Podcasts about hpd

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Best podcasts about hpd

Latest podcast episodes about hpd

Hear Our Voices
EHV (Emergency Housing Voucher) Update

Hear Our Voices

Play Episode Listen Later Sep 23, 2022 8:05


EHV (Emergency Housing Voucher) update deadline on September 30. Effective September 1, 2022, all NYCHA and HPD EHV voucher holders will have a 300-day search term from the initial date of voucher issuance. NYCHA and HPD will no longer accept EHV referrals and applications after September 30, 2022, and each will maintain an EHV waitlist populated with the completed EHV applications on-hand. https://www1.nyc.gov/site/nycccoc/ehv/ehv.page https://www1.nyc.gov/assets/nycccoc/downloads/pdf/ehv-faqs.pdf https://hcr.ny.gov/ehv UPCOMING EHV OFFICE HOURS Zoom Meeting EHV Office Hours will resume on Tuesday, September 20, 2022 at 3pm. Beginning in October 2022, EHV Office Hours will transition to the first Tuesday of every month

The Michael Berry Show
Remembering Houston Police Officer Rodney Johnson On The 16th Anniversary Of His Death

The Michael Berry Show

Play Episode Listen Later Sep 21, 2022 5:18


The Czar remembers a fallen HPD officer on the anniversary of his death.

Hawaii News Now
This is Now (Aug 23, 2022)

Hawaii News Now

Play Episode Listen Later Aug 23, 2022 24:29


Police have arrested the suspect accused of fatally shooting a 24-year-old woman at a Chinatown bus stop. Authorities said 58-year-old Tony Johnson was brought into custody Tuesday morning and is being held on suspicion of murder and gun crimes. HPD said he was arrested in connection to a shooting that happened just after 11 p.m. Friday near the corner of Hotel Street and River Street. Police revealed Sunday the victim was alongside her husband when the couple got into an argument with an unidentified man.See omnystudio.com/listener for privacy information.

Mind your Mornings
Mind Your Mornings With Anna Chandy - Borderline Personality Disorder

Mind your Mornings

Play Episode Listen Later Aug 16, 2022 14:28


Today let's look at a personality disorder that is well-researched and defined. Borderline Personality Disorder falls under Cluster B, the emotional, dramatic and erratic cluster. It is not uncommon among the disorders.People with BPD suffer from emotional dysregulation with a high rate of attempted suicides. It is not always easy to diagnose a cluster B disorder. An individual can meet the full diagnostic of BPD and HPD, while also showing traits of NPD and APD. Sometimes, a person can also have a mixed personality disorder. They might have traits of all the 4, but not meet any one entirely. It takes a potent psychiatrist to make a clear diagnosis.

Hawaii News Now
Sunrise 5 a.m. (August 11, 2022)

Hawaii News Now

Play Episode Listen Later Aug 11, 2022 17:43


Police have opened an attempted murder investigation in Chinatown. HPD says someone was struck with a vehicle and then attacked by a group of people. Authorities said this incident is linked to a man who threatened a group of women with a machete. See omnystudio.com/listener for privacy information.

Hawaii News Now
HNN News Brief (July 22, 2022)

Hawaii News Now

Play Episode Listen Later Jul 22, 2022 3:54


HPD opened an attempted murder investigation after a man's hand was allegedly cult off with a sword. Colliers Hawaii reported that the retail sector of the economy backslid on Oahu in the second quarter.  See omnystudio.com/listener for privacy information.

Hawaii News Now
This is Now (July 21, 2022)

Hawaii News Now

Play Episode Listen Later Jul 21, 2022 24:28


Honolulu police have opened a murder investigation after a suspect allegedly stabbed his wife to death Wednesday night on the H-3 Freeway. The incident happened just after 6 p.m. near Kapaa Quarry Road in Kailua where police said witnesses saw a man standing over a woman and repeatedly stabbing her on the side of the road. In a press conference on Thursday, Lt. Deena Thoemmes of the HPD's Criminal Investigation Division said the 27-year-old woman and the suspect, who is active military, were married and had recently been going through marital problems. According to initial reports, police said the couple was married for three years. “At the time of the incident, they were arguing before he stabbed her multiple times that caused her fatal injuries,” Thoemmes said.See omnystudio.com/listener for privacy information.

Hawaii News Now
HNN News Brief (July 19, 2022)

Hawaii News Now

Play Episode Listen Later Jul 19, 2022 3:53


The watermain break near Kahana Bay is causing a big headache for many drivers in Windward Oahu. HPD has opened an attempted murder investigation after a man was shot in the McCully area.  The Army is investigating after reports of a political campaign event on military property.  See omnystudio.com/listener for privacy information.

'Muthaship' with Steph, Noli and Brooke
Episode 121: Fighting crime with former HPD Capt. Letha DeCaires

'Muthaship' with Steph, Noli and Brooke

Play Episode Listen Later Jul 14, 2022 45:37


Former HPD captain, detective and spokesperson for Honolulu Crimestoppers Letha DeCaires joins us on 'Muthaship' this week! DeCaires retired from HPD after 27 years of distinguished service and was an investigator with the Honolulu Ethics Commission. She is now the director of civil rights at Oahu Transit Services and runs her own investigations company "Effective Investigations LLC." DeCaires is also a mother and foster mom and her 11 grandchildren keep her busy! She shares how she discovered her passion for seeking justice and fighting crime and offers her thoughts on the state of law enforcement today in Hawaii.  See omnystudio.com/listener for privacy information.

Hawaii News Now
HNN News Brief (July 1, 2022)

Hawaii News Now

Play Episode Listen Later Jul 1, 2022 2:09


HPD is investigating a stabbing that happened late last night at Schofield Barracks. All Nippon Airways has resumed its jumbo jet flights from Japan's Narita Airport to Honolulu. See omnystudio.com/listener for privacy information.

Hawaii News Now
Sunrise 5 a.m. (June 29, 2022)

Hawaii News Now

Play Episode Listen Later Jun 29, 2022 17:34


The new Honolulu chief of police is already on the job, but a key event is scheduled Wednesday morning highlighting his critical role in the community. This comes as HPD works to restore transparency and public trust.  See omnystudio.com/listener for privacy information.

Hawaii News Now
HNN News Brief (June 29, 2022)

Hawaii News Now

Play Episode Listen Later Jun 29, 2022 3:13


HPD held a public ceremony to swear in the new police chief. Maria Ressa says the Philippines government has upheld its decision to shut down her online news organization. The DOH is reporting 15 new coronavirus deaths and 5,362 additional cases in the past week.  See omnystudio.com/listener for privacy information.

Clueston: True Crime in Houston, Texas
Clueston 51: Trying To Smuggle Sunrise By A Cluester.

Clueston: True Crime in Houston, Texas

Play Episode Listen Later Jun 23, 2022 62:22


Rise and Shine it’s Hypno Time
Stop Having Anxiety about Anxiety with Tim Box

Rise and Shine it’s Hypno Time

Play Episode Listen Later Jun 21, 2022 66:26


This week on the Rise and Shine it's Hypno Time podcast, Deana and Suzanne interview Tim Box, DipCAH, HPD, FMAHA, MNCH. Tim Box is a mind coach and remedial hypnotist who has successfully run a flourishing full time therapeutic practice for over a decade, and spent three years as an associate of one of the top practices in London's Harley Street. He was originally trained in hypnosis at the world-renowned Hypnoarts Academy by Jonathan Chase, and went on to become one of only a handful of people in the world to be awarded a fellowship of the academy, eventually becoming one of their senior trainers.   In 2015, Tim created his CONTROL system based on his experiences with clients and the learnings from thousands of 1-to-1 sessions. Tim now teaches his method throughout the world, and has qualified more than 100 CONTROL Practitioners in the UK, Europe, the United States and Australia. In 2017, Tim released his first book, “Clear Your Head,” a guide to enjoying life without anxiety getting in the way. It quickly became an Amazon number 1 bestseller in its category. Tim is also an accomplished public speaker, and regularly delivers talks on hypnosis, mindset, and how to improve your thinking. In 2019, he gave his first TED talk entitled ‘How to stop feeling anxious about anxiety,' which has now been viewed by over a million people.   On this episode, Tim Box shares his story with us, as well as his unique approach to hypnosis and working with the subconscious. We discuss how to reframe anxiety in order to stop feeling anxious about anxiety, letting go of what you can't control, anxiety and the pandemic, performance anxiety, social anxiety, and the key to living a happy, simple life. Interested in working with Tim Box? Find his information below:   Tim Box - Mind Coach The CONTROL System www.thecontrolsystem.co.uk info@thecontrolsystem.co.uk YouTube/Social: Tim Box - Mind Coach   Connect with us:   Facebook: https://www.facebook.com/RiseandShineitsHypnoTime Instagram: https://www.instagram.com/riseandshineitshypnotime/ Twitter: https://twitter.com/DeanaAndSuzanne  Website: dcchypnosis.com/podcast Contact: riseandshineitshypnotime@gmail.com

Hawaii News Now
HNN News Brief (June 15, 2022)

Hawaii News Now

Play Episode Listen Later Jun 15, 2022 2:33


The Fed attacks inflation with its largest rate hike since 1994. The state Health Department reports two more probable cases of monkeypox on Oahu. Despite promises of transparency, HPD's new chief gets sworn in secretly. See omnystudio.com/listener for privacy information.

