Podcasts about ERS

America's 250th birthday is not shaping up to be a typical one-night July 4th celebration. With fireworks and community events expected to stretch across July 3, 4, and 5 (and expect some noise even earlier), Dr. Ernie Ward and Beckie Mossor, MPA, RVT, are urging veterinary teams to prepare now for an extra-long, extra-loud holiday weekend. This episode focuses on what clinics can do before the booms begin: check medication inventory, reach out to clients early about noise-aversion plans, remind pet owners not to wait until the last minute, and prepare for closed clinics, overwhelmed ERs, and staffing challenges. Ernie and Beckie also discuss holiday risks beyond fireworks, including lost pets, outdated microchip information, travel stress, barbecue hazards, cannabis exposure, and pets in unfamiliar vacation environments. It's a timely reminder that this year's July 4th isn't just July 4, and vet teams can help clients, patients, and colleagues avoid preventable chaos. #VeterinaryMedicine #VetMed #VetTechLife #FireworksSafety #July4thPetSafety

The Minister of Families, Nahanni Fontaine, behaved like a petulant teenager during the budget debate and crossed a red line that must be addressed and denounced by House Speaker Tom Lindsay and all Manitoba MLAs. In Episode 23 we have the audio from the Legislature and describe her unacceptable antics.Part 1- Marty Gold reviews the content produced in the pages of the Winnipeg Sun and on the podcast in the month of May. The wide range of stories, interviews, and analysis provides the evidence that when readers and listeners support the Season 7 Funding Drive, the narratives are challenged and elected officials and bureaucrats are held accountable and are forced to respond. Please donate via this link- https://actionline.ca/2024/02/donate-2/The latest Sun columns include-Voters may want to quiz city councillors over ward expensesFake Public Works “emergency” shut out taxpayers from $10M contract debateRyback ready for another run at St. James council seatAnd in the new Winnipeg Sun-Tribune Sunday edition-Political spin can't hide the bad news in WPS annual crime report22.18 Part 2- The Manitoba Conservatives compiled video clips of how NDP House leader Nahanni Fontaine interrupted PC Leader Obby Khan in the House last week, including repeatedly bellowing "Stop Talking About The Women In My Caucus" when Khan opined on the performance of her fellow cabinet members. Fontaine was trying to run interference for the likes of her BFF, Addictions Minister Bernadette Smith, and Health Minister Uzoma Asagwara.The self-styled "Squad" have two things in common - they all represent impoverished and struggling north end and inner city areas, and all three have failed in their portfolios. Just ask the kids who died in CFS care, the addicts who can't find treatment beds, and the patients who've died in ERs and on waiting lists.But as you'll hear, the thinly-veiled man-hating of Fontaine was the least of the offensive behavior from the Legislature's Queen of Mean. The reel, posted by the Tories online, included video from the just-concluded budget debate, showing the contempt Fontaine has for the very office she holds as Government House leader. While the opposition urged the Kinew NDP to amend the budget and raise the tax-free income bracket limit to bring relief to Manitoba's families, Fontaine started watching a Hollywood big budget movie while the House was in session. With her dirty high heels perched on the seat next to her.As you'll hear, this was an act of contempt towards the entire House. Flin Flon MLA Tom Lindsay is the Speaker and has already been dragged by Kinew for daring to try to curtail the inflammatory accusations like "transphobe", "racist", and "bigot" hurled by the NDP at Khan and opposition members. Lindsay is going to have to decide if he will upbraid Fontaine for her lack of decorum and force her to apologize, or be intimidated by her into silence, the way she wants to silence all criticism of the women in the NDP caucus. ****To comment on our coverage, send story tips, or inquire about ways to contribute towards the Season Seven campaign or advertise on the podcast, please email martygoldlive@gmail.com

What does real recovery actually look like one year out? In Episode 170, Dr. Robert Whitfield is joined by Hannah, a patient from Montana who is marking her one-year anniversary since implant removal surgery. Hannah spent nearly three and a half years seeking answers — cycling through specialists, ERs, and countless tests — before finding a clinical path that addressed what was actually happening in her body. Her story is detailed, honest, and covers what most recovery conversations leave out. What Hannah experienced before surgery: Brain fog so severe that if something wasn't written down, it was forgotten. Extreme fatigue that kept her on the couch most of the day. Significant hair loss — particularly difficult given her two decades in the hair industry. Food sensitivities so severe she could only tolerate bananas and avocados, and a two-year period where animal protein triggered anaphylactic reactions requiring an EpiPen. Heart palpitations, GI disruption, and convulsions that prompted ER visits — with every blood panel coming back within normal range. What the clinical picture actually showed: Hannah's toxicity profile revealed elevated tin (at seven times the normal level — a known neurotoxin), BPA, glyphosate, dimethyl phosphates, aflatoxins, and ochratoxins. Her PCR results indicated bacterial contamination on the implant. Dr. Whitfield explains how this combination — compromised detox genetics, high toxic burden, and a device-associated bacterial load — creates the environment that drives the systemic symptoms Hannah was experiencing. Where she is one year later: Energy restored. Animal protein reintroduced successfully. Brain fog resolved. Landscaping her yard. Making and keeping plans with friends. And acutely aware of her environment in a way she wasn't before — including recognizing a mold-contaminated Airbnb in San Diego that her cleared system immediately flagged. Dr. Whitfield and Hannah also discuss: Why the detox protocol after surgery matters as much as the procedure itself — and why stopping early is one of the most common mistakes The role of a supportive partner and community in recovery, and how to navigate the process without one Why some patients feel an initial lift after surgery before the deeper recovery work begins The real timeline of healing: week over week, month over month — not a straight line The censorship and algorithmic suppression of implant-related health education, and where to find uncensored conversations Hannah's advice to women who are hesitant: You can't put a price tag on your health. You're going to pay for it either way.

Francisco Carlos Smidt, secretário de Obras e Infraestrutura de Santa Cruz, participou do programa Direto ao Ponto para falar sobre a instalação de galerias na ERS-409 e as pavimentações no município.

Francisco Carlos Smidt, secretário de Obras e Infraestrutura de Santa Cruz, participou do programa Direto ao Ponto para falar sobre a instalação de galerias na ERS-409 e as pavimentações no município.

In this episode of Voices in Leadership, host Melissa Andrews, president and CEO of LeadingAge Virginia, talks with Laura Lamb and Megan Bradford of Episcopal Retirement Services (ERS) about the organization's evolution and its growing commitment to serving older adults across the full economic continuum. The conversation explores ERS's 75-year history, its expansion from a single retirement community to a multi-state organization with life plan communities, affordable living campuses, and community-based programs including Meals on Wheels and memory support services.Laura and Megan also discuss ERS's focus on serving the “middle market” — older adults who have too many resources to qualify for affordable housing but not enough to access traditional life plan communities. They explain how personal family experiences helped shape the initiative and outline ERS's approach, including no entrance fees, service coordination instead of heavy staffing models, and pricing designed to remain attainable for middle-income older adults. The episode also highlights ERS's servant leadership culture, emphasis on internal growth and promotions, the importance of strategic partnerships, and why providers should stop simply “musing” about middle market solutions and start testing new models in their own communities.Voices in Leadership is produced by Association Briefings.

Send us Fan MailWe talk with Iowa State Representative Ann Meyer about how mental health legislation gets built and why access to care still fails families in crisis. We dig into provider shortages, the fight for mandatory follow-up after commitment, and how constituents can move lawmakers with personal stories and local relationships. • her path from nursing to the Iowa House and why constituent stories changed her focus • why access to mental health care breaks down during a crisis and what “waiting” really means • the provider shortage problem and steps to grow psychiatry and therapy capacity • incentives that help recruit and retain clinicians in rural states • why 30 days of treatment is often not enough for severe mental illness • the case management follow-up bill that passed the House then stalled in the Senate • how law enforcement and ERs absorb the cost when the system fails • homelessness, shelter rules, and the overlap with substance use disorder • how to speed change through education, budgeting strategies, and persistent advocacy • why reaching out to your state legislator works and how to do it with a personal story If you know someone who has a story to share, tell them to contact us at why notme.world. One last thing spread the word about why not me. INTRO/OUTRO Music: T. WildMantor Music BMIhttps://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)

Braves took 2 of 3 from the Red Sox over the weekend at Truist, Grant Holmes went 6 IP allowed 5 H but no ERs and stuck out 4 while Austin Riley & Mike Yastrzemski both went deep in the game. Barrett Sallee joined The Locker Room to talk about the series, Ronald Acuna Jr return timeline and previews the upcoming series against Miami Ford Leadoff Show gets underway at 5:25p with First Pitch scheduled for 6:40p. Atlanta Braves sending JR Ritchie (1-0, 3.32) to the mound to faceoff against Max Meyer for the Marlins (3-0, 3.21) Hear Atlanta Braves Today every Mon-Fri at 7:45a during The Locker Room on 680 The FMSee omnystudio.com/listener for privacy information.

How long does tapping take to work? It's one of the most common questions I get, and the answer is the most unsatisfying one in coaching: it depends. In this post I'll show you why that's actually the most useful answer I can give you, and how to use it. TL;DR: How Long Tapping Takes to Work How long tapping takes to work depends on the issue you're tapping on and how you define success. A 90-second round can shift a present-moment frustration, while a 35-year-old limiting belief usually takes repeated sessions over time. Happiness equals outcome divided by expectation. The same result feels like a miracle or a failure depending on what you expected walking in. You can measure tapping success three ways: frequency (how often the issue shows up), duration (how long it sticks with you), and intensity (how strong it feels). Improvement in any one of the three is a real win. The goal of tapping is to make it better, not to make it perfect. Better is often enough to change the rest of your day. Why "How Long Does Tapping Take to Work?" Is the Wrong Question How long tapping takes to work is the wrong question because it assumes there's one answer that applies to every issue and every person. There isn't. The better question is: what does one step better look like right now? Years ago I had a one-on-one session with a friend whose husband had been telling her for months that she needed to tap with me. I don't think she really wanted to be there. I think she wanted him to stop bringing it up. There was natural resistance at the start of the session, but within fifteen minutes we had surfaced a deep, specific issue and tapped through a round on it. At the end of that round, she was disappointed. Not because nothing had happened. She was disappointed because the issue wasn't completely healed yet. In fifteen minutes she had moved from resistant to disappointed because the work wasn't fast enough. That's the trap built into the question. We're asking how long until the issue is gone, when the more useful question is how much better do I feel right now than I felt three minutes ago. Happiness Equals Outcome Divided by Expectation Happiness equals outcome divided by expectation. The way you respond to any result is determined less by the result itself and more by what you expected walking in. Imagine I tell you at the end of the day that I got six things done. Was that a good day or a bad day? It depends. If I sat down this morning wanting to get eight things done, I'm disappointed. If I sat down wanting to get four things done, I'm doing backflips on my way out of the office. Same six things. Completely different experience. The same dynamic shows up every time we use a transformational tool. If you expect a single round of tapping to permanently resolve a long-standing issue, almost any real result will feel like a failure. If you expect tapping to make the next ten minutes a little easier, the same result feels like a win. This is why unrealistic expectations can quietly sabotage your tapping progress even when the work itself is going well. Key Insight: "Happiness is outcome divided by expectation. The way I respond to something is based on how I expect it to work out." Why No Two Tapping Issues Heal at the Same Rate No two tapping issues heal at the same rate, even when they look identical on the surface. The tool is the same. The timeline almost never is. There's a real difference between me being frustrated in this moment and not wanting to be frustrated, and me dealing with a limiting belief I've carried for the last 35 years. The toolset is exactly the same. The rate at which those two things shift will be completely different. The same is true even when the symptom is identical. I can have pain in my right shoulder because I slept on it wrong, and I can have pain in my right shoulder because I was in a car accident and tore a muscle. Same pain, same location, same intensity on a 0 to 10 scale. The cause is different, so the time it takes to resolve is different. Every time you sit down to tap, recognize this: the goal is to make it better. Not to make it perfect, not to make it gone, but to make it better. That's a frame I keep coming back to with clients, and it's the same spirit behind tapping to embrace progress, not perfection. The Costa Rica Story: When Better Looks Like Failure Almost 20 years ago, brand new to tapping, I was in a coffee shop in Costa Rica when four other Americans walked in and sat down nearby. I struck up a conversation and one of them mentioned he had just tweaked his shoulder zip-lining through the jungle. I was at the stage of my tapping life where I was running everyone I met over with my enthusiasm. So I said, "Let me show you this amazing thing." I had him tap through Gary Craig's basic EFT recipe. Before we started I asked him, 0 to 10, how big is the pain? He said six. We tapped. I asked again. He said four. In my head, my immediate reaction was: it failed. He and his three friends, on the other hand, said, "Whoa, that's amazing." Because it was. Ninety seconds of tapping had taken a third of his pain away on his subjective measure. He had more movement in his shoulder. The rest of his day was going to be better. My expectation was healed. He experienced better. That's the gap this whole post is trying to close. Key Insight: "When I'm tapping, I live in the ERs. Not the emergency room. Better, easier, gentler, calmer." The Three Measures of Tapping Success: Frequency, Duration, Intensity There are three ways to measure whether tapping is working: frequency, duration, and intensity. Any one of them moving in the right direction counts as real progress. I learned this framework from my friend Mary Ayers, and it has changed how I evaluate every session. Frequency is how often the issue shows up. Years ago a client said to me, "Gene, it's great. I'm only having seizures six days a week." For me, six days a week of seizures sounds like a horror show. For her it meant one day a week she was emotionally and physically clear enough to get everything done. The frequency went down by one day, and that one day was her life expanding. Frequency can be the hardest of the three to measure, because if a behavior is still happening at all, you tend to notice the times it happens more than the times it doesn't. If you're trying to reduce how often you doom-scroll to distract yourself, going from ten times a week to five times a week still feels like ten because you're still doing it. When you're tracking frequency, write it down. Duration is how long the discomfort sticks with you after it shows up. Three times in my work I've had legal action threatened against me by clients. One of those times the client was blaming me for their frozen pipes, so you can judge the seriousness for yourself. The first time it happened, it threw me off and kept me emotional for about 36 hours. The second time, it impacted me for the rest of the day. The third time, it took me about 45 minutes to settle. Same kind of event, same intensity in the moment, same response required (call my lawyer, take care of myself). What changed was how long the emotional charge stayed in my body. That's duration, and it's a real measure of progress. Intensity is how strong the response is when it happens. I can be angry about something my neighbor does, or I can be frustrated about the same thing. In both cases I'm having an emotional response, but I'm far less likely to make a harsh, rash, unuseful choice when I'm frustrated than when I'm angry. Same trigger, smaller response. That's intensity going down. If you've ever found the standard 0 to 10 rating frustrating or unhelpful, this three-part frame is a useful alternative. I've written more about that in what to do when the SUD scale doesn't work for you. When Tapping Changes You Without Changing the Situation Tapping often makes things better even when the underlying situation hasn't changed at all. That's not a failure of tapping. That's tapping doing exactly what it's designed to do. Picture this. You're facing real financial pressure and you're overwhelmed by it. You sit down and tap on the overwhelm. Ten minutes later you feel calmer. The financial pressure is still there. Nothing about the bank account has changed. But you can now think clearly about the problem, see options you couldn't see before, and make deliberate choices instead of panicked ones. That's a win, and it's the kind of win we usually undervalue. The situation didn't change, but your relationship to the situation did, and from that calmer place you have actual capacity to act. This is exactly the dynamic at work in tapping for overwhelm when you have too much on your plate. You're not making the to-do list shorter. You're making yourself bigger than the list. The same logic applies to in-the-moment frustration. When something goes wrong at my desk and I get frustrated, I don't need to turn the frustration completely off in order to keep working. I need to turn it down enough that I can focus. There might be residual frustration sitting in the background. That's fine. If 90 seconds of tapping produces an hour of effective work, I'll make that trade every day of the week. The "One Step Better" Approach to Every Tapping Session The most useful question to ask before any tapping session is: what does one step better look like right now? Then use the tool to see if you can get there. If you do, ask the same question again. That iteration is the whole game. It's not how long until this is resolved. It's what does the next small improvement feel like in my body, and can I get there from where I am? Then, from that new place, what does the next one feel like? This is why the work of tapping looks less like a single grand transformation and more like a series of small, real improvements stacked over time. Each one is its own win. Together they become the change you were looking for. The principle that the key to tapping success is more than the right words lives right here: success is less about scripting the perfect setup statement and more about being honest about what better looks like and going after it one increment at a time. Key Insight: "Ask yourself what one step better feels like. Use the tool to see if you can achieve that. Then ask again. That's the work." How to Set Realistic Expectations Before You Tap Setting realistic expectations before you tap is the single most useful thing you can do to make tapping feel like it's working. Before you start a round, answer three quick questions in your head. First, what is one step better for this issue? Not healed, not gone, but better. Name it specifically. "I want to be able to read the email without my chest tightening." "I want to feel calm enough to call my mom back." Second, which of the three measures matters most here? Are you trying to reduce how often this shows up, how long it sticks with you, or how intense it gets? Different issues respond to different measures, and naming the one you care about gives you something concrete to check at the end. Third, what would you accept as a real win? If a 33% reduction in intensity would let you finish what you need to finish today, that's a real win. Decide that before you tap, not after. Otherwise the part of you that wants everything healed in one round will quietly call any real progress a failure. Frequently Asked Questions How long does tapping take to work on anxiety? Tapping can reduce acute anxiety within 90 seconds to a few minutes in many cases, especially when the anxiety is tied to a specific, present-moment trigger. Long-standing anxiety patterns tied to deeper beliefs or past experiences usually take repeated sessions over weeks or months to shift in a lasting way. Why isn't my tapping working? Tapping often is working, but you're measuring it against the wrong yardstick. If you expect a single round to permanently resolve a long-standing issue, almost any real result will feel like failure. Try measuring frequency, duration, and intensity separately, and check whether any one of them is improving even slightly. How many rounds of tapping should I do on one issue? Do as many rounds as it takes to get one step better, then reassess. Some issues shift in a single round. Others need many rounds over multiple sessions. The right number is whatever moves the issue one increment in the direction you want, then you decide whether to keep going. What does it mean if I feel worse after tapping? Feeling worse after tapping usually means you've made contact with something the body had been keeping out of awareness, not that the tapping went wrong. The discomfort is information. Continue tapping on what's now showing up, or pause and come back to it when you have more space. Is tapping supposed to remove the problem completely? Tapping is designed to make things better, not necessarily to remove the issue completely. Sometimes "better" means the external situation changes. More often it means your emotional response to the situation changes enough that you can think, act, and make choices from a calmer place. How do I know if tapping is working long-term? Look at frequency, duration, and intensity over weeks and months, not minutes. Is the issue showing up less often, sticking with you for less time, or hitting with less force when it does show up? Any one of those moving in the right direction is real, durable progress. How long does tapping take to work on chronic pain? Tapping can reduce chronic pain intensity within a single session, sometimes substantially, but lasting change in chronic pain usually involves ongoing tapping practice combined with addressing the emotional and stress components that maintain the pain. Expect incremental progress measured over weeks, not a single permanent fix.

