's closest counsel. We examine the probable motives for a surprising purge. In Ukraine's freezing capital thousands upon thousands of people suffer unpredictable cuts to electricity, heat, even water; we ask them how they cope. And why Strava is leading the fitness-app footrace.Get a world of insights by subscribing to Economist Podcasts+. For more information about how to access Economist Podcasts+, please visit our FAQs page or watch our video explaining how to link your account. Hosted on Acast. See acast.com/privacy for more information.

The two men under investigation are in the army's highest echelon, and are some of President Xi Jinping's closest counsel. We examine the probable motives for a surprising purge. In Ukraine's freezing capital thousands upon thousands of people suffer unpredictable cuts to electricity, heat, even water; we ask them how they cope. And why Strava is leading the fitness-app footrace.Get a world of insights by subscribing to Economist Podcasts+. For more information about how to access Economist Podcasts+, please visit our FAQs page or watch our video explaining how to link your account. Hosted on Acast. See acast.com/privacy for more information.

Sponsor Link:This episode is brought to you with thanks to Squarespace. Bring your stories to life with Squarespace, the easiest way to create an exceptional website, blog, portfolio, or online store. To take up our great offer and help support the show, just visit www.squarespace.com/spacetime or use the Promo Code SPACETIME at checkout.SpaceTime with Stuart Gary Gary - Series 29 Episode 11In this episode of SpaceTime, we dive into the latest astronomical events, including a record-setting solar storm impacting Earth, the historic Artemis 2 mission preparing to return astronauts to the Moon, and groundbreaking evidence confirming an ancient asteroid impact in the North Sea.Record-Breaking Solar Storm Strikes EarthPlanet Earth has recently experienced a massive geomagnetic storm triggered by an X1.9 class solar flare, followed by a coronal mass ejection. This event produced stunning auroras, visible as far north as Sydney and Brisbane. We discuss how such solar storms can affect technology on Earth and in space, including potential disruptions to communications and navigation systems, as well as the impact on satellites in low Earth orbit.Artemis 2: A Historic Return to the MoonNASA's Artemis 2 mission is gearing up to send astronauts back to the Moon for the first time in over 50 years. The crew will embark on a 10-day journey, orbiting the Moon and traveling further than any humans have before. We explore the mission's objectives, including testing spacecraft systems, practicing docking procedures, and conducting deep space science experiments, all while preparing for future lunar landings.Proof of an Ancient Asteroid ImpactA decades-long debate over the origins of the Silverpit Crater in the North Sea has been resolved with new evidence confirming it was formed by an asteroid impact 43 to 46 million years ago. Utilizing seismic imaging and microscopic analysis, researchers have established this crater as a significant impact site, shedding light on the history of asteroid collisions on Earth and their implications for our planet's geological evolution.www.spacetimewithstuartgary.com✍️ Episode ReferencesNature CommunicationsNASA ReportsBecome a supporter of this podcast: https://www.spreaker.com/podcast/spacetime-your-guide-to-space-astronomy--2458531/support.(00:00:00) Record solar storm strikes Earth(00:12:30) Artemis 2 mission prepares to send astronauts back to the Moon(00:25:00) Evidence confirms asteroid impact in the North Sea(00:35:15) New insights into Earth's climate from ancient geological events.

https://www.ien.com/operations/video/22957901/aerospace-firm-pays-15m-for-pushing-shoddy-ejection-seat-partsTeledyne Electronic Safety Products (Teledyne ESP), an aerospace and defense electronics company based in Chatsworth, California, has agreed to pay $1.5 million to settle allegations it sold parts to the Department of Defense that were not up to contract specifications.The firm's False Claims Act violations can be traced back to the manufacture of Digital Recovery Sequencer (DRS) units used in ejection seat systems. The devices, which were developed to replace the Analog Recovery Sequencer used in similar systems on F-15, F-16, F-22, A10, B-1B and B-2 aircraft, are critical. They precisely sequence functions including pilot escape, seat stabilization and parachute deployment.

1-6 Papa & Silver Hour 4: Snoop Dogg delivers the gold on Steve Kerr's ejection, but the Warriors lose another clutch game as they fall 103-102 to the ClippersSee omnystudio.com/listener for privacy information.

1-6 Papa & Silver Hour 4: Snoop Dogg delivers the gold on Steve Kerr's ejection, but the Warriors lose another clutch game as they fall 103-102 to the ClippersSee omnystudio.com/listener for privacy information.

Hour 2 of Jake & Ben on January 6, 2025  Do proffessional players and coaches get jealous if their successors succeed?  Utah Mammoth Insider Cole Bagley recaps the team's big win in New York.  Snoop Dogg gave excellent play by play of Steve Kerr's ejection from last night's Golden State Warriors Game.

Today on the show we take a look at the full time Lucas late model field so far, including a surprise rookie announcement. Plus RTJ gets a Wild West Shootout ride, we'll talk James McFadden's 2026 sprint car plans, and more.

Send us a textGeneral David Goldfein shares what it was like to fly the F-16C and shares the story of his 1999 ejection over Serbia during Operation Allied Force.Pick up David & Dr. Heather Wilson's book - "Get Back Up" https://amzn.to/44I2EBQHelp to keep the channel going:         PATREON - https://www.patreon.com/aircrewinterviewDONATE - http://www.aircrewinterview.tv/donate/* Pick up some AI merch - https://www.teepublic.com/user/aircrew-interview Purchase our Aviation Art Book, Volume One - https://amzn.to/3sehpaP  Follow us: https://www.aircrewinterview.tv/https://www.instagram.com/aircrew_interviewhttps://www.facebook.com/aircrewinterviewhttps://www.twitter.com/aircrewtvSupport the show

Vericiguat for patients with heart failure and reduced ejection fraction across the risk spectrumVICTORIA and VICTOR Clinical Trials

Did Anthony Edwards' reactions (and ultimate ejection) ruin the end of a classic Christmas night game? Matthew Coller reviews the finish to Wolves-Nuggets. After that, Gopher Guru Daniel House wraps up the Gophers' win in the Rate Bowl.

