Podcasts about ERS

Colin Adams seems to have hit the sweet spot with Friday crosswords chock-full of cracklingly good clues. Besides those mentioned in today's podcast, we also have such notables as 14D, Locales for some residents, in brief, ERS (ah, those types of residents); 32D, Sch. that's home to Mike the Tiger (and his 15,000-square-foot habitat), LSU (we're suckers for clues that reference a cohost

Did Joseph smith Practice Polygamy? We decided to explore what it would mean if the Polygamy deniers were right… and frankly, if they are right… we have some major problems.Polygamy denialist' “Faith Package”1. Accept the belief JS did not practice plural message.2. Reject, as deceptions, the testimonies of the Church's highest leaders (ERS, ZH, BS, BY, JT, WW, and LS) after 1844 regarding their eyewitness accounts of JS's introduction of the practice of plural marriage. Accept that the Church's highest leaders for 50+ years were deceivers.3. Reject D&C 132 and its teachings, including those describing how JS had authority to create eternal families.4. Reject the temple endowment because nothing concerning it was recorded during Joseph Smith's lifetime. Instead, it represents the 1877 recollection of Joseph Smith's 1843 teachings, recorded by Wilford Woodruff, who also recalled how Joseph practiced plural marriage in 1843.5. Reject President Russell M. Nelson's teachings and the recent post on the Church's website that affirm: “Joseph Smith introduced the practice, not Brigham Young.”Our LinksWebsite: http://thoughtfulfaith.orgInstagram:   / thoughtful.faith  TikTok:   / thoughtful.faith  Podcast: https://www.buzzsprout.com/1478749DISCLAIMER: The views expressed in this video are entirely the opinion of the creator and do not necessarily reflect any officially endorsed positions of the Church of Jesus Christ of Latter-Day Saints or channel sponsors.

People swear that weird stuff goes down on a full moon. In fact, even SERIOUS folks like the nerds who work in ERs will tell you that something is off about those nights. And what's amazing is that science has actually looked at this. And … there is some weird stuff here! From animals to ERs to our circadian rhythms to our menstrual cycles, we'll find out — is something afoot during a full moon? We talk to Emeritus Prof. of emergency medicine Dr. Wendy Coates and circadian rhythm researchers Prof. Horacio de la Iglesia, Prof. Kristin Teßmar-Raible, and Prof. Charlotte Helfrich-Förster.  Find our transcript here: https://bit.ly/ScienceVsFullMoon  In this episode, we cover: (00:00) What do people think the full moon is doing to us? (03:54) How the moon influences animals (07:47) Does the full moon make ERs busier? (15:09) Does the full moon affect our sleep? (22:11) HOW is the full moon messing with us? (31:05) Does the full moon affect our menstrual cycles? This episode was produced by Meryl Horn, with help from Wendy Zukerman, Rose Rimler, Michelle Dang, and Ekedi Fausther-Keeys. We're edited by Blythe Terrell. Mix and sound design by Bumi Hidaka. Fact checking by Marlowe Starling. Music written by Bumi Hidaka, Bobby Lord, Emma Munger, So Wylie, and Peter Leonard. Thanks to all the researchers we spoke to for this episode, including Dr. Ron Flick, Dr. Michael Smolensky, Michael Bevington, Dr. Laurel Symes, Professor Laura Prugh, and Dr. Maarten Nijsten. Special thanks to Kevin Walsh and all the folks who chatted with me about the full moon.  Science Vs is a Spotify Studios Original. Listen for free on Spotify or wherever you get your podcasts. Follow us and tap the bell for episode notifications. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Professors Guy Brusselle and Celeste Porsbjerg join us to discuss their recent Series papers on asthma, which will be featured in a cross journal project with The Lancet, published to coincide with a Lancet journal session on asthma at ERS in Amsterdam. The Series aims to provide an overview of recent research advances related to asthma; to provide new insights into the genetics, prevention and risk factors for asthma; review advances arising as a result of the use of monoclonal antibody therapeutics; and assess remission in adult patients. Late breaking research will also be included within the journal session and linked to the Series.Continue this conversation on social!Follow us today at...https://thelancet.bsky.social/https://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv

This is a recap of the top 10 posts on Hacker News on September 25, 2025. This podcast was generated by wondercraft.ai (00:30): ChatControl: EU wants to scan all private messages, even in encrypted appsOriginal post: https://news.ycombinator.com/item?id=45374500&utm_source=wondercraft_ai(01:52): Microsoft blocks Israel's use of its tech in mass surveillance of PalestiniansOriginal post: https://news.ycombinator.com/item?id=45373564&utm_source=wondercraft_ai(03:15): Death rates rose in hospital ERs after private equity firms took overOriginal post: https://news.ycombinator.com/item?id=45372442&utm_source=wondercraft_ai(04:38): Cloudflare Email Service: private betaOriginal post: https://news.ycombinator.com/item?id=45373081&utm_source=wondercraft_ai(06:01): The story of DOGE, as told by federal workersOriginal post: https://news.ycombinator.com/item?id=45373102&utm_source=wondercraft_ai(07:24): ChatGPT PulseOriginal post: https://news.ycombinator.com/item?id=45375477&utm_source=wondercraft_ai(08:46): Improved Gemini 2.5 Flash and Flash-LiteOriginal post: https://news.ycombinator.com/item?id=45375845&utm_source=wondercraft_ai(10:09): Bundler Belongs to the Ruby CommunityOriginal post: https://news.ycombinator.com/item?id=45371061&utm_source=wondercraft_ai(11:32): Knotty: A domain-specific language for knitting patternsOriginal post: https://news.ycombinator.com/item?id=45369768&utm_source=wondercraft_ai(12:55): Demand for human radiologists is at an all-time highOriginal post: https://news.ycombinator.com/item?id=45372335&utm_source=wondercraft_aiThis is a third-party project, independent from HN and YC. Text and audio generated using AI, by wondercraft.ai. Create your own studio quality podcast with text as the only input in seconds at app.wondercraft.ai. Issues or feedback? We'd love to hear from you: team@wondercraft.ai

USDA has updated its farm sector income forecast for 2025 and projects rising incomes countered by rising costs.

ERS president and managing partner Jonathan Travers joins Mike Petrilli on The Education Gadfly Show to talk about school district budgeting during uncertain times.Then, on the Research Minute, Adam Tyner shares a new report from the National Council on Teacher Quality looking at district policies on pay bumps for teachers with master's degrees, and how the money could be better spent.Recommended content:The degree dilemma: School districts spend millions on ineffective master's degree premiums —Katherine Bowser, National Council on Teacher Quality (August 2025)Close bad schools and expand good ones —Chad AldemanWhen—and why—legislated school finance reforms don't increase state education spending —Amber Northern and Jeff MurrayAn in-depth look at how Texas makes teacher merit pay work —Jessica PoinerThe ESSER hangover is here —Marguerite RozaFeedback Welcome: Have ideas for our show? Send them to thegadfly@fordhaminstitute.org

Sean Duffy, co-founder and CEO of Omada Health, shares how his company is supporting diabetes care by providing continuous support between doctor visits through digital health technology. His journey from medical school to creating a healthcare solution that puts a "care team in your pocket" demonstrates how technology can help bridge critical gaps in traditional healthcare delivery.Key topics discussed: • Founding of Omada and Omada for Diabetes• 15% of ERS population lives with diabetes, higher than the national average• User experience: monitoring devices, a dedicated care team, and AI-powered tools at no out-of-pocket cost• Program focuses on sustainable 5% incremental changes rather than dramatic lifestyle overhauls• AI technology helps users easily track meals and understand their personal glucose responses• Human element remains central with consistent coaches who provide accountability and personalized support• Walking after meals and other small behavioral changes can significantly impact glucose management• Future innovations will continue blending AI capabilities with human compassion and expertiseTo register for Omada for Diabetes, check out the HealthSelect Omada for Diabetes Webpage. Contact Sean directly with feedback at sean@omadahealth.com.

Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: Phillip L. Swagel, Director, “CBO's Estimate of the Statutory Pay-As-You-Go Effects of Public Law 119-21,” August 15, 2025, https://www.cbo.gov/system/files/2025-08/61659-SPAYGO.pdf, Congressional Budget Office. Bill Heniff Jr., “Budget Enforcement Procedures: The Senate Pay-As-You-Go (PAYGO) Rule,” January 9, 2023, https://www.congress.gov/crs-product/RL31943, Congress.gov. Madeline Ashley, “CBO report warns of nearly $500B in potential Medicare cuts,” August 18, 2025, https://www.beckershospitalreview.com/finance/cbo-report-warns-of-nearly-500b-in-potential-medicare-cuts/, Becker's Hospital Review. Alex Kacik, “Looming uninsured surge may overwhelm ERs. Here's who can help.” August 18, 2025, https://www.modernhealthcare.com/providers/mh-medicaid-cuts-er-overcrowdfng-kaiser-permanente/, Modern Healthcare. Michigan Center for Rural Health, “Michigan Center for Rural Health Releases Rural Health Equity Plan Focused on Advancing Equity in Rural Michigan,” August 18, 2025, https://mcrh.msu.edu/News-and-Events/News/2025/08/RHEP-2025. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.

Este episodio aborda el debate sobre la edad en la aviación comercial. Analizamos la propuesta de la IATA ante la OACI para extender la edad de los pilotos de transporte aéreo hasta los 67 años, respaldada por la creciente demanda de personal y evidencia médica que avala la salud y seguridad, bajo la regla de 'un piloto mayor, un piloto menor'.Por otro lado, examinamos la alerta de Controladores Unidos (CCUU) ante el Parlamento Europeo. Seiscientos controladores españoles denuncian la supresión de su sistema de prejubilaciones (ERS) en 2010, sin una evaluación adecuada de seguridad. Presentan evidencia científica, como la curva de Cobb y estudios de Eurocontrol, que demuestran un declive en el rendimiento psicofísico y cognitivo a partir de los 46-50 años. La sobrecarga laboral y un informe de salud 'deficiente' en un colectivo con una edad promedio superior a los 50 años representan, según los peticionarios, un riesgo crítico para la seguridad aérea europea.Este episodio explora el delicado equilibrio entre la viabilidad operativa, la demanda de personal y la seguridad aérea innegociable en dos roles clave de la aviación."

How do top dental specialists quietly become the go-to experts without splashy ads or endless networking events?In this episode, we peel back the curtain on ground marketing strategies crafted specifically for dental specialists. Think orthodontists, prosthetists, periodontists, and more, who rely on referrals rather than foot traffic. We dig into the nuances of micro-niche targeting and how pinpointing the real decision-makers (those who influence consistent referrals) will change the way you build your practice's network. Using relatable examples, like ERs for endodontists or schools for orthodontists, you'll discover how symptom-based segmentation and a referral signal map can transform the way you identify and connect with the environments that matter most.Next, you'll learn powerful outreach tactics, including how to use a sphere of influence map to rank and approach referral sources strategically. This ensures your time goes to high-yield relationships, not wasted appointments. You'll understand how concentrating marketing efforts in areas rich with your ideal patients or gatekeepers can maximize your ROI. We also cover smarter, less intrusive ways to maintain momentum with referrers to make every touchpoint matter (without feeling annoying.)What You'll Learn in This Episode:How to clearly define your micro-niche and identify prime decision-makers.Where to locate high-yield referral environments and map out key referral signals.Smart tactics to segment potential patients by symptoms and life stages.The step-by-step process for building your sphere of influence map.How to rank and schedule outreach for maximum referral impact.Using heat mapping and geo-zoning to concentrate efforts where ROI is highest.The "Don't Be Annoying Plan" to stay top of mind without overwhelming referrers.Tips for psychographic personalization to connect with referrers on an emotional level.The essential art of asking the right questions and listening for referral cues.Strategies for building long-lasting, referral-rich relationships that sustain specialist practices.Hit play now to discover proven strategies for becoming the referral magnet in your dental specialty. No hype, just results!‍‍Learn More About the Ground Marketing Course Here:Website: thedentalmarketer.lpages.co/the-ground-marketing-course-open-enrollment‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Let Us Know How We're Doing on Apple Podcasts!

In this episode of the Vital Health Podcast, host Duane Schulthess convenes three leading voices from the 2025 BIO International Convention - prominent physicians, innovators, and advocates shaping the future of drug development in the wake of the Inflation Reduction Act (IRA). Throughout this conversation, they examine policy impacts, clinical ramifications, and patient access challenges: Barbara McAneny: Former American Medical Association President; Co‑Chair, ONCare Alliance; CEO, New Mexico Oncology Hematology Consultants, Ltd. Rafael Fonseca: Chief Innovation Officer & Getz Family Professor of Cancer, Mayo Clinic in Arizona Steve Potts: Chair, Drug Development Council, ICAN (International Cancer Advocacy Network) Key Topics: Pipeline Modality Shifts: Early‑stage developers are retooling small molecule programs into biologics, or abandoning follow‑on indications altogether to sidestep the IRA’s nine‑year exclusivity pill penalty. Clinical Trial Ecosystem: Independent and academic centers alike are seeing fewer small molecule trials, threatening orphan drug expansions and revenue streams that underwrite care. Oncology Practice Economics: Cuts to drug margins will jeopardize community practices, forcing difficult choices between patient treatment and financial survival. Patient Affordability & Copays: The cap on out‑of‑pocket oral drug costs versus the hidden burden of high copays and co‑insurance - and why eliminating them could raise premiums only modestly. PBM & Insurer Vertical Integration: Payers acquiring manufacturers and ownership of formularies are steering patients toward the highest‑rebate products at the expense of clinical judgment. Broader Systemic Ripples: From congested ERs due to unmanaged side effects to rural access collapse, plus the missed opportunity to cut PBM take‑rates instead of hampering innovation. Policy Fix Imperatives: Proposals include recalibrating exclusivity durations (extend small molecule to 13 years), automating rebate flows to CMS, and overhauling PBM incentives. This discussion covers the interplay between drug-pricing reform and the future of care, highlighting unintended consequences and pragmatic solutions. It’s essential listening for policymakers, payers, industry leaders, patient advocates, and every stakeholder invested in sustaining medical innovation and ensuring equitable patient access. Opinions expressed are those of the speakers, not the companies listed. Recorded on June 16, 2025.See omnystudio.com/listener for privacy information.

Canada's small-town ERs are in crisis, facing routine closures and severe staffing shortages. Globe and Mail health columnist André Picard argues some of those ERs might need to close, so scarce resources can be used more effectively.

This month's episode of The MOD Pod features host Cecelia Koetting, OD, FAAO, Dipl ABO, speaking with Sulman Hans, OD, MS, FAAO, Dipl ABO, about his article in the July/August issue of Modern Optometry, "Keeping Eye Care Where It Belongs," which offers helpful steps to steer patients away from ERs and urgent care centers and into OD practices. Dr. Koetting also has a conversation with Rebecca Miller, OD, about her article, which walks through the various corrective options available to patients as their visual needs evolve over their lifetime.