#BLACKGIRLNEWS
Khylie Sorrells - 9 Years Old Shot After Her Mother Refused to Take Him Back Her Ex-Boyfriend → His Brother Claims He's Innocent

#BLACKGIRLNEWS

Play Episode Listen Later Jun 15, 2022 7:23


A 22-year-old murder suspect, who authorities said shot his ex-girlfriend's 9-year-old daughter in the head, is in custody. Houston police were looking for Jeremiah Jones after a deadly shooting at a Heights-area apartment complex late Monday night. Jones was taken into custody at about 6 p.m. by HPD SWAT & Tactical Team officers in a parking lot in the 22300 block of Imperial Valley Drive, HPD tweeted late Tuesday afternoon. Earlier, police had said Jones was charged with capital murder in the death of 9-year-old Khylie Sorrells, whose mother was also wounded in the same incident. Another child, a toddler, was in the home at the time of the shooting. Police said she was unharmed and is in the care of family members. --- Support this podcast: https://anchor.fm/leah-gordone/support

Hawaii News Now
First at 4 p.m. (June 14, 2022)

Hawaii News Now

Play Episode Listen Later Jun 15, 2022 14:43


Arthur “Joe” Logan was sworn in secretly Tuesday as HPD's new chief, in an unusual decision that's likely to raise eyebrows amid calls for the department to improve its public image and commit to transparency. HNN first learned about the swearing-in through police sources. Hawaii News Now has also confirmed that the mayor was not at the ceremony and members of command staff didn't even know it was happening. Keith Horikawa and Rade Vanic, the former acting HPD chief, were also sworn in Tuesday as deputy chiefs. See omnystudio.com/listener for privacy information.

Take Your Pills, Psychopath!
Ep. 30 Gaslighting and Histrionic Personality Disorder Plus Glial Cells

Take Your Pills, Psychopath!

Play Episode Listen Later Jun 14, 2022 57:38


In this solo episode, JFOD covers a number of contemporary psychology articles. He comments on pieces about the signs of gaslighting, the signs of Histrionic Personality Disorder, the effect of Glial cells on mood, and whether or not we should pay attention to the news. Support JFOD on Patreon: Patreon.com/jfod. Join JFOD's newsletter: JFODnews.com.

Houston Women w/ Dana Tyson
Dana Speaks To Judge J. Elaine Marshall

Houston Women w/ Dana Tyson

Play Episode Listen Later Jun 3, 2022 21:59


Dana Tyson Speaks to Judge J. Elaine Marshall whom also swears in the HPD officers in the ceremony every year.

Hawaii News Now
HNN News Brief (June 3, 2022)

Hawaii News Now

Play Episode Listen Later Jun 3, 2022 2:25


The state DOH is investigating a probable case of monkeypox in Hawaii. A former HPD has been arrested in New Mexico for trafficking of a child.  See omnystudio.com/listener for privacy information.

The SoapyRao Show
SoapyRao show ft. Tim Box

The SoapyRao Show

Play Episode Listen Later Jun 3, 2022 86:51


Tim Box DipCAH, HPD, FMAHA, MNCH (reg) is a mind coach and remedial hypnotist who has successfully run a flourishing full-time therapeutic practice for the last 12 years as well as spending three years as an associate of one of the top practices in London's Harley Street. In 2015 Tim created his CONTROL system based on his experiences with clients and the learnings from thousands of 1 to 1 sessions. 

Atlantic Talk Podcast
(37) Von HPD & HPE – oder wie eine FCAS-Cloud das Grundgesetz lernen muss

Atlantic Talk Podcast

Play Episode Listen Later May 25, 2022 35:53


Vereinfacht ausgedrückt handelt es sich bei HPD um eine durch Signale herbeigeführte Beeinträchtigung von Menschen, HPE steht für die Verschmelzung von Mensch und Maschine und eine FCAS-Cloud (Future Combat Air System) beschreibt das System künftiger Luftstreitkräfte, bestehend aus einem modernen Kampfflugzeug, das mit Drohnen, Satelliten und anderen Kräften vernetzt sein soll. Eigentlich ist »HPD« das Hauptthema dieser Podcast Folge 37, die »Signalinduced Human Performance Degradations«. HPD geschieht durch Signale, die mit der Absicht ausgestrahlt werden, Menschen Schaden an Körper, Geist und Seele zuzufügen. Diese Signale sind von den Betroffenen je nach Technik gar nicht wahrzunehmen, wie beispielsweise beim sogenannten „Havanna-Syndrom“. Bis heute ist nicht klar, was Schwindel, Übelkeit und Kopfschmerzen bei US-Diplomaten in der Botschaft in Havanna ausgelöst hat. Verursacher und Wirkung lassen sich äußerst schwer nachweisen. Dass es die HPD dennoch gibt, steht für unseren Gast, Prof. Dr. Wolfgang Koch fest. Er ist Chief-Scientist am Fraunhofer-Institut für Kommunikation, Informationsverarbeitung und Ergonomie (FKIE). Auch die NATO nimmt die Bedrohung durch diese wenig erforschten disruptiven Technologien sehr ernst und wird sie auf dem von Koch mitinitiierten »Sensor und Elektronik-Technologie Panel« der »NATO-Wissenschafts- und Technologie-Organisation (STO)« intensiv diskutieren und erforschen. Im Verlauf des Gesprächs entwickelt sich zwischen Moderator Oliver Weilandt und dem Experten Koch, der auch Professor für Signalverarbeitung, Sensordatenfusion, Künstliche Intelligenz und Technische Autonomie an der Universität Bonn ist, eine Diskussion über ethische und gesellschaftliche Fragen, die weit über das Spektrum schädigender Signale und Impulse hinausgeht. Der Mensch – egal ob auf der Intensivstation oder auf dem Gefechtsfeld – erkennt seine begrenzten Fähigkeiten und erweitert sie deshalb, exkorporiert sein Sehen, Hören, Fühlen und Wollen in von mathematischen Algorithmen gesteuerte Maschinen. Dieses „Human Performance Enhancement“ (HPE) mit Verbindungen zwischen Mensch und Maschine wird immer enger: Erstens wird das menschliche Gehirn Teil dieses Informationssystems. Zweitens, sagt Koch, sei die Weiterentwicklung der Brain-Interface-Technologie in vollem Gang. Wenn aber das Wollen eines Gehirns mithilfe eines Brain-Interface eine Beinprothese steuern kann, warum sollte dann nicht in umgekehrtem Datenfluss ein Algorithmus auch das Wollen eines Gehirn steuern können? Wenn Menschen und Maschinen in hochkomplexen Anwendungsbereichen immer schwerer unterscheidbar werden, wie ist dann der in der Präambel des Grundgesetzes verankerte Begriff von der »Verantwortung vor Gott und den Menschen« bei der Gestaltung künftiger Wehrtechnik zu verstehen? Welche ethischen und rechtlichen Rahmenrichtlinien müssen dann vorausschauend bei der Planung zum Beispiel einer FCAS Air-Combat-Cloud als einem »System der Systeme« künftiger Luftabwehr implementiert werden? Welches Bild von einer verantwortlichen Pilotin, einem verantwortlichen Piloten lässt das Verschwimmen von Mensch und Maschine noch zu?

The Opperman Report'
Frustrated Witness: The True Story of the ADAM WALSH Case and Police Misconduct

The Opperman Report'

Play Episode Listen Later May 22, 2022 60:56


Two unforgettable names; one tragic case: how are Jeffrey Dahmer and Adam Walsh related? In Frustrated Witness, Willis Morgan details the mountain of evidence that points to America's most notorious serial killer as the real murderer of Adam Walsh, whose 1981 disappearance and subsequent murder inspired his father, John Walsh, to channel his rage into becoming the crime-fighting host of the popular TV show America's Most Wanted.In a Hollywood, Florida mall in 1981, the author encountered Dahmer near the time and place little Adam was abducted. This encounter sparked a theory that consumed well over three decades of the author's life. He has appeared as a witness both on television and in print. In 2010 he filed a lawsuit against the Hollywood Police Department, Florida State Attorney's Office, and one of the detectives involved in the Adam Walsh case. As much as it is a case for Dahmer as Adam's murderer, Frustrated Witness is a study of how the HPD conducted the homicide investigation, becoming the greatest ally and defender of the man who would go on to become infamous for the murders he committed. Packed with charts, diagrams, photos, and letters, this is the most extensive collection of records to date of the Adam Walsh case.

