Podcasts about elevated

rapid transit railway with the tracks above street level

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Latest podcast episodes about elevated

Millionaire Mindcast
FOMC Recap, Is The War Over, And Why Elevated Rates Are Good For Building Your Wealth In Real Estate

Millionaire Mindcast

Play Episode Listen Later Jun 22, 2026 33:47


The Federal Reserve's latest policy shift under new governor chair Kevin Warsh marks a significant regime change for global markets. With the dot plot revealing two potential rate hikes and a shift away from forward-looking guidance, investors face heightened market uncertainty across stocks, crypto, and real estate. This discussion cuts through the media noise to analyze macro data points, including the geopolitical resolution with Iran, falling energy prices, and the approaching $930 billion commercial debt maturity wall. While mainstream capital retreats to the stock market, sophisticated investors recognize that slow, stale, and sideways markets offer generational opportunities. This episode explains the math behind negative leverage, the critical role of the 10-year Treasury note, and why the absolute best real estate deals are historically secured before rate cuts occur, not after. Discover how to build defensive buffers into your underwriting parameters to transform macroeconomic headwinds into asymmetric long-term wealth. KEY TOPICS DISCUSSEDMacroeconomic analysis of Fed Chair Kevin Warsh's first FOMC meeting and monetary policy adjustments Geopolitical implications of the US-Iran memorandum of understanding and its impact on global crude oil volatility Understanding the "Fed Trap" and balancing the risks of reigniting inflation versus fracturing economic growth Technical evaluation of the 10-year Treasury note as the foundational gravitational force for commercial lending benchmarks Financial underwriting frameworks for identifying and avoiding negative leverage in a 6% to 7% interest rate environment Strategic management of the upcoming $930 billion maturing commercial real estate debt wall Asset allocation rotation from overvalued equity sectors into distressed, undervalued real estate opportunities KEY TAKEAWAYSLock in your real estate opportunities before the Federal Reserve cuts interest rates. Historically, the most profitable assets are acquired when market sentiment is deeply depressed and capital sits passively on the sidelines. Treat the Federal Reserve's policy decisions as macroeconomic weather rather than an absolute indicator of deal viability. Successful investing relies on strict individual deal underwriting rather than relying on central bank rescue parameters. Address floating-rate debt maturities 12 to 18 months in advance. Initiating proactive refinancing and restructuring conversations with lenders prevents forced liquidations when interest rate environments shift. Implement structural buffers of 50 to 100 basis points above current market rates when modeling new investments. Ensuring a deal cash-flows under restrictive conditions turns future monetary easing into pure financial upside. Monitor the 10-year Treasury note on a weekly basis to filter out short-term market noise. A sustained technical break below the 4% threshold serves as the primary signal that institutional debt conditions are turning positive. CONNECT & TAKE ACTIONSchedule a professional portfolio review with Ryan's team: Text "X-ray" to 844-447-1555 Build steady mailbox money with the Imagos Income Fund: Text "income" to 844-447-1555 Join the exclusive newsletter for unfiltered market insights: Text "WIB" to 844-447-1555 Access institutional investor resources and trackers: thewiseinvestorvault.com Gain direct access to accredited private placement deal flow: Text "deals" to 844-447-1555 Review comprehensive media notes and digital resources: millionairemindcast.com Connect directly with Matty A on corporate social channels: @officialmattya

Salvione Presents Elevated Radio
Salvione presents Elevated Radio Ep. 190

Salvione Presents Elevated Radio

Play Episode Listen Later Jun 22, 2026 60:01


The weekly radio show from Salvione, blending house, funk, and tech, resulting in an unparalleled energetic dance floor vibe. Gaba – Spin Doctor
GruuvElement's – Call Me Crazy
Chicks Luv Us – EyeLove
Eros (RO), Dario Christian – Disco Music
Juan (AR), Geovanni – Tripiano
Andrea Rdam – Sexy First
Supernova, Marco Lys, House Of Molly – Kente Flow
Emanuele Inglese – Shake It
Kess – Shine
Umberto Pagliaroli, Sohail – Anybody Else
Brandon Caballero – Not Supposed To
Fran Ares, Lexlay – Super Cool
LOVRA, WeMart – Elevate
Chicks Luv Us – Funké Funké

The Chris Voss Show
The Chris Voss Show Podcast – Smart, Not Spoiled: The 7 Money Skills Kids Must Master Before Leaving the Nest by Chad Willardson

The Chris Voss Show

Play Episode Listen Later Jun 21, 2026 33:08


Smart, Not Spoiled: The 7 Money Skills Kids Must Master Before Leaving the Nest by Chad Willardson https://www.amazon.com/dp/1544524250 Chadwillardson.com Two-thirds of American parents today think their children are spoiled. From toys and laptops to smartphones and cars, our kids have grown increasingly entitled in what they believe we should do for them. Kids may not appreciate the value of a dollar, but it's hard to blame them. After all, what have they learned about money? Managing finances is rarely covered in schools, and as a parent, you probably don't know where to start. How do you provide a strong foundation of financial knowledge for your kids with these gaps? What should they learn each year? How do you teach a skill set you never received yourself? In Smart, Not Spoiled, financial expert and bestselling author Chad Willardson provides you with practical tools, tips, and stories that will help you teach the kids in your life how to think about money. Chad explores the seven skills your kids should know—and master—before they're adults and helps you improve the financial literacy of everyone in your household. When it comes to financial success, you want your kids informed and prepared. This book is your chance to learn together so that the new path you forge for future generations is the right one. About the author Chad Willardson, CFF, CRPC, AWMA, is the President of Pacific Capital (a fiduciary wealth advisory firm he founded in 2011 that serves entrepreneurs and families) and ELEVATED (a coaching program for a select group of growth-focused entrepreneurs). He is the author of six best-selling books, creator of a new banking app that helps kids manage money, and Co-Host of The Smart Money Parenting Show, number 2 Podcast on Apple worldwide for Parenting, Kids & Family. Before founding Pacific Capital, he spent 9 years at Merrill Lynch, where he ranked in the top 2 percent of over 16,000 Financial Advisors nationally. In addition to serving the family office clients of Pacific Capital, Chad also manages the 650 million dollar investment portfolio as the elected City Treasurer in his community. Chad is recognized as one of the top wealth management experts in the country and has appeared in The Wall Street Journal, Forbes, Inc., NASDAQ, Yahoo Finance, U.S. News & World Report, InvestmentNews, Entrepreneur, and Financial Advisor Magazine. He lives in Southern California with his wife, Amber, and their five children.

Elevated Frequencies FHz

Welcome to the re-launch of Elevated Frequencies FHz.In this inaugural return episode, we honor Juneteenth by reflecting on the meaning of freedom, the importance of remembering our history, and the interconnected legacies of Black and Indigenous communities.Together, we explore freedom not only as a historical event, but as a daily practice—one that invites us to heal, reflect, reclaim our voices, and become more intentional about how we live.This conversation is for anyone navigating growth, healing, identity, and the journey back to themselves.Topics discussed:• The significance of Juneteenth• Black and Indigenous history and legacy• Freedom beyond physical liberation• Healing, remembrance, and self-discovery• The return and vision of Elevated Frequencies FHzTake a deep breath, settle in, and join the conversation.Supreme rising, beautiful souls. Welcome home.

Romemu: Jewish Life, Elevated
Barchu - ברכו

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 4:03


Barchu - ברכו by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
Chatzi Kaddish - חצי קדיש

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 1:24


Chatzi Kaddish - חצי קדיש by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
V'Shamru Bnei Yisrael - ושמרו בני ישראל

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 1:23


V'Shamru Bnei Yisrael - ושמרו בני ישראל by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
Ufros Aleinu- ופרוס עלינו

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 2:41


Ufros Aleinu- ופרוס עלינו by Romemu: Jewish Life, Elevated

elevated ufros
Romemu: Jewish Life, Elevated
Mi Chamocha - מי כמוך

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 2:35


Mi Chamocha - מי כמוך by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
V'Ahavta - ואהבת

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 3:47


V'Ahavta - ואהבת by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
Lecha Dodi - לכה דודי

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 9:09


Lecha Dodi - לכה דודי by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
Ma Gadlu - מה גדלו

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 4:26


Ma Gadlu - מה גדלו by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
Yachid Ge'e - יחיד גאה

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 2:58


Yachid Ge'e - יחיד גאה by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
Mizmor L'David - מזמור לדוד

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 3:24


Mizmor L'David - מזמור לדוד by Romemu: Jewish Life, Elevated

Romemu: Jewish Life, Elevated
Shiru - שירו

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 1:22


Shiru - שירו by Romemu: Jewish Life, Elevated

elevated shiru
Romemu: Jewish Life, Elevated
V'Hasheyvota - והשיבות

Romemu: Jewish Life, Elevated

Play Episode Listen Later Jun 19, 2026 1:43


V'Hasheyvota - והשיבות by Romemu: Jewish Life, Elevated

Atlanta Real Estate Forum Radio
What's Really Changing in Housing Right Now?