In honor of Loretta Swit, "Hot Lips" Houlihan from MASH passing away at 87 our top 3 focuses on medical shows...doctors...nurses...ERs ect

Send us a textLaura Krachun shares her son's harrowing journey with serious mental illness and the systemic failures that criminalize mental health conditions instead of treating them. Her story highlights the urgent need for better policies to support individuals with psychosis and their families.• Laura's son was misdiagnosed with ADHD before eventually being diagnosed with schizoaffective disorder at age 20• Cannabis use potentially triggered or worsened his psychotic symptoms• Despite 16 attempts to get help through ERs and police, the family faced constant rejection from healthcare facilities• Anosognosia (lack of illness awareness) prevented her son from voluntarily seeking treatment• After a violent episode, her son entered the justice system rather than receiving appropriate psychiatric care• Their state's mental health department only offers services to those who volunteer, excluding those with anosognosia• The legal system spent resources on 72 court hearings rather than on treatment• Laura advocates for Assisted Outpatient Treatment laws to bridge the gap between legal and medical systems• Better education is needed for judges, lawyers, and medical professionals about serious mental illnessWe ask that you tell everyone everywhere about Why Not Me? The World, the conversations we're having, and the inspiration our guests give to everyone everywhere that you are not alone in this world.https://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)

In this playful and grounding episode, Georgianna and Steph explore how to stay centered when life is full of unknowns. Whether you're spiraling through decisions about relationships, housing or career, or simply struggling with daily overwhelm, this conversation invites you to reclaim agency over your focus — and your nervous system.Through light-hearted embodiment practices, they demonstrate how small shifts in attention can restore calm, clarity, self-connection, and even joy. From hospital ERs to everyday anxiety spirals, discover how to choose what you focus on — and how to grow your peace in any moment.✨ Learn how narrowing your focus can open up unexpected possibilities✨ Enjoy the magic of playful embodiment✨ Remember that even in chaos, you get to choose your vibe"Like finding gold." - Alma W."The best therapy I've ever done for myself." - Sanjeev B.Join our monthly membership for LIVE calls & practice:http://bit.ly/4eF86reGet our Self-Compassionate Body-Based Toolkit:https://bit.ly/40Vnz3b************************************************************************Every episode begins and ends with a body-based self-connection practice, so you can grow your capacity to be with all that life brings. We also include self-reflection and journaling prompts each week, posted on our Instagram @wholeheartedloving. New episodes every Sunday at 10am PT.Learn more about us and how you can practice with us LIVE at wholeheartedloving.com.

In this essential video from UC Today, host Kieran Devlin sits down with Lauren Kravetz, Vice President of Government Affairs, André Malais, Senior Product Manager, and Rhys Rueffert, Product Manager, all at Intrado, to unpack one of the most urgent enterprise topics in 2025—duty of care and emergency readiness.With U.S. laws like Kari's Law, Ray Baum's Act, and Alyssa's Law reshaping how organizations must respond to emergencies, this conversation dives deep into the role Intrado's Emergency Routing Service (ERS) and Safety Suite play in ensuring real-time, location-accurate, and regulation-compliant responses to 911 calls.Whether you're in IT, compliance, or enterprise safety, this is a must-watch. How do enterprises ensure they're not just compliant with complex 911 regulations but genuinely prepared to protect their people?In this insightful panel discussion, Intrado's experts break down the dual challenges of regulatory compliance and proactive emergency response—and how their ERS and Safety Suite solutions work in tandem to solve both.Key Takeaways:Understanding Compliance: Learn how Intrado's ERS supports federal laws like Kari's Law and Ray Baum's Act by ensuring accurate call routing and dispatchable location delivery—even for remote or mobile usersBeyond Compliance: Discover how Intrado's Safety Suite goes further with features like silent panic buttons, emergency alerts, and integration with physical security systemsAdaptability Across Industries: See how Intrado's solutions meet evolving state-level requirements—from K-12 schools to hospitality and retail sectors—without enterprises needing to adapt to each regulation individuallyFuture of Safety Tech: Gain insight into how Alyssa's Law is shaping broader workplace safety policies across the U.S., and what it means for your organization