Fighter Pilot Survival: Kegan Gill's Battle Beyond the Battlefield In this extraordinary episode, Marcus and Melanie meet with retired U.S. Navy Fighter Pilot Kegan Gill, whose story is nothing short of miraculous. Kegan survived a catastrophic ejection from his aircraft during a training mission over the Atlantic Ocean, where he ejected directly into the sound barrier. The injuries he sustained in that moment were severe enough to kill most people – his limbs torn apart and a traumatic brain injury among them. But Kegan's ordeal was only beginning. Plunged into the icy waters of the Atlantic with his parachute still attached, his wetsuit torn, and his arms unable to move, Kegan was forced to endure a two-hour battle with hypothermia as rescue teams raced to find him. Miraculously, his hypothermic state prevented fatal blood loss. Following this harrowing experience, Kegan faced months of grueling recovery, eventually achieving a perfect Physical Fitness Test score and returning to flight duty. However, Kegan's journey didn't end with physical recovery. He began experiencing severe psychotic episodes due to his brain injury, leading to a stint in a VA Mental Health Facility. Pharmaceutical treatments only worsened his symptoms, and he endured dehumanizing treatment from caregivers who misunderstood his unique needs. Now, Kegan is finding renewed hope through alternative treatments for brain health. Through the Warrior Angels Foundation, he has discovered the power of nutraceutical and hormonal interventions, offering a glimmer of healing. Beyond his personal health battles, Kegan is a dedicated father and husband, working tirelessly to support his young family. Join us as Kegan opens up about his incredible journey of survival, resilience, and healing. His story is as inspiring as it is shocking – a testament to human strength and the will to overcome even the darkest of circumstances. Tune in to hear a story of grit, determination, and the relentless pursuit of healing against all odds.  In This Episode You Will Hear: • When I was about 10 years old, my family had a friend that had a Cessna, and he took me up on this lawnmower with wings, and we went buzzing around, and it felt like a freakin' rocket ship. I absolutely loved being above the earth, and I felt so free. (6:36) • In May of 2012, I graduated as a winged aviator, and I got those wings pinned on my chest. (23:40) • [Marcus] It's an absolute transition into a different human being the minute those wings touch your chest. (24:02) • [In flight school] you showed up there, and you had your wings, and you thought you made it. They made it very clear you have not made anything yet. (26:40) • It just so happened on this day there was a 16 foot, 3,500 pound Great White Shark named Mary Lee directly under my airspace, and my buddy pointed out,  “Hey man, Today would be a terrible day to eject,” and an hour after having that conversation, I found myself out on what turned into a pretty freaking wild experience. (36:23) • [Melanie] Q: Is it common to eject?”  [Keegan] A: It happens more than you hear about in the news. We lose a few naval fighter jets every year to mishaps. (37:16) • When you show up at flight school, they say “Look to your left and look to your right. One of you is gonna have a serious mishap or be dead choosing this job. Are you sure you wanna be here?” (37:49) • You think you're invincible, and you don't really think anything of it. (38:04) • Keegan tells the detailed story of that fateful day. (Starting at 41:21) • When I punched out, I got the initial blast from the ejection seat, and then immediately impacted the sound barrier with my body. At that speed, the human body is not aerodynamic. (50:58) • The aircraft impacted the water so fast, it just vaporized. (52:50) • They ended up wheeling me in, and treated me for severe hyperthermia. They took my core body temperature. I was at 87 degrees. [Marcus] “That should've killed you.” (60:13) • One of the more senior guys takes me into his office and he goes: “Congratulations, Lieutenant Gill. If you can figure out how to get your body working again, we'll get you back in a Super Hornet. (68:14) • My brain was just not working the way it was supposed to from TBI (Traumatic Brain Injury). (75:04) • I had a deep sense of betrayal from all that thought I had served. To see the treatment, it seemed like everything I was fighting for was a joke. (89:53) • I've had a number of psychedelic-assisted therapies that have been really helpful. (95:54) • Ibogaine has been studied pretty thoroughly at this point. It's showing that it triggers neuro-regeneration. (102:21) Support Kegan: -  IG: kegansmurfgill - https://kegangill.com/?fbclid=PAZXh0bgNhZW0CMTEAAabtNw03Fww-lVt1LHf5b2iWrga-lLxSr_uJYqbNYUMN_NKoEMDqtfBd-Cw_aem_v5m2wI-nx5AKPUoeOA77pA Order His Book Here --> https://ballastbooks.com/purchase/phoenix-revival/ - IG: team_neverquit , marcusluttrell , melanieluttrell , huntero13 -  https://www.patreon.com/teamneverquit Support TNQ   - IG: team_neverquit , marcusluttrell , melanieluttrell , huntero13   -  https://www.patreon.com/teamneverquit Sponsors:   - Tractorsupply.com/hometownheroes   - Navyfederal.org        - mizzenandmain.com   [Promo code: TNQ20]    - masterclass.com/TNQ - Dripdrop.com/TNQ   - ShopMando.com [Promo code: TNQ]   - meetfabiric.com/TNQ   - Prizepicks (TNQ)   -  cargurus.com/TNQ    - armslist.com/TNQ    -  PXGapparel.com/TNQ   - bruntworkwear.com/TNQ    - shipsticks.com/TNQ    - stopboxusa.com {TNQ}    - ghostbed.com/TNQ [TNQ]   -  kalshi.com/TNQ   -  joinbilt.com/TNQ    - Tonal.com [TNQ]   - greenlight.com/TNQ   - drinkAG1.com/TNQ   - Hims.com/TNQ   - Shopify.com/TNQ

