Podcasts about hospitalization

Show notes at pharmacyjoe.com/episode1156 In this episode, I'll discuss the effect of high-dose versus standard-dose influenza vaccines on hospitalization outcomes and mortality in older adults.

Perez Hilton's Mom and Sister 'Preparing to Seek Custody' of His 3 Children After Blogger's Disturbing Livestream and HospitalizationAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The “Real Housewives of Atlanta” season 17 reunion is here and the ladies did not hold back. Our “Virtual Reali-Tea” co-hosts Danny Murphy and Evan Real are unpacking all the drama from part one. K. Michelle and Porsha Williams hash out their misunderstanding regarding the miscarriage comment. Kelli Potter and Drew Sidora face off over shady social media posts regarding Drew's 360 lipo and Kelli's closed business. Check out the full recap now!"Real Housewives of Atlanta" airs Sundays at 8 p.m. ET on Bravo and is available to stream the next day on Peacock. Learn more about your ad choices. Visit megaphone.fm/adchoices

How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. How does someone keep a good mood after receiving one devastating medical diagnosis after another? Retired California Juvenile Hall Officer Tyrone “Ty” Armstrong Sr. has faced a disabling injury, congestive heart failure, cancer, nightmares, and anxiety, but he refuses to let illness define his life. The Law Enforcement Talk Radio Show and Podcast social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. For Tyrone “Ty” Armstrong Sr., the answer is found in purpose, creativity, faith in the future, and a determination to keep contributing, even when his body makes every day more difficult. The Podcast is available for free on the Law Enforcement Talk Radio Show and Podcast website, also on Apple Podcasts, Spotify, YouTube, iHeartradio and most major podcast platforms. #LawEnforcementTalk #Free #Podcast #Radio Armstrong is a retired Juvenile Hall Officer from California who was forced to leave his career because of a serious foot injury. Retirement, however, was only the beginning of a series of life-altering health battles. Supporting articles about this and much more from Law Enforcement Talk Radio Show and Podcast in platforms like Medium , Blogspot and Linkedin. He was hospitalized with congestive heart failure. His heart function reportedly dropped to approximately 15 percent. Then doctors discovered myelofibrosis, a rare form of bone marrow cancer. The illnesses changed his physical abilities, interrupted his career, and contributed to nightmares and anxiety. Yet Armstrong continues to search for reasons to smile, create, and connect with other people. His remarkable story is featured on the Law Enforcement Talk Radio Show and Podcast, available on Apple Podcasts, Spotify, YouTube, and other major podcast platforms. Additional content from the interview is shared on Facebook and Instagram. How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. He shares the full story as a guest on the Law Enforcement Talk Radio Show and Podcast, available on Apple, Spotify, YouTube, and other major podcast platforms. The interview is also featured across Facebook and Instagram. The conversation explores the challenges of working inside a Juvenile Hall facility, the health crisis that transformed Armstrong's life, and how he keeps a good mood in spite of severe health problems. The Difficult Work of a Juvenile Hall Officer Most people understand that police officers, corrections officers, and firefighters work in dangerous environments. The challenges faced by Juvenile Hall Officers, however, frequently receive far less public attention. Juvenile detention facilities house young people who may be accused or convicted of serious crimes. Some have histories involving violence, gangs, drugs, unstable homes, neglect, or abuse. Others struggle with mental health conditions, anger, fear, and distrust of authority. Juvenile officers must maintain security while working with young people whose lives may already be moving in a dangerous direction. The job requires vigilance, patience, communication skills, emotional control, and the ability to respond quickly when a situation turns violent. Officers may have to break up fights, enforce rules, identify manipulation, prevent escapes, and protect detainees from one another. How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. The episode is available across major platforms including their website, Apple Podcasts, Spotify, YouTube, with highlights shared across their Facebook, Instagram, and LinkedIn profiles. At the same time, the work is not exclusively about discipline. A Juvenile Hall Officer may also become one of the few stable adults in a young person's life. A firm but respectful conversation can sometimes influence a teenager long after that person leaves custody. Armstrong experienced those competing responsibilities firsthand during his career in California. He understood the importance of safety and authority, but he also recognized that the young people inside the facility were not necessarily beyond hope. His work demanded physical stamina and emotional resilience. When a foot injury forced him into retirement, he lost more than employment. He also lost the routine, responsibilities, professional identity, and sense of purpose connected to his career. The transition would have been difficult under any circumstances. The severe medical problems that followed made it even more challenging. Hospitalized With Congestive Heart Failure Armstrong's life changed dramatically when he developed congestive heart failure and required hospitalization. Congestive heart failure, commonly abbreviated as CHF, is a chronic condition in which the heart cannot pump blood as efficiently as the body needs. When the heart's pumping ability weakens, blood and fluid can back up in the lungs and other tissues. How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. Heart failure can have several underlying causes, including coronary artery disease, previous heart attacks, high blood pressure, heart valve disease, cardiomyopathy, diabetes, and obesity. Treatment may include medication, dietary changes, carefully monitored physical activity, implanted medical devices, and frequent evaluation by medical professionals. The treatment plan depends on the individual patient's condition and the cause and severity of the heart failure. For Armstrong, the diagnosis was especially frightening because his heart was reportedly functioning at approximately 15 percent. A number that low can transform even routine activities into exhausting challenges. Walking, climbing stairs, getting dressed, or completing household tasks may require far more effort than before. The person must also live with the knowledge that the heart, an organ that never gets to take a break, is severely weakened. Many people would understandably respond with despair. Not Armstrong. That decision did not erase the seriousness of his illness. It did not mean he ignored fear, anxiety, or physical limitations. Instead, he began searching for a new way to create meaning within the boundaries imposed by his health. How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. The Podcast is available for free on the Law Enforcement Talk Radio Show and Podcast website, also on Apple Podcasts, Spotify, YouTube, iHeartradio and most major podcast platforms. Another Devastating Diagnosis: Myelofibrosis After experiencing congestive heart failure, Armstrong received another life-changing diagnosis: myelofibrosis. Myelofibrosis is a rare form of bone marrow cancer. It disrupts the body's normal production of blood cells and can cause extensive scarring within the bone marrow. The disease may lead to severe fatigue, weakness, anemia, an enlarged spleen, bone pain, abnormal bleeding, and a greater vulnerability to infections. The experience can share certain symptoms or blood-related complications with other serious disorders, although it is a distinct medical condition. For Armstrong, the cancer diagnosis arrived on top of an already dangerous heart condition. He was no longer dealing with one isolated medical problem. He was living with multiple severe health conditions that could affect his strength, energy, mobility, independence, and future. The emotional consequences were significant. Armstrong began experiencing nightmares and anxiety. These symptoms became part of his life alongside the physical illnesses. Serious medical diagnoses can create a persistent sense of uncertainty. A patient may worry about the next test, the next appointment, the next treatment, or an unexpected change in symptoms. Even on relatively good days, the fear of what might happen next can remain in the background. Armstrong acknowledges those struggles. His positive outlook is not based on pretending everything is fine. His story is powerful because his optimism exists alongside pain, fear, and uncertainty. How He Keeps a Good Mood in Spite of Severe Health Problems Armstrong cannot control every aspect of his medical condition, but he can decide where to direct his attention and energy. He keeps moving forward by concentrating on creativity, service, and the possibility of building something valuable for other people. Rather than viewing retirement and illness as the end of his productive life, Armstrong embraced web development. At 64 years old, he began using technology to create a new mission. How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. The Law Enforcement Talk Radio Show and Podcast continues bringing listeners real conversations from the front lines of crime, policing, trauma, survival, and healing. He designed an innovative video vlog intended to provide an all-in-one visual browsing experience. His goal was to create a platform with entertainment, information, and resources for people who prefer learning and engaging through video. For Armstrong, it is evidence that purpose can continue after retirement, disability, and devastating medical diagnoses. It gives him a reason to create, plan, learn, and imagine what the future could become. When serious illness removes a person's former career or physical abilities, developing a new source of purpose can help restore direction. The new mission does not have to resemble the old one. It simply needs to provide a meaningful reason to continue engaging with life. Building Something for Visual Learners Armstrong's vision extends beyond entertainment. He wants his video vlog to become a global resource for visual learners, people who understand and retain information more effectively when it is presented through images, demonstrations, and video. Video can make information more approachable for users who struggle with long written explanations. It can show a process in action, combine audio with visual examples, and give people the ability to pause, replay, and learn at their own pace. Armstrong dreams of collaborating with video creators and content enthusiasts around the world. He wants to expand the platform, reach international audiences, and develop an online community where video education and visual stimulation are easily accessible. How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. Supporting articles about this and much more from Law Enforcement Talk Radio Show and Podcast in platforms like Medium , Blogspot and Linkedin. The diagnosis of myelofibrosis did not destroy that dream. In some ways, it made the mission feel more urgent. Armstrong understands that his health is fragile. Rather than allowing that reality to paralyze him, he uses it as motivation to keep building. His attitude carries an important message: A person does not need perfect health or ideal circumstances to make a difference. Positivity Does Not Mean Denying Reality Stories about resilience can sometimes create the false impression that people should remain cheerful at all times. That is not realistic, especially for someone living with heart failure, cancer, chronic physical limitations, nightmares, and anxiety. Keeping a good mood does not mean Armstrong never has difficult days. It does not mean he is free from fear or frustration. It does not mean that a positive attitude can replace medical treatment. Instead, his outlook appears to be rooted in refusing to surrender his entire identity to illness. He is not only a patient. He is a retired Juvenile Hall Officer, father, web developer, creator, visual thinker, and man with an ambitious idea. His illnesses are part of his story, but they are not the whole story. That distinction can be essential for people facing long-term health problems. Medical appointments naturally focus on symptoms, test results, medications, and treatment plans. While those issues are necessary, patients also need reasons to see themselves as complete human beings with interests, relationships, abilities, and dreams. Armstrong's creative work gives him something to discuss besides illness. It allows him to measure progress through ideas developed and connections made, not only through medical numbers. Nightmares, Anxiety, and the Emotional Toll of Illness Armstrong's physical conditions are only part of the battle. He also lives with nightmares and anxiety that developed during his medical journey. A severe health emergency can leave a lasting psychological impact. Hospitalization, frightening symptoms, loss of independence, and uncertainty about survival may continue to affect a person long after the immediate crisis has passed. How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. The show is distributed through Apple Podcasts, Spotify, YouTube, iHeartradio and other podcast platforms. Its interviews are also promoted across Facebook, Instagram, and other social media channels. Nightmares can interrupt restorative sleep. Anxiety can make ordinary sensations feel threatening. A rapid heartbeat, shortness of breath, or sudden fatigue may create immediate fear for someone with a serious cardiac condition. Poor sleep and constant worry can also make physical symptoms more difficult to manage. Armstrong's willingness to discuss these struggles is important because many retired officers and first responders hesitate to talk openly about emotional health. Careers built around strength, control, and responsibility can make it difficult to admit fear or ask for help. Lessons From His Career That Still Serve Him Although Armstrong is no longer working inside a Juvenile Hall facility, some of the skills developed during his career remain useful. Juvenile officers learn to remain alert, manage unpredictable situations, communicate with difficult personalities, and maintain control under pressure. They must adapt quickly because the environment can change without warning. Those abilities can also help someone facing severe illness. Medical conditions are unpredictable. Treatment plans change. Energy levels rise and fall. Some days allow for productivity, while other days require rest. Armstrong has learned to work within those changing limits. He cannot always control what happens to his health, but he can control whether he continues searching for meaningful ways to use his time and experience. A Life With Purpose After Retirement Retirement caused by injury can feel very different from a planned retirement. A person may not have time to prepare financially or emotionally. The career can end before the individual is ready to leave, creating a painful loss of identity and direction. Armstrong's transition was followed by congestive heart failure and cancer, making the process even more disruptive. Still, he found a new path through web development. His story illustrates that purpose is not limited to a job title. A career may end, but a person's ability to contribute does not necessarily end with it. Purpose can be rebuilt through creativity, entrepreneurship, mentoring, volunteering, family, advocacy, or community involvement. For Armstrong, it emerged through technology and video. His goal is not simply to pass the time. He wants to create something capable of reaching people around the world. How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. The episode is available across major platforms including their website, Apple Podcasts, Spotify, YouTube, with highlights shared across their Facebook, Instagram, and LinkedIn profiles. That is how he keeps looking ahead. Hear Tyrone Armstrong's Full Story Tyrone “Ty” Armstrong Sr. has experienced a disabling foot injury, medical retirement, congestive heart failure, severely reduced heart function, myelofibrosis, nightmares, and anxiety. Yet he continues to build, dream, and search for ways to help others. His experience offers a powerful answer to the question of how he keeps a good mood in spite of severe health challenges. He does not deny the seriousness of his condition. He chooses not to let the condition take ownership of everything he is. The full interview with the retired California Juvenile Hall Officer is featured on the Law Enforcement Talk Radio Show and Podcast. Listeners can hear his story on Apple Podcasts, Spotify, YouTube, and other major podcast platforms. Additional interview content and updates are available through Facebook and Instagram. Armstrong's journey is not a simple story about “staying positive.” It is a story about rebuilding purpose after a career-ending injury and continuing to create while living with potentially life-threatening illnesses. His health has changed what he can do. It has not taken away his determination to do something meaningful. For anyone struggling with retirement, disability, cancer, heart disease, anxiety, or an uncertain future, his example carries an important message: Life may change without permission, but purpose can still be created, one idea, one connection, and one day at a time. Listen to the Law Enforcement Talk Radio Show and Podcast on their website, Facebook, Instagram, YouTube, Apple Podcasts, Spotify, iHeartRadio, and most major podcast platforms. Get the Free Clubhouse App, it is Drop In Social Audio. Think of it as your own talk radio show on your phone, and best of all it is free. Be sure to look for me and follow me, that's John J Wiley or @letradioshow you can do all that here. The Law Enforcement Talk Radio Show and Podcast social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. You can contact John J. “Jay” Wiley by email at Jay@letradio.com , or learn more about him on their website . Find a wide variety of great podcasts online at The Podcast Zone Facebook Page , look for the one with the bright green logo. Be sure to check out our website . Be sure to follow us on X , Instagram , Facebook, Pinterest, Linkedin and other social media platforms for the latest episodes and news. Listeners can find the show across Apple, Spotify, YouTube, Facebook, Instagram, and other podcast and social media platforms. Learn and get access to money saving tips and how to increase your net worth at www.LetSavings.com For a community of like minded individuals from all over the planet that want to improve their lives, relationships and business. Learn what they need, and develop the life that they've always wanted. We host weekly rooms on the Clubhouse Drop In Social Audio App. The App and Your Confident Life rooms are free of charge. You can get more information about Clubhouse and Your Confident Life for free here. Download the Free Ebook about ways and tips to improve your health. You can get the ebook for free at www.LetHealthy.com How He Keeps a Good Mood in Spite of Severe Health Challenges: A Retired Juvenile Officer's Inspiring Story. Attributions SloppBoxx Video Entertainment Vlog Google Wikipedia Facebook Facebook Group Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Everything to Know About Mitch McConnell's Wife — After She Flew to China During Ailing Senator's HospitalizationAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Ryan and Dana discuss an update from Perez Hilton's family, who say he is able to communicate after being hospitalized following a self-harming livestream at his Miami-Dade home.