{Hot Little Number} All right. Ah…, you know what? I don't feel like making a mix tape . My mix tapes have been lackluster lately. What up? I'm recording daily for the show right now. I don't have a plan or anything like that. I'm just, uh, what am I doing? Oh. I am, uh, I have to take some time. *weird surfer laugh* between right now and the next song on this album and whatever else I'm doing. I'm also, um I'm like weird. I'm I'm reclaiming my time. Um, my sleep schedule is changing again. I think I'm just like a rolling… I'm like a I'm like the floater. Hello, what's going on? I don't think I've opened with hello for a while, but it's been random. It's been touch and go. I had a little voice today that was like ”do not leave your house.” And I was like, “first of all, I don't have a house. This is an apartment building.” But then I was like, well, I was waiting on this Amazon package God bless Amazon or, you know, one ever bless it. Just bless it, bless the thing, cause you never know what's gonna happen. You know, though they happen monopoly on all the needs. why would I buy this for six dollars if I could get it for two? it's it is the necessary evil right? I—Yeah. Everything's a necessary evil. I just figured it out, like this body is a necessary evil. Like I wouldn't even be existing in this way if I didn't have to. And then when I don't have to, I get to be free again. you know? Anyway, what the fuck was I just saying? or not saying, not saying for the most part. I don't have much to say, I'm not I'm really excited, I'm glad about how that last tract turned out, but it's not uh it's not finished. What what is finished? Oh, I had those two singles cleared, so hot little numbers is out today, but you won't hear this today. I can't I have no guarantees no guarantees about when you will hear this. I'm not sure anyway, I had a little voice in my head that was like do not leave your house and I was like, “I don't this is not a house.” And I was waiting on an Amazon package and Amazon the app does this weird thing where it's like, it'll be like the driver is this many stops away. this many stops away and it'll go from like three stops away to deliver it sometimes. So I was like refreshing and refreshing the page, like had nothing else to do. No, I just have to this is one of those times every few weeks where I have to not work out vigorously, and I had like a good run yesterday, but I think I overdid it after a period of stagnancy where I just didn't run that much at all. I didn't run that much at all. And then I ran like a lot and I was liking it so much because I was getting to go high speed, but if I'm out in my neighborhood every day running like that, like things get weird and shifty, so I don't I don't get the luxury of doing that all the time. cause my neighborhood is kind of just like a weird, bad shit, crazy place. I don't even think it really exists, like on the actual like, I think it's on grid off grid. Like I—I swear to God, there's things that move around that like should not, like things that are there and then are not, and then things that like it's just, you know, whatever. What is this episode for? I don't know if I can talk for an hour. I can't say, my energy's a little bit different, a little bit fucked up. Why was I not supposed to leave? I didn't give a fuck. I already did now we're on the Peloton, which is why I'm doing the subside right now. Well, I found a podcast that I might be interested in. I'm not sure. It takes it takes a lot. Like I realized that when I do this podcast, I'm giving myself energy. I don't know how but it gives me energy to to listen back to something that it feels like. I've never heard it before. Because I'm kind of an automatic out—out my body when I'm making these episodes and so it's not. It's like it's like hearing something new. Also, my my grown up voice doesn't sound like me to me. So I'm like, ah, like it's still new every time. hundrers of episodes later, it's new every time. For an hour at a time, and I'm really enjoying my Peloton. So would that being said, what do I have any honorable mentions? No, None. There's none at all. I am technically behind schedule well, actually, I mean like I'm catching up, you know, is this just on random? That's gonna bug me. where'd I put the remote. I liked the pattern that was on one of these lights in my studio, and so I thought it was gonna stay there, but it's alternating. I wonder if I can find that one thing that has started on again. Ooh, that's cool. Is it gonna stay there, though? That's dope. I'll just leave that like that— anyway. I'm going back to being a night person cause that's where the things are calm. That's where things are calm, but I'm also coming out of my like weird antisocial space cause of voice in my head was like, though, don't go out of your house. I was like, this is not a house. If it was, I probably wouldn't, but it's not, so I have to go do things in order to make sure that one day I have a house that I can choose to or not to leave. So. I was like, “yeah, I'll do that. I'll go wait for the Amazon guy.” “ I'll go wait for the Amazon guy and jus, like, creep. And so I did that. I went to go creep for the Amazon guy, and it was like, well, it's still three stops away and I was like, this is making me nervous cause it said three stops for like a good 30 minutes. I was like, ‘that's a long three stops.' So, I was like, just sitting in the lobby and I couldn't stand it. Like, I couldn't stand just standing there. So I turned around, I checked my mail, and it was like the same three articles that have been in there for like a month. I just leave them in there. I'm like, ‘these are of no importance really.' So I just leave whatever's in there in there. And I check my mail and I was like, ‘I can't just stand here like this!' and so I was like, fuck it, I'm gonna I'm gonna go. I'm gonna go to the gym for like five seconds because you know, it wasn't worth it and I knew there would be other people there because it's during the day. and there was, and I don't know, I guess I'm I guess I'm uh I guess I'm — I'm better now. As long as I don't have to have that experience all the time, cause I did go straight in there and then a dirp derp followed me in there and I was like, well, that kind of proves my point. So I left the downstairs and I went to the upstairs and there was this this girl just okay, advice: Like if you're ugly, don't be mean. I don't know if she was ugly cause she was mean, or if she was mean cause she was ugly. I don't know, but if you're ugly don't be mean, it makes it worse. That's just advice coming from somebody that's been ugly my whole life! So I'm not mean to people because you can't, like, you can't be ugly and mean. That's extra bad, bro, like, pick one thing and stick with it, but don't be mean and ugly. look, if you're ugly be really nice do that do that anyway, this girl: I don't know why the fuck people mean mug me. Like it's their business. I'm like, 'is this your job?‘ What is wrong?! What is wrong!? I don't know, because I went frumpy as fuck. It's not like I'm dressed. I went in a shirt that I found. I literally found this on a jog. It was brand new, though, and I keep wondering what the where the fuck it came from because I was like bro, if I was going to make T-shirts it would be like this. And it like it looked like it came hot off the press, like somebody screenrinted it for me. It's the coolest shirt. It's the coolest shirt and it brand new, and it was like brand new when I picked it up and saw it was like cool. But I went in like these they were marketed as fucking like you get what you pay for it. They were marketed as high impact sports bas, but then I put it on and it was pretty much like mesh with no support at all. Like I can't even run in them! I can't run in them, but I'm not running because I'm waiting for this injury to fucking all the swelling to go down or whatever. So I was on the Peloton, but I took it easy or whatever. and then I was like, 'well, my shoulders have been bothering me.' I'm trying not to take more than one bath a day. I do take a lot of baths, but it's cause I don't have a sauna anymore! That's why I'm like, oh man, my body got so used to like that extra pushing everything out and then like now if I don't, like my muscle just get all sore and whatever. I've thought about trying like creatine. I don't know, I'm just such a meathead when I when it comes down to it and I'm like bro, if I really get into training or like gym rattiness, like I —I go like probably to half. So my so I haven't been like lifting or anything like that, just cardio and um and I've been eating rice, so I'm I'm thick, you know, like i'm frumpy as fuck, just waiting for this Amazon order to come, and so I go into like the bottom level of the gym because I saw two people at the top and I was like, ‘oh, I'm gonna give you your space or whatever.' And so I went to the bottom, and I did a couple lifts or whatever, but then a derp-derp came in and she was on the phone like “blah, blah, blah, blah,” and I was like, ‘see. that just fucking proved my point.'and so I fucking went upstairs. I was like no matter what, like these fucking derp-derps. And so I was like, okay. And so I went back upstairs where, like the girl and I guess that was her man. I don't know. I guess maybe that's why she was looking at me. like that. I'm not looking at him! I'm looking at you scowling at me. Don't do that! Anyway. Fucking OH—I met the boyfriend of the other girl. I didn't know that was her boyfriend. Now I know why she was scowling at me. Stop scowling, like your face is gonna get stuck like that! I guarantee you and it's already not a good looking face. I'm only noticing this because you're scowling at me with it. Don't do that like I'm getting to the age where I'm careful like I smile when I want to frown like I have this natural, like a droopy dog, like a cartoon droopy dog face when something really hits me a certain way, my face will just automatically and, like — people only— — it like —I only know about it because people call attention to it like something would happen I'd make that face and they'd be like, what is that face? And I'm like, I don't know what the fuck you're talking about until one day I guess I like noticed the muscular change in my face and I was like, oh, that face and so now I'm aware of it, but it's not something that I do on purpose. It's something that I do as a reaction to something, but now I'm getting to the age where I'm like, yo, if I keep making this face, there's gonna be lines in this area. Like there's gonna be lines in this area where there where there's going to be lines anyway, eventually, but I can prevent the like I can like if you smile more, you get smile lines when you get older, and if you frown, like that, then you get that face and I'm not trying to look like somebody's fucking dog, you know, like a fucking like, you know, like a cute dog, like a chow chow or like, what are those things? I don't know, I don't I don't know, I don't know. Anyway, how the fuck is like, oh, don't scowl! And I was like, I don't know if that's just your aura or your face, but now that you're looking at me like that, like, bro, don't don't do that. Don't be ugly and mean. Like you can either be mean, like most pretty people are mean, but then it's like, oh, I see why. I see why you're mean like that. Beautiful women are like usually. I'm like, ”you—scowl, I guess, but I mean like, it doesn't necessarily make anything worse if you're like a certain…” I don't scowl. I know I'm ugly. I don't go around like American people with my face I'm like don't do that. Don't do that, bro. Otherwise, good looking girl, otherwise otherwise, anyway, I don't know, I guess it's just uh, I've been here too long, dealing with this. Don't scowl, bro! I hate that! And then it's like, oh, I'm only looking at what you're I guess wanting me not to look at because you're looking at me like that and then I'm like, oh, I hate to see a good looking guy with like an ugly girl and then I'm like, 'bro like that's a waste. That's just a whole waste. This whole thing is a waste and you shifted my mind into thinking that way! now I'm mean!” passing on negativeives and shit ugly don't be ugly anyway what the fuck what? was that the story? Well, I mean, like I was just lifting for five seconds. I was only waiting on an Amazon package. I'd like to think that when somebody fucking presses their elevator button with their middle fing that they are flipping you off, but I was like, what did I do to you? Nothing, anyway. When do I have to say for the next fucking 20 minutes? That makes me seem like a shitty person, but I'm not that. I'm not that shitty. I finally did watch I finally did watch Bob the Drag Queen's opening monologue for the Queerlie's. That's what they're called. It's like on my it's on my to do list to be invited to a place like this. This is where I want to go and I'm like I'm not I I want well, I mean like I'm straight. I'm straight. Well, I'd like to think of my I'm like a gay man. I'm gay like a man for men. I'm like a gay man. I don't know how to I'm gay for men. And yeah. I guess I'm kind of queer. I don't know. I don't think so. Because when I think about aquer means like you can go both ways, I'm not going no way but one at this point. I'm strictly dickly. Super duper straight. I like dudes. I like gay dudes. That's a problem. That's like a like an ongoing problem. If I like a guy, I'm like, ”oh, man, he's probably gay.” He is he's gay, you know? It's it's okay. But you whatever, I just like dudes. I like all dudes. No, I don't like all dudes. I like all men. There's a fucking hard line between dudes, guys, men, boys don't like boys. Definitely like I don't even like college students anymore like even graduate students, I'm like oh, who are you? What do you baby? Oh, they're cute, like football players, professional athletes, children. They're children. They're adonises, sure, statuesque, perhaps genetically gifted, absolutely am I attracted? No. no, That's a kid. That's what I see. I'm old I'm old, that's okay. I like it. I'm starting to get like excited for Amazon packages that are not—I'm like, I'm opening my Amazon package like I waited all day for this. There's nothing in here.' regular household items, like true facts, facts. ah, but you know what? I paid a pretty price for this protein. It'd better be the best protein (it's not the best.) It's probably maybe the second best. Becahse the best that I've ever tried. I'm not behind the $80 per80 for 15 servings. That's too much. I haven't even actually done the fucking math on that, but that's too many. That's what that is. That's what that is. Like for protein? Anyway, what the fuck was I talking about? beef? Nah, I was talking about being meaty, but not in the way that you would think. And then I was talking about the Queerly's, so I guess we're back on meat, kind of. kind of. I don't know. what was it what was my point about that? Oh, I just I like gay culture, like not as like a, you know, I like it. I love it. I wanna go to the queeries. I wanna vogue. I still can't I can't bring myself to go to a vogue club in New York because I'm just like, bro, oh, that's what it was. I mean but not like drag queen mean. No. ans then I was thinking about I was thinking about Joan Rivers RIP and I was like is technically like like if she ex if a certain if a person like her existed now, would she be canceled? Like, because she was not nice. She was honest. Whixh is not necessarily always like a nice thing. So I mean like I don't I don't think I'm mean, especially when Bob the drag Queen reminded me that, like, yo, Gays are super fierce to each other, like to the point where it's like, oh, that's mean. Like, I forget that people actually like openly what's it called. Is it called roasting, like on all fronts? I don't know. I don't forget that, but, you know, it's when was the last good roast, though? Not for a long time. A lot of red tape, a lot of things you can't say. I think that's the theme that, you know, the cancellation of like the entire human race, has just changed media. It just changed theater, like, “Ohp, you can't say that!” Like, I'm I'm gonna say that. Maybe. I don't know, my whole my whole thing changes when I see other people. I'm like, oh, this could turn into like one of those fucking like this could be a stampede real quick. The herd mentality is thick and this motherfucker. If too many people all agree that I'm the enemy, this is bad for me. is bad. I'mma just stay— I'mma to just stay neutral. No honorableensions, nothing. I'm still I'm just in the midst. I'm in the thick of it, putting my things and my stuff together. I realized I'm really glad about a lot of things. Pretty glad about things. Um Also, um kind of a tortured soul. I'm not miserable, though. And I'm really good at not spreading my misery. That shit is like contagious as fuck. It's gross. Like, I'd rather be sneezed on than have some people's like form of depression or mental illness. I like, yo, you keep that to yourself. But in a lot of ways, those things are way more fucking spreadable, way more spreadable than just like like I can get over the flu, whatever your daddy did to you. I don't know. Anyway, no daddy jokes, that's also I can I'm like, uh, okay, what can you say? What can't you say? Because I'm about to take this thing to the next level. What is the next level? What is the next level Of which part? I'm in a lot of different I'm in like a lot of different, like, high stakes games. A lot of them. And so I'm like, “okay, what's the next comedy level? not falling on my face every time? It's probably a good place to start. It's probably a good place to start. We'll start there. I don't know when. Probably. I'm probably going to use comedy to Tears or a Clown because I'm really liking how it's turning out so far, and so far, don't have a song on there under five minutes. Is it under five minutes? I don't know. It's long. They're all long, but it's a concept album, so it's it's it's meant to be listened to more like a film or more like a, you know, like a play or like a musical, you know, because I'm weird like that. I don't I don't ever want to do anything normal or popular yet unless somebody offers me a house, like— a real house where no doors will be slammed. NO DOORS WILL BE SLAMMED! What, am I gonna slam the door for myself? I'm mad— at myself. No, take your shoes off, quiet. Unless you're landing on the hellipad. Does my house have a helipad? No. No, I feel like unauthorized helicopters would land on it. I feel like they would. if you build it, they will come. I'm like ooh. It's very like few it's like, “who the fuck is in the helicopter?!” I don't know. Well, I mean, like there's a couple different ones now anyway, it's not I'm not telling that joke. It's awkward, but then then I don't know. I had for some reason, I guess maybe that was the reason. I left out one card from the uh the Truth or Dab game that I ended up with, the Hot Ones game that I have no friends to play with. I still have the fucking sauce in my fridge from the game. Like I don't think you have to refrigerate it, but I refrigerated it anyway because I'm like, ‘it's hot sauce. ' Like, it should be perishable, but then I guess anything with a certain amount of vinegar is just preserved it preserved, you know? Damn, what the fuck am I about to say for an hour? I have no idea. I'm really nervous. I'm giving this entire album away for free. Stupid. Well, what the fuck? If nobody's going to buy it, might as well just like, you know, get it out there and get it to the next thing. I don't I don't have much else to say. What am I reading? Oh, I finally found my copy of the Odyssey Sure did. I think I have two copies of it, though. I think I have like a paperback version. Apparently the last time somebody opened it was 1981. Ans so I fucking I opened it and the whole the whole coverage just fell off, but I was getting my kicks. I really like…that book. I like that one. What else am I reading? Other things? I decided to finally. I decided to finally try to go through all the books I checked out of the library, like over a year ago so that I can take them back, but again, these things keep being relevant, like I just use them for reference. I'm really bad at libraries . I'm terrible at them. Like we could say historically, but I don't know, I haven't had like an enough adult experience with libraries to no, I'm like on record. It's I'm really bad at libraries. Yeah. like, really bad. Like, sometimes I've lost books on my way to take them back to the library. Isn't that ironic? Anyway, what the fuck is going on now? I don't know . The street Fighter's edition of “we don't give a fuck.” I'm guessing. I heard like a a like audible car accident and then like more yelling and it made me worry that somebody might be hurt because at first I was laughing. It was like and not like I heard the plastic crunch and, like, the fiberglass and I was like,” oh boy, ha ha.” And then like somebody was like yelling from the street and I didn't know if it was in relation to that because there's always crackhead down there. and there's always somebody doing some fuck shit right—there, and I'm like, ‘okay, all right, well, hopefully nobody got hurt. unless they were one of the people sitting under the window, like waiting to rev their engine. Then I'm like, “that's on you. I told you I'm not the one that deals karma at something else.” I don't know. I think it was just two vehicles, like not doing well together. New York drivers are not great, though. They have a very very little patience. Like, all you have to do is slow down a little and somebody's like,aby,ep,ep, beep, beep. I'm like, “Yo, dude like calm the fuck down. Calm the fuck down. Like that's not helping anything. It's not helping anything.” I think people need to work out more, maybe because I had already done my hour on the Peloton and whatever those vibes were were just like they were like shwing, like bouncing off me. I only did a couple lifts. I don't know why you gotta scowl. I guess I'm a little upset, cause I'm just I'm like a nice person. That's why I'm upset because I'm like, oh, like how do you do? I went frumpy. It's not like I'm like bending over in front of your man. It's like, 'hello, how y'all doing?' Like, I'm not doing that. All I'm doing is lifting. And then I fucking left because my fucking Amazon order was like, okay, it's delivered. And it said it was delivered early. So I could have gotten a couple more lifts in, but I didn't. I did not get those last few lifts in. So waiting because it was like, ‘yo, your package is in the mail room' and I was like, 'okay, cool.' So I went over back to the mail room and there was nothing there. and I was like , fuck this. Like, now I'm like sweating bullets. I'm like, 'oh my God. like, what if whoever stole my pancakes also stole this Amazon hall' — and like, Amazon keeps track of shit like that. so like I've had packages stolen before and they knew that by my credit card number they were like, ‘ yo like haven't you had this issue before?' I was like “yeah, but like that's why I told the Amazon driver to come to the door,” but the Amazon driver is like, ”no I'm fucking late or whatever, I'm not gonna do that!” Sometimes they do. It really just depends on what the fuck is going on. Sometimes I leave it at the fucking wear wherever I'm gonna leave it outside if I can. I'm like damn god damn. Like when when I was in the workforce workforce— cause trust me, like what I'm doing right now sometimes feels like slave wages. I'm like bro, did I really do this for two years and get $15 dollars? That doesn't seem to make a lot of sense. No, that doesn't mean that doesn't that doesn't seem to make a lot of sense. It doesn't, right? does it? That's not a lot. No, it's not. I also don't have “billions of streams”. This saddens me. Oh, I got the lights to match. That's good. I didn't think they were gonna match. Anyway, what the fuck was I saying? I've been in —fucking— “billions of streams”. You need ten million for a hit. I get like I get giddy when I hit 200 streams for a song. I'm like, ‘wow. they really liked it.' and it makes me wonder how the fuck did I even get those? Tame Impala, according to YouTube. According to YouTube, people who like Tame Impala will , like, sit on my music a little bit longer than people just random coming in from any of my other places, but I haven't checked on my analytics in a while because… I wasn't dropping music eguch making me sad to watch my numbers just plummet and makes me sad anyway, and now I'm gonna know about the numbers. I'm like, ‘well, whatever' Here's chairs of clown comes out. I picked the date, but I'm not saying shit about it, cause I can still change my mind. I could still change my mind. I still might, I don't know. We'll see how it goes. We'll see how it goes with the next few tracks. It's almost finished. It's really oh— Uptown A has a new single. Oh. not not out yet. It will be by the time you hear this though. It's called what's it called? Suede. It's really good. I listened to it and I was like, 'I really like this song‘ which, like I said, it happens about one every ten songs. I'm like, ‘I really like this. I really like this.' Like technically those are the only songs that should be out are the songs that I listen to and I'm like I should I like this, but I don't I don't sit on my work long enough to do that anymore. I just don't because also I'll bury shit and forget that I even fucking made it. And then, it'll— and then I'll be like, “oh, it'll give me anxiety that I have it and I haven't done anything with it. And I have an attachment to most of my songs. Like, I won't just sell my beats, my beats are not cheap, though. Like, I almost was on beatstars—this website for be selling, but there was a couple things that made me not do it mostly, I guess they're trying to, I guess what they're trying to do is like sell their brand or whatever. So everybody that's already on the site was talking about how there's no—like, it's it's really hard to get circulated as an artist. Like you'll have beats on there for months and years at a time without selling any beats. And you have to be like, really aggressive about, um, like you like my it would like I'm already being really aggressive about my actual songs, so like to be that aggressive about my beats would not be like it would be like two different things. It felt like two different paths, so I didn't do it. But what was I just saying about that? Oh, my beats are not cheap. Like, I'm not gonna do 20 for 20. It would literally have to take me less than five minutes for me to sell beat that cheap. Like I would have to throw it together with like no technique whatsoever, just a bunch of loops, and then I'd be like, here's some which is what I was planning to do with some drill beats, because I know that they're just like drill beats are cheap, like period, because they don't I don't think they matter so much as long as it's got the bass and then, like, whatever that little dude is saying. It's always a little dude. It's always a little dude. It's likeah, ‘yeah. I uh,' I don't know, I love artists. I I'm starting to feel less like an artist, though, and more like a producer, or like, you know, like a creator of sorts. I'm borrowing, though. I'm not going to I'm not going to lie. Because, hell, man, he's such a dick sometimes. I was like, bro. be like something some artist, something, something, and Gee was like, “I'm not an artist, I'm a creator!” But that's I guess since it's so easy for anybody to just say like “I'm an artist” now, I don't know, I feel like that's the whole point of like the human experience is like, everybody has an art like, you know, it's just the thing that makes it difficult is that adding value to it has no, there's no right and there's no wrong and there's no good and there's there's bad. There's bad. There's a lot of art in the world that's just bad. It's not good, but like to the person that made it, like that's their shit. So like in that way their technically is no bad because to that at least one person in the world, the person who made it, it's good. So when it comes to art, there's technically no right and wrong. I'm not going to say there's no good and bad, because I like I said, I collect bad music. Like if it's if it's notoriously bad, I'll be like, yeah. like it's probably easier to get my attention if your music is bad, than if it's good. If it's good, I'm almost intimidated like as an artist. Like, I'll be like, oh, this is too good. It's probably gonna make myself esteem not great. if I spend too much time with it. That's true. I don't listen to really good artists anymore, because I'm like, oh, man. Like, I'll just sit there and shit on myself and be like, why, am I not at this level? And even when it comes down to it and it's like all about business and all about like, you know, your connections or like, you're you know, like it's about who you know. And like, look, sometimes it's about talent, but like less of the time than it should be. Like, sometimes it's just like, who your parents are and all this shit. So it's like, I shouldn't feel that way, but I had a lot of the time I can't help it. Like, I'll be sitting and listening to an artist that's like, you know, ”billions of streams!”