From 'Warriors Plus Minus: A show about the Golden State Warriors' (subscribe here): The Warriors' defensive anchor picked up consecutive technical fouls with 10:39 left in the second quarter and was ejected. But the Warriors found enough scoring and defense to beat Phoenix and snap their three-game skid. But did they find some answers to their issues? Tim Kawakami and Marcus Thompson discuss the Warriors finally getting a clutch-game win, which included a big bench performance and another good Jimmy Butler game. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

In this episode, we celebrate remarkable advancements in space exploration and the intriguing discoveries that challenge our understanding of the universe. We kick off with the inspiring story of Michaela Benthaus, who has made history as the first paraplegic and wheelchair user to fly to space aboard Blue Origin's New Shepard rocket, showcasing the importance of accessibility in space travel. Next, we delve into NASA's groundbreaking PUNCH mission, which is set to provide an unprecedented view of the solar wind, allowing us to track solar phenomena and improve space weather forecasting like never before.Shifting our focus to lunar exploration, we discuss innovative engineering solutions for building reusable launch pads on the Moon using in situ resource utilization. This ambitious project aims to utilize lunar regolith to create durable surfaces, paving the way for sustainable human presence on the Moon.Then, we venture into the depths of space to explore a bizarre lemon-shaped planet, PSR J2322 2652B, orbiting a pulsar. Its unusual carbon-rich atmosphere and oblong shape challenge our current understanding of planetary formation around such extreme celestial objects.Finally, we return to Mars, where NASA's Perseverance rover is examining massive megaripples on the Martian surface, providing insights into the planet's dynamic climate history. Join us as we unpack these fascinating stories and more in this packed episode of Astronomy Daily!00:00 – 00:33 – 01:28 – 03:44 – 06:15 – 08:32 – 09:35 – ### Sources & Further Reading1. NASA2. Blue Origin3. James Webb Space Telescope4. NASA Mars Exploration5. Space.com### Follow & ContactX/Twitter: @AstroDailyPodInstagram: @astrodailypodEmail: hello@astronomydaily.ioWebsite: astronomydaily.ioClear skies and see you next time!

The Warriors' defensive anchor picked up consecutive technical fouls with 10:39 left in the second quarter and was ejected. But the Warriors found enough scoring and defense to beat Phoenix and snap their three-game skid. But did they find some answers to their issues? Tim Kawakami and Marcus Thompson discuss the Warriors finally getting a clutch-game win, which included a big bench performance and another good Jimmy Butler game. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Nuggets Head Coach David Adelman received his first career ejection as the Nuggets lost to the Rockets 115-101.

### Episode Summary  Today's episode features groundbreaking developments in space exploration, including the historic journey of Michaela Benthouse, the first wheelchair user set to fly to space aboard Blue Origin's NS37 mission. We also delve into a major survey of the Magellanic Clouds, revealing insights into their interaction with our Milky Way. Additionally, we discuss surprising findings from NASA's Parker Solar Probe regarding solar recycling, the new race for lunar resources, and the upcoming celestial fireworks from the binary star system V Sagittae. Finally, we explore the innovative Ristretto instrument aimed at studying Proxima B, our nearest exoplanet neighbor.### Timestamps & Stories  01:05 – **Story 1: Michaela Benthouse to Become First Wheelchair User in Space****Key Facts**  - Michaela Benthouse, an aerospace engineer, will fly on Blue Origin's NS37 mission, marking a milestone for accessibility in space.  - The mission emphasizes the importance of inclusivity in space exploration.  03:20 – **Story 2: Major Survey of the Magellanic Clouds****Key Facts**  - A new five-year survey using the VISTA telescope will utilize spectroscopy to create a detailed 3D map of the Magellanic Clouds.  - This data will help understand their interaction with the Milky Way and the dynamics of the Magellanic Stream.  05:45 – **Story 3: Surprising Findings from Parker Solar Probe****Key Facts**  - The probe captured footage of coronal mass ejections showing material recycling back to the sun.  - This discovery could enhance our understanding of solar activity and improve space weather predictions.  08:00 – **Story 4: New Space Race for Lunar Resources****Key Facts**  - Nations and companies are developing technologies to mine the Moon for valuable resources like water ice and helium-3.  - Concerns arise regarding environmental impacts and the need for updated space treaties.  10:15 – **Story 5: Upcoming Nova from V Sagittae****Key Facts**  - The binary star system V Sagittae is predicted to undergo a nova explosion in the coming years, followed by a supernova event.  - This celestial display may be visible to the naked eye, potentially occurring around 2083.  12:00 – **Story 6: Ristretto Instrument to Study Proxima B****Key Facts**  - Ristretto, a new spectrograph, aims to analyze the atmosphere of Proxima B, our closest exoplanet.  - It will use advanced techniques to block out the star's glare and search for potential biosignatures in the planet's atmosphere.  ### Sources & Further Reading  1. Blue Origin2. European Southern Observatory3. NASA Parker Solar Probe4. Lunar Mining Developments5. Very Large Telescope### Follow & Contact  X/Twitter: @AstroDailyPod  Instagram: @astrodailypod  Email: hello@astronomydaily.io  Website: astronomydaily.io  Clear skies and see you tomorrow!