Perez Hilton's family has issued a new statement about his latest condition, after being hospitalized. TikTok also addresses criticism over his disturbing livestream. Plus, Real Housewives Roaring 20th is coming. Ariana Grande ignores critics of her body. And Link Lauren is here to dish! Rula patients typically pay $15 per session when using insurance. Connect with quality therapists and mental health experts who specialize in you at https://www.rula.com/NOFILTER #rulapod Upgrade your everyday. Download the Quince app for app-exclusive offers, or go to https://www.quince.com/nofilter If you want to try Momentous Signature Spec Creatine, head to https://www.livemomentous.com/ and use code NOFILTER for up to 35% off your entire first order. See if you could save when you switch to Progressive. You'll feel good about making a savvy choice. Visit https://www.progressive.com/ and see if you can enjoy a little extra cash back.Become a Member of No Filter: ALL ACCESS: https://allaccess.supercast.com/ Shop New Merch now: https://merchlabs.com/collections/zack-peter?srsltid=AfmBOoqqnV3kfsOYPubFFxCQdpCuGjVgssGIXZRXHcLPH9t4GjiKoaio Watch Disaster Daters: https://open.spotify.com/show/3L4GLnKwz9Uy5dT8Ey1VPi Book a personalized message on Cameo: https://v.cameo.com/e/QxWQhpd1TIb Disclaimer: The views expressed in this video, on this YouTube Channel, and on No Filter with Zack Peter are for entertainment purposes only. All content is protected under Fair Use Rights.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

With us Wednesday was Dr. Maureen Barber-Carey, executive vice president and Robert Barber, senior vice president of the Barber National Institute. Our guests discussed the children's acute partial hospitalization program and its relocation to 1319 Sassafras.

In 2021, Dr. Ron Elfenbein, MD, operated urgent care centers in Maryland, testing and treating COVID patients with monoclonal antibodies. The treatment was so successful that he was able to test and treat patients, see them recover, and watch them go home. Dr. Elfenbein went on Fox News sharing the great news of how successful the treatment of monoclonal antibodies was for COVID. Four months later, he was criminally indicted on 5 counts of fraudulent coding and billing at his clinics. A matter that should have never been brought in criminal court—at most deserving of some administrative action. He is still fighting these charges today. That is the stark outline of what happened to a good doctor. The fuller story is even more revealing—and more troubling. He is the kind of doctor you would want for your own care or for the care of your family. Dr. Elfenbein is an emergency physician with more than two decades of experience. When COVID arrived, he did what physicians are trained to do: he looked at the evidence in front of him and treated the patients in front of him. Monoclonal antibody infusions—technology that has been used safely since the 1970s for a range of conditions—produced dramatic results. Patients who arrived looking “on death's door” often improved while still sitting in the infusion chair, with rapid turnarounds during the treatment itself. Lives saved. Hospitalizations prevented. Families spared further illness. No ventilators. No funerals. Displaying ingenuity and personal drive along with organizational skills, he built infusion centers and quickly became one of the largest providers in the Mid-Atlantic region. Patients traveled from neighboring states because they could not obtain the treatment closer to home. He saw the technology work with his own eyes. So did the patients and their families. Who needed any mRNA vaccines? Patients were being treated inexpensively and were able to return home. But there was a pandemic and a vaccine blueprint we documented in our book COVID-19 and the Global Predators: We are the Prey that had been developed for more than a decade, involving many billions of dollars in profits and offering the potential to finally exercise control over free and feisty American citizens. Led by Bill Gates and Klaus Schwab, both working with Dr. Anthony Fauci and the Deep State, careers and billions in research had been invested in shoehorning the “next generation” of vaccine technology past FDA approval requirements and into the marketplace. The “Universal Vaccine” was the holy grail before 2020. The mRNA vaccine model was considered a strong candidate with tremendous support from Bill Gates and others. “Why don't we blow the system up? Obviously, we can't just turn off the spigot on the system we have and then say, ‘hey, everyone in the world should get this new vaccine we haven't given to anyone yet.' But there must be some way…”  Michael Specter, Staff Writer, The New Yorker; Moderator at the Milkin Institute's Future Health Summit 2019 panel titled “Making Influenza History: The Quest for a Universal Vaccine.” When the COVID-19 pandemic hit, an Emergency Use Authorization was issued for the mRNA COVID vaccines. It was based on the legislative condition that there were no preexisting “adequate, approved and available alternatives.” And that was the wrinkle. There were adequate, approved, and available alternatives to a rushed, unapproved, mRNA vaccine system already documented to be toxic. Hydroxychloroquine, ivermectin, monoclonal antibodies, and even the basic medical treatments for respiratory viral conditions that are a part of any general practitioner's armamentarium (albuterol and Budesonide inhalers, analgesics, oral steroids, cough suppressants, and antibiotics for secondary infections or other available tools that were not being recommended by the government when patients began to exhibit viral respiratory symptoms thought to be caused by COVID). None of these treatments were recommended for COVID by the CDC. Bill Gates, Dr. Anthony Fauci, and the pharmaceutical industry pushed a multi-billion-dollar boondoggle for experimental vaccines, all of which depended upon the absence of early effective treatments. But there were good doctors who stood against the pressure on behalf of their patients and patients everywhere, speaking truthfully through media outlets to inform citizens about their care options and treating their own patients. Dr. Elfenbein is one of those good doctors, and the Biden administration noticed, especially after he made a couple of media appearances talking about the successful treatment of COVID with monoclonal antibodies. A simple, outpatient monoclonal antibody treatment that could be provided in test/treat facilities and scaled up to provide care to thousands in a community should have provided strong evidence against any need for “vaccines.” But the Biden government was in the middle of their single-minded drive to get mRNA vaccines for Covid into “every arm.” Then federal authorities shut the monoclonal antibody program down nationally, citing that it was less effective with the newer Omicron variant. Dr. Elfenbein went on national television and said what many physicians believed, but few dared state publicly: people would die as a result of that decision. He was right. Hospitalizations and deaths followed. The monoclonal antibodies were eventually pulled from the market entirely, while the mRNA vaccines remained available. Four months after Dr. Elfenbein's public criticism of COVID policy and the mRNA vaccines, the Department of Justice indicted him. The charges were not that he invented patients or fabricated services. The charges concerned how certain COVID-related evaluation and management visits had been coded for insurance reimbursement—technical billing questions that arise routinely in medical practice and are normally handled, when necessary, through civil or administrative channels. A jury convicted him in August 2023. Then something almost unheard of occurred. Chief Judge James K. Bredar of the U.S. District Court for the District of Maryland—the same judge who had presided over the trial—issued a detailed 93-page opinion vacating the convictions and entering a judgment of acquittal on all five counts. The judge found that the relevant CPT coding guidance was ambiguous, that the government had failed to prove the Level 4 codes were false beyond a reasonable doubt, and that no reasonable jury could have reached a guilty verdict on the evidence presented. He also conditionally granted a new trial because the evidence weighed so heavily against the verdict that it would be unjust to enter judgment. The government appealed. The Fourth Circuit later reversed the pure judgment of acquittal while acknowledging the evidence was “thin,” leaving the new-trial order in place. Judge Bredar subsequently recused himself from the case with a one-line notice and no explanation. Dr. Elfenbein now faces a second trial. The legal costs of the first prosecution nearly bankrupted him and his family. A second trial threatens to finish what the first began. Major physician organizations have stood with him. The American Medical Association—the very body that authors and maintains the CPT code set the government claims he violated—filed an amicus brief in his support. So did the Maryland State Medical Society, the Association of American Physicians and Surgeons, and the Independent Medical Alliance. These groups have made clear that differences of interpretation over complex, pandemic-era billing rules should not be criminalized, especially when the underlying medical services were actually provided, and no patient harm is alleged. This case is not an isolated bureaucratic error. It fits a larger pattern we have watched for years: physicians who questioned official COVID narratives, who prioritized early treatment, or who spoke publicly about what they were seeing in their clinics often found themselves investigated, deplatformed, or professionally attacked. When a doctor can face decades in federal prison over disputed coding of real services, the message to the entire profession is unmistakable. Dr. Elfenbein's website is dropthecase.com. There you will find information about his legal defense fund. If you are able to help, please do. If you cannot give financially, share his story. Write to the Department of Justice. Let the current administration know that continuing this prosecution does not serve justice, public health, or the integrity of medicine. We have seen too many good physicians pay a heavy price for putting patients first and telling the truth as they saw it. Ron Elfenbein is one of them. He is a good and great man who should not have to stand alone. Go to Dr. Elfenbein's website, DroptheCase.com, and contribute to his legal costs through GiveSendGo.