The Opperman Report
Frustrated Witness: The True Story of the ADAM WALSH Case and Police Misconduct

The Opperman Report

Play Episode Listen Later May 22, 2022 60:56


Two unforgettable names; one tragic case: how are Jeffrey Dahmer and Adam Walsh related? In Frustrated Witness, Willis Morgan details the mountain of evidence that points to America's most notorious serial killer as the real murderer of Adam Walsh, whose 1981 disappearance and subsequent murder inspired his father, John Walsh, to channel his rage into becoming the crime-fighting host of the popular TV show America's Most Wanted.In a Hollywood, Florida mall in 1981, the author encountered Dahmer near the time and place little Adam was abducted. This encounter sparked a theory that consumed well over three decades of the author's life. He has appeared as a witness both on television and in print. In 2010 he filed a lawsuit against the Hollywood Police Department, Florida State Attorney's Office, and one of the detectives involved in the Adam Walsh case. As much as it is a case for Dahmer as Adam's murderer, Frustrated Witness is a study of how the HPD conducted the homicide investigation, becoming the greatest ally and defender of the man who would go on to become infamous for the murders he committed. Packed with charts, diagrams, photos, and letters, this is the most extensive collection of records to date of the Adam Walsh case.

Clueston: True Crime in Houston, Texas
Clueston 50: If You Seek Revenge, Dig Clue Graves.

Clueston: True Crime in Houston, Texas

Play Episode Listen Later May 19, 2022 51:49


The horrifying murder of Houston Police Officer James Irby by the human stain Carl Wayne Buntion and the Irby family's long fight for justice.

Millennial Mental Health Channel
Histrionic Personality Disorder: How Amber Heard and Johnny Depp Resurfaced an Old Classic

Millennial Mental Health Channel

Play Episode Listen Later May 11, 2022 42:02


Johnny Depp's expert witness said Amber Heard has histrionic personality disorder. Eddie and Justin decided to use this opportunity to teach about HPD. They explain how personality disorder are often a result of inconsistent parenting or traumas in life. Plus, learn which other celebrities may have also had it!

Narcissistic Abuse Recovery with Angie Atkinson
Johnny Depp & Amber Heard - Understanding BPD & HPD - Cluster B Personality Disorders

Narcissistic Abuse Recovery with Angie Atkinson

Play Episode Listen Later May 6, 2022 2:45


Johnny Depp & Amber Heard - Understanding BPD & HPD - Cluster B Personality Disorders - What is borderline personality disorder (BPD)? What is histrionic personality disorder (HPD)? How might these two cluster B personality disorders work together to create a toxic cocktail in a person's life and relationships? In this quick, 3-minute post, I'll explain to you in very simple terms how these two disorders can cause a person to behave and why, if these diagnoses are accurate for Amber Heard, she may in fact be the guilty one in Johnny Depp's defamation case against her. Mental health awareness is the key to enlightening everyone involved, perhaps.Subscribe to Narcissistic Abuse Recovery with Angie Atkinson on Soundwise

News Headlines in Morse Code at 15 WPM

Morse code transcription: vvv vvv New Jersey Diocese settles with abuse victims for 87.5m Why this facial recognition firm is controversial Scholzs Ukraine Strategy No Longer Enough for Germanys Allies Bloomberg Partygate Government drops bid to delay vote on PM probe US Army Parachute Demo at Nats Park Causes False Alarm, Capitol Evacuation Putin claims victory in Mariupol, leaving Ukrainian defenders holed up Partygate PM seeks to delay Commons vote on probe Queen celebrates 96th birthday in Sandringham Defense and National Security Putin fires warning shot amid war GOP activist Dr. Steven Hotze indicted in 2020 case involving former HPD officer Richard Aguirre accused of assaulting repairman Chinas Xi proposes global security initiative, without giving details Delta will maintain mask non compliance no flight list even after the travel mandate lifts French election Macron and Le Pen clash in TV presidential debate Thousands flee as Arizona wildfire almost triples in size A AP Rocky arrested in connection with shooting Israeli fighter jets attack Gaza for second time in a week Working with assertive China a must New Zealand PM Jacinda Ardern Russia releases video of nuclear capable missile test Florida GOP Senate advances bill to revoke Disneys special tax status Johnny Depp to face questioning in case against ex wife Amber Heard

#BLACKGIRLNEWS
Amber Butler - 27 Year Old Days Away from Giving Birth Found Shot in Running Car

#BLACKGIRLNEWS

Play Episode Listen Later Apr 19, 2022 4:24


Police have identified the woman found shot dead in a car last week as 27-year-old Amber Butler. Houston police said she was in the late stages of pregnancy and that her unborn child did not survive. Butler was found just after 9:30 a.m. in a parked car on Willowbend Boulevard near Highway 90 on Friday. At that time, an HPD officer responded to a call of a person down in that area and found Butler unresponsive in the driver's seat of a white Chevrolet Malibu, police said. The vehicle was found parked in a main lane of traffic with the engine still running. Police said Butler was found with a gunshot wound. She was pronounced dead at the scene. There was no evidence of weapons or ammunition near the scene, police said. They added that investigators do not believe the shooting was the result of aggressive driving or suicide. The investigation is continuing. Anyone with information in this case is urged to contact the HPD Homicide Division at 713-308-3600 or speak anonymously to Crime Stoppers at 713-222-TIPS. --- Support this podcast: https://anchor.fm/leah-gordone/support

Never-Ending Drama+
Walk down

Never-Ending Drama+

Play Episode Listen Later Mar 29, 2022 55:42


I believe major playas of Houston Texas as HPD ,Harris county courthouse 337, Precinct 5, Owner Operator of Metro Transit. Harris county bond unit on San Jacinto street oyo hotel better know as memorial inn, ex lawyer Edward or a victim aggravated socialism, opinion over exaggerated zero tolerant made up from negative campaign from said groups a hit on my life was attempt 3/3/2022 I blame tha accident on said he resources.

#RolandMartinUnfiltered
Day 2 SCOTUS Confirmation Hearing, Texas family suing HPD, California's Reparations, Soul Snacks

#RolandMartinUnfiltered

Play Episode Listen Later Mar 23, 2022 140:09


3.22.2022 #RolandMartinUnfiltered:  Day 2 SCOTUS Confirmation Hearing, Texas family suing HPD, California's Reparations, Soul Snacks It's day two of Judge Ketanji Brown Jackson's Supreme Court confirmation hearing. Judge Jackson is grilled by Senators asking questions about her legal philosophy, religion, abortion, and critical race theory. South Carolina Senator Lindsey Grahams storms out of the hearing. We have an expert panel tonight to break down everything from today's proceedings. The family of the Texas black man gunned down in his front yard has filed a lawsuit. The attorney for Charion Lockett's family will update us on the case. In Alabama, a black store owner calls 9-1-1 for help as his store was getting robbed. So how does he end up with a broken jaw and facing several charges? A white California couple is charged with a hate crime for murdering a black Navy veteran. The California Reparations Task Force is making some progress. The Chairperson will be here to update us on the first state-initiated reparations initiative. In our Marketplace segment, he used to beat drums for some greats artists, like The Notorious B.I.G., Queen Latifah, Chris Botti, and India Arie. Now he's trying to beat out his competition with his soul snacks. #RolandMartinUnfiltered partner: Nissan | Check out the ALL NEW 2022 Nissan Frontier! As Efficient As It Is Powerful!

Living Cheap
Ep 20 Onika McLean

Living Cheap

Play Episode Listen Later Mar 23, 2022 37:33


Onika tells me about Hpd.gov to buy in nyc, let older rich men treat you to dinner, live in an old persons home as a carer. We also chat about artist grants and housing (NYFA). Follow Onika and go to her album recording at The Stand

Houston Matters
Officers in Nicolas Chavez shooting reinstated, the week in politics, and tax prep advice (March 16, 2022)

Houston Matters

Play Episode Listen Later Mar 16, 2022 48:27


On Wednesday's show: Four HPD officers dismissed in 2020 after shooting and killing Nicolas Chavez, a man suffering an apparent mental health crisis, are being reinstated, and some community members aren't happy about it. Also this hour: The Fed is expected to raise interest rates this week, which, as NPR's Domenico Montenaro reported Monday, raises some political challenges for the Biden administration. We discuss that, the politics surrounding a currently-blocked directive from the governor to the state's child welfare agency to investigate families seeking gender-affirming care, and other developments in this week's political roundup. Then, an area expert answers your questions about filing your income taxes. And we chat with Houston's own French ice cream maker, Lucienne Bellefontaine.