Send us a textWelcome back Rounds Table Listeners! In this solo episode, Dr. Mike Fralick discusses a recent meta-analysis examining beta-blockers after myocardial infarction in patients with an ejection fraction of at least 50% and no other indications for beta-blocker therapy. Here we go!Beta-Blockers after Myocardial Infarction with Normal Ejection Fraction (0:00 – 8:54).The Good Stuff (8:55 – 9:43):NPR Music Tiny Desk ConcertsQuestions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

Did you set intentions for your birth(s)? The last time we spoke with Kayleigh Johnson, DIAH mama from episode 77, she was setting some powerful intentions and visions for her upcoming birth. Today, we get to hear the full birth story! Connect With Us Website: https://diahpodcast.com/ YouTube: https://www.youtube.com/@diahpodcast Instagram: https://www.instagram.com/doingitathome/ Facebook: https://www.facebook.com/diahpodcast TikTok: https://www.tiktok.com/@doingitathome Merch: https://doingitathome.dashery.com/ Our Book: https://amzn.to/45Sxyr1 Support DIAH: https://www.paypal.com/donate/?hosted_button_id=KA3QQRRU58VPL Check Out Our Partners: Needed: https://needed.sjv.io/XY3903 - use code DIAH to get 20% off your first, one-time order Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Whistle Talk, Michael D'Ambrosio and Daniel Chamberlain discuss various themes surrounding football officiating, including recent incidents in Texas high school football, the impact of referee behavior on the sport, and the broader implications for officiating standards. They reflect on personal experiences, the importance of maintaining professionalism, and the challenges faced by officials in high-pressure situations. The conversation emphasizes the need for accountability and improvement within the officiating community while recognizing the human element involved in sports.Chapters00:00 Introduction to Whistle Talk05:20 Thanksgiving Reflections and Personal Stories06:31 The State of College Football Coaching Changes08:29 High School Football in Texas: A Unique Culture10:18 Incidents on the Field: The Importance of Officiating19:01 Analyzing a Controversial Play: Referee Decisions23:48 The Aftermath of Ejections and Game Control26:06 The Incident Unfolds28:03 Referee Conduct and Professionalism29:48 The Role of Coaches and Officials31:36 The Impact of Emotions in Sports34:23 Investigating the Incident36:01 Comparative Incidents in Texas Football41:18 Consequences and Accountability45:04 The Human Element in OfficiatingVideos provided by Ben Coker on X and Texoma Broadcasting

Johnny sits down with Pete Polis — a former Long Island baseball standout who went from MLB prospect… to becoming one of the largest dealers in Washington state history. Pete's story sounds like something ripped straight out of Breaking Bad. After a promising baseball career with stints in the Blue Jays and Yankees organizations, a series of self-sabotaging choices pushed him out of the sport he loved. Settling into small-town life in Washington, Pete lived straight — raising kids, running a furniture store, and even building a massive food bank that fed hundreds of thousands. Then one conversation in his garage changed everything. What started with OxyContin and fentanyl patches evolved into full-scale trafficking. Pete quickly found himself moving hundreds of pounds of meth and heroin weekly, working directly with suppliers tied to the Sinaloa cartel. He watched the early waves of America's fentanyl crisis from the inside — and unknowingly helped introduce the drug that would devastate the region. After a federal takedown and serious prison time, Pete is now fully legit, running sober-living homes and helping addicts rebuild their lives. This is a wild, emotional, and brutally honest look at how fast a normal life can turn criminal — and how redemption is still possible. Need help staying sober? Check out Pete's sober-living homes. https://www.seasonshousing.org/ This Episode Is #Sponsored By The Following: Mando! Control Body Odor ANYWHERE with @shop.mando and get 20% off + free shipping with promo code MITCHELL at https://shopmando.com ! #mandopod Ridge! Take advantage of Ridge's Biggest Sale of the Year and GET UP TO 47% Off by going to https://www.Ridge.com/CONNECT #ridgepod Join The Patreon For Bonus Content! https://www.patreon.com/theconnectshow 00:00 Pete's Early Life & Baseball Dreams 07:45 Growing Up Around Crime & Sports 13:00 Minor League Baseball: Challenges and Setbacks 23:00 Early Baseball Problems & Canada 26:03 Start Smelling Good With MANDO 28:16 Fight, Ejection & Minor League Life 32:45 Success in Sales, Setbacks, and the Road to Tri Cities 44:30 Falling Into Drug Circles and New Temptations 46:57 Get Up To 47% OFF At Ridge 48:43 First Steps Into Opioid Dealing 55:50 Prescription Pills and Fentanyl Patches 01:03:00 Cartel Connections & Expanding Operations 01:11:00 The Furniture Store Double Life 01:20:00 Rising Paranoia and Deeper Into the Game 01:31:30 Fentanyl Changes Everything: Addiction and Fallout 01:40:50 Addiction, Violence, and the Law Closing In 01:47:30 Getting Caught: Law Enforcement and Sentencing 02:03:00 Withdrawal, Consequences, and Reflection 02:09:30 Building a New Life After Prison 02:13:50 Seasons Housing and Redemption 02:15:30 Conclusion and Bonus Content Announcement Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this St Emlyn's podcast, Ian Beardsell and Simon Carley speak with RAF GP Phil Lucas from the Royal Air Force Centre of Aerospace Medicine at the BASICS conference in Leicestershire. They explore what really happens when a pilot pulls the ejection handle, and what this means for pre-hospital and Emergency Department teams who may be the first to see an ejectee. Phil explains: • Why the aviation environment is so hostile to humans and how aerospace medicine supports aircrew • How modern ejection seats work – from canopy jettison and rocket firing to parachute deployment and landing • The decision making required to eject in a matter of seconds, and how pilots are trained to be “mentally ready” • Typical injury patterns after ejection, how technology has reduced spinal compression injuries, and where the remaining risks lie • Practical considerations for ED and pre-hospital teams when a pilot presents after ejection, including spinal precautions and safe removal of flight equipment • The psychological impact of surviving a crash or ejection, how support needs can change over months, and what helps people return to flying • Aviation medicine as a career path, including the role of the RAF Centre of Aerospace Medicine, the diploma in aviation medicine, and how this can sit alongside general practice or emergency care This conversation draws strong parallels between aviation and emergency medicine: human factors, training under pressure, using simulation and mental rehearsal, and the importance of honest, individualised psychological support after critical incidents.