Mitch McConnell's Wife's Outfit in Senator's Second Proof of Life Photo Fuels Speculation About Hospitalization Timeline and Health StatusAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The Harrisburg nonprofit All You Can Incorporated is collecting school supplies to donate to families in need.Central Pennsylvania's Community College has a new president. The college saw a 3.1% decrease in enrollment in the last year as a demographic cliff looms. State officials are highlighting Penn State's contributions to military and national security research.Several Schuylkill County communities are in the midst of water main replacement projects by the water company Aqua Pennsylvania.Two Pennsylvania Department of Agriculture leaders are being honored with Governor's Awards for Excellence.Hospital stays are stressful at any age, but they can be dangerous for older adults. Hospitalizations are also expensive. Chronic care in hospital settings is one major driver of healthcare spending. Japan has sought to reduce hospitalizations for the elderly by providing care in the patient's home. But Kiley Koscinski from our friends at WESA reports in part THREE of the series Designing Dignity, a workforce shortage could threaten the success of home-based care.It's been one year since public media's federal funding was revoked. Thanks to our community, we're still here for you and looking toward the future. Join the thousands of members who are building a stronger WITF. Go to  www.witf.org/givenow. And thank you.

Arthur Smotherman, a former member of a Nashville crime ring, reveals how an MTV-covered case exposed his criminal world, and how prison, faith, and mentorship ultimately gave him a second chance.⁣ ⁣ Arthur's links - ⁣ http://www.tiktok.com/@arthursmotherman77⁣ https://www.facebook.com/share/1EjhdbGm9t/?mibextid=wwXIfr⁣ https://www.instagram.com/arthursmotherman77⁣ https://youtube.com/@arthursmotherman77?si=6x33J8o_rkzTQP5g⁣ ⁣ Do you want to be a guest? Fill out the form https://www.insidetruecrimepodcast.com/apply-to-be-a-guest⁣ ⁣ Get 10% sitewide for a limited time. Just visit https://GhostBed.com/cox and use code COX at checkout. ⁣ ⁣ Shop my merch: https://www.etsy.com/shop/MatthewCoxCollection⁣ ⁣ Send me an email here: insidetruecrime@gmail.com⁣ ⁣ Do you extra clips and behind the scenes content?⁣ Subscribe to my Patreon: https://patreon.com/InsideTrueCrime ⁣ ⁣ Check out my Dark Docs YouTube channel here -⁣ https://www.youtube.com/@DarkDocsMatthewCox⁣ ⁣ Follow me on all socials!⁣ Instagram: https://www.instagram.com/insidetruecrime/⁣ TikTok: https://www.tiktok.com/@matthewcoxtruecrime⁣ ⁣ ⁣ Do you want a custom painting done by me? Check out my Etsy Store: https://www.etsy.com/shop/coxpopart⁣ ⁣ Listen to my True Crime Podcasts anywhere: https://anchor.fm/mattcox ⁣ ⁣ Check out my true crime books! ⁣ Shark in the Housing Pool: https://www.amazon.com/dp/B0851KBYCF⁣ Bent: https://www.amazon.com/dp/B0BV4GC7TM⁣ It's Insanity: https://www.amazon.com/dp/B08KFYXKK8⁣ Devil Exposed: https://www.amazon.com/dp/B08TH1WT5G⁣ Devil Exposed (The Abridgment): https://www.amazon.com/dp/1070682438⁣ The Program: https://www.amazon.com/dp/B0858W4G3K⁣ Bailout: https://www.barnesandnoble.com/w/bailout-matthew-cox/1142275402⁣ Dude, Where's My Hand-Grenade?: https://www.amazon.com/dp/B0BXNFHBDF/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=1678623676&sr=1-1⁣ ⁣ Checkout my disturbingly twisted satiric novel!⁣ Stranger Danger: https://www.amazon.com/dp/B0BSWQP3WX⁣ ⁣ If you would like to support me directly, I accept donations here:⁣ Paypal: https://www.paypal.me/MattCox69⁣ Cashapp: $coxcon69⁣ ⁣ Chapters: ⁣ 00:00 - Early Life & Family Chaos⁣ 03:27 - Growing Up Around Addiction & Crime⁣ 20:00 - Dad's Hospitalization & Faith Journey⁣ 35:04 - Gangs, Violence & Joining the Air Force⁣ 46:32 - Sheriff's Department & Termination⁣ 52:00 - MDMA Trafficking Begins⁣ 1:01:00 - Building the Concert & Car Show Operation⁣ 1:09:56 - Raids, Betrayal & Federal Pressure⁣ 1:17:00 - DEA/FBI Meeting & Legal Fallout⁣ 1:34:41 - Prison Sentence, Release & Aftermath⁣ 1:50:05 - Home Robberies & Major Operation⁣ 2:01:27 - Arrest, Interrogation & Jail Transfers⁣ 2:04:40 - Jail, Faith & Life Transformation⁣ 2:19:45 - Rebuilding Through Work & Faith⁣ 2:33:00 - Prison Ministry & Reentry Programs⁣ 2:36:52 - Africa Missions & Aba's House Foundation Learn more about your ad choices. Visit megaphone.fm/adchoices

Kim Scott, Eminem's ex-wife, attempted suicide Saturday and was hospitalized after an emergency at her Michigan home. AOC criticized Clavicular's “looksmaxxing” trend, saying it could hurt young men's self-image. Sean “Diddy” Combs sold his Miami Star Island mansion for $55 million. Plus, Jennifer Lopez's $50 million Beverly Hills mansion deal fell through after a buyer backed out. Learn more about your ad choices. Visit podcastchoices.com/adchoices

On today's episode, Andy & DJ discuss Mitch McConnell breaking his silence on his mysterious hospitalization after Graham's death, Top ex-Iranian commander boasting that Iran can assassinate Trump inside White House, and Conor McGregor announcing surgery after his devastating UFC 329 injury.

AP correspondent Haya Panjwani reports on Senator Mitch McConnell's health.

EDITORIAL: Selective hospitalization | Jul. 12, 2026Check out our Streaming Channel: https://streaming.manilatimes.net/Subscribe to The Manila Times Channel - https://tmt.ph/YTSubscribeVisit our website at https://www.manilatimes.netFollow us:Facebook - https://tmt.ph/facebookInstagram - https://tmt.ph/instagramTwitter - https://tmt.ph/twitterDailyMotion - https://tmt.ph/dailymotionSubscribe to our Digital Edition - https://tmt.ph/digitalCheck out our Podcasts:Spotify - https://tmt.ph/spotifyApple Podcasts - https://tmt.ph/applepodcastsAmazon Music - https://tmt.ph/amazonmusicDeezer: https://tmt.ph/deezerStitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein#TheManilaTimes#VoiceOfTheTimes Hosted on Acast. See acast.com/privacy for more information.