This time on Health Care Now we look at what help is available to people as Mental Health Awareness month continues! Doctor Mark and Larry go over the stats of ER visits, what can be done to make things better? How can payouts to providers be improved? What roles should the ERs play compared to the roles they do play? What's the latest about the state of mammography in this state? There's always more healthcare fraud to talk about, and even though we may not discuss _every_ part of the cow we still sneak in a little bit of chatter about hamburgers! See omnystudio.com/listener for privacy information.

This time on Health Care Now we look at what help is available to people as Mental Health Awareness month continues! Doctor Mark and Larry go over the stats of ER visits, what can be done to make things better? How can payouts to providers be improved? What roles should the ERs play compared to the roles they do play? What's the latest about the state of mammography in this state? There's always more healthcare fraud to talk about, and even though we may not discuss _every_ part of the cow we still sneak in a little bit of chatter about hamburgers! See omnystudio.com/listener for privacy information.

In this episode of the PFC Podcast, Dennis sits down with Kevin — a Nurse Anesthetist (CRNA) with deep experience in hospice/oncology floors, Level I trauma ICUs and ERs, military nursing, and years in austere environments, including a Role III in Baghdad. Kevin delivers straight talk on the most overlooked, time-consuming, and life-saving phase of Prolonged Field Care: nursing care.He answers the exact question every medic wants to know: When does nursing actually start? Then he walks through the full reality of what “nursing” means in the field — from relentless data gathering and charting, to turning patients, pulmonary toileting, skin care, oral care, managing the mess (yes, including bowel movements on litters), and preventing the downstream killers like pressure ulcers, ventilator-associated pneumonia, and sepsis that can undo even perfect damage-control surgery.You'll get practical austere hacks (including Kevin's legendary Barbasol shaving cream trick), training advice that actually works, how to know when the patient is truly stable, when to escalate to a provider, and why evacuation must remain the primary plan — not prolonged field care.Key Takeaways:PFC nursing starts the moment life-saving interventions (hemorrhage control, surgery, cric, chest tubes, etc.) are complete and the patient is stabilized — not during the gunfight or initial resuscitation.Skin care and turning patients prevents deadly complications — pressure ulcers, infections, and sepsis can kill a patient with otherwise survivable injuries.Austere game-changer: Barbasol shaving cream + washcloths cuts through blood, stool, grease, and debris without drying out skin. Bring cheap bottles.First hour priorities: frequent vitals/assessments, confirm stability, get fluids/sedation/maintenance running, then move to the full nursing checklist.Set clear “left and right limits” / parameters for teammates or non-nurses so you can actually rest, rearm, or plan the next mission.Best training: Work real ICU/floor shifts (especially weekends when staffing is thin) — mannequins and sims don't teach the time sink or the “why.”Mindset shift: Move from high-speed, high-adrenaline interventions to the “boring but essential” maintenance phase. If it feels boring, you're probably doing it right.Strategic reality: Evacuation (Medevac or CasEvac) should stay the P in your PACE plan. Prolonged field care with high casualty volumes and limited resources is an enormous time and math problem — history (WWII South Pacific, etc.) proves it.Chapters:01:50 – When Does Prolonged Field Care Nursing Actually Start?04:39 – The Foundation: Data Gathering, Assessments & Charting07:03 – The Full Laundry List of Bedside Nursing Interventions09:26 – How to Train Real Nursing Care (ICU Shifts Beat Mannequins)11:46 – The Critical First Hour: Settling In & Confirming Stability14:04 – Head-to-Toe Assessment, Pulmonary Toileting, Oral Care & Eye Care16:16 – Real Talk: Skin Care, Turning Patients, Bowel Movements & Preventing Ulcers/Sepsis20:50 – How Long Until the Patient Is Truly Stable? (The Pregnant Pause)34:49 – Patient Changes: When to Call the Provider & Setting Left/Right Limits41:34 – Common Pitfalls Medics & Teams Make in PFC Nursing48:59 – Nursing Care Plans, Early Ambulation & Broader Patient Needs54:26 – PACE Plan Reality Check: Why Evacuation Must Stay Priority #1For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

No Arauto Repórter UNISC de hoje, você confere:* ERS-409, entre Vera Cruz e Santa Cruz, está bloqueada para obra de recapeamento* Plano de ação para educação étnico-racial é lançado na rede municipal de Santa Cruz* Setor do tabaco participa de painéis na Marcha a Brasília em defesa dos municípios* Em destaque na segurança pública: Draco faz grande apreensão de armas e munições em Rincão del Rey, interior de Rio Pardo

No Arauto Repórter UNISC de hoje, você confere:* ERS-409, entre Vera Cruz e Santa Cruz, está bloqueada para obra de recapeamento* Plano de ação para educação étnico-racial é lançado na rede municipal de Santa Cruz* Setor do tabaco participa de painéis na Marcha a Brasília em defesa dos municípios* Em destaque na segurança pública: Draco faz grande apreensão de armas e munições em Rincão del Rey, interior de Rio Pardo

Send us Fan MailWe sit down with Massachusetts Senator Cindy Friedman to talk about how mental health laws change real access to care, and why families still hit walls even when “parity” exists. We dig into AOT, crisis diversion, insurance limits, and the practical fixes that keep people out of ERs and jails. • her personal path into serious mental illness advocacy and why systems matter • what changed after the Mental Health ABC Act 2.0 and why outpatient demand rises • why reimbursement rates still skew against behavioral health despite parity laws • how crisis-first funding leaves ongoing care underpaid and hard to find • trauma as a driver of worsening illness and the gap in trauma-informed support • why Massachusetts has no AOT law and how old legal standards shape treatment today • addressing fears of coercion while explaining least restrictive court-ordered services • co-responder teams that pair police with social workers for de-escalation • restoration centers as an alternative to ER screening and quick discharge • mental illness inside county jails and how sheriffs can shift outcomes • rural mental health access challenges plus telehealth parity and community clinics • why psychiatric meds are not one-size-fits-all and how insurers resist trial periods if you know someone who has a story to share tell them to contact us at whynotme.world one last thing spread the word about why not me our conversations our inspiring guest the show 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)

No Arauto Repórter UNISC de hoje, você confere:* Novo Rapidinho faz sobrar vaga de estacionamento no centro de Santa Cruz* Bloqueio total da ERS-409 para obras de recapeamento é adiado para amanhã* Agricultores de Vale do Sol fazem tratoraço e chamam atenção para desvalorização do tabaco* Em destaque na segurança pública: Polícia deflagra operação para desarticular grupo investigado por monitoramento de viaturas e tráfico de drogas

No Arauto Repórter UNISC de hoje, você confere:* Novo Rapidinho faz sobrar vaga de estacionamento no centro de Santa Cruz* Bloqueio total da ERS-409 para obras de recapeamento é adiado para amanhã* Agricultores de Vale do Sol fazem tratoraço e chamam atenção para desvalorização do tabaco* Em destaque na segurança pública: Polícia deflagra operação para desarticular grupo investigado por monitoramento de viaturas e tráfico de drogas

Welcome to the Superhighway of Insanity, where the reality is weirder than the fiction we haven't written yet. In today's transmission, Scott Combs and Tony Vercanez navigate the jagged edges of Sunday brunch and the pneumatic tubes of financial regret.In this episode of This Is True Really News:

No Arauto Repórter UNISC de hoje, você confere:* Santa Cruz sedia Fórum Regional de Saúde Mental do Vale do Rio Pardo* Novo programa permite regularizar dívidas municipais com condições especiais em Santa Cruz* Recapeamento vai recuperar trechos críticos da ERS-409 entre Vera Cruz e Santa Cruz* Em destaque na segurança pública: Polícia destrói bunker do tráfico que tinha substituído boca do Gre-Nal no Santa Vitória

No Arauto Repórter UNISC de hoje, você confere:* Santa Cruz sedia Fórum Regional de Saúde Mental do Vale do Rio Pardo* Novo programa permite regularizar dívidas municipais com condições especiais em Santa Cruz* Recapeamento vai recuperar trechos críticos da ERS-409 entre Vera Cruz e Santa Cruz* Em destaque na segurança pública: Polícia destrói bunker do tráfico que tinha substituído boca do Gre-Nal no Santa Vitória

No episódio de hoje no Pelas Pistas, os hosts Christian Fittipaldi, Nelsinho Piquet e Thiago Alves, comentam sobre as mudanças aprovadas para o Gp de Miami e como isso pode refletir na corrida.Entenda a redução na recarga do ERS (de 8MJ para 7MJ) e o aumento da potência do Super Clipping para 350Kw. Além disso, discutimos as novas medidas para mitigar riscos em largadas e melhorar o controle em pista molhada com o ajuste do torque do ERSTambém comentamos a pancada de Jos Verstappen no rali , a vitória de Alex Márquez na MotoGP em solo espanhol e o impressionante "Big One" com 28 carros na Nascar em Talladega. Na Stock Car teve Nelsinho no 2º lugar do Pódio em Interlagos na corrida principal, com as vitórias de Leo Reis na Sprint e Guilherme Salas na corrida principal. No Bolão do Pelas Pistas: Confira quem está na liderança e vai levar um premio autografado do pelas Pistas.E não se esqueça, de deixar seus palpites para o Pódio de Miami. Basta ser membro do pelas Pistas e acessar o Link do Bolão que você pode concorrer a prêmios mensalmente, no meio da temporada e 1 grande premio no final da temporada. Corre que ainda da tempo! Patrocínio: Estrella Galicia | A GRANDEZA DE SER QUEM VOCÊ É ⁠https://estrellagalicia.com/br/⁠ ⁠  PITSTOP - Faça seu pedido na loja, whats ou site! ⁠⁠https://www.pitstop.com.br/⁠⁠PATROCINE O PELAS PISTASEntre em contato com nosso time comercial:pelaspistas@pod360.com.brSEJA MEMBRO DO CANAL NO YOUTUBE E GANHE BENEFÍCIOS⁠   / @pelaspistaspodcast  ⁠ NOSSAS REDES ⁠  / pelaspistas360  ⁠⁠  / pelaspistas360  ⁠ INSCREVA-SE NO CANAL E NÃO PERCA NENHUM EPISÓDIO! Apresentadores: Thiago Alves, Christian Fittipaldi e Nelsinho Piquet Direção Executiva: Marcos Chehab e Tiago Bianco Direção de Conteúdo: Felipe Lobão Produção: Kal Chimenti Captação de áudio: Willian Souto Edição de áudio: Doriva Rozek Captação de vídeo e Redes sociais: Guilherme Diaz

Miami está de regreso… y en La Previa con  @SkylineRacing  te contamos todo lo que tienes que saber antes del Gran Premio de Miami.La Formula 1 vuelve a la acción con un fin de semana que marca mucho más que una carrera: el inicio de una nueva etapa en la temporada. Los equipos llegan con actualizaciones importantes, adaptándose a regulaciones que ya están cambiando la forma en la que se corre… y se gana.El foco estará en el manejo de energía: el ERS y el despliegue eléctrico ahora serán más decisivos que nunca. Menos margen de error, decisiones más finas desde el volante y desde el pit wall, y una exigencia mayor para encontrar el balance perfecto entre rendimiento y eficiencia.Miami no solo será espectáculo… será incertidumbre total. Ritmos distintos, estrategias en evolución y una parrilla más cerrada que nunca pueden abrir la puerta a grandes sorpresas.La pregunta es clara: ¿quién va a entender mejor estas nuevas reglas desde el primer momento?