In this episode of Empty the Benches, hosts Nick Mannella and Nick Bowins engage in a lively discussion covering a range of topics from fantasy hockey matchups to the Mount Rushmore of favorite players NOT on their favorite teams. They analyze Adrian Kempe's recent contract extension, Miko Rantanen's ejection, and the surprising injuries affecting NHL teams. The conversation shifts to the concerns surrounding the Capitals and Maple Leafs, a review of the Winter Classic jerseys, and a debate on who to choose in a shootout. They also touch on the Heart Trophy race and recap college hockey performances, concluding with a trivia segment. Chapters 00:00 Introduction and Fantasy Hockey Banter 02:51 Mount Rushmore of Favorite Players 07:54 Adrian Kempe's Contract Extension 11:06 Miko Rantanen's Ejection and Fallout 13:49 Injury Surprises and Team Concerns 16:57 Future Prospects: Capitals vs. Leafs 20:03 Winter Classic Jerseys: A Fashion Debate 23:02 Shootout Skills: Who Would You Choose? 25:55 Heart Trophy Race: Early Favorites 27:49 College Hockey Recap: Spartans Shine 31:51 Trivia Time: Heart Trophy Winners Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

"The listener of the day is..." JuJu has his Top 5 "Free Him" list, inspired by Myles Garrett remaining stuck with the Cleveland Browns. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of SpaceTime, we explore the latest astronomical phenomena and significant discoveries that are shaping our understanding of Earth and space.Auroral Displays Light Up the SkiesPlanet Earth has been treated to an extraordinary display of auroras, with both the Aurora Australis and Aurora Borealis lighting up the skies following three powerful X-class solar flares, including an X 5.1 event on November 11. This segment dives into the mechanics behind these solar flares, the resulting coronal mass ejections (CMEs), and how they triggered spectacular auroras visible at lower latitudes than usual, including sightings as far north as Cairns and even Florida.Largest Modern Impact Crater DiscoveredScientists have uncovered what is believed to be the largest modern impact crater on Earth, the 900-metre-wide Jinling Crater in southern China. This well-preserved structure, dating back to the Holocene epoch, offers new insights into extraterrestrial impacts and their effects on our planet. The discovery challenges previous assumptions about the frequency and scale of impacts from small celestial bodies and highlights the importance of studying such geological features.Nasa's Key Communications Dish Out of ServiceIn a significant setback for NASA, the 70-metre Goldstone deep space communications dish has been rendered inoperable due to an accident that occurred in September. The incident has raised concerns about the strain on NASA's Deep Space Network, especially with upcoming missions like Artemis 2. We discuss the implications of this loss for various space missions and the efforts being made to mitigate the impact on communications.The Science RobertIn our science report, we highlight a new projection from the World Meteorological Organisation indicating that 2025 is unlikely to be the hottest year on record, but it will rank among the top three. We also address public health concerns surrounding a measles alert in Australia, linked to declining vaccination rates, and the potential resurgence of preventable diseases. This segment underscores the importance of vaccination in maintaining herd immunity and protecting public health.www.spacetimewithstuartgary.com✍️ Episode ReferencesJournal of Geophysical ResearchNature CommunicationsWorld Meteorological Organisation ReportsBecome a supporter of this podcast: https://www.spreaker.com/podcast/spacetime-your-guide-to-space-astronomy--2458531/support.

Hour 2 with Bob Pompeani and Joe Starkey: The Steelers have not been able to figure out their quarterback situation since Ben Roethlisberger retired. Mason Rudolph has been given opportunities. Ja'Marr Chase spit on Jalen Ramsey and Ramsey responded by throwing a punch at Chase. Joey Porter Jr. and James Pierre did a really good job covering Chase and Tee Higgins. We think Ja'Marr Chase should be suspended for a game. Chase said he didn't spit but there is video proof.

Ja'Marr Chase spit on Jalen Ramsey and Ramsey responded by throwing a punch at Chase. Joey Porter Jr. and James Pierre did a really good job covering Chase and Tee Higgins. We think Ja'Marr Chase should be suspended for a game. Chase even lied about it. Ramsey is becoming a Steelers fan favorite and is an intimidator at safety.