When a teen's anxiety or depression goes beyond what weekly therapy can handle, a partial hospitalization program offers structured, intensive care, combining evidence-based treatment and family support while teens continue living at home. To learn more, visit https://teencenter.org/teen-php-yuba-city California Teen Center City: Yuba City Address: 1002 Live Oak Blvd. Website: https://teencenter.org Phone: +1 530 531 8754

When weekly therapy isn't enough for a struggling teen, Partial Hospitalization Programs offer structured, full-day support — intensive therapy and academics combined, with teens returning home each evening. To learn more, visit https://teencenter.org California Teen Center City: Yuba City Address: 1002 Live Oak Blvd. Website: https://teencenter.org Phone: +1 530 531 8754

Joyce talk about:New jersey Congressman Tom Kean's prolonged hospitalization for depression and his decision to move forward with his reelection campaign. Does he really still have the capacity to serve? Devastation in Venezuela following the earthquake. Hundreds of passengers stuck at the Orlando Airport under threat of arrest due to a baggage and inspection issue. Tim Waltz has melt down over Supreme court ruling on boys in girls sports. Two climbers scale the Empire State Building/ hangs banner, and gets engaged before being arrested. Immigration, border crossings, Russia reportingly rationing gas/ fuel shortage.Birthright Citizenship. Maggie Haberman and Jonathan Swan new book Regimen Change - digs deep into the relationship between President Trump and Marco Rubio. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Just over a year ago, Abigail Hennessy wasn't sure she'd race again.Today, the Westford Academy graduated senior owns three Massachusetts state records and has cemented herself as one of the premier high school distance runners in the United States.After returning from a two-week hospitalization and months away from competition, Hennessy stunned the country by running a then-personal best of 4:42 in the mile at New Balance Indoor Nationals on limited training. It was only the beginning.This past indoor season, she ran 4:36.74 to finish runner-up at New Balance Indoor Nationals while breaking a Massachusetts state record that had stood for 48 years, previously held by the legendary Lynn Jennings. She also clocked 9:02.77 for 3,000 meters at the BU Valentine Invitational, the third-fastest indoor performance in high school history.Her momentum continued outdoors. Hennessy lowered her own state record to 4:33.18 in the mile at New Balance Nationals Outdoor, finishing second in the nation. She also ran 9:50.72 for two miles to break another Massachusetts state record and helped Westford Academy's distance medley relay finish second nationally while setting a new state record.The accolades followed naturally. Hennessy is now a 9-time Massachusetts All-State Champion, a 7-time All-American, and one of the most accomplished female distance runners her state has ever produced.But this episode isn't about records.It's about rebuilding after RED-S. It's about redefining your relationship with training. It's about learning that longevity matters more than short-term success and discovering that your greatest strength isn't found in higher mileage, but in trusting your body again.From breaking one of the oldest records in Massachusetts history to finding joy in the sport after nearly losing it, Abby's story is a reminder that the performances everyone sees are often built on battles no one else does.Tap into the Abigail Hennessy Special.If you enjoy the podcast, please consider following us on Spotify and Apple Podcasts and giving us a five-star review! I would also appreciate it if you shared it with a friend who you think would benefit from it.