Atlanta Real Estate Forum Radio

Play Episode Listen Later Jun 17, 2026 27:01


The housing market in 2026 is defined by contradictions. Demand remains strong, yet affordability challenges persist. Builders continue to innovate, even as uncertainty clouds the economic outlook. Meanwhile, demographic shifts and changing consumer preferences are reshaping what Georgians want from their homes.   In part two of Atlanta Real Estate Forum Radio‘s mid-year market update, Jim Jacobi of Parkland Communities, Tim Arnold of D.R. Horton and Cara Lavender of John Burns Research and Consulting (JBREC) join Host Carol Morgan to discuss the forces driving today’s market. From the evolution of build-to-rent communities to construction costs and changing buyer expectations, the panel explored how industry leaders are adapting to a rapidly evolving landscape.  Demographic Shifts Will Shape the Next Decade  While much attention is focused on mortgage rates and affordability, longer-term demographic changes deserve equal consideration. An aging population, later marriages, declining birth rates and multigenerational living are altering housing demand. These shifts could influence everything from home design and community amenities to product mix and location strategies over the next decade.  “I think it’s kind of those changing demographics that are going to change what products we need, what type of housing we need, where we need it,” Lavender said.  Buyers Want More Choice & Better Value  Buyer priorities have evolved significantly since the post-pandemic housing boom. During the height of the market, consumers were eager to purchase almost any available home. Today, buyers are more selective and focused on maximizing value.  “They want to see more options, they want to have more choices,” Arnold said.  Rather than concentrating solely on purchase price, buyers increasingly evaluate value through the lens of square footage, functionality and available floor plans. Builders are responding by offering a wider variety of products within communities and across submarkets.  Affordability Means More Than Home Price  “Affordability is not just the house price,” Jacobi said. “Affordability is everything across the board.”  Emerging mortgage products designed to reduce barriers to homeownership are also helping expand access, including programs featuring zero down payments, no private mortgage insurance and reduced closing costs.  As lenders introduce more creative financing solutions, these tools could help more buyers achieve homeownership despite elevated rates.  Build-to-Rent Communities Continue to Evolve  Build-to-rent communities are entering a new phase of maturity, with developers moving away from one-size-fits-all approaches. Mixed-product developments featuring townhomes, single-family homes and ranch-style offerings designed for aging renters are becoming increasingly common.  Research from JBREC points to the same trend.  “When we look at that delivery pipeline, it’s pretty clear that townhomes and those mixed-product communities are going to be what dominates BTR deliveries in 2027,” Lavender said.  At the same time, renters are prioritizing practical value over luxury amenities. While amenities such as pools and fitness centers remain desirable, residents place greater emphasis on low-maintenance living, responsive management teams and services such as lawn care.  Construction Costs Remain a Daily Challenge  Although slowing housing starts have eased some labor pressures, construction costs continue to fluctuate.  “We work on it every day,” Arnold said. “It just continues to be a shift.”  Lumber pricing, tariffs and petroleum-based products all contribute to ongoing volatility. However, reduced apartment construction has expanded the available labor pool for residential projects. That increased competition among trades may help stabilize pricing moving forward.  Data Centers Create New Competition  Another emerging factor is the rapid growth of data center development. Large-scale investments from companies such as Amazon, Google, Meta and Microsoft could eventually impact residential construction by competing for labor and land.  According to broker surveys conducted by JBREC, approximately one-third of respondents reported seeing residential land transactions redirected toward data center projects. While not yet widespread, it is a trend the industry is watching closely.  The New Reality: Lower Velocity & Greater Uncertainty  Builders and developers have adjusted expectations in response to a more cautious environment. Sales pace, lease-up rates and incentives are increasingly built into underwriting models. Rather than anticipating rapid improvement, many operators are planning for a prolonged period of moderation extending into 2027.  The Grind Before the Next Growth Cycle  The defining characteristic of today’s housing market may ultimately be its complexity. Elevated interest rates, rising costs, shifting regulations and global economic uncertainty have forced builders, developers and researchers to rethink long-held assumptions and adapt in real time.  Rather than waiting for a return to the conditions of the past, industry leaders are learning to operate in an environment where flexibility, discipline and execution matter more than ever. Growth may come more slowly, and success may require a greater willingness to adjust strategies as conditions evolve.  Yet beneath the headlines about affordability challenges and market headwinds, the industry’s core mission remains unchanged. Housing is about more than economics and forecasts. It is about creating places where people build their lives, raise families and invest in their futures. Even amid uncertainty, the enduring value of homeownership continues to provide both purpose and optimism for those shaping the next chapter of the housing market.  Ready to hit rewind on Part 1? Listen to the full episode here.  About Parkland Communities  Parkland Communities, Inc., the parent company of build-to-rent home builder, Parkland Residential, is a privately owned, multifaceted real estate development and investment firm specializing in residential properties. With over 20 years of experience in the industry, Parkland Communities Inc. uses the latest market data, technology and established relationships to strategically secure new development opportunities in Atlanta's most desirable locations. The company's hands-on philosophy has made it a proven leader in the industry with a trusted reputation among elected officials, municipal staff, neighborhood associations, bankers and home builders. For more information on Parkland Communities, visit www.ParklandCo.com.  About D.R. Horton  As one of metro Atlanta’s leading home builders, D.R. Horton offers new homes across a variety of price points, product types and locations throughout the region. The company builds communities designed to meet the needs of first-time homebuyers, move-up purchasers and those seeking low-maintenance living, with a focus on quality construction, thoughtful design and attainable homeownership opportunities. Backed by the resources of America’s largest home builder, D.R. Horton continues to play a significant role in expanding housing options across Georgia’s growing markets. Learn more about D.R. Horton at https://www.DRHorton.com/.  About John Burns Research and Consulting  John Burns Research and Consulting provides data-driven insights across every housing sector, including new home construction, resale, single-family rental and build-to-rent. It helps companies make informed decisions and mitigate risk in order to identify opportunities in a complex market. From M&A projects to consumer surveys, the firm covers every aspect of the housing industry. Learn more about John Burns Research and Consulting at https://JBREC.com/.    Podcast Thanks       Thank you to Denim Marketing for sponsoring Atlanta Real Estate Forum Radio. Known as a trendsetter, Denim Marketing has been blogging since 2006 and podcasting since 2011. Contact them when you need quality, original content for social media, public relations, blogging, email marketing and promotions. A comfortable fit for companies of all shapes and sizes, Denim Marketing understands marketing strategies are not one-size-fits-all. The agency works with your company to create a perfectly tailored marketing strategy that will suit your needs and niche. Try Denim Marketing on for size by calling 770-383-3360 or by visiting www.DenimMarketing.com.        About Atlanta Real Estate Forum Radio       Atlanta Real Estate Forum Radio, presented by Denim Marketing, highlights the movers and shakers in the Atlanta real estate industry – the home builders, developers, Realtors and suppliers working to provide the American dream for Atlantans. For more information on how you can be featured as a guest, contact Denim Marketing at 770-383-3360 or fill out the Atlanta Real Estate Forum contact form. Subscribe to the Atlanta Real Estate Forum Radio podcast on iTunes, and if you like this week's show, be sure to rate it. Atlanta Real Estate Forum Radio was recently honored on FeedSpot's Top 100 Atlanta Podcasts, ranking 16th overall and number one out of all ranked real estate podcasts.  The post What's Really Changing in Housing Right Now? appeared first on Atlanta Real Estate Forum.

Long Term Investing - With Baskin Wealth Management
What's next for Canadian banks?