Blue Origin's Launch Challenges: Blue Origin's new Glenn rocket faced multiple delays during its crucial launch carrying NASA's Escapade satellites, which are set to study Mars's magnetosphere. The delays were exacerbated by adverse weather conditions and the aftermath of a powerful geomagnetic storm that affected communications on Earth.Powerful Solar Flare Strikes: The sun unleashed an X 5.1 class solar flare, the most intense since 2024, causing significant radio blackouts across parts of Africa and Europe. Concerns rise over a potential coronal mass ejection (CME) associated with the flare, which could lead to a G4 geomagnetic storm watch, affecting electrical grids and satellites.First Observations of Stellar CMEs: Astronomers made a groundbreaking discovery by directly observing a coronal mass ejection from a red dwarf star 40 light years away. This finding has significant implications for the search for extraterrestrial life, as the volatile nature of red dwarfs could strip atmospheres from orbiting planets.Comet 3I Atlas Update: The interstellar visitor Comet 3I Atlas is becoming increasingly active as it approaches the sun, displaying a longer, more defined ion tail. This offers a rare opportunity to study its composition, providing insights into the conditions of its formation millions of years ago.Revealing the Greater Pleiades Complex: Researchers have discovered that the famous Pleiades star cluster is just the core of a much larger structure, the Greater Pleiades Complex, which spans 2,000 light years and contains thousands of stars born from the same stellar nursery. This revelation changes our understanding of the night sky and the connections between stars.For more cosmic updates, visit our website at astronomydaily.io. Join our community on social media by searching for #AstroDailyPod on Facebook, X, YouTubeMusic, TikTok, and our new Instagram account! Don't forget to subscribe to the podcast on Apple Podcasts, Spotify, iHeartRadio, or wherever you get your podcasts.Thank you for tuning in. This is Anna and Avery signing off. Until next time, keep looking up and exploring the wonders of our universe.✍️ Episode ReferencesBlue Origin Launch Update[Blue Origin](https://www.blueorigin.com/)Solar Flare and CME Information[NOAA](https://www.noaa.gov/)Red Dwarf Star Observations[NASA](https://www.nasa.gov/)Comet 3I Atlas Images[NASA](https://www.nasa.gov/)Pleiades Complex Discovery[ESA](https://www.esa.int/)Become a supporter of this podcast: https://www.spreaker.com/podcast/astronomy-daily-space-news-updates--5648921/support.Sponsor Details:Ensure your online privacy by using NordVPN. To get our special listener deal and save a lot of money, visit www.bitesz.com/nordvpn. You'll be glad you did!Sponsor Details:Ensure your online privacy by using NordVPN. To get our special listener deal and save a lot of money, visit www.bitesz.com/nordvpn. You'll be glad you did!Become a supporter of Astronomy Daily by joining our Supporters Club. Commercial free episodes daily are only a click way... Click HereThis episode includes AI-generated content.

Stunning Aurora Display: Mark your calendars for November 5th to 8th, 2025, as a powerful geomagnetic storm is set to light up the night sky with breathtaking auroras. Classified as a G3 storm, this display will be triggered by a significant coronal mass ejection from the Sun, resulting in vibrant colors visible farther south than usual.The Fate of Earth: NASA's Transiting Exoplanet Survey Satellite (TESS) reveals alarming insights into the fate of planets orbiting sun-like stars. As these stars enter their red giant phase, they often engulf their inner planets. New data suggests that Earth's future may be more precarious than previously thought, as the Sun's expansion could ultimately consume our planet.Interstellar Object Risks: Recent research sheds light on the potential impact risks from interstellar objects (ISOs). As our solar system travels through the galaxy, it encounters a stream of these cosmic nomads. While the chances of a significant impact remain low, understanding their trajectories is crucial for planetary defense.Enceladus: A Hotbed for Life: Exciting new findings from the Cassini mission suggest that Saturn's moon Enceladus could be more promising for extraterrestrial life than previously thought. A newly discovered heat signature at the North Pole indicates a sustained global ocean, providing a stable environment for potential life.Blue Origin's Mars Mission: On November 9, 2025, Blue Origin will launch its first interplanetary mission, Escapade, using its new Glenn rocket. This NASA-funded mission aims to explore how Mars lost its atmosphere, providing critical insights into planetary habitability.For more cosmic updates, visit our website at astronomydaily.io. Join our community on social media by searching for #AstroDailyPod on Facebook, X, YouTubeMusic, TikTok, and our new Instagram account! Don't forget to subscribe to the podcast on Apple Podcasts, Spotify, iHeartRadio, or wherever you get your podcasts.Thank you for tuning in. This is Anna and Avery signing off. Until next time, keep looking up and exploring the wonders of our universe.✍️ Episode ReferencesAurora Forecast[NOAA](https://www.noaa.gov/)TESS Findings on Planetary Fates[NASA](https://www.nasa.gov/)Interstellar Objects Research[arXiv](https://arxiv.org/)Enceladus Heat Signature Study[NASA](https://www.nasa.gov/)Blue Origin Escapade Mission[Blue Origin](https://www.blueorigin.com/)Become a supporter of this podcast: https://www.spreaker.com/podcast/astronomy-daily-space-news-updates--5648921/support.Sponsor Details:Ensure your online privacy by using NordVPN. To get our special listener deal and save a lot of money, visit www.bitesz.com/nordvpn. You'll be glad you did!Sponsor Details:Ensure your online privacy by using NordVPN. To get our special listener deal and save a lot of money, visit www.bitesz.com/nordvpn. You'll be glad you did!Become a supporter of Astronomy Daily by joining our Supporters Club. Commercial free episodes daily are only a click way... Click HereThis episode includes AI-generated content.