Another Third Wheel
Cluster B

Another Third Wheel

Play Episode Listen Later Feb 22, 2022 66:28


“Cluster B personality disorders (PDs) are characterized by dramatic, overly emotional, or unpredictable thinking or behavior. They include antisocial, borderline, histrionic, and narcissistic PDs.”These PDs share some common characteristics like impulsivity, irritability, and aggressive behavior.Cluster B personality disorders.“Cluster B PDs are characterized by dramatic, overly emotional or unpredictable thinking or behavior.”“Cluster B PDs are characterized by dramatic, overly emotional or unpredictable thinking or behavior.”These four types of PDs share some common characteristics like impulsivity, irritability, and aggressive behavior.What are some examples of dramatic thinking?They believe that something is far worse or far better than it really is, often due to what you see in the movies or on TV. Considering that people will be impressed by your behavior when they aren't really. Many adolescents struggle with this because everything seems so important at theHistrionic personality disorder (HPD) is one of the most common personality disorders. Like many personality disorders, it is defined by patterns of thinking and behaving that differ from societal norms in various ways.What do histrionics focus on?They tend to be preoccupied with physical appearance, social image, and other people's evaluations of them.What can histrionics be like?This personality type is very emotional and dramatic. They have a tendency to believe that people are always watching and judging them. While they do consider their relationships important, histrionics tend to take interpersonal interactions less seriously than others might feel appropriate. Histrionics also tend to have a hard time calming down once they've become upset. Histrionic personality disorder (HPD) is one of the most common personality disorders, and, like many personality disorders, it is defined by patterns of thinking and behaving that differ from societal norms in a variety of ways.Narcissistic personality disorder (NPD) is defined by patterns of thinking and behaving that differ from societal norms in various ways, including problems with self-concept. What does this mean? It means that people who have NPD tend to think very highly of themselves and prefer to be the center of attention. They also have a tendency to put other people down. This can be especially difficult because the people they are putting down may not realize it, as narcissists have a tendency to exaggerate their accomplishments and take credit for success even when they don't deserve it.Narcissistic personality disorder (NPD) is defined by patterns of thinking and behaving that differ from societal norms in various ways, including problems with self-concept.What does this mean?It means that people who have NPD tend to think very highly of themselves and prefer to be the center of attention.What can histrionics be like?They tend to be preoccupied with physical appearance, social image, and other people's evaluations of them.They have a tendency to put other people down. This can be especially difficult because the people they are putting down may not realize it.People who have a histrionic personality disorder, narcissistic personality disorder, or any other Cluster B personality disorder tend to think highly of themselves and prefer to be the center of attention. They also have a tendency to put other people down. This can be especially difficult because the people they are putting down may not realize it, as histrionic, narcissists, and others with Cluster B personality disorders tend to exaggerate their accomplishments and take credit for success even when they don't deserve it. People who have a histrionic personality disorder, narcissistic personality disorder, or any other Cluster B personality disorder also have difficulty calming down once they've become upset.Your Body Keeps Score:Audiobook: https://amzn.to/3I9Py2IPaperback: https://amzn.to/3589YL0Kindle: https://amzn.to/3h1HaGLI Hate You Don't Leave Me:Audiobook: https://amzn.to/3p2Kfe4Paperback: https://amzn.to/3s3ioMCKindle: https://amzn.to/3v4zegiThe Sociopath Nextdoor (we called it The Antisocial Nextdoor in the podcast)Adiobook: https://amzn.to/3s2ZMMF'Paperback: https://amzn.to/3p4Bm3DKindle: https://amzn.to/3H4E7bpNational Suicide Prevention LifelineHours: Available 24 hours. Languages: English, Spanish. 800-273-8255

LEO Round Table
LEO Round Table - Law Enforcement Talk Show - S07E07 - 2 of 2

LEO Round Table

Play Episode Listen Later Feb 16, 2022 44:35


This episode contains the following: VIDEO: Purdue student resists arrest, claims police brutality VIDEO: Idaho trooper belly flops to catch cat escaping from traffic stop Leak of a draft executive order on police reform South Carolina officer arrested after shooting suspect at end of pursuit Honolulu prosecutor releases officer involved shooting bodycam footage near Ala Moana VIDEO: Footage of fatal shooting at SFO Robot dogs may soon help patrol the U.S.-Mexico border VIDEO: Fresno police officer involved shooting VIDEO: No one hit after HPD officer shoots at family violence suspect Feb. 15 declared National School Resource Officer Appreciation Day --- Send in a voice message: https://anchor.fm/leoroundtable/message Support this podcast: https://anchor.fm/leoroundtable/support

Millennialz Anonymous Podcast
Mighty Morphin' Podcasters

Millennialz Anonymous Podcast

Play Episode Listen Later Feb 7, 2022 78:13


Intro (57 sec) Guest Host Bacardi: Geekset Breaks The Boondocks news 16 min 13 sec, Could Boondocks survive today? 17 min 13 sec, Female Ghostbusters Hit or Miss? 24 min 43 sec, Can Girls be funny? 28 min 47 sec, Does The NFL have a problem? 32 min 05 sec, Halftime show 40 min 16 sec, Best old school console 43 mins, Sonic Movie 45 min 34 sec, Sex as a gift? 49 min 15 sec, Men are hard to shop for 50 min 49 sec Millennial mins (1 hr 03 sec 41 min): Student loans forgiveness blocked 1 hr 5mins 21 sec, Trump is calling out pence 1hr 8 min 13 sec, Postal workers weed at work 1 hr 9mins 44 sec, Nick's cannon is loaded 1 hr 10 sec 27 sec, HPD 1hr 11 min 12 sec, Color purple the musical 1hr 11minn 46 sec, Joe & the N-word 1hr 13, Jackson Mahomes grinds on bull 1 hr 14 min 24 sec, 8-year-old party bus 1hr 15 min 50 sec Outro: (1 hr 17 min 30 sec)

Dana & Jay In The Morning
Tell Me - HPD Dispatcher has been working for 20 years, Bachelor watch party

Dana & Jay In The Morning

Play Episode Listen Later Jan 27, 2022 2:21


An HPD dispatcher has been trying to lift people up for 20 years....and there will be a watch party downtown for the Houston episode of The Bachelor

The Jimmy Barrett Show
Peter Doocy: The Thorn in Biden's Side

The Jimmy Barrett Show

Play Episode Listen Later Jan 25, 2022 33:36


Today on the Jimmy Barrett Show: Jimmy discusses a recent letter from Rice University Biden calls Peter Doocy a "SOB". Jimmy speaks about crime and the death of a fallen HPD officers

Sleuth Be Told
Andy Atkinson and Cheryl Henry | Episode 12

Sleuth Be Told

Play Episode Listen Later Jan 25, 2022 52:42


Ever heard of a 32-year-old cold case that allegedly has not exhausted all its leads yet? This week we dive into the infamous “lovers lane” case of Cheryl Henry and Andy Atkinson. We break down the confusing crime scene and discuss the DNA situation that doesn't make any sense. Follow us on Instagram @SleuthBeTold https://www.instagram.com/sleuthbetoldSupport us at Patreon https://www.patreon.com/sleuthbetoldShow Notes: https://sleuthbetold.com/Show-Notes/

Analyst Talk With Jason Elder
ATWJE - Freddy Croft - The Key Master (as opposed to “gatekeeper”)