A new exposé into Alex Cooper and her husband Matt Kaplan has been released, showing an intense workplace environment. Is Alex the problem? Or is it really Matt? Plus, Jon and Kate Plus 8 star Collin Gosslin releases a new tell-all memoir, blasting his mother Kate Gosslin. And Jelly Roll reveals he was hospitalized just before divorcing Bunnie Xo. Right now, save up to 20% on mattresses when you go to https://casper.com/ #Sponsored 3 Million Butts Love TUSHY. Get 10% off TUSHY with the code nofilter10 at https://hellotushy.com/nofilter10 Hero Bread is offering 10% off your order. Go to https://www.hero.co/ and use code NOFILTER at checkout.Visit https://www.progressive.com/ to see if you could save when you bundle your home and auto policies.Become a Member of No Filter: ALL ACCESS: https://allaccess.supercast.com/ Shop New Merch now: https://merchlabs.com/collections/zack-peter?srsltid=AfmBOoqqnV3kfsOYPubFFxCQdpCuGjVgssGIXZRXHcLPH9t4GjiKoaio Book a personalized message on Cameo: https://v.cameo.com/e/QxWQhpd1TIb Disclaimer: The views expressed in this video, on this YouTube Channel, and on No Filter with Zack Peter are for entertainment purposes only. All content is protected under Fair Use Rights.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us Fan MailOne infant is diagnosed with neonatal opioid withdrawal syndrome every 27 minutes, and rates are rising. In this episode of Journal Club, Ben and Daphna review the Optimized NOW randomized clinical trial, a landmark multicenter study published in JAMA. The trial compared symptom-based dosing,  a single opioid dose given when a withdrawal threshold is met against the traditional scheduled opioid taper in infants managed with Eat Sleep Console. The results are striking: symptom-based dosing reduced time to medical readiness for discharge by nearly two and a half days, and 65% of pharmacologically treated infants avoided scheduled opioid dosing entirely. Could this be the evidence-based approach that finally reshapes how we treat NOWS pharmacologically?----Symptom-Based Dosing for Neonatal Opioid Withdrawal: The OPTimize NOW Randomized Clinical Trial. Devlin LA et al HEAL Evaluation of Limited Pharmacotherapies for Neonatal Opioid Withdrawal Syndrome (HELP for NOWS) Consortium.JAMA. 2026 Apr 25:e265782. doi: 10.1001/jama.2026.5782. Online ahead of print. PMID: 42033722Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Hosted by Michael Tetreault | Editor-in-Chief, Concierge Medicine Today Episode Overview In one of the most comprehensive episodes in DocPreneur Leadership Podcast history, host Michael Tetreault takes an honest, evidence-based, and encouraging look at the cash-pay and subscription-based primary care landscape — who it serves, how it works, where it's heading, and what every physician and advanced practice clinician needs to understand before making a career-defining decision. This episode doesn't take sides. It takes a clear-eyed look at the full picture — including the parts that don't always make it into the conference keynote. What's Covered in This Episode The Foundation Not all subscription-based primary care models are the same. Two models operating in this space share surface-level similarities but are structurally distinct businesses with different economic logic, different patient populations, and different long-term trajectories. Understanding which one you're considering — and why — changes everything about how you plan. A Lesson From Healthcare History Before committing to any practice model, it helps to understand what happened to the movements that came before it. This episode traces three instructive parallels: the micropractice and ideal medical practice movement of the early 2000s; the decades-long fight for healthcare price transparency and what happened when physicians finally got it; and the rise and reality check of retail health — what scaled, what didn't, and why. The common thread in every model that has achieved durable scale in American healthcare is the same: structural fit with the economic environment, not ideological purity. Two Pathways, One Brand Name The episode walks through both economic models in the cash-pay primary care space — the purist, cash-only, no-insurance model and the employer-integrated model — explaining how each works, who each serves, and what the financial picture actually looks like for physicians considering either path. The revenue math is done out loud. The sustainability data from peer-reviewed research is cited. The patient demographic fit for each model is examined honestly and specifically. Who Each Model Serves — and Where Other Models Fit Better A detailed breakdown of the patient populations each model genuinely serves well — and an honest, evidence-based look at the patient populations where other models may be a better structural fit. Including Medicare-eligible patients, patients with complex chronic disease, lower-income households, and employees of small and mid-sized businesses. The Overlooked Opportunity — NPs, PAs, and Advanced Practice Clinicians One of the most significant and underexplored opportunities in subscription-based healthcare delivery today is the direct-care model as a pathway for nurse practitioners, physician assistants, and other advanced practice clinicians. The evidence on NP and PA-led primary care outcomes is strong and peer-reviewed. The physician shortage projections make the need urgent. And the organizational infrastructure for advanced practice clinician-led direct-care practices is largely unbuilt — which means the opportunity belongs to whoever moves first. The Organizational Landscape An honest look at what the multiplicity of organizations, coalitions, and alliances in the cash-pay primary care space tells us — and what research on professional association dynamics says about the long-term implications of organizational fragmentation for legislative effectiveness and individual practice planning. One Brand, Two Directions Drawing on four documented historical parallels from the history of American medicine — the AMA and managed care, osteopathic medicine's identity divide, family medicine's emergence as a separate specialty, and the micropractice movement — the episode makes the case that two communities with genuinely different economic interests and regulatory priorities currently sharing a brand name may, consistent with historical precedent, find their own distinct professional homes over time. This is presented as pattern recognition grounded in verified historical evidence — and as practical planning context for physicians building practices today. The Tax and Structuring Update A clear, practical summary of the 2025 "One Big Beautiful Bill" Act changes — effective January 2026 — and what they mean for HSA eligibility of cash-pay membership fees. What qualifies, what doesn't, and why legal counsel is essential before making any representations to patients about tax-advantaged payment options. Eight Questions Before You Commit A practical pre-decision checklist — eight specific questions every physician or advanced practice clinician should be able to answer clearly before committing to any cash-pay practice pathway. Key Takeaways Cash-pay primary care and concierge medicine are not the same model, do not serve the same patient populations, and should not be evaluated as interchangeable alternatives. The purist cash-pay model has grown from approximately 100 practices in 2009 to over 2,100 by 2023 — real and meaningful growth. The financial sustainability data, however, reflects consistent challenges that peer-reviewed research has documented specifically in lower-income markets and solo practice settings. The employer-integrated pathway has stronger structural sustainability — multiple revenue streams, embedded benefit relationships, and documented employer cost reductions of 12 to 20 percent over three to five years. A December 2025 Johns Hopkins study found concierge and cash-pay primary care practices combined grew 83.1 percent between 2018 and 2023. The employer-integrated model is the primary driver of that growth trajectory. Concierge medicine — particularly the PCM model — is not retreating. The global concierge medicine market is projected to surpass $34 billion by 2032 and is growing at a compound annual rate that outpaces most healthcare market segments. The National Academy of Medicine's 2021 Future of Nursing report, AAMC physician shortage projections, and peer-reviewed NP/PA outcomes research collectively point to advanced practice clinician-led direct-care models as one of the most significant underexplored opportunities in subscription-based healthcare delivery. Pattern recognition from healthcare history — price transparency, retail health, the micropractice movement — consistently shows that the distance between a compelling healthcare idea and durable scaled impact is longer and more complicated than early advocacy suggests. Models that have achieved durable scale in American primary care share one characteristic: structural fit with the economic environment, not independence from it. Sources and Citations All claims in this episode are supported by published, verifiable sources. Full citations below. Micropractice and Practice Model History Moore, G. (2002). "Accountability and Improvement in Physician Practice." Family Medicine. Moore, G. & Showstack, J. (2003). "Primary Care Medicine in Crisis." Health Affairs. healthaffairs.org AAFP TransforMED Initiative. (2006). aafp.org Nutting, P.A. et al. (2010). "Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home." Annals of Family Medicine. Rittenhouse, D.R. et al. (2009). "Primary Care and Accountable Care." New England Journal of Medicine. Rittenhouse, D.R. & Shortell, S.M. (2009). "The Patient-Centered Medical Home." JAMA. Price Transparency Research Pathak, Y. & Muhlestein, D. (2024). "Public Awareness and Use of Price Transparency: Report From a National Survey." West Health Institute / Gallup. pmc.ncbi.nlm.nih.gov Parente, S.T. (2023). "Estimating the Impact of New Health Price Transparency Policies." Inquiry.pmc.ncbi.nlm.nih.gov ScienceDirect. (2025). "Outcomes of Price Transparency Policies for Healthcare Services in the United States: A Systematic Review." sciencedirect.com Retail Health Fein, A.J. (2017). "Retail Clinic Check Up: CVS Retrenches, Walgreens Outsources, Kroger Expands." Drug Channels. drugchannels.net CNBC. (2024). "Why Walmart, Walgreens, CVS Retail Health Clinic Experiment Is Struggling." cnbc.com Healthcare Finance News. (2023). "Retail Clinics Seeing Utilization Soar, Popularity Grow." healthcarefinancenews.com MedCity News. (2023). "Retail Clinics Are Gaining Momentum." medcitynews.com Cash-Pay and Subscription Primary Care Market Data MedCity News. (March 2026). "DPC Is Scaling — The Financing Architecture Isn't Ready." medcitynews.com Johns Hopkins. (December 2025). Study on concierge and cash-pay practice growth 2018–2023. As cited in MedCity News, March 2026. Liaw, W. et al. (2024). "Direct Primary Care: Financial Analysis and Potential to Reshape the U.S. Healthcare Landscape." Journal of General Internal Medicine. springer.com Lujan, D.Y. (2025). "Why Direct Primary Care Models Fail." KevinMD. kevinmd.com Doan, L. et al. (2019). "Physician Perspectives on Direct Primary Care." Family Medicine. Eskew, P.M. & Klink, K. (2015). "Direct Primary Care: Practice Distribution and Cost Across the Nation." Health Affairs. healthaffairs.org Tseng, P. et al. (2018). "Administrative Costs Associated With Physician Billing and Insurance-Related Activities." JAMA Internal Medicine. Medscape Physician Compensation Report. (2023). medscape.com Employer-Integrated Model Spann, S.J. et al. (2020). "Employer-Sponsored Direct Primary Care." Journal of Occupational and Environmental Medicine. National Alliance of Healthcare Purchaser Coalitions. (2021). purchaseralliance.org Kaiser Family Foundation. (2023). Employer Health Benefits Annual Survey. kff.org National Business Group on Health. (2022). businessgrouphealth.org Employers Health Coalition. (2022). employershealthcoalition.org Patient Demographics and Population Health Anderson, G.F. (2010). "Chronic Conditions: Making the Case for Ongoing Care." Johns Hopkins Bloomberg School of Public Health. Tikkanen, R. & Abrams, M.K. (2020). "U.S. Health Care from a Global Perspective." Commonwealth Fund.commonwealthfund.org Collins, S.R. et al. (2022). "Paying for It: How Health Insurance and Healthcare Costs Are Shaping the Lives of American Adults." Commonwealth Fund. commonwealthfund.org Bureau of Labor Statistics. (2023). "Contingent and Alternative Employment Arrangements." bls.gov Petterson, S. et al. (2012). "Unequal Distribution of the U.S. Primary Care Workforce." Annals of Family Medicine. Advanced Practice Clinicians and Nursing Laurant, M. et al. (2019). "Revision of Professional Roles and Quality Improvement in Primary Care." New England Journal of Medicine. Naylor, M.D. & Kurtzman, E.T. (2010). "The Role of Nurse Practitioners in Reinventing Primary Care." Health Affairs. healthaffairs.org National Academy of Medicine. (2021). "The Future of Nursing 2020–2030." nationalacademies.org AAMC. (2021). "The Complexities of Physician Supply and Demand: Projections from 2019–2034." aamc.org Legal, Tax, and Compliance Eischen, J. (2025). Legal Commentary on Cash Practice Structuring. eischenlawoffice.com DLA Piper. (2025). "Paying for Direct Primary Care Arrangements With HSAs." dlapiper.com IRS Notice 26-05. irs.gov CMS. "Opt-Out Affidavits and Private Contracts." cms.gov Organizational and Professional Identity Research Hoff, T.J. (2010). Practice Under Pressure: Primary Care Physicians and Their Medicine in the Twenty-First Century. Rutgers University Press. Scott, W.R. (2008). Institutions and Organizations: Ideas and Interests. SAGE Publications. Freidson, E. (2001). Professionalism: The Third Logic. University of Chicago Press. Wolinsky, H. & Brune, T. (1994). The Serpent on the Staff: The Unhealthy Politics of the American Medical Association. Putnam. Gevitz, N. (2004). The DOs: Osteopathic Medicine in America. Johns Hopkins University Press. Stephens, G.G. (1989). "Family Medicine as Counterculture." Journal of Family Practice. Colwill, J.M. (1992). "Where Have All the Primary Care Applicants Gone?" New England Journal of Medicine. Meltzer, D.O. & Chung, J.W. (2014). "The Population-Based Physician Workforce." Health Affairs.healthaffairs.org Bodenheimer, T. & Pham, H.H. (2010). "Primary Care: Current Problems and Proposed Solutions." Health Affairs. healthaffairs.org Grumbach, K. & Grundy, P. (2010). "Outcomes of Implementing Patient Centered Medical Home Interventions." JAMA. Concierge Medicine Market Data Grand View Research. (2022). Concierge Medicine Market Size & Growth Report. grandviewresearch.com Precedence Research. (2023). U.S. Concierge Medicine Market Size and Forecast. globenewswire.com MDVIP. (2020). Personalized Primary Care Reduces ER Visits, Hospitalizations, and Outpatient Expenditures.mdvip.com AAPP / Software Advice. (2023). "Concierge Medicine Salary and Definition." softwareadvice.com Disclaimer The DocPreneur Leadership Podcast is produced by Concierge Medicine Today, LLC, an independent healthcare leadership publication. This episode and its accompanying summary are intended for educational and informational purposes only. Nothing in this episode or summary constitutes medical, legal, financial, or accounting advice. The information presented reflects publicly available research, published data, and editorial observation, and is not intended to replace the guidance of qualified medical, legal, financial, or business professionals. All factual claims are supported by named, verifiable third-party sources, which are cited in full above. Concierge Medicine Today makes no guarantee regarding the completeness or currency of external sources cited and encourages listeners to verify information independently. References to specific organizations, publications, legal decisions, or market data are provided for educational context only. Mention of any organization, publication, or individual does not constitute endorsement, and no commercial relationship exists between Concierge Medicine Today and any source cited in this episode unless otherwise disclosed. Physicians, nurse practitioners, physician assistants, and other clinicians considering any practice model change are strongly encouraged to seek qualified legal counsel with specific experience in healthcare compliance, tax structuring, and the applicable regulatory environment in their state before making any practice or business decisions. © 2007–2026 Concierge Medicine Today, LLC. All rights reserved. Reproduction or distribution of this content without written permission is prohibited.

Watch the full episode with Paul Levy here: https://youtu.be/2xnziV5N6kESupport this show http://supporter.acast.com/inspiredevolution. Hosted on Acast. See acast.com/privacy for more information.

Accurate OASIS coding is essential for all home health clinicians due to the impact that coding has on reimbursement. With the CMS plan to move to a universal outcome measure for all post-acute settings, OASIS will become an important tool beyond home health. Payment through PDGM is driven not only by improvement of quality indicators but through a complicated calculation of risk adjustment driven by baseline functional scores, acute cognitive changes, and hospitalization risk. This course will provide easy to use methods that will improve a clinician's ability to provide accurate coding to these sections of OASIS E1.   To view accreditation information and access completion requirements to receive a certificate for completing this course, please click here.   The content of this Summit podcast is provided only for educational and training purposes for licensed physical therapists and occupational therapists. This content should not be used as medical advice to treat any medical condition in either yourself or others.

Listener feedback from the DanGer Shock investigators, complete vs staged revascularization, polygenic risk scores, and quality improvement failure in an RCT are the topics John Mandrola, MD, discusses in this week's podcast.   This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Listener Feedback DanGer Shock Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2312572 CHIP-BCIS 3 Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2515704 II Immediate Complete vs Staged Revascularization in STEMI Meta-analysis: Timing of Complete Revasc in Patients with STEMI and Multivessel Disease https://www.ahajournals.org/doi/10.1161/CIRCINTERVENTIONS.126.016601 COMPLETE Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1907775 FULL REVASC Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2314149 iMODERN Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2512918 III Polygenic Risk Scores for Prediction Polygenic Risk Report in US-Based Hospitals for 8 CV Conditions  https://www.jacc.org/doi/10.1016/j.jacc.2026.03.035 IV Practice Improvement Policies Undergo the Proper Test – Randomization Quality Improvement on Hospitalizations and Health Outcomes for People with CHD https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012904 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

Howie Kurtz on the Media Insight Project study showing that 60% of Americans are actively avoiding news about President Trump, the dramatic decline in Obamacare coverage following the expiration of federal subsidies, and the escalating situation in the Strait of Hormuz as the Trump administration launches new efforts to protect international shipping. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Learn essential Medical Spanish terms related to leukemia hospitalization, transfusions, chemotherapy, and the crucial role played by family. The post Leukemia Hospitalization | Medical Spanish from Guatemala appeared first on Doc Molly.