CardioNerds kicks off its advanced therapies series with Chair of the CardioNerds Heart Failure Council, Dr. Jenna Skowronski, co-chair of the series, Dr. Shazli Khan, and Episode FIT lead, Dr. Jason Feinman. In this first episode, they discuss the process of advanced therapies evaluation with Dr. Michelle Kittleson, Professor of Medicine and Director of Education in Heart Failure and Transplantation at Cedars-Sinai. In this case-based discussion, they cover the signs and symptoms of end-stage heart failure, the initial management strategies, and the diagnostic workup required when considering advanced therapies. Importantly, they discuss the special considerations for pursuing left-ventricular assist device (LVAD) versus heart transplantation as well as the multidisciplinary, team-based approach needed when advanced therapies are indicated.  Notes were drafted by Dr. Shazli Khan.  Audio editing for this episode was performed by CardioNerds Intern, Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Guideline-directed medical therapy (GDMT) is indicated in all heart failure patients and improves survival, but progressive symptoms and intolerance to GDMT can be warning signs of disease progression. The I-NEED-HELP mnemonic is an excellent reference when considering referral for advanced therapies (Figure).   Management of acute decompensation includes diuretics and possible inotropic support. The inotropic agent used should be whichever best suits your specific patient. Milrinone may result in more hypotension, whereas dobutamine may result in more tachycardia. Tachycardic and normotensive patients may do better with milrinone, while hypotensive patients with normal heart rates may do better with dobutamine. Notably, DoReMi found no difference between milrinone and dobutamine for patients with cardiogenic shock.  The initial diagnostic evaluation includes an echocardiogram, right heart catheterization (RHC), and often cardiopulmonary exercise testing (CPET) to objectively assess the status of the heart. Comprehensive labs, imaging and cancer screening are also needed to assess all other organs.   When making the decision to pursue advanced therapies, always ask:   Is the heart sick enough?   Is the rest of the body well enough?   These two questions provide a framework to guide if patients are optimal candidates for transplant versus LVAD.   The advanced therapies evaluation is a team sport! Patients will meet not only with advanced heart failure cardiologists, but also cardiac surgeons, psychiatrists, social workers, nutritionists and pharmacists. All team members are of critical value in the process.   Notes 1.) What are the key features of advanced cardiomyopathy, and when should providers consider referral for advanced therapies?   Advanced cardiomyopathy may present as recurrent hospitalizations for decompensated heart failure, intolerance to GDMT with symptomatic orthostasis and hypotension, and progressive symptoms of heart failure despite medical therapy.   The I-NEED-HELP mnemonic is a helpful tool to identify patients at risk of heart failure and is defined as follows: Need for Inotropic support, New York Heart Association (NYHA) Class IV symptoms, End-Organ Dysfunction, Ejection fraction

   In one of the most elitist arrogant interviews you could eve see, former Biden Press Secretary "circle back" Jen Psaki is under fire for questioning if JD Vance's wife is safe being with him.   It's so out of touch and insane we are starting to realize that the so called "polarization" in America has almost nothing to do with a very normal majority of people.    Meanwhile, in Trump world we get comments about Obama's Library construction debacle, recovering money from the DOJ for all the investigations and a popularity contest in India.  It's true, you never know what topics this president will speak about.    Japan's new Prime Minister's first move is the creation of the Ministry of Deportation, Walmart is making a couple big moves.  In sports, a pair of Chiefs fans make a stink about their ejection and I'm actually glad they got the boot for being jerks.   Russell Wilson fires back at a former coach.    Bobby Witt Jr. speaks out on what he says went wrong with the Royals this year.  The World Series features a pitcher that's had an amazing journey to get here this year.  Michael Jordan shares an incredible story in an NBC interview.  And our Final Final is the great Randy Johnson's explaining why he doesn't sign jerseys at autograph show.  It will warm your heart.

In hour 1, Spadoni and Shasky discuss why the Warriors preseason games are so hard to get on television and Kuminga gets his first ejection.

This week, Kailey and John sit down with Nathan Mitchell, founder of Mitchell Defense, to dive into what makes a truly reliable AR. From his background in the military and oil field engineering to redefining “Mil-Spec,” Nathan shares how precision, durability, and smart design create rifles that perform when it counts.They also discuss everything from AR operating systems and friction reduction to the current state of the firearms industry, NFA changes, and why training matters more than gear.-----------------------Thanks to AAC Ammo & Palmetto State Armory for sponsoring our guest gear!Special thanks to our sponsor for supporting this season!Langdon Tactical - Use code “LTTGOA” for $100 off any order over $1,000 on their website!Patriot Mobile – Get 1 month free with code “GOA” at checkout on their website!

Nathan Busenitz • Selected Scriptures • Grace Community Church

We have a classic episode for you. Preserve your sanity while treating heart failure with preserved ejection fraction.  Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition. Sponsors Sponsor: FIGS Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. Sponsor: Permanente Medical Group Discover more at northerncalifornia.permanente.org. Sponsor: UNCOMMON GOODS To get 15% off your next gift, go to UNCOMMONGOODS.com/curb.

First a catcher and an umpire supposedly participate in a physically impossible act, a computer program vexes the host and leads to a discussion of one possibly beneficial use of AI, and the Yankees acquire a very good hitter because everyone else is in the Army. Will it happen again in a darker way? The Infinite Inning is a journey to the past to understand the present using baseball as our time machine. America's brighter mirror, baseball reflects, anticipates, and even mocks the stories we tell ourselves about our world today. Baseball Prospectus's Steven Goldman shares his obsessions: history from inside and outside of the game, politics, stats, and Casey Stengel quotations. Along the way, we'll try to solve the puzzle that is the Infinite Inning: How do you find the joy in life when you can't get anybody out? 