Long Term Investing - With Baskin Wealth Management

Play Episode Listen Later Jun 17, 2026 42:09


Recorded: June 10, 2026This week, Barry and Ernest review the current state of the stock markets including the mega IPO of SpaceX before discussing the strong performance of the Canadian banks. 0:00- Introduction 6:01- SpaceX's IPO14:20- Elevated return expectations 22:21- Diversified Canadian banks28:03- Prime lending focus33:00- Canadian bank valuations38:54- Regulatory landscape

Your Case Is On Hold
Elevated Risk of Mortality after PJI following TKA

Your Case Is On Hold

Play Episode Listen Later Jun 16, 2026 52:17


In this episode, Ayesha and Andrew discuss the June 17, 2026 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Link: JBJS website: https://jbjs.org/issue.php Sponsor: This episode is brought to you by JBJS Clinical Classroom. Subspecialties: Orthopaedic Essentials, Hip, Basic Science, Spine, Infection, Foot & Ankle, Education & Training, Shoulder Chapters (00:00:02) - Your Cases On Hold(00:01:42) - Top 10 in Orthopedic Surgery: The Legacy of Aaron Rosenberg(00:06:38) - Robinson on Research Expectations(00:18:12) - The role of research in the medical student curriculum(00:19:09) - Residency and the role of research in surgery(00:21:02) - Bone metabolic activity after total hip arthroplasty(00:29:19) - Periprosthetic Joint Infection after total knee arthropl(00:40:37) - Patients with pneumonia after total knee arthroplasty(00:48:57) - Deep Learning System for Lengthy Classification in Adolescent Idiopath

TD Ameritrade Network
No Rush to Cut: Fed Eyes Neutral with Inflation Still Elevated

TD Ameritrade Network

Play Episode Listen Later Jun 16, 2026 8:13


Nationwide Mutual's Senior Vice President and Chief Economist Kathy Bostjancic says the Fed may be approaching a neutral stance, but inflation is expected to remain above the 2% target through year-end. She sees the Fed holding steady for now, with rate cuts likely pushed into next year, while noting that reduced Fed communication could spark volatility even as the labor market and AI investment signal underlying economic strength.======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about

State of the Republic
S1E264 - The Elevated Away Win at Colorado!

State of the Republic

Play Episode Listen Later Jun 16, 2026 65:23


In this episode of State of the Republic, we break down Sacramento Republic FC's hard-fought 1–0 road win over Colorado Springs Switchbacks FC. The victory not only secured three valuable points, but also snapped Sacramento's recent stretch of away frustrations after back-to-back road losses. We discuss the key moments from the match, what stood out from the performance, and what this result could mean moving forward. We also preview Republic's upcoming matchup against New Mexico United, one of the toughest tests on the schedule, and discuss what Sacramento will need to do to continue its momentum. Plus, we talk about the latest disappointing developments surrounding the proposed Modesto soccer stadium project, and we recap recent results from local Central Valley clubs competing in the USL W League and USL League Two. Intro/Outro Music: "The Descent" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License http://creativecommons.org/licenses/by/4.0/ Podcast Winner Dinner Music: The following music was used for this media project: Fliegen by Sascha Ende Free download: https://filmmusic.io/song/2936-fliegen License (CC BY 4.0): https://filmmusic.io/standard-license Golazos of Gratitude Music: The following music was used for this media project: Music: Nice Light Of Happiness by MusicLFiles Free download: https://filmmusic.io/song/7421-nice-light-of-happiness License (CC BY 4.0): https://filmmusic.io/standard-license Image: Sac Republic Support State of the Republic by contributing to their tip jar: https://tips.pinecast.com/jar/state-of-the-republic

Points Too Paradise
Chase Sapphire Preferred 2026 Updates & Elevated Sign-Up Offers

Points Too Paradise

Play Episode Listen Later Jun 16, 2026 14:33


Today's episode we dive into the new changes with the Chase Sapphire Preferred and all the elevated credit card offers that have come out with Chase bank. Resources: Top Credit Card Offers: https://travelfreely.com/points-too-paradise-top-offers-1/?bref=piwTravel Points Lounge: https://pointstooparadise.com/travel-points-lounge

My things to listen to...
Бонни и Клайд: миф и реальность

My things to listen to...

Play Episode Listen Later Jun 16, 2026


Elevated, 13.06.2026Бонни и Клайд стали одним из самых известных криминальных мифов Америки 1930-х годов. Их история соединила Великую депрессию, автомобили, прессу, любовь, бедность и рождение массовой культуры, которая умела превращать даже хаос и насилие в легенду.Газеты сделали из них дерзких героев эпохи, кино закрепило образ стильных преступников, бросивших вызов системе. Но реальность банды Бэрроу была гораздо менее романтичной: мелкие ограбления, постоянные побеги, голод, ранения, страх, усталость и жизнь людей, загнанных в тупик собственной бедностью, выбором и насилием.В этом выпуске разбираем, как случайные фотографии из Джоплина превратили Бонни Паркер и Клайда Бэрроу в символ эпохи, почему публика времен Великой депрессии хотела видеть в них легенду, и чем настоящий путь Бонни и Клайда отличался от красивого мифа, созданного газетами, кино и поп-культурой.Вам также может быть интересно:О "сухом законе": 8 фактов о "Сухом законе" в США, которые вы, вероятно, не знали (или только думали, что знаете) https://www.youtube.com/watch?v=eI4QDZMOXVc"Пыльный котёл" и Великая депрессия: Как американское освоение целины привело к экологической и гуманитарной катастрофе https://www.youtube.com/watch?v=Yq1pTlCEM2cАмелия Эрхард: Амелия Эрхарт, ее жизнь и загадочное исчезновение https://www.youtube.com/watch?v=n49sap8TMJEПоддержка канала с эксклюзивными материалами для подписчиков:Boosty: https://boosty.to/elevatedPatreon: julia_bolchakova https://www.patreon.com/Julia_BolchakovaСкачивайте с Этси мои художественные книги (e-pub или pdf): https://www.etsy.com/ca/shop/Aleutie?ref=seller-platform-mcnavИз России удобнее скачать с Boosty: https://boosty.to/elevated (e-pub, pdf или fb2).ДЛЯ ПОДПИСЧИКОВ BOOSTY И PATREON МОИ КНИГИ БЕСПЛАТНЫ! Если у вас проблемы с файлами - напишите мне в ЛС внутри Бусти или Патреона.All materials in these videos are used for educational purposes and fall within the guidelines of fair use. No copyright infringement intended. If you are, or represent, the copyright owner of materials used in this video, and feel that they were used inappropriately, please, contact me and I'll do all necessary changes.Time codes:00:00 - Облава в Джоплине: банда Бэрроу04:29 - становление легенды: от газет до фильмов07:44 - Бонни Паркер10:21 - Клайд Бэрроу14:28 - любовь и преступления18:02 - Платт-сити и Дексфилд-парк24:28 - последнее бегство и побег из Истхема28:43 - Хэмер идет по следу. Предательство(c) Elevated: Empowering stories from history, science, and culture. Hosted by Юлия Большакова (Julia Bolchakova).Оригинальное видео доступно на YouTube:https://youtu.be/w-rCEqTKWmY

Salvione Presents Elevated Radio
Salvione presents Elevated Radio Ep. 189

Salvione Presents Elevated Radio

Play Episode Listen Later Jun 15, 2026 60:01


The weekly radio show from Salvione, blending house, funk, and tech, resulting in an unparalleled energetic dance floor vibe. Alessio Mosti – No Puedo Seguir
I.g.n.a., Lady Vale – Club Life
Byred & Sandro Martins – You Know Me
Peter Romero – Wanna Talk
Paluma & Tyson O'Brien – In The AirBryan Vera – No Drama
Fran Ares, Sergiodnine – Starlight
Luka Kuhnow, Manuel De La Mare – Make Me (Manuel De La Mare Remix)
Most Some – Mustang (Blas Miller Mix)
MartinoResi, Carlos Arresa – Get That
MartinoResi, Esteban Angel – Who Is
Karretero – No Man
Davide T, Cyava – Pocket
Sam Frandisco – Gotta Have It

Jeff and Jeremy in the Morning
Jeff and Jeremy: An Elevated Experience!

Jeff and Jeremy in the Morning

Play Episode Listen Later Jun 15, 2026 14:04


Buzz words that trigger...