Analyst Talk With Jason Elder

Play Episode Listen Later Jan 10, 2022 61:33


Episode: 00089 Release Date: January 10, 2022 Description: The mission of reducing and preventing criminal activities and enhancing public safety is a collaborative effort amongst all those within a police department, thus it is important to understand what each unit and person's roles and abilities are. In this week's episode, Lt. Freddy Croft details his experience overseeing the crime analysis unit at the Houston Police Department (HPD), and discusses the differences between sworn and civilian analysts, especially when trying to implement more GIS projects within the department. Lt. Croft emphasized the joint efforts he had with analysts Barry Fosberg and Jim Mallard to propel HPD to the next level utilizing the latest best practices in data analytics. The episode concludes with Lt. Croft's work in helping officers find additional work outside of the police department. Lt. Freddy Croft is currently a Lieutenant of Police for the Houston Police Department currently assigned to the Gang Division Crime Reduction Unit.  Do you like our new intro and outro?  Comment below or email us at leapodcasts@gmail.com.  Name Drops: Barry Fosberg/Jim Mallard (00:02:55 and throughout), Patrick Alexander (00:16:45), Chris Delaney (00:43:52),  Public Service Announcements:  Barry Fosberg (https://www.leapodcasts.com/e/atwje-barry-fosberg-the-data-czar/)  Jessica Elsmore Related Links:  How Houston PD is Using GIS to Go Beyond Crime Analysis - YouTube Play the Long Game - Houston PD GIS by Mapping Tech in Public Safety (anchor.fm) Association(s) Mentioned:  Vendor(s) Mentioned: Esri Contact: https://www.linkedin.com/in/fcroft/  Podcast Writer: Mindy Duong Podcast Researcher:  Theme Song: Written and Recorded by The Rough & Tumble. Find more of their music at www.theroughandtumble.com. Logo: Designed by Kyle McMullen. Please visit www.moderntype.com for any printable business forms and planners.  Podcast Email: leapodcasts@gmail.com   Podcast Webpage: www.leapodcasts.com   Podcast Twitter: @leapodcasts YouTube Version: https://youtu.be/igac1Wz6_rI  00:00:17 – Introducing Freddy 00:05:29 – Analysts' Morning 00:15:32 – Pushing Data to Patrol Vehicles 00:22:51 – The Analyst Perspective to Other Units 00:30:04 – Break:  Barry Fosberg & Jessica Elsmore 00:30:51 – GIS at the Police Department  00:45:50 – Civilization of Police Analysts 00:51:09 – Personal Interest - Off Duty Assignments 00:59:36 – Words to the World

Catch my Killer
Episode 117: Alexander "AJ" Silva III

Catch my Killer

Play Episode Listen Later Jan 9, 2022 45:00


This week's story focuses on a 19 year old Houston, Texas man named Alexander "AJ" Silva III. His relatives say the last time they saw him was either April the 5th or 6th of 2021. Nearly a year has passed since anyone has heard from Silva. Friends and family say there is a reason for this. Although AJ's case is considered a missing person's case, his family claims that he is deceased. Silva was charged with felony retaliation. As part of his bond conditions, he was ordered to wear an ankle monitor. The family assumed since AJ had a monitoring device, then law enforcement would always know his whereabouts. However, they would learn this wasn't the case because law enforcement wasn't always monitoring him. He would eventually disappear and neither his family nor law enforcement know where he is. For this story, I spoke to Paul Vasquez, who is AJ's uncle. After being frustrated with law enforcement's efforts, Paul has traveled between his New Mexico home and Houston to perform his own investigation into his nephew's disappearance. Paul found a young woman who witnessed someone chase and shoot AJ to death. She even showed Paul where AJ's deceased body lie after he died. Paul recorded the woman's statement and shared it with authorities. According to Paul, the Houston Police Department have discredited the witness. However, Paul believes her because she had nothing to gain by lying and he felt she risked her life to share this information. Paul has since interviewed many witnesses and has pieced together the final days of his nephew. He told me he doesn't have a good relationship with Houston PD and they will no longer speak to him. At this point, he has said he just wants justice for his nephew and for police to acknowledge that AJ is not a missing person but indeed deceased. The family is determined to find out what happened to AJ. They are worried that law enforcement will not give this case attention because he is a young black man with a troubled past. According to AJ's electronic monitoring records, he was at a warehouse on Lumberdale Road in Houston. And it's this warehouse where a witness told Paul Vasquez she witnessed AJ's homicide. If you know what happened to AJ Silva III, please report your tips to the HPD at (713) 884-3131. And if you would like to know more about this case, please visit the Justice for AJ Facebook page. There is also a Tik Tok account with even more information. The address is @justice4lilajPlease also visit my website for more information about my true crime and paranormal newspaper columns at www.themarcabe.com. You can also help support my podcast by purchasing a cup of $5 coffee every month. To help support the podcast, please visit https://www.buymeacoffee.com/catchmykiller. If you would like to contact me about this podcast, please visit my websites www.catchmykiller.com or www.themarcabe.com

Late to Grid Motosports Podcast
IMSA MX-5 Cup & Michelin Pilot Challenge Driver Luca Mars

Late to Grid Motosports Podcast

Play Episode Listen Later Jan 3, 2022 39:58


In our first episode for season two we chat with Luca Mars.  As you'll read below, Luca is an accomplished racer and he is only a sophomore in high school!Connect with Luca on Instagram & Facebook.Luca talks about his recent announcement to race in the Michelin Pilot Challenge in 2022 and he's participating in the third edition of the HPD in the Acura GT3 for 2022.  He is just coming off a successful season in IMSA MX-5 Cup.  We talk being at the track and how karting can be the start to it all.If you are interested in sponsorship opportunities with Luca contact Brett Mars at 412-310-0980Special thanks to Dan Scholosser for helping to arrange this interview.  Anyone wanting to get into karting or get better at karting needs to connect with Dan.  Luca's Racing Resume: Karting History: 2012: Started karting in the Pitt Race Karting Series winning Kid Kart and Rookie Championships first two seasons. 2014: Began Regional and National racing winning 26 of 31 races and scoring Championships with Pitt Race Karting Series, Great Lakes Sprint Series, USPKS and WKA. 2015: Moved up to the Mini ranks continuing success with wins and Championships in Rotax US Nationals, Florida Winter Tour, USPKS, SKUSA Pro Tour, Rok Cup USA and WKA. 2018: Granted the opportunity to move to Junior ranks a year early and produced results quickly winning Rok Cup USA, Florida Winter Tour, Rotax US Finals and SKUSA Winter Tour Championships. 2020: Granted the opportunity to move to Senior early and in a single year of competition ranked First in the US with an average finishing position of 3.43 in major races with Seconds in Florida Winter Tour, SKUSA Winter Series and Pro Tour Championships. International Opportunities: Earned invitations to represent Team USA at the Rok World Finals in Lonato, Italy 3 times with a best finish of 4th. Earned invitations to represent Team USA at the Rotax Grand Finals in Italy (2), Brazil and Portugal 4 times with a best finish of 6th. Have the unique distinction as the only American driver to achieve this at the Mini, Junior and Senior levels. Earned an invitation to be the sole Team USA representative at the CIK/FIA Academy Trophy Series in 2019 finishing 6th and 8th at events in Germany and Italy before an injury prevented competing in the Final event. Competed in additional International Events with the German DKM Kart Series and Italian ACI Karting Championship CIK Series with best finishes of 5th and 4th respectively. 2020 Car Racing Details: Lucas Oil School: Sebring Short Track & New Jersey Motorsports Park Thunderbolt – 2 Day Schools F2000 Testing Program – John Walko Racing: Carolina Motorsports Park, Roebling Road, Pitt Race, Nelson Ledges – Private and Open Testing Formula Race Productions – F2000 Championship Series – John Walko Racing: Mid-Ohio (P2), Pitt Race (P2/P3), Road Atlanta SCCA Hoosier Super Tour – Formula Continental – John Walko Racing: Pitt Race (P2/P2) Great Lakes Championship Series – Formula Continental – John Walko Racing: Pitt Race (P1/P1) USF2000 – Testing: Arms-Up Motorsports/Greg Borland - Road America & Exclusive Autosport/Michael Duncalfe – Sebring 2021 Car Racing Details: IMSA MX5 Cup: First ten races include 7 Top 10, 3 Top 5, 1 Podium and 3 Hard Charger Awards Competed at Daytona, Sebring, St Pete Grand Prix, Mid-Ohio & Road America SCCA Hoosier Pro Tour&a

Divij’s Den
ASTROWORLD TRAGEDY & JAY Z CLEARED IN $67 MILLION LAWSUIT | Divij's Den | Ep 29