Book your next trip at https://www.bestwestern.comDownload the DraftKings Sportsbook app and use promo code JMBASEBALLCorona. La Playa Awaits. Be sure to get yours athttps://OrderCorona.comUse code TALKIN2025 for 10% off your next SeatGeek order*: https://seatgeek.onelink.me/RrnK/TALKIN2025. Sponsored by SeatGeek. *Restrictions apply. Max $20 discount Coach Trev is joined by Jolly Olive to talk about how the AL Wildcard race is heating up, Framber Valdez crossing up his catcher and what it means, Junior Caminero's incredible sason, Kyle Freeland-Rafael Devers benches clearing fight and more!  0:00 Intro2:15 AL Burn7:30 AL Standings10:15 Mets / Tigers17:08 Guardians / Red Sox23:00 White Sox / Twins23:40 Mariners / Rays27:19 Junior Caminero 40 / 100 at 21 years old30:00 Angels / Royals32:00 Yankees / Astros37:24 NL Burn44:00 NL Standings49:11 Phillies / Brewers57:20 Rangers / Diamondbacks58:25 Blue Jays / Reds1:04:44 Braves / Cubs1:08:40 Dodgers / Pirates1:09:00 Giants / Rockies1:12:00 Standout Performances1:16:50 En Fuego1:18:55 Batters who are struggling1:20:40 Awards 

In July 2012, F-16 pilot Scott “Fester” Fredrick found himself in a fight for survival over the frigid North Pacific. What began as a routine movement flight from Misawa to Eielson turned into a catastrophic engine failure, forcing him to eject over open ocean and spend more than six hours in 55-degree water before rescue.In this episode, we dive into Fester's incredible career — from chasing the B-2 Spirit during flight test, to combat over Iraq, to his harrowing ejection and rescue. We talk pilot training lessons, split-second decision making, survival training that saved his life, and how perspective changes after you've stared death in the face.Whether you're into aviation, military history, or just a great story of resilience and skill under pressure, this one delivers.

This week on The Lowdown military aviation news: Hungarian MiG-29 theft – Thieves broke into Kecskemét Air Base and stole radar components from retired MiG-29 fighters. Was it an inside job inside NATO territory? F-15 accidental ejection – At Barnes Air National Guard Base a passenger unexpectedly ejected from an F-15D during taxi. We break down how this could happen. MQ-9 Reaper crash – A $13 million Reaper drone was lost in the Mediterranean Sea after a propeller failure. Singapore cancels Guam F-15 training plan – Why Singapore and the United States decided not to move forward with this fighter detachment. B-2 bomber Alaska appearance – A stealth bomber and F-35 escorts arrive during the Putin and Trump Alaska event. 

The business enterprise of James Stephen “Jimmy “Donaldson—better known as YouTuber MrBeast—has been sued for trademark infringement and unfair competition by Spalding-parent company Russell Brands over the sale of basketballs and footballs bearing the mark of “The Beast.” A backseat passenger in an F-15D Eagle belonging to the 104th Fighter Wing appears to have accidentally ejected from the aircraft while it was on the ground at Barnes Air National Guard Base in Westfield, Massachusetts. Florida man accused of stealing package off porch after dare from friend Lottery winners often have elaborate spending plans, but Joseph Greer is a blue collar type with a pretty achievable — and unique — dream. And it involves buying better bologna. FOLLOW TNR ON RUMBLE: https://rumble.com/c/c-7759604 FOLLOW TNR ON SPOTIFY: https://open.spotify.com/show/7zlofzL... FOLLOW TNR ON APPLE PODCASTS: https://podcasts.apple.com/us/podcast... WEBSITE: https://nextroundlive.com/ MOBILE APP: https://nextroundlive.com/the-ne.... SHOP THE NEXT ROUND STORE: https://nextround.store/ Like TNR on Facebook: / nextroundlive Follow TNR on Twitter: / nextroundlive Follow TNR on Instagram: / nextroundlive Follow everyone from the show on Twitter: Jim Dunaway: / jimdunaway Ryan Brown: / ryanbrownlive Lance Taylor: / thelancetaylor Scott Forester: / scottforestertv Tyler Johns: /TylerJohnsTNR Sponsor the show: sales@nextroundlive.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's word of the day is ‘ejected' as in Aaron Boone as in the Yankees as in losers as in bad as in baseball. It's been a mess. Aaron Boone is so fed up he probably got ejected on purpose. The Yankees have been one of the worst teams in baseball since June 13. Only better than three other teams. Aaron Judge is back, but he hasn't been able to get it going. What needs to change? (12:00) The Yankees Old-Timers' Day returned and Mariano Rivera got hurt. A ruptured Achilles! Take a look at wha the Brewers did for the alum. Way better! (23:30) Ichiro had his moment, again. This time the Seattle Mariners retired his jersey! And he's getting a statue! (27:00) NPPOD. (32:00) Review: Jurassic World: Rebirth. (35:00) Shedeur Sanders made his debut for the Browns and he impressed everyone. Best performance of all-time! Just kidding. He played good. Can't we just leave it at that!? (42:00) Preseason injuries happen. Every year NFL teams lose starters for the year. We had a scary one in the Lions game when a player got knocked out and did the fencer pose. The game was called. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today's word of the day is ‘ejected' as in Aaron Boone as in the Yankees as in losers as in bad as in baseball. It's been a mess. Aaron Boone is so fed up he probably got ejected on purpose. The Yankees have been one of the worst teams in baseball since June 13. Only better than three other teams. Aaron Judge is back, but he hasn't been able to get it going. What needs to change? (12:00) The Yankees Old-Timers' Day returned and Mariano Rivera got hurt. A ruptured Achilles! Take a look at wha the Brewers did for the alum. Way better! (23:30) Ichiro had his moment, again. This time the Seattle Mariners retired his jersey! And he's getting a statue! (27:00) NPPOD. (32:00) Review: Jurassic World: Rebirth. (35:00) Shedeur Sanders made his debut for the Browns and he impressed everyone. Best performance of all-time! Just kidding. He played good. Can't we just leave it at that!? (42:00) Preseason injuries happen. Every year NFL teams lose starters for the year. We had a scary one in the Lions game when a player got knocked out and did the fencer pose. The game was called. Learn more about your ad choices. Visit podcastchoices.com/adchoices