Total Information AM
The sinkhole 'is right underneath that elevated section of highway 44'

Total Information AM

Play Episode Listen Later Jun 15, 2026 3:30


KMOX traffic reporter Rodger Brand explains the impact of the sinkhole at Broadway and Biddle which will necessitate a week-long closure of Interstate 44 through downtown St Louis. He was on with Megan Lynch.

Elevated Magazines-Lifestyles, Jetsetter, Yachts, Automotive, Luxury Real Estate, Home & Design, Art
Tim Clark | Senior Yacht Broker | MySea | Elevated Magazines Podcast

Elevated Magazines-Lifestyles, Jetsetter, Yachts, Automotive, Luxury Real Estate, Home & Design, Art

Play Episode Listen Later Jun 15, 2026 33:59


Where the Map Ends: The Finest MYSEA Yacht Charter Experiences Do Not Simply Show You the World. They Renew Your Sense of Wonder. Where the horizon begins to change.There is a moment, somewhere after the coastline disappears, when the world becomes impossibly quiet. Not silent. The sea is never silent but emptied of interruption; no traffic, no schedules, no performance. Only the sound of water moving against the hull and the peculiar awareness that life on land has fallen away behind you.Tim Clark, Senior Yacht Broker of MySea, joins the Elevated Magazines Podcast for an insightful conversation about bespoke, curated yacht charter experiences. Tim was introduced to the Superyacht industry at aged 19 when taking his first job as a Deckhand on a 65m charter yacht in Antibes. The seed was sewn! Tim went on to spend the next 10 years working on private and charter yachts in the summers, working his way up to Captain and spending the winter months at Solent University completing a BSc Hons degree in Maritime Studies. Tim came ashore in 1999 and joined Yachting Partners International as a trainee broker. After 5 years there he moved to join the start of what became Ocean independence as Senior broker and Charter Manager and after 9 years joined MYSEA to head up the UK Office.Learn more at MySea.co.Explore ElevatedMagazines.com/podcastListen on Spotify | Apple Podcasts | Amazon Music | YouTube | Pandora | iHeart

The Muni 360 Podcast from New York Life Investments

Elevated issuance is still being met with strong investor demand   Follow Us Twitter @NYLInvestments Twitter @MacKayMuniMgrs Facebook @NYLInvestments LinkedIn: New York Life Investments LinkedIn: MacKay Municipal Managers Presented by New York Life Investmentswww.newyorklifeinvestments.com   MacKay Municipal Managers is a team of portfolio managers at MacKay Shields. MacKay Shields is 100% owned by NYLIM Holdings, which is wholly owned by New York Life Insurance Company. “New York Life Investments” is both a service mark, and the common trade name, of certain investment advisors affiliated with New York Life Insurance Company. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

TD Ameritrade Network
Tuttle: Brace for Months of Elevated Oil Prices, Stock Picks in RKLB, OXY & SEDG

TD Ameritrade Network

Play Episode Listen Later Jun 12, 2026 7:36


Matthew Tuttle remains a buyer of oil stocks, even as headlines Friday point to a U.S.-Iran deal never being closer. He sees the headwinds lasting for months, causing prices to stay elevated. Matt tells investors to keep an eye on "bottleneck names" and explains his stock picks in Rocket Lab (RKLB), Occidental Petroleum (OXY), and Solar Edge (SEDG).======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about

iran ios brace elevated oil prices tuttle sling vizio stock picks market minute matthew tuttle occidental petroleum oxy
DT Radio Shows
Elevated Academy Radio With Salvione: Henke Guest Mix

DT Radio Shows

Play Episode Listen Later Jun 12, 2026 59:14


Elevated Academy Radio With Salvione: Henke Guest Mix Show: Elevated Academy Radio Artist: Salvione Guest: Henke Air Date: 13 June 2026 Genre: House / Melodic Techno Elevated Academy Radio is the official showcase of rising talent from Elevated Academy, hosted by Salvione. Each episode features exclusive guest mixes from up-and-coming artists making serious waves in electronic music. Whether they're topping Beatport charts, playing alongside industry heavyweights, or crafting the next big anthem, these artists are proving that Elevated Academy is the launchpad for the next generation of dance music talent. For this episode, we're turning the spotlight on Henke, a Polish-born, Chicago-raised DJ and producer now based in Atlanta. His sound blends house foundations with influences from across genres, built around one simple idea—if it sounds good and makes you feel something, it's in. Inside Elevated Academy, he's been dialing in that identity and translating it into sets that connect on a real level. This mix is everything Henke represents—groove, feeling, and energy built for a shared experience on the dancefloor. Turn it up, lock it in. Henke on Elevated Academy Radio. Here. We. Go. Tracklist: 1. Leonids – Elegie 2. Andreatens – Say Less 3. C-Jay, Yves Eaux, Maurice Caron – RompSlomp 4. CHAKKOUR – Call My Name 5. Stella, Paolo Martini, Clock (IT) – Data Drop 6. Stupid Goldfish – Keep It Simple 7. Trace (UZ) – Good Time 8. TekZee, Braynod – Vente Paca 9. Unusual (DE) – Not Normal 10. Kota, No Thanks – Where I Be 11. Rem Siman – Pria 12. Dosem – Levitize 13. Chez, Joe Koshin – Duty Paid 14. ESSE (US) – Make My Day 15. Alok, Dennis – Mimosa (Now And Forever) 16. Marten Horger – Worth The Wait 17. Noizu – Slay To The Rhythm 18. FENIK, Basura Boyz – P.R.D. 19. NIGHT manoeuvres – This Life (Sam Girling Remix) 20. Adam After Hours – Will It All Be Worth It 21. AME, RY X – Love Is The Dance Originally broadcast on Data Transmission Radio. Listen live and explore the archive: https://radio.datatransmission.co

Rav Gershon Ribner
Sacrificing ones elevated personal dignity for heaven's sake

Rav Gershon Ribner

Play Episode Listen Later Jun 11, 2026 4:47


The Captain w/ Vershan Jackson – 93.7 The Ticket KNTK
Trae Taylor Elevated to a 5 Star QB and Top 10 Player in the Nation: June 10th, 2:00pm

The Captain w/ Vershan Jackson – 93.7 The Ticket KNTK

Play Episode Listen Later Jun 10, 2026 18:42


Trae Taylor Elevated to a 5 Star QB and Top 10 Player in the NationAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dental Digest
Can SDF Be Used Instead of Sealants? with Dr. Peter Milgrom

Dental Digest

Play Episode Listen Later Jun 8, 2026 30:52


Elevated GP - Click here to join Elevated.GP Follow @dr.melissa_seibert on Instagram Dr. Peter Milgrom is Professor of Oral Health Sciences and Pediatric Dentistry in the School of Dentistry and adjunct Professor of Health Services in the School of Public Health at the University of Washington. He directs the Northwest Center to Reduce Oral Health Disparities. He holds academic appointments at Case Western University, University of Rochester, and University of California, San Francisco. He maintains a dental practice limited to the care of fearful patients and served as Director of the UW Dental Fears Research Clinic. Dr. Milgrom's work includes research on xylitol, the effectiveness of fluoride varnish and iodine in preschoolers, clinical efficacy and safety of diammine silver fluoride, motivational strategies to increase perinatal and well child dental visits in rural communities, and studies of cognitive interventions in pediatric and adult dental fear. The NIH, Maternal and Child Health Bureau, HRSA, and the Robert Wood Johnson Foundation support his work. Dr. Milgrom is author of 5 books and over 300 scientific articles. His latest book, Treating Fearful Dental Patients, was published in 2009.   Dr. Milgrom was Distinguished Dental Behavioral Scientist of the International Association for Dental Research for 1999. In 1999, and again in 2000, his work was recognized by the Giddon Award for research in the behavioral sciences in Dentistry. He received the Barrows Milk Award from IADR in 2000, recognizing his work for public health including the development of the Access to Baby and Child Dentistry (ABCD) program in Washington State. In 2003, Dr. Milgrom received a Special Commendation Award from the National Legal Aid and Defenders Association and the University of Washington Medical Center Martin Luther King, Jr. Community Service Award. In 2010, he received the Aubrey Sheiham Research Award for his work on xylitol. He serves on scientific review committees for the NIDCR, NIMHHD, NINDS, Center for Scientific Review at NIH and as a consultant to the FDA. In 2005, Dr. Milgrom was appointed the SAAD Visiting Professor of Pain and Anxiety Control at the King's College Dental Institute, University of London, UK for a six-year term. In 2008 he was awarded the degree of Doctor Honoris Causa from the University of Bergen, Norway in recognition of his work in social and behavioral dentistry. In 2012, he received the University of California, San Francisco Dental Alumni Gold Medal for his contributions to Dentistry. In 2012 he was also awarded the Norton Ross Award for Excellence in Clinical Research by the American Dental Association. In 2013, he was appointed to the Council of Scientific Affairs of the American Dental Association. In 2014, he received the Irwin M. Mandel Distinguished Mentor Award from the IADR. In 2015, he served as HMDP Expert in Dental Public Health for the Singapore Ministry of Health. Dr. Milgrom received his DDS from the University of California, San Francisco in 1972 and had a previous position at the National Academy of Sciences, Engineering, and Medicine. In the last few years, Dr. Milgrom has spoken to dental associations in Argentina, Colombia, Peru, Philippines, and USA and at major universities in USA and abroad.