. and I'm like, “fuck this.” I'm like, ‘I don't wanna hear this. cause I'm not there.' It's like, is, it if I have any kind of envy or jealousy in me, it's probably that. But then when it comes down to it's like, you gotta take the good with the bad. It's not all fucking pancakes, it is all pancakes. Most of this actually. whatever I cut. I'm looking forward to this smoothie. This would better be the best protein I ever had in my life for the price that I paid for, this is better be the fucking best smoothie I've ever had. Uh, we'll see. This is about to be smoothies and miso time. I'm trying to lose 50 pounds. i don't know what realm that is, but I think. I'm pretty sure that would require, like losing muscle, which is fine. I'm— I might be too strong. I went to the gym. I didn't need to. That dude, I swear to God he flipped me off. ‘Cause here's what happened, is, like, the Amazon package said it was delivered. I was like ”cool. all right.” So I left the gym. I was like, ‘bye.' I was like, ‘see ya.' And I, well, I was lifting. Did I make him feel like a bitch? Is that what it was? Because—because I was lifting and I was just whatever light work because I'm actually in a lot of pain. Like, I told myself that I was I was going to buy myself a gift because nobody buys me gifts on the one day that you should everybody should get a gift on this one day and nobody buys me gifts on this day. So I was like, ‘I'm going to buy myself a gift.‘ But as soon as I put money like, aside for that, I had this injury and I immediately just took money out of that fund for fucking ibuprofen and I was like, hey. Another year. Like that's that's my gift. I was like, So so I'm in a lot of pain, so I'm not doing it like regular I'm in my harem pants and I'm in pain. So I'm like not doing anything special. And I'm doing this, and this dude. I think I made him feel like a bitch. That's what that was, cause like, I don't know what they were doing, some YouTube thing where they were like flapping their arms around, like dinkus, DINKUS., that's what you look like. You look like a dinkus, anyway. I'm not paying attention to I'm not giving people negative attention until they're doing weird shit around me. Then I'm like, now I'm looking at you because you're mean mugging me. Don't do that. I don't with your face, dear, I don't recommend that. Don't don't scrunch up your face like that. No. Anyway, mm. aren't all people beautiful? No, not if you live in New York long enough. Eventually, everybody just scoe at each other to death. That's the whole place. I'm like, where are the happy people at? Fucking on a plane! I think for rich people, the quality of life here is different. I think that the luxury of living in New York is that they're like, ”I live in New York”, but they do that like, around the globe. That's what they do. They're like, yeah, I live in New York, but like they're hardly ever in New York. Or there's just a bunch in New York that I haven't seen while I've seen it when the sun hits it just right, it glistens. I'm like, ‘oh. that's a different place.' No, it's an optical illusion. Oh, it doesn't exist. I'm like, “okay, all right.” Try to find that shiny ass, what is that golden —[thingy] anyway? I'm like, “nah, no, it's a trap, “ because if you actually get to Manhattan on the street level, it's just like you can't see the buildings. Like you just at the bottom and you just shadows, even on the sunny days, just like you're in the cold shadows. That's what that place is. I haven't been over there in so long. Never in Manhattan. That place is scary. It's like a supercomputer. But— I guess performance wise in comparison to other like, major cities in the world is not great. I feel like it's pretty great. I feel like it's pretty great. But, you know, I haven't seen Tokyo or where where else was on that list? I don't know, I skipped around a lot. My ADD is unchecked. up. Anyway, I'm kind of annoying, I's okay. Somebody's gonna like it. Somebody, there's somebody for everybody. You see? I don't know why that pissed me off, because that's the second time I got a scowled at in the elevator by an ugly girl. I'm like, why the fuck are you ugly? Oh, cause you're scowling at me. I didn't even see that until you darted me those fucking little eyes. and then I was like “ugh. rude!” I like, I think it's the vibe. I think that's what that is. Cause like, I also notice when people smile at me and I'm like, ”oh, what a beautiful person,” or if somebody's just like resting, not even resting resting bitch face, just like resting face. Like if there's actually muscles in your body that are working towards being angry at me, I notice. I'm like, ”oh, yo, don't do that.” I don't know why that bothered me so much. Then her dude fucking leans over to fucking press the elevator button and he does it with his middle finger. Like, I like to think if it's like if the button and the finger are like like adjacent to your face, like, eye level and here comes the middle finger. You like, that dude was flipping me off, but I'm like, I don't know, I don't know why you would do that. I think I made him feel like a bitch in front of his mean girl. Why—why are you if you're in a couple, why is anybody in this situation mad? Like if you're in a loving, happy, like a healthy relationship, like you shouldn't even see the rest of the world around you, honestly. If you're two people in love, you don't notice like you don't see shit like that. Like the whole world just caves. like it just falls around like you don't notice when you're all fucking in love and all giggly and everything. She's like 'ha ha like, yes, we are together and nothing else really exists. ‘ Like that's I don't know why the fuck you guys are both mean mugging, like that seems like some self reflective. I don't know what the fuck you mad at. I just that a couple lifts. He like starts doing pushups I was like,get it. get it!” Because, I'm encouraging like that, but I'm not looking at him because honestly, eh. like. Like, she don't jump for much these days. Like, she really knows when she likes something, my dragon, or whatever. Like she really knows. She's like, ”yeah, yeah.” But for the most part, like, I don't know, I can tell in like a person's aura or like a vibe, like, if they have something for me, something for me, you know, like if something is— she's gonna notice, she's gonna like, oh, hey, but nothing here. So I don't know why I have the fuck you're looking at me like that, cause the way you're looking at me is pissing me off, and that's how contagious— that's how contagious negative energy could be. Luckily, I was already on the Peloton for an hour. I just finished a song that made me laugh a lot. It made me laugh a lot, and in the moment in the moment, what's fucked up is everybody was heckling this guy, but I think he might have actually been like a professional or he was just some crackhead. I don't think so. First of all, he got the most laughs. I'm listening back to this recording and I'm like, “yo, everybody's—” he made me laugh. I heard myself laugh on this recording. And then as I'm making this song, the number of different laughs from around the room that I'd like that were beautiful to me because I love the sound of laughter… So the difference this I'll— I'll talk more in depth about this album as it's finished and as it's coming out in the next few days. um I still have ‘All The Rage' to come out before that. What day is it coming out? The 10th? Yeah, the 10th. All The Rage is coming out on the 10th, but it has a single coming out on the the All The Rage has a single coming out on April 7th called Sweet Dreams, and then it'll be out three days later. It's pretty much like a hype up single. There's two singles out from that. Yeah, Hot Little Number is also on All The Rage. So Hot Little Number is coming out in the next couple days, because they just felt like there should be at least like one release in March. I did some releases in early March, but not much. Um, and then oh, the single for yeah, I'm only taking one single off of that, because they're so massive. All the songs on Tears of a Clown are like six, five, six, seven minutes. It's it's a true concept album. It's true to itself, and so that's it's cool because it's kind of like pushing me into the next batch of things and working on a I don't know if it's a remix or if it's just like a a dubstep song with heavy sampling cause I'm getting into more dub stuff. butit's crazy cause I got mad at myself because I was like, “oh, I really wanted to fucking I really wanted to finish this.” I don't wanna jinx it so I don't wanna talk about what it is. But I'll talk about it when it does get done. And now I'm understanding that like it's just being major focusshifted. Like, because I cared so much about it that I didn't want to just do it and then be like, that's it. Like, that's it. And it was gonna go on Tears of a Clown but then I was like, I can't because it samples a song that was actually I think it was like a fucking I think it was a hit-ish a TikTok. is it really a hit which it's just on TikTok? I think so, because of the audience on that TikTok has. I refuse. I refuse. I downloaded TikTok once during the pandemic and two things made me never ever go on TikTok again is that it only showed me what appeared to be underage girls doing things that I would slap the shit out of anybody I saw doing like you could be a grown ass woman if you did any of those things. I would hit you like, I—well—no. I'm learning about this. I'm like, ‘oh.' I'm learning about people who make you want to hit them, but you can't. That's things like that's as I think it's a coming of age. I've never had this experience before where it's like, oh, like, you're doing everything in the world to make me want to hurt you. but I can't. Like I have to exercise restraint. That's a fucked up feeling. It's like being penned down. I'm like, oh, like like that's like you can't like you can't do anything about it. You can't do anything about it. What are you gonna do about it?? I don't know, boss up. That's the only thing I can do. I'm like, well, that's that, but oh, it makes me wonder, what makes me kind of understand to a certain extent, like, bro, like, is this what it's like to have a girlfriend? She's gonna make me mad. She's gonna well, I'm I'm not that kind of guy. And I swear to that I'm not. I swear I'd probably be that kind of lesbian, though. like bitch, I will hit you. We are the same gender. like, we could duke it out. We could dupe this out! I'm kidding. I'm not violet. I swear to God, I'm not. But sometimes like I guess it's an episode about about energy, negative energy. It's like I work out enough that like it should just roll off today this. But it wasn't like violent. It was just like, “ooh. girl. You better stop flapping those arms and get you a Peloton. I don't know what the fuck you're looking at me like that for!” I swear, because the anger the anger set into my body.'s like, bro, I just don't like looking at shit that don't look good. I'm an aesthetic person, so like, that's why I don't jog in my neighborhood, cause for the most part, like, I'm gonna take in too much negative, like the negative is gonna outweigh the positive. Like, I can run in circles around whatever my radius around this bitch. but if I see too much trash on the ground, it just depresses me. Like it just makes me upset. and so it like undoes the good that I'm doing by running unless I'm sprinting, but I can't do too much of that. I can't do too much of that. I sprinted almost two miles yesterday I almost top speed, and then those my motorcycle stalkers started stalking me, and so I st like I—I like ran out of steam. I was like, you know I was like, I was like, ugh. There they are. Like, that's weird. How can something like that happen? Anyway. I was like, nah, I'm just gonna fucking jog the rest of this little the rest of this the this last mile or whatever. I'm just gonna jog it, but I sprinted most of that, but then when I got back, I was like, why the fuck am I out of energy? Bitch, because you hit like 11 miles at least. I'm pretty sure what my top speed is like between 11 and 12. if I just spread it, but then that's slow. In comparison to some. That's what I'm saying. pretty sure I wrote like a rhyme recently. I'm I'm not writing so much as organizing, try to anyway. I'm doing a lot at once. What else happened? I don't know. I'm not scowling, your boyfriend's not that cute. I wasn't even looking until you made that face, and I'm like, wh are you trying to defend something here? Is it worth defending? Oh, but the first girl that scowled me, her boyfriend is cute. She needs to do that more, but she needs to be with him, when she does that, like, “girl, you better wash your man's!” .And he has a accent. I don't know where the fuck he's from, cause half of the shit he said was not. I was like, what? what? He is cute. I didn't notice that when she was scowling at me, and that's probably why she I was like, “what is that face? “ Girl? And then I didn't know that was him, cause he went into their apartment. Don't worry, I'm not that kind of girl. like, that's yours. I guess keep making that face. Keep making that face. Do that. Do that. He's cute. I think she'd be cute too, if she wasn't doing that. So, you know, whatever. They' they're probably— and $4 got her flowers! Aw. Aw, and then he said something, oh, cause he thought, and so he doesn't think un is, don't worry. Don't worry, he doesn't. He thought I was delivering Amazon packages because I picked up my Amazon packages. I was picking up my packages and he was like, “oh, you don't need a key for the elevator.“ And I was like, not trying to explain. Like, "No, I live here, I know that. Like” so I was like, okay. And at first I thought he might be like this sounds bad. At first I thought he was deaf, cause whatever he said sounded like a whole, like a whole rolling mumble, and I was like, okay, and I was still listening to my fucking music. And then he kept talking. and so I was like, oh, I have to —and I wasn't even looking at him until I like turned off my music. And then I was I was like, damn. who the fuck is this? And then I was like, oh, like I saw that he lives on the same floor as me. and I was like, ”oh, “ like the elevators and the the the buttons and the elevator are different on both sides. So it depends on which elevator you get where the button is and I press the wrong button, and so he thought I was delivering Amazon package. I was like, no, I'll live here. like like I live here.We live on the same floor, you actually pressed the button already”, and then he said something back and I was like, 'oh, oh, he's he's just from somewhere else. He's not American.' i usually only like American dudes. I like dudes sometimes, not not all the time. I like dudes, sometimes. I like men all the time. That's all around the clock thing that I like. I like them more, increasingly, and the more like stable I get my singularity. I really like them because they can do all the fuck they like all the fuck shit they do is entertaining because they're not doing it to me. I'm like, “okay. I see. like that.” Yeah. I'd be A real, real real, real broad dyke. I'm not gonna lie. I don't like females. I'm not anti feminist. I just for the most part, like get impatient, cause I'm like, what can you do for me? Nothing. Nothing, exactly. I like a friend or something. No, females are never friends with each other. Let's just get that clear. I think I've just figured this out. I just figured this out, like, we'll pretend to be in each other's best interests…. Usually, I mean it. Because I'm not all the way I'm not 100% female. I am very nonbinary in the way they're like I genuinely, genuinely care—typically— if I if I care. if I let myself care, then I genuinely care. But I don't not have the same experience with other females and so I'm just learning this though. Like I'm just learning other females in the competitive sense as I'm learning males. I'm like, “oh, like, I get it. Like if you sense any superiority in me whatsoever, like, you're like, I become your enemy, like, I become your target and you're trying to kill me!” I'm like, ‘that sucks.' To me, like, but if I sense any inferiority in you whatsoever, you're like a nonfactor. Like, I don't— I'm not trying to kill you. I don't care what happens to you. I already won. Let's just all be this way. Just have a oh, oh, that was that thing that I heard. The one thing that I heard. I was like, and it clicked in my brain a certain way. It was that ‘insecurity makes people act crazy.' And I don't know why, but like it clicked with me in a certain way because typically I don't have to bring my insecurities out front or if I do, it works for me in a way that like— it works for me, because if I point if I point like I guess that's the comic or comedian in me. If I point out my indiscretions or my flaws, then it works for me because typically, the person that does sense that inferiority in some kind of way, they get kind of like, it if inflates their ego. It puffs them up and makes them feel like, oh, like, you know, like or, you know, OR— it makes them what's it called, like sympathize with you if they have like some of the same insecurities and it puts you on the same level of equality where it like humanizes you are humanizes them and then you and then you have like, a connection. I'm I'm just you know, I'm just figuring out like human connection in the way that, like, makes sense. So, I'm not I I'm not gonna pretend to know everything because I wouldn't want to. I wouldn't want to. and I with the understanding that, like, on a conscious level, like I well, I mean, like certain certain factors certain factors would indicate that yes, on a conscious level, I do and am, and know everything, but, like to be aware of it at all times would literally be insanity. I wouldn't want to be like allie was like that a lot of the time and I was like,bro, you need to get off God because I well, God is where he went. He was like,I'm just gonna die.” I was like “cool. fuck you, dude. Fuck you.” Like he was like, I'm just gonna die. *Explode! * i was like, all right, ‘whatever. Whatever dog.' I was still a little bit. I am I still grieving? I'm still grieving? I'm thinking I'm like in the acceptance part. where it's like,‘ oh, you're you're right. Like you're you're right about a lot of things and like your freedom is that you're hopefully. Well, see, he might have had some other shit to do. He might have had other shit to do, so I just I kind of have this thing where it's like he still actually like he's in another realm figuring out. figuring out things. Figuring out things. That's what you do when you die, and you haven't done everything yet. I know that much, but I know that the less I know, the better, ha, Tame Impala and also like, he's just a five. And again, uh, I don't I don't the whole music industry is herpes, like, don't touch me, don't well, Tame Impala can do better. So, so, I don't worry about things like that. I don't to worry about things like that, but the whole music industry, Herpes. I don't I don't think it would be hard to be with another musician. Like, really? I like pretty dudes. I like pretty guys, and I like pretty men. Pretty boys, though. I'm like,' oh, youes gots to learnings to do.” You gots to fuck around for like 50 more years. And then maybe we can have like a tea. In 50 years?! yeah, yeah. was you know, then what are we gonna do? There's none of like all the dumb shits out the way. All the dumb shit and all those dumb girls. all the girls like get the girls out of the way and then like a few of the women, like a lot of the women, like, get all the dumb shit out the way. And then talk to me. or don't. In fact, in fact, that's how I wanted to go. My next actual thing with like a person of the opposite gender should be—seriously wordless. like, it shouldn't have to have like, I don't have to explain myself to you. if I have to do that, I'm already doing too much work. I would I think I just might be a single forever. It's cool. I'm like “yay, I got over it.” And now I well, how am I gonna— I'm like I devising a plan, “how to hold babies without being weird.” Like, I—I want to do that. I don't necessarily want to take it all the way. Like, I don't wanna be I don't wanna be a midwife or a dula. don't wanna be like a baby— I don't want to be anything in the medical field because gross. Gross, gross. I thought I was gonna be at EMT for a while, because they're like, “oh, no, no, you're too old to be a firefighter!” That's okay. after living this long in New York, I'm like, running into a burning building would probably be like at the top of my priorities, if that were my job. You don't don't talk to me on the wrong day. I will try and fail to save everybody in this burning building. That's I'm you know, that's where I'm at. so it's probably good that I missed the cut off for being an actual firefighter. But then, oh, I signed up to be an EMT and they were like, oh, it's a year and a half wait, but then once you get into the program, the way that it works is that like you ‘technically, like word training you on a loan. So like everything that you make in the first, however many years, you actually owe back to us and you can't quit.' And I was like, that's kind of that's okay, because it's like job security. But then ey, I met an EMT that was taking the same bus as I was and I was like bro like that doesn't make sense. Like, you have a you have a full-time job and we're on the same bus, that's no. No, like you should be able to afford the next level of transportation hug. That's that's wrong, that's a hard job. ‘You should get paid more,' but then I was like, it's okay.' What was the second thing? Oh, I went to the ER. My first trip to the ER in New York was like was like the trip that I would never take to the ER in a third world country. I like I thought about it in Mexico a couple times. I was like, ‘bro, if it came down to it.' Because I saw like a building that I didn't know was like a functional building. I thought it was like a shell of a building, but then there was like a there was like a flickering sign on the front of the building that was like, you know, this is a hospital, this is the ER. And I was like, “no, it's not.” And I was like “this is like a shut down hospital, right?” But then there was like somebody at the entrance and I was like, 'okay.' And then I thought to myself 'like, okay, if I had to go to this fucking hospital or like just duke it out with whatever the fuck is happening, like what would be my choice?' And I was like, ‘I would probably just like take it.' I'd probably just take it. I'm not gonna lie, you know? like that. But the end, well I had to go, I had to go and honestly, New York ER is not super different, not you like not not anything like the ERs on the West Coast. is not the safest place. No. No, I did not want to be there. And then when I'd witnessed what an EMT does in a New York City, like ER, I was like, oh. I am— uh what's it called? [withdrawing] I'm taking out my applications. Oh, that was hardcore. What was it like a gunshot? It was something I think it was. I think that was a couple gunshot wounds in there. I was like, you know, 'no, this is what they do. This is what they do all the time.' Ive just I've reached a level of I can't do that with a lot of professions. Like, don't get me wrong. I'm not unwilling to work. It's just like I can't. Like my heart can't take it. Like it cannot. I've, you know, I've been around. I'm no spring chicken. I've already had some grief. grief. Like I don't think I can do that. So hat's off to the people in the blue, whatever. “all lives matter.” This is true. But, you know, I'm not picking those sides. Anyway, it is true. Everybody. Everybody makes sense in a certain way, right? Okay, I'm just trying to take up this last minute. What the fuck was this episode for? That was a fast hour. I'm surprised by myself. Don't scowl if you're ugly. Like, don't be ugly and scowl. I don't I don't know which thing happened first. I don't know if she was already ugly, so she's scowling. or if the scowling just, like changed everything. I've said this before, I'll say it again, like you can be —you can look, however, but as a person who like sees sings speaks vibrations, like if your whole shit's fucked up. like, that's what I see. So it will be the prettiest girl, boy, man, trans. You could be the prettiest cat. You would be a cat. I'm— I'm not— look, you know, I'm not into beastiality; pansexuality. sure, you know? I've had crushes on trees. Me and my Peloton have a thing going, but I spend a lot of time sitting on it. [MENACING IMMORTAL LAUGHER] a.k.a “mwahaha' Sorry. Okay, I was about to— That's enough, right? Yeah, that was so— —Somebody help that fucking bitch. they lady, man! that lady in her fucking dragon I don't know what the fuck is gonna happen. Like, don't worry, it is a very small percentage of people in the whole population that she's actually gonna try to actually hunt down and murder. You know, gently. death by snusnu. as possible as most of these dudes don't have, you know, like, I'll kill you. Don't scowl at me, and like, I will literally kill your boyfriend. Like, doll like by choice, though, I wouldn't kill him. So don't worry, you can take that face off now. Jesus Christ all day anyway. All day and all night, okay? Have a good day or night or whenever the fuck you're listening to this. Thank you for listening. More stuff soon, because we'll see what happens with the like, you know, with the website and whatever. I am you dot guru. That's what it is for the foreseeable future. That's what that is. I i A-M-U DOT GURU I gotta work on this website. It's gotta be it's like I can't overhype it. I can't do all this spelling out and promoting my own website if it's not gonna be like the most spectacular—smoothie that I've ever had, which is happening right now. Amen. {Enter The Multiverse} The Complex Collective © [The Festival Project ™ ] -Ū.