Divij’s Den

Play Episode Listen Later Nov 11, 2021 20:45


ASTROWORLD TRAGEDY & JAY Z CLEARED IN $67 MILLION LAWSUIT | Divij's Den | Ep 29 Houston police chief debunks rumor about Astroworld security guard, who says he was not drugged but was hit on the head The investigation into the deadly tragedy at the Astroworld music festival could "take weeks, possibly months," Houston Police Chief Troy Finner said Wednesday. Calling for public officials to refrain from speculation, Finner said investigators were focused on "timelines," noting that festival organizers were informed that police were conducting CPR on victims while the show was still going. In a subsequent statement to the press, Finner said he meant to add that "it was at that time our HPD personnel told personnel in charge of the event to shut down the performance." Speaking Monday, Finner also debunked an early, viral rumor that — one he himself had amplified: that a security guard had been "pricked" with an unknown substance prior to the "mass casualty event."We did locate that security guard," Finner said. "His story is not consistent with that. He said he was struck in his head and went unconscious." "He said no one injected drugs in him, so we want to clear that part up," he added. Finner had earlier in the week asserted that medical staff had detected "a prick" in a guard's neck similar to one that "you would get if somebody was trying to inject."Finner said investigators had concluded there were "two mosh pits" near the stage. A security planning document from festival organizer Scoremore indicates that employees were instructed to prepare for a number of emergency scenarios — but not the possibility of a stampede. The Houston police and fire departments were both involved in the security planning for the festival, the Associated Press reported, with Chief Finner revealing this week that he had met with Scott himself before the fatal episode to discuss safety concerns. In a testy exchange with reporters on Wednesday, Finner said that to him did not constitute a "special relationship" with the star. HOUSTON — Panic and then desperation spread through the crowd of 50,000 mostly young people just as the popular hometown rapper they had come to see, Travis Scott, took the stage Friday night. It came like a wave, an unstoppable movement of bodies that could not be held back. Some collapsed. Others fought for air. Concertgoers lifted up the unconscious bodies of friends and strangers and surfed them over the top of the crowd, hoping to send them to safety. Others shouted out for help with CPR and pleaded for the concert to stop. It kept going. In the end, eight people died, ranging in age from 14 to 27, according to city officials. Hundreds more were treated for injuries at a field hospital at the concert venue, the NRG Park in Houston, or at local hospitals. Among those treated at a hospital was a 10-year-old child. The event appeared to be one of the deadliest crowd-control disasters at a concert in the United States in many years. Similar episodes have occurred at venues around the world, during performances of all genres of music, including an electronic dance music festival Germany in 2010 at which 18 people were trapped and crushed, and a 1979 Who concert in Cincinnati where 11 people died as concertgoers rushed the entrance. But the deaths in Houston had a particularly devastating impact at a time when the rapture of live events was being felt following months of pandemic restrictions. “Young people with bright futures — those were the people who were at the event,” said Lina Hidalgo, the top executive for Harris County, which includes Houston. She and other officials at an afternoon news conference struggled to explain what had taken place the night before. “Perhaps the plans were inadequate, perhaps the plans were good but they weren't followed, perhaps it was something else entirely,” she said, calling for an independent investigation.

The Behavioral Corner
Trauma and PTSD. Veterans and First Responders are often the victims of both. Matthew Marin

The Behavioral Corner

Play Episode Listen Later Nov 2, 2021 22:20 Transcription Available


Matthew Marin has seen his share of horrors. As a veteran, then as a police officer, Matthew knows the travails, trauma, and PTSD that result. The Behavioral Corner Podcast is made possible by Retreat Behavioral Health. Learn more - https://www.retreatbehavioralhealth.com

'The Other Side of Paradise' with Lynn Kawano
11. The Police Commander and An Alleged Reign of 'Terror'

'The Other Side of Paradise' with Lynn Kawano

Play Episode Listen Later Sep 29, 2021 13:29


A battle is brewing within the Honolulu Police Department as members of the rank-and-file push back against one of their leaders, accusing him of retaliation, sexual harassment and creating a hostile work environment. Acting Assistant Chief Stephen Gerona is one of the highest ranking officers in the department and his promotions have come despite dozens of complaints and lawsuits that have already cost taxpayers 1.6 million dollars. He was named in those lawsuits against the department. And there is another pending lawsuit filed by HPD detective, Maile Rego. In episode 11 of "The Other Side of Paradise," the 16-year police veteran speaks to HNN's Lynn Kawano about why she had no other choice but to turn to the courts for justice.See omnystudio.com/listener for privacy information.

'The Other Side of Paradise' with Lynn Kawano
10. The Man who Fought for Freedom Only to Lose His Own

'The Other Side of Paradise' with Lynn Kawano

Play Episode Listen Later Sep 9, 2021 22:00


Roynes Dural was serving in the Navy, deployed to the Persian Gulf, when accusations of child sex assault were made against him. When he returned to Pearl Harbor in 2002, HPD detectives arrested him and he was subsequently convicted. He spent eight years in prison and eight more on parole. But in 2019, the conviction was overturned -- all charges dismissed -- not because of a technicality but because he didn't do it. While his court record has been cleared, he is still working to clear the mess left behind. In this episode of "The Other Side of Paradise," Dural talks to HNN's Lynn Kawano about his long journey to prove his innocence and be made whole again.See omnystudio.com/listener for privacy information.

The Resilient Heart Podcast
#51 Pastor Bruce Stewart

The Resilient Heart Podcast

Play Episode Listen Later Sep 3, 2021 43:27


Pastor Bruce Stewart is originally from Australia.  He likes to say "Deep South Texas." Bruce is a pastor, he was the lead pastor and founder of a Church in Spring, Texas.  He left there to become the first Director of the Stronger Alliance. He is the pastor for reflective life Ministries, and he serves on the advisory board for Care Force, an organization that provides crisis training, response, and organizational development for the community and first responder organizations. He has quite a few hats that he has to wear. He used to work at HPD,  and now he works also with a precinct of three constables. He is a chaplain there, and then he also helps veterans with PTSD,  teen suicide, and then helping with veterans for child rescue and just a bunch of things. Things He loves, all-volunteer, so he loves it. He is part of the We are Stronger film that's just really grown and taken off. Yeah, that's been fantastic, he says. “You know, you've obviously seen the film and, and we had such an amazing response to them. So for those listeners who haven't seen it, it's basically a movie about a veteran coming home, who has PTSD and finds healing through Christ. And with the film, we realized that this is going to open a lot of wounds for a lot of people, not just for veterans, but for their families and how that will affect them. And so we wanted to provide services that would allow them to get help after seeing the movie. And so that's what the stronger alliance is and we provide Christ-centered organizations to hopefully, give them hope and give them joy and find a new way forward through difficult times, and most of us know the needs of that during COVID and, and everything that's going on in the world the desire need for hope. And, and obviously, we find that in Christ also” It just breaks your heart and to see that people that have signed on the line to serve our country feel that they have reached a point of darkness that that's their only option out. Yeah, and unfortunately that's a lie. Veterans. It's also a lot of first responders. You know, as I started working in the first responder community, particularly in law enforcement, I've come to realize, in fact, something that a lot of people may not know, we actually have more first responders die, by suicide than we do in the line of duty. . And so that in itself should be enough to be a wake-up call to our community. And so, I saw the need, I saw that just a real hunger for, for hope, as I said, just a desire for something more, you know, you train these men, you train these first responders to be warriors to go out onto the frontlines and to do the things that most of us can't do, or unwilling to do. And then they come back, and of course, you know, they're looking for that purpose again.  We have to learn to be that person we would want at our darkest time. What can we do as Pastors? More than 90% of Pastors have not been trained in suicide prevention. Where do Pastors go when we need help. For more information or to connect with Pastor Bruce, contact him at:  bruce@strongeralliance.com For more on the resilient heart podcast, www.theresilientheartpodcast.com Follow us on FB https://www.facebook.com/heartsofresilience    

Industry Insights: A healthcare podcast presented by Novant Health
From inpatient to outpatient: How leaders can navigate big changes in orthopedics.