Tim Conway Jr. Hour 4 (4.24)

La Fórmula 1 ha movido ficha. Tras el fuerte debate generado por el Gran Premio de Japón, la categoría ha decidido introducir una serie de ajustes técnicos que se aplicarán ya en Miami, en un intento por corregir los problemas detectados en las últimas carreras. Y en el Podcast Técnica Fórmula 1 se analizan a fondo estos cambios. No será una revolución. No se trata de una revolución, pero sí de una reacción clara. Equipos, FIA y Liberty Media han trabajado conjuntamente para implementar cambios que buscan mejorar tres aspectos clave: la comprensión del espectáculo, la consistencia del rendimiento y, sobre todo, la seguridad. Uno de los focos principales ha sido la gestión energética, en el centro de la polémica en las últimas semanas. La reducción de la recarga máxima permitida (de 8 MJ a 7 MJ) pretende limitar la acumulación excesiva de energía y favorecer una conducción más constante. En paralelo, el aumento de la potencia de recarga del sistema hasta los 350 kW busca reducir el tiempo en el que los pilotos deben gestionar ese proceso. El objetivo es claro: acortar el impacto del llamado “superclipping”, uno de los elementos más criticados por pilotos y aficionados, reduciendo su duración a apenas unos segundos por vuelta. Lo que veremos en carrera. En carrera, las medidas apuntan a limitar las diferencias bruscas de rendimiento. El uso del “boost” energético se restringe ahora a un máximo de +150 kW, mientras que el despliegue del MGU-K se mantiene en 350 kW en zonas clave (como salidas de curva o adelantamientos) pero se reduce a 250 kW en el resto del trazado. Una forma de suavizar los picos de velocidad que habían generado situaciones difíciles de interpretar… y peligrosas. La seguridad por encima de todo. Precisamente la seguridad ha sido otro de los ejes de actuación. La FIA ha desarrollado un sistema capaz de detectar coches con aceleración anómala en la salida, activando automáticamente el MGU-K para evitar situaciones de riesgo. Además, se incorporan señales luminosas específicas para alertar a los pilotos que circulan detrás, mejorando la capacidad de reacción en momentos críticos. También se han introducido ajustes en condiciones de lluvia. El aumento de la temperatura de las mantas térmicas para los neumáticos intermedios busca mejorar el agarre inicial, mientras que la reducción del despliegue del ERS pretende ofrecer un mayor control del coche en situaciones de baja adherencia. En conjunto, las medidas intentan devolver cierta coherencia a una Fórmula 1 que había entrado en una espiral de difícil interpretación. Sin embargo, la gran incógnita sigue siendo la misma: ¿serán suficientes estos cambios? Miami, una prueba que tradicionalmente no ha generado demasiado entusiasmo, se convierte ahora en un escenario clave. Más que una carrera, será un test real para evaluar si la F1 ha sido capaz de corregir el rumbo a tiempo. Porque el problema ya no es solo técnico. Es de confianza. Escucha el episodio completo en la app de iVoox, o descubre todo el catálogo de iVoox Originals

We’re excited today to launch our first episode in collaboration with the Irish Thoracic Society and their podcast series. The Irish Thoracic Society represents respiratory professionals throughout Ireland and is dedicated to championing excellence in the prevention, diagnosis, and clinical care of respiratory disease through its work in advocacy, education and research. In today’s episode, we explore the complex and often overlooked world of refractory chronic cough — a condition that can significantly impact patients' quality of life but is frequently misunderstood or underdiagnosed. With insights from leading respiratory specialists in Ireland and the United States, we discuss the latest thinking on diagnosis, management, and emerging treatments aimed at improving outcomes for patients and helping clinicians navigate this challenging area of respiratory medicine. Joining us are renowned experts Professor Lorcan McGarvey and Professor Brendan Canning, both internationally recognised leaders in respiratory medicine and cough research. Together, they share their perspectives on the neurobiology of chronic cough, the considerable morbidity experienced by patients, and how clinicians can approach diagnostic investigations more effectively. We also explore current treatment strategies and promising new therapies on the horizon as chronic cough increasingly gains recognition as a disease in its own right — rather than simply a symptom. Whether you’re a clinician, researcher, or simply interested in advances in respiratory medicine, this episode offers valuable insights into a condition that is finally receiving the attention it deserves. Meet Our Co-Hosts Marissa O'Callaghan is an Irish trained Respiratory fellow currently undertaking a post-doc fellow working in Erasmus MC Rotterdam in the Netherlands. She finished her Irish respiratory and Internal medicine training and Phd in 2025. Her areas of interest are interstitial and rare lung diseases. She enjoys clinical research, Med Ed, and dreaming up new medical innovations. Together with cohost Sandra Green, she founded the ITS podcast series in June 2024. Marissa O’Callaghan –LinkedIn Sandra Green is an Irish-trained respiratory fellow with a strong track record in climate advocacy and multidisciplinary sustainable initiatives, as co-founder of Irish Doctors for the Environment. She has an MSc in Leadership and Innovation in Healthcare at the Royal College of Surgeons Ireland (2023–2025). With Marisssa, she co-founded the Irish Thoracic Society Podcast Productions, launching the platform in 2024 to share knowledge, insights, and innovations in respiratory care. Sandra Green – LinkedIn Meet Our Guests Lorcan McGarvey is a professor of respiratory medicine at the University of Belfast, with a focus on the neurobiology of cough. His research has significantly contributed to the understanding of cough hypersensitivity syndrome and the development of new therapeutic strategies. Lorcan is a respected voice in the field, known for his collaborative work and dedication to advancing respiratory health. Brendan Canning is a distinguished researcher at Johns Hopkins University, specializing in the mechanisms of cough and airway diseases. His pioneering studies on neural pathways and receptor targets have paved the way for novel treatments in refractory chronic cough. Brendan’s expertise and innovative approach make him a key figure in the ongoing efforts to redefine chronic cough management. In This Episode The definitions and classifications of chronic cough, including unexplained, refractory, and unexplained refractory cough The importance of a thorough clinical history and focused diagnostics over exhaustive testing Common causes of chronic cough The role of personalized, multidisciplinary management—combining pharmacologic, speech therapy, and psychological support—to improve quality of life for even the most challenging patients. The concept of cough hypersensitivity syndrome and its role in refractory cases Evidence-based approach to treatment, including pharmacologic and non-pharmacologic options Emerging therapies on the horizon, including novel receptor modulators and neuromodulatory agents and ongoing clinical trials in this rapidly evolving field The impact of chronic cough on mental health, social life, and overall quality of life The importance of reframing chronic cough as a disease entity in its own right References and Further Reading Chung KF, Pavord ID. Prevalence, pathogenesis, and causes of chronic cough. Lancet. 2008;371(9621):1364-1374. Gibson PG, Vertigan AE. Management of chronic refractory cough. BMJ. 2015;351:h5590. Matsumoto H, Kanemitsu Y, Ohe M, Tanaka H, Terada K, Nishi K, et al. Real-world usage and response to gefapixant in refractory chronic cough. ERJ Open Res. 2025;11(4):01037-2024. doi:10.1183/23120541.01037-2024. McGarvey LP, Birring SS. Cough hypersensitivity syndrome: a novel paradigm for understanding cough. Lancet Respir Med. 2014;2(8):647-656. Morice AH, Millqvist E, Bieksiene K, Birring SS, Dicpinigaitis P, Ribas CD, et al. ERS guidelines on the diagnosis and treatment of chronic cough in adults and children. Eur Respir J. 2020;55(1):1901136. Parker SM, Smith JA, Birring SS, Chamberlain-Mitchell S, Gruffydd-Jones K, Haines J, et al. British Thoracic Society clinical statement on chronic cough in adults. Thorax. 2023;78(Suppl 1):S3-S19. Smith JA, Woodcock A. Chronic cough. N Engl J Med. 2006;354(2):136-144. Song WJ, Dupont L, Birring SS, Chung KF, Dąbrowska M, Dicpinigaitis P, et al. Consensus goals and standards for specialist cough clinics: the NEUROCOUGH international Delphi study. ERJ Open Res. 2023;9(6):00618-2023. doi:10.1183/23120541.00618-2023. Song WJ, McGarvey L, Cho PSP, Mazzone SB, Chung KF, editors. Chronic cough. Sheffield: European Respiratory Society; 2025.

Fantasy Baseball Live! – April 5, 2026 @ 3 pmSegments 1 and 2 – Review the weekend gamesAdditional Notes:1.Mookie Betts with an oblique and Hunter Brown with a shoulder?a.Who are the pickups?2.What happened to Cristian Javier, or was he always overrated? He's a flyball pitcher with a 92-93 mph fastball. While he had a great season in 2022, he wasn't good prior to TJS and has been really inconsistent since.a.Is he somebody who can bounce back?3.When do we start to worry about Nick Kurtz? Prior to Saturday's game, he's one for 21 with 13 strikeouts in 26 plate appearances. Most of his games have been on the road. It'll be interesting to see if things change now that the A's are home. Last season, he posted the same batting average, but made better contact at home with a lot more power.4.Jordan Lawlar has a fractured wrist and will miss the next 6 to 8 weeks. The guy just can't catch a break. Thoughts on who gets his at-bats?a.Also, I'm wondering what happens with Gurriel's return. Will Lawlar still have a job?5.Eury Perez couldn't find the plate against the Yankees. It could have been a lot worse than 4 ERs in 4 innings. Any worries?6.Don't look now, but Jordan Walker is hitting .296 with two home runs over the first 8 games. It's clearly a small sample size, but at least it's a nice start to the season.7.Tatsuya Imai – Great call by us as he dominated the As in Sacramento. He still walked three though.Segment 3 – Waiver WireSegment 3 – Closer ReportClose

My two visits to two ERs for two different reason this March 26.

In this episode, Parker and Landon recap a busy week in motorsports, breaking down Chase Elliott's strategy-driven win at Martinsville, Justin Allgaier's dominant O'Reilly Series victory, and Kimi Antonelli's F1 win at Suzuka amid growing controversy over ERS rules. The guys also dive into racing's culture of apologies and on-track aggression, sharing some great personal stories. Throw in some IndyCar talk, Truck Series driver moves, Christian Horner's Alpine bid, and Landon's hunt for a Land Rover LR4, and it's another packed episode. Leave us a voicemail! https://moneylap.com Or email us! friends@themoneylap.com Timestamps: 00:00 - April 1st Intro 02:49 - Car Shopping & Land Rover LR4 Talk 09:04 - Transition to Motorsports Topics 09:25 - NASCAR Martinsville Cup Race Recap 12:11 - Martinsville Race Strategy & Track Conditions 15:16 - Driver Performance & Points Standings 22:38 - AJ Allmendinger & Other Notable Drivers 24:43 - Casey Mears' 500th Start & Career Stats 30:32 - O'Reilly Series Martinsville Recap 33:35 - Restarts & Driver Experience 37:58 - Jesse Love vs. Rajah Caruth: Apologies in Racing 46:09 - Landon's Bobby Hamilton Story & Apology Philosophy 52:13 - Professionalism & Aggression in Racing 55:37 - Ryan Blaney/Denny Hamlin Example 57:46 - Cletus McFarland's O'Reilly Series Debut 1:01:31 - Truck Series Driver Changes 1:03:15 - F1 Suzuka Recap & Regulation Controversy 1:05:59 - F1 Team Ownership Rumors 1:07:00 - IndyCar Barber Recap 1:08:04 - PR Lap 1:11:51 - Outro (Timestamps are a rough timing and may require a little scrubbing to find the start of the topic) The Money Lap is the ultimate motorsport show (not a podcast) with Parker Kligerman and Landon Cassill professional racecar drivers and hilarious hosts taking you through the world of motorsports. Covering NASCAR, F1, Indycar, and more, they'll provide the scoop, gossip, laughs, and stories from the racing biz. With over 2400 unique products currently in stock, Spoiler Diecast boasts one of the largest inventories in the industry. We are NASCAR focused, offering a wide range of diecast and apparel options. But that's not all. We've expanded our catalog to include diecast for dirt/sprint cars, Indycar, and F1. As passionate racing fans ourselves, we're constantly growing our offerings to cater to different forms of racing. Use promo code "moneylap" for free shipping for orders over $20. https://www.spoilerdiecast.com/ Copyright 2026, Pixel Racing, LLC. All Rights Reserved.

It may seem counterintuitive, but hospital ERs can be risky for elderly patients, as the chaotic environment can quickly lead to delirium and decline. An innovative geriatric multidisciplinary ER team at St. Mary's Hospital in Montreal is getting elderly patients discharged safely and quickly, preventing harm and reducing hospital admissions.

When Patrick Clancy came home on January 24th, 2023, his wife was in the backyard, seriously injured. She told him she had tried to kill herself. He asked where the children were. She said the basement. What he found down those stairs broke every assumption anyone had about this story.Five days later, Patrick asked the world to forgive Lindsay. As he already had.Lindsay Clancy was a Duxbury, Massachusetts mother of three and a labor and delivery nurse at Massachusetts General Hospital. After the birth of her youngest child, she spent months fighting for her mental health — seeing psychiatrists, visiting ERs, calling crisis lines, checking herself into McLean Hospital. Her husband called her doctors himself and said it was urgent. They were told to keep taking the medications. By January 2023, the defense says she had thirteen different prescriptions from multiple providers in four months with no meaningful coordination between them. The day before everything happened, her doctor raised her dose after a seventeen-minute virtual call.Prosecutors say she planned the murders. That she searched methods of killing. That she calculated her husband's absence and acted with premeditation. That argument goes before a jury on July 20th, 2026.Lindsay has pleaded not guilty. Her defense is lack of criminal responsibility — postpartum psychosis. The prosecution's psychiatric evaluation is set for April 10th. Her attorney has told the court she remains at serious risk of suicide.Patrick has moved to Manhattan. He told The New Yorker he was married to someone who got sick — and prosecutors have subpoenaed the tape.Hidden Killers tells the full story. The one nobody is telling completely.Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#LindsayClancy #PostpartumPsychosis #DuxburyMurders #TrueCrime #HiddenKillers #PatrickClancy #InsanityDefense #MaternalMentalHealth #TrueCrimePodcast #MurderTrial2026