Christie Jandora, a 2024 Distinguished Graduate at WGU, is the Director of Emergency Trauma Services at Ascension, overseeing 500 associates across five Florida counties. She joins the WGU Alumni podcast to share her journey that has been marked by resilience, passion, and purpose.  On the latest episode, learn how Christie:Plans to make an impact as the President-Elect of the Florida Emergency Nurses Association Leads multiple ERs, including a Level 1 trauma center and freestanding emergency departments Pursued nursing after losing both parents during her first semester of college Rose through nursing ranks—from LPN to master's degree—while raising her children as a single parent Completed her master's during COVID while working 50–60 hours a week And much, much more. 

A harried emergency room doctor rushes between patients; his waiting room is filled to the brim with sick and injured people, he’s dodging a RAT infestation, all while overseeing a new crop of residents getting up to speed on their ER rotation. AND oh yes… sparring with a hospital administrator who’s reminding him: He needs to get those patient satisfaction scores up. It’s all in the day in the life of Dr. Robby of “The Pitt,” the fictional Pittsbourgh Emergency Department at the heart of HBO’s buzzy new streaming show. The show has received praise from medical pros, and close readings from fans who say it portrays the financial pressure of ERs in a new and compelling way. One of those fans is the host and creator of the "An Arm and A Leg" podcast - a show about the cost of healthcare in America, co-produced with KFF Health News and distributed in partnership with KUOW. GUEST: Dan Weismann RELATED LINKS: An Arm and A Leg Podcast A Real-Life ER Doctor Examines The Pitt ‘The Pitt’ Has Impressed Real Doctors With Its Accuracy - The New York Times 'The Pitt' Wins Praise From Pittsburgh ER Staff for Being 'Most Realistic' "ER" Sues "The Pitt" Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

Munaf Manji and Griffin Warner talk MLB betting for Saturday and Sunday. The guys also give out best bets.

Munaf Manji and Griffin Warner talk MLB betting for Saturday and Sunday. The guys also give out best bets.

On this episode of Weekly Livestock Market Update, Brownfield's Meghan Grebner talks with Mississippi State University ag economist Josh Maples about Prospective Plantings and trade and tariff news.Market highlights:Live steer prices averaged 212.26/cwt for the 5-market average which was up $0.12 from a week ago. The April live cattle futures contract was down $6.02 from a week ago to $202.80/cwt, and the April feeder cattle futures price was down $7.82 per cwt on the week to $279.10. Choice box beef was at $339.41 at the end of this week, which is up $5.58 from last week. Cash hogs were down 8 cents to $86.67/cwt. February lean hog futures were up 63 cents to $87.33/cwt on the week. The pork cutout value was up $2 from a week ago, to $98.42/cwt this week. Weekly Slaughter:At the end of the week, cattle slaughter was 591,000 head, down 3 percent or 18,000 head from last week, and down 23,000 head from the same week last year. Hog slaughter was 2.52 million head, up 2 percent or 81,000 from the previous week and down 93,000 head (4 percent) compared to year ago. Prospective Plantings Report:The USDA Prospective plantings report released this week showed farmers intend to plant 95.3 million acres of corn during 2025. This would be a 5 percent increase or nearly 5 million acres higher than 2024. Soybean acreage was estimated at 83.5 million acres which would be a 4 percent decline. Trade and Tariffs:The monthly ERS import/export trade report showed February beef exports down 7 percent and imports up 6 percent from February 2024. Pork exports were down 5 percent and imports down 6 percent. Japan, South Korea, China, Mexico, and Canada were the biggest destinations for beef by volume during February and represented 23%, 22%, 15%, 12%, and 9% of the total, respectively. For beef imports, Canada, Australia, Brazil, Mexico, and New Zealand were the primary sources by volume and represented 20%, 19%, 16%, 14%, and 13% of the total, respectively. Cattle imports were down 41 percent from a year ago with imports from Mexico down 79 percent. Mexico was the largest destination for pork exports at 38 percent of the total. Japan and South Korea were next at 13 and 10 percent, respectively. Canada was the primary source for pork imports at 64 percent of total imports. Mexico and Denmark were next at 8 and 5 percent, respectively. Of the countries listed above, the U.S. reciprocal tariff rates announced on April 2nd were: Japan (24%), South Korea (26%), China (34%), Brazil (10%), Australia (10%), and New Zealand (10%). Jobs Report:The latest job report showed nonfarm employment increased by 228,000 jobs during March. This was lower than a year ago but higher than was expected pre-report. The unemployment rate increased slightly to 4.2 percent and the labor-force participation rate was 62.5 percent. This report represents data collected during March.Connect with Brownfield Ag News:» Get the latest ag news: https://www.brownfieldagnews.com/» Subscribe to Brownfield on YouTube: https://www.youtube.com/@BrownfieldAgNews» Follow Brownfield on X (Twitter): https://x.com/brownfield» Follow Brownfield on Facebook: https://www.facebook.com/BrownfieldAgNewsAbout Brownfield Ag News:Brownfield Ag News is your trusted source for reliable agriculture news, market trends, weather updates, and expert interviews. Get comprehensive coverage and stay ahead in the ever-evolving agriculture industry.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

So, the show today, it's sort of an encore but not really an encore because I recorded this whole new introduction that you are currently listening to. And I also did a few inserts that we popped into the show itself. Inserts from the future, you might say. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. But why did I pull this episode from 2021, you might be wondering, as an immediate follow-on to the show from last week (EP469) about possible Medicaid cuts? Well, for one thing, the show last week about Medicaid cuts was about how the cuts might impact plan sponsors. And it left me feeling a little bit like part of the story was going unsaid. So much of what happens in healthcare, we see numbers on a spreadsheet but can easily lose track of human beings. I was reading something the other day. It reminded me of the people behind these numbers. I don't know if this happened in rural America, but it easily could have. Here's the link. Someone could not get a needed surgery. This surgery had all of the medical necessity boxes checked, except the hospital would not perform the needed surgery without cash up front in prepayment. This patient, he did not have enough money to cover the prepayment. So, somebody in the hospital finance department gave him a solution: Just wait until the situation becomes life-threatening, and then I guess you can go to the ER with your newly life-threatening condition, and they will have to perform the surgery without the money up front. And here we have the theme of people not being able to afford or not being able to access primary care or, in this case, I guess something more than that—a surgery—and they wind up in the emergency room. As John Lee, MD, put it, the healthcare system in this country is like a balloon. And the way we are currently squeezing it, everybody is getting squeezed into the emergency room—which is the very most expensive place to obtain care, of course, especially when that care is non-emergent. In rural America, this is particularly true. Now, by no means am I suggesting any kind of magic bullet to this Medicaid situation. As we all know, health and healthcare are not the same thing as health insurance; and we all know enough about the issues with Medicaid. That is not what the show is about. The episode that follows with Nikki King, who is my guest today, offers some great advice when there's just such a scarcity of clinicians available; and she does a great job of it. So, I am going to spend my time with you in this intro talking about rural hospitals in rural areas—the place where many patients wind up when they cannot get primary care in their community, just exacerbating all of the issues we have with Medicaid and affording Medicaid. But yeah, even if there is adequate or even great primary care, you still kind of need a hospital. The thing is, if an economic situation emerges where, say, for example—and this is the case in a lot of rural places—let's just say a factory or two or a mine or whatever closes down. It might mean the local hospital also closes down if that local hospital was dependent on commercial lives and cost shifting to those commercial lives. Like, this is not higher math or anything. It's easy to see how a doom loop immediately gets triggered. Recall that one big reason—and Cynthia Fisher (EP457) talked about this in an episode from a few months ago—one reason why employers in rural areas are choosing to move facilities somewhere else or overseas is that hospital costs are too high in the USA in these rural areas. So, they are closing their factory down because the hospital is charging too much. The lower the volume of commercial lives, the higher the hospital winds up raising their prices for the other employers in the area. Now, there's a point that comes up a lot in 2025 in conversations about rural hospital financials or just hospital financials in general, I guess. I had a conversation with Brad Brockbank about this a while back, and I've been mulling over it ever since. There are many who strongly suggest the reason why rural and other hospitals are in trouble is squarely because they don't have enough patients with commercial insurance in their payer mix. As Nathan Kaufman wrote on LinkedIn the other day, he wrote, “The ‘tipping point' is the percent of commercial gross revenues. When most hospitals hit 25%, if they don't have commercial rates in the high 300% [over Medicare] range, things begin to unravel.” And look, I'm not gonna argue any of the points here. How would I know? For any given hospital, it could be a financial imperative to try to get 300% over Medicare out of the local employers. I don't doubt it. The question I would ask, if someone knows that hospital finances are currently dependent on cost shifting, especially in a rural area with unstable industry, what are the choices that are made by hospital boards or leadership? Is this current dependency used as a justification to level up the cost shifting to local employers just as volume diminishes keep charging more, which is ultimately going to cause even more employers to leave the area? Which seems to be kind of a default. It's like the safety valve is, charge the local employers more. The point I'm making here is not all that profound, actually. It's just to point out that safety valve, taking advantage of it, comes with downstream impact that actually worsens a situation. So, what do we do now? And similar to the Medicaid, what I just said about Medicaid, I'm not showing up with any silver bullet here. And running a hospital is ridiculously hard. So, I do not wanna minimize that. And I certainly do not wanna minimize Medicare advantage paying less than Medicare going on and the mental health crisis and the just crippling issues that a lot of rural hospitals face. Here's a link to a really interesting report by the Center for Healthcare Quality & Payment Reform (CHQPR) about the ways hospitals can restructure and rethink how they deliver services, but I will take a moment to point out some case studies of success for what happens when people crossed off go get more money from the local employers off the list. Then there's also FQHCs (Federally Qualified Health Centers) doing some amazing things even in rural areas. Listen to the episode a while back with Doug Eby, MD, MPH, CPE (EP312) about the Nuka System of Care in Alaska, serving areas so rural, you need to take a prop plane to get to them. Their patients, their members have some of the best outcomes in the entire country. Their secret: yeah … great primary care teams that include behavioral health, the doctor, the nurse, a whole crew. And look at us. We've come full circle. Primary care (good primary care, I mean) is an investment. Everything else is a cost. Lastly, let me just offer a very large update: Today, you cannot just say rural hospital anymore and automatically mean a hospital in dire financial straits struggling to, like, make the rent. Large consolidated hospital systems have bought up so many rural hospitals for all kinds of reasons that may (or maybe not) have less to do with mission and more to do with all the things I discussed with Brennan Bilberry (EP395) in the episode entitled “Consolidated Hospital Systems and Cunning Anticompetitive Contracts.” Here is the original episode with Nikki King. Nikki, let me just mention, has gotten a new job since she was on the pod. She is now the CEO of Alliance Health Centers in Indiana. Also mentioned in this episode are Alliance Health Centers; John Lee, MD; Cynthia Fisher; Patient Rights Advocate; Brad Brockbank; Nathan Kaufman; Doug Eby, MD, MPH, CPE; Nuka System of Care; and Brennan Bilberry.   You can learn more at Alliance Health Centers and by following Nikki on LinkedIn.   Nikki King, MHSA, DHA, is the chief executive officer for Alliance Health Centers, Inc. Her work serves both urban and rural populations and is focused on substance abuse, communities underserved in healthcare, affordable housing, and economic development. Before working in the healthcare industry, she worked for the Center of Business and Economic Research studying models of sustainability in rural communities. Growing up as a first-generation college student in Appalachia, she brings lived experience of rural communities and approaches her work in healthcare as pivotal in breaking the cycle of poverty. Nikki completed her DHA at the Medical University of South Carolina and her MHSA from Xavier University.   08:14 How dire is the rural hospital situation right now? 08:33 How could freestanding ERs be a potential solution for rural hospitals? 09:56 Advice from CHQPR: Rural hospitals should not be forced to eliminate inpatient care. 11:22 Why is broadband a roadblock to telehealth as a solution for rural health access? 14:52 What are other potential rural health access solutions? 15:37 The “hot potato” of nurse practitioners in the healthcare world. 16:34 “The number of residencies for physicians each year is not increasing, but the population … is increasing.” 20:28 EP312 with Douglas Eby, MD, MPH, CPE, of the Nuka System of Care. 22:00 What's the issue with maternity care in rural America? 24:09 “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” 27:57 How is mental health care affected in rural communities? 28:29 “Rural communities are trying very hard to hang on to what they have.” 29:52 “When you look at the one market plan that's available in a rural community, you probably can't afford it.” 31:37 What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? 32:32 “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.”   You can learn more at Alliance Health Centers and by following Nikki on LinkedIn.   Nikki King, MHSA, DHA, discusses #ruralhospitals and #ruralprimarycare. #healthcare #podcast #changemanagement #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! James Gelfand (Part 2), James Gelfand (Part 1), Matt McQuide, Stacey Richter (EP467), Vivian Ho, Chris Crawford (EP465), Al Lewis, Betsy Seals, Wendell Potter (Encore! EP384), Dr Scott Conard, Stacey Richter (INBW42)