Industry Insights: A healthcare podcast presented by Novant Health

Play Episode Listen Later Jun 21, 2021 19:57


Gina DiPietro  0:04  Half a million common elective procedures like hip, knee and shoulder replacements are performed every year in the United States. Most, outside of the hospital - with a one night stay or less. Welcome to Industry Insights: a healthcare podcast presented by Novant Health. I'm your host, Gina DiPietro. Regulatory changes over the past few years have made it increasingly easier to perform orthopedic procedures in an outpatient setting. This shift was driven by the Centers for Medicare and Medicaid Services, or CMS, with a goal of reducing the national spend on health care and creating access at lower cost sites. Here to explain it all is Dr. Bryan Edwards, system physician executive at Novant Health Orthopedics and Sports Medicine Institute, and Zack Landry, system administrative executive for that same institute. You'll hear Zack Landry jump in first. Thanks for listening.Zack Landry  1:03  What we are seeing both nationally and at a local level for Novant Health is that many orthopedic procedures that were once exclusively performed within inpatient hospitals are now actively moving to ambulatory sites of care. So you mentioned common elective procedures like hip knee and shoulder replacement, those are increasingly being performed at outpatient surgery center. So nationally, the impact of that is there's a lot of really value to be gained, you look at close to half a million hip and knee replacements that are performed a year in the US several billion in spend on those procedures a year. So we hear all the time about growth of healthcare spending as a percentage of GDP, we have an aging population, so that we know, you know, those hip and knee replacements aren't going away, there's gonna be more of them. So I think there's a real interest in how can we reduce the cost of care? How can we create more value? How do we make them more cost effective. And so I think that then this you know, confluence of factors that are driving cases to the outpatient space has really put the spotlight on orthopedics, I'd say probably over the last couple of years, especially this year.Dr. Bryan Edwards  2:05  Gina, this started back probably 2014 or 2015. When Medicare (CMS) came up with a program, it was basically the Bundle Care Initiative. So it was a program where Medicare looked at their spend every year, and the highest spend they have on a procedural DRG is hip and knee replacement. So obviously, if you're at the top of their list, there are going to be more eyes upon you. And at that point, they created a program called BPCI, which basically was a bundled program, where the government Medicare was going to pay you a set amount of money for that bundle, and you had to manage it the best way possible. And so that led to a lot of changes and how the patient's journey was mapped out. So focus has got placed on preoperative optimization of patients, better pain control techniques, better mobility, removing skilled nursing facilities from the discharge planning, moving to home with home PT. And to this day, it's the only bundle program for Medicare that's actually done what it wanted to do it actually improved quality could decrease length of stays, decrease readmissions and a decreased cost. And when that was happening, what they also noticed is how many patients that we treat with hip and knee replacements they were being discharged with just one night stays. They also noticed that we were discharging patients same days, I think when the light went off with CMS and said, Well, obviously, the site of service that we're delivering is hip and knee replacements. And if patients are only staying one night, well, that's truly outpatient, that's not really an inpatient resource consumer. And so you started to see things such as knee replacements got taken off the inpatient only list and placed on an outpatient list. And then once the government or Medicare, a Medicare makes a move like that, than the insurers follow. And so over the last several years, that's what's happened. And that was kind of the market forces that pushed all of us to take a hard look, because not everybody is going to go home the same day and certain criteria that we've come up with national criteria, not everybody's going to stay just one night. So is a select group of patients. But this select group of patients are what we're talking about in this shift. Gina DiPietro  4:19  What prompted this shift? Is it revenue driven? Does it improve patient outcomes? Perhaps the combination of both?Zack Landry  4:27  Yeah, I'd say there's a couple things that collectively are both prompting the shift and accelerating the shift. And our partners at SG2, a healthcare consulting firm, they even refer to it as the perfect storm for surgical migration. And so Bryan mentioned some of the regulatory perspective. That's the first one and it really starts with CMS, some of the rule changes that they've had over the last couple of years. They make it easier to perform cases outside of the hospital. So hip, knee and shoulder replacement are those high volume big spend items for Medicare, but there's about 300 procedures that CMS actually is removed from the inpatient only list with those goal of reducing the national spend on healthcare creating access at lower cost sites. The second is clinical perspective. Brian mentioned a lot of those. It's easier and safer now to perform procedures and outpatient surgery centers than it was say 10 years ago, you have advancements in medicine, clinical pathways, technology, and equipment allows our surgeons to provide safer procedures and faster recovery. And so you don't need that long hospital stay, it's now become unnecessary, you have the consumer perspective. Third, there's growing interest by patients and insurers to operate at lower cost. And so they're actually incentivizing payers, our physicians and patients to choose the lower cost settings and sometimes pass those savings along to the patients as well to eliminate out of pocket expense. And then lastly, I'd say you have the impact of the pandemic that we've seen over the last 12 months where in the state of North Carolina elective procedures shut down for about six weeks during the height of the pandemic. And beyond that it's really kind of changed the way that people access care. When you think of elective procedures, especially a lot of people thought it was best to wait it out until the pandemic had clear they had concerns about receiving care in a hospital during COVID. We saw the impact of people who lost access to employer sponsored insurance all together. Those are the ones I'd say that SG2 refers to as the perfect storm for orthopedic migration. So you could say that makes Dr. Edwards and George Clooney and Mark Wahlberg and a lot of ways just as we navigate these rough seas for outpatient migration.Gina DiPietro  6:23  Dr. Edwards, would you agree with that - George Clooney? Dr. Bryan Edwards  6:26  I'm definitely George Clooney, in my mind. Gina DiPietro  6:30  You have to love their sense of humor. You'll notice Zack mentioned faster recovery times. Another practice in orthopedics is something known as enhanced recovery after surgery, or ERAS. It's an evidence based approach to shorten both hospital stays and recovery times and decrease the risk of complications. It starts with making sure that person is ready for surgery. So do they smoke? Are they at a healthy weight, if it's a diabetic is their blood sugar controlled? Here's Dr. Edwards.Dr. Bryan Edwards  7:01  You're making sure that the patient before surgery is medically optimized. Then, in that group of patients, you're also doing a lot of messaging to them that we expect you to go home after one night. So you want the whole team to be kind of in a consistent message you know you're going to gray or take good care of you. It's not like we're rushing patients out the doors just we know that they only need a certain amount of resources to succeed. During the surgical period, we've taken a lot of steps to decrease the patient's pain and discomfort we use an agent called TXA. It's an IV medication given a patient's before HIPAA near procedures, and it substantially decreases the amount of bleeding that they have at the time of surgery. So we've seen significant reductions in post operative pain and swelling from the use of TXA. We have anesthesiologist here that perform peripheral nerve blocks and spinals to patients are avoiding generally anesthesia. So they avoid potential complications from that with the peripheral nerve blocks as well. They're taking far less opioids, so they're not as nauseated and some of our surgical techniques become more minimally invasive. And all of that just came together to, I think, give the patient a experience where they're not in as much discomfort as they were in patients procedures are pretty seamless to just take it to the you know, kind of a neat level. One of Dr. Holmes' hip replacement patients came in went home the next day and play golf six weeks after the hip replacement and got a hole in one on the fourth hole of his route. That's unheard of, you know, playing golf at six weeks wouldn't be thought of two or three years ago, but that shows you the minimally invasive techniques that can be done to get people back to what they want to do.Gina DiPietro  8:41  You talked about the difference between surgeries performed in the hospital versus in ambulatory surgery center. But how does this impact reimbursement?Dr. Bryan Edwards  8:51  Well, that's the main headache for a hospital chief financial officers is that it's significantly less reimbursement. There's three kinds of sites of service we have. We have inpatient hospital with HPD outpatient procedures done in the inpatient setting, if you will, and then you have a freestanding type of Center, which is a totally detached ASC. And as you move from inpatient to hospital outpatient to amatory surgery freestanding, there are significant decreases along the way. So obviously, that is less margin for Novant Health, which then requires the entire organization to sit back and say, Well, okay, well, orthopedics can't do anything about this. This is a market trend. It's what the patients and insurers want. Oh, but yes, we've got this decreasing potential margin head coming. So that's when you have to kind of say, Well, what can we do to mitigate that decrease in margin? Well, obviously, I think there's things that you can do that other systems are, you know, for us in orthopedics. We spent a significant amount of time in Charlotte and in Winston building out our trauma programs inside of Forsyth Medical Center and Presbyterian Medical Center. We're also putting in huge focus with neurosurgery on spine, then there's a point where, you know, orthopedics can only I would say, probably next year, about 95% of what we're going to be doing is outpatient. So then you have to really look at your colleagues and surgical oncology, Heart and Vascular, and really look at your product lines to see, okay, well, where else could we grow on the inpatient side?Zack Landry  10:21  I think that's well stated. I would say kind of at a high level, there's opportunities and risk with the shift out of the hospital. And I think you had the chance to speak with Jesse Cureton, and Melanie O'Connell not so long ago about patient affordability and pricing transparency. And so we know that there's the financial impact of moving and that's a risk for us that we need to manage. But there's also the opportunity to bring lower cost care to patients and the process of going through their clinical steps, the operational steps, workflows of moving a case out of the hospital into a surgery center, it helps us to learn a lot about ourselves. And it helps us to better connect with our consumers. And the reality is that our surgeons, too, are getting a lot of pressure from patients. Well, if we can't do it in a surgery center here, then I'm going to go see another surgeon. So it's always our goal to reduce clinical variation to cut out waste and bring affordable products to our patients. And so we keep that in mind too, as we try and balance the impact to hospital financial margin to with the opportunity to deliver lower cost care.Gina DiPietro  11:20  You are both familiar with this idea, this concept of value-based care where people are shifting away from the quantity of care they provide a patient with the quality of care you provide patients. So it's much more outcomes driven. Would you say that this shift that you're seeing is something that supports that shift in healthcare to make it a more value based approach for folks?Dr. Bryan Edwards  11:44  It definitely what we're seeing is. You know, number one, Zack mentioned earlier for our own company, for Novant Health team members, we launched a bundle over a year and a half ago. Our own team members were able to have their joint replacement in a Novant Health facility and minimal out of pocket for them a tailored experience. Obviously, it's a little complicated because no one's self insured. But we proved that the product work, people liked the fact that they had limited out of pocket. They like the connectivity of the bundle with the digital engagement tools that we had to engage them. So there's no question on quality thinking the competitive marketplace for insurers, especially the self insured employers, they're looking for a great result for their team members at the best price of the company. So we've got that in our bundle division, we've created that product with Novant Health team members, and we're ready to use that product to go after the self insured employers.Zack Landry  12:43  I think that's part of the value of having a diad leadership structure, as well and having Dr. Edwards as the traditional clinical expert, and visionary for orthopedic services, and then, you know, our team of leaders who are more focused on the business side and the financial outcome. I go back as a traditional MBA to the Porter's value equation, how do we improve quality? And how do we do it at lower costs. So value is something that we talk about quite a bit. I think that we're really lucky that we have a couple of things that are unique for us. We have expert Surgeons of every nearly every sub specialty throughout our markets. And then we have orthopedic focused hospitals as well. So when you talk about Charlotte orthopedic hospital, you talk about Clements Medical Center being a mostly orthopedic hospital, we have ASC's that are within close proximity to both of those sites. Now, New Hanover having an orthopedic hospital as part of our organization as well. We really have a lot of opportunities to create Center of Excellence around specialized fellowship trained total joint surgeons, for instance, where we can bring the experts to the table, we can bring experts in inpatient nursing care, we have outpatient facilities that can deliver great low cost care and that same remarkable care that we do in the hospital on an outpatient setting, we look at value in a lot of different ways. And we've been able to successfully attack that in a number of ways, whether that's through cost reduction, whether that's through our readmission rates, which are less than half of the Medicare national average, having that diad leadership and having the clinical experts that can lead that across our institute is something that's helped us be successful in delivering value.Gina DiPietro  14:16  Do you know it healthcare systems are seeing this shift from inpatient to outpatient procedures in other programs outside of orthopedics?Dr. Bryan Edwards  14:24  Yes, with Heart and Vascular. There's been also a push for simple cervical lumbar procedures to be done an outpatient setting. So those are two service lines in addition to us that will feel some of these pressures.Gina DiPietro  14:37  It might be nice to sort of wrap up our discussion with lessons learned. So if you could, what have you experienced as the benefits to this approach that maybe you could recommend as best practice to others as they kind of delve into this?Dr. Bryan Edwards  14:53  I think the things you have to do in this business is you got to listen to the customer and listen to the surgeon. So talking to the patients about what worked, what didn't work, you know how they felt like they move through the journey, you learn a lot about where there's educational gaps, you learn a lot about a quote unquote phone call wasn't answered on the answering service. So how do you kind of streamline and package it, we got a lot of great patient feedback from our employer bundles with Novant Health. That was one of the advantages when that was put together, I get a classic example Gina, is that we saw this little blip in readmission, I believe it was around the 10th or 12th day. For some reason, that was a day where people are going to the emergency room for some issue after their hip and knee replacement. It wasn't a lot, but it was statistically it's why is this and it had to do with how you know several things. But what we figured out is, you know, patient being discharged, we were calling him at like two days or three days after they got home, they were calling him at 14 days. So what we did is we adjusted the calls to start calling them around seven to 10 days, and so we could get ahead of you know, they're constipated a question about their wound. You know, frequently, a lot of after surgery, people have a lot of extremity swelling, and they always think they have a blood clot. So they always want to go to the ER and always want to get an ultrasound. And it's really rare that happens, it does happen, but it's not calm. And so we were able to kind of intercept a lot of those patients, and direct them on an outpatient basis to get you know, we would number one, adjust medications work on the GI issues and then you know, get an outpatient based ultrasound. So that way listening to the consumer, you can keep them out of the ER, you don't have any expenses, keep them healthy. And so once a month, we're always hashing out flows and what worked and what didn't work. So I'd say the key for anyone is listen to your patients and listen to the surgeons. And part of that too is we have a lot of input from our nursing staff and physical therapists. Because, you know, nurses see a lot of what's happening on the floor, Zack sits on a team called a best practices team. And in the best practices team, once every two months, we sit down with nursing leaders, therapy leaders across the company. And we find out a lot about the clinical care delivery on how we can improve.Zack Landry  17:06  I would definitely echo that. I think it's very important to listen to our surgeons and our patients and get the insights from them as to how we're delivering value. The one other thing I'd mentioned is taking the time when you're really looking at value to do some patient journey mapping and really trying to understand what's the perspective of the patient? And what's the experience that they're going through, not just for procedure, not just date of surgery, and a day or two of recovery. But what is their entire journey look like? Starting with the first physician office visit when they're first experiencing knee pain or shoulder pain? What's the education look like leading up to that surgical procedure? The surgical wellness visit the optimization steps, are they getting a full packet of 2000 pages that they have to sort through are they getting education in little bite sized bits that they can understand and be fully prepared to take on that surgery to take on their recovery. And I think as we started to do that, as we pulled together all the frontline team members from every part, whether that was the clinics, the hospitals or home health agencies, partner skilled nursing facilities, as we did that, we started to realize little gaps that might occur 30 days pre op that might affect the readmission on the backside. And so I think taking the time, and it was really time intensive for us to be able to build that for our total joint episodes. But since we did that for our team member total joint replacement, which we started about two years ago, and we've seen that performed extremely well, we've actually seen our patients, on average, save about $3,000 out of pocket, because we've been able to eliminate a lot of the waste. And then also too we've had no readmissions over the last year for anybody that's gone through one of those procedures. So we're really proud of the results. And we want to continue to learn and grow from there.Gina DiPietro  18:50  That's fantastic. And I really liked that point that you made around, you know, someone doesn't want to go home with 2000 pages to read through. So really, you know, breaking it down into bite size info. And I think to making sure it's written in a way that people understand it because medical jargon can be tricky and sometimes go over people's heads.Dr. Bryan Edwards  19:10  You have to also understand that every patient wants to receive information like every other patient, right? So you kind of have to figure out millennials that it's really a Gen Z millennial thing, you know, what do people want and you can't have one delivery mechanism.Gina DiPietro  19:28  Thank you for listening to this episode of Industry Insights. You can find more episodes under the Industry Insights channel of the Novant Health podcast family. There's tons of great content there around creating a culture of diversity and inclusion, using technology to transform care delivery, price transparency, and workforce burnout. So feel free to browse around. We're on Apple, Google, Spotify or anywhere you listen to podcasts.