In this episode I am talking to Barbara Banner about mediumship and the afterlife. Bio A Calling from the Other Side. It all started with mysterious happenings—objects flying off shelves, fans turning on with lights flickering in rooms (even one without a bulb!), and glowing orbs dancing through my videos. The universe was sending a message, and I had no choice but to listen. Little did I know, this was a family secret spanning generations! What I thought was beginner's luck was actually a destiny waiting to unfold. Since then, I have trained with some of the world's most renowned Psychic, Mediumship, and Trance mentors, deepening my connection to the spirit world. The messages I receive are profound — answers to your lingering questions, guidance when you need it most, and heartfelt connections to those who have passed but are still watching over you. Some profess their love, some seek forgiveness, and all want to remind you: they are never truly gone. With 35 years of experience supporting individuals in crisis — whether on crisis hotlines, in hospital ERs, or with the city's Crisis Response Team to help at the scene of a passing — I've seen firsthand the depth of emotions we carry. Spirit understands this, too. Readings can be deeply healing, joyful, even life-changing. And yes — many times, they can be surprisingly fun! Looking back, it's clear that every step of my journey has led me here. If you feel the pull to connect, to seek guidance, or simply to find peace, I would be honored to be your bridge to the other side. Barbra Banner is a Certified Medium with the HELPING PARENTS HEAL organization and with Mark Ireland's Certified Medium Listing https://bannermedium.com/ https://www.pastliveshypnosis.co.uk/https://www.patreon.com/ourparanormalafterlifeMy book 'Verified Near Death Experiences' https://www.amazon.com/dp/B0DXKRGDFP Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Angharad Lewis sy'n sgwrsio gyda siaradwr Cymraeg newydd.Gwestai Angharad yn y bennod yma ydy Kevin Davies. Cafodd Kevin ei fagu yn Ninbych y Pysgod yn Sir Benfro. Ar ôl treulio cyfnod yn y fyddin ac yn gweithio dramor, dychwelodd i Gymru. Wedi iddo ymddeol yn 2022 penderfynodd fynd ati i ddysgu'r Gymraeg. Erbyn hyn, mae'n byw ym mhentref Trefgarnowen, Sir Benfro ac yn defnyddio'r Gymraeg yn ddyddiol yn ei ardal. Ers llynedd, mae wedi bod yn gwirfoddoli ar bwyllgor lleol Eisteddfod y Garreg Las ac wedi bod yn rhan ganolog o'r ymgyrch i godi arian tuag at yr Eisteddfod ym mis Awst.Geirfa ar gyfer y bennod:-anogaeth - encouragement crwt - bachgen bach ysu - to crave/yearn cywilydd - shame hiraeth - longing/ homesickness dyhead - aspiration/desire ysfa - desire/craving diwyd - diligent amhrisiadwy - priceless ymroi - to commit/devote oneself

AI could become the greatest equalizer in healthcare if we use it the right way.In this episode of Straight Out of Health IT, Dr. Harvey Castro, a physician, entrepreneur, and CEO of 8 free-standing ERs, a medical billing and physician staffing company, and a strategic advisor to ChatGPT and healthcare, discusses how artificial intelligence is poised to transform global healthcare access and delivery. He shares how discovering ChatGPT in 2022 immediately convinced him that AI would reshape medicine. Drawing from his experience building more than 20 emergency rooms and launching multiple healthcare companies, he explains why bold innovation and acting on new ideas are critical. He also reflects on how entrepreneurs and clinicians must trust their instincts when they see transformative technology.Dr. Castro also explores how AI, satellites, and wearable devices could dramatically expand access to healthcare worldwide. He explains how predictive analytics, combined with satellite connectivity, could remotely monitor patients and alert clinicians before life-threatening events occur. This infrastructure could help overcome the reality that geography often determines survival in medical emergencies. By enabling global connectivity, he believes AI-powered systems could bring care to underserved populations that currently lack reliable access to healthcare.The conversation also tackles the challenges of adopting AI responsibly in healthcare. Dr. Castro discusses the cultural resistance within medicine and the need to train future clinicians to work alongside AI. He highlights the dangers of biased datasets and why AI systems must represent diverse populations to avoid reinforcing disparities. Ultimately, he argues that leaders, policymakers, and clinicians must work together to ensure AI improves equity rather than widening the healthcare gap.Tune in to hear how AI, space technology, and bold thinking could reshape the future of global healthcare.ResourcesConnect with Dr. Harvey Castro on LinkedIn here and visit his website here!Check out Dr. Castro's TED Talks here!

Mercedes scored a 1-2 finish in the season opening 2026 Australian Grand Prix with George Russell leading team-mate Andrea Kimi Antonelli across the line. Ferrari's Charles Leclerc claimed third spot, before being engaged in a battle with Russell for the race lead. Should Ferrari have pitted under the Virtual Safety Car? Soumil Arora and Kunal Shah discuss the key talking points and stories from 2026 Australian Grand Prix, the first race of the season at Albert Park in Melbourne.This episode features two veteran F1 commentators from India —Kunal Shah and Soumil Arora —who've been dissecting F1 for years, and trust us, they know their way around a good battle. The episode dissects the season-opening Australian Grand Prix, highlighting the entertaining wheel-to-wheel race despite a dull qualifying. Key discussions include battles among top teams, Audi's strong debut, and strategic elements like energy management and overtaking under new regulations. The hosts debate genuine versus artificial overtakes and discuss broader implications like in-season development and budget caps. The episode closes with optimism for closer racing ahead.YouTube Chapters:0:13 - Intro and live stream vibe0:45 - Race quality vs qualifying expectations1:15 - Lead battles and top-five dynamics2:52 - Overtakes, battery play, and strategy3:55 - Genuine vs artificial overtakes: debate6:31 - New start procedure and pre-race excitement7:22 - Start happenings: Leclerc, Hamilton, Alonso, and others9:25 - Audi debut and Cadillac's strong showing12:12 - Piastri start failure and ERS issues14:04 - Regulation talk and overtaking philosophy24:42 - Ferrari strategy under VSC and pit decisions27:09 - Verstappen in Q1 and potential impact29:03 - Fan perspectives, balanced fandom, and next steps35:49 - Wrap-up stats and tease for next episode #F1 #F12026 #AustraliaGP #MelbourneGP Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us Fan MailPaper Discussed in this AI Journal Club:Masry ME, Gnyawali S, Jacobson M, Xue Y, Sen C, Wachs J, Gordillo G. AutoMated Burn Diagnostic System for Healthcare (AMBUSH). Plast Reconstr Surg Glob Open. 2023 Oct 18;11(10 Suppl):128-129. doi: 10.1097/01.GOX.0000992564.42240.e3. PMCID: PMC10566867.Episode Summary: In this journal club deep dive, we tackle a clinical problem that has frustrated surgeons for decades: accurately diagnosing burn depth. We examine a groundbreaking study introducing AMBUSH-AI, an artificial intelligence system that evaluates ultrasound imaging to outperform the diagnostic accuracy of human experts. When the stakes are a lifetime of severe scarring from under-treatment versus the painful trauma of an unnecessary skin graft, can a combination of standard ultrasound and AI completely eliminate the dangerous guesswork of human visual inspection?.In This Episode, We Cover:• The Diagnostic "Coin Toss": Why distinguishing between deep partial and full-thickness (third-degree) burns is the ultimate clinical challenge. We discuss the terrifying reality that experienced burn surgeons only achieve about 76% accuracy in visual assessments, while non-experts sit at 50%—literally a coin toss.• The Two-Part Tech Combo (Anatomy and Stiffness): ◦ B-Mode Ultrasound: The standard imaging modality that provides the anatomical landmarks, letting the machine know exactly where the epidermis, dermis, and hypodermis are located. ◦ Tissue Doppler Elastography Imaging (TDI): The secret sauce that measures tissue stiffness. When skin burns, structural proteins denature and tangle, making the tissue physically stiffer. TDI visualizes this stiffness with color overlays—red for healthy and supple, blue for stiff and burned.• Finding the Ground Truth: Why you can't calibrate a new, precise tool against a broken ruler. Instead of comparing the AI to flawed human visual estimates, the researchers validated the AI against actual tissue biopsies taken in the operating room, establishing an undeniable histological reality.• The Results - Outperforming the Experts: In the human clinical trial, AMBUSH-AI achieved a staggering 95% overall accuracy. Crucially, it had a 100% sensitivity rate for surgical cases, meaning it did not miss a single patient who definitively needed an operation to prevent severe morbidity.• The AI's "Glass Box" Design: Why surgeons will never trust a mysterious "black box" that just spits out a diagnosis. AMBUSH-AI is designed as an explainable model; it outputs plain text explaining its reasoning (e.g., "dominant, continuous blue pattern is present in the hypodermis"), acting as a transparent decision-support tool rather than a robot replacement.• The Future of Triage: How this technology could be paired with Point of Care Ultrasound (POCUS) on portable tablets in military combat zones and rural ERs, giving any medic or general doctor the diagnostic confidence of a 20-year burn specialist.Key Takeaway: The era of subjective, visual wound assessment is ending. By successfully translating the physical stiffness of a burn into objective, AI-interpreted data—a process called "computational palpation"—we can dramatically improve triage accuracy, save vital hospital resources, and spare patients from both dangerous under-treatment and unnecessary surgical trauma.Support the showGet the "Digital Pathology 101" FREE E-book and join us!

Fifteen years ago, Dr. Brian Goldman gave us a front-line account of life in the emergency room with his book The Night Shift. Now, the ER physician and host of CBC's White Coat, Black Art and The Dose is revisiting that setting with his new book The Casino Shift. He joins Piya Chattopadhyay to discuss what's changed for the better and worse at ERs across our country in the last 15 years, and what treatments for our ailing system may look like.

Furf and Monty are back with another Pulm PEEPs Pearls episode. The topic of today’s discussion is an often discussed, but often misunderstood, test; the methacholine challenge. They’ll review when to utilize this test, how it should be performed, and the appropriate interpretation. Contributors This episode was prepared with research by Pulm PEEPs Associate Editor George Doumat. Dustin Latimer, another Pulm PEEPs Associate Editor, assisted with audio and video editing. Key Learning Points What the Test Measures Methacholine challenge is a direct bronchial provocation test of airway hyperresponsiveness (AHR), a core physiologic feature of asthma. Anyone will bronchoconstrict at high enough concentrations — the test looks for an abnormal threshold. The key endpoint is the PC20: the methacholine concentration causing a 20% fall in FEV1. Abnormal in adults: PC20 ≤ 8–16 mg/mL Test Performance Meta-analyses: pooled sensitivity ~60%, specificity ~90%. Real-world cohorts: sensitivity 55–62%, specificity 56–100% (varies by population, protocol, and threshold used). Not a standalone yes/no test — best used as part of a broader diagnostic pathway. Where It Fits in the Asthma Workup The test belongs in a stepwise approach: Step 1: Spirometry + bronchodilator response Step 2: Add FeNO and/or peak flow variability (if available) Step 3: If the picture is still unclear → methacholine challenge It is most useful for symptomatic patients with normal spirometry and no bronchodilator reversibility. Given its cost, mild risk, and discomfort, it should not be a first-line test — most asthma diagnoses do not require it. Technique and Medication Prep Technique ERS guidelines favor tidal breathing over deep inspiratory maneuvers. Deep breaths can be bronchoprotective and blunt the response, reducing sensitivity — especially in mild or well-controlled asthma. Medication Washout (to Avoid False Negatives) Medication ClassWashout PeriodShort-acting beta-agonists (SABA)≥ 6 hoursLong-acting beta-agonists (LABA)~24 hoursUltra-long-acting beta-agonists~48 hoursShort-acting anticholinergics (e.g., ipratropium)~12 hoursLong-acting muscarinic antagonists (LAMA, e.g., tiotropium)7 days Inhaled corticosteroids, leukotriene blockers, and antihistamines do not significantly affect the test acutely — continue these. Withdrawing ICS also carries its own risk for asthma patients. Practical tip: Spell out exactly what to hold and when — for both the patient and the PFT lab — at the time the test is ordered. Interpreting Results Negative Test (PC20 > 16 mg/mL) Very high negative predictive value in symptomatic adults. Makes current asthma quite unlikely (assuming proper test conduct). This is the test’s greatest strength: it is an excellent rule-out test. Positive Test (PC20 ≤ 8–16 mg/mL) More nuanced — airway hyperresponsiveness is not unique to asthma. Can be positive in: chronic cough, allergic rhinitis, COPD, and even some healthy asymptomatic individuals. A positive result raises probability but must be interpreted alongside the clinical story, variable respiratory symptoms, peak flow variability, FeNO, and ICS response. Safety and Risks Overall, the test is quite safe; significant adverse effects are rare. Temporary breathing discomfort is expected (bronchoconstriction is being induced). Severe bronchospasm is possible: A trained clinician should be available; SABA inhaler/nebulizer must be immediately on hand; a physician should be reachable in the facility. Contraindications / cautions: Avoid if FEV1 < 70% predicted or < 1–1.5 L (baseline obstruction greatly increases risk). Avoid within 3 months of an acute cardiac event (rare risk of cardiac events with unstable cardiac disease). Five Pearls — Quick Recap What it tests: Methacholine challenge is a direct test of AHR with high specificity but variable sensitivity — it belongs inside a diagnostic pathway, not as a standalone asthma test. When to use it: Most useful for symptomatic patients with normal spirometry and no bronchodilator response, after FeNO and peak flow variability have been considered. Technique and meds matter: Use tidal breathing protocol; respect washout intervals — especially the 7-day LAMA washout and 24–48 hour LABA window — to avoid false negatives. Safety: Generally safe, but can induce significant bronchoconstriction. Have a SABA available and avoid the test in patients with FEV1 < 70% predicted. Interpretation: A negative test (PC20 > 16 mg/mL) strongly argues against current asthma. A positive test raises probability but is not specific — interpret alongside the full clinical picture. References and Further Reading Coates AL, Wanger J, Cockcroft DW, Culver BH; Bronchoprovocation Testing Task Force: Kai-Håkon Carlsen; Diamant Z, Gauvreau G, Hall GL, Hallstrand TS, Horvath I, de Jongh FHC, Joos G, Kaminsky DA, Laube BL, Leuppi JD, Sterk PJ. ERS technical standard on bronchial challenge testing: general considerations and performance of methacholine challenge tests. Eur Respir J. 2017 May 1;49(5):1601526. doi: 10.1183/13993003.01526-2016. PMID: 28461290. Lee, J., & Song, J. U. (2021). Diagnostic comparison of methacholine and mannitol bronchial challenge tests for identifying bronchial hyperresponsiveness in asthma: a systematic review and meta-analysis. Journal of Asthma, 58(7), 883–891. https://doi.org/10.1080/02770903.2020.1739704 Davis BE, Blais CM, Cockcroft DW. Methacholine challenge testing: comparative pharmacology. J Asthma Allergy. 2018 May 14;11:89-99. doi: 10.2147/JAA.S160607. PMID: 29785128; PMCID: PMC5957064.