For most people, a trip to the ER is unexpected. But when your child has medical complexities, it's often an inevitable and rhythmic part of life.Every time something seems off and feels like it's progressing, you're forced to make a gut-wrenching call: do we handle this at home, or do we go in?In this episode, we're unpacking what those moments actually look like. From the fear that sits in the background of every illness, to the reality of navigating ER teams who don't know your child, to the emotional whiplash of being hyper-focused in the moment and unraveling later. We talk about how these decisions evolve over time, what experience teaches you (and what it doesn't), and why “better safe than sorry” doesn't even begin to capture the full picture.And a big thank you to Functional Formularies, our sponsor for this episode.Links:Learn more about Functional Formularies!Join The Rare Life newsletter andnever miss an update!Fill out our contact form to joinupcoming discussion groups! Listen to Ep. 185: Medical Parent Trauma!Listen to Ep 170: Hospitalizations!Follow us on Instagram @the_rare_life!Donate to the podcast or Contactme about sponsoring an episode.

RSV Prefusion F Vaccine for Prevention of Hospitalization in Older AdultsUltrasound-Facilitated, Catheter-Directed Fibrinolysis for Acute Pulmonary Embolism* Endovascular management of intermediate-risk pulmonary embolism: evidence, outstanding questions, drivers of utilization, and the horizon This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

Croup is a clinical syndrome of upper airway obstruction defined by barking cough, stridor, and hoarseness. Management hinges on severity assessment, universal corticosteroid use, and selective epinephrine. The key clinical task is distinguishing typical croup from high-risk mimics that require urgent airway intervention. Learning Objectives Differentiate croup from other causes of pediatric upper airway obstruction using key historical and physical exam features. Apply a severity-based approach to croup management, including appropriate use of corticosteroids and nebulized epinephrine. Recognize clinical features that suggest alternative or life-threatening diagnoses requiring escalation of care. References Cooke A, Conway S, Griffin L. Croup: Rapid Evidence Review. Am Fam Physician. 2026;113(3):254-258. Gates A, Johnson DW, Klassen TP. Glucocorticoids for Croup in Children. JAMA Pediatr. 2019;173(6):595-596. doi:10.1001/jamapediatrics.2019.0834 Bjornson CL, Klassen TP, Williamson J, et al. A Randomized Trial of a Single Dose of Oral Dexamethasone for Mild Croup. N Engl J Med. 2004;351(13):1306-1313. doi:10.1056/NEJMoa033534 Bjornson CL, Johnson DW. Croup. Lancet. 2008;371(9609):329-339. doi:10.1016/S0140-6736(08)60170-1 Bjornson C, Russell K, Vandermeer B, Klassen TP, Johnson DW. Nebulized Epinephrine for Croup in Children. Cochrane Database Syst Rev. 2013;(10):CD006619. doi:10.1002/14651858.CD006619.pub3 Transcript This transcript was generated using Descript and subsequently reviewed and lightly edited for spelling, grammar, and clarity. Minor inaccuracies may remain, and the audio recording should be considered the definitive version of this content.  Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski. And today we're gonna talk about croup. We're gonna focus on diagnosis, severity based management, and how to differentiate it from scarier high risk conditions that may present similarly, but behave very differently. So croup is best understood as a clinical syndrome of upper airway obstruction caused by inflammation at the level of the larynx and subglottis. So in most cases this is viral laryngotracheitis, most commonly due to parainfluenza virus. But as you'd expect multiple viruses can cause it. The subglottis is the narrowest portion of the pediatric airway. So even small amounts of edema create large increases in airway resistance. So that's why the clinical picture is so consistent. You've got inspiratory stridor, hoarseness, and that characteristic barking cough, which either sounds like a seal or a dog, and yes, of course, I know the difference between the two coughs because I was a biology major. This is primarily a disease of children between six months and three years of age with a peak incidence in the second year of life. It's really, really common, like one and a half percent of all ED visits, maybe 350,000 visits a year, and 85% of these kids have mild disease. Hospitalization is rare. The range is variable, about two to 8% of cases, and return visits occur in about three to 5%. Fewer than 1% of children, a lot fewer, require intensive care or airway intervention. Honestly, most kids do really well. The ones who don't can get sick very quickly, and that's been my clinical experience. In the Northern Hemisphere, we see croup throughout the fall and winter, usually starting in around November and sort of tapering off by April. But that being said, I've seen croup-like symptoms every month of the year over the past couple of decades. Croup is absolutely a classic clinical diagnosis. A typical case begins with 12 to 48 hours of viral prodrome, you know, body aches, fever, congestion, cough, followed by often abrupt nighttime onset of barky cough and stridor. Symptoms fluctuate, and they're generally worse with agitation and get better when the kid is calm. That variability is the key feature. So what you'll have is a child who wakes up after sleeping for a few hours with a barky cough and then noisy stridor. This freaks parents out, and this is not hyperbole. There's this little center in the back of your brain that's like, please don't stop breathing and die. So appropriately, they're worried about the kid, they call emergency medical services, they bring them to the emergency department, and by and large, by the time they get there, the stridor has resolved. The kid is calm, and parents will say, I swear he looked a lot worse at home. Trust me, we believe you parents, this is what croup does. When I'm taking a history of croup, I get all of these details. Are there any sick contacts? If the parents are worried about a foreign body inhalation or ingestion, then I'm worried about a foreign body inhalation or ingestion. Listen to the lungs, inspect their airway. Always check the ears for concomitant otitis and I'll feel their trachea. I'll actually grab and hold the trachea and move it. Kids with croup really don't have a painful trachea. Kids with bacterial tracheitis, aside from looking more toxic, actually have a lot of pain when they move their trachea. Testing for croup is generally unnecessary. Labs and viral studies do not change management, and imaging is really reserved for atypical presentations or when you're considering an alternative diagnosis like a foreign body. If you do get an X-ray, what you're looking for is the classic steeple sign on the AP view. It is seen in croup, but it's not 100% sensitive nor specific. Once you've made the diagnosis of croup, it's important to assess severity, and remember that I said that most kids are mild. So mild croup is defined by the absence of stridor at rest. So they may have some stridor when they're upset or even a little bit of hoarseness or noise. It's important to listen to many, many children with croup to get a sense of this. Moderate croup includes stridor at rest with mild to moderate retractions. So at rest means that the child is in a position of comfort. They're calm with a parent, and they've generally been that way for about 10 to 15 minutes. Sometimes that's how long it can take for the stridor to dissipate once you get the kid calm. Severe croup, which is fortunately rare, involves marked work of breathing, agitation, fatigue, need for oxygen, altered mental status, and this aligns with the Westley croup score. It formalizes stridor, retractions, air entry, cyanosis, and mental status. But really, in practice, most of us get very good at bedside assessment of croup. Management of croup starts with corticosteroids. This is one of the highest-yield interventions that we have in pediatric emergency medicine. Every child with croup should receive dexamethasone. Typically 0.6 milligram per kilogram as a single dose up to a maximum of 10 milligrams. Some places will use 0.15 milligram per kilogram. Locally, we often give the IV formulation orally. It's 10 milligrams per mL. Tastes bad, but pairs reasonably well with apple juice. The oral suspension is 1 milligram per mL, tastes terrible, and pairs nicely with being spit on the ground by toddlers. The evidence behind dexamethasone is very robust. The main benefit is that it reduces return visits and hospital readmissions by about half, and those return visits include doctor's offices and emergency departments. In a Cochrane review of 1,679 children, glucocorticoids reduce return visits or readmissions with a risk ratio of 0.52, so that translates to a number needed to treat of seven. I've certainly seen seven or more croup kids during one shift, so for every seven children treated with dexamethasone, one return visit is prevented. Symptom improvement begins within about two hours and lasts at least 24 hours, but maybe up to a couple of days. Hospital length of stay for kids that get steroids is reduced by an average of 15 hours as well. Serious adverse events are rare. It's well tolerated, and other than the taste, kids do fine with it. And importantly, the benefit is consistent across all severities of croup, mild, moderate, and severe. So when you explain this to families who are very scared about their kids, but now their kid is looking better and you're only giving them a single medicine, not doing any tests or X-rays or anything, I think you have to frame the medicine in terms of what it's going to do for them over the next couple of days. So one way of explaining this to families would be to say something like this is a steroid called dexamethasone. It reduces the swelling in your child's airway that's causing the barky cough and noisy breathing. Most children start feeling better within a couple of hours, and the benefit lasts at least a full day, if not longer. Without this medicine, about one in five children need to come back because symptoms get worse again. You really get two bad days with croup in most cases. With this medicine, the risk of returning drops to about one in 10, so it cuts the chance of coming back in half. We can expect your child's cough to start improving over the next day or two. Most children are feeling a lot better within 48 hours, though a little bit of hoarseness and cough can last for a week to about 10 days. So it's possible that when your child goes to sleep later tonight, they may experience that barking cough and noisy breathing again. They're almost certainly going to be upset. The steroid blunts enough of the swelling so that you are much more likely to have them free of distress and stridor, that noisy breathing, once you get them calm. So if they're upset, get them calm, and if in about 10 minutes the stridor and noisy breathing get better, that's the dexamethasone doing its job and you can safely stay home. For children with moderate or severe croup, we're gonna use nebulized racemic epinephrine. It works fast by reducing airway edema by constricting inflamed blood vessels. You'll see improvement in stridor and work of breathing often within 30 minutes. The effect is transient and largely gone by about two hours, and you need to do a structured reassessment at about 30 minutes after the racemic epinephrine. If the child's clearly better, continue that observation for up to two hours. If they're unchanged or worse, repeat the epinephrine and start thinking more carefully about your diagnosis and disposition. Because it's got such a short duration, that two hours after treatment is the most common time period, though some institutions and some children will need to be observed a little bit longer. If they remain well appearing with no stridor at rest, normal oxygenation, minimal work of breathing, and they can tolerate oral fluids, they can be discharged. If symptoms recur, they require repeated epinephrine, or they fail to improve, then you may have to escalate care and consider admission. Honestly, with croup, supportive care is still one of the most important things. You gotta keep kids calm by minimizing agitation. Parents are experts at this with their own children. Agitation worsens airway obstruction. Airway resistance is fourfold greater when the kid's upset. Give oxygen if the kid's hypoxic. Fortunately, this is rare. Antipyretics and fluids are great, do them. Humidified air has not been shown to provide meaningful benefit, and obviously we should avoid sedatives because they can suppress respiratory drive without improving airway patency. Many parents will say that their kid was better when they were exposed to cool air or mist in the shower. Those can help, but honestly, don't stick your kid's head in the freezer if it upsets them. Keep them calm, hold them, and comfort them. Alright, croup, barking cough, stridor, variable symptoms, easy, right? There are some other diagnoses that can mimic this or overlap that you shouldn't miss. Spasmodic croup is a related phenotype. You've got sudden nighttime onset, often minimal prodrome, and recurrent episodes. These kids are typically well between episodes, and the pattern becomes more apparent over time. Some kids will bark with every mild cold or stuffy nose up until about eight or nine, but they usually don't have stridor and respiratory distress. Bacterial tracheitis is progression to a more severe and dangerous airway infection. These children often start with viral symptoms and then rapidly worsen. They've got a high fever, they appear toxic. Most importantly, they fail to respond to standard croup therapy. Toxic appearance plus lack of response should immediately shift your diagnostic reasoning. These kids may have a lot of pain when you grab and move their trachea. The cough can be more junky because again, they've got purulent mucus in their trachea. Epiglottitis is defined by the absence of barking cough and the presence of drooling, dysphagia, and tripod positioning. These children are very anxious, they're very ill, their airway is at risk, and so your immediate priority is keeping them calm and having the airway managed in the safest environment, generally the operating room. Deep neck space infections, including retropharyngeal cellulitis and abscesses and peritonsillar abscesses, present with fever, neck stiffness, sometimes even torticollis, and lymphadenopathy. Kids won't really have a barky cough and the exam localizes to the neck rather than the airway alone. Acute foreign body aspiration presents with sudden onset symptoms, no viral prodrome, no barking cough, and sometimes some asymmetric exam findings. The diagnosis is frequently missed when clinicians anchor too early on croup. If you have an esophageal foreign body, remember that 70% of these get stuck at the thoracic inlet. So always think about a kid who sounded like they had croup and got croup treatments, but also has some swallowing issues and is the right age to put things in their mouth. This is when you see coins and button batteries and other things stuck not in the upper airway, but in the esophagus right behind it. Alright, now when it comes to disposition, most kids with croup are gonna be sent home. Children who improve, they have no stridor at rest, minimal work of breathing, can be discharged home with clear return precautions. Those with persistent symptoms, need for repeated racemic epinephrine, hypoxia, or concerning features should be admitted. For kids who continue to worsen despite standard therapy, escalation includes high-flow nasal cannula, noninvasive ventilation as a bridge. Heliox can be used as a temporizing measure to reduce work of breathing. Fortunately, needing to intubate a child with croup is rare, but when it's needed, it can be challenging due to subglottic narrowing. You need the best proceduralists, and you should downsize your endotracheal tube by 0.5 to 1 millimeter smaller than usual. And I'll reiterate this again. The natural course of croup is really favorable for most kids. The fear's not gonna go away for the parents, this is a scary diagnosis, but I think with some reassurance, we can help them understand that this is something that is unlikely to cause significant problems and will get better. Most kids improve significantly within 48 hours, though like any other respiratory illness, symptoms can persist for a week or so. Severe outcomes are fortunately rare, and they almost always occur in children whose severity or alternative diagnosis was not recognized early. So again, here's my take-home points. Croup is a clinical diagnosis. Severity determines your management. Steroids, dexamethasone, should be given to all patients. Racemic epinephrine is used for moderate to severe disease with mandatory reassessment and observation. And most importantly, always reassess the diagnosis when the presentation does not fit the expected patterns. Things can get rough when you're barking up the wrong tree and thinking it's croup when it's actually something else. Well, I hope you enjoyed this episode on honestly one of the most classic conditions that we see in the pediatric emergency department. If you've got any feedback on the episode, send it my way. As the kids would say, like, rate, and review. I would love it if you left a review on your favorite podcast site. It helps more people find the show. I do this as a labor of love because I enjoy teaching, and I think that this is a wonderful way to reach my colleagues and learners. If you've got suggestions on other topics or episodes, I'd love to hear them. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.