Core EM Podcast
Episode 224: Kidney Stones

Core EM Podcast

Play Episode Listen Later Jun 8, 2026


A guide to diagnosing, imaging, and managing acute renal colic and nephrolithiasis in the ED. Hosts: Brian Gilberti, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Nephrolithiasis.mp3 Download Leave a Comment Tags: Kidney Stones, Urology Show Notes 1. CLINICAL CORE & PHYSIOLOGIC FRAMEWORK Epidemiologic Risk Profiles Lifetime incidence parameters hover around 1 in 11, presenting with a prominent male sex skew. Peak demographic manifestation concentrated within the 30–60 age band. High-yield temporal parameter: 50% recurrence vector within a 5-year post-initial-insult window. Mineralogical Composition Vectors Calcium oxalate crystals represent the predominant structural matrix. Struvite configurations (magnesium ammonium phosphate matrix) account for 1–2% of cohorts. Struvite stones function explicitly as infection-driven configurations secondary to upper tract proliferation; higher distribution index noted in female cohorts. Etiological & Modifiable Relational Dynamics Profound systemic dehydration or low baseline fluid throughput states. High-sodium diet structures and heavy animal-protein consumption loads. Positive genetic/familial history variables. Relative risk modulation: Each variable independently operates to expand baseline risk by a factor of 2x to 3x. Pathophysiologic Symptom Complexes Acute, sudden-onset, maximum-intensity (10/10) unilateral flank pain. Classic structural radiation vector tracking downward toward the ipsilateral groin/genitourinary dermatomes. Distinctive behavioral marker: Renal colic pacing/writhing behavior with zero antalgic position availability. Concomitant autonomic triggers: Nausea and emesis manifest in 50% of acute presentations. Physical Exam Discordance Metrics Severe subjective distress contrasted with a characteristically soft, completely non-tender abdominal palpation exam. CVA tenderness is completely variable and lacks reliable negative predictive value. Atypical Presentation Classifications Vague, poorly localized abdominal pain presentations occurring in up to 20% of active cases. Isolated lower urinary tract irritative signs including acute frequency or severe urgency. Incidental & Asymptomatic Dynamics Silent intrarenal or ureteral stones found incidentally. Longitudinal tracking demonstrates up to 33.3% of initially asymptomatic cohorts convert to fully symptomatic renal colic within a multi-year tracking window. 2. EXCLUSION DIAGNOSES & CRITICAL PATHWAY RED FLAGS Vascular Mimics: AAA rupture/expansion. This is a mandatory exclusion pathway in elderly cohorts presenting with acute flank or back pain. Physical tracking requires active exploration for an expansile, pulsatile abdominal mass. Gynecologic Emergencies: Ruptured ectopic pregnancy. Demands universal screening protocols via rapid beta-hCG testing in all female patients of childbearing potential presenting with lower abdominal/pelvic localization. Infectious Upper Tract Decompensation: Acute uncomplicated pyelonephritis. Differentiated via persistent high spikes, high fevers, systemic shaking chills, and profound pyuria. Genitourinary Structural Crises: Acute testicular torsion. Mandates a thorough, explicit scrotal/testicular structural exam if the flank pain radiates into the scrotum. Gastrointestinal and Adnexal Torsional Confounds: Acute appendicitis variants, acute mesenteric/bowel ischemia, and ovarian torsion syndromes. 3. LABORATORY TESTING & PHYSIOLOGIC EVALUATION Urinalysis Interpretation Nuances Microscopic or gross hematuria presents in approximately 66% to 90% of acute cases. Critical Pathological Caveat: Complete absence of hematuria documented in 20% to 33.3% of confirmed, acute obstructing ureteral stones. Diagnostic rule: A pristine urinalysis with zero red blood cells is entirely insufficient to exclude acute ureterolithiasis. Urinary pH as a Composition Clue Consistently low urinary pH parameters (pH < 5.5) point strongly toward a uric acid crystalline composition. Elevated urinary pH parameters (pH > 7.5) indicate the presence of urease-producing microbial pathogens, pointing toward a struvite infection stone. Infectious Screening Metrics Active tracking for marked pyuria, positive leukocyte esterase, and bacterial nitrites to rule out an obstructed, infected upper urinary tract system. BMP Immediate quantification of baseline serum creatinine to establish accurate eGFR values. Targeting detection of post-renal AKI from bilateral obstruction, unilateral obstruction in a single functioning kidney, or severe volume depletion. CBC Evaluation for marked leukocytosis. Physiologic Nuance: Mild-to-moderate white blood cell count elevations frequently represent non-specific stress demargination driven by severe pain and repetitive vomiting. High-grade white blood cell shifts demand immediate exclusion of systemic bacteremia or an infected, obstructed urinary system. Adjunctive Lab Pathways Rapid qualitative urine hCG testing. Reflex urine culture execution whenever urinalysis metrics display significant inflammatory profiles or clinical suspicion of UTI is high. 4. IMAGING MODALITIES & ALGORITHMIC CLINICAL SELECTION Non-Contrast CT Diagnostics Gold standard; diagnostic sensitivity and specificity parameters exceed 95% for stones >2 mm. Provides precise quantification of stone diameter (mm), exact localization (proximal, mid, or distal ureter), and degree of secondary hydronephrosis. Excellent structural visualization for detecting or ruling out alternate retroperitoneal, vascular, or intra-abdominal pathologies. Contrast-Enhanced CT Protocols Indicated when alternative intra-abdominal surgical pathology is highly suspected over isolated renal colic. Retains diagnostic capability to identify urinary tract stones >3 mm even within contrast-enhanced phases. NCCT Structural Architecture Limitations Standard stone protocol CT scans are executed in a prone position without IV contrast enhancement. It does not opacify the ureteral lumen. Presents a cumulative radiation exposure penalty when utilized serially across recurrent ED presentations. POCUS / Radiology Ultrasound Direct stone visualization capabilities are modest, operating at approximately 50% to 60% sensitivity, and is highly dependent on anatomical positioning at the extreme proximal ureter or the UVJ. Secondary obstruction tracking: Demonstration of hydronephrosis operates at a high sensitivity of approximately 80%. POCUS Clinical Utility Metrics Eliminates ionizing radiation exposure and allows immediate, rapid real-time execution directly at the patient’s bedside. Confirmation of significant hydronephrosis within a classic clinical presentation yields high post-test probability for stone presence while lowering suspicion for vascular catastrophes like a AAA. KUB Radiography Extremely poor overall diagnostic sensitivity, hovering around 57%. Fails to image radiolucent configurations (pure uric acid matrices) or small stones measuring

NO SLEEP
Ep. 113 | Elevated Dining

NO SLEEP

Play Episode Listen Later Jun 8, 2026 85:03


Patreon: www.patreon.com/nosleepdsm Facebook: www.facebook.com/nosleepdsm Instagram: @nosleepdsm Toll Insta: @tollbocop AJ Insta: @asimmetrical Alex Insta: @fakealexcarter

Salvione Presents Elevated Radio
Salvione presents Elevated Radio Ep. 188

Salvione Presents Elevated Radio

Play Episode Listen Later Jun 8, 2026 60:01


The weekly radio show from Salvione, blending house, funk, and tech, resulting in an unparalleled energetic dance floor vibe. Paluma & Tyson O'Brien – In The Air
Bryan Vera – No Drama
Fran Ares, Sergiodnine – Starlight
Luka Kuhnow, Manuel De La Mare – Make Me (Manuel De La Mare Remix)
Most Some – Mustang (Blas Miller Mix)
MartinoResi, Carlos Arresa – Get ThatMartinoResi, Esteban Angel – Who Is
Karretero – No Man
Davide T, Cyava – Pocket
ATLAC – Hood Beat
Fer BR – Help Us!
The Fellas & Guzty – It's Just A Dream
JE:SAIS – 21 Questions
Peter Romero – Wanna Talk