Today on Beyond the Torch, Todd & Leslie chat with Johnny Fairplay, the legendary villain from Survivor: Pearl Islands! The conversation is a deep dive into Fairplay's iconic Survivor journey, his casting story, the infamous "dead grandma" lie, his relationship with Jeff Probst, and his perspectives on old school versus new era Survivor.Key Points of Interest:• The Casting Story - Fairplay was discovered by Lynn Spillman at a gas station just 11 days before finals, having never watched Survivor before• Strategic Preparation - He studied every season twice, watched Amazon three times, and deliberately weaponized the loved ones challenge concept• The Dead Grandma Lie - Planned from watching Jenna Morasca's food auction moment; his grandma even set it up in pre-show interviews saying "I almost died when I heard my grandson was gonna be on Survivor"• Jeff Probst Feud - Their contentious relationship started at casting when Fairplay made an inappropriate joke, escalated when Jeff revealed Fairplay's private strategic question publicly, leading to "Fuck you Jeff" exchanges at every challenge• Reality TV Philosophy - Fairplay deliberately positioned himself as the first intentional villain in reality TV history, understanding that villains drive viewership and create compelling television• Physical Consequences - Woke up in three separate ERs in three states from being blindside-punched by fans; received death threats and feces mailed to CBS• New Era Critique - Discusses the lack of villains in modern Survivor, repetitive challenge design, and his disappointment at being excluded from Season 50 despite having a moment in the Smithsonian• Current Life - Now engaged with two kids, touring with Richard Hatch for Season 50 viewing parties, considers himself in the top 1% luckiest people on the planet thanks to SurvivorSpecial thanks to the best Whiskey on the Planet Watertown Whiskey! Check them out on instagram: https://www.instagram.com/watertownwhiskey/?hl=en Tell them Fairplay sent you! Please Drink Responsibly https://watertownwhiskey.com/ Our new Website is live! Check it out at: www.realityaftershow.com Join our Patreon at RealityPatron.com If you would like a cameo from Jonny Fairplay order one now! cameo.com/jonnyfairplay Check us out on Tiktok @fairplaytokBecome a supporter of this podcast: https://www.spreaker.com/podcast/reality-after-show--5448874/support.

In this powerful and wide-ranging conversation, Darin sits down with Dr. Anthony Youn, known to millions as America's Holistic Plastic Surgeon, to unpack the real foundations of beauty, health, and longevity. From the broken healthcare system and insurance handcuffs to the deep connection between gut health, skin, and self-esteem, Dr. Youn shares why surgery should always be the last step, not the first. This episode challenges everything we've been taught about aesthetics, medicine, and what it truly means to age well. What You'll Learn Why modern healthcare often prioritizes profit over patients — and how that affects both doctors and outcomes Dr. Youn's "house analogy" for beauty: nutrition as the foundation, skincare and supplements as the structure, and surgery as the attic How plastic surgery can be a catalyst for healthier habits, not just cosmetic change The surprising link between the microbiome, fiber intake, and skin conditions like acne, eczema, and rosacea Why fiber may be more important than protein, collagen, or even NAD+ for long-term health How vanity can sometimes be leveraged as a gateway to better health choices The emotional weight doctors carry as first responders — on planes, in ERs, and in everyday life Why holistic medicine and traditional medicine must finally merge Chapters 00:00:00 – Welcome to SuperLife and the mission of sovereignty, health, and longevity 00:00:32 – Sponsor: Fatty15 and the role of C15 in cellular health 00:04:13 – Introducing Dr. Anthony Youn, America's Holistic Plastic Surgeon 00:05:00 – The "house analogy" for beauty: nutrition, skincare, and surgery as the attic 00:06:40 – The convergence of plastic surgery, biohacking, and regenerative medicine 00:09:30 – Why surgery should never be the first option 00:11:30 – Insurance handcuffs and the reality of modern medical practice 00:14:30 – Dr. Youn's journey into medicine and plastic surgery 00:17:20 – How jaw reconstruction changed his life and career path 00:18:40 – The dark side of hospital systems and profit-driven care 00:22:10 – National healthcare, rationing, and personal responsibility 00:24:25 – Why education is the cornerstone of health reform 00:27:00 – Sponsor: Our Place and eliminating toxic cookware 00:29:45 – Using vanity as a tool to get patients to quit smoking 00:33:00 – The emotional toll of being a physician and first responder 00:36:15 – Medical emergencies on planes, in public, and the burden of duty 00:40:00 – When there's nothing you can do — and how doctors carry that weight 00:45:30 – Dr. Youn's skincare line, supplements, and why fiber is his next focus 00:48:00 – Fiber, the microbiome, and clear skin 00:49:50 – Bridging traditional medicine and alternative wellness 00:50:30 – Beef tallow, skincare myths, and what actually works 00:52:50 – Final reflections on health, service, and longevity     Thank You to Our Sponsors: Our Place: Toxic-free, durable cookware that supports healthy cooking. Use code DARIN for 10% off at fromourplace.co/darin.. Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout.ssssss     Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien     Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com     Connect with Dr. Anthony Youn: Get Dr. Youn's book: autojuvenation.com Website: https://www.dryoun.com/  Instagram: @tonyyounmd TikTok: @doctoryoun  YouTube: @tonyyounmd     Key Takeaway: "True beauty doesn't start in the mirror or the operating room — it starts in your gut, your habits, and the systems you build to support long-term health."

A Call from the Beyond. It all began with strange occurrences—objects flying off shelves, fans activating with lights flickering (even one without a bulb!), and glowing orbs moving through my videos. The universe was trying to communicate, and I had to listen. I soon discovered this was a family secret spanning generations. What I initially thought was beginner's luck was actually destiny unfolding. Since then, I've trained with leading Psychic, Mediumship, and Trance mentors, strengthening my connection to spirits. The messages I receive offer deep insights—answers to your questions, guidance, and connections to loved ones who have passed but still watch over you. Some share love, others seek forgiveness, but all remind you—they are never truly gone. With 35 years supporting those in crisis—hotlines, hospital ERs, and the city's Crisis Response Team—I've seen emotional depths firsthand. Spirit understands this, too. Readings can be healing, joyful, and transformative—and often, surprisingly fun! Looking back, every part of my journey has led me here. If you feel drawn to connect, seek guidance, or find peace, I'd be honored to help you cross to the other side.Official Barbra Banner Website: https://bannermedium.com/Unlocking Humanity with Ancient Knowledge | Host John Edmonds Kozma Hosted on Acast. See acast.com/privacy for more information.

Recap of the investigation into Highlands Charter School following vote to close school. Also, visit times at ERs in the Central Valley are twice the national standard. Finally, young musicans participate in day-long jazz workshops.

🧭 REBEL Rundown 🗝️ Key Points 💉 Hydrocortisone Saves Lives:The 2023 Cape Cod Trial (NEJM) showed a clear mortality benefit and reduced need for intubation in severe CAP patients treated with hydrocortisone.📊 Guidelines Are Catching Up:The SCCM (2024) and ERS now recommend steroids for severe CAP, while ATS/IDSA updates are still pending.🔥 Redefining “Severe”:Patients requiring high FiO₂ (>50%), noninvasive or mechanical ventilation, or PSI >130 meet criteria for steroid therapy — even outside the ICU.🍬 Main Risk = Hyperglycemia:Elevated glucose was the most consistent adverse effect, but rates of GI bleed and secondary infection were not increased.🧭 Early, Targeted Use Matters:Start hydrocortisone within 24 hours of identifying severity — especially in patients with high CRP (>150) or strong inflammatory response. Click here for Direct Download of the Podcast. 📝 Introduction Corticosteroids have long sparked debate in the treatment of bacterial pneumonia — once viewed with skepticism, now increasingly supported by high-quality evidence. In this episode, Dr. Alex Chapa joins the REBEL Core Cast team to explore how the 2023 Cape Cod Trial (NEJM) reshaped practice and guideline recommendations for severe community-acquired pneumonia (CAP). 📖 Historical Context & Long-Standing Skepticism For decades, the use of steroids in pneumonia was controversial.Early Use: Steroids entered practice in the 1940s and 50s for autoimmune inflammation, but there was immediate hesitation regarding secondary superinfections.Mixed Data: From the 1980s to the 2000s, small studies emerged on severe pneumonia and ARDS, but the data was inconsistent. Different trials used varying definitions of “severe” pneumonia and different C-reactive protein (CRP) cutoffs, making the data “spread” and easy to “cherry pick” to support or deny a benefit.Past Guidelines: This uncertainty was reflected in official guidelines:2007 (ATS/IDSA): The American Thoracic Society and the Infectious Diseases Society of America did not address the topic due to insufficient data.2019 (ATS/IDSA): Pre-COVID, the guidelines recommended against using corticosteroids in severe CAP. They acknowledged no benefit for non-severe pneumonia, but the data for severe pneumonia was considered too weak to endorse.Pre-Trial Consensus: Prior to 2023, the consensus was to avoid steroids in non-severe pneumonia, while severe pneumonia remained a “gray area” with no treatment showing a clear mortality difference. 📜 The Landmark Cape Cod Trial (NEJM 2023) The Cape Cod trial, published in the New England Journal of Medicine in 2023, reignited the discussion by providing robust, positive data.Trial Design: Phase 3, multi-center, double-blind, randomized, controlled trial.Intervention: 800 patients randomized to two groups, Hydrocortisone as a continuous infusion (200mg/day) versus a placebo infusion.Taper: On day 4, clinicians would decide whether to continue the infusion or begin a taper based on clinical response.Population: Patients with severe CAP, defined by meeting at least one of the following criteria:Pneumonia Severity Index (PSI) > 130.O2 by FiO2 ratio < 300.Need for mechanical or non-invasive ventilation (with PEEP ≥ 5).Need for high FiO2 (>50%) via non-rebreather or heated high flow.Primary Outcomes: Death for any cause 6.2% (hydrocortisone) vs 11.9% (placebo)Secondary outcomes:Death from any cause at 90 days 9.3% (hydrocortisone) vs 14.7% (placebo)Endotracheal intubation 18% (hydrocortisone) vs 29% (placebo)Hospital-acquired infections 9.8% (hydrocortisone) vs 11.1% (placebo)Gastrointestinal bleeding 2.3% (hydrocortisone) vs 3.3% (placebo)Vasopressor initiation by day 28 15.3% (hydrocortisone) vs 25.0% (placebo)Key Findings: The trial demonstrated superiority for hydrocortisone 📋 Updated Guidelines & Current Practice The Cape Cod trial, along with subsequent meta-analyses, has begun to change official recommendations.Society of Critical Care Medicine (SCCM): In 2024, an SCCM expert panel, reviewing the Cape Cod trial and 18 others, strongly recommended corticosteroids for severe CAP. They concluded that steroids reduce mortality and the need for mechanical ventilation.Meta-Analysis (Smit et al.): A 2024 meta-analysis in Lancet Respiratory confirmed the 30-day mortality benefit.European Respiratory Society (ERS): The ERS has issued a recommendation to use steroids for severe pneumonia but still urges caution regarding side effects.ATS/IDSA: As of the podcast recording, the ATS/IDSA had not yet updated their 2019 guidelines. 🛠️ Practical Application for Clinicians Defining “Severe” CAP: The key is to identify patients who qualify as “severe”. This can be done using:Scoring Tools: The PSI is the best validated tool for mortality but is cumbersome. Simpler tools like CURB-65 or SMART-COP are practical and acceptable for defining severity. 2023 meta-analysis from by Zaki et al showed both work well, but CURB-65 has better mortality prediction early on.Cape Cod Criteria: Any patient meeting the trial’s inclusion criteria (e.g., high-flow O2, non-invasive ventilation) qualifies, regardless of location (ED, floor, or ICU).Biomarkers: While not required, a CRP level was used in many studies. A CRP > 150 (Cape Cod) or > 204 (Smit meta-analysis) strongly indicates severe inflammation that would benefit from steroids.Clinical Judgment: A patient who looks “sick,” has “soft” blood pressure, or has dense infiltrates and high oxygen needs (e.g., >50% FiO2 on high flow) is a candidate.Adverse Effects:Hyperglycemia: This was the most significant risk identified, with rates between 6-12%. This is a primary concern, especially in patient populations with high BMI.GI Bleed & Secondary Infection: Fears of these side effects, which contributed to historical skepticism, were not borne out in the Cape Cod trial. The data does not support being overly concerned.Other Side Effects: Mood changes, delirium, insomnia, and agitation in the elderly are known side effects of steroids that were not specifically addressed in the trial but remain clinical concerns. 🔄 Clinical Pathway for Steroids in Severe CAP Unanswered Questions & Future Research Possible remaining questions:Biomarkers: Can we find a more precise CRP level to distinguish moderate from severe disease? Could other markers like ferritin or IL-6 be used? Dosing & Tapering: How much immunomodulation is needed, and when is it truly safe to taper?Gender Differences: Early data suggests females may respond better to steroids and experience fewer side effects. The question of female patients with severe CAP require less corticosteroids needs further exploration. 👉 Clinical Bottom Line The current literature, spearheaded by the Cape Cod trial, now supports the use of corticosteroids in severe community-acquired pneumonia. The best evidence currently points to hydrocortisone, started early (within 24 hours) after severity is identified using a validated tool. While hyperglycemia is a risk, the previous fears of GI bleeding and secondary infections were not substantiated in recent, rigorous trials. 📚 References Chapa-Rodriguez A, Abou-Elmagd T, O’Rear C, Narechania S. Do patients with severe community-acquired bacterial pneumonia benefit from systemic corticosteroids?. Cleve Clin J Med. 2025;92(10):600-604. PMID: 41033846Dequin PF, Meziani F, Quenot JP, et al. Hydrocortisone in Severe Community-Acquired Pneumonia. N Engl J Med. 2023;388(21):1931-1941. PMID: 36942789Chaudhuri D, Nei AM, Rochwerg B, et al. 2024 Focused Update: Guidelines on Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia. Crit Care Med. 2024;52(5):e219-e233. PMID: 38240492 Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Alex Chapa, MD PGY 5 Pulmonary Critical Care Fellow Cape Fear Valley Medical Center Fayetteville NC 🔎 Your Deep-Dive Starts Here REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia Corticosteroids have long sparked debate in the treatment of bacterial ... Thoracic and Respiratory Read More The post REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia appeared first on REBEL EM - Emergency Medicine Blog.

One stretcher. More than 80 patients waiting. Paramedics arriving with patients while admitted patients await transfer. That was the reality for registered nurse Jayme Hack during a recent shift at Edmonton's Royal Alexandra Hospital. Along with colleague Valerie Evanishen, she offers a frontline view of the relentless pressure inside one of Alberta's busiest emergency rooms. ER physician and former politician Dr. Raj Sherman puts it bluntly: ERs are the canary in the coal mine and “the canary is dead.” He says we can, and should, do better when it comes to emergency medicine.This is an extended version of the radio broadcast.