Part Two of a Two Part SeriesOn June 30, 2025, officers from the North Andover Police Department in Massachusetts responded to what should have been a routine domestic call at the home of one of their own. Twenty-nine-year-old Officer Kelsey Fitzsimmons—on maternity leave with her four-month-old son—was being served a restraining order filed by her ex-fiancé amid a heated custody dispute. Moments after the officers entered, the situation exploded.Fellow officer Patrick Noonan drew his weapon and fired twice, striking Fitzsimmons in the chest. She survived, but the aftermath ignited a firestorm: Was Fitzsimmons, claiming a mental-health crisis and postpartum struggles, attempting suicide by pointing the gun at herself? Or did she turn the weapon on a fellow cop and pull the trigger first, as Noonan and prosecutors alleged?In this Exposed: Investigates episode, Jim unpacks the dramatic bench trial that gripped Essex County, the conflicting eyewitness accounts, the absence of body-camera footage, and the raw questions about police training, mental health support, and what happens when the thin blue line turns inward.  From the tense moments inside that bedroom to the judge's stunning verdict, this is the full, unflinching story of a cop-on-cop shooting that no one saw coming—and the verdict that left an entire department divided.Timestamps02:00  Justin's Alleged Crimes02:57  Kelsey's Hospitalization and Arrest05:01  Kelsey's Statement from the Hospital11:43  Grand Jury Findings and Charges13:12  Kelsey's House Arrest Conditions24:43  Court Hearing and Judge's Decision32:18  Kelsey's Trial Begins41:32  Verdict For commercial free early releases, bonus episodes and more! https://www.patreon.com/exposedpodcastfilesBecome a supporter of this podcast: https://www.spreaker.com/podcast/exposed-scandalous-files-of-the-elite--6073723/support.

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Send us Fan MailMany people are told their symptoms are “normal,” psychosomatic, or simply stress-related, even when they know something deeper is wrong.In this episode of Never Been Sicker, Michael Rubino sits down with Miriam Putnam, a board-certified health and wellness coach and freedom-from-stress counselor, to talk about the connection between body health, mental health, and environmental triggers.They discuss why so many people end up on prescription medication before finding the true root cause, how mold, Lyme, allergies, and other hidden stressors can affect both the body and mind, and why self-advocacy matters so much in today's healthcare system.Miriam also shares her own story of a traumatic accident, neurological Lyme symptoms, and the long path toward finding answers outside the standard medical box.Timestamps00:00 Intro: Meet Miriam Putnam00:41 What Miriam does: body health, stress counseling, and holistic support01:14 Have we “never been sicker”?02:04 Why so many people are on prescription medication03:40 What could really be underneath the symptoms05:16 How Miriam's journey began through her mother's struggles07:14 Medical gaslighting and being told symptoms are “all in your head”08:42 Insurance limitations and why testing often falls short09:51 Is healthcare designed to create wellness or profit from sickness?11:24 Why mental health care often masks symptoms instead of solving them15:56 Michael's story about nearly being medicated as a child16:55 Parenting, school systems, and how quickly kids can be labeled18:34 PANS, PANDAS, and environmental triggers behind behavioral symptoms20:30 Why real care is often only accessible to those who can afford it21:48 How Miriam helps people get to the root cause24:24 Informed consent and learning to advocate for yourself26:39 The biggest lies in mental health and medicine27:03 Miriam's family's experience spending nearly $1 million seeking answers30:10 Why fixing body health is foundational to mental health31:05 The need for more comprehensive blood testing32:57 Why the U.S. approach to wellness is falling behind34:06 Miriam shares her personal Lyme disease story35:33 The airboat accident that changed everything37:56 Hospitalization, worsening symptoms, and neurological Lyme39:07 Getting real answers through integrative testing40:12 The healing modalities Miriam explored42:38 Trauma, immunity, and what may activate deeper health issues45:05 How many doctors it took before she found answers47:17 Why personal advocacy matters for everyone48:41 How to connect with Miriam and get her wellness checklist50:09 Final thoughts-----------------------------------------------------------------------------------------------

Every week brings two ways to grow: Tuesdays dive into the physical next steps with real-life guidance for seniors and families, and Fridays uplift the heart with spiritual and emotional next steps—encouragement, faith, and hope for the journey ahead. Today’s episode explores the transformative power of forgiveness and its vital role in experiencing an abundant life as we age. To learn more about Next Steps 4 Seniors, contact us at 248-651-5010 or visit us online at www.nextsteps4seniors.com. Learn more : https://omny.fm/shows/next-steps-4-seniors-with-wendy-jonesSee omnystudio.com/listener for privacy information.

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Discover the heartbreaking case of April Lynn Holt, a young woman whose life was tragically cut short amid emotional manipulation, unanswered questions, and a justice system that left her family fighting for more.In this episode of Murder in the Black, we walk through April's story — from her vibrant life as a beauty entrepreneur and social media influencer to the disturbing details surrounding her death, the evidence that raised red flags, and the legal outcome that continues to spark outrage.This is more than a case.It's a conversation about emotional abuse, missed warning signs, and what justice really looks like when the system falls short.