Jag Mangat NBA
Ex-Celtics Player Elevated To Vice President Of Basketball Operations With 76ers

Jag Mangat NBA

Play Episode Listen Later Jun 8, 2026 3:14


Ex-Celtics Player Elevated To Vice President Of Basketball Operations With 76ers by Jaggy Sports

CruxCasts
Copper Outperforms Gold While Wall Street Bets Everything on SpaceX

CruxCasts

Play Episode Listen Later Jun 7, 2026 35:25


Recording date: 5th June 2026Global financial markets are exhibiting a striking disconnect between geopolitical risk and investor behavior, as major U.S. equity indices simultaneously reached record highs despite escalating tensions in the Strait of Hormuz. Ongoing missile exchanges and a fragile ceasefire between the United States and Iran have done little to unsettle equities, creating what market observers describe as a “Goldilocks” environment where negative macro risks are largely ignored. At the same time, attention has narrowed sharply toward the anticipated $75 billion SpaceX initial public offering, which is drawing liquidity away from bonds, Bitcoin, and commodities.The scale of the SpaceX IPO is expected to have meaningful mechanical effects on markets. With rapid inclusion into major indices, institutional investors are likely to position ahead of forced index buying, potentially diluting existing index constituents. This dynamic has contributed to strong performance in select equity sectors, particularly technology, while other asset classes lag.In contrast to declining gold and oil prices, copper has emerged as a standout performer. Supply-side constraints - including reduced production guidance from major miners such as Freeport-McMoRan, Ivanhoe Mines, and Codelco - have tightened the market. Additional risks stem from the Strait of Hormuz, a critical transit route for sulfuric acid used in copper processing. Stronger-than-expected industrial data from both the United States and China has further reinforced demand for the metal.Meanwhile, developments in the mining sector highlight emerging friction in global dealmaking. Chinese regulators have raised concerns that Zijin Mining's proposed acquisition of Allied Gold is overpriced, signalling potential constraints on future outbound mergers and acquisitions.Against this backdrop, investors are adopting a cautious stance. Elevated cash positions and expectations of summer volatility - driven by geopolitical uncertainty, IPO-related liquidity shifts, and seasonal commodity weakness - suggest that while markets appear calm, underlying risks remain significant.Sign up for Crux Investor: https://cruxinvestor.com

AURN News
Black Unemployment Remains Elevated Despite Job Growth

AURN News

Play Episode Listen Later Jun 5, 2026 1:02


The U.S. economy added more jobs than expected in May, but the benefits were not evenly distributed. New labor market data shows Black workers continue to experience higher unemployment rates than white workers, while economists point to declining labor force participation and rising long-term unemployment as ongoing concerns. The report highlights persistent disparities that have remained in place for decades. Subscribe to our newsletter to stay informed with the latest news from a leading Black-owned & controlled media company: https://aurn.com/newsletter Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Grain Markets and Other Stuff
Corn Prices Sink While Fertilizer and Fuel Remain Elevated

Grain Markets and Other Stuff

Play Episode Listen Later Jun 3, 2026 15:15 Transcription Available


Joe's Premium Subscription: www.standardgrain.comGrain Markets and Other Stuff Links —Apple PodcastsSpotifyTikTokYouTubeFutures and options trading involves risk of loss and is not suitable for everyone.Corn futures fell for a third straight session with the Dec26 contract settling near $4.67/bu—its lowest since late February—pressured by favorable Corn Belt weather and no Chinese buying since the mid-May summit.

The Ash Holes
Cigar Trends For Women WIth Melanie From Elevated Humidor

The Ash Holes

Play Episode Listen Later Jun 2, 2026 45:57


This week on The Ash Heels, we welcome back Melanie Owner of Elevated Humidor Cigars & Cigar Rebel to kick off our Ladies Night Event happening right after this episode! We catch up with Melanie see what trends she's seeing in the cigar world & if events like this can bring more women off the sidelines of cigar smoking around the country. 

Cardionerds
452. Risk stratification in Acute Pulmonary Embolism with Dr. Stavros Konstantinides