Konuşmazsak Olmaz'ın bu bölümünde Ali Deniz Çakır'ın konuğu Avukat Hüseyin Ersöz. Programda Türkiye'de son dönemin en tartışmalı başlıklarından olan kayyum uygulamaları, kent uzlaşısı davası, Ahmet Özer'in tutuklanması, Esenyurt ve Şişli belediyeleri, İBB soruşturması ve etkin pişmanlık ifadeleri tüm hukuki boyutlarıyla ele alınıyor. Av. Hüseyin Ersöz, hem mevzuat hem de Yargıtay ve AİHM içtihatları üzerinden değerlendirmeler yaparak, kayyum uygulamalarının ve tutuklama kararlarının neden tartışmalı olduğunu ayrıntılarıyla anlatıyor. Learn more about your ad choices. Visit megaphone.fm/adchoices

We all love winners. We love hearing about the big wins and the perfect track records. It feels good. It feels safe. It instills us with a sense of trust. But I've been in business long enough to know that virtually all individuals who are long-term winners have had profound moments of failure from which they learned invaluable lessons. Those are the people I really want to hear from. They have the kind of knowledge we all need as we navigate through life. It's called wisdom. Surgeons have a saying: “If you've never had a complication, you haven't done enough surgery.” In my surgeon days, I had a handful of complications. Let me tell you—they are no fun. You stay up at night replaying things in your mind, trying to figure out how you could have done things differently—how you could have had a better outcome. Even when unavoidable, those complications teach you something you'll never get from textbooks. It's been no different for me when it comes to business and investing. But I take comfort in knowing that even the greatest investors of all time had their moments of failure and rose from the ashes stronger and wiser. Warren Buffett. Ray Dalio. Every big winner has a story of failure. And while it may be cliché to say that we learn best from mistakes, I truly believe it. The good news is that those mistakes don't have to be our own. Learning from other people's mistakes can be just as effective. This week's episode of the Wealth Formula Podcast is with Russell Gray—a guy many of you already know from his podcasting and radio career. Russ lived through 2008 up close. He took a beating, and he talks openly about what went wrong. But that period also changed the way he sees the world—in a good way. It changed how he thinks about risk, leverage, and what actually matters when things stop going up. That mindset is a big reason he's been successful since then. It's a conversation worth your time. Transcript Disclaimer: This transcript was generated by AI and may not be 100% accurate. If you notice any errors or corrections, please email us at phil@wealthformula.com.  If you let the debt run, at some point you fall into a debt trap where the interest on the outstanding debt consumes all of the available discretionary income, and then you’re borrowing just to service the debt. Welcome everybody. This is Buck Joffrey with the Wealth Formula Podcast coming to you from Montecito, California. Before we begin today, I wanna remind you there’s website associated with this. Podcast called wealthformula.com. It’s where you will go if you would like to, uh, become more, uh, ingrained with the community, including getting on some of our lists such as the Accredit Investor Club. Of course, it is a new year and there are new deal flows coming through. Lots of opportunities that you won’t see anywhere else if you are a, an accredit investor, which means you. Make at least $200,000 per year for the last couple years with a reasonable expectation of doing so in the future. That’s 300,000 if you’re filing jointly or you have a million dollars of net worth outside of your personal residence. If you, uh, meet those criteria, you are an accredited investor. Congratulations. You don’t have to apply for anything, whatever, but you do need to go to wealthformula.com. Sign up for the Accredited Investor Club, get onboarded. And all you do at that point is look at deal flow, and if nothing else, you’ll learn something. So check it out. And who doesn’t want to be part of a club? Now let’s talk, uh, a little bit about today’s show. You know, um, we all love winners, right? We love hearing about big wins, the perfect track record. It feels good. It feels safe, gives us a sense of trust. But the thing is, I’ve been in business long enough to know that virtually all individuals who are, what you would call long-term winners, have had profound moments of failure from which they learned, um, invaluable lessons. So those are the people that I really like to hear from. You know, they have the kind of knowledge we all need that as we navigate through all of life, and it’s called wisdom. Um, surgeons, as you know, I’m an ex surgeon. Have a saying, if you’ve never had a complication, you haven’t done enough surgery. Uh, in my surgery days, I certainly, you know, had a handful of complications just like anyone else who did a lot of surgery. And, and lemme tell you, there, there are no fun, right? So you stay up at night replying things in your mind, trying to figure out how you could have done things differently, how you could have had a better outcome. And sometimes you realize that those mistakes were unavoidable, but. You still learn something from them. And in these cases, you always learn something that you’re not gonna get from the textbooks, just from reading something. And you know what, it’s been no different for me when it comes to business and, and investing, but I, I take comfort in the fact, uh, that even the greatest investors of all time had their moments of failure and arose from the ashes stronger and wiser. All you have to do is look up stories of Warren Buffet and Ray Dalio. And Ray Dalio basically lost everything at one point, uh, because he, you know, he had a macro prediction that went completely south. But listen, uh, the, the point I’m trying to make here is that every big winner, every big winner I know of as a story of failure. And while it may be cliche to say, you know what we learned best from our mistakes, I, I truly believe that. But the good news is that those mistakes don’t have to be our own, right? So you can learn from other people’s mistakes as well, and that can be just as effective. Uh, so this week’s episode of Well, formula Podcast is featuring a guy that you may know. His name is Russell Gray. Russ, uh, has been around a long time, uh, in the podcasting world. And radio. You know, he talks a lot. He’s talked many times to me at least about living through 2008. And you know what that was like, the beating he took and, you know, what went wrong? Uh, you know, it’s, it’s something that he talks about because, you know, he’s a successful guy and that period in time changed. You know, the way he sees the world, the way in which he behaves in that world. How he thinks about things like risk and leverage and you know, what actually matters when things stop going up. Uh, it’s a mindset thing and it’s important. Um, and we also obviously talk about other things as well, such as, uh, Russ’s current take on the economy. Uh, so anyway, it’s a, a good conversation and it’s one that you’re gonna wanna listen to, and we’ll have that for you right after these messages. Wealth formula banking is an ingenious concept powered by whole life insurance, but instead of acting just as a safety net, the strategy supercharges your investments. First, you create a personal financial reservoir that grows at a compounding interest rate much higher than any bank savings account. As your money accumulates, you borrow from your own. Bank to invest in other cash flowing investments. Here’s the key. Even though you’ve borrowed money at a simple interest rate, your insurance company keeps paying. You compound interest on that money even though you’ve borrowed it at result, you make money in two places at the same time. That’s why your investments get supercharged. This isn’t a new technique, it’s a refined strategy used by some of the wealthiest families in history, and it uses century old rock solid insurance companies as its back. Turbo charge your investments. Visit www.wealthformulabanking.com. Again, that’s wealth formula banking.com. Welcome back to Show Everyone. Today my guest on Wealth Formula podcast is Russell Gray. He’s a second generation financial strategist and, uh, you may know him from being a, the former co-host of the Real Estate Guy Radio Show, which is one of the longest running, uh, uh, radio shows of its time, uh, in the United States. He’s, he’s a founder of. Raising Capitalist project, which is an initiative focused on helping aspiring investors and entrepreneurs how to better understand how wealth is actually created and how uh, economic systems really work. Uh, he’s best known for his emphasis on real assets, cash flow, economic cycles, and preserving wealth and what he views as an increasingly fragile financial system. Welcome, Ross. How are you? Good buck, happy to be here. And, uh, proud of your success on your show. I remember way back at the beginning you were like, Hey, I wanna start a podcast. Yeah. Yep. You’ve done a great job. Yeah, it was an idea. I was like, here’s the idea. Start a podcast, build a community, all that kind of stuff. But it’s interesting. Uh, well, and let’s talk about what’s going on now. You’ve spent decades teaching people about, you know, real assets and cash flow. But lately your writings feel more focused on systems and and macro forces. So what’s changed? Has something finally become too big to ignore? Well, I think there’s two things you know personally, uh, most people who have heard of me or followed me know that 2008 wasn’t kind to me. I was in the mortgage business. I was very leveraged into real estate all over the place. Had my businesses for cash flow, had the real estate for equity growth. Believed that real estate was hyper resilient and gonna be the beneficiary of inflation. Didn’t understand the dependency on credit markets in both my business and my portfolio. And so that was a big mess, not doing, uh, a real SWOT analysis and understanding. And the third part of that, that was tough, is that I operated the business primarily on credit lines as well. So I had virtually no cash. And so when the credit markets seized up. Canceled my income, it canceled my credit lines and it evaporated my equity. And now all I had was negative cash flow on debt, on real estate. I couldn’t control. And so I looked at that and I said to myself, you know, I’m a pretty smart guy. I. Pride myself on paying attention. So obviously I’m not paying attention to the right thing. So I became obsessed with the macro, uh, picture and, and the financial system, which, you know, to me it’s, it’s the macro economy is what’s going on with, uh. Geopolitics and the energy and, you know, even policy, uh, that affects, uh, how well money can flow through the system. Both monetary policy from the Federal Reserve and fiscal policy from the government now today in the Trump administration trade policy. And so I began to pay attention to all those things, but from the standpoint of not how it was gonna affect the stock market, but how it was gonna affect the bond market and interest rates and the availability of credit, and how it was gonna affect Main Street. Directly and specifically now in terms of jobs and job creation are real wages. And so when I started really looking at all that, um, I, I, I realized that there were some things happening that were gonna be really good, and there were also some things that we needed to pay attention to. And these things move very slowly. So in 2010. I saw that coming outta the financial crisis, the Chinese were very upset with the United States about how much the Fed Balance sheet was expanding, and they were concerned about their very large investment in US dollar denominated. Bonds, and so they began creating bilateral trade agreements with Russia and many other countries to where they could begin this large process of de Dollarizing. Well, that was the first time I’d seen that movie, because it was the same thing that the Europeans did after they saw the Nixon default. Right? They began working on the Euro, which took ’em from 71, 72 when they started, maybe 74 when they started, but it took ’em till 99 to get it done. But you know, once they got it in place, over time, the Euro, the Euro has taken over 20% of global trade. You know, that’s market share from the US dollar. And so I saw this BrickX thing beginning to form. Uh, and then I saw the other thing on the macro that I thought was gonna be really good was in the jobs act, something you’ve benefited from as a syndicator, we. I wrote that report, new law breaks Wall Street Monopoly. And so, uh, even though I, I can’t tell you I was a big fan of Barack Obama, but he signed that legislation that happened on his watch. And I think it was fantastic because now it allowed Main Street syndicators, main Street Capital raisers to advertise for accredited investors and began to really, uh, level that playing field and open up Main Street, uh, to invest directly in Main Street. And so I met you in the syndication program that we put together with the real estate guys to coach real estate investors on how to become capital raisers to, to capitalize on that trend. So that’s, you know, kind of how I kind of became doing what I’m doing. And then when I decided, uh, just about 20 months ago to depart the real estate guys, I wanted to take some of the things that I originally set out to do when I first met Robert Helms way back in the day. And, you know, as relationships go, you know, he has his interest in the things that he wants to do, and I had my interest in things I came to do. And for a long time we were aligned well enough to continue to work together. But it got to a point where, for me, I, I wanted to go off in a different direction, and part of that was driven. By the, the death of my late wife. Uh, you had me on the show right after that happened to me, and I was going through this like, who am I? Why am I here? What am I supposed to do next? What do I really want to get done before I die? And so all of those things kind of informed my personal decisions to, to make a switch. And then of course, what’s going on in the macro. Um, what I saw with Trump 1.0, what I saw in the Biden administration and those policies, and then what I thought would happen in Trump 2.0. And I did a presentation on this at the best ever conference in March of 2025, right after he’d been inaugurated. And, and so, uh, that, that’s kind of has me where I feel like there’s some real opportunity coming. Uh, there’s also some things we need to be aware of on Main Street. Yeah. So you’re bullish on Main Street in general, but you’ve been pretty cautious about the broader financial system. So, uh, what are the things that you’re worried about? Well, I, I think if you understand the way the financial system works, uh, it has a shelf life and that. It’s because it’s, it’s a system that is, depends upon ever increasing debt. Um, people say, I wanna pay the debt off, but if they, if they really understood the system, at least the way I think I understand it, uh, and I’m not alone in this, so it’s not something I just figured out on my own. But, um, you know. I, I don’t want to sit here and pretend like I’m the world’s foremost expert, but the way I understand the way the system works is that it, it requires ever increasing debt, and if we were to pay the debt off, it would collapse the system. So I think you waste a lot of time and energy and from a policy perspective, trying to argue about doing that. And I think that’s why it’s never, ever, no matter what administration, what politician, what mix of congress, what. Pressure there is everywhere globally. The system, the central banking system, the way it works globally, is designed to create ever increasing debt. So the, the flip side of that then is to let the debt run. And if you let the debt run, at some point you fall into a debt trap where the interest on the outstanding debt consumes all of the available discretionary income. And then you’re borrowing just to service the debt. Yeah, that’s about $1 trillion right now, by the way. Which is. Which is, uh, about the, the, the defense, uh, budget. Well, and I think that the bigger thing is when you look at, at the interest on the debt and mandatory spending, there’s virtually no room left after that. So if you’ve got, you’ve got the mandatory spending and you’ve got, um, debt service, you, you have very little room. So it’s not. Feasible either for two reasons. One is there’s just not enough discretionary room to be able to cut expenses enough to, to ever manage the debt. Number two, as I previously mentioned, if we were ever to effectively try to pay down the debt in any appreciable way, it would crash the the system. So the, the way I look at it is it’s, it’s, it’s got to be replaced. There’s going to be a great reset. I think the World Economic Forum was trying to set that up for the world, and they had an agenda. I’m, I’m not particularly fond of. Um, there’s been talk about creating a central bank digital currency, which I think is what, you know, the Federal Reserve and the, what I all call the wizards, uh, or the powers of B would prefer. Uh, but I think if you care about privacy and, and, you know, individual sovereignty, uh, and, and just personal freedom, um, I have a lot of concerns about a central bank digital currency. Um, I think the popularity of Bitcoin, uh, if it was, you know, and who knows what the. True origins were, but let’s just take it at face value. I think a lot of the people, at least that were the early adopters before it had the big price run up, was just a way to escape, uh, the system before it failed. And so you’ve got that. And then you’ve got, again, as I mentioned, the bricks and this global effort to de dollarize, which was I think really kicked off. After the great financial crisis and the massive expansion of the Fed’s balance sheet. And then I think picked up a little steam when we froze Russian assets and people began to see that the US might use the dollar and the dollar system, uh, for political instead of being neutral. And I think that picked up some steam. And, and so there’s, there’s both a geopolitical drive to. Uh, come up with a new system. There is, I think we’re at the end of a shelf life that some type of a new system is gonna have to be, uh, created. Uh, and, and then you look at what Donald Trump is doing and what he’s espousing. You know, let’s get rid of income taxes. Let’s get back to pulling in, uh, revenue from tariffs the way the country was originally founded. Uh, he’s talked about eliminating the IRS and going with an ERS, an external revenue service. There’s people that think that he might beat. Wanting to try to get back on some form of sound money, you know, coming out of, Hey, let’s audit the Fed, let’s audit the gold. I mean, let’s audit the gold. And, um, so, you know, we, you, you never know what what’s really gonna happen, but, but I think what we have to pay attention to are the signs that the system is beginning to break down. And one of those signs that I pay a lot of attention to is monetary, metals, gold and silver. I make a distinction between precious metals, which would also include platinum and palladium, and of course they’re strategic metals, but I just focus on monetary metals, which would be gold and silver, and gold and silver. We’re telling you that people would prefer to be the, the, the safe ha haven asset is no longer us treasuries, but, um, but, but gold and central banks have been driving a lot of it. This isn’t the retail market driving it yet. It, it’s really central banks have been accumulating. And so those are the ultimate insiders when it comes to currency. And if the insiders in the currency markets are repositioning into gold, uh, I’d, I’d call that a clue. Yeah, absolutely. Um. Yeah. You recently commented on the public criticism, president Donald Trump made toward, uh, uh, Peter Schiff. What stood out to you about that exchange? Maybe give us some background people. Not everybody knows who Peter is and, and, uh. And all that. So, yeah. Well, I mean, as you know, I’ve known Peter for 12 or 13 years and, uh, I had read his father’s work way back in the day. He is a very famous in the tax protestor world as somebody who just believed that income taxes were unconstitutional. And he resisted that and ended up going to jail for, died in jail as a matter of fact. And so that was, uh, I think sad. Um. But, but to me it felt like a little bit of being a political prisoner, but be that as it may, that’s how I got to know Peter. And so Peter is a guy that comes from the Austrian School of Economics and he believes in sound money. He believes in gold. He does not like Bitcoin. I’ve sat on panels the last two years with Peter, uh, in between him and Larry Lepard. And you know, Larry is a, a former gold guy. He’s still not opposed to gold, but he’s a hardcore sound money guy. But he likes Bitcoin. Peter hates Bitcoin and they get into it, and I usually sit in between ’em and try to keep things calm. Well, you know, so Peter ended up going on Fox and Friends, uh, I think on whatever it was, Friday the eighth I think it was, or whatever, whatever day that was. And he, he criticized Donald Trump’s spending. And, um, budget deficits and said that it would lead to inflation, and that’s a hot button for Trump. And so Trump, yeah. Uh, responded to him, uh, I think like four 30 in the morning on Saturday morning and called Peter, uh, a. Jerk and a total loser. Well, actually I saw it before Peter did, and so I took a screenshot and I texted it to him. I said, Hey, have you seen this? You know, maybe I’ll press is good press. And I think to a degree, maybe it has been me from, I understand Peter ended up on Tucker Carlson’s show as a result of that. So, but I made a video right after that because I, you know, there was a time when. I’m friends with Peter Schiff and I’m friends with Robert Kiyosaki. As you know, I, we introduced you to both those guys and, and at one point they didn’t like each other very much. They got into it ’cause, you know, and, and so we introduced ’em to each other and found that they had more in common than they, they didn’t. And I, I think that that would be true. Not that I’m in a position to introduce Peter to, to Donald Trump, but I think the way Peter is looking at it is true. Um, but there’s context and I think the context is super important. Now I’ve been studying Donald Trump as a businessman way before he was a presidential candidate or a politician, you know, before he was a polarizing guy, a pariah for some people. He, he was just this real estate guy. He’s good at marketing, he’s a real estate guy, and as you know. We got to know his longtime attorney, George Ross. And so I’ve had a chance to have conversations about what it was like working with Donald Trump, the real estate guy, and when he became a politician, I asked George, is he a crazy man? Does he shoot from the hip? And you know, I got a lot of reassurances that he is a sober sound. Methodical, self-disciplined guy and, and I think he uses the eroticism to keep people off balance as a negotiating tactic. And he writes about that in the art of the deal. So the context that I think that people need to have, and I’m not here to defend Donald Trump, the man. I’m not here to defend Donald Trump, the politician, but I look at the policies and what I think he’s up to in the context of realizing that we have a system that is fundamentally flawed and has to be remodeled. So to use a real estate, uh, metaphor, it would be like we have a hotel building that is very tired. It’s at the end of its life, it’s got to be remodeled, and so you can’t. Completely shut it down because it’s an operating business, so it’s gotta operate during the remodel. And so you begin to, um, reposition things and. You, you, you’re not gonna run optimally, so you’re gonna run some deficits while you’re doing the remodel. You’re gonna go into debt because you got a lot of CapEx to do, and during that period of time, your debt and deficits are gonna be a problem. But real estate guys look at debt and deficits not as a permanent condition. I think Peter is saying, Hey, you’re just running up debt and deficits. Well, in the short term he is. Honestly, I don’t think Trump is concerned about that. I think he’s focused on getting this remodel done, and part of that remodel was showed up in the last jobs report, right? We lost jobs to a degree, but they were government jobs, and what we got was a lot of gains in private sector jobs. Scott descent, his treasury secretary, has come out and overtly said, we are an administration for Main Street, not for Wall Street. So if you’re going to de financialize this economy and turn it back into a productive economy. You’re going to have to have policies that are gonna stimulate Main Street, and that’s, that’s the, the, the new units that you’ve rehabbed in your hotel that you wanna move people into. At the same time, you gotta move them outta the old units, which is people making money, trading claims on wealth instead of producing real goods and services, which is the financial ice economy. So it’s not about banking, it’s not about stocks, it’s not about Wall Street. You know, you need the stock market to stay up. But really what you need to do is you need to create production. And, and, and I think that’s fundamental. I think he understands we’re never gonna pay the debt off by cutting. We’ve got to keep the system running until we can get to some form of sound money. We’re actually paying the debt off as realistic, and then we have to earn so much money that the debt relative to our earnings shrinks. So it’s not paying down the debt, it’s paying down the percentage of GDP by growing GDP. And the presentation I did at best ever in March of 2025 was me explaining why I thought. His policies, were going to allow him to increase velocity and increase wages by cutting taxes, interest regulation, transportation costs, and, and again, that was six weeks into administration. That was theory. I’m gonna do a follow up in March of this year to say, okay, looking back when I gave the speech a year ago, what’s transpired, but I