Holly Porter, Hon. Ph.D. is a spiritual entrepreneur,author of Near Death SHIFT, and survivor of a profound near-death experience during a 70-day COVID hospitalization. Her journey through realms oflight and angelic guidance inspires others to embrace purpose, healing, and transformation. Connect with Hollyat https://linktr.ee/hollyporter. #drdanamzallag, #drdanpodcast, #Happinessjourneywithdrdan, #ddanmotivation,#inspiringinterviews,

Severe vitamin D deficiency is linked to a sharply higher risk of hospitalization for respiratory infections such as bronchitis and pneumonia, turning common illnesses into serious medical events Adults with the lowest vitamin D levels face worse outcomes after pneumonia, including a much higher risk of dying months after hospital discharge, even when initial illness appears mild Higher vitamin D levels are associated with fewer everyday respiratory infections like colds and flu, reducing how often illness disrupts work, sleep, and daily life Vitamin D deficiency is widespread, often silent, and driven by limited sunlight exposure and modern indoor lifestyles, making it a correctable risk factor rather than an unavoidable one Combining systemic immune support from vitamin D with early, localized airway defenses helps stop respiratory infections from gaining momentum before they escalate

Patty Riddle Kirshner, a Nebraska pastor and evangelist, shares how her life changed when COVID swept through her church in August 2020. Patty spent 83 days in four hospitals, over four weeks in a coma, suffered paralysis from the neck down, and died briefly from cardiac arrest. During that moment, she describes being in heaven's "glory," overwhelmed by God's presence, seeing an unusual sky color and things that stunned her. God told her she could stay or return; she chose to come back because there was more work to do.  After extensive rehabilitation, she recovered movement and a national news team welcomed her home. Tragically, she soon faced her husband Ronnie's glioblastoma diagnosis; he died in May 2021. Patty reflects on the anger, the grief, learning to live "in the moment," staying connected to community and church, starting the widows' group Embrace, and testifying that God remained faithful through suffering, loss, and renewed purpose.  00:00 A Glimpse of Glory  00:41 Meet Patty and Her Story  01:33 Life Before COVID  02:37 Symptoms and Denial  04:43 Hospitalization and Fear  07:20 Coma and Ventilator Fight  10:29 Heart Stops Heaven Visit  13:36 Choose to Stay or Go  14:48 Rehab Isolation and Fear  18:45 Recovery and Witnessing  20:41 Vision of Anointing  22:24 Husband's Fall and Diagnosis  24:17 Grief After Loss  25:58 Finding Hope Again  26:56 New Love And Calling  28:51 Hard Questions Anger  31:14 Staying In The Moment  33:22 Advice For Widows  36:20 Embrace Support Group  40:59 Knowing God Is Real  44:07 Haiti Prophetic Warning  45:20 Ministry Links And Prayer of blessing over listeners  Patty's facebook page: https://www.facebook.com/p/Evangelist-Patty-Riddle-100081176667734/  Patty's Website: https://www.womenunitedministry.com/

New AHA/ACC guidelines overhaul pulmonary embolism management with a five-tier risk classification, endorsing ED discharge for low-risk patients and DOACs as first-line therapy. A JAMA trial confirms IV acetaminophen adds modest but real pain relief when combined with morphine. A large cohort study shows SGLT2 inhibitors dramatically reduce kidney, cardiovascular, and liver complications in diabetic cirrhosis patients.

High-Dose Influenza Vaccine Effectiveness against Hospitalization in Older Adults* High-Dose Influenza Vaccine to Reduce Hospitalizations* Efficacy of high-dose versus standard-dose influenza vaccine in older adultsBeta-blockers after myocardial infarction: effects according to sex in the REBOOT trial This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Effective value-based care depends on tight care coordination, clinician trust, and financial alignment that prevents avoidable hospitalizations. In this episode, three healthcare leaders discuss why proactive kidney care depends on early identification and ongoing patient education, long before dialysis decisions become urgent. Colette Boroch, Director of Clinical Services at PRINE Health, explains how early screening, repeated education, and removing barriers like transportation help prevent patients from “crashing” into the hospital. Kathryn Anderton, Vice President of Clinical Operations at ThoroughCare, shares how care management platforms reduce documentation burden, standardize workflows, and free clinicians to focus on patients, while Jonathan Goldstein, Chief Financial Officer at PRINE Health, outlines how care coordination lowers avoidable utilization, improves quality metrics, and supports shared savings. Together, they explore provider buy-in, fragmented data, AI-enabled scalability, and why value-based care must be treated as a strategic asset. Tune in and learn how clinical care, technology, and finance must work together to successfully scale value-based care. Resources Connect with and follow Colette Boroch on LinkedIn. Follow PRINE Health on LinkedIn and discover their website! Follow and connect with Kathryn Anderton on LinkedIn. Learn more about ThoroughCare on LinkedIn and explore their website. Listen to Kathryn's previous interview on the podcast here. Email Kathryn directly here.

Am I the Jerk? is the show where you can confess your deepest darkest secrets and be part of the conversation.

Surgery of some kind or another is a near universal experience for medically complex kids. (And yes, procedures that involve anesthesia or something similar count too!) And these experiences don't just affect our children, but our entire families. In this episode of The Rare Life, Alyssa and Madeline dig into all of the big feelings that come up before, during and after our kid's surgeries, the heart-rending questions we ask ourselves when deciding which surgeries are necessary, and advice from the community for getting through these tough moments. Whether you're planning for an upcoming surgery for your child or you've been through one in the past and feel like you're still processing, there's something for you in this episode. And our FUEL The Rare Life fundraiser is live! Help us fund the podcast for another year by sharing our fundraiser with your loved ones and community so we can keep supporting you! Learn more here.Links: Share our FUEL The Rare Life fundraiser! Listen to Ep 170: Hospitalizations. Listen to Ep 180: Does It Get Easier? Listen to Ep 140: A Mistaken Brain Surgery (Alyssa's Story). Join The Rare Life newsletter and never miss an update! Fill out our contact form to join upcoming discussion groups! Follow us on Instagram @the_rare_life! Donate to the podcast or Contact me about sponsoring an episode.

This episode is going to be one of the most honest conversations I've ever had on Yo Quiero Dinero. It's a raw, unfiltered conversation about what happens when you mix family and business—and spoiler alert: it gets messy as hell. My sister Lianne is back after a year-long hiatus, and we're spilling ALL the tea. From her rapid social media growth that turned into a nightmare with death threats, to being diagnosed with MS at 37, to almost filing for bankruptcy—this episode holds nothing back.We talk about what it was really like when she worked for me while I was a brand new mom, how her personal struggles spilled into the business, and why we ultimately had to make the difficult decision to part ways professionally. This isn't some sanitized "family business success story", it is the real shit that nobody talks about.If you've ever worked with family, hired a family member, or wondered if you should mix business with blood, this episode is required listening.WE GET INTO: 00:00 - Intro: Family, Business & Messy Dynamics02:03 - From 0 to 100K Followers to Death Threats05:03 - MS Diagnosis, Hospitalization & Bankruptcy07:20 - "I Was a Horrible Employee": Taking Accountability10:58 - The Performance Improvement Plan & Final Warning30:38 - The Money Problem: 1099 Tax Chaos37:26 - Digging Out of the Spiral: The Brutal Reality41:36 - Landing the New Job & Finding Peace54:56 - The 2026 Comeback: What's Different This Time58:29 - Should You Work with Family? The Real AnswerKEY TAKAWAYS:​​The gift and curse of rapid social media growthWhy follower counts don't equal moneyHow to navigate difficult conversations with family in businessRecognizing when a business relationship has reached its expiration dateThe importance of boundaries in ALL relationshipsHow to rebuild after burning everything downRESOURCES MENTIONED:Listen: Episode 179: 2 Sisters, 2 Survivors | Lianne Torres | Watch Us Thrive PodcastErica KramerCONNECT WITH LIANNE:WebsiteInstagram: @watchusthrivepodcastTAKE THE NEXT STEP:Yo Quiero Dinero Private MembershipRead my book: Financially LitLeave me a voicemail*Content Warning: This episode contains discussions of mental health struggles, financial hardship, and online harassment.This episode of Yo Quiero Dinero was produced by Heart Centered Podcasting. Hosted on Acast. See acast.com/privacy for more information.

In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss with disgust the decline and fall of American public health and the rise of "only me" when highlighting completion of the US withdrawal from the WHO and possibility of making IPV and MMR optional vaccines, before Dr. Griffin then deep dives into recent statistics RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, Europe losing its measles elimination status, first measles death in Mexico, almost 1000 measles cases in South Carolina, where to find PEMGARDA, how to access and pay for Paxlovid, long COVID treatment center, the effectiveness of this season's influenza vaccine, where to go for answers to your long COVID questions and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode US completes withdrawal from World Health Organization (AP News) Rejecting Decades of Science, Vaccine Panel Chair Says Polio and Other Shots Should Be Optional (NY Times) A Frightening Interview (Beyond the Noise) Unexplained Pauses in Centers for Disease Control and Prevention Surveillance: Erosion of the Public Evidence Base for Health Policy (Annals of Internal Medicine) Wastewater for measles (WasterWater Scan) UK among 6 European countries losing measles elimination status (Dougall MD: DG Alerts) European Regional Verification Commission for Measles and Rubella Elimination (RVC) (WHO: Europe) Measles Outbreak Associated with an Infectious Traveler — Colorado, May–June 2025 (CDC: MMWR) South Carolina measles cases hit 789, surpassing Texas' 2025 outbreak total (Reuters) Measles cases and outbreaks (CDC Rubeola) Tracking Measles Cases in the U.S. (Johns Hopkins) Measles vaccine recommendations from NYP (jpg) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) States across the country report first measles cases of year(CIDRAP) First measles death confirmed in Mexico in 2026 (Mexico News) Influenza: Waste water scan for 11  pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) Influenza Vaccine Effectiveness Among Children With and Without Underlying Conditions(Pediatrics) OPTION 2: XOFLUZA $50 Cash Pay Option(xofluza) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Effectiveness and Durability of the BNT162b2 KP.2 vaccine against COVID-19 Hospitalization and Emergency Department or Urgent Care Encounters in US Adults (OFID) Where to get pemgarda (Pemgarda) EUAfor the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) Understanding Coverage Options (PAXCESS) Infectious Disease Society guidelines for treatment and management (ID Society) Association of Nirmatrelvir-ritonavir with intubation or mortality risks in severe COVID-19 patients (BMC Infectious Diseases) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Anticoagulationguidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1292 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

Talltail gets trapped. By love.Resources: Mobilize.usStand With MinnesotaMN Immigrant Rights Action Committee (MIRAC)The Immigrant Defense NetworkImmigrant Law Center of MNBook: Super Edition: Tallstar's Revenge Support us on Ko-fi! WCWITCast Ko-fiFollow us on BlueSky! WCWITCastFollow us on Instagram! WCWITCastCat Fact Sources:Who Is Shaving Virginia's Cats? - Atlas Obscura Mystery in Virginia: Someone is shaving other people's cats | AP NewsWaynesboro woman warns others of cats being shavedWaynesboro cat owners fearful over pets getting 'shaved'Alert issued in Kent after cats shaved in spate of attacksMetro Co UK - Phantom Shaver in KentWarning to cat owners after pets shaved in 'disturbing' spate of attacks across Kent | ITV News MeridianYoutube - ITV News, Kent Cat ShaverMusic:Happy Boy End Theme Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 4.0https://creativecommons.org/licenses/by/4.0/This transformative podcast work constitutes a fair-use of any copyrighted material as provided for in section 107 of the US copyright law. Warrior Cats: What is That? is not endorsed or supported by Harper Collins and/or Working Partners. All views are our own.