Send us a textFrom groundbreaking research on seal oxygen perception to heart-stopping surgical techniques, we explore medical frontiers that sound like science fiction but save lives daily with cardiothoracic anesthesiologist Dr. Ashley Gabrielsen.• Gray seals can perceive blood oxygen levels rather than CO2, allowing them to adjust dive durations accordingly• Therapy dogs in ERs significantly reduce pediatric anxiety – dropping scores almost twice as much as standard care aloneThen an amazing chat with Dr. G!• During cardiac surgery, the heart can be completely stopped while a bypass machine takes over circulation• In extreme procedures, patients can be cooled to 20°C and circulation stopped briefly – being "clinically dead" before resuscitation• The brain lacks pain receptors, enabling awake brain surgeries where patients can play instruments during the procedure• Modern anesthesia techniques allow joint replacements with minimal medication and same-day mobilityDr. G's Instagram Handle @ashleesi306https://www.instagram.com/ashleesi306/Our links! Our Website!  www.bunsenbernerbmd.comSign up for our Weekly Newsletter!Bunsen and Beaker on Twitter:Bunsen and Beaker on TikTokSupport the showFor Science, Empathy, and Cuteness!Being Kind is a Superpower.https://twitter.com/bunsenbernerbmd

Montanans living with severe mental illness are cycling in and out of ERs, jails, shelters and the state psychiatric hospital. Many never get the long-term help they need. One Missoula woman has been caught in that cycle for years. Her daughter uprooted her life to help. MTPR's Aaron Bolton brings us their story and reports on whether proposed reforms to the state mental health system offer them hope.

Here's my new idea for an episode. Welcome to it. I want to talk about a major theme running through the last few episodes of Relentless Health Value. And this theme is, heads up, going to continue through a few upcoming shows as well. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. We have Matt McQuide coming up, talking about patient engagement, and Christine Hale, MD, MBA, talking about high-cost claimants. And we also have an encore coming up with Kenny Cole, MD, talking about a lot of things; but patient trust is one of them. But before I get to the main theme to ponder here, let me talk about what gets selected to talk about on Relentless Health Value. I will freely admit, how topics for shows get picked, it's not exactly a linear sort of affair. And furthermore, even if it were, I can't always get the stars to align to get a specific cluster of guests to all come on like one after the other. So, for sure, it might be less than obvious at times where my head is at—and sometimes, admittedly, I don't even know. This may sound incredibly scattershot (and it probably is), but in my defense, this whole healthcare thing, in case you didn't know, it's really complicated. Every time I get a chance to chat with an expert, I learn something new. I feel like it's almost impossible to sit in a vacuum and mastermind some kind of grand insight. Very, very fortunately, I don't need to sit in a cave and do all this heavy thinking all by myself. We got ourselves a tribe here of like-minded, really smart folks between the guests and you lot, all of you in the tribe of listeners who are here every week. Yeah, you rock! And I can always count on you to start teasing out the themes and the through lines and the really key actionable points. You email me. You write great posts and comments on LinkedIn and elsewhere. Even if I am a little bit behind the eight ball translating my instinct into an actual trend line, it doesn't slow this bus down. It's you who keeps it moving, which is why I can confidently say it's you all who are to blame for this new idea I came up with the other day after the podcast with Al Lewis (EP464) triggered so much amazing and really deep insight and dot connecting back and forth that hooked together the past six, I'm gonna say, or so shows. Let's just start at the beginning. Let's start with the topics that have been discussed in the past several episodes of the pod. Here I go. Emergency room visits are now costing about 6% of total plan sponsor spend on average. That was the holy crap moment from the episode with Al Lewis (EP464). Emergency room volume is up, and also prices are up. In that show with Al Lewis, I did quote John Lee, MD, who is an emergency room doctor, by the way. I quoted him because he told a story about a patient who came into the ER, winds up getting a big workup in his ER. Dr. Lee says he sees this situation a lot where the patient comes in, they've had something going on for a while, they've tried to make an appointment with their PCP or even urgent care, they could not get in. It's also really hard to coordinate and get all the blood work or the scans and have that all looked at that's needed for the workup to even happen. I've spoken with multiple ER doctors at this point, and they all say pretty much the same thing. They see the same scenario happen often enough, maybe even multiple times a day. Patient comes in with something that may or may not be emergent, and they are now in the ER because they've been worried about it for weeks or months. And the ER is like the only place where they can get to the bottom of what is going on with their body. And then the patient, you know, they spend the whole day in the ER getting what amounts to weeks' worth of outpatient workup accomplished and scans and imaging and labs. And there's no prior authing anything down. It's also incredibly expensive. Moving on from the Al Lewis show, earlier than that I had had on Rushika Fernandopulle, MD (EP460) and then also Scott Conard, MD (EP462). Both are PCPs, both talking about primary care and what makes good primary care and what makes bad primary care and how our current “healthcare marketplace,” as Dr. Conard puts it, incentivizes either no primary care and/or primary care where volume driven throughput is the name of the game—you know, like seeing 25 patients a day. These visits or episodes of care are often pretty transactional. If relationships are formed, it's because the doctor and/or the patient are rising above the system, not the other way around. And none of that is good for primary care doctors, nurses, or other clinicians. It's also not good for patients, and it's not good for plan sponsors or any of the ultimate purchasers here (taxpayers, patients themselves) because while all of this is going on, those patients getting no or not good primary care are somebody's next high-cost claimant. Okay, so those were the shows with Rushika Fernandopulle and Scott Conard. Then this past week was the show with Vivian Ho, PhD (EP466), who discusses the incentives that hospital leadership often has. And these incentives may actually sound great on paper, but IRL, they wind up actually jacking up prices and set up some weird incentives to increase the number of beds and the heads in them. There was also two shows, one of them with Betsy Seals (EP463) and then another one with Wendell Potter (EP384), about Medicare Advantage and what payers are up to. Alright, so let's dig in. What's the big theme? What's the big through line here? Let's take it from the top. Theme 1 is largely this (and Scott Conard actually said this flat out in his show): Primary care—good primary care, I mean—is an investment. Everything else is a cost. And those skyrocketing ER costs are pure evidence of this. Again, listen to that show with Al Lewis earlier (EP464) for a lot of details about this. But total plan costs … 6% are ER visits. Tim Denman from Premise Health wrote, “That is an insane number! Anything over 2% warrants concern.” But yeah, these days we have, on average across the country, 200 plan members out of 1000 every single year dipping into their local ER. That number, by the way, will rise and fall depending on the access and availability of primary care and/or good urgent cares. Here's from a Web site entitled ER Visit Statistics, Facts & Trends: “In the United States, emergency room visits often highlight gaps in healthcare accessibility. Many individuals turn to ERs for conditions that could have been managed through preventative or primary care. … This indicates that inadequate access to healthcare often leads to increased reliance on emergency departments. … “ED visits can entail significant costs, particularly when a considerable portion of these visits is classified as non-urgent. … [Non-urgent] visits—not requiring immediate medical intervention—often lead to unnecessary expenditures that could be better allocated in primary care settings.” And by the way, if you look at the total cost across the country of ER visits, it's billions and billions and billions of dollars. In 2017, ED visits (I don't have a stat right in front of me), but in 2017, ED visits were $76.3 billion in the United States. Alright, so, the Al Lewis show comes out, I see that, and then, like a bolt of lightning, François de Brantes, MBA, enters the chat. François de Brantes was on Relentless Health Value several years ago (EP220). I should have him come back on. But François de Brantes cemented with mortar the connectivity between runaway ER costs and the lack of primary care. He started out talking actually about a new study from the Milbank Memorial Fund. Only like 5% of our spend going to primary care is way lower than any other developed country in the world—all of whom, of course, have far higher life expectancies than us. So, yeah … they might be onto something. François de Brantes wrote (with some light editing), “Setting aside the impotence of policies, the real question we should ask ourselves is whether we're looking at the right numbers. The short answer is no, with all due respect to the researchers that crunched the numbers. That's probably because the lens they're using is incredibly narrow and misses everything else.” And he's talking now about, is that 5% primary care number actually accurate? François de Brantes continues, “Consider, for example, that in commercially insured plans, the total spend on … EDs is 6% or more.” And then he says, “Check out Stacey Richter's podcast on the subject, but 6% is essentially what researchers say is spent on, you know, ‘primary care.' Except … they don't count those costs, the ER costs. They don't count many other costs that are for primary care, meaning for the treatment of routine preventative and sick care, all the things that family practices used to manage but don't anymore. They don't count them because those services are rendered by clinicians other than those in primary care practice.” François concludes (and he wrote a great article) that if you add up all the dollars that are spent on things that amount to primary care but just didn't happen in a primary care office, it's conservatively around 17% of total dollars. So, yeah … it's not like anyone is saving money by not making sure that every plan member or patient across the country has a relationship with an actual primary care team—you know, a doctor or a nurse who they can get on the phone with who knows them. Listen to the show coming up with Matt McQuide. This theme will continue. But any plan not making sure that primary care happens in primary care offices is shelling out for the most expensive primary care money can buy, you know, because it's gonna happen either in the ER or elsewhere. Jeff Charles Goldsmith, PhD, put this really well. He wrote, “As others have said, [this surge in ER dollars is a] direct consequence of [a] worsening primary care shortage.” Then Dr. John Lee turned up. He, I had quoted on the Al Lewis show, but he wrote a great post on LinkedIn; and part of it was this: “Toward a systemic solution, [we gotta do some unsqueezing of the balloon]. Stacey and Al likened our system to a squeezed balloon, with pressure forcing patients into the [emergency room]. The true solution is to ‘unsqueeze' the system by improving access to care outside the [emergency room]. Addressing these upstream issues could prevent patients from ending up in the [emergency room]. … While the necessary changes are staring us in the face, unsqueezing the balloon is far more challenging than it sounds.” And speaking of ER docs weighing in, then we had Mick Connors, MD, who left a banger of a comment with a bunch of suggestions to untangle some of these challenges that are more challenging than they may sound at first glance that Dr. Lee mentions. And as I said, he's a 30-year pediatric emergency physician, so I'm inclined to take his suggestions seriously. You can find them on LinkedIn. But yeah, I can see why some communities are paying 40 bucks a month or something for patients without access to primary care to get it just like they pay fire departments or police departments. Here's a link to Primary Care for All Americans, who are trying to help local communities get their citizens primary care. And Dr. Conard talked about this a little bit in that episode (EP462). I can also see why plan sponsors have every incentive to change the incentives such that primary care teams can be all in on doing what they do. Dr. Fernandopulle (EP460) hits on this. This is truly vital, making sure that the incentives are right, because we can't forget, as Rob Andrews has said repeatedly, organizations do what you pay them to do. And unless a plan sponsor gets into the mix, it is super rare to encounter anybody paying anybody for amazing primary care in an actual primary care setting. At that point, Alex Sommers, MD, ABEM, DipABLM, arrived on the scene; and he wrote (again with light editing—sorry, I can't read), “This one is in my wheelhouse. There is a ton that could be done here. There just has to be strategy in any given market. It's a function of access, resources, and like-minded employers willing to invest in a direct relationship with providers. But not just any providers. Providers who are willing to solve a big X in this case. You certainly don't need a trauma team on standby to remove a splinter or take off a wart. A great advanced primary care relationship is one way, but another thing is just access to care off-hours with the resources to make a difference in a cost-plus model. You can't help everybody at once. But you can help a lot of people if there is a collaborative opportunity.” And then Dr. Alex Sommers continues. He says, “We already have EKG, most procedures and supplies, X-ray, ultrasounds, and MRI in our clinics. All that's missing is a CT scanner. It just takes a feasible critical mass to invest in a given geography for that type of alternative care model to alter the course here. Six percent of plan spend going to the ER. My goodness.” So, then we have Ann Lewandowski, who just gets to the heart of the matter and the rate critical for primary care to become the investment that it could be: trust. Ann Lewandowski says, “I 100% agree with all of this, basically. I think strong primary care that promotes trust before things get so bad people think they need to go to the emergency room is the way to go.” This whole human concept of trust is a gigantic requirement for clinical and probably financial success. We need primary care to be an investment, but for it to be an investment, there's got to be relationships and there has to be trust between patients and their care teams. Now, neither relationships nor trust are super measurable constructs, so it's really easy for some finance pro to do things in the name of efficiency or optimization that undermine the entire spirit of the endeavor without even realizing it. Then we have a lot of primary care that doesn't happen in primary care offices. It happens in care settings like the ER. So, let's tug this theme along to the shows that concern carriers, meaning the shows with Wendell Potter (EP384) on how shareholders influence carrier behavior and with Betsy Seals (EP463) on Medicare Advantage plans and what they're up to. Here's where the primary care/ER through line starts to connect to carriers. Here's a LinkedIn post by the indomitable Steve Schutzer, MD. Dr. Schutzer wrote about the Betsy Seals conversation, and he said, “Stacey, you made a comment during this fabulous episode with Betsy that I really believe should be amplified from North to South, coast to coast—something that unfortunately is not top of mind for many in this industry. And that was ‘focus on the value that accrues to the patient'—period, end of story. That is the north star of the [value-based care] movement, lest we forget. Financial outcome measures are important in the value equation, but the numerator must be about the patient. As always, grateful for your insights and ongoing leadership.” Oh, thank you so much. And same to you. Grateful for yours. Betsy Seals in that podcast, though, she reminded carrier listeners about this “think about the value accruing to the patient” in that episode. And in the Wendell Potter encore that came out right before the show with Betsy, yeah, what Wendell said kind of made me realize why Betsy felt it important to remind carriers to think about the value accruing to patients. Wall Street rewards profit maximization in the short term. It does not reward value accruing to the patient. However—and here's me agreeing with Dr. Steve Schutzer, because I think this is what underlies his comment—if what we're doing gets so far removed from what is of value to the patient, then yeah, we're getting so removed from the human beings we're allegedly serving, that smart people can make smart decisions in theoretical model world. But what's being done lacks a fundamental grounding in actual reality. And that's dangerous for plan members, but it's also pretty treacherous from a business and legal perspective, as I think we're seeing here. Okay, so back to our theme of broken primary care and accelerating ER costs. Are carriers getting in there and putting a stop to it? I mean, as aforementioned about 8 to 10 times, if you have a broken primary care system, you're gonna pay for primary care, alright. It's just gonna be in really expensive care settings. You gotta figure carriers are wise to this and they're the ones that are supposed to be keeping healthcare costs under control for all America. Well, relative to keeping ER costs under control, here's a link to a study Vivian Ho, PhD, sent from Health Affairs showing how much ER prices have gone up. ER prices are way higher than they used to be. So, you'd think that carriers would have a huge incentive to get members primary care and do lots and lots of things to ensure that not only would members have access to primary care, but it'd be amazing primary care with doctors and nurses that were trusted and relationships that would be built. It'd be salad days for value. Except … they're not doing a whole lot at any scale that I could find. We have Iora and ChenMed and a few others aside. These are advanced primary care groups that are deployed by carriers, and these organizations can do great things. But I also think they serve—and this came up in the Dr. Fernandopulle show (EP460)—they serve like 1% of overall patient populations. Dr. Fernandopulle talked about this in the context of why these advanced primary care disruptors may have great impact on individual patients but they have very little overall impact at a national scale. They're just not scaled, and they're not nationwide. But why not? I mean, why aren't carriers all over this stuff? Well, first of all—and again, kind of like back to the Wendell show (EP384) now—if we're thinking short term, as a carrier, like Wall Street encourages, you know, quarter by quarter, and if only the outlier, mission-driven folks (the knights) in any given carrier organization are checking what's going on actually with plans, members, and patients like Betsy advised, keep in mind it's a whole lot cheaper and it's easier to just deny care. And you can do that at scale if you get yourself an AI engine and press Go. Or you can come up with, I don't know, exciting new ways to maximize your risk adjustment and upcoding. There's an article that was written by Sergei Polevikov, ABD, MBA, MS, MA