can already tell you a lot of the stuff that I thought he would do. He’s done. And I think that’s muting some of the inflation that his spending and deficits to Peter’s point are causing. And that’s why when this last CPI report came out, it wasn’t as ugly as everybody thought it would be. And, and this is when you don’t look at, when you look at it in the mono, you just look at one thing and Peter’s very fixated on this quantity of money theory. Then the expectation is that you print a bunch of money, you run a bunch of deficits, you’re gonna get inflation. And it’s just a. Equals B or A leads to B. But there are other nuances and I think Trump is looking at more like a real estate developer, which makes sense. ’cause that’s his background. Yeah, yeah, absolutely. It’s, I mean, and then the other just point to, to make there is that there is probably, um, now inflation’s a tricky thing, right? Like on the one hand you don’t want this riding up, but on the other hand, it actually helps with that debt. You’re, you’re basically eroding the debt by letting inflation ride a little bit higher at the same time. And I think the Trump administration knows that it’s a tricky thing to balance, but the goal is to, you know, get GDP pumping at, you know, four or 5%, but it’s gotta be real production buck. And that’s the difference, right? The old way of dealing with the debt was inflation. And, and I think people think that he’s using the old formula, but I don’t think he is. Well, I think it’s, I think, I think it’s definitely geared towards increasing real GDP, but I think in the process there’s probably, they probably care less a little bit. Of inflation riding up a little bit in the meantime. ’cause you’re still gonna have, I think he thinks he can mute it. I think he can mute it with lower taxes, lower interest expense, lower energy costs. And the energy is the economy. And from day one, that was the first policy. He’s, he’s aggressively gone after lowering energy costs because that has a, a, a ripple through, it just affects every area of the economy. And then the regulations in, in the last cabinet meeting. It was reported, the way I understood it, that for every regulation his administration passes, they’ve eliminated 48. So it’s actually, he’s removing the friction. And I think the bigger thing is, and I, and I was on a panel at Limitless, uh, this last summer, and TaRL, Yarborough was moderating the panel, asked the panelists what we were looking at that maybe other people weren’t looking at that. Um. You know, is, is a signal about maybe the direction it was. We, I, I can’t remember. This was a prediction panel and what I said was trade policy because everybody in finance spends all their time looking at the flow of money and trying to get in front of the flow of money. And we’re so used to the money coming from the Fed or coming from the treasury. So they’re gonna come from monetary policy or fiscal policy. And that’s what Peter’s doing. He’s looking at the Fed and he is looking at the treasury. And so what I’m looking at is not just the tariff income, which is relatively minor, but I’m looking at the trade deals, and those are published at the White House and there’s a couple trillion dollars of money that’s FDI, foreign Direct Investments coming right into Main Street. And it’s gonna build infrastructure. It’s gonna build factories. It’s good. And they tell you where it’s gonna be because they, they came back with the opportunity zones, which I thought they would do. Makes sense. It’s the way he thinks. And then taking those opportunity zones, the governors can say where in their state they want that money to go. Well, people on Wall Street don’t think geography ’cause they operate in a commodity world that trades on global exchanges. But real estate people. Geography matters a lot. So if I’m a Main Street person, I live on Main Street and I’m looking for Main Street opportunities, I wanna look where that money is going to be flowing in geographically. And then there may be opportunities in real estate or small businesses in those economies, and you can see it coming, but nobody talks about it. So I created Main Street Capitalist as a show to begin to talk about it. I still do the investor mentoring club, which is, you know. A premium thing where we get together every month and we talk about these things. And the point is, is that if you understand, I think what he’s doing, then you can, you can begin to paddle into position. And I think, again, I am really bullish if he loses inflation. If he loses to inflation, he’s cooked. He knows it. I think that that even the suggestion that Peter made that he was losing to inflation is what flared him up. And so I wasn’t trying to necessarily defend. Peter and I wasn’t trying to defend Trump, I was just trying to reconcile that it is possible that both guys could be right at the same time from their perspective. And so I, you know, I, I had one guy take exception because he felt like I was defending Trump, but for the most part, I got positive feedback on the video. I, I, I, you saw it. So you tell me. Did it make sense? Yeah, yeah, yeah. Absolutely. So when you look at today’s environment, everything going on, where do you think investors are most vulnerable? Um, I, I think that if you are very dependent upon, um, healthy credit markets, we could have a disruption. And that’s what happened to me. If Trump loses the inflation battle even for a little while, little be reflected in interest rates. And the challenge is right now that he is asked the Fed to quote unquote lower rates, but the Fed actually doesn’t like. Set rates, what they do is they set a target and then they manipulate markets to achieve those rates. And if, if people believe the fed, there’s a little bit of front running. So what’ll happen is the Fed will come out and go, oh, we’re gonna lower rates, which means bond prices are gonna go up. So they’re like, that’s great, let’s go buy a bunch of bonds, which drives rates down. So the Fed just by talking. Begins to move the market and then they hope that later on the Fed will buy those bonds from them at a profit to push rates down. Does that make sense? So, so when the last two times the Fed has raised rates in their target, the 10 year has responded in the opposite direction. Which means that the market is like not buying in, and the Fed is gonna have to step in. And when the Fed steps in, they do it by printing money out out of thin air. Now, the concern about that is that when they print the money out of thin air. If they’re replacing bonds on their own balance sheet, that’s kind of a circle and it doesn’t leak out into the economy. If they’re buying new issuance from the the treasury, then that money is gonna work its way through the government to to to main street. Now, the Trump administration can prevent some of that by keeping the money in the Treasury, for example, uh, Trump 1.0 left. The Biden administration with, I think over a trillion dollars in, in the treasury checking account, and Janet Yellen put that into the economy right away during the lockdowns, which immediately created extreme inflation because you muted production at the same time you goose. Uh. Purchasing power, you know? So anybody with like three ounces of economic understanding could have told you that that inflation was gonna come, it was gonna come hard, it was gonna come fast, and it was gonna be stickier than than you thought. ’cause once you let that money out in the economy, it’s out. It’s out and the only way to mute it is either to suck it back, which is very, very difficult, or to outproduce it, and it’s very hard to produce anything when everything’s in lockdown. So I think that, you know, those days are behind us. I think the policies that we’re embracing now are more. Pro productivity. And I think that even if the Fed does have to step in, as long as that money doesn’t leak out into the economy, and part of it is the treasury being able to throttle some of that, and the money that does go into the economy doesn’t go into stimulus, but goes into CapEx and infrastructure, that’ll actually, uh, create. Production. Then I think that, you know, this, this game plan that I think they’re trying to execute has a chance. And so I, I’m, I’m watching for it. And of course, to answer your question, what do we have to worry about that it doesn’t work? Right? If it doesn’t work, then inflation will show up. Interest rates will rise, credit markets will crash, it will take real estate values with it. And the hedge is really gonna be, what I’ve always talked about is gold. I started talking back in 2018 when we were the zero bound with interest rates. Hey, there’s only one way interest rates can go and that’s up. And if they go up fast, then that’s gonna crash bonds. So it would be smart, and that’s gonna take real estate equity with it. So it’d be smart when you have real estate equity and low rates to pull some of that equity out and move it into gold. And I called that my precious equity strategy. If I have a video I did at the Vancouver Resource Investment Conference in January of 2022, explaining that when you could still really execute on that, and I’m not saying that you couldn’t do it today, but it’s harder, but the people who did it back then, I mean, you know, they’ve, they’ve seen their gold almost triple. And at the same time, they were able to lock in interest rates that are, you know, a half what they are today. So when you see those mega trends and you can begin, and that’s the stuff I didn’t know how to do in 2006, 2007. I didn’t understand any of this stuff. The, the, you know, losing everything in 2008 forced me to become a hardcore student and then try to apply that to Main Street strategy. And so I think gold and real estate and debt, they all work really well together depending on where you are in the cycle. Do you think that Main Street investors may actually have some advantages in periods like this? Yes, a ton because I think what’s gonna happen is if we have a, um, a, a, a restructure of the financial system into something more responsible, which I think is either gonna be forced upon us or it’s gonna be done by design, and I hope we do it by design. But when that happens, then the days of just buying low and selling high and riding the inflation wave that goes away. And so now it’s gonna be very, very important to understand how to invest for. Productivity. So I call it, you know, buy low sell high trading as an acronym, B-L-S-H-T you. You can sound it out for yourself phonetically. And then the other one is poo, which is productivity of others. And I think that if people focus on investing in the productivity of others, which is what Main street investors, especially real estate investors, focus on, I think cash flow, real profits on small businesses, not speculating on. Uh, exit price or a company that’s gonna take a company public, everybody trying to tap into this giant flood of money that gets pre created from thin air in the banking system and in Wall Street. If, if, if people on Main Street will just start investing. Kind of what Kenny McElroy was doing going through 2008, just focusing on sound assets and good markets with good fundamentals. That cash flow and, and are run by good managers, whether it’s a business, an apartment building, a mobile home park, a self storage, residential assisted living doesn’t really matter. Invest in real businesses that produce real profits where you’re not overpaying for that production of income and especially where there’s some upside. Not to flipping out of the stock, but to actually growing the market share and growing the income. That’s what investing really should be. Wall Street has perverted it into just placing bets and riding a wave and trying to figure out where the money is gonna flow from the Treasury or for from Fed stimulus. And I think Main Street is gonna pick up on the new game sooner. And the good news is if you get good at playing that game, even if the system stays the same, you’re probably gonna do better off anyway. When you talk about buying, buying or investing into productive businesses, I mean, what, what’s the difference in your mind between investing in a private business versus investing in a, you know, a publicly traded business that’s run off, you know, dividends? Yeah, so I, I, I think that it could be okay if the dividend yield makes sense, but anytime you have a publicly traded security, it’s a highly liquid market, which means it’s gonna be volatile and the stocks become chips in the casinos where professional traders are just gambling all day long. And some of that gambling can create an impact on the stock, and it doesn’t matter to you if you’ve only bought it for production of income. Um. And so, uh, you know, I, I don’t think it’s bad. I’ve, you know, Peter’s always been an advocate of, uh, dividend paying stocks, and I think if you’re gonna be in the stock market, that’s what you want to do. I think the opportunity in a private placement in a small business is the opportunity not to have to pay the high multiples because it’s not a perfect market. It’s, it’s the same reason there’s so much more opportunity in real estate. If real estate could trade on an electronic exchange where. You know, millions of buyers could find it, and you could have perfect price discovery. It’s very difficult to find a deal, right? It’s very difficult. But we, if you buy a private business, you know there’s gonna be considerations. You, you deal with a, a owner. Who cares about his customers, who cares about his team, maybe would be willing to carry back the way you would if you were buying a, a, a piece of property from somebody that cares about their neighbors or whatever. I mean, there’s, there’s, there’s a lot more humanity in it. There’s a lot more room for negotiation in it. And a lot of times there’s a lot more room to have control. So, you know, one of the adages with real estate that real estate investors like is, I’m gonna buy an asset, one that I understand, two that I can control. And so when you buy a stock, like a dividend paying stock, you, you might understand the business, you may not understand completely the. Uh, market dynamics that drive the stock price. But as long as the dividends are there, that can be okay, but you don’t have any control. When you actually go buy a small business, you have a, a degree of control. Now, if you’re a passive investor buying into a syndication, then you still have a little bit more, um. Relationship, you have a little bit more insight. You maybe have a voice. You may know the people that are making the decision and running the company personally. So it’s the same thing. You know, you Buck is a syndicator. When you go do a deal, your investors know you. They have a personal relationship with you. Go buy stuff in the stock market and mutual fund managers and investor. You don’t have a relationship with that fund manager and I think that’s worth something if you have a voice right. So we’ve, we’re talking a little bit about credit markets, um, volatility, you know, interest rates. Are they gonna go down like, you know, Donald Trump would like to see, and you know, we’ve got a new fed share coming, all that kind of thing. How should investors be thinking about leverage and risk right now? I, I think the adage with real estate, uh, I mean, sorry, with leverage is always the same, is, um, you know, manage cash flow. I, if, if you use leverage to speculate, that could be a real problem. And whether you did it. Do it for real estate like I did by having very thin or negative cash flow and making that up someplace else and believing that somehow, you know, rents or appreciation are gonna do it. Or buying a non-income producing asset with borrowed funds hoping it’s gonna go higher. I think that would be dangerous, but I think if you fundamentally use debt as a tool. Based on cash flows and you use conservative cash flows, you know, so the debt service coverage ratio, you know, if you have $10,000 a month going out in debt service, make sure you have at least, you know, $12,000 a month coming in on income or above. Then that’s how you begin to build resiliency into your portfolio. And the other thing is don’t borrow long to invest short, right? So your duration matters a lot. We were talking about this before we hit the record button, and I think what happens is people. Uh, make a mistake when they try to operate like a bank. ’cause banks lend short and invest long. And the only reason they get away with it is because they have the Federal Reserve Bank system backstopping them. But you don’t have that as an individual, so you better to do the opposite. Um, if you can match the durations, that’s perfect, right? ’cause then you know what your interest expense is for the, for the duration of the investment. And once you lock in the spread, then you just have the counterparty risk of the, whoever is responsible for creating that income stream that’s gonna service the debt you use to control the asset. And then it just comes down to underwriting and then recourse. And if you feel comfortable with the underwriting and you feel comfortable with the recourse, and you’ve got spread and you’ve locked in a, a duration. Um, that, that is compatible, then that can be a, a, a fairly safe way to use debt. And if interest rates work against you, then you’re okay. And if interest rates work for you, you might be able to refinance your debt and actually increase your spread, but you don’t need it to happen to be successful. Let’s talk a little bit more about what you’re doing right now. So in the past year, you’ve launched, um, several new initiatives. You had masterminds via platforms. Tell us a little bit about this and, and a little bit more what, what you’re trying to accomplish. Well, you know, after losing my wife, um, you, you go through this. Period of time of like figuring out, okay, life is short. What do I want to get done before I left die myself. And so, um, after thinking about that, I went back to really what I came to do when I first met Robert Helms and got involved in the real estate guys. And so I just kinda went back to home base and. Then the other thing is now I’ve got 17 grandchildren, and so I’m thinking a lot less like a father, more like a, a grandfather, a founding father. And, um, and so I’m thinking about what the world is gonna be like in 40, 50, 60 years, and what can I do to plant a seed that will make that world better for my grandchildren? And so I, I did a couple things. One is, um, after I left the real estate guys, we were going through a merger with Ken McElroy, George Gammon and Jason Hartman to create, um, a mastermind group, which we did. And I, I was CEO of that for the. The year during the merger. And that took up some time. And the second thing I decided to do, uh, ironically, it was after a conversation I had with Charlie Kirk. I had a conversation with Charlie Kirk. I said, Hey, I’ve got this idea to help, uh, K through 12 get involved in, in capitalism by starting businesses or working with businesses. Their parents start, and I explained to him the model. He goes, I love it. I want to help you. And so that encouraged me. And then I had a follow up meeting in January of 20. 24 with Mark Victor Hansen, and he really encouraged me. And so with the strength of those two endorsements, I go, you know, I’m gonna do this. And so, uh, I left the real estate guys in, um. March, late March of 2024, and in the summer of 2024, I, I launched the Raising Capitalists Foundation, and people can learn more about that by going to raising capitalists plural.org. And I, I literally launched it at Freedom Fest on July 13th, 2024 and five minutes before I took the stage, Donald Trump got shot. Always remember where I was and how distracting it was, but I did record that presentation and it’s on the website, and so it explains the model. But in, in short, it’s pairing, um, or it’s, it’s putting parents who are in what Kiyosaki, uh, rich Dad would call the E-Class employees. And, uh. Put them under a mentorship program with experienced entrepreneurs and investors to help them start a business, a side hustle. They need the money and they need a mentor. And so then they, um, it can create a situation where their children can come to work for them in the business. And today, information Society, you know, there’s a lot of things kids can do where they learn real life skills, um, working with their parents. So that’s what the Raising Capitalist Foundation is all about. Then I launched two shows. Uh, in 2025, uh, one is I literally just launched like a week ago, and that’s. That Donald Trump video was really the first one that I put out, the Donald Trump versus Peter Schiff video on YouTube. I haven’t even started the podcast side of it. Um, and in on September 27th, uh, on pray.com, I started, uh, another show that, that one’s called the Main Street Capitalist. So if you go to YouTube and look at the Main Street capitalist, you’ll, you can find me there. And then the other one I created was the Christian capitalist. And I kind of went back to, you know, my, my core roots of realizing when I started looking at. Where the country was at, John Adams said that, um. Our Constitution was designed for a moral and religious people and is really wholly inadequate for any other, and so I thought, you know what? I’m I, I’m going to do that because my experience as a, as a Christian businessman is that I find that sometimes the stuff I get in church is more consumer oriented, and it doesn’t, it’s more employee oriented. I, I don’t. And, and then the other part of that is I created a, a ministry called Fellowship, a Christian capitalist, which is really about helping people put purpose into their business and then, you know, express their faith. Love your neighbor. Through their business. And so I’ve got all these different initiatives going and then I created the Main Street Media Network because I wanting to reach youth. I hired a YouTube coach and I said, look, I want to create content to encourage youth. He goes, that’s great. You can’t do it. You’re too old, he said, so what you need to do is find young people you can mentor and teach them the things that you’ve learned and let them teach it in their own words and they’ll reach their generation better than you. So with Main Street Media Network, I’m I, I’ve got. Two guys that I’m apprenticing right now, but I’m gonna be adding a lot more. Um, one, one young man is 20 years old, the other one is 26 years old. And, uh, I just came back from the Turning Point USA event where we had a broadcast booth and they were conducting interviews and I did the New Orleans Investment Conference. And so these guys are sitting down with Peter Schiff, Robert Kiyosaki, Mike Maloney, Ken McElroy, you know, you, you know what that did for you, buck with your show. You know, you, you met all these people through us and then you. We’re able to build upon that and create a very credible show. So I’m doing that for these guys that are in their twenties with the idea that they will be able to reach a generation of people. Uh, I call it putting Boomer Wisdom in Gen Z mounts. I mean, they get to process it and it gets to be their own. And I’m helping them build financial podcasts that actually make the money and is the foundation of, in this case, they’re both capital raisers of their capital raising business. I got all these different things going, but I’m doing it through leaders, so I’m not trying to do all things myself. Yeah, yeah. Um, but I’m building out an ecosystem to accomplish all these goals and so far so good. It’s a lot. Sounds working like a young man, man, man. I’ll tell you that. I know, I know. Wow. I I thought you were gonna slow down after you. No, I’ve actually, I put my, I put, I put my foot on the gas. I, I’ve probably never worked, uh, harder. Um, but I, I think I’m working smart, you know, so I’m hiring coaches and I’m bringing in, um, leaders and going through all that EOS and organizing to scale stuff. Sounds good. Well, always a pleasure, Russ. Um, make sure not to be a stranger to have you on again, um, you know, in a few months and figure out where you’re going with all this stuff. All the new things that you’ve accomplished, but it’s, uh, it’s great to see you. Well, happy to be here, proud of you. Uh, keep up the good work and keep educating people. Thank you. You make a lot of money, but are still worried about retirement. Maybe you didn’t start earning until your thirties. Now you’re trying to catch up. Meanwhile, you’ve got a mortgage, a private school to pay for, and you feel like you’re getting further and further behind. Now, good news, if you need to catch up on retirement, check out a program put out by some of the oldest and most prestigious life insurance companies in the world. It’s called Wealth Accelerator, and it can help you amplify your returns quickly, protect your money from creditors, and provide financial protection to your family if something happens to you. The concepts here are used by some of the wealthiest families in the world, and there’s no reason why they can’t be used by you. Check it out for yourself by going to wealthformulabanking.com. Welcome back to the show everyone. Hope you enjoyed it. As always, Russ, uh, is, uh, you know, he’s, he’s got a lot of wisdom. He is the guy you really wanna listen to. And I would encourage you to follow his work anyway. Uh, just pivoting back, you know, to where this economy is and all that. I think for me personally, it’s about allocating capital in a market that is a, uh, is certainly losing value in its dollars. And, um, and I think that we’re gonna continue to see that. Speaking of that, make sure if you haven’t, as I mentioned before, sign up for the Accredited Investor Club. Go to wealthformula.com, go to investor club, as we have plenty of those types of things that are hedging against inflation, um, saving taxes in terms of tax mitigation strategies, that kind of thing. Check it out. That’s it for me This week on Well Formula Podcast. This is Buck Joffrey signing off. If you wanna learn more, you can now get free access to our in-depth personal finance course featuring industry leaders like Tom Wheel Wright and Ken McElroy. Visit wealthformularoadmap.com.

This is a free preview of a paid episode. To hear more, visit smokeempodcast.substack.comEmily Zanotti is a writer, a Catholic, a political operative, a mother of three, and a professional chicken tender, which is a thing. Nancy and Sarah know her from Twitter, where she is a great follow, but they're taking this relationship to the next level. Podcast guest! The three talk about the mental health benefits of putting hands in the dirt, how Emily came to define herself as conservative (and what happened when the conservative movement shifted from her), all those female troubles women rarely talk about, and the booming fertility-industrial complex.Also discussed:* Chickens and gunshots* “My goal is to not be a hypocrite”* The intellectual side of Catholicism* The beauty of having bees come to die in your garden* “2016 broke a lot of people.”* The Greeks identified endometriosis, but Western medicine didn't come up with a treatment until… last year?* Infertility as a Catholic …* The mirage of egg freezing* Storage fees for zygotes* Endometrial tissue in women's … brains??* Clocking your kids' personalities while they're in utero* Is misogyny what drives laws that allow women to die on the floor of ERs from ectopic pregnancies, or nah?Plus, Japanese New Wave vinyl! Werewolf romance fiction! Forty years and we still haven't gotten over David Bowie's pants in Labyrinth! And much more.Start the year right. Become a paid subscriber.

Abortion Isn't “Healthcare.” It's Killing.Joel Settecase sits down with anesthesiologist Dr. Brian Warren and abolitionist Michael Rogers to rip the mask off abortion—medically, morally, and biblically. No euphemisms. No political double-speak. Just brutal truth for Christians and non-Christians.In this episode you'll hear:A medical expert explain exactly what happens in common abortion procedures (D&C, D&E, abortion pill).Why “termination” and “women's healthcare” language is deceptive cover for something nefarious.The truth about abortion pills, complications, and why ERs are seeing the fallout.Straight answers on hard cases: life of the mother, ectopic pregnancy, and miscarriage.Does the Bible support abortion? How Scripture actually talks about the unborn (Exodus 21, Luke 1, etc.) and why abortion is rightly called murder.For Christian men and pastors who refuse to stay silent:Why cowardly pulpits helped normalize abortion—and how to push back.How to lead your family and church to defend life from conception to natural death.Real hope in Christ for anyone who's had, paid for, or enabled an abortion.Join the Hammer & Anvil SocietyWant brothers who won't fold on issues like this? Hammer & Anvil is The Think Institute's men's discipleship community—weekly calls, courses, challenges, and a band of men building a strong, biblical worldview together.

Erectile dysfunction has long been treated with guesswork and one-size-fits-all solutions. But new technology is changing that by making erections measurable. In this episode, we explore the FirmTech TechRing, a wearable that tracks erection data during sleep and sex, and what insights from over 136,000 erections reveal about erectile fitness, overall health, and the future of data-driven sexual medicine. I am joined once again by Dr. Elliot Justin, the CEO and founder of FirmTech, a sextech company focused on keeping men fit and firm for a lifetime of lovemaking. He is an Emergency Medicine specialist and health care technology consultant who has spent 25 years practicing emergency medicine and directing ERs. Some of the specific topics we explore in this episode include: How is the TechRing different from a traditional penis ring? What can real-time erection data tell men about their health? How does using an erection ring compare to taking an ED medication? How can an erection ring make sex better? Check out FirmTech’s website to learn more and use code JUSTIN15 for 15% off your purchase.  Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  Thread & Tether is a therapy practice dedicated to helping couples rebuild trust, strengthen intimacy, and heal after betrayal. Led by AASECT-certified sex therapist Jason Powell, the practice offers virtual sessions in multiple states and in-person intensives in Boston and Manhattan. Visit threadandtether.com to learn more. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

Send us a textAs we continue the conversation with Lisa, Trusas. Stigma is a quiet siren—it keeps people from asking for help, and it teaches the rest of us to look away. We open up about what addiction really looks like inside emergency services and at home, from dispatch centers and correctional facilities to ERs and patrol rooms. We talk about growing up in households where chaos felt normal, why “functioning alcoholic” gets a pass while heroin use gets a scarlet letter, and how the words we choose either build bridges or burn them.You'll hear how one honest admission inside a department transformed the room: jokes faded, questions surfaced, and colleagues started asking how to help their loved ones. We unpack the trap of “it's legal, so it's fine,” whether it's alcohol, vaping, benzos, or 3 a.m. sports betting. We also dig into the system-level barriers—insurance limits, AMA discharges, closed youth detox beds—that make recovery harder than it needs to be. And we highlight practical steps anyone can take: use person-first language, speak privately when you're worried, leverage peer-to-peer centers, and know the basics of getting someone into detox or a civil commitment when it's the safest option.Addiction doesn't care about uniforms or titles. It shows up as compulsion, secrecy, and a deep fear of being seen. Recovery shows up as patience, multiple tries, and small moments of courage—the text that arrives months later, the hand held at the right time, the story that makes someone feel less alone. If you're ready to trade labels for listening and shame for support, this conversation offers tools, perspective, and hope. Subscribe, share this with someone who needs it, and leave a review to help more people find real help without the noise.Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast

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