I SEE U with Eddie Robinson
2: The Reign Check

I SEE U with Eddie Robinson

Play Episode Listen Later May 21, 2021 49:44


With the anniversary of George Floyd's death, two preachers -- one Black, one White -- both of large congregations in Houston, share unguarded perspectives on why some evangelical Christians have largely remained silent on race-related issues in America where social justice concerns are taking center stage. Dr. Marcus D. Cosby, Senior Pastor of Wheeler Avenue Baptist and Dr. Steve Wells, Senior Pastor of South Main Baptist join 'I SEE U' Host Eddie Robinson in a surprising conversation where all participants reveal a sense of openness, vulnerability and authenticity.

The Medical Muse Podcast
Ep. 1 - Samiksha Prasad, Ph.D.

The Medical Muse Podcast

Play Episode Listen Later Jan 16, 2021 56:14


From growing up in India, leaving her family to chase her dreams, being a highly successful woman in a male-dominated field, to researching treatments for HIV with CRISPR, Dr. Prasad does it all. We thoroughly enjoyed our conversation with her! Samiksha Prasad, Ph.D. joined Nova Southeastern University in 2017 as an Assistant Professor of Microbiology and Immunology. Currently, she teaches bacteriology and virology in multiple HPD colleges and also serves as the Biomedical Informatics Thread Director at the Kiran C Patel College of Allopathic Medicine. Dr. Prasad has three years of experience as a facilitator using multiple learning modalities within integrated, preclinical medical education curricula. She also has an active research program focused on human microbiome research, as well as analyzing the CRISPR/Cas9 technology as an applicable tool in Medical Interventions for HIV treatment and Duchene Muscular Dystrophy Syndrome. She serves as a member on a number of committees, including the NSU MD Diversity Committee, Pre-Clerkship Curriculum Committee, Medical Education Research Committee, and Student Progress and Advising Committee. Dr. Prasad earned her Bachelor's in Technology Engineering Degree in Genetic Engineering from Allahabad Agriculture University, India, and her Ph.D. in Microbiology and Cell Science at University of Florida. She continued on at the University of Florida to complete postdoctoral research on Parasitic Proteomics and Immunology. During this time, she also taught undergraduate, graduate, and medical science courses at University of Florida, Santa Fe College and Polk State College. Dr. Prasad enjoys teaching and research and firmly believes that more than
imparting knowledge, it is important to promote critical thinking and scientific thought. — Hosts: Daniel Epstein & Raj Kavadi Producer: Timothy Crowe Music: Foximusic.com