Cardionerds

Play Episode Listen Later Jun 1, 2026 25:35


CardioNerds (Dr. Billy-Joe Mullinax, Dr. Dinu Balanescu, and Dr. Jane Ehret) discuss risk stratification in acute pulmonary embolism with Dr. Stavros Konstantinides, Chair of the 2019 ESC Pulmonary Embolism Guidelines. Using a real-world case, this episode explores how modern PE care has moved beyond “massive” and “submassive” labels toward a dynamic, physiology-based approach. The discussion highlights the limitations of static risk scores, the importance of right ventricular dysfunction and biomarkers, and why normotension does not imply stability. Special emphasis is placed on intermediate-high risk PE, early identification of impending hemodynamic collapse, and the role of lactate, serial reassessment, and PERT teams in guiding escalation of care. Audio editing by CardioNerds intern, Joshua Khorsandi.The 2026 American multi-society PE guidelines were published after this episode was recorded. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium.   Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Stable blood pressure does not mean low risk in PEHypotension is a late finding. Patients may have severe RV failure, hypoxia, and tissue hypoperfusion while remaining normotensive — a key concept behind “normotensive shock.” Risk stratification in PE must be dynamic, not staticLegacy scores like PESI and Bova provide a snapshot and predict 30-day mortality, but they do not capture short-term trajectory or impending hemodynamic collapse. Intermediate-high risk PE is a dangerous and heterogeneous groupPatients with RV dysfunction, positive biomarkers, tachycardia, hypoxemia, and elevated lactate may have in-hospital mortality approaching 15%, rivaling STEMI. Lactate is a critical but underutilized marker in PEElevated lactate reflects tissue hypoxia and early circulatory failure and may identify patients at risk for collapse before blood pressure declines. PERT enables physiology-driven, patient-centered PE carePERT teams operationalize continuous reassessment, integrate imaging, labs, and clinical trajectory, and allow timely escalation — shifting PE management from rigid categories to real-time decision-making. Notes Drafted by Dr. Jane Ehret. 1. What is the contemporary framework for risk stratification in acute pulmonary embolism? Modern PE risk stratification prioritizes hemodynamics and right ventricular (RV) function rather than clot burden. The 2019 ESC Guidelines classify PE into high risk, intermediate risk (low vs high), and low risk, based on: Hemodynamic status, RV dysfunction on imaging, and Cardiac biomarkers. This framework emphasizes early mortality risk but requires clinical context to guide escalation decisions. 2. Why is normotension insufficient to define “stability” in PE? Blood pressure is a late marker of circulatory failure in PE. Patients can maintain normal BP through Tachycardia, Increased sympathetic tone, and RV compensation. Many patients with preserved BP may already have shock physiology, including hypoxemia, elevated lactate, and RV failure — sometimes referred to as “normotensive shock.” 3. How should intermediate-risk PE be conceptualized clinically? Intermediate-risk PE is heterogeneous, ranging from patients who do well on anticoagulation to those who deteriorate rapidly. Intermediate-high risk PE is defined by RV dysfunction on imaging and positive cardiac biomarkers. Clinical features such as tachycardia, increasing oxygen requirement, and elevated lactate identify patients at highest risk within this group. 4. What are the strengths and limitations of commonly used PE risk scores? Legacy scores are useful for initial risk categorization but are static and limited in predicting short-term deterioration. Most scores were developed to predict mortality or complications at fixed time points rather than dynamic clinical trajectory. 5. What are the commonly used risk scores and clinical tools in PE, and what is each designed to predict? ESC Risk Stratification Algorithm: Identifies high-risk PE by hemodynamics. Uses PESI or sPESI in normotensive patients to distinguish low-risk from non–low-risk PE. Uses RV dysfunction and biomarkers to differentiate intermediate-low from intermediate-high risk. Forms the basis of many institutional PE pathways. PESI and sPESI: Validated to predict 30-day mortality. Widely used to identify low-risk patients appropriate for outpatient management. Heavily influenced by age and comorbidities. Bova Score: Predicts 30-day PE-related complications in normotensive patients. Composite PE Shock Score (CPES): Predicts normotensive shock in hemodynamically stable PE patients. Pulmonary Embolism Progression (PEP) Score: Predicts progression from intermediate-risk to high-risk PE within 72 hours of diagnosis. PE Short-term Clinical Outcomes Risk Estimation (PE-SCORE): Predicts clinical deterioration or death within 5 days of PE diagnosis. Hestia Criteria: Identifies low-risk PE patients safe for outpatient treatment. Wells' Criteria and Revised Geneva Score: Determine pretest probability for diagnostic triage. PERC Score: Rules out PE in very low-risk patients. 6. What is the role of biomarkers in PE risk stratification? Troponin and natriuretic peptides reflect RV myocardial injury and strain. Current guidelines treat biomarkers as binary (positive vs negative), despite risk being continuous. Biomarkers are most helpful for: Initial risk classification. They are less useful for: Short-interval monitoring and Detecting rapid clinical deterioration. 7. Why is lactate an important physiologic marker in PE? Lactate reflects global tissue hypoxia and impaired perfusion. Elevated lactate may identify patients with: Early circulatory failure and Increased risk of imminent hemodynamic collapse. Lactate is not currently included in ESC risk algorithms but may add important prognostic information in intermediate-risk patients. 8. How does trajectory influence decision-making in PE management? Risk stratification should be viewed as a dynamic process, not a one-time label. Worsening clinical trajectory may include: Rising heart rate, Increasing oxygen needs, Rising lactate, and Progressive RV dysfunction. Serial reassessment is essential for timely escalation of care. 9. What role do Pulmonary Embolism Response Teams (PERT) play in risk stratification? PERT facilitates: Multidisciplinary decision-making and Integration of imaging, biomarkers, and clinical physiology. PERT is most valuable for: Intermediate-risk and high-risk PE and Patients with complex comorbidities or uncertain trajectory. PERT enables a shift from category-based to physiology-driven PE care. References 1. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Respir J. 2019;54(3):1901647. Published 2019 Oct 9. doi:10.1183/13993003.01647-2019 2. Leidi A, Bex S, Righini M, Berner A, Grosgurin O, Marti C. Risk Stratification in Patients with Acute Pulmonary Embolism: Current Evidence and Perspectives. J Clin Med. 2022;11(9):2533. Published 2022 Apr 30. doi:10.3390/jcm11092533 3. Choi WH, Kwon SU, Jwa YJ, et al. The pulmonary embolism severity index in predicting the prognosis of patients with pulmonary embolism. Korean J Intern Med. 2009;24(2):123-127. doi:10.3904/kjim.2009.24.2.123 4. Jiménez D, Aujesky D, Moores L, et al. Simplification of the pulmonary embolism severity index for prognostication in patients with acute symptomatic pulmonary embolism. Arch Intern Med. 2010;170(15):1383-1389. doi:10.1001/archinternmed.2010.199 5. Chen X, Shao X, Zhang Y, et al. Assessment of the Bova score for risk stratification of acute normotensive pulmonary embolism: A systematic review and meta-analysis. Thromb Res. 2020;193:99-106. doi:10.1016/j.thromres.2020.05.047 6. Zhang RS, Yuriditsky E, Zhang P, et al. Composite Pulmonary Embolism Shock Score and Risk of Adverse Outcomes in Patients With Pulmonary Embolism. Circ Cardiovasc Interv. 2024;17(8):e014088. doi:10.1161/CIRCINTERVENTIONS.124.014088 7. Zhang RS, Alam U, Sharp ASP, et al. Validating the Composite Pulmonary Embolism Shock Score for Predicting Normotensive Shock in Intermediate-Risk Pulmonary Embolism. Circ Cardiovasc Interv. 2024;17(2):e013399. doi:10.1161/CIRCINTERVENTIONS.123.013399 8. Ehret J, Wakefield D, Badlam J, Antkowiak M, Erdreich B. Development of the Pulmonary Embolism Progression (PEP) score for predicting short-term clinical deterioration in intermediate-risk pulmonary embolism: a single-center retrospective study. J Thromb Thrombolysis. 2025;58(2):243-253. doi:10.1007/s11239-024-03051-5 9. Weekes AJ, Raper JD, Lupez K, et al. Development and validation of a prognostic tool: Pulmonary embolism short-term clinical outcomes risk estimation (PE-SCORE). PLoS One. 2021;16(11):e0260036. Published 2021 Nov 18. doi:10.1371/journal.pone.0260036 10. Zondag W, Hiddinga BI, Crobach MJ, et al. Hestia criteria can discriminate high- from low-risk patients with pulmonary embolism. Eur Respir J. 2013;41(3):588-592. doi:10.1183/09031936.00030412 11. Wells PS, Anderson DR, Rodger M, et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med. 2001;135(2):98-107. doi:10.7326/0003-4819-135-2-200107170-00010 12. Wolf SJ, McCubbin TR, Feldhaus KM, Faragher JP, Adcock DM. Prospective validation of Wells Criteria in the evaluation of patients with suspected pulmonary embolism. Ann Emerg Med. 2004;44(5):503-510. doi:10.1016/j.annemergmed.2004.04.002 13. Le Gal G, Righini M, Roy PM, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med. 2006;144(3):165-171. doi:10.7326/0003-4819-144-3-200602070-00004 14. Kline JA, Mitchell AM, Kabrhel C, Richman PB, Courtney DM. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism. J Thromb Haemost. 2004;2(8):1247-1255. doi:10.1111/j.1538-7836.2004.00790.x 15. Kline JA, Courtney DM, Kabrhel C, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost. 2008;6(5):772-780. doi:10.1111/j.1538-7836.2008.02944.x

The Rush Hour Melbourne Catch Up - 105.1 Triple M Melbourne - James Brayshaw and Billy Brownless
Jack Crisp, Damian Barrett, is Billy Getting Elevated to Legend Status - The Rush Hour podcast - Monday 1st June 2026

The Rush Hour Melbourne Catch Up - 105.1 Triple M Melbourne - James Brayshaw and Billy Brownless

Play Episode Listen Later Jun 1, 2026 70:29


JB is in Perth, Billy is worried about the state of our team today, and we fire up the All Sports Report - as a Socceroo makes a last minute allegiance switch, and Billy butchers a netball team's name. Damian Barrett is in studio with his positives and negatives from Round 12, but the big question is - will he put on a Channel 7 pin? We want you to tell us something amazing you've done with Monday Brag Artist, Billy shares his five favourite moments from Triple M Footy this weekend, and Geelong is elevating a hall of famer to Legend Status. Collingwood's Jack Crisp is in studio ahead of the King's Birthday game, and ahead of International Donut Day. Finally, Billy has a dangerously fruity joke to close out our Monday show.See omnystudio.com/listener for privacy information.

Salvione Presents Elevated Radio
Salvione presents Elevated Radio Ep. 187 - Best of 2026... So Far. Pt.2

Salvione Presents Elevated Radio

Play Episode Listen Later Jun 1, 2026 60:01


The weekly radio show from Salvione, blending house, funk, and tech, resulting in an unparalleled energetic dance floor vibe. Sam Divine – The Groove
Nacho Scoppa – Summertime
Danilo Milani – Discotech
Rafa Barrios – Shake That Body
Mihalis Safras – Lesi
Justin Garcia – Me Encanta
Techouzer, Hermann Bravo – Chain Reaction
Davide T, Cyava – Pocket
Davide T, Cyava – Daily Race
David Lowe – The Drums
Castion – Move This
ATLAC – Hood Beat
Javi Galan, Manuel Torcello – Wanna Like That
Fer BR, Artslaves – Matiko (RSquared Remix)

Kidney Commute
Hidden Phosphorus: Understanding Phosphate Additives in Food

Kidney Commute

Play Episode Listen Later May 29, 2026 40:29


Phosphate additives are commonly used in processed and convenience foods, yet many patients and healthcare professionals remain unaware of how significantly they contribute to phosphorus burden in chronic kidney disease (CKD). Elevated phosphorus levels can negatively impact bone, cardiovascular, and overall kidney health, making phosphorus management an important aspect of kidney care. In this episode of Kidney Commute, an interprofessional panel featuring a nephrologist, dietitian, policy expert, and patient advocate discusses the clinical impact of phosphate additives, the differences between naturally occurring phosphorus and additive-based phosphorus, and the practical challenges patients face when trying to identify hidden phosphorus sources in foods and medications. The discussion also explores socioeconomic barriers, food labeling limitations, and ongoing policy and advocacy efforts aimed at improving phosphorus transparency and patient education. Listeners will gain practical strategies and insights to better support phosphorus management in clinical practice and daily life.

Sportsmen's Nation - Big Game | Western Hunting
Huntavore - Tailgate Tacos & Elevated Glizzies

Sportsmen's Nation - Big Game | Western Hunting

Play Episode Listen Later May 28, 2026 32:23


Join Huntavore as he shares his passion for outdoor cooking, tailgating, and grilling with the Blackstone griddle. Discover tips on setup, menu ideas, and how to elevate your tailgate experience with creative hot dog and taco recipes.  This episode explores innovative cooking techniques, focusing on taco preparation, wild game utilization, and a French mustard cream sauce.  Nick shares practical tips, recipes, and insights to elevate home cooking and tailgating experiences.     Attribution Code "Slow Burn" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License http://creativecommons.org/licenses/by/4.0/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Huntavore - Sportsmen's Empire
Ep199 Tailgate Tacos & Elevated Glizzies

The Huntavore - Sportsmen's Empire

Play Episode Listen Later May 28, 2026 32:23


Join Huntavore as he shares his passion for outdoor cooking, tailgating, and grilling with the Blackstone griddle. Discover tips on setup, menu ideas, and how to elevate your tailgate experience with creative hot dog and taco recipes.  This episode explores innovative cooking techniques, focusing on taco preparation, wild game utilization, and a French mustard cream sauce.  Nick shares practical tips, recipes, and insights to elevate home cooking and tailgating experiences.     Attribution Code "Slow Burn" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License http://creativecommons.org/licenses/by/4.0/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Grab Matters Podcast
Hannah Littlefield | The Grab Matters Podcast - Episode 114

Grab Matters Podcast

Play Episode Listen Later May 26, 2026 118:43


Wakeboarding is small, winching is an even smaller part of that, and Hannah got into both within quick succession of one another. What happens when you get invited to go winching but can't really ollie yet? You go to the cable and learn. Hannah Littlefield is a great example of someone who doesn't get lost in the details of boarding, as seen by some of her riding setups over the years. Broken binding? Open toe rental boots at a winch spot? Board not waxed? No problem. Winching before you're honed, living at Elevated, being a girl in a boys club, ZMT films, print mags, being Gibbys big sister, and running your own business. Hear all that and much more in Episode 114 of the Grab Matters Podcast with Hannah Littlefield!Follow Hannah: https://www.instagram.com/hannah_littlefield/Thank you to this shows sponsors! Liquid Force: https://www.liquidforce.com/ Slingshot: https://slingshotsports.com/Support the show: https://www.patreon.com/GrabMattersPodcastChapters:00:00 - 2:30 Intro2:40 Favorite grab6:50 Guest Question: Gibson Corcoran11:00 First times winching 21:30 LF'n Hot Seat29:00 Living at Elevated 33:00 Winching with guys36:20 Guest Question: Matt Gagnon45:00 Slings Hot Takes51:00 Setup53:00 Contests58:10 Video Parts1:07:00 “Girl in a boys club”1:23:00 Nature of Offense1:29:40 Guest Question: Adam Sinclair1:45:00 Guest Question: Scot FerwerdaLinks: ZMT Films: https://www.youtube.com/@ZMT_Films/videosShe Sendz: https://www.instagram.com/she.sendz/Sewer Cats: https://www.youtube.com/watch?v=8jw7LgXjAco&t=144sShoot us a text!Patreon: https://www.patreon.com/GrabMattersPodcastWebsite: https://www.grabmatters.com/YouTube: https://www.youtube.com/@grabmatters/videosInstagram: https://www.instagram.com/grabmatters/TikTok: https://www.tiktok.com/@grabmatterspodcastFacebook: https://www.facebook.com/grabmatters

Get Pregnant Naturally
Told Donor Eggs After Failed IVF? The Gut Pattern Your Clinic Did Not Test

Get Pregnant Naturally

Play Episode Listen Later May 25, 2026 12:44


Told donor eggs after failed IVF? There is a category of testing that your fertility clinic does not run. We rarely run a stool test and find nothing. The IVF cycle did not work. Maybe it was poor response. Maybe it was canceled before retrieval. Maybe you got embryos and they arrested. Maybe the transfer failed. Your clinic looked at your numbers and told you donor eggs. In this episode, Sarah Clark walks through the gut pattern the Fab Fertile team sees in women who come to us after failed IVF with a donor egg recommendation, and why this pattern changes the picture before the next decision. What this episode covers: H. pylori. One of the most common findings in the women who come to us after failed IVF. It impairs absorption of iron, vitamin B12, and zinc, the nutrients that affect egg quality, thyroid function, and hormone production. It is passed back and forth between partners through saliva. If you have it, there is a strong chance your partner has it too. Parasites, giardia, blastocystis. Common findings. Rarely tested at the fertility clinic. Bacterial overgrowth, including streptococcus. Fungal overgrowth and dysbiosis. The reason chasing an anti-candida diet without testing moves you in circles. Elevated calprotectin. A signal of gut inflammation, often present in women with IBD, Crohn's, colitis, and women with no formal diagnosis. Elevated zonulin. A marker of intestinal permeability. The pattern we see after rounds of antibiotics, sinus infections, UTIs, birth control, and high stress. Why this matters before a donor egg decision: H. pylori impairs iron absorption. Ferritin reads low or low-normal. The clinic says iron is fine because the lab range starts around 15. The fertility-optimized range is closer to 50. Iron is foundational to egg quality. The oxygen carrying capacity to your follicles depends on it. B12 affects methylation, the process your body uses to produce the co-factors needed for egg maturation. Zinc affects ovulation and progesterone production. Chronic gut inflammation affects ovarian response to stimulation, implantation, and miscarriage risk. When your clinic looks at a canceled cycle, arrested embryos, or a failed transfer and recommends donor eggs, they are responding to the outcome. They are not asking what is driving the outcome. This episode is for the woman sitting with a donor egg recommendation who is not ready to agree before she understands what was actually evaluated. Next steps: Access the free guide: What Your Clinic Missed. It walks through the markers we review before a donor egg recommendation, including the thyroid panel, the iron panel with the fertility target, the gut testing your REI does not order, the inflammatory markers, and the male side. Email hello@fabfertile.ca, subject line MISSED. Book a Functional Fertility Second Opinion. We will review your labs, your history, your full picture, and your partner's picture together. You will leave knowing what your biology has been telling you and what your next decision should be informed by. Email hello@fabfertile.ca, subject line FERTILE. Or apply here. About the Host I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and  bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Timestamps [00:00] Told Donor Eggs After Failed IVF [01:00] Why the Fab Fertile Team Reviews Your Picture [02:00] H. pylori: The Most Common Gut Finding We See [03:00] Parasites, Streptococcus, and the Bacteria Most REIs Do Not Test [04:00] Why a Single Gut Test Without Fertility Context Misses the Picture [05:00] Iron, Ferritin, and the Fertility Range vs the Lab Range [06:00] B12, Methylation, and Egg Maturation [07:00] Zinc, Ovulation, and Progesterone [08:00] What Your Clinic Missed: The Markers Before a Donor Egg Recommendation [09:00] Why a Donor Egg Recommendation Responds to the Outcome, Not the Cause [10:00] The Functional Fertility Second Opinion: What the Call Covers

Daily Signal News
There's No Question Prices Are Elevated': Trump Official Addresses Small Businesses' Economic Pain | Kelly Loeffler

Daily Signal News

Play Episode Listen Later May 20, 2026 24:52


Small Business Administrator Kelly Loeffler acknowledged that Americans are facing increased prices but promised that the economy will be better than ever after the Iran War ends. “There's no question in recent weeks, prices have bumped up because of rising gas prices due to the Iranian blockade of the Strait of Hormuz now,” Loeffler told The Daily Signal in an exclusive interview. “Obviously, with gas prices bumping up, that does ripple through the supply chain.” But Loeffler said she's doing “everything we can in the meantime until the conclusion of this war, which we do believe is short term, to continue to alleviate the pressures of the Biden administration.” Learn more about your ad choices. Visit megaphone.fm/adchoices