Financial uncertainty is a constant challenge for school business officials, but how districts respond to it can determine long-term success. Instead of simply reacting to budget shortfalls, SBOs must take a strategic approach to resource allocation and financial planning. In this episode, Jonathan Travers, President & Managing Partner of Consulting at Education Resource Strategies (ERS), shares insights on managing financial uncertainty, using return on investment to guide budgeting decisions, and building long-term sustainability rather than making short-term cuts. He also discusses common mistakes districts make when facing budget constraints and how ERS provides tools and frameworks to help SBOs optimize financial strategies. Whether you're preparing for future funding shifts or trying to stabilize your district's finances, this episode offers practical insights that will help you make more informed, data-driven decisions.Resources:ERS SSROI Tool KitBudget Hold'emContact School Business Insider: Check us out on social media: LinkedIn Twitter (X) Website: https://asbointl.org/SBI Email: podcast@asbointl.org Make sure to like, subscribe and share for more great insider episodes!Disclaimer:The views, thoughts, and opinions expressed are the speaker's own and do not represent the views, thoughts, and opinions of the Association of School Business Officials International. The material and information presented here is for general information purposes only. The "ASBO International" name and all forms and abbreviations are the property of its owner and its use does not imply endorsement of or opposition to any specific organization, product, or service. The presence of any advertising does not endorse, or imply endorsement of, any products or services by ASBO International.ASBO International is a 501(c)3 nonprofit, nonpartisan organization and does not participate or intervene in any political campaign on behalf of, or in opposition to, any candidate for elective public office. The sharing of news or information concerning public policy issues or political campaigns and candidates are not, and should not be construed as, endorsements by ASBO Internatio...

Health & Wealth: Why Real Estate Investors Must Prioritize Their Well-BeingIntroduction: Why Health Matters for InvestorsWelcome to Getting Real! I'm Monick Halm, founder of Real Estate Investor Goddesses, and today we're diving into a crucial but often overlooked topic—health.As real estate investors and entrepreneurs, we focus on deals, financial growth, and business success, but without good health, none of that matters. After spending more time than I wanted in hospitals and ERs last year, I realized that if I wasn't healthy enough to work, there would be no more deals.That's why I'm thrilled to have Sarah Bartell, a functional medicine nutritionist, with us today to discuss gut health, hormone balance, stress management, and practical steps for optimizing our well-being.Sarah is a board-certified nutritionist with a Master's in Functional Medicine and Nutrition. She specializes in digestion, hormones, energy, and weight balance using personalized lab testing, nutrition, and lifestyle interventions. She has worked with corporate wellness programs and is a former Ironman and ultramarathon athlete.Sarah explains that high-achieving women—investors, executives, and entrepreneurs—often experience unexpected health challenges in their 30s and 40s.

Guest: Toronto Star health reporter Megan Ogilvie Ontario is racing towards a snap election on February 27 and for a lot of voters, two issues loom well above the rest: housing and healthcare. Both are at breaking point and both are dominating party platforms. As part of the Star's pre-election coverage, we're delving into these issues. Where do things really stand, are any of the candidates offering actual solutions, and what should you, the voters, be thinking about as you head to the polls?  Today's episode will focus on healthcare. With overflowing ERs, health-care worker burn-out and more than two million people without a family doctor, Ontario's healthcare has been in trouble for years. Can anyone bring it back on track?  Audio sources: Global News, CTV, CBC, Youtube This episode was produced by Paulo Marques and Saba Eitizaz 

Premier Doug Ford cited President Donald Trump's tariff threats as the reason for the early election call. But according to a recent Nanos survey for CTV News, the top concern for Ontarians is health care: 28.1 per cent said that's the issue that will influence how they'll vote. So what kinds of health-care challenges are we facing in the province, and what do the parties propose to do about them? To discuss, we'll be joined by: Dr. Sarah Newbery, a family physician in Marathon and the assistant dean of the Physician Workforce Strategy for the Northern Ontario School of Medicine Erin Ariss, provincial president of the Ontario Nurses'Association Dr. Dominik Nowak, president of the Ontario Medical Association and a family doctor at Women's College Hospital and Dr. Jobin Varughese, president of the Ontario College of Family Physicians and interim assistant dean of primary-care education for the School of Medicine at Toronto Metropolitan University.See omnystudio.com/listener for privacy information.

Jason and tax expert Tom Wheelwright discusses potential changes under a new Trump administration, including the extension of the 2017 tax act, possible reintroduction of bonus depreciation, and a reduced tax rate for manufacturers. He anticipates challenges in implementing tariffs and addressing immigration issues, which could impact the real estate market and construction costs. Wheelwright emphasizes the importance of tax planning and staying informed about policy changes. He highlights potential impacts on real estate investors, including changes to depreciation rules and the home mortgage interest deduction. The conversation covers topics like cryptocurrency regulation, value-added taxes, and the complexities of international trade. Also, Tom Wheelwright will speak at the upcoming Empowered Investor Live event in April, offering further insights on these critical economic and tax issues. Get the Early Bird Rates: April 4-6, 2025 Empowered Investor LIVE in Irvine, California  https://empoweredinvestorlive.com/ #TaxPlanning #RealEstateInvesting #TrumpTaxPlan #TariffPolicy #Immigration #ManufacturingIncentives #SolarTaxCredits #BonusDepreciation #CostSegregation #EconomicPolicy #CorporateTaxRate #ValueAddedTax #CryptoRegulation #IncomeTaxReform #TrumpAdministration Key Takeaways: 1:23 Greetings from Medellin, Colombia! Empowered Investor Live  5:17 Clip of the Day: No autism in the Amish community https://x.com/i/status/1883768171225813415 Tom Wheelwright interview 6:41 Trump 2.0: IRS vs. the ERS, SALES Tax vs. VAT and the 16th amendment 14:25 Tax Benefits and the factors that affect real estate investors under Trump 18:59 Deportations and the housing rental market 22:04 IRS needs better technology, not more auditors; safe or not safe tax deductions 28:50 Regulating and taxing crypto 30:09 Action steps, Trumps policies and bumps on the road 37:08 Tariffs, Panama and Greenland and the US as a tax haven 46:25 Exciting announcement   Follow Jason on TWITTER, INSTAGRAM & LINKEDIN Twitter.com/JasonHartmanROI Instagram.com/jasonhartman1/ Linkedin.com/in/jasonhartmaninvestor/ Call our Investment Counselors at: 1-800-HARTMAN (US) or visit: https://www.jasonhartman.com/ Free Class:  Easily get up to $250,000 in funding for real estate, business or anything else: http://JasonHartman.com/Fund CYA Protect Your Assets, Save Taxes & Estate Planning: http://JasonHartman.com/Protect Get wholesale real estate deals for investment or build a great business – Free Course: https://www.jasonhartman.com/deals Special Offer from Ron LeGrand: https://JasonHartman.com/Ron Free Mini-Book on Pandemic Investing: https://www.PandemicInvesting.com

In this episode of the Dakota Fundraising News Podcast, Pat and Konch cover major job changes, including Julia Mord joining Commonfund as Deputy CIO and Spencer Comeaux moving to ERS of Texas. They highlight RIA/FA M&A activity, including Cetera's recruitment of a $250M White Plains team and Rockefeller's addition of a $1B team from Janney. Institutional updates feature pension fund searches, private credit strategies, and recent commitments from Fresno County Employees' Retirement Association and Hollywood Police Officers' Retirement System. Fundraising news includes Mayfair Equity Partners closing a £500M growth fund and Pearl Energy Investments hitting its $999.9M hard cap. Tune in for the latest insights in institutional and intermediary fundraising!

Season 7 Episode 1927 Join Angel and Dr. E as they discuss the challenges within the emergency room systems across the United States, prompted by a personal and frustrating experience with medical care. Angel shares an intimate story about a weekend when he had to deal with his father's health issues and a complicated ER visit that exposed the inefficiencies of the healthcare model. Dr. E provides his expert insights, discussing systemic problems that overburden ERs and affect patient care. They explore how changes in the medical practice model have shifted responsibilities and created bottlenecks in emergency departments. The episode seeks to raise awareness and discuss potential strategies to improve the patient experience and healthcare outcomes, encouraging listeners to share their own stories and questions.

In his first days in office, Donald Trump set about radically reshaping America with a long list of executive orders. He declared a national energy emergency in America, promised to "drill baby drill," renamed the Gulf of Mexico, and ended many national environmental engagements, including the Paris Accords. On the immigration issue, he went after cartels, began deporting illegals, and confronted foreign governments like Colombia, which at first refused to take back its citizens. Many have called this Trump's effort to "repeal the 20th Century." It may seem radical, but is it all that bad? Trump has also called for an end to the income tax, the opening of an external revenue service (ERS), and more tariffs to help encourage manufacturing to return to the U.S. In this episode, we talk about what these executive orders mean for the next four years. Talk to Joe Garrisi about managing your wealth with Backwards Planning Financial.10 Ways to Make Money with Your MAXX-D Trailer.Visit KeepwisePartners.com or call Derrick Taylor at 781-680-8000 to schedule a free consultation.Buy your beef or pork box today from Salt and Strings Butchery.Book your free consultation with Boniface Business today at https://bonifacebusiness.comPurchase your body armor at Premier Body Armor. Visit Mid State Accounting where your growth becomes your legacy: https://www.midstateaccounting.net/Your trusted data and technology partner. Visit White Tree Solutions: https://www.wtsdata.com/

State Executive Committeewoman to the Republican Party of Texas for SD 30 Rachel Horton joins the program to discuss the vote for Speaker of the House in Texas, what bills will make it through the Texas Legislature and why a bright red state seems to be trending purple. Woke Priestess at National Prayer Service goes all Liberal on her sermon. Trump warns of 25% tariffs on Canada and Mexico. Senator Bernie Moreno introduces legislation to create the External Revenue Service and is Barron Trump cute?

“I have been a paratrooper and a medic for an air wing, consistently put my patients, brothers and sisters, and our national interest as my top priority,” Harry Fisher, an EMT since 1997, told Dr. Peter McCullough. “When I spoke out about the horrific things I was witnessing… I was called a terrorist by social media and shunned by many of my peers.” The paramedic says he witnessed “evidence of genocide” in 2020-2024 and shares how the medical system influences the minds of clinicians until they comply. Harry Fisher is a Nationally Registered Paramedic (NRP) with extensive experience in emergency medical services. An EMT since 1997 and paramedic since 2013, Fisher served as an Army and Air Force medic before working on ambulances for many years. During the COVID-19 pandemic, he transitioned to contract work in ERs, ambulances, and ICUs. Fisher is the author of “Safe and Effective, For Profit: A Paramedic's Story Exposing American Genocide” available at https://FishersBook.com. His career has spanned Oklahoma, New York City, North Dakota, and Alaska. Find him at https://x.com/harryfisherEMTP Dr. Kelly Victory MD is the Chief of Disaster and Emergency Medicine at The Wellness Company. A board-certified trauma and emergency specialist with over 30 years of clinical experience, Dr. Kelly served as CMO for Whole Health Management, delivering on-site healthcare services for Fortune 500 companies. She holds a BS from Duke University and her MD from the University of North Carolina. Follow her at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at https://drdrew.com/sponsors  • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ceasefire and hostage deal between Israel and Hamas hits a snag. Joe Biden gaslights America one last time in his farewell address before he leaves office. More confirmation hearings. Attorney general hopeful Pam Bondi destroys Democrat senators. Secretary of state hopeful Marco Rubio is strong in his hearing. PatHeads own the word "throft" now! Is California going to turn red in the wake of the wildfire mismanagement? Dallas Cowboys' new coach search continues. Explosives found in a Chicago apartment ... what was planned? Get ready for the ERS … the External Revenue Service. Will Trump ride to Puerto Rico's rescue? Caitlin Clark's stalker is one weird guy. Trump's former attorney is begging for a presidential pardon. Kamala Harris and Jill Biden hung out last night?! 00:00 Pat Gray UNLEASHED 01:01 Ceasefire between Israel & Hamas 03:58 Joe Biden's Farewell Speech 15:46 Pam Bondi's Opening Statement 17:51 Pam Bondi vs. Adam Schiff 20:47 Pam Bondi vs. Alex Padilla 23:09 Pam Bondi vs. Sheldon Whitehouse 25:21 Pam Bondi vs. Richard Blumenthal 26:02 Pam Bondi vs. Mazie Hirono 28:26 Marco Rubio Explains Trump's Directives 34:13 Marco Rubio Explains China 36:16 Marco Rubio talks Liberal World Order 42:46 Russ Vought sets Gary Peters Straight 45:01 Red Dye 3 Banned in America 50:00 English Lesson for Kris Cruz 53:34 Klaus Schwab Warning about Climate Change 57:59 California Going Red? 1:04:15 Dallas Cowboys Head Coach  1:06:21 Suspicious Items Found in Chicago 1:10:05 Trump Talks about the ERS 1:12:02 Venezuela Wants to Attack Puerto Rico 1:17:36 Caitlin Clark Stalker 1:20:15 Michael Cohen Begs Biden for a Pardon 1:28:30 Trump Inauguration Performance 1:32:27 No More Joe & Jill Biden 1:35:18 Hunter Biden's Paintings Lost Learn more about your ad choices. Visit megaphone.fm/adchoices

There's a shortage of specialized nurses who play a critical role in providing care to sexual assault survivors. Particularly in Louisiana, Mississippi, and Alabama. They are called sexual assault nurse examiners — or SANEs.As Drew Hawkins reports for the Gulf States Newsroom, one potential solution is to use telemedicine — but it's currently not available in the Gulf South.College textbooks are expensive. You might already know this if you've been to college, but prices have accelerated just in the last few years. And while tuition hikes and admission practices often create barriers of entry to higher education, sometimes it's that are prohibitively expensive, as they're often not covered by scholarships. As the spring semester gets into swing at schools across Louisiana, we found ourselves interested in efforts LSU is taking to address the accelerating problem of college textbook prices. Allen LeBlanc, Open Scholarship Librarian, at LSU Libraries tells us more about solutions.In June 2024, researchers released a medical study involving one Out Lady of the Lake Regional Medical Center in Baton Rouge. It looked at techniques for intubating patients, the practice putting a tube down your throat to provide ventilation, is something that's generally done when you're in critical condition. The trial involved Our Lady of the Lake Regional Medical Center in Baton Rouge as well as other ERs and ICUs across the nation. They're using a BPAP, a bilevel positive airway pressure machine.Dr. Christopher Thomas is a pulmonary critical care specialist at the hospital. He tells us more about this study, what researchers are hoping to find, and the results of a new airway pressure machine. ___Today's episode of Louisiana Considered was hosted by Adam Vos. Our managing producer is Alana Schrieber. We get production support from Garrett Pittman and our assistant producer Aubry Procell. You can listen to Louisiana Considered Monday through Friday at noon and 7 p.m. It's available on Spotify, the NPR App and wherever you get your podcasts. Louisiana Considered wants to hear from you! Please fill out our pitch line to let us know what kinds of story ideas you have for our show. And while you're at it, fill out our listener survey! We want to keep bringing you the kinds of conversations you'd like to listen to.Louisiana Considered is made possible with support from our listeners. Thank you!

Hegseth hearing, inauguration Monday, age verification, and Trump announces the ERS. Plus, the Message of the Day, tribalism in American politics. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode Nick talks about Trump's ERS, Kamala's Salad Bar, Eagles Fans and more! Like what you hear?  Watch FULL episodes of The Nick Di Paolo Show on Rumble Premium! https://rumble.com/c/TheNickDiPaoloShow/exclusive MERCH - https://shop.nickdip.com/ TOUR DATES AND MORE - https://nickdip.com 2/20/2025 - Bricktown Comedy Club – Tulsa, OK 2/21/2025 - Funny Bone Westport, St. Louis, MO 3/13/2025 - Hyena's, Albuquerque, NM 4/25/2025 - Cohoes Music Hall, Cohoes, NY 5/15-16/2025 - Zanies, Rosemont, IL SOCIALS - https://bio.site/nickdipaolo

Donald Trump floats getting rid of the Internal Revenue Service and putting America back on equal footing in the world. Pete Hegseth shows the world how ridiculous Liberal Democrats are and Special Counsel says it's inappropriate to look into anymore crimes that Hunter Biden may have committed. 

Watch The X22 Report On Video No videos found Click On Picture To See Larger PictureThe green new scam has failed, and now the [WEF] structure is collapsing, its all falling apart. Biden forgives more student loans, they want Trump to reverse it to create chaos. Trump confirms the direction, IRS out and the ERS is in, time to end the endless. The [DS] is now putting out warnings, they have been setting the narrative with the two [FF] events. Now they are warning about copycat attacks and lone wolves. Trump and the patriots know the playbook, they know the [DS] is planning to bring chaos. It has begun the patriots are now moving in and the [DS] is moving out. The [DS] will try to stop the process but they do not control the Senate. Soon when Trump has his team in place the show moves to the next level.   (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:13499335648425062,size:[0, 0],id:"ld-7164-1323"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="//cdn2.customads.co/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs"); Economy https://twitter.com/disclosetv/status/1879111141210919217 Joe Biden Forgives Student Loans for 150,000 Borrowers Just Days Before Trump Inauguration   Joe Biden canceled student loans for 150,000 borrowers on Monday one week before Trump's inauguration. “Today, my Administration is approving student loan relief for more than 150,000 borrowers – bringing the total number of Americans who have had their student debt cancelled by my Administration to over 5 million. These 150,000 borrowers include: almost 85,000 borrowers who attended schools that cheated and defrauded their students, 61,000 borrowers with total and permanent disabilities, and 6,100 public service workers,” Biden said in a statement on Monday.  NBC News reported: Last month Joe Biden backed off from two of his major student loan cancelation plans because his political career is over. It was all a political stunt. Source: thegatewaypundit.com https://twitter.com/KobeissiLetter/status/1879159433382728180 https://twitter.com/KanekoaTheGreat/status/1878888867555901649 https://twitter.com/BitcoinMagazine/status/1879117554767266055   https://twitter.com/RepThomasMassie/status/1878894793268343227 Donald J. Trump@realDonaldTrump For far too long, we have relied on taxing our Great People using the Internal Revenue Service (IRS). Through soft and pathetically weak Trade agreements, the American Economy has delivered growth and prosperity to the World, while taxing ourselves. It is time for that to change. I am today announcing that I will create the EXTERNAL REVENUE SERVICE to collect our Tariffs, Duties, and all Revenue that come from Foreign sources. We will begin charging those that make money off of us with Trade, and they will start paying, FINALLY, their fair share. January 20, 2025, will be the birth date of the External Revenue Service. MAKE AMERICA GREAT AGAIN! Political/Rights https://twitter.com/catturd2/status/1879147191656473039 Black Lives Matter Supporter Julia Roberts Says ‘F-ck You' to Los Angeles Fire Looters  Julia Roberts is extremely upset about looting — now that celebrity homes in Los Angeles are the ones being targeted. Criminals have been taking advantage of the chaos caused by the fires and are looting multimillion-dollar homes, many of which belong to Hollywood celebrities. In the week since the fires began, approximately 30 people have been arrested for looting the abandoned mansions. In an Instagram post promoting the SoCal Fire Fund on Monday, Roberts wrote, “There is so much healing and help needed. We will get through this. #F.U.Looters.” Source: thegatewaypundit.com https://twitter.com/EndWokeness/status/1879019470272000134

Today we're talking freestanding ERs, Daylight Saving Time and the politics of half-staff flags. Learn more about your ad choices. Visit megaphone.fm/adchoices

Like many of Canada's rural and remote communities, Mackenzie, B.C.'s hospital struggles to staff the ER. But once a week, a doctor hundreds of kilometres away fills in virtually. Many provinces like B.C. are using virtual care in ERs in an attempt to keep the doors open. But critics are concerned about patient safety and the need to balance virtual with in-person care.

Send us a textDiscover the exhilarating world of medicine and travel with Dr. Courtney Downes, an inspiring emergency medical doctor and podcast host. She shares her fascinating journey from medical school in Connecticut to the bustling ERs of Las Vegas, bringing to life the unpredictable and vibrant experiences unique to her hometown's nightlife. With an innovative twist, Dr. Downes introduces us to freestanding emergency rooms that promise quicker, more personalized care, while also revealing her exciting transition into podcasting and launching her platform, Prescription to Travel MD, which champions self-care and adventure for healthcare professionals.Unlock the secrets of travel hacking as Dr. Downes demystifies how medical professionals can live luxuriously without breaking the bank. By leveraging everyday expenses into credit card points, she makes dream vacations accessible, showcasing the synergistic benefits of continuing medical education perks within these adventures. Dr. Downes offers practical advice on maximizing sign-up bonuses and shares her personal stories of travel, creating a roadmap for those eager to explore the world without financial strain.In a heartfelt exploration, Dr. Downes discusses the profound impact of family support on her personal and professional life. She shares the motivating story of her daughter's experience with racial discrimination, which inspired the creation of a reading book club with her sister, Bree, promoting stories from diverse authors. This initiative not only empowers kids but also fosters a sense of belonging and appreciation for diversity. Wrapping up with a touch of local flavor, Dr. Downes recommends her favorite brunch spots in Las Vegas and invites listeners to connect with her for advice on travel and points strategies, building a community centered around growth and adventure.

KFI's own Tech Reporter Rich DeMuro joins The Bill Handel Show for 'Tech Tuesday'! Rich talks about AMAZON PRIME DAY, MoneyGram being hacked, Google being a monopoly, and Verizon Message+ shutting down. Private equity is ruing ERs. Costco salad drug test.

Nikki Haley urges Republicans to ""quit whining"" and focus on winning instead of ""talking about what race Kamala Harris is"" to the Trump campaign. JK Rowling and Elon Musk are named in the Imane Khelif cyberbullying lawsuit. Rep. Ilhan Omar will win the primary in Minnesota and break the ""squad"" losing streak. Dozens of pregnant women, some bleeding or in labor, are turned away from ERs despite federal law. Audio of J.D. Vance agreeing postmenopausal women's only role is the help raise kids unearthed. The Trump campaign just tweeted something extremely racist." HOST: Cenk Uygur (@cenkuygur), Ben Gleib (@bengleib) SUBSCRIBE on YOUTUBE: ☞ https://www.youtube.com/user/theyoungturks FACEBOOK: ☞ https://www.facebook.com/theyoungturks TWITTER: ☞ https://www.twitter.com/theyoungturks INSTAGRAM: ☞ https://www.instagram.com/theyoungturks TIKTOK: ☞ https://www.tiktok.com/@theyoungturks

Tuesday, August 13th 2024Today, NPR fact checked Trump's Mar a Lago Q and A and counted 162 lies in 64 minutes; new polling shows that for the first time this election cycle, voters trust the Democratic ticket over Trump on the economy; a former Walz student and Republican has penned an op ed warning against attacking his character; Trump has filed notice that he's going to sue the DoJ for executing the Mar a Lago search warrant; nearly 100 pregnant women are turned away from emergency rooms despite federal law; Senator Chuck Schumer says he will work to block any effort in the Senate to significantly cut the CDC's budget; plus Allison and Dana deliver your Good News.Stories162 lies and distortions in a news conference. NPR fact-checks former President Trump (NPR)A memo to the Trump campaign from a former Walz student and dormant Republican (StarTribune)Trump set to sue DOJ for $100m over Mar-a-Lago raid after classified documents case dismissed (The Independent)Dozens of pregnant women, some bleeding or in labor, are turned away from ERs despite federal law (AP News)Give to the Kamala Harris Presidential CampaignKamala Harris (MSW Media Donation Link) — Donate via ActBlueCheck out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe to Lawyers, Guns, And MoneyAd-free premium feed: https://lawyersgunsandmoney.supercast.comSubscribe for free everywhere else:https://lawyersgunsandmoney.simplecast.com/episodes/1-miami-1985Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comFollow AG and Dana on Social MediaDr. Allison Gill Follow Mueller, She Wrote on Posthttps://post.news/@/MuellerSheWrote?utm_source=TwitterAG&utm_medium=creator_organic&utm_campaign=muellershewrote&utm_content=FollowMehttps://muellershewrote.substack.comhttps://twitter.com/MuellerSheWrotehttps://www.threads.net/@muellershewrotehttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyhttps://danagoldberg.comHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/From The Good NewsMaeday Rescue (IG)https://www.maedayrescue.comVelvet Revolution (Wikipedia)Minnesota DFL(dfl.org)Orconomics  J. Zachary Pike (Goodreads) Live Show Ticket Links:https://allisongill.com (for all tickets and show dates)Friday August 16th Washington, DC - with Andy McCabe, Pete Strzok, Glenn Kirschner https://tinyurl.com/Beans-in-DCSaturday August 24 San Francisco, CA https://tinyurl.com/Beans-SF Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/